Cristina Lavoyer Escudeiro

Death and organ donation from the point of view of nurses: a descriptive study

Aim: To describe the point of view of nurses regarding the moment of death in the process of organ donation in an intensive care unit of a transplant hospital. Method: This is a descriptive, qualitative study, performed with fifteen nurses working in intensive care. Alceste software was used to treat the data collected, which identified the category “ontological dimension of caring due to the moment of death in the process of organ donation and harvesting”. Results: During their practice nurses experience a dialectic relationship between the act of donation and facing death through the nursing care provided to the potential donor and his family. Discussion: The process of dying comes up against on a daily basis, when nurses have to deal with the unknown, and face the daily fear of fighting against the possibility of death. Conclusion: There is a need to rethink/review standards, to reconsider the educational background of nursing staff, and to demystify institutional truths when dealing with the unknown.

Cannulation of arteriovenous fistulas by the buttonhole technique: a case study

Aim: To describe the case of a patient with chronic kidney disease (CKD) undergoing cannulation of arteriovenous fistulas by the buttonhole technique for hemodialysis treatment, and comparing it to cases submitted to the conventional technique. Method: A case study of an adult male patient carrying CKD, held in the Dialysis Center of Sao Goncalo / RJ between March and May 2014, whose analysis was based on the literature. Results: We observed no complications three months after cannulation by buttonhole; the patient reported reduction in pain during the procedure; the limb with the fistula remained aesthetically intact. Discussion: Results of comparative studies of the two techniques are shown to be different, although they point to major benefits of the buttonhole technique: decreased pain, extended life of the AVF, reduction of bleeding and bruising. Conclusion: The buttonhole technique can be useful for new vascular access and hypersensitive patients.

Notification of brain death in an intensive care unit: a descriptive study

This study will address the issue of brain death (BD) in an Intensive Care Unit and is linked to the Masters program in Professional Nursing Care of Fluminense Federal University. Objectives: To identify the knowledge of nurses in an intensive care unit regarding the notification process of brain death; to describe the facilities and difficulties encountered by nurses in the process of notification of BD and; to discuss the process of notification of BD and its implications for the donation and capturing of organs. Method: This is a descriptive study, in which we shall use a qualitative approach. The study setting is the intensive care unit of a public hospital, a large scale notifier, located in Niteroi. The subjects are nurses employed within the sector

Use of technologies in intravenous therapy: contributions to a safer practice

Objectives To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) and discuss the difficulties identified under the perspective of patients safety. Method Descriptive study of qualitative approach with data collected by semi-structured interview and analyzed by the Alceste software. Results The greatest difficulty of cognitive and technical emphasis was the lack of training; and regarding administrative emphasis, the greatest difficulty was the lack of material and human resources. Infusion pumps and their proper use were highlighted as the technological resource that most contributed to patient safety. Final considerations The lack of training is presented as the greatest difficulty of nursing professionals and permeates safety issues of both patient and professional when using the hard technologies in IVT. Training is essential to the development of techniques, considered nursing tools.

Quality indicator of caring related to the buttonhole technique: and exploratory study

This is a project of dissertation of the Academic Master’s Program in Health Care Sciences of Fluminense Federal University. General aim: To discuss the buttonhole technique as an indicator of the quality of health care service offered to patients in hemodialysis therapy in a private clinic setting, which the clientele coming from the Brazilian Unified Health System (SUS, in Portuguese). Specific aims: To describe the buttonhole technique offered to the patients under hemodialysis therapy; to identify the results of this practice over the last three years, comparing the outcomes against the rope ladder technique. Method: This is an exploratory, documentary and descriptive study, which has adopted a quantitative-qualitative approach, which explores the use of the buttonhole technique, looking for the results directly from the clients. The data was collected between January and April 2014. The results from 64 patients were compared, based on a questionnaire to indicate the quality of the nursing assistance provided. The information was analyzed through the use of inferential statistics.

