Desempenho de enfermeiras na consulta ginecológica no município de Cajazeiras-PB.

Abstract

With the advent of gynecology, new hypothesis about cervical cancer and its origin, as well as new techniques for their prevention were improved. As an example, we can mention the Papanicolaou method which is well accepted worldwide, and has high specificity for the diagnosis of cervical cancer. This method consists of the analysis of cells from the endocervix and ectocécervice, being this procedure performed predominantly by nurses of the Family Health Strategy, which should have skills and abilities necessary for their appropriate implementation. In this view, the aim of this study was to evaluate the gynecological performed by nurses of the Family Health Strategy, in Cajazeiras-PB city, emphasizing the quality of the collection by cytological Papanicolaou method. This study obeyed the recommendations arising from the Resolution 196/96, from the National Health Council. This is a descriptive quantitative research performed at city Cajazeiras, during the months May to August 2012, through a questionnaire for sociodemographic and professional data and a standardized checklist type, for observation of gynecological held to three customers per health unit visited, which resulted in a total of 32 observations of 11 nurses participating. The data collected were expressed in tables and analyzed using descriptive statistics. Study participants were mostly female (10 = 90.9%), aged between 23 and 57 years (mean 29.3 years). All said they had to perform safety the cytological examination. Regarding biosecurity measures, in most observations (22 = 68.7%) was not performed handwashing before the procedure, although all have footwear gloves for their realization. The rapport with the customer is established in only 28 observations (87.5%) and in three of her, office door remained unlocked (9.3%). In all procedures the Ayres spatula and brush Campos da Paz were used to collect cellular material. We conclude that the majority of professionals studied performs satisfactorily for collecting cytological Papanicolaou test. However, the existence of some unsatisfactory results points to the need for continuing health education associated with greater effort on the part of local health managers, with regard to the provision of materials required for the work and encouraging professional training with a view to having nurses acquire excellence in gynecologic nursing consultation during their daily work.