Maria Elisabeth Cestari

Processo de formação de enfermeiros líderes

Estudo qualitativo, descritivo e exploratorio que teve por objetivo conhecer o papel de uma instituicao de ensino superior e hospitalar na formacao e educacao permanente de enfermeiros-lideres. Foi desenvolvido durante os meses de fevereiro e marco de 2008, contando com a participacao de onze enfermeiras de um hospital de grande porte da regiao sul do Rio Grande do Sul. Para coleta dos dados realizou-se entrevistas semi-estruturadas e grupos focais. Utilizou-se a Analise de Conteudo para tratamento dos dados, emergindo duas categorias: papel da instituicao de ensino superior na formacao de enfermeiros-lideres e papel da instituicao hospitalar na educacao permanente de enfermeiros-lideres. Verifica-se a existencia de lacunas relacionadas ao ensino da lideranca e ao desenvolvimento dessa competencia no âmbito hospitalar.Qualitative study, descriptive and exploratory which aimed to ascertain the role of an institution of higher education and hospital training and continuing education of nurse-leaders. Was developed during the months of February and March 2008, with the participation of eleven nurses from a large hospital in the southern region of Rio Grande do Sul. For data collection was carried out semi-structured interviews and focus groups. Using the Content Analysis for the treatment of data, two categories emerged: the role of higher education institution in the training of nurses, leaders and role of the hospital in continuing education of nurses-leaders. There is the existence of gaps related to the teaching of leadership and development of competence in the hospital context.

Características que interferem na construção do enfermeiro-líder

OBJECTIVE: To identify personal characteristics that influences the development of a nurse leader. METHODS: This qualitative study used focus group approach to collect the data. Two focus group meetings were conducted with 11 registered nurses from a major hospital in southern Rio Grande do Sul. Content analysis suggests two main categories: (1) Personal characteristics that must be cultivated and (2) personal characteristics that must be developed. RESULTS: Participants of the study verbalized that to be a good nurse leader there is a need for the development of certain personal characteristics commonly attributed to leaders. CONCLUSION: The main personal characteristics of a good nurse leader that must be cultivated include communication, knowledge, responsibility, common sense, and self-knowledge. The study also promoted reflection and sensitization among participant nurses regarding the importance of leadership in clinical practice.Objective: To identify personal characteristics that influences the development of a nurse leader. Methods: This qualitative study used focus group approach to collect the data. Two focus group meetings were conducted with 11 registered nurses from a major hospital in southern Rio Grande do Sul. Content analysis suggests two main categories: (1) Personal characteristics that must be cultivated and (2) personal characteristics that must be developed. Results: Participants of the study verbalized that to be a good nurse leader there is a need for the development of certain personal characteristics commonly attributed to leaders. Conclusion: The main personal characteristics of a good nurse leader that must be cultivated include communication, knowledge, responsibility, common sense, and self-knowledge. The study also promoted reflection and sensitization among participant nurses regarding the importance of leadership in clinical practice.

Agir comunicativo, educação e conhecimento: uma aproximação ao pensamento de Habermas

Este trabajo tiene como objetivo presentar una sintesis del pensamiento de Habermas sobre el actuar comunicativo, para buscar una aproximacion de este con la educacion formal y en particular con la formacion de la enfermera. Inicialmente se apuntan diferentes concepciones de la verdad y el conocimiento y las caracteristicas de la educacion en la era moderna. Despues se presenta la concepcion del lenguaje que fundamenta la teoria de la accion cumunicativa de Habermas. Finalmente se sugieren las posibles contribuciones del autor para concretar una forma de ensenar-aprender basada en el dialogo.This paper has the objective of presenting a synthesis of Habermas thought on communicative action, relating this with formal education, and more specifically with nursing education. Initially, different concepts of truth and knowledge, as well as the characteristics of modern age education, are pointed out. Secondly, the language concept, which serves as the base to Habermas communicative action theory, is presented. Finally, the study presents the contributions of this author to the materialization of a dialog-based form of teaching learning.

