Pesquisa-ação como método para construção de instrumento de Consulta de Enfermagem à criança

Abstract

The nurse has a relevant role in child’s health systematic monitoring. The periodical execution of this monitoring, via nursing consultation, allows for the early detection of possible complications and therefore also makes it possible to act upon such findings in primary care. Objectives: build an instrument to guide the Nursing Consultation to children in Primary Health Care based on the International Classification for Nursing Practices and Basic Human Needs. Methods: Action research carried out from five stages, adapted from the method proposed by Thiollent: exploratory phase, situation diagnosis, integrating seminars, planning for the qualification of professional nurses, publication the results. The data collected, through interviews, and in the integrating seminars were organized according to the content analysis and discussed with the scientific literature on nursing consultation. Results: The data reveal that the nurses comprehend the importance of nursing consultations regarding children, however they have difficulties performing it in full. As a product of this study, an instrument for guidance as to how the nursing consultation has to be performed was collectively developed, consisting of Nursing History, Nursing Diagnoses, Nursing Interventions and Expected Results. Conclusions: The action research significantly contributed as a subsidizing factor for the reflections regarding the importance of performing a nursing consultation in a systematic fashion and also for the creation of a guidance instrument towards its application. It is believed that such an instrument qualifies and optimizes childcare, making it more efficient and at the same time helping nurses to take safer, more assertive decisions.