Glaucia Valente Valadares

Experimentando atitudes e sentimentos: o cotidiano hemodialítico como base para o cuidar em enfermagem

Resumen El presente estudio tiene como objetivo: discutir la relación del enfrentamiento de los clientes dependientes de la hemodiálisis en términos de posibilidades para el cuidado de enfermería. Se aprobó como referencial teórico de la visión sistémica de la persona y los conceptos de la confrontación. La trayectoria metodológica fue de la investigación cualitativa, utilizando los principios básicos de la Teoría Fundamentada en los Datos (TFD). La escena del estudio fue una asociación de enfermos de riñón y trasplantados del Estado de Río de Janeiro. Los par ticipantes de la investigación han sido en personas dependientes de hemodiálisis a esta asociación. Para el resgate de los datos fue adoptado la observación par ticipante sistemática y la entrevista de media estructuralizarse en profundidad. La información se ha analizado, teniendo en cuenta los procedimientos básicos per tinentes de la TFD: la codificación abierta, axial y selectiva de la codificación. Entre muchos aspectos, el estudio señala la relación de interdependencia entre los conocimientos y la sensibilidad para garantía de que la atención dada se basa en la visión sistémica de la persona. Palabras clave: Atención dirigida al paciente. Diálisis Renal. Atención de enfermería. 1Enfermeiro. Especializando em Enfermagem em Nefrologia pela Universidade Gama Filho/ RJ. Brasil. E-mail: genesisbarbosa@gmail.com. 2Enfermeira. 2Doutora em Enfermagem. Docente chefe do Depar tamento de Enfermagem Fundamental da Escola de Enfermagem Anna Nery da Universidade Federal do Rio de Janeiro. Orientadora. Brasil. E-mail: glauciavaladares@ig.com.br PESQUISA RESEARCH INVESTIGACIÓN This study aims to: discuss the relation of the patient’s confrontation on hemodialysis in terms of possibilities for nursing care. Adopted as a theoretical reference the vision of the individual and systemic concepts of confrontation. The path traveled was the methodology of qualitative research, using the basic principles of Grounded Theory. The scenario of the study was an association of kidney and transplanted from Rio de Janeiro State. The participants of the research subjects were dependent on dialysis involved in this association. To rescue the data were taken by participant observation and semi-structured in depth. The information was analyzed, considering the basic procedures relevant to Grounded Theory: open coding, coding axial and coding selective. Among many things, the study points to the relationship of interdependence of knowledge and sensitivity to ensure that the care provided is based on the systemic view of the individual. Genesis de Souza Barbosa1 Experimenting attitudes and feelings: the everyday of the hemodialysis as basis of nursing careEl presente estudio tiene como objetivo: discutir la relacion del enfrentamiento de los clientes dependientes de la hemodialisis en terminos de posibilidades para el cuidado de enfermeria. Se aprobo como referencial teorico de la vision sistemica de la persona y los conceptos de la confrontacion. La trayectoria metodologica fue de la investigacion cualitativa, utilizando los principios basicos de la Teoria Fundamentada en los Datos (TFD). La escena del estudio fue una asociacion de enfermos de rinon y trasplantados del Estado de Rio de Janeiro. Los participantes de la investigacion han sido en personas dependientes de hemodialisis a esta asociacion. Para el resgate de los datos fue adoptado la observacion participante sistematica y la entrevista de media estructuralizarse en profundidad. La informacion se ha analizado, teniendo en cuenta los procedimientos basicos pertinentes de la TFD: la codificacion abierta, axial y selectiva de la codificacion. Entre muchos aspectos, el estudio senala la relacion de interdependencia entre los conocimientos y la sensibilidad para garantia de que la atencion dada se basa en la vision sistemica de la persona.