As percepções dos enfermeiros acerca da liderança

Este estudo teve por objetivo conhecer a percepcao do enfermeiro frente a utilizacao da lideranca como instrumento gerencial no seu processo de trabalho. Tratou-se de um estudo qualitativo do tipo descritivo e exploratorio, realizado com onze enfermeiras de um hospital de grande porte da regiao sul do Rio Grande do Sul, realizado durante os meses de fevereiro e marco de 2008. Para a coleta dos dados, utilizaram-se entrevistas semi-estruturadas e grupo focal. A Analise de Conteudo foi escolhida como tecnica para tratamento dos dados, obtendo-se duas categorias: significados atribuidos a lideranca e autoridade versus autoritarismo. Percebeu-se que mesmo a lideranca oferecendo vantagens ao trabalho da enfermagem, ainda sao grandes as dificuldades para compreende-la e, principalmente, para coloca-la em pratica, tornando-se necessario a criacao de programas e estrategias de aprimoramento do desempenho da lideranca como instrumento gerencial do enfermeiro.This study aimed at ascertaining the perceptions of nurses facing the use of managerial leadership as a tool in their work process. This was a qualitative study of descriptive and exploratory type, conducted with eleven nurses from a large hospital in the southern region of Rio Grande do Sul, Brazil, during the months of February and March 2008. For data collection were used semi-structured interviews and focus group. The content analysis was chosen as a technique for processing the data, resulting in two categories: meanings attributed to the leadership and authority versus authoritarianism. It was noticed that even the leadership offering advantages in nursing work, are still great the difficulties to understand it and, especially, to put it into practice, making it necessary to create programs and strategies to improve the performance of the leadership as a nurses managerial instrument.

Promoção da saúde da pessoa idosa: compromisso da enfermagem gerontogeriátrica

Este artigo teve como objetivo realizar uma revisao da historia das politicas de saude voltadas as pessoas idosas, inicialmente utilizando as conferencias internacionais de saude, depois as politicas nacionais, correlacionando com a perda de poder usualmente atribuida ao ser idoso. Utilizou-se o modelo de promocao da saude de Nola Pender para interligar os temas, resultando no ganho de poder como estrategia de promocao da saude da pessoa idosa. Para atingir o objetivo proposto, foram utilizados como fonte de dados material bibliografico como as Cartas de Promocao da Saude, temas da Gerontologia e da Enfermagem. Enfatiza-se a necessidade do enfermeiro ficar atento as questoes de promocao/educacao para saude e as politicas publicas voltadas as pessoas idosas.

Trabalho em saúde com pacientes apenados: sentidos metafóricos gerados no contexto hospitalar

Objective: To describe the metaphorical meanings generated based on the work process of the healthcare team with prisoners receiving inpatient care in a hospital. Methods: Qualitative exploratory research, using a socio-historical dialectic, was conducted with members of the health care team: the nursing staff (professional and technical nurses and nursing assistants), physicians, physiotherapists and nutritionists. Data collection was accomplished through recorded, semi-structured interviews. Data analysis was performed using the hermeneutic dialectic perspective. Results: Based on the central nucleus of metaphorical meaning for the concept “human”, we identified four main themes: antagonistic feelings between patient and health care worker, gentleness, compassion and vulnerability. Conclusion: The positive and negative metaphorical meanings revealed that the work product exists; the process is permeated by a sense of stigmatism inherent in

