Luana Cássia Miranda Ribeiro

Safety of nursing staff and determinants of adherence to personal protective equipment

A qualitative study conducted in a teaching hospital with 15 nursing professionals. Attempted to analyze the reasons, attitudes and beliefs of nursing staff regarding adherence to personal protective equipment. Data were collected through focus groups, analyzed by the method of interpretation of meanings, considering Rosenstocks model of health beliefs as a reference framework. Data revealed two themes: Occupational safety and Interpersonal Relationship. We identified several barriers that interfere in matters of safety and personal protective equipment, such as communication, work overload, physical structure, accessibility of protective equipment and organizational and management aspects. Adherence to personal protective equipment is determined by the context experienced in the workplace, as well as by individual values and beliefs, but the decision to use the personal protective equipment is individual.Estudio cualitativo realizado en un hospital universitario con 15 profesionales de enfermeria. Objetivo analizar las razones, actitudes y creencias de los trabajadores de enfermeria referentes a la adhesion a los equipamientos de proteccion individual. Los datos fueron recolectados por medio de grupo focal, analizados por el metodo de interpretacion de sentidos, considerando el referencial del modelo de creencias sobre salud de Rosenstock. De los datos surgieron dos categorias tematicas, Seguridad en el trabajo y Relaciones Interpersonales. Identificamos varias barreras que interfieren en las cuestiones de seguridad y proteccion individual como comunicacion, sobrecarga de trabajo, estructura fisica, accesibilidad a los equipamientos de proteccion y aspectos organizacionales y administrativos. La adhesion a los equipamientos de proteccion es determinada tanto por el contexto experimentado en el ambiente de trabajo, como por valores y creencias individuales; sin embargo, la decision del uso de los equipamientos de proteccion es individual.

Segurança dos trabalhadores de enfermagem e fatores determinantes para adesão aos equipamentos de proteção individual

A qualitative study conducted in a teaching hospital with 15 nursing professionals. Attempted to analyze the reasons, attitudes and beliefs of nursing staff regarding adherence to personal protective equipment. Data were collected through focus groups, analyzed by the method of interpretation of meanings, considering Rosenstocks model of health beliefs as a reference framework. Data revealed two themes: Occupational safety and Interpersonal Relationship. We identified several barriers that interfere in matters of safety and personal protective equipment, such as communication, work overload, physical structure, accessibility of protective equipment and organizational and management aspects. Adherence to personal protective equipment is determined by the context experienced in the workplace, as well as by individual values and beliefs, but the decision to use the personal protective equipment is individual.Estudio cualitativo realizado en un hospital universitario con 15 profesionales de enfermeria. Objetivo analizar las razones, actitudes y creencias de los trabajadores de enfermeria referentes a la adhesion a los equipamientos de proteccion individual. Los datos fueron recolectados por medio de grupo focal, analizados por el metodo de interpretacion de sentidos, considerando el referencial del modelo de creencias sobre salud de Rosenstock. De los datos surgieron dos categorias tematicas, Seguridad en el trabajo y Relaciones Interpersonales. Identificamos varias barreras que interfieren en las cuestiones de seguridad y proteccion individual como comunicacion, sobrecarga de trabajo, estructura fisica, accesibilidad a los equipamientos de proteccion y aspectos organizacionales y administrativos. La adhesion a los equipamientos de proteccion es determinada tanto por el contexto experimentado en el ambiente de trabajo, como por valores y creencias individuales; sin embargo, la decision del uso de los equipamientos de proteccion es individual.

