Gilvânia Smith da Nóbrega Morais

Comunicação como instrumento básico no cuidar humanizado em enfermagem ao paciente hospitalizado

A humanizacao e uma expressao que vem sendo comumente usada no sentido de associacao dos recursos tecnologicos ao reconhecimento da individualidade do paciente, compreendido como ser integral e ao mesmo tempo singular em suas necessidades. Considerando que a humanizacao do cuidado em enfermagem vem sendo bastante enfatizada nas instituicoes de saude e que a comunicacao permite a equipe compreender as necessidades do paciente vulnerabilizado pela doenca e hospitalizacao, surge a necessidade de refletir a respeito da relevância da comunicacao no processo do cuidar humanizado em enfermagem. Sob esse prisma, o presente estudo, de natureza bibliografica, teve por objetivo destacar a comunicacao como instrumento basico no processo do cuidar humanizado em enfermagem ao paciente hospitalizado. A partir desta pesquisa os autores ressaltam a valoracao do processo de comunicacao como componente basico na humanizacao do cuidado em enfermagem.Humanization is a term that is commonly used in association with technological resources and patient individuality, which considers patient’s holistic and uniqueness needs. Humanization of nursing care has being emphasized in healthcare. Communication is a key factor that allows the healthcare team to understand the hospitalized patient’s needs. Thus, there is a need to reflect upon the relevance of communication to provide quality humanized nursing care. Focusing on these aspects of nursing care, the objective of this bibliographic study was [...]

Experiência existencial de mães de crianças hospitalizadas em Unidade de Terapia Intensiva Pediátrica

This study has the objective of understanding the existential experience of mothers of children hospitalized in an intensive pediatric care unit (IPCU). It is a qualitative-based research grounded on the humanistic nursing theory. The investigation scenario was the IPCU of a public hospital. Five mothers of children who were hospitalized in the referred unit participated in the investigation. Data were analyzed from the standpoint of the five phases of the phenomenological nursing. The following issues emerged from the collected statements: the relationship between mothers and nursing professionals at the moment of admission and throughout the childs hospitalization period in the IPCU; and mothers who experience fear, despair and loneliness in face of the childs disease. The present study highlights the complexity of a mother-centered approach and subsidizes a new look at the field of the care, teaching and nursing research.Este estudo tem como objetivo compreender a experiencia existencial de maes de criancas hospitalizadas em Unidade de Terapia Intensiva Pediatrica (UTIP). Trata-se de uma pesquisa de natureza qualitativa, consubstanciada na Teoria Humanistica de Enfermagem. O cenario da investigacao foi uma UTIP de um hospital publico. Participaram do trabalho cinco maes de criancas hospitalizadas na referida unidade. Os dados foram analisados com base nas cinco fases da Enfermagem Fenomenologica. A partir dos discursos expressos durante a coleta de dados, emergiram as seguintes tematicas: a relacao vivenciada entre as maes e os profissionais de enfermagem no momento da admissao e ao longo da hospitalizacao da crianca na UTIP; e maes vivenciando sentimentos de medo, desespero e solidao diante do adoecimento do filho. O presente estudo ressalta a complexidade de que se reveste uma abordagem centrada nas genitoras e subsidia um novo olhar no âmbito da assistencia, do ensino e da pesquisa em enfermagem.

Communication as a basic instrument in providing humanized nursing care for the hospitalized patient

A humanizacao e uma expressao que vem sendo comumente usada no sentido de associacao dos recursos tecnologicos ao reconhecimento da individualidade do paciente, compreendido como ser integral e ao mesmo tempo singular em suas necessidades. Considerando que a humanizacao do cuidado em enfermagem vem sendo bastante enfatizada nas instituicoes de saude e que a comunicacao permite a equipe compreender as necessidades do paciente vulnerabilizado pela doenca e hospitalizacao, surge a necessidade de refletir a respeito da relevância da comunicacao no processo do cuidar humanizado em enfermagem. Sob esse prisma, o presente estudo, de natureza bibliografica, teve por objetivo destacar a comunicacao como instrumento basico no processo do cuidar humanizado em enfermagem ao paciente hospitalizado. A partir desta pesquisa os autores ressaltam a valoracao do processo de comunicacao como componente basico na humanizacao do cuidado em enfermagem.Humanization is a term that is commonly used in association with technological resources and patient individuality, which considers patient’s holistic and uniqueness needs. Humanization of nursing care has being emphasized in healthcare. Communication is a key factor that allows the healthcare team to understand the hospitalized patient’s needs. Thus, there is a need to reflect upon the relevance of communication to provide quality humanized nursing care. Focusing on these aspects of nursing care, the objective of this bibliographic study was [...]

