Fernanda dos Santos Nogueira de Góes

INOVAÇÃO TECNOLÓGICA NO ENSINO DA SEMIOTÉCNICA E SEMIOLOGIA EM ENFERMAGEM NEONATAL: DO DESENVOLVIMENTO À UTILIZAÇÃO DE UM SOFTWARE EDUCACIONAL

Las nuevas tecnologias han presentado numerosas posibilidades del uso de la computadora en la educacion. Por lo tanto, el objetivo de este estudio es describir el proceso de desarrollo de un software educacional sobre Semiotecnica y semiologia del recien nacido pretermino. Se utilizo el referencial pedagogico de la problematizacion y la metodologia de desarrollo de software de Bernardo. El software Semiotecnica y semiologia del recien nacido pretermino presenta una tecnologia avanzada, informatizada, interactiva y con simulaciones que permiten la aproximacion maxima de la realidad, presentando, gradualmente, la complejidad y las especificidades del recien nacido pretermino. Con el uso de recursos de hipertexto, son presentadas una serie de medias: fotos, figuras, videos y sonidos. El software posibilita que los docentes y estudiantes experimenten la interrelacion entre cuatro vertientes: el contenido de la semiotecnica y semiologia del recien nacido pretermino, nuevas aproximaciones pedagogicas, innovaciones tecnologicas en educacion, y, utilizacion de la primera fase del Proceso de Enfermeria atribuyendo la organizacion del contenido en necesidades humanas basicas.

Evaluation of the virtual learning object "Diagnostic reasoning in nursing applied to preterm newborns"

Vislumbrando o potencial de uso da informatica, na formacao e educacao permanente em enfermagem, realizou-se o presente estudo com o objetivo de avaliar objeto virtual de aprendizagem raciocinio diagnostico em enfermagem aplicado ao prematuro, em unidade de cuidado intermediario neonatal. Trata-se de estudo descritivo sobre a avaliacao da aparencia e conteudo do objeto virtual, nos aspectos relacionados a apresentacao, organizacao, usabilidade e impressao geral. Participaram peritos das areas de informatica (12) e enfermagem (31). Cada subitem dos instrumentos continha avaliacao em escala Likert e espaco para inclusao de comentarios/sugestoes. Todos os itens foram avaliados positivamente por mais de 80% dos avaliadores, exceto o criterio densidade informacional na avaliacao dos profissionais de informatica. Considera-se que o produto desenvolvido esta adequado para ser disponibilizado para uso no ensino de estudantes e educacao permanente de enfermeiros, sobre raciocinio diagnostico na elaboracao de diagnosticos de enfermagem, aplicados ao prematuro, inserido no referencial pedagogico da problematizacao.

Development of the e-Baby Serious Game With Regard to the Evaluation of Oxygenation in Preterm Babies Contributions of the Emotional Design

The present study aimed to describe the development process of a serious game that enables users to evaluate the respiratory process in a preterm infant based on an emotional design model. The e-Baby serious game was built to feature the simulated environment of an incubator, in which the user performs a clinical evaluation of the respiratory process in a virtual preterm infant. The user learns about the preterm baby’s history, chooses the tools for the clinical evaluation, evaluates the baby, and determines whether his/her evaluation is appropriate. The e-Baby game presents phases that contain respiratory process impairments of higher or lower complexity in the virtual preterm baby. Included links give the user the option of recording the entire evaluation procedure and sharing his/her performance on a social network. e-Baby integrates a Clinical Evaluation of the Preterm Baby course in the Moodle virtual environment. This game, which evaluates the respiratory process in preterm infants, could support a more flexible, attractive, and interactive teaching and learning process that includes simulations with features very similar to neonatal unit realities, thus allowing more appropriate training for clinical oxygenation evaluations in at-risk preterm infants. e-Baby allows advanced user-technology-educational interactions because it requires active participation in the process and is emotionally integrated.

