Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

873-80

Authors: Alejandro Miranda, Sebastián Contreras

In this paper the authors study the nature of the act of care, emphasize the importance of ethics in the professions related to the health of people and develop, in the light of the central tradition of Western moral philosophy, a set of principles that should guide nursing activity. Key words: Ethics Nursing; Nursing Care; Nursing; Patient-Centered Care.

886-90

Authors: Diego Jorge Maia Lima, Priscila Fontenele de Paula, Priscila de Souza Aquino, Paula Renata Amorim Lessa, Maria Leonor Costa de Moraes, Denise de Fátima Fernandes Cunha, Ana Karina Bezerra Pinheiro

The objective was to identify behaviors and sexual practices of men who have sexual relations with other men in the context of vulnerability to HIV/AIDS. This was a cross-sectional, exploratory and descriptive study. It was carried out in a gay sociability place in Fortaleza, Ceará, Brazil, between November 2010 and March 2011, through interviews with 189 men who have sex with men. The ethical aspects were respected. We found a sample consisting mostly by young, single, and highly educated men. The sexual history demonstrated the early onset of sexual activity, with a high prevalence of sexual intercourse with a partner of the opposite sex. There was also a high prevalence of HIV testing. Sexual practices revealed high prevalence of performing oral and anal sex, as well as high levels of protection in anal sex, despite the low protection in oral sex. A greater incorporation of prevention practices was found compared to the national scene in the beginning of the disease outbreak. Key words: Sexual Behavior; Homosexuality Male; Risk Factors; Health Vulnerability; Nursing.

898-904

Authors: Mariane Ferreira Barbosa Emerick, Mayra Martins Toledo Rodrigues, Daniella Melo Arnaud Sampaio Pedrosa, Maria Rita Carvalho Garbi Novaes, Leila Bernarda Donato Gottems

This study aimed to analyze demographic and clinical aspects of patients diagnosed with Stevens Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN), as well as identifying the actions of health professionals for the management of Adverse Drug Reactions (ADR) in a public hospital in Distrito Federal, Brazil. A descriptive and retrospective research was held, with quantitative approach. Data collected from all the records of 22 patients admitted with diagnosed with SJS and TEN, from January 2005 to September 2012. Data were analyzed using descriptive statistics. Of these cases, 9 were diagnosed with NET and 7, with SJS; there were more females (14); aged from 21 to 40 years (10); 21 were cured; the drugs more used were the antiepileptic ones (10). Fragility in clinical registers and in the actions to monitor the cases of ADR in this health service was observed. Key words: Drug-Related Side Effects and Adverse Reactions; Drug Eruptions; Drug Hypersensitivity Syndrome.

913-9

Authors: Alexandrina de Jesus Serra Lobo, Luísa Santos, Sónia Gomes

The quality of life (QoL) in older adults is largely determined by their functional status and health conditions. With the purpose of investigate the QoL and the factors affecting it, and identify the degree of dependency of the elderly was carried out an observational cross-sectional exploratory and descriptive, involving 93 elderly. In collecting data we used the Barthel Index and MOS SF-36. In the identification of levels of dependency results indicate us that 40.0% are independent and 18.0% are dependents, minimum being 12.0% total-dependent. The results show us that, 88.0% of the subjects reported a score below 50.0% on average reported a QoL of 39±10.0%. Checking that are a positive correlation between the degree of dependence and the index of QoL, especially in the physical component. It is therefore important to promote healthy aging in an attempt to favor the preservation of autonomy and functional capacity of the elderly. Key words: Elders; Dependency; Quality of Life.

928-35

Authors: Fabiana Ferraz Queiroga Freitas, Kátia Nêyla de Freitas Macêdo Costa, Cristiana Brasil de Almeida Rebouças, Maria das Graças Melo Fernandes, Joab de Oliveira Lima

The aim is to analyze the nonverbal communication between nurses and the elderly in the nursing consultation based on the theory by Hall. The research concerns a descriptive exploratory study and it has a quantitative approach. It took place through filmings of the nursing consultations which happened in Health Basic Units in João Pessoa, Paraíba, Brazil, observed every minute, a total of 1.575 nonverbal interactions. The analysis has showed the predominance of the female nurses (90.63%) and the elderly (65.63) and a regular classification for most of the factors as a prevalence of a sitting set (80.09), opposite chairs (64.46%), personal distance (91.40%), calm facial expression (59.78%), touch was used for a technical procedure (53.33%), visual interaction for the manipulation of the objects (57.69) and no alteration in the voice volume (48.79%). These results reflect the necessity of the nurses to domain consciously their corporal and facial manifestations in order to improve the interaction with the elderly. Key words: Nursing; Nonverbal Communication; Elderly; Primary Health Attention.

