ABSTRACT
Objective:
to discuss, from the complexity underpinning, the action and interaction strategies adopted by healthcare professionals for the care of hospitalized children with chronic cancer pain.
Method:
qualitative approach research, performed based on the methodological underpinning of the Grounded Theory and on the theoretical underpinning of the Complex Thought, from the perspective of Edgar Morin. The semi-structured interview and the non-participant observation were used to collect data. A total of 21 health professionals were included in the research and they were organized into three sample groups: nurses; nursing technicians; and professionals of the multiprofessional healthcare team. The results of the research were validated by five examiners, three of whom present expertise in the research method.
Results:
the category “Dealing with the complexity of the managerial context of the care provision to children with chronic cancer pain to children with chronic cancer pain”, through its subcategories, showed that healthcare professionals use the playful activities, the dialogue, the empathy, the affective relationship, and the teamwork as interaction strategies to provide care to the child and the family. In addition, the results present the search for spirituality and emotional balance as action strategies that are necessary to deal with child and family suffering.
Conclusion:
the results present the need for healthcare professionals to establish action strategies that improve their interaction with the child and their relatives, since an effective interaction makes the process of assessment and management of pain easier, as well as it favors the continuity and the quality of the care provided.
DESCRIPTORS:
Child care; Interpersonal relations; Strategies; Chronic pain; Neoplasms