Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

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.