Showing papers in "Revista Latino-americana De Enfermagem in 2019"

Creation and validation of an educational video for deaf people about cardiopulmonary resuscitation

Abstract: Objetivo: construir e validar video educativo para ensino de alunos surdos acerca da ressuscitacao cardiopulmonar. Metodo: estudo metodologico composto pela construcao do video educativo, validacao de conteudo por 22 enfermeiros com expertise em parada cardiorrespiratoria e avaliacao por 16 alunos surdos. Para coleta dos dados, utilizaram-se instrumentos validados: Instrumento de Validacao de Conteudo Educacional para validacao pelos enfermeiros e Questionario de Avaliacao de Tecnologia Assistiva para avaliacao dos alunos surdos. O criterio para validacao foi concordância superior a 80%, analisada por meio do indice de validacao de conteudo e teste binomial. Resultados: a versao final do video possuiu 7 minutos e 30 segundos, contemplando as etapas que devem ser realizadas pelo leigo para socorrer a vitima de parada cardiorrespiratoria, apresentadas com animacao e narracao na lingua brasileira de sinais. Todos os itens obtiveram concordância dos enfermeiros e dos alunos surdos igual ou superior a 80%. Conclusao: o video foi considerado valido quanto ao conteudo, por juizes, e compreensivel, por alunos surdos, de forma que consiste em uma tecnologia inclusiva para educacao em saude de surdos acerca da ressuscitacao cardiopulmonar.

Technologies that promote health education for the community elderly: integrative review

Abstract: Objetivo identificar na literatura cientifica as tecnologias desenvolvidas para a educacao em saude de idosos na comunidade. Metodo revisao integrativa que incluiu artigos originais indexados nas bases de dados Literatura Latino Americana e do Caribe em Ciencias da Saude, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Science Direct e Cochrane, sem restricao de tempo e idioma. A analise dos resultados ocorreu na forma descritiva, em cinco categorias analiticas. Resultados foram selecionados 15 artigos, publicados em revistas nacionais e internacionais, com predominio de estudos experimentais que testaram os efeitos das tecnologias. Os tipos de tecnologia educacional desenvolvidos foram material impresso, software e video, alem de maquete e suporte telefonico. O tema mais abordado foi a queda. Os estudos mostraram que os tipos de tecnologia encontrados sao viaveis para a educacao em saude de idosos na comunidade. Conclusao as tecnologias desenvolvidas para a educacao em saude de idosos foram multiplas e mostraram-se eficazes para serem utilizadas em intervencoes na comunidade. Palavras-Chave: Idoso; Saude do Idoso; Tecnologi

Fadiga por compaixão em enfermeiros de urgência e emergência hospitalar de adultos

Abstract: Objetivo avaliar o nivel de fadiga por compaixao em enfermeiros e sua associacao em funcao de caracteristicas sociodemograficas/profissionais. Metodo estudo quantitativo, descritivo e transversal, com 87 enfermeiros de um servico de urgencia e emergencia de adultos, de um hospital universitario. Aplicaram-se um questionario sociodemografico/profissional e a escala Professional Quality of Life Scale 5 . Para a analise dos dados, recorreu-se a estatistica descritiva e inferencial. Resultados verificou-se que a satisfacao por compaixao apresenta as medias mais elevadas, seguida do burnout e do estresse traumatico secundario. Encontraram-se no nivel elevado 51% dos enfermeiros na satisfacao por compaixao, 54% no burnout e 59% no estresse traumatico secundario. Os participantes com mais idade apresentaram medias superiores de satisfacao por compaixao, enquanto os do sexo feminino, mais novos, com menos tempo de experiencia profissional e que nao tinham atividades de lazer evidenciaram media superior de estresse traumatico secundario. Conclusao existe fadiga por compaixao expressa na grande percentagem de enfermeiros com elevados niveis de burnout e de estresse traumatico secundario. A fadiga depende de fatores individuais como idade, sexo, experiencia profissional e atividades de lazer. A pesquisa e a compreensao desse fenomeno permitem o desenvolvimento de estrategias de promocao de saude no trabalho.

