Genival Fernandes de Freitas

Ocorrências éticas com profissionais de enfermagem: um estudo quantitativo

This study aimed at identifying characteristics of ethical occurrences related to nursing care in a large private hospital in the city of Sao Paulo. There were 190 occurrences reported to the hospitals Nursing Ethical Committee (NEC) between 1995 and 2004. Most occurrences caused no damages to the patient, the health institution, the nursing staff or the professional involved. From the total of 398 procedures taken, 94.5% of the cases were advices given to nursing staff members by the NEC, including advice from the immediate superiors to the staff members involved. In 93.7% of the occurrences only one staff member was involved. Clinical units accounted for 76.3% of the services involved with ethical occurrences. As a result, it may be said that the study showed the importance of giving advices to the staff in order to prevent customers from damaging occurrences.This study aimed at identifying characteristics of ethical occurrences related to nursing care in a large private hospital in the city of São Paulo. There were 190 occurrences reported to the hospitals Nursing Ethical Committee (NEC) between 1995 and 2004. Most occurrences caused no damages to the patient, the health institution, the nursing staff or the professional involved. From the total of 398 procedures taken, 94.5% of the cases were advices given to nursing staff members by the NEC, including advice from the immediate superiors to the staff members involved. In 93.7% of the occurrences only one staff member was involved. Clinical units accounted for 76.3% of the services involved with ethical occurrences. As a result, it may be said that the study showed the importance of giving advices to the staff in order to prevent customers from damaging occurrences.

A regulação das relações de trabalho e o gerenciamento de recursos humanos em enfermagem

This paper is aimed at discoursing on the regulation of labor relations in Nursing and at giving subsidies to the nurses managerial practice concerning the rights and obligations of employees and employers based on the Brazilian Labor Law and the Federal Constitution. It emphasizes some regulations that are not clear enough and give rise to doubts and conflicts on the nurses daily professional activities, such as working hours, resting periods in and between journeys, extra pay for overtime work, weekly paid rest and changes in work schedule. The adequacy of nursing practice to legal rules should allow nurses to get more knowledge, resulting in more confidence and safer actions. By having professional and patients rights respected, occasional juridical problems inherent to labor rights and obligations will be reduced.Este artigo tem a finalidade de discorrer sobre a regulacao das relacoes de trabalho na enfermagem, subsidiando a pratica gerencial do enfermeiro, no que se refere aos direitos e obrigacoes de empregados e empregadores, baseando-se na Consolidacao das Leis Trabalhistas (CLT) e das normas constitucionais. Enfatiza algumas normatizacoes que suscitam duvidas e conflitos no cotidiano profissional do enfermeiro, tais como: duracao da jornada de trabalho, periodos de descanso intra e entre jornadas, horas extraordinarias, descanso semanal remunerado e alteracoes de turnos de trabalho, considerando que a conformacao do exercicio profissional com o processo legal amplia as possibilidades do enfermeiro atuar junto a equipe com mais propriedade e seguranca, respeitando os direitos dos profissionais e dos clientes, reduzindo, ainda, eventuais problemas juridicos inerentes aos direitos e deveres trabalhistas.

Motivações do agir de enfermeiros nas ocorrências éticas de enfermagem

Objective: to understand nurses’ reactions toward to unethical behaviors. Methods: The sample consisted of nurses who were members of a nursing ethics committee or were working as nursing managers and that have had experience in dealing with unethical behaviors. Social phenomenology served as the theoretical framework for the study. Data were collected through interviews and grouped in categories. Results: Participants’ experiences in dealing with unethical behaviors were important factors in revealing the reasons for their reactions to unethical occurrences. These reasons were grouped in the following categories: beliefs and values, knowledge, and past experiences. Conclusion: Nurses who had previous experience in dealing with occurrence of unethical behaviors strive to guarantee safe quality nursing care to patients as well as to increase the creditability and better appreciation of the nursing staff.

Prazer e sofrimento no processo de trabalho do enfermeiro docente

Trata-se de um estudo exploratorio e descritivo com abordagem qualitativa, que compreende sentimentos que perpassam o processo de trabalho do enfermeiro em tres universidades privadas do Municipio de Sao Paulo, revelando-se experiencias enriquecedoras de significados do saber-fazer na pratica docente. Assim, a presente investigacao tem como objetivo identificar os aspectos geradores de prazer e de sofrimento no processo de trabalho do enfermeiro docente, analisados segundo o referencial teorico de Christophe Dejours, pontuando-se a importância de fatores psicossociais em relacao ao objeto estudado. Os resultados da investigacao apontam para as relacoes ambiguas presentes no processo de trabalho dos docentes, expressando sentimentos de prazer e sofrimento decorrentes dessa pratica e evidenciando as condicoes e a organizacao do trabalho como elementos que podem potencializar tais sentimentos no cotidiano do trabalho do enfermeiro naquelas instituicoes.

