Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

503-11

Authors: Ismênia de Carvalho Brasileiro, Thereza Maria Magalhães Moreira, Maria Salete Bessa Jorge, Maria Veraci Oliveira Queiroz, Daniele Gardano Bucharles Mont’Alverne

Cerebral palsy is among the most common motor disabilities in our midst that limits individuals from carrying out their normal daily routines. The adjacent alterations, characterization, and participation of the child in these activities is not appropriated explored in the literature. The objective of this survey was to describe the capacity and performance of the children with cerebral palsy treated at an institution in the city of Fortaleza as to their capacity to carry out tasks and participate in daily life activities as stated in the International Classification of Functioning, Disability, and Health. Thirty-two children were evalueted. The data collected was grouped by the software Statistical Package of Social of Science (SPSS). The ICF had proportioned an objective description from cerebral palsy disabilities. It was clear that the impact that the disease has on the life of the children. Descriptors: Cerebral palsy; Function; Children; Disability.

518-23

Authors: Gertrudes Teixeira Lopes, Bruna Kelly de Jesus Lemos, Helen Balthazar de Lima, Bárbara Rodrigues Carvalho Cordeiro, Luana dos Santos Vasconcellos Lima

Study’s Object: Conceptions of nursing students on the approach to the drugs user. Objectives: To describe the conceptions of nursing students about the user of drugs. Method: Descriptive-exploratory study carried out with 321 students from 15 private nursing schools in the state of Rio de Janeiro. The scale of attitudes and beliefs NEADA was used to obtain the data between June 2006 and August 2007. The results demonstrate that the difficulties in dealing with the client who is a drug user are real, but the personal limitations of professionals in work with this kind of client still permeate the assistance, influencing care. Descriptors: Nursing; Students, nursing; Street drugs.

530-4

Authors: Lúcia Silva, Regina Szylit Bousso, Sueli Aparecida Frari Galera

This qualitative study has as objective to present the experience to assessment of the families of dependent aged under the systemic approach. The Calgary Model was used as theoretical framework and as methodological strategy the case study. The data had been collected with five families of dependent older person, from September of December of 2005, by means of the instrument elaborated previously. The application of this model allowed doing the familiar analysis raising the main aspects of its structure, development and functioning. We believe that the nurse must search endorsement in the scientific literature and adopts pertinent instruments to contribute for the development of its abilities to do the familiar approach. Descriptors: Aged; Family; Nursing.

540-5

Authors: Théia Maria Forny Wanderley Castellões, Lolita Dopico da Silva

The objective was to analyze results of the incidence of accidental extubation associated with nursing care. Method: Retrospective observational study, the intervention ahead, measured before and after the deployment of a guide extubations accidental The population of 142 patients, 72 patients in the retrospective phase and 70 in phase ahead, totaling 3771 days of ventilation. Data collected from prontuários.Results: 52.78% used tracheal tube and 62% were between 71 and 90 years with an average of days of ventilation of 26.5 days,. There were six (3.27) extubations before and two (1.03) after the deployment of guia. Conclusion, there was a decrease in the incidence of accidental extubation in the period studied, but one can not attribute this difference to the guide because other studies are needed. Descriptors: Nursing; Intensive care; Respiration, artificial.

552-6

Authors: Ana Lúcia Pereira de Albuquerque, Consuelo Helena Aires de Freitas, Maria Salete Bessa Jorge

Qualitative study with theoretical axis in symbolic interactionism interpretative of Norman Denzin that had as objective to comprehend the meanings of experiences lived by being victim of spine lesion in context hospital and to describe the narratives in range of experiences lived. The subjects of research were seven patient victims of spine lesion traumatic hospitalized in unity of neurology of Institute Dr. José Frota, sited in Fortaleza/Ce. Interpreted hard fronting to balance of oneself, given to sudden breaking of trajectory of their lives, the organic alterations acquired that pass to be motives of fears, uncertain, non-comfort and menace to life that had along their families. Descriptors: Trauma, nervous system; Nursing care, Emergency service, hospital.

562-9

Authors: Emanuele Souza Marques, Rosangela Minardi Mitre Cotta, Raquel Maria Amaral Araújo

The objective was to identify the different meanings that surround the breastfeeding and the use of pacifiers of a group of mothers of children under six months old. Adopted to the precepts of qualitative research methodology. Interviews were conducted semi-structured individual, transcribed in full and analyzed using the technique to analyse the content of Bardin. The comprehensive analysis of speeches revealed the presence of representations which can carry interference in the decision to breastfeed - both positive, as negatively. In that sense, it is important that health professionals, know the context in which these women are found, especially their doubts, fears, myths and beliefs in relation to breastfeeding, thus acting in favour of lactation. Descriptors: Breast feeding; Qualitative research; Nursing.

