Diana Lúcia Moura Pinho

Perfil dos acidentes de trabalho no Hospital Universitário de Brasília

This study analyzes the prevalence of work accidents among nursing staff in the HUB, occurred from July 2002 - July 2003, in order to dimensionate the magnitude of the problem and to propose preventive actions. It is an approach based on the qualitative method of the exploratory-description type. 68 Internal Communications of Work Accidents (CIATs) were identified. The manipulation of cutting and piercing material corresponds to the 62.38% of the activities that caused accidents. 52.94% of the accidents occurred in the morning. Of the professionals accidented, 76.47% are of the feminine sex. The category nursing auxiliary suffered 26.47% of the accidents. The Medical Clinic and the Centro de Pronto Atendimento (CPA) registered, each one, 11.76% of the accidents. The hands were the regions of the body more attacked, with 63.20% of the cases.Este estudo analisa a prevalencia dos acidentes de trabalho de enfermagem no HUB, ocorridos de julho de 2002 a julho de 2003, a fim de dimensionar a magnitude do problema e propor acoes preventivas. Trata-se de uma abordagem com base no metodo qualitativo do tipo exploratorio-descritivo. Identificaram-se 68 Comunicacoes Internas de Acidentes de Trabalho (CIATs). A manipulacao de perfurocortantes corresponde a 62,38% das atividades que ocasionaram acidentes. Pela manha, ocorreram 52,94% dos acidentes. Dos profissionais acidentados, 76,47% sao do sexo feminino. A categoria de auxiliar de enfermagem sofreu 26,47% dos acidentes. A Clinica Medica e o Centro de Pronto Atendimento (CPA) registraram cada 11,76% dos acidentes. As maos foram as regioes do corpo mais acometidas, com 63,20% dos casos.

As transformações do trabalho e desafios teórico-metodológicos da Ergonomia

The article contextualizes the evolution of work, identifying the changes occurred and how they have transformed the nature of work. It presents the theoretical development of the approaches used in the relationship between man and work in consequence of the technological innovations. The approach adopted in this text favors the analysis of computerized work situations and how they impact on the work conditions. The leading reference is Ergonomics, its intervention models and its limits in this new work context.

As estratégias operatórias e a gestão da informação no trabalho de enfermagem, no contexto hospitalar

O estudo analisa as estrategias operatorias de gestao da informacao, utilizadas pelos enfermeiros no contexto hospitalar para regular o trabalho. O quadro teorico inscreve-se no campo da ergonomia, articulando conceitos de regulacao da atividade, representacoes para e na acao. A Analise Ergonomica do Trabalho - AET orientou a coleta de dados. Os resultados demonstram que as estrategias adotadas pelos enfermeiros apoiam-se na utilizacao de um recurso informal externo (anotacoes pessoais) que visa, sobretudo, reduzir a carga mental de trabalho e garantir a fiabilidade de suas acoes.

Impact of 10-valent pneumococcal conjugate vaccine on pneumococcal meningitis in children up to two years of age in Brazil

The objective of this study was to analyze the impact of vaccination against Streptococcus pneumoniae on the morbidity and mortality from pneumococcal meningitis in children ≤ 2 years in Brazil, from 2007 to 2012. This is a descriptive study and ecological analysis using data from the Information System on Notifiable Diseases. Pre-vaccination (2007-2009) and post-vaccination (2011-2012) periods were defined to compare incidence rates and mortality. A total of 1,311 cases and 430 deaths were reported during the study period. Incidence decreased from 3.70/100,000 in 2007 to 1.84/100,000 in 2012, and mortality decreased from 1.30/100,000 to 0.40/100,000, or 50% and 69% respectively, with the greatest impact in the 6-11 month age group. This decrease in Pneumococcal meningitis morbidity and mortality rates two years after introduction of the 10-valent pneumococcal conjugate vaccine suggests its effectiveness.Dissertacao (mestrado)—Universidade de Brasilia, Faculdade UnB Ceilândia, Programa de Pos-Graduacao em Ciencias e Tecnologias em Saude, 2013.

