Larissa Gutierrez de Carvalho Silva

Understanding of the elderly and their relatives regarding sexuality and HIV/AIDS: a descriptive study

Aim: To observe the understanding of the elderly and their relatives regarding sexuality and Acquired Immunodeficiency Syndrome (AIDS). Method: This is a descriptive study, using a focus group, interviews and content analysis. Thirty-three seniors citizens were the focus of the research, divided into six groups, together with nine relatives who were also interviewed; all were patients of a Primary Health Care unit located in the city of Uberaba, Brazil. Results: Thirteen categories emerged, which were divided into five groups: male senior citizens, female senior citizens, a mixed group of men and women, and relatives. Discussion: From the main categories identified in the research, it was observed that there is a reduced awareness about AIDS and the association of the disease to death; lack of information and protection during sexual intercourse. Relatives valorize the sexuality of older people and are not aware of public, nation-wide educational campaigns aimed at this age group. Conclusion: There is a lack of understanding about AIDS and its association with death among the elderly, and their sexuality, from the point-of-view of the relatives.

Management impact of staff turnover in the view of nurses: an exploratory study

A rotatividade de profissionais afeta o trabalho do enfermeiro, logo como os enfermeiros gerenciam a rotatividade de profissionais na sua equipe? Objetivo: identificar as percepcoes de enfermeiros sobre o gerenciamento da rotatividade de trabalhadores de enfermagem em sua unidade de atuacao. Metodo: estudo descritivo, exploratorio e com abordagem qualitativa, realizado com enfermeiros que atuavam em unidades de internacao de um hospital universitario publico. Resultados: Os discursos apontam para uma preocupacao com a qualidade da assistencia prestada, a sobrecarga de trabalho, competencias desenvolvidas e a gestao de pessoas. Discussao: mudancas no quadro de pessoal suscitam no gestor pontos a serem observados no seu processo de trabalho, como supervisao mais atenta com o trabalhador recem-admitido e educacao em servico acarretando sobrecarga de trabalho. Os achados sugerem que a rotatividade afeta o processo de trabalho, sendo essas mudancas vivenciadas e gerenciadas de diferentes formas, de acordo com a singularidade de cada enfermeiro.

Validation of instrument to assess software of patients’ risk classification

OBJECTIVE Validate the content of an instrument that assesses the quality of a software applied to the risk classification of patients. METHOD Methodological study, conducted in three stages: adaptation of the instrument, content validation through Delphi technique and pre-test. The results were analyzed through Content Validity Index, Overall Content Validity Index and Inter-rater Reliability. RESULTS The final version of the instrument comprises 8 characteristics and 28 sub-characteristics, being 37 general questions to computer experts and nurse and 7 specific questions to computer experts, including 1 question and excluding 3 questions of the original instrument. We obtained Overall Content Validity of 92% and Inter-rater Reliability of 100% in the second Delphi round. Final considerations: The instrument has content validity, allowing to assess the technical quality and functional performance of the software applied to the risk classification of patients.

Effectiveness in the performance of organ transplants in the State of Paraná, Brazil

Objective: To analyze the effectiveness of organ transplants in the state of Parana, Brazil. Methods: A cross-sectional quantitative study was conducted with data from 2,036 solid organ transplants performed in the state between 2011 and 2015. Three indicators were calculated, per capita transplants, meeting the demands of the population and the demand for transplants, which demonstrated the effectiveness and the disparities in the process. The association between the variables was verified by Pearsons Chi-Square test and Fishers exact test. Results: Most transplants were performed in philanthropic hospitals, male, funded by public funding, and there was an annual increase in the number of transplants per capita and in the productivity of kidney, liver and heart transplantation teams. Although renal transplantation is the most performed in absolute numbers, it served a maximum of 2.2% of its demand. Conclusion: It is necessary to devise strategies to meet the demand for organ transplants, above all, to consolidate the process of donating organs in the state under study.

