Ivone Kamada

As expectativas de pais e profissionais de enfermagem em relação ao trabalho da enfermeira em UTIN

O objetivo geral foi identificar as expectativas dos pais e da equipe de enfermagem relativas ao trabalho da enfermeira pela otica em Unidade de Terapia Intensiva Neonatal. Foi realizada uma pesquisa descritiva por meio de uma abordagem qualitativa com 30 entrevistas entre pais, enfermeiras, tecnicas e auxiliares de enfermagem de uma Unidade de Terapia Intensiva Neonatal do interior do Estado de Sao Paulo. Os resultados demonstraram novas expectativas por parte de pais e profissionais em relacao ao desempenho dos profissionais de enfermagem. Os conhecimentos evidenciados como necessarios para a atuacao da enfermagem foram: abordagem centrada na familia, tecnicas de relacoes interpessoais e diferenciacao entre tecnologia e conhecimento cientifico. Concluiu-se ser necessario uma atuacao mais incisiva da enfermeira no cuidado de enfermagem, adequando a utilizacao dos avancos tecnologicos com conhecimentos humanos, sobretudo nas relacoes interpessoais entre familiares e equipe; contemplando atividades de educacao continuada, a exemplo de curso de especializacao.The general purpose of this investigation was to identify parent and nursing staff expectations regarding the nurses role in Neonatal Intensive Care Units (NICU). A descriptive study was carried out using a qualitative approach and interviews were conducted at a NICU in the interior of the State of São Paulo. Results showed new expectations on the part of parents and professionals regarding the role of NICU nurses. The knowledge identified as necessary were a family-centered approach, interpersonal relations techniques, and differentiation between technology and scientific knowledge. The conclusion is that NICU nurses need to play a more incisive role in the nursing care process, adjusting the use of technological advances to human knowledge, particularly in the area of interpersonal relationships between family members and staff, which includes activities of continuing education, such as specialization courses.

Internações em unidade de terapia intensiva neonatal no Brasil - 1998-2001

This study aimed at obtaining information on the development of data records in Neonatal Intensive Care Units in Brazil; comparing the number of beds in Neonatal Intensive Care Units with that in Intensive Care Units in general and assessing their distribution in different Brazilian states. There has been an increase in the number of beds and authorizations for hospitalizations in intensive care units. The percentages indicating the total number of beds for intensive care and neonatal intensive care vary from one state to another with 17% in São Paulo, 25% in Rio Grande do Sul and 29.5% in Paraná. São Paulo state presents the highest number of beds, followed by Rio Grande do Sul.This study aimed at obtaining information on the development of data records in Neonatal Intensive Care Units in Brazil; comparing the number of beds in Neonatal Intensive Care Units with that in Intensive Care Units in general and assessing their distribution in different Brazilian states. There has been an increase in the number of beds and authorizations for hospitalizations in intensive care units. The percentages indicating the total number of beds for intensive care and neonatal intensive care vary from one state to another with 17% in Sao Paulo, 25% in Rio Grande do Sul and 29.5% in Parana. Sao Paulo state presents the highest number of beds, followed by Rio Grande do Sul.

A Rosa Mosqueta no tratamento de feridas abertas: uma revisão

This article is about a literature revision concerning to the main published scientific works in the last two decades about the medicinal properties of the Mosqueta Rose, especially in the treatment of open wounds. The objective is to congregate information demonstrating, by means of scientific and empirical evidences, the importance of the traditional medicine related to the use of the Mosqueta Rose in many clinical applications. This study is characterized as a compilation of significant information about the composition, indications and empirical uses of the extract of Mosqueta Rose, in order to make easier posterior researches, since the production about this subject is scarce. The bibliographical research was carried through the data base Bireme, SciELO, Capes and sites related to the subject in the Internet.Trata-se de uma revisao de literatura sobre os principais trabalhos cientificos publicados nas ultimas duas decadas acerca das propriedades medicinais da Rosa Mosqueta, especialmente no tratamento de feridas abertas. O objetivo e reunir informacoes que demonstrem, mediante evidencias cientificas e empiricas, a importância da medicina tradicional quanto ao uso da Rosa Mosqueta em diversas aplicacoes clinicas. Este estudo caracteriza-se como uma compilacao de informacoes significativas sobre a composicao, indicacoes e usos empiricos do extrato de Rosa Mosqueta, a fim de facilitar pesquisas posteriores, visto que a producao sobre o assunto e escassa. A pesquisa bibliografica foi realizada atraves dos bancos de dados Bireme, SciELO, Capes e sites relacionados ao tema na internet.