579-92

Authors: Cecília Maria Resende Gonçalves de Carvalho, Cleidiane Maria Sales de Brito, Inez Sampaio Nery, Maria do Livramento Fortes Figueiredo

This is a national literature review that aimed to reflect on the prevention of breast cancer in the elderly woman. This curiosity arose from the observation of demographic transition and of course Brazilian feminisation of old age, which imposes specific demands assists and integrals for this population segment. It is emphasized the need to extend the knowledge about the problem, as well as overcoming the negligence in the prevention of this disease, especially in old age. Focused are two topics reflective: Aging Women, Health and Gender Gap and the completeness of assistance to the elderly woman: awareness to release. It is expected with this reflection subsidize quality improvement of the assistance, promote the inclusion of this issue in education and stimulate new research. Descriptors: reast cancer/prevention and control; Aging; Comprehensive health care.

588-93

Authors: Alessandra Conceição Leite Funchal Camacho

The objective is to examine the publications working in the Distance Education in nursing in the databases from 2005 to 2009. Study of literature review conducted in the databases of the Virtual Health Library (Lilacs, Scielo and Bdenf) in the period from 19/02/09 to 24/04/09 in 20 selected references were reviewed. It is tonic in the discussions: the development of training courses for nurses and midwives as well as courses in graduate programs via Distance Education. There is an evolution of Distance Education in nursing with possibilities of teaching in virtual environment for learning is everlasting and take into account some constraints relevant to interactivity as the availability of training courses and disciplines in undergraduate courses. Descriptors: Descriptors: Education; Education, distance; Nursing.

599-603

Authors: Valéria Lunardi ,Edison Luiz Devos Barlem, Michelle Salum Bulhosa, Silvana Sidney Costa Santos, Wilson Danilo Lunardi Filho, Rosemary Silva da Silveira, Ana Cristina Pretto Bao, Graziele de Lima Dalmolin

Nurses face moral problems, moral dilemmas and moral distress in their professional daily. The moral distress manifests itself when nurses demonstrate difficulties to face situations morally appropriate following their conscious. The study aims to focus about the nurses’ moral distress and their relationship with moral problems and moral dilemmas presenting concepts, moral distress experiences and possible strategies to be adopted to face it. To focus on the moral distress provoked by facing the moral problems and dilemmas in nursery work seems to be primordial not just to reveal a phenomenon still a little known even experienced almost every day but, also to headline the need of problematization and valorization of the ethical dimension of work in health. Descriptors: Nursing; Ethics; Ethics nursing; Moral damage.

608-12

Authors: Ana Maria Muller de Magalhães ,Caren de Oliveira Riboldi, Clarice Maria Dall’Agno

This study proposes an essay of issues involving human resources planning in nursing in the hospital sector in our current reality, discussing possible topics for future research. This is a retrospective of the evolution of research on determining the number of staff in Brazil, and the incorporation of new instruments to evaluate the work load based on the degree of dependency of the patients and actions in care. The impact of the quantity and quality of human resources on the results of care is discussed, and the role of leaders in adapting the staff composition, in order to supply safe, risk-free care to the patients and their families, seeking a management model for health practices from the perspective of complex care. Descriptors: Work load; Nursing staff; Nursing care/organization and administration.

620-6

Authors: Greicelene Aparecida Hespanhol Bassinello, Maria Helena Salgado Bagnato

In this work we rebuilt the first attempts on the creation of the Program of Formation on a Large Scale of Elementary and High School people for basic health services. We examined the Program of Formation on a Large Scale from its beginning, being supported by documentary sources, such as Izabel dos Santos’s interview, which filled in all the meanings of this experience. In the investigations, we went trough the purpose and the procedures of the proposal on a national scale. According to our point of view, this experience acquired a wider meaning of qualification: in which the focal point of the work, as a condition to workers’ formation process, constituted as a methodological-pedagogical purpose of qualification at the work environment in order to obtain a critical professional. Descriptors: History of nursing; Education, professional; Education, nursing.

632-6

Authors: Cassia Tiemi Kobayashi, Sílvia Tiemi Ushiyama, Flávio Trevisan Fakih, Roseli A. M. Robles, Ieda Aparecida Carneiro, Maria Isabel Sampaio Carmagnani

This report refers to the experience of the Board of Nursing of Hospital São Paulo, Universidade de São Paulo, in the development and implantation of Animal-Assisted Therapy, as one of its projects humanization of hospital: “Projeto Amicão”. Aiming to offer patients a positive experience that differs from the routine of the hospital environment, some units of the Hospiral São Paulo received the visit of an animal for sessions of Animal-Assiste Therapy. The results achieved among patients and its companions and health professionals were positive, in addition to arouse the attention and the interest of other health institutions and the media. It is thus evidenced the importance of reporting the experience of “Projeto Amicão” in the hospital. Descriptors: Complementary therapies; Nursing; Humanization of assistance.

