Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

207-14

Authors: Vilma de Carvalho

This is to point upper specific aspects of the Brazilian Nursing Association 85 Years of History (ABEn), an historical-evolutionary time that is quite a secular. The most objective intention is to emphasize the advances and remarkable conquests that distinguished the associative entity in the Brazilian reality. The thematic approach is of appreciative reflections referring to the idea of considering some changes accomplished in the associative development plan and social compromise, but with emphasis to reconsider some permanent challenges. The author’s position is literary and experiential, of whom could learned to know her primate class entity in the own professional life activity as associate nurse and nursing teacher committed in the plan of several events engaging the ABen developmental progress in the social-scientific sceneries rooted throughout the idealistically continuing process to be developed future ahead. One not need to think on proposals aimed solution to possible rout deviation in the constitutive structure of the profession, neither even is pretended to resolve current crucial questions. But, the raising questioning idea emphasizes that the scope developmental sphere of the associative entity is tangible to the ideal of ensuring the advances of the professional class in relation to the care offered/provided to the clients and users of the health system. Key words: Brazilian nursing; Fighting and advances; Evolution leaps and contributions.

222-8

Authors: Greice Schrader, Sofia Palagi, Maria Angélica Silveira Padilha, Patrícia Tuerlinckx Noguez, Maira Buss Thofehrn, Daiane Dal Pai

The study aimed to know the perception of the nurses that work in the health basic units from Pelotas, Rio Grande do Sul, about their life quality in work (LQW). This is a qualitative, exploratory and descriptive study, carried out with seven nurses, through semi-structured interviews, submitted to thematic analysis. Inadequate conditions at work, professional belittling and insufficient support from the managers were categories related to low of low LQW meanwhile the interpersonal relations and the satisfaction with the activity of caring were categories positively related to professional performance and the LQW. Key words: Nursing; Health centre; Working conditions; Quality of life.

236-43

Authors: Inácia Sátiro Xavier de França, Rosilene Santos Baptista, Fatima Maria da Silva Abrão, Alexsandro Silva Coura, Eurípedes Gil de França, Lorita Marlena Freitag Pagliuca

It was aimed to investigate what actions taken in Basic Health Units of the Family-(BHUF) to meet the demands of adults with spinal cord injury (SCI) post-rehabilitation, list facilities/difficulties to meet the demands of users. Descriptive study conducted in twenty BHUF. Twenty doctors and twenty nurses, randomly selected, participated in the study. To collect and analyze data, it was used semi-structured interviews and analysis of content. The categories were based on the integrality, universality, charity and justice principles. It was found: professional disqualification to assist people with SCI, fragmented care, difficult to schedule consultations and examinations, difficulties in the reference and counter reference system, and lack of ongoing actions to take care of individuals with SCI. The BHUF not ensure the protection of all citizens, there are challenges to the construction practices of health solidarity, warm and consequently more effective and decisive for individuals with SCI. Key words: Spinal cord injuries; Disabled persons; Spinal cord regeneration; Rehabilitation nursing; Bioethics.

251-6

Authors: Geisa Santos Luz, Silvana Sidney Costa Santos, Valéria Lerch Lunardi, Ellen Dayane Cargnin Pimentel, Sandra Marisa Pelloso, Maria Dalva de Barros Carvalho

This is a qualitative investigation with a phenomenological approach, which aimed to reveal the inter-subjective processes in the context of the family in which there is a person who suffers from Cystic Fibrosis (CF). Fourteen families of CF carriers were interviewed. They were registered at the Paranaense Association of Cystic Fibrosis Care, and lived in the north and northwest regions of Paraná estate (PR), Brazil. Significant units were taken from their speech and grouped into three categories: Family, Carrier of CF and the other; Religious aspects about the life of the CF carrier in the family; Carrier of CF in the scholar, professional and affective life. The results confirmed that families’ experience shared with the other was crucial to face the disease. Knowing the inter-subjective processes that underlie the core of the family of people affected by CF provides a new way of working in nursing. Key words: Nursing; Cystic Fibrosis; Family.

