Brazilian Nursing Journal (Revista Brasileira de Enfermagem - REBEn)

9-10

Authors: Angela Maria Alvarez , Lucília de Fátima Santana Jardim

Editorial

22-7

Authors: Eliana Rocci, Rosa Aurea Quintella Fernandes

The study aimed to verify the average time of exclusive breastfeeding (AME) of infants born at Baby-Friendly Hospital Initiative(BFHI) and to associate it with the following variables: marital status, mother’s age, infant’s weight, difficulties found and instructions received. This is a cohort study with a sample of 225 mothers interviewed postpartum and on the 15th, 30th, 60th, 120th and 180th days after discharge, by telephone. The monitoring of AME showed median of 113 days and 34,1% of the mothers kept it for up 180 days. There was a significant statistical correlation between the time of AME and difficulties found. There was no significant statistical correlation between time of AME and the variables: marital status, mother’s age, infant’s weight and instructions received. This research showed increased weaning at 60 days in women who have had difficulty in pre-discharge. The study showed the positive influence of the BFHI in adherence of mothers to the AME. Key words: Breastfeeding; Weaning; Child Nutrition; Public Policies.

36-42

Authors: Kézia de Oliveira, Marly Veronez, Camilla Delavalentina Cavalini Marques, Ieda Harumi Higarashi, Sonia Silva Marcon

Exploratory and descriptive study, of qualitative nature, developed with the purpose of knowing the route of the child’s family admitted to the hospital. The data were collected at the pediatric unit of the Regional University Hospital of Maringá (HUM), through semi-structured interviews with the accompanying family members. After analysis of content, two categories emerged: the role of the family in the identification of deviations in the child’s health, and the (un)readiness of the health services: impacts on the child health attendance. The study evidenced an expectation of the family in face of the child’s illness, searching for alternative strategies and late seeking for health services. These, in turn, show gaps along the attendance process, from diagnosis to treatment, thus raising familiar stress and increasing the possibilities of aggravation of the clinical condition of the child. Key words: Child; Family; Illness; Attendance; Early Diagnosis.

48-53

Authors: Ana Clara Patriota Chaves, Elys Oliveira Bezerra, Maria Lúcia Duarte Pereira, Wolfgang Wagner

The research objectives were to describe the knowledge about the transmission of HIV/AIDS, analyze the sexual behavior and attitudes towards condom use among adolescents. Exploratory survey conducted in 2009 with 234 students of a school in Fortaleza, Brazil. We used semi - structured questionnaire and Likert Scale. The results showed that 46.6% of the sample have already initiated sexual life, 40.7% and 29.5% did not use condoms at the first or last intercourse, respectively, due to various reasons like not having a condom at the time (27.3%), use of contraceptive pill (15.2%) and trust in their partner (15.2%). These teenagers have questions about HIV transmission. Women were more favorable to condom use than men. One conclude that early initiation of sexual life, doubts about HIV transmission and ineffective condom use are factors that make young people’s vulnerability. Key words: Acquired Immunodefi ciency Syndrome; Knowledge; Attitudes to Health; Adolescent.

62-70

Authors: Kallen Dettmann Wandekoken, Marluce Miguel de Siqueira

The objective was to propose a care strategy for crack users, through implementation of the nursing process. This is a case study, descriptive and exploratory with qualitative approach based on Neuman and the NANDA-NIC-NOC. Scenario: Psychosocial Care Center - Alcohol and Drugs from Vitória-ES. We applied the standard questionnaire of crack consumption, Addiction Severity Index, Mini International Neuropsychiatric Interview and Parental Bonding Instrument. It was found the complexity that lining the intra, inter and extra personal stressful situations. We discussed three diagnoses: ‘poor knowledge about the substance use control‘, ‘ineffective coping’ and ‘social isolation’, and interventions were suggested by articulation between NIC, NOC and secondary prevention of Neuman. It is therefore an important function of the nurse to mobilize system resources - internal and external - for stabilization and conservation of energy, in order to strengthen the lines of resistance, in addition to considering all the variables of the system and not only the use of crack. Key words: Nurse’s Practice Patterns; Crack; Nurse’s Role.

78-84

Authors: Cátia Inácia Brand, Rosane Teresinha Fontana

This is a descriptive study with a qualitative approach that aimed to investigate the knowledge and practices of the nursing staff about biosafety in Intensive Care Units, and identify biohazard situations to which the worker is exposed, and the units’ adherence to standard Regulating nº 32. Data collection was done through interviews and observation, in the first half of 2012, and the processing of data was done through thematic analysis. This study showed partial adherence to biosafety standards by institutions and professionals surveyed and deficiency of discussions on the topic in the spaces of continuing education. The promotion of initiatives for education of safe practices and the update was established as promoter of health and the prevention of legal exposures by health infractions so configured. Key words: Biosafety; Occupational Health; Intensive Care.