CUSTO-EFETIVIDADE DE AGULHAS E CATETERES SOBRE AGULHA COM DISPOSITIVOS DE PROTEÇÃO ATIVA NO CONTEXTO HOSPITALAR

The aim of this study was to evaluate the cost-effectiveness of needle and catheter over needle with active protection safety devices in the hospital context. A cross-sectional and retrospective study was undertaken at a public university hospital in Southern Brazil. The population was composed of consumption and material cost worksheets and 53 records of workers and students who suffered perforating accidents that occurred before and after the implementation of the safety devices, in the periods named A: June/2010 till June/2011 and B: June/2012 till June/2013. Data were analyzed using descriptive statistics. There was a 30% increase in accidents between period A and period B. The cost went from 44.769,93 to 139.558,08 American dollars. Educational strategies are recommended to enhance the cost-effectiveness of safety devices in healthcare organizations. DESCRIPTORS: Nursing. Occupational health. Hospital costs. Occupational acidents. Biological contamination.

COST-EFFECTIVENESS OF NEEDLE AND CATHETER OVER NEEDLE WITH ACTIVE PROTECTION DEVICES IN THE HOSPITAL SETTING

The aim of this study was to evaluate the cost-effectiveness of needle and catheter over needle with active protection safety devices in the hospital context. A cross-sectional and retrospective study was undertaken at a public university hospital in Southern Brazil. The population was composed of consumption and material cost worksheets and 53 records of workers and students who suffered perforating accidents that occurred before and after the implementation of the safety devices, in the periods named A: June/2010 till June/2011 and B: June/2012 till June/2013. Data were analyzed using descriptive statistics. There was a 30% increase in accidents between period A and period B. The cost went from 44.769,93 to 139.558,08 American dollars. Educational strategies are recommended to enhance the cost-effectiveness of safety devices in healthcare organizations. DESCRIPTORS: Nursing. Occupational health. Hospital costs. Occupational acidents. Biological contamination.

COSTO-EFECTIVIDAD DE AGUJAS Y CATÉTERES CON RELACIÓN A LAS AGUJAS CON DISPOSITIVOS DE PROTECCIÓN ACTIVA EN EL CONTEXTO HOSPITALARIO

The aim of this study was to evaluate the cost-effectiveness of needle and catheter over needle with active protection safety devices in the hospital context. A cross-sectional and retrospective study was undertaken at a public university hospital in Southern Brazil. The population was composed of consumption and material cost worksheets and 53 records of workers and students who suffered perforating accidents that occurred before and after the implementation of the safety devices, in the periods named A: June/2010 till June/2011 and B: June/2012 till June/2013. Data were analyzed using descriptive statistics. There was a 30% increase in accidents between period A and period B. The cost went from 44.769,93 to 139.558,08 American dollars. Educational strategies are recommended to enhance the cost-effectiveness of safety devices in healthcare organizations. DESCRIPTORS: Nursing. Occupational health. Hospital costs. Occupational acidents. Biological contamination.

Doença arterial coronariana e suporte familiar em idosos

RESUMO: Estudo quantitativo, com aplicacao de questionario atraves de entrevista, realizado em 2010, com o objetivo de analisar fatores de risco para doenca arterial coronaria e a relacao de suporte familiar em idosos cadastrados na Estrategia Saude da Familia de Uberaba/MG. Foram pesquisados 853 idosos. A faixa etaria prevalente foi de 60 a 79 anos (88,6%); mulheres (63,7%); aposentados (81,1%); com ate dois salarios minimos (78,1%); hipertensao arterial (65%); sedentarismo (59%); diabetes mellitus (28%); tabagismo (21%); etilismo (12,1%); dislipidemia (4,8%); convivio familiar otimo (49,7%), e bom (42%); tem acompanhamento familiar do estado de saude (81,7); mas nao ha cooperacao familiar no exercicio fisico (86%), medicacao (66,7%), recursos financeiros (61,4%) e alimentacao (60,5%). Conclui-se neste estudo que profissionais de saude devem estimular o suporte familiar, e juntamente com o Estado, atuar criando politicas e estrategias na reducao dos fatores de risco para doencas cardiovasculares. Palavras-Chave: Doencas cardiovasculares; fatores de risco; idoso; relacoes familiares.