Showing papers in "Texto & Contexto Enfermagem in 2013"
TL;DR: Estas recomendaciones son esenciales para the promocion of the seguridad del paciente en las Unidades de Terapia Intensiva estudiadas.
Abstract: The aim of this quantitative, comparative, cross-sectional, survey study was to systematize nursing recommendations regarding patient safety in two adult intensive care units in Florianopolis-SC, Brazil, in 2011. It resulted from the answer to a qualitative question from the Hospital Survey on Patient Safety Culture, applied to 97 nurses, with a response rate of 93.8%, corresponding to 91 professionals. The survey obtained 267 recommendations, categorized according to the dimensions of the instrument utilized. There was a greater number of recommendations for the dimensions: organizational learning and continuous improvement, with suggestions involving qualification and training; staff in relation to quantitative matter; and overall perception of safety, indicating an improvement in procedures and processes and the support from the hospital management, with emphasis on the improvement of material resources and equipment. Also highlighted by other studies, these recommendations are essential to improve patient safety in the intensive care units studied. DESCRIPTORS: Patient safety. Culture. Intensive care units. Nursing.
64 citations
TL;DR: Estudo objetivou caracterizar os idosos internados na clinica medica de um hospital terciario, segundo variaveis sociodemograficas, e identificar a fragilidade nos mesmos, descritivo e transversal.
Abstract: Este estudo objetivou caracterizar os idosos internados na clinica medica de um hospital terciario, segundo variaveis sociodemograficas, e identificar a fragilidade nos mesmos. Estudo descritivo e transversal. A coleta de dados foi realizada no periodo de outubro de 2010 a marco de 2011, utilizando-se um instrumento contendo questionario sociodemografico e a EdmontonFrailScale. Participaram 84 idosos, media de idade 73, 8 anos; 60, 7% eram homens, 44, 0%, casados e 32, 1%, viuvos; 75, 0%, aposentados; 54, 8% estudaram entre um e quatro anos. Quanto a identificacao da fragilidade, 42, 9% apresentaram fragilidade severa, 33, 3%, leve e 19, 0%, moderada. Dentre os idosos que apresentaram fragilidade severa, houve predominio de mulheres (63, 6%), de idosos com 80 anos ou mais (63, 0%), dos que viviam sem companheiro(a) (53, 1%) e dos que descreveram sua saude como ruim (75, 8%). Acredita-se que identificar a fragilidade em idosos hospitalizados auxilia os profissionais da saude no planejamento e na implementacao da assistencia ao idoso.
54 citations
TL;DR: In this paper, a theoretical-reflexive study aimed at comparing these practices to the concepts elaborated in the Letter of Ottawa, the pedagogy of liberation of Paulo Freire, empowerment and culture, here comprehended as key elements guiding the activity of the nurse in health education in actions performed by health services.
Abstract: The purpose of this study was to reflect theoretically on the theme of health education and how it interfaces with health promotion. It consists of a theoretical-reflexive study aimed at comparing these practices to the concepts elaborated in the Letter of Ottawa, the pedagogy of liberation of Paulo Freire, empowerment and culture, here comprehended as key elements guiding the activity of the nurse in health education in actions performed by health services. In order to take this reflexive path, the authors analyzed the interrelationships of these theoretical interfaces and their approaches to health promotion practices. From this presented theoretical framework, it is possible to reflect on the possibilities of extending care, based on the premise that all moments comprising interaction with patients of health services must be considered an opportunity to develop health education actions, considering the knowledge of nurses characterized as social actors who are responsible for the events that take place in the health scenario. DESCRIPTORS: Health education. Health promotion. Nursing.
49 citations
TL;DR: The increase in workloads in Family Health model was affected by gaps between what was prescribed and performed, while in the traditional model this was due to fact that the health care model is based on biomedicine.
42 citations
TL;DR: In this article, the influence of two health care models on the workloads of health professionals was discussed, and the authors concluded that the increase in workloads in the family health model was affected by gaps between what was prescribed and performed, while in the traditional model this was due to fact that the health care model is based on biomedicine.
