The topic of this thesis is ?Nursing care for patients with craniocerebral trauma?. Three goals were set. We tried to find what the specifics of nursing care for patients with craniocerebral trauma are. We also examined whether nurses were aware of the specifics of nursing care for patients with craniocerebral trauma. The last goal was to find out whether nurses used basal stimulation in these patients. The research was based on a non-standardized interview. The interviews were performed with twelve nurses caring about these patients in the České Budějovice Hospital and the Faculty Hospital Královské Vinohrady. Three research questions were set. 1: What are the specifics of nursing care for patients with craniocerebral trauma? The research has shown that elevated head position, monitoring of GCS, pupil state and response, administering of bolus analgosedation doses in some nursing activities, ensuring detention administration and list of valuables are the specifics. We have also included CT examination, pre-operation preparation, care of invasive inputs, drains, operation wounds, careful handling with patients, constipation problems, care of a disturbed or aggressive patient and special approach to communication with these patients. 2: Are nurses aware of the specifics of nursing care for patients with craniocerebral trauma? We found that respondents knew the above mentioned specifics. However we found two drawbacks. The first one was in the unawareness of the possibility to increase ICP during defecation among the respondents, the other one was in communication with disturbed or aggressive patients. 3: Do nurses use basal stimulation in patients with craniocerebral trauma? The research has shown that the respondents do apply the concept of basal stimulation, but they only use some of the stimulation elements. This thesis may serve as study material for new nurses starting at the department, where they will care about these patients. The research results and the Standard nursing procedure of Basal stimulation elaborated by us will be offered to managers of both the hospitals where the interviews with nurses were performed.

Great attention is paid to health care quality nowadays. Accreditation of a health care facility means "recognition that the facility is capable of providing quality health care and has developed The main goal of the research was to map whether nurses in the České Budějovice Hospital are duly prepared for the accreditation audit by the United Accreditation Board of the CR. Although the nurses succeeded attention has still to be paid to the individual partial topics contained in the UAB audits to eliminate possible mistakes or failure.

The Need for Intimacy and its Assurance in Nursing Care for Selected Minority Groups The need for intimacy is an important part of everyday life, and it is necessary to assure it at hospitalization. This need is individual, specific to each person and the culture the person comes from. The theoretical part of this thesis is devoted to this issue. The concept of intimacy and the need to assure intimacy in nursing care with a focus on specifics of the nursing care for members of minority groups are described. The master´s thesis objective was to identify the specifics to assure the need for intimacy of selected minority groups and to determine whether nurses know the specifics of intimacy in nursing care for patients from selected minority groups. To meet the objectives, the following hypotheses were stated: H1: There are specifics in the need for intimacy in selected minority groups, and H2: Nurses know the specifics in the need for intimacy in selected minority groups. One research question was asked: Is the need for intimacy in patients from selected minority groups assured at hospitalization? To conduct the diploma thesis research, a quantitative-qualitative survey was selected and the interview method was used ? questionnaires for nurses and the general public, and the interview technique for representatives of selected minority groups. The research set consisted of nurses in hospitals, the general public and representatives of selected minority groups. The survey was carried out during the months of February and March 2011. Specifics in the need for intimacy assurance in selected minority groups exist, and nurses are familiar with them. They know them mainly form their nursing practice when they have met a member of a minority group. The answer to the research question was unequivocal. Yes, the need for intimacy in patients from selected minority groups is assured. It is assured primarily by using the fittings of individual departments, which are the curtains or blinds, as well as by a helpful and sympathetic attitude of the medical staff who try not to unnecessarily unveil the patients´ bodies and according to available means to provide them with as much privacy as possible either during examination, a treatment intervention or while on bed rest. The outcomes show that both objectives were met and the hypotheses were confirmed. The research results were the basis for elaboration of an informational brochure for nurses, which may help in nursing care for minority groups members. And not only for assuring the needs for intimacy, but for a general overview of specifics in nursing care for minority groups members.

