Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

649-55

Authors: Marcos Venícios de Oliveira Lopes, Viviane Martins da Silva, Thelma Leite de Araujo

Studies on validation of nursing diagnoses have been strongly influenced by the methodological framework developed in the 1980s. The suitability of these models to validate elements that make a nursing diagnosis has undergone several criticisms. This article aims to discuss these limitations and describe alternative approaches to overcome the criticism of traditional models. A critical analysis based on recent published literature on new approaches in research diagnoses was taken as basis for the discussions presented. Alternative methods are described for the concept analysis applied the procedures for validation of nursing diagnoses; methods for diagnostic content analysis by proficient judges, and methods for clinical validation of indicators and etiological factors. Conclude that there are few studies with these new approaches and the complexity of the analysis is an aspect that hinders its implementation. Key words: Nursing Diagnosis; Nursing Research; Epidemiologic Measurements.

663-7

Authors: Joice Cristina Pereira Antunes, Maria Aparecida de Luca Nascimento

This is an experimental study with a quantitative approach, whose goal was to demonstrate that non-nutritive sucking is effective in pain management during installation, by the nursing staff, of nasal CPAP in preterm infants; and to demonstrate that the use of non-nutritive sucking, concomitantly with the installation of nasal CPAP can be considered a nursing technology. The target population consisted of 20 preterm infants undergoing installation or reinstallation of this artifact, totaling 30 procedures. The newborns were divided randomly into two groups, control and experimental, in which non-nutritive sucking was offered, the same do not happening with the control group. The reactions of pain were measured by the scale of NIPS. In 100% of the procedures that occurred concomitant with non-nutritive sucking, newborns did not feel pain; and 100% of the newborns showed pain when such suction was not offered. We conclude that the procedure can be classified as a technology of nursing care. Key words: Neonatal Nursing; Nursing Care; Technology; Non Nutritive Sucking.

675-81

Authors: Yana Balduíno Araújo, Altamira Pereira da Silva Reichert, Maria Gorete Lucena de Vasconcelos, Neusa Collet

Chronic disease in childhood affects the family social relations. The social network can contribute for a better coping by giving support. This work aims to analyze the fragilities of the social network of families in this condition. It is a qualitative study conducted in a public hospital of Paraíba, from April to June 2011, using genogram, ecomap and semi-structured interview with seven family members of children with chronic disease. The thematic analysis of the results helped to characterize the network and understand the social interactions in the course of the disease and the types of support received. The empirical category (dis)articulation of the social network and the modifications in family routine was built in this process and pointed the diversity of the social network composition, emphasizing that the social support provided by the network is significant, however, not always continuous and suitable with the needs of the families. Key words: Social Support; Chronic Disease; Family; Child; Nursing.

694-701

Authors: Ana Paula Zanelatto

The Painful Shoulder Syndrome (PSS) is defined as pain and functional limitation resulting from impairment of static and dynamic structures of the shoulder, such as ligaments, capsule and muscles. It is one of the most common and disabling of the musculoskeletal system in the general population with prevalence estimated between 15-25%. This study aimed to evaluate the results of auricular acupressure when used as therapy in the treatment of chronic pain secondary to SOD, and the analgesic effect and therapeutic satisfactory and the estimated time of treatment. To obtain the objective was to perform a case study was to intervene with auricular acupressure beads and crystals as an indicator of the outcome questionnaire Penn Shoulder Score (PSS - Brazil). Data were analyzed qualitatively and quantitatively. We conclude that auriculotherapy is an important therapeutic technique, because the study showed an improvement in the total score of the PSS - Brazil at 34.3%. Key words: Painful Shoulder Syndrome; Auriculotherapy; Acupuncture; Complementary Therapies; Nursing Diagnosis.

709-14

Authors: Márcio Flávio Moura de Araújo, Thiago Moura de Araújo, Priscila de Jesus dos Santos Alves, Vivian Saraiva Veras, Maria Lúcia Zanetti, Marta Maria Coelho Damasceno

This research aimed to relate medication use with blood glucose and body mass index in subjects with type 2 diabetes mellitus. It was performed a cross-sectional study, between January and July 2009, at the homes of 437 users of 12 health centers in Fortaleza- CE. We administered a survey about blood glucose, body mass index and medication use. Approximately 99% of study subjects with altered glucose classified as not using daily calcium (p = 0.04). Among those with normal blood glucose levels classified as around 93% did not use daily antidepressants / anxiolytics (p = 0.02). Among those with DM 2 normal body mass index, 45.5% were using daily anti-hypertensive ACE-inhibitor class (p = 0.03). Daily use of ACE inhibitor drugs, antidepressants / anxiolytics and calcium was associated with body mass index and glucose, respectively. It is important for nurses to assess body weight and blood glucose in patients with diabetes, particularly those that are under continuous medication. Key words: Diabetes Mellitus Type 2; Drugs; Blood Glucose; Body Mass Index; Nursing.

722-9

Authors: Kelly Cristina Inoue, Gelena Lucinéia Gomes da Silva Versa, Ana Cláudia Yassuko Murassaki, Willian Augusto de Melo, Laura Misue Matsuda

In order to identify the stress level of nurses that provide direct care to critically ill patients, it was carried out a descriptive and exploratory study in five hospitals of the western region of the state of Paraná, Brazil, from May 2010 to July 2010. Fifty-eight intensive nurses participated in the study, whose stress level was evaluated according to the Domain D of Bianchi’s Stress Scale. Most (65.5%) of them had medium stress levels, The stressors that obtained the highest levels were: facing death (5.6 points); answering emergency calls unit (5.1 points); caring for critically ill patients’ or talking to family members of critically ill patients (both 4.8 points). It is needed to adopt stress prevention and reduction strategies to its minimization or elimination, because the main stressors mentioned are directly related to the duties of nurses. Key words: Nursing Care; Nurses; Stress; Psychological; Intensive Care Units.

