Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

867-8

Authors: Judith ShamianI

Editorial

881-5

Authors: Franco A. Carnevale

Interdisciplinary collaboration is widely recognized and considered essential for optimizing the development of knowledge and practice. However, interdisciplinarity is commonly accepted as an unquestioned good; rarely examined as both a source of benefit as well as difficulty for nursing and other disciplines. The aim of this article is to critically examine the opportunities and challenges that interdisciplinarity can provide for research in nursing and other disciplines. Based on a North American perspective, I describe the emergence of uni-disciplinary nursing research and the knowledge exchanges that occurred between nursing and other disciplines. I discuss the rise of interdisciplinary research, outline several examples of nursing participation in interdisciplinarity, and highlight the prominent benefits and difficulties associated with interdisciplinary research. I argue that authentic collaboration is required to conduct meaningful interdisciplinary research and describe how this can be promoted. Key words: Interdisciplinary; Nursing; Research; Collaboration.

891-7

Authors: Maria Júlia Costa Marques Martinho, Maria Manuela Ferreira Pereira da Silva Martins, Margareth Angelo

Decision making is an area of health research that has gained importance both for the partnership models of care that give prominence to the patient and family, either by growing concern about quality and customer satisfaction with the care provided. So we decided to make the cultural adaptation and to evaluate the psychometric properties of the Portuguese version “The Satisfaction with Decision Scale” de Holmes-Rovner (1996), which aims to assess satisfaction with the decisions taken in health. The sample consisted of 521 nursing students the School of Nursing of Porto. The results of reliability tests show good internal consistency for the total items (Alpha Cronbach = 0.88). The psychometric study allows us to state that the Portuguese version of “The Satisfaction with Decision Scale”, we call “Escala da Satisfação com a Decisão em Saúde”, is an instrument comparable with the original in terms of validity and reliability. Key words: Decision Theory; Personal Satisfaction; Patients; Nursing Care; Psychometrics.

905-12

Authors: Maria Célia de Freitas, Maria Vilani Cavalcante Guedes, Francisca Tereza de Galiza, Jéssica de Menezes Nogueira, Marília Ribeiro Onofre

This study aimed to evaluate the adaptation of elderly individuals voluntarily reside in Institution for the Aged (LTCF) in the city of Fortaleza-CE, based on the theoretical model of Roy. Descriptive study, in a IPLI involving thirteen elderly residents. Data collect was through interviews in the months of October and December 2011 and organized by thematic content analysis. The following themes has emerged: I Physical subdivided into body sensation and body image; Staff and I, subdivided into selfconsistency and auto ideal be moral-ethical-spiritual. Thus, the option to live in ILPI not effectively changed the lives of elderly people. They managed to adapt to the local and coexist well with internal and external stimuli. Key words: Caring; Geriatric Nursing; Elderly; Adaptation; Homes for the Aged.

920-7

Authors: Leidyani Karina Rissardo, Neide Aparecida Titonelli Alvim, Sonia Silva Marcon, Lígia Carreira

This research aims to understand the care practices of health professionals who assist the elderly Kaingang. It is a qualitative study, supported in ethnography, conducted by ten professionals working in primary health care in the indigenous land of Faxinal, Paraná, Brazil. The data was collected from November 2010 to February 2012 by participant observation and interviews, and analyzed based on the Transcultural Care Theory. Was identified the preoccupation of the carers practices with the medication and immunization, as well as traditional medical care. To achieve these, care professionals had strategies that implemented maintenance of older people in care. We conclude that cultural values and integrate scientific need assistance to improve the health of elderly indigenous. Key words: Aged; Health of Indigenous Peoples; Delivery of Health Care; Transcultural Nursing.

936-41

Authors: Maritza Margareth Faquetti , Raquel Luzia Rosa, Maria Lígia dos Reis Bellaguarda, Daniele Delacanal Lazzari, Adriana Dutra Tholl, Cladis Loren Kiefer Moraes

Qualitative research, descriptive exploratory, aimed to know the perception of blood transfusion recipients as to the process. The research was carried out at a blood bank in a city in southern Brazil, and the data were analyzed using the Collective Subject Discourse. Were interviewed using a semistructured instrument, eleven patients, men and women between 30 and 95 years, post-surgical recovery of cardiac surgery, underwent blood transfusion. Four central ideas emerged: loss and blood replacement; Preservation of life; Recognition of the transfusion process; and transfusion safety. The perception about the change that post-transfusion begin to live from the transfusion process raises a reframing of life itself. This study showed that transfused patients perceive the transfusion process as a means of survival, and even having knowledge about the process and their meanings, there is the permanence of fears and anxieties that can be minimized by the multidisciplinary team. Key words: Blood Transfusion; Perception; Nursing. RE

949-56

Authors: Laura Misue Matsuda, Ieda Harumi Higarashi, Yolanda Dora Martinez Évora, Andréa Bernardes

The objective of this study was to apprehend the perception nurses have on the use of computer in the hospital environment. Took part in the study 14 nurses of a public hospital. Collection of data took place through recorded interview and Field Diary. Data was analyzed according to Content Analysis technique. Six thematic categories emerged from the interviews such as the one that approached the positive aspects: speed, legibility and accuracy of the information; patients’ safety and; improvements in the quality of care. Among the negative aspects copy and paste the Medical Prescriptions and Nursing; lack of computers and the nurse distancing to the patient were highlighted. In spite of the fragilities, they were all in favor of the use of computer technology at the work and they pointed it as indispensable resource to the quality of care. Key words: Nursing; Nurses; Computers; Information System.

