Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

13-8

Authors: Raquel Bezerra dos Santos, Karla da Silva Ramos

This is a descriptive and exploratory study with a quantitative approach, aiming to propose a protocol for the systematization of nursing care to women in the process of giving birth in the Obstetrical Center of a public hospital in Recife, Pernambuco, Brazil. A semi-structured instrument was applied to forty women in the process of giving birth, in order to obtaining the nursing history; from which the nursing diagnoses were identified, having as a basis the International Classification for Nursing Practice (ICNP®), version 1, and their respective results and nursing interventions were established. The protocol consists in two stages: the first one is the nursing consultation, which involves the anamnesis and physical examination; and the second, involves the judicious identification of the nursing diagnoses, which will guide the planning of the nursing care to provide the individualized attention to women in the process of giving birth, using a universal terminology. Key words: Nursing care; Nursing diagnosis; Obstetrical Nursing; Labor.

27-33

Authors: Luciano Marques Santos, Monick Piton Pereira, Leandro Feliciano Nery dos Santos, Rosana Castelo Branco de Santana

This study aimed to analyze the process of pain identification in premature by the professional staff of the Neonatal Intensive Care Unit of a public hospital in the interior of Bahia, Brazil. This is a quantitative descriptive exploratory study that was made through a form applied to twenty-four health professional of a Neonatal Intensive Care Unit. The data were analyzed in the Statistical Package for Social Sciences. The results showed 100% of professionals believed that newborns feel pain, 83.3% knew the pain as the fifth vital sign to be evaluated; 54,8% did not know the pain assessment scales; 70.8% did not use scales and highlighted behavioral and physiological signs of the newborn as signs suggestive of pain. Thus, it is important that professionals understand the pain as a complex phenomenon that demands early intervention, ensuring the excellence of care. Key words: Neonatal Nursing; Infant, Premature; Infant, Newborn; Pain; Neonatal Intensive Care Units.

42-8

Authors: Marcela Patricia Macêdo Belo, Roberta Albuquerque Mello de Castro Silva, Isis Larissa Maia Nogueira, Daniele Pereira Mizoguti, Claudiane Maria Urbano Ventura

The Peripherally Inserted Central Catheter (PICC) has been used as a safe venous access for infants at risk. The aim of this study was to describe the knowledge and practice of nurses from the five public Neonatal Intensive Care Units, of Recife-PE, Brazil, about the use of the PICC. The sample was comprised by 52 nurses; data were collected from January to February/2010. It was found that 64,8% of nurses did not have license for insertion of the PICC. Only two units routinely used the PICC. About the indication of the access, the accuracy was above 70%. In unit B only 8,3% of nurses reported adequate initial location of the catheter tip. It was concluded that is necessary greater incentives to train nurses to use the PICC. Key words: Catheterization, peripheral; Infant newborn; Intensive Care, Neonatal; Neonatal Nursing; Knowledge.

56-64

Authors: Maria Cândida de Carvalho Furtado, Liane Cristina Toyonaga Silva, Débora Falleiros Mello, Regina Aparecida Garcia Lima, Mariana Dias Petri, Marina Marques Rosário

This qualitative study aimed to identify how undergraduate students perceive the comprehensive care of children in their learning process in a course of Bachelor of Nursing in São Paulo. We interviewed 89 students in June and December 2009. The collected data were analyzed using content analysis and four themes were identified. Comprehensive care is seen as the entire care, involving child, family, living conditions, environment. The educational institution has proposed early integration of the student in the reality of nursing work; this demystifies the ideal care, and the student faces reality. The professor instigate the student to reflect on their practice, so that makes sense to the student and the knowledge and practice related to comprehensive care to child also be apprehended. Key words: Comprehensive health care; Child; Education; Nursing.

72-6

Authors: Taize Muritiba Carneiro, Iranete Almeida Sousa Silva

This is a retrospective case study of a patient affected by toxic epidermal necrolysis in the intensive care unit of a public hospital, with the goal to apprehend, starting from the clinical judgments of the nurses, theirs nursing diagnoses. Thirteen nursing diagnoses were evidenced and, also, it was evidenced the necessity of the theoretical improvement of those professionals about the Systematization of Nursing Care, and on the sense of value that this practice may add to nursing in the pursuit of individualized assistance to the patients under their care. Key words: Nursing; Epidermal necrolysis, toxic; Nursing diagnoses; Intensive Care Unit.

83-91

Authors: Lidiany Galdino Felix, Maria Júlia Guimarães Oliveira Soares, Maria Miriam Lima da Nóbrega

This is a methodological study of innovative technology developed which aims to build up nursing care protocol to the patient in the pre and postoperative bariatric surgery. The proposed model of care was based on the General Theory Orem Self-Care and organized from the requirements of self-care (universal, developmental and health deviation). Within each requirement, it is presented nursing diagnoses, expected outcomes and nursing interventions that were identified in a survey conducted with 31 clients suffering from morbid obesity, assisted by the Gastroenterology Outpatient Clinic of a university hospital in the period from April to June 2009. The development of the protocol is considered an important resource both to organize the guidelines provided by nurses to the bariatric patient, aiming their self-care, and to provide subsidies to systematize nursing care to be provided Key words: Nursing; Self care; Bariatric surgery; Nursing Protocols.

