Meanings attributed by the nursing team to pediatric emergencies
Significados atribuidos por el equipo de enfermería a las emergencias pediátricas
Significados atribuídos pela equipe de enfermagem às emergências pediátricas
Fernando Taborda de Souza; Camila Moraes Garollo Piran; Mariana Martire Mori; Alana Vitória Escritori Cargnin; Marcela Demitto Furtado; Thamires Fernandes Cardoso da Silva Rodrigues
Abstract
Objective to understand the meanings attributed by the nursing team to experiences related to pediatric emergency care.
Method a descriptive, exploratory, qualitative study grounded in Symbolic Interactionism, conducted with the nursing team of the emergency department of a public hospital in Paraná, Brazil. Data collection took place between July and October 2022 through semi-structured interviews, analyzed using Thematic Content Analysis, with support from IRaMuTeQ®.
Results thirteen professionals participated, including seven nurses and six nursing technicians, and two categories emerged: 1) Meanings attributed to care in pediatric emergencies – addressing the negative meanings related to pediatric emergency care, associated with lack of technical and emotional preparedness. 2) Challenges experienced by the nursing team in pediatric emergencies – in which positive feelings toward dealing with the pediatric reality, continuous training, and the proposal of an exclusive pediatric care room symbolized strategies for safety.
Final considerations and implications for the practice nursing professionals attribute a duality of meanings, including challenges and re-significations in the care of children in emergency settings. The need for continuous team qualification, implementation of Standard Operating Procedures, and reorganization of care flows is emphasized to ensure safer care.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: compreender os significados atribuídos pela equipe de Enfermagem às experiências vivenciadas no atendimento de emergências pediátricas.
Método: estudo descritivo, exploratório, qualitativo, fundamentado no Interacionismo Simbólico, conduzido com a equipe de Enfermagem do setor de emergência de um hospital público, do estado do Paraná/Brasil. A coleta de dados ocorreu entre julho e outubro de 2022, por meio de entrevistas semiestruturadas, analisadas por meio da Análise de Conteúdo Temática, com suporte do IRaMuTeQ®.
Resultados: participaram 13 profissionais, sendo sete enfermeiros e seis técnicos de Enfermagem, e emergiram duas categorias: 1) sentidos atribuídos ao cuidado nas emergências pediátricas - que aborda os significados negativos atribuídos ao cuidado em emergências pediátricas, associados à falta de preparo técnico e emocional; 2) desafios vivenciados pela equipe de Enfermagem frente às emergências pediátricas - em que os sentimentos positivos relacionados ao enfrentamento da realidade pediátrica, as capacitações contínuas e a proposta de uma sala exclusiva para o atendimento infantil simbolizam estratégias para a segurança.
Considerações finais e implicações para a prática: os profissionais de Enfermagem atribuem uma dualidade de significados, incluindo desafios e ressignificações no cuidado à criança em atendimento emergencial. Ressalta-se a necessidade de qualificação contínua da equipe, da implementação de Protocolos Operacionais Padrão e da reorganização dos fluxos assistenciais, visando à oferta de uma assistência mais segura.
Palavras-chave
References
1 Newgard CD, Lin A, Malveau S, Cook JNB, Smith M, Kuppermann N et al. Emergency department pediatric readiness and short-term and long-term mortality among children receiving emergency care. JAMA Netw Open. 2023;6(1):e2250941.
2 Tofani LFN, Furtado LAC, Andreazza R, Bigal AL, Feliciano DGCF, Silva GRD et al. Urgent and emergency care networks in Brazil: an integrative review. Saude Soc. 2023;32(1):e220122pt.
3 Lubrano R, Villani A, Berrettini S, Caione P, Chiara A, Costantino A et al. Point of view of the Italians pediatric scientific societies about the pediatric care during the COVID-19 lockdown: what has changed and future prospects for restarting. Ital J Pediatr. 2020;46(1):142.
4 Marques LJP, Pereira AC, Raimundo ACS. Costs and characteristics of admissions due to ambulatory care-sensitive conditions in children under one year of age in São Paulo, Brazil. Cien Saude Colet. 2025;30(1):e15512023.
5 Brown KM, Ackerman AD, Ruttan TK, Snow SK, Conners GP, Callahan J et al. Access to optimal emergency care for children. Pediatrics. 2021;147(5):e2021050787.
6 Kürtüncü M, Kurt A, Özdemir S, Akkoç B, Güney EU. Perceptions of pediatric emergency nurses and parents presenting to the emergency department regarding violence: A qualitative study. J Pediatr Nurs. 2024;79:e177-85.
7 Blumer H. A natureza do Interacionismo Simbólico. In: Mortensen CD, editor. Teoria da comunicação: textos básicos. São Paulo: Mosaico; 1980.
8 Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631.
9 Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893-907.
10 Bardin L. Análise de conteúdo. Tradução de Luís Antero Reto e Augusto Pinheiro. 4ª ed. Lisboa: Edições 70; 2016.
11 Souza MAR, Wall ML, Thuler ACMC, Lowen IMV, Peres AM. The use of IRAMUTEQ software for data analysis in qualitative research. Rev Esc Enferm USP. 2018;52:e03353.
12 Surendran A, Beccaria L, Rees S, Mcilveen P. Cognitive mental workload of emergency nursing: A scoping review. Nurs Open. 2024;11(2):e2111.
13 Goodier R, Partyka C, Moore N, Middleton P, Abdullah Q. Mixed-methods pilot study exploring the influence of the novel Paediatric Anaesthetic Drug Solution tool on clinician cognitive load during simulated paediatric rapid sequence intubation in the emergency department. J Paediatr Child Health. 2023;59(6):808-13.
14 Duarte MLC, Glanzner CH, Bagatini MMC, Silva DG, Mattos LG. Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research. Rev Bras Enferm. 2021;74(3 Suppl 3):e20200735.
15 Lamb FA, Beck CLC, Coelho APF, Vasconcelos RO. Nursing work in a pediatric emergency service: between pleasure and pain. Cogitare Enferm. 2019;24:e59396.
16 Pimenta CJL, Bezerra TA, Martins KP, Costa TF, Viana LRC, Costa MML et al. Pleasure and suffering among hospital nurses. Rev Bras Enferm. 2020;73(2):e20180820.
17 Patrício DF, Barbosa SC, Silva RP, Silva RF. Dimensões de burnout como preditoras da tensão emocional e depressão em profissionais de enfermagem em um contexto hospitalar. Cad Saude Colet. 2021;29(4):575-84.
18 De la Fuente-Solana EI, Pradas-Hernández L, González-Fernández CT, Velando-Soriano A, Martos-Cabrera MB, Gómez-Urquiza JL et al. Burnout syndrome in paediatric nurses: a multicentre study. Int J Environ Res Public Health. 2021;18(3):1324.
19 Arıkan A, Esenay FI. Compassion fatigue and burnout in Turkish pediatric emergency nurses during the COVID-19 pandemic. J Pediatr Nurs. 2022;71:120-6.
20 Khatatbeh H, Al-Dwaikat T, Alfatafta H, Ali AM, Pakai A. Burnout, quality of life and perceived patient adverse events among paediatric nurses during the COVID-19 pandemic. J Clin Nurs. 2022;32(13-14):3874-86.
21 Vasconcelos LS, Camponogara S, Dias GL, Bonfada MS, Beck CLC, Rodrigues IL. Pleasure and suffering in the nursing work in a pediatric intensive therapy unit. Rev Min Enferm. 2019;23:e1165. https://doi.org/10.5935/1415-2762.20190013.
Accepted date:
05/13/2026

)