Beatriz Rosana Gonçalves de Oliveira

A humanização na assistência à saúde

Esto estudio busca establecer una reflexion a cerca de la humanizacion en la atencion a la salud. Busco traer un rescate historico respecto al hombre, al humano y a la humanidad. Presenta el programa nacional de humanizacion en la atencion hospitalaria y hace reflexiones acerca de esa propuesta, asi como la cuestion de la humanizacion en la atencion a la salud en Brasil actualmente. La conclusion es que la comunicacion es indispensable para el establecimiento de la humanizacion. Significa dar lugar a las palabras tanto del usuario como del profesional de salud, construyendo una red de conversacion que piense y promueve acciones singulares de humanizacion. Para que ese proceso se efectua, es preciso involucrar el conjunto que construye el servicio de la salud, esto es compuesto por diferentes profesionales, tales como gerentes, creadores de las politicas publicas, consejos profesionales e instituciones formadoras.This study aims to reflect on humanization in health care, recovering the history of understanding about mankind, the human and humanity, until humanization in humanity and health. We discuss the national humanization program in hospital care and reflect on this proposal and on the issue of humanization in Brazilian health care nowadays. Communication is indispensable to establish humanization, as well as technical and material conditions. Both users and health professionals need to be heard, building a network of dialogues to think and promote singular humanization actions. For this process to take effect, there is a need to involve the whole that makes up the health service. This group involves different professionals, such as managers, public policy makers, professional councils and education institutions.This study aims to reflect on humanization in health care, recovering the history of understanding about mankind, the human and humanity, until humanization in humanity and health. We discuss the national humanization program in hospital care and reflect on this proposal and on the issue of humanization in Brazilian health care nowadays. Communication is indispensable to establish humanization, as well as technical and material conditions. Both users and health professionals need to be heard, building a network of dialogues to think and promote singular humanization actions. For this process to take effect, there is a need to involve the whole that makes up the health service. This group involves different professionals, such as managers, public policy makers, professional councils and education institutions.

Causas de hospitalização no SUS de crianças de zero a quatro anos no Brasil

INTRODUCAO: Estudar as causas de hospitalizacao de criancas auxilia na compreensao do perfil de adoecimento e na elaboracao de planos de atencao a saude para prevenir o agravamento das doencas e evitar as internacoes hospitalares. OBJETIVO: Identificar nos dados oficiais causas de hospitalizacao em criancas de zero a quatro anos, para compreender quais doencas as tem levado a hospitalizacao no Brasil. METODO: Pesquisa de abordagem quantitativa, descritiva, exploratoria e inferencial, cujos dados foram colhidos do site do DATASUS, no periodo compreendido entre os anos de 1998 a 2007. Os dados foram transcritos em tabelas, organizados de forma quantitativa, analisados em estatistica descritiva e inferencial. RESULTADOS: Indicam uma distribuicao heterogenea da morbidade entre as regioes do pais, prevalecendo como primeira causa de internacao hospitalar em criancas de zero a quatro anos as doencas do aparelho respiratorio, seguidas das doencas infecciosas e parasitarias. CONCLUSAO: Esses dados permitem refletir sobre a maneira em que os servicos de saude podem se organizar para implementar a integralidade na atencao a saude para esse grupo etario, com foco na atencao primaria, com prioridade na prevencao dos agravos respiratorios e das doencas infecciosas e parasitarias, pois esses dois agrupamentos sao considerados parte das doencas cujo acometimento se da por causas sensiveis a atencao ambulatorial e podem ser evitados e/ou minimizados pelas acoes de atencao basica.

O trabalho na vida dos adolescentes: alguns fatores determinantes para o trabalho precoce

Este estudo objetiva explicitar alguns determinantes que impelem os adolescentes ao trabalho atraves de sua compreensao da realidade e dos agravos a saude do processo de trabalho. Estudo qualitativo, fundamentado no materialismo historico, metodologia da hermeneutica dialetica. Os dados empiricos foram coletados numa instituicao formadora/mediadora para o mercado de trabalho em Cascavel - PR, utilizando-se a analise documental e a entrevista semi-estruturada. Os determinantes encontrados para o trabalho precoce foram: pobreza, desigualdade social, concentracao de renda, demanda de mercado, oferta educacional, qualidade do ensino, constituicao familiar, determinacoes do sistema de producao e necessidade de ganhar a vida por conta propria.This study aims at clarifying determinant factors which impel adolescents to work through the comprehension of their reality and of the damages to health caused by the work process. It is a qualitative study based on the historical materialism and on the dialectic hermeneutics methodology. Empirical data were collected from an educational/mediating institution which qualified students for the labor market in Cascavel-PR, Brazil by means of documental analysis and semi-structured interviews. The determinant factors leading to work at an early age were: poverty, social inequality, income concentration, market demand, educational provision, educational standards, family constitution, determinations by the production system and the need for adolescents to have their own income.

The therapeutic journey of families of children with respiratory diseases in the public health service

This studys purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.This studys purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

O processo de trabalho dos enfermeiros em Unidades de Alojamento Conjunto pediátrico de instituições hospitalares públicas de ensino do Paraná

The purpose of this study was to better comprehend the nursing work process in the pediatric wing with care guided by the reference of integral care for the hospitalized child and his/her family. A qualitative study, the authors used the semi-structured interview and participant observation as methodological proceedings. The data was analyzed according to thematic analysis. This study identified that in spite of the changes that have occurred in the nursing work process, nursing actions in the pediatric unit continue to focus upon the childs illness as opposed to centering upon the child and his/her family. It is perceived that health care for the child and his/her family was compromised or rather they were not taken care of by the professional nurse, causing reason for reflection about knowledge-action in nursing which modifies the manner which the nurse develops over time his/her action in caring for hospitalized children and their families. DESCRIPTORS: Nursing. Work. Professional practice. Child hospitalized. Family.

