Alexandra do Nascimento Cassiano

Perfil epidemiológico de sífilis adquirida diagnosticada y notificada en hospital universitario materno infantil

Objective: To characterize the epidemiologic profile of users with acquired syphilis. Method: This was an exploratory and descriptive study of quantitative approach, through secondary data collected in investigation forms/syphilis notification in women assisted in a Maternal-Child University Hospital in Santa Cruz-RN in 2012. The study was approved by the Research Ethics Committee under report number 772.884. Results: 67% of mothers reported they had only attended elementary school, 33% were single, 42% had undergone less than six prenatal consultations, 58% of them had performed previous treatment of syphilis, but only 25% of their partners had joined and performed it. Conclusion: This study shows progress regarding diagnosis of syphilis during prenatal care, but it evidences the non-accomplishment of treatment by pregnant women before delivery, as well as by their partners. Therefore, innovative strategies are needed aiming at an early and proper treatment of pregnant women and their partners

Percepción de los profesionales de enfermería sobre la integración del acompañante durante el proceso de parto

espanolObjetivo: La investigacion tuvo como objetivo identificar los conocimientos de enfermeria sobre la integracion del acompanante en el proceso del parto. Metodo: Estudio exploratorio y descriptivo con enfoque cualitativo desarrollado en un hospital universitario de la ciudad de Santa Cruz, Rio Grande do Norte, Brasil. El numero de participantes fue determinado por los datos de saturacion, respetando los criterios de inclusion y exclusion. Los datos fueron recolectados a traves de una entrevista semiestructurada, mas tarde trabajo de acuerdo con el analisis de contenido segun Bardin y analizados de acuerdo con los principios de la interaccion simbolica de Blumer. Resultados: El acompanamiento se valora debido a su importancia, que se extiende a traves del apoyo emocional, la participacion conjunta y los derechos garantizados por la ley. Sin embargo, se encontro que los factores vinculados a la falta de conocimiento, falta de experiencia y la curiosidad constituyen factores que puedan comprometer la rutina de cuidado. Conclusiones: Los profesionales de enfermeria reconocen la importancia de acompanamiento, que se desarrolla a traves del apoyo emocional, orientacion y de su participacion en derecho garantizado por la ley. portuguesA pesquisa teve o objetivo de identificar o conhecimento da enfermagem sobre a insercao do acompanhante no processo de parturicao. Estudo exploratorio e descritivo, com abordagem qualitativa desenvolvido em um hospital universitario no municipio de Santa Cruz, Rio Grande do Norte, Brasil. O numero de participantes foi determinado por saturacao de dados, respeitando aos criterios de inclusao e exclusao. Os dados foram coletados por meio de uma entrevista semiestruturada, ulteriormente trabalhados de acordo com a analise de conteudo segundo Bardin e analisados conforme os principios do Interacionismo Simbolico de Blummer. O acompanhante foi valorizado por sua importância, a qual perpassa pelo apoio emocional, coparticipacao e direito garantido por lei. Entretanto, fatores atrelados a falta de conhecimento, inexperiencia e curiosidade foram referenciados como fatores que podem comprometer a rotina assistencial. Os profissionais de enfermagem reconhecem a importância do acompanhante, a qual perpassa pelo apoio emocional, coparticipacao sob orientacao e direito garantido por lei. EnglishThe research aimed to identify the nursing knowledge about the insertion of companion in the parturition process. Exploratory and descriptive study with qualitative approach developed in a university hospital in the city of Santa Cruz, Rio Grande do Norte, Brazil. The number of participants was determined by saturation data, respecting the inclusion and exclusion criteria. Data were collected through a semi-structured interview, later worked according to content analysis according to Bardin and analyzed according to the principles of symbolic interactionism of Blumer. The escort was valued for its importance, which runs through the emotional support, joint participation and rights guaranteed by law. However, factors linked to the lack of knowledge, inexperience and curiosity were found to be factors that may compromise the care routine. Nursing professionals recognize the importance of accompanying, which moves through the emotional support, guidance and co-participation in right guaranteed by law.

