Deíse Moura de Oliveira

A fenomenologia social de Alfred Schutz e sua contribuicao para a enfermagem

Nursing care can be considered a social action that is set in the everyday world, where intersubjective relations are established and must be valued by the nurse in the different contexts in which it acts. It is a theoretical study which aimed to highlight the main concepts of the social phenomenology of Alfred Schutzs and its contribution to Nursing as a knowledge and professional practice field. The following questions guided this study: what is the understanding of caring in Nursing from the perspective of the social phenomenology of Alfred Schutzs? How to apply Alfred Schutzs theoretical concepts in the action of caring in Nursing? The theoretical concepts of the social phenomenology and their interface with Nursing were delimited. By incorporating the concepts of the theory of social action developed by Alfred Schutz into Nursing, this study allows nurses to value and apply the aspects highlighted by this theoretical framework within healthcare, education and scientific research.Nursing care can be considered a social action that is set in the everyday world, where intersubjective relations are established and must be valued by the nurse in the different contexts in which it acts. It is a theoretical study which aimed to highlight the main concepts of the social phenomenology of Alfred Schützs and its contribution to Nursing as a knowledge and professional practice field. The following questions guided this study: what is the understanding of caring in Nursing from the perspective of the social phenomenology of Alfred Schützs? How to apply Alfred Schützs theoretical concepts in the action of caring in Nursing? The theoretical concepts of the social phenomenology and their interface with Nursing were delimited. By incorporating the concepts of the t theory of social action developed by Alfred Schütz into Nursing, this study allows nurses to value and apply the aspects highlighted by this theoretical framework within healthcare, education and scientific research.

Caring for newborns in the presence of their parents: the experience of nurses in the neonatal intensive care unit

The nurse has a key role in involving parents in the care of newborns in the neonatal intensive care unit. The aim of this study was to comprehend how the nurses experience the care provided to newborns in the presence of the parents. This is a qualitative study using social phenomenology, with the participation of seven nurses, interviewed between January and February 2009. The nurses perceived the needs of parents; had positive expectations regarding the care provided and acknowledge themselves to be the link between them, helping them to live with the hospitalized child. However, in emergencies, the nurses had difficulties in caring for the neonate in the presence of the parents. The nurses positively evaluated the presence of parents in the neonatal intensive care unit, involving them permanently in the care of the newborn. The study evokes the emergence of a care context (nurse/neonate/parents) that precedes the proximity between the subjects and the demands presented by them.A enfermeira tem papel fundamental no envolvimento dos pais no cuidado ao recem-nascido, na unidade de terapia intensiva neonatal. O objetivo deste estudo foi compreender como as enfermeiras vivenciam o cuidado prestado ao recem-nascido, na presenca dos pais. Usou-se a pesquisa qualitativa com abordagem da fenomenologia social, como metodologia. Participaram deste estudo sete enfermeiras, entrevistadas no periodo de janeiro e fevereiro de 2009. Como resultado tem-se que a enfermeira percebe as necessidades dos pais; tem expectativas positivas em relacao ao cuidado realizado e reconhece ser o elo entre eles, ajudando-os a conviver com o filho internado. Contudo, em situacoes de emergencia, tem dificuldades para cuidar do neonato na presenca dos pais. Pode-se concluir que a enfermeira avalia positivamente a presenca dos pais na unidade de terapia intensiva neonatal, envolvendo-os permanentemente no cuidado ao recem-nascido. O estudo evoca a emergencia de um contexto de cuidado (enfermeira/neonato/seus pais) que precede a aproximacao entre os sujeitos e as demandas por eles apresentadas.