The theme of this thesis is the role of nurse providing care for patients-foreigners. The thesis was divided into two parts. In the theoretical part it dealt with the issue of providing nursing care to patients-foreigners which sought to highlight the roles of sister, their problem situations and state of readiness to care for these patients. They were set three objectives of this work. The first objective was to determine the roles of nurse which are dominant in their care of the patients- foreigners The second objective was to map the problem situations of nurses in providing care to patients foreigners. The last objective was to map the state of readiness of nurses in patient care of patients-foreigners. In the empirical part were set out five hypotheses. The first hypothesis was that the most common role of nurses in patients-foreigners care is the role of nursing care provider. The second hypothesis claimed that the most problem role of nurse in patients-foreigners care was the role of educator. The third hypothesis was that the greatest obstacle in providing nursing care to patients- foreigners is the language barrier. The fourth hypothesis was that the most common problem in providing nursing care to patients- foreigners is a social isolation. The fifth hypothesis was based on the assumption that nurses are theoretically prepared to care for the patients-foreigners. Based on the evaluation of an anonymous questionnaire the first, third and fourth hypothesis is confirmed. On the contrary, the second and the fifth hypothesis were not confirmed. In the first part of the research investigation was used a quantitative data collection method in the form of an anonymous questionnaire for general nurses to hospital beds stations in Hospital in České Budějovice joint-stock company, Hospital Písek joint-stock company, Hospital Strakonice joint stock company and Hospital Tábor joint-stock company. The questionnaire contained 36 closed, semi-open and open questions. In the second part of the research were used descriptive statistical functions. To evaluate statistically significant relationships were used PivotTable (Crosstabs). In total, 300 questionnaires were distributed of which the final research survey used the 226. Survey results were summarized in graphs and tables. Discussions have been confronted with the literature with the expression of the author's own opinion. At the end of the work were given the confirmed and unconfirmed hypotheses and the overall summary of work with possible suggestions to improve the quality of patients-foreigners care.

This diploma thesis is focused on stressors influencing patients in hospital care. The theoretical part describes stress and stressors, the influence of stress on the state of health, and I further deal with health and illness and the importance of the support provided by the patient?s family in the course of treatment. In the practical part I compare results that I obtained from three medical facilities. The first objective of my thesis was to find out what kind of stressors hospitalised patients meet with most frequently. To achieve this objective, I set a hypothesis. H1 ? The extent of stress load in patients depends on the extent of information on their illness, course of treatment and nursing care. Another objective of mine was to compare whether the extent of stress is different in various departments. This is dealt with in the second hypothesis. H2 - The extent of stress is influenced by the type of department in which the patient is hospitalised. My last objective was to find out what helps patients to deal with stressful situations. To achieve this objective, I set the third hypothesis. H3 ? Dealing with stress when staying in hospital depends on the functionality of the patient?s family and the attitude of the nursing staff. To conduct the research I employed the method of quantitative survey in the form of questionnaires. The questionnaire contained altogether 21 questions. I chose three facilities of medical care to obtain the required data. The target group were clients hospitalised in the hospital in České Budějovice, further in the hospital in Český Krumlov and in the hospital in Prachatice. The total number of correctly completed questionnaires is 228, which means that 57% of correctly completed ones out of 400 returned. The results have proved that hypothesis No. 1 has a considerable influence on patients? stress because patients with a high rate of information experience high stress only in 6.9 per cent, while patients with an insufficient rate of information experience high stress up to 58.6 per cent. In hypothesis No. 2, I also succeeded in proving a considerable influence, because up to 20.2 per cent of patients in surgical departments experience high stress, while it is only 5.3 per cent of respondents in internal departments. In hypothesis No. 3, a considerable influence has also been proved, because patients with functioning families experience low stress to a much larger extent, while low stress in patients with non-functioning families was experienced by only a small number of respondents. Similarly, the attitude of medical staffs influences the extent of stress. The results of my research can be offered to various kinds of facilities of medical and social care, to improve the quality of nursing care and eliminate some stressors. Further, these results can be offered to students of various branches of medicine studies. However, this research is of noticeable importance for the comfort of patients in various facilities mentioned above.