738-44

Authors: Maria Salete Bessa Jorge, Fernando Sérgio Pereira Sousa, Túlio Batista Franco

The study aimed to comprehend the matrix support as a device to resolution of clinical cases of mental health within the Primary Health Care in a qualitative study, carried out from a case study. The data were collected through observation of matrix practices and analyzed under the view of reflective content analysis. The results pointed out to the following categories: The walking of user: dilemmas and challenges; Sharing of knowledge: an expansion of views? The curtain opens itself: It passed but the pain remains! and Results: collective construction of the therapeutic project. It highlights that matrix practices has the power to sign the paths for the construction of a particular model of health care that is articulate and synergistic with the principles and guidelines of the National Health System. Key words: Mental Health; Net of Continued Care of Health; Primary Attention; Case Study.

753-9

Authors: Danelia Gómez Torres

Qualitative research aimed to show the nurses role performed during the management challenge in nursing schools. A retrospective diachronic historical type study was conducted through data collection, critical evaluation and facts presentation based on Roy´s adaptation theory. The study reveal that pioneer nurse managers achieved a professional projection inside the university academic scope, based on adaptation, interdependence, by transcending in optimal way between organization members and showing initially a compensatory adaptation level and later on integrated with innovation in the performance of manager´s role, based on dialogue, with presence in several scenarios as well as participation in several sectors. Key words: Nursing; Management; History; Schools of Nursing.

771-8

Authors: João César Fonseca, Manuel José Lopes, Ana Filipa Ramos

The study aimed to determine the economic and social impact and that needs of intervention by the health services for persons with pain. It was conducted a search in EBSCO (CINAHL, MEDLINE, British Nursing Index), using the method of PI[C]O and selecting 19 articles of the total of 325 found. The neuropathic pain and the one with musculoskeletal location were identified as the most responsible for health expenditures. The factors positively associated with cost-effective met in the research were: combination of therapeutic regimen with non-pharmacological strategies, involvement of multidisciplinary teams specialized in pain management, continuity of care program in community and a telephone line for permanent support. It was concluded that the pain causes significant deterioration in quality of life, with incalculable impact on the performance of the activities of daily living. Key words: Pain; Social and Economic Impact and Interventions of Heath Service.

789-93

Authors: Silvana Sidney Costa Santos, Manuel José Lopes, Danielle Adriane Silveira Vidal, Daiane Porto Gautério

The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and belonging to a context /environment. Key words: Aged; Geriatric Assessment; Delivery of Health Care; Nursing.

473-8

Authors: Leidiene Ferreira Santos, Lizete Malagoni de Almeida Cavalcante Oliveira, Maria Alves Barbosa, Karina Machado Siqueira, Myrian Karla Ayres veronez Peixoto

This is an assistance convergent research, which aimed to investigate the effects of child’s hospitalization in the companion family life. It was performed in a hospital located in Goiania-GO, Brazil, where parents of hospitalized children participated in a support group. Data collection occurred from 2010 February to July, through the recording and transcription of group sessions; to analyze the facts and phenomena experienced in the group, it was used the thematic analysis. The results provide subsidies for health professionals that allow them to understand how complex is the experience of “having” and “live” with a family child in situation of illness and hospitalization. We conclude that this experience affects family relationships, mental and physical health, and the maintenance of the social networking of the companion. Key words: Child Hospitalized; Nursing; Family Health.

485-92

Authors: Adriana Cristina de Magalhães, Daliane da Silva Alves Pereira, Danúbia Mariane Barbosa Jardim, Michelle Caillaux, vinícius Bernardo Lemos Sales

This is a case study with a qualitative approach, carried out between February and November 2010 with 10 women, mean age of 34 years old, users of this Billings Ovulation Method (MOB) for over than two years, with the objective of understand the experience of women by choosing the MOB. Data was obtained from interviews, and analyzed through content analysis technique. The categories of analysis showed that the reasons for the choices of the MOB were: religion; natural method, and benefits of self-knowledge. It was concluded that women show confidence in carrying out the method, that it brings benefits for users and that there is a need for professional guidance for its correct practice. Key words: Natural Family Planning Methods; Family Planning (Public Health); Women’s Health.

501-7

Authors: Joise Magarão Queiroz Silva, Patrícia Figueiredo Marques, Mirian Santos Paiva

The study aimed to analyze the introduction of sexual and reproductive health concepts in the curriculums of nursing course of the Federal University of Bahia, from 1972 to 2006. It was carried out through qualitative approach, documentary research and semi-structured interview with professors who work exclusively for the institution. The results showed that, initially, the academic disciplines were exclusively related to biological aspects of women’s health, focusing only on the maternal condition. The concepts of sexual and reproductive health in the female perspective were introduced later, in response to political demands for the creation of labor force in the field of healthcare with commitment to women’s social condition. It was concluded that the curriculums evolved with the introduction of such concepts, especially from the decade of 1990’s on. Key words: Nursing; Teaching; Sexual and Reproductive Health.

514-22

Authors: Leilson Lira Lima, Thereza Maria Magalhães Moreira, Maria Salete Bessa Jorge

This study aimed to understand how the devices of reception, bonding and co-responsibility have been used in the construction of care to patients with high blood pressure. Qualitative research conducted in Fortaleza, in a Family Health Center (FHC), which has, as participants, nine health workers and ten patients. For the collection of information it was used semi-structured interviews and systematic observation. The analysis of findings was performed through the thematic categorical analysis. The results showed that the reception is used with a way to ensure access for users with hypertension, as a step in the work process (screening) and as intercessory relationship between subjects. It was observed the construction of bonding, as well as patients reported satisfaction with the service. The clinical responsibility exists, yet there is no o-responsibility, not helping in the production of patient’s autonomy in the health, disease and care. It is of mayor importance the use of these soft technologies, ensuring, monitoring and preventing possible complications. Key words: Care Health; Reception; High Blood Pressure.

