Giselda Veronice Hahn

Riscos à segurança do paciente em unidade de internação hospitalar: concepções da equipe de enfermagem

Objective: checking the nursing staff’s conception of possible risks for the patient safety in a clinic hospitalization unit, and knowing strategies used to manage risks. Method: a descriptive study with qualitative approach. Fourteen subjects, including nurses and nursing experts working in clinic hospitalization unit, were interviewed. It was conducted a content assessment. Results: workers identify risks and report mistakes according to the service routine and in a computerized way for the significant family. There is concern about legal and ethical aspects in case of injuring the patient. Excessive working hours and lack of workers were also mentioned as patient safety risks. Conclusions: risk management is a complex work that includes different aspects of the working practice and significant for improving nursing assistance. It is a subject to be addressed in permanent education

As parteiras e o cuidado com o nascimento

En este estudo hemos tenido el objetivo de conocer el cuidado con el nacimiento hecho por parteras, en la mitad del siglo pasado. Es un estidio de abordaje cualitativo, ulizandose la analisis de contenido. Fueron entrevistadas cuatro partera. Han surgido cinco categorias: motivacion para ser partera; aprendizaje del trabajo de ser partera; contextualizacion del trabajo de partera; desarrollo del cuidado; compensacion del trabajo. Las parteras han buscado la ocupacion por una necesidad institucional y de trabajo. Han aprendido en cursos y con la practica. En las viviendas las condiciones eran precarias y realizaban la mayoria de los partos en el hospital. Seguian los cuidados indispensables a la madre y al hijo. Cuentan que tenian mucha paciencia para que el parto fuera normal. Han realizado su trabajo con desprendimiento, pues la compensacion venia por el reconocimiento social.This study aimed at knowing the care in childbirths conducted by midwives by the middle of 20th century It is a study of qualitative approach using as reference the Content Analysis. Four midwives were interviewed. Five categories emerged: Motivation to be a midwife; learning to be a midwife; positioning the midwifes work; developing care; work compensation. Midwives sought this occupation for institutional and job need. They learned the work in courses and practice. At home, conditions were poor, and in hospitals, they conducted the majority of the childbirth. They took the necessary care for mother and child. They have reported to be patient so that mothers could have normal childbirth. They conducted with selflessness because social recognition was their compensation.

A utilização da noção de vulnerabilidade na produção de conhecimento sobre tuberculose: revisão integrativa

OBJECTIVE to identify how the notion of vulnerability is used in national and international scientific publications that address the problem of tuberculosis. METHOD an integrative review of literature published in the databases of the Biblioteca Virtual em Saúde, the United States National Library of Medicine and the Biblioteca Digital Brasileira de Teses e Dissertações, considering the descriptors Tuberculosis and Vulnerability in Portuguese and English. RESULTS we selected fifty-eight studies published between 1992 and February 2014, which resulted in three categories of analysis. CONCLUSION the link between tuberculosis and the notion of vulnerability has not been sufficiently consolidated in national and international literature. This creates an obstacle for the achievement of the epistemological transformations and pragmatic measures that are required to obtain better results from interventions in the field.

Cuidados com úlceras venosas: realidade do Brasil e Portugal

Objective: to describe resources nurses in the public health in the treatment for venous ulcers used in two different social and economic realities. Method: exploratory descriptive field study with qualitative approach. Data were collected through a semi-structured questionnaire. The sample included six nurses from every town. Content analysis was done. Results: we have found out that some topic agents were used in both studied towns, but in Leiria there is a much wider variety of recourses. Conclusions: there is no adequate covering for all wounds, due to the specificities for every type or phase of lesion. Nurses have to know and check new technologies and recourses available in the market, and investigate its practices to heighten the arguing powers in with managers and other health team workers. It is necessary to make an interdisciplinary evaluation of the patient and including him/her in the therapeutic plan, especially in cases of chronic wounds

