Implementation of the nursing diagnosis at the unit of intensive therapy and the problems in nursing practice - report based on personal experience

Abstract

The nursing assistance systematization is an activity of privative incumbency of the nurse, having as goals organization, planning, implementation, execution and evaluation of the nursing process. In view of the importance of the nursing process, it was objectified to describe the implementation of the nursing diagnosis in an unit of intensive therapy; to give an account of the theoretical and practical learning of the nurses about the diagnosis and to identify the factors that caused difficulties and had interfered in its implementation. The sequential stages of the implementation of the diagnosis were described as they were lived by the professionals. In such a way, it was adopted the descriptive method according to the sequential stages of the implementation of the diagnosis. The subjects of this study were eight nurses that work in the related unit. The labor was initiated in May of 2003, being defined in August of 2004, when the diagnosis and the new printed nursing check-lists were implemented. The difficulties experienced in the implementation of the diagnosis were: to adjust to the unit routine, the nurses´ available time to execute the stages of the process, unavailable printed check-lists, nurses´ resistance to use the process and not to value the method. Although the obstacles, the results of this practice showed the viability of the nursing process execution, aiming a better quality in the assistance given to the human being and consequent professional growth, valuation and autonomy to the nursing.