528-34

Authors: Priscylla Araújo Almeida, Priscilla Maria de Castro Silva, Lawrencita Limeira Espínola, Elisângela Braga de Azevedo, Maria de Oliveira Ferreira Filha

This is an interpretative and comprehensive study that aimed to investigate ways of coping used by patients with phobic-anxious disorders, attended at the Centro de Atenção Psicossocial I, of the municipality of Queimadas, state of Paraíba, Brazil, in the period from October to December 2010. The empirical data were obtained through interviews and subjected to content analysis. From this material were extracted the main themes that formed the thematic category called CAPS I as a space to expression of subjectivity, and the thematic axis: Recognition of the illness; Loneliness and isolation; and Family as the primary point of support. The results showed that, while adhering to treatment, users began to recover their self-esteem, strengthen bonds and to deal with the bio psychosocial symptoms. We emphasize the importance of the affective dimension in the encounter between professionals, patients and families. It can be concluded that the humanized practice ensures and stimulates the integration between the work processes and the users’ life projects. Key words: Mental Health Services; Psychological Distress; Family Relationships.

543-9

Authors: Patricia Bover Draganov, Maria Cristina Sanna

To evaluate the performance that nursing teachers assigned to themselves in the skills to develop educational programs for adults, was the aim of this descriptive, comparative, cross-sectional study, performed with 226 teachers of undergraduate nursing courses from Sao Paulo. Data were collected by Likert scale, introduced in Excel® spreadsheet and analyzed using descriptive statistics and nonparametric tests of Wilcoxon and Friedman. The population was predominantly between 46-55 years (87/38, 49%) were women (198/87, 61%) and have a master degree (180/79, 65%). The teachers were far from reaching the competences which they sought. The lower skill was in building the design of programs to meet the learning situations and, the bigger, in evaluating educational programs. The greatest desire was to design programs with creative formats, and the smaller, was to use councils, committees and task force. It was concluded that designing educational programs for adults is still something unexplored and little experienced by these teachers. Key words: Nursing; Higher Education; Faculty of Nursing; Educational Models; Professional Competence.

557-63

Authors: Gabriela Marcellino de Melo Lanzoni, Betina Hörner Schlindwein Meirelles

This study aimed to understand the nurses’ contributions in the network of relationships and interactions of community health workers (CHW) in a city located in the south of the country. The Grounded Theory was used and twenty individuals were interviewed, among health professionals and users of the health center, divided into three sample groups. The nurse is recognized as a key element in the network of relationships and interactions of the CHW with the community, being viewed as a leader. Although showing signs of an authoritarian leadership, the nurse promotes dialogue and acts as a facilitator of teamwork in health promotion. It was concluded that the nurses of the Family Health Strategy have a significant role in the health team, providing clinical support to organize the care, and management, to foster good relations, direct the activities and conduct the flow of information. Key words: Nursing; Leadership; Family Health; Primary Health Care; Interpersonal Relations.

571-7

Authors: Priscilla Izabella Fonseca Barros de Menezes, Maria D`Innocenzo

The research has investigated the difficulties that nurses from “Santa Casa” Hospital in Montes Claros-MG have had in using indicators to analyze the quality of care processes results. A transversal study of quantitative approach was carried out, with a questionnaire being applied to nurses who have obeyed the inclusion criteria. As a result, it was showed that 94,9% of the participants reported diffi culties in using process indicators, considering that 50% of them got graduated less than three years ago and just 30% received information about the subject during the course. Among the difficulties, the rise of privative activities (61,5%), lack of theoretical and practical knowledge on the subject (46,2%), little knowledge about Process Management (43,6%), little involvement of the staff on the data collection (30,8%), among others. Thus, it was concluded how important it is the reflection on the nurse’s privative activities inside the health facilities and readjustment of their work process, besides the insertion of the subject into nursing under graduation and graduation courses. Key words: Indicators of health Services; Quality Management; Nursing Services.

585-91

Authors: Tânia Silveira Lourenço, Edmundo Carvalho Mauad, René Aloisio da Costa Vieira

Mammographic breast cancer screening is a fact in developed countries. Nursing acts in different ways in this process, having an important role in the barriers related to non-adherence to screening, but its effectiveness is little proven, with limited number of clinical trials about this topic. An integrative review of the literature in PubMed and LILACS (Latin American Literature) was conducted, aiming to evaluate controlled clinical trials about nurse´s role in breast cancer screening. It was used the key words breast cancer screening, clinical trials and nurse. From 110 publications in PubMed, 18 were clinical trials and showed the nurse´s role in breast cancer screening. None publication was observed in LILACS database. This review shows the effectiveness of nursing in breast cancer screening, presenting new nurse´s role in the multidisciplinary team that qualify actions related to women´s health. Key words: Breast Neoplasms; Mass Screening; Nurse´s Role; Oncologic Nursing; Clinical Trial.

599-602

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

The purpose of this study, of a theoretical nature, was to analyze and discuss a possible binary code for the Nursing system, in the sense of identifying its own knowledge from the perspective of Niklas Luhmann’s theoretical presuppositions. To bet on functionally differentiated and socially relevant communication for the nursing system implies transcending the traditional health-disease code, predominant in the health system, whose socially relevant communication is the disease. Furthermore, it implies in investing proactively in the promotion and protection of healthy living of individuals, families and communities, so that health will be the central point of discussions and interventions. Key words: Nursing Care; Nurse’s Role; Nonlinear Dynamics; Systems Theory.