Introduktion: I Sverige finns drygt 160 000 personer med demenssjukdom och en förekomst av sömnstörning på 44 % rapporteras i populationen. Sömnstörning medför risk för fall och höftfraktur, försämrad fysisk funktion och kognition, ökad dödlighet, försämrad livskvalitet och ökat vårdbehov. Nittio procent av dem som lever med en demenssjukdom får även beteendemässiga och psykiska symtom vid demens (BPSD) och i dessa symtom ingår störd dygnsrytm och störd sömn. Trots att icke-farmakologisk behandling rekommenderas som första hands alternativ är läkemedelsbehandling mycket vanligt.Syfte: Att undersöka om utomhusaktivitet kan påverka sömn och dygnsrytm samt hälsorelaterad livskvalitet hos personer med demenssjukdom som bor på särskilt boende.Metod: Experimentell, single case metod med en interventionsgrupp och en kontrollgrupp. Strukturerade frågeformulär, sömndagbok och aktigraf användes. Interventionen bestod av 30 minuters utomhusvistelse, fem dagar i veckan.Resultat: Huvudresultatet indikerar att icke-farmakologiska åtgärder kan påverka sömn, dygnrytm och hälsorelaterad livskvalitet, även BPSD påverkades. Resultatet är delvis motstridigt men överensstämmer väl med vad som beskrivs i litteraturen.Diskussion: Deltagarnas kognitiva svikt medför både metodologiska och etiska problem. Dessa utgör en stor utmaning och gör området angeläget att beforska.Konklusion: Utifrån de risker sömnstörning medför bör vården förebygga, behandla och organisera för bättre sömn och sjuksköterskan har en central roll i detta arbete. Mer fokus behövs på mätmetoder, omvårdnadsåtgärder och utbildning på alla nivåer eftersom kunskap saknas, även organisationsförändringar kan vara nödvändiga / Introduction: In Sweden approximately 160,000 people live with dementia and the prevalence of sleep disturbances within this population is reported as 44 %. Sleep disturbances are associated with a higher risk of falling and hip fractures, physical and cognitive decline, a higher mortality rate, a lower quality of life and increased health care needs. Behavioral and psychological symptoms of dementia (BPSD) affects 90 % of the population and disturbed sleep and sleep/wake rhythm are a part of BPSD. Despite the fact that non-pharmacological treatments are recommended as the best treatment option, pharmacological treatment is very common.Purpose: To explore the effect that outdoor activities have on sleep, the sleep/wake rhythm and health-related quality of life in with persons with dementia living in assisted facilities.Method: Experimental single case design with one intervention and one control group. Questionnaires, sleep diaries and actigraphy were used as measures and the intervention consisted of 30 minutes of outdoor activity, five days a week.Results: The results indicate that it is possible to influence sleep, the sleep/wake rhythm and health-related quality of life by engaging in outdoor activities, in addition BPSD seemed to be affected. The results are partly contradictory but correspond well with the literature.Discussion: The cognitive decline of the participants raised methodological and ethical issues and can pose a great challenge to research within this area, but these findings also elucidates the need for furthermore knowledge.Conclusion: Considering the potential risk of sleep disturbances, health care should aim to prevent and treat these issues while also organizing for better sleep. Registered nurses can play an important role in this treatment. More focus is needed on assessment, nursing treatment options and education, on all levels, since there is little knowledge in this area. Organisational changes may also be needed.

