Elisiane Lorenzini

Percepção da equipe de enfermagem sobre humanização em unidade de tratamento intensivo neonatal e pediátrica

The humanization of healthcare is one of the key priorities of healthcare policies in Brazil, and directly reflects on the attitudes of user, employees and managers of health services. The aim of this study was to identify perception of the nursing team in terms of humanization of assistance in a neonatal and paediatric intensive care unit based on exploratory-descriptive research and a qualitative approach. A total of 11 members of a nursing team at the neonatal and paediatric intensive care unit of a hospital in southern Brazil participated in this study. Data was collected by means of semi structured interviews that were subsequently processed according to reference standards of thematic content analysis. This analysis resulted in three thematic categories: to humanize is to perceive the other as all-providing and all-supportive; bonding and communication as humanizing practices; and lack of ambience as a dehumanizing practice. Results showed that perception of the nursing team in relation to humanization is determined by the actual science and awareness of nursing care rather than specific acknowledgement of the National Humanization Policy.A humanizacao em saude e uma das prioridades nas politicas de saude no Brasil, implicando as atitudes dos usuarios, trabalhadores e gestores dos servicos. Este estudo objetivou identificar a percepcao da equipe de enfermagem sobre a humanizacao no cuidado em uma unidade de terapia intensiva neonatal e pediatrica. Trata-se de uma pesquisa exploratoria, descritiva, com abordagem qualitativa. Participaram, do estudo, 11 integrantes da equipe de enfermagem da unidade de terapia intensiva neonatal e pediatrica de um hospital do sul do Brasil. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, analisadas conforme referencial da analise de conteudo tematica. Emergiram tres categorias tematicas: humanizar e ver o outro como um todo-acolher; o vinculo e a comunicacao como praticas humanizadoras; e falta de ambiencia como pratica desumanizadora. Identificou-se que a compreensao da equipe de enfermagem sobre humanizacao pauta-se na propria ciencia do cuidado de enfermagem, e nao especificamente na Politica Nacional de Humanizacao.

Patient safety: analysis of the incidents notified in a hospital, in south of Brazil

This study aimed to evaluate the incidents reported between the years 2008 and 2012, in a large hospital in southern Brazil. This is a retrospective study of documentary analysis, transverse and descriptive with a quantitative approach. Data was collected in march 2013, analyzed and presented as absolute and relative frequency. We identified 755 cases; this represented 1.1% of total hospitalizations. The higher frequency of reporting in inpatient units was 64.8%. The incident with the highest prevalence in this study was 45.4% falls, followed by medication error 16.7% and 16.2% other incidents. The low number of notifications can be related to the system adopted by the institution where the professional who notifies the incident needs to be identified.

Mães de crianças com transtorno autístico: percepções e trajetórias

Childhood autism is characterized by severe and global impairment in several areas of human development and demands extensive care and dependence on the parents. The objective of this study was to understand the perceptions of mothers of children with autism regarding changes suffered by the child and their trajectories in search of an autism diagnosis. This is an exploratory descriptive study with a qualitative approach conducted with ten participant mothers. Data were collected in 2013 by means of semi-structured interviews. Thematic content analysis produced the following categories: perceptions of mothers as to changes in behaviour and/or development of their children; and trajectories of mothers in search of a diagnosis for their children. After the perception of changes in behaviour/development, mothers face an arduous trajectory of healthcare service utilization.

Segurança do paciente: análise dos incidentes notificados em um hospital do sul do Brasil

This study aimed to evaluate the incidents reported between the years 2008 and 2012, in a large hospital in southern Brazil. This is a retrospective study of documentary analysis, transverse and descriptive with a quantitative approach. Data was collected in march 2013, analyzed and presented as absolute and relative frequency. We identified 755 cases; this represented 1.1% of total hospitalizations. The higher frequency of reporting in inpatient units was 64.8%. The incident with the highest prevalence in this study was 45.4% falls, followed by medication error 16.7% and 16.2% other incidents. The low number of notifications can be related to the system adopted by the institution where the professional who notifies the incident needs to be identified.

