Hilda Maria Barbosa de Freitas

Conhecimentos produzidos acerca do crack: uma incursão nas dissertações e teses brasileiras

This is a systematic review based on the integrative review method, which sought to analyze the characteristics of knowledge produced by studies on crack, in Brazilian Masters and Doctoral courses. The investigation comprised 33 studies (18 dissertations and 15 theses). Among them, 51.5% were from the Health Science area with emphasis on the Postgraduate Program in Psychiatry (and Medical Psychology), which provided five dissertations/theses. Most of the knowledge on the epidemic (51.5%) are from the Universidade Federal de Sao Paulo and Universidade de Sao Paulo, with the largest number of studies (81.8%) concentrated in the southeast. The themes most analyzed were: organic alterations, drug trafficking and crack use, HIV/Aids, types and strategies of treatment. The results showed that Brazilian stricto sensu knowledge about crack is still incipient, sketchy and ineffectual, albeit promising due to demands and implications that this epidemic imposes upon society.

O referencial de vulnerabilidade ao HIV/AIDS aplicado às famílias: um exercício reflexivo

Se objetiva realizar un ejercicio reflexivo acerca de vulnerabilidades que se presentan en contexto de familias convivientes con el Virus de Inmunodeficiencia Humana / Sindrome de Inmunodeficiencia Adquirida (HIV/Aids), teniendo como fundamento la literatura pertinente. Para ello se busco tejer consideraciones en relacion a la pluralidad de las familias en la contemporaneidad, asi como presentar las comprensiones y desdoblamientos del referencial de vulnerabilidad a la epidemia de Aids. Finalmente, se describieron aproximaciones y reflexiones referentes a las vulnerabilidades a la infeccion por HIV y/o padecimientos por Aids a los que estan expuestas las familias, en planos individual, social y programatico. Se concluye creyendo en la importancia de conocer tales vulnerabilidades especificas experimentadas por las familias, a fin de que se pueda orientar y desarrollar acciones de cuidado de la salud.The objective of this study is to reflect upon the vulnerabilities experienced by the families dealing with the Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/Aids), and is based on the pertinent literature. To do this, we attempted to propose consideration related to the plurality of families in contemporaneity, and present the understandings and development regarding the vulnerability framework to the Aids epidemics. Finally, the study presents a description of the reflections made about the vulnerabilities to HIV and/or falling ill with Aids to which the families are exposed to in their personal, social and pragmatic levels. In conclusion, it is emphasized that knowing these specific vulnerabilities experienced by the families is essential in order to guide and develop the health care actions.

Significados que os profissionais de enfermagem atribuem ao cuidado de crianças institucionalizadas com aids

This paper aimed to better understand the meaning of caring for HIV/AIDS institutionalized children attributed by nursing professionals. It is an exploratory, qualitative study. The data was collected from April to June, 2007 through interviewing six nursing professionals who work at an institution housing HIV/AIDS children in southern Brazil. The meanings of the coded speech resulted in two convergent themes: experiencing the role of being mother or caregiver; understanding AIDS as an interactive possibility.�Thefindingsshowedthateveninthefaceofapparentfailureordisorder,�nursingprofessionalsintheconditionofcare- givers of individuals as integral people are able to help and to facilitate de adaptation process and healthy living of institutionalized HIV/AIDS children. The study concluded that understanding the meaning of being a caregiver to a child with AIDS implies embracing the unique experience that integrates the health-disease process. DESCRIPTORS: Pediatric nursing. Child care. Diagnosis of SIDA.