965-71

Authors: Ana Paula Esmeraldo Lima, Marly Javorski, Rosemary de Jesus Machado Amorim, Sheyla Costa de Oliveira, Maria Gorete Lucena de Vasconcelos

This is qualitative research that investigates the social representations of adolescent mothers on child eating habits in the first year of life. Its subjects were 10 adolescent mothers, whose children were aged seven to twelve months. Data were collected through semi-structured interview, besides the use of visual material. The analysis followed the technique of content analysis, relying on the framework of Social Representations Theory. That analysis revealed four themes: the conflict of breastfeeding versus consecration of porridge; establishing complementary feeding of the child; crystallized speech: “yogurt is better than a little steak”; the (un)definition of maternal eating habits: implications for infant feeding. The representations that drive maternal practices in selecting, preparing and offering food follow a particular logic, where adolescents reinterpret technical speeches in terms of their culture. Key words: Adolescent; Breastfeeding; Infant Nutrition; Food Habits; Health Education.

979-86

Authors: Sibely Rabaça Dias da Costa, Edna Aparecida Barbosa de Castro

This article presents an understanding concerning self-care in family caregivers according to Dorothea Orem’s theory. Resulting from a qualitative research based on Grounded Theory, this work uses the techniques of home visiting, field notes and semistructured interviews with 11 caregivers after the hospitalization of a family member in a teaching Hospital located in Minas Gerais. Four categories were found and among them a central category is highlighted from which some facilities, difficulties and strategies for selfcare in caregiver were analyzed. Considering the difficulties, insufficient time for healthcare was noticed whereas the support from other family members appeared as a facility. The main strategies were: faith as a support; shift work in healthcare and community resources. This study demonstrated that hospital discharge guidelines and nursing follow-up after discharge were responsible for positive contributions to self-care in caregivers helping them to overcome their difficulties and enhancing their potentialities. Key words: Self-Care; Family; Nursing.

994-9

Authors: Jacks Soratto, Denise Elvira Pires de Pires, Ivone Evangelista Cabral, Daniele Delacanal Lazzari, Regina Rigatto Witt, Claudio Alex de Souza Sipriano

This experience report describes the application of Creative Sensitive Method in a qualitative exploratory-descriptive research. Its theoretical foundation and the way this method was applied objectively presented through the following stages: introduction,production,presentation, discussion and evaluation. Finally, one can argue that the method, among others pathways, is a good alternative methodology for generating data in collective spaces for application in qualitative research related to nursing or others health contexts. Key words: Qualitative Research; Nursing Research; Nursing; Methodology

1008-12

Authors: Maria de Fátima da Silva Vieira Martins

The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or a bsent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care. Key words: Sexual and Reproductive Health; Prenatal Care; Health Education; Humanized Assistance.

673-4

Authors: Silvia Helena De Bortoli Cassiani , Keri Elizabeth Zug

Editorial

684-91

Authors: Luciana Souza de Freitas Machado , Eder Pereira Rodrigues , Luciana de Matos Mota Oliveira , Rodrigo Cunha Sales Laudano , Carlito Lopes Nascimento Sobrinho

Although the work is essential to human life, the context in which it is done can induct tension, imbalance and consequent illness. Studies indicate nursing as an occupation with high risk for disease, particularly in the hospital environment. The aim of this study was to estimate the occurrence of health problems reported by nursing staff in a hospital in Bahia, Brazil. This is a cross-sectional study, involving 309 nursing professionals. The most frequent health complaints were related to musculoskeletal symptoms such as leg pain 66.4% (192) and back pain 61.8% (178); and to mental health with a predominance of mental fatigue 47% (131) 33 and nervousness 7% (93). The results show that nurses had a higher frequency of postural problems and mental health complaints while respiratory diseases complaints were more prevalent among technicians and assistants. These results highlight the need for greater awareness of the work process and implementation of preventive activities. Key words: Nursing; Morbidity; Occupational Health; Epidemiology.

700-7

Authors: Alexsandro Oliveira Dias , Eleine Aparecida Penha Martins , Maria do Carmo Lourenço Haddad

The paper describes the construction of a questionnaire to assess the quality of care of a Rapid Response Team at the University Hospital of Londrina, based on the conceptual model of Donabedian (structure-process-outcome). Data collection occurred in March 2012 and the process of adjusting the questionnaire was developed with the application of the Delphi technique involving 15 experts. At the end of the study the questionnaire contained 37 statements, achieving final compliance level higher than 80% in all concepts. It is hoped that the contributions of the expert group produce a more reliable questionnaire to be applied in other similar services. Future applications of this instrument may provide information to better assess the quality of teams of Rapid Response services. Key words: Hospital Rapid Response Team; Quality; Instrument; University Hospital; Nursing.

715-21

Authors: Lorita Marlena Freitag Pagliuca, Kátia Nêyla de Freitas Macêdo-Costa, Cristiana Brasil de Almeida Rebouças , Paulo César de Almeida, Antonia Ferreira Alves Sampaio

This quantitative study, conducted between 2008 April and 2009 March in Fortaleza-CE, Brazil, aimed to validate the general guidelines of the communication of the nurse with the blind. Thirty nurses and 30 blinds, divided into control and experimental groups, participated in the study. Thirty nursing consultations were videotaped and analyzed by experts. In contrast to the control group, the experimental group showed good and excellent performance in all guidelines for verbal and non-verbal communication with the blinds. The study results point to the urgency of adopting the teaching of these general guidelines for communicating with the blind in nursing courses, in addition to training nurses in caring for the blind people. Key words: Nursing; Communication; Validation Studies; Visually Impaired Persons.

730-6

Authors: Viviane Rassele Silva , Maria del Carmen Bisi Molina, Nagela Valadão Cade

The risk of developing acute coronary events was evaluated according to Framingham criteria and health actions performed to hypertensive patients at a Health Unit Family of Vitória-ES. This is a observational, cross-sectional study, involving 330 hypertensive. The sample considered a 50% prevalence of the disease. Data were collected from medical records and the variables were the coronary risk, blood pressure, the number of visits, educational activities and prescribed drugs. ANOVA was used to compare variables and paired t-test for comparison of pressure during the study period, with significance level of 5%. Respectively, 115 (34.8%) subjects had low risk for myocardial infarction or death from coronary heart disease in the next 10 years; 67 (20.4%) had average risk; and 148 (44.8%) had high-risk. Only the amount of prescribed medications showed significant relationship with high coronary risk. Key words: Assessment; Risk Groups; Hypertension; Family Health Program; Health Services.