Vivendo entre o pesadelo e o despertar: o primeiro momento no enfrentamento da diálise peritoneal

Resumen Este ar tículo se origina de una tesis cuyo objeto era el enfrentamiento del cliente portador de enfermedad renal crónica mediante el inicio de diálisis peritoneal. Los sujetos del estudio fueron considerados en la perspectiva del Interaccionismo Simbólico, que valoriza el significado de los elementos del mundo como determinantes para la interacción. De acuerdo con los procedimientos metodológicos de la Teoría Fundamentada, se establecieron cinco elementos del paradigma del análisis: Causas, Contexto, Factores Intervinientes, Estrategias de acción/interacción y Consecuencias. El propósito de esta discusión es encontrar maneras por las cuales el cliente portador de enfermedad renal crónica enfrenta la diálisis peritoneal, en la eminencia de la realización de este método. Ante esta nueva situación, el cliente se inicia con un despertar, abandonando la idea de muerte y haciendo una clara distinción entre la enfermedad renal crónica y la diálisis. Si antes, las dos percepciones parecían solo una, el despertar presenta la diálisis peritoneal como el “anti-muerte”, como un renacer para la vida. Palabras clave: Enfermería. Diálisis. Cuidados de Enfermería 1Enfermeiro. Mestre pela EEAN-UFRJ. Especialista em nefrologia pela UGF. Possui Residência de Enfermagem em nefrologia pelo HUPE-UERJ. Rio de Janeiro-RJ. Brasil. Email: felipe-ks@uol.com.br,2Professora da Escola de Enfermagem Anna Nery/Universidade Federal do Rio de Janeiro. Membro do Núcleo de Pesquisa Fundamentos do Cuidado de Enfermagem. Coordenadora do Curso de Enfermagem Campus Macaé-RJ. Brasil. Email: glauciavaladares@ig.com.br PESQUISA RESEARCH INVESTIGACIÓN This article originates from a dissertation whose object was the significance of facing the customer carrier of chronic kidney disease by initiating peritoneal dialysis. The study subjects were considered from the perspective of symbolic interactionism, which emphasizes the significance of the elements of the world as determinants for the interaction. Following the methodological procedures of Grounded Theory were established paradigms of the five elements of analysis: Causes, Context, Factors Actors, Strategies for Action/Interaction and Consequences. The purpose of this discussion is finding ways by which the customer carrier faces chronic kidney disease on peritoneal dialysis, on the verge of realizing this method. Facing this new situation, the customer goes to a wake, abandoning the idea of death and making a clear distinction between chronic kidney disease and dialysis. If before, the two perceptions seemed to be just one, the awakening has peritoneal dialysis as the “anti-death” like a rebir th for life.

Hemodiálise: estilo de vida e a adaptação do paciente

Resumen en: OBJECTIVE: To identify and describe how patients on hemodialysis cope with their disease regarding changes in attitudes, behaviors, and practices of acti...ABSTRACT Objective: To identify and describe how patients on hemodialysis cope with their disease regarding changes in attitudes, behaviors, andpractices of activities of daily life. Methods: This qualitative study, guided by grounded theory, was conducted among patients attending theassociation of renal transplant of Rio de Janeiro. The sample comprised 10 patients Results: The analysis suggested that the patients wentthrough denial, negative thoughts, and social adjustment to achieve adaptation by constructing a new life style. Conclusion : Nursinginterventions must go beyond the physical and biological patients™ needs to include social and psychological approaches that might beeffective in improving the quality of life of patients on hemodialysis. Keywords: Hemodialysis/psychology; Adaptation, psychological; Patient-centre care; Nursing care RESUMEN Objetivo: Identificar como enfrenta, en el dia a dia, el proceso salud-enfermedad el paciente dependiente de hemodiAElisis, considerandoactitudes, comportamientos y prAEcticas.

Vivenciando o conjunto de circunstâncias que influenciam na significação da alta hospitalar: estudo de enfermagem

Resumen This discussion is part of the dissertation entitled: “Resignifying discharge and perceive themselves as family caregivers: a study of nursing”, linked to Anna Nery School of Nursing. It had as its object the meaning of the hospital for the client’s family with sequelae form a stroke. The objective set for this discussion was: discuss the context experienced by family caregivers considering the dueling feelings, expressions, attitudes and practices. The theoretical approach was Interactionism, which was adopted the method Grounded Theory. The study was conducted at a public hall. The participants were family caregivers of victims of a stroke. From the analysis of the phenomenon categories reveals an understanding of the set of circumstances surrounding the event and to ar ticulate meaning that interfere with family grant discharge.Resumen This discussion is part of the dissertation entitled: “Resignifying discharge and perceive themselves as family caregivers: a study of nursing”, linked to Anna Nery School of Nursing. It had as its object the meaning of the hospital for the client’s family with sequelae form a stroke. The objective set for this discussion was: discuss the context experienced by family caregivers considering the dueling feelings, expressions, attitudes and practices. The theoretical approach was Interactionism, which was adopted the method Grounded Theory. The study was conducted at a public hall. The participants were family caregivers of victims of a stroke. From the analysis of the phenomenon categories reveals an understanding of the set of circumstances surrounding the event and to articulate meaning that interfere with family grant discharge.