Personal characteristics that influence the development of a nurse leader

OBJECTIVE: To identify personal characteristics that influences the development of a nurse leader. METHODS: This qualitative study used focus group approach to collect the data. Two focus group meetings were conducted with 11 registered nurses from a major hospital in southern Rio Grande do Sul. Content analysis suggests two main categories: (1) Personal characteristics that must be cultivated and (2) personal characteristics that must be developed. RESULTS: Participants of the study verbalized that to be a good nurse leader there is a need for the development of certain personal characteristics commonly attributed to leaders. CONCLUSION: The main personal characteristics of a good nurse leader that must be cultivated include communication, knowledge, responsibility, common sense, and self-knowledge. The study also promoted reflection and sensitization among participant nurses regarding the importance of leadership in clinical practice.Objective: To identify personal characteristics that influences the development of a nurse leader. Methods: This qualitative study used focus group approach to collect the data. Two focus group meetings were conducted with 11 registered nurses from a major hospital in southern Rio Grande do Sul. Content analysis suggests two main categories: (1) Personal characteristics that must be cultivated and (2) personal characteristics that must be developed. Results: Participants of the study verbalized that to be a good nurse leader there is a need for the development of certain personal characteristics commonly attributed to leaders. Conclusion: The main personal characteristics of a good nurse leader that must be cultivated include communication, knowledge, responsibility, common sense, and self-knowledge. The study also promoted reflection and sensitization among participant nurses regarding the importance of leadership in clinical practice.

Education process of nurse leaders

Estudo qualitativo, descritivo e exploratorio que teve por objetivo conhecer o papel de uma instituicao de ensino superior e hospitalar na formacao e educacao permanente de enfermeiros-lideres. Foi desenvolvido durante os meses de fevereiro e marco de 2008, contando com a participacao de onze enfermeiras de um hospital de grande porte da regiao sul do Rio Grande do Sul. Para coleta dos dados realizou-se entrevistas semi-estruturadas e grupos focais. Utilizou-se a Analise de Conteudo para tratamento dos dados, emergindo duas categorias: papel da instituicao de ensino superior na formacao de enfermeiros-lideres e papel da instituicao hospitalar na educacao permanente de enfermeiros-lideres. Verifica-se a existencia de lacunas relacionadas ao ensino da lideranca e ao desenvolvimento dessa competencia no âmbito hospitalar.Qualitative study, descriptive and exploratory which aimed to ascertain the role of an institution of higher education and hospital training and continuing education of nurse-leaders. Was developed during the months of February and March 2008, with the participation of eleven nurses from a large hospital in the southern region of Rio Grande do Sul. For data collection was carried out semi-structured interviews and focus groups. Using the Content Analysis for the treatment of data, two categories emerged: the role of higher education institution in the training of nurses, leaders and role of the hospital in continuing education of nurses-leaders. There is the existence of gaps related to the teaching of leadership and development of competence in the hospital context.

Health promotion for the elderly: gerontogeriatric nursing commitment

Este artigo teve como objetivo realizar uma revisao da historia das politicas de saude voltadas as pessoas idosas, inicialmente utilizando as conferencias internacionais de saude, depois as politicas nacionais, correlacionando com a perda de poder usualmente atribuida ao ser idoso. Utilizou-se o modelo de promocao da saude de Nola Pender para interligar os temas, resultando no ganho de poder como estrategia de promocao da saude da pessoa idosa. Para atingir o objetivo proposto, foram utilizados como fonte de dados material bibliografico como as Cartas de Promocao da Saude, temas da Gerontologia e da Enfermagem. Enfatiza-se a necessidade do enfermeiro ficar atento as questoes de promocao/educacao para saude e as politicas publicas voltadas as pessoas idosas.

Health care work with prisoners: metaphorical meanings created in the hospital context

Objective: To describe the metaphorical meanings generated based on the work process of the healthcare team with prisoners receiving inpatient care in a hospital. Methods: Qualitative exploratory research, using a socio-historical dialectic, was conducted with members of the health care team: the nursing staff (professional and technical nurses and nursing assistants), physicians, physiotherapists and nutritionists. Data collection was accomplished through recorded, semi-structured interviews. Data analysis was performed using the hermeneutic dialectic perspective. Results: Based on the central nucleus of metaphorical meaning for the concept “human”, we identified four main themes: antagonistic feelings between patient and health care worker, gentleness, compassion and vulnerability. Conclusion: The positive and negative metaphorical meanings revealed that the work product exists; the process is permeated by a sense of stigmatism inherent in