Ana Maria Dyniewicz

Metodologia da pesquisa para enfermeiras de um hospital universitário

This article discusses a descriptive-analytic study on research methodology education practices directed at nurse clinicians who work at a university hospital and aimed at acquiring scientific research competencies on the basis of discovery learning, tutorials and humanistic teaching strategies. Study participants were eighty-six nurses, 70 of whom concluded their projects. 28 of these resulted in scientific studies, most of which were experience reports, descriptive and exploratory investigations. According to the nurses, the program allowed them to acquire and apply their research know-how. They pointed out the lack of mastering scientific methodology and the limitations of administrative and work conditions at the institution as the main difficulties. Among the facilitators, they highlighted the importance of research to modify clinical practice, the publication of results and the collaboration for the maintenance of a research center. The study showed the need for a flexible planning of educational activities, permanent guidance and respect for the particularities of each nurse.Este artigo trata de pesquisa descritivo-analitica sobre praticas educativas em metodologia de pesquisa dirigidas a enfermeiras assistenciais de um hospital universitario, visando a aquisicao de competencias em investigacao cientifica, tendo como base a aprendizagem por descoberta, tutoramento e estrategias do ensino humanista. Participaram do programa 86 enfermeiras, das quais 70 concluiram seus projetos. Desses, 28 resultaram em trabalhos cientificos, em sua maioria relatos de experiencia, pesquisas descritivas e exploratorias. Segundo as enfermeiras, o programa proporcionou-lhes a aquisicao e aplicacao de conhecimentos em pesquisa. Apontaram, como principais dificuldades, a falta de dominio da metodologia cientifica e as limitacoes nas condicoes administrativas e de trabalho na instituicao. Entre os aspectos facilitadores destacaram a importância da pesquisa para modificacao da pratica, a divulgacao dos resultados e a colaboracao para manutencao de um centro de pesquisas. O estudo revelou a necessidade de flexibilizacao do planejamento das atividades educativas, orientacao continua e respeito as particularidades de cada enfermeira.

Transcultural adaptation and validation of the Conditions of Work Effectiveness - Questionnaire-II instrument

OBJETIVO: este estudo teve como objetivo traduzir e validar o conteudo do instrumento Conditions of Work Effectiveness - Questionnaire-II, desenvolvido por Laschinger, Finegan, Shamian e Wilk e modificado do original Conditions Work Effectiveness - Questionnaire, para a cultura brasileira. METODO: o procedimento metodologico constituiu-se das etapas de traducao do instrumento para a lingua portuguesa; back-translation; equivalencia semântica, idiomatica e cultural e testes da versao final. O instrumento na versao em portugues foi aplicado a um grupo de 40 enfermeiras, em dois hospitais. RESULTADOS: os dados resultaram em alfa de Cronbach em 0,86 para o primeiro hospital e 0,88 para o segundo. Os resultados da analise fatorial sao considerados bastante satisfatorios. CONCLUSAO: conclui-se que o instrumento pode ser utilizado no Brasil.OBJECTIVE This study aims at translating and validating the content of the instrument Conditions of Work Effectiveness-Questionnaire-II CWEQ-II), developed by Laschinger, Finegan, Shamian and Wilk, modified from the original CWEQ for the Brazilian culture. METHOD The methodological procedure consisted of the stages of translation of the instrument into the Portuguese language; back-translation; semantic, idiomatic and cultural equivalence and tests of the final version. The instrument in the Portuguese version was applied to a group of 40 nurses in two hospitals. RESULTS The data resulted in a Cronbachs Alpha of 0.86 for the first hospital and 0.88 for the second one. The results of the factorial analysis are considered sufficiently satisfactory. CONCLUSION It is to conclude that the instrument can be used in Brazil.

Cirurgia segura: validação de checklist pré e pós-operatório

Objetivo: elaborar, avaliar e validar um checklist de seguranca cirurgica para os periodos pre e pos-operatorio de unidades de internacao cirurgica. Metodo: pesquisa metodologica, realizada em hospital de ensino publico de grande porte do Sul do Brasil, com aplicacao dos fundamentos do Programa Cirurgias Seguras Salvam Vidas da Organizacao Mundial da Saude. O checklist foi aplicado a 16 enfermeiros de oito unidades cirurgicas, e submetido a validacao por meio da tecnica Delphi on-line com oito especialistas. Resultados: o instrumento foi validado, obtendo-se ranking medio ≥1, grau de concordância ≥75% e Alfa de Cronbach >;0,90. A versao final contemplou 97 indicadores de seguranca organizados em seis categorias: identificacao, pre-operatorio, pos-operatorio imediato, pos-operatorio mediato, outras complicacoes cirurgicas, e alta hospitalar. Conclusao: o Checklist de Seguranca Cirurgica Pre e Pos-Operatorio e mais uma estrategia na promocao da seguranca do paciente, pois possibilita monitorar sinais e sintomas preditivos de complicacoes cirurgicas e deteccao precoce de eventos adversos.ABSTRACT Objective: to develop, evaluate and validate a surgical safety checklist for patients in the pre and postoperative periods in surgical hospitalization units. Method: methodological research carried out in a large public teaching hospital in the South of Brazil, with application of the principles of the Safe Surgery Saves Lives Programme of the World Health Organization. The checklist was applied to 16 nurses of 8 surgical units and submitted for validation by a group of eight experts using the Delphi method online. Results: the instrument was validated and it was achieved a mean score ≥1, level of agreement ≥75% and Cronbach’s alpha >0.90. The final version included 97 safety indicators organized into six categories: identification, preoperative, immediate postoperative, immediate postoperative, other surgical complications, and hospital discharge. Conclusion: the Surgical Safety Checklist in the Pre and Postoperative periods is another strategy to promote patient safety, as it allows the monitoring of predictive signs and symptoms of surgical complications and the early detection of adverse events.

