Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

893-8

Authors: Carla Aparecida Arena Ventura, Débora Falleiros de Mello, Raquel Dully Andrade, Isabel Amélia Costa Mendes

This reflexive study aimed at presenting, based on the human rights framework, relevant elements for nursing care in the defense of the users of the Brazilian Single Health System (SUS). The assurance of health as a fundamental right and a government´s responsibility was an achievement of the population through SUS, founded on the principles of universal, integral and equitable care, expanding the conception of health beyond the idea of the lack of disease, understood as quality of life. Nurses have a potential to perform a single role in the defense of the right to health and right to life and, by means of different partnerships, to strengthen the exercise of citizenship. Key words: Nursing; Right to Health; Integrality.

909-15

Authors: Helena Maria Scherlowski Leal David, Regina Maria Marteleto

This article discusses the results of a reading-and-appropriation study, as an approach methodology to narrative universe of Health Community Agents (ACS), using the Dengue Almanac (AD), an information communication device. Workshops with groups of ACS from Rio de Janeiro city were developed using the Almanac, aiming it`s de-construction and relational reading, to improve the comprehension about knowledge`s construction and appropriation on dengue and health, and evaluate the AD as an info-communicational device. The results were categorized within three axes: informational abundance during dengue`s epidemics and silence between them, meaning non-information; the victim`s blaming in health information`s processes; ACS labor`s contradictions and ambiguities as mediators. The Almanac proved to be a useful tool to discussion and appropriation of health information, due to the relational and non-linear reading characteristics of it`s contents, and the interactive and nonauthoritative format of it`s formulations on dengue and health. Key words: Information; Dengue Fever; Community Health Agents.

922-8

Authors: Cinoélia Leal Souza, Raquel Souzas

From the standpoint of sociodemographic, teens today represent an important portion of the Brazilian population. In 2005 the Brazilian government published the National Youth Policy. Despite of this, many teens still find difficulties in accessing public services, especially the ones involving health. This study aimed to analyze young students’ speeches about the conditions of access to public services and health through qualitative research. The students inquired live in rural and urban areas of the city of Vitória da Conquista - Bahia. The method used was the content analysis proposed by Bardin (1979) and Minayo (2006), and the technique of discussion groups for youth proposed by Weller (2006). Key words: Youth; Students; Health Services Accessibility; Qualitative Research.

936-41

Authors: Dinah Sá Rezende Neta, Anne Karolinne e Silva Alves, Gustavo de Moura Leão, André Alves de Araújo

The study aimed to investigate the profile of polytrauma occurrences in motorcycle drivers Service at Mobile Emergency Care of the county of Teresina-PI. We conducted a quantitative and documentary study, with information gathered through the medical records of that service, in 2009. Data collection was conducted from February to March of 2010. The motorcycles were involved in 84% of accidents, and men of 21 to 30 years old were the most affected. The weekend and the urban area recorded more cases. The musculoskeletal trauma (59%) stood out. The alcoholic victims numbered 12%. Mortality was of 1%. We conclude that it is essential to adopt educational measures to ensure the proper behavior of individuals in transit. Key words: Traffic Accident; Health Profile; Emergency Medical Service; Accidents Prevention.

950-4

Authors: Janete de Souza Urbanetto, Roberta Marco, Sidiclei Machado Carvalho, Marion Creutzberg, Karen Fernandes Oliveira, Tânia Bosi de Souza Magnago

The study aimed to evaluate the degree of dependency of elderly inpatients, according to the classification system of patients, and to identify factors related to patient dependency to nursing care. Cross-sectional study with a sample of 161 elderly patients evaluated at the beginning, middle and end of hospitalization, according to the patient classification scale. It was identified a prevalence in the intermediate rating (52.2%); statistically significant association between the ages of 80 to 100 years with the middle and semi-intensive classes; 40% of the elderly classified to the semi-intensive care had death as the outcome. The aging process must determine specific nursing care for this population group, ensuring the quality of care. Key words: Old Age Assistance; Nursing Assessment; Classification; Nursing Cares.

962-8

Authors: Izabel Borges dos Santos, Lucy Gomes, Neuza Moreira de Matos, Maria Sueli do Vale, Fernando Borges dos Santos, Carmen Jansen Cardenas, Vicente Paulo Alves

The aim of this study was to assess the self-perception of memory in elderly illiterate with mild cognitive impairment, before and after workshops of cognitive stimulation adapted for illiterate individuals. The research was qualitative, held at the Health Unit of Taguatinga-DF, involving 63 elderly illiterate: 22 in the experimental group (EG), with 10 workshops; 21 in control group 1 (CG1), with 10 lectures; and 20 in the control group 2 (GC2), without intervention. Semi-structured interviews were carried on before and after the interventions, asking about memory status. The activities offered weekly to EG and CG1 have had two hours of duration. The mean age of the participants was 72.8 years, and 92% were female. In pre-intervention, 82% reported worsening memory during the last year. In post-intervention, CG1 and CG2 kept memory changes, while EG improved cognition. One concludes that the provided workshops and lectures improved functionality and socialization / integration. Key words: Aged; Mild Cognitive Impairment; Cognitive Stimulation; Nursing.

977-83

Authors: Joyce Carolle Bezerra Cavalcante, Vanessa Emille Carvalho de Sousa, Marcos Venícios de Oliveira Lopes

To investigate the accuracy of defining characteristics of Situational low self-esteem we developed a cross-sectional study, with 52 pregnant women assisted in a family centre. The NANDA-I taxonomy was used as well as the Rosenberg´s scale. The diagnosis was present in 32.7% of the sample and all characteristics presented statistical significance, except “Reports verbally situational challenge to its own value”. The characteristics “Indecisive behavior” and “Helplessness expressions” had 82.35% of sensitivity. On the other hand, the characteristics “Expression of feelings of worthlessness” and “Reports verbally situational challenge to its own value” were the more specific, with 94.29% of specificity. These results can contribute with the nursing practice because the identification of accurate characteristics is essential to a secure inference. Key words: Nursing Diagnosis; Self Concept; Pregnancy.

