Conceição Vieira da Silva

Protocolo de preparo da criança pré-escolar para punção venosa, com utilização do brinquedo terapêutico

Este trabalho, do tipo exploratorio descritivo, consiste na elaboracao de um protocolo utilizando brinquedo terapeutico para preparar criancas pre-escolares que seriam submetidas a puncao venosa, assim como testa-lo em algumas criancas para verificar sua aplicabilidade e eficiencia. As criancas submetidas a sessao do brinquedo, tornaram-se mais cooperativas durante a puncao venosa; compreenderam a necessidade e a tecnica dos procedimentos; exteriorizaram sentimentos; elaboraram situacoes familiares e hospitalares, passando a relacionar-se melhor com as outras criancas e com a equipe de enfermagem. Consideramos que este protocolo e factivel e util; sugerimos que integre o plano de assistencia de enfermagem a criancas hospitalizadas.This exploratory-descriptive study aims at elaborating a protocol, using therapeutic play, for the preparation of preschool children to venous puncture and also at testing its efficiency and applicability. The children that attended the play session were more cooperative when they were punctured. They understood the need and technical aspects of this clinical procedure; manifested their feelings, elaborated familiar and hospital situations that resulted in a better relationship with the other children and the nursing team. Authors concluded that this protocol is feasible and useful and suggested that it should be incorporated in the nursing care plan to hospitalized children.

Estudo dos acidentes na infância em um pronto socorro pediátrico

The aim of this study was identify cases of accidents victimizing children assisted at the emergence ward of a general hospital. Data were collected from January to March, 1999 through a protocol with variables related to the identification of the accidents as well as of the children. The sample in the study consisted of 890 children of whom 56.1% were males and 43.9% were females. The most prevalent accident was fall (46.9%), the age with a major incidence was between 7 and 11 years old, the parents were present to 43.4% of the cases. The children were discharged from hospital after being given care in 95.7% of the cases.The aim of this study was identify cases of accidents victimizing children assisted at the emergence ward of a general hospital. Data were collected from January to March, 1999 through a protocol with variables related to the identification of the accidents as well as of the children. The sample in the study consisted of 890 children of whom 56.1% were males and 43.9% were females. The most prevalent accident was fall (46.9%), the age with a major incidence was between 7 and 11 years old, the parents were present to 43.4% of the cases. The children were discharged from hospital after being given care in 95.7% of the cases.El objetivo de este estudio fue el de identificar los accidentes infantiles registrados en una unidad de Urgencias Pediatricas (UUP). Los datos fueron recolectados en el periodo de Enero a Marzo de 1999, utilizando un cuestionario que contenia datos sobre la identificacion del nino y del accidente. La poblacion estuvo conformada por 942 ninos y la muestra fue reducida para 890. Principales resultados: la faja etarea mas afectada fue la de 7 a 11 anos, siendo 56,1% del sexo masculino y 43,9% femenino; el tipo de accidente mas frecuente fue la caida (46,9%), los padres estaban presentes en 43,4% de los casos. En 95,7% de las ocurrencias, el nino recibio alta hospitalaria despues de ser tendido.

Consulta de enfermagem em puericultura: a vivência do enfermeiro na Estratégia de Saúde da Família

The objective of this study was to understand the meaning that the nurses working in the Family Health Strategy assign to the nursing consultation in child care. The theoretical framework was Symbolic Interactionism, and the methodological was the Grounded Theory. Data collection was performed with seven nurses by means of a semi-structured interview and participant observation. The comparative data analysis identified the conceptual category: Promoting individual and collective changes by means of comprehensive care. It was found that nurses value the nursing consultation in child care, they consider it important and acknowledge its potential to promote significant comprehensive changes regarding children, their families, and in the context of the community, in the preventive as well as in the curative aspect, and thus they feel fulfilled. Nevertheless, nurses deal with personal and structural difficulties, and are affected by the beliefs, values and social conditions of the assisted population, and, therefore, recognize they need better preparation to perform this activity.The objective of this study was to understand the meaning that the nurses working in the Family Health Strategy assign to the nursing consultation in child care. The theoretical framework was Symbolic Interactionism, and the methodological was the Grounded Theory. Data collection was performed with seven nurses by means of a semi-structured interview and participant observation. The comparative data analysis identified the conceptual category: Promoting individual and collective changes by means of comprehensive care. It was found that nurses value the nursing consultation in child care, they consider it important and acknowledge its potential to promote significant comprehensive changes regarding children, their families, and in the context of the community, in the preventive as well as in the curative aspect, and thus they feel fulfilled. Nevertheless, nurses deal with personal and structural difficulties, and are affected by the beliefs, values and social conditions of the assisted population, and, therefore, recognize they need better preparation to perform this activity.

