Ana Paula Hey

Administração em enfermagem: um olhar na perspectiva do pensamento complexo

Objective: to reflect on the interface of Complex Thinking proposed by Morin in pedagogical practice in the teaching of Nursing Administration. Method: article of reflection, where the authors were based their experiences as teachers in the area of nursing administration in educational institutions; questioning the pedagogical practice, discussing issues related to the daily work of teachers, in light of complex thinking. Results: being managing a subprocess within this profession, the great challenge of teaching this discipline is distancing it from a dichotomous practice that considers care and management, elements watertight. Final Thoughts: to bring about changes in the management and nursing care with creativity and autonomy, it is necessary to rethink the training, with regard to the organization of the learning process. This way, you can contribute to the formation of critical and questioning individuals; glimpsing multidimensionalizar to think, ie, taking the complexity premised. Descriptors: Nursing; Nursing administration research; Education nursing; Management. Enfermeiro, Especialista em Gestão de Saúde e Auditoria. Professor das Faculdades Integradas do Brasil – UniBrasil. E-mail: cristiano_caveiao@hotmail.com. Enfermeira Estomaterapeuta. Professora da Universidade Tuiuti do Paraná – UTP. E-mail: anapaulahey@hotmail.com Enfermeira. Mestre em Enfermagem. Professora da Universidade Estadual de Londrina – UEL. Email: jhmontezeli@hotmail.com

Desafios ao enfermeiro na implantação da classificação de risco em unidade mista

Aim: to identify the challenges of implementation of the Host With Risk Rating for nurses classifier in a mixed unit. Method: this is a descriptive, exploratory qualitative approach, conducted from august to September 2011 by interview semiestrututred, with seven nurses from a Municipal Centre for Medical Emergencies from southern Brazil to treat the data we used the technique of content analysis. Results: identified the following challenges experienced by nurses classifier: maintaining the flow of correct care in Host With Risk Rating; work load and use protocol classifier. Final Thoughts: work overload can cause the need for a new design staff, as this function over the nurse may overload and can cause absenteeism for health treatment. Adapting to user complaints to insert them in the protocol is a challenge for nurses.

Quality of life of an institution hypertensive older women long stay

Objective: to identifying the quality of life of hypertensive elderly women´s residents in a long-stay institution. Method: it was conducted a case study, cross-sectional quantitative study. The research began in held in an institution of long stay in the city of Curitiba and data were collected a validated instrument. The study included 12 hypertensive elderly. Results: Showed that, for the elderly, even with intercurrent illness, quality of life remained at average rates when analyzed the different areas. That most contributes in the results was the Social, followed by the Psychological and of the Physical Environment. The majority of older women is satisfied with their quality of life as being cited as well with their body image. Conclusion: nursing work is identifying the factors that interfere conditions of quality of life of older and proposing interventions in institutions.

Anotações de enfermagem na perspectiva de auxiliares de enfermagem

Doi: 10.5902/2179769210720 Aims: to identify the perception of nursing assistants working in a mixed unit about nursing notes. Method: qualitative study in a mixed unit of urgency and emergency in the south of Brazil. The technique of Bardin content analysis was employed for data analysis. Results: after the analysis, the following category emerged: nursing notes: communication among the nursing staff and its technical and legal aspects. As well as the subcategories: nursing notes as communication links among the multidisciplinary team, legal and scientific aspects of nursing notes, technical aspects related to the nursing annotation. Final considerations: it was concluded that there is awareness of the importance of nursing notes. However, this practice faces challenges that hinder effective records, mainly when the written formalization of the work is forgotten.

Atuação do enfermeiro nas orientações de alta ao paciente pós-transplante renal

Doi: 10.5902/2179769210186 Aims: to describe the discharge guidance given by the nurse to the patient after kidney transplant. Method: this is a qualitative descriptive study. Semi-structured interviews and non-participating systematic observations were performed with three nurses from the renal transplantation service of Curitiba-PR, from July to September of 2010. The speeches were submitted to content analysis, through which three categories emerged. Results: the first category describes the orientations given by the nurse to the patient at discharge. The second category approaches communication aspects as a core competence of this professional for the moment of discharge guidance. The third category deals with the scientific knowledge as a foundation for the discharge guidance of postkidney transplant. Conclusions: the educational practice developed by nurses at the time of post-transplant discharge is based mainly on communication and scientific knowledge.