717-22

Authors: Cristina Maria Miranda de Sousa, Maria Eliete Batista Moura, Ana Maria Ribeiro dos Santos, Benevina Maria Vilar Teixeira Nunes, Maria do Socorro Costa Feitosa Alves

This study had as objective to apprehend the Social Representation of damage liability of nursing in the invasive procedures elaborated by the professionals of the area. It treats of a qualitaitve research, developed in a public hospital with 64 fellows. The data were produced from the free association words test, processed by software Tri-Deux Mots, being done Correspondence Factorial Analysis. The fellow’s representational field indicated favorable attitudes in relation to the invasive procedures stimulus. The conceptions about hospital infection stimulus demonstrated a broad vision of hospital infection problem and its serious consequences. However it was not observed preoccupation and manifestation in the fellow’s social representations about the civil responsibilities of Nursing professional. Descriptors: Damage liability; Psychology, social; Cross infection.

343-8

Authors: Mirna Fontenele de Oliveira, Maria Célia de Freitas

This study aimed at identifying the most frequent Nursing Diagnoses and propose interventions for women under critical care into a maternal intensive care unit in a public hospital in Fortaleza, CE, Brazil. Retrospective study conducted with women’s hospital health records. Ten Nursing Diagnoses were elaborated, being four risk: risk of infection, risk of unbalance of liquids volume, risk of aspiration, risk of damaged skin integrity and six real: altered maternity, impaired physical mobility, anxiety and impaired verbal communication. For the referred Nursing Diagnoses, nursing interventions are proposed according to the link between NANDA, NIC and NOC. It was concluded that the use of ND is a necessary technology for the Nursing reality, as it makes possible the integral care. Descriptors: Nursing diagnosis; Intensive care; Women’s health.

355-61

Authors: Keli Regiane Tomeleri, Sonia Silva Marcon

This study aims at understanding the experience of adolescent mothers in taking care of her child in the first week after birth by domiciliary accompaniment. Six adolescents participated, accompanied between February and October 2007. Data collection was accomplished through semi structured interviews and participant observation. Culture Care Diversity in Nursing Practice was adopted as theoretical reference. The results had disclosed that the experience of caretaking is lived deeply of diverse ways. For some of the adolescents care was developed with assurance; others were frightened and insecure and did not immediately take on. The mothers of the adolescents served as support, showing how to develop care, thus gradually inserting the daughters into practice, making them integrally assume the attention. Descriptors: Adolescent; Child care; Culture; Mother-child relations; Nursing.

367-73

Authors: Cristina Alves de Lima, Florence Romjin Tocantins

This study has as central thematic the healthcare need of the aged. It was established as aims: to understand the expectations of the aged one who experiences nursing actions in primary health care and to point out at healthcare need of the aged one in this context. It was developed through the theoretical and methodological approach of the phenomenological sociology of Alfred Schutz. It was used a phenomenology interview with aged persons having as question: which are your expectations about the nursing professionals? Two lived categories emerged: to find the other (human) in the nursing professional attitude and to establish relationships with other persons. The study points out at the importance of the named none-technical nursing actions as health needs. Descriptors: Aged; Nursing; Primary healthcare; Needs assessment.

381-6

Authors: Maria Aparecida Baggio, Giovana Dorneles Callegaro, Alacoque Lorenzini Erdmann

The objective of this qualitative study was to comprehend the meaning of the nursing care relationships in an emergency unit from the perception of the human receiving care and to provide theoretical subsidies in order to think about the care relationships established in day-to-day nursing work. Nineteen (19) subjects were interviewed in an emergency hospital unit in Santa Catarina, Brazil. The data was submitted to content analysis and interpreted according to complex thought. The care dimensions, presented in six categories, mobilize and articulate the multiple human competencies and techniques of/by caring beings in the comprehension of the nursing care process, from the perspective of those who receive care, including rethinking nursing practice itself and the multiple conditions of the environment as a space for care. Descriptors: Descriptors: Care; Nursing; Emergency.

393-9

Authors: Maria das Graças Melo Fernandes , Telma Ribeiro Garcia

This study had as objective investigate the determinatives of the tension of the dependent elderly’s family caregiver. Its accomplish happened in the domestic scenery, involving thirty principal caregivers. The data were collected by a recorded and estructured interview. The analyses of the objective data was made by means of a quantitative approach. The discursive data, for being collected through a structured instrument, dispensed analytic procedure, being distribute between questions that referee in the way of amply your comprehension. The results appoint that the investigated phenomenon starts from determinatives related to the caregiver, to the elderly’s deficits, to the interection elderly/caregiver, to the environment, and related to the care demands. Descriptors: Caregivers; Elderly; Family; Tension.

