Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

721-9

Authors: Juan José Tirado Darder, Zuila Maria de Figueiredo Carvalho

The objective was to make an explanation on the interface of nursing care with the elder care policies. It is presented the aging phenomenon as a global reality and a victory of modern society; the situation of elderly people and the social consequences of aging in Spain; the dependence and assistance needs; the situation of elderly people in Brazil; comparison between Spain and Brazil; dependency levels; and the solutions that nurses provide and home care as a basis for a better future. The considerations given are: meeting the dependency must be addressed immediately, considering the failures in other countries, to avoid the same mistakes, and to urge the elder population to maintain their independence with health promotion. Key words: Aging; Aged; Primary Care Nursing.

737-44

Authors: Mirna Poliana Furtado de Oliveira, Maria Rita Carvalho Garbi Novaes

The aim of this study is to describe the drug utilization by 154 elderly from five long-stay institutions of Brasilia-DF, Brazil, through a questionnaire adapted from the Dader Method. The sample is characterized mostly of men, age of 74.6 years, with preserved cognition, low income and low education level and in use of four to five medications. The adherence to pharmacotherapy is compromised by low knowledge about current medical prescription, difficulty of access and refusal to use medicines. Results suggest the need for investment in human resources training and research in the area to provide better quality of life and to reduce costs with the assistance health. Key words: Elderly; Homes for the Aged; Health of Institutionalized Elderly; Drug Therapy; Drug Utilization.

751-7

Authors: José Aparecido Bellucci Júnior, Laura Misue Matsuda

Methodological study, carried out between April to December 2010, which aimed to describe the criteria for construction, appearance and content validation of an instrument to assess the Reception with Risk Rating (RRR). The strategies of Content Validation through Delphi technique and Appearance Validation were used. The appreciation of the instrument was made by a panel of judges, consisting of ten nurses, teachers with titration of specialists, teachers and/or doctors with experience in RRR. We conclude that the instrument has content and appearance validity to assess the RRR because the indices of reliability and agreement in all three dimensions of health evaluation Donabedian reached values above the established standard, ie 80%. Key words: Validation Studies; Emergency Nursing; Emergency Hospital Service; User Embracement; Nursing.

767-74

Authors: Vitoria Regina Petters Gregório, Maria Itayra Coelho de Souza Padilha

This study examines the practices of care developed by nurses to women at Maternity Carmela Dutra, Florianópolis, Santa Catarina state, Brazil, in the period 1956 to 2001. It is a qualitative research with socio-historical approach. Nine nurses were interviewed using the technique of thematic oral history. The data were categorized using thematic content analysis and based on the foulcaultian theoretical framework. Four categories emerged: Context of Motherhood; care practices to women on admission; care practices to women on childbirth and care practices to women on puerperium. It was concluded that the care provided to women at the Maternity has been exercised by religious and midwives, nurses and lay nurse midwives, a path that goes from laic to professional care, intercalated with knowledge-power relationships marked by struggles and resistances to doctor’s hegemony of that time. Key words: Obstetrical Nursing; Nursing History; Obstetrics; Women’s Health.

780-7

Authors: Rosa Maria Godoy Serpa da Fonseca, Marta Araújo Amaral

This qualitative study aims to discuss the potential of Critical-emancipative Workshops utilizing the Tree of Knowledge as a facilitator strategy. The theoretical basis that constitutes this workshop was: the critical-emancipative education and empowerment; emotions as constructors of knowledge; the dialectical approach to transform reality and awareness; participation and shared responsibility. The study was conducted with 95 professionals working in 12 Family Health Staff in a city in the province of São Paulo, Brazil. The results indicate that the potential of the Critical-emancipatory Workshops relate directly to theoretical basis. The dynamics Tree of Knowledge used in the evaluation was powerful to reveal them. Thus, the workshops constitute an important tool for nursing in terms of their educational dimension, particularly, to face gender-based violence against women. Key words: Health Education; Gender; Educational Evaluation; Empowerment.

795-802

Authors: Francisca Georgina Macedo de Sousa, Alacoque Lorenzini Erdmann

Child care is supported by a shared action enriched by subjectivities of professionals and family in order to meet peculiar characteristics of child growth and development. This study aimed to understand modes of child care in Primary Health Care, supported by the Grounded Theory. Twenty-nine subjects participated in the research, including managers, coordinators of nursing and medicine courses, doctors, nurses and mothers of children assisted by the Family Health Strategy in São Luís-MA, Brazil. To collect data it was used a semi-structured interview. The category Qualifying child care at PHC and its respective subcategories recognize that care has different meanings based on the value of life and human dignity and that the value of care is built by efforts, collaboration, communication, complementarity and in the actions of professionals, families, services and managers. Key words: Nursing; Community Health Nursing; Care for Children.