Assistência Integral a Saúde do Homem: necessidades, obstáculos e estratégias de enfrentamento

Objetivo: Conhecer as necessidades de saude, identificar os obstaculos que impedem o atendimento das necessidades de saude do homem e apresentar as estrategias de enfrentamento para uma assistencia integral e humana a um grupo de homens. Metodos: Estudo de cunho descritivo e exploratorio, com abordagem qualitativa. A coleta dos dados foi realizada em fevereiro de 2012 por meio de entrevista semiestruturada e analisadas a luz do referencial teorico. Resultados: A populacao masculina tem necessidades de saude a serem atendidas e referenciam como obstaculos, a vergonha de se expor, a impaciencia, a inexistencia de tempo e a falta de resolutividade das necessidades de saude. A humanizacao em saude predominou como estrategia de enfrentamento, atraves do acesso, do acolhimento, da comunicacao e do vinculo. Conclusao: A criacao da Politica de Atencao Integral a Saude do Homem nao foi suficiente para inseri-lo no contexto de saude, desta forma, propoe-se mudancas no modelo assistencial.Objective: To know the health needs, to identify obstacles in the health needs of men and to present coping strategies for integral and human assistance to a group of men. Methods: This study was a descriptive, exploratory with qualitative approach. Data collection was conducted in February 2012 through semi-structured interviews and analyzed with theoretical reference. Results: The male population has health needs to be met and they have obstacles as the shame of being exposed, impatience, lack of time and lack of resoluteness health needs. Health humanization prevailed as a coping strategy, through access, reception, communication and bond. Conclusion: The creation of the Policy for Integral Health of Man was not enough to put the man in the context of health. Thus, it proposes to change the health care model.

Existetial experienc of mothers of hospitalized children in intensive pediatric care unit

This study has the objective of understanding the existential experience of mothers of children hospitalized in an intensive pediatric care unit (IPCU). It is a qualitative-based research grounded on the humanistic nursing theory. The investigation scenario was the IPCU of a public hospital. Five mothers of children who were hospitalized in the referred unit participated in the investigation. Data were analyzed from the standpoint of the five phases of the phenomenological nursing. The following issues emerged from the collected statements: the relationship between mothers and nursing professionals at the moment of admission and throughout the childs hospitalization period in the IPCU; and mothers who experience fear, despair and loneliness in face of the childs disease. The present study highlights the complexity of a mother-centered approach and subsidizes a new look at the field of the care, teaching and nursing research.Este estudo tem como objetivo compreender a experiencia existencial de maes de criancas hospitalizadas em Unidade de Terapia Intensiva Pediatrica (UTIP). Trata-se de uma pesquisa de natureza qualitativa, consubstanciada na Teoria Humanistica de Enfermagem. O cenario da investigacao foi uma UTIP de um hospital publico. Participaram do trabalho cinco maes de criancas hospitalizadas na referida unidade. Os dados foram analisados com base nas cinco fases da Enfermagem Fenomenologica. A partir dos discursos expressos durante a coleta de dados, emergiram as seguintes tematicas: a relacao vivenciada entre as maes e os profissionais de enfermagem no momento da admissao e ao longo da hospitalizacao da crianca na UTIP; e maes vivenciando sentimentos de medo, desespero e solidao diante do adoecimento do filho. O presente estudo ressalta a complexidade de que se reveste uma abordagem centrada nas genitoras e subsidia um novo olhar no âmbito da assistencia, do ensino e da pesquisa em enfermagem.

