Adaptations and inventions in the praxis of nurses in home care: implications of the reflective practice^a

Adaptaciones e invenciones en la praxis de la enfermera en la atención domiciliaria: implicaciones de la práctica reflexiva

Abstract

Objective:

To analyze the praxis of nurses at home, considering their power to invent new ways of producing care.

Methods:

This is a Unique Case Study, with a qualitative nature, anchored in the theoretical-methodological framework of dialectics. It was attended by 13 nurses working in home care services in Minas Gerais State. Data were obtained through participant observation and interview, and then submitted to Critical Discourse Analysis.

Results:

The praxis of the nurse at home is shaped by the relationship of interdependence between theory and practice and of a practice built through adaptations and inventions entailed by the specific context of Home Care, as well as by the space where care happens.

Conclusions and implications for practice:

Adaptations and inventions represent the sensible action of nurses expressed during practice, with a view to transforming a reality. Moreover, they have a dialectical relationship between lack of resource and accomplishment of care.

Keywords:
Home Care Services; Nurse's Role; Nursing Care; Nursing