Teoria de Tornar-se Humano na enfermagem ecológica: aplicando o método de avaliação de Meleis

The objective was to conduct a reflection on the Theory of Human Becoming Rosemarie Rizzo Parse, as well as designing a theoretical framework applied to the process of caring in nursing ecological. It is a research and interpretative critical reflection, which used the evaluation method proposed by Meleis, restricted to the stage of description, which considers the identification of structural and functional components. This strategy allowed us to subsidize the reflection of the interpretive theory of Becoming Human Ecology in the context of nursing. Thus, it was possible to direct attention to the meanings of health and quality of life of the individual, the prioritization of values and nursing care in the area of ecology. DESCRIPTORS: Nursing theory. Occupational health nursing. Environmental health. Nursing.El objetivo fue llevar a cabo una reflexion sobre la Teoria de Convertirse Humano de Rosemarie Rizzo Parse, asi como el diseno de un marco teorico aplicado al proceso de cuidar en enfermeria ecologica. Es una reflexion critica interpretativa, en que se utilizo el metodo de evaluacion propuesto por Meleis, limitada a la etapa de descripcion, que considera la identificacion de los componentes estructurales y funcionales. Esta estrategia nos ha permitido subsidiar el reflejo de la teoria interpretativa de convertirse Humano en el contexto de la enfermeria ecologica. Por lo tanto, ha sido posible dirigir la atencion a los significados de la salud y la calidad de vida de la persona, para la priorizacion de los valores y los cuidados de enfermeria en el area de ecologia.The objective was to conduct a reflection on the Theory of Human Becoming Rosemarie Rizzo Parse, as well as designing a theoretical framework applied to the process of caring in nursing ecological. It is a research and interpretative critical reflection, which used the evaluation method proposed by Meleis, restricted to the stage of description, which considers the identification of structural and functional components. This strategy allowed us to subsidize the reflection of the interpretive theory of Becoming Human Ecology in the context of nursing. Thus, it was possible to direct attention to the meanings of health and quality of life of the individual, the prioritization of values and nursing care in the area of ecology.

Quality of Life of Colorectal Cancer Patients with Intestinal Stomas

This descriptive, cross-sectional, epidemiological study set out to analyze the association between domains and facets of quality of life among colorectal cancer patients attending the Outpatient Care Program for Patients with Stomas run by the Health Department of the Federal District, in Brazil. It was used a non-probability sampling with the inclusion of 120 participants during the period from November 2009 to August 2011. Statistical analysis used version 20.0 of the SPSS Software as recommended by the World Health Organization. Statistical significance adopted was p-value <0.05. Quality of Life was assessed using the WHOQOL-bref questionnaire. The facets of the Physical, Social Relations and Environmental domains showed statistically significant (p<0.0001) correlation with the average scores. In the Psychological Domain, only the facet “positive feelings” was not statistically significant. The study pointed out that the creation of an intestinal stoma as part of neoplasm treatment leads to significant changes in the physical body and suffering associated to the newly imposed lifestyle, affecting physical and psychological aspects as well as social relations and the individuals’ environment, thereby jeopardizing their quality of life in various dimensions. This knowledge is important insofar as it can contribute to the elaboration of holistic public policies, to the reorganization of care practices provided to health service users, and to the construction of education programs promoting health and rehabilitation specifically directed at meeting the real needs of this group.

Anomalia anorretal e cuidados maternos

This purpose of the article was to make a bibliographic review about anorectal malformations and maternal cares. The matter was addressed through an integrative review undertaken in consultation of articles published in the databases indexed in the Virtual Health Library. We identified 25 publications that met the inclusion and exclusion criteria pre-established. In the studies reviewed, there were different study designs, demonstrating that some children born with anorectal anomalies requiring urgent surgery. Health professionals, along with the parents, need to develop partnerships that would enable a long-term monitoring and careful guidance. It is necessary to do more research on the subject, with methodological proposals that reflect the essence of the best care of an ostomized child.El objetivo de este articulo fue realizar un estudio de revision bibliografica sobre anomalia ano retal y cuidados maternos. El asunto fue abordado por medio de una revision integral realizada por consulta de articulos publicados en las bases de datos indexados en la Biblioteca Virtual en Salud. Fueron identificadas 25 publicaciones que atendieron a los criterios de inclusion y exclusion pre-establecidos. En los estudios analizados se observaron distintos dibujos metodologicos demostrando que algunos ninos nacidos con anomalia ano retal necesitan de cirugia de urgencia. Los profesionales de salud, juntamente con los padres, necesitan desarrollar grupos que posibiliten un acompanamiento a largo plazo y orientaciones cuidadosas. Se hace necesario que nuevos estudios sean realizados sobre el tema, con propuestas metodologicas que retraten mejor la esencia del cuidado con los ninos con ostomia

