Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

997-1002

Authors: Eny Dórea, Talita Elci de Castro, Priscila Costa, Amelia Fumiko Kimura, Fernanda Matilde Gaspar dos Santos

The study aimed to describe the management of Peripherally Inserted Central Catheters insertion in neonates admitted at a neonatal intensive care unit of a private hospital, after implementation of the institutional protocol. An exploratory, quantitative descriptive study with prospective data collection was carried out. Data of 45 catheters insertion were analyzed. The rate of catheter´s with elective removal was 63.8%, and catheter´s complications rate was 30.8%. The most frequently complications were rupture (15.4%), occlusion (11%) and accidental dislodgement (4.4%). No records about the catheter dressings were observed in 33% of catheter´s insertion. One conclude that the complications were related to care practices of the catheter, requiring professional training and new tools to record the care provided in relation to the catheter´s management. Key words: Nursing; Neonatal nursing; Central venous catheterization; Nursing assessment.

1010-5

Authors: Normélia Maria Freire Diniz, Solange Maria dos Anjos Gesteira, Regina Lúcia Mendonça Lopes, Rosana Santos Mota, Bárbara Angélica Gómez Pérez, Nadirlene Pereira Gomes

Quantitative study in order to study domestic violence in women with induced abortion. Interviews were conducted with 147 women hospitalized for induced abortion in a public maternity hospital in Salvador, Bahia. The subjects are characterized by mostly women, black, poorly educated, economically dependent on spouses, experienced psychological abuse, physical and sexual abuse committed by their spouses. Almost half of the women were victims of domestic violence during the current pregnancy, and that was the reason for inducing abortion for 67% of them. The study reveals an association between experience of domestic violence and induced abortion. As mental health consequences, they developed symptoms of post trauma stress disorder. It is necessary that the health professionals consider the cues to identify domestic violence as a health problem associated with induced abortion, which requires a transformation on the training model, including domestic violence as a health issue. Key words: Nursing; Obstetrical nursing; Women’s health; Domestic violence; Induced abortion.

1022-7

Authors: Marli Teresinha Gimeniz Galvão, Simone de Sousa Paiva

The study aimed to describe HIV-positive women’s reports and experiences in coping with the infection. A qualitative study was carried out in the context of a specialized care service in Fortaleza-CE in 2007. Participants were 14 women diagnosed with HIV infection, who participated in tape recorded interviews. The analysis of interviews contents revealed the category Motivations for coping with HIV/AIDS and the subcategories religiosity, social and family support, presence of children and professional complicity as positive factors for coping with the infection. In conclusion, these women need professional and family care and support to remain stimulated in the care process. Key words: Nursing; Women’s health; Acquired immunodeficiency syndrome.

1038-42

Authors: Maria Vilani Cavalcante Guedes, Thelma Leite de Araujo, Marcos Venícios de Oliveira Lopes, Lucia de Fatima da Silva, Maria Célia de Freitas, Paulo César de Almeida

The objective was to describe the barriers faced by people with hypertension for non compliance to treatment and control the levels of blood pressure. This is a transversal and descriptive study which was carried out in 6 basic health units in FortalezaCeará, Brazil. The population consisted of 246 people enrolled in the program to Control Hypertension for at least a year. Data were collected using a structured interview and electronic chart. Of them, 69 showed normal blood pressure levels. The main barriers discovered were: poor financial condition, continuous treatment with many medicines and practice physical activity. It was concluded that barriers to the anti-hypertensive treatment include the sick people, their environment and their access to health care. Key words: Nursing; Hypertension; Treatment.

1048-55

Authors: Mariéli Brum da Silva, Michele Braga de Oliveira, Rosane Teresinha Fontana

Descriptive research, with qualitative approach, that aimed to identify occupational hazards and weaknesses self-reported by motorcycle drivers. Data were collected in the first half of 2010 through interviews with twelve motorcycle drivers, invited to participate and work on two central points of a municipality in the state of Rio Grande do Sul, Brazil. Data were analyzed using thematic analysis, from which emerged five categories. According to subjects’ perception, accidents and assaults represent the greatest risks of the profession. It can be inferred that the actions of health education and disease prevention should be governmental and no governmental strategies that would assign value to the health and safety of these workers. Key Words: Occupational risks; Occupational health; Transportation; Workers.

1067-74

Authors: Marcos Paulo de Oliveira Lima, Consuelo Helena Aires de Freitas

This study aimed to understand the meaning of nursing care to nurses in the hospital. This is a qualitative research, based on theoretical and methodological assumptions of symbolic interaction. It was performed in a semi-intensive unit of a tertiary public hospital in Fortaleza-CE, Brazil. Eleven nurses participated on it. For data collection, it was used semi-structured interviews and field observation simple and, in data processing it was performed thematic category. The ethical aspects have been respected. It was observed that the nursing care means the establishment of the nurse’s interpersonal relationships with other health professionals, patients and their accompanying persons. It was understood that, for nurses of the hospital, nursing care means social interaction with people. Key words: Nursing Care; Hospital Care; Interpersonal Relations

1082-6

Authors: Rodrigo Guimarães dos Santos Almeida, Alessandra Mazzo, Isabel Amélia Costa Mendes, Maria Auxiliadora Trevizan, Simone de Godoy

This study aimed to describe the characteristics of service in a Hemotherapy Unit in the interior of the state of São Paulo in 2009. All ethical guidelines were followed and a survey was carried out in the database of the Unit. During the observed period, the Unit shows greater rate of repetition donors, with low levels of adverse reactions and 100% of donors’ satisfaction. The units of clinical medicine and intensive therapy were the sectors with highest consumption of transfusions at the hospital service. The described unit is self-sufficient at managing its resources. The present study shows the need to explore the dimensions of the professional roles in hemotherapy, the possibilities of finding new donors, the reasons that lead patients to donate blood, characteristics, epidemiological profile and satisfaction of receptors. Key words: Nursing; Health Care; Blood Donors; Quality Assurance; Delivery of Health Care.