The setting of research production by nursing and management graduate programs in Brazil

This documental, descriptive study was performed using a quantitative approach with the objective to characterize the production by nursing graduates in Brazil in the 2007-2009 triennium, with emphasis on nursing management. Data was collected from the CAPES database, which allows access to the abstracts of theses and dissertations. The material was analyzed and categorized according to areas/fields and the respective lines of research, as defined in Nursing. The overall production analysis was descriptive and analytical in the field of organization, namely management. The results showed that, compared to previous studies, production underwent some changes in the triennium, with an increase in the area of health care, maintenance in the organizational area, and decrease in the professional area. Regarding the management theme, most studies addressed health assessment, the conceptions/perceptions regarding planning/organizing work-services and permanent education.This documental, descriptive study was performed using a quantitative approach with the objective to characterize the production by nursing graduates in Brazil in the 2007-2009 triennium, with emphasis on nursing management. Data was collected from the CAPES database, which allows access to the abstracts of theses and dissertations. The material was analyzed and categorized according to areas/fields and the respective lines of research, as defined in Nursing. The overall production analysis was descriptive and analytical in the field of organization, namely management. The results showed that, compared to previous studies, production underwent some changes in the triennium, with an increase in the area of health care, maintenance in the organizational area, and decrease in the professional area. Regarding the management theme, most studies addressed health assessment, the conceptions/perceptions regarding planning/organizing work-services and permanent education.

Professional Master's degree in Nursing: knowledge production and challenges

OBJETIVO: analisar a producao do conhecimento gerada pelos programas de mestrado profissional em enfermagem e refletir sobre suas perspectivas para a area. METODO: estudo descritivo e analitico. Foram incluidos dados das dissertacoes de tres instituicoes de ensino que titularam alunos em programas de mestrado profissional em enfermagem entre 2006 e 2012. RESULTADOS: a maioria dos 127 trabalhos de conclusao analisados se desenvolveu no contexto hospitalar; houve tendencia de concentracao nas areas organizacional e assistencial, nas linhas de pesquisa processo de cuidar e gerenciamento e predominio de estudos qualitativos. Ha diversidade de produtos resultantes dos trabalhos de conclusao: avaliacao de servicos/programas de saude e geracao de processos, protocolos assistenciais ou de ensino. CONCLUSAO: os programas de mestrado profissional em enfermagem, em fase de consolidacao, tem producao recente, em desenvolvimento, havendo lacuna na geracao de tecnologias duras e inovacao. Sao fundamentais para o desenvolvimento das praticas profissionais inovadoras que articulem o setor saude e a educacao.OBJETIVO: analizar la produccion del conocimiento generado por los programas de maestria profesional en Enfermeria y reflejar sobre sus perspectivas para el area. METODO: estudio descriptivo y analitico. Fueron incluidos datos de las disertaciones de tres instituciones de ensenanza que graduaron alumnos en programas de maestria profesional en enfermeria entre 2006 y 2012. RESULTADOS: la mayoria de los 127 trabajos de conclusion analizados fueron desarrollados en el contexto hospitalario; fue encontrada tendencia de concentracion en las areas organizacional y asistencial, en las lineas de investigacion proceso de cuidar y gestion y predominio de estudios cualitativos. Hay una diversidad de productos resultantes de los trabajos de conclusion: evaluacion de servicios/programas de salud y generacion de procesos, protocolos asistenciales o de ensenanza. CONCLUSION: los programas de maestria profesional en Enfermeria, en fase de consolidacion, tiene produccion reciente, en vias de desarrollo, con laguna en la generacion de tecnologias duras e innovacion. Son fundamentales para el desarrollo de las practicas profesionales innovadoras que articulen el sector salud y la educacionObjective to analyze the production of knowledge resulting from the professional masters degree programs in Nursing and to reflect about their perspectives for the area. Method descriptive and analytical study. Data collected from the dissertations of three educational institutions that graduated students in programs of professional masters degree in Nursing between 2006 and 2012 were included. Results most of the 127 course completion studies analyzed were developed within hospital contexts; there was a focus on the organizational and healthcare areas, in the research fields care process and management, and predominance of qualitative studies. There are various products resulting from the course completion studies: evaluation of services/healthcare programs and development of processes, care or educational protocols. Conclusion the programs of professional masters degree in Nursing, which are undergoing a consolidation stage, have recent production under development and there is a gap in the creation of hard technologies and innovation. They are essential for the development of innovative professional practices that articulate the healthcare and educational areas.