Instituição de longa permanência para idosos: atuação do enfermeiro

Objective: aimed at getting acquainted with Brazilian scientific productions that discuss the nurse’s role of Homes for the Aged. Method: it is an integrative review carried out from the database and virtual library, through the descriptors: nursing, elderly, Homes for the Aged, published between 2006 and 2012. Results: the sample of this study consists of articles from several nursing journals. The largest number of articles on this topic was found in the Scientific Electronic Library Online. Conclusions: it was possible to conclude that the nurse’s role in such institutions is highly important for the execution of actions centered in the promotion of quality of life and of health literacy. The challenge of providing qualified nursing assistance and care for the elderly remains. Descriptors: Nursing; Aged; Homes for the aged. RESUMEN: Objetivo: conocer las producciones científicas nacionales que discuten el papel del enfermero en Hogares para Ancianos. Método: se trata de una revisión integradora realizada, a través de las bases de datos y de la biblioteca virtual, utilizando los descriptores: enfermería, anciano y Hogares para Ancianos, publicados en el período de 2006 a 2012. Resultados: fueron evidenciados artículos de diferentes periódicos de enfermería. El mayor número de artículos sobre ese tema fue encontrado en la Scientific Electronic Library Online. Conclusiones: se concluyó que el papel del enfermero en Hogares para Ancianos es de suma importancia para la implementación de acciones centradas en la promoción de la calidad de vida y en la educación en salud. Permanece el desafío del suministro de la asistencia y cuidado de enfermería calificado, direccionado a los ancianos. Descriptores: Enfermería; Anciano; Hogares para ancianos. Enfermeira, Docente, Especialista em Gerenciamento em Enfermagem, Mestre em Ciências da Saúde. Faculdade Nossa Senhora de Fátima/FÁTIMA. Caxias do Sul, RS, Brasil. E-mail: elisilorenzini@gmail.com Bacharel em Enfermagem. Faculdade Nossa Senhora de Fátima/FÁTIMA. Caxias do Sul, RS, Brasil. E-mail: nelimonteiro@hotmail.com.br Biomédica, Docente, Mestre em Ciências da Saúde com ênfase em Farmacologia Bioquímica e Molecular pela Pontifícia Universidade Católica do Rio Grande do Sul. Faculdade Nossa Senhora de Fátima/FÁTIMA. Caxias do Sul, RS, Brasil. E-mail: karenbazzo@gmail.com

Mothers of children with autistic disorder: perceptions and trajectories

Childhood autism is characterized by severe and global impairment in several areas of human development and demands extensive care and dependence on the parents. The objective of this study was to understand the perceptions of mothers of children with autism regarding changes suffered by the child and their trajectories in search of an autism diagnosis. This is an exploratory descriptive study with a qualitative approach conducted with ten participant mothers. Data were collected in 2013 by means of semi-structured interviews. Thematic content analysis produced the following categories: perceptions of mothers as to changes in behaviour and/or development of their children; and trajectories of mothers in search of a diagnosis for their children. After the perception of changes in behaviour/development, mothers face an arduous trajectory of healthcare service utilization.

Women’s primary care nursing in situations of gender violence

OBJECTIVE Identify the actions conducted by primary health care nurses for women in situations of domestic violence. METHODOLOGY Exploratory-descriptive study with a qualitative approach. Participants were 17 nurses who worked in the Basic Health Unit in a city in the interior of Rio Grande do Sul, Brazil. The data was collected through semi-structured interviews and the information processing was performed using the interview content analysis technique. RESULTS By acting in a context of the violence, the nurses describe some elements and strategies they use that allow recognition and action to combat violence, namely: acceptance and empathy, establishing a bond of trust between the professional and the woman, dialogue, and intent listening. The limitations mentioned by participants were: lack of professional training to address the situation, feeling of unpreparedness, lack of time for the workload, the professionals difficulty in recognizing and dealing with violence given its complexity, low efficiency of the service network, and the sense of professional impotence against the gravity and complexity involved in violence. CONCLUSION The participants are not adequately prepared to care for women in situations of domestic violence. It is necessary that this issue be addressed in the training of nursing professionals.

