Adversities identified by nurses in the depletion of access for dialysis therapies1

Authors

DOI:

https://doi.org/10.33448/rsd-v11i3.26471

Keywords:

Nursing; Nursing Care; Acces Failure; Chronic kidney disease.

Abstract

The objective that guided the research was to know the difficulties identified by nurses in the exhaustion of access to dialysis therapies. Method: this is a descriptive study, with a qualitative approach, in which 12 care nurses participated in day, night and day shifts and approved by Plataforma Brasil under the opinion number 4,406,281. Data collection was guided by the semi-structured interview technique. Data analysis was performed based on an emerging category from the revealed content, using Bardin's content analysis technique. Results: research data revealed that nephrologist nurses identify difficulties in the exhaustion of access to dialysis therapies as well as stress to chronic kidney patients. Conclusion: considering that the study was carried out focusing on nurses working in the nephrology sector, it is considered important to develop new studies for the dissemination of knowledge for good practices in care for access to renal replacement therapies.

Author Biographies

Daniela de Oliveira Matias, Universidade Federal do Estado do Rio de Janeiro

Graduated in Nursing and Obstetrics from the Federal University of Rio de Janeiro (2004), specialist in Nephrology from the Gama Filho University (2007). Currently, she is a statutory nurse at the Cardoso Fontes Federal Hospital, she works as a lead nurse at the Intensive Care Center and a civil nurse at the Marcílio Dias Naval Hospital, in charge of the Dialysis sector. She has experience in the areas of Adult and Elderly Health and Women's Health with an emphasis on Nursing.

Rafael Abrantes de Lima, Universidade Federal do Estado do Rio de Janeiro

Graduated in Nursing (2013), Specialist in Intensive Care from the State University of Rio de Janeiro. Specialist in Nephrology by HUPE / UERJ. Recently approved in the notice 01/2020 for Class 2021 for a master's degree in nursing in the Research Line: NURSING: KNOWLEDGE AND PRACTICES OF CARING AND BEING CAREFUL with the Institutional Research entitled: Proposition of the management function in daily nursing. I have worked as an audit nurse for the largest health plans in Brazil, I have worked as an assistant nurse in the most renowned public and private hospitals. Papers presented at national and international congresses. Author and developer of the blog http://ieerl.blogspot.com.br/. Clinical Research Assistant at D'OR Institute for Research and Teaching and FIOCRUZ. CEO of the Nursing Education Institute Rafael Lima

Patrícia Aparecida Tavares Mendes, Universidade Federal do Estado do Rio de Janeiro

Graduated in Nursing from Universidade Estácio de Sá (2005), Residency in Clinical-Surgical Nursing: General from the Federal University of the State of Rio de Janeiro (2008) and Postgraduate Lato Sensu in Nursing in Hematology and Hemotherapy from Universidade Estácio de Sá (2008). She is currently a Lieutenant Captain, belonging to the Health Corps of the Brazilian Navy, working at the Marcílio Dias Naval Hospital, in the Hemotherapy Service and as a Member of the Patient Safety Nucleus, and is a Preceptor of the Nursing Residence at the Federal University of the State of Rio de Janeiro. She has experience in the field of Nursing. Acting mainly on the following topics: Hemotherapy, Hematology and Patient Safety.

Bianca Cristina Marques Gindre Laubert, Federal University of the State of Rio de Janeiro

Postgraduate nurse in Neonatal Nursing at Perinatal and in Occupational Nursing at the Federal University of Rio de Janeiro, she worked at Prevcenter in 2010, vaccination clinic and at the perinatal company as a nurse in the neonatal ICU. Resident at the Perinatal Neonatal ICU in 2011, and also a resident at the Perinatal Pediatric Cardiac ICU in the same year. Worked at Perinatal from 2011 to 2017. Currently Air Nurse (2017), acting as head of the Nursing subdivision of the Gerontological House of Aeronautca Brigadeiro Eduardo Gomes. Composes the Commission for monitoring the process of acquiring and receiving health material, hospital doctors and medicines from the Gerontological House, Participated in the Management Commission for Revitalization and Restructuring of the Coexistence Center Program of CGABEG, Composes the Infection Control Commission Related to Health Care of this Gerontological House, Composes the Multidisciplinary Team of Nutritional Therapy of this Gerontological House, Composes the Management Committee of Sustainable Logistics of CGABEG.

Tamires Zêba Guimarães, Universidade Federal do Estado do Rio de Janeiro

Nurse graduated from the Federal University of the State of Rio de Janeiro (UNIRIO) (2015). Specialist in Clinical Medicine and Surgery by the Graduate Program in Nursing Residency Templates at UNIRIO (2018). Student of the Academic Master's in Nursing of the Graduate Program in Nursing (PPGEnf) at UNIRIO. Participating member of the Nursing Care and Experimentation Laboratory Research Group (UNIRIO). Associated with the Brazilian Nursing Association/Rio de Janeiro Section (ABEn/RJ) . She was a fellow of the Institutional Scientific Initiation Scholarship Program (PIBIC) at UNIRIO in the research project "Therapeutic Workshops and Nursing: Training and care in mental health". She was a monitor of the discipline "Nursing in Attention in Psychiatry", at the EEAP of UNIRIO. She has technical training in surgical instrumentation from the Centro de Formação Profissional Gonzaga da Costa (2013), having completed an internship at the Souza Aguiar Municipal Hospital / RJ.

