Delineando un modelo de cuidado a partir del análisis sistemático de la actividad diaria del enfermero en un hospital universitario de Rio de Janeiro

This study is derived from the project “Systematic Analysis of Care for Persons with HIV / AIDS: Building a National Model,” a project that was supported by the National Council for Scientific and Technological Development and is part of core research on health management and professional nursing practice done by the Methodology Department of the Anna Nery School of Nursing at the Universidade Federal do Rio de Janeiro, specifically with respect to care models, know-how and paradigms. It is a qualitative, descriptive- exploratory study designed to analyze the kinds of care provided to HIV seropositive patients, based on statements from nurses, and to propose a model of care based on the data gathered. The information was collected following authorization of Protocol 10/2006 by the Ethics Committee. The conclusion is that construction of a care model for patients with HIV must be founded on professional nursing competence/updating with respect to knowledge about the progress and implications of the pathology / AIDS, and the conditions of the human being / HIV patient. The model emphasizes to nurses the importance of technical-scientific and policy competence and a critical-thoughtful ethical position on care for patients with HIV.