991-9

Authors: Nildo Batista Mascarenhas, Cristina Maria Meira de Melo, Norma Carapiá Fagundes

This is an integrative review that examines the national scientific production on health promotion and nurse’s practice in the field of primary health care. With the development of the study, it was found that the discussion of this theme is little explored in nursing and that health promotion is still understood as synonymous of health education and / or prevention of disease. It is concluded that health education is an essential strategy to achieve the health promotion, understanding that one is not restricted to the other. Moreover, it is necessary that nurses recognize health promotion as a field of practice can transform social reality and their own practice. Key words: Health Promotion; Primary Health Care; Health Education; Nursing.

1011-8

Authors: Daniella Soares dos Santos, Emília Campos de Carvalho

This integrative review aimed to analyze the scientific literature related to nursing care for patients with arthritis. Twelve experimental studies were included, randomized and controlled, published in CINAHL, MEDLINE, SciELO and LILACS databases, using the controlled keywords “arthritis” and “nursing”. The results indicated the effectiveness of music therapy, neuromuscular electrical stimulation, therapeutic touch and guided imagery associated with relaxation, for the treatment of pain. Being treated by a specialist nurse increased satisfaction with care, improved the impact of the disease and increased the demand for health services. Specific educational programs for people with arthritis stimulated the practice of physical exercises and those targeted to people with chronic conditions in general were effective to control pain and functional disability. We conclude that there is a set of interventions that can support the practice of evidence-based nursing for the elderly people with arthritis. Key words: Arthritis; Nursing Care; Aged.

1026-9

Authors: Lindelvania Matias de Santiago, Malvina Thaís Pacheco Rodrigues, Aldivan Dias de Oliveira Junior, Thereza Maria Magalhães Moreira

This work reports the experience of implementation of the School Health Program (PSE) by a team from the Family Health Strategy (FHS) in a public school in Fortaleza-CE, Brazil. The activities included conference about the deployment of the PSE with teachers and members of the FHS, workshops with students, clinical and dental assessment for adolescents and delivery of Booklets of Adolescent Health. The implementation of the PSE allowed health professionals to perceive their social role as educators and provided adolescents a greater contact with the staff from FHS. The rapprochement between the school and the FHS is crucial to help teenagers to transform scientific knowledge into healthy behaviors. Key words: Health; Health promotion; Education; School Health.

721-9

Authors: Juan José Tirado Darder, Zuila Maria de Figueiredo Carvalho

The objective was to make an explanation on the interface of nursing care with the elder care policies. It is presented the aging phenomenon as a global reality and a victory of modern society; the situation of elderly people and the social consequences of aging in Spain; the dependence and assistance needs; the situation of elderly people in Brazil; comparison between Spain and Brazil; dependency levels; and the solutions that nurses provide and home care as a basis for a better future. The considerations given are: meeting the dependency must be addressed immediately, considering the failures in other countries, to avoid the same mistakes, and to urge the elder population to maintain their independence with health promotion. Key words: Aging; Aged; Primary Care Nursing.

737-44

Authors: Mirna Poliana Furtado de Oliveira, Maria Rita Carvalho Garbi Novaes

The aim of this study is to describe the drug utilization by 154 elderly from five long-stay institutions of Brasilia-DF, Brazil, through a questionnaire adapted from the Dader Method. The sample is characterized mostly of men, age of 74.6 years, with preserved cognition, low income and low education level and in use of four to five medications. The adherence to pharmacotherapy is compromised by low knowledge about current medical prescription, difficulty of access and refusal to use medicines. Results suggest the need for investment in human resources training and research in the area to provide better quality of life and to reduce costs with the assistance health. Key words: Elderly; Homes for the Aged; Health of Institutionalized Elderly; Drug Therapy; Drug Utilization.

751-7

Authors: José Aparecido Bellucci Júnior, Laura Misue Matsuda

Methodological study, carried out between April to December 2010, which aimed to describe the criteria for construction, appearance and content validation of an instrument to assess the Reception with Risk Rating (RRR). The strategies of Content Validation through Delphi technique and Appearance Validation were used. The appreciation of the instrument was made by a panel of judges, consisting of ten nurses, teachers with titration of specialists, teachers and/or doctors with experience in RRR. We conclude that the instrument has content and appearance validity to assess the RRR because the indices of reliability and agreement in all three dimensions of health evaluation Donabedian reached values above the established standard, ie 80%. Key words: Validation Studies; Emergency Nursing; Emergency Hospital Service; User Embracement; Nursing.

767-74

Authors: Vitoria Regina Petters Gregório, Maria Itayra Coelho de Souza Padilha

This study examines the practices of care developed by nurses to women at Maternity Carmela Dutra, Florianópolis, Santa Catarina state, Brazil, in the period 1956 to 2001. It is a qualitative research with socio-historical approach. Nine nurses were interviewed using the technique of thematic oral history. The data were categorized using thematic content analysis and based on the foulcaultian theoretical framework. Four categories emerged: Context of Motherhood; care practices to women on admission; care practices to women on childbirth and care practices to women on puerperium. It was concluded that the care provided to women at the Maternity has been exercised by religious and midwives, nurses and lay nurse midwives, a path that goes from laic to professional care, intercalated with knowledge-power relationships marked by struggles and resistances to doctor’s hegemony of that time. Key words: Obstetrical Nursing; Nursing History; Obstetrics; Women’s Health.