The social phenomenology of Alfred Schütz and its contribution for the nursing

Nursing care can be considered a social action that is set in the everyday world, where intersubjective relations are established and must be valued by the nurse in the different contexts in which it acts. It is a theoretical study which aimed to highlight the main concepts of the social phenomenology of Alfred Schutzs and its contribution to Nursing as a knowledge and professional practice field. The following questions guided this study: what is the understanding of caring in Nursing from the perspective of the social phenomenology of Alfred Schutzs? How to apply Alfred Schutzs theoretical concepts in the action of caring in Nursing? The theoretical concepts of the social phenomenology and their interface with Nursing were delimited. By incorporating the concepts of the theory of social action developed by Alfred Schutz into Nursing, this study allows nurses to value and apply the aspects highlighted by this theoretical framework within healthcare, education and scientific research.Nursing care can be considered a social action that is set in the everyday world, where intersubjective relations are established and must be valued by the nurse in the different contexts in which it acts. It is a theoretical study which aimed to highlight the main concepts of the social phenomenology of Alfred Schützs and its contribution to Nursing as a knowledge and professional practice field. The following questions guided this study: what is the understanding of caring in Nursing from the perspective of the social phenomenology of Alfred Schützs? How to apply Alfred Schützs theoretical concepts in the action of caring in Nursing? The theoretical concepts of the social phenomenology and their interface with Nursing were delimited. By incorporating the concepts of the t theory of social action developed by Alfred Schütz into Nursing, this study allows nurses to value and apply the aspects highlighted by this theoretical framework within healthcare, education and scientific research.

Manejo clínico de úlceras venosas na atenção primária à saúde

ABSTRACT Objective: 7RGLVFXVVWKHFOLQLFDOPDQDJHPHQWRIYHQRXVXOFHUVLQSULPDUKHDOWKFDUHx0fEDVHGRQWKHYLVLRQRIXVHUVZKROLYHZLWKWKLVDIALF -tion. Methods: This was a qualitative, exploratory, descriptive study, conducted with 25 adult users in treatment in the Family Health Units. Data were collected in the second semester of 2008, using a structured instrument with questions of sociodemographic characteristics, type of cleaning, coverings, use of compression therapy, medication and prescribed guidelines. Results: Cleaning products are used that aggravate WKHJUDQXODWLRQWLVVXHx0fVXFKDVFRYHULQJVZLWKYDULRXVVXEVWDQFHVx0fLQFOXGLQJVXQARZHURLODQGDQWLELRWLFRLQWPHQWVx1eWKHPDMRULWRIXVHUV GRQRWuse measures to control edema. Conclusion: It is necessary to elaborate and adopt clinical protocols for the care of venous ulcers, as well as to provide ongoing education for health professionals.Keywords: 9DULFRVHXOFHUx1e:RXQGKHDOLQJx1e3ULPDUKHDOWKFDUHx1e%DQGDJHV RESUMO Objetivox1dLVFXWLURPDQHMRFOtQLFRGH~OFHUDVYHQRVDVUHDOL]DGRQDDWHQomRSULPiULDjVD~GHx0fFRPEDVHQDYLVmRGRVXVXiULRVTXHFRQYLYHPFRPHVWDDIHFomRx11 Metodos x1d(VWXGRGHQDWXUH]DTXDOLWDWLYDH[SORUDWyULRx0fGHVFULWLYRx0fUHDOL]DGRFRPx15x18XVXiULRVDGXOWRVHPWUDWDPHQWRQDV8QL -GDGHVGH6D~GHGD)DPtOLDx112VGDGRVIRUDPFROHWDGRVQRVHJXQGRVHPHVWUHGHx15x13x13x1bx0fXWLOL]DQGRx10VHXPIRUPXOiULRHVWUXWXUDGRFRPTXHVW}HVGHFDUDFWHUL]DomRVRFLRGHPRJUiAFDx0fWLSRGHOLPSH]Dx0fFREHUWXUDVx0fXVRGHWHUDSLDFRPSUHVVLYDx0fPHGLFDPHQWRVHRULHQWDo}HVSUHVFULWDVx11 Resultados : 6mRXVDGRVSDUDDOLPSH]DSURGXWRVTXHDJULGHPRWHFLGRGHJUDQXODomRx0fFRPRFREHUWXUDVFRPYiULDVVXEVWkQFLDVx0fGHQWUHHODVRyOHRGHJLUDVVROHSRPDGDVDQWLELyWLFDVx1eDPDLRULDGRVXVXiULRVQmRXWLOL]DPHGLGDVSDUDFRQWUROHGRHGHPDx11 Conclusaox1dID]HPx10VHQHFHVViULDVDHODERUDomRHDDGRomRGHSURWRFRORVFOtQLFRVSDUDRFXLGDGRFRP~OFHUDVYHQRVDVx0fEHPFRPRDFDSDFLWDomRSHUPDQHQWHGRVSURAVVLRQDLVGHVD~GHx11Descritores x1dOOFHUDYDULFRVDx1e&LFDWUL]DomRx1e

