Clients’ knowledge and experiences on the computed tomography scan shared with the nurse

Abstract

Introduction: computed tomography is a scan that allows for the diagnosis of various
diseases, being a differential in the care provided to clients with different profiles. The
quantity of scans and the short interaction space between nurses and clients are factors
that contribute to not all guidelines being considered. Objectives: to access the knowledge
and experiences of clients about the computed tomography scan; to discuss the
demands for knowledge and care necessary for its realization; and to present a proposal
for educational material, elaborated from these demands. Freire's dialogical practice
was the theoretical axis that sustained the study. Method: a convergent care research,
conducted at a federal hospital in Rio de Janeiro, with 23 adult clients. Approved by the
Ethics Committee of the Academic Unit and of the hospital, CAAE: 44091015.9.0000.5238
and 44091015.9.3001.5257, respectively. A semi-structured interview was used, followed
by a discussion with each participant. Thematic content analysis was applied.
Results: the main knowledge demands brought about by the clients were about contrast;
purpose of the scan; duration and periodicity; pain; equipment, whether closed or open;
radiation; cumulative effects on the body; withdrawal of test substance; fasting and
water restriction. This moment made it possible to problematize the necessary care in
the research-care convergence. From these demands and care measures, an educational material was proposed as nursing technology, of the illustrated booklettype,
discussed and approved by the participants. Conclusion: the
educational process introduced innovation to care through the dialogical
practice and allowed to propose educational strategies and technologies
aimed at performing the tomography scan.