Ensino de enfermagem em Lajeado, RS: resgate histórico

Historical qualitative research whose aim has been to recover nursing teaching path in the Brazilian town of Lajeado/RS, from the second half of the twentieth century. Oral history has been used as primary data, and the second ones have been documents that have been analysed according to Bardins Content Analysis. The subjects were heads, teachers and students of nursing courses. In the past 50 years, the professionalization of nursing was intensive, serving to the current political and economic model, in the form of formal and informal courses. Workers would be ill prepared, subservient to other health professionals and would try to work for doctors and institutional directors. However, school initiative and professionals working in various areas began to change this reality in the region.^lpt^aPesquisa qualitativa historica, cujo objetivo foi resgatar a trajetoria do ensino de Enfermagem no municipio de Lajeado, a partir da segunda metade do seculo passado. Utilizou-se como dados primarios Historia Oral e como secundarios, documentos, que foram analisados conforme a Analise de Conteudo de Bardin. Os sujeitos foram alunos, professores e coordenadores de cursos de enfermagem. A profissionalizacao da enfermagem, na forma de cursos formais e informais, se intensificou nos ultimos 50 anos, atendendo ao modelo politico-economico vigente. Os trabalhadores eram precariamente preparados e desenvolviam funcoes subalternas aos demais profissionais da saude, ou seja, buscavam responder aos interesses dos medicos e dirigentes institucionais. Porem, a iniciativa de escolas e a atuacao de diversos profissionais tem modificando esta realidade na regiao.^len^aHistorical qualitative research whose aim has been to recover nursing teaching path in the Brazilian town of Lajeado/RS, from the second half of the twentieth century. Oral history has been used as primary data, and the second ones have been documents that have been analysed according to Bardins Content Analysis. The subjects were heads, teachers and students of nursing courses. In the past 50 years, the professionalization of nursing was intensive, serving to the current political and economic model, in the form of formal and informal courses. Workers would be ill prepared, subservient to other health professionals and would try to work for doctors and institutional directors. However, school initiative and professionals working in various areas began to change this reality in the region.^les^aInvestigacion cualitativa historica, cuyo objetivo ha sido rescatar la trayectoria de la ensenanza de Enfermeria en el municipio de Lajeado, desde la segunda mitad del siglo pasado. Como datos primarios se ha utilizado la Historia Oral y como secundarios los documentos, estos analisados de acuerdo con el Analisis del Contenido de Cardin. Los sujetos fueron alumnos, profesores, y coordinadores de los cursos de Enfermeria. El profesionalismo de Enfermeria ha sido intenso en los ultimos 50 anos, a causa del modelo politico-economico, y fue hecho con cursos formales e informales. Los trabajadores eran escasamente preparados, desarrollaban funciones subalternas para los otros profesionales de salud y buscaban responder a los intereses de medicos y dirigentes institucionales. Pero, la iniciativa de escuelas y la actuacion de distintos profesionales ha cambiado esta realidad en la region.

Midwives and care in childbirth

En este estudo hemos tenido el objetivo de conocer el cuidado con el nacimiento hecho por parteras, en la mitad del siglo pasado. Es un estidio de abordaje cualitativo, ulizandose la analisis de contenido. Fueron entrevistadas cuatro partera. Han surgido cinco categorias: motivacion para ser partera; aprendizaje del trabajo de ser partera; contextualizacion del trabajo de partera; desarrollo del cuidado; compensacion del trabajo. Las parteras han buscado la ocupacion por una necesidad institucional y de trabajo. Han aprendido en cursos y con la practica. En las viviendas las condiciones eran precarias y realizaban la mayoria de los partos en el hospital. Seguian los cuidados indispensables a la madre y al hijo. Cuentan que tenian mucha paciencia para que el parto fuera normal. Han realizado su trabajo con desprendimiento, pues la compensacion venia por el reconocimiento social.This study aimed at knowing the care in childbirths conducted by midwives by the middle of 20th century It is a study of qualitative approach using as reference the Content Analysis. Four midwives were interviewed. Five categories emerged: Motivation to be a midwife; learning to be a midwife; positioning the midwifes work; developing care; work compensation. Midwives sought this occupation for institutional and job need. They learned the work in courses and practice. At home, conditions were poor, and in hospitals, they conducted the majority of the childbirth. They took the necessary care for mother and child. They have reported to be patient so that mothers could have normal childbirth. They conducted with selflessness because social recognition was their compensation.