Perfil e grau de dependência de idosos e sobrecarga de seus cuidadores

OBJETIVO: Analizar el perfil y el grado de dependencia de personas de la tercera edad usuarios de un Centro de Internamiento Domiciliario, asi como el perfil y la sobrecarga en sus cuidadores. METODOS: Estudio exploratorio y descriptivo compuesto por una muestra de 31 personas de la tercera edad y 31 cuidadores. La recoleccion de datos se realizo por medio de entrevista en el domicilio, con aplicacion de un cuestionario semiestructurado, conteniendo variables sociodemograficas. Para la evaluacion del grado de dependencia de las personas de la tercera edad, fueron utilizados el Indice de Katz y la Escala de Lawton y la sobrecarga de los cuidadores fue mensurada con base en la Escala Zarit Burden Interview. RESULTADOS: Fue revelado un porcentaje elevado de personas de la tercera edad con dependencia total para actividades basicas e instrumentales de la vida diaria, siendo la variable estadisticamente significativa en relacion a la sobrecarga de los cuidadores y la percepcion sobre su estado de salud. CONCLUSION: El analisis de las variables estudiadas puede contribuir en el delineamiento de propuestas de intervencion basada en las reales necesidades del grupo estudiado.Objective: To analyze the profile and degree of dependency of elderly users of a home care center, as well as the profile and burden their caregivers. Methods: Exploratory and descriptive study with a sample consisting of 31 elderly and 31 caregivers. Data collection was conducted through interviews at home, using a semi-structured questionnaire containing sociodemographic variables. To assess the degree of dependency of the elderly, the Katz Index and Lawton Scale were used, and the burden of caregivers was measured using the Zarit Burden Interview Scale. Results: A high percentage of elderly patients were identified with total dependence for basic and instrumental activities of daily living, with a statistically significant variable in relation to caregiver burden and perception of their health status. Conclusion: The analysis of variables can contribute to the design of intervention proposals based on the real needs of the group studied.Objective: To analyze the profile and degree of dependency of elderly users of a home care center, as well as the profile and burden their caregivers. Methods: Exploratory and descriptive study with a sample consisting of 31 elderly and 31 caregivers. Data collection was conducted through interviews at home, using a semi-structured questionnaire containing sociodemographic variables. To assess the degree of dependency of the elderly, the Katz Index and Lawton Scale were used, and the burden of caregivers was measured using the Zarit Burden Interview Scale. Results: A high percentage of elderly patients were identified with total dependence for basic and instrumental activities of daily living, with a statistically significant variable in relation to caregiver burden and perception of their health status. Conclusion: The analysis of variables can contribute to the design of intervention proposals based on the real needs of the group studied.

Projeto pedagógico do curso de Fisioterapia da Universidade de Brasília

INTRODUCTION: The visible exhaustion of the traditional teaching model for physiotherapy, along with a new professional profile and a change in the approach to the health-illness process (which has come to include functionality), has stimulated the need for new pedagogical projects for teaching physiotherapy. This should include a perspective of social and economic transformation of the regional population (in this case, the administrative region of Ceilândia, in the Federal District, Brasilia, Brazil). OBJECTIVE: To present a pedagogical project for the undergraduate course in physiotherapy stressing education focused on human functionality in scenarios of professional practice,e proposed by the Brazilian public healthcare system. METHODS: The curriculum is being constructed in an innovating perspective with proposals regarding the general realm (lifestyle centers, biological systems, physiotherapy skills and scenarios of physiotherapy practices), specific realm (health maintenance, health-illness process, healthcare, human functionality, process of permanent education) and complementary realm (research and extension activities). RESULTS: The pedagogical project proposal was carried out in such a way as to complement the expected general and specific goals as well as professional and social profiles. The indissociability of teaching-research-extension presumes a reference in the professor-student relationship for the comprehension of research and extension activities as fundamental elements of the teaching-learning process linked to experience in the actual context, thereby concretizing the relationship between theory and practice, focusing on the public healthcare system. CONCLUSION: The diversification of practices in the context of the public healthcare system includes a perspective of social and economic transformation in the population within the social and political scenario of the Federal District. In this context, priority is given to the education/training of generalist, reflexive, critical physiotherapists, involved from the beginning with community service on different levels of healthcare, addressing aspects of human functionality in accordance with the needs of the Brazilian public healthcare system.

Relações entre avós e seus netos adolescentes: uma revisão integrativa

This study aimed to analyze the relationship between grandparents and their teenage grandchildren, and describe different representations in everyday of their grandchildren through an integrative review. A search for articles and abstracts published from January 2002 to June 2012, was conducted in MEDLINE and LILACS databases using the following descriptors: grandparents, grandchildren teenagers, relationships between grandparents and grandchildren. Following the strategies defined for the study, the search resulted in six full articles. Two articles from LILACS and four from MEDLINE were included. The conclusion was that the relationship between grandparents and teenage grandchildren differed according to the proximity of the subject, which is derived from several factors such as co-residence, work and marital status of the grandchildren, GLBT sexual choices, and chronic source of grandparents. Future research work assessing this issue are important to contribute to a better understanding of the relationship between grandparents and grandchildren from the perspective of both subjects.