607-10

Authors: Alexandra Schmitt Rasche, Maria da Soledade Simeão dos Santos

The study aims to show the origin of the term school nurse and the trajectory of this specialty in the Brazilian nursing. Our objective is to argue about the new spaces of performance of the nurse. We use as methodology a qualitative approach, in view of the practice of the nurse in anElementary School and the identification and analysis of theoretical elements gotten in the bibliographical surveys related to the issue of health promotion. In the results we demonstrate that the presence of the nurses in the school is determinative in attention to the processes of health promotion, when they stimulate technician debates, present their perspective in relation to the processes of health and illness, besides strengthening the social relationships between professionals of education and health. Key words: Nurse; Health Promotion; School Health.

615-8

Authors: Bruna Maria Cinel Correa, Ana Paula Munhoz Bolgue, Ana Paola Piloto de Oliveira, Jairo Aparecido Ayres, Bianca Sakamoto Ribeiro Paiva

Report of an experience of nursing students in providing care to a patient with epidermodysplasia verruciformis, during the internship in the discipline Nursing in Transmittable Diseases, at the dermatology ward of a teaching hospital, located in the state of São Paulo, Brazil, in 2009. This is a rare genodermatosis, susceptible to infection with different types of human papilloma viruses, that cause exacerbated physical changes that impact the psyche of the affected individual. Care delivery was based on the assistance complexity indicated by the application of the Patient Classification System proposed by Perroca. The experience allowed students to learn how to cope with a patient affected by a rare and complex disease, of difficult resolution, and to provide integral care to this individual, perceiving him beyond the lesions. One conclude that the experience has greatly contributed to the growth of the students as future professionals. Key words: Nursing; Epidermodysplasia Verruciformis; Nursing Care.

313-20

Authors: Divane de Vargas, Janaina Soares

This is an exploratory study, of bibliographical type, which aimed to verify and characterize the literary production of nurses on the topic of alcoholism published in the Annals of the Brazilian Nursing Congress, published in the period of 1998-2008. The sample consisted of 99 abstracts that were directly related to the topic. The data were categorized according to the assumptions of content analysis and resulted in seven categories of analysis. It was evident that there was an increase in the production on the subject over the period of 1998-2008, and that the alcoholic patient care was the theme most researched by nurses. It was concluded that, despite the increase in production on the subject, it is still in its infancy, suggesting that other studies of this nature are needed in order to map the production of nursing published in the scientific events in the area. Key words: Nursing; Alcoholism; Mental Health.

327-32

Authors: Octavio Muniz da Costa Vargens, Carla Marins Silva, Gulnar Azevedo e Silva, Vânia Reis Girianelli

This is a descriptive research, with qualitative approach, which aimed at analyze the interaction process between woman and her partner starting from the diagnosis of infection by the human papilomavirus (HPV). It was accomplished in 13 communities in the cities of Duque de Caxias and Nova Iguaçu, Rio de Janeiro state, Brazil, from October/2006 to September/2008. Twenty women, diagnosed with HPV infection related to oncogenic high risk, were interviewed. The Symbolic Interactionism and Grounded Theory perspectives guided data collection and analysis. The results revealed that the HPV diagnosis means serious challenges in the women’s relationship with her partner mainly regarding to the adoption of preventive initiatives. It is concluded that these issues lead to the need of a humanized care in order to favor the women’s empowerment. Key words: Woman’s Health; Nursing; Sexually Transmitted Diseases.

338-44

Authors: Edilene Gianelli Lopes, Christine Baccarat de Godoy Martins, Fernanda Cristina Aguiar Lima, Maria Aparecida Munhoz Gaíva

Among newborns at risk, immunization becomes relevant due to its preventive characteristic. The research aimed to analyze the vaccination status of newborns at risk of Cuiabá-MT, as well as satisfaction and difficulties of mothers regarding immunization. This is descriptive study, quantitative, with 113 newborns at risk, selected by the Statement of Live Birth: 25.7% had delayed immunization, being the lack of vaccine at the Health Unit (50.0%) the reason most often reported. Of the children with delayed immunization, 65.5% had more than one vaccine late, 100% had weight less than expected, 75.9% were accompanied in their growth and development by the Health Unit, 69.0% had an episode of illness in the six first months of life, 41.4% of mothers were under 18 years. The mothers reported more difficulties to the immunization service. We emphasize the importance of strategies to improve the quality of care, structure of health services, reception and professional preparation. Key words: Neonate; Risk Groups; Child Health; Immunization Programs; Vaccine Coverage.

351-7

Authors: Ariene Angelini dos Santos, Thalyta Cristina dos Santos Mansano-Schlosser, Maria Filomena Ceolim, Sofia Cristina Iost Pavarini

This study aimed to analyze the joint influence of background variables (age, gender, and income), weakness and sleep disorders on cognition in elderly community residents. This is an excerpt from the multicenter project Frailty in Elderly Brazilians (FIBER). We evaluated 878 patients, using socio demographic questionnaire, questions about sleep disorders (Nottingham Health Profile); issues nap (Minnesota Leisure Activity Questionnaire) and MMSE (cognitive screening). The Mann Whitney and Kruskal Wallis test and regression analysis were used univariate and multivariate data analysis, with a significance level of 5% (p <0.05). The results showed that elderly patients with lower MMSE scores were those with lower family income, female and older. Health professionals can develop preventive actions in relation to cognition, thus maintaining the autonomy and independence in daily activities of the elderly. Key words: Aged; Geriatric Nursing; Cognition; Sleep Disorders.

