Maria de Fátima Prado Fernandes

A regulação das relações de trabalho e o gerenciamento de recursos humanos em enfermagem

This paper is aimed at discoursing on the regulation of labor relations in Nursing and at giving subsidies to the nurses managerial practice concerning the rights and obligations of employees and employers based on the Brazilian Labor Law and the Federal Constitution. It emphasizes some regulations that are not clear enough and give rise to doubts and conflicts on the nurses daily professional activities, such as working hours, resting periods in and between journeys, extra pay for overtime work, weekly paid rest and changes in work schedule. The adequacy of nursing practice to legal rules should allow nurses to get more knowledge, resulting in more confidence and safer actions. By having professional and patients rights respected, occasional juridical problems inherent to labor rights and obligations will be reduced.Este artigo tem a finalidade de discorrer sobre a regulacao das relacoes de trabalho na enfermagem, subsidiando a pratica gerencial do enfermeiro, no que se refere aos direitos e obrigacoes de empregados e empregadores, baseando-se na Consolidacao das Leis Trabalhistas (CLT) e das normas constitucionais. Enfatiza algumas normatizacoes que suscitam duvidas e conflitos no cotidiano profissional do enfermeiro, tais como: duracao da jornada de trabalho, periodos de descanso intra e entre jornadas, horas extraordinarias, descanso semanal remunerado e alteracoes de turnos de trabalho, considerando que a conformacao do exercicio profissional com o processo legal amplia as possibilidades do enfermeiro atuar junto a equipe com mais propriedade e seguranca, respeitando os direitos dos profissionais e dos clientes, reduzindo, ainda, eventuais problemas juridicos inerentes aos direitos e deveres trabalhistas.

Prazer e sofrimento no processo de trabalho do enfermeiro docente

Trata-se de um estudo exploratorio e descritivo com abordagem qualitativa, que compreende sentimentos que perpassam o processo de trabalho do enfermeiro em tres universidades privadas do Municipio de Sao Paulo, revelando-se experiencias enriquecedoras de significados do saber-fazer na pratica docente. Assim, a presente investigacao tem como objetivo identificar os aspectos geradores de prazer e de sofrimento no processo de trabalho do enfermeiro docente, analisados segundo o referencial teorico de Christophe Dejours, pontuando-se a importância de fatores psicossociais em relacao ao objeto estudado. Os resultados da investigacao apontam para as relacoes ambiguas presentes no processo de trabalho dos docentes, expressando sentimentos de prazer e sofrimento decorrentes dessa pratica e evidenciando as condicoes e a organizacao do trabalho como elementos que podem potencializar tais sentimentos no cotidiano do trabalho do enfermeiro naquelas instituicoes.

Fluência digital e uso de ambientes virtuais: caracterização de alunos de enfermagem

The objective of this study was to characterize the profile of nursing undergraduate students, identify their digital fluency, knowledge, ability and interest in using virtual learning environments. This quantitative, exploratory-descriptive study, was performed with 51 nursing undergraduate students. Data collection was performed using a questionnaire. All 51 subjects (100%) reported having some knowledge in informatics, 26 (49%) of which reported having an intermediate knowledge; 47 (92%) use the Internet everyday; 51 (100%) surf the social networks and have e-mail; 51 (100%) are MSN users; 32 (62.7%) use Skype; 41 (82%) use Chat applications; 33 (64.7%) use discussion forums; 22 (43%) use blogs; 33 (64.7%) frequently use Moodle and 26 (51%) use COL; 45 (88.2 %) reported interest in using virtual learning environments. The students are digitally fluent and show knowledge, ability and significant interest regarding the use of virtual learning environments in their academic studies.The objective of this study was to characterize the profile of nursing undergraduate students, identify their digital fluency, knowledge, ability and interest in using virtual learning environments. This quantitative, exploratory-descriptive study, was performed with 51 nursing undergraduate students. Data collection was performed using a questionnaire. All 51 subjects (100%) reported having some knowledge in informatics, 26 (49%) of which reported having an intermediate knowledge; 47 (92%) use the Internet everyday; 51 (100%) surf the social networks and have e-mail; 51 (100%) are MSN users; 32 (62.7%) use Skype; 41 (82%) use Chat applications; 33 (64.7%) use discussion forums; 22 (43%) use blogs; 33 (64.7%) frequently use Moodle and 26 (51%) use COL; 45 (88.2 %) reported interest in using virtual learning environments. The students are digitally fluent and show knowledge, ability and significant interest regarding the use of virtual learning environments in their academic studies.