407-16

Authors: Amanda Priscila de Souza Pereira, Graziella Martins Teixeira, Carolina de Araújo Belcorso Bressan, Jussara Gue Martini

The nursing needs to observe the importance of the family, because if the family is presentand oriented for cared, it contributes more effectively to the healthy life of its members. The study aimed at learning the coping behaviour of six families with chronic diseases, through three home visits, using interviews, form of identification, genogram and eco-map. In general, families face satisfactorily the chronic stress situations. It was needed to forfill the difficult task of exercising the broader view, required the nurse to understand that the process of work is not restricted to acting on diseases and disorders, but give the family conditions to earn health in all its dimensions. Descriptors: Family; Home visit; Public health; Nursing.

424-9

Authors: Helena Eri Shimizu, Carlos Rosales

This study aimed to identify and analyze the main primary health care practices developed in the Family Health Care Program. Qualitative case study was carried out in the region of São Sebastião, DF. Data were collected through semi-structured interviews with team workers and observation of the work process. The author concluded that diverse basic practices are developed in primary health care, but others practices focused in health care promotion are necessary in order to transform the health care model. Descriptors: Primary Health Care; Family Health Program; Professional Practice.

435-41

Authors: Ana Cláudia Giesbrecht Puggina, Maria Júlia Paes da Silva

The objective was to check music and voice message influence on the Vital Signals and Facial Expressions of patients in physiological or induced comas. A Randomized Controlled Clinical Trial was done. The sample was consisted of 30 patients from Intensive Care Unit, being divided in 2 groups: Group Control (without auditory stimuli) and Experimental Group (with auditory stimuli). The patients were submitted to 3 sessions for consecutive days. Significant statistical alterations of the vital signs were noted (oxygen saturation - session 1; oxygen saturation - session 3; respiratory frequency - session 3) during the message playback and with facial expression, session 1, during both music and message. Apparently, the voice message is a stronger stimulus than the music in relation to the capacity of producing suggestive physiological auditory responses. Descriptors: Coma; Music; Intensive care units.

447-50

Authors: Gladys Amélia Véles Benito, Ana Paula Lichesk

The article presents some aspects on the relevance of the information systems as tool of support to the management of the work of the health professionals, a time that is a computational resource capable to potential the knowledge search. Know that the information systems available of fast form, easy and insurance the information, allowing that the professionals of the health search knowledge and if become able, creative and competent to inside act with the complexity of the work in health of the Brazilian system of health aiming at to consolidate the politics of the National Health System. It is reflected on what it is the management of the work in health and as the information systems they come contribute for the fortify of action and processes of health in this area. Descritors: Information Systems.; Health management; Nursing informatics.

457-62

Authors: Joyce Silva dos Santos, Ana Beatriz Duarte Vieira, Ivone Kamada

This article is about a literature revision concerning to the main published scientific works in the last two decades about the medicinal properties of the Mosqueta Rose, especially in the treatment of open wounds. The objective is to congregate information demonstrating, by means of scientific and empirical evidences, the importance of the traditional medicine related to the use of the Mosqueta Rose in many clinical applications.This study is characterized as a compilation of significant information about the composition, indications and empirical uses of the extract of Mosqueta Rose, in order to make easier posterior researches, since the production about this subject is scarce. The bibliographical research was carried through the data base Bireme, SciELO, Capes and sites related to the subject in the Internet. Descriptors: Rose; Wounds healing; Medicine, traditional; Plants, medicinal; Phytoterapy

467-70

Authors: Ana Maria Calil, Cláudia Prado

The aim of the present study was to think the Oncology Course in the baccalaureate nursing curriculum pointing relevant issues about its introduction, considering professional training and qualification, labor market demand and a critical reflection about nurse’s professional competences. Score is also the role of technology in helping training and education of new health professionals. Descriptors: Education, nursing; Education, nursing, diploma programs; Oncology; Professional competence.

480-4

Authors: Andréa Giaretta , Angela da Rosa Ghiorzi

This is en experience report lived in the Health and Nursing Assistance Projects of the Post-Graduate Nursing Master Degree of the Federal University of Santa Catarina as an interdisciplinary subject, and it was done with Down’s Syndrome people, concentrating in their rationality and imaginary. We tried to build with these people and their families an individualized nutritional systematization that contributes to their personal independence in the daily practice of the act of eating. The postulates of symbolic interactionism guided this practice and established a connection with the methodological instruments of sensible listening and observation, besides playful activities. It was evident that the first meaning of the act of eating is built in the family and reinforced in the social life. Descriptors: Qualitative research; Down Syndrome; Feeding behavior.