Abstract: This study discusses the influence of two health care models on the workloads of health professionals. This qualitative study was conducted with Family Health teams and traditional teams working in southern Brazil. Focus groups, interviews, and documentary study were used to obtain data, which were analyzed combining Thematic Content Analysis with the features of the AtlasTi software. In both models, it was evident that the problems in the organization and management of health care, excessive demand and innefective problem-solving are the main sources of increased workloads while affinity with the health care model and teamwork were mentioned as sources of workloads reduction. We conclude that the increase in workloads in Family Health model was affected by gaps between what was prescribed and performed, while in the traditional model this was due to fact that the health care model is based on biomedicine. DESCRIPTORS: Primary health care. Occupational health. Workload. Health personnel.
40 citations
TL;DR: In this paper, the authors identify nurses' perspectives regarding health education and investigate how it is conceived, planned, executed and evaluated in the Family Health Strategy, utilizing a qualitative approach.
Abstract: This study has the objective of identifying nurses' perspectives regarding health education and investigating how it is conceived, planned, executed and evaluated in the Family Health Strategy. This is a descriptive-exploratory study, utilizing a qualitative approach. Data were collected from 20 nurses within the 10 th
37 citations
TL;DR: This cross-sectional observational study with a quantitative approach was developed with women who underwent breast cancer surgery in the period from 2007 to 2009 to characterize women who undergo such surgery and to analyze their self-esteem.
Abstract: This cross-sectional observational study with a quantitative approach was developed with women who underwent breast cancer surgery in the period from 2007 to 2009. The aim was to characterize women who underwent such surgery and to analyze their self-esteem. A questionnaire was used to evaluate the self-esteem with the collection of sociodemographic and clinical data and the Rosenberg Scale. The majority of the women were aged between 41 and 50 years, were married, catholic, had low levels of schooling and received on average three times the minimum wage. Regarding the clinical aspects, the majority underwent conservative surgery performed on the left side and received complementary treatments, mainly endocrine therapy. Concerning self-esteem, 54.10% of the women had high self-esteem; Cronbach's alpha of 0.77. The women who had high self-esteem were married, had returned to work, underwent breast reconstruction and had received no complementary treatment. DESCRIPTORS: Self concept. Women's health. Nursing. Breast neoplasms.
36 citations
TL;DR: The results indicate that when professionals began providing care to terminal patients, they experienced frustration and a sense of helplessness; the experience enabled them to find new meanings for care delivery, coming to understand death as a natural event of life, and realizing the importance of ensuring quality of life and providing comfort to patients.
Abstract: The objective of this qualitative, descriptive and explanatory study was to identify the experience of a multidisciplinary team in providing hospice care in the hospital setting. The study included six members of a multidisciplinary health team providing palliative care in a university hospital in the South of Brazil. The results indicate that when professionals began providing care to terminal patients, they experienced frustration and a sense of helplessness. The experience, however, enabled them to find new meanings for care delivery, coming to understand death as a natural event of life, and realizing the importance of ensuring quality of life and providing comfort to patients. The participants reported the need to strengthen communication, teamwork, and to create opportunities to discuss terminality. Thus, hospital care should meet the needs of patients receiving hospice care and those of their families, connecting and promoting actions to ensure patients have their suffering relieved and can survive with dignity. DESCRIPTORS: Patient care team. Palliative care. Hospital care. Terminally Ill. Attitude to death.
35 citations
TL;DR: Assessment of the level of knowledge of undergraduate nursing students concerning factors related to the sexually transmitted disease, Human Papillomavirus (HPV), revealed that 46.6% of the participants are sexually active; 96.3% reported safe sex with the use of condoms, though 29.6%) do not use one regularly.