[Using the notion of vulnerability in the production of knowledge about tuberculosis: integrative review].

OBJECTIVE to identify how the notion of vulnerability is used in national and international scientific publications that address the problem of tuberculosis. METHOD an integrative review of literature published in the databases of the Biblioteca Virtual em Saúde, the United States National Library of Medicine and the Biblioteca Digital Brasileira de Teses e Dissertações, considering the descriptors Tuberculosis and Vulnerability in Portuguese and English. RESULTS we selected fifty-eight studies published between 1992 and February 2014, which resulted in three categories of analysis. CONCLUSION the link between tuberculosis and the notion of vulnerability has not been sufficiently consolidated in national and international literature. This creates an obstacle for the achievement of the epistemological transformations and pragmatic measures that are required to obtain better results from interventions in the field.

La utilización de la noción de vulnerabilidad en la producción de conocimiento sobre tuberculosis: revisión integrativa

OBJECTIVE to identify how the notion of vulnerability is used in national and international scientific publications that address the problem of tuberculosis. METHOD an integrative review of literature published in the databases of the Biblioteca Virtual em Saúde, the United States National Library of Medicine and the Biblioteca Digital Brasileira de Teses e Dissertações, considering the descriptors Tuberculosis and Vulnerability in Portuguese and English. RESULTS we selected fifty-eight studies published between 1992 and February 2014, which resulted in three categories of analysis. CONCLUSION the link between tuberculosis and the notion of vulnerability has not been sufficiently consolidated in national and international literature. This creates an obstacle for the achievement of the epistemological transformations and pragmatic measures that are required to obtain better results from interventions in the field.

Enseñanza de enfermería en Lajeado, RS: rescate historico

Historical qualitative research whose aim has been to recover nursing teaching path in the Brazilian town of Lajeado/RS, from the second half of the twentieth century. Oral history has been used as primary data, and the second ones have been documents that have been analysed according to Bardins Content Analysis. The subjects were heads, teachers and students of nursing courses. In the past 50 years, the professionalization of nursing was intensive, serving to the current political and economic model, in the form of formal and informal courses. Workers would be ill prepared, subservient to other health professionals and would try to work for doctors and institutional directors. However, school initiative and professionals working in various areas began to change this reality in the region.^lpt^aPesquisa qualitativa historica, cujo objetivo foi resgatar a trajetoria do ensino de Enfermagem no municipio de Lajeado, a partir da segunda metade do seculo passado. Utilizou-se como dados primarios Historia Oral e como secundarios, documentos, que foram analisados conforme a Analise de Conteudo de Bardin. Os sujeitos foram alunos, professores e coordenadores de cursos de enfermagem. A profissionalizacao da enfermagem, na forma de cursos formais e informais, se intensificou nos ultimos 50 anos, atendendo ao modelo politico-economico vigente. Os trabalhadores eram precariamente preparados e desenvolviam funcoes subalternas aos demais profissionais da saude, ou seja, buscavam responder aos interesses dos medicos e dirigentes institucionais. Porem, a iniciativa de escolas e a atuacao de diversos profissionais tem modificando esta realidade na regiao.^len^aHistorical qualitative research whose aim has been to recover nursing teaching path in the Brazilian town of Lajeado/RS, from the second half of the twentieth century. Oral history has been used as primary data, and the second ones have been documents that have been analysed according to Bardins Content Analysis. The subjects were heads, teachers and students of nursing courses. In the past 50 years, the professionalization of nursing was intensive, serving to the current political and economic model, in the form of formal and informal courses. Workers would be ill prepared, subservient to other health professionals and would try to work for doctors and institutional directors. However, school initiative and professionals working in various areas began to change this reality in the region.^les^aInvestigacion cualitativa historica, cuyo objetivo ha sido rescatar la trayectoria de la ensenanza de Enfermeria en el municipio de Lajeado, desde la segunda mitad del siglo pasado. Como datos primarios se ha utilizado la Historia Oral y como secundarios los documentos, estos analisados de acuerdo con el Analisis del Contenido de Cardin. Los sujetos fueron alumnos, profesores, y coordinadores de los cursos de Enfermeria. El profesionalismo de Enfermeria ha sido intenso en los ultimos 50 anos, a causa del modelo politico-economico, y fue hecho con cursos formales e informales. Los trabajadores eran escasamente preparados, desarrollaban funciones subalternas para los otros profesionales de salud y buscaban responder a los intereses de medicos y dirigentes institucionales. Pero, la iniciativa de escuelas y la actuacion de distintos profesionales ha cambiado esta realidad en la region.