Compassion fatigue among nurses working on an adult emergency and urgent care unit

Abstract: Objective to assess compassion fatigue levels among nurses and its variation according socio-demographic and professional characteristics. Method quantitative, descriptive and cross-sectional study, with 87 nurses from an emergency and urgent care unit for adults from a university hospital. A socio-demographic and professional questionnaire, along with the Professional Quality of Life Scale 5 were used. Data analysis was performed using descriptive and inferential statistics. Results compassion satisfaction presents the highest means, followed by burnout and secondary traumatic stress. Among the participants, 51% presented a high level of compassion satisfaction, 54% a high level of burnout, and 59% a high level of secondary traumatic stress. Older participants presented higher score of compassion satisfaction, and younger nurses, women, nurses having less job experience and nurses without leisure activities showed higher means of secondary traumatic stress. Conclusion we found compassion fatigue, expressed in the large percentage of nurses with high levels of burnout and secondary traumatic stress. Fatigue is related to individual factors such as age, gender, job experience and leisure activities. Doing research and understanding this phenomenon allow the development of health promotion strategies at work.

Safety culture of multidisciplinary teams from neonatal intensive care units of public hospitals.

Abstract: Objetivo analisar a cultura de seguranca da equipe multiprofissional em tres Unidades de Terapia Intensiva Neonatal de hospitais publicos de Minas Gerais, Brasil. Metodo estudo tipo survey, transversal, desenvolvido com 514 profissionais de saude. Utilizou-se o instrumento Hospital Survey on Patient Safety Culture, sendo os dados submetidos a analise estatistica descritiva por meio do software R, versao 3.3.2. Resultados os achados mostraram que nenhuma dimensao obteve escore de respostas positivas acima de 75% para ser considerada como area de forca. A dimensao “Resposta nao punitiva ao erro” foi classificada como area critica da cultura de seguranca do paciente com 55,45% das repostas. Contudo, foram identificadas areas com potencial para melhoria, como “Trabalho em equipe na unidade” (59,44%) e “Expectativas e acoes do supervisor/chefia para a promocao da seguranca do paciente” (49,90%). Conclusao nenhuma das dimensoes foi considerada como area de forca, o que aponta que a cultura de seguranca ainda nao esta integralmente implementada nas unidades avaliadas. Recomenda-se um olhar critico sobre as fragilidades do processo de seguranca dos pacientes, a fim de buscar estrategias para a adocao de uma cultura de seguranca positiva, beneficiando pacientes, familiares e profissionais.

Risk assessment for perioperative pressure injuries

Abstract: Objetivos: evaluar y clasificar pacientes segun la Escala de Evaluacion de Riesgo para el Desarrollo de Lesiones Derivadas por Posicionamiento Quirurgico, verificar si hay asociacion entre variables sociodemograficas, clinicas y escore de riesgo e identificar si existen lesiones por presion, derivadas del posicionamiento quirurgico. Metodo: estudio observacional, longitudinal, prospectivo y cuantitativo, realizado en hospital de ensenanza, con 278 pacientes sometidos a cirugias electivas. Se utilizo un cuestionario de caracterizacion sociodemografica y clinica y Escala de Evaluacion de Riesgo para el Desarrollo de Lesiones Derivadas por Posicionamiento Quirurgico. Empleamos analisis descriptivos, bivariados y de regresion logistica. Resultados: la mayoria de los pacientes (56,5%) presento alto riesgo para lesion peri operatoria por posicionamiento. El sexo femenino, ancianos y valores de indice de masa corporal alterados fueron estadisticamente significativos (p <0,05) para mayor riesgo de existencia de esas lesiones. En el 77% de los pacientes hubo lesiones por posicionamiento. Conclusion: la mayoria de los participantes presento alto riesgo de desarrollo de lesion peri operatoria por posicionamiento. El sexo femenino, ancianos e indice de masa corporal alterado fueron factores significativos para el aumento del riesgo. La Escala de Evaluacion de Riesgo para el Desarrollo de Lesiones Derivadas del Posicionamiento Quirurgico posibilita identificar precozmente el riesgo de lesion, subsidiando la adopcion de estrategias preventivas para asegurar la calidad del periodo perioperatorio.

Reflective and critical thinking in nursing curriculum.

Abstract: Objective to evaluate the teaching of transversal competence of the Reflective and Critical Thinking that is fundamental in the decision-making and solution of nursing problems, in degree programs of public and private institutions in the Andean region. Method multi-center, cross-sectional, exploratory-descriptive study, with mixed approach in 5 countries. Results 76 nursing programs participated in the study. The Reflective and Critical Thinking was found as a subject, subject content and didactic strategies. Of the 562 subjects reviewed, this type of thinking is found in 46% of the humanities area and 42% in the area of research and professional discipline. It is important to train teachers to achieve coherence between the pedagogical model approach, teaching strategies and evaluations. Conclusion nursing programs in the Andean region contemplate the critical thinking as cognitive and personals skills of communication. They also use real situations analysis, supervised practice, simulation labs and specifically learning based in problems to develop the capacity to solve them, decision-making and develop communication skills, including analysis, synthesis and evaluation.