Abstract: The objectives of this descriptive and quantitative study were to identify and assess the level of knowledge of undergraduate nursing students concerning factors related to the sexually transmitted disease, Human Papillomavirus (HPV). A questionnaire was administered to 58 undergraduate nursing students at the University of Sao Paulo at Ribeirao Preto, College of Nursing. Data were analyzed using descriptive statistics through the Epi Info software. Results revealed that 46.6% of the participants are sexually active; 96.3% reported safe sex with the use of condoms, though 29.6% of them do not use one regularly. Regarding the forms of transmission, 69% reported knowing them, while only 20.7% reported knowledge of HPV's signs and symptoms. Additionally, 54.3% of the adolescents reported not knowing what HPV can cause. Greater investment in health education directed to young individuals is required to promote health and prevent diseases, particularly those caused by the Human Papillomavirus. DESCRIPTORS: Knowledge. HPV. Adolescents. Nursing.
33 citations
TL;DR: The purpose of this study was to understand user embracement as a good practice for use in primary health care, according to the perceptions of administrators, health professionals and patients, considering the dimensions of dialogue, attitude and reorganization of health services.
Abstract: The purpose of this study was to understand user embracement as a good practice for use in primary health care, according to the perceptions of administrators, health professionals and patients, considering the dimensions of dialogue, attitude and reorganization of health services. It consists of a descriptive-analytical investigation, of a qualitative nature. The Grounded Theory was used as the theoretical-methodological referential. Data were obtained through interviews performed with seven coordinators, ten professionals and twelve patients of the Health Centers of Florianopolis-SC. Under the perspective of good practices, user embracement becomes a point of intersection between different subjects and primary health care practices, unfolding the dimensions of embracement- dialogue, embracement-attitude and embracement-reorganization of services. User embracement triggers transformations in the working process, in the relationships established in the care spaces and in the organizational scope of the services. The interconnection of this triad reconfigures and changes the actions in primary health care and contributes to the consolidation of this health care model. DESCRIPTORS: User embracement. Primary health care. Public health practice. Unified Health System.
32 citations
TL;DR: The results show gaps in the mental health services in relation to the care provided to people with a mental illness and their families with regard to the need for: adaptation after diagnosis of the pathology, family counseling, treatment compliance, hospitalization, financial assistance, transportation assistance, reintegration into society, inclusion in outpatient services after hospitalization and the bond between professionals and people assisted.
Abstract: We aimed to learn about the needs of the family which provides care to a person with a mental disorder in the current model of health care. This is a qualitative study conducted in the municipalities of three regional health units in the state of Parana, using data collection with thirty-two families. Data were analyzed by means of indicators. The results show gaps in the mental health services in relation to the care provided to people with a mental illness and their families with regard to the need for: adaptation after diagnosis of the pathology, family counseling, treatment compliance, hospitalization, financial assistance, transportation assistance, reintegration into society, inclusion in outpatient services after hospitalization, and the bond between professionals and people assisted. We conclude that these requirements need to be explored by mental health network professionals as to the possibility and implementation of deinstitutionalized, integral and decisive assistance to the person with a mental illness and his/her family. DESCRIPTORS: Mental health. Deinstitutionalization. Community health services. Family nursing.
TL;DR: The nurses demonstrated compliance with the axes proposed for the work in the Family Health Strategy and a certain lack of knowledge and unchallenged acceptance of these, especially with respect to the promotion of health and the renewal of the local administrative practice.
Abstract: This study aimed to analyze the perceptions of nurses regarding their work in the Family Health Strategy. It consists of a qualitative descriptive study based on the socio-historical foundations and intersubjective aspects of the nursing work. Data were collected in 11 Family Health Units in Cuiaba, Mato Grosso, Brazil, by means of semi-structured interviews with 11 nurses, and submitted to thematic analysis. The nursing work is perceived as based on strategic and preventive actions, on the participation in the delivery of care, in contrast to the administrative participation, and on embracing interactions with patients. The nurses demonstrated compliance with the axes proposed for the work in the Family Health Strategy and a certain lack of knowledge and unchallenged acceptance of these, especially with respect to the promotion of health and the renewal of the local administrative practice. This study reveals the importance of reflecting regarding the nursing work and the perceptions of nursing professionals as for the construction of the Family Health Strategy model. DESCRIPTORS: Family Health Program. Nursing. Work. Social values.