744-51

Authors: Karla Alexsandra de Albuquerque , Cibele Andrucioli de Mattos Pimenta

The study aimed to verify the opinion of family members about distress on cancer patients and the factors associated with it. Interviews with 140 family members of cancer patients were conducted. The Distress Thermometer was adapted to be used with family members. Approximately 72.9% of patients were considered in distress, related to concern (80.4%), nervousness (78.4%), sadness (74.5%), pain (67.6%), fatigue (67.6%) and problems with eating (57.8%). The hierarchical logistic regression models showed that while male (OR=0.025) and older ages (OR=0.006 to 0.059) had lower risk of perceiving the distress, individuals Protestants, compared to Catholics, were 12.77 times more likely to perceive it. About the associated factors, nervousness (OR=10.8) contributed significantly more to the perception of distress for family members when compared to fatigue (OR=3.38) or have private health insurance (OR=2.55). Family can be great allies in the evaluation and monitoring of distress in patients with cancer. Key words: Neoplasms; Stress, Psychological; Family; Oncologic Nursing; Cross-Sectional Studies.

759-65

Authors: Gláucia Costa Degani , Gerson Alves Pereira Júnior, Rosalina Aparecida Partezani Rodrigues , Bruna Moretti Luchesi , Sueli Marques

The objective was to identify the sociodemographic profile of the elderly victims of trauma, to characterize preexisting conditions and medications taken at home, and to calculate indices of trauma and clinical outcomes. This is a retrospective and exploratory analysis from a database of a general hospital between 2008 and 2010. There were studied 131 elderly, mean age 69.9 years, 73.3% male, 55.1% married, 54.7% retired, 65.6% had preexisting conditions and 48.9% used drugs at home. There was a representative number of falls (31.3%), followed by running over (28.2%), with the head/neck region being the most affected (59.5%). Moderate trauma prevailed (44.3%), with conditions of survival after the event (80.2%). There was an association between mechanism of trauma and preexisting disease (p=0.01) and between mechanism of trauma and sex (p=0.03). The knowledge of the variables involved with the elderly victims of trauma enables healthcare professionals to plan preventive measures aimed at improving the assistance. Key words: Aged; Wounds and Injuries; Disease; Drug Utilization.

773-9

Authors: Janine Melo de Oliveira , Célia Alves Rozendo

This is a descriptive, qualitative research, with comprehensive approach, which aimed to understand the meaning that the longterm institution has to institutionalized elderly. Data were collected with 13 institutionalized elderly in the period from April 5 to May 25, 2013, through narrative interview, and subjected to content analysis, in the form of thematic analysis. The results indicated that being elderly institutionalized means having their care needs met, with respect to their basic needs; access to health services and resources, and to have a place where they can grow old and die. The study concluded that the institution appears as an ambiguous place for the elderly because, even embracing and housing them and meeting their needs, is an environment that prevents the independent and autonomous life. Key words: Aged; Aged, 80 and Over; Institutionalization; Homes for the Aged; Geriatric Nursing.

788-93

Authors: Elenice Valentim Carmona , Ianê Nogueira do Vale , Conceição Vieira da Silva Ohara, Ana Cristina Freitas de Vilhena Abrão

Cross-sectional descriptive study conducted in the neonatal unit of a public teaching hospital in the state of São Paulo, Brazil, which aimed to determine the perceptions of mothers about their newborns hospitalized children. The sample consisted of 100 women questioned, through the Neonatal Perception Inventory Broussard, about how much trouble was expected to be presented by babies of the general unit, on behaviors such as crying; feeding; regurgitate or vomit; evacuate; sleep and have a routine. Then, the same questions were repeated about their own babies. Ninety mothers considered their children with fewer difficulties than other babies at the unit. Younger women and mothers of infants with higher weights tended to consider their children with more difficulty. The Inventory is easy to apply and may be useful in the evaluation of mother-child interaction, although its result cannot be considered in isolation. Key words: Mother-Child Relations; Newborn; Mothers; Neonatal Nursing; Intensive Care Units, Neonatal.

803-9

Authors: Jéssica Steffany Miranda , Maria de Lourdes da Silva Marques Ferreira , José Eduardo Corrente

The experience of menopause is increasingly present, and demand strategies to improve the quality of life of women during this period. This research aimed to evaluate the quality of life for women in the climacteric phase, with or without the use of hormone replacement therapy (HRT). This is a longitudinal epidemiological study of a sample of 99 women per group. It was evaluated the sociodemographic, clinical and behavioral characteristics. It was used the Menopause Rating Scale (MRS) and the Medical Outcomes Study 36-item Short-Form Health Survey (SF-36). For data analysis, it was used the Student t test, chi-square and Tukey. HRT users had an average age of 50.76 ± 3.63 years, and nonusers of 48.95 ± 6,27anos (p = 0.01). It was identified a higher frequency of moderate climacteric symptoms of mild intensity. The social aspects evidenced scores below 50 for the two groups. There were differences between groups with respect to the components of the SF-36 and MRS to general health, functional capacity, lower capacity, depression, insomnia and vasomotor phenomena. Key words: Quality of Life; Climateric; Primary Health Care.