Impact of urinary incontinence on the quality of life of individuals undergoing radical prostatectomy

Abstract: Objetivo: avaliar o nivel de incontinencia urinaria e o seu impacto na qualidade de vida de pacientes submetidos a prostatectomia radical. Metodo: estudo transversal, realizado com pacientes prostatectomizados. Os dados foram coletados a partir dos seguintes instrumentos: questionario sociodemografico, Pad Test, International Consultation on Incontinence Questionnaire – Short Form e King Health Questionnaire. Os dados foram submetidos a analise estatistica descritiva e bivariada. O nivel de significância adotado foi de 0,05. Resultados: participaram 152 pacientes, com idade media de 67 anos. Entre os pacientes incontinentes, houve predominio da incontinencia urinaria leve. A incontinencia urinaria causou impacto muito grave na avaliacao geral da qualidade de vida nos primeiros meses e grave apos seis meses de cirurgia. Quanto maior a perda urinaria, maior impacto nos dominios da qualidade de vida Limitacoes Fisicas, Limitacoes Sociais, Impacto da Incontinencia Urinaria e Medidas de Gravidade. A maioria dos participantes relatou ausencia de erecao apos a cirurgia e por isso nao respondeu a questao referente a presenca de incontinencia urinaria durante a relacao sexual. Conclusao: o estudo evidenciou a ocorrencia da incontinencia urinaria apos prostatectomia radical em diferentes niveis e o seu impacto significativo na qualidade de vida dos homens merecendo intervencoes para o seu controle.

Attention to childbirth and delivery in a university hospital: comparison of practices developed after Network Stork

Abstract: Objetivo: comparar, apos transcorridos quatro anos da implementacao da Rede Cegonha, as praticas obstetricas desenvolvidas em um hospital universitario segundo classificacao da Organizacao Mundial da Saude. Metodo: estudo transversal realizado no ano de adesao a Rede Cegonha (377 mulheres) e replicado quatro anos apos (586 mulheres). Dados obtidos mediante prontuario e questionario estruturado. Na analise, utilizou-se o Teste Qui-quadrado. Resultados: quatro anos apos a Rede Cegonha, dentre as praticas da Categoria A (praticas comprovadamente uteis/ boas praticas), aumentou a frequencia de acompanhante, de metodos nao farmacologicos, de contato pele a pele e de estimulo a amamentacao e diminuiu a liberdade de posicao/ movimentacao. Na Categoria B (praticas prejudiciais), houve reducao de tricotomia e aumento de venoclise. Na Categoria C (praticas sem evidencias suficientes), o Kristeller apresentou aumento. Na Categoria D (praticas utilizadas de modo inadequado), aumentou o percentual de toque vaginal acima do recomendado, de analgesicos e de analgesia e diminuiu a episiotomia. Conclusao: esses resultados indicam a manutencao de uma assistencia tecnocratica e intervencionista e direcionam para a necessidade de mudancas no modelo de atencao obstetrica. Um caminho consolidado mundialmente e a incorporacao de enfermeiras obstetras/obstetrizes na assistencia ao parto pelo potencial de utilizacao apropriada de tecnologias e reducao de intervencoes desnecessarias.

Classificação de risco de desenvolvimento de lesões decorrentes do posicionamento cirúrgico

Abstract: * Artigo extraído da dissertação de mestrado “Ocorrência de lesões perioperatórias por posicionamento e fatores associados”, apresentada à Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brasil. Apoio financeiro do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil, processo PQ2015-309102/2015-4. O presente trabalho foi realizado com apoio da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior Brasil (CAPES) Código de Financiamento 001. 1 Universidade Federal do Triângulo Mineiro, Instituto de Ciências da Saúde, Uberaba, MG, Brasil. 2 Prefeitura Municipal de Uberaba, Secretaria Municipal de Saúde, Uberaba, MG, Brasil. Classificação de risco de desenvolvimento de lesões decorrentes do posicionamento cirúrgico*

Prevalência e evitabilidade de eventos adversos cirúrgicos em hospital de ensino do Brasil

