Ana Aline Lacet Zaccara

Knowledge, attitude and practice of condom use by women of an impoverished urban area

OBJETIVO Avaliar a adequabilidade do conhecimento, da atitude e pratica de mulheres acerca de preservativos masculino e feminino enquanto medida preventiva as IST/HIV. METODO Inquerito domiciliar, avaliativo do tipo conhecimento, atitude e pratica (PAC), de abordagem quantitativa, envolvendo 300 mulheres. A coleta de dados ocorreu entre junho e agosto de 2013, em um aglomerado subnormal do municipio de Joao Pessoa. RESULTADOS Para o preservativo masculino, a maioria das mulheres apresentou conhecimento e pratica inadequados e atitude adequada. Em relacao ao preservativo feminino, as variaveis conhecimento, atitude e pratica foram insatisfatorias. Houve associacoes significativas entre conhecimento/orientacao religiosa e atitude/escolaridade para o preservativo masculino. CONCLUSAO A equipe multiprofissional deve estar compromissada com o desenvolvimento de praticas educativas como ferramentas de promocao do cuidado, no sentido de favorecer a adesao ao uso de preservativos.Objective: Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. Method: An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of Joao Pessoa, Paraiba, Northeast Brazil. Results: Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. Conclusion: A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.OBJECTIVE Assessing the adequacy of knowledge, attitude and practice of women regarding male and female condoms as STI/HIV preventive measures. METHOD An evaluative Knowledge, Attitude and Practice (KAP) household survey with a quantitative approach, involving 300 women. Data collection took place between June and August 2013, in an informal urban settlement within the municipality of João Pessoa, Paraiba, Northeast Brazil. RESULTS Regarding the male condom, most women showed inadequate knowledge and practice, and an adequate attitude. Regarding the female condom, knowledge, attitude and practice variables were unsatisfactory. Significant associations between knowledge/religious orientation and attitude/education regarding the male condom were observed. CONCLUSION A multidisciplinary team should be committed to the development of educational practices as care promotion tools in order to improve adherence of condom use.

Testamento vital na prática médica: compreensão dos profissionais

The living will is a relevant theme to be discussed from the sanitary and legal points of view and is also an important instrument to drive the assistance to terminally ill patients according to their final wills. We performed this exploratory and qualitative research to study the opinion of 36 resident doctors in Brazil public hospitals, regarding to the inclusion of the living will in medical practice. Data were collected in August, 2013. Our results stressed the relevance of living will for the autonomy of the terminally ill patient, providing the humanization of his treatment. This article shows the need of a law to rule the formal use of this directory in Brazil. It is also important to point out the necessity to broaden the discussions about the theme in Brazilian reality, in order to promote a larger comprehension of those physicians’ point of view when dealing with the last moments of their patients’ lives.The living will is a relevant theme to be discussed from the sanitary and legal points of view and is also an important instrument to drive the assistance to terminally ill patients according to their final wills. We performed this exploratory and qualitative research to study the opinion of 36 resident doctors in Brazil public hospitals, regarding to the inclusion of the living will in medical practice. Data were collected in August, 2013. Our results stressed the relevance of living will for the autonomy of the terminally ill patient, providing the humanization of his treatment. This article shows the need of a law to rule the formal use of this directory in Brazil. It is also important to point out the necessity to broaden the discussions about the theme in Brazilian reality, in order to promote a larger comprehension of those physicians’ point of view when dealing with the last moments of their patients’ lives.

Male and female condoms: What do women of a subnormal agglomerate know

OBJECTIVE Evaluate the knowledge about male and female condoms among women living in subnormal agglomerate and identify sources of information and appropriate care to use. METHODS Household survey, descriptive, transversal and quantitative study with 300 women over 18 of João Pessoa, Paraíba, Brasil, who began their sexual life. The systematic sampling plan for data collection was used. The interview form included sociodemographic questions and gazed relevant aspects of the use of condoms as a preventive measure of sexually transmitted infections and AIDS. RESULTS TV and healthcare professionals were the main sources of information. The participants knew more often the male condom features compared to women. The care most often mentioned by women as the use of male and female condoms were related to the validity, form of openness and conditions of packaging and storage of condoms. The largest number of care focused on measures taken in the pre-sexual moment. Moreover, care was nonspecific on the female condom. CONCLUSION The participating women have inadequate knowledge on female and male condoms. It is necessary that the nursing seek health education strategies for improving knowledge about relevant information about male and female condoms.