Acupuntura na enfermagem brasileira: dimensão ético-legal

The objective of this study was to reflect on the legal and ethical aspects for the practice of acupuncture by nurses in Brazil. There is a need for nurses to be involved on a task force to create legal regulations and establish the scope of practice of acupuncture. This will prevent the restriction of the practice of acupuncture only to a specific health care professional group.Se trata de un estudio que tuvo como objetivo contribuir a la reflexion respecto a la practica profesional de la acupuntura del enfermero, contemplando las dimensiones etico-legales del ejercicio de esa actividad. Se concluye que la participacion de la enfermeria en la reglamentacion legal para la actividad de la acupuntura es urgente y necesaria, para establecer sus limites y lo que abarca, sin, con todo, limitarse a una determinada categoria profesional.

Fluência digital e uso de ambientes virtuais: caracterização de alunos de enfermagem

The objective of this study was to characterize the profile of nursing undergraduate students, identify their digital fluency, knowledge, ability and interest in using virtual learning environments. This quantitative, exploratory-descriptive study, was performed with 51 nursing undergraduate students. Data collection was performed using a questionnaire. All 51 subjects (100%) reported having some knowledge in informatics, 26 (49%) of which reported having an intermediate knowledge; 47 (92%) use the Internet everyday; 51 (100%) surf the social networks and have e-mail; 51 (100%) are MSN users; 32 (62.7%) use Skype; 41 (82%) use Chat applications; 33 (64.7%) use discussion forums; 22 (43%) use blogs; 33 (64.7%) frequently use Moodle and 26 (51%) use COL; 45 (88.2 %) reported interest in using virtual learning environments. The students are digitally fluent and show knowledge, ability and significant interest regarding the use of virtual learning environments in their academic studies.The objective of this study was to characterize the profile of nursing undergraduate students, identify their digital fluency, knowledge, ability and interest in using virtual learning environments. This quantitative, exploratory-descriptive study, was performed with 51 nursing undergraduate students. Data collection was performed using a questionnaire. All 51 subjects (100%) reported having some knowledge in informatics, 26 (49%) of which reported having an intermediate knowledge; 47 (92%) use the Internet everyday; 51 (100%) surf the social networks and have e-mail; 51 (100%) are MSN users; 32 (62.7%) use Skype; 41 (82%) use Chat applications; 33 (64.7%) use discussion forums; 22 (43%) use blogs; 33 (64.7%) frequently use Moodle and 26 (51%) use COL; 45 (88.2 %) reported interest in using virtual learning environments. The students are digitally fluent and show knowledge, ability and significant interest regarding the use of virtual learning environments in their academic studies.

Enfermeiros prescrevendo medicamentos: possibilidades e perspectivas

Efforts to ensure the implementation of nurses prescribing medications have been a challenge in different parts of the world. This paper aimed at describing how this issue has been accomplished in some countries and reflecting about nursing professional legislation in Brazil in relation to this subject. Data from the International Council of Nurses (ICN) and the Ministry of Health Programs on Public Health show the need for a stronger political action by nurses and their institutional representations in order to create a legislation to better define their scope and functions in relation to prescription of medicines.Esfuerzos para garantizar la implementacion de la prescripcion de medicinas por enfermeros han sido un desafio en diversas partes del mundo. Este estudio pretende describir como esta prescripcion viene siendo realizada en algunos paises y reflexionar sobre la legislacion del ejercicio profesional de enfermeria en Brasil sobre este tema. Datos del Consejo Internacional de Enfermeras (CIE) y Programas de Salud Publica del Ministerio de Salud, demuestran la necesidad de una actuacion politica mas fuerte de los enfermeros y de sus organos representativos a fin de crear una legislacion que pueda definir mejor el ambito y funciones de los enfermeros con relacion a la prescripcion de medicinas.