179-86

Authors: Sheila Aparecida Ferreira Lachtim, Cássia Baldini Soares

The objective of this research was to recognize the strengthening and weakening potentials of young workers who study in a public school. It is a qualitative study that interviewed 19 students 16 to 20 years old of the nocturnal period. The main weakening potentials were: long hours of working, excess of responsibility, lack of stability and essentially manual, broken up and repetitive work. The few strengthening potentials were: socialization and satisfaction of social reproduction needs. The phenomenon of intergenerational regression was verified. The study of the binomial strengthening-weakening of the young denounces more negative than positive meaning of the concurrence work-study, that is closely related to the survival needs of the families. This process is potentially weakening, being able to cause health problems to the young. Descriptors: W Descriptors ork; Adolescent; Adolescent health.

194-9

Authors: Elizama Cabral Vasconcelos dos Santos, Denise Martin

The objective of this qualitative study is to assess the meaning of alcoholism to alcoholic’s patient’s caregivers. Fieldwork involved comprehensive ethnographic observation and in depth interviews with ten female caregivers of alcoholic patients undergoing treatment in health mental care in Santos. The study showed that family relationships were unstable and conflicting. It was difficult to recognize addiction. Women accepted addiction as illness when the patient was hospitalized. Addiction to alcohol had been hidden by social value of intake and by unequal gender relationships. There has been a social restraint of the caregivers. Women have assumed the care and were organizers of an unstable and painful everyday life. Descriptores: Caregivers; Alcoholism; Qualitative research; Family.

204-12

Authors: Rita de Cássia Ribeiro , Heimar de Fatima Marin

This article aims at presenting a health evaluation tool for the institutionalized aged developed under the concepts of the Nursing Minimum Data Set (NMDS) divided in two sections: identification and health evaluation. It is a methodological research about the development of a data collection tool. The tool is constituted of two sections: Section A contains identification data in the admission, and Section B is the Total Assessment Form, containing data of cognitive, communication, hearing, vision, mood and behavior patterns, and physiological and nutritional conditions. It was concluded that this tool is capable of aggregating the most important data to subside nursing assistance in the care of the institutionalized aged. Descriptors: Data collection; Nursing records; Nursing informatics; Information systems; Geriatric nursing.

221-7

Authors: Thiago Christel Truppe, Marineli Joaquim Meier, Riciana do Carmo Calixto, Simone Aparecida Peruzzo, Karla Crozeta

This is a methodological research, which aimed at organizing the systematization of nursing assistance in a critical care unit. The following steps were carried out: description of the nursing practice; transcription of nursing diagnoses; elaboration of a protocol for nursing diagnosis based in International Classification for Nursing Practice (ICNP); determination of nursing prescriptions and the elaboration of guidelines for care and procedures. The nursing practice and care complexity in ICU were characterized. Thus, systematization of nursing assistance is understood as a valuable tool for nursing practice. Descriptors: Intensive care units; Nursing process; Classification; Nursing diagnosis; Intensive care.

234-9

Authors: Antônio Fernandes Costa Lima, Paulina Kurganct

This study will delineate with six nurses developing administrative activities, the meanings concerning quality indicators of Human Resources Management in Nursing. Data were obtained by means of interviews which allowed the construction of two categories: Administrative Activities – consisted of Meaning Units (MU) Permanent/Continuing Education; Labor Organization/ Decision-making participation; Dimensioning personnel/Time to replace vacancies and Human Resources – with the MU Absenteeism; Job Rotation Employees; Scientific Education/Title/Production; Labor Accident Reports/Occupational Diseases/Leave of Absence and Labor Satisfaction/ Dissatisfaction. The nurse’s reports allowed us to rescue important information to identify new constitutive elements of management quality in nursing human resources and confirmed the use of well-known indicators. Descriptors: Quality indicators, health care; Personnel administration, hospital; Nursing staff.

246-51

Authors: Ana Larissa Gomes Machado, Maria Salete Bessa Jorge, Consuelo Helena Aires Freitas

This qualitative research aimed at understanding the experience of familiar caregivers in the process of caring for persons disabled by stroke, in their home. It was held in the Program of Domiciliary Assistance of a tertiary public hospital in Fortaleza-CE, with nine caregivers. The statements were obtained through interviews recorded and organized into categories, then interpreted according to the Symbolic Interactionism method: why I take care?, Realizing the family victimized by stroke, the daily activities of caregivers, perceiving themselves as caregivers and the changes in the lives of caregivers. The analysis suggests that the nurse insert into its care tools that facilitate the process of adaptation to the new situation of the family, such as sensitivity to promote the training of familiar caregivers. Descriptors: Caregivers; Home care; Familiar nursing.

