Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

224

Authors: Elizabeth Teixeira, Ivone Evangelista Cabral

Editorial.

234-40

Authors: Débora Zmuda Padilha, Regina Rigatto Witt

This investigation aimed at identifying nurse’s competencies necessary to screen blood donors, from those recommended by the International Council of Nurses. A qualitative, descriptive case study was developed at the Hemotherapy Service – blood bank of a teaching hospital in Porto Alegre, RS, Brazil. Twenty Five interviews performed by five nurses hired by the service were observed. For observations analysis standard adequacy was used. Six competencies of the professional, ethics and legal area and eleven from care provision and management were identified. Competencies identified in this study will serve as a basis for practice and to prepare generalist nurses to perform clinic screening of blood donors. Key-words: Professional Competence; International Council of Nurses; Blood Donors.

254-60

Authors: Rose Murakami, Claudinei José Gomes Campos

The purpose of the study was to analyze the impact of interpersonal relationship of the nurse with the family of the hospitalized child, about his illness, surgical procedures and recovery of the child. The sample consisted of eight nurses in direct assistance to children in the pediatric unit. The clinical-qualitaitve method and semi-structured interviews were used. Using thematic content analysis found that the child’s emotional state influences the outcome of their clinical condition and presence of the partner has a positive impact, providing a sense of security and familiarity. A warm reception to the escort and partnership with the nurse provides a pillar of support, positive emotional climate in the implementation of nursing care. Providing health education is relevant to the companion in home care after discharge. Key words: Child Hospitalized; Pediatric Nursing; Family.

268-73

Authors: Maria Henriqueta Rocha Siqueira Paiva, Adriana Cristina Oliveira

This transversal study was carried out with a multiprofessional team in the pre-hospital care in Minas Gerais, Brazil. It aimed to estimate the incidence of occupational accidents by exposure to biological material and post-accidents conductsta. Descriptive analysis and logistic regression were used. Incidence of accidents was 19.8%: 39.1% perforating-cutting materials and 56.5% body fluids. Doctors (33.3%) and drivers (24.0%) were most involved. Inadequate subsequent measures were highly prevalent: no medical assessment (69.6%), no work accident communication issued (91.3%), no measures (52.2%) and no serological follow-up (52.2%). Variables associated with accidents were: age >31 years old (OR = 3,02; IC95%: 1.25 - 7.33; p = 0.014) and working in basic support units (OR = 5.36; IC95%: 1.51 – 19.08; p = 0.010). The implementation of post-accidents protocols is suggested in order to reduce accidents and under-notification, and increase post-accident follow-up. Key words: Emergency Medical Services; Accidents, Occupational; Prevention & Control; Occupational Accidents Registry.

281-6

Authors: Yana Balduíno de Araújo, Neusa Collet, Isabelle Pimentel Gomes, Rosenmylde Duarte da Nóbrega

This study aimed at investigating the influence of social network on adolescent coping with chronic conditions. Qualitative research whose subjects were hospitalized adolescents who had a diagnosis of chronic disease for at least one year. Data were collected through semi-structured interview and depositions were submitted to thematical analyses. This research highlights that the chronic condition in adolescence brings substantial effects on their lives. Friends, teachers and health professionals are part of the social network. To promote autonomy it is necessary to include adolescents in care planning and to have a social network that supports them in various demands in different stages of illness. Key words: Adolescent; Chronic Disease; Social Support; Nursing

294-300

Authors: Maria Odete Pereira, Márcia Aparecida Ferreira de Oliveira

This study’s purpose was to identify and to analyse the relation between population about the amount and modality of existing mental health devices. That was a a descriptive-exploratory study carried out in 27 municipalities of the Regional of Health XVII of São Paulo State. Of the paticipant municipalities, seven had some mental health device, totalizing 12 in five different modalities: two Centers of Psychossocial Atention type I; two of type II; one day-hospital; 12 beds in a general hospital; four outpatient clinics and seven beds in emergency services. High number of residents in those municipalities is without mental care coverage. Key words: Mental Health; Community Mental Health Services; Mental Health Services; Public Policies.