Análise das publicações dos enfermeiros assistenciais em periódicos nacionais

Esta investigacion ha identificado la participacion de enfermeras asistenciales en publicaciones. Fue realizada revision bibliografica en tres periodicos nacionales entre 2000 y 2007, totalizandose 1918 articulos. La enfermera asistencial estuvo en la autoria o coautoria en 162 articulos (8.5%); en 75 publicaciones no huvo identificacion de su titulacion; doctores son los que mas publicaron con enfermeras; las areas con mayor numero de articulos fueron educacion en salud y enfermeria, salud del adulto y del anciano. Se concluye que las enfermeras tienen mas facilidad en publicar en grupos de investigacion; cuando estan en la practica, mismo despues del posgrado, no mantienen la produccion cientifica. Hay necesidad de mas empeno de toda categoria profesional a fin de ampliar esa participacion en periodicos.

Research methodology for nurses at a university hospital

This article discusses a descriptive-analytic study on research methodology education practices directed at nurse clinicians who work at a university hospital and aimed at acquiring scientific research competencies on the basis of discovery learning, tutorials and humanistic teaching strategies. Study participants were eighty-six nurses, 70 of whom concluded their projects. 28 of these resulted in scientific studies, most of which were experience reports, descriptive and exploratory investigations. According to the nurses, the program allowed them to acquire and apply their research know-how. They pointed out the lack of mastering scientific methodology and the limitations of administrative and work conditions at the institution as the main difficulties. Among the facilitators, they highlighted the importance of research to modify clinical practice, the publication of results and the collaboration for the maintenance of a research center. The study showed the need for a flexible planning of educational activities, permanent guidance and respect for the particularities of each nurse.Este artigo trata de pesquisa descritivo-analitica sobre praticas educativas em metodologia de pesquisa dirigidas a enfermeiras assistenciais de um hospital universitario, visando a aquisicao de competencias em investigacao cientifica, tendo como base a aprendizagem por descoberta, tutoramento e estrategias do ensino humanista. Participaram do programa 86 enfermeiras, das quais 70 concluiram seus projetos. Desses, 28 resultaram em trabalhos cientificos, em sua maioria relatos de experiencia, pesquisas descritivas e exploratorias. Segundo as enfermeiras, o programa proporcionou-lhes a aquisicao e aplicacao de conhecimentos em pesquisa. Apontaram, como principais dificuldades, a falta de dominio da metodologia cientifica e as limitacoes nas condicoes administrativas e de trabalho na instituicao. Entre os aspectos facilitadores destacaram a importância da pesquisa para modificacao da pratica, a divulgacao dos resultados e a colaboracao para manutencao de um centro de pesquisas. O estudo revelou a necessidade de flexibilizacao do planejamento das atividades educativas, orientacao continua e respeito as particularidades de cada enfermeira.

Analysis of clinical nurses' publications in national journals

Esta investigacion ha identificado la participacion de enfermeras asistenciales en publicaciones. Fue realizada revision bibliografica en tres periodicos nacionales entre 2000 y 2007, totalizandose 1918 articulos. La enfermera asistencial estuvo en la autoria o coautoria en 162 articulos (8.5%); en 75 publicaciones no huvo identificacion de su titulacion; doctores son los que mas publicaron con enfermeras; las areas con mayor numero de articulos fueron educacion en salud y enfermeria, salud del adulto y del anciano. Se concluye que las enfermeras tienen mas facilidad en publicar en grupos de investigacion; cuando estan en la practica, mismo despues del posgrado, no mantienen la produccion cientifica. Hay necesidad de mas empeno de toda categoria profesional a fin de ampliar esa participacion en periodicos.