A ANALYSIS AND ASSESSMENT OF THE PEACEFUL END OF LIFE THEORY ACCORDING TO FAWCETT’S CRITERIA

Objective: to assess the Peaceful End of Life Theory according to an assessment framework of nursing theories. Method: reflection developed through the investigation of the Peaceful End of Life Theory and its application in Palliative Care nursing practice, using the analysis and assessment framework proposed by Jacqueline Fawcett. The analysis involved an impartial and detailed investigation of the theory, including the scope, context and content of the theory; and the assessment was based on the criteria of significance, internal consistency, parsimony, testability, empirical adequacy and pragmatic adequacy. Results: what the scope is considered, this is considered a medium-range and predictive theory. Its context is based on Katharine Kocalba’s Comfort Theory. In the content, it presents defined, well-outlined and interrelated concepts. Its significance derives from its explicit definition of the concepts of the metaparadigm; its internal consistency from the definition it provides for each concept and its use of the concepts without contradiction. It is parsimonious because nurses can use it for care to end-of-life patients. Conclusion: the importance of the theory is highlighted, as well as its application in the activities of nurses focused on care to end-of-life individuals and their relatives, as it presents concepts and propositions in line with what Palliative Care proposes. DESCRIPTORS: Nursing. Terminally ill. Palliative care. Nursing theory. Assessment of theory. http://dx.doi.org/10.1590/0104-07072017002920017

Experiência existencial de crianças em tratamento quimioterápico sobre a importância do brincar

Objective: to understand the existential experience of children undergoing chemotherapy on the importance of playing. Methods: qualitative research performed in the outpatient clinic of a teaching hospital with five children undergoing chemotherapy. Data were collected through the interviews and analyzed in the light of the Humanistic Nursing Theory. Results: the discourses revealed the childrens understanding of their illness and their treatment, evidencing the deprivations experienced by them and the situation of emotional imbalance. Playing, according to the childrens reports, elicited positive feelings and represented a way for time to pass faster. Conclusion: the chemotherapy treatment was considered ambiguous, being an unpleasant experience, but necessary for cure. The games in the outpatient chemotherapy service were a viable tool to deal with the discontent before the situation lived, provoking positive feelings such as happiness and satisfaction.

Rodas de sonho e imaginação: contando histórias em um serviço de quimioterapia infantil

Aim: to report the experience of Nursing students of telling stories to children in oncologic treatment. Methodology: this is a descriptive experience report, developed from the extension project: “Wheels of dreams and imagination: telling stories at a child outpatient in chemotherapy service”, from May to December 2014, developed by the Federal University of Campina Grande (UFCG-PB), at a University Hospital. Results: through storytelling, it is possible to understand aspects related to the illness process experienced by the children and their family and, thereby, transform the practice of care and treatment. The study highlights the playful practices as the main approach tool among health professionals and the children’s universe. Final Thoughts: the need for professionals to develop actions that come upon the status of being a child, not getting limited by projects that are developed in universities, is emphasized.

Importance of Palliative Care in Pediatric Oncology

To analyze the testimonies of clinical nurses about the importance of the practice of palliative care in Pediatric Oncology, in the light of the Humanistic Nursing Theory. This is a qualitative research conducted with ten nurses from a pediatric unit of a public hospital in the city of Joao Pessoa – PB, through a semi-structured interview, using Paterson´s and Zderad´s Humanistic Nursing Theory as theoretical and methodological support. The following categories emerged from the analysis: palliative care is essential for promoting humanized care of children with cancer, in end-stage; and palliative care value the communication among nurses, child, and family. It is concluded the need for the promotion of humanized practice by nurses, both the child under a palliative care, as the family, showing to be motivated, sensitized and respecting them in their uniqueness and authenticity, as preconized by the Humanistic Nursing Theory.

Family Structure Assessment Of Patients In Palliative Home Care

This study aims to examine the family structure of patients in palliative home care in the light of the Calgary Family Assessment Model (CFAM). This is a qualitative research, conducted in the residences of patients enrolled in the Palliative Care Unit and Pain Treatment (PCUP) of a university hospital located in Recife/Pernambuco, Brazil, in the period from May to July 2014. The sample consisted of five patients enrolled in the PCUP and five family caregivers. Data collection was performed through an interviewing technique using two instruments: the genogram and eco-map. The empirical material was analyzed in the light of the Calgary Model of Family Assessment. The application of the Model demonstrated external family structure relationship with the non-existent neighborhood; support network in diverse health, with very strong relationship with the PCUP highlighting the link with nursing professional; weak relationship concerning Basic Health Unit and strong connection to the church. The obtained data suggest that each researched family has demands to be thought of as focus of nursing care and have faith as a resource for coping with the disease. It follows that the application of CFAM has highlighted the intra-family ties and the relations established with the support networks, signaling strategies to optimize patient care without a therapeutic possibility of cure and their family.