780-7

Authors: Rosa Maria Godoy Serpa da Fonseca, Marta Araújo Amaral

This qualitative study aims to discuss the potential of Critical-emancipative Workshops utilizing the Tree of Knowledge as a facilitator strategy. The theoretical basis that constitutes this workshop was: the critical-emancipative education and empowerment; emotions as constructors of knowledge; the dialectical approach to transform reality and awareness; participation and shared responsibility. The study was conducted with 95 professionals working in 12 Family Health Staff in a city in the province of São Paulo, Brazil. The results indicate that the potential of the Critical-emancipatory Workshops relate directly to theoretical basis. The dynamics Tree of Knowledge used in the evaluation was powerful to reveal them. Thus, the workshops constitute an important tool for nursing in terms of their educational dimension, particularly, to face gender-based violence against women. Key words: Health Education; Gender; Educational Evaluation; Empowerment.

795-802

Authors: Francisca Georgina Macedo de Sousa, Alacoque Lorenzini Erdmann

Child care is supported by a shared action enriched by subjectivities of professionals and family in order to meet peculiar characteristics of child growth and development. This study aimed to understand modes of child care in Primary Health Care, supported by the Grounded Theory. Twenty-nine subjects participated in the research, including managers, coordinators of nursing and medicine courses, doctors, nurses and mothers of children assisted by the Family Health Strategy in São Luís-MA, Brazil. To collect data it was used a semi-structured interview. The category Qualifying child care at PHC and its respective subcategories recognize that care has different meanings based on the value of life and human dignity and that the value of care is built by efforts, collaboration, communication, complementarity and in the actions of professionals, families, services and managers. Key words: Nursing; Community Health Nursing; Care for Children.

809-14

Authors: Everaldo José da Silva, Maria da Glória Lima, Maria Helena Palucci Marziale

The study aims to understand the occupational risks as symbolic processes that shapes the daily activities of health professionals that manipulate sharps objects. Descriptive research was conducted at a university hospital, with information collected through the survey on the accidents at work in Intensive Care and hospital laundry, with the application of 105 questionnaires. The information was analyzed through an interdisciplinary perspective, and enabled the conciliation of quantitative and qualitative analysis. The results revealed that although the number of accidents is low, it is still necessary to improve the instruments such as the risk map, the use of safety equipment and staff training. Key words: occupational risks, safety equipment, work accidents.

822-8

Authors: Lilian Machado Torres, Lorena Márcia de Freitas Marques, Meire Chucre Tannure, Claudia Maria Mattos Penna

This is a qualitative study, based on comprehensive sociology, which aimed to understand the meaning assigned by health professionals of Belo Horizonte-MG, Brazil, to the principle of resolvability in the everyday actions of health. Thirty-two workers were the informants of this research. We used a semi-structured interview technique and content analysis. Professionals describe what is the solution and the factors that hinder their achievement. They realize, too, that patients do not always leave the Units with the response they want; and that the service is resolute in that matches your level of attention, although for some people and managers is the reverse. We conclude that it becomes urgent to reorganize aspects of this doctrinal principle of SUS. Key words: Unified Health System; Public Health; Universal Access To Health Care Services; Delivery of Health Care.

839-43

Authors: Ana Railka de Souza Oliveira, Alice Gabrielle de Sousa Costa, Vanessa Emille Carvalho de Sousa, Thelma Leite de Araujo, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes, Maria Vera Lúcia Moreira Leitão Cardoso

The objective of the study was to evaluate the available productions in literature about scales to measure the overload of caregivers of patients with stroke. It was carried out a bibliographical revision in three databases: LILACS, CINAHL and SCOPUS. In 23 works, 24 different scales were identified, and the most cited were: the Caregiver Strain Index, the Caregiver Burden Scale, the Caregiver Reaction Assessment, the Sense of Competence Questionnaire, the Relatives Stress Scale and the Zarit Burden Interview. The use of scales to measure the overload is an important tool to evaluate the context in which the caregiver is inserted, but is more trustworthy to use more than one measure instrument than use only one. Therefore, the validation of scales becomes important for this population. Key words: Stroke; Caregivers; Technology; Scales.

849-55

Authors: Lorita Marlena Freitag Pagliuca, Evanira Rodrigues Maia

This study addresses the Cross-Cultural Nursing Theory, which develops foundations for care delivery, as the essence of nursing work, based on anthropology, which supports and explains culture and care aspects. This reflexive study was based on the Theory Analysis method to study the concepts aimed at constructing a Self-Assessment Instrument of Competencies for Cross-Cultural Care to Disabled People. After analyzing the main concepts, Culturally Competent Care and Cultural Communication, were analyzed, as well as the sub-concepts: assessment, values, bio-cultural diversity, skill, knowledge, identity, code and cultural empathy. The analysis cycle of cultural values supporting self-assessment was summarized. The Self-Assessment Instrument of Competencies for Cross-Cultural Nursing Care to Disabled People was constructed, specifically deafness, blindness or low sight, physical impairment and mental impairment, regarding greeting, accepting, helping, knowing and advocating. It is concluded that the theory joins characteristics for care delivery to disabled people. Key words: Nursing Theory; Transcultural Nursing; Anthropology; Cultural Competency; Disabled Persons.

862-6

Authors: Cláudia Prado, Luiz Carlos Santiago, Jaqueline Alcântara Marcelino Silva, Irene Mari Pereira, Valéria Marli Leonello, Eloá Otrenti, Heloisa Helena Ciqueto Peres, Maria Madalena Januário Leite

New Technologies of Information / Communication offer the option of using a virtual learning environment (VLE), which allows for greater interactivity in daily nursing education urging educators to rethink their teaching practices. The aim of this study was to report the experience of the use of virtual environment in nursing education from the perspective of students. The discipline “Nursing Education: Trends and Challenges” was given to 78 students from the 4th semester of undergraduate nursing, from which 48 answered a questionnaire with closed and, among these, 33 answered an open question about the use of AVA. Students considered the AVA a facilitating tool of learning, the process of knowledge construction and interaction between students, teachers and tutors enriching thus the sharing of ideas and allowing a meaningful and collaborative learning. The study revealed the need for enhancement of use of VLE in teaching undergraduate nursing. Key words: Nursing; Education, Nursing; Educational Technology; Health Education.