942-8

Authors: Bruna Knob Pinto, Rosani Manfrin Muniz, Eda Schwartz, Maria de Lourdes Denardin Budó, Rita Maria Heck, Celmira Lange

The study aimed to understand the context of resilient man when ill with prostate cancer. This is an ethnographic case study conducted with two prostate cancer survival men with a high degree of resilience. The data was collected on their places, in 2012 April and May, using semi-structured in-depth interviews, participant observation and ecomap. For the data analysis, it was built two units of meaning: “Identity of the resilient man: contextualizing the informants” and “The resilient man finding himself ill”. It was noticed that the identity of being a resilient man, to these informants, was marked by historical and cultural difference which permeated their actions in the process of being ill with prostate cancer. It is important that nurses pay attention to the cultural aspects of human health, so that they can feel part of the healing process, becoming an active subject facing their own health. Key words: Men’s Health; Culture; Prostatic Neoplasms; Nursing; Psychological Resilience.

957-64

Authors: Bárbara Tarouco da Silva, Mara Regina Santos da Silva

Objective: this study aimed to identify priority needs and concerns expressed by fathers in the performance of their role in three stages of the life cycle: adolescence, productive age, and mature age. Methodology: this is an exploratory study with a qualitative approach, conducted with fourteen fathers residing in a unicipality in the extreme south of Brazil. The data were collected between May and August 2011 by means of the in-depth interview. Through the technique of written discourse analysis and the array built upon Bronfenbrenner’s bioecological theory, we obtained three categories: fathers’ needs/concerns, generated in their relationship with the world of work; needs/concerns that emerged from the relationship of care with the children; and fathers’ concerns about the future of the children. Conclusions: we identified that the concern with the future of the children was pointed out by fathers of all age groups investigated. Key words: Nursing; Paternity; Parent-Child Relationship.

972-8

Authors: Meire Chucre Tannure, Patrícia de Oliveira Salgado, Tânia Couto Machado Chianca

This descriptive study aimed at elaborating nursing diagnostic labels according to ICNP® ; conducting a cross-mapping between the diagnostic formulations and the diagnostic labels of NANDA-I; identifying the diagnostic labels thus obtained that were also listed in the NANDA-I; and mapping them according to Basic Human Needs. The workshop technique was applied to 32 intensive care nurses, the cross-mapping and validation based on agreement with experts. The workshop produced 1665 diagnostic labels which were further refined into 120 labels. They were then submitted to a cross-mapping process with both NANDA-I diagnostic labels and the Basic Human Needs. The mapping results underwent content validation by two expert nurses leading to concordance rates of 92% and 100%. It was found that 63 labels were listed in NANDA-I and 47 were not. Key words: Nursing Diagnoses; Classification; Intensive Care Unit; Nursing.

987-93

Authors: Adriana Cristina de Oliveira, Roberta El Hariri Viana

Objective: To identify indications and controversies in the literature of the use of ATP bioluminescence to evaluate the effectiveness of surface cleaning in healthcare facilities. Method: Integrative literature review between 2000 and 2012 in the following databases: MEDLINE, LILACS, Science Direct, SCOPUS and Isi Web of Knowledge. Results: were selected for this review 15 articles. The ATP bioluminescence was considered an important educational resource and complementary method to visual inspection and microbiological evaluation of the effectiveness of cleaning. The impossibility to indicate surface contamination by microorganisms, interference by chemicals and the difficulty of interpreting the results constitute the main controversies in the use of ATP in health services. Conclusion: Although this is an important resource in the evaluation of surface cleaning, more studies are necessary for effective incorporation of the method in health services. Key words: Adenosine Triphosphate; Hospital Housekeeping; Contamination.

1000-7

Authors: Juliane Pagliari Araújo, Rosane Meire Munhak da Silva, Neusa Collet, Eliane Tatsch Neves, Beatriz Rosana Gonçalves de Oliveira Toso, Cláudia Silveira Viera

The aim of this study was describing and reflecting about the aspects related to the social history and public policies for the children’s health assistance in Brazil. A brief historical contextualization was realized concerning changes on the way the society views the child in Brazil and around the world, also perspectives considering public policies for the children’s health in the national context were presented. It was possible to identify that the historical evolution of the child participation in the society is linked to the changes in the assistance public po licies, which were demonstrated in the child death decrease and associated to challenges, like the morbimortality reduction caused by perinatal injuries and avoidable causes. The advances and conquers in the child’s health are evolved in a paradigmatic change movement into a model of a net formation and a comprehensiveness care. This context requires the human resources preparation for such area, based on the health promotion and prevention, as well as a better quality of life of the population. Key words: Child Health; Health Policy; Pediatric Nursing; History.