Clinical management of venous ulcers in primary health care

WHQomRSULPiULDjVD~GHx1e%DQGDJHQVObjective: To discuss the clinical management of venous ulcers in primary health care, based on the vision of users who live with this afflic tion. Methods: This was a qualitative, exploratory, descriptive study, conducted with 25 adult users in treatment in the Family Health Units. Data were collected in the second semester of 2008, using a structured instrument with questions of sociodemographic characteristics, type of cleaning, coverings, use of compression therapy, medication and prescribed guidelines. Results: Cleaning products are used that aggravate the granulation tissue, such as coverings with various substances, including sunflower oil and antibiotic ointments; the majority of users do not use measures to control edema. Conclusion: It is necessary to elaborate and adopt clinical protocols for the care of venous ulcers, as well as to provide ongoing education for health professionals.

Experiences and expectations of women submitted to hysterectomy

ABSTRACT Objective: 7RGLVFXVVWKHFOLQLFDOPDQDJHPHQWRIYHQRXVXOFHUVLQSULPDUKHDOWKFDUHx0fEDVHGRQWKHYLVLRQRIXVHUVZKROLYHZLWKWKLVDIALF -tion. Methods: This was a qualitative, exploratory, descriptive study, conducted with 25 adult users in treatment in the Family Health Units. Data were collected in the second semester of 2008, using a structured instrument with questions of sociodemographic characteristics, type of cleaning, coverings, use of compression therapy, medication and prescribed guidelines. Results: Cleaning products are used that aggravate WKHJUDQXODWLRQWLVVXHx0fVXFKDVFRYHULQJVZLWKYDULRXVVXEVWDQFHVx0fLQFOXGLQJVXQARZHURLODQGDQWLELRWLFRLQWPHQWVx1eWKHPDMRULWRIXVHUV GRQRWuse measures to control edema. Conclusion: It is necessary to elaborate and adopt clinical protocols for the care of venous ulcers, as well as to provide ongoing education for health professionals.Keywords: 9DULFRVHXOFHUx1e:RXQGKHDOLQJx1e3ULPDUKHDOWKFDUHx1e%DQGDJHV RESUMO Objetivox1dLVFXWLURPDQHMRFOtQLFRGH~OFHUDVYHQRVDVUHDOL]DGRQDDWHQomRSULPiULDjVD~GHx0fFRPEDVHQDYLVmRGRVXVXiULRVTXHFRQYLYHPFRPHVWDDIHFomRx11 Metodos x1d(VWXGRGHQDWXUH]DTXDOLWDWLYDH[SORUDWyULRx0fGHVFULWLYRx0fUHDOL]DGRFRPx15x18XVXiULRVDGXOWRVHPWUDWDPHQWRQDV8QL -GDGHVGH6D~GHGD)DPtOLDx112VGDGRVIRUDPFROHWDGRVQRVHJXQGRVHPHVWUHGHx15x13x13x1bx0fXWLOL]DQGRx10VHXPIRUPXOiULRHVWUXWXUDGRFRPTXHVW}HVGHFDUDFWHUL]DomRVRFLRGHPRJUiAFDx0fWLSRGHOLPSH]Dx0fFREHUWXUDVx0fXVRGHWHUDSLDFRPSUHVVLYDx0fPHGLFDPHQWRVHRULHQWDo}HVSUHVFULWDVx11 Resultados : 6mRXVDGRVSDUDDOLPSH]DSURGXWRVTXHDJULGHPRWHFLGRGHJUDQXODomRx0fFRPRFREHUWXUDVFRPYiULDVVXEVWkQFLDVx0fGHQWUHHODVRyOHRGHJLUDVVROHSRPDGDVDQWLELyWLFDVx1eDPDLRULDGRVXVXiULRVQmRXWLOL]DPHGLGDVSDUDFRQWUROHGRHGHPDx11 Conclusaox1dID]HPx10VHQHFHVViULDVDHODERUDomRHDDGRomRGHSURWRFRORVFOtQLFRVSDUDRFXLGDGRFRP~OFHUDVYHQRVDVx0fEHPFRPRDFDSDFLWDomRSHUPDQHQWHGRVSURAVVLRQDLVGHVD~GHx11Descritores x1dOOFHUDYDULFRVDx1e&LFDWUL]DomRx1e