97-103

Authors: Priscilla Valladares Broca, Márcia de Assunção Ferreira

The purpose is the communication process in nursing team. The research is qualitative and descriptive, whose aim is identify the elements that make up the communication process of the nursing team, to analyze the communication strategies used by the team and discuss their influence on nursing care. The theoretical model is applied to the communication process proposed by Berlo. Production techniques of data were semi-structured interviews with 25 nurses, and participant observation. The thematic content analysis was applied to the data. For nursing team, communication is a form of interaction, a means to understanding between people and a tool to convey information verbally. Key words: Communication; Nursing staff; Nursing care.

110-5

Authors: Tiago Cristiano Lima, Maria Isabel Pedreira Freitas

This is a descriptive exploratory research, with quantitative approach and transversal cut. The purpose was to identify behaviors in aged population HIV/Aids infected and also to analyze association with sex. Regarding the content, a tested and validated instrument was used. The variables were analyzed with qui-square and Fisher test. A hundred and nine individuals were interviewed. The results revealed them as sexually active (57,8%), heterosexual (85,5%), with fix partner (66,1%). They reported difficulty in using condoms (22,2% of men) due to erection issues; 97,2% referred not using drugs for sexual stimulation; 90,8% of them reported not having used protection in sexual relations before being aware of the infection. It was concluded that the population were sexually active, and that they started using protection, in their sexual relations, after awareness of the infection. Key words: HIV; Aids; Nursing; Behavior.

121-7

Authors: Aline Pinto de Lima, Áurea Christina de Paula Corrêa, Quéli Cristina de Oliveira

This study aimed to identify the Community Health Agents’ knowledge about the instruments/forms of the Primary Care Information System. This is an exploratory and descriptive study, with qualitative approach, carried out with Community Health Agents of two Family Health Care Units, using semi-structured interviews and participant observation for data collection. The thematic analysis was used to analyze empirical material. Three categories emerged: 1) recognition of each instrument of the Primary Care Information System for data collection; 2) filling in the forms: difficulties and doubts; 3) resolution of difficulties and doubts. The study enabled the identification of problem situations faced by the Community Health Agents in working with the forms of the the Primary Care Information System that require actions of the managers of SUS, such as continuing education for professionals and the improvement of the structure of the forms / reports, adapting them to the local reality of the Family Health Units, by adding or removing data. Key words: Family health program; Information systems; Primary health care.

135-40

Authors: Karine Gracinda da Silva Xavier, Helena Heidtmann Vaghetti

This study was aimed at identifying the chronotype of nurses in the morning and evening shifts of a university hospital, how these workshifts influence their sleep and correlate chronotypes with influences of sleep on and off the workplace. Fifteen nurses participated in the study by answering to the questionnaire of Horne&Ostberg and semi-structured interviews between March and July 2010. Data from questionnaires were organized into spreadsheets and the interviews were analyzed by thematic analysis. Nurses worked as follows: five in moderately morning shift, four in indifferent shift, two in moderately evening shift, three in evening shift and one in morning shift. Shift work was found to develop peculiar eating and sleep habits. The chronobiological profile did not translate subjectivities regarding sleep and work shifts. Night nurses demonstrated higher dysfunction in sleep-wake cycle, which had an impact on the daily lives of all nurses. Key words: Chronobiology discipline; Shift work; Sleep; Nurses; Personnel administration, hospital.

148-54

Authors: Bruna Cristine Peres Falbo, Raquel Dully Andrade, Maria Cândida de Carvalho Furtado, Débora Falleiros de Mello

This integrative literature review aimed to identify nursing actions for stimulating child development in national and international journals, between 2000 and 2009. Medline and Lilacs were examined, with analysis of fifteen articles. Results point out ludic elements as essential for child development and state that it should be explored by nursing professionals through art, music, toys and theatre. Soften the stress of hospitalization through environmental adjustments reduces its impact on child development. Guiding and intervening in the inter-relationships are nursing actions for the social and behavioral development of children. The themes addressed in literature are essential to the nursing practice in comprehensive child care. Key words: Child; Child development; Nursing.

162-71

Authors: Luana Cássia Miranda Ribeiro, Adenícia Custódia Silva e Souza, Regiane Aparecida dos Santos Soares Barreto, Heliny Carneiro Cunha Neves, Maria Alves Barbosa

Integrative literature review conducted in the databases LILACS, MEDLINE and SciELO from 2000 to 2010 to synthesize knowledge produced in nursing studies using the critical incident technique and identify the use and applicability of this technique as methodological framework. A total of 17 papers were found and Brazil stood out with 76.5% of the studies. Analysis and characterization according to the three elements of the technique were identified in 76.0% of the papers. The category ‘analysis of iatrogenic events’ caused by health workers stood out in the use of the critical incident technique. The integrative review enabled to synthesize scientific knowledge on this subject and revealed its large contribution to the improvement of health and nursing care. Key words: Critical incident technique; Nursing; Qualitative research.

179-85

Authors: Helena Maria Scherlowski Leal David, Osvaldo Peralta Bonetti, Maria Rocineide Ferreira da Silva

This essay discusses the role of Brazilian nursing as a socially committed practice, in the political and pedagogic plan. The concepts of popular participation, representative and participatory democracy, and education in health are recovered, enlightened by the recent history of the constitution of social network of practices and reflections called Popular Education and Health. The construction process and the ethical-political principles of a National Policy of Popular Education in Health are presented, discussing the participation of nursing in the changes of educational practices, in spaces of political representation and formulation of public policies, with a perspective of achieving a fair and equal social order. Key words: Nursing; Democracy; Community participation.