Procurando manter o equilíbrio para atender suas demandas e cuidar da criança hospitalizada: a experiência da família

The purposes of this qualitative study were to understand the meaning of the interactions experienced by the family during a childs hospitalization, identify the familys demands and construct a theoretical model representing this experience. Symbolic Interactionism was adopted as a theoretical and Grounded Theory as a methodological reference framework. Data were collected by means of observation and interviews with five families of children hospitalized due to acute disease with a good prognosis. The analysis identified two interactive phenomena: losing control of the functioning, which expresses the situations experienced by the families, which generate demands; and seeking a new functioning rhythm, which shows the strategies the family undertakes to take care of the hospitalized child and maintain its functioning. The identification of the central category and the construction of the Theoretical Model represent the meaning of the experience for families during the hospitalization of one of their children.Este estudo de natureza qualitativa teve como objetivo compreender o significado das interacoes vivenciadas pela familia durante a hospitalizacao de uma crianca de seu nucleo, identificar as demandas da familia e construir um modelo teorico representativo dessa experiencia. O Interacionismo Simbolico foi adotado como referencial teorico e a Teoria Fundamentada nos Dados como referencial metodologico. Os dados foram coletados por meio de observacao e entrevistas com cinco familias de criancas hospitalizadas por afeccao aguda de bom prognostico. A analise identificou dois fenomenos interativos: perdendo o controle sobre o seu funcionamento expressa as situacoes vivenciadas pelas familias que sao geradoras de demanda e buscando um novo ritmo de funcionamento, demonstra as estrategias empreendidas pela familia para cuidar da crianca hospitalizada e manter seu funcionamento. A identificacao da categoria central e a construcao do Modelo Teorico representam o significado da experiencia para a familia na hospitalizacao de uma de suas criancas.

Tentando readquirir o controle: a vivência do pré-escolar no pós-operatório de postectomia

Este estudo foi realizado com meninos de 3 a 6 anos de idade, submetidos a cirurgia de postectomia, com os objetivos de compreender o significado das interacoes vivenciadas por eles ante o pos-operatorio de postectomia e identificar as suas estrategias enquanto vivenciam a experiencia cirurgica. O referencial teorico utilizado foi o Interacionismo Simbolico e, o metodologico, a Teoria Fundamentada nos Dados. Devido as caracteristicas de desenvolvimento verbal desses meninos, a entrevista com eles foi intermediada pelo brinquedo terapeutico; suas maes tambem foram entrevistadas na qualidade de informantes da experiencia de seus filhos. Os dados foram analisados ate a fase de categorizacao dos significados, permitindo a emergencia da categoria conceitual: Tentando Readquirir o Controle. A compreensao dessa experiencia oferece subsidios importantes para o repensar a assistencia de enfermagem ao menino que vivencia a postectomia e a sua familia.This study was carried out with 3 to 6 year-old boys undergoing circumcision, with a view to understanding the meaning of the interactions they experienced them during the post-operative period as well as identifying their strategies while experiencing the surgery. Symbolic Interactionism was used as a theoretical reference framework, and Grounded Theory as a methodological framework. Due to these childrens verbal development characteristics, the interview was mediated by therapeutic play. Their mothers were also interviewed as informers of their childrens experience. Data were analyzed up to the point of categorization of the meanings, revealing the following category of concepts: Trying to regain control. Understanding the whole experience offers important elements to rethink nursing care to preschool boy who undergo circumcision, as well as to his family.

O ensino do brinquedo/brinquedo terapêutico nos cursos de graduação em enfermagem no Estado de São Paulo

This study is a descriptive and quantitative research that aims to characterize the toy / therapeutic toy teaching and analyze the facilities and difficulties of its development in the graduation courses in nursing in Sao Paulo State. The data was collected in 40 institutions, where there were 76 participant professors. The results showed that the theme is approached in the programmatic content of Pediatric Nursing in most of these institutions, in the third, more effectively in the last ten years, both in the theoretical and practical teaching. The theoretical load time had a variation of one to 20 hours, using expositive and participative class and the written test prevailed in the theoretical evaluation strategies and in the practical, the students observation. Some difficulties and facilities mentioned refer to valorization and to infra structure favorable to these resources. Descriptors: Educqation, nursing; Play and playthings; Pediatric nursing.This study is a descriptive and quantitative research that aims to characterize the toy/therapeutic toy teaching and analyze the facilities and difficulties of its development in the graduation courses in nursing in Sao Paulo State. The data was collected in 40 institutions, where there were 76 participant professors. The results showed that the theme is approached in the programmatic content of Pediatric Nursing in most of these institutions, in the third, more effectively in the last ten years, both in the theoretical and practical teaching. The theoretical load time had a variation of one to 20 hours, using expositive and participative class and the written test prevailed in the theoretical evaluation strategies and in the practical, the students observation. Some difficulties and facilities mentioned refer to valorization and to infra structure favorable to these resources.