Bakgrund: Antalet patienter som drabbas av depression växer både i Sverige och globalt. Behandling av depression består i huvudsak av antidepressiva läkemedel, kognitiv beteendeterapi (KBT) och elektrokonvulsiv behandling (ECT). Fysisk aktivitet har visat sig kunna lindra depressiva symtom. En del av sjuksköterskans ansvarsområde är att handleda och stötta patienter för att främja hälsa och minska lidande. Syfte: Syftet med studien är att beskriva faktorer som påverkar fysisk aktivitet hos personer med depression utifrån patient och omvårdnadsperspektiv. Metod: Arbetet är en litteraturöversikt där resultatet baseras på 14 artiklar. Resultat: Två kategorier skapades: patienternas upplevda hinder till behandling med fysisk aktivitet samt sjuksköterskans roll som mentor och stöd i behandlingen. Hinder som påverkade patienternas följsamhet var intensitetsnivån på träningen, livsstilsfaktorer samt olika känslomässiga hinder. Flertalet sjuksköterskor beskrev att arbete med fysisk aktivitet kunde vara en del av deras uppgift. Dock upplevde sjuksköterskor en brist på tid, kunskap och organisatoriskt stöd som ett hinder för arbetet med fysisk aktivitet. Slutsats: Det behövs mer utbildning och organisatoriskt stöd till sjuksköterskor för att arbeta effektivt med fysisk aktivitet och hjälpa patienter att överkomma hinder. / Background: The number of patients suffering from depression is increasing in Sweden and globally. Treatment of depression mainly consists of antidepressant drugs, cognitive behavioural therapy (CBT) and electroconvulsive therapy (ECT). Physical activity has been shown to decrease depressive symptoms. Part of the nurse's responsibility is to manage and support patients to promote health and reduce suffering. Aim: The aim of the study is to describe factors that affect physical activity for people with depression from a patient and nurse perspective. Method: This review study is based on 14 articles. Result: Two categories were created: the patients' perceived obstacles to physical activity and the role of the nurse as mentor and support in treatment. Obstacles that affected patient compliance were the intensity of exercise, lifestyle factors and various emotional barriers. Most nurses described that work with physical activity may be part of their task. However, nurses experienced a lack of time, knowledge and organizational support as an obstacle to the work with physical activity. Conclusions: Nurses need more education and organizational support to work effectively with physical activity and help patients to overcome their obstacles.

Este trabalho é um estudo de caso, cujos objetivos foram caracterizar os recém-nascidos prematuros de muito baixo peso (RNP/MBP) admitidos na Unidade de Terapia Intensiva Pediátrica e Neonatal (UTIP/N) do nascimento ao seguimento ambulatorial no primeiro ano de vida, e compreender a experiência dos pais. Sendo assim, optou-se pela realização da pesquisa em dois momentos: o primeiro, na abordagem quantitativa, com uma população de 60 RNP/MBP do Hospital Universitário da Universidade de São Paulo (HU-USP) no período compreendido entre 1999 - 2000. Os dados foram coletados dos prontuários por meio de um formulário. Os resultados mostraram que as mães eram na sua maioria primíparas (50,9%), com idade média de 27,5 anos e que 80,0% realizaram o pré-natal. Em relação aos neonatos, a média de peso ao nascer foi 1.084g e a idade gestacional de 30 semanas; 23,0% foram a óbito e a média de peso foi de 688g. Quanto ao tempo de permanência na terapia intensiva, dos 46 sobreviventes, a mediana foi 10 dias e a de internação hospitalar 49,5 dias. Foram submetidos à intubação e à ventilação mecânica (69,6%), à cateterização central (78,3%) e à nutrição parenteral (98,7%). Dos egressos do Berçário, 75,0% realizaram seguimento no Ambulatório Neonatal. O segundo momento, na abordagem qualitativa, os dados foram obtidos pela observação participante e entrevista com os pais de bebês egressos da UTIP/N do HU-USP. Adotou-se como referencial teórico-metodológico a Antropologia Cultural e a Etnografia. Da análise das narrativas, emergiram seis categorias culturais e subcategorias que evidenciaram dois temas: \"A capacidade para tornarem-se pais de um RNP/MBP: momentos de luta e crescimento\" e \"O cuidar e conviver com o filho\". Os pais vivenciaram todo o processo permeado pela ambivalência de sentimentos em que o medo e a esperança predominaram. Relataram que essa experiência foi marcante e transformadora, atribuíram à religiosidade, aos profissionais de saúde e à assistência especializada a sobrevida do filho. Sentiram-se capacitados para cuidar da criança após a alta hospitalar, embora tenham reconhecido a existência de obstáculos que emergiram do contexto sociocultural para desempenharem os papéis