Analísis de las publicaciones de los enfermeros asistenciales en periódicos nacionales

Esta investigacion ha identificado la participacion de enfermeras asistenciales en publicaciones. Fue realizada revision bibliografica en tres periodicos nacionales entre 2000 y 2007, totalizandose 1918 articulos. La enfermera asistencial estuvo en la autoria o coautoria en 162 articulos (8.5%); en 75 publicaciones no huvo identificacion de su titulacion; doctores son los que mas publicaron con enfermeras; las areas con mayor numero de articulos fueron educacion en salud y enfermeria, salud del adulto y del anciano. Se concluye que las enfermeras tienen mas facilidad en publicar en grupos de investigacion; cuando estan en la practica, mismo despues del posgrado, no mantienen la produccion cientifica. Hay necesidad de mas empeno de toda categoria profesional a fin de ampliar esa participacion en periodicos.

The production and dissemination of knowledge scientific by nurses clinicians

Objective: to report nurses’ experiences who advise groups of searches in hospitals. Method: we selected two experiences. The first between 2003 and 2006 involving clinics nurses and other health professionals, in partnership of university hospital, community health center and School of Nursing all of them private. The second in public service, between 1999 and 2002, in partnership of School of Nursing and Directors of Nursing at University Hospital. Results: in the private service were produced eleven research presented at scientific events; eight research projects completed and sent for publication; six publications in journals indexed; four conferences, two forums; two courses; four projects in progress. In public service, either alone or in partnership with teachers and students were produced 129 research projects, 151 scientific papers presented at events; 36 published papers, six scientific papers rewarded. Conclusion: the main difficulties in investigative action by clinics nurses were with the structural organization with impasses in the process of work; weaknesses of interactions at various levels professionals; difficulties with the scientific method, among others. Although not yet part of the vast majority of services of the research by nurses in hospital they activities are key to expanding knowledge, practice review, to know the scientific and social transformations, among other ways to show your creative and innovative potential theses nurses, together with their practical experiences among other benefits professional, personal and health teams. Descriptors: nursing; clinical nursing research; health services.

O Projeto Político Profissional da Enfermagem Brasileira e as presidentes da ABEn-Paraná entre 1980 e 2001

Historicizing the development of the Brazilian Nursing Political-Professional Project (PPPEB), at the Brazilian Nursing Association – Parana Division (ABEn-PR), under the optical overview of the ex-presidents during the years 1980 and 2001, identifying future action perspectives. Data information was collected with interviews and documental research with seven ex-presidents. Concluding that the PPPEB directives, directed the researched management actions. The ex-presidents showed a sense of responsibility, commitment with the Union, with the association and also with the SUS users (Health Unique System). Within the difficulties, pointed low participation of the associated, also the Board Directors; low number of associates, financial instability, and others. Future perspectives suggest an increase of nursery adhesion at the ABEn, stimulated since the college, in order to consolidate the PPPEB. Descritpors: History of nursing; Professional practice; Nursing, societies. RESUMENHistoricizing the development of the Brazilian Nursing Political-Professional Project (PPPEB), at the Brazilian Nursing Association-Parana Division (ABEn-PR), under the optical overview of the ex-presidents during the years 1980 and 2001, identifying future action perspectives. Data information was collected with interviews and documental research with seven ex-presidents. Concluding that the PPPEB directives, directed the researched management actions. The ex-presidents showed a sense of responsibility, commitment with the Union, with the association and also with the SUS users (Health Unique System). Within the difficulties, pointed low participation of the associated, also the Board Directors; low number of associates, financial instability, and others. Future perspectives suggest an increase of nursery adhesion at the ABEn, stimulated since the college, in order to consolidate the PPPEB.

El Proyecto Politico Profesional de la Enfermería Brasilera y las presidentes de la ABEn-Paraná entre el 1980 y el 2001

Historicizing the development of the Brazilian Nursing Political-Professional Project (PPPEB), at the Brazilian Nursing Association – Parana Division (ABEn-PR), under the optical overview of the ex-presidents during the years 1980 and 2001, identifying future action perspectives. Data information was collected with interviews and documental research with seven ex-presidents. Concluding that the PPPEB directives, directed the researched management actions. The ex-presidents showed a sense of responsibility, commitment with the Union, with the association and also with the SUS users (Health Unique System). Within the difficulties, pointed low participation of the associated, also the Board Directors; low number of associates, financial instability, and others. Future perspectives suggest an increase of nursery adhesion at the ABEn, stimulated since the college, in order to consolidate the PPPEB. Descritpors: History of nursing; Professional practice; Nursing, societies. RESUMENHistoricizing the development of the Brazilian Nursing Political-Professional Project (PPPEB), at the Brazilian Nursing Association-Parana Division (ABEn-PR), under the optical overview of the ex-presidents during the years 1980 and 2001, identifying future action perspectives. Data information was collected with interviews and documental research with seven ex-presidents. Concluding that the PPPEB directives, directed the researched management actions. The ex-presidents showed a sense of responsibility, commitment with the Union, with the association and also with the SUS users (Health Unique System). Within the difficulties, pointed low participation of the associated, also the Board Directors; low number of associates, financial instability, and others. Future perspectives suggest an increase of nursery adhesion at the ABEn, stimulated since the college, in order to consolidate the PPPEB.