Processo de trabalho de enfermeiros no cuidado de pessoas com estomia: práticas e desafios para integralidade

Claudiomiro da Silva Alonso; Patrícia Rosa da Silva; Taysa de Fátima Garcia; Selisvane Ribeiro da Fonseca Domingos; Jaqueline Almeida Guimarães Barbosa

doi:10.36517/2175-6783.20252695777

Authors

Claudiomiro da Silva Alonso Federal University of Minas Gerais https://orcid.org/0000-0001-5868-1812
Patricia Rosa da Silva Federal University of Minas Gerais https://orcid.org/0000-0002-3751-1141
Taysa de Fátima Garcia Federal University of Minas Gerais https://orcid.org/0000-0002-1191-9587
Selisvane Ribeiro da Fonseca Domingos Federal University of Minas Gerais https://orcid.org/0000-0002-8123-5586
Jaqueline Almeida Guimarães Barbosa Federal University of Minas Gerais https://orcid.org/0000-0002-9175-0055

DOI:

https://doi.org/10.36517/2175-6783.20252695777

Keywords:

Ostomy; Enterostomal Therapy; Healthcare Work Process; Nurse Practitioners.

Abstract

Objective: to understand the actions taken by nurses in the dimensions of the work process in ostomy healthcare services. Methods: a qualitative study was carried out with 24 nurses. Data were collected using a self-administered digital form via Google Forms and analyzed using the content analysis technique, with the support of the IRaMuTeQ software. Results: the actions identified were organized into five dimensions of the nurse’s work process. In the assisting dimension, the highlights were assessing, caring, welcoming, and guiding. In the administration dimension, the most important were managing, directing, requesting, attending to, and controlling. Predominance was given to teaching, performing, training, and guiding in the educational dimension. In the research dimension, the most frequent actions were reading, studying, researching, and participating. In the political participation dimension, guidance, discussion, and participation. Conclusion: the nurses’ work process was heterogeneous and fragmented, with no universal actions among professionals, even in practices considered essential. Contributions to practice: support the reorganization of health work, including strategies to enhance care quality in services, such as individualized care flows, evaluation of self-care, and adaptation to the stoma, as well as strengthening health education and research.

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