Manual para consulta de enfermagem à pessoa surda na atenção primária à saúde

Abstract

Objective: To elaborate a manual for Nursing Consultation for the deaf person in Primary Health Care. Methodology: methodological study with a qualitative approach using Convergent Care Research, as it is a method that provides convergence between research and health care, which followed the design phases; instrumentalization; scrutiny and analysis. The study was carried out in Primary Health Care, in Manaus-Amazonas, and had the participation of 8 nurses. Data collection was carried out from August to November 2022, with two convergence groups, which took place in person, and lasted between 40 and 60 minutes each group. In the first convergence group, the necessary data collection was carried out for the collective elaboration of the manual to support the first stage of the Nursing Process, mediated by a semi-structured instrument with questions that favored identifying the necessary elements to support the elaboration of a manual to support the nurse/deaf person communication during the first stage of the nursing process. In the second convergence group, the prototype was presented with a view to prior evaluation of the manual by service professionals. The study complied with the ethical precepts of research with human beings, having been approved by the Research Ethics Committee under Opinion No. 5181,999. The analysis of the participants' statements was carried out using Bardin's Content Analysis, where the categories that served as the basis for the preparation of the manual emerged. Results: two categories emerged: 1) Nursing Care for the Deaf Person: frustrations and attempts to communicate with the deaf person and 2) The nursing process: expectations regarding the implementation of a communication manual with the deaf person in Primary Health Care. Based on this information, the Manual for the Nursing Consultation for the Deaf Person in Primary Health Care was prepared, a Technical Technological Product to support the first stage of the Nursing Process. Final Considerations: The elaborated manual has the potential to support the first stage of the Nursing Process and represents an important tool for the nurse's work process, reducing the barrier in the nurse/deaf person communication. Although Libras is a national language, it has specific signs for each region, so that the content of the manual proposed here refers to the set of signs relevant to the communication of deaf people in the Amazon, thus contemplating the Amazonian context.