Conhecendo as estrategias de acao e interacao utilizadas pelos clientes para o enfrentamento da dialise peritoneal

This article aims to present the main action and interaction strategies that patients with chronic kidney disease use to cope with peritoneal dialysis. Symbolic Interactionism was chosen as the theoretical framework, as it values the meaning of interaction as a determinant of human behavior. Grounded Theory was used as the methodological framework. Data was collected using a semistructured interview script. The interviews were recorded, transcribed, coded and organized to comprise the explanatory theory for the phenomenon studied. Several resources used by the clients were identified during the analysis, such as their need to obtain information about peritoneal dialysis, their refuge in spirituality, and the delusion of a cure. The importance of a support network is highlighted, in which nurses may work as facilitators of the coping process, in order to help patients to adapt to their new context. 1 Nurse. Masters degree from EEAN-UFRJ. Speciality in nephrology from UGF. Nursing residency in nephrology at HUPE UERJ. Rio de Janeiro RJ. Brazil. Email: felipe-ks@ uol.com.br 2 Professor at the Anna Nery School of Nursing/Federal University of Rio de Janeiro. Member of the Basics of Nursing Care Research Center. Coordinator of the Nursing Course Macae Campus. Macae RJ. Brazil. Email: glauciavaladares@ig.com.br RESEARCH PESQUISA INVESTIGACION Conhecendo as estrategias de acao e interacao utilizadas pelos clientes para o enfrentamento da dialise peritoneal Esc Anna Nery (print)2013 Jul-Sep; 17 (3):423 431 Felipe Kaezer dos Santos1, Glaucia Valente Valadares2 Conociendo las estrategias de accion e interaccion utilizadas por los pacientes para enfrentar la dialisis peritoneal Nursing; Peritoneal dialysis; Nursing Care.El articulo objetiva presentar las principales estrategias de accion e interaccion utilizadas por los pacientes de enfermedad renal cronica para el enfrentamiento de la dialisis peritoneal. El referencial teorico utilizado fue el Interaccionismo Simbolico, por tratarse de una estructura que valoriza el significado de la interaccion como determinante del comportamiento humano. La Teoria Fundamentada en los Datos se constituyo como el referencial metodologico. Luego de la obtencion de los datos, realizada mediante una rutina de entrevistas semiestructuradas, los mismos fueron grabados, transcriptos, codificados y organizados para componer la teoria explicativa sobre el fenomeno estudiado. Durante el analisis, fueron identificados varios recursos utilizados por pacientes, como la necesidad de obtener informaciones sobre dialisis peritoneal, el refugio en la espiritualidad y la falsa ilusion de cura. Se destaca tambien la red de apoyo, en la que el enfermero podra actuar como facilitador del proceso de enfrentamiento, para ayudar a los pacientes en la adaptacion a su nueva realidad.

Desvelando o saber/ fazer sobre diagnósticos de enfermagem: experiência vivida em neurocirurgia oncológica

Article extracted from a Masters dissertation whose objective was to characterize the interaction of nurses with nursing diagnoses in neurosurgical oncology, considering behaviors, expressions, attitudes and practices. The participants were sixteen nurses who work with equal or more than five years in neurosurgical oncology at the National Cancer Institute. The Symbolic Interactionism was used as the theoretical framework, and the Grounded Theory, as a methodological approach. The findings indicate that the nurse is unveiling possibilities of caring for the client of neurosurgical oncology, not only in the perspective of suffering, but especially from the perspective of existential care, covering their needs and singularities, and respecting their limitations.Article extracted from a Master’s dissertation whose objective was to characterize the interaction of nurses with nursing diagnoses in neurosurgical oncology, considering behaviors, expressions, attitudes and practices. The participants were sixteen nurses who work with equal or more than fi ve years in neurosurgical oncology at the National Cancer Institute. The Symbolic Interactionism was used as the theoretical framework, and the Grounded Theory, as a methodological approach. The fi ndings indicate that the nurse is unveiling possibilities of caring for the client of neurosurgical oncology, not only in the perspective of suffering, but especially from the perspective of existential care, covering their needs and singularities, and respecting their limitations.