Parents and nursing staff's expectations regarding the nurse's work in a NICU

O objetivo geral foi identificar as expectativas dos pais e da equipe de enfermagem relativas ao trabalho da enfermeira pela otica em Unidade de Terapia Intensiva Neonatal. Foi realizada uma pesquisa descritiva por meio de uma abordagem qualitativa com 30 entrevistas entre pais, enfermeiras, tecnicas e auxiliares de enfermagem de uma Unidade de Terapia Intensiva Neonatal do interior do Estado de Sao Paulo. Os resultados demonstraram novas expectativas por parte de pais e profissionais em relacao ao desempenho dos profissionais de enfermagem. Os conhecimentos evidenciados como necessarios para a atuacao da enfermagem foram: abordagem centrada na familia, tecnicas de relacoes interpessoais e diferenciacao entre tecnologia e conhecimento cientifico. Concluiu-se ser necessario uma atuacao mais incisiva da enfermeira no cuidado de enfermagem, adequando a utilizacao dos avancos tecnologicos com conhecimentos humanos, sobretudo nas relacoes interpessoais entre familiares e equipe; contemplando atividades de educacao continuada, a exemplo de curso de especializacao.The general purpose of this investigation was to identify parent and nursing staff expectations regarding the nurses role in Neonatal Intensive Care Units (NICU). A descriptive study was carried out using a qualitative approach and interviews were conducted at a NICU in the interior of the State of São Paulo. Results showed new expectations on the part of parents and professionals regarding the role of NICU nurses. The knowledge identified as necessary were a family-centered approach, interpersonal relations techniques, and differentiation between technology and scientific knowledge. The conclusion is that NICU nurses need to play a more incisive role in the nursing care process, adjusting the use of technological advances to human knowledge, particularly in the area of interpersonal relationships between family members and staff, which includes activities of continuing education, such as specialization courses.

Assistência de enfermagem em Unidade de Internaçäo Neonatal: medidas para prevençäo de infecçöes hospitalares

A prevencao de infeccao em bercarios requer cuidados com o ambiente, equipamentos, pessoal e o proprio recem-nascido, pertinentes a assistencia de enfermagem. Frente aos problemas relacionados a infeccoes hospitalares encontrados, esta investigacao tem por objetivo verificar a relacao entre as medidas prescritivas sobre a Prevencao de Infeccao e as atividades efetivas realizadas numa Unidade de Internacao Neonatal. As estrategias de investigacao adotadas foram a observacao participante e a entrevista semi-estruturada possibilitando a coleta de dados. Pudemos ver com este trabalho que as medidas profilaticas tem que ser tomadas em conjunto, num complexo de atividades,fundamentadas em instalacoes e estrutura adequadas, desempenhadas por uma equipe profissional coesa, onde todos trabalhem com os mesmos objetivos. Toma-las isoladamente nao contribui para o efetivo cumprimento das prescricoes.The prevention of infection in nurseries requires measures related to nursing care in terms of the environment, equipment, personnel and the newborn. In view of the problems related to hospital infection, the objective of the present investigation was lo determine the relationship between prescriptive measures for the Prevention of Infection and activities effectively carried out in a Neonatal Admission Unit. Participant observation and semi structured interviews were the strategies used for the investigation which allowed data collection. With this research we could see that prophylactic measures need to be taken together in a collection of activities based on adequate structure and facilities, performed by a cohesive professional team where everybody work towards the same goal. Measures taken isolated do not contribute to the effective accomplishment of prescriptions.

Assistência à criança com câncer: alguns elementos para a análise do processo de trabalho

This study tries to analyse some principle of the working process in the assistance of children with cancer, based on the Model of the Technological Organization of Work. It started from a theoretical principle that nursing is a social practice and so is historically structured, socially articulated, and so nursing is part of the collective process of work. We pointed out toward the fact that the process of the nursing work in assisting a hospitalized child, that it is under a transformation phase, going through the exclusively clinic model to another one, which has some characteristics of amplification to the theoretical reference and a new instrumentalization.This study tries to analyse some principle of the working process in the assistance of children with cancer, based on the Model of the Technological Organization of Work. It started from a theoretical principle that nursing is a social practice and so is historically structured, socially articulated, and so nursing is part of the collective process of work. We pointed out toward the fact that the process of the nursing work in assisting a hospitalized child, that it is under a transformation phase, going through the exclusively clinic model to another one, which has some characteristics of amplification to the theoretical reference and a new instrumentalization.

TEORIA DE TORNAR-SE HUMANO PARA A CLASSIFICAÇÃO TERMINOLÓGICA DA ENFERMAGEM DO TRABALHO

Objective: to structure a terminological subgroup for occupational health nursing based on the identification of nursing-related terms in the environmental and occupational health protocols and in the International Classification for Nursing Practice. Method: a methodological study was undertaken, involving the standardization of concepts and structuring of the terminological subgroup of the International Classification for Nursing Practice for Occupational Health Nursing, based on the Theory of Human Becoming. Results: new diagnostic terms/outcomes were elaborated and all existing terms/outcomes in the International Classification for Nursing Practice 2015 were distributed. Although these research results emphasize individual care, the concepts presented proposed new ways of interacting, inserting the perspective of the occupational health nurse’s assessment in the triad environment, individual and measures to promote health and healthy lifestyles. Conclusion: the proposed subgroup uses the systemization of occupational health nursing care to permit the assessment of the workers’ health situation, produce statistics and contribute to the development of health policies and care planning.