de pai e mãe. / This paper is a case study, it has the purpose of characterizing the preterm newborn with very low weight admitted in Neonatal and Pediatric Intensive Care Units by birth until the first year of life, as an Out Patient, and to understand the parents experience. I opted to do the research in two moments: the first one as a quantitative approach with sixty preterm newborn with very low weight, which were in the of the University Hospital at Sao Paulo University during the period 1999-2000. The data has been collected using the dossier with a specific instrument. The results showed that (50.9%) of mothers were primiparous, the average age was 27.5 years, 80.0% did prenatal. Reporting newborn, the average of birth weight was 1.084g and the pregnancy age was thirty weeks; 23.0% died, the average of birth weight was 688g. The median of permanence of the 46 survivors in ICU was 10 days and in hospital was 49.5 days. 69.6% were submitted to intubation and mechanical ventilation; 78.3% used a central catheter and 98.7% to parenteral nutrition. 75.0% of the babies from Nursery were accompanied in the Out Patient Neonatal Unit at University Hospital during the first year of life. The second moment, with a qualitative approach, the data were collected using the participant observation and the interview with ICU preterm newborn parents. We adopted Cultural Anthropology and Ethnography as theoretical reference methodologies. From this analysis emerged six cultural categories and subcategories that showed two cultural themes: \"The capacity to be parents of a very low weight preterm newborn: fighting moments and growth\" and \"Caring and living together with a child\". Parents lived all the process with fear and hope. They said this experience was very intense and transforming, attributing child\'s life to religion, health professionals and specialized care. They felt capable to take care of the child after hospital discharge, although recognized new obstacles in the social-cultural context to carry out the responsibility of being parents.

O estudo do tempo despendido nas intervenções/atividades de enfermagem tem se mostrado indispensável na identificação da carga de trabalho de enfermagem. O tempo de assistência de enfermagem é a variável mais complexa e difícil de ser avaliada, mas o seu conhecimento possibilita adequar o quantitativo e o qualitativo de profissionais as demandas de cuidado que possibilite segurança aos pacientes e equipe de enfermagem. Particularmente, nas maternidades que adotam o Sistema de Alojamento Conjunto a preocupação com esse tema é oportuna devido a escassez de valores de tempo de assistência de enfermagem ao binômio mãe-filho. Com a finalidade de identificar a carga de trabalho em uma unidade Alojamento Conjunto de um hospital de ensino foi realizada a presente investigação de abordagem quantitativa, tipo estudo de caso, observacional, transversal e descritiva.A metodologia empregada foi dividida em quatro etapas: identificação das atividades ao binômio mãe-filho,por meio do registro no prontuário e da observação das atividades executadas pela equipe de enfermagem; classificação das atividades ao binômio mãe-filho segundo a Classificação de Intervenções de Enfermagem (NIC); validação de conteúdo das intervenções utilizando a técnica de oficina de trabalho e mensuração da quantidade e do tempo despendido nas intervenções de enfermagem adotando-se a técnica de amostragem do trabalho. Foram identificadas e validadas 43 intervenções de enfermagem na assistência ao binômio mãe-filho, referentes a seis dos sete Domínios da NIC. Pela técnica de amostragem do trabalho obteve-se 4.998 mensurações de intervenções realizadas pela equipe de enfermagem da unidade. As enfermeiras despendem 39% de seu tempo em atividades de cuidados diretos, 43% em atividades de cuidados indiretos, 11% em atividades pessoais e 7% em atividades associadas ao trabalho; já as técnicas/auxiliares de enfermagem despenderam 50% em atividades diretas, 28% em indiretas, 18% em pessoal e 4% em associadas ao trabalho. O tempo médio despendido na assistência binômio mãe-filho foi de 5,8h sendo 1,4h de enfermeiras e 4,5h de técnicas/auxiliares de enfermagem. A produtividade da equipe atingiu 85%, considerada alta frente aos dados preconizados na literatura. O Domínio da taxonomia adotada de maior representatividade para a equipe de enfermagem foi o Domínio Sistema de Saúde com a intervenção Documentação a mais frequente. Para as técnicas/auxiliares de enfermagem a intervenção Administração de Medicamentos foi a de maior ocorrência. Ao se comparar o tempo obtido nas intervenções realizadas no Alojamento Conjunto com o tempo estimado na NIC verificou-se que o tempo médio medido está dentro do intervalo do tempo estimado na NIC na maioria