997-1002

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

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

1010-5

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

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

1022-7

Authors: Marli Teresinha Gimeniz Galvão, Simone de Sousa Paiva

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

1038-42

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

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

1048-55

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

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

1067-74

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

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

1082-6

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

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

1094-9

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

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

1106-13

Authors: Aline Corrêa de Araújo, Maria Cristina Sanna

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

1122-6

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

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

1132-40

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

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

1150-6

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

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

1161-6

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

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

811-6

Authors: Danielle Groleau

This paper wishes to contribute to the debate around citizen participation in health system decision-making that has been present internationally for the last 30 years. I argue that if we aim to change health inequalities, health professionals and planners need to understand the illness and health service experience of citizens. The concept of ’health citizenship’ introduced here refers to health knowledge that integrates the lay knowledge of patients and that this integration is translated into health actions such as clinical communication and the planning of health care, programs, and policy. We illustrate our argument with the two cases: health literacy and the promotion of breastfeeding in a Canadian population living in context of poverty. This paper then concludes by addressing the leadership role, Brazilian graduate nursing schools can play in promoting ‘health citizenship’ and by doing so, contribute to fi ght health inequalities. Key words: Health citizenship; Health literacy; Breastfeeding; Nursing; Illness meaning.

824-32

Authors: Josefi ne Busanello, Nalú Pereira da Costa Kerber, Raúl Andrés Mendoza–Sassi, Patrícia de Souza Mano, Lulie Rosane Odeh Susin, Bruna Goulart Gonçalves

Quantitative study that aimed to analyze the practices developed in assisting the adolescent, from the account of health workers, in an Obstetric Center in a teaching hospital, based on the proposal of humanization of parturition of the Health Ministry. According to the workers, useful practices in assisting parturition, among them, orientations about relaxation techniques at parturition, improving the attachment between mother and child, are being carried out. However, the right to a companion has not been taken into account. The lithotomy position and standardization of trichotomy, episiotomy e amniotomy were registered. Medical records, among them partogram, anamnesis and physical and obstetric exam of the parturient, proved to the unsatisfactory. We conclude that, in the scenario investigated, are developed practices considered appropriate and inappropriate, showing the need to further encourage the use of procedures grounded in scientifi c evidence and inserted into the proposal to the humanization of birth. Key words: Nursing; Humanizing delivery; Adolescent; Woman’s health.

839-44

Authors: Alessandra Silva da Silva, Rosemary Silva da Silveira, Geani Farias Machado Fernandes , Valéria Lerch Lunardi, Vânia Marli Schubert Backes

Chronicle Renal Failure is considered a major problem in Public Health. The dyalitic treatment while waiting for the renal transplant means a boost on quality of life. This qualitative study, carried out in Rio Grande-RS, aimed at knowing the perceptions of patients with Chronicle Renal Failure, identifying the elements that infl uence their quality of life. The results highlighted that the initial feelings of indignation and denial change as they strengthen themselves to face the disease. Restrictions of fl uid and eating habits,inability to perform or limitation in activities, professional and leisure, were the main diffi culties identifi ed. The support from family members and from health professionals may help to overcome these limitations and adaptation to a new lifestyle. Key words: Quality of life; Chronicle renal failure; Hemodyalisis; Nursing care.

849-56

Authors: Paula Faquinello, Sonia Silva Marcon, Maria Angélica Pagliarini Waidmann

The social network has positive infl uence on people’s health and well-being and this theme has been widely debated over the past decades. This is a qualitative study including twenty hypertensive patients aged 50 to 80 years old, living in Maringá-PR. The study aimed to identify which individuals, who belong to the ypertensive patients’ social network, are considered as support or help to them during their disease and treatment. Results pointed the family network as the most representative in the patient’s support, mainly regarding nutrition and medicine use. The doctor was the health professional most remembered by this population, and his/her role was restricted to drugs prescription. We highlight the importance of the social network to hypertensive patients as a strategy to improve their quality of life. Key words: Nursing; Hypertension; Social support; Primary Health Care.

864-9

Authors: Aline Caixeta Guimarães, Maria Rita Donalisio, Thaiana Helena Roma Santiago, June Barreiros Freire

This study investigated the socio-demographic profi le, clinical procedures and etiology of nosocomial infection associated with deaths in the Hospital Estadual Sumaré, state of São Paulo, Brazil, from 2007 to 2008. The retrospective study of medical records (n = 133) revealed an average of 35 days of hospitalization. Most patients (97%) underwent some invasive procedure associated with nosocomial infection (p ≤ 0.05), including: 90 (67.7%) pneumonia, 62 (46.6%), urinary infections and 97 (73%) septicemia. Infection was the leading cause of death in 75 (56.4%) cases, with defi ned etiology in 110 (82.7%); 34 (30.9%) because of microorganisms that were multidrug-resistant. The most common was Staphylococcus aureus (25%), related to pneumonia and blood stream infection. The monitoring of hospital infection contributed to intervention at risk situation and death. Key words: Nosocomial infection; Hospital mortality; Infection control.