Analysis of predictive factors for syphilis vertical transmission: a cross-sectional study

Objetivo: analisar os fatores preditores a transmissao vertical da sifilis. Metodo: estudo epidemiologico do tipo seccional, retrospectivo, documental de natureza descritiva e analitica. A amostra sera quantificada a partir das notificacoes de sifilis congenita, referente aos meses de janeiro de 2014 a dezembro de 2015 no municipio de Natal/RN. O instrumento de coleta a ser utilizado baseia-se no Protocolo de Investigacao dos Casos de Sifilis Precoce do Ministerio da Saude. A analise dos dados sera realizada por meio de estatistica descritiva e metodos comparativos. O estudo seque a resolucao 466/2012 do Conselho Nacional de Saude e tem parecer homologado com CAAE: 53305315.3.0000.5537. Resultados esperados: Espera-se oferecer subsidios que permitam o conhecimento sobre os fatores preditores a transmissao vertical da sifilis.

Leadership Strategies Used by Health Professionals in Hospital Units: Integrative Review

Introduction: Manager in its various operational levels, including the hospital management, needs in your profile to present leadership because this feature is an essential part to work with your team . Objective: Identifying leadership strategies employed by managers in hospital units. Method: Integrative review it was conducted in the following databases - Scopus, PUBMED, LILACS and SCIELO. It was considered all published articles in the last ten years until October 2015. Results: It were selected and analyzed 12 articles. Strategies communication among staff; participatory management and professional qualification were outstanding results in this study. Communication presented predominance as the most used strategy, present in 58.33% of the analyzed articles. Conclusion: Despite the scale of the challenges confronting leadership in hospital units is possible to bet on strategies that promote the achievement of objectives of these institutions. Descriptors: Leadership; Hospital Administration; Hospitals.

Bundle Method in Reducing Pneumonia Associated with Mechanical Ventilation in Newborns and Children: Integrative Review

Infections related to health care are a public health problem, given the repercussions of the event to the morbidity and mortality of the population and having health spending. Pneumonia Associated to Mechanical Ventilation has the incidence of 8.1% to 57.1% in neonates and 23% in children. This study is an integrative literature review aimed to check the scientific production concerning the use of bundle guidelines to reduce of PAV in children and newborns in intensive care units and analyze the results of these research. For data collection, the keyword bundle, and the descriptors infant, newborn; Intensive Care Units, Neonatal Pneumonia, Ventilator-Associated and Child(ren) for online search in databases: PUBMED, SCOPUS, LILACS and CINHAL. The initial result of the search was 891 articles and after application of inclusion and exclusion criteria, the sample resulted in nine articles. This study points out that in general VAP prevention measures found in bundles were effective in reducing PAV rates in neonates and pediatric patients. However, there are still differences in the development of some interventions, especially for newborns. It is necessary to develop other studies, including the better level of evidence to address the use of bundle for PAV prevention of these population, considered more vulnerable to incidents related to health care.

Assessment of the assistance to eutocic delivery in a university hospital: a cross-sectional study

Objective: To evaluate the quality of assistance to eutocic delivery in a university hospital. Method: This is a cross-sectional, descriptive study with a quantitative approach, carried out during May 2015. The sample was obtained in a conventional way: women who have had eutocic deliveries were interviewed no more than 48 hours after delivery. Those who gave birth at home or en route to the hospital and those who were admitted already in the expulsive stage were excluded. The data will be analyzed using descriptive and inferential statistics, using the SPSS 20.0 software. The study was approved by the Research Ethics Committee under protocol no. 1.034.398. Expected results: It is believed that the study will contribute to improving the quality and safety of assistance to women during childbirth, aimed at the humanization of care to labor and delivery.

Compartilhando saberes através da educação em saúde na escola: interfaces do estágio supervisionado em enfermagem

R elatar a experiencia vivenciada durante as atividades de intervencao realizadas com adolescentes e jovens de uma instituicao publica de ensino. Estudo descritivo, tipo relato de experiencia. As atividades foram desenvolvidas com os estudantes do ensino medio, do primeiro ao terceiro anos, no turno noturno, durante os meses de dezembro de 2011 e janeiro de 2012, em uma instituicao de ensino, localizada no municipio de Caico/RN. Percebeu-se que o espaco educacional se configura como um instrumento para as transformacoes que ocorrem no campo da saude, apresentando-se como um espaco de interacao, fortalecendo acoes e atividades, permitindo a articulacao dos saberes em saude com o cotidiano dos atores envolvidos. Tal atividade contribuiu para a construcao e o aprimoramento do saber-fazer da enfermagem no tocante a um dos seus processos de trabalho, o ensinar-aprender, enriquecendo sobremaneira a formacao do perfil de egresso de forma critica e emancipatoria.

