Bianca Dargam Gomes Vieira

Breastfeeding as an evaluative practice in know-how: a descriptive study

Aim: To analyze the axiological dimensions of nurses regarding breastfeeding and their reflections along with the nursing mothers, in the process of knowledge transmission. Method: A descriptive and qualitative study of 11 nurses from the Friendly Breastfeeding Primary Care Initiative of Rio de Janeiro. The data were collected by means of semi-structured interviews between January/March 2010, generating categories articulated with Max Scheler’s Theory of Values. Result: The following categories emerged: the affective bond as a value for successful breastfeeding; and breastfeeding and nutritional value and protection for the child. Discussion: To analyze the evaluative link of the act of breastfeeding between mother and child and the link related to the value of food safety also means thinking about the love and affection that, in the conception of Scheler, are absolutely unique. Conclusion: the valuation of women as individuals is seen through a totally new perspective concerning breastfeeding, as recommended by public policies regarding women’s care.

The actions of nurses in the incentive to self-care in perspective of the pregnant of high risk hospitalized

Objective: to identify the perspective of high-risk pregnant hospitalized actions of the nurse in encouraging self-care. Methodology: an exploratory study with a qualitative approach, conducted in the maternity ward of a university hospital/Niterói/RJ/Brazil, with ten pregnant women. Data were collected through semistructured interviews and analyzed using content analysis, following approval of the research project by the Ethics in Research CAAE: 0378.2.258.000-11. Results: two categories emerged << The optics of high-risk pregnant hospitalized under the actions of the nurse in encouraging self-care >>; << Pregnant women at high risk and self-care: the nurse in the health education process >>. Conclusion: it was observed that the nurse does not cover self-care in their entirety to the quality of life of women. Thus, health education is essential to the practice of self-care in the educational process with high-risk pregnancies. Descriptors: Nursing; Midwifery; Risk; Self Care. RESUMO Objetivo: identificar na ótica da gestante de alto risco hospitalizada as ações do enfermeiro no incentivo ao autocuidado. Metodologia: estudo exploratório, com abordagem qualitativa, realizado na maternidade de um Hospital Universitário/Niterói/RJ/Brasil, com dez mulheres gestantes. Os dados foram coletados por entrevista semiestruturada e analisados pela técnica de Análise de Conteúdo, após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa, sob CAAE: 0378.2.258.000-11. Resultados: emergiram duas categorias << A ótica da gestante de alto risco hospitalizada sob as ações do enfermeiro no incentivo ao autocuidado >>; << A gestante de alto risco e o autocuidado: o enfermeiro no processo educativo em saúde >>. Conclusão: foi possível observar que o enfermeiro não compreende o autocuidado em sua totalidade para a qualidade da vida da mulher. Desse modo, a educação em saúde é essencial para a prática do autocuidado no processo educativo com as gestantes de alto risco. Descritores: Enfermagem; Obstetrícia; Risco; Autocuidado. RESUMEN Objetivo: identificar la perspectiva de acciones de alto riesgo hospitalizados embarazadas de la enfermera en el fomento del autocuidado. Metodología: estudio exploratorio con abordaje cualitativo, realizado en la sala de maternidad de un hospital universitario/Niterói/RJ/Brasil, con diez mujeres embarazadas. Los datos fueron recolectados a través de entrevistas semi-estructuradas y analizados mediante el análisis de contenido, tras la aprobación del proyecto de investigación por el Comité de Ética en Investigación CAAE: 0378.2.258.000-11. Resultados: emergieron dos categorías << La óptica de alto riesgo embarazada hospitalizado dentro de las acciones de la enfermera en el fomento de la auto-atención >>; << Mujeres embarazadas con alto riesgo y el autocuidado: la enfermera en la salud >> proceso educativo. Conclusión: se observó que la enfermera no cubre el cuidado en su totalidad a la calidad de vida de las mujeres. Por lo tanto, la educación en salud es esencial para la práctica de la auto-cuidado en el proceso educativo con embarazos de alto riesgo. Descriptores: Enfermería; Obstetricia; Riesgo; Autocuidado. Nurse, Nursing School Aurora Afonso Costa, Federal Fluminense University/EEAAC/UFF. Niterói (RJ), Brazil. E-mail: marysilvanet@hotmail.com; Nurse, Master of Nursing Professor, Department Maternal-Child and Psychiatric Nursing School Aurora Afonso Costa, Federal Fluminense University/EEAAC/UFF. Niterói (RJ), Brazil. E-mail: biadargam@gmail.com; Nurse, PhD in Nursing, MaternalChild Department and Psychiatric Nursing School Aurora Afonso Costa, Federal Fluminense University/EEAAC/UFF. Niterói (RJ), Brazil. Email: herdyalves@yahoo.com.br; Nurse, Master, Graduate Program in Nursing, Federal Fluminense University/PPGENF/UFF. Niterói (RJ), Brazil. E-mail: diego.pereira.rodrigues@gmail.com; Undergraduate Nursing Student, Federal Fluminense University/UFF. Niterói (RJ), Brazil. E-mail: tuany.f.marinho@gmail.com; Nurse, MSc, Postgraduate Programme in Maternal and Child Health, Universidade Federal Fluminense/PPSMI/UFF. Niterói (RJ), Brazil. E-mail: angela.perazzini@oi.com.br ORIGINAL ARTICLE Costa e Silva MR da, Vieira BDG, Alves VH et al. The actions of nurses in the incentive to... English/Portuguese J Nurs UFPE on line., Recife, 7(6):4488-96, June., 2013 4489 DOI: 10.5205/reuol.4164-33013-1-SM.0706201323 ISSN: 1981-8963 Women go throughout their life cycle, by changes brought about by their biological conformations that influence its trajectory sociopsychobiologically, limiting them often to exercise roles already established by companies, i.e., each phase requires an identity. 1 Pregnancy is a natural stage in womens lives, however, be pregnant implies the adoption of a new social role that of being a mother, besides the need for a new lifestyle and new responsibilities to which women tend to be adapted. However, some physical factors, psychologists, social and family can lead to health of the pregnant woman and her son, complicating the process of adaptation to pregnancy. Pregnancy is a physiological phenomenon and, therefore, their evolution occurs in most cases without complications. 