Nursing care as a significant presence: an intersection between creativity and technology

In recent years, we insisted on the presence of nurses with patients, especially in hospitals, as an authentic form of meaning production amid the hospitalization process, pain, suffering, loss and death¹. This professional, from his scientific knowledge, his expertise, their experience in the management of health units, their constant stay next to the people facing the disease process, their observation skills and relationship possibilities human established in daily work, presents them self as a central element in the work process in hospitals and care / comfort in stabilizing organic aggression, the recovery of health and / or in the process of dying faced by those who are under their care.

Thus, nursing care is constituted as a significant presence that goes beyond physical boundaries and is also the preoccupation with the patient and their context. We agree that this care includes the presence as a way to stimulate each other to be more from the "idea of proximity ethics"². Nursing care from the authentic presence and ethics proximity implies the help that the other is in the promotion of his being, in the statement of an investment that requires the caregiver own and be careful in a proximity that encourages the exercise of the essence both human and demanding attitude of ensuring the integrity and unity of the two social actors².

On this track, the nursing care involves the collaboration so that the other can be, but to be so in their uniqueness and in its specificity, with minimization of the charges that normally characterize the interactions carried out in the healthcare environment. Creates a space of relationships that becomes fertile for human development and for the achievement of new and still untested, the unusual that tends to be suffocated by the inflexible standards, follow-up routines and protocols.

One of the dimensions of this space if relations embody creativity developed by nurses and their teams in the various health units, which encompasses both the technological and technical, as the psychological and affective. Conducting focus groups in different scenarios, a specific moment for labor activities that foster the negotiation of knowledge, the verbalization of the difficulties encountered and the possibility of joint solutions, the opening of health units to the actions of different groups and non-governmental organizations, the proposition of techniques and technologies for care and specific situations and the use of the talents of professionals can be examples of one of the dimensions of what we call spatial relationships.

In the next two paragraphs, we will cite studies that show two fundamental dimensions of this spatial relationship, which are a more artistic and playful and other, more technical/technological. With regard to artistic/playful, we rely on dissertation of Bergold³, which sought to analyze the activity of musical visits developed by the nurse of a particular military establishment to patients and their families, as well as the impact of these visits on the health and comfort of those who received it. Patients referred to the positive influence of these visits in promoting comfort and well-being, while allowing the expression of emotions that, generally speaking, tend to remain on invisibility in the context of healthcare units. This group part listed by patients ends up promoting, according to themselves, their integrity and rescue their autonomy from respect for his musical style and to stimulate the creation of their own resources. They pointed out also the integrative quality of musical visits due to the encouragement of communication and interaction among participants and between them and the nursing staff.

In the technical/technological dimension, Souza et al.⁴ highlight the existence of a device adapted for verification of hourly diuresis without connection to a vesicle catheter, but rather linked to urinary incontinence device. It is the use of a drain bottle with 1000 ml of storage capacity, with a graded side adhesive, connected to a urine collection bag with closed system. Thus, according to the authors themselves, avoids the risk of infection and enables a more reliable measurement due to the characteristics of those collection bags. We also point out that we have noted, at various times, the proposition on the part of nursing professionals, technological devices built into the daily life and needs of patients who comply with the technical recommendations and that simultaneously promote well-being, comfort and relief. These propositions are born of the encounter between the creativity of professionals, their sensitivity to the objective and subjective needs of subjects, care the clarity of institutional and/or technological deficiencies, empathy for another condition and the desire to contribute to the resolution, or at least the easing of unpleasant or discomforting situations.

We stress, closing this editorial, the artistic and technical dimensions, affective and technological nursing have in care, a place for meeting and socializing; so each professional has the opportunity to establish itself as a significant presence, from your being physically close, creativity in the exercise of their aptitudes and skills and the implementation of technical and scientific knowledge on innovation to old procedures and proposition new technologies in the combination of different instruments.

Antonio Marcos Tosoli Gomes
Associate Editor

REFERENCES

1. Gomes AMT. A vulnerabilidade como elemento organizador do cuidado de enfermagem no contexto do HIV/Aids: conceitos, processos e representações sociais [tese]. Rio de Janeiro (RJ): State University of Rio de Janeiro. Faculdade de Enfermagem; 2011.

2. Torralba I Roselló F. Antropologia do cuidar. Petrópolis (RJ): Vozes; 2009.

3. Bergold LB. A visita musical como estratégia terapêutica no contexto hospitalar e seus nexos com a enfermagem fundamental. [Dissertação]. Rio de Janeiro (RJ): Universidade Federal do Rio de Janeiro. Escola de Enfermagem Anna Nery. 2005.

4. Souza NVDO, Santos DM, Anunciação CT, Thiengo PCS. O trabalho da enfermagem e a criatividade: adaptações e improvisações hospitalares. Rev. enferm. UERJ. 2009 jul/set; 17(3):356-61.