876-81

Authors: Marli Terezinha Stein Backes, Dirce Stein Backes, Lívia Crespo Drago, Magda Santos Koerich, Alacoque Lorenzini Erdmann

This study aimed to comprehending the meaning of ecological care from the point of view of students and teachers of the health area of a Public Institution of Higher Education. It was an exploratory qualitative research conducted by the method of the Theory Based on the Data, for which ten in depth interviews were carried out between September/2008 and April/2009, distributed in two sample groups. The process of data collection and analysis culminated with the formulation of the theory “Viewing ecological care as a broad and complex phenomenon”, which was discussed through the view of complexity. One concluded that the academic environment is constituted by an appropriate space for the development of the systemic abilities, capable of contemplating the relations, interactions and necessary associations for the comprehension and promotion of the environmental sustainability. Key words: Ecology; Health; Nursing; Human resources formation; Sustainable development.

890-7

Authors: Angeli Soares de Souza, Glaucia Valente Valadares

Article extracted from a Master’s dissertation whose objective was to characterize the interaction of nurses with nursing diagnoses in neurosurgical oncology, considering behaviors, expressions, attitudes and practices. The participants were sixteen nurses who work with equal or more than fi ve years in neurosurgical oncology at the National Cancer Institute. The Symbolic Interactionism was used as the theoretical framework, and the Grounded Theory, as a methodological approach. The fi ndings indicate that the nurse is unveiling possibilities of caring for the client of neurosurgical oncology, not only in the perspective of suffering, but especially from the perspective of existential care, covering their needs and singularities, and respecting their limitations. Key words: Nursing; Nursing process; Nursing diagnosis; Brain neoplasm.

905-11

Authors: Amanda Troca Guimarães, Helena Heidtmann Vaghetti, Wilson Danilo Lunardi Filho, Giovana Calcagno Gomes

This study aimed to identify a university hospital nurses’ perception on the management of nursing personnel with job security, using data collected from a ualitative research developed with sixteen nurses, in 2010. The data, collected through semi-structured interviews, and analyzed by Thematic Analysis, produced two empirical categories: Security at work versus the impunity afforded by tenure; Job stability and (un)involvement in nursing work. It has been verifi ed that job stability provides security of employment; security spawns impunity, and nurses are reluctant to conduct administrative proceedings. The conclusion are that the security of employment caused by stability can favour the break of hierarchies; impunity leads to the vulgarisation of transgressions by the lack of effective administrative measures toward the solution of problems; and job stability does not ensure the quality of assistance. Key words: Nursing; Hospitals, Public; Nursing staff, hospital; Personnel administration, hospital.

919-24

Authors: Lygia Maria Pereira da Silva, Maria das Graças de Carvalho Ferriani, Marta Angélica Iossi Silva

The objective of this work was to think over the sexual violence against children and adolescents, focusing on the nurses`performance regarding their professional practice and Brazilian legislation. This is a bibliographical study in which 31 publications covering the period from 2005 until 2008 were researched. Through content analysis, thematic modality, the knowledge characterization was obtained in three cores: attention towards children and adolescents’ health, notifi cation and professional qualifi cations. The nurse must be able to care of children and adolescents based on the laws that protect them, being an imperative for that the involvement of health services, class entities and universities. Key words: Sexual Violence; Child; Adolescent; Role of Nursing Professional.

931-7

Authors: Teresa Cristina Lyporage Dias, José Luís Guedes dos Santos, Onélia da Costa Pedro Cordenuzzi, Adelina Giacomelli Prochnow

This study aimed to analyze the scientifi c production about audit in nursing, published in national papers, between 1998 and 2008. A systematic review of the literature was conducted, with articles being searched in the databases LILACS and SciELO, from the key words: audit, nursing, quality health care and nursing supervision. The sample consisted of ten works. The analyzed publications describe the main distortions and non-conformities found in nursing records, relating them mainly with the quality of nursing care and with the fi nancial damage to the institutions. The publications also include the administrative role of the nurse, especially her/his leadership role in the team of nursing; and nursing audit as an educational process Key words: Nursing Audit; Quality of Health Care; Nursing, Supervisory.

947-51

Authors: Sílvio Éder Dias da Silva, Brigido Vizeu Camargo, Maria Itayra Padilha

This study aimed to examine methodological issues in the theses and dissertations that used social representations theory (SRT) in Brazilian nursing. Twenty-two dissertations and 44 theses were considered. Categorical content analysis was applied, based on fi ve aspects: objects studied, place of SRT, the number of study participants, data collection techniques and data analysis. The predominance of case studies and use, especially of semi-structured interviews, although relevant to the study of SR, do not suffi ciently consider the extent of suck knowledge sharing in society. One must take into account lay knowledge to understand health care contextualized studies on health care. Key words: Nursing; Knowledge; Social Psychology.

958-62

Authors: Marisa Basegio Carretta, Luiz Antonio Bettinelli, Alacoque Lorenzini Erdmann

There has been an increase of chronic diseases with the subsequent need for care and hospitalization, due to the acceleration of the elderly demographic growth. The objective of the present paper is to refl ect on the care of nursing and the autonomy of the human being under the condition of elderly hospitalization. Nursing professionals, caring in the hospital ambient, can contribute signifi cantly for the construction of the elderly autonomy and participation on the decision making about their need for attention or health care. The ethics redeeming, under a worthy aging perspective, permeates several discussions in the aging society and, specifi cally, among health professionals who act in hospital institutions. Key words: Nursing; Elderly; Autonomy; Hospital assistance.