Experiências e expectativas de mulheres submetidas à histerectomia

WHQomRSULPiULDjVD~GHx1e%DQGDJHQVObjective: To discuss the clinical management of venous ulcers in primary health care, based on the vision of users who live with this afflic tion. Methods: This was a qualitative, exploratory, descriptive study, conducted with 25 adult users in treatment in the Family Health Units. Data were collected in the second semester of 2008, using a structured instrument with questions of sociodemographic characteristics, type of cleaning, coverings, use of compression therapy, medication and prescribed guidelines. Results: Cleaning products are used that aggravate the granulation tissue, such as coverings with various substances, including sunflower oil and antibiotic ointments; the majority of users do not use measures to control edema. Conclusion: It is necessary to elaborate and adopt clinical protocols for the care of venous ulcers, as well as to provide ongoing education for health professionals.

Limits and possibilities experienced by nurses in the treatment of women with chronic venous ulcers.

Este estudio tuvo como objetivo comprender las experiencias y expectativas de las mujeres sometidas a histerectomia. La referencia filosofica del estudio fue la fenomenologia social de Alfred Schutz. Los datos fueron recolectados a traves de entrevistas con diez mujeres que se sometieron a histerectomia electiva. El analisis de las declaraciones mostro que la mujer, ante la necesidad de histerectomia, evoca mitos y constructos sociales referentes a la extirpacion del utero y los transciende, decidiendo realizar la cirugia debido a los signos y sintomas vividos diariamente. Al ser sometida a histerectomia, pasa por un proceso positivo de cambios, con mejor vida sexual y mejores relaciones sociales. Se proyecta buscar calidad de vida, considerando sus necesidades biopsicosociales sentidas en ese periodo de su ciclo vital. Conocer las vivencias de mujeres despues de la histerectomia ofrece subsidios a los profesionales de salud que ofrecen cuidados para esa clientela, senalizando acciones conforme sus experiencias y expectativas de cuidado.The aim of this study was to understand the experiences and expectations of women submitted to the hysterectomy. The philosophical background of this study was the Alfred Schutzs social phenomenology. The data were collected through interviews with ten women who realized elective hysterectomy. The analysis of the declarations showed that the woman, facing the necessity of hysterectomy, evokes myths and social background referring to removal of the womb and transcend them, deciding by the surgery due to signals and symptoms lived in the day-by-day. When passing through the hysterectomy, the women experiences a positive process of changes, having and improvement in the sexual life and the social relations. As a project the search for quality of life, considering the biopsycosocial lived in this period of the vital cycle. The knowledge of the womens living after hysterectomy offer subsides to the health professionals who take care of this clientele, showing the experiences and the care expectation. DESCRIPTORS: Nursing. Womens health. Hysterectomy. Qualitative research.

