0193/2023 - ALTA RESPONSÁVEL E RELAÇÕES INTERPROFISSIONAIS NA PERSPECTIVA E NO AGIR DA ENFERMAGEM EM TEMPOS DE PANDEMIA DE COVID-19 PLANNED DISCHARGE AND THE INTER PROFESSIONAL RELATIONSHIP FROM THE PERSPECTIVE OF THE NURSES’ ACTING DURING THE COVID-19 PANDEMIC
Com o objetivo de analisar as relações interprofissionais produzidas a partir da alta responsável, na perspectiva e no agir da enfermagem durante o a pandemia de Covid-19, realizou-se um estudo qualitativo, tipo estudo de caso. A técnica de pesquisa foi a observação participante de uma enfermaria de hospital de grande porte do SUS na cidade de São Paulo. A produção de narrativas e a análise micropolítica das relações fez emergir dois planos de visibilidade: Para além da alta responsável: a antropofagia dos arranjos tecnológicos do cuidado e a ambivalência da enfermagem na produção das relações interprofissionais e Alta médico-centrada e alta negociada: o entrecruzamento com os outros profissionais, com as famílias e com a vida “como ela é”. A pandemia de Covid interrompeu as visitas multiprofissionais e foi um analisador das relações interprofissionais. A partir de uma inteligência astuciosa, a enfermagem negocia a alta com os médicos, que detém este poder, e aciona a equipe, a partir de uma autonomia elástica. A alta responsável por si só não foi capaz de produzir um plano comum de ação interprofissional, de modificar os papéis instituídos no hospital, situação que recrudesceu durante a pandemia, mas abriu condições para o aumento da profissionalização da equipe.
Palavras-chave:
relações interprofissionais; alta do paciente; enfermagem; covid-19
Abstract:
A qualitative study - case study method was carried with the aim of analyzing the inter professional relationships produced by a planned dischargethe nursing actions perspective during the Covid-19 pandemic. The study method was the participating observation of one nurse who works in a large SUS hospital in São Paulo city. The production of narratives and the micro politics analysis brought about two diverse visibility plans: Beyond the planned discharge the cannibalism of the technological arrangements for care and the ambivalence of the nursing staff in the production of inter professional relationships. The medical discharge and negotiated discharge: the intersecting with other professionals, with the families and with life as is. The pandemic interrupted the multi professional visits and it was an analyzer of the inter professional relationships. Wittingly, the nursing staff negotiates the discharges with doctors, who withhold this power, and sets the team in motion using an elastic autonomy. The planned discharge alone was not able to guarantee a common inter professional action plan, was not able to modify the constituted roles in the hospital, a situation that increased during the pandemic, but allowed for the right setting to increase the professionalism of the team.
PLANNED DISCHARGE AND THE INTER PROFESSIONAL RELATIONSHIP FROM THE PERSPECTIVE OF THE NURSES’ ACTING DURING THE COVID-19 PANDEMIC
Resumo (abstract):
A qualitative study - case study method was carried with the aim of analyzing the inter professional relationships produced by a planned dischargethe nursing actions perspective during the Covid-19 pandemic. The study method was the participating observation of one nurse who works in a large SUS hospital in São Paulo city. The production of narratives and the micro politics analysis brought about two diverse visibility plans: Beyond the planned discharge the cannibalism of the technological arrangements for care and the ambivalence of the nursing staff in the production of inter professional relationships. The medical discharge and negotiated discharge: the intersecting with other professionals, with the families and with life as is. The pandemic interrupted the multi professional visits and it was an analyzer of the inter professional relationships. Wittingly, the nursing staff negotiates the discharges with doctors, who withhold this power, and sets the team in motion using an elastic autonomy. The planned discharge alone was not able to guarantee a common inter professional action plan, was not able to modify the constituted roles in the hospital, a situation that increased during the pandemic, but allowed for the right setting to increase the professionalism of the team.
Andreazza, R., Reis, A.A.C, Bragagnolo, L.M, Silva, F. F., Pereira, A. L, Diniz, L.M., Rodrigues, E.P, Furtado, L.A.C, Carapinheiro, G.. ALTA RESPONSÁVEL E RELAÇÕES INTERPROFISSIONAIS NA PERSPECTIVA E NO AGIR DA ENFERMAGEM EM TEMPOS DE PANDEMIA DE COVID-19. Cien Saude Colet [periódico na internet] (2023/jul). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/alta-responsavel-e-relacoes-interprofissionais-na-perspectiva-e-no-agir-da-enfermagem-em-tempos-de-pandemia-de-covid19/18819?id=18819&id=18819