Abstract: Objetivo estimar a prevalencia e evitabilidade de eventos adversos cirurgicos em hospital de ensino e classificar os eventos segundo o tipo de incidente e grau do dano. Metodo estudo transversal e retrospectivo realizado em duas fases. Na fase I, enfermeiros realizaram revisao retrospectiva em amostra aleatoria simples de 192 prontuarios de pacientes adultos, utilizando o formulario do Canadian Adverse Events Study para rastreamento de casos. A fase II objetivou a confirmacao do evento adverso por comite de especialistas composto por medico e enfermeiros. Os dados foram analisados por estatistica descritiva univariada. Resultados a prevalencia de eventos adversos cirurgicos foi de 21,8%; em 52,4% dos casos, a deteccao ocorreu no retorno ambulatorial. Dos 60 casos analisados, 90% (n=54) eram evitaveis e mais de dois tercos resultaram em danos leves a moderados. Falhas tecnicas cirurgicas contribuiram em, aproximadamente, 40% dos casos. Houve prevalencia da categoria infeccao associada a atencao a saude (50%;n=30). Destacaram-se os eventos adversos relacionados a infeccao de sitio cirurgico (30%;n=18), deiscencia de sutura (16,7%;n=10) e hematoma/seroma (15%;n=9). Conclusao a prevalencia e evitabilidade dos eventos adversos cirurgicos sao desafios a serem enfrentados pela gestao hospitalar.

Perceptions of deaf subjects about communication in Primary Health Care.

Abstract: Objective: to analyze the perceptions of deaf individuals about the communication process with health professionals of the state of Rio de Janeiro. Methods: cross-sectional observational study. Data were collected through the application of a questionnaire with quantitative and qualitative questions to 121 deaf adults. Objective responses were studied descriptively through frequency tables and analyzed by inferential statistics and logistic regression. The data from the open questions were analyzed through content analysis. Results: the lack of interpreters and the lack of use of the Brazilian Sign Language by professionals were perceived as the main communication barriers. In turn, the presence of companions who are listeners (73%) and the use of mime/gestures (68%) were among the strategies most used by the deaf. The majority of deaf people reported insecurity in consultations, and those who best understood their diagnosis and treatment were the bilingual deaf (p = 0.0347) and the deaf who used oral communication (p = 0.0056). Conclusion: communication with the professionals was facilitated when the deaf people had a companion or when they used mimics and gestures. Sign language was neglected, despite the fact that the provision of care to the deaf by professionals trained to use this language is guaranteed in the legislation.

Liaison nurse activities at hospital discharge: a strategy for continuity of care.

Abstract: Objective to describe the activities developed by the liaison nurses for the continuity of care after hospital discharge. Method descriptive, qualitative study, based on the theoretical reference. Strength Based Care. The sample comprised 23 liaison nurses. The data was collected through a semi-structured questionnaire via Survey Monkey electronic platform and analyzed through the content analysis technique, with pre-defined categories. Results among the liaison nurses, nine (39.14%), between 35 and 44 years of age; 17 (73.91%) were female; 15 (65.22%) were working eleven years or more nurse and 11 (47.82%), were between six and ten years old as a liaison nurse. The professionals participate in the identification of the patients who need care after hospital discharge, coordinate the planning of the hospital discharge and transfer the patient's information to an extra-hospital service. Conclusion the activities developed by the liaison nurses focus on the needs of the patient and the articulation with the extra-hospital services, and can be adapted to the Brazilian context as a strategy to minimize the discontinuity of care at the time of hospital discharge.

Safety and satisfaction of patients with nurse's care in the perioperative.

Abstract: Objetivo: investigar a seguranca e a satisfacao de pacientes e sua relacao com os cuidados dos enfermeiros no perioperatorio. Metodo: estudo multinivel, transversal, correlacional, realizado com 105 enfermeiros da area cirurgica e 150 pacientes operados em um hospital terciario espanhol. Para os enfermeiros foram coletadas as variaveis sociodemograficas, a percepcao do ambiente de trabalho, o desgaste profissional e a satisfacao no trabalho. Para os pacientes, a seguranca de eventos adversos e nivel de satisfacao, por meio de registros e questionarios. Utilizou-se analise multinivel, univariada e multivariada. Resultados: satisfacao no trabalho, compromisso profissional e participacao em questoes hospitalares foram preditores negativos para eventos adversos relacionados ao paciente, enquanto o cuidado do enfermeiro no pos-operatorio foi um preditor positivo. Conclusao: observa-se aumento dos eventos adversos quando os enfermeiros tem insatisfacao no trabalho, menor compromisso profissional e baixa disponibilidade para participar nos assuntos de sua unidade. Por outro lado, os eventos adversos diminuem quando os enfermeiros realizam os cuidados no pos-operatorio. A satisfacao foi boa e nao houve associacao com as caracteristicas do cuidado dos enfermeiros. Recomenda-se melhorar esses preditores para aumentar a seguranca de pacientes cirurgicos.