TL;DR: In this paper, a coleta de dados foi conduzida by meio de entrevista semiestruturada, a qual foi examinada atraves de analise de conteudo.
Abstract: Ao considerar o ser humano como uma unidade formada por corpo, mente e espirito, e importante que os enfermeiros avaliem a necessidade de intervencao no campo espiritual. Este estudo objetiva descrever a compreensao do significado de espiritualidade e religiosidade para enfermeiros inseridos numa instituicao hospitalar. Esta e uma pesquisa exploratoria, de abordagem metodologica qualitativa, desenvolvida com 17 enfermeiros. A coleta de dados foi conduzida por meio de entrevista semiestruturada, a qual foi examinada atraves de analise de conteudo. Os resultados demonstram que os enfermeiros identificam as particularidades envolvidas nos conceitos de espiritualidade e religiosidade, da mesma forma que reconhecem a articulacao entre eles. A aplicabilidade desses termos na pratica clinica do enfermeiro sofre influencia direta da sua propria espiritualidade e religiosidade, da sua formacao academica e do receio de repercussao negativa consequente da abordagem direta desses aspectos aos pacientes.
TL;DR: It was verified the predominance of the concept of professional competence from their constituent elements, knowledge, skills and attitudes, strategies and educational training programs for skills training and actions of management, and nursing, the challenge of train professionals competent and committed.
Abstract: This study aimed to identify and analyze the scientific literature on the topic of professional competence, strategies of health institutions for its development and implications for nursing. It is an integrative review and search strategy was consultation with the electronic databases MEDLINE, LILACS and SciELO. Data collection was conducted between October and December 2010 and selected articles in Portuguese and English, a total of 23 publications. The thematic analysis of the data enabled the construction of three categories: The meanings of the concept of professional competence, Strategies for development professional competence and Implications for nursing. It was verified the predominance of the concept of professional competence from their constituent elements, knowledge, skills and attitudes, strategies and educational training programs for skills training and actions of management, and nursing, the challenge of train professionals competent and committed.
TL;DR: In this paper, a quantitative study involving 100 new mothers of a public maternity hospital in Fortaleza-CE, Brazil, was conducted to verify the self-efficacy of new mothers before and after an educational intervention.
Abstract: The objective was to verify the self-efficacy of new mothers before and after an educational intervention. We opted for a quantitative study involving 100 new mothers of a public maternity hospital in Fortaleza-CE, Brazil. Before and after the application of the serial album "I can breastfeed my child", interviews were performed using two forms: the first was used to collect identification data of the participants and the second was the Breastfeeding Self-Efficacy Scale Short Form. We found an increase in scores on the scale after the educational intervention, particularly in mothers with specific characteristics, with a statistically significant association between the following variables: age between 20 and 29 years; married/consensual union; from five to seven household members; engaged in paid work outside the home; and family income from two to eight minimum wages. We concluded that the educational intervention implemented with women who had just given birth was effective in increasing maternal breastfeeding self-efficacy, which may result in improving breastfeeding rates. DESCRIPTORS: Breast feeding. Self-efficacy. Postpartum period. Health education. Nursing.
TL;DR: In this paper, a qualitative descriptive study based on the socio-historical foundations and intersubjective aspects of the nursing work is presented, where nurses demonstrated compliance with the axes proposed for the work in the Family Health Strategy, especially with respect to the promotion of health and the renewal of the local administrative practice.