Nursing actions for the prevention of ventilator-associated pneumonia

Objective:To identify prevention actions of the nursing team related to ventilator-associated pneumonia (VAP). Method: A cross-sectional, observational study conducted in an Intensive Care Unit of a teaching hospital in Goiania/GO. Results:Hand hygiene occurred, mainly, after the procedures and most of care, such as elevating the head-of-bed, bronchial and oral hygiene, diet administration, also handlingmechanical ventilator circuits were not adequate and if experienced groups such as the one in the present study are not following the recommendations emerging from evidence, it may indicate that, for some reason, the learning is not being significant. Conclusion: Most recommendedmeasures to reduce VAP related to positioning the head-of-bed, bronchial and oral hygiene, administration of diet and handling mechanical ventilator circuit were not followed.OBJETIVOS: identificar las acciones del equipo de enfermeria relacionadas a la profilaxis de la pneumonia asociada a la ventilacion mecanica (PAV). METODO: estudio transversal, observacional realizado en la Unidad de Cuidados Intensivos de un hospital docente de Goiânia/GO. RESULTADOS: La higiene de las manos ocurrio, sobre todo, despues de los procedimientos y la mayoria de los cuidados como la elevacion de la cabecera, higiene bronquial y bucal, administracion de la dieta y tambien de los cuidados con los circuitos del ventilador mecanico no fueron adecuados y, si los grupos con experiencia como el del presente estudio, no estan siguiendo las recomendaciones oriundas de las evidencias, puede ser indicio de que, por alguna razon, el aprendizaje no esta siendo significativo. CONCLUSION: La mayoria de las medidas recomendadas para reducir la PAV relacionadas a la posicion de la cabecera de la cama, a la higiene bronquial y bucal, a la administracion de la dieta y al manejo de los circuitos del ventilador mecânico, no fueron tomados en cuenta.

Cenário das pesquisas na pós-graduação na área de enfermagem e gerenciamento no Brasil

This documental, descriptive study was performed using a quantitative approach with the objective to characterize the production by nursing graduates in Brazil in the 2007-2009 triennium, with emphasis on nursing management. Data was collected from the CAPES database, which allows access to the abstracts of theses and dissertations. The material was analyzed and categorized according to areas/fields and the respective lines of research, as defined in Nursing. The overall production analysis was descriptive and analytical in the field of organization, namely management. The results showed that, compared to previous studies, production underwent some changes in the triennium, with an increase in the area of health care, maintenance in the organizational area, and decrease in the professional area. Regarding the management theme, most studies addressed health assessment, the conceptions/perceptions regarding planning/organizing work-services and permanent education.This documental, descriptive study was performed using a quantitative approach with the objective to characterize the production by nursing graduates in Brazil in the 2007-2009 triennium, with emphasis on nursing management. Data was collected from the CAPES database, which allows access to the abstracts of theses and dissertations. The material was analyzed and categorized according to areas/fields and the respective lines of research, as defined in Nursing. The overall production analysis was descriptive and analytical in the field of organization, namely management. The results showed that, compared to previous studies, production underwent some changes in the triennium, with an increase in the area of health care, maintenance in the organizational area, and decrease in the professional area. Regarding the management theme, most studies addressed health assessment, the conceptions/perceptions regarding planning/organizing work-services and permanent education.

Forças impulsoras e restritivas para trabalho em equipe em um Centro de Material e Esterilização de hospital escola

Estudo transversal descritivo exploratorio que objetivou analisar forcas impulsoras e restritivas para trabalho em equipe em um Centro de Material e Esterilizacao (CME) de um hospital escola, a partir de aproximacao da Teoria de Campo de Kurt Lewin, em Goiânia, Goias. Participaram 35 profissionais, que responderam a um questionario autoaplicavel, baseado na referida teoria, que preve que situacoes grupais sao permeadas por forcas que mobilizam positiva ou negativamente seus movimentos e dizem respeito ao envolvimento do sujeito (Eu), a interacao do grupo (Outro) e ao ambiente de trabalho (Ambiente). Foi utilizada analise de conteudo no tratamento dos dados distribuidos nas dimensoes predefinidas. Os resultados consolidaram 1.990 registros, categorizados como maioria (59,3%) de forcas impulsoras, predominantes na dimensao Eu. Nas dimensoes Outro e Ambiente observou-se equilibrio entre as forcas. O delineamento do campo de forcas permitiu uma visao objetiva, concreta das limitacoes, potenciais da equipe estudada e possibilidades para promover mudancas.

