Nursing care for the clients in hemodialysis: yours instrumental and expressive dimensions

Abstract

It deals with investigation about the care of nursing for clients in hemodialysis. Objectives: (a) to describe situations of care among integrants of the team-clientele; (b) to characterize demands of cares of the clients and (c) to analyze dimensions of the care in the interactions between integrants of the team-clients. This investigation was realized in three hospitals in the estate of Rio de Janeiro - Brazil (two university hospitals and one assistencial), from October to December of 2005. The participant observation registered the cares and seventeen integrants of the team and clients-family had been interviewed. The two categories, resultants of content analysis, had been the instrumental and expressive dimensions of the care. The predominance of the instrumental dimensions showed the attendance of the biological demands of the clientele. The predominance of the expressive dimensions was detached as the care differential when facilitating ties for the continuity of the treatment without the customers to feel "part-of-machines". The results had demonstrated that instrumental and expressive dimensions of the care must be valued to attend integrally to the clients where the expressive ones must be registered in the attending practical and literature.