Analysis of professional implication as a tool of permanent education in health.

Abstract: Objective: analyze professional implication with the support of humanization and articulators of permanent education in health as a tool of Permanent Education in Health. Method: this is an interventional study of qualitative approach, based on the theoretical reference of Institutional Analysis. Thirty-five humanization supporters and/or permanent education articulators participated in this study. Semi-structured interviews, monthly meetings, restitution meetings and a daily logbook were used as tools for data production. The material was analyzed according to the principles of the study reference and the results were presented according to the ideological, organizational and libidinal dimensions of professional implication. Results: this study identified a contradiction when finding a professional profile for the development of support and articulation; feelings of discouragement, pessimism and optimism in the development of these roles; influences of the nursing profession on the development of support and articulation; length of professional service; and the absence/presence of desire in such development. Conclusion: the analysis of professional implication consisted of a powerful tool generating training processes. It allowed learning and reflection of the practice through analysis of the actions performed by the professionals, generating changes in the conception of work in health.

Discharge guidance and telephone follow-up in the therapeutic adherence of heart failure: randomized clinical trial

Abstract: OBJECTIVE to evaluate the effectiveness of the behavioral intervention of discharge guidance and telephone follow-up in the therapeutic adherence, re-hospitalization and mortality of patients with heart failure. METHOD randomized clinical trial without blinding, including 201 patients diagnosed with heart failure admitted to the emergency room, who were randomized in Control Group and Intervention Group. Intervention was carried out with specific discharge guidance in the Intervention Group, who were contacted for solving doubts via phone calls after 7 and 30 days, and the adherence to treatment was evaluated after 90 days with the Morisky test, the Brief Medical Questionnaire and the non-drug adherence test in both groups. The Generalized Estimating Equations Model was used (p<0.05%). RESULTS One-hundred and one patients were randomly sorted in the Control Group and in the Intervention Group, their average age being 62.6±15.2. The Intervention Group had higher drug and non-drug therapeutic adherence compared to the Control Group (p<0.001) and there were lower re-hospitalization and death rates in the Intervention Group after 90 days. CONCLUSION discharge guidance with telephone follow-up was effective and resulted in greater therapeutic adherence, as well as in decrease of re-hospitalization and death rates in patients with heart failure. Clinical Trial Registration (REBEC): RBR- 37n859.

Telephone intervention in the promotion of self-efficacy, duration and exclusivity of breastfeeding: randomized controlled trial.

Abstract: Objetivo: avaliar o efeito de uma intervencao telefonica na autoeficacia de puerperas na duracao e exclusividade da amamentacao. Metodo: estudo experimental randomizado controlado envolvendo 85 lactantes aos dois meses e 77 aos quatro meses. A amostra foi randomizada em dois grupos: controle e intervencao. A intervencao consistiu em um acompanhamento telefonico realizado aos sete, 15 e 30 dias pos-parto utilizando os preceitos da Entrevista Motivacional e da Autoeficacia em Amamentar. Resultados: com dois meses a autoeficacia em amamentar foi semelhante nos dois grupos (p=0,773). Todavia, com quatro meses, o grupo intervencao apresentou maior autoeficacia que o grupo controle (p=0,011). Evidenciou-se diferenca entre os grupos na duracao do aleitamento materno aos dois meses (p=0,035). No quarto mes, o grupo intervencao se manteve em aleitamento materno quando comparado ao grupo controle (p=0,109). Ambos os grupos nao apresentaram diferencas na exclusividade da amamentacao aos dois (p=0,983) e quatro meses (p=0,573). Conclusao: a intervencao educativa por telefone foi eficaz para melhorar a autoeficacia e duracao do aleitamento materno, mas nao a exclusividade. (ReBEC: UTN: U1111-1180-5341).

Menthol chewing gum on preoperative thirst management: randomized clinical trial.

Abstract: Objective to evaluate the effectiveness of menthol chewing gum, in the relief of the intensity and discomfort of the surgical patient’s thirst in the preoperative period. Method a randomized controlled trial, with 102 patients in the preoperative period, randomized in a control group, with usual care, and an experimental group, which received menthol gum, which was the study treatment variable. The primary clinical outcome was the variation in thirst intensity, evaluated by the Numeral Verbal Scale, and the secondary, the variation of the discomfort of thirst, evaluated by the Perioperative Thirst Discomfort Scale. Mann-Whitney test was used to compare measures between groups. The significance level adopted was of 0.05. Results menthol chewing gum significantly reduced the intensity (p <0.001), with Cohen’s medium-effect d, and thirst discomfort (p <0.001), with a large-effect Cohen’s d. Conclusion menthol chewing gum was effective in reducing the intensity and discomfort of preoperative thirst. The strategy proved to be an innovative, feasible and safe option in the use for the surgical patient, in the management of the preoperative thirst, in elective surgeries. NCT: 03200197.