The experience of women with abortion during adolescence as demanded by their mothers

Este estudio tuvo como objetivo comprender las experiencias y expectativas de las mujeres sometidas a histerectomia. La referencia filosofica del estudio fue la fenomenologia social de Alfred Schutz. Los datos fueron recolectados a traves de entrevistas con diez mujeres que se sometieron a histerectomia electiva. El analisis de las declaraciones mostro que la mujer, ante la necesidad de histerectomia, evoca mitos y constructos sociales referentes a la extirpacion del utero y los transciende, decidiendo realizar la cirugia debido a los signos y sintomas vividos diariamente. Al ser sometida a histerectomia, pasa por un proceso positivo de cambios, con mejor vida sexual y mejores relaciones sociales. Se proyecta buscar calidad de vida, considerando sus necesidades biopsicosociales sentidas en ese periodo de su ciclo vital. Conocer las vivencias de mujeres despues de la histerectomia ofrece subsidios a los profesionales de salud que ofrecen cuidados para esa clientela, senalizando acciones conforme sus experiencias y expectativas de cuidado.The aim of this study was to understand the experiences and expectations of women submitted to the hysterectomy. The philosophical background of this study was the Alfred Schutzs social phenomenology. The data were collected through interviews with ten women who realized elective hysterectomy. The analysis of the declarations showed that the woman, facing the necessity of hysterectomy, evokes myths and social background referring to removal of the womb and transcend them, deciding by the surgery due to signals and symptoms lived in the day-by-day. When passing through the hysterectomy, the women experiences a positive process of changes, having and improvement in the sexual life and the social relations. As a project the search for quality of life, considering the biopsycosocial lived in this period of the vital cycle. The knowledge of the womens living after hysterectomy offer subsides to the health professionals who take care of this clientele, showing the experiences and the care expectation. DESCRIPTORS: Nursing. Womens health. Hysterectomy. Qualitative research.

Unna's boot: experience of care of people with venous ulcers

Objective To understand the experiences and expectations of nurses in the treatment of women with chronic venous ulcers. Method Phenomenological research was based on Alfred Schütz, whose statements were obtained in January, 2012, through semi-structured interviews with seven nurses. Results The nurse reveals the difficulties presented by the woman in performing self-care, the perceived limitations in the treatment anchored in motivation, and the values and beliefs of women. It showed professional frustration because venous leg ulcer recurrence, lack of inputs, interdisciplinary work and training of nursing staff. There was an expected adherence to the treatment of women, and it emphasized the need for ongoing care, supported self-care and standard practices in treatment. Conclusion That treatment of chronic venous leg ulcers constitutes a challenge that requires collective investment, involving women, professionals, managers and health institutions.Objetivo Comprender las experiencias y expectativas de enfermeras en el tratamiento de mujeres con ulcera venosa cronica. Metodo Investigacion fenomenologica fundamentada en Alfred Schutz, que busco Se realizo entrevista semiestructurada con siete enfermeras, en enero del 2012. Resultados La enfermera revela dificultades presentadas por la mujer para realizar el autocuidado, percibe limitaciones en el tratamiento relacionadas con la desmotivacion, los valores y las creencias de las mujeres. Refiere frustracion profesional debido a la recidiva de la lesion, a la falta de insumos, al deficiente trabajo interdisciplinar y a la limitada capacitacion del equipo de enfermeras. Espera la adhesion de la mujer al tratamiento y resalta la necesidad del cuidado continuo, del autocuidado apoyado y de estandarizar conductas de tratamiento. Conclusion El tratamiento de la ulcera venosa cronica es un desafio que requiere contribucion colectiva, involucrando a las mujeres, a los profesionales, a los gestores y a las instituciones de salud.