Driving and hindering forces for team work in a Material and Sterilization Center of a teaching hospital

Estudo transversal descritivo exploratorio que objetivou analisar forcas impulsoras e restritivas para trabalho em equipe em um Centro de Material e Esterilizacao (CME) de um hospital escola, a partir de aproximacao da Teoria de Campo de Kurt Lewin, em Goiânia, Goias. Participaram 35 profissionais, que responderam a um questionario autoaplicavel, baseado na referida teoria, que preve que situacoes grupais sao permeadas por forcas que mobilizam positiva ou negativamente seus movimentos e dizem respeito ao envolvimento do sujeito (Eu), a interacao do grupo (Outro) e ao ambiente de trabalho (Ambiente). Foi utilizada analise de conteudo no tratamento dos dados distribuidos nas dimensoes predefinidas. Os resultados consolidaram 1.990 registros, categorizados como maioria (59,3%) de forcas impulsoras, predominantes na dimensao Eu. Nas dimensoes Outro e Ambiente observou-se equilibrio entre as forcas. O delineamento do campo de forcas permitiu uma visao objetiva, concreta das limitacoes, potenciais da equipe estudada e possibilidades para promover mudancas.

Maestría Profesional en Enfermería: producción del conocimiento y retos

OBJETIVO: analisar a producao do conhecimento gerada pelos programas de mestrado profissional em enfermagem e refletir sobre suas perspectivas para a area. METODO: estudo descritivo e analitico. Foram incluidos dados das dissertacoes de tres instituicoes de ensino que titularam alunos em programas de mestrado profissional em enfermagem entre 2006 e 2012. RESULTADOS: a maioria dos 127 trabalhos de conclusao analisados se desenvolveu no contexto hospitalar; houve tendencia de concentracao nas areas organizacional e assistencial, nas linhas de pesquisa processo de cuidar e gerenciamento e predominio de estudos qualitativos. Ha diversidade de produtos resultantes dos trabalhos de conclusao: avaliacao de servicos/programas de saude e geracao de processos, protocolos assistenciais ou de ensino. CONCLUSAO: os programas de mestrado profissional em enfermagem, em fase de consolidacao, tem producao recente, em desenvolvimento, havendo lacuna na geracao de tecnologias duras e inovacao. Sao fundamentais para o desenvolvimento das praticas profissionais inovadoras que articulem o setor saude e a educacao.OBJETIVO: analizar la produccion del conocimiento generado por los programas de maestria profesional en Enfermeria y reflejar sobre sus perspectivas para el area. METODO: estudio descriptivo y analitico. Fueron incluidos datos de las disertaciones de tres instituciones de ensenanza que graduaron alumnos en programas de maestria profesional en enfermeria entre 2006 y 2012. RESULTADOS: la mayoria de los 127 trabajos de conclusion analizados fueron desarrollados en el contexto hospitalario; fue encontrada tendencia de concentracion en las areas organizacional y asistencial, en las lineas de investigacion proceso de cuidar y gestion y predominio de estudios cualitativos. Hay una diversidad de productos resultantes de los trabajos de conclusion: evaluacion de servicios/programas de salud y generacion de procesos, protocolos asistenciales o de ensenanza. CONCLUSION: los programas de maestria profesional en Enfermeria, en fase de consolidacion, tiene produccion reciente, en vias de desarrollo, con laguna en la generacion de tecnologias duras e innovacion. Son fundamentales para el desarrollo de las practicas profesionales innovadoras que articulen el sector salud y la educacionObjective to analyze the production of knowledge resulting from the professional masters degree programs in Nursing and to reflect about their perspectives for the area. Method descriptive and analytical study. Data collected from the dissertations of three educational institutions that graduated students in programs of professional masters degree in Nursing between 2006 and 2012 were included. Results most of the 127 course completion studies analyzed were developed within hospital contexts; there was a focus on the organizational and healthcare areas, in the research fields care process and management, and predominance of qualitative studies. There are various products resulting from the course completion studies: evaluation of services/healthcare programs and development of processes, care or educational protocols. Conclusion the programs of professional masters degree in Nursing, which are undergoing a consolidation stage, have recent production under development and there is a gap in the creation of hard technologies and innovation. They are essential for the development of innovative professional practices that articulate the healthcare and educational areas.