264-8

Authors: Ana Carolina Sartorato Beleza, Cristine Homsi Jorge Ferreira, Ligia de Sousa, Ana Márcia Spanó Nakano

This is a descriptive study, involving fifty women after vaginal delivery with episiotomy. The study aimed to measure and to characterize the perineal pain in primiparae who have had a natural childbirth with episiotomy and to verify the activities limited by the perineal pain. For evaluation of perineal pain, a Numeric Scale and the McGill Pain Questionnaire were used, as well as another questionnaire to analyze the activities limited. In the Numeric Scale, the median of perineal pain referred were five. The sensory and subjective evaluation categories were the most selected in the McGill questionnaire. The perineal pain was characterized as pulsing, pulling, hot, stinging, hurting, annoying, troublesome, tight and tense. The most limited activities were sitting, laying down (onto the bed), and walking. In conclusion, it was possible to verify the presence of perineal pain between women in the postpartum period caused by episiotomy and identify the activities of sitting, lying down and walking were limited for this symptom. Key words: Pain; Postpartum period; Episiotomy; Women´s health.

276-84

Authors: Marlise Barros de Medeiros, Eliane Ramos Pereira, Rose Mary Costa Rosa Andrade Silva, Marcos Andrade Silva

The study aimed to reflect, based on the theoretical framework of Max Scheler, about the ethical dilemmas experienced by nurses in the ICU, and about the values that guide their actions and decisions. This is qualitative research, and ten ICU nurses have been interviewed at a university hospital. It was identified the experience of ethical dilemmas related to the terminality related to the limits of intervention and use of material resources, as well as the issue of blood transfusion in case of religious restrictions. The values identified were: respect, dignity of the patient, scientific knowledge, humility, passion for the profession and love of God. The theory of values is an important tool for nursing because it allows the approach of an ethics of humanizing praxis, especially in situations of ethical dilemmas. Key words: Philosophy nursing; Professional ethics; Intensive Care Units; Principle-based ethics.

291-6

Authors: Patricia Oliveira Salgado, Meire Chucre Tannure, Cleydson Rodrigues Oliveira, Tânia Couto Machado Chianca

Descriptive study that aimed to identify nursing actions prescribed by nurses in the medical records of patients admitted to an Intensive Care Unit (ICU) for adults, in Belo Horizonte (MG), the terms used, their frequency and map the actions to the Theory of Basic Human Needs and NIC interventions. It was obtained a sample of 44 patient records. It was identified 2,260 nursing actions. After exclusion of repetitions, it was found 124 different actions. All nursing actions have been mapped to physiological needs and also to NIC interventions. It was obtained 100% of agreement among experts in the validation of the mapping process. It is suggested that similar studies in ICUs from other locations and different contexts / specialties should be driven to identify nursing actions developed and its evolution. Key words: Nursing; Nursing care; Classification; Intensive Care Units; Adult.

304-8

Authors: Camila Letícia Dias dos Reis, Janaína Mortosa Cavalcante, Edvar Ferreira da Rocha Júnior, Rinaldo Souza Neves, Levy Aniceto Santana, Renato da Veiga Guadagnin, Lourdes Mattos Brasil

Pressure ulcer is a lesion that affects skin layers in some regions of the body and its healing can be followed up using image processing. The analysis of pressure ulcer area is relevant to evaluate its evolution and response to therapeutic procedures. Such areas can be evaluated through contour marking with the softwares Motic and AutoCAD®. In this study 35 volunteers computed areas from two grade III pressure ulcers using these instruments. It was possible to conclude that results are clinically equivalent and so can be considered to follow up healing evolution from pressure ulcers. Key words: Pressure ulcer; Photography; Software; Image processing, computer-assisted; Wound healing.