818-24

Authors: Leonara Raddai Gunther de Campos, Mara Regina Rosa Ribeiro , Valéria Binato Santili Depes

This is a qualitative study, using the ‘Do it yourself’ method, which aimed to analyze how Problem-Based Learning (PBL) promotes the development of learner’s autonomy in the process of learning to learn. The subjects were 16 students and two tutors involved in the discipline. Data collection techniques combined semi-structured interviews, participant observation, log in portfolios, evaluation forms, and audio recording of the tutorials. Data analysis followed interpretation strategies defined by the authors: initial and in depth readings; construction and assembly of meanings’ maps; development, description and analysis of empirical categories, in the light of the theoretical framework. The PBL favors the (re)construction of knowledge by the use of prior knowledge and experiences that are shared in small group; through the process of theorization; and by means of relevant knowledge - one that can be applied to practice. We conclude that PBL encourages continuous learning, developing in the student the autonomy in the process of learning to learn. Key words: Education, Higher; Nursing Faculty Practice; Problem-Based Learning

501-2

Authors: Leila Bernarda Donato Gottems , Angela Maria Alvarez, Lenira Maria Wanderley Santos de Almeida

Editorial

512-9

Authors: Aline Suelem Leite , Ruth Natalia Teresa Turrini

The study aimed to characterize the teaching of Nursing in Surgical Center in relation to work load, content and specifi c curriculum component; and to identify the perspectives and experiences of teachers in teaching this content. This is a descriptive study of quantitative and qualitative approach, that used a semi structured instrument for data collection, with questions related to teaching discipline, sent by email to the coordinators of the courses of Bachelor of Nursing from 219 schools in the state of São Paulo, registered in the website of the Brazilian Ministry of Education. Of the 52 respondents, 90.4% were from private schools, mostly located in the interior of the state (71.1%). From the total of courses, 53.8% ministered the content surgical center within another discipline. The median of content hours was of 64h (40-300h). The respondents commented on the extensive content for a small work load, both practical and theoretical, and its importance for the formation of the generalist nurse Key words: Curriculum; Education Nursing; Perioperative Nursing

528-34

Authors: Amanda Portugal de Andrade Moreira , Vera Maria Sabóia , Alessandra Conceição Leite Funchal Camacho , Donizete Vago Daher , Elizabeth Teixeira

This is a methodological research, which aimed to determine the validity of an educational technology (ET) in the form of educational game of medicine administration, according to the judges and audience, using the theoretical stage of Pasquali model. Data were collected between September 2011 and May 2012 in two stages: 1) application and validation of TE by forty students of the 4th period of Nursing, at the Fluminense Federal University (target audience); 2) observation and validation of TE by 8 teachers (judges). The questionnaires were organized in Likert scale, with items distributed in blocks and analyzed quantitatively. The game was validated, since it has over 80% approval by the two groups, and may therefore be used as a TE in the discipline of Fundamentals of Nursing. The results were positive, demonstrating that students and teachers are more interested in content taught when most dynamic technologies are used in the classroom. Key words: Validation Studies; Educational Technology; Nursing; Medication Therapy Management; Learning.

543-9

Authors: Cynthia Perin Passigatti , Maria Del Carmen Molina , Nágela Valadão Cade

As monitoring of renal function, it is used the estimation of glomerular fi ltration rate (GFR). This study aimed to estimate the GFR by means of the Cockcroft-Gault equation in hypertensive patients in the Municipality of Vitoria-ES. It is a transversal study of secondary data with 754 hypertensive patients attended in health facilities in 2009. For statistical analysis, there has been used the chi-square test. The female sex, overweight and uncontrolled blood pressure predominated. The average age was 58.18 years (± 13.52) and the serum creatinine (SCr) 0.81 mg / dl (± 0.28). The prevalence of reduced GFR was 19% when from 30 to 59 ml/min and 1.6% when from 29 to 15 ml/min. The prevalence of reduced GFR was 15 times higher in the elderly, 4.93 times higher in those with elevated SCr, 2.19 times in low-weight hypertensives and 1.6 times more prevalent in men. The study showed the importance of monitoring renal function with a view to early intervention and postponement of kidney function loss in hypertensive patients. Key words: Hypertension; Glomerular Filtration Rate; Primary Health Care.

556-62

Authors: Grazielle Ibanez , Bruna Paiva do Carmo Mercedes , Kelly Graziani Giacchero Vedana , Adriana Inocenti Miasso

This research verifi ed adherence and knowledge of people with depression regarding prescribed pharmacotherapy, satisfaction with the health team and diffi culties related to drug treatment. This is descriptive and cross-sectional study, with quail-quantitative approach. The study included 27 people assisted in an outpatient clinic in the interior of the state of São Paulo - Brazil. Data were collected through semi-structured interviews and review of medical records and analyzed using descriptive statistics and content analysis. It was found that 29.6% of patients were no adherent to medication and 51.9% were unaware of the dose of prescribed drugs. Impact of drug therapy in depressive symptoms on self-care, dissatisfaction with effects of psychoactive drugs, lack of support, use of multiple medications and lack of knowledge about the disorder and treatment were reported as diffi culties in following drug therapy. This study shows critical factors to the promotion of patient safety in following drug therapy. Key words: Depressive Disorder; Antidepressive Agents; Medication Adherence.

568-74

Authors: Thais Vasconselos Amorim , Cristina Arreguy-Sena , Marcelo da Silva Alves , Anna Maria de Oliveira Salimena

This is a case study research that aimed to know, with the adoption of the Theory of Human Caring, the meanings of therapeutic interpersonal relationship between nurse and user on the preoperative nursing visit after the experience of the surgical process. The convenience sample was composed of three nurses and three users of an institution that has updated records to perform highly complex cardiovascular surgery, comprising nine combinations of therapeutic interactions. It was used instruments, structured according to the theory of Jean Watson and North American Nursing Diagnosis Association, Nursing Intervention Classifi cation and Nursing Outcomes Classifi cation taxonomies. The legal and ethical aspects of research involving human subjects were assured. The results revealed three clusters to grasp the signifi cance of preoperative visits by users and fi ve clusters to capture the perception of nurses when they experience this clinical experience. Key words: Nursing Care; Patient-Centered Care; Perioperative Nursing; Patient Care Planning.