Multi-professional team care: discourse of women in preoperative mastectomy

Objective: The aim of this study was to investigate the multidisciplinary team regarding the preparation of women in preoperative from mastectomy. Methods: This is an exploratory study with qualitative approach, performed in the surgical clinic of a public hospital in Joao Pessoa PB. The sample consisted of seven women who would make a mastectomy. Data collection was initiated in the period of February to May 2011, after obtaining the assent of the Committee for Research Ethics No 751/10 and No CAAE 0578.0.126.000-10, using the technique of recorded interview. Results: The data were analyzed using the technique of collective subject discourse, generating four central ideas highlighting the role of the multidisciplinary team comprising relevant guidance to the surgical procedure, preoperative psychological, spiritual and nutritional. Conclusion: We conclude that there is a need for greater integration of the multidisciplinary team to provide better care to women during preoperative care of mastectomy.Objetivo: Investigar la actuacion del equipo multiprofesional con respecto a la preparacion de las mujeres en el preoperatorio de Mastectomia. Metodos: Estudio exploratorio, cualitativo, realizado en la clinica quirurgica de un hospital publico de Joao Pessoa (PB). La muestra fue compuesta por siete mujeres que iban a hacer una mastectomia. La recoleccion de datos ocurrio entre febrero y mayo de 2011, despues de haber obtenido el dictamen favorable del Comite de Etica de la Investigacion No 751/10 y No CAAE 0578.0.126.000-10, utilizando la tecnica de la entrevista grabada. Resultados: Los datos fueron analizados mediante la tecnica del Discurso del Sujeto Colectivo, generando cuatro ideas centrales que destacan el papel del equipo multidisciplinario, que incluye las orientaciones pertinentes para el procedimiento quirurgico: preoperatorio; psicologica; espiritual; nutricional. Conclusion: Se hace necesaria una mayor integracion del equipo multidisciplinario para ofrecer una mejor atencion a las mujeres durante el cuidado preoperatorio de mastectomia.

A ANALYSIS AND ASSESSMENT OF THE PEACEFUL END OF LIFE THEORY ACCORDING TO FAWCETT’S CRITERIA

Objective: to assess the Peaceful End of Life Theory according to an assessment framework of nursing theories. Method: reflection developed through the investigation of the Peaceful End of Life Theory and its application in Palliative Care nursing practice, using the analysis and assessment framework proposed by Jacqueline Fawcett. The analysis involved an impartial and detailed investigation of the theory, including the scope, context and content of the theory; and the assessment was based on the criteria of significance, internal consistency, parsimony, testability, empirical adequacy and pragmatic adequacy. Results: what the scope is considered, this is considered a medium-range and predictive theory. Its context is based on Katharine Kocalba’s Comfort Theory. In the content, it presents defined, well-outlined and interrelated concepts. Its significance derives from its explicit definition of the concepts of the metaparadigm; its internal consistency from the definition it provides for each concept and its use of the concepts without contradiction. It is parsimonious because nurses can use it for care to end-of-life patients. Conclusion: the importance of the theory is highlighted, as well as its application in the activities of nurses focused on care to end-of-life individuals and their relatives, as it presents concepts and propositions in line with what Palliative Care proposes. DESCRIPTORS: Nursing. Terminally ill. Palliative care. Nursing theory. Assessment of theory. http://dx.doi.org/10.1590/0104-07072017002920017

Scientific Production of Patient’s Electronic Health Record in Online Journals from Brazilian scenario

The study aims to analyse the scientific production about patient’s Electronic Health Record (EHR) available in online journals from 2006 to 2015. This is an integrative review. The search was conducted in the Virtual Health Library and Portal Capes, considering only studies in Portuguese. The sample consisted of 17 articles. It was observed that from 2011 to 2012 is the period with the highest number of publications about the investigated issue. The majority of papers were published in journals in the area of computer science and the most common modality of publication was original article. It was found that scientific productions involving Electronic Health Record discussed about its importance and implementation in health services, as well as perceptions of health professionals about its utilization. The research evidenced the relevance of EHR in health services, emphasizing necessity for improved regulations of ethical and legal issues and creation of legal provision to concede judicial validity in Brazil.

