Carolina da Silva Caram

Potentialities of Atlas.ti for Data Analysis in Qualitative Research in Nursing

ATLAS.ti is a program used to organize and manage qualitative research data. The present study aims at describing the application of ATLAS.ti in two instances, highlighting its potentialities and limitations for data analysis. This is a user experience of ATLAS.ti (Archivfuer Technik Lebensweltund Alltagssprache) for the analysis of qualitative data of a dissertation and a thesis in nursing. The software proved to be an efficient tool to organize, capture and analyse data; it provided the researchers with an overview of the findings during the analytical process and helped in the optimization of time. Its limitations relate to difficulties concerning characteristics of the data analysis method, the need for training and purchasing of the program. The authors concluded that ATLAS.it an important tool for data analysis in qualitative research.

Experiences of Moral Distress in Nurses’ Daily Work

Background: Moral distress in the work of nurses has been an emerging ethical problem in the different levels of complexity in the Brazilian scenario. Objective: raise the situations perceived by nurses working in different health services across the country, as generators of moral distress. Methods: This is a descriptive study of quantitative approach, of survey type. The study was developed with 771 nurses that working in health services of different levels of complexity in the Brazilian scenario. The data were collected in open instrument, they were asked to identify work situations triggering potential mental distress/suffering. Data were statistically analyzed using SPSS statistical software and later organized in tables at the 2010 version of Excel®. Findings: In the survey, were cited 2304 situations of Moral Distress. The situations involve Working Conditions; Professional Relations; Professional Competence; Quality of Care; Access; Labor Organization and Conflict. Conclusions: it becomes important to reflect on the role of the nurse and the development of an ethical and autonomous practice in their daily tasks, given that moral distress deprived nurses from their roles.

Factor VIII inhibitors in patients with congenital severe haemophilia A and its relation to genotype.

The study was supported by an unrestricted educational grant provided by Novo Nordisk. Drs Salaj and Penka have acted as paid speakers for Novo Nordisk, paid consultants for the advisory board of Novo Nordisk, and have received reimbursement for attending scientific symposia. Dr Ovesna received an unrestricted educational grant from Novo Nordisk for research carried out in this work. Professor Hedner was employed by Novo Nordisk A/S, Denmark from 1983 to 2009, and is still consulting for the company. Novo Nordisk A/S is the manufacturer of NovoSeven (rFVIIa). Medical writing support to the authors during the preparation of this manuscript was provided by Anne Stirland (medical writer, PAREXEL) and financially supported by Novo Nordisk Health Care AG in compliance with international guidelines for good publication practice.

Prática colaborativa: potencialidades e desafios para o enfermeiro no contexto hospitalar

The aim of this study was to understand how collaborative practice takes place in the hospital context from nurses’ perspective. This is a case study with a qualitative approach carried out in a Private Hospital in Minas Gerais. Thirteen nurses who worked in the Surgical Unit and Intensive Care Unit participated in the study. Data collection was done through individual interviews with a semi-structured script from November to December 2016. Data were submitted to Thematic Content Analysis with the support of ATLAS.ti software. The results showed that collaborative practice in the hospital environment is complex and requires relational processes, which are recognized by nurses in an ambiguous way, oscillating between potentialities and barriers to the work. In addition, strategies were identified that help them in the search for the development of collaborative practice based on communication, sharing of objectives, organizational identification and institutional support. It is concluded that the configuration of collaborative practice strengthens the integration between nurses and the interprofissional team, contributing to the confrontation of difficulties inherent to the hospital routine. However, the non-achievement of collaborative practice can trigger experiences of suffering for the team and for nurses.

Collegiate management in inpatient pediatric unit from health professionals perspective

Resumo Os hospitais compõem o nível terciário da Rede de Atenção à Saúde, os quais englobam conjuntos de procedimentos que, no contexto do Sistema Único de saúde, envolve alta tecnologia e alto custo e integra os demais níveis de atenção à saúde. Dessa forma, a constituição de uma rede de serviços implica um novo modelo de gestão cujos pressupostos estejam voltados para a qualidade da assistência nos diferentes níveis de atenção à saúde. Um dos modelos de gestão que favorece a descentralização e a participação dos profissionais é o modelo de gestão colegiada. Assim, o objetivo do estudo foi conhecer a gestão colegiada na perspectiva de profissionais de uma unidade de internação pediátrica de um hospital universitário. Para tal, foi realizada uma pesquisa qualitativa, analítico-descritiva com 16 profissionais de diferentes categorias de um Hospital Universitário em Minas Gerais. A coleta de dados deu-se por meio de entrevistas com roteiro semiestruturado, as quais foram submetidos à Análise de Conteúdo. Percebeu-se que os profissionais consideram que a gestão colegiada possui entraves, são eles: falha na comunicação entre os profissionais e entre eles e a diretoria; reuniões pouco frequentes; falta de repasse e compartilhamento das informações e de participação da diretoria e; dificuldade de realizar o trabalho em equipe. Em contrapartida, o trabalho em equipe é efetivo nos projetos multiprofissionais. Conclui-se que a gestão colegiada acontece em um meio corporativista e pouco democrático, demonstrando a necessidade de transformação da cultura organizacional para que ela seja participativa.