317-23

Authors: Maria Solange de Castro Ferreira, Maria Alice Ornellas Pereira

This is a qualitative study aiming at understanding how patients discharged from a Mental Health Day Hospital view the service, at learning whether such service contributed to changes in their lives and at whether those individuals continued treatment. Semi-structured interviews and documental research were used for nine patients who had completed treatment at the service in 2008. Thematic analysis was adopted for organization of the data obtained, which were analyzed according to the Psychosocial Rehabilitation framework. It emphasizes the importance of looking for the various subjective aspects of human existence, requiring from services and professionals the establishment of a caring relationship that enables the reconstruction of trajectories interrupted by the onset of the disease, through actions that consider the integrality and intersectionality. Key words: Mental health; Care; Rehabilitation; Mental Health Services.

332-8

Authors: Mariana Cabral Schveitzer, Vânia Marli Schubert Backes, Marta Lenise do Prado, Mônica Motta Lino, Fabiane Ferraz

This study aimed to identify themes of research areas and scientific literature of Research Groups in Nursing Education (GPEE in Portuguese) of the North, Northeast and Midwest regions of Brazil. This is a descriptive and exploratory study. It was identified 12 GPEE, 45 fields of research and 448 scientific papers, of which 60% have appeared in magazines classified as A, B1 and B2. Even though 36% of the research areas were about education, only 25% of the papers covered this theme. Furthermore, 34% of the research areas were about care and 44% of the papers were about it. It’s necessary to rethink the GPEE organization in regards to areas and research projects, to advance towards the consolidation of Nursing Education as an area of knowledge production. Key words: Nursing education; Nursing research; Research in nursing education.

347-52

Authors: Tânia Cristina Franco SantosI, Maria da Luz Barbosa Gomes, Alexandre Barbosa de Oliveira, Antonio José de Almeida Filho

This is a historical and social study, which aimed to describe the main characteristics of the Vargas and Franco dictatorships, and to analyze the implications of these to the institutionalization of nursing in Brazil and Spain. As fonts, it was used written documents located in the historical Brazilian and Spanish archives, in addition to the literature on the subject. Data analysis, supported by concepts of Pierre Bourdieu’s World Social Theory, showed that, in Brazil and Spain, in referring to the social division of labor, the meeting point between Church and the State was the seclusion of women in private space. It is concluded that the feminine qualities were capitalized by the nurses to legitimize their actions in public space, even to reproduce in that space, consented to by the State and Church, occupations appropriate to femininity Key words: Nursing; History of Nursing; Brazil; Spain.

361-7

Authors: Rose Murakami, Claudinei José Gomes Campos

The study aimed to analyze scientific studies that show as subject an interface between religion and mental health care. From the literature reviewed in the databases LILACS, BDENF and electronic library SciELO, in the period 2000-2010, it was performed an integrative review of thirteen papers, using, as inclusion criterion, the availability of work via online and their compatibility thematic with the objective of the study. Six categories were listed, concluding that religion is a dimension that can contribute positively to the treatment of patients with mental illness, by providing emotional and social continence and teachings on customs, that encourage quality of life. Key words: Religion; Mental health; Nursing care.

374-8

Authors: Delma Aurélia da Silva Simão, Elenice Dias Ribeiro de Paula Lima, Raíssa Silva de Souza, Tiago Vitervo Faria, Geraldo Fernandes Azevedo

The study was aimed at reporting a case of a patient who developed Hand-Foot Syndrome (HFS) grade 3 due the use of capecitabine and for which massage was used with aqueous-based moisturizer, aloe vera. The patient’s functional capacity was assessed using the ECOG Performance Scale and the lesions were photographed during nursing appointment that occurred at intervals of ten days, totaling forty days of monitoring. There was significant improvement in tissue integrity, with total regression of symptoms, an important gain in quality of life, and immediate return to chemotherapy. It is believed that aloe vera can be an important component in nursing care in patients undergoing cancer chemotherapy. Key words: Chemotherapy; Nursing; Oncology, Aloe.