preparação da mulher para a realização do exame de papanicolaou na perspectiva da qualidade preparación de la mujer para la realización del examen de papanicolaou en la perspectiva de la calidad woman's preparation for the papanicolaou's exam in the perspective of the quality
Article Quality & Performance Metrics
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Abstract
OBJETIVO: evaluar la preparación de la mujer para la realización del examen de Papanicolaou. MÉTODOS: los datos fueron recolectados por medio de la observación directa, siguiendo lo que preconiza el Instrumento de Mejoría del Desempeño (IMD), durante el mes de setiembre del 2005. Participaron los siete enfermeros del Programa Salud de la Familia de un municipio cearense, los fueron cuales tuvieron observados durante la realización de sus prácticas clínicas en los respectivos locales de actuación (Unidad Básica de Salud). Cada enfermero fue acompañado en tres exámenes, con un total de 21 observaciones. RESULTADOS: de las 21 observaciones realizadas, en ninguna de ellas los enfermeros preguntaron si la usuaria habia orinado; en 8 (38,1%) estas profisionales dieron explicaciones sobre el examen y en 18 (85,7%), respectivamente, orientaron sobre el local privativo para cambiarse y cubrieron la usuaria de forma adecuada durante el examen. CONCLUSONES: la preparación de las mujeres se mostró insatisfactoria, pues los cuatro itens recomendados en el IMD sólo fueron cumplidos en el 52,4% de las veces. Transformar esta realidad exige cambios de actitud humana, área de competencia técnica de mayor desafío en el contexto del servicio público.
OBJECTIVE: To evaluate nurses' competence in preparing women for Papanicolaou's smear according to the Performance Improvement Instrument. METHODS: Data were collected through direct observation of the performance of 7 nurses from the Family's Health Program in Ceará, during the month of September, 2005. Each nurse was observed on three occasions. RESULTS: The majority of nurses (85.7%) provided privacy for the woman to change her clothes and maintained her privacy during the procedure by covering them properly. However, less than a half of the nurses (38.2%) explained the procedure to the client, and none of the nurses inquired if the woman had emptied her bladder. CONCLUSION: the nurse competence for preparing women for Papanicolaou's smear was unsatisfactory because the four items of the Performance Improvement Instrument were performed only 52.4% of the time. Promoting changes in attitudes toward competence and adequate performance is challenging public health service.
| Reference Key |
eduardo2007actapreparao
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| Authors | ;Kylvia Gradênia Torres Eduardo;Camila Félix Américo;Escolástica Rejane Moura Ferreira;Ana Karina Bezerra Pinheiro;Lorena Barbosa Ximenes |
| Journal | ecology and society |
| Year | 2007 |
| DOI |
10.1590/S0103-21002007000100008
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| URL | |
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