Mestrado profissional em enfermagem: produção do conhecimento e desafios

OBJETIVO: analisar a producao do conhecimento gerada pelos programas de mestrado profissional em enfermagem e refletir sobre suas perspectivas para a area. METODO: estudo descritivo e analitico. Foram incluidos dados das dissertacoes de tres instituicoes de ensino que titularam alunos em programas de mestrado profissional em enfermagem entre 2006 e 2012. RESULTADOS: a maioria dos 127 trabalhos de conclusao analisados se desenvolveu no contexto hospitalar; houve tendencia de concentracao nas areas organizacional e assistencial, nas linhas de pesquisa processo de cuidar e gerenciamento e predominio de estudos qualitativos. Ha diversidade de produtos resultantes dos trabalhos de conclusao: avaliacao de servicos/programas de saude e geracao de processos, protocolos assistenciais ou de ensino. CONCLUSAO: os programas de mestrado profissional em enfermagem, em fase de consolidacao, tem producao recente, em desenvolvimento, havendo lacuna na geracao de tecnologias duras e inovacao. Sao fundamentais para o desenvolvimento das praticas profissionais inovadoras que articulem o setor saude e a educacao.OBJETIVO: analizar la produccion del conocimiento generado por los programas de maestria profesional en Enfermeria y reflejar sobre sus perspectivas para el area. METODO: estudio descriptivo y analitico. Fueron incluidos datos de las disertaciones de tres instituciones de ensenanza que graduaron alumnos en programas de maestria profesional en enfermeria entre 2006 y 2012. RESULTADOS: la mayoria de los 127 trabajos de conclusion analizados fueron desarrollados en el contexto hospitalario; fue encontrada tendencia de concentracion en las areas organizacional y asistencial, en las lineas de investigacion proceso de cuidar y gestion y predominio de estudios cualitativos. Hay una diversidad de productos resultantes de los trabajos de conclusion: evaluacion de servicios/programas de salud y generacion de procesos, protocolos asistenciales o de ensenanza. CONCLUSION: los programas de maestria profesional en Enfermeria, en fase de consolidacion, tiene produccion reciente, en vias de desarrollo, con laguna en la generacion de tecnologias duras e innovacion. Son fundamentales para el desarrollo de las practicas profesionales innovadoras que articulen el sector salud y la educacionObjective to analyze the production of knowledge resulting from the professional masters degree programs in Nursing and to reflect about their perspectives for the area. Method descriptive and analytical study. Data collected from the dissertations of three educational institutions that graduated students in programs of professional masters degree in Nursing between 2006 and 2012 were included. Results most of the 127 course completion studies analyzed were developed within hospital contexts; there was a focus on the organizational and healthcare areas, in the research fields care process and management, and predominance of qualitative studies. There are various products resulting from the course completion studies: evaluation of services/healthcare programs and development of processes, care or educational protocols. Conclusion the programs of professional masters degree in Nursing, which are undergoing a consolidation stage, have recent production under development and there is a gap in the creation of hard technologies and innovation. They are essential for the development of innovative professional practices that articulate the healthcare and educational areas.