Importance of Palliative Care in Pediatric Oncology

To analyze the testimonies of clinical nurses about the importance of the practice of palliative care in Pediatric Oncology, in the light of the Humanistic Nursing Theory. This is a qualitative research conducted with ten nurses from a pediatric unit of a public hospital in the city of Joao Pessoa – PB, through a semi-structured interview, using Paterson´s and Zderad´s Humanistic Nursing Theory as theoretical and methodological support. The following categories emerged from the analysis: palliative care is essential for promoting humanized care of children with cancer, in end-stage; and palliative care value the communication among nurses, child, and family. It is concluded the need for the promotion of humanized practice by nurses, both the child under a palliative care, as the family, showing to be motivated, sensitized and respecting them in their uniqueness and authenticity, as preconized by the Humanistic Nursing Theory.

Family Structure Assessment Of Patients In Palliative Home Care

This study aims to examine the family structure of patients in palliative home care in the light of the Calgary Family Assessment Model (CFAM). This is a qualitative research, conducted in the residences of patients enrolled in the Palliative Care Unit and Pain Treatment (PCUP) of a university hospital located in Recife/Pernambuco, Brazil, in the period from May to July 2014. The sample consisted of five patients enrolled in the PCUP and five family caregivers. Data collection was performed through an interviewing technique using two instruments: the genogram and eco-map. The empirical material was analyzed in the light of the Calgary Model of Family Assessment. The application of the Model demonstrated external family structure relationship with the non-existent neighborhood; support network in diverse health, with very strong relationship with the PCUP highlighting the link with nursing professional; weak relationship concerning Basic Health Unit and strong connection to the church. The obtained data suggest that each researched family has demands to be thought of as focus of nursing care and have faith as a resource for coping with the disease. It follows that the application of CFAM has highlighted the intra-family ties and the relations established with the support networks, signaling strategies to optimize patient care without a therapeutic possibility of cure and their family.

Palliative Care and Spirituality: Bibliometric Research in Health Field

This study aims to analyze the bibliometric indicators on national and international scientific production on palliative care and spirituality in health field. The bibliometric research was conducted in the virtual library SciELO and the LILACS, PubMed and IBECS Databases. Papers available in full-length and published in the period of 2005-2014 were selected resulting in a sample of 50 publications, among which 24 are national and 26 international. The journal that published more frequently on the theme was the Journal of Palliative Medicine. Journals classified with Qualis A2 and B2 stood out. Most of the publications were produced by medical practitioners with master degree. There was a predominance of original papers with qualitative approach coming from educational and research institutions abroad. Results suggest a still incipient amount of publications on Palliative Care and Spirituality in the health area at national and international levels, which demonstrates the need for further studies on this subject.

The Applicability of Information Technology and the Communication in Nursing Undergraduate Education

Objective: to understand the use of information and communica tion technology (ICt) as a pedagogical resource for teaching-learning process in nursing through the discourses of professors, and to identify the types of technology used as a tool to strengthen the teachinglearning process. Method: exploratory descriptive and qualitative study, guided by Grounded theory; the sample consisted of twelve professors of nur sing; data collection was conducted between February and May 2013, through the interview technique; the analysis was developed simulta neously with the collection, allowing the formation of categories and subcategories. Results: the nursing faculty expressed the knowledge dimension of ICt experienced in practice, recognizing it as an aid in the theoreticalpractical activities. Conclusion: this technology should be further stu died and explored in healthcare and, more specifically, in the training of nurses.