Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

695-6

Authors: Jussara Gue Martini

Editorial.

706-11

Authors: Elke Annegret Krezschmar Cordeiro, Emil Kupek, Jussara Gue Martini

Study of the prevalence of smoking among school children, using secondary data from the Survey School “Doing Research - Monitoring of Smoking in School”, conducted by the Centre for Oncologic Research of Santa Catarina. Included variables such as age, the starting in smoking, level of knowledge about the subject, among others. It was found that 41.6% of students smoked sometime in life, no statistical difference between the sexes. Among those who have tried, 38.3% did so between 7 and 11 years. The analysis provided a characterization of the prevalence of risk factors, subsidizing a more effective prevention of nursing and its integration in schools. Key words: Smoking; Prevalence; Risk factors; Nursing.

719-26

Authors: Antônio Marcos Tosoli Gomes, Ivone Evangelista Cabral

The aims of this paper were unveiling the caregiver’s everyday life of caring for children under antiretroviral therapy (ARVT), and analyzing the dimensions of care them. Qualitative research was conducted with a creative-sensitive method including seven family members and data were treated through discourse analysis. These family members’ everyday life in the medication implementation was marked by concealing and silencing. The first one was represented by linguistic regularities, as expressions and acronyms do not appear in their enunciation, and also in the way their lives are organized facing stigma and bias related to the ARVT. The last one occurred in the relationship with children, as when family members were questioned about the medication, they answered in an evasive way. Concealing and silencing related to child HIV/AIDS are themes which need to be approached by nurses in their caring and health education interventions. Key words: HIV; Child; Pediatric nursing; Health education.

735-40

Authors: Mônica Augusta Mombelli , Sônia Silva Marcon , Jaquilene Barreto Costa

The purpose of this research was to characterize the profile of adolescents hospitalized for detoxification in a public hospital in the West of Paraná and correlate the socio-demographic variables with the use of street drugs. It is a retrospective study from the consultations in 81 protocols of admission of addicted adolescents hospitalized from March 2007 to April 2008. The largest admission was of male adolescents (79%).The most frequently used drugs by were crack (87.6%), followed by marijuana (85.2%), from these, 79% of these adolescents use these two drugs concomitantly. Most adolescents (55.6%) reported using drugs for more than three years, and 56.8% had already received some type of treatment before admission. Factors that lead to abusive consumption of drugs, such as easy access, leaving school, the use of drugs in the family and lack of motivation for treatment were identified. Key words: Adolescent; Mental health; Street drugs; Hospitalization.

749-54

Authors: Renato Ohara, Márcia Regina Antonietto da Costa Melo, Ana Maria Laus

It was developed an exploratory study, having as a method the study of case which aimed to characterize the profile of adult patients admitted at the emergency medical service in a general public hospital in São Paulo as subsidy for the nursing personal downsizing. Subjects were the patients admitted during the period of thirty days. Data was obtained through application of a patient classification instrument by Fugulin. This study showed patients in the category of intensive care, semi-intensive, high dependence, intermediate and minimal and occupation rate above official prediction making physical space inappropriate to the patients and professionals, reflex of the lack of control service. Key words: Emergency ds: medical services; Personnel downsizing; Nursing, team.

762-9

Authors: Kênia Lara Silva, Andreza Trevenzoli Rodrigues

Qualitative study with the purpose of analyzing intersectorial actions for health promotion in the context of the Family Health Strategy, identifying experiences, facilitating and restricting factors to the process of building partnerships. Subjects were health managers and informers from social equipment in the territory covered by a local health service in Belo Horizonte/Minas Gerais, Brazil. The results indicate the existence of a wide social network. However, intersectorial health promoting actions are still incipient. Intersectorial actions are faced with the challenge of creating communication spaces that allow the resolution of complex problems. It is concluded that intersectorial actions constitute an innovative strategy which is still under construction, and the paths of which are still being unraveled. Key words: Health promotion; Family Health Program; Intersectorial action.

775-81

Authors: Eliane Matos Eliane Matos, Denise Elvira Pires de Pires, Gastão Wagner de Sousa

This is a qualitative study developed with the interdisciplinary health care teams of two public hospitals in Brazil. One team gave palliative care to cancer patients and the other gave care to the elderly. The study contributes to thinking about work elationships in the health care sector upon analyzing the contribution of these experiences for the constitution of new forms of health care work organization. The results reveal that the interdisciplinary perspective of performance in health care makes better work relationships possible among professionals and between professionals and patients/family, as well as approximates the professionals to the needs of the patient, beyond contributing to better quality care. We conclude that interdisciplinary practice approximates new forms of work organization and, upon favoring these links, reception, and access, contributes to the greater efficiency of the Brazilian National Health Care System. Key words: Labor; Patient care team; Interdisciplanary communication; Job Satisfaction.

