Retenção urinária e a autoconfiança do enfermeiro

Abstract

Introduction: One of the care in the health area, in which quality and patient safety are of particular relevance, is the practice of nursing in urinary eliminations, specifically for patients with Urinary Retention (UR). Thus, it is the responsibility of the nurse to evaluate, diagnose, plan and intervene nursing actions to the patient with UR, with quality. Vesical catheterization is the most common intervention to treat UR, and according to the Resolution of the Federal Council of Nursing (COFEN) nº 450/2013, it is the exclusive competence of the nurse. Therefore, to ensure that the care of patients with UR is efficient and safe, it is essential to rely on confident and competent professionals. Self-confidence represents the recognition of the individual's own ability. Objectives: To identify the self-confidence of nurses in nursing care for patients with UR. Methods: Descriptive study with a quantitative, exploratory approach, carried out with nurses from the Regional Hospital of a city in the midwest region, located in the north of the state of Mato Grosso do Sul. For data collection, the Scale of Self-confidence in Nursing Care in Urinary Retention (EAAERU) was applied, 32 items, Likert type and has 5 variables, where 1 (nothing confident) to 5 (completely confident), grouped into five factors: 1) Interventions performed during urinary catheterization and/or in iatrogenic situations; 2) Interventions prior to urinary catheterization; 3) Interventions performed after urinary catheterization; 4) Communication, consent and preparation of Materials for urinary catheterization and; 5) Objective evaluation of the UR. Data analysis was done with descriptive statistics. All ethical precepts have been guaranteed. Results: All 18 (100%) nurses allocated to the hospital participated in the survey, mostly female (77.8%), with an average age of 36 years. Most have less than 10 years of training, 15 (83.3%) have a specialization and none have a master's and/or doctorate. As for self-confidence, the factors in which nurses have more self-confidence are the interventions prior to urinary catheterization (M=33.0 SD=3.5) and the communication, consent and preparation of materials for urinary catheterization (M=27.5; SD=3.0). The factors interventions performed during urinary catheterization (M=35.7; SD=5.8) and objective evaluation of urinary retention (M=16.0; SD=3.1) were the ones that nurses have less self-confidence. Conclusion: Self-confidence is an essential element for the work of nurses, especially in patient care in RU. Thus, in view of the self-confidence understood by nurses, the need for continuing education is observed, with the purpose of safer and more quality care to patients in the UR.