Proposal of a model for implementing the systematization of nursing care in the Hemodialysis unit of a public hospital in the Federal District: Experience report

Abstract

The Nursing Care Systematization (SAE) is a methodological instrument aimed at the development of the nursing process, offering support and scientific bases for nursing actions, ensuring safe and quality care for the patient. The nurse plays a fundamental role in its implementation, which is mandatory and provided for by law, in every unit where nursing actions take place. In view of this, the objective was to elaborate a proposal for a SAE model, for possible implementation in the Hemodialysis (HD) unit of Hospital Regional do GAMA. The methodological procedure applied to develop this initiative is described in the experience report format, through observation of the profile of patients and main complications during HD sessions and elaboration of diagnoses and nursing interventions, according to NANDA and findings in literature relevant to the topic. The results resulted in the elaboration of 17 priority nursing diagnoses for chronic renal patients (CKD), and 28 interventions according to the unit's clinical routine. At the end, the model was presented to nurses and unit heads, who showed good adherence to the proposal and started to use it in their evolutions.