Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

500

Authors: Alacoque Lorenzini Erdmann, Josicelia Dumêt Fernandes

Editorial

512-7

Authors: Mariangela Aparecida Gonçalves Figueiredo, Suely de Souza Baptista

Historic-social research aiming at: characterize the nursing superior teaching in Juiz de Fora city and to discuss the reason and motivations which determined the creation of Nursing Course of the Universidade Federal de Juiz de Fora. Primary source: written documents and oral testimony. The results discussion was guided by Pierre Bourdieu. In the 1970’s, Education Ministry Department of University Subjects undertook efforts to create nursing courses in federal universities. As the process of negotiation meant to incorporate Hermantina Beraldo Nursing College to Universidade Federal de Juiz de Fora failed, in 1978 a Department of Nursing was bind to UFJF Medical College and, in 1970, the Nursing Course of this same university started functioning. Descriptors: Nursing; Nursing history; Education, nursing; Brazil.

524-9

Authors: Natália de Cássia Horta, Roseni Rosângela de Sena, Maria Elizabeth Oliveira Silva, Suelen Rosa de Oliveira, Verônica Amorim Rezende

This article shows the results of a study which analyzed healthcare actions carried out by Family Health Teams. It is a qualitative research carried out in Belo Horizonte and Contagem, state of Minas Gerais. The subjects were 28 members of the Family Health Team. Data were collected through interviews. The results show a tendency to work a concept of health promotion, associated to disease prevention activities. Permanent education is very elementary is at a very early stage in the health services. We conclude that the activities carried out with a focus on inter-sectoral work are limited, compromising the consolidation of the merely technical healthcare model, which is based on health promotion. It can be seen, based on analysis of the practice of the teams, that there is little incentive to the empowerment of the subjects. Descriptors: Family Health Program; Professional practice; Nursing.

535-9

Authors: Ana Célia Caetano de Souza, Thereza Maria Magalhães Moreira, Maria Rocineide Ferreira da Silva, Paulo César de Almeida

A hypertensive crisis is a sudden and symptomatic elevatation of blood pressure at risk of acute deterioration of target organs. Although the prevalence in the literature of the burden is 1%, the risk of complications and death associated with the problem of health in the emergency services have revealed the need for deeper issues related to access to the service of health. It is a quantitative and descriptive research, held in a public hospital Fortaleza city, between April and July of 2006, with 118 patients. The results show that people with hypertensive crisis has sought health services, especially the emergency, in order to get care. The study indicates access as a key element in meeting the needs of users who seek the services of health, and the waiting time, the resolution and the reception, important parameters on the quality of care. Descriptors: Hypertension; Emergency medical services; Emergency nursing.

546-51

Authors: Nádia Zanon Narchi

The aim of this study was to analyze delivery care by nurses in six public hospitals of the East zone in the municipality of São Paulo. A descriptive-exploratory study was carried out from October 2006 to June 2007, with nursing leaders and 38 nurses who answered the questionnaire, indicating frequency they performed delivery care related activities, as well as any possible obstacles or difficulties to exercise their functions. The results showed that nurses had no means to operationalize their work due to institutional and organization barriers that they had to deal with. It was concluded that to completely perform their work regarding delivery care, nurses must count with more favorable structures and to strengthen their professional identity, thus assuming greater qualification and power. Descriptors: Descriptors: Obstetrical nursing; Public policies; Maternal mortality; Perinatal mortality; Humanization of assistance.

557-61

Authors: Talita Garcia do Nascimento, Sueli Riul da Silva, Ana Rita Marinho Machado

To verify the practice and to identify the meaning of the breast self examination among women with cancer and were submitted to the chemotherapy were objectives of this work. It was a qualitative research, using the speech of the women who are breast cancer carriers in the Hospital das Clínicas of the Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil through semi-structured interviews. The collected material was submitted to the analysis of the simplified content proposed by Thiollent. The interviewees owned knowledge on the existence and Importance of breast self examination, however, many did not practice it correctly or ignored the periodicity and technic indicated, there being, this way, need to develop effective interventions to promote the understanding of the feminine population concerning the importance in adopting practices aimed at the precocious diagnosis of the mammary cancer. Descriptors: Breast neoplasms; Breast self examination; nursing.

570-8

Authors: Cláudia de Lourdes Henriques de Lima, Maria Miriam Lima da Nóbrega

Descriptive-exploratory study developed with the aim of building affirmative nursing interventions based on the Bank of Language Special Terms of Nursing, the Nomenclature of Nursing Diagnostics of the Medical Clinic and the ICNP®, Seven Axis Model. The affirmative built were subjected to a validation process, considering as validated when reaaching a > 0.80 concordance index, by nurses who work in the referred clinic, and who agreed to participate. It is waited that the use of this nomenclature, while technological instrument, allow the employment of the clinical reasoning, attendance individualization and, consequently, stimulates the nurses to question and to modify its professional performance in the assistance, the management, education and the research. Descriptors: Nursing; Terminology as a topic; Internal medicine.