308-14

Authors: Dulce Garcia Galvão

The study aimed at understanding the aspects that the nurses makes available to mothers regarding to breastfeeding and to verify which communication skills are used in advice in breastfeeding. That was a descriptive-exploratory study with the use of an aplication form that was completed by 45 nurses from a post-graduate pediatrics course. The average age of the participants was 32,7 years-old, being the majority females. It was observed that after the training course the students become more aware of the maternal body posture and breast anatomy. Changes in the advices given to the mothers with the purpose of promoting better practices concerning to the positioning and way of nursing were also observed after the training, nevertheless, the communication skills used were few. It was concluded that the breastfeeding advice training course was not enough, requiring a greater development. Key words: Breastfeeding; Advice; Health Promotion; Nurses.

322-7

Authors: Paula Alvarenga de Figueiredo Martins, Neide Aparecida Titonelli Alvim

This research aimed to describe ostomized users’ knowledge and practices with regard to the maintenance of an intestinal and urinary elimination ostomy; and to analyze the pertinence of sharing this knowledge and practice with fundamental nursing care in an outpatient context. The Care-Converging Research method was employed. A form was used to identify to ostomized patient and a semistructured interview to produce the data. All ethical aspects were complied with. The research revealed the need for further dissemination about these users’ concrete reality, so that they can feel more welcomed, strengthened to cope with difficulties that may arise in their daily reality of living with the surgical derivation. Key words: Nursing; Health Education; Ostomy; Ambulatory Care.

335-42

Authors: Iraci dos Santos, Renata de Paula Faria Rocha, Lina Márcia Miguéis Berardinelli

Objective: To identify the needs of nursing guidance for the self-care of the clients on hemodialysis. Methodo: Descriptive-exploratory research whose data were collected by means of individual interviews with clients who were on hemodialysis therapy, using the Orem conceptions. Results: 43 clients were included in self-care system totally compensatory for the needs of guidance: nutritional therapy, fluid intake, hemodialysis complications, anticoagulation physical activity, emotional problems has been the group membership and leisure activities. Conclusion: In managing hemodialysis sessions, the nurse is fundamental in the orientation of the clients and family. Her support to the patient in the administration of treatment contributes to acquire the competences and ability in self-care actions and thereby promote their quality of life. Key words: Nursing; Self-Care; Chronic Kidney Disease; Hemodialysis.

348-54

Authors: Juliana Helena Montezelli, Aida Maris Peres, Elizabeth Bernardino

Objective: To characterize the registered nurse’s management activities in an emergency department. Method: Qualitative research, implemented from February to April 2009 by a semi-structured interview with eight nurses from an emergency department at a university hospital in Curitiba, PR. Brazil. The data was submitted to content analyses. Results: Two categories emerged: Management focused on meeting the institutional demands that emphasizes the Registered Nurses’ burocratic activities required by the hospital; and Management focused on meeting the nursing care demands that prioritizes the care as the main management activity. Conclusion: The study reached its objective and joined the literature findings that the division between care and management does not match with the registered nurse’s performance at an emergency department. Key words: Nursing; Emergency Nursing; Nursing Administration Research; Practice Management.

355-8

Authors: Neuma Santos, Patrícia Veiga, Renata Andrade

The history and physical examination are part of data collection of the Nursing Process. Its implementation is aimed at individualized care, holistic, humane and scientific foundation. The literature review was carried out in indexed databases as LILACS and SciELO, books and journals available in local libraries as published between the years 2000 to 2009. The aim is to describe the importance of clinical history and physical examination in the care provided by nurses. The results of this research will enable nursing students and health professionals can better understand the importance of history taking and physical examination to their professional practice, implement properly all stages of NAS and arouse interest in research on this topic. Key words: Medical History Taking; Physical Examination; Nursing Care.