Letícia Lima Borges, Universidade Federal do Estado do Rio de Janeiro

Nurse graduated from the Anna Nery School of Nursing (EEAN) of the Federal University of Rio de Janeiro (UFRJ). Specialist in Nephrology Nursing from Universidade Gama Filho. She is currently a student at the Graduate Program in Nursing-Academic Master's at the Federal University of the State of Rio de Janeiro (UNIRIO). Participating member of the Research Group Management, Teaching and Practices of Nursing Care linked to the Laboratory of Experimentation and Nursing Care - LCEE of UNIRIO. She has professional experience in neonatology and aerospace nursing, working mainly in aeromedical transport and physiological training for airmen of the Brazilian Air Force.

Beatriz Gerbassi Costa Aguiar, Universidade Federal do Estado do Rio de Janeiro

PhD in Nursing-Area of ​​Concentration: Nursing in the Brazilian Social Context-School of Nursing Anna Nery-Federal University of Rio de Janeiro-2002; Specialization in Health Service Research - National School of Public Health - ENSP/ Fundação Oswaldo Cruz-FIOCRUZ 19991; Masters in Nursing-Alfredo Pinto Nursing School - Federal University of the State of Rio de Janeiro -UNRIO 1985; Specialization in Introduction to Health Education-ENSP/FIOCRUZ 1978; Specialization in Public Health ? ENSP /FIOCRUZ 1975. Member of the Brazilian Academy of Hospital Administration. Nurse at the Hospital Infection Control Commission at the Ipanema Hospital of the National Institute of Medical Assistance of Social Security-INAMPS 1971 to 1980; Consultant for the Hospital Infection Control Commission of the National Cancer Institute /MS 1981/83; Director of the Administration Division of Hospital de Ipanema ? INAMPS 1989/90; Director of the Nursing Division of the Hospital de Ipanema/ INAMPS 1991; Assistant Director of the Phillipe Phinnel Psychiatric Institute / MS 1993; Assistant of the Administration Division of the State Nucleus of Rio de Janeiro of the Ministry of Health-1995/96; Associate Professor I, Department of Medical-Surgical Nursing, School of Nursing Alfredo Pinto ? Federal University of the State of Rio de Janeiro - public contest in 1994. Director of the Alfredo Pinto School of Nursing - Federal University of Rio de Janeiro, elected 2005-2009. Founding member and first President of the Tordesillas Group's Nursing Program 2005-2009.

References

Alzen, J. L., Langdon, L. S., & Otero, V. K. (2018). A logistic regression investigation of the relationship between the Learning Assistant model and failure rates in introductory STEM courses. Int J STEM Educ. 5(1), 2-12. https://dx.doi.org/10.1186%2Fs40594-018-0152-1

Ana, C. A. M. (2013). Atenção paliativa oncológica em Unidades de Terapia Intensiva: estratégias para gerenciar o cuidado de enfermagem. [Dissertação de Mestrado, Universidade Federal do Rio de Janeiro]. http://objdig.ufrj.br/51/teses/856540.pdf

Barros, A. M. M. S., Santos, G. R.; Oliveira, N. V. S., Santos, I. H, A., Andrade, T. R. S. F., & Cavalcante, A.B. (2021). Avaliação da susceptibilidade da síndrome de burnout em enfermeiros oncohematológicos. R. pesq: cuid. fundam.online. 13, 796-801. https://doi.org/10.9789/2175-5361.rpcfo.v13.9156

Cardoso, M. F. P. T., Ribeiro, O. M. P. L., & Martins, M. M. F. P. S. (2019). A morte e o morrer: contributos para uma prática sustentada em referenciais teóricos de enfermagem. Rev. Gaúcha Enferm. 40, e20180139. https://doi.org/10.1590/1983-1447.2019.20180139

Cruz, J., Praxedes, J. N., & Cruz, H. M. M. (2006). Nefrologia. Sarvier.

Esquenazi, D., Silva, S. R. B., & Guimarães, M. A. M. (2014). Aspectos fisiopatológicos do envelhecimento humano e quedas em idosos. Revista HUPE. 13(2), 11-20. https://doi.org/10.12957/rhupe.2014.10124

Farias, C. M. L., Giovanella, L., Oliveira, A. E., & Neto, E. T. S. N. (2019). Tempo de espera e absenteísmo na atenção especializada: um desafio para os sistemas universais de saúde. Saúde em Debate. 43(spe 5), 190-204. https://doi.org/10.1590/0103-11042019S516

Ferreira, V. S., & Raminelli, O. (2012). O olhar do paciente oncológico em relação a sua terminalidade: ponto de vista psicológico. Rev. SBPH. 15(1),101-113. http://pepsic.bvsalud.org/pdf/rsbph/v15n1/v15n1a07.pdf

Horta, W. A. (1979). Processo de enfermagem. EPU.