Effect of music therapy on stress in chemically dependent people: a quasi-experimental study

Abstract: Objective: to evaluate the effect of music therapy on the stress of chemically dependent people. Method: quasi-experimental study conducted at a philanthropic institution with 18 chemically dependent people undergoing treatment. Salivary cortisol (stress hormone) was collected in three moments: before, 60 minutes after, and 120 minutes after a music therapy group intervention. Statistical analysis adopted a significance level of p < 0.05 and used the Wilcoxon and Kruskal-Wallis non-parametric tests. Results: after 60 minutes of intervention, there was a statistically significant reduction in mean salivary cortisol levels (p < 0.001). A reduction was also noted after 120 minutes, but without statistical significance (p = 0.139). Conclusion: a single session of 60 minutes of group music therapy was able to reduce stress (salivary cortisol levels) of chemically dependent people.

Burnout syndrome in Brazilian and Spanish nursing workers.

Abstract: Objective to analyze the burnout dimensions scores in Brazilian and Spanish nursing workers. Method quantitative, cross-sectional and comparative study conducted with 589 Nursing workers who answered the Sociodemographic and Professional Characterization Questionnaire and the Maslach Burnout Inventory. Descriptive and analytical analysis of the data was performed. Results Spanish Nursing workers presented higher averages in the Depersonalization dimension (p = 0.004) and Brazilians, higher scores in the Professional Achievement dimension (p = 0.031). In both Spain and Brazil, nursing assistants / technicians were found to have higher Emotional Exhaustion than nurses; In Brazil, Depersonalization is higher in nurses and in Spain it is higher in Nursing assistants / technicians. Statistically significant results were found in the association of burnout dimensions with sociodemographic and work characteristics: age; professional category; workplace; work regime; work shift; time of professional experience; working time in the same workplace and consider stressful work. Conclusion Although Brazilian and Spanish nursing workers score low levels of Depersonalization and high Professional Achievement, there are average levels of Emotional Exhaustion, indicating an important preventive factor to be worked on, since Emotional Exhaustion is considered the first stage of burnout.

Dor lombar inespecífica e sua relação com o processo de trabalho de enfermagem

Abstract: Objetivo relacionar a dor lombar inespecifica dentro do contexto de trabalho da enfermagem com suas cargas de trabalho, processos de desgaste e os riscos de adoecimento. Metodo estudo transversal com 301 trabalhadores de um hospital geral do Sul do pais. Utilizaram-se o Nordic Musculoskeletal Questionnaire e a Escala de Avaliacao do Contexto de Trabalho composta de tres dimensoes: “condicoes de trabalho”, “organizacao do trabalho” e “relacoes socioprofissionais”. Foi testada a associacao das variaveis com a dor lombar por meio de analises bivariadas e multivariadas. A medida de associacao utilizada foi a Odds Ratio e seus respectivos intervalos com 95% de confianca. Os dados coletados foram discutidos sob o referencial teorico do processo de trabalho dentro da concepcao marxista e da Teoria da Determinacao Social do Processo Saude-doenca. Resultados houve associacao estatisticamente significativa entre as dimensoes “organizacao do trabalho” e “condicoes de trabalho com a dor lombar”, que obtiveram classificacao critica, significando riscos moderados ao adoecimento profissional. Conclusao o estudo permitiu maior compreensao do processo de trabalho de enfermagem e sua relacao com a lombalgia inespecifica e sinalizou que devem ocorrer mudancas na organizacao e nas condicoes de trabalho a fim de diminuir os riscos de adoecimento dos trabalhadores de enfermagem.

Expanding the role of nurses in primary health care: the case of Brazil.