365-9

Authors: Ana Larissa Gomes Machado, Maria Josefina da Silva, Consuelo Helena Aires Freitas

The aim was to analyze the nursing scientific production concerning to home health care, from bibliography in electronic addresses of nursing journals, covering the period between 2000 and 2007. Two themes were identified: organization of home care and perceptions of caregivers and their families about the home care. There was the interest of authors in define concepts that reflect the ways of organizing the professional assistance in home and in identify the characteristics of caregivers and their families. In conclusion, the nursing has entered the care at home as the object of their search, but still so low, a fact which reinforces the need for expansion and dissemination of research of the profession. Key words: Home Care Services; Nursing Care; Home Nursing.

376-80

Authors: Marília de Fátima Vieira de Oliveira, Telma Elisa Carraro

Given the dimensions involving human care, this study aimed at providing a reflection on nursing care as an ontological possibility. In Heidegger we consider the concepts that underlie the foundation of his thought. These reflections offer theoretical resource that allows the recognition that live in the everyday actions of nursing is a challenge that leads us to a new look at the magnitude of care. However, the actions of care should not target only the perspective of a philosopher, but live with that thought in search of reflection, and find, scrutinizing everything you contribute to a nursing care committed to the right, with ethics, and with respect for others. Key words: Care; Nursing; Philosophy in Nursing.

385-8

Authors: Adriane Pinto de Medeiros, Maria de Fátima Batalha de Menezes, Anamaria Alves Napoleão

A reflexive article about risk factors and prostate cancer prevention actions is presented to contribute to the approach of men, especially during nursing consultation. Increasing age, ethnical origin and heredity are potential risk factors. Low-fat diet and a diet rich in fruits, vegetables, legumes, grains and others, are related as capable of potentially minimize the risks. Finasteride, a drug that is inhibitor of 5 alpha-reductase has been studied as a risk reducer. Investigating the disease by measuring levels of Prostate-Specific Antigen (PSA) and digital rectal examination is also a recommended action. However, further scientific evidences about these factors are being sough. The approach of men in nursing consultation may contribute to the identification of risk factors, signs and symptoms of possible changes. Key words: Disease Prevention; Neoplasms; Prostatic Neoplasms; Men’s Health; Nursing.

398-92

Authors: Fernanda Rochelly do Nascimento Mota, Danielle Barros Albuquerque, Edmara Teixeira Oliveira, Natálya Iara Rodrigues de Araújo, Maria Eliana Peixoto Bessa, Maria Josefina da Silva

Report of experience aiming to show the importance of the participation of nursing students in the development of a data collection tool to assess families with aged. In order to elaborate it students were first exposed to the theory this study is based on and then the tool was developed. A pilot was made to identify possible problems concerning clarity and objectiveness of questions. After tested, the tool was adapted and applied in families with elderly. Data collection showed appropriacy of such instrument to be used in further studies in the area of Strategy for Family Health. Besides, the research enhanced creativity, critical and scientific thinking of the students involved in it. Key words: Education Nursing; Research Groups; Nursing Students; Aged.

928-35

Authors: Fabiana Ferraz Queiroga Freitas, Kátia Nêyla de Freitas Macêdo Costa, Cristiana Brasil de Almeida Rebouças, Maria das Graças Melo Fernandes, Joab de Oliveira Lima

The aim is to analyze the nonverbal communication between nurses and the elderly in the nursing consultation based on the theory by Hall. The research concerns a escriptive exploratory study and it has a quantitative approach. It took place through filmings of the nursing consultations which happened in Health Basic Units in João Pessoa, Paraíba, Brazil, observed every minute,a total of 1.575 nonverbal interactions. The analysis has showed the predominance of the female nurses (90.63%) and the elderly (65.63) and a regular classification for most of the factors as a prevalence of a sitting set (80.09), opposite chairs (64.46%), personal distance (91.40%), calm facial expression (59.78%), touch was used for a technical procedure (53.33%), visual interaction for the manipulation of the objects (57.69) and no alteration in the voice volume (48.79%). These results reflect the necessity of the nurses to domain consciously their corporal and facial manifestations in order to improve the interaction with the elderly. Key words: Nursing; Nonverbal Communication; Elderly; Primary Health Attention.