561-5

Authors: Silvana Sidney Costa Santos, Karina Silveira de Almeida Hammerschmidt

This theoretical reflection aimed at bringing the complexity concept closer to the reconnection of interdisciplinary knowledge in Nursing/Heath. This reflection has arisen through the writings of Edgar Morin and other authors and was aimed at the need for a rethinking of Nursing/Health in the complex perspective, and had systemic care as its main focus. It was rganized in three actions: firstly, thinker Edgar Morin is introduced; secondly, complexity is brought in; finally, the interrelation between complexity and reconnection of interdisciplinary knowledge in Nursing/Health is done. Key words: Philosophy in Nursing; Health; Nonlinear Dynamics.

571-7

Authors: Lucy Sobieski dos Anjos, Daniela de Mattos Lemos, Letícia Alves Antunes, João Marcus Oliveira Andrade, Weide Dayane Marques Nascimento, Antônio Prates Caldeira

This is a qualitative study, which aimed to identify maternal perceptions on premature birth and care of the newborn during hospitalization and after discharge. The data were collected through semi-structured interviews with 16 mothers of premature infants in NICU or in follow up ambulatory for infants discharged from NICU. The interviews were taped, transcribed and analyzed based on Content Analysis. Results revealed feelings of sadness, anguish, guilt and powerlessness. It was also reveled confidence in the health care team, uncertainty with the care of child at home, the importance of social network support and the role of spirituality for families. Professionals who work with infants should devote more attention to their families, understanding and accepting critical experiments in a humane way. Key words: Premature Birth; Neonatal Intensive Care Units; Child Care; Qualitative Research.

586-93

Authors: Beatriz Rosana Gonçalves de Oliveira, Cláudia Silveira Viera, Maria Cândida de Carvalho Furtado, Débora Faleiros de Mello, Regina Aparecida Garcia de Lima

One aimed to know the causes of hospitalization among children under five years in a public hospital in Paraná to subsidize nursing actions. A descriptive, quantitative, exploratory study was carried out, with inferential statistical analysis. One assessed 722 medical records from 2005-2009. It was observed that children under one year had more hospitalizations (42%) than those with one to five years; a higher percentage of male admissions (65%); respiratory diseases predominated (56%) compared to all other; mean length of stay of 9.4 days for those under one year and 8.3 days for children under five years; 95% were discharged as the outcome. This profile helps to direct nursing care, incorporating the data in planning, both in primary care and in hospital. Key words: Hospitalization; Morbidity; Health services; Child.

601-6

Authors: Carla Regina de Souza Teixeira, Maria Lucia Zanetti, Camila Aparecida Pinheiro Landim, Flávia Fernanda Luchetti Rodrigues, Ellen Cristina Barbosa Santos, Tânia Alves Canata Becker, Ione Carvalho Pinto, Francisco José Albuquerque Paula

Sectional descriptive study that aimed to understand the behavior of people with diabetes mellitus in relation to the practice of use of lancets and / or needles in self-monitoring of blood glucose at home The study was conducted at the Centro de Saúde Escola Joel Domingos Machado, da Faculdade de Medicina de Ribeirão Preto-SP, from August 2008 to July 2009. Data were collected through direct interviews, involving 57 subjects. The results showed that 41 (71.9%) people reuse lancets and / or needles, in a frequency of 1-5 times (52.6%). All subjects reported they did not share the same lancet and / or needles with others. It is necessary to enhance future studies to investigate the risks and benefits of this practice, as well as training courses on diabetes education for healthcare professionals, aiming to meet the complexity of care for users. Key words: Diabetes Mellitus; Blood Glucose Self-Monitoring; Disposable Equipment; Needles.

614-20

Authors: Dayane Reinhardt Scuissiato, Letícia Valois Boffi, Roseline da Rocha da Rocha, Juliana Helena Montezeli, Michelle Taverna Bordin, Aida Maris Peres

This is a descriptive qualitative research which aimed at identifying the flight nurses’ comprehension by about their role in the aero-medical multiprofesional team. A semi-structured interview was carried out with eight flight nurses from Curitiba-PR, from June to August 2009. The speeches were analyzed by the content analysis, from which three categories emerged. The first describes the responsibilities of the flight nurses as managers of the aero-medical mission, planning for before, during and after the transport, what includes the aircraft check-list and knowledge of the patient’s case. The second category deals with aspects of these professionals as care providers to the aero-transferred patient. The third describes communication and team-work as fundamental requirements for flight nurses. It was concluded that the nurse in aero-medical team mixes management and caring in his/her professional practice by the use of specific competences. Key words: Nursing; Air Ambulances; Professional Role.

630-6

Authors: Cristiane Crisp Martins Ribeiro, José Luiz Tatagiba Lamas

Measuring blood pressure is an essential and initial step in seeking a proper diagnosis of hypertension, once blood pressure levels are an important risk marker for cardiovascular disease. Measuring blood pressure, however, can result in inappropriate conclusions if basic technical standards are not obeyed. This study compared the use of the technique for measuring blood pressure in one step with the technique in two steps, recommended by the American Heart Association in 2005. Measurements were made by both techniques in fourteen adults, using mercury sphygmomanometer and a digital device. Through analysis of the data it was concluded that the technique in one step showed similar results to those obtained with the technique in two steps. Key words: Blood Pressure; Blood Pressure Determination; Hypertension.