366-71

Authors: Regina Stella Spagnuolo, Silvia Cristina Mangini Bocchi

This was a qualitative study with the purpose of designing a meta-model for the work process of the Family Health Strategy(FHS) team. It was based on the experience of six sample groups, composed of their members (physicians, professional nurses, dentists, dental assistants, licensed technical nurses and community health agents) in a city in São Paulo state, Brazil, totaling 54 subjects. Six theoretical models emerged from non-directive interviews. These were analyzed according to Grounded Theory and submitted to the meta-synthesis strategy, which produced the meta-model “between the processes of strengthening and weakening of the FHS model: professional-team-community reciprocity as an intervening component”. When analyzed in light of the Theory of Complexity (TC), it showed to be a work with a vertical and authoritarian tendency, which is largely hegemonic in the tradition of public health care policies. Key words: Family Health Program; Public Health; Non-Linear Dynamics; Qualitative Research.

378-84

Authors: Anaclara Ferreira Veiga Tipple, Elisangelo Aparecido Costa Silva, Sheila Araújo Teles, Katiane Martins Mendonça, Adenícia Custódia Silva e Souza, Dulcelene Sousa Melo

Analytical transversal study that was conducted with the objectives of identifying the prevalence and characterizing the accidents with biological material among professionals in pre-hospital service (PHS) and comparing the risk behaviors adopted by healthcare and non-healthcare groups that can affect the occurrence and seriousness of such accidents. Data were obtained by questionnaire applied to all PHS workers in Goiânia-GO. The study revealed a high prevalence of accidents involving biological material which, although higher for the healthcare group, also affected the non-healthcare group. There were significant (p < 0.05) risk behaviors for these accidents in both groups: not using gloves, masks or eye protectors; inappropriate disposal of sharps; inadequate dress; re-capping of needles; and a lack of immunization against hepatitis B. The results underscore the importance of both groups in adhering to preventive measures, and further point to the need to structure and implement vigilance and control system for this type of accident. Key words: Exposure to Biological Agents; Prehospital Care; Occupational Exposure.

391-8

Authors: Maria Eliane Martins Oliveira da Rocha, Benevina Maria Vilar Teixeira Nunes

A study of descriptive, exploratory and retrospective study with a quantitative approach is to evaluate the expansion of graduate programs in nursing in the state of Piauí in the period 1973 to 2008. It was researched, aided by a form, all ten institutions of higher education in this period, in Piauí. The results pointed to an expansion of nursing programs in the last 10 years, growth in the period 1973 to 2008 in the order of 1.300%. There was a total of 2,949 licensed nurses per capita showing a relation for Piaui of 0.93 nurse/1.000 inhabitants. From the data of the study there is the potential of Piauí in training nurses, with growth of courses and places. Thus, stirs up to refl ection on the part of institutions and professional bodies as to the relative labor market and demand for graduates, quality control and course vacancies offered. Key words: Higher Education; Education in Nursing; Nursing.

406-11

Authors: Viviane Rolim de Holanda, Ana Karina Bezerra Pinheiro, Lorita Marlena Freitag Pagliuca

This work aimed at clarifying the concept learning in online education, expressed by the literature in the area of health. It is a study of analysis of concept, based on the Evolutionary Model, being highlighted attributes, background, consequents and substitute terms. Learning in the context of online education is characterized by a dynamic and continuous process of active construction of knowledge and acquisition of skills, with physical separation between students and teachers. Among the background events discussed stood out: interest and motivation in learning; dedication and time self-management; and interaction and communication tools. The main evident consequents were: student’s autonomy; independent and active study; and construction of own knowledge. The prevailing substitute terms were collaborative learning and self-learning. The understanding of the concept can contribute to its implementation in nursing teaching activities in virtual environments. Key words: Learning; Concept Formation; Distance Education; Computer-Assisted Instruction; Nursing.

420-8

Authors: Maria Odete Pereira, Bárbara Marques Anginoni, Natany da Costa Ferreira, Márcia Aparecida Ferreira de Oliveira, Divane de Vargas, Luciana de Almeida Colvero

The research identified clinical studies on the brief interventions for the abusive use of alcohol and analyzed the effectiveness of professional advises proposed to alcohol consumers. The systematic bibliographical study was based on articles published during the period of 1997 to 2010. Brief intervention strategy is effective in the reduction on the frequency and amount of alcohol use, with better results when the strategy is applied to the primary attention situations. All professionals obtained good results using this therapy. It was not possible to determine if the strategy is most effective when applied to harmful drinkers or to chronic drinkers, since the intervention also depends on the patient’s availability of motivational resources and on changes in attitude regarding the abusive use of alcohol. Key words: Alcohol; Brief Intervention; Basic Attention; Treatment; Effectiveness.

437-41

Authors: Clarisse Sampaio Pequeno, Simara Moreira de Macêdo, Karla Corrêa Lima Miranda

As AIDS advances in Brazil, the Ministry of Health felt the need to sensitize and to train health professionals to work with questions provoked by this infection or by the disease. The implantation of counseling centers and support serological support (CTA) arose and became the main reference in counseling. The HIV / AIDS counseling is a device used by health professionals seeking to work information, guidance, risk assessment and support in accomplish the anti-HIV serology. However, it is necessary that this strategy have theoretical and philosophical fundaments that serve to underpin the counselor’s clinical practice. Therefore, this article aimed to present the main presuppositions of some psychological counseling theories and its relation to the practice of HIV/AIDS counseling. It is believed that these reflections can contribute to substantiate theoretically the professionals who perform HIV/AIDS counseling, confi guring it as a device for health promotion. Key words: Counseling; Acquired Immunodeficiency Syndrome; Psychological Theory.

161-6

Authors: Antonio da Cruz Gouveia Mendes, José Luiz do Amaral Corrêa de Araújo Júnior, Betise Mery Alencar Souza Macau Furtado, Petra Oliveira Duarte, Ana Lúcia Andrade da Silva, Gabriella Morais Duarte Miranda

This study aimed to evaluate the motivations and conditions offered to the work of nurses and doctors in three high complexity emergency services of the city of Recife, Pernambuco. It is a descriptive transversal type study. It was interviewed 42 nurses and 84 doctors, of a total population of 97 nurses and 469 doctors. It was used a questionnaire prepared for this survey and the Scale of Values Related to Work. On the motivation assessment it was found that Professional Realization was the major motivational factor, and Prestige the less important factor. Key words: Evaluation in Health; Working Conditions; Motivation.