Abstract: This study aimed to analyze the perceptions of nurses regarding their work in the Family Health Strategy. It consists of a qualitative descriptive study based on the socio-historical foundations and intersubjective aspects of the nursing work. Data were collected in 11 Family Health Units in Cuiaba, Mato Grosso, Brazil, by means of semi-structured interviews with 11 nurses, and submitted to thematic analysis. The nursing work is perceived as based on strategic and preventive actions, on the participation in the delivery of care, in contrast to the administrative participation, and on embracing interactions with patients. The nurses demonstrated compliance with the axes proposed for the work in the Family Health Strategy and a certain lack of knowledge and unchallenged acceptance of these, especially with respect to the promotion of health and the renewal of the local administrative practice. This study reveals the importance of reflecting regarding the nursing work and the perceptions of nursing professionals as for the construction of the Family Health Strategy model. DESCRIPTORS: Family Health Program. Nursing. Work. Social values.
TL;DR: Evaluating the sleep quality of college students in Fortaleza, Ceara, Brazil revealed that a substantial portion of the college students surveyed presented poor sleep quality, and it is essential to operationalize health promotion actions at the universities in such a way that the students construct their own quality of sleep.
Abstract: The aim in this research was to evaluate the sleep quality of college students in Fortaleza, Ceara, Brazil. A cross-sectional study was conducted with 701 students from the Universidade Federal do Ceara (UFC), from March to June 2011. We used the Pittsburgh Sleep Quality Index (PSQI). Most students presented poor subjective sleep quality (54%), sleep latency in less than 15 minutes (60.1%) and efficiency under 65% (99%). In the sample, the sleep duration was of 6.3 hours per day (SD±1.4 hours) (p<0.001). Data analysis revealed that a substantial portion of the college students (95.3%) surveyed presented poor sleep quality. It is essential to operationalize health promotion actions at the universities in such a way that the students construct their own quality of sleep. DESCRIPTORS: Sleep. Sleep disorders. Students. Nursing.
TL;DR: The worn-out signs, detachment from studies and inefficacy mentioned by the students demand appropriate attention and consideration from higher education institutions, provided with the planning and implementation of actions to minimize the stress caused by the identified situations.
Abstract: This is a qualitative study aimed to learn the signs and symptoms of the burnout syndrome among undergraduate nursing students, by means of semi-structured interviews with 24 nursing undergraduates from a public university in the south of Brazil. The discursive textual analysis was used and defined three categories, related to the dimensions of the burnout syndrome in students: emotional exhaustion, disbelief and low professional efficacy. The specificities of the situations experienced by students are associated with emotional exhaustion, contributing to the detachment from their studies and compromising their sense of professional efficacy. The worn-out signs, detachment from studies and inefficacy mentioned by the students demand appropriate attention and consideration from higher education institutions, provided with the planning and implementation of actions to minimize the stress caused by the identified situations, which seem to be associated with the development of the burnout dimensions among students. DESCRIPTORS: Students, nursing. Burnout, professional. Nursing education.
TL;DR: In this article, a revision integradora y estrategia de busqueda se consulta con las bases of datos electronicas MEDLINE, LILACS, and SciELO.
Abstract: Este estudio tuvo como objetivo identificar y analizar la literatura cientifica sobre el tema de la competencia profesional, las estrategias de las instituciones de salud para su desarrollo y sus implicaciones para la enfermeria. Se trata de uma revision integradora y estrategia de busqueda se consulta con las bases de datos electronicas MEDLINE, LILACS y SciELO. La recoleccion de datos se realizo entre octubre y diciembre de 2010 y los articulos seleccionados estan em Portugues e Ingles, con un total de 23 publicaciones. El analisis tematico de los datos permitio la construccion de tres categorias: Los significados del concepto de competencia profesional, Estrategias para desarrollar la competencia profesional y Implicaciones para la enfermeria. Se verifico el predominio del concepto de competencia profesional de sus elementos constitutivos, es decir, conocimientos, habilidades y actitudes, estrategias y programas educativos de formacion para la capacitacion y acciones de gestion y de enfermeria, el desafio de la formacion de profesionales competentes y comprometidos.
TL;DR: In this paper, the attitude Patient Safety was considered the most important by the three professional categories, and the variable with less relevance for these categories was the Error attitude, while these same four safety attitudes were assessed differently by the Community Health Agents in relation to the nurses and nursing technicians.