Atentando para as singularidades humanas na atenção à saúde por meio do diálogo e acolhimento

The aim of this qualitative exploratory research is to understand how health workers relate to the main object of their work--the user--both subject and author of his/her life history. Eleven nursing practitioners from a Basic Health Unit participated in a semi-structured instrument, in March and April, 2008. The speeches revealed two converging themes: (1) Consideration of human peculiarities in attention to health care; and (2) dialogue and assistance as interactive possibilities. We found that the attention to health care is broadening the debates over valuing human peculiarities through dialogue and assistance as interactive possibilities.Objetivou-se compreender como os trabalhadores de saude se posicionam frente ao seu principal objeto de trabalho – o usuario – sujeito e autor da sua historia de vida. Pesquisa qualitativo-exploratoria. Participaram 11 profissionais de enfermagem em Unidade Basica de Saude, por meio de um instrumento semi-estruturado nos meses de marco e abril de 2008. As falas resultaram em dois temas convergentes: Atentando para as singularidades humanas na atencao a saude; Dialogo e acolhimento como possibilidades interativas. Evidenciou-se que a atencao a saude vem ampliando os debates pela valorizacao da singularidade humana por meio do dialogo e acolhimento como possibilidades interativas.

The HIV/AIDS vulnerability framework applied to families: a reflection

Se objetiva realizar un ejercicio reflexivo acerca de vulnerabilidades que se presentan en contexto de familias convivientes con el Virus de Inmunodeficiencia Humana / Sindrome de Inmunodeficiencia Adquirida (HIV/Aids), teniendo como fundamento la literatura pertinente. Para ello se busco tejer consideraciones en relacion a la pluralidad de las familias en la contemporaneidad, asi como presentar las comprensiones y desdoblamientos del referencial de vulnerabilidad a la epidemia de Aids. Finalmente, se describieron aproximaciones y reflexiones referentes a las vulnerabilidades a la infeccion por HIV y/o padecimientos por Aids a los que estan expuestas las familias, en planos individual, social y programatico. Se concluye creyendo en la importancia de conocer tales vulnerabilidades especificas experimentadas por las familias, a fin de que se pueda orientar y desarrollar acciones de cuidado de la salud.The objective of this study is to reflect upon the vulnerabilities experienced by the families dealing with the Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/Aids), and is based on the pertinent literature. To do this, we attempted to propose consideration related to the plurality of families in contemporaneity, and present the understandings and development regarding the vulnerability framework to the Aids epidemics. Finally, the study presents a description of the reflections made about the vulnerabilities to HIV and/or falling ill with Aids to which the families are exposed to in their personal, social and pragmatic levels. In conclusion, it is emphasized that knowing these specific vulnerabilities experienced by the families is essential in order to guide and develop the health care actions.

Considering human peculiarities in attention to health care through dialogue and assistance

The aim of this qualitative exploratory research is to understand how health workers relate to the main object of their work--the user--both subject and author of his/her life history. Eleven nursing practitioners from a Basic Health Unit participated in a semi-structured instrument, in March and April, 2008. The speeches revealed two converging themes: (1) Consideration of human peculiarities in attention to health care; and (2) dialogue and assistance as interactive possibilities. We found that the attention to health care is broadening the debates over valuing human peculiarities through dialogue and assistance as interactive possibilities.Objetivou-se compreender como os trabalhadores de saude se posicionam frente ao seu principal objeto de trabalho – o usuario – sujeito e autor da sua historia de vida. Pesquisa qualitativo-exploratoria. Participaram 11 profissionais de enfermagem em Unidade Basica de Saude, por meio de um instrumento semi-estruturado nos meses de marco e abril de 2008. As falas resultaram em dois temas convergentes: Atentando para as singularidades humanas na atencao a saude; Dialogo e acolhimento como possibilidades interativas. Evidenciou-se que a atencao a saude vem ampliando os debates pela valorizacao da singularidade humana por meio do dialogo e acolhimento como possibilidades interativas.

SENTIMENTOS DESPERTADOS EM FAMILIARES DE PESSOAS INTERNADAS NA UNIDADE DE TERAPIA INTENSIVA

Trata-se de uma pesquisa exploratoria, descritiva, de carater qualitativo, desenvolvida com oito familiares de pessoas internadas na Unidade de Terapia Intensiva de um hospital de medio porte localizado na regiao central do Rio Grande do Sul, no periodo de agosto e setembro de 2010, que objetivou conhecer os sentimentos despertados em familiares em relacao ao ambiente e aos profissionais de saude. Os dados, coletados por meio de entrevista semiestruturada, foram analisados pelo metodo de analise de conteudo e do qual emergiram as categorias Impotencia frente a hospitalizacao do familiar, Inseguranca relacionada a proximidade com morte, Inflexibilidade da equipe de saude diante do familiar, eAusencia de dialogo com os familiares.O cuidado aos familiares e uma necessidade que deve se estender do desenvolvimento profissional para o cotidiano do servico dos profissionais. Assim, torna-se possivel auxiliar os familiares no enfrentamento da doenca e adaptacao da hospitalizacao, desmistificando a associacao deste ambiente ao evento da morte.

