Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

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.