Abstract: The aim of this study was to analyze the attitudes that demonstrate the safety culture by the professionals of the Family Health Strategy and Community Health Agents Program. The Safety Attitudes Questionnaire was applied with 96 professional of the Nursing Team and Community Health Agents in Florianopolis city, in order to evaluate nine safety attitudes. Teamwork Climate, Working Conditions, Communication and Perceptions of Management presented a p-value ≤0.05, showing significance for the patient safety culture. However, these same four safety attitudes were assessed differently by the Community Health Agents in relation to the nurses and nursing technicians. In the sample analyzed, the attitude Patient Safety was considered the most important by the three professional categories, and the variable with less relevance for these categories was the Error attitude. DESCRIPTORS: Culture. Safety. Primary healthcare. Nursing team.
TL;DR: Obsou-se que a problematica da pessoa com estomia intestinal e complexa e determinante of condicoes especiais no atendimento a sua saude para a suA reabilitacao e autonomia.
Abstract: Pesquisa convergente-assistencial que teve como objetivo conhecer o cuidado de enfermagem as pessoas submetidas a cirurgia de estomia intestinal, em um hospital universitario do Sul do pais. Foi realizada nas unidades de internacao cirurgicas, nos meses de abril a agosto de 2011, atraves de entrevista semiestruturada com os profissionais de enfermagem. Os dados foram analisados em quatro processos: apreensao, sintese, teorizacao e transferencia. Originaram as categorias: o conhecimento do profissional de enfermagem frente ao papel da pessoa com estomia intestinal para o autocuidado, o conhecimento do profissional de enfermagem com relacao ao papel da familia e formacao e atuacao profissional. Observou-se que a problematica da pessoa com estomia intestinal e complexa e determinante de condicoes especiais no atendimento a sua saude para a sua reabilitacao e autonomia.
TL;DR: A theoretical-reflexive study aimed at comparing practices to the concepts elaborated in the Letter of Ottawa, the pedagogy of liberation of Paulo Freire, empowerment and culture, here comprehended as key elements guiding the activity of the nurse in health education in actions performed by health services.
Abstract: The purpose of this study was to reflect theoretically on the theme of health education and how it interfaces with health promotion. It consists of a theoretical-reflexive study aimed at comparing these practices to the concepts elaborated in the Letter of Ottawa, the pedagogy of liberation of Paulo Freire, empowerment and culture, here comprehended as key elements guiding the activity of the nurse in health education in actions performed by health services. In order to take this reflexive path, the authors analyzed the interrelationships of these theoretical interfaces and their approaches to health promotion practices. From this presented theoretical framework, it is possible to reflect on the possibilities of extending care, based on the premise that all moments comprising interaction with patients of health services must be considered an opportunity to develop health education actions, considering the knowledge of nurses characterized as social actors who are responsible for the events that take place in the health scenario.
TL;DR: This study demonstrates that delivering women's companions can have positive experiences and act as support for women during their delivery process.
Abstract: Pesquisa exploratorio-descritiva, com abordagem qualitativa, realizada em uma maternidade publica de Santa Catarina, que objetivou conhecer quais informacoes os acompanhantes possuem acerca da Lei 11.108/2005, as suas percepcoes sobre a experiencia no centro obstetrico e as acoes de apoio junto a mulher. Os dados foram coletados por meio de entrevistas semiestruturadas, de novembro/2010 a maio/2011, com 16 acompanhantes que permaneceram com parturiente durante todos os periodos clinicos do parto. A analise dos dados, utilizando o Discurso do Sujeito Coletivo, indicou pouco conhecimento sobre a Lei, os acompanhantes consideraram a experiencia positiva, avaliaram como satisfatorio o atendimento prestado a mulher e desenvolveram acoes de apoio fisico e emocional. Apesar das adversidades do centro obstetrico e das situacoes de estresse inerentes ao processo de parturicao, constatou-se ser possivel que o acompanhante tenha uma experiencia positiva e atue como provedor de apoio a mulher.