Orientação sexual para adolescentes: relato de experiência

The authors tried to present theoretical and practical framework of the project “Corporeal and Health”, developed as an extension activity at the Federal University of Sao Paulo city, Brazil. The project is developed within the Health Promotion area and emphasizes the questions related to the body and sexuality, mental health, and violence, in order to catalyze discussions and critical thinking on this universe. The main purpose of this project is to articulate nursing teaching, caring and researching actions and its activities are directed to teenagers and young adults from fundamental and high school. All activities are based upon the orientations of the Adolescent Health Program (PROSAD) from the Brazilian Ministry of Health, the Brazilian Child and Adolescent Statute (ECA) and the Declaration of Sexual Rights, from the World Association for Sexology, along with principles from Social Psychology and Psycho Analysis. It is a liberating practice in which sexuality, when is well understood and properly canalized, can be translated into love, creativity, a force that lead to progress and self development.

Nursing consultation in child care: the experience of nurses in the Family Health Strategy

The objective of this study was to understand the meaning that the nurses working in the Family Health Strategy assign to the nursing consultation in child care. The theoretical framework was Symbolic Interactionism, and the methodological was the Grounded Theory. Data collection was performed with seven nurses by means of a semi-structured interview and participant observation. The comparative data analysis identified the conceptual category: Promoting individual and collective changes by means of comprehensive care. It was found that nurses value the nursing consultation in child care, they consider it important and acknowledge its potential to promote significant comprehensive changes regarding children, their families, and in the context of the community, in the preventive as well as in the curative aspect, and thus they feel fulfilled. Nevertheless, nurses deal with personal and structural difficulties, and are affected by the beliefs, values and social conditions of the assisted population, and, therefore, recognize they need better preparation to perform this activity.The objective of this study was to understand the meaning that the nurses working in the Family Health Strategy assign to the nursing consultation in child care. The theoretical framework was Symbolic Interactionism, and the methodological was the Grounded Theory. Data collection was performed with seven nurses by means of a semi-structured interview and participant observation. The comparative data analysis identified the conceptual category: Promoting individual and collective changes by means of comprehensive care. It was found that nurses value the nursing consultation in child care, they consider it important and acknowledge its potential to promote significant comprehensive changes regarding children, their families, and in the context of the community, in the preventive as well as in the curative aspect, and thus they feel fulfilled. Nevertheless, nurses deal with personal and structural difficulties, and are affected by the beliefs, values and social conditions of the assisted population, and, therefore, recognize they need better preparation to perform this activity.

Mãe adolescente vivenciando o cuidado do filho: um modelo teórico

The study aimed to comprehend the meaning for the adolescent mother of experiencing care with her child and the construction of a theoretic model that is representative of this experience. The strategies employed were participant observations and a semi-structured interview. Eight adolescent mothers who had become mothers between 15 and 19 years old took part in the study. The Symbolic Interactionism was adopted as a theoretic referential and the Grounded [corrected] Theory as a methodological reference. The comparative analysis of data revealed that for the adolescent mother the experience of taking care of her child is driven by experiencing positive feelings, which provide the development of action and interaction strategies, in the sense of searching for resources to take care of her child the best way as possible.Este estudo objetivou compreender o significado que tem, para a mae adolescente, vivenciar o cuidado de seu filho. Participaram do mesmo, oito maes adolescentes entre 15 e 19 anos de idade. As estrategias utilizadas para a coleta de dados foram: a observacao participante e a entrevista semi-estruturada. O Interacionismo Simbolico foi usado como referencial teorico e a Teoria Fundamentada nos Dados como referencial metodologico. A analise comparativa dos dados permitiu construir o modelo teorico Superando dificuldades impulsionada pela forca do amor revelando que a experiencia de cuidar do filho para a mae adolescente e impulsionada pela vivencia de sentimentos que fazem com que desenvolva estrategias de acao e interacao, buscando recursos para cuidar de seu filho da melhor maneira possivel.

The teaching of play/therapeutic play in nursing schools in São Paulo State

This study is a descriptive and quantitative research that aims to characterize the toy / therapeutic toy teaching and analyze the facilities and difficulties of its development in the graduation courses in nursing in Sao Paulo State. The data was collected in 40 institutions, where there were 76 participant professors. The results showed that the theme is approached in the programmatic content of Pediatric Nursing in most of these institutions, in the third, more effectively in the last ten years, both in the theoretical and practical teaching. The theoretical load time had a variation of one to 20 hours, using expositive and participative class and the written test prevailed in the theoretical evaluation strategies and in the practical, the students observation. Some difficulties and facilities mentioned refer to valorization and to infra structure favorable to these resources. Descriptors: Educqation, nursing; Play and playthings; Pediatric nursing.This study is a descriptive and quantitative research that aims to characterize the toy/therapeutic toy teaching and analyze the facilities and difficulties of its development in the graduation courses in nursing in Sao Paulo State. The data was collected in 40 institutions, where there were 76 participant professors. The results showed that the theme is approached in the programmatic content of Pediatric Nursing in most of these institutions, in the third, more effectively in the last ten years, both in the theoretical and practical teaching. The theoretical load time had a variation of one to 20 hours, using expositive and participative class and the written test prevailed in the theoretical evaluation strategies and in the practical, the students observation. Some difficulties and facilities mentioned refer to valorization and to infra structure favorable to these resources.