Ocorrências éticas de enfermagem: cotidiano de enfermeiros gerentes e membros da comissão de ética de enfermagem

O objetivo deste estudo foi compreender o significado das acoes dos enfermeiros frente as ocorrencias eticas envolvendo os profissionais de enfermagem. Os dados foram obtidos por meio de entrevista com enfermeiros gerentes e enfermeiros membros da Comissao de Etica de Enfermagem que vivenciaram o fenomeno. Os dados foram analisados segundo o referencial da fenomenologia sociologica. As experiencias dos enfermeiros permitiram desvelar as seguintes categorias concretas de significado vivido, pois eles buscam: a humanizacao da assistencia, a melhoria continua do processo de cuidar, a credibilidade profissional, a satisfacao da clientela, a desmistificacao do medo da punicao, a parceria no processo educativo, o respeito ao sigilo etico e a expectativa em relacao ao encaminhamento da ocorrencia a Comissao de Etica. A tipificacao foi descrita ao final. As acoes dos enfermeiros nas ocorrencias eticas despertam o interesse dos profissionais de enfermagem, que querem assegurar uma assistencia isenta de riscos ou danos e promover a valorizacao desses profissionais.

Ocorrências éticas na enfermagem

Descriptive and exploratory study with a quantitative approach involving hundred fourteen causes of nursing ethical occurrences (or infractions) between 1995-2001. The objectives of the study were to: 1) characterize the nursing professionals involved in ethical occurrences; 2) identify causes of mistakes made. Outcomes obtained showed that: a) nursing auxiliaries were responsible for the majority of ethical occurrences: b) the main cause of occurrences were negligence, followed by imprudence: c) the more frequent technical mistake observed was in the preparation and/or administration of medicines. This study aims to contribute for a better understanding of the ethical issue involved in the daily nursing practice, as well as to alert professionals in order to not be involved in similar ethical events.Estudio descriptivo y exploratorio com abordaje cuantitativo envolviendo ciento y catorce causas de ocurrencias eticas (o infracciones) entre 1995-2001. Los objectivos del estudio fueron: 1) caracterizar los profesionales de enfermeria envolvidos em ocurrencias eticas; 2) identificar las causas prevalientes de errores cuanto a la categoria de profisional y su jornada de trabajo. Resultados obtenidos demostraron que: a) los auxiliares de enfermeria eran responsables por la mayoria de las ocurrencias eticas; b) la causa principal de ocurrencias era la negligencia, seguida por imprudencia; c) los errores tecnicos mas observados eran em la preparacion y/o administracion de medicinas. Este estudio visa contribuir para la mejor comprension de las cuestiones eticas que envolven la pratica diaria de enfermeria y alertar los profesionales para que no incurran em eventos de esta naturaleza.Descriptive and exploratory study with a quantitative approach involving hundred fourteen causes of nursing ethical occurences (or infractions) between 1995 _ 2001. The objectives of the study were to: 1) characterize the nursing professionals involved in ethical occurences; 2) identify causes of mistakes made. Outcomes obtained showed that: a) nursing auxiliaries were responsible for the majority of ethical occurences; b) the main cause of occurrences were negligence, followed by imprudence; c) the more frequent technical mistake observed was in the preparation and/or administration of medicines. This study aims to contribute for a better understanding of the ethical issue involved in the daily nursing practice, as well as to alert profissionals in order to not be involved in similar ethical events.

Perfil de profissionais de enfermagem e ocorrências éticas

OBJECTIVE: to describe the profile of nursing professionals involved in ethical occurrences in a specific hospital. METHODS: this is a retrospective, exploratory study using a quantitative approach. RESULTS: data obtained with a previously created form, used to collect information recorded by members of the Nursing Ethics Committee (NEC) of the referred hospital, between 1995 and 2004. Analysis showed distribution of occurrences according to age group, gender, job position, working hours, time in the job, and the person who reported the occurrence to NEC. CONCLUSION: Data have favored partnerships for an educational process involving the NEC, Continuing Education Program, and the nursing managers, pointing out areas that need more investment to prevent these ethical occurrences.Objective: to describe the profile of nursing professionals involved in ethical occurrences in a specific hospital. Methods: this is a retrospective, exploratory study using a quantitative approach. Results: data obtained with a previously created form, used to collect information recorded by members of the Nursing Ethics Committee (NEC) of the referred hospital, between 1995 and 2004. Analysis showed distribution of occurrences according to age group, gender, job position, working hours, time in the job, and the person who reported the occurrence to NEC. Conclusion: Data have favored partnerships for an educational process involving the NEC, Continuing Education Program, and the nursing managers, pointing out areas that need more investment to prevent these ethical occurrences. Descriptors: Nursing ethics; Ethics; Nursing team/ethics