581-7

Authors: Manuela Pinto Tibúrcio , Gabriela de Sousa Martins Melo , Lívia Sêmele Câmara Balduíno, Isabelle Katherinne Fernandes Costa , Thalyne Yurí de Araújo Farias Dias , Gilson de Vasconcelos Torres

This study aimed to validate an instrument for evaluation the ability of nursing students to measure the blood pressure. It is a methodological study, developed with 27 nurses, teachers of semiology and/or semiotic disciplines, with at least 1 year of experience in disciplines, which acted as judges of the study. It was accomplished in two steps: fi rst, a review of the literature to build the checklist instrument and subsequent submission for content validation by applying the Kappa, accepting the value> 0.61 (good level); and second, it was accomplished a Content Validity Index (CVI) > 0.75. Based on the literature review, 28 items were included in the checklist, with all of them showing Kappa index and CVI accepted for content validity, and nine of those items needed changes. The instrument can be considered valid in its content, with all its items being considered appropriate separately, as well as globally. Key words: Nursing; Blood Pressure Determination; Validation Studies; Education.

594-600

Authors: Anelize Helena Sassá , Kayna Trombini Schmidt, Bruna Caroline Rodrigues, Sueli Mutsumi Tsukuda Ichisato, Ieda Harumi Higarashi, Sonia Silva Marcon

The objective was to identify factors associated with the practice of breastfeeding (BF), weight gain and nutritional status of preterm infants during the fi rst six months of life and verify the relationship between these variables and maternal and neonatal characteristics. Analytical studies, cohort, performed with 42 preterm infants born between May and October 2008. The prevalence of BF was 40.5% at six months and mean weight gain ranged between 18 and 40g/day. The practice of BF was associated with lower weight and lower gestational age at birth. Weight gain was positively correlated with gestational age and birth weight, maternal age and the practice of breastfeeding at 15 days after discharge. Being premature has not stopped the practice of BF; however, weight gain was higher among those born with better growth and maturation in utero. Key words: Maternal-Child Nursing; Infant Nutrition; Premature; Breastfeeding; Growth.

610-6

Authors: Thalyta Cristina Mansano-Schlosser , Ariene Angelini dos Santos , Simone de Oliveira Camargo-Rossignolo , Denise Cuoghi de Carvalho Veríssimo Freitas , Vera Regina Lorenz , Maria Filomena Ceolim

This is a descriptive cross-sectional study, which aimed to identify the perception of nursing home elderly residents related to the chronological organization of their daily routines and to their sleep quality. The study was conducted with 37 elderly (14 women and 23 men, mean age of 75 years) who lived in a long term care facility located in the municipality of Campinas-SP, Brazil. The results showed that 81% of the elderlies had complaints compatible with poor sleep, but 70% of them reported that they had good sleep quality when directly questioned about it. All elderlies adequately realized the chronological organization of their routines, but this perception did not appear to contribute to the good sleep quality, as most of them had complaints compatible with poor sleep. It becomes evident that nurses should perform detailed assessment of sleep quality in order to minimize or prevent these problems and their possible consequences. Key words: Health of Institutionalized Elderly; Homes for the Aged; Sleep; Activities of Daily Living; Geriatric Nursing.

623-9

Authors: Thalyta Cristina Mansano-Schlosser , Maria Filomena CeolimI

This is a cross-sectional survey conducted from August to December 2010, which aimed to identify the presence and severity of fatigue in 140 elderly (mean age 69.8 years, 52.1% female) diagnosed with cancer undergoing chemotherapy in an outpatient unit. It was used a questionnaire for sociodemographic and clinical data and Piper Fatigue Scale-revised. The presence of fatigue was identifi ed in 60 elderly (42.9%) and the attributed cause was cancer (64.1%), chemotherapy (32.8%) and treatment (3.1%). As relief factors, the elderly respondents reported “sleeping”, “pray” and “dying”, while 45% of them said “there was nothing to do” because fatigue could not be relieved. We hope that this study will alert the nurses to the relevance of fatigue and encourage them to identify and carry out nursing interventions aimed at proper management of this symptom in elderly cancer patient. Key words: Fatigue; Cancer; Elderly; Nursing.

637-45

Authors: Luiza Helena de Oliveira Cazola, Edson Mamoru Tamaki , Elenir Rose Jardim Cury Pontes

The purpose of this study was to identify self-perceived differences in the work processes of community health agents (CHA) in two counties of Mato Grosso do Sul, regarding dengue control and Family Health Strategy (FHS) activities. Structured interviews were applied to 57 CHA. The subjects had similar sociodemographic characteristics. Agents in Rio Verde de Mato Grosso county, who performed only FHS tasks, failed to complete essential data of the Form A. In São Gabriel do Oeste county, CHA currently perform tasks pertaining to dengue fever control, previously conducted by Endemic Disease Control Agents (now abolished), while in Rio Verde de Mato Grosso county, dengue control remained assigned to the latter group. In São Gabriel do Oeste county, CHA did not view the double workload of two programs as affecting their professional productivity. The pooling of tasks from the two programs proved to be feasible, with no detrimental effects on performance. Key words: Family Health; Primary Health Care; Dengue

335-6

Authors: Rosa Maria Godoy Serpa da Fonseca, Vânia Paula Stolte Rodrigues

Editorial.

347-53

Authors: Fernanda Machado da Silva, Maria de Lourdes Denardin Budó, Nara Marilene Oliveira Girardon-Perlini, Raquel Pötter Garcia, Graciela Dutra Sehnem, Dalva Cezar da Silva

This study investigated how the health knowledge is constructed by individuals with hypertension, accompanied by a team of family health. This is a qualitative descriptive study, conducted with nine individuals whose data were collected through semi-structured interviews and observation. The data was analyzed through thematic analysis. The construction of knowledge in health is influenced by many elements in the everyday life of the subjects. The dialogue and interaction with others are elements of greatest impact to build such knowledge. Thus, the health education group was pointed out as a relevant activity, both due to the explanations presented by the professionals, as well as the Exchange of knowledge and experiences with the other participants. It is concluded that although living the same pedagogical activities, the repercussions of the health education actions will take effect and will be noticed differently by the subjects. Key words: Health Education; Health Promotion; Hypertension; Community Health Nursing; Nursing.