583-7

Authors: Luana Cardoso Pestana , Célia Pereira Caldas

In the course of dementia, behavioral disorders are highly prevalent and are frequently associated with the stress of caregivers. This study aims to identify in scientific literature the types of dementia associated with behavioral and psychological symptoms (BPSD); describe the non-pharmacological management of these alterations, and describe the nursing interventions in this context. The literature in the field of geriatrics and nursing was searched. It became evident that the nursing care provided to the demented elderly goes farther beyond the basic care and depends on the active participation of the family. The identification of strategies to minimize and manage the behavioral symptoms is an important contribution that nursing can give to geriatrics. Descriptors: Dementia; Aged; Caregivers; Nursing; Geriatrics.

594-8

Authors: Cláudia Prado, Christiane Pereira Martins, Luciana França, Maria Madalena Januário Leite, Heloísa Helena Ciqueto Peres

The purpose of this study was to describe the methodology of the use of chat for real-time communication in a group of nursing research. The role of coordinator understands the dimensions of planning, mediation and technology. Each dimension can determine the success or failure of communication. They should be seen in an integrated and modified some of them interfere with the quality of the final outcome of the activity. The software of communication was adopted by Skype® allow free communication among many users in real time. To implement the chat were down five steps: opening, host / heating, the staff development, synthesis and closure. The methodology allowed optimization and flexibility of time, organization of activities and range of goals. Descriptors: Education, Nursing; Technology; Nursing Informatics.

604-7

Authors: Diva Thereza dos Santos Pilotto, Octavio Muniz da Costa Vargens, Jane Márcia Progianti

This is a theoretical reflection about maternal care in the context of Rooming-in. It is based on Winnicott’s concepts of Primary Maternal Preoccupation, Maternal Care, and Good Enough Environment. Rooming-in is conceived as an adequate place for establishing a relationship between mother and child which is favorable to maternal care. While in Rooming-in, the mother lives a peculiar mental status, the primary maternal preoccupation, which goes stronger along pregnancy and is maximal during childbirth. Perceiving Brazilian maternity hospital as a place for care, we see nursing care as an important aid in the interaction between mother and baby, supporting women along this peculiar state of mind. Descriptors: Nursing; Rooming-in care; Obstetric Nursing.

613-9

Authors: Alide Salazar Molina, Sandra Valenzuela Suazo

The aim of this paper is to develop applications of Orem’s Theory of Self Care in order to address nursing interventions during pregnancy and menopause, and to determine its usefulness as a theoretical framework for addressing self care during stages of development. It is concluded that the application by nurses and midwives of this theoretical framework, in assisting women during pregnancy and menopause, contributes to identifying the requirements of self care, the required interventions, necessity of self care and the methods of assistance that women require with special emphasis on training and development of self care procedures. Descriptors: Selfcare; Nursing Theory; Pregnancy; Climacteric.

627-31

Authors: Maria Aparecida Baggio , Marisa Monticelli, Alacoque Lorenzini Erdmann

This study is an experience report of a reflective practice developed with nursing professionals in a public hospital in Santa Catarina, Brazil about the problem of relationships in caring for one’s self, another, and for “us”, in different dimensions, within the perspective of the Complexity paradigm. Five workshops were organized and carried out, encompassing three meetings each, with previously chosen themes. From the systematic analysis of the participants’ speech content, some units of meaning emerged. This practice brought comprehension concerning established iterations and associations in the I-other-us relationship closer together, as human beings, in the I-other-us-environment relationship, and in the relationship each human being has with him/herself, based on the mobilization/undulations/ private and reciprocal exchanges of living and living with others in a complex world/scenario. Descriptors: Nursing; Care; Hospital; Hospital unit.

637-43

Authors: Alacoque Lorenzini Erdmann, Juliana Vieira Fernandes, Cecília Melo, Bruna Ré Carvalho, Quézia Menezes Quézia Menezes, Roberta de Freitas, Eduardo Emarinony, Marli Terezinha Stein Backes

This experience report aimed at discussing and reflecting about undergraduate classes, literature and discussions conducted in seminaries with nursing students, the conquests and the gaps that are reflected in the visibility of the nursing profession. The “Job market in Nursing and new modalities of rendering services”. The students see the Nurse as a professional focused on care. The categories that emerged from the data referring to the nursing students’ view just before graduating are: advances and conquests, professional satisfaction and gaps in the profession. It is important to develop the political competence with a broadened view of the nursing profession as a social compromise of citizenship in the conquest of living more healthly. Descriptors: Nursing; Job market; Nurse’s role; Professional competence.

729-33

Authors: Nilba Lima de Souza, Ana Cristina Pinheiro Fernandes Araújo, Íris do Céu Clara CostaI , Jovanka Bittencourt Leite de Car Jovanka Bittencourt Leite de Carvalho, Maria de Lourdes Costa da Silva

Qualitative study aimed at knowing the representations of mothers about the hospitalization of their premature son in a Neonatal Intensive Care Unit (NICU). The sample was composed of eighteen mothers of premature newborns hospitalized in a school hospital in Natal, Brazil. A semi-structured interview was used and data analysis showed that hospitalization of a child is represented by the mothers as meanings, feelings, difficulties and uncertainties. It is considered that prematurity represents a maternal challenge from the moment of the premature birth, proceeding with disturbances inherent to hospitalization. These require awareness, listening and dialogue on the part of health professionals in an effective manner in order to strengthen maternal adaptation to prematurity. Descriptors: Descriptors Maternal behavior; Premature birth; Neonatal nursing; Intensive care units, neonatal.