Hemodialysis: patient’s adaptation and life style

Resumen en: OBJECTIVE: To identify and describe how patients on hemodialysis cope with their disease regarding changes in attitudes, behaviors, and practices of acti...ABSTRACT Objective: To identify and describe how patients on hemodialysis cope with their disease regarding changes in attitudes, behaviors, andpractices of activities of daily life. Methods: This qualitative study, guided by grounded theory, was conducted among patients attending theassociation of renal transplant of Rio de Janeiro. The sample comprised 10 patients Results: The analysis suggested that the patients wentthrough denial, negative thoughts, and social adjustment to achieve adaptation by constructing a new life style. Conclusion : Nursinginterventions must go beyond the physical and biological patients™ needs to include social and psychological approaches that might beeffective in improving the quality of life of patients on hemodialysis. Keywords: Hemodialysis/psychology; Adaptation, psychological; Patient-centre care; Nursing care RESUMEN Objetivo: Identificar como enfrenta, en el dia a dia, el proceso salud-enfermedad el paciente dependiente de hemodiAElisis, considerandoactitudes, comportamientos y prAEcticas.

Unveiling the knowing / doing on nursing diagnosis: experience in neurosurgical oncology

Article extracted from a Masters dissertation whose objective was to characterize the interaction of nurses with nursing diagnoses in neurosurgical oncology, considering behaviors, expressions, attitudes and practices. The participants were sixteen nurses who work with equal or more than five years in neurosurgical oncology at the National Cancer Institute. The Symbolic Interactionism was used as the theoretical framework, and the Grounded Theory, as a methodological approach. The findings indicate that the nurse is unveiling possibilities of caring for the client of neurosurgical oncology, not only in the perspective of suffering, but especially from the perspective of existential care, covering their needs and singularities, and respecting their limitations.Article extracted from a Master’s dissertation whose objective was to characterize the interaction of nurses with nursing diagnoses in neurosurgical oncology, considering behaviors, expressions, attitudes and practices. The participants were sixteen nurses who work with equal or more than fi ve years in neurosurgical oncology at the National Cancer Institute. The Symbolic Interactionism was used as the theoretical framework, and the Grounded Theory, as a methodological approach. The fi ndings indicate that the nurse is unveiling possibilities of caring for the client of neurosurgical oncology, not only in the perspective of suffering, but especially from the perspective of existential care, covering their needs and singularities, and respecting their limitations.

Living between the nightmare and the awakening: the first time in dealing with peritoneal dialysis