360-5

Authors: Maria de Fátima da Silva Vieira Martins, Paula Cristina Almeida Cadima Remoaldo

This study aimed to identify the social representations of the nurse specialist in maternal health and obstetrical care under the gaze of the pregnant woman using a qualitative study of 50 pregnant women in three municipalities of the Northwest Portugal, which carry out their antenatal care in the health center of their residence area. Data were collected through semi-structured interviews between February and July 2007 and analyzed based on content analysis. The results showed that the nurse midwife is faced as a friend, guide and support in helping to experience the whole process inherent in the birth. This research can be a contribution for the improvement of the quality of care provided during pregnancy. Key words: Nurse’s Role; Pregnant; Qualitative Research.

373-80

Authors: Riany Moura Rocha Brites, Ângela Maria Mendes Abreu, Jorge Eduardo da Silva Soares Pinto

This study aimed to describe the causes of morbidity among servers retired for disability in a federal university; identify the socio-demographic and occupational profile of the retired for disability in general and for alcoholism; and make an association between these causes. This was a retrospective cross-sectional descriptive study; the population consisted of all servers retired for disability registered at the university. The total disability retirees was of 553 servers, especially in cases of retirement for psychiatric disorders (35.6%) as the leading cause of disability, and alcoholism led to the retirement of 9% of retirees. It was concluded that the highest percentage of disability retirement was composed of workers concentrated in the university hospital. Key words: Retirement; Morbidity; Alcoholism; Occupational Health.

386-93

Authors: Renata Maria Dias de Abreu, Rejane Maria Dias de Abreu Gonçalves, Ana Lúcia de Assis Simões

This is an exploratory, descriptive study, with a qualitative approach, which aimed to identify the reasons attributed by nursing professionals for the absences at work; and to describe the alternatives proposed for the reduction of the absences in a teaching hospital. It was carried out in a Federal Public Hospital with 29 professionals from the Intensive Care Unit, the unit with the greater number of absences at work in 2008. Data were collected through focus groups and submitted to thematic content analysis. It was evidenced, as reasons for the occurrence of absenteeism, the influence of the physical environment, management and interpersonal skills. It was highlighted, as alternatives for the reduction of absences at work, the participatory management, team work, service organization and therapeutic support. It was concluded that the absenteeism involves subjective issues with multiple dimensions, which cannot be clarified only through quantitative perspective. Key words: Nursing; Absenteeism; Human Resource Management; Nursing Human Resources; Worker’s Health.

401-7

Authors: Cinthia Calsinski Assis, Juliana de Lima Lopes, Luiz Antônio Nogueira-Martins, Alba Lucia Bottura Leite de Barros

This is a randomized clinical trial, aimed to compare the frequency and intensity of symptoms of anxiety in patients of preoperative cardiac surgery who received empathic behavior from nurse or family or those who received no specific type of empathic behavior. The sample consisted of 66 patients in preoperative of cardiac surgery, which were divided in three groups: empathic behavior by nurses, without specific empathic behavior and by family. Anxiety was assessed at two points in time: before and after the intervention. The instrument used was developed and validated by Suriano, comprising 19 defining characteristics of the nursing diagnosis anxiety. It was observed that the reduction of anxiety symptoms was higher in the group receiving empathic behavior of relatives when compared to the other two groups. The results suggested that encouraging the participation of family members can contribute to the reduction of anxiety symptoms in patients in preoperative cardiac surgery. Key words: Anxiety; Thoracic Surgery; Nursing Care; Preoperative Care.

415-21

Authors: Vanessa Cristina Mauricio, Norma Valéria Dantas de Oliveira Souza, Márcia Tereza Luz Lisboa

This study focused the social determinants of people with an ostomy that facilitate and / or hamper their work inclusion. The objectives were to identify and analyze the difficulties and facilities for people with an ostomy for work inclusion. Descriptiveexploratory, qualitative research, carried out with 20 stomized through semi-structured interviews, using the Thematic Content Analysis. The results revealed that the main difficulties of ostomy to step into the working environment were the loss of sphincter control, social isolation and lack of opportunities suitable to your health condition new jobs. The main facilitators were the creation of adapted toilets and flexible schedules. We conclude that the biopsychosocial changes caused by the presence of the stoma may hinder inclusion in the work of ostomy patients, however, with social support can be created flexible terms that help them in their return to work activities. Key words: Worker´s Health; Surgical Stoma; Rehabilitation.

430-7

Authors: Elisandra de Araújo Saldanha, Ana Beatriz de Almeida Medeiros, Cecília Maria Farias de Queiroz Frazão, Viviane Martins da Silva, Marcos Venícios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira

Cross-sectional study conducted in a university hospital located in the Brazil´s northeastern with 50 patients in the prostatectomy immediate postoperative. The study aimed to identify the defining characteristics and related/ risk factors that are associated with nursing diagnoses present in patients undergoing to prostatectomy. Nine nursing diagnoses that are statistically associated with related/ risk factors and defining characteristics were identified. We conclude that the considerable number of identified associations between nursing diagnoses and their elements shows that professionals, especially those in the urology clinic, should be prepared for the various care needs of this clientele. Key words: Prostatectomy; Nursing Diagnosis; Statistical Analysis.

443-9

Authors: Rafaella Pessoa Moreira, Thelma Leite de Araujo, Tahissa Frota Cavalcante, Nirla Gomes Guedes, Marcos Venicios de Oliveira Lopes, Emília Soares Chaves

This study aimed a concept analysis of the nursing outcome Mobility in patients with stroke. A literature review was conducted, through the online access to databases: Scopus, Pubmed, CINAHL, Cochrane, and Lilacs, using the descriptors: mobility, stroke, nursing and their synonyms in Portuguese and Spanish. 1.521 articles were identified, resulting in 49, after careful selection. Noteworthy are the articles published in Canada (26.7%), on 2001 (95.9%), by physiotherapists (34.6%), and in rehabilitation units (61.5%). The attributes identified for Mobility were: walking, standing, sitting, put the leg side to side, turn around, start and stop walking, stair climbing, motor function, and motor skill transfer. A model case and a contrary case were built, and identified, as antecedents: postural control and balance; and, as consequents: performs tasks inside and outside the house and wanders without difficulty. It was concluded that the concepts of Mobility found in this study need to be validated with experts in the field and in clinical practice. Key words: Nursing; Stroke; Outcome Assessment.