A manipulacao de prematuros em uma Unidade de Terapia Intensiva Neonatal

While hospitalized in neonatal units, preterm infants undergo various manipulations and procedures that have negative health consequences. The aim of this study was to describe the manipulations that preterm infants are subjected to over a 24-hour period in a neonatal intensive care unit (NICU). An observational, descriptive, exploratory study was conducted with 20 preterm infants who were filmed continuously in a NICU over a 24-hour period from September 2008 to March 2009. Preterm infants were subjected to an average of 768 manipulations and 1341 procedures. The average duration of the manipulations over the 24-hour period was 2 hours and 26 minutes. Each manipulation included an average of 2.2 procedures, most occurring during the morning shift. Individual manipulations accounted for 65.6% of all manipulations, and most manipulations lasted less than a minute. The results of this study show that preterm infants in the NICU underwent an excessive number of manipulations over the 24-hour period evaluated.While hospitalized in neonatal units, preterm infants undergo various manipulations and procedures that have negative health consequences. The aim of this study was to describe the manipulations that preterm infants are subjected to over a 24-hour period in a neonatal intensive care unit (NICU). An observational, descriptive, exploratory study was conducted with 20 preterm infants who were filmed continuously in a NICU over a 24-hour period from September 2008 to March 2009. Preterm infants were subjected to an average of 768 manipulations and 1341 procedures. The average duration of the manipulations over the 24-hour period was 2 hours and 26 minutes. Each manipulation included an average of 2.2 procedures, most occurring during the morning shift. Individual manipulations accounted for 65.6% of all manipulations, and most manipulations lasted less than a minute. The results of this study show that preterm infants in the NICU underwent an excessive number of manipulations over the 24-hour period evaluated.

Diagnósticos de enfermagem de prematuros sob cuidados intermediários

El estudio tuvo como objetivo identificar los diagnosticos de enfermeria de prematuros asistidos en una unidad de cuidado intermediario neonatal del interior de Sao Paulo, Brasil. Re realizo un estudio retrospectivo a partir de los registros hospitalarios de prematuros hospitalizados. Los diagnosticos mas frecuentes fueron: Perturbacion del Sueno (83,1%), Riesgo de Infeccion (76,3%) y Alteracion de los Procesos Familiares (75,4%), pertenecientes a los dominios NANDA: actividad/reposo, seguridad/proteccion y papel/relacion, en esta orden. Los resultados del estudio articularon la frecuencia de los diagnosticos con los dominios NANDA pertenecientes, identificando limitacion del abordaje de los mismos y principales dominios apuntados en la sistematizacion de la asistencia al recien-nascido prematuro en cuidado intermediario.The study aims at identifying nursing diagnoses of premature infants attended in a neonatal intermediary care unit in the countryside of São Paulo State, Brazil. That was a retrospective study conducted from 118 patient records of hospitalized premature infants. The most frequent nursing diagnosis were sleep deprivation (83.1%), risk for infection (76.3%) and dysfunctional family processes (75.4%), belonging to NANDA domains: activity/rest, security/protection and role relations, this order. Study results articulated the diagnosis frequency with NANDA domain to which they belong identifying their approach limitation and main domains pointed in assistance systematization to premature newborn in intermediary care.

Necessidades de aprendizagem de alunos da Educação Profi ssional de Nível Técnico em Enfermagem

OBJECTIVE Identify learning needs of students of Technical Vocational Education (TVE) in Nursing. Qualitative study conducted in a city of São Paulo state. METHOD The subjects were students, teachers and coordinators of TVE and students of the bachelor degree who have had contact with TVE. Data collection was performed by questionnaire socioeconomic and cultural circles about the learning needs. For data analysis we used the content analysis. RESULTS It was found that students have difficulties contents not related to nursing as portuguese and mathematics, as well as introductory courses in the course of TVE which possibly may interfere negatively in learning specific content of nursing and the quality of health care. CONCLUSION It is necessary to rethink the content taught and ways to teach from basic education, as well as the training of teachers who now works in the TVE.

Handling of preterm infants in a neonatal intensive care unit

While hospitalized in neonatal units, preterm infants undergo various manipulations and procedures that have negative health consequences. The aim of this study was to describe the manipulations that preterm infants are subjected to over a 24-hour period in a neonatal intensive care unit (NICU). An observational, descriptive, exploratory study was conducted with 20 preterm infants who were filmed continuously in a NICU over a 24-hour period from September 2008 to March 2009. Preterm infants were subjected to an average of 768 manipulations and 1341 procedures. The average duration of the manipulations over the 24-hour period was 2 hours and 26 minutes. Each manipulation included an average of 2.2 procedures, most occurring during the morning shift. Individual manipulations accounted for 65.6% of all manipulations, and most manipulations lasted less than a minute. The results of this study show that preterm infants in the NICU underwent an excessive number of manipulations over the 24-hour period evaluated.While hospitalized in neonatal units, preterm infants undergo various manipulations and procedures that have negative health consequences. The aim of this study was to describe the manipulations that preterm infants are subjected to over a 24-hour period in a neonatal intensive care unit (NICU). An observational, descriptive, exploratory study was conducted with 20 preterm infants who were filmed continuously in a NICU over a 24-hour period from September 2008 to March 2009. Preterm infants were subjected to an average of 768 manipulations and 1341 procedures. The average duration of the manipulations over the 24-hour period was 2 hours and 26 minutes. Each manipulation included an average of 2.2 procedures, most occurring during the morning shift. Individual manipulations accounted for 65.6% of all manipulations, and most manipulations lasted less than a minute. The results of this study show that preterm infants in the NICU underwent an excessive number of manipulations over the 24-hour period evaluated.

