Maria Suely Nogueira

Assessment of the techniques of blood pressure measurement by health professionals

OBJECTIVE To assess blood pressure measurement by health professionals of a public hospital in S o Paulo State. METHODS Semi-structured interviews and direct observation were performed with a verification list according to the criteria reported by Perloff et al. One hundred and five health professionals took part in the study. After measuring blood pressure, the level of concordance between the way the procedure was performed and the recommended one was assessed. RESULTS Nurses and nurses aides abided by 40% of the recommended procedures for adequate blood pressure measurement. The other categories of health professionals (nursing and medicine teachers, physicians, residents, and nursing students) abided by approximately 70%. CONCLUSION Permanent educational activities aiming at standardizing blood pressure measurement should be implemented among the different categories of health professionals.

A farmacoterapia no idoso: revisão sobre a abordagem multiprofissional no controle da hipertensão arterial sistêmica

The greater prevalence of chronic diseases like systemic arterial hypertension among elderly people results in an increase of drugs use. Therefore, the incidence of a lot of drug-related problems (DRP) rises, and this leads to many health problems in the population. Based on literature, authors emphasize the multidisciplinary team approach (physicians, nurses and pharmacists) to activities directly related with pharmacotherapy for hypertension, granting elderly persons a better comprehension about taking care of their own health, to reduce DRP and achieve satisfactory adherence.La mayor prevalencia de las enfermedades cronicas entre los ancianos, tales como la hipertension arterial sistemica, implica el crecimiento del consumo de medicamentos. En consecuencia, aumenta la incidencia de problemas relacionados a los medicamentos (PRM), dejando a esta poblacion vulnerable a varios problemas de salud. Basados en la literatura, destacamos la actuacion multiprofesional (medico, enfermero y farmaceutico) en las actividades ligadas directamente a la farmacoterapia de la hipertension arterial sistemica, para proporcionar a los ancianos una mayor comprension de los cuidados con su salud, reducir los PRM y alcanzar la adhesion satisfactoria

Sexualidade humana na formação do enfermeiro

A questionnaire was applied to undergraduate nursing students in order to verify the ideas on the sexuality theme they had absorbed from the notions they received in their nursing undergraduate program. Results showed that most of these students have slightly, limited and unbased notions concerning human sexuality. They also use the terms sex and sexuality as if they were synonyms. Therefore, authors concluded that these students need to acquire knowledge about sexuality and some professional situations experienced are also mentioned. They also discussed the type of knowledge received and which courses approach it during the program.A questionnaire was applied to undergraduate nursing students in order to verify the ideas on the sexuality theme they had absorbed from the notions they received in their nursing undergraduate program. Results showed that most of these students have slightly, limited and unbased notions concerning human sexuality. They also use the terms sex and sexuality as if they were synonyms. Therefore, authors concluded that these students need to acquire knowledge about sexuality and some professional situations experienced are also mentioned. They also discussed the type of knowledge received and which courses approach it during the program.

O ensino de graduação na Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo ao longo dos seus 50 anos (1953-2003)

This study aims to describe the course of undergraduate education developed at the University of São Paulo at Ribeirão Preto College of Nursing throughout the 50 years of its history (1953-2003), offering tools for reflection about the historical and social context, about current curricular guidelines and political and pedagogical challenges with a view to nursing formation.Este artigo tem por objetivo descrever a trajetoria do ensino de graduacao desenvolvido na Escola de Enfermagem de Ribeirao Preto da Universidade de Sao Paulo (EERP-USP), ao longo dos seus 50 anos (1953-2003), trazendo subsidios para reflexoes acerca do contexto historico-social, das diretrizes curriculares atuais e desafios politico-pedagogicos para a formacao do enfermeiro.