Liderança: aprendizado contínuo no gerenciamento em enfermagem

Esse artigo aborda a lideranca no contexto do gerenciamento e da educacao em enfermagem com a finalidade de contribuir para repensar a pratica nas organizacoes de saude. Os aspectos historicos e conceituais enfatizam a lideranca como um fenomeno grupal, que envolve o sistema de influencia social de um individuo sobre os demais. Analisa a lideranca na enfermagem como uma habilidade a ser desenvolvida permanentemente, considerando as dimensoes organizacional, interpessoal e individual. Reconhece a importância do valor grupal para uma lideranca responsavel e etica, visando a continua busca do conhecimento, o estabelecimento de confianca mutua e a qualidade da assistencia.This article deals with the leadership in the context of the management and the education in Nursing with the purpose to contribute to rethink the practice in the health organizations. The historical and conceptual aspects emphasize the leadership as a group phenomenon that involves the system of social influence of an individual on the rest. It analyzes the leadership in Nursing as an ability to be permanently developed considering the organizational, interpersonal and individual dimensions. It recognizes the importance of the group value for a responsible and ethical leadership, aiming at the continuous search of the knowledge, the mutual reliable establishment and the quality of the assistance.

A construção do conhecimento do graduando de enfermagem: uma abordagem ético-social

This study aimed at knowing the relation between ethics and self care facing the construction of knowledge of nursing undergraduate and to identify values that conduct that construction. Data were collected through interviews and analysed under social phenomenological and the interviewee’speeches showed the following categories related to motivation for: lecture’posture in the construction of knowledge of student; project to become nurse; relationship between theory and practice; commitement with professional formation. Motivations because: construction of knowledge based on life experiences and self care supported by autonomy. Theoretial and practical knowledge of nursing undergraduate was built up through of new challenges. Descriptores: Ethics; Nursing; Knowledge.

La interface entre la fenomenología y el cuidado de enfermería

La propuesta de este estudio es reflexionar sobre la importancia de la fenomenologia en el area de la enfermeria, enfocandola como posibilidad de abrir espacios para pensar el cuidado, fundamentando en la comprension existencial del hombre, contemplando la dimension humana mas alla de la perspectiva tecnico-cientifica. De ese modo, los autores discuten las tendencias de la enfermeria, enfatizando el cuidado desde un enfoque fenomenologico.

Comitê de Ética em Pesquisa da Escola de Enfermagem da USP: experiência dos primeiros seis anos

The aim of this study was to know the experience of the first six years of the Research Ethics Committee (REC) of the University of Sao Paulo Nursing School activities. The exploratory, descriptive, retrospective and quantitative study analised the records of the REC and of all the 401 research protocols submitted for appreciation from 31st August, 1998 to 17th September, 2004. The results showed that 98.7% of protocols were from in-house researchers; 31.4% were master degree dissertations and 29.1% were graduate students scientific initiation. Qualitative methods were used by 43.8%. Furthemore, 99.2% were classified as Group III thematic area; 58.8% researches were conducted in public institutions and 31.7% enrolled professionals, mostly nurses as research subjects. Informed Consent accounts for 56.4% of the RECs querries. The experience of the REC of the University of Sao Paulo Nursing School shows its progressive consolidation.The aim of this study was to know the experience of the first six years of the Research Ethics Committee (REC) of the University of Sao Paulo Nursing School activities. The exploratory, descriptive, retrospective and quantitative study analised the records of the REC and of all the 401 research protocols submitted for appreciation from 31st August, 1998 to 17th September, 2004. The results showed that 98.7% of protocols were from in-house researchers; 31.4% were master degree dissertations and 29.1% were graduate students scientific initiation. Qualitative methods were used by 43.8%. Furthemore, 99.2% were classified as Group III thematic area; 58.8% researches were conducted in public institutions and 31.7% enrolled professionals, mostly nurses as research subjects. Informed Consent accounts for 56.4% of the RECs querries. The experience of the REC of the University of Sao Paulo Nursing School shows its progressive consolidation.El objetivo de este estudio fue conocer la experiencia del Comite de Etica en Investigacion de la Escuela de Enfermeria de la USP en los primeros seis anos de funcionamiento. Se trata de un estudio exploratorio, descriptivo, retrospectivo e de abordaje cuantitativo realizado con base en los registros del CEP-EEUSP y de los 401 protocolos de investigacion presentados para evaluacion en el periodo del 31 de agosto de 1998 hasta 17 de septiembre de 2004. Los resultados mostraron que 98,7% de los proyectos fueron presentados por investigadores de la EEUSP; 31,4% eran de trabajos de maestria y 29,1% de iniciacion cientifica. Cuanto a los metodos utilizados, 43,8% de los proyectos eran relativos al abordaje cualitativo. Ademas, 99,2% pertenecian a la area tematica del Grupo III; 58,8% propusieron la utilizacion de instituciones publicas y 31,7% tenian profesionales, principalmente enfermeros, como sujetos investigados. El Termo de Consentimiento Libre e Informado fue el responsable por 56,4% de las pendencias. La experiencia del CEP-EEUSP muestra su progresiva consolidacion.