Nursing care in immediate puerperium: the reality of a public hospital

ABSTRACT Objective : to understand the perceptions and practices of nurses about the nursing care provided to women in immediate puerperium at the of a public hospital. Methodology : exploratory and descriptive study, with qualitative approach. The study population will be composed by the nurses that work in the obstetrics clinic. Will be used as an instrument for data collection the semi-structured interview. Qualitative data will be organized and analyzed having as reference the thematic analysis. Data relating to the identification and characterization of nursing professionals will be subjected to calculations of frequency, percentage and arithmetic mean. The study was submitted to the Ethics Committee in Research of the State University of Rio Grande do Norte, authorized under protocol 053/11 with approval statement in 07/15/2011. Expected results : it is expected that the research enables to open space for discussion and evaluation of nursing care provided to women in the puerperium phase, in order to contribute to a diagnosis of reality in a way to identify strengths and weaknesses, providing an opportunity to re-think clinical practice. It is assumed that this research will enable the discussion about the care practices with a view to consolidating the policy of national attention to the humanization of labor and birth. Descriptors : nursing care; womens health; postpartum period . RESUMO Objetivo : conhecer as percepcoes e praticas dos enfermeiros a cerca da assistencia de enfermagem prestada a mulher no puerperio imediato de um hospital publico. Metodologia : estudo exploratorio e descritivo, com abordagem qualitativa. A populacao do estudo sera constituida pelos enfermeiros que atuam na clinica obstetrica. Utilizar-se-a como instrumento para a coleta dos dados a entrevista semi-estruturada. Os dados qualitativos serao organizados e analisados tendo-se por referencia a analise tematica. Os dados referentes a identificacao e caracterizacao dos profissionais de enfermagem serao submetidos a calculos de frequencia, percentagem e media aritmetica. A pesquisa foi submetida ao Comite de Etica em Pesquisa da Universidade do Estado do Rio Grande do Norte e autorizada mediante o protocolo 053/11, com parecer homologado em 15/07/2011. Resultados esperados : espera-se que a pesquisa propicie a abertura de espaco para avaliacao e discussao da assistencia de enfermagem prestada a mulher na fase puerperal, no sentido de colaborar para um diagnostico da realidade com o intuito de identificar potencialidades e fragilidades, estabelecendo oportunidade de re-pensar a pratica assistencial. Presume-se que a presente investigacao possibilite a discussao a cerca das praticas assistenciais, com vistas a consolidacao da politica de atencao nacional de humanizacao para o parto e nascimento. Descritores : cuidados de enfermagem; saude da mulher; periodo pos-parto . RESUMEN Objetivo : conocer las percepciones y practicas de los enfermeros acerca del cuidado de enfermeria prestado a la mujer en el puerperio inmediato de un hospital publico. Metodologia : estudio exploratorio y descriptivo, con enfoque cualitativo. La poblacion del estudio sera formada por los enfermeros que trabajan en la clinica de obstetricia. Se utilizara la entrevista semi estructurada como instrumento de recoleccion de datos. Los datos cualitativos seran organizados y analizados, tomando como referencia el analisis tematico. Los datos relativos a la identificacion y caracterizacion de los profesionales de enfermeria seran sometidos a calculos de frecuencia, porcentaje y media aritmetica. El estudio fue sometido al Comite de Etica en Pesquisa de la Universidad del Estado de Rio Grande do Norte y autorizado por el protocolo 053/11, con propuesta homologada en 15/07/2011. Resultados esperados : se espera que la investigacion conduzca a la abertura de espacio para la evaluacion y discusion de los cuidados de enfermeria prestados a las mujeres en el puerperio, con el fin de contribuir a un diagnostico de la realidad para identificar puntos fuertes y debiles, proporcionando una oportunidad para repensar la practica clinica. Se presume que esta investigacion permita la discusion sobre las practicas de atencion, con el fin de consolidar la politica de atencion nacional a la humanizacion del parto y nacimiento. Descriptores : cuidados de enfermeria; salud de la mujer; el periodo posparto .