645-52

Authors: Maíra Azevedo dos Santos, Anderson de Oliveira Souza

The study addresses the problem involving the solid waste from health service and the nurses attitude towards aspects related to the management and environmental awareness. Participants were ten professionals working in the Family Health Strategy, from the municipalities of Araputanga, Mirassol D’west and São José dos Quatro Marcos. Data were collected through questionnaires, and analyzed using the software Origin®. It was observed the level of knowledge regarding the current law, management steps taken at the municipal and staff training, and also about the ability of the professionals to diagnose situations and occupational risk to public health. Despite the existence of a significant knowledge on the subject, there is still need to work on awareness and development of appropriate management practices on the health services waste. Key words: Public Health Nursing; Wastes of Health Services; Health Education.

660-6

Authors: Carlos Alberto Seixas, Isabel Amélia Costa Mendes, Simone de Godoy, Alessandra Mazzo, Maria Auxiliadora Trevizan, José Carlos Amado Martins

This study describes the steps for developing a course and its structure in the Virtual Learning Environment Moodle. It consisted of an application of nursing content offered in an online course included in an international workshop directed to a group of nursing students from a bachelor and a teaching diploma program in Brazil and Portugal. Distinct stages were identified during the study: planning, construction and transformation of content as well as availability of such content to students. The interactive activities and context were developed by professors with the participation of the technical team. The specific procedures and roles performed by professors, specialists, students and technicians are presented. The results of the development and offering of the online course appointed some aspects to be improved in the work process such as the format of content and use of tools. Key words: Education; Distance; Learning; User-Computer Interface; Nursing; Technology.

675-9

Authors: Débora Falleiros de Mello, Maria Cândida de Carvalho Furtado, Luciana Mara Monti Fonseca, Juliana Coelho Pina

This reflexive study aims to present, in the perspective of the philosophical hermeneutics, relevant elements for the follow-up of child health in primary health care. Child health is guided by the growth and development process in childhood, and it is essential to stimulate the production of statements, to know the choices and decisions taken, to strengthen virtues and daily experiences, contributing to improve care and perceive it in an integrative, contingent, wide and suffi ciently good perspective. Child follow-up can be seen as a health care technology that does not presuppose a priori knowledge, but which refers to a reconstruction of knowledge and practices with new dimensions for the production of care. Key words: Child; Health Care; Technology.

685-90

Authors: Maria Manuela Martins, Carla Sílvia Fernandes, Lucia Hisako Takase Gonçalves

This paper reports an educational program experience for nurses on caring for the family, at the hospital environment. The objective was to train nurses for the care of the family. The strategies adopted for teaching/learning focused on the Calgary Model of Assessment and Family Intervention, with a group of nurses from a general hospital located in the north of Portugal. In the subjective evaluation of the participants, the pedagogic experience was useful because they could recognize the need for a change on nursing care, and move towards an integrated approach to the family attention. Key words: Family; Education, Nursing; General Hospitals.

401-5

Authors: Maria Amélia de Campos Oliveira

The concept of needs is central to the work of Nursing. The Basic Human Needs Theory, formulated by Wanda Horta, influenced several generations of Brazilian nurses and possibly still is the most widespread in education and nursing practice in Brazil. However, there are other conceptions of needs that can illuminate health work that is, in general, organized to meet health needs through standardized, vertical and prescriptive service offerings. Reframing health care, specially nursing carative projects, demands to adopt a concept of health and disease capable of linking individual and collective aspects. Key words: Nursing; Health Needs.

414-9

Authors: Maura Cristiane e Silva Figueira, Tânia Maria Coelho Leite, Eliete Maria Silva

This qualitative study aimed to analyze the knowledge and educational practices of nurses in the Family Health Units, in Santarém-PA, North of Brazil, and their utilization of health education tools within the labour process. We conducted semi-structured interviews and observation of educational activities of 15 nurses. From the content analysis, the following themes emerged: conceptions of health education; educational practices within the work process; and a trend to the Popular Education theoretical framework. Despite most of the nurses were Family Health specialists, they mentioned a gap in their professional education in terms of theoretical knowledge about health education. The traditional models were predominant in the conceptions and practices. The labour process is strongly based on Ministry of Health’s programs. It was possible to recognize a discrete trend to Popular Education, with attempts to a reorientation of their educational practices, establishing partnerships with other care providers and community leaderships. Key words: Health Education; Nursing; Family Health Program.

428-36

Authors: Josefa Rita da Silva, Pollyana Campos Lima, Regina Maria dos Santos, Maria Cristina Soares Figueiredo Trezza, Regina Célia Sales Santos Veríssimo

The study aimed to analyze the speech of students, their view of the denudation of the body to handle. It was a descriptive qualitative research, whose subjects were 21 students from three courses of 3 to 5 semesters. The information was produced by transcribing the twenty-one semi-structured interviews and analyzed on the basis of Foucault’s thought.The themes were: Care of the naked body implies observance of bioethical principle of autonomy as the school’s reproductive power relationship in the act of stripping, naked Coping with the other requires care, Care of the naked body “moves” with their sexuality; Power relations with the naked body. It was possible to understand the exercise of power by students at the time of stripping, as response to insecurity arising from inadequate school preparation. Key words: Nursing; Ethics; Nudity; Power; Nursing Students.

445-53

Authors: Maria Angélica Pagliarini Waidman, Cremilde Aparecida Trindade Radovanovic, Michelle Caroline Estevam, Sonia Silva Marcon

The study aimed at learning about the care provided to people with hypertension in primary care from the perspective of health workers. The data was collected through focus groups in five cities in the northwest of the state of Paraná. It was observed that, although the study was conducted with teams of different municipalities, the meanings and perceptions regarding the care provided and the diffi culties experienced are similar in many aspects. In general, the Basic Health Units meet the most urgent needs of users, despite the adoption of strategies for treatment adherence, for various reasons, cannot reach the entire population, undermining the quality of care, even with the commitment of the team. Key words: Chronic Disease; Hypertension; Family; Primary Health Care.