Abstract: 14:00 Opening Francisco Becerra, Assistant Director, PAHO/WHO James Fitzgerald, Director, Health Systems and Services, PAHO/WHO Fernando Menezes, Chief, Human Resources for Health Unit, PAHO/WHO 14:20 Nursing Now campaign and the World Health Organization (video) Elizabeth Iro, Chief Nursing Officer, World Health Organization Launch of the publication Expanding the Roles of Nurses in Primary Health Care 14:40 PANEL: Expanding the role of nurses in Primary Health Care Moderator: Silvia Cassiani, Advisor on Nursing and Allied Health Personnel, PAHO/WHO Claudia Leija, Director of Nursing and General Coordinator of the Permanent Commission of Nursing, Ministry of Health, Mexico Susan Orsega, Chief of Nursing of the Public Health Service, United States Manoel Carlos Neri, President of the Federal Council of Nursing, Brazil Ruth Martin-Misener, Professor , Nursing School, Dalhousie University, Canada Carmen Loaiza Madriz, National Coordinator of Nursing, Caja Costarricense del Seguro Social, Costa Rica Nester Edwards, Chair of the Regional Nursing Body, CARICOM. Chief Nursing Officer of the Ministry of Health and Social Security, Grenada 16:40 Discussion 17:00 Closure 17:15 Reception Celebration of the International Nurses Day

Predictors of nursing workers' intention to leave the work unit, health institution and profession

Abstract: Objective: to identify the factors related to the nursing workers’ intention to leave the work unit, health institution and profession. Method: cross-sectional study with quantitative approach was carried out with 267 nursing workers from seven emergency units in Brazil. For data collection, we used the Questionnaire of socio-demographic, life style and work and health aspects as well as the Work Ability Index, Workplace violence questionnaire, questions about intention to leave and the Turnover Intention Scale. The predictors of intentions to leave were evaluated through Poisson regression models. Results: workplace violence increased and better satisfaction with current job decreased the probability of greater intention to leave the unit, institution and profession. Better work ability decreased the probability of greater intention to leave the unit and profession. The more qualified workers and those who had been working in the institution longer was more likely to greater intention to leave the profession. Conclusion: promoting job satisfaction, work ability and a violence-free environment is possible to decrease the workers’ intention to leave the job or profession, but nursing managers need to understand the three phenomena of intention to quit individually for retention strategies.

Factors related to the probability of suffering mental health problems in emergency care professionals.

Abstract: Objetivos: avaliar a influencia exercida pelo Burnout e as estrategias de enfrentamento utilizadas pelo pessoal de saude do servico de emergencia hospitalar sobre o estado de saude mental e determinar as caracteristicas sociodemograficas e laborais. Metodo: estudo descritivo transversal em uma amostra de 235 profissionais de enfermagem e medicos que atuaram em quatro servicos de emergencia hospitalar. Como instrumentos de coleta de dados foram utilizados questionarios originais e especificos de variaveis sociodemograficas e de trabalho, o Maslach Burnout Inventory, General Health Questionnaire e o Inventario breve de afrontamiento–COPE 28. Aplicou-se estatistica descritiva, inferencial e multivariante. Resultados: a dimensao de despersonalizacao, enfrentamento centrado na evitacao e ser medico estiveram relacionados a presenca de sintomas somaticos, ansiedade, disfuncao social e depressao. O aumento da experiencia profissional esteve associado a maior disfuncao social do pessoal de saude e o aumento do numero de pacientes foi relacionado a sintomatologia depressiva entre os profissionais de saude. Conclusoes: as dimensoes de exaustao emocional e despersonalizacao, enfrentamento centrado na evitacao, ser medico e consumir tabaco diariamente aumentam o risco de se constituir um caso psiquiatrico. A pratica de exercicio fisico diario e um fator de protecao.

Quality of life, pain and anxiety in patients with nephrostomy tubes.

Abstract: Objective: to evaluate the impact on the quality of life as well as anxiety and pain in patients with nephrostomy tubes. Method: this is a longitudinal descriptive study performed on a sample of n=150 patients. To evaluate the quality of life, the EuroQol-5D questionnaire was used; anxiety was quantified by the Beck Anxiety Inventory; to study pain, a visual analogue scale was employed. Results: statistically significant differences were found in the quality of life, with its worsening (r = 0.51; p <0.01) when evaluated at the first tube replacement. Patients presented mild to moderate anxiety before the procedure, which was reduced at the first tube replacement, although this difference was not significant (r = 0.028, p = 0.393). Finally, the degree of pain was also significantly reduced (r = 0.13, p<0.01) after six weeks. As for gender, women presented the worst values ​​in the three variables studied (worse quality of life and greater anxiety and pain). Conclusions: nephrostomy tubes have a negative impact on the patient’s quality of life. During the time they live with these tubes, patients have mild to moderate pain and anxiety.