El referencial de vulnerabilidad al HIV/AIDS aplicado a las familias: un ejercicio reflexivo

Se objetiva realizar un ejercicio reflexivo acerca de vulnerabilidades que se presentan en contexto de familias convivientes con el Virus de Inmunodeficiencia Humana / Sindrome de Inmunodeficiencia Adquirida (HIV/Aids), teniendo como fundamento la literatura pertinente. Para ello se busco tejer consideraciones en relacion a la pluralidad de las familias en la contemporaneidad, asi como presentar las comprensiones y desdoblamientos del referencial de vulnerabilidad a la epidemia de Aids. Finalmente, se describieron aproximaciones y reflexiones referentes a las vulnerabilidades a la infeccion por HIV y/o padecimientos por Aids a los que estan expuestas las familias, en planos individual, social y programatico. Se concluye creyendo en la importancia de conocer tales vulnerabilidades especificas experimentadas por las familias, a fin de que se pueda orientar y desarrollar acciones de cuidado de la salud.The objective of this study is to reflect upon the vulnerabilities experienced by the families dealing with the Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/Aids), and is based on the pertinent literature. To do this, we attempted to propose consideration related to the plurality of families in contemporaneity, and present the understandings and development regarding the vulnerability framework to the Aids epidemics. Finally, the study presents a description of the reflections made about the vulnerabilities to HIV and/or falling ill with Aids to which the families are exposed to in their personal, social and pragmatic levels. In conclusion, it is emphasized that knowing these specific vulnerabilities experienced by the families is essential in order to guide and develop the health care actions.

Meanings of caring for hiv/aids institutionalized children attributed by nursing professionals

This paper aimed to better understand the meaning of caring for HIV/AIDS institutionalized children attributed by nursing professionals. It is an exploratory, qualitative study. The data was collected from April to June, 2007 through interviewing six nursing professionals who work at an institution housing HIV/AIDS children in southern Brazil. The meanings of the coded speech resulted in two convergent themes: experiencing the role of being mother or caregiver; understanding AIDS as an interactive possibility.�Thefindingsshowedthateveninthefaceofapparentfailureordisorder,�nursingprofessionalsintheconditionofcare- givers of individuals as integral people are able to help and to facilitate de adaptation process and healthy living of institutionalized HIV/AIDS children. The study concluded that understanding the meaning of being a caregiver to a child with AIDS implies embracing the unique experience that integrates the health-disease process. DESCRIPTORS: Pediatric nursing. Child care. Diagnosis of SIDA.

El significado que los profesionales de enfermería le atribuyen al cuidado de niños institucionalizados con sida

This paper aimed to better understand the meaning of caring for HIV/AIDS institutionalized children attributed by nursing professionals. It is an exploratory, qualitative study. The data was collected from April to June, 2007 through interviewing six nursing professionals who work at an institution housing HIV/AIDS children in southern Brazil. The meanings of the coded speech resulted in two convergent themes: experiencing the role of being mother or caregiver; understanding AIDS as an interactive possibility.�Thefindingsshowedthateveninthefaceofapparentfailureordisorder,�nursingprofessionalsintheconditionofcare- givers of individuals as integral people are able to help and to facilitate de adaptation process and healthy living of institutionalized HIV/AIDS children. The study concluded that understanding the meaning of being a caregiver to a child with AIDS implies embracing the unique experience that integrates the health-disease process. DESCRIPTORS: Pediatric nursing. Child care. Diagnosis of SIDA.