TL;DR: In this article, an estudo transversal, descritivo, with the goal of identifying a presenca de fragilidade em idosos atendidos pela Estrategia Saude da Familia em um municipio paulista.
Abstract: A fragilidade e um indicador importante da condicao de saude de idosos. A Edmonton Frail Scale, instrumento multidimensional validado e adaptado culturalmente para o portugues do Brasil, pode ser usada para avalia-la. Realizou-se estudo transversal, descritivo, com objetivo de identificar a presenca de fragilidade em idosos atendidos pela Estrategia Saude da Familia em um municipio paulista. Os cuidados eticos foram observados. Foram entrevistados 128 idosos. Houve predominio do sexo feminino, faixa etaria de 60 a 69 anos de idade, baixa escolaridade e renda propria. Somente 103 idosos que responderam a todas as questoes da escala tiveram o grau de fragilidade avaliado. Desses, 21, 4% eram aparentemente vulneraveis e 30, 1% apresentavam algum grau de fragilidade, entre leve, moderada e severa. Os 25 que deixaram de responder alguma questao apresentavam vulnerabilidade a fragilidade. Conclui-se que escala e adequada para avaliacao de fragilidade na Atencao Basica, desde que adequada as caracteristicas da populacao-alvo.
TL;DR: In this article, the authors analyze the work process of nursing professionals working in the Operating Theaters and the Sterilization and Materials Processing Center in relation to the sterilization of surgical material in a public hospital in Porto Alegre-RS.
Abstract: The study aimed to analyze the work process of the nursing professionals working in the Operating Theaters and the Sterilization and Materials Processing Center in relation to the sterilization of surgical material in a public hospital in Porto Alegre-RS. This is descriptive and exploratory research, with a qualitative approach, undertaken with 18 professionals, these being nurses, nursing technicians and auxiliary nurses. Thematic categorization was selected for analysis and interpretation of the data. The results show the description of the procedures involved in the sterilization process, the difficulties in the work process, and continuing education in health as a possible means for overcoming the difficulties. It is concluded that the workers' knowledge of the stages of the sterilization process is incipient, and that continuous education in health provides the possibility for reduction of shortcomings in the work process, as does the adoption of a reflective stance in relation to the importance of their work. DESCRIPTORS: Nosocomial infection. Professional practice. Continuing education.
TL;DR: In this article, the authors analyze the relationship between career training and expressions of pedagogical content knowledge of an experienced nursing faculty in the South of Brazil, and the results indicate that the teacher's search for continuing education, socialization with peers, professional activities beyond teaching experience itself and the choice of an emancipating theoretical and methodological framework in teaching are related to the mastery of content and a more dialogical, problem-solving and critical-creative approach to him/herself and the students.
Abstract: The aim in this qualitative study is to analyze the relationship between career training and expressions of Pedagogical Content knowledge of an experienced nursing faculty in the South of Brazil. The data collected through non-participant observation and semistructured interviews were presented, analyzed by the method of constant comparisons. From this process, the categories teacher training trajectory and expressions of pedagogical content knowledge about the contents emerged, and the resulting subcategories teaching practice, teacher training, socialization among peers and mastery of content, organization and management of the group and assessment of student comprehension, respectively. The results indicate that the teacher's search for continuing education, socialization with peers, professional activities beyond teaching experience itself and the choice of an emancipating theoretical and methodological framework in teaching are related to the mastery of content and a more dialogical, problem-solving and critical-creative approach to him-/herself and the students.
TL;DR: It could be noted that the seropositive women experience situations of family abandonment, social isolation, stagnation of professional and leisure activities, due to the stigma caused by the disease, indicate the need for nursing care actions that address bio-psychosocial-spiritual issues.