Inconsistent condom use between serodifferent sexual partnerships to the human immunodeficiency virus

Abstract: Objective: to analyze predictors of inconsistent condom use among HIV-positive people with sexual immunodeficiency virus serodifferent sexual partnership. Method: cross-sectional, analytical study with a consecutive non-probabilistic sample consisting of people living with the human immunodeficiency virus with serodifferent sexual partnership and who were in outpatient clinical follow-up. Data were collected through individual interviews guided by a semi-structured questionnaire and subsequently analyzed with bivariate analysis and logistic regression. Results: Seven variables were independently associated with inconsistent condom use. Schooling less than 11 years of schooling (4.9 [2.4-10.1]), having multiple partnerships (5.0 [1.3-19.6]), using alcohol (2.1 [1.1 -4.4]) or other drugs (2.8 [1.2-6.3]), do not receive advice from a healthcare professional (2.0 [1.1-3.9]), have no knowledge of treatment as prevention (3.0 [1,2-6,9]) and not knowing that undetectable viral load reduces the risk of human immunodeficiency virus transmission (3.8 [1,1-13,7]) were predictors for inconsistent condom use. Conclusion: The study showed that psychosocial factors interfere with consistent condom use between serodifferent partnerships. Thus, it is highlighted that there is a need for comprehensive interventions that include the integration of clinical and psychosocial care.

Health-related quality of life of adolescents with type 1 diabetes mellitus.

Abstract: Objective To evaluate the health-related quality of life of adolescents with type 1 diabetes mellitus, associating it with socio-demographic, clinical and biochemical variables. Method Cross-sectional study with 92 adolescents with type 1 diabetes mellitus. A form containing socio-demographic, clinical and biochemical variables was used, as well as the Diabetes Quality of Life for Youths questionnaire. Descriptive statistics and logistic regression were used for analysis. Results Regarding socio-demographic variables, economic class showed statistically significant differences in relation to total Health Related Quality of Life (p-value =0.02) and the impact domain (p-value =0.009). However, the impact domain was more compromised. Diabetes-related complications (p-value =0.004), number of hospitalizations (p-value =0.01), number of daily insulin injections (p-value =0.02), glycated hemoglobin (p-value =0.002) and triglycerides (p-value =0.03) were associated with greater impairment of quality of life related to total health and greater dissatisfaction. Conclusion Single male adolescents with lower level of education and high glycated hemoglobin levels were more likely to have lower health-related quality of life.

Estresse e sobrepeso/obesidade em estudantes de enfermagem

Abstract: Objetivo analisar a associacao entre caracteristicas demograficas, academicas, de saude, estresse, sobrepeso e obesidade em estudantes de enfermagem. Metodo estudo transversal, com 95 estudantes de uma universidade privada do Rio Grande do Sul, Brasil. Aplicou-se questionario de caracterizacao demografica, academica e de saude e utilizou-se a Escala de Avaliacao do Estresse em Estudantes de Enfermagem. Medidas antropometricas foram mensuradas. Empregaram-se analises descritivas e bivariadas. Resultados predominaram estudantes do sexo feminino, com idade media de 25,6 ± 5,87 anos. Observou-se aumento de peso em 52,6% dos estudantes e niveis de estresse alto (29,5%) e muito alto (36,8%) no dominio Formacao Profissional. Nenhum dos dominios da escala de estresse se mostrou associado ao sobrepeso e obesidade. Conclusao o sobrepeso e obesidade mostraram-se associados ao sexo masculino, pressao arterial elevada, ganho de peso desde o inicio do curso, circunferencia abdominal alterada, nao realizacao de atividade fisica, comer mais em situacoes de estresse e ingerir alimentos nao saudaveis.

Attitudes of nursing students toward to the suicidal behavior

Abstract: Objetivo: investigar, entre estudantes do ultimo ano de enfermagem, as atitudes relacionadas ao comportamento suicida e fatores associados. Metodo: estudo transversal com 111 estudantes de enfermagem de uma instituicao de ensino brasileira. Os dados foram coletados em 2017, pela autoaplicacao de um questionario sociodemografico e do Questionario de Atitudes Frente ao Comportamento Suicida, e foram analisados por estatistica descritiva, testes de comparacao de media e correlacao. Resultados: a maioria dos estudantes de enfermagem teve contato com alguem com comportamento suicida, mas nao teve exposicao educacional relacionada ao assunto. As atitudes mais negativas foram associadas ao sexo feminino: nao ler materiais sobre prevencao do suicidio e menor autopercepcao de competencia profissional. Pensamentos suicidas foram associados ao contato com alguem com comportamento suicida e as atitudes menos moralistas/condenatorias. Conclusao: sao necessarias investigacoes e intervencoes para qualificacao academica e prevencao do comportamento suicida.