91-6

Authors: Edaiane Joana Lima Barros, Silvana Sidney Costa Santos, Giovana Calcagno Gomes, Alacoque Lorenzini Erdmann, Marlene Teda Pelzer, Daiane Porto Gautério

The goal was to identify the ecosystem and gerontogeriatric technological actions to be done in a complex nursing care for the elderly patients of ostomy. To do so, a qualitative and descriptive research was made on a Case Study. The data were collected through interviews. The elderly were classified due to the Functioning, Disability and Health. They also went through physical exams and systematic observation. Ten people from the Estomatherapy Service of the south of Brazil took part in the research along the period of June to August of 2012. A theoretical model was developed and the data were compared with a protocol. The ecosystem actions identified the construction of a therapeutic environment, the guaranty of physical access and environmental adaptation. The gerontogeriatric technological actions identified a health educative process, the routing to the support group and the material and necessary equipment distribution for self-care. Being the nursing care primordial for the elderly patients of ostomy, they are able to face their limitations, demystifying their deficiency/ disability /health. Key words: Nursing care; Ostomy; Elderly; International Classifi cation of Functioning, Disability and Health; Nursing.

104-10

Authors: Gisele Vieira Dourado Oliveira Lopes, Tânia Maria de Oliva Menezes, Adriana Cerqueira Miranda, Kênya Lima de Araújo, Eleonora Lima Peixinho Guimarães

Qualitative study conducted between April and June 2010, in a health-care teacher who works in the Family Health Strategy, located in Salvador -Bahia, the study aimed to analyze the perceptions of users about the embracement. Study participants were 12 subjects of both sexes. The data were submitted to categorical analysis, from which emerged four categories: User understanding on embracement; Relationship between the health team and embracement; Embracement as part of accountability, co-responsibility and problem solving; Barriers to embracement. The analysis and discussion of the above categories suggests that the embracement is a proposal on continuous improvement even when there is an effort to achieve them in health practices coming in the intersubjectivity of the subjects involved. Key words: Family Health; User Embracement; Health Care.

119-26

Authors: Renata Siqueira Julio, Monique Borsato Silva Filardi, Maria Helena Palucci Marziale

The study aimed to identify the profile accidents involving exposure to biological material occurring in Minas Gerais. A descriptive study carried out by querying the Information System for Notifiable Diseases, 50 cities in south of Minas Gerais State, Brazil, in the period of 2007-2011. Were recorded 460 accidents, and about half occurred among nursing assistants and technicians, followed by nurses and physicians. There were more accidents due to improper disposal of sharps. Among the source patients, there was a 8.0% prevalence of positive serology for HIV, 1.0% for HBsAg, 6.0% for anti-HBc and 3% for anti-HCV. Among the injured 14.0% were not immunized to hepatitis B; however, the vaccine and immunoglobulin prescription was lower than necessary. The results will subsidize the plan preventive measures and new approach towards the occurrence of such accidents. Key words: Occupational Health; Exposure to Biological Agents; Biohazard; Nursing.

133-40

Authors: Tiago Cristiano de Lima, Fábio Ricardo Consorti Paixão, Elaine Cristina Cândido, Claudinei José Gomes Campos, Maria Filomena Ceolim

Qualitative study aimed to analyze the experience of students in the development of Supervised Curricular Internship activities which are part of the curricula of the undergraduate nursing course from a public university in the state of Sao Paulo, Brazil. The material for analysis was composed of the students’ final reports taken on the end of the activities. Documental analysis was used in order to understand the experiences of the students. We analyzed six documents for which we used thematic content analysis as theoretical framework in an attempt to identify meanings and to obtain inferences about the documents produced. The reports allowed to conclude that the students’ experience with the Supervised Curricular Internship was positive and contributed to develop a link between theory offered by the academy and daily routine/practice of nursing profession. Personal and professional growth was mentioned by the students as essential for them to feel empowered to act as confident and competent professionals. Key words: Students; Curriculum; Nursing; Teaching.

149-54

Authors: Suzana de Oliveira Mangueira, Marcos Venícios de Oliveira Lopes

Alcoholism is considered an associated factor to the family dysfunction, revealing the need for health professionals to overcome the purely individual perspective to offer a systemic focus. The aim of this study was to analyze the concept dysfunctional family in the context of alcoholism. The study followed the Concept Analysis Model and steps of integrative literature review. It was identified the antecedents of alcoholism, the attributes and the consequent dysfunctional family and it was reported a model case which illustrated the presence of these elements. It was observed that this is a broad concept, subjective and complex, with emphasis on studies on the consequents related to children of alcoholics. Key words: Alcoholism; Family; Nursing.