460-6

Authors: Josiane Travençolo da Silva, Maria Clara Cassuli Matheus, Suzete Maria Fustinoni, Maria Gaby Rivero de Gutiérrez

The present article discusses a qualitative study which aimed to understand the typical of nurses’ professional practice caring for patient with cancer in general hospitals. In order to find out the reasons that motivate nurse’s action, and to put in evidence what is original, significant, specific and typical about this phenomenon, we have taken into consideration the premises of the philosopher Alfred Schütz, which provide us with subsidies to unveil them. The data collected through semi-structured interviews reported that nurses admit not having the required theoretical knowledge and experience or enough practice to take care of a cancer patient. Thus, they don’t feel capable of developing actions which may positively infl uence care on patients and their family members. Key words: Oncologic Nursing; Nursing Care; Qualitative Research.

474-81

Authors: Samia Jardelle Costa de Freitas Maniva, Consuelo Helena Aires de Freitas

The study aimed at analyzing the knowledge of nurses about the use of alteplase in the treatment of acute ischemic stroke. An exploratory descriptive study was conducted in a stroke unit of a public hospital in the city of Fortaleza, Brazil, in the month of October 2010. The study included ten nurses, with a mean age of 25 years. The benefits of medication were presented in juxtaposition with the limitations of use. Strategies to expand the use of alteplase were pointed out by nurses. The knowledge of the investigation may contribute to the construction of nursing knowledge and help nurses who provide direct care to patients who undergo this treatment. Key words: Stroke; Alteplase; Nursing Care.

488-94

Authors: Teresa Cristina Prochet, Maria Julia Paes da Silva

This exploratory work with a qualitative approach was performed with 117 health professionals and undergraduate students in São Paulo State countryside. The goal was to identify environmental factors that could play a role in health professionals’ communication with elderly patients. The findings were organized and grouped in seven categories: sound and vibration factors, decorative and spatial factors, light factors, colors and textures, heat and ventilation factors, hygiene and personal safety factors, and visual signs. It was found that making use of environmental factors while providing care services to the elderly may lead to effective health care. These factors not only interfere with patients’ welfare and recovery, but also play a role in the relationship between health professionals and elderly patients. Key words: Nonverbal Communication; Elderly; Health Facility Environment; Nursing.

501-7

Authors: Fernanda Barreto Mielke, Agnes Olschowsky, Leandro Barbosa de Pinho, Christine Wetzel, Luciane Prado Kantorski

This study aims to evaluate qualitatively the relationship between social actors and the madness. It was based in experiences produced in a Psychosocial Care Center in the Southern Brazilian context. This is a clipping from an evaluative and qualitative study. Was utilized the Fourth Generation Evaluation as a theoretical-philosophical framework. The methodological device applied was a adapted version of the Hermeneutic-dialectic circle. The statements haunt deinstitutionalization as a paradigm of mental health care, highlighting the need to combat the vices born of crystallized and exclusionary conduct, the typical model asylum. However, we can still see in practice a mixture of models, responsible for enhanced and innovative practices, and other crystallized and exclusive. Hopefully he can discuss the daily life of them, opening the way for understanding best madness, crazy and their relationships. Key words: Mental Health; Psychiatric Nursing; Health Services Reform.

514-21

Authors: Ariane Thaise Frello, Telma Elisa Carraro

The relationships with the nursing experience of premature birth of a child, influences the experience of women. The aim of this study is to delineate the relationship between nursing staff and mothers with babies admitted to the Neonatal Intensive Care Unit presented in articles published between 2005 and 2010. We used the databases CINAHL, MEDLINE and LILACS for studies published between 2005 and 2010 with the following keywords: Neonatal Nursing, Premature, Mothers and Nursing Care, a total of 21 articles organized into categories: Phases Faced by Parents during the stay in the Baby NICU; Relationship between Nurse and Mother; Support of Nursing; Careless on the Relationship Between Mother and Nurse Education and Action in Health Studies point to the need of mothers for support that includes emotional support, involvement in caring for the baby, ready to come and talk. Key words: Nursing Care; Neonatal Nursing; Mothers; Interpersonal Relations.

529-34

Authors: Maria Lúcia Raimondo, Débora Fegadoli, Marineli Joaquim Méier, Marilene Loewen Wall, Liliana Maria Labronici, Maria Isabel Raimondo-Ferraz

Integrative review, held in the databases LILACS, SciELO and BDENF from January 2005 to May 2009, aimed to summarize the Brazilian scientific production based on Orem’s Nursing Theory. We obtained 23 articles, analyzed by simple descriptive statistics. It was found that 100% of the studies focused on adults. Of this total, 65,22% returned to the chronicle diseases. In 39,15% of the searches, the theory was used in full and in 34,80% one of the constructs. 91,30% of publications aimed to the construction and deployment of the structured and theoretically grounded practice of care. It was concluded that the theory has been used as theoretical and philosophical basis to justify the practice of nursing in a variety of situations in order to emphasize the role of the nurse in the care. Key words: Nursing; Nursing Theory; Self Care.

545-50

Authors: Janaina Benatti de Almeida, Jéssica Steffany Miranda, Sandra Cristina Shiguemi Miyasaki Silvio Fernando Guideti Marques

The study aimed to know the prevalence of smoking and to describe the profile and smoking habits of undergraduate students of Lins-SP. A sample of 368 undergraduate students answered a questionnaire with questions directed at smokers, ex-smokers and nonsmokers The prevalence of smoking was of 11,7%; about 85,3% of the students were nonsmokers and 4,0% were classified as ex-smokers. Of the students interviewed, 54,1% were women. It was noted that the average use was from 5,1 to 5,4 cigarettes per day, and that the students used industrialized cigarettes. This index of prevalence correlates to the ones of others University Centers and demands politics of smoking control among the university environment. Key words: Smoking; Smoking habits; Epidemiology; Health policy. RESUMEN