Profile and degree of dependency of the elderly and overload of their caregivers

OBJETIVO: Analizar el perfil y el grado de dependencia de personas de la tercera edad usuarios de un Centro de Internamiento Domiciliario, asi como el perfil y la sobrecarga en sus cuidadores. METODOS: Estudio exploratorio y descriptivo compuesto por una muestra de 31 personas de la tercera edad y 31 cuidadores. La recoleccion de datos se realizo por medio de entrevista en el domicilio, con aplicacion de un cuestionario semiestructurado, conteniendo variables sociodemograficas. Para la evaluacion del grado de dependencia de las personas de la tercera edad, fueron utilizados el Indice de Katz y la Escala de Lawton y la sobrecarga de los cuidadores fue mensurada con base en la Escala Zarit Burden Interview. RESULTADOS: Fue revelado un porcentaje elevado de personas de la tercera edad con dependencia total para actividades basicas e instrumentales de la vida diaria, siendo la variable estadisticamente significativa en relacion a la sobrecarga de los cuidadores y la percepcion sobre su estado de salud. CONCLUSION: El analisis de las variables estudiadas puede contribuir en el delineamiento de propuestas de intervencion basada en las reales necesidades del grupo estudiado.Objective: To analyze the profile and degree of dependency of elderly users of a home care center, as well as the profile and burden their caregivers. Methods: Exploratory and descriptive study with a sample consisting of 31 elderly and 31 caregivers. Data collection was conducted through interviews at home, using a semi-structured questionnaire containing sociodemographic variables. To assess the degree of dependency of the elderly, the Katz Index and Lawton Scale were used, and the burden of caregivers was measured using the Zarit Burden Interview Scale. Results: A high percentage of elderly patients were identified with total dependence for basic and instrumental activities of daily living, with a statistically significant variable in relation to caregiver burden and perception of their health status. Conclusion: The analysis of variables can contribute to the design of intervention proposals based on the real needs of the group studied.Objective: To analyze the profile and degree of dependency of elderly users of a home care center, as well as the profile and burden their caregivers. Methods: Exploratory and descriptive study with a sample consisting of 31 elderly and 31 caregivers. Data collection was conducted through interviews at home, using a semi-structured questionnaire containing sociodemographic variables. To assess the degree of dependency of the elderly, the Katz Index and Lawton Scale were used, and the burden of caregivers was measured using the Zarit Burden Interview Scale. Results: A high percentage of elderly patients were identified with total dependence for basic and instrumental activities of daily living, with a statistically significant variable in relation to caregiver burden and perception of their health status. Conclusion: The analysis of variables can contribute to the design of intervention proposals based on the real needs of the group studied.

Teoria de Tornar-se Humano na enfermagem ecológica: aplicando o método de avaliação de Meleis

The objective was to conduct a reflection on the Theory of Human Becoming Rosemarie Rizzo Parse, as well as designing a theoretical framework applied to the process of caring in nursing ecological. It is a research and interpretative critical reflection, which used the evaluation method proposed by Meleis, restricted to the stage of description, which considers the identification of structural and functional components. This strategy allowed us to subsidize the reflection of the interpretive theory of Becoming Human Ecology in the context of nursing. Thus, it was possible to direct attention to the meanings of health and quality of life of the individual, the prioritization of values and nursing care in the area of ecology. DESCRIPTORS: Nursing theory. Occupational health nursing. Environmental health. Nursing.El objetivo fue llevar a cabo una reflexion sobre la Teoria de Convertirse Humano de Rosemarie Rizzo Parse, asi como el diseno de un marco teorico aplicado al proceso de cuidar en enfermeria ecologica. Es una reflexion critica interpretativa, en que se utilizo el metodo de evaluacion propuesto por Meleis, limitada a la etapa de descripcion, que considera la identificacion de los componentes estructurales y funcionales. Esta estrategia nos ha permitido subsidiar el reflejo de la teoria interpretativa de convertirse Humano en el contexto de la enfermeria ecologica. Por lo tanto, ha sido posible dirigir la atencion a los significados de la salud y la calidad de vida de la persona, para la priorizacion de los valores y los cuidados de enfermeria en el area de ecologia.The objective was to conduct a reflection on the Theory of Human Becoming Rosemarie Rizzo Parse, as well as designing a theoretical framework applied to the process of caring in nursing ecological. It is a research and interpretative critical reflection, which used the evaluation method proposed by Meleis, restricted to the stage of description, which considers the identification of structural and functional components. This strategy allowed us to subsidize the reflection of the interpretive theory of Becoming Human Ecology in the context of nursing. Thus, it was possible to direct attention to the meanings of health and quality of life of the individual, the prioritization of values and nursing care in the area of ecology.

Impacto da vacina pneumocócica conjugada 10-valente na meningite pneumocócica em crianças com até dois anos de idade no Brasil

The objective of this study was to analyze the impact of vaccination against Streptococcus pneumoniae on the morbidity and mortality from pneumococcal meningitis in children ≤ 2 years in Brazil, from 2007 to 2012. This is a descriptive study and ecological analysis using data from the Information System on Notifiable Diseases. Pre-vaccination (2007-2009) and post-vaccination (2011-2012) periods were defined to compare incidence rates and mortality. A total of 1,311 cases and 430 deaths were reported during the study period. Incidence decreased from 3.70/100,000 in 2007 to 1.84/100,000 in 2012, and mortality decreased from 1.30/100,000 to 0.40/100,000, or 50% and 69% respectively, with the greatest impact in the 6-11 month age group. This decrease in Pneumococcal meningitis morbidity and mortality rates two years after introduction of the 10-valent pneumococcal conjugate vaccine suggests its effectiveness.Dissertacao (mestrado)—Universidade de Brasilia, Faculdade UnB Ceilândia, Programa de Pos-Graduacao em Ciencias e Tecnologias em Saude, 2013.