Machado, M. H. M., Filho, W. A., Larceda, W. F., Oliveira, E., Lemos, W., Wermilinger, M., Vieira, M., Santos, M. R., Junior, P. B. S., Justino, E., & Barbosa, C. (2015). Características gerais da enfermagem: o perfil sociodemográfico. Enfermagem. Foco. 7, 11-17. https://doi.org/10.21675/2357-707X.2016.v7.nESP.686

Martins Junior, J. (2015). Como escrever trabalhos de conclusão de curso: instruções para planejar e montar, desenvolver, concluir, redigir e apresentar trabalhos monográficos e artigos. Vozes.

Martins, R. I. M., & Cesarino, C. B. (2005). Qualidade de vida de pessoas com doença renal crônica em tratamento hemodialítico. Rev. Latino-Am. Enfermagem. 13(5), 670-676. https://doi.org/10.1590/S0104-11692005000500010

Minayo, M. C. S. (2012). Análise qualitativa: teoria, passos e fidedignidade. Ciência & Saúde Coletiva. 17(3), 621-626. https://doi.org/10.1590/S1413-81232012000300007

Ministério da Saúde. (Brasil). (2011). Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022. https://bvsms.saude.gov.br/bvs/publicacoes/plano_acoes_enfrent_dcnt_2011.pdf

Ministério da Saúde. (Brasil). (2014). Diretrizes Clínicas para o Cuidado ao paciente com DRC –Doença Renal Crônica no Sistema Único de Saúde. https://portalarquivos2.saude.gov.br/images/pdf/2014/marco/24/diretriz-cl--nica-drc-versao-final.pdf.

Monteiro, D. T., Mendes, J. M. R., Beck, C. L. C. (2020). Perspectivas dos profissionais da saúde sobre o cuidado a pacientes em processo de finitude. Psicol. cienc. prof. 40,e191910. https://doi.org/10.1590/1982-3703003191910

Monteiro, P. V., Almeida, A. N. S., Pereira, M. L. D., Freitas, M. C., Guedes, M. V. C., & Silva, L. F. (2016). Quando cuidar do corpo não é suficiente: a dimensão emocional do cuidado de enfermagem. REME Rev Min Enferm. 20,e957. http://www.dx.doi.org/10.5935/1415-2762.20160026

Rafael, B. G. (2017). O gerenciamento do cuidado de enfermagem para defesa da autonomia dos idosos em terminalidade da vida. [Dissertação de Mestrado, Universidade Federal do Rio de Janeiro]. http://objdig.ufrj.br/51/teses/861500.pdf

Rocha, P. N., Sallenave, M., Casqueiro, V., Neto, B. C., & Presídio, S. (2010). Motivo de "escolha" de diálise peritoneal: exaustão de acesso vascular para hemodiálise? Braz. J. Nephrol. 32(1),23-28. https://doi.org/10.1590/S0101-28002010000100005

Rodrigues, A. T., Colugnati, F. A. B., & Bastos, M. G. (2018). Evaluation of variables associated with the patency of arteriovenous fistulas for hemodialysis created by a nephrologist. Braz. J. Nephrol. 40(4), 326-332. https://doi.org/10.1590/2175-8239-JBN-2017-0014

Rodrigues, F. A. B., Progianti, J. M., Prata, J. A., Oliveira, E. B., Souza, M. N., & Bélem, L. S. (2021). Sofrimento laboral e estratégias de defesa referidas por técnicas de enfermagem de maternidades. Rev. enferm. UERJ. 29,e54601. http://dx.doi.org/10.12957/reuerj.2021.54601

Silva, C., Abreu, C. P., Jorge. S., Afonso, N., Carreira, A., & Costa, A. G. (2014). Peritoneal dialysis in patients with vascular access problems. Port J Nephrol Hypert. 28(2): 119-125. http://www.bbg01.com/cdn/clientes/spnefro/pjnh/49/artigo_04.pdf

Vieira, C., Silva, D. R., Prates, C. G. (2019). Segurança do paciente em serviços de diálise – rotinas e práticas. Balieiro.

Published

22/02/2022

How to Cite

MATIAS, D. de O. .; LIMA, R. A. de .; MENDES, P. A. T. .; LAUBERT, B. C. M. G. .; GUIMARÃES, T. Z. .; BORGES, L. L. .; AGUIAR, B. G. C. . Adversities identified by nurses in the depletion of access for dialysis therapies1. Research, Society and Development, [S. l.], v. 11, n. 3, p. e30711326471, 2022. DOI: 10.33448/rsd-v11i3.26471. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26471. Acesso em: 27 dec. 2024.

Issue

Section

Health Sciences