258-64

Authors: Inacia Sátiro Xavier de França, Daniela da Nóbrega Simplício, Fabiana Paulino Alves, Virgínia Rossana de Sousa Brito

Cohort study to investigate mortality and immunization coverage of children under one year of age, identify resources, actions and difficulties to achieve goal vaccine. 2,206 children and 62 nurses from Family Health Basic Unities participated in the study. A questionnaire and semi-structured interview were used. Children’s health targed acctions, the dispersion of the registered children in this unities and the number of live births; the oscillations of the percentage of vaccination, now closer or distant of the goal. The resistance of parent’s vaccination, lack of inputs and ACS in some UBSF were the main barrier faced to achieve the goal. The rate of infant mortality was below 20, confirming the impact of immunization coverage. Descriptors: Immunization programs; Mass immunization; Vaccination; Infant Mortality

272-7

Authors: Lívia de Sousa Rodrigues, Ana Maria Parente G. Alencar, Edilma Gomes Rocha

The study aimed at investigating the perception of the familiar/care worker about his contribution in the rehabilitation of the patient with stroke. Qualitative study, carried through in the medical clinic of a hospital located in the city of Crato, CE, Brazil, between March and May, 2006. Results: between the home care workers predominated the feminine gender, in the age range between 27 and 66 years, with blood relation with the patient and presenting educational level between the half-illiteracy and university level. The information is deficient in all the aspects. Among the delivered care, the physical ones are highlighted. Conclusion: this work demonstrates that the familiar care worker is not prepared to receive and to rehabilitate people who have special necessities as it is the case of victims of stroke. Descriptors: Family; Rehabilitation; Stroke.

283-6

Authors: Glauteice Freitas Guedes, Conceição Vieira da Silva Ohara, Gilberto Tadeu Reis da Silva, Glaci Regina Rodrigues de Melo Franco

It’s a bibliographic study, in which it was made a scientific production survey on nursing referring to clinical teaching in the Catálogo de Dissertações e Teses do Centro de Estudos e Pesquisas em Enfermagem (CEPEn) (Nursing Study and Research Center’s Dissertation and Thesis Catalog) from Associação Brasileira de Enfermagem – ABEn (Brazilian Nursing Association) between 1979 and 2004. It was aimed to describe the study distribution regarding to the number of publishing, applied title, publishing origin, year of application, methodology used and the theme approached. It was concluded that scientific production in this area is still incipient. Thus, we can improve our duties as an educator and occupy our space in the education and health in a competent and qualified way. Descriptors: Nursing; Teaching; Education.

294-9

Authors: Maria Raquel Gomes Maia Pires, Leila Bernardo Donato Göttems

The theoretical-methodological referential is questioned on the possibility of its use to analyze the potential of the Care autonomy in the working process of the Family Health Program. The premise is that the analysis of the health working process, centered on the contradictions of care management contributes for unveiling emancipating potentialities. Objectives: to discuss contradictions, possibilities and challenges to the care management changes in the Family Health Program/Primary Care/National Health System, and to propose a theoreticalmethodological referential for the analysis of the care management in the working process of Family Health Program. It is concluded that there should be used referential which explain if the health care tends more to the authoritarian dominium or to power sharing among the subjects, understanding them as complementary. Descriptors: Descriptors: F Descriptors: amily Health Program; Primary health care; Health management.

305-11

Authors: Thais Aidar de Freitas Mathias, Taqueco Teruya Uchimura, Amanda Nolasco de Assunção, Kelen Marja Predebon

Extra classes’ activities with the Committee of Infant Mortality Prevention of the 15th Paraná Health Office (15th HO) and some approaches to health statistics, are described. Those activities articulate a partnership between the Nursing Department of the State University of Maringá and the 15th HO. A description of the Committee’s attributions, the advances since the partnership start, the importance of the infant mortality investigations as well as understanding the information systems are presented. There are still challenges such as to improve the quality of the inquiry form. The partnership University -15th HO improves the quality of the Information Systems, provides the students a wider perspective of the intra-urban inequalities to access to health services, stimulating their commitment with public health. Descriptors: Infant mortality; Information systems; Professional staff committees; Teaching care integration services; Public health nursing.

