Proposta de protocolo de puericultura para enfermeiros da atenção primária à saúde de Taiobeiras/MG

Abstract

For Primary Health Care to answer the demands sanitary current is necessary to base their work processes in clinical protocols based on scientific evidence in order to care for people with cost-effectiveness. The objective of this study was to propose the development of a protocol for childcare nurses Primary Health Care of Taiobeiras, Minas Gerais, in an attempt to thicken clinical practices with a strong theoretical content needed to improve the care of children. Therefore, there was a narrative review of the literature over 12 meetings of the Group Practice Improvement of Nurses of Primary Health Care Taiobeiras (GAPE/APS) with discussion and agreement of clinical routines for nursing consultation in childcare. From this theoretical basis has built up a set of 12 frames, one for each month of the child's life in order to organize a clinical routine. The tables have a standard structure, divided into six times the query: (1) accept, (2) ask, (3) evaluate, (4) check general signs of danger, (5) stratify risk, and (6) to diagnose and lead. It is considered that the protocol is constructed of simple operation, but also high theoretical density may contribute to improved clinical performance of nurses in childcare. It is also observed that the methodology used to construct the clinical protocol and continuing education is effective and potentially able to promote positive changes in the work process.