809-14

Authors: Everaldo José da Silva, Maria da Glória Lima, Maria Helena Palucci Marziale

The study aims to understand the occupational risks as symbolic processes that shapes the daily activities of health professionals that manipulate sharps objects. Descriptive research was conducted at a university hospital, with information collected through the survey on the accidents at work in Intensive Care and hospital laundry, with the application of 105 questionnaires. The information was analyzed through an interdisciplinary perspective, and enabled the conciliation of quantitative and qualitative analysis. The results revealed that although the number of accidents is low, it is still necessary to improve the instruments such as the risk map, the use of safety equipment and staff training. Key words: occupational risks, safety equipment, work accidents.

822-8

Authors: Lilian Machado Torres, Lorena Márcia de Freitas Marques, Meire Chucre Tannure, Claudia Maria Mattos Penna

This is a qualitative study, based on comprehensive sociology, which aimed to understand the meaning assigned by health professionals of Belo Horizonte-MG, Brazil, to the principle of resolvability in the everyday actions of health. Thirty-two workers were the informants of this research. We used a semi-structured interview technique and content analysis. Professionals describe what is the solution and the factors that hinder their achievement. They realize, too, that patients do not always leave the Units with the response they want; and that the service is resolute in that matches your level of attention, although for some people and managers is the reverse. We conclude that it becomes urgent to reorganize aspects of this doctrinal principle of SUS. Key words: Unified Health System; Public Health; Universal Access To Health Care Services; Delivery of Health Care.

839-43

Authors: Ana Railka de Souza Oliveira, Alice Gabrielle de Sousa Costa, Vanessa Emille Carvalho de Sousa, Thelma Leite de Araujo, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes, Maria Vera Lúcia Moreira Leitão Cardoso

The objective of the study was to evaluate the available productions in literature about scales to measure the overload of caregivers of patients with stroke. It was carried out a bibliographical revision in three databases: LILACS, CINAHL and SCOPUS. In 23 works, 24 different scales were identified, and the most cited were: the Caregiver Strain Index, the Caregiver Burden Scale, the Caregiver Reaction Assessment, the Sense of Competence Questionnaire, the Relatives Stress Scale and the Zarit Burden Interview. The use of scales to measure the overload is an important tool to evaluate the context in which the caregiver is inserted, but is more trustworthy to use more than one measure instrument than use only one. Therefore, the validation of scales becomes important for this population. Key words: Stroke; Caregivers; Technology; Scales.

849-55

Authors: Lorita Marlena Freitag Pagliuca, Evanira Rodrigues Maia

This study addresses the Cross-Cultural Nursing Theory, which develops foundations for care delivery, as the essence of nursing work, based on anthropology, which supports and explains culture and care aspects. This reflexive study was based on the Theory Analysis method to study the concepts aimed at constructing a Self-Assessment Instrument of Competencies for Cross-Cultural Care to Disabled People. After analyzing the main concepts, Culturally Competent Care and Cultural Communication, were analyzed, as well as the sub-concepts: assessment, values, bio-cultural diversity, skill, knowledge, identity, code and cultural empathy. The analysis cycle of cultural values supporting self-assessment was summarized. The Self-Assessment Instrument of Competencies for Cross-Cultural Nursing Care to Disabled People was constructed, specifically deafness, blindness or low sight, physical impairment and mental impairment, regarding greeting, accepting, helping, knowing and advocating. It is concluded that the theory joins characteristics for care delivery to disabled people. Key words: Nursing Theory; Transcultural Nursing; Anthropology; Cultural Competency; Disabled Persons.

862-6

Authors: Cláudia Prado, Luiz Carlos Santiago, Jaqueline Alcântara Marcelino Silva, Irene Mari Pereira, Valéria Marli Leonello, Eloá Otrenti, Heloisa Helena Ciqueto Peres, Maria Madalena Januário Leite

New Technologies of Information / Communication offer the option of using a virtual learning environment (VLE), which allows for greater interactivity in daily nursing education urging educators to rethink their teaching practices. The aim of this study was to report the experience of the use of virtual environment in nursing education from the perspective of students. The discipline “Nursing Education: Trends and Challenges” was given to 78 students from the 4th semester of undergraduate nursing, from which 48 answered a questionnaire with closed and, among these, 33 answered an open question about the use of AVA. Students considered the AVA a facilitating tool of learning, the process of knowledge construction and interaction between students, teachers and tutors enriching thus the sharing of ideas and allowing a meaningful and collaborative learning. The study revealed the need for enhancement of use of VLE in teaching undergraduate nursing. Key words: Nursing; Education, Nursing; Educational Technology; Health Education.