CONSTRUÇÃO DA PRESCRIÇÃO DE ENFERMAGEM INFORMATIZADA EM UMA UTI

Nursing Process (NP) contributes for the consolidation of the profession as the science of caring. This study describes the team construction of a Computerized Nursing Prescription (CNP) focusing on intervention protocols. The aim is to present the way that a methodological work instrument has been built, through the reality awareness as well as individuals’ interaction. It suggests a simplified model to operate NP, aiming to meet academic as well as hospital needs, by means of approaching theory/ practice and attention to the wholeness claimed by the National Health System (Sistema Unico de Saude/ SUS, in Portuguese). It approaches Systematization of Nursing Practice (SNP) and NP, besides their complementariness in their merge, inside working organization. NP model is grounded by Wanda Horta’s theory which entails three steps: history, evaluation and computerized prescription. Intervention access to the computerized system is effected by the selection of nursing problem(s) in affected body subsystems. The methodological approach used was the converging-practical research among the ICU nursing team of a Teaching Hospital, and the following steps were followed in order to build the protocols and implement the CNP: reality awareness, systematic observation and document survey; individual making of protocols, with 69