2 Pregnancy is considered a natural phenomenon and physiological woman. However, there is some portion of women who, by possessing specific characteristics or be a carrier of some grievance, is more likely to have unfavorable outcomes for both the mother and for the baby. This installment is a group called high-risk pregnancies, which represents a 20% increase maternal risk of pregnancy in Brazil. This group of women requires a specialized monitoring, and in particular the actions of the nurse, who justifies the self-care of the pregnant woman. The infirmary of high-risk pregnant women is understood as part of the hospital system to perform proper care and qualified with highrisk pregnant women, enabling contribution to maternal and child health. 3 In this sense, helping the country reach the goal of the Millennium Development Goals, in special the n. 5 quality of maternal health to reduce maternal mortality, mainly because preventable, such as hypertension and bleeding. However, the complexity involved in highrisk pregnancies, should not be reduced only to the biological aspect and treatment of complications, focusing only on risk and survival of the baby. The vision must be widened, remembering that above all ones wife is also experiencing the process of pregnancy and its crises along with family, requiring specialized monitoring with a focus on self-care of the pregnant woman. The woman, while pregnant, goes through a period of emotional and physiological changes, characterized by the process of gestating. During this period, the transformations directly interfere in their daily lives, in their being in society, which, besides women, will assume the role of mother and in the forum of self-care should be offered to women seeking wholeness. 1 From this perspective, self-care initially described the theory held by the nurse Dorothea Elizabeth Orem between 1959 and 1985. It is based on the premise that individuals can take care of themselves. Selfcare is the practice of activities that individuals start and run on their own behalf to maintain life, health and wellness, whose purpose, the actions that follow a model, contributes in a specific way in full, the functions and in human development. Health education is a multifaceted field, for which converge various conceptions, both the areas of education, as health, reflecting different understandings of the world, marked by distinct political and philosophical positions about man and society. Thus, the concept of health education overlaps the name of health promotion as a broader definition of a process that includes the participation of the entire population in the context of their daily lives and not only those at risk of becoming ill. 7 This notion is based on an expanded concept of health, considered a positive state and dynamic search of well-being, including the physical, mental, environmental, personal / emotional, social and ecological. However, from this notion of health, it appears that currently persist several different models or paradigms of health education, which affect different practices, many of which reductionists, which requires questioning and achieving more integrated and participatory perspectives of professionals health. In this sense, self-care is the apprehension of the real health needs of individuals, able to sustain and ensure the purpose of life. It is a way of acting for themselves, and learning with each other at this point the health professional. Thus, education for self-care depends on the willingness of the individual and their perception of their clinical condition. Given this thought, the nurse must be able to promote self-care, individualized care planning and executing high-risk pregnant women. Such care is demonstrated in the vast majority, the Theories of Nursing. However, in order to act effectively in nursing care for pregnant women, the present study is based on implementing the pregnant perform selfcare attitudes, improving their quality of life. We understand that high-risk pregnancies may present as one of the factors that affect the ability of self-care of individuals, it is characterized by a complex process, which INTRODUCTION Pereira PO, Queluci GC, Silvino ZR et al. Sistematização da Assistência de Enfermagem... English/Portuguese J Nurs UFPE on line., Recife, 7(6):4488-96, June., 2013 4490 DOI: 10.5205/reuol.4164-33013-1-SM.0706201306 ISSN: 1981-8963 also extends to the companion, family and society, plus damages for physical and emotional the woman. 3 So with health education focused on selfcare, pregnant women learn, exchange information, become, decide, develop their potential and become protagonists of their experiences. Therefore, the nurse must know the changes that occur in the body of the pregna

Puerperium consulting: needs of women from the nursing perspective – exploratory study

Objectives : The research aimed to understand the health needs of postpartum women in the nurses perspective, considering the integration of actions. Method: The research was conducted as a Exploratory type. 15 nurses who participated in puerperium consultations in nine health units of the Sanitary District Cajuru the Municipal Health Secretariat from Curitiba / Parana, Brazil. For the data collection we used an instrument with objective questions, applied in the period from February to March 2007. Data were analyzed based on descriptive statistics. Result: It was found that the set of requirements for good living conditions has been appointed as 41.2%, and least cited: needs guaranteed access to technologies, and 4% bond with the host and the professional / health team, 2%. Discussion: It may wonder about the notion of completeness is being incorporated into puerperal consultations. Conclusion: There are still important gaps in meeting the needs of mothers. Descriptors: Postpartum Period; womens health; maternal welfare. Received: 01/19/2011 Approved: 04/11/2012