Cláudia Silveira Viera

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.

O processo de trabalho da equipe de enfermagem na UTI Neonatal e o cuidar humanizado

El objetivo de este estudio es identificar como ocurre el proceso de trabajo de enfermeria en una Unidad de Terapia Intensiva Neonatal, identificando cual es la percepcion del equipo de enfermeria sobre su objeto de trabajo, cuales son los instrumentos usados en el trabajo, cual es la finalidad del trabajo, cual es el producto final obtenido con el trabajo y cuales son las acciones realizadas para la humanizacion del cuidado de enfermeria. La presente es una investigacion cualitativa, descriptiva y exploratoria. Los sujetos que participaron en el estudio fueron 18 profesionales del equipo de enfermeria de una Unidad de Terapia Intensiva Neonatal de un Hospital Universitario en el Oeste del Parana. En el estudio se obtuvieron dos categorias de analisis denominadas El proceso de trabajo de enfermeria y La humanizacion del cuidado de enfermeria. Como resultado, se percibio que no habia una comprension por parte del equipo de enfermeria a cerca de la totalidad de su proceso de trabajo y asi, las acciones de humanizacion del cuidado son fragmentadas y restrictas.

Os diagnósticos de enfermagem da taxonomia da NANDA em mulheres com o filho prematuro hospitalizado e o sistema conceitual de King

This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of Kings Conceptual System and Taxonomy I of NANDAs nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of Kings Conceptual System and Taxonomy I of NANDAs nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.

Humanization in health care

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.

Validación y clasificación de la escala de creencias de los padres de niños prematuros

Hospitalization of the premature newborn baby in a Neonatal Intensive Care Unit is a significant source of maternal stress, due to factors that interfere with the mother-infant interaction and affect the family dynamics, altering the parental role and interfering with the parental care capacity. This study aimed to describe the process of translation, cultural adaptation, psychometric validation and categorization of the scores of the Neonatal Intensive Care Unit: Parental Belief Scale (NICU: PBS) for Brazilian Portuguese, with parents of hospitalized premature children. This is a methodological validation study with the following steps: translation, back-translation, analysis of the judges committee, pre-test, reexamination of scores and evaluation of psychometric properties. The construct validity was verified in a total sample of 99 fathers and/or mothers of preterm infants by confirmatory and exploratory factorial analysis. The content validity performed by the judges’ committee was adequate, with 90 % agreement for the translation and Kappa of .71. The test-retest obtained an Intraclass Correlation Coefficient of .98 and Cronbachs Alpha of .92. In the exploratory factor analysis a structure with three factors was found: trust in the parental role, parent-child interaction and parental knowledge, which explained 56 % of the variance. The parents Beliefs Scale obtained satisfactory content and reliability, and it was adequate for the application with parents of hospitalized pre-term infants. Key words: Neonatal intensive care units, validation studies, prematurity, parents-child relationships, child care.

O processo de trabalho na Atenção Primária à Saúde no cuidado da criança/ The process of work in Primary Health Care to children

Na Atencao Primaria a Saude (APS), o cuidado realizado pela equipe de trabalhadores deve responder as necessidades de saude dos diversos grupos sociais. Objetivou-se apreender o processo de trabalho de equipes da atencao primaria vinculadas a unidades basicas de saude tradicionais e da estrategia saude da familia. Estudo descritivo de abordagem qualitativa, cujos dados foram obtidos em duas unidades de APS por meio da tecnica de observacao nao participante, no periodo de dois meses, um em cada unidade de saude, com registro das observacoes em diario de campo. Os dados foram analisados de acordo com os preceitos da analise tematica. Os resultados foram discutidos em duas unidades tematicas: o trabalho em equipe na APS e enfoque do trabalho predominante na APS, as quais indicam a existencia de um trabalho fragmentado e centrado nos profissionais em ambos os modelos assistenciais. Os problemas na organizacao do processo de trabalho em saude tendem a dificultar o cuidado a saude da crianca na APS, com impactos negativos na resolutividade.

The work process of the nursing team in the Neonatal ICU and human care

El objetivo de este estudio es identificar como ocurre el proceso de trabajo de enfermeria en una Unidad de Terapia Intensiva Neonatal, identificando cual es la percepcion del equipo de enfermeria sobre su objeto de trabajo, cuales son los instrumentos usados en el trabajo, cual es la finalidad del trabajo, cual es el producto final obtenido con el trabajo y cuales son las acciones realizadas para la humanizacion del cuidado de enfermeria. La presente es una investigacion cualitativa, descriptiva y exploratoria. Los sujetos que participaron en el estudio fueron 18 profesionales del equipo de enfermeria de una Unidad de Terapia Intensiva Neonatal de un Hospital Universitario en el Oeste del Parana. En el estudio se obtuvieron dos categorias de analisis denominadas El proceso de trabajo de enfermeria y La humanizacion del cuidado de enfermeria. Como resultado, se percibio que no habia una comprension por parte del equipo de enfermeria a cerca de la totalidad de su proceso de trabajo y asi, las acciones de humanizacion del cuidado son fragmentadas y restrictas.

El proceso de trabajo del equipo de enfermería en la UTI Neonatal y el cuidado humanizado

El objetivo de este estudio es identificar como ocurre el proceso de trabajo de enfermeria en una Unidad de Terapia Intensiva Neonatal, identificando cual es la percepcion del equipo de enfermeria sobre su objeto de trabajo, cuales son los instrumentos usados en el trabajo, cual es la finalidad del trabajo, cual es el producto final obtenido con el trabajo y cuales son las acciones realizadas para la humanizacion del cuidado de enfermeria. La presente es una investigacion cualitativa, descriptiva y exploratoria. Los sujetos que participaron en el estudio fueron 18 profesionales del equipo de enfermeria de una Unidad de Terapia Intensiva Neonatal de un Hospital Universitario en el Oeste del Parana. En el estudio se obtuvieron dos categorias de analisis denominadas El proceso de trabajo de enfermeria y La humanizacion del cuidado de enfermeria. Como resultado, se percibio que no habia una comprension por parte del equipo de enfermeria a cerca de la totalidad de su proceso de trabajo y asi, las acciones de humanizacion del cuidado son fragmentadas y restrictas.

La humanización en la atención a la salud

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.

Los diagnosticos de enfermería de la taxonomía de la NANDA de mujeres con hijo prematuro hospitalizado y el sistema conceptual de King

This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of Kings Conceptual System and Taxonomy I of NANDAs nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of Kings Conceptual System and Taxonomy I of NANDAs nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.