Population-based study からみた神経予後不良因子の検討

The authors discuss a theoretical and conceptual management methodology based on reference teams and matrix support. Reference team is a structural organization intended to combine managerial power and interdisciplinary work. Matrix support changes the way traditional health systems work, with specialists organically linked to other teams who periodically require specialized consultation. Besides care support, there is another goal: to build new knowledge for each health professional through a continuing education process. The article analyzes the structural, political, cultural, theoretical, and subjective obstacles to this new model.

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Apoio matricial e equipe de referência: uma metodologia para gestão do trabalho interdisciplinar em saúde

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O desafio do conhecimento: pesquisa qualitativa em saúde

From Practice to Grounded Theory: Qualitative Research in Nursing

Culture Care Diversity and Universality: A Theory of Nursing edited by Madeleine M. Leininger, PhD, RN, FAAN; Sudbury, MA: Jones and Bartlett, 2001; 448 pages, $34.95 This new release of a book published 10 years ago by the National League for Nursing is said to be the definitive and comprehensive source for Leininger's culture care theory. It is presented in three parts: Part I is a description of the theory and its underpinnings by Leininger. Part II, in nine chapters, describes the research method to study culture care, by Leininger, followed by research by various authors who have used the theory and method. Part III, in three chapters, all by Leininger, focuses on findings from research that have used the theory and the method and use of the theory in education and administration. A final chapter addresses the relevance of the culture care theory in projecting the future of nursing. The reissue of this book is both timely and welcome. Leininger has almost single-handedly transformed our thinking about the need for culture care in all domains, whether it be in nursing care, in educational programs, or administration of patient care services. As our country has become more and more multicultural, and as we have come to see the impact of events in other parts of the world on our daily lives, the theory of "culture care diversity and universality" assumes an importance not previously felt or understood. The author makes some attempt to place her culture care theory within the framework of the broader theory development enterprise in nursing and the different approaches used to develop theory. She concludes that culture care theory does not fit well with existing thinking on theory development approaches, and that theories in nursing have been conceptualized within the logical positivist and quantitative paradigm. Culture care theory, on the other hand, was "conceptualized within the qualitative discovery paradigm with largely inductive emic (people-centered) views and not from the researcher's a priori hypotheses" (p. 24). The central issue of concern to this reviewer is not with the utility and elegance of this theory, for it has both. It is rather, that it claims too much for itself and does not recognize the place, utility, co-existence, or indeed, complementarity, of other theoretical approaches, especially if they are developed within the positivist paradigm, and worse yet, if they demand quantitative approaches for verification of hypotheses derived from them. The book appears to claim that culture care theory and knowledge are sufficient to address all dimensions of nursing. …

Culture Care Diversity and Universality: A Theory of Nursing

The interdisciplinarity and its contributions to nursing care: integrative review

Custos da adesão ao tratamento da Síndrome da Imunodeficiência Adquirida: estudo transversal

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Nursing as an area of knowledge in the CNPq: historical rescue of the representation of the area

Objective: to discuss, from the complexity underpinning, the action and interaction strategies adopted by healthcare professionals for the care of hospitalized children with chronic cancer pain. Method: qualitative approach research, performed based on the methodological underpinning of the Grounded Theory and on the theoretical underpinning of the Complex Thought, from the perspective of Edgar Morin. The semi-structured interview and the non-participant observation were used to collect data. A total of 21 health professionals were included in the research and they were organized into three sample groups: nurses; nursing technicians; and professionals of the multiprofessional healthcare team. The results of the research were validated by five examiners, three of whom present expertise in the research method. Results: the category “Dealing with the complexity of the managerial context of the care provision to children with chronic cancer pain to children with chronic cancer pain”, through its subcategories, showed that healthcare professionals use the playful activities, the dialogue, the empathy, the affective relationship, and the teamwork as interaction strategies to provide care to the child and the family. In addition, the results present the search for spirituality and emotional balance as action strategies that are necessary to deal with child and family suffering. Conclusion: the results present the need for healthcare professionals to establish action strategies that improve their interaction with the child and their relatives, since an effective interaction makes the process of assessment and management of pain easier, as well as it favors the continuity and the quality of the care provided

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Estratégias de ação e interação para o cuidado à criança hospitalizada com dor oncológica crônica

Research about nurses strategies to set up the nursing care to clients with HIV / AIDS in the Gaffree and Guinle Hospital, of the Federal University of the State of Rio de Janeiro, from 1983 to 1987. Objectives: to analyse the strategies undertaken by nurses with the challenge of caring for clients with HIV/AIDS in this hospital, and discuss the symbolic effect of these strategies for the recognition of the importance of nurses in the care of clients with HIV / AIDS. Social-historical study, with nine nurses who were involved with the care of clients with HIV/AIDS. Results: We demonstrated that the lack of knowledge about HIV / AIDS, fear and discrimination were the main barriers to nursing care to clients, in the early years of the epidemic, in the wards of the hospital, but nurses do not have struck, they were to search for updated habitus. Conclusion: Since this moment, nurses have become spokesmen of care to clients with HIV/AIDS and started to reorganize the nursing care in this hospital wards, that makes possible to offer clients with HIV/AIDS a humanized and decent care guided by the respect for the human being and appreciation of life. Descriptors: History of Nursing, nursing care, nursing.

https://dialnet.unirioja.es/descarga/articulo/3660405.pdf

Joséte Luzia Leite

Papers

The interdisciplinarity and its contributions to nursing care: integrative review

Custos da adesão ao tratamento da Síndrome da Imunodeficiência Adquirida: estudo transversal

Nursing as an area of knowledge in the CNPq: historical rescue of the representation of the area

Estratégias de ação e interação para o cuidado à criança hospitalizada com dor oncológica crônica

Os cuidados de enfermagem ao cliente com hiv/aids em um hospital universitário na década de 1980