174-9

Authors: Franciele Soares Pott, Taniclaer Stahlhoefer, Jorge Vinícius Cestari Felix, Marineli Joaquim Meier

Descriptive, quantitative study carried out at a University Hospital in Curitiba-PR, Brazil. The objective was to analyze the caring actions performed at a semi-intensive care unit, from the perspective of the caring humanization, and also to evaluate the presence of comfort and communication measures in performing these actions. The data collection occurred under a systematic non-participant observation. The caring actions were grouped, according to its frequency, and presented in graphs. The comfort measures were present at 45% of the caring actions performed, and communication establishment was present at 40% of these actions. Even today, the comfort and communication measures, as reflected in the process of caring humanization, remain as an ideal speech. However, they are too far from reality of the health care system’s users and workers. Key words: Nursing Care; Humanization of Assistance; Technology.

190-5

Authors: Evilene Pinto da Silva, Albertisa Rodrigues Alves, Ana Ruth Monteiro Macedo, Regina Maria de Sá Barreto Bezerra, Paulo César de Almeida, Edna Maria Camelo Chaves

The study aimed to identify, in a Rooming-in unit, diagnoses related to the phenomenon of breastfeeding according to the NANDA-I Taxonomy II. It was conducted a descriptive exploratory study involving 83 mothers and their babies in the period of February to April 2011. Data were collected by means of an instrument based on the Theory of Basic Human Needs and, after statistical analysis, presented in tables. The results showed that the most frequent nursing diagnosis was Effective breastfeeding, identified in 65 (78.3%) cases. It is estimated that the nursing diagnoses related to breastfeeding can contribute to nursing care so that it can be more targeted, in order to promote a more qualified, effective and human care. Key words: Infant Newborn; Mothers; Nursing Diagnosis; Nursing; Breast Feeding.

202-7

Authors: Petra Kelly Rabelo de Sousa, Daniele Viana Maia Torres, Karla Corrêa Lima Miranda, Amanda Carneiro Franco

A major breakthrough in AIDS treatment occurred with the advent of antiretroviral therapy. However, several vulnerabilities may be present in the path experienced by patients during treatment. This study aimed to analyze the vulnerabilities of patients with HIV / AIDS in treatment failure. It is a qualitative study, involving seven users with AIDS considered in treatment failure in an Outpatient Service Unit on HIV / AIDS, in Fortaleza-CE. To interpret the data, it was used the technique of content analysis. In the speeches, it was realized that the deponents faced confl icts in the family and, difficult relationships with people and stigma at work. It was observed that patients had experienced various situations that made them more susceptible to HIV infection and illness. Key words: Acquired Immunodeficiency Syndrome; Treatment Failure; Vulnerability.

215-21

Authors: Miriam de Oliveira Chaves, Mirian Rose Franco Teixeira, Sílvio Éder Dias da Silva

This study aimed to identify the perceptions of patients concerning diabetes. This is a descriptive exploratory study with a qualitative approach, which was conducted with 32 subjects, in a hospital in the city of Belem-PA, Brazil. The thematic content analysis was used, from which four categories emerged: Diabetes control: nursing in the self-monitoring of blood glucose; The diabetic individual and nursing: an interaction with self-care; Nursing consultations provided to diabetic individuals: an intervention in the health-disease continuum; Diabetes and its complications: fear of loosing functioning. It was observed that patients start self-care driven by the fear of losing their health, that is, fear forces the patient to practice self-care. Nurses are directly linked to diabetes control as they start providing care and guidance for patients who self-monitor their disease. Key words: Diabetes; Health Education; Nursing.

228-33

Authors: Sandra Helena Isse Polaro, Lucia Hisako Takase Gonçalves, Silvia Modesto Nassar, Márcia Maria Bragança Lopes, Viviane Ferraz Ferreira, Hellen Karinna Monteiro

This study aimed to determine the pattern of family functioning on everyday care relationships of adults in the fourth age. This is a study of diagnostic-evaluative nature of adults with 80 or more years old who depend on care, and of their relatives as caregivers. The participants were selected among the registered patients of a Family Health Unit in a district in the suburbs of Belém-PA, Brazil. They were evaluated according to the dynamics of their family, and quality of life related health lifestyle. Most of the elderly rated their families with good functionality. However, data on the elderly and caregivers’ quality of life and caregivers’ life style only reached the median level, showing some difficulty in the family functioning system. It was concluded that the multiple results obtained through the assessments indicate some practical implications of care to the family unity and confirm the need for multidimensional assessment about the family intervention. Key words: Elderly With 80 or More Years; Family; Family Nursing; Family Health Program.

241-50

Authors: Gênesis Vivianne Cruz, Wilza Rocha Pereira

The aim of this study was to investigate the different se ttings of violence in pedagogical relations between teachers and students in a higher education from the theory of violence symbolic power. Twelve interviews were conducted with students from six courses of graduation from a higher educational institution; it was used the content analysis to interpret the data. It was found that violence is confi gured from the most subtle to the most noticeable way and that, although violence was present in the pedagogical processes of the context studied, this was not fully realized, probably because of the reproduction of the symbolic order, socially constructed and internalized by teachers and students. It is considered that the teaching practice needs to be improved in order to make the classroom democratic spaces and to make the students share responsibility for the pursuit of knowledge. We conclude that violence in relationships pedagogical produces certain effects, changes and consequences both, immediate and delayed, which can be minimized. Key words: Education; Violence; Higher Education.

