Sob o olhar crítico do enfermeiro : vivências frente à parada cardiorrespiratória em unidade de terapia intensiva adulto.

Abstract

The cardio-pulmonary arrest is one of the most feared emergencies in the Intensive Care Unit, and the diseases related to the cardiac system are the most affected by society today. In the hospital environment, nursing is the one who first detects the Cardio-pulmonary Arrest because it is always patient. The construction of this work was based on the experience lived by the author in the Intensive Care Unit, generating a process of observation of the professionals. With the general objective of establishing critical requirements in the attendance of cardio-respiratory arrest in an intensive care unit of a university hospital in the interior of the State. The research is qualitative, exploratory-descriptive, with an indirect analysis of critical incidents technique, making the research with recent reports of nurses’ experiences satisfactory. A roadmap was elaborated, consisting of two distinct stages: the first one, aiming to identify information about the socio-demographic aspect, of the professional training of nurses, and the second stage composed of a direct question related to the purpose of the study. This research was carried out face-to-face; focusing on the report of experiences of greater relevance for the interviewee, through them it was possible to isolate the critical behaviors emitted, providing data for the elaboration of the research. Ten nurses were interviewed, of which nine (90%) were female, ranging from twenty to thirty (60%) and thirty-one to forty (40%). Having sufficient experience to reflect on his / her performance and identifying the critical positive and negative incidents during this service. The classification of the results obtained was divided into: Two Secondary Situation Categories, where the most cited topics were knowledge regarding the Cardio-respiratory Parade and technical aptitude in relation to this care. Five Areas of Behavior, among positive behaviors there was focus appropriate environment, material available, scientific knowledge, negative behaviors focused on the systematization of this service and knowledge regarding the handling of available material. As a result of the identification of the secondary categories of positive and negative behaviors of the nursing professionals involved in the care, one can analyze and list the critical requirements in this care. It was verified through nurses' reports that the performance in performing a correct care is provided by several factors that directly influence the desired result. The results of this research aim to contribute to the improvement of nursing care, since they made it possible to point out the need for autonomy and preparation of the team through a continuous process of training to act effectively during a PCR.