317-22

Authors: Maria Regina Guimarães Silva , Dante Marcello Claramonte Gallian

The educational model adopted in Brazil, from nithingaleana school didn’t contemplate the reality of Brazilian health in 30’s, period of the nurse’s School from São Paulo Hospital fundation (EEHSP). The article is about a research that had the objective to describe and to analyze the creation process and elaboration of the first curriculum of EEHSP, made from a historical approach, having the qualitative research as a methodological resource. Documental analyses of primary and secondary sources were accomplished, besides interviews with characters relationed with that institution. The important paper of the School From São Paulo of Medicine (EPM) was verified in the EEHSP creation, particularly in the teachers’ illustration and directors involved with their courses, as the decisive participation of Catholic nuns. We verified that the drawing of this first curriculum was ruled from the educational model of Anna Nery school, it had been seen as the model school according to the era. Descriptores: schools; : Nursing history; Curriculum/education.

323-6

Authors: Lopes MHBM, Higa R., Fontana RT, Mayer CN

Erratas.

11-7

Authors: Nilcéia Dadalto Squassante, Neide Aparecida Titonelli Alvim

Study of qualitative nature, developed along with the nursing team and the accompanying relatives of interned customers in a public hospital at Vitória/ES. The objectives were to describe the bases that sustain the relations among those subjects; to analyze the dynamics of this relation; and to discuss its implications for the nursing care. The theoretical reference was linked to the studies of power relations in the disciplined hospital environment and the care in a humanized perspective concept. The data collection was through a participant observation and semi-structured interviews. The results pointed out that those relations don’t happen lineally. At same time that conflicting experiences emerge, there is another whose position of one and other subject reveals sensibility and solidarity that implicate directly in the delivered care to the hospitalized customer. Descriptors: Descriptors Nursing; Humanization; Professional-family relations.

25-31

Authors: Fabiana Magalhães Navarro Peternella, Sonia Silva Marcon

This was a qualitative nature, developed with the objective of understanding the impact of a Parkinson’s diagnosis on the individual and the family. Data were collected between October and December 2007, from 20 individuals residing in Maringá, PR – 10 Parkinson’s patients and their closest family member – using semi-structured interviews. From the analysis of the data, two themes emerged: “Coming to terms as a Parkinson’s patient: a long path” and “Difficulties and feeling after the diagnosis”, which reveal that the lack of knowledge on the disease is widespread among the general population and that the quality of the first contact with the diagnosis is crucial in the determination and attitude of individuals toward the illness. Descriptors: Descriptors: Descriptors: Parkinson’s Disease/Diagnosis; Chronic Illness; Family.

38-44

Authors: Fernanda Marques da Costa, Maria Aparecida Vieira, Roseni Rosângela de Sena

The article presents results of the research that identified to causes of disease-related absenteeism, justified by medical license, among nursing employees of a public hospital in Montes Claros, MG, Brazil. This is a descriptive-exploratory study. Results indicate that the main reasons for absenteeism are related to musculoskeletal problems and to respiratory diseases; mainly between married female nurse aides, with age between 25 and 45 years, that works in day shift and with more than one employment. It was concluded that there is a necessity to develop prevention actions for controlling the absenteeism as a strategy for the quality of life of nursing workers. Descriptors: Absenteeism; Occupational diseases; Occupational health nursing.

51-6

Authors: Melissa Orlandi Honório, Silvia Maria Azevedo dos Santos

Human aging is accompanied by worn out of the physical functions of body and mind as well as a decrease in physiological response to the environment. Consequently these change the quality of life for those going through the aging process, especially regarding independence and autonomy. Among these common aging changes, there is the urinary incontinence having multiple etiologies with great therapeutic complexity, which creates a huge impact on the life quality of these people. This article will focus on part of a research done for a master’s dissertation from one of the authors, which sought to understand in what proportion urinary incontinence affects, not only their daily lives but also their quality of life. Descriptors: Descriptors: Ur Descriptors: inary incontinence; Quality of life; Aging.

64-70

Authors: Justina Inês Brunetto Verruck Acker, Maria do Horto Fontoura Cartana

Introduction: oduction This paper reports part of a study whose aim was to mobilise a team for the Family Health Program to enable the citizen community involvement aiming at preventing domestic accidents for children under age five, through the theoretical framework of the Seven Theses by Roberto Briceño-Léon. Methodology: the Methodology Convergent Care Research was used with a Team for the Family Health Programme in a town in the country in Rio Grande do Sul. Educational workshops were first performed with the team and then educational activities were done with the families in the community. Data were collected through the observation, interview and content analysis. Results: Results Creation of four educational tools: the song ‘A Lição do Sapeca’, dramatisation of the song, the practice called ‘O que é isto?’ and the practice called ‘Casa Simulada’. Considerations: Considerations It is showed that through creativity and congruence the health team unleashed a process of the citizen community involvement for preventing child domestic accidents. Descriptores: Descriptores Comsumer participation; Health education; Accidents, home.