968-73

Authors: Fátima Aparecida Cardoso, Vitória Régia de Negreiros Cordeiro, Daniele Barreto de Lima, Bárbara de Caldas Melo, Raquel Nobre Barreto de Menezes, Ana Luiza Silva de Moulaz, Gabrielle Boff de Sá, Adalgisa Vânia Fernandes de Souza

This paper aims to report an experience carried out by nursing students from the Undergraduate School of Health Sciences,Federal District, during their fi rst year of study. The objective was to implement a training for 22 community health workers, in order to clarify them about their role in community work and to elevate their self esteem. A methodology of problematization and various educational techniques were used. The themes were: duties and rights, responsibilities, communication, ethics,team work, children´s health, care for the elderly and domestic violence. The result was considered positive for both sides: the community workers acquired new knowledge/capabilities and better feeling of self worth and the students were able to integrate theory and practice and become active participants in the learning process. Key words: Nursing; Nursing education; Human resources for health.

631-8

Authors: Antonio Marcos Tosoli Gomes, Denize Cristina de Oliveira, Celso Pereira de Sá

The objective of this study was to analyze the representational structure of a group of users of the Unified Health System (SUS) in the city of Rio de Janeiro, Brazil, concerning the system. A qualitative research, grounded on the theory of the central nucleus of the social representations, was developed with 104 users of five health care facilities. Data were collected through the free evocation to the inducer term SUS, and analyzed by the software EVOC 2000. The structure of the representation disclosed four dimensions: conceptual, evaluative, spatial, and finalistic. They presented, respectively, the following lexicons in their central nucleus: health, well attended, hospital and attendance. Negative elements of contrast were found amidst the positive representation of the system and the presence of all four dimensions was observed in the periphery, with predominance of the finalistic one. The conclusion is that the system presents itself to the citizens in a pragmatic way and that its implementation is still necessary. Key words: Social Psychology; Nursing; Health Systems.

651-7

Authors: Diego Schaurich

This phenomenological study aimed at understanding, in the light of Martin Buber’s philosophy, what is to be a caregiver of children with AIDS. The phenomenological interview guided the meeting with seven caregivers of children with AIDS, selected in a teaching hospital of Porto Alegre-RS, southern of Brazil. The data were interpreted in the light of hermeneutics, emerging the unit of meaning Dialogues ‘between’ the familiar I and the Eternal THOU. The dialogues take place in the search for answers that allow the understanding of the significance of the impact and challenges they face while living with AIDS. As well, they reveal hope in changes, in the cure and in a vaccine development. We believe that knowing the importance of dialogue in the context of HIV/AIDS epidemic provide the development of a nursing care that brings together the technical-scientific and humanistic aspects. Key words: Nursing; Acquired immunodeficiency syndrome; Spirituality; Philosophy in nursing Pediatric nursing.

665-70

Authors: Cléa Adas Saliba Garbin, Tânia Adas Saliba Rovida, Renata Colturato Joaquim, Adrielle Mendes de Paula, Ana Paula Dossi de Guimarães e Queiroz

This study aimed to investigate the profile of the occurrence of abuse against children and adolescents. We analyzed the data recorded in police reports from the Department of Women’s Defense, Araçatuba-SP, in 2008, relating to assault, victim-offender relationship, sociodemographic characteristics of offenders and victims, and victims’ demand for health services. Among the accusations, there was a higher prevalence of physical abuse, being the residence the place of higher incidence of aggression. In most cases, the aggressor was the mother of the child, being the subject of aggression not reported, in most cases. Thus, we can define the profile of violent incidents against children, contributing to the visualization, knowledge and to deal with the problem. Key words: Domestic violence; Epidemiology; Child Abuse. RESUM

677-83

Authors: Daniela Arruda Soares, Dora Sadigursky, Isabela Soares

This is a qualitative and exploratory study which aimed to apprehend the perceptions of nurses who care for people with Diabetes on the interpersonal competence. The subjects were eleven nurses who performed their activities in the Units of Family Health in the urban area, and completed a consent form. The data, obtained through semi-structured interview, were analyzed and categorized by thematic analysis. The results showed that nurses perceive the interpersonal competence as an ability to interact with the patient, as the establishment of an effective interpersonal relationship and as forms of interpersonal relationships. It appeared that the exercise of that power is not subject to standardization, what emphasizes the uniqueness of the processes of interaction and of health care. Key words: Nursing; Professional competence; Interpersonal relationship.

686

Authors: Marcelo Carneiro, Eliane Carlosso Krummenauer, Janete Aparecida Machado

Carta ao Editor

698-703

Authors: Maria de Lourdes Custódio Duarte, Agnes Olschowsky

Nursing care in mental health has been undergoing a process of paradigmatic change, from the asylum model to the pychosocial support. The aim of this study is to identify nurses’ practices in a psychiatric ward in a university hospital. An exploratory and descriptive study of qualitative approach was conducted. Semi-structured interviews were used to collect data. The results showed the apprehension of new concepts to guide mental health care: embracement, comprehensive care and individual consideration of the users’ subjectivity guided nurses’ practices. These practices are permeated by issues that go beyond the biological aspects, and include family and society. Key words: Nursing; Psychiatric Nursing; Mental health; University hospitals.

