Aim: To develop a care protocol for guidance to clients undergoing outpatient transfusion. We adopted the pedagogical theoretical framework of the school of critical contents, enabling the change and exchange of knowledge. Method: This is an exploratory descriptive study set in the outpatient transfusion sector of the blood center at a university hospital in the state of Rio de Janeiro. Data collection will be done through semi-structured interviews and participant observation, in the period between June and July 2014 with transfused patients in the outpatient transfusion sector. Data analysis will be themed. Ethical aspects will be respected according to CNS Resolution 466/2012. Expected results: to ascertain the health needs of the patients; to create a protocol for care and health education. Health implications: minimize health risks; promote better quality of life and humanized care.

Objetiva-se analisar as perspectivas de cuidados pela equipe de enfermagem í s mulheres submetidas í  mastectomia. Trata-se de uma pesquisa qualitativa, exploratória-descritiva, realizada na Clí­nica Cirúrgica Feminina de um hospital universitário federal. Os dados foram coletados com entrevistas semiestruturadas e observação de campo com 15 profissionais de enfermagem. Realizou-se análise temática. Emergiram três categorias: O cuidado sensí­vel: aspectos afetivo, estético e subjetivos na percepção da equipe de enfermagem; Orientações para o autocuidado nos perí­odos pré e pós-operatórios; e Sistematização de cuidados para a alta hospitalar. O estudo demonstrou as múltiplas faces do cuidado e ênfase a uma prática assistencial de enfermagem sistematizada, humanizada e sensí­vel, oferecendo suporte informativo, para alcançar a eficácia e a criação de oficina solidária para promover a interação entre os profissionais de enfermagem e a equipe multiprofissional.

This study analyzed the relationship between self-care in subjects who received a blood transfusion in a university hospital with their sociodemographic and health conditions. A descriptive and exploratory research with a qualitative approach was carried out in the Transfusion Ambulatory sector of the University Hospital in Niterói, Rio de Janeiro from July to November of 2014 with a sample size of 12 patients. Data were collected through a questionnaire of semi-structured questions; content analysis was based on the thematic approach. Sociodemographic data from subjects who received a blood transfusion were evaluated with respect to the education they received regarding self-care at home as well as their emotional balance in facing the health-disease process and their perspective on their quality of life. Educating subjects who receive blood transfusions requires that the medical professionals have an understanding of their patient's socioeconomic and cultural condition. This information will contribute to a better understanding of self-care when blood transfusion is necessary.