Luísa Canestraro Kalinowski

Aplicação da Teoria do Cuidado Transpessoal de Jean Watson: uma década de produção brasileira

Esta revision sistematica tuvo como objetivo describir y analizar la aplicacion de la Teoria del Cuidado Transpersonal de Jean Watson en las investigaciones divulgadas en publicaciones de Enfermeria brasilenas de los ultimos diez anos. El levantamiento bibliografico abarco 34 producciones seleccionadas en las bases de datos electronicas MEDLINE (MEDLARS [Medical Literature Analysis and Retrieval System] On-line), LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), BDENF (Base de datos de Enfermeria) y SciELO (Scientific Electronic Library On-line), que despues de la aplicacion de los criterios de inclusion establecidos, compusieron la muestra del estudio. Los resultados senalaron que la region Sur concentra el 61,8% de las producciones referidas al tema de estudio, que ella puede ser aplicada en los niveles de atencion primaria, secundaria y terciaria y que el 64,7% de las producciones utilizan los factores de cuidado propuestos por Jean Watson en 1979. Surge la necesidad de perfeccionamiento de las investigaciones respecto a la transformacion ocurrida en la Teoria del Cuidado Transpersonal, con abordaje del Proceso Clinical Caritas, no obstante como son escasos los estudios referentes a esta tematica, dificultan su utilizacion practica.RESUMO RESUMEN Jean Watson’s Theory of Human Caring: a decade of brazilian publications 214 Acta Paul Enferm 2009;22(2):213-8. 215 Acta Paul Enferm 2009;22(2):213-8. 216 Acta Paul Enferm 2009;22(2):213-8. 217 Acta Paul Enferm 2009;22(2):213-8. 218 Acta Paul Enferm 2009;22(2):213-8.

The domiciliary health care and its state of art: a bibliographic study

Domiciliary care stands out since the decade of 90 as a mode which assists patient and family, understood in the social, economic and cultural contexts. Thus, this research aimed to ascertain the state of the art on domiciliary care. It is a bibliographical research about domiciliary care held between February and May/2008, in databases BDENF, LILACS, OPAS, WHOLIS, COLECIONA SUS, material from the Ministry of Health Library and complete texts at SciELO, using the terms domiciliary attendence, home care and home nursing, and the criterion for inclusion is to have content related to nursing domiciliary care, in a historical record from January 1998 to January 2008. Sixteen thematic categories were listed, of which were emphasized chronic, caregivers and elderly, totaling 103 articles examined. In these three categories stands out: health education, emphasizing the role of the nurse; profile of the caregiver; the advantages of domiciliary care outrunning the disadvantages. The researched bibliography points to the importance of the caregiver and the influence of nurses for the autonomy of the subjects; and the need for articulaton between hospital and community health services, and researches directed to the beyond biologicist vision of the health care.

Transcultural adaptation and validation of the Conditions of Work Effectiveness - Questionnaire-II instrument

OBJETIVO: este estudo teve como objetivo traduzir e validar o conteudo do instrumento Conditions of Work Effectiveness - Questionnaire-II, desenvolvido por Laschinger, Finegan, Shamian e Wilk e modificado do original Conditions Work Effectiveness - Questionnaire, para a cultura brasileira. METODO: o procedimento metodologico constituiu-se das etapas de traducao do instrumento para a lingua portuguesa; back-translation; equivalencia semântica, idiomatica e cultural e testes da versao final. O instrumento na versao em portugues foi aplicado a um grupo de 40 enfermeiras, em dois hospitais. RESULTADOS: os dados resultaram em alfa de Cronbach em 0,86 para o primeiro hospital e 0,88 para o segundo. Os resultados da analise fatorial sao considerados bastante satisfatorios. CONCLUSAO: conclui-se que o instrumento pode ser utilizado no Brasil.OBJECTIVE This study aims at translating and validating the content of the instrument Conditions of Work Effectiveness-Questionnaire-II CWEQ-II), developed by Laschinger, Finegan, Shamian and Wilk, modified from the original CWEQ for the Brazilian culture. METHOD The methodological procedure consisted of the stages of translation of the instrument into the Portuguese language; back-translation; semantic, idiomatic and cultural equivalence and tests of the final version. The instrument in the Portuguese version was applied to a group of 40 nurses in two hospitals. RESULTS The data resulted in a Cronbachs Alpha of 0.86 for the first hospital and 0.88 for the second one. The results of the factorial analysis are considered sufficiently satisfactory. CONCLUSION It is to conclude that the instrument can be used in Brazil.

Beliefs and popular practice during postpartum period: integrated review of nursing productions

Problem: Science is ultimately valued while popular practice or beliefs are viewed as unfounded experience. Thus, a clash can be observed between health professionals’ scientific knowledge and cared people’s popular knowledge or beliefs. Objective: To investigate state-of-the-art nursing production on popular knowledge and beliefs typical from the postpartum period. Methodology: Integrated review of scientific nursing productions in LILACS, SciELO, BDENF databases, and CAPES theses database between 2000 and 2009. Sixteen productions were selected and analyzed. Results: Three central themes emerged: Beliefs and popular practice on puerperal care; Beliefs and popular practice on newborn care; Nursing facing beliefs and popular knowledge during postpartum period. Conclusion: It was evidenced that nursing develops qualitative research studies in order to describe beliefs and popular knowledge, pointing out the possibility to use the ethnographic method and anthropology to make such investigations feasible. It was perceived the need to understand that such knowledge is not superior or inferior to scientific knowledge and by approaching it, nurses may find the symbolic caring dimension and, thus deliver culturally congruent care.