Perfil de morbidade de crianças hospitalizadas em um hospital público: implicações para a Enfermagem

One aimed to know the causes of hospitalization among children under fi ve years in a public hospital in Parana to subsidize nursing actions. A descriptive, quantitative, exploratory study was carried out, with inferential statistical analysis. One assessed 722 medical records from 2005-2009. It was observed that children under one year had more hospitalizations (42%) than those with one to fi ve years; a higher percentage of male admissions (65%); respiratory diseases predominated (56%) compared to all other; mean length of stay of 9.4 days for those under one year and 8.3 days for children under fi ve years; 95% were dischargedOne aimed to know the causes of hospitalization among children under five years in a public hospital in Paraná to subsidize nursing actions. A descriptive, quantitative, exploratory study was carried out, with inferential statistical analysis. One assessed 722 medical records from 2005-2009. It was observed that children under one year had more hospitalizations (42%) than those with one to five years; a higher percentage of male admissions (65%); respiratory diseases predominated (56%) compared to all other; mean length of stay of 9.4 days for those under one year and 8.3 days for children under five years; 95% were discharged as the outcome. This profile helps to direct nursing care, incorporating the data in planning, both in primary care and in hospital.

Avaliação e construção de um projeto político pedagógico para a graduação em enfermagem

This work presents the results of an experience which aimed primarily at the evaluation of the Political-Pedagogical Project - PPP of the nursing undergraduate program from UNIOESTE (Cascavel town Campus) and at pondering on a new curricular proposal for that program. Thus, a research project was designed to be used by all professors teaching that program, with the participation of students, former students, and professionals working on the health care delivery network, where field work can be carried out through practical activities and training periods for the students. The data gathered by them have been used as subsidies for a proposal to build a new political-pedagogical project, that was took effect in the year 2003. Besides designing a new pedagogical proposal, strategies for a continued evaluation of the PPP implantation process have been defined.This evaluation is to be performed at the end of each term. Descriptors: graduation; pedagogical project; curriculum; nursing Title: Evaluation and design of a political- pedagogical project for nursing undergradute programsThis work presents the results of an experience which aimed primarily at the evaluation of the Political-Pedagogical Project--PPP of the nursing undergraduate program from UNIOESTE (Cascavel town Campus) and at pondering on a new curricular proposal for that program. Thus, a research project was designed to be used by all professors teaching that program, with the participation of students, former students, and professionals working on the health care delivery network, where field work can be carried out through practical activities and training periods for the students. The data gathered by them have been used as subsidies for a proposal to build a new political-pedagogical project, that was took effect in the year 2003. Besides designing a new pedagogical proposal, strategies for a continued evaluation of the PPP implantation process have been defined. This evaluation is to be performed at the end of each term.

Reflexões sobre o desafio da administração da educação em enfermagem

This article aims to trigger ideas and to point elements to for leadersdevelopment to nursing education administration. While assuming the administrative role is necessary to understand the dimension of the educational process as something that goes beyond the simple knowledge transference. We present issues related to the nursing education dimensions, about the building a political pedagogical guideline to actions of professional development, based in the policies for the nursing curriculum. We mention the role of faculty leaders in the courses external and internal evaluation. We also present the need to redirect nurses education to prepare them to respond properly (technically, scientifically and politically) to the workforce demand. Descriptors: education; nursing; administration Title: Insights about the challenge of nursing education administrationThis article aims to trigger ideas and to point elements to for leaders development to nursing education administration. While assuming the administrative role is necessary to understand the dimension of the educational process as something that goes beyond the simple knowledge transference. We present issues related to the nursing education dimensions, about the building a political pedagogical guideline to actions of professional development, based in the policies for the nursing curriculum. We mention the role of faculty leaders in the courses external and internal evaluation. We also present the need to redirect nurses education to prepare them to respond properly (technically, scientifically and politically) to the workforce demand.

Relações de poderes (inter)profissionais e (inter)institucionais no hospital

El estudio tiene por objetivo hacer una reflexion critica sobre las relaciones de poder que perpasan las acciones profesionales o institucionales en la vida cotidiano del ambiente hospitalar. Se toma como base una situacion concreta vivida por un grupo de enfermeros docentes de una universidad publica estadual del interior del Estado de Parana que desencadeno un proceso conflictivo en las relaciones de poder (inter)profesionales e (inter)institucionales. Reflexiona sobre la relacion de poder en el hospital y destaca las interrelaciones que caracterizan la practica de enfermeria. Creemos que estas relaciones solo se pueden comprender, analizar y (re)construir en lo cotidiano de las acciones y en la busqueda de un nuevo proceder colectivo.The purpose of this article is to make a critical analysis about power relationships, which permeate daily professional and/or institutional actions in the hospital environment. This reflection is based on a concrete situation experienced by a group of nursing professors from a state university in Parana, which unleashed conflicts concerning interprofessional and interinstitutional power relationships. This study focuses on power relationships in the hospital emphasizing the interrelations that characterize nursing practice. We believe that these relationships can only be understood, reflected upon and rebuilt in the context of daily practice, as new ways of collective action are sought.

O itinerário terapêutico de famílias de crianças com doenças respiratórias no sistema público de saúde

This studys purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.This studys purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.