The role of the nurse in the discharge of renal transplant patients from hospital: a descriptive study

This is a dissertation project underway in the Professional Masters in Healthcare Nursing, Fluminense Federal University. Aims: To develop a protocol for nursing guidelines for the hospital discharge of renal transplant patients; to identify the practices performed by nurses at the moment of hospital discharge for renal transplant patients and describe the knowledge that guides the activity at that time. Method: This is a descriptive study in which a qualitative approach will be used. The scenario will be the Dialysis and Transplant Center (DTC) of a public hospital located in the city of Niteroi, Rio de Janeiro; the six nurses of the sector will take part as subjects. Data will be collected through semi-structured interviews in the months from July to August 2014 and submitted to content analysis.

The education as a facilitator practice of the process of care to mastectomized women: an integrative review

Objective: to identify the evidence in the literature about health education for mastectomized women with performed by nurses as facilitators of caregiving. Method: integrative review in order to answer the research question << What are the evidences in the literature about health education for mastectomized women performed by nursing? >> Of publications between 2008 and 2012, through the integration of health education descriptors, mastectomy, self-care, nursing, in the databases Medline and Lilacs, resulting in 15 articles. Results: educational activities for women with mastectomies were represented by support groups and educational manuals. Conclusion: new actions based on the principles of health education should be implemented, emphasizing the needs of women with mastectomies and disposed to listen to them, horizontality in interpersonal relationships and educational activities, in order to develop more effective actions in favor of self-care. Descriptors: Health Education; Mastectomy; Self Care; Nursing. RESUMO Objetivo: identificar na literatura as evidências sobre a educação em saúde às mulheres mastectomizadas realizadas pela enfermagem como facilitadoras do processo de cuidar. Método: revisão Integrativa com vista a responder a questão norteadora << Quais as evidências na literatura sobre a Educação em Saúde às mulheres mastectomizadas realizadas pela enfermagem? >>, de publicações entre 2008 e 2012, por meio da integração dos descritores educação em saúde, mastectomia, autocuidado, enfermagem, nas bases de dados Lilacs e Medline, resultando em 15 artigos. Resultados: as ações educativas para as mulheres mastectomizadas foram representadas por grupos de apoio e manuais educativos. Conclusão: novas ações baseadas nos princípios da educação em saúde devem ser implementadas, valorizando as necessidades das mulheres mastectomizadas, com disponibilidade para ouvi-las, horizontalidade na relação interpessoal e na ação educativa, de maneira a desenvolver ações mais eficazes a favor do autocuidado. Descritores: Educação em Saúde; Mastectomia; Autocuidado; Enfermagem. RESUMEN Objetivo: identificar las evidencias en la literatura sobre educación para la salud para mujeres con mastectomías realizadas por la enfermería como facilitadores de cuidados. Método: revisión integral para responder a la pregunta de investigación << ¿Cuáles son las evidencias en la literatura sobre la educación para la salud para mujeres con mastectomías realizadas por la enfermería? >>, de publicaciones entre 2008 y 2012, a través de la integración de los descriptores de educación para la salud, la mastectomía, el cuidado personal, enfermería, en las bases de datos Medline y Lilacs, dando lugar a 15 artículos. Resultados: las actividades educativas para las mujeres con mastectomías fueron representadas por los grupos de apoyo y manuales educativos. Conclusión: las nuevas acciones basadas en los principios de la educación para la salud se deben implementar, haciendo hincapié en las necesidades de las mujeres con mastectomías y dispuestos a escuchar a ellas, la horizontalidad en las relaciones interpersonales y actividades educativas, con el fin de desarrollar acciones más efectivas a favor del autocuidado. Descriptores: Educación para la Salud; Mastectomía; Auto Cuidado; Enfermería. Nurse, Master Student, Master Program in Professional Nursing Care, Nursing School Aurora de Afonso Costa, Federal Fluminense University/MPEA/EEAAC/UFF. Niterói (RJ), Brazil. Email : felipe.bordallo@ig.com.br; PhD in Nursing, Professor, Department of MedicalSurgical Nursing, Coordinator of the Academic Master’s Program, Nursing School Aurora de Afonso Costa, Federal Fluminense University/EEAAC/ UFF. Niterói(RJ), Brazil. E-mail: eneaspsi@hotmail.com; Nurse, Doctorate in Nursing, Professor, Department of Nursing and Administration Fundamentals, Coordinator of the Professional Master’s Degree Program in Nursing Care, Nursing School Aurora de Afonso Costa, Federal Fluminense University/MPEA/EEAAC/UFF. Niterói (RJ), Brazil. E-mail: zenithrosa@terra.com.br; Nurse, PhD Professor of Nursing, Department of Nursing and Administration Fundamentals, School of Nursing Aurora de Afonso Costa, Federal Fluminense University/EEAAC/ UFF. Niterói (RJ), Brazil. E-mail: babypompeu@gmail.com; Nurse, PhD Professor of Nursing, Department of Medical-Surgical Nursing, School of Nursing Aurora de Afonso Costa, Federal Fluminense University/EEAAC/UFF. Niterói (RJ), Brazil. Email: cristinalescudeiro@gmail.com INTEGRATIVE REVIEW ARTICLE Bordallo FR, Teixeira ER, Silvino ZR et al. The education as a facilitator practice of the process... English/Portuguese J Nurs UFPE on line., Recife, 7(spe):7107-17, Dec., 2013 7108 DOI: 10.5205/reuol.4767-42136-1-ED.0712esp201319 ISSN: 1981-8963 One of the health problems of women today in the world is breast cancer, which involves preventive and curative measures. In 2012, were expected for Brazil, 52.680 new cases of breast cancer, with an estimated risk of 52 cases per 100 000 women. The assistance to women with breast cancer requires technical skill and scientific updated, in order to recover the health of the client. For the treatment and care remain therapeutic relationship is necessary and seizure effective health education activities performed by nurses and staff. As indeed there is a responsibility to the full recovery of the client relationship and to assist her in coping with the disease and its consequences. A mastectomy is a surgical procedure that brings aggressive consequences traumatic experiences in the life and health of women. The body schema is modified by changing the way you feel and experience the body. The breast since adolescence is a striking component of femininity; it represents part of the body image, sexually, and fulfills the role of breastfeeding. The nurse should value the concerns, expectations, perceptions, knowledge and experiences presented by these women after surgery seeking to improve the dialogical process in health education, promoting selfcare and empowerment of women after mastectomy. Sees the need to change the perspective of education is central to insert the patient, restoring it to a conscious life and participatory for the realization of self-care. The union of knowledge is a process of dynamic and individualized care where the caregivers knowledge and be careful, in this case, women with mastectomies, are extremely important and together constitute the process. The change of perspective in thinking and doing nursing in the field of popular health education adds their educational role to the rescue of the person as a citizen, participatory and aware of their condition of life. This implies proposed action oriented dialogue merged practices and knowledge that results from it. The inclusion of social practice enables formal contents; fixed and abstract contents are transformed into real, dynamic and concrete where the professional must have the ability to incorporate new knowledge, skills, ethical commitments, social and citizenship. In health, the educational process is much more than the simple act of teaching. The patient who much of the time, the wrong way is termed as individual liability is a key part in the care process, since we now know that the health care process is dynamic and requires participation of both parties, whether or caregiver patient. It is understood that this is potentially creative and sensitive and that the process of educating caring occurs in a bilateral relationship and truly human. It is recommended the adoption of new behaviors, whereas in the educational process dealing with life stories, a set of beliefs and values, and the very subjectivity of the subject that requires sustained solutions socio culturally. And that, in most cases, do not take this into account. This change will only be realized when a change marks of knowledge is not immediate. It will happen in continuous processes, the exchange of knowledge, in which there will be more knowledge of the professional nurse and the knowledge of the patient, but the construction of new knowledge. Its the real learning that students are transformed into actual subjects in the construction and reconstruction of knowledge taught alongside the educator also subject of the process. This knowledge involves the integration of theory and practice of health professionals, here, in particular nurses, who must provide the human being an education geared to your daily life, based on a proposal of care that emphasizes the promotion, prevention or health recovery. The dialogue of the nurse in the context of health education advertises a speech processor, mediated by the participation of the subject patient in an active, critical and questioning and not for participation by extension. The qualitative improvement of services offered, the democratization of knowledge, the use of technology and peoples participation in the definition of health problems, the choice of priorities and strategies to be implemented through health programs, are guiding ideas of the new health philosophy. By associating care and education there is the possibility of conversion and diversification of knowledge, in which they can be constructed, deconstructed and tailored to individual needs and collective. To perform this task, it is necessary to have the confidence to believe the guidance offered by professional and also so that the patient feels the urge to show their needs, as when the patient realizes that his knowledge, his history, not was ignored, but it transformed into a knowledge based on scientific studies, he feels valued and starts INTRODUCTION Bordallo FR, Teixeira ER, Silvino ZR et al. The education as a facilitator practice of the process... English/Portuguese J Nurs UFPE on line., Recife, 7(spe):7107-17, Dec., 2013 7109 DOI: 10.5205/reuol.4767-42136-1-ED.0712esp201319 ISSN: 1981-8963 building a bond offering to nurse more open to carrying out thei