Avaliação do objeto virtual de aprendizagem "Raciocínio diagnóstico em enfermagem aplicado ao prematuro"

Vislumbrando o potencial de uso da informatica, na formacao e educacao permanente em enfermagem, realizou-se o presente estudo com o objetivo de avaliar objeto virtual de aprendizagem raciocinio diagnostico em enfermagem aplicado ao prematuro, em unidade de cuidado intermediario neonatal. Trata-se de estudo descritivo sobre a avaliacao da aparencia e conteudo do objeto virtual, nos aspectos relacionados a apresentacao, organizacao, usabilidade e impressao geral. Participaram peritos das areas de informatica (12) e enfermagem (31). Cada subitem dos instrumentos continha avaliacao em escala Likert e espaco para inclusao de comentarios/sugestoes. Todos os itens foram avaliados positivamente por mais de 80% dos avaliadores, exceto o criterio densidade informacional na avaliacao dos profissionais de informatica. Considera-se que o produto desenvolvido esta adequado para ser disponibilizado para uso no ensino de estudantes e educacao permanente de enfermeiros, sobre raciocinio diagnostico na elaboracao de diagnosticos de enfermagem, aplicados ao prematuro, inserido no referencial pedagogico da problematizacao.

Learning needs of Nursing students in technical vocational education

OBJECTIVE Identify learning needs of students of Technical Vocational Education (TVE) in Nursing. Qualitative study conducted in a city of São Paulo state. METHOD The subjects were students, teachers and coordinators of TVE and students of the bachelor degree who have had contact with TVE. Data collection was performed by questionnaire socioeconomic and cultural circles about the learning needs. For data analysis we used the content analysis. RESULTS It was found that students have difficulties contents not related to nursing as portuguese and mathematics, as well as introductory courses in the course of TVE which possibly may interfere negatively in learning specific content of nursing and the quality of health care. CONCLUSION It is necessary to rethink the content taught and ways to teach from basic education, as well as the training of teachers who now works in the TVE.

Feeding newborns after hospital discharge from a Baby-Friendly Health Care Institution

ABSTRACT Objective: To characterize how babies are fed during their hospital stay and after hospital discharge from a Baby-Friendly Health CareInstitution, using indicators proposed by the World Health Organization. Methods: This investigation was performed 30 days after thebinomial™s discharge, through a telephone interview with the puerper al woman. Data from medical records constituted secondary s ources ofinformation. Results: It was observed that, even though newborns had come from these institutions, some of them were weaned early frombreastfeeding. Conclusion: Some factors were shown to be associated to weaning in the studied sample, such as the small percentage ofbinomials placed in skin-to-skin contact and early suction, mothers who smoked, the use of pacifiers and the use of dairy complementsduring the hospital stay. Descriptors: Breast feeding; Weaning; Baby-friendly hospital initiative RESUMO Objetivo: Caracterizar a forma de alimentacao dos bebŒs durante a internacao e apos a alta hospitalar de uma Instituicao Amiga da Crianc a,utilizando indicadores propostos pela Organizacao Mundial de Saœde.Objective: To characterize how babies are fed during their hospital stay and after hospital discharge from a Baby-Friendly Health Care Institution, using indicators proposed by the World Health Organization. Methods: This investigation was performed 30 days after the binomial’s discharge, through a telephone interview with the puerperal woman. Data from medical records constituted secondary sources of information. Results: It was observed that, even though newborns had come from these institutions, some of them were weaned early from breastfeeding. Conclusion: Some factors were shown to be associated to weaning in the studied sample, such as the small percentage of binomials placed in skin-to-skin contact and early suction, mothers who smoked, the use of pacifiers and the use of dairy complements during the hospital stay. Descriptors: Breast feeding; Weaning; Baby-friendly hospital initiative RESUMEN