Jean Watson's Theory of Human Caring: a decade of Brazilian publications

Esta revision sistematica tuvo como objetivo describir y analizar la aplicacion de la Teoria del Cuidado Transpersonal de Jean Watson en las investigaciones divulgadas en publicaciones de Enfermeria brasilenas de los ultimos diez anos. El levantamiento bibliografico abarco 34 producciones seleccionadas en las bases de datos electronicas MEDLINE (MEDLARS [Medical Literature Analysis and Retrieval System] On-line), LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), BDENF (Base de datos de Enfermeria) y SciELO (Scientific Electronic Library On-line), que despues de la aplicacion de los criterios de inclusion establecidos, compusieron la muestra del estudio. Los resultados senalaron que la region Sur concentra el 61,8% de las producciones referidas al tema de estudio, que ella puede ser aplicada en los niveles de atencion primaria, secundaria y terciaria y que el 64,7% de las producciones utilizan los factores de cuidado propuestos por Jean Watson en 1979. Surge la necesidad de perfeccionamiento de las investigaciones respecto a la transformacion ocurrida en la Teoria del Cuidado Transpersonal, con abordaje del Proceso Clinical Caritas, no obstante como son escasos los estudios referentes a esta tematica, dificultan su utilizacion practica.RESUMO RESUMEN Jean Watson’s Theory of Human Caring: a decade of brazilian publications 214 Acta Paul Enferm 2009;22(2):213-8. 215 Acta Paul Enferm 2009;22(2):213-8. 216 Acta Paul Enferm 2009;22(2):213-8. 217 Acta Paul Enferm 2009;22(2):213-8. 218 Acta Paul Enferm 2009;22(2):213-8.

Postpartum primipara at home and associated nursing care: Grounded Theory

Objetivo: Interpretar como a puerpera primipara vivencia o cuidado no contexto domiciliar. Metodo: Pesquisa qualitativa, que utilizou como metodo a Teoria Fundamentada nos Dados, desenvolvida no domicilio de 16 puerperas primiparas. A coleta de dados ocorreu de janeiro a junho de 2011, por meio de entrevista semiestruturada e observacao. A analise foi a partir da codificacao substantiva e da teorica. Resultado: Evidenciou-se a categoria central “Exercendo o papel materno pela primeira vez”, na qual as participantes experienciaram o cuidado ao exercer o papel materno. Discussao: Perceberam-se diversos cuidados realizados pela participante com o bebe, sua avaliacao como mae e a reflexao sobre aspectos relacionados a maternidade. Conclusao: Destaca-se a importância da atuacao do enfermeiro junto a primipara e sugere-se que sejam trabalhados na graduacao em Enfermagem assuntos relacionados a subjetividade da maternidade e a mudanca de papel vivenciado pela puerpera. Descritores: Periodo Pos-Parto; Paridade; Assistencia Domiciliar; Pesquisa Qualitativa; Enfermagem

The supportive social networks in home caretaking: a descriptive-exploratory study

Introduction: Supportive social networks are importanto to improve healthy quality of life of people, especially those concerning home caretaking. Objectives: Identify the supportive social networks used by the families and those indicated by health professionals to home caretaking and overlap both. Methodology: Qualitative study of exploratory-descriptive type done in 2010, through semi-structured interviews with seven families and five users, who received home caretaking and ten professionals of the Local Clinic. Results: For the families, the spiritual care was the most mentioned, and the affective the less significant one; the health professionals indicated private companies, non-governmental organizations and foundations as material support, but the majority mentioned they do not get involved with spiritual support. The informal support from the families advert mainly from individuals and the professionals barely mentioned this type of support. As formal support, the families related religious institutions and the professionals mentioned the private sector and public and defense organisms. Conclusion: It is necessary that the nurse supports the families to they can re-structure themselves and share tasks to alleviate the burden of home caretaking, through those supportive social networks. Futhermore, it is suggested the articulation of the health professionals with local institutions to develop those networks, aiming the assistance given and to provide positive impact in the health of the users and caretakers.

Aplicación de la Teoría del Cuidado Transpersonal de Jean Watson: una década de producción brasileña

Esta revision sistematica tuvo como objetivo describir y analizar la aplicacion de la Teoria del Cuidado Transpersonal de Jean Watson en las investigaciones divulgadas en publicaciones de Enfermeria brasilenas de los ultimos diez anos. El levantamiento bibliografico abarco 34 producciones seleccionadas en las bases de datos electronicas MEDLINE (MEDLARS [Medical Literature Analysis and Retrieval System] On-line), LILACS (Literatura Latinoamericana y del Caribe en Ciencias de la Salud), BDENF (Base de datos de Enfermeria) y SciELO (Scientific Electronic Library On-line), que despues de la aplicacion de los criterios de inclusion establecidos, compusieron la muestra del estudio. Los resultados senalaron que la region Sur concentra el 61,8% de las producciones referidas al tema de estudio, que ella puede ser aplicada en los niveles de atencion primaria, secundaria y terciaria y que el 64,7% de las producciones utilizan los factores de cuidado propuestos por Jean Watson en 1979. Surge la necesidad de perfeccionamiento de las investigaciones respecto a la transformacion ocurrida en la Teoria del Cuidado Transpersonal, con abordaje del Proceso Clinical Caritas, no obstante como son escasos los estudios referentes a esta tematica, dificultan su utilizacion practica.RESUMO RESUMEN Jean Watson’s Theory of Human Caring: a decade of brazilian publications 214 Acta Paul Enferm 2009;22(2):213-8. 215 Acta Paul Enferm 2009;22(2):213-8. 216 Acta Paul Enferm 2009;22(2):213-8. 217 Acta Paul Enferm 2009;22(2):213-8. 218 Acta Paul Enferm 2009;22(2):213-8.