207-14

Authors: Vilma de Carvalho

This is to point upper specific aspects of the Brazilian Nursing Association 85 Years of History (ABEn), an historical-evolutionary time that is quite a secular. The most objective intention is to emphasize the advances and remarkable conquests that distinguished the associative entity in the Brazilian reality. The thematic approach is of appreciative reflections referring to the idea of considering some changes accomplished in the associative development plan and social compromise, but with emphasis to reconsider some permanent challenges. The author’s position is literary and experiential, of whom could learned to know her primate class entity in the own professional life activity as associate nurse and nursing teacher committed in the plan of several events engaging the ABen developmental progress in the social-scientific sceneries rooted throughout the idealistically continuing process to be developed future ahead. One not need to think on proposals aimed solution to possible rout deviation in the constitutive structure of the profession, neither even is pretended to resolve current crucial questions. But, the raising questioning idea emphasizes that the scope developmental sphere of the associative entity is tangible to the ideal of ensuring the advances of the professional class in relation to the care offered/provided to the clients and users of the health system. Key words: Brazilian nursing; Fighting and advances; Evolution leaps and contributions.

222-8

Authors: Greice Schrader, Sofia Palagi, Maria Angélica Silveira Padilha, Patrícia Tuerlinckx Noguez, Maira Buss Thofehrn, Daiane Dal Pai

The study aimed to know the perception of the nurses that work in the health basic units from Pelotas, Rio Grande do Sul, about their life quality in work (LQW). This is a qualitative, exploratory and descriptive study, carried out with seven nurses, through semi-structured interviews, submitted to thematic analysis. Inadequate conditions at work, professional belittling and insufficient support from the managers were categories related to low of low LQW meanwhile the interpersonal relations and the satisfaction with the activity of caring were categories positively related to professional performance and the LQW. Key words: Nursing; Health centre; Working conditions; Quality of life.

236-43

Authors: Inácia Sátiro Xavier de França, Rosilene Santos Baptista, Fatima Maria da Silva Abrão, Alexsandro Silva Coura, Eurípedes Gil de França, Lorita Marlena Freitag Pagliuca

It was aimed to investigate what actions taken in Basic Health Units of the Family-(BHUF) to meet the demands of adults with spinal cord injury (SCI) post-rehabilitation, list facilities/difficulties to meet the demands of users. Descriptive study conducted in twenty BHUF. Twenty doctors and twenty nurses, randomly selected, participated in the study. To collect and analyze data, it was used semi-structured interviews and analysis of content. The categories were based on the integrality, universality, charity and justice principles. It was found: professional disqualification to assist people with SCI, fragmented care, difficult to schedule consultations and examinations, difficulties in the reference and counter reference system, and lack of ongoing actions to take care of individuals with SCI. The BHUF not ensure the protection of all citizens, there are challenges to the construction practices of health solidarity, warm and consequently more effective and decisive for individuals with SCI. Key words: Spinal cord injuries; Disabled persons; Spinal cord regeneration; Rehabilitation nursing; Bioethics.

251-6

Authors: Geisa Santos Luz, Silvana Sidney Costa Santos, Valéria Lerch Lunardi, Ellen Dayane Cargnin Pimentel, Sandra Marisa Pelloso, Maria Dalva de Barros Carvalho

This is a qualitative investigation with a phenomenological approach, which aimed to reveal the inter-subjective processes in the context of the family in which there is a person who suffers from Cystic Fibrosis (CF). Fourteen families of CF carriers were interviewed. They were registered at the Paranaense Association of Cystic Fibrosis Care, and lived in the north and northwest regions of Paraná estate (PR), Brazil. Significant units were taken from their speech and grouped into three categories: Family, Carrier of CF and the other; Religious aspects about the life of the CF carrier in the family; Carrier of CF in the scholar, professional and affective life. The results confirmed that families’ experience shared with the other was crucial to face the disease. Knowing the inter-subjective processes that underlie the core of the family of people affected by CF provides a new way of working in nursing. Key words: Nursing; Cystic Fibrosis; Family.

264-8

Authors: Ana Carolina Sartorato Beleza, Cristine Homsi Jorge Ferreira, Ligia de Sousa, Ana Márcia Spanó Nakano

This is a descriptive study, involving fifty women after vaginal delivery with episiotomy. The study aimed to measure and to characterize the perineal pain in primiparae who have had a natural childbirth with episiotomy and to verify the activities limited by the perineal pain. For evaluation of perineal pain, a Numeric Scale and the McGill Pain Questionnaire were used, as well as another questionnaire to analyze the activities limited. In the Numeric Scale, the median of perineal pain referred were five. The sensory and subjective evaluation categories were the most selected in the McGill questionnaire. The perineal pain was characterized as pulsing, pulling, hot, stinging, hurting, annoying, troublesome, tight and tense. The most limited activities were sitting, laying down (onto the bed), and walking. In conclusion, it was possible to verify the presence of perineal pain between women in the postpartum period caused by episiotomy and identify the activities of sitting, lying down and walking were limited for this symptom. Key words: Pain; Postpartum period; Episiotomy; Women´s health.

276-84

Authors: Marlise Barros de Medeiros, Eliane Ramos Pereira, Rose Mary Costa Rosa Andrade Silva, Marcos Andrade Silva

The study aimed to reflect, based on the theoretical framework of Max Scheler, about the ethical dilemmas experienced by nurses in the ICU, and about the values that guide their actions and decisions. This is qualitative research, and ten ICU nurses have been interviewed at a university hospital. It was identified the experience of ethical dilemmas related to the terminality related to the limits of intervention and use of material resources, as well as the issue of blood transfusion in case of religious restrictions. The values identified were: respect, dignity of the patient, scientific knowledge, humility, passion for the profession and love of God. The theory of values is an important tool for nursing because it allows the approach of an ethics of humanizing praxis, especially in situations of ethical dilemmas. Key words: Philosophy nursing; Professional ethics; Intensive Care Units; Principle-based ethics.