Education and change

Cláudia da Silva e Souza Candiota. Nurse, Antônio Pedro University Hospital, Master’s Student, Professional Masters Degree Program in Assistential Nursing, Fluminense Federal University /MPEA/EEAAC/UFF. Niterói (RJ), Brazil. E-mail: claudiacandiota@gmail.com Zenith Rosa Silvino. Nurse, PHD in Nursing, Titular Professor, Department of Fundamentals of Nursing and Administration, Coordinator from the Professional Masters Degree Program in Assistential Nursing, Fluminense Federal University /MPEA/EEAC/UFF. Niterói (RJ), Brazil. E-mail: zenithrosa@terra.com.br Bárbara Pompeu Cristóvam. Nurse, Professor and PHD in Nursing, Department of Fundamentals of Nursing and Administration from Aurora de Afonso Costa Nursing School/EEAAC/UFF. Niterói (RJ), Brazil. E-mail: babypompeu@gmail.com Cristina Lavoyer Escudeiro. Nurse, Professor and PHD in Nursing, Department of Medical and Surgical Nursing/Aurora de Afonso Costa Nursing School/EEAAC/UFF. Niterói (RJ), Brazil. Email:cristinalescudeiro@gmail.com Gisella Carvalho Queluci. Nurse, Professor and PHD in Nursing, Department of Fundamentals of Nursing and Administration/MFE. Academic Student from the Professional Masters Degree Program in Assistential Nursing /MPEA/EEAAC/UFF. Niterói (RJ), Brazil. E-mail: gisellaqueluci@yahoo.com.br

The use of technology in intravenous therapies in critical patients: a descriptive study

Estudo de abordagem qualitativa, do tipo descritivo, a ser desenvolvido em um Centro de Terapia Intensiva (CTI) de um Hospital Universitario de grande porte situado no Estado do Rio de Janeiro, tendo a equipe de enfermagem que atua no cuidado ao paciente critico em uso de terapia intravenosa (TIV) central continua como sujeitos. Objetivos: Identificar as tecnologias em saude disponiveis para uso durante a TIV central continua no CTI, verificar a utilizacao dessas tecnologias pela equipe de enfermagem no cuidado as TIVs centrais continuas instaladas nos pacientes internados no CTI e discutir as facilidades e dificuldades no uso das tecnologias durante a TIV central continua. Pretende-se permitir ao profissional de Enfermagem estabelecer prioridades durante sua pratica, minimizar desperdicios, evitar o (re) trabalho e fortalecer a qualidade assistencial. Descritores: Infusoes intravenosas, Infusoes parenterais, Efeitos adversos.

Aurora de Afonso Costa student union: fragments os history

Historic-social study about political student representation in the professional formation, with the purpose of perceiving the motivation of Nursing academics towards the political representation, the contributions to professional life, as well as the political and historical milestones that underlie the political action. The descriptive-type study was carried out in the Aurora de Afonso Costa Nursing School, with Nursing academics that participated as effective members of the Student Union, from 1998 to 2004. The thematic oral history was used as the research methodology. The insertion in the student movement is based on the desire for transformations of educational and political representation conditions. This militancy is characterized by difficulties – as the lack of support and institutional and Nursing students participation in the collective interest issues, participations and contributions to the personal and professional formation. Student Policy encompasses philosophy and fight for students rights and carries out efforts. It means to become a critical, reflective citizen able to produce transformations. The political action is anchored in the vision of the world, with left-leaning,socialist and familiar formation influences. It means acting with emotion, sense and sensibility.