das intervenções analisadas. A carga de trabalho do binômio mãe-filho, neste estudo, correspondeu a pacientes de cuidados intermediários, segundo o Sistema de Classificação de Pacientes de Fugulin et al., (1994) e com o tempo médio de assistência intermediária preconizado pela Resolução COFEN nº 293/04 / The study of time expended on nursing interventions/activities has been shown essential to identify nursing workload. Time expended on nursing assistance is the most difficult variable and not easy to be evaluated, but its knowledge allows to adjust the quantitative and qualitative factors of professionals regarding care demand granting safety to the patients and the nursing staff. Specifically, in maternity wards which adopt the rooming-in system, we consider important our concern due to lack of time values for nursing assistance in relation to the mother-child binomial. Aiming to identify the burden of work in a rooming-in unit, in a teaching hospital, a descriptive, quantitative, observational, transversal, case study was carried out. The methodology used was divided into four phases: identification of mother-child binomial, analyzing patient clinical records and through observation of activities performed by the nursing staff; classification of mother-child binomial activities, according to Nursing Intervention Classification (NIC); validation of the intervention content using workshop techniques and measuring the amount of time expended on nursing interventions adopting the work sampling technique. Forty-three nursing interventions regarding the mother-child binomial assistance were identified and validated regarding six out of the seven NIC Domains. By the work sampling technique, we obtained 4,998 interventions measured which were performed by the nurse staff of this unit. The nurses expended 39% of their time in activities regarding direct care, 43% with indirect care, 11% in personal activities and 7% in work related-activities; yet, the nursing technicians/ assistants expended 50% in direct activities, 28% in indirect activities, 18% personal activities and 4% in work related-activities. The mean time used in the mother-child binomial assistance was 5.8 hours, of which 1.4 h for nurses and 4.5h for nursing technicians/ assistants. The staff productivity reached 85%, which was considered high in relation to data stated in the literature. The Domain of the adopted taxonomy of greatest representativeness for the nursing staff was the Health System Domain, being intervention of Documentation as the most frequent. For the nursing technician/assistants, the Medicament Administration intervention was the most mentioned. When comparing time expended on interventions performed in the rooming-in with estimated time on NIC, it was observed that the mean time measured is within the interval of estimated time expended on NIC, which was found in most of the analyzed interventions. The burden of work regarding mother-child binomial, in this study, corresponded to intermediate care patients, according to Fugulin et al. ´s Patient Classification System (1994), and with the mean time of intermediated assistance preconized by the COFEN Resolution n293/4

Esta pesquisa teve como objetivo cartografar a produção de cuidados da equipe de enfermagem a usuários que têm o coração em tratamento. Acreditando no trabalho em saúde como uma produção, fruto das interações entre profissionais e usuários, enfatizou-se o cuidado produzido nesses encontros, nas entrelinhas da assistência de enfermagem, no falar e no agir de seus protagonistas. O método escolhido foi o da cartografia, pela potência em acompanhar processos de produção de subjetividades, sob o referencial teórico da esquizoanálise, por suscitar movimentos de autoanálise dos coletivos. Emprestamos de Rosa (2001) o nome do cenário onde aconteceu a pesquisa, o Mutúm, que corresponde a uma unidade de internação médico-cirúrgica de um hospital especializado em doenças cardíacas e pulmonares do Estado de São Paulo. Nesta região específica do ambiente hospitalar, com suas especificidades e complexidades, foram acompanhados os habitantes (profissionais-pássaros e usuáriosplantas) numa atenção vibrátil e vibrante, com todos os sentidos aguçados, permitindo afetar e ser afetado, junto a esses atores em sua vida diária de cuidados, emoções e afecções. Para isto, os dispositivos utilizados foram o diário de campo, a observação participante e o fluxograma analisador. O diário de campo permitiu o registro e a análise reflexiva de cenas e fatos rastreados durante a pesquisa, numa atenção urgente de que nada escorresse pelas mãos da pesquisadora-cartógrafa. A observação participante possibilitou descobrir os mapas traçados pelos habitantes do Mutúm durante esse trajeto. Pelas lentes cartográficas