RESUMOS
Discoursive practices in the nursing consultation
In this study, one intended to understand the nurse's discoursive practices through the interpretative repertoire manifested during the consultation to the client in the prenatal assistance. To do so, one opted for a research of qualitative nature, having as theoretical-methodological reference the Discoursive Practices and Production of Senses in the Everyday Life proposed by Spink. The case study was the design chosen for this research and, as instruments for data collection, one used the free and direct observation and a guide containing relevant topics about the professional's attitude to be noted during the nursing consultation. Participated in the study four nurses that carry out consultations to pregnant women registered in the Family Health Program in Timbó Complex and Taíba District located, respectively, in the cities of Maracanaú and São Gonçalo do Amarante, in the state of Ceará. By observing the nurses, one identified the time devoted to the work with women's health varying from three to twelve years. Everyone had, at least, a specialization course diploma, being two of them obstetric nurses. The environment of the office and the place of work of these nurses had a structure that favored the development of the activities and corresponded to the needs of the assisted population. Through the decoding of the results, one inferred that the discoursive practices had similarities and differences. Their verbal and non-verbal expressions, as well as their interpretative repertoire, were used aiming to offer to the client a welcoming environment and a space available for hearing. One verified that all nurses showed good will, interest, patience, will to help and educate the client, as well as the participation of the family in the consultations was estimulated by them. The expression of feelings on the part of the pregnant woman was easier due to the conversation and attitudes of the nurses. The integrated reflection of such feelings was, however, many times, limited by the technician focus given to the consultation. The persuasive action was commonly used to pass beneficial ways and behavior to the client. The humanized attendance was present is the nurses' behavior, as each pregnant was treated in a unique way observing their necessities of health and care and recognized as subjects with autonomy and liberty. One considers that the dialogic approach present in the intersubjective process formed in the professional-client meeting is the motor force of these nurses that made efforts to offer more than technical quality, contemplating with diligence the affection and the intuition in the prenatal care. In the nursing area, this study will serve to highlight the communicative processes in attention to health, because to understand someone, one needs to listen to him. In the nursing area, this study, even though it is a small fragment of reality, will serve to highlight the communicative processes as indispensable for the identification and attendance of the health needs of the individual, because, to understand him, it is necessary to listen to him.
Publication Dates
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Publication in this collection
24 Mar 2008 -
Date of issue
June 2006