79-85

Authors: Sílvio Antônio Vieira, Clarice Maria Dall’Agno

A qualitative study that aimed at learning the way an emergency care multidisciplinary team at a public university hospital conceives and deals with the problem of patients who run away from hospital was carried out. Data were collected using the focus groups technique, whose sample was constituted by ten individuals, approached by non-directive group dynamics. Three thematic classes resulted from content analysis: a certain ambivalence; emergency, a place of (lack of) control; fears and insecurities. The study indicates the chaotic situation encountered by emergency services and, in this context, when patients run away, the health care team is imminently subject to a triple judgment: social, legal and institutional. Descriptors: Health management; Health services administration; Patient dropouts; Emergency service hospital; Focus groups.

92-9

Authors: Myria Ribeiro da Silva, Ana Rita de Cássia Bettencourt, Solange Diccini, Angélica Belasco, Dulce Aparecida Barbosa

This study aims at identifying the most frequent nursing diagnoses, according to the NANDA’s taxonomy II in adult patients of HIV/AIDS and to check how often the defining characteristics, the related factors and the risk factors provided support for their development. Data survey was conducted by researchers in the 60 patients admitted with HIV/aids, followed by the finding out whether the NANDA’s proposed requirements to develop the Nursing Diagnoses were appropriate. From the 38 diagnoses, 13 diagnoses were chosen with a frequency equal or higher than 80%. Results pointed to agreement and appropriateness for identification. But new studies will be necessary either to acknowledge the findings and bring new knowledge to the topic as well, besides encouraging research with this patients’ population. Descriptors: Nursing; Nursing diagnosis; AIDS.

107-12

Authors: Patrícia Pereira Remedi, Débora Faleiros de Mello, Maria José Menossi, Regina Aparecida Garcia de Lima

Providing care to adolescents with cancer in the process of death and dying has been a great challenge for health professionals. This challenge is marked by a high emotional burden and specificities of this stage of human development. The purpose of the present study was to review the scientific literature regarding palliative care to adolescents with cancer. This study is a literature review, which data collection was performed using Lilacs, Medline, and PsycInfo, in addition to non-systematic databases. An analysis of the manuscripts revealed three themes: adolescence and its different definitions; the particularities of adolescents with cancer; and palliative care to adolescents with cancer. The study showed there is a scarcity of evidenced-based research defining the panorama of symptoms affecting the quality of life during palliative care and an absence of specific programs in the stage of fast changes that, alone, demand for adaptive efforts. Descriptores: Adolescent; Neoplasm; Hospice care; Pediatric nursing.

119-24

Authors: Sílvia do Rosário Piteira Natário de Lourenço, Henrique Guilherme Martins Afonso

AIDS raises a social issue, humanitarian, legal, and threatens to change the social structure founding of tolerance and understanding, that sustains the life of our societies. From a clinical and epidemiological background of HIV/AIDS, this article of literature review makes an approach about psychological experience and implication of the Human Immunodeficiency Virus infection in pregnant woman. Descriptors: HIV; Descriptors: AIDS; Women’s health; Pregnancy. R

132-5

Authors: Flávio Trevisani Fakih, Genival Fernandes de Freitas, Sílvia Regina Secoli

This article treats of the duties and responsibilities of nursing staff concerning medication process. From a survey about the valid legislation, the authors made considerations about the legal implications to the nursing staff, especially related to the assistance quality detours involving the medication process, as well as the contradictions in law that restrict the information access about medication to these professionals. Descriptors: Medication errors; Legislation & jurisprudence; Ethics; Nursing.

140-5

Authors: Vera Regina Waldow

Reflection-in-action means to think what we do while we are doing. The present text analyzes this activity on the part of the nurse professional considering the caring moment, which constitutes the encounter between the caregiver and the cared for. It is suggested that the reflective practice be stimulated during the educational process and for that, faculty must be prepared. The reflective practice presents advantages such as: updating, renewal, knowledge generation, among others. Descriptors: Nursing care; Nursing; Teaching

151-5

Authors: Alessandra Conceição Leite Funchal Camacho

Report of experience whose aim is to describe the integration of the discipline of Legislation, Ethics and Practice of Nursing online in the Nursing Course at the University of Estácio Sá, Rio de Janeiro, Brazil. The construction of interactivity in distance education was critical to the continued planning of virtual environment through the development of students’ feasible abilities and skills for the theching strategy of Course Political Educational Project combining with the current legislation needs of nursing profession. The development of education articulated by avaliable tools in the virtual environment aims at promoting the critical-relexive development of the future nurse. Descriptors:Education; Nursing; Education, distance