Resumen Este ar tículo se origina de una tesis cuyo objeto era el enfrentamiento del cliente portador de enfermedad renal crónica mediante el inicio de diálisis peritoneal. Los sujetos del estudio fueron considerados en la perspectiva del Interaccionismo Simbólico, que valoriza el significado de los elementos del mundo como determinantes para la interacción. De acuerdo con los procedimientos metodológicos de la Teoría Fundamentada, se establecieron cinco elementos del paradigma del análisis: Causas, Contexto, Factores Intervinientes, Estrategias de acción/interacción y Consecuencias. El propósito de esta discusión es encontrar maneras por las cuales el cliente portador de enfermedad renal crónica enfrenta la diálisis peritoneal, en la eminencia de la realización de este método. Ante esta nueva situación, el cliente se inicia con un despertar, abandonando la idea de muerte y haciendo una clara distinción entre la enfermedad renal crónica y la diálisis. Si antes, las dos percepciones parecían solo una, el despertar presenta la diálisis peritoneal como el “anti-muerte”, como un renacer para la vida. Palabras clave: Enfermería. Diálisis. Cuidados de Enfermería 1Enfermeiro. Mestre pela EEAN-UFRJ. Especialista em nefrologia pela UGF. Possui Residência de Enfermagem em nefrologia pelo HUPE-UERJ. Rio de Janeiro-RJ. Brasil. Email: felipe-ks@uol.com.br,2Professora da Escola de Enfermagem Anna Nery/Universidade Federal do Rio de Janeiro. Membro do Núcleo de Pesquisa Fundamentos do Cuidado de Enfermagem. Coordenadora do Curso de Enfermagem Campus Macaé-RJ. Brasil. Email: glauciavaladares@ig.com.br PESQUISA RESEARCH INVESTIGACIÓN This article originates from a dissertation whose object was the significance of facing the customer carrier of chronic kidney disease by initiating peritoneal dialysis. The study subjects were considered from the perspective of symbolic interactionism, which emphasizes the significance of the elements of the world as determinants for the interaction. Following the methodological procedures of Grounded Theory were established paradigms of the five elements of analysis: Causes, Context, Factors Actors, Strategies for Action/Interaction and Consequences. The purpose of this discussion is finding ways by which the customer carrier faces chronic kidney disease on peritoneal dialysis, on the verge of realizing this method. Facing this new situation, the customer goes to a wake, abandoning the idea of death and making a clear distinction between chronic kidney disease and dialysis. If before, the two perceptions seemed to be just one, the awakening has peritoneal dialysis as the “anti-death” like a rebir th for life.

Investigating the action and interaction strategies that patients use to cope with peritoneal dialysis

This article aims to present the main action and interaction strategies that patients with chronic kidney disease use to cope with peritoneal dialysis. Symbolic Interactionism was chosen as the theoretical framework, as it values the meaning of interaction as a determinant of human behavior. Grounded Theory was used as the methodological framework. Data was collected using a semistructured interview script. The interviews were recorded, transcribed, coded and organized to comprise the explanatory theory for the phenomenon studied. Several resources used by the clients were identified during the analysis, such as their need to obtain information about peritoneal dialysis, their refuge in spirituality, and the delusion of a cure. The importance of a support network is highlighted, in which nurses may work as facilitators of the coping process, in order to help patients to adapt to their new context. 1 Nurse. Masters degree from EEAN-UFRJ. Speciality in nephrology from UGF. Nursing residency in nephrology at HUPE UERJ. Rio de Janeiro RJ. Brazil. Email: felipe-ks@ uol.com.br 2 Professor at the Anna Nery School of Nursing/Federal University of Rio de Janeiro. Member of the Basics of Nursing Care Research Center. Coordinator of the Nursing Course Macae Campus. Macae RJ. Brazil. Email: glauciavaladares@ig.com.br RESEARCH PESQUISA INVESTIGACION Conhecendo as estrategias de acao e interacao utilizadas pelos clientes para o enfrentamento da dialise peritoneal Esc Anna Nery (print)2013 Jul-Sep; 17 (3):423 431 Felipe Kaezer dos Santos1, Glaucia Valente Valadares2 Conociendo las estrategias de accion e interaccion utilizadas por los pacientes para enfrentar la dialisis peritoneal Nursing; Peritoneal dialysis; Nursing Care.El articulo objetiva presentar las principales estrategias de accion e interaccion utilizadas por los pacientes de enfermedad renal cronica para el enfrentamiento de la dialisis peritoneal. El referencial teorico utilizado fue el Interaccionismo Simbolico, por tratarse de una estructura que valoriza el significado de la interaccion como determinante del comportamiento humano. La Teoria Fundamentada en los Datos se constituyo como el referencial metodologico. Luego de la obtencion de los datos, realizada mediante una rutina de entrevistas semiestructuradas, los mismos fueron grabados, transcriptos, codificados y organizados para componer la teoria explicativa sobre el fenomeno estudiado. Durante el analisis, fueron identificados varios recursos utilizados por pacientes, como la necesidad de obtener informaciones sobre dialisis peritoneal, el refugio en la espiritualidad y la falsa ilusion de cura. Se destaca tambien la red de apoyo, en la que el enfermero podra actuar como facilitador del proceso de enfrentamiento, para ayudar a los pacientes en la adaptacion a su nueva realidad.