Leadership: continuous learning in the management in nursing

Esse artigo aborda a lideranca no contexto do gerenciamento e da educacao em enfermagem com a finalidade de contribuir para repensar a pratica nas organizacoes de saude. Os aspectos historicos e conceituais enfatizam a lideranca como um fenomeno grupal, que envolve o sistema de influencia social de um individuo sobre os demais. Analisa a lideranca na enfermagem como uma habilidade a ser desenvolvida permanentemente, considerando as dimensoes organizacional, interpessoal e individual. Reconhece a importância do valor grupal para uma lideranca responsavel e etica, visando a continua busca do conhecimento, o estabelecimento de confianca mutua e a qualidade da assistencia.This article deals with the leadership in the context of the management and the education in Nursing with the purpose to contribute to rethink the practice in the health organizations. The historical and conceptual aspects emphasize the leadership as a group phenomenon that involves the system of social influence of an individual on the rest. It analyzes the leadership in Nursing as an ability to be permanently developed considering the organizational, interpersonal and individual dimensions. It recognizes the importance of the group value for a responsible and ethical leadership, aiming at the continuous search of the knowledge, the mutual reliable establishment and the quality of the assistance.

Desafios do enfermeiro diante da dor e do sofrimento da família de pacientes fora de possibilidades terapêuticas

This qualitative study was performed with the objective to identify the challenges faced by nurses who assist families of patients with no hope of cure, in view of their pain and suffering. Data collection was performed in 2008 using semi-structured interviews, including eighteen nurses who worked in the Intensive Care Units of a private hospital located in São Paulo, after receiving approval from the Research Ethics Committee. The content analysis of the data revealed three categories: facing the challenges of assisting the family, expected attitude, and guiding yourself by experience. It was revealed that, in order to assist the families, nurses must reflect on their personal and ethical values, as well as examine their feelings regarding the process of dying. It is expected that experienced nurses will exchange their knowledge with those beginning their practice in this health care setting.O presente trabalho trata-se de um estudo de abordagem qualitativa com o objetivo de identificar os desafios dos enfermeiros para assistir as familias de pacientes fora de possibilidades terapeuticas diante da dor e do sofrimento. A coleta de dados ocorreu no ano de 2008, mediante entrevista semiestruturada, com dezoito enfermeiros que trabalhavam em Unidades de Terapia Intensiva de um hospital privado localizado no municipio de Sao Paulo, apos aprovacao do Comite de Etica em Pesquisa. Utilizou-se a analise de conteudo para a avaliacao dos dados. Obtiveram-se tres categorias: enfrentando os desafios para assistir a familia, posicionamento esperado e orientar-se a partir da experiencia. Evidenciou-se que, para assistir as familias, ha necessidade dos enfermeiros refletirem a respeito dos valores pessoais e eticos, bem como sobre o processo do morrer. Espera-se que haja troca de experiencias entre os enfermeiros ja experientes com os que iniciam tal pratica no âmbito do cuidar.

Nurses' challenges in view of the pain and suffering of families of terminal patients

This qualitative study was performed with the objective to identify the challenges faced by nurses who assist families of patients with no hope of cure, in view of their pain and suffering. Data collection was performed in 2008 using semi-structured interviews, including eighteen nurses who worked in the Intensive Care Units of a private hospital located in São Paulo, after receiving approval from the Research Ethics Committee. The content analysis of the data revealed three categories: facing the challenges of assisting the family, expected attitude, and guiding yourself by experience. It was revealed that, in order to assist the families, nurses must reflect on their personal and ethical values, as well as examine their feelings regarding the process of dying. It is expected that experienced nurses will exchange their knowledge with those beginning their practice in this health care setting.O presente trabalho trata-se de um estudo de abordagem qualitativa com o objetivo de identificar os desafios dos enfermeiros para assistir as familias de pacientes fora de possibilidades terapeuticas diante da dor e do sofrimento. A coleta de dados ocorreu no ano de 2008, mediante entrevista semiestruturada, com dezoito enfermeiros que trabalhavam em Unidades de Terapia Intensiva de um hospital privado localizado no municipio de Sao Paulo, apos aprovacao do Comite de Etica em Pesquisa. Utilizou-se a analise de conteudo para a avaliacao dos dados. Obtiveram-se tres categorias: enfrentando os desafios para assistir a familia, posicionamento esperado e orientar-se a partir da experiencia. Evidenciou-se que, para assistir as familias, ha necessidade dos enfermeiros refletirem a respeito dos valores pessoais e eticos, bem como sobre o processo do morrer. Espera-se que haja troca de experiencias entre os enfermeiros ja experientes com os que iniciam tal pratica no âmbito do cuidar.