Humanization of healthcare: perception of a nursing team in a neonatal and paediatric intensive care unit

The humanization of healthcare is one of the key priorities of healthcare policies in Brazil, and directly reflects on the attitudes of user, employees and managers of health services. The aim of this study was to identify perception of the nursing team in terms of humanization of assistance in a neonatal and paediatric intensive care unit based on exploratory-descriptive research and a qualitative approach. A total of 11 members of a nursing team at the neonatal and paediatric intensive care unit of a hospital in southern Brazil participated in this study. Data was collected by means of semi structured interviews that were subsequently processed according to reference standards of thematic content analysis. This analysis resulted in three thematic categories: to humanize is to perceive the other as all-providing and all-supportive; bonding and communication as humanizing practices; and lack of ambience as a dehumanizing practice. Results showed that perception of the nursing team in relation to humanization is determined by the actual science and awareness of nursing care rather than specific acknowledgement of the National Humanization Policy.A humanizacao em saude e uma das prioridades nas politicas de saude no Brasil, implicando as atitudes dos usuarios, trabalhadores e gestores dos servicos. Este estudo objetivou identificar a percepcao da equipe de enfermagem sobre a humanizacao no cuidado em uma unidade de terapia intensiva neonatal e pediatrica. Trata-se de uma pesquisa exploratoria, descritiva, com abordagem qualitativa. Participaram, do estudo, 11 integrantes da equipe de enfermagem da unidade de terapia intensiva neonatal e pediatrica de um hospital do sul do Brasil. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, analisadas conforme referencial da analise de conteudo tematica. Emergiram tres categorias tematicas: humanizar e ver o outro como um todo-acolher; o vinculo e a comunicacao como praticas humanizadoras; e falta de ambiencia como pratica desumanizadora. Identificou-se que a compreensao da equipe de enfermagem sobre humanizacao pauta-se na propria ciencia do cuidado de enfermagem, e nao especificamente na Politica Nacional de Humanizacao.

Researching safety culture: deliberative dialogue with a restorative lens

Safety culture is a key component of patient safety. Many patient safety strategies in health care have been adapted from high-reliability organizations (HRO) such as aviation. However, to date, attempts to transform the cultures of health care settings through HRO approaches have had mixed results. We propose a methodological approach for safety culture research, which integrates the theory and practice of restoration science with the principles and methods of deliberative dialogue to support active engagement in critical reflection and collective debate. Our aim is to describe how these two innovative approaches in health services research can be used together to provide a comprehensive effective method to study and implement change in safety culture. Restorative research in health care integrates socio-ecological theory of complex adaptive systems concepts with collaborative, place-sensitive study of local practice contexts. Deliberative dialogue brings together all stakeholders to collectively develop solutions on an issue to facilitate change. Together these approaches can be used to actively engage people in the study of safety culture to gain a better understanding of its elements. More importantly, we argue that the synergistic use of these approaches offers enhanced potential to move health care professionals towards actionable strategies to improve patient safety within todays complex health care systems.

Dimensionamento de pessoal de Enfermagem em Centro Obstétrico

Aim: to measure and compare theObstetricCenter’s nursing staff to the parameters recommended by the Resolution of the Federal Nursing Council No. 293/2004. Method: descriptive, exploratory and quantitative study carried out at theObstetricCenterof a private hospital inSouthern Brazil. The study object was the functional sites and nursing staff schedule in September 2012. Results: the number of functional sites of nurses and nursing technicians was 21 and 147 respectively, and the calculated number of nurses and nursing technicians was 4 and 25 respectively. Conclusion: there is no statistically significant difference in the number of nurses and nursing technicians who work at theObstetricCenter, when compared to the number calculated through the analysis of functional sites as proposed by the referred resolution above