Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

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.