257-63

Authors: José Luís Guedes dos Santos, Aline Lima Pestana, Patrícia Guerrero, Betina Schlindwein Hörner Meirelles, Alacoque Lorenzini Erdmann

This study aimed to highlight and analyze the nurses’ practices in care management described in the scientific production in Brazil and internationally, through an integrative review. It was examined articles published between 2005 and 2010, in the LILACS, SciELO, BDENF and CINAHL databases, with the descriptors Management and Administration, in conjunction with Care and Nursing, and the terms Nursing Management and Nursing Care, totaling 27 publications. The management of care performed by nurses is directly related to the search for quality care and better working conditions through actions such as: care realization, human and material resources management, leadership, assistance planning, nursing team training, care coordination and evaluation of nursing actions. Key words: Management; Nurse’s Role; Nursing Supervisory; Patient Care Management.

271-7

Authors: Mariana Vieira Villarinho, Maria Itayra Padilha, Lina Márcia Miguéis Berardinelli, Miriam Susskind Borenstein, Betina Horner Schlindwein Meirelles, Selma Regina de Andrade

The study aimed to identify the major public policy on HIV/AIDS in Brazilian society, since 1980; and to reflect on their impact on the assistance for people living with HIV/AIDS. Descriptors: public health policies, Acquired Immunodeficiency Syndrome and integral health care, we obtained a sample of 23 articles in Medline and Lilacs data bases. After analysis, there were two moments: first, the emergence of public policies in response to the AIDS epidemic, and second, to improve care for people living with HIV/AIDS. Despite the significant advances achieved in terms of public health policies in Brazil, there is a complex way in the pursuit of quality of care for people with HIV/AIDS. Key words: Public Health Policies; Acquired Immunodeficiency Syndrome; Integral Health Care.

282-6

Authors: Juliane Cristina Burgatti, Valéria Marli Leonello, Luzmarina Aparecida Doretto Bracialli, Maria Amélia de Campos Oliveira

This study presents a theoretical reflection that aims at identifying teaching strategies for the development of ethical-political dimension of professional competence from the perspective of critical reflection. Professional competence has two dimensions - technical and political, mediated by ethics. Critical reflection renew search ways of thinking and doing in health, with the ultimate goal of intervention in social reality, to improve the living conditions and health of communities. Highlights some educational tools such as portfolio, the field journal and written narratives, which allow producing a clear and objective account of the experience and assigning meaning and significance of what was accomplished. Based on a critical reflection, such instruments helped develop ethical-political dimension of professional competence. Key words: Professional Competence; Ethics; Nursing Education.

13-7

Authors: Denise Rodrigues Costa Schmidt, Márcia Paladini, Cleonice Biato, Juliana Domingues Pais, Adelaine Rodrigues Oliveira

This descriptive-correlational and cross-sectional study aimed to evaluate the quality of working life (QWL) and the presence of burnout among nursing professionals working at Intensive Care Units. The sample was composed of 53 nursing professionals from a university hospital located in the city of Londrina-PR, Brazil. Three instruments were used for data collection: sociodemographic and professional characterization, Visual Analogue Scale for QWL and Maslach Burnout Inventory. Data was collected from April to August, 2009. Among the participants, most were auxiliary nurses (52.8%), women (66.0%) and married (67.9%). The average age was of 42.4 years. Regarding assessment of QWL, the average score obtained for the total sample was 71.1 (SD=15.5), showing that workers were satisfied with their QWL. The average for Emotional Exhaustion, Depersonalization and Personal Accomplishment dimensions was 11.4 (SD=7.7), 4.6 (SD=4.1) and 25.0 (SD=5.9), respectively. The QWL for the total sample showed significant association only with Emotional Exhaustion (p=0.000). Key words: Quality of Working Life; Nursing; Burnout.

25-30

Authors: Ethiele Sulzbacher, Rosane Teresinha Fontana

This study aimed to identify how the nursing team realizes the chemical and physical risks to which it is exposed in the hospital environment. This is a descriptive study, based on an exploratory field research, of quantitative source. Data were collected through a questionnaire administered to 33 professional nursing staff of a general hospital in the northwestern region of the state of Rio Grande do Sul, in the first half of 2011 and were analyzed using descriptive statistics. The workers noticed chemical and physical risks they are exposed and reported to recognize them, however, after the analysis of the responses, we identified knowledge deficit about the scientific conception of physical risk. The continuing health education can be a strategy to update workers on occupational risks. Key words: Occupational Health; Occupational Risks; Nursing.

38-45

Authors: Marcelen Palu Longhi, Priscila Frederico Craco, Pedro Fredemir Palha

Communication problems in social network forums related to health are currently of interest. This study analyzed the communication between users and health workers in the board of Family Health. This is a qualitative study, in which the Habermas’ Theory of Communicative Action was the theoretical framework used. Data collected revealed two intertwined dimensions: estrangements and approximations between users and health workers. In relation to estrangements, asymmetrical relationships are highlighted, characterized by coercion and manipulation on the part of the health workers, which are practices that harm the participation of users. On the other hand, moments of interaction and fights for rights addressed during approximations between users and health workers are also present. Finally, we argue that communication in the committees of Family Health present potentialities and limitations and should be discussed, especially through permanent health education. Key words: Health Communication; Consumer Participation; Family Health Program.

52-8

Authors: Maria Raquel Brazil Battaus, Maria Inês Monteiro

This is a cross-sectional study, carried out in a metallurgical industry in the state of São Paulo, Brazil, aiming to identify the demographic profile, health aspects such as body mass index, hours of sleep, smoking, alcohol consumption and lifestyle of the workers. We interviewed 182 workers who answered a questionnaire with socio-demographic, lifestyle and health. The majority was male (75.8%), with a mean age of 33.8 years, did leisure activities (88.5%) and did overtime (72.5%). Physical activity was referred by 55% of the workers, 17.6% smoked and 59.3% reported drinking alcohol. The investigation of health and work aspects is important in order to implement prevention and protection measures related to work and the personal life of each worker. Key words: Occupational Health; Health; Work; Life Style; Metallurgy.