457-61

Authors: Christiane Pereira Martins Casteli, Clayton Casteli, Maria Madalena Januário Leite

This study aimed to evaluate the data in the Computer System of Continuing Education in Nursing (SIEC), from the perspective of nurse specialists. In this exploratory study, seven experts attributed relevance / priority to the data set, through a questionnaire. The SIEC data set was evaluated with 70% of opinions, which confirms the user’s satisfaction with respect to the content of the system, according to the Brazilian standard ISO / IEC 14598-1. Professional categories, institution and scientific production, data of technical visiting and professional skills of the teaching activity category, and the assessment report of the student category assessment were scored with borderline percentage of 71% (n=5). It was concluded that the SIEC data set is relevant / priority for Continuing Education Service, constituting a minimum data set required for this service. Key words: Continuing Education; Information Systems; Telenursing; Informatics; Nursing.

468-72

Authors: Cristiane Cardoso de Paula, Stela Maris de Mello Padoin, Marlene Gomes Terra, Ívis Emília de Oliveira Souza, Ivone Evangelista Cabral

This paper aimed to report the experience of driving modes of an interview on data production in phenomenological research. The proposed study is an experience report of a phenomenological investigation in which the researchers present their experience with children, considering the interview as an existential encounter. It describes ways of conducting the interview in its ontic and ontological dimensions. The ontic dimension refers to the facts related to the interview, presented in the researcher, in the researched subject and in the environment; both in its planning and its development. The ontological dimension is based on empathy and intersubjectivity. The interview enables the access to meaningful structures to comprehend the being, as a way of building investigative/assistance possibilities that enable to reveal the being of the human. Key words: Interview; Data Collection; Qualitative Research.

175-6

Authors: Maria Márcia Bachion

Editorial.

187-94

Authors: Luciano Marques dos Santos, Hosana Rocha Valois, Silvone Santa Bárbara da Silva Santos, Evanilda Souza de Santana Carvalho, Rosana Castelo Branco de Santana, Sheila da Silva Sampaio

This study examines the applicability of the theoretical model “Looking to maintain the balance to meet the demands and take care of the hospitalized child” to families of children with chronic diseases in intensive care. This is a qualitative study that complied with Resolution 466/2012, and was approved by the Ethics Committee through the Resolution 0111.0.441.099-11. The Grounded Theory was adopted as methodological framework. The data were collected through semi-structured interviews with seven families of children hospitalized for chronic diseases. The research identified three phenomena, which were analyzed according to the theoretical model cited above: Difficult experience for the family; Modifying the functioning and family routine; and Receiving support in coping with chronic illness. The study showed that the theoretical model used can be applied to families of children with chronic illnesses because they experience an unexpected event that disrupts their daily life and demand the search for new strategies for coping. Key words: Pediatric Nursing; Child Hospitalized; Family; Chronic Disease.

202-7

Authors: Luciano Marques dos Santos, Jucélia Cavalcante Rodrigues da Silva, Evanilda Souza de Santana Carvalho, Ana Jaqueline Santiago Carneiro, Rosana Castelo Branco de Santana, Maria Cristina de Camargo Fonseca

The objective was to understand the puerpera’s experience during the first skin to skin contact with the newborn in the immediate postpartum period, the obstetric ward of a public hospital in a city in Bahia. Exploratory, descriptive and qualitative study, approved by the Ethics Committee and conducted with fourteen postpartum women, through semi-structured interviews in the period July-August 2011. The data were analyzed using Grounded Theory, identifying the phenomenon “Experiencing skin to skin contact as a mechanical act” and its three subcategories: “Encouraging the only contact”, “Contact as a mechanical act” and “Being forced to initiate breastfeeding. “Encouraging the skin to skin contact and immediate breastfeeding occur mechanically, being highlighted only the contact, requiring the puerperas to initiate breastfeeding in sudden and abrupt manner, not respecting their willingness to perform or not this practice. Key words: Humanized Childbirth; Obstetric Nursing; Breastfeeding; Mother and Son Relationships.

213-9

Authors: Monique Pio Astolpho, Aline Cristiane Cavicchioli Okido, Regina Aparecida Garcia Lima

The study aimed to characterize the institutions to support children with special health care needs and apprehend how to happen the interactions between these institutions and the other services that make up the network of care. This is a descriptive and exploratory study with qualitative approach. Ten people responsible for institutions which assist this clientele participated in this study. Semi structured interview was used as the instrument of data collection. The institutions assist approximately 3310 clients, with 432 children; eight assist beyond their capabilities and the pent-up demand is 200 patients; two have 24 hour care; most are non-governmental and the funding sources consist of donations, own and transfer government resources. With regard to the dynamics of the work process, integration and deficient articulation were mentioned. It is necessary to reorganize the services in order to have a qualified and integrative care, minimizing the difficulties of communication and cooperation among services. Key words: Pediatric Nursing; Child Care; Health Services; Non-Governmental Organizations.

227-32

Authors: Lara de Sá Neves Loureiro, Maria das Graças Melo Fernandes, Maria Miriam Lima da Nóbrega, Rosalina Aparecida Partezani Rodrigues

This is an epidemiological research, descriptive and transversal, which had as objectives to estimate the prevalence of overburden among family caregivers of dependent elderly in the city of João Pessoa, Paraíba, and to identify its relationship with the elderly’s conditions of health, functionality and demand for care. The population comprised 240 elderly people residents in the twenty census sectors in the referred city. The sample was composed of 52 elderly people with functional inability and their caregivers. To data collection, it was applied a structured questionnaire and the scales of Mini Mental State Examination, Katz Index and Burden Interview. The results demonstrated that 84.6% of caregivers showed overburden, which was associated with clinical and functional characteristics of the elderly and with the demand for care. The findings bring relevant contributions to the elaboration of public policies in order to establish formal support for families’ caregivers. Key words: Caregivers; Family; Overburden; Elderly; Nursing.