711-6

Authors: Francilene Jane Rodrigues Pereira, Sérgio Ribeiro dos Santos, Cesar Cavalcanti da Silva

This is a qualitative descriptive exploratory study, conducted in Higher Education Institutions (HEI) which offers Nursing course, in Joao Pessoa-PB. The study aimed to understand the concept of managers about the need for organizational changes to attend customers with special needs. Four managers participated in the study. A semi-structured interview with guiding questions was used to collect information and to interpret the data we used the method of discourse analysis based on Fiorin. It was noticed that the managers have a concern to meet the demands of inclusive policies, including the adequacy of physical spaces and the pedagogy adopted to meet the students’ needs. However, some of them admitted to have little knowledge on how to deal with students with special needs and also mentioned that the institutions do not have an efficient and logistic work which can meet the current legislation of inclusion. We concluded that the process of structural and pedagogical changes is built in a slow and gradual way and it requires an involvement of qualified managers who are committed to execute the policies of inclusion of customers with special needs in a civil and legal way. Key words: Disabled persons; Higher Education Institutions; Nursing.

725-31

Authors: Thelma Spindola, Maria Madalena de Andrade Santiago, Elizabeth Rose da Costa Martins, Marcio Tadeu Ribeiro Francisco

This qualitative study aimed to describe the meaning of the profession to beginners in a Nursing undergraduate course. A structured interview was administered to 33 students of the first semester in a public university in Rio de Janeiro, in 2006. Ethical principles were respected. The thematic analysis revealed that, when entering the profession, the students visualize nurses as the professional who takes care of clients, in a restricted view of care, and associate Nursing practice to situations of dedication, care and love. Clarify high school students about Nursing, the labor market and Nursing areas of action could stimulate the search of the profession by people more conscious about their choice. Key words: Nursing; Students; Higher education; Qualitative research.

738-44

Authors: Raquel Dully Andrade, Débora Falleiros Mello, Marta Angélica Iossi Silva, Carla Aparecida Arena Ventura

This narrative literature review aimed to identify the publications about health law, in the ambit of child health care. The databases LILACS and MEDLINE were searched, between 2004 and 2009. Thirteen articles were analyzed, and three themes were identified: Emphasis on knowledge, abilities and attitudes for the development of competencies; Partnerships as an imperative; Health and Law: intersectorial relationship. The studies about the practice of health law are relevant to our reality, especially in primary health care, pointing out for the possibilities of its applicability in the role of the nurses acting in the family health strategy, with families and children. Key words: Health law; Children; Family; Nursing.

759-65

Authors: Denizielle de Jesus Moreira Moura, Sara Taciana Firmino Bezerra, Thereza Maria Magalhães Moreira, Ana Virgínia de Melo Fialho

This study aimed to identify the nursing care practices to the client with hypertension in the scientific production in the last ten years. It was carried out a bibliographic study, using in the BIREME, the LILACS, SciELO and BDENF’s data basis, selecting thirty articles. The results were exposed in charts, tables and graphics, where prevails, in the literature analyzed, the nursing consultation as the more used practice, through the nursing attendance systematization and the Health Education with individual approaches, besides the realization of home visits with family approach. One believes that the systematization of nursing care will contribute in an expressive manner to the adhesion to the antihypertensive treatment. Key words: Nursing care; Hypertension; Review literature as topic.

774-8

Authors: Sueli Aparecida Frari Galera, Ana Carolina Guidorizzi Zanetti, Gabriela Cristina da Silva Ferreira, Bianca Cristina Ciccone Giacon, Lucilene Cardoso

The purpose of this paper is to present a critical reflection on the knowledge produced on the topics: the impact of the mental illness in the family, the impact of the family environment in the evolution of the eating and the experience family with the mental illness. The measures of overload and express emotion are useful to guide public politics and the practice professional, however in they do not give a multidimensional picture to them of the experience of the care. Research on the familiar experience contribute to the understanding of the present suffering in this experience and of the forms of confrontation adopted by the families, also contributing to perceive the differences of the cultural contexts in the confrontation of the families. Key words: Nursing; Research; Mental disorders; Family relations.

783-5

Authors: Débora Alves de Lima Rampaso, Maria Aparecida Gonçalves Doria, Maria Cláudia Martins de Oliveira, Gilberto Tadeu Reis da Silva

The Didactics Applied to Care discipline is developed in the fifth semester of the nursing graduation course. It develops several theoretical-practical contents, among them, the teaching strategy. Our objective is to report the experience with the use of puppet theater to promote the oral health of children in a day nursery in the São Paulo East Zone. With this report we make it clear that the theoretical contents developed by the Didactics Applied to Care Discipline are essential to the practice of Health Education. The discipline allows us to develop multiple activities in the role of educator and in health promotion. Key words: Nursing; Nursing Education; Health Education; Teaching materials.

415-22

Authors: Isabel Amélia Costa Mendes, Maria Auxiliadora Trevizan, Josete Luzia Leite, Simone de Godoy, Carla Aparecida Arena Ventura

The state, through direct and indirect administration, plays a fundamental role in the construction of public policies to implement governmental guidelines. This study aimed at presenting a synthesis of investments to support Nursing research at National Council of Scientific and Technological Development from 2001 to 2006. Using secondary data regarding investments on fellowships and grants in the mentioned period, authors present challenges and opportunities in the process of building policies regarding producing knowledge in Nursing. Although the investments, there are gaps to be filled in order to really have a research policy in Nursing in the country. Key words: Nursing; Research groups; Nursing research; Public policies.