291-6

Authors: Patricia Oliveira Salgado, Meire Chucre Tannure, Cleydson Rodrigues Oliveira, Tânia Couto Machado Chianca

Descriptive study that aimed to identify nursing actions prescribed by nurses in the medical records of patients admitted to an Intensive Care Unit (ICU) for adults, in Belo Horizonte (MG), the terms used, their frequency and map the actions to the Theory of Basic Human Needs and NIC interventions. It was obtained a sample of 44 patient records. It was identified 2,260 nursing actions. After exclusion of repetitions, it was found 124 different actions. All nursing actions have been mapped to physiological needs and also to NIC interventions. It was obtained 100% of agreement among experts in the validation of the mapping process. It is suggested that similar studies in ICUs from other locations and different contexts / specialties should be driven to identify nursing actions developed and its evolution. Key words: Nursing; Nursing care; Classification; Intensive Care Units; Adult.

304-8

Authors: Camila Letícia Dias dos Reis, Janaína Mortosa Cavalcante, Edvar Ferreira da Rocha Júnior, Rinaldo Souza Neves, Levy Aniceto Santana, Renato da Veiga Guadagnin, Lourdes Mattos Brasil

Pressure ulcer is a lesion that affects skin layers in some regions of the body and its healing can be followed up using image processing. The analysis of pressure ulcer area is relevant to evaluate its evolution and response to therapeutic procedures. Such areas can be evaluated through contour marking with the softwares Motic and AutoCAD®. In this study 35 volunteers computed areas from two grade III pressure ulcers using these instruments. It was possible to conclude that results are clinically equivalent and so can be considered to follow up healing evolution from pressure ulcers. Key words: Pressure ulcer; Photography; Software; Image processing, computer-assisted; Wound healing.

317-23

Authors: Maria Solange de Castro Ferreira, Maria Alice Ornellas Pereira

This is a qualitative study aiming at understanding how patients discharged from a Mental Health Day Hospital view the service, at learning whether such service contributed to changes in their lives and at whether those individuals continued treatment. Semi-structured interviews and documental research were used for nine patients who had completed treatment at the service in 2008. Thematic analysis was adopted for organization of the data obtained, which were analyzed according to the Psychosocial Rehabilitation framework. It emphasizes the importance of looking for the various subjective aspects of human existence, requiring from services and professionals the establishment of a caring relationship that enables the reconstruction of trajectories interrupted by the onset of the disease, through actions that consider the integrality and intersectionality. Key words: Mental health; Care; Rehabilitation; Mental Health Services.

332-8

Authors: Mariana Cabral Schveitzer, Vânia Marli Schubert Backes, Marta Lenise do Prado, Mônica Motta Lino, Fabiane Ferraz

This study aimed to identify themes of research areas and scientific literature of Research Groups in Nursing Education (GPEE in Portuguese) of the North, Northeast and Midwest regions of Brazil. This is a descriptive and exploratory study. It was identified 12 GPEE, 45 fields of research and 448 scientific papers, of which 60% have appeared in magazines classified as A, B1 and B2. Even though 36% of the research areas were about education, only 25% of the papers covered this theme. Furthermore, 34% of the research areas were about care and 44% of the papers were about it. It’s necessary to rethink the GPEE organization in regards to areas and research projects, to advance towards the consolidation of Nursing Education as an area of knowledge production. Key words: Nursing education; Nursing research; Research in nursing education.

347-52

Authors: Tânia Cristina Franco SantosI, Maria da Luz Barbosa Gomes, Alexandre Barbosa de Oliveira, Antonio José de Almeida Filho

This is a historical and social study, which aimed to describe the main characteristics of the Vargas and Franco dictatorships, and to analyze the implications of these to the institutionalization of nursing in Brazil and Spain. As fonts, it was used written documents located in the historical Brazilian and Spanish archives, in addition to the literature on the subject. Data analysis, supported by concepts of Pierre Bourdieu’s World Social Theory, showed that, in Brazil and Spain, in referring to the social division of labor, the meeting point between Church and the State was the seclusion of women in private space. It is concluded that the feminine qualities were capitalized by the nurses to legitimize their actions in public space, even to reproduce in that space, consented to by the State and Church, occupations appropriate to femininity Key words: Nursing; History of Nursing; Brazil; Spain.

361-7

Authors: Rose Murakami, Claudinei José Gomes Campos

The study aimed to analyze scientific studies that show as subject an interface between religion and mental health care. From the literature reviewed in the databases LILACS, BDENF and electronic library SciELO, in the period 2000-2010, it was performed an integrative review of thirteen papers, using, as inclusion criterion, the availability of work via online and their compatibility thematic with the objective of the study. Six categories were listed, concluding that religion is a dimension that can contribute positively to the treatment of patients with mental illness, by providing emotional and social continence and teachings on customs, that encourage quality of life. Key words: Religion; Mental health; Nursing care.

374-8

Authors: Delma Aurélia da Silva Simão, Elenice Dias Ribeiro de Paula Lima, Raíssa Silva de Souza, Tiago Vitervo Faria, Geraldo Fernandes Azevedo

The study was aimed at reporting a case of a patient who developed Hand-Foot Syndrome (HFS) grade 3 due the use of capecitabine and for which massage was used with aqueous-based moisturizer, aloe vera. The patient’s functional capacity was assessed using the ECOG Performance Scale and the lesions were photographed during nursing appointment that occurred at intervals of ten days, totaling forty days of monitoring. There was significant improvement in tissue integrity, with total regression of symptoms, an important gain in quality of life, and immediate return to chemotherapy. It is believed that aloe vera can be an important component in nursing care in patients undergoing cancer chemotherapy. Key words: Chemotherapy; Nursing; Oncology, Aloe.