Implantation and implementation of the SAEP of obstetric patients in a reference hospital in the North Zone of Ceará: A case study

Abstract

The improvement of surgical techniques, innovation and technological development have increased the occurrence of cesarean deliveries in various parts of the world. In this scenario, the professional who works in the CCO is of fundamental importance in the safety of the perioperative process, assuming managerial and care functions. This study aims to describe the case study for the implementation of the SAEP of obstetric patients in a reference hospital in the North Zone of Ceará. This is a descriptive study, of the case study type. The study took place in the city of Sobral, located in the North Zone of Ceará, more specifically in the Surgical Center of the Northern Regional Hospital. Initially, a literature search was conducted on topics related to NCS, as well as the risks and complications in the peripartum period, aiming at the standardization of instruments, which are essential for NCS to be a reality in the nurses' care experience. Subsequently, possible diagnoses, interventions, and results were identified to collaborate with the implementation of the NCS stages aimed at hospitalized users in obstetric services who need surgical intervention. Several nursing diagnoses (ND) were listed with their respective interventions and results based on Wanda Horta's theory of basic human needs and guided by the NANDA I taxonomy (2021 to 2023).  Data analysis was based on observation, the answers obtained, and the evaluation of the educational intervention carried out in the third stage of the study, based on pertinent literature.     The implementation and training brought rich discussions and fruitful moments of exchange of experiences, evidencing the need for integration and dialogue among those involved in care: class entities, professionals, users and managers.  In addition, they emphasized the information that professionals recognize the importance of using NP for the valorization and scientificity of the profession; however, they did not use it satisfactorily due to lack of scientific preparation and/or institutional administrative demands that are concomitantly delegated to clinical care. This study is limited by the gap found in its central theme and by the fact that it is an initial process of the use of APS in obstetric patients. However, it is relevant to show that the challenges and potentialities of the NP and SAEP in the CC are not only related to professional practice. But also, to the publications on the subject.  It is hoped that the work developed here can be a driving force for future publications and in-depth research.

DOI:https://doi.org/10.56238/sevened2024.005-024