67-73

Authors: Fernanda Reinher da Luz, Marli Maria Loro, Regina Célia Gollner Zeitoune, Adriane Cristina Bernat Kolankiewicz, Cleci Schmidt Piovesan Rosanelli

This is a qualitative and descriptive study, which aimed to identify the occupational risks of a shoe industry, as well as the preventive measures taken against those risks, from the workers’ perspective. The sample consisted of fifteen workers. Data were collected through semi-structured interviews and analyzed according to content analysis. The ethical aspects were respected and the research was approved by the Committee of Ethics in Research of the Northwest Regional University of Rio Grande do Sul. The results showed that the workers are aware of the risks of their work process, made use of safety measures for personal protection, and the company offers safety devices, informing and performing periodical visits to the sectors, aiming to develop educational actions. Key words: Occupational Risks; Accident Prevention; Protection Equipments.

79-83

Authors: Ágatha Graça, Matheus Amarante do Nascimento, Edson Lopes Lavado, Márcia Regina Garanhani

The aim of this study was to analyze quality of life of caregivers who are relatives of patients with spine cord injury (SCI). Fourteen women (seven caregivers and seven controls) were evaluated by the Medical Outcomes Study 36 - Item Short-Form Health Survey (SF-36) and the Caregiver Burden Scale (CBS) Questionnaires. The data from both questionnaires were compared using the Mann-Whitney U testing procedure for differences between caregivers and controls (p<0.05). The results from SF- 36 were not statistically significant between groups, however, for the CBS data, there were significant differences between groups (p>0.05), characterized by the percentage difference of 62%, 66.7%, 55%, 50%, 57% and 63% for tension, isolation, disappointment, emotional involvement, environment and overall score, respectively. The CBS questionnaire was more adequate for verifying quality of life of caregivers of SCI patients, and caregiving may have a negative impact on their quality of life. Key words: Spinal Cord Injuries; Caregivers; Quality of Life.

90-6

Authors: Evanilda Souza de Santana Carvalho, Mirian Santos Paiva, Elena Casado Aparício

In this qualitative study, which aimed to capture and analyze the representations of the body injured, it were collected, through in-depth interviews, the discourses of eighteen adults, with chronic wounds, users of an outpatient service of a public hospital in the city of Salvador-BA, that cares of wounded individuals. From the analysis of the statements, through Thematic Content Analysis, emerged the following categories, related to the wounded body: It is a strange that promotes suffering; It is constantly watched; It is rejected; It is a prisoner; It is vulnerable to violence; It requires special care, and It is a body in grief. Such representations are anchored in negative images and suffering, and reveal that, very different from the idealized body, the wounded body promotes mixed feelings and self-deprecating. The results showed that people with chronic wounds consider their own bodies as awkward; they experience negative feelings about their image, and mobilize alternatives for self-care and personal presentation, distinct from those activated before chronic state. Key words: Chronic Disease; Human Body; Body Image; Holistic Nursing.

103-9

Authors: Senei da Rocha Henrique Macedo, Francisco Arnoldo Nunes de Miranda, João Mário Pessoa Júnior, Vannucia Karla de Medeiros Nóbrega

This study aimed to identify the social representations of adolescents about sexuality, from their personal experiences. The research, of a qualitative and representational nature, was carried out with thirteen teenagers in a unit of education for young and adults. It has, as instrument for data collection, a semi-structured interview and focus group meetings. It was observed the coexistence of questions regarding sexuality and its relation to the sexual act itself; absence of dialogue between parents and children about this theme; and incipient school approach, with limitations of the contents about condom use. In this study, the social representations are anchored in sexuality as sexual act, objectified through social and sexual scripts, which gives teens a practical knowledge about themselves. Key words: Sexuality; Adolescent; Education; Nursing.

116-22

Authors: Renata Valdívia Lucisano, Luzia Iara Pfeifer, Maria Paula Panuncio Pinto, Jair Lício Ferreira Santos, Patrícia Páfaro Gomes Anhão

The aim of this research was to identify the process of social interaction of children with Down Syndrome (DS) during extracurricular activities in the regular early childhood education in Ribeirão Preto-SP, Brazil. Six children aged 3-6 years participated in this study. There were two recordings of each child in situations of social interaction during extracurricular activities, and analyzed by 15 behaviors, divided into two categories of social skills: interpersonal and self-expression. The results demonstrate that, in the interpersonal skill category, the higher occurrence was the behavior “occurs interaction with other children”. In the selfexpression skills category, only the behaviors “smiles” and “imitates other children” have significant occurrence. The behaviors more frequently identified in this study permit to understand that the school environment is a facilitator for the interaction of child with DS with the typical developmental children, allowing him/her to develop the expected social skills. Key words: Down Syndrome; Interpersonal Relations; Child.

128-33

Authors: Annelissa Andrade Virgínio de Oliveira, Debora Raquel Soares Guedes Trigueiro, Maria das Graças Melo Fernandes, Antonia Oliveira Silva

The study aimed to identify, through an integrative literature review, scientific knowledge, produced between 2005 and 2009 about the mistreatment of the elderly. It was selected sixteen studies in the data banks LILACS, SciELO and BDENF. Of the sixteen studies, 56.25% comprised original articles. The journal that published the most was the Public Health Journal (25%), being the majority of the studies from the Southeast (56.25%). The survey revealed that the physical violence was prevalent among the elderly; the home was the environment where aggression occurs more frequently; and family members were the main aggressors. Among the elderly attacked, it was observed that women are the victims most affected. These findings raise the development of other researches that might clarify the multiple dimensions of violence against the elderly. Key words: Nursing; Geriatric Nursing; Elder Abuse; Aged.