241-6

Authors: Paula Beatriz de Oliveira, Darlene Mara dos Santos Tavares

The study aimed to characterize the elderly residents in long-stay nursing homes (HHs) according to gender, age, education, cause of admission and length of stay; and to describe their health conditions according to the theory of Basic Human Needs. This was an analytical, observational and cross-sectional study with a quantitative approach, conducted with 86 seniors from eight NHs in a city of Triângulo Mineiro, state of Minas Gerais. For data analysis, it was used the descriptive statistics, simple and average frequency and standard deviation. The elderly were predominantly female (70.9 %), 80 years or older (44.2 %) and illiterate (48.8 %). The physiological needs affected were: high blood pressure (30.2 %); cognitive decline (58.7 %) and urinary incontinence (50 %). As psychosocial needs, everyone was dependent to perform the instrumental activities of daily living and 52.3 % have indicative of depression. As for the psicoespiritual needs, 70.9 % did not practice any religion. The basic human needs identified as affected were contributing to a decreased on the quality of life of seniors. Key words: Health of Institutionalized Elderly; Homes for the Aged; Geriatric Assessment; Geriatric Nursing; Needs Assessment.

252-60

Authors: Rafael Celestino da Silva, Márcia de Assunção Ferreira, Thémistoklis Apostolidis

The objective was to identify the social representations of the intensive therapy nurses about the care practices in face of the technology. Participant observation and interviews were conducted with twenty one nurses of an intensive therapy center, at a Rio de Janeiro public hospital. Lexical analysis was applied, using the Alceste 2010. The results were organized in two categories, each of them with three lexical classes. The first brought the meaning of the technology in intensive therapy and the organization of the styles of caring; the second showed the client’s condition and its impact on nurses’ care practices. It was concluded that the technology organizes the nurses’ styles of caring, that are built on client assistance in the work context. These lead nurses to assign meaning to their practices driving them to the elaboration of ways of acting in face of the technologies. Key words: Nursing. Social Psychology; Nursing Care; Biomedical Technology.

268-73

Authors: Lilian Cristiane Gomes-Villas Boas, Maria Cristina Foss-Freitas, Ana Emilia Pace

This cross-sectional and quantitative study aimed to evaluate the adherence to drug treatment of the people with diabetes mellitus and its relation to clinical, treatment and metabolic control variables. Sample consisted of 162 people with type 2 diabetes mellitus on follow-up outpatient care. The Measure of Treatment Adherence and consultation to the participants’ medical records were used for data collection. A high adherence to drug treatment was obtained. For a p<0.05, it was obtained an inverse correlation with diastolic blood pressure and a direct correlation with the frequency of daily administration of insulin and oral antidiabetic agents. There were no statistically significant correlations between adherence and metabolic control variables. Results diverge from the literature regarding the adherence to drug treatment in chronic diseases, as well as in the correlation between adherence and complexity of drug regimen, which points to the need for more studies on this theme. Key words: Diabetes Mellitus; Patient Compliance; Nursing Care.

282-9

Authors: Manuela Beatriz Velho, Evanguelia Kotzias Atherino dos Santos, Vânia Sorgatto Collaço

Aiming to understand the social representations of natural childbirth and caesarean section for women who experienced them, it was developed a descriptive, qualitative research. Interviews were conducted from July to October 2010, with twenty women who experienced both types of birth. The number of participants was determined by theoretical saturation during data collection and content analysis. The results showed, during the experience of motherhood: the search for information, the experience of childbirth alone versus support at birth; and that the woman has no option of choice on type of birth. Natural childbirth includes important issues such as: the ambivalence of feelings, positive perception and hospitalization. Cesarean section is associated with ambivalence of feelings, understood as a solution of a problem and the preference for cesarean section. The natural childbirth is a challenge for women, but the positive feelings outweigh the difficulties, while the cesarean section is associated to the physical benefits of its execution. Key words: Natural Childbirth; Cesarean Section; Nursing; Social Behavior; Qualitative Research.

296-301

Authors: Eder Pereira Rodrigues, Urbanir Santana Rodrigues, Luciana de Matos Mota Oliveira, Rodrigo Cunha Sales Laudano, Carlito Lopes Nascimento Sobrinho

This study aimed to describe the prevalence of “suspected” of common mental disorders (CMD) in nursing workers at a general hospital in the state of Bahia. It was carried out a cross-sectional epidemiological study with 309 nursing workers, who worked in welfare activities in a large hospital. The nurses mentioned overwork and low pay. The most frequent health complaints were related to body posture and mental health. The overall prevalence of “suspected” of CMD was 35.0%. Regarding the psychosocial aspects of work, it was reported high psychological demand and low control over their work activities. The results indicated that the working and health conditions observed are not suitable for the effective realization of nursing work in the hospital. Key words: Working Conditions; Worker Health; Nursing Human Resources; Mental Disorders.

306-11

Authors: Vita Guimarães Mongiovi, Rita de Cássia Cordeiro Bastos Leite dos Anjos, Suellem Beatriz Holanda Soares, Tânia Maria Lago-Falcão

The National Policy of Care Humanization and Health System Management are configured as a complex public policy which encompasses the structural, technical and relational aspects of the health service. However, this policy has failed at establishing the boundaries of its activities and the conceptual aspects of the humanization term. This study aimed to perform a reflection about the humanization of health through a conceptual analysis of the term itself and in the interpretation of speeches of nurses working in Intensive Care Units, collected in a qualitative research. It was concluded that nurses have an intuitive insight of the definition of humanization, understanding the necessity of conducting a holistic assistance beyond mere technique and also covering the physiological, psychological, social and spiritual aspects of care. At the same time they demonstrate the lack of preparation in professional education for the implementation of this humanized assistance. Key words: Humanization of Assistance; Intensive Care; Health Policy.