431-7

Authors: Lorita Marlena Freitag Pagliuca, Giselly Oseni Laurentino Barbosa, Luana Duarte Wanderley, Paula Marciana Pinheiro de Oliveira

Analysis of the verbal and non-verbal communication of a blind mother with motor impairment during breastfeeding. Data were collected through interview and recording, with qualitative analysis. In verbal communication, the mother is the sender during breastfeeding and bottle-feeding, and the main message refers to breastfeeding ifficulties. In non-verbal communication, in the lying position, there is a lack of face-to-face contact and physical contact is reduced; in the sitting position, contact increases, expresses affection, but the mother does not direct her face to her child; bottle-feeding, the mother in the sitting position,expresses affection and interaction, with the head lowered. It is concluded that verbal communication is centered on the feeding message; in non-verbal communication, the position to feed the child interferes. Descriptors: Communication; Visually impaired persons; Breastfeeding.

445-50

Authors: Elaine Cristina Carvalho Moura, Marcia Astrês Fernandes, Flayda Isabela Rodrigues Apolinário

That is a descriptive qualitative research that aimed to analyze the implications of the psychiatric disorders in the mother-child relationship, according to the maternal perception. Data were collected though semi-structured interview with ten women, selected by the diagnosis of mental disorders in the postpartum period. The collected data were discussed through the content analysis technique. The results pointed difficulties of the mothers to feel themselves sick, due to cultural and social factors that act in the presence of biological factors in the definition of the diagnosis and treatment of the disorders; determining impairment in the prognosis and, causing damages in the mother-child relationship. One concluded that, although the incidence and gravity of psychiatric disorders in the gestational cycle, the professionals and health services still need to be provoked for the implementation of preventive actions to minimize the psychic suffering of the women affected. Key words: Perception; Women; Puerperal Disorders; Mental disorders.

457-64

Authors: Marta Sauthier, Maria da Luz Barbosa Gomes

The objectives of the study were to characterize the activities developed by the health professionals, especially the nurses, in the performance of the family planning program; to analyze health professional’s behavior concerning integration of men in these activities and, to discuss the ethical dimension of the behavior toward the integration of men in the Program. The methodological approach was qualitative, the study is descriptive and the method is dialectic, using the discourse analysis. Nine health professionals, included in the public health scenery, have participated in the study. It was observed that the policy of bringing men to the center of discussion in the Family Planning groups is patent in the Program proposal, but, in practice, is a failure. The nurses and social assistants, during the educational performance, live with limits and possibilities and, the more they live that dialectic tension, the more they will be prepared to overcome those situations of difficult solution. Key words: Nursing; Family planning; Ethics.

472-7

Authors: Maria das Graças Melo Fernandes, Loreley Gomes Garcia

In this exploratory study of qualitative nature, the objective was to investigate the perception of twelve elderly men that freely accepted to participate of the investigation after received information about its purposes and operational procedures. The gathering of data was accomplished under a semi-structured recorded interview. In the analysis of the empirical material was used the approach of speech analysis. As for the results, it was verified that some elderly see their body’s young. The others, said to possess weakened bodies by diseases and limitations that interfere in their daily functions. Besides that, only in a very small way, these elderly express worry with appearance. Their first complains are about lost of power, vigor and physical force, i.e., the lost of culturally elaborated and socially sanctioned attributes as essential characteristics of manliness. Key words: Body; Aging; Men; Elderly

486-93

Authors: Margarete de Castro, Wilza Rocha Pereira

The research aimed to understand the conceptions of a group of professors about integral health care in a nursing course and how they influence their pedagogical practices. It was a qualitative study that had as subjects 12 nursing professors. The data collection technique used was the interview and to analyze it, we used content analysis, in its thematic analysis form. The results showed that there are discursive convergences about integral care amongst the professors, and as an important part of the study, we could see that it is an “axis” that is establishing itself in the course and that has been developing new forms of thinking about the way nursing is being taught, in the reality that was studied. Key words: Education in Nursing; Higher Education; Comprehensive Health Care.

501-10

Authors: Renata Valéria Nóbrega, Maria Miriam Lima da Nóbrega, Kenya de Lima Silva

Exploratory-descriptive study, developed with the objectives of building diagnostic / outcomes and nursing interventions statements, for children admitted to the Pediatric Clinic of a school hospital, based on the Bank of Terms of Nursing Special Language of that Pediatric Unit and, on ICNP® Version 1.0; and to validate those statements with the participation of expert nurses. It was assigned 107 nursing diagnoses / outcomes statements, of which 48 reached a CI ≥ 0.8 (44.85%) among the expert nurses, in the validation process. For these 48 statements, it has been assigned 330 nursing interventions, of which 270 reached a CI ≥ 0.8 (81,81%) among the expert nurses, in the validation process. It is believed that the use of these statements could represent an important tool in the process of systematization of nursing care in the Pediatric Clinic of the cited hospital school. Key words: Nursing; Nursing diagnoses; Child, Hospitalized; Pediatric Nursing.