786-92

Authors: Samanta Rauber Gallas, Rosane Teresinha Fontana

Qualitative study that aimed at investigating concepts and practices of nursing technicians on biosecurity and its interface with biological hazards, with 20 workers developed a clinical care unit of a hospital in the interior of Rio Grande do Sul. Data were collected through interviews and systematic observation. Thematic analysis was the methodology used for data processing. The negligence of its employees on the use of individual protection equipment and work overload are risk factors for accidents with biological material. Suggested that partnerships between the actors involved in caring for the construction of healthy environments and accountability for negligence on biosecurity. Descriptors: Descriptors: Exposure to biological agents; Occupational health; Nursing, team.

799-805

Authors: Claudinei José Gomes Campos, Egberto Ribeiro Turato

The objective of this paper was to analyze the meaning attributed by renal patients to the hemodialysis treatment received. Using the clinical – qualitative method interviews were conducted, following a semi-structured questionnaire with seven patients from a hemodialysis unit, selected through intentional sampling. The data were examined by thematic content analysis. Survival emerged as the most significant objective of the treatment. The fact that the treatment was mandatory placed the patient in a situation of implicit transference of responsibilities, when making decisions about the adopted therapeutic, to the team of health professionals, generating compliance or conformity regarding his/her own participation in this process. The patients attributed to culture lack of knowledge about the treatment. Key words: Renal dialysis; Chronic renal insufficiency; Qualitative research.

811-6

Authors: Ana Lucia de Lourenzi Bonilha, Joice Moreira Schmalfuss, Jussara Mendes Lipinski, Mariana Bello Porciuncula

The commitment with the promotion and support of breastfeeding justified the training of professionals that give prenatal care in primary health. This is a exploratory, qualitative study, based on the assumptions of participant research. It aimed to identify the thematics about breastfeeding and report the actions and strategies proposed during the meetings. Data was registraded in a field diary and analysis was done according to the categorization of data. Discussion of findings showed the lack of professionals update and lack of standardization in their conducts. The research gave the oportunity to discuss the politics and programms that were implanted by the government management, searching for alternatives inside the context of the users and workers that are involved with prenatal care. Key words: Prenatal care; Breastfeeding; Training; Human resourses formation.

823-9

Authors: Moema da Silva Bor , Hellén Cristina Pereira da Silva

Qualitative study which purpose was to identify the central nucleus of the social representations about the concepts of taking care and treating under the vision of the nursing professionals. Participated in the study45 subject. The data had been analyzed with the aid of Evoc software. The results reveal that the social representations of the professionals concerning the concepts of taking care and treating point to opposing actions and not complementary in the act of taking care. We conclude that this aspect can compromise the definition of the field of nursing practice and its professional identity. The challenge is in linking the treatment effect that care process and the contributions of the nursing cares in the health practices are irreplaceable. Key words: Interpersonal relations; Professional Competence; Nursing care; Love; Knowledge.

837-40

Authors: Larissa Chaves Pedreira, Regina Lúcia Mendonça Lopes

The purpose was to Identify the knowledge production about the stroke in elderly under home care. Bibliographic research whose data were collected though the abstracts from 1997 to 2007, contained in LILACS and SciELO atabases. The following key words were used: home assistance, aged people and cerebrovascular accident. Fifty-two references were found in the LILACS database, nine in the SciELO Brazil, and three in the SciELO Cuba. Most of the researches were carried out in 2000. Regarding the method, qualitative method predominace were observed, and central theme is related to the care giver, as well as to the clinical and epidemiologic aspects of the disease. It was observed that this knowledge is still established in Brazil, and the themes related to the person submitted to home care and violence to the aged are still little explored. Key words: Aged; Home nursing; Cerebrovascular accident; Review literature.

844-7

Authors: Simone Coelho Amestoy, Letícia de Lima TrindadeI , Roberta Waterkemper, Ivonete Teresinha Schülter Heidman, Astrid Egged Boehs, Vânia Marli Schubert Backes

The aim of this study is make a theorical-reflection about the importance of using dialogical leadership in hospital institutions through Freirean referencial. The dialogical leadership pattern differs from the coercive and autocratic methods, for being reasoned on the establishment of an efficient communicational process, able to stimulate autonomy, co-responsibility and appreciation of each member from nurse team. The dialogical leadership, unlike the directive one, is a management instrument, that pursuits to minimize the conflicts and stimulate the formation of healthy interpersonal relationships, which can contribute to the improvement of organizational atmosphere and quality care provided to health services users. Key words: Nursing; Leadership; Health services

853-8

Authors: Emília Campos de Carvalho, Ana Maria Laus, Maria Helena Larcher Caliri, Luci Grupioni Rossi

Although it is desirable that professionals use research results, often they are not prepared for that. This article aims to present the process of development and establishment of innovations, based on Rogers’ model, through strategies to train nurses to use the best evidences for a quality clinical practice. It is a partnership between a educational institution and a hospital care institution. Following identification of problems from nurses’ own practice in a health institution research proposals were developed to search for evidences and to test interventions. Results of this experience evidenced the viability of use of a model presented as a methodological framework what contributed to reach the institutions’ goal. Key words: Nursing research; ds Education, nursing; Hospitals, teaching