1094-9

Authors: Dirce Stein Backes, Marli Terezinha Stein Backes, Rosiane Filipin Rangel, Alacoque Lorenzini Erdmann, Andreas Büscher

Qualitative research guided by grounded theory method that aimed to understand the meaning of healthy living in a community socially vulnerable for health users, professionals and managers. Data were collected through individual interview with 25 participants, among health users, professionals and managers. Data analysis was done in a comparative way according to grounded theory. For health users, healthy living is associated with basic living conditions, with inclusion opportunities and social participation and with interaction and associative possibilities; for health professionals, healthy living is related to political and social articulations; and for managers, it is related to the development of strategies that can reorient the current health model. We conclude that healthy living is a singular, plural and complex process that is built based on the imaginary and on the experiences of each human being. Key words: Qualitative research; Health promotion; Nursing in Community Health; Vulnerability.

1106-13

Authors: Aline Corrêa de Araújo, Maria Cristina Sanna

This historical and documental study aimed to describe and analyze the place that the Human and Social Sciences occupied in the first curriculum of the Anna Nery Nursing School (EEAN) and of the São Paulo Hospital Nursing School (EEHSP), identifying the similarities and differences between them. As a methodology, the curricula of these schools were analyzed by comparing them and seeking, between primary and secondary sources, information of the contribution of Human and Social Sciences in the training of pioneer nurses in modern nursing in Brazil. It was concluded that the humanities subjects occupied a secondary place in the studied curricula in comparison with the technical disciplines and the utilitarian aspect required by this profession at that time. Key words: Nursing Schools; Nursing History; Curriculum; Education

1122-6

Authors: Fernando José Guedes da Silva Júnior, Lissandra Chaves de Sousa Santo, Pedro Victor dos Santos Moura, Belisa Maria Silva Melo, Claudete Ferreira de Souza Monteiro

The objective was to identify the profile of production and analyze perceptions, feelings and confrontations on the process of death and dying in the practice evidenced in nursing scientific production in the period 1994 to 2009. There was a qualitative, descriptive research, developed through a systematic literature review with metasynthesis from the meta-ethnographic method. Ten studies met the inclusion criteria, this set was subjected to quality assessment checklist with Critical Appraisal Skills Programme. Subjects perceive this process as a transition, separation and finitude. This is permeated with feelings of frustration and powerlessness and the most effective interventions to this issue is the development of coping strategies that vary with the reality of each individual. Key words: Death; Thanatology; Evidence-based nursing.

1132-40

Authors: Diego Schaurich, Maria da Graça Oliveira Crossetti, Stela Maris de Mello Padoin

This integrative review aimed to characterize the knowledge production of the Brazilian stricto sensu postgraduate programs, developed in the light of Martin Buber’s philosophy. Data were collected from CAPES (Coordination for the Improvement of Higher Education Personnel) Data Bank and the sample consisted of 66 productions. Most of the studies were developed in Education and Psychology Programs, and carried out between 2003 and 2007. Most of them were produced in the Southeastern region. The main focus was on the teaching-learning process and human sexuality. One concludes that, due to its broadness and complexity, this referential has assisted different areas of knowledge, and subsidizing distinct objects of investigation. In addition, it represents an alternative to health and to nursing for the development of relational-dialogical and humanistic care. Key words: Philosophy in nursing; Nursing research; Health; Education.

1150-6

Authors: Maria das Graças Melo Fernandes, Maria Miriam Lima da Nóbrega, Telma Ribeiro Garcia, Kátia Nêyla de Freitas Macêdo-Costa

Concepts are terms referring to phenomena that occur in nature or in thought, which are essential in developing research, as well as in the construction of theories. To fulfill this role in the construction of scientific knowledge, it is appropriate for them to be reviewed periodically, aiming mainly at its improvement. Despite the existence of different models of conceptual analysis, this methodology, in general, has not been well understood by nursing, especially in our reality. Therefore, in this article, of reflection, we describe some methodological considerations, including a practical approach on the methods proposed by Walker and Avant, Rodgers and Schwartz-Barcott and Kim, in order to give nurses greater understanding of this process. Key words: Concept; Methodology; Nursing.

1161-6

Authors: Nadja Cristiane Lappann Botti, Ana Luíza Marques Carneiro, Camila Souza Almeida, Cíntia Braga Silva Pereira

The study describes the experience of building educational software in the area of mental health. The software was developed to enable the nursing student identify personality disorders. In this process, we applied the pedagogical framework of Vygotsky and the theoretical framework of the diagnostic criteria defined by DSM-IV. From these references were identified personality disorders characters in stories and / or children’s movies. The software development bank was built with multimedia graphics data, sound and explanatory. The software developed like educational game like questions with increasing levels of difficulty. The software was developed with Microsoft Office PowerPoint 2007. It is believed in the validity of this strategy for teachinglearning to the area of mental health nursing. Keywords: Technology, Software validation, Mental health, Nursing.