Nursing teaching in Lajeado, RS: a historical recover

Historical qualitative research whose aim has been to recover nursing teaching path in the Brazilian town of Lajeado/RS, from the second half of the twentieth century. Oral history has been used as primary data, and the second ones have been documents that have been analysed according to Bardins Content Analysis. The subjects were heads, teachers and students of nursing courses. In the past 50 years, the professionalization of nursing was intensive, serving to the current political and economic model, in the form of formal and informal courses. Workers would be ill prepared, subservient to other health professionals and would try to work for doctors and institutional directors. However, school initiative and professionals working in various areas began to change this reality in the region.^lpt^aPesquisa qualitativa historica, cujo objetivo foi resgatar a trajetoria do ensino de Enfermagem no municipio de Lajeado, a partir da segunda metade do seculo passado. Utilizou-se como dados primarios Historia Oral e como secundarios, documentos, que foram analisados conforme a Analise de Conteudo de Bardin. Os sujeitos foram alunos, professores e coordenadores de cursos de enfermagem. A profissionalizacao da enfermagem, na forma de cursos formais e informais, se intensificou nos ultimos 50 anos, atendendo ao modelo politico-economico vigente. Os trabalhadores eram precariamente preparados e desenvolviam funcoes subalternas aos demais profissionais da saude, ou seja, buscavam responder aos interesses dos medicos e dirigentes institucionais. Porem, a iniciativa de escolas e a atuacao de diversos profissionais tem modificando esta realidade na regiao.^len^aHistorical qualitative research whose aim has been to recover nursing teaching path in the Brazilian town of Lajeado/RS, from the second half of the twentieth century. Oral history has been used as primary data, and the second ones have been documents that have been analysed according to Bardins Content Analysis. The subjects were heads, teachers and students of nursing courses. In the past 50 years, the professionalization of nursing was intensive, serving to the current political and economic model, in the form of formal and informal courses. Workers would be ill prepared, subservient to other health professionals and would try to work for doctors and institutional directors. However, school initiative and professionals working in various areas began to change this reality in the region.^les^aInvestigacion cualitativa historica, cuyo objetivo ha sido rescatar la trayectoria de la ensenanza de Enfermeria en el municipio de Lajeado, desde la segunda mitad del siglo pasado. Como datos primarios se ha utilizado la Historia Oral y como secundarios los documentos, estos analisados de acuerdo con el Analisis del Contenido de Cardin. Los sujetos fueron alumnos, profesores, y coordinadores de los cursos de Enfermeria. El profesionalismo de Enfermeria ha sido intenso en los ultimos 50 anos, a causa del modelo politico-economico, y fue hecho con cursos formales e informales. Los trabajadores eran escasamente preparados, desarrollaban funciones subalternas para los otros profesionales de salud y buscaban responder a los intereses de medicos y dirigentes institucionales. Pero, la iniciativa de escuelas y la actuacion de distintos profesionales ha cambiado esta realidad en la region.