Abstract: This research aims to understand the daily life of women after HIV/Aids infection as guiding principles for nursing care. Qualitative research, with the participation of 39 women who were receiving outpatient care for HIV in Fortaleza, in the state of Ceara. The data were collected through interviews and analyzed using Content Analysis. From the results, one category emerged: changes in the daily life of women after HIV infection, with three subcategories: changes in the emotional and family scopes; changes in the social, professional and leisure contexts; new daily habits aimed at quality of life. At the end of the study, it could be noted that the seropositive women experience situations of family abandonment, social isolation, stagnation of professional and leisure activities, due to the stigma caused by the disease. The statements showed that they reduced or stopped drinking, smoking and having unprotected sex. The results indicate the need for nursing care actions that address bio-psychosocial-spiritual issues. DESCRIPTORS: Nursing care. Women. HIV.
TL;DR: In this paper, the authors investigated the process from diagnosis to survival of cancer from the child's perspective and revealed a precocious maturity through the children's understanding regarding the diagnosis, of the different phases of the treatment, and coping with the difficulties of coexisting with classmates and re-adapting to school after the end of treatment.
Abstract: the study aimed to investigate the process from diagnosis to survival of cancer from the child's perspective. This study is exploratory with qualitative analysis of the data, based on an adaptation of story-board narrative research and use of thematic interpretation. A precocious maturity was revealed, through the children's understanding regarding the diagnosis, of the different phases of the treatment, and coping with the difficulties of co-existing with classmates and re-adapting to school after the end of treatment. The use of strategies to help the children to adopt attitudes which minimize and/or prevent the distress related to cancer is a role of the health team, considering as care not only clinical protocols but also criteria relevant to the existential dimension. DESCRIPTORS: Oncologic nursing. Pediatric nursing. Chronic disease. Child. Drug therapy.
TL;DR: Results showed a significantly higher proportion of falls among the functionally dependent oldest old than among the independent elderly and a strong association was identified between falls and functional activities.
Abstract: The aim was to verify the association between falls and functional capacity in the oldest old dwelling in the community. This is a community-based cross-sectional study. The population was comprised of elderly citizens aged greater than 80 years, residing in the urban area of Lafaiete Coutinho, in the state of Bahia, Brazil. Data collection was carried out in January of 2011. It was based on home life, using a questionnaire capturing sociodemographic data, fall occurrences and functional capacity utilizing the Katz scale. Data analysis was done through Poisson regression, adopting a significance level of 5%. Ninety-four elderly citizens were interviewed, with an average age of 86.1 years (±6,39); 59.6% of the participants were female. The fall prevalence was 27. 7% and 19. 6% of the participants were classified as dependent for activities of daily living. A strong association was identified between falls and functional activities (RP=2.08; 1.17 - 3.70). Results showed a significantly higher proportion of falls among the functionally dependent oldest old than among the independent elderly. DESCRIPTORS: Accidental falls. Aged. Aged, 80 and over. Activities of daily living.
TL;DR: This study aimed to unveil the elements of humanized care present in the encounter between the nurse, the family and the child with cancer, to identify these nurses' perceptions regarding the humanization of the care, and ascertain in which situations the nurse perceives that thehumanization is anchored in the care.
Abstract: This study aimed to unveil the elements of humanized care present in the encounter between the nurse, the family and the child with cancer, to identify these nurses' perceptions regarding the humanization of the care, and ascertain in which situations the nurse perceives that the humanization is anchored in the care. It is an exploratory-descriptive study with a qualitative approach. Watson's Theory of Human Caring was used as a theoretical framework. The data was collected through semi-structured interviews held with nine nurses from a public hospital specialized in pediatric oncology in Sao Paulo. The results indicated the phenomenon "Unveiling humanized care given to the child with cancer and her family". The theoretical elements emerged from the descriptions of clinical events or situations presented by the nurses. The data permitted reflection on possibilities for construction of the humanistic interpersonal process in the care environment in pediatric oncology and on advances and limitations relating to the applicability of this framework in practice. DESCRIPTORS: Medical oncology. Pediatrics. Nursing care. Humanization of care.