521-6

Authors: Maria de Lourdes de Almeida, Maria Luíza Hexsel Segui, Elizabeth Bernardino, Marinelli Joaquim Méier, Aida Maris Peres

This is a documentary-type descriptive research, using a qualitative approach and, which was carried out at the Hospital of the Federal University of Paraná (HC-UFPR), in the city of Curitiba-PR. It aimed to comparatively analyze the description of two job positions that represent the nursing service, which were adopted in different managerial models. The content analysis of the documents related to the job positions in the respective management models showed significant differences. The results pointed out several changes in the description of the job positions, i.e. the term Nursing Direction was changed into Nursing Coordination, involving the suppression of autonomy and decision-making power over matters intrinsic to this profession. Knowledge and competence in the professional practice are required by the nurse practitioners in order to keep their representativeness in the organizational structure. Key words: Nursing; Professional Practice; Organization and Management; Organizational Structure.

536-44

Authors: Dayane de Barros Ferreira, Priscila Moreira Farago, Paula Elaine Diniz dos Reis, Silvana Schwerz Funghetto

This is a qualitative study, conducted at a Clinic of Mastology of a public hospital of the Federal District, which aimed to know the impact of breast cancer in the lives of couples, women submitted to mastectomy and their partners. The sample consisted of three couples, five women submitted to mastectomy and three partners. Semi-structured interviews were conducted, which gave rise to two broad categories: Perceptions about breast cancer and Consequences in everyday life. The diagnosis of cancer is received as a traumatic one, bringing feelings of mutilation, dependence, prejudice and loss of femininity. One conclude that significant changes occur in married life and that mutual support is needed to better cope with the disease, followed by the necessary family support. Key words: Women’s health; Breast cancer; Mastectomy.

558-62

Authors: Simone Alves Landim, Gilberto Tadeu Reis da Silva, Nildo Alves Batista

It was conduct a review of the literature regarding the clinical experience in nursing education. We sought to identify the scientific production of dissertations and theses that address this experience, basing the data collection on the dissertations and theses catalog produced by CEPEn, Brazilian Nursing Association, in the period of 2001 to 2006. Of a total of 132 abstracts related to this issue, 124 (94%) used nursing education as key word; 05 (4%), the key word clinical competence and 03 (2%), internship and residency. The results show that the scientific production in clinical experience, which is essential to clinical competence, is incipient, with a slight predominance of master’s thesis which, in most cases, use qualitative methods, and have distinct distribution in the country. Key words: Education; Nursing; Clinical Competence; Internship and Residency.

570-9

Authors: Chrystiany Plácido de Brito Vieira, Ana Virgínia de Melo Fialho, Consuelo Helena Aires de Freitas, Maria Salete Bessa Jorge

It aimed to analyze the scientific production of Brazilian nursing, from 1979 to 2007, about the practices of the elderly’s informal caregiver at home. This is a bibliographic review, with qualitative approach,developed in the period of June and July 2009, that studied thesis and dissertations published in the Center of Studies and Researches in Nursing’ catalogs. To analyze the data collected, it was used the thematic categorization system. From eleven works identified, four categories brought out: activities done by the caregiver, difficulties in the quotidian of care, feelings lived by the caregiver and knowledge and experiences of the caregiver. Knowledge of the work of these caregivers is critical for the actions of nurses and health team, addressing not only care for the elderly, but also of their caregivers. Key words: Nursing; Elder; Home care; Caregiver.

587-91

Authors: Mónica Burgos Moreno, Tatiana Parvic Klijn

This article aims to show that the growing phenomenon of migration in today’s society has provided this community with opportunities, but also with difficulties. The migrant population is a vulnerable group, especially in sanitary matters. Health care for migrants presents a challenge for public health, not only in terms of policies regarding access and information, but most of all in matters of attention based on humanized treatment that is respectful of beliefs, values, and expectations. Dignified care demands a real commitment from the State and sensitivity on the part of health care service providers in order to offer the migrant population holistic services based on respect for their human rights. Key words: Migrant; Health; Ethics.

596-9

Authors: Maria Adelane Monteiro da Silva, Ana Karina Bezerra Pinheiro, Ângela Maria Alves e Souza, Andréa Carvalho Araújo Moreira

Reflections on the practice of health promotion in hospitals are presented, addressing the aspects that permeate the hospital environment and hinder the implementation of strategies for health promotion in these services. The hospital is discussed as a strategic place for new practices, highlighting actions taken in this space, which can contribute to effective the health promotion of the clients. It is believed that health promotion is both, possible and necessary, in hospital settings, and that the actions in this direction may lead the individual and his family in search of a better quality of life. Key words: health promotion; health facilities; hospital care, nursing.

605-10

Authors: Nauana Nascimento Novais, Luzia Wilma Santana da Silva

This is an experience report, of critical-reflexive approach, and descriptive and comprehensive nature, about the experience of being a stock-student PIBIC/CNPq of a multicentric research titled “The dynamics of the family of older elderly: the living and care in the fourth age”, in the context of Jequié-BA, during the term of the scholarship (from August/2008 to July/2009). The objective is to report my experience as an undergraduate student with a scholarship and share it to encourage other students to enter into the paths of research. The subjects of this research are the pair formed by primary family caregivers of the elderly with more than 80 years of age and even the elder to whom the care is given. The experience has broaden the vision of the world, linking context, complexity and intersubjectivity of the investigation universe. Key words: Nursing Research; Family; Aged, 80 and over.