de Miguilim (Rosa, 2001), avistaram-se os mapas de tecnologias, dobras e ruídos, de onde emergiram um cuidado subjetivo, criativo, permeado por múltiplas tecnologias, emoções, subjetividades, afetos, ressentimentos e potencialidades. Esta análise foi complementada pelo fluxograma, que atuou como máquina de fazer falar, possibilitando um movimento de reflexão, pessoal e conjunta dos profissionais-pássaros acerca do cuidado produzido aos usuários, permitindo surpresas e estranhamentos e um olhar sobre o território Rizoma. O território de produção de cuidado, como no Rizoma (Deleuze, Guattari, 2011), é dinâmico, permite múltiplas entradas, saídas, recortes, conexões, desconexões. Ao acompanhar seus habitantes, em linhas intensas, molares-fixas, moleculares-flexíveis e de fuga, percebese que, como usuários, eles se movimentam em muitas direções e sentidos, alguns entram, outros saem; uns só de passagem, outros passam e ficam na lembrança de todos, afetando-os. Pela multiplicidade de conexões, vislumbra-se a oportunidade de suscitar bons encontros, na produção de um cuidado ampliado, na potência de produzir vida e alívio em um local muitas vezes visto pela ótica da dor e do sofrimento. O fluxograma analisador, além de permitir traçar o território, atuou como potente ferramenta para suscitar a reflexão e autoanálise dos profissionais, provocando surpresas, conexões, movimento esquizoanalítico, aberto à diferença e a todo o tipo de devires, revelando uma equipe até então fragmentada, com o potencial de afetar-se em torno do cuidado de Buriti, um usuário-rizoma, articulando saberes e fazendo emergir a essência de uma produção de cuidado em equipe. / This research objectified to map the care production of the nursing team to users undergoing cardiac treatment. Believing in the healthcare job as a production, stemming from the interactions between professionals and users, the focus was care production in such encounters, between the lines of the nursing care, in its protagonists speeches and actions. Cartography was the chosen method, by its power in following up processes of subjectivity production, the theoretical framework of schizoanalysis, raising self analysis of collective movements. We borrowed the name where the research study took place, Mutúm, from Rosa (2001), corresponding to a medical-surgical admittance unit at a hospital specialized in cardiac and lung diseases in São Paulo State, Brazil. In this specific region of a hospital environment, we followed up its dwellers (professionals-birds and users-plants) in vibrated and vibrating care, with all their sharpened senses, enabling to affect and be affected by these actors in their daily life of caring, emotions and affections. For that, the devices used were a field diary, participant observation and analytical flow diagrams. The field diary enabled to record and reflect upon the recorded scenes and facts during the research, in urgent attention so that nothing could escape through the researcher-cartographers hands. The participant observation enabled to find out the maps outlined by Mutums dwellers along their trajectory. Through Miguilims (Rosa, 2001) cartographic lenses, we could see the maps of technologies, folds and noises, where subjective, creative care emerged, permeated by multiple technologies, emotions, subjectivities, affections, resentments and potentialities. This analysis was complemented by the flow diagram, which acted as a speaking machine, enabling a movement of personal and joint reflection of the professionals-birds on care produced to the users, allowing surprises and strangeness as well as a look over the Rhizome territory (Deleuze, Guattari). The care-production territory, such as the Rhizome (Deleuze, Guattari, 2011), is dynamic, allowing multiple entrances, exits, divisions, connections, disconnections. Following its dwellers in its intense, molar-fixed, molecularflexible, escape lines, we perceive them as users moving around in many directions, some get in, others get out; some are just passing by, others pass by and are remembered by all, affecting them. Through the multiplicity of connections, it can be seen the chance to provide nice encounters, in an expanded care production, in the power of producing life and relief in a place often perceived under the focus of pain and suffering. The analytical flow diagram, besides allowing to outline the territory, acted as a powerful tool to bring about professionals reflection and self-analysis, generating surprises, connections, schizoanalytic movement, open to the difference and all kinds of developments, unfolding a formerly fragmented team with the potential to be affected around Buritis care, a rhizome-user, articulating knowledge and enabling to emerge the essence of a teams care production.