In-service nursing education delivered by videoconference

Thirty nursing auxiliaries at a Brazilian hospital were trained in intramuscular injection at the ventrogluteal site in a lecture delivered by videoconference (over an IP connection at up to 512 kbit/s). Participants were able thereafter to practise on the same manikins used for demonstration during the lecture, until they felt confident in carrying out the procedure. They then completed an evaluation questionnaire on the use of videoconferencing as a teaching method. Most of their responses were favourable. The principal reasons given for attending the videoconference lecture were the ability to combine work and education, the opportunity to participate in an innovative approach and an interest in the subject of the lecture. The present study demonstrates the potential of videoconferencing for distance education in nursing.

Fundamentos de Enfermagem: incidentes críticos relacionados à prestação de assistência em estágio supervisionado

The course of Nursing fundamentals introduces the students to supervised training and can result in anxiety and tension. Therefore, the purpose of this study was to identify positive/negative aspects related to the care provided during the supervised training, based on the critical incidents technique. The subjects were students of the 2 degrees, 3 degrees and 4 degrees years of the Nursing Undergraduate Program offered by the State University of Maringá-PR. Authors identified 95 reports: 48(50.5%) positive and 47(49.5) negative. The positive aspects were related to the facultys presence mediating the teaching-learning process; and the negative ones were related to the professionals insensibility regarding pain and death.A disciplina de Fundamentos de Enfermagem introduz o aluno em estagio, podendo gerar ansiedade, tensao. O objetivo deste trabalho foi identificar aspectos positivos/negativos relacionados a prestacao de assistencia em estagio supervisionado, a partir da tecnica dos incidentes criticos (1). Foram sujeitos alunos do 2°, 3° e 4° anos do Curso de Enfermagem da Universidade Estadual de Maringa-PR. Identificamos 95 relatos: 48(50,5%) positivos e 47(49,5%) negativos. A positividade foi atribuida a presenca solidaria do professor, mediando o processo ensino-aprendizagem; a negatividade, a insensibilidade dos profissionais frente a dor e a morte.

Enfoque humanístico à comunicação em enfermagem: o caso de uma adolescente hospitalizada

La enfermeria es una profesion que lucha por la promocion del ser humano con toda su libertad, unicidad y dignidad. En ese sentido, la comunicacion se reviste de un significado esencial tanto en el transcurrir del proceso de enfermeria, como en su producto, constituyendose tambien como un componente fundamental del tratamiento. Sin embargo, en el contexto hospitalario brasileno, la comunicacion del enfermero con el paciente se ha limitado al cumplimiento de su papel instrumental. La propuesta de este estudio es analizar el caso de una adolescente hospitalizada enfocando su comunicacion con los enfermeros que la cuidaron. El analisis se basa en el paradigma categorial de Bales. Mediante la tecnica de la observacion directa del comportamiento resultante de la interaccion entre los enfermeros y la adolescente estudiada, durante treinta horas distribuidas en cinco dias, se computaron 428 unidades de interaccion, las cuales se clasificaron en areas socio-emocionales positiva, negativa y neutra por jueces habilitados para tal actividad. Como el indice de interacciones en el area neutra (83,9%), se presento muy elevado, las autoras recomiendan una correccion humanistica en la comunicacion durante el proceso de enfermeria, lo que podra contribuir para calificar el cuidado y resultara en mayor satisfaccion en el trabajo, debido al ejercicio de la empatia y de la solidaridad.

Hipertensão arterial entre universitários da cidade de Lubango, Angola

This descriptive study aimed to investigate the prevalence of hypertension and its risk factors among undergraduate students in Lubango-Angola. The results obtained according to the health field model were: a) human biology: 61.3% were between 18 and 29 years old; prevalence of hypertension from 20.3 to 26.7%; 17.1% were overweight; 3.2% were obese; b) environment: 36.1% were exclusively students; 33.1% gained a family income of up to 250 dollars; c) life style: 86.2% practiced physical activity; 60.6% preferred salty food; 4.0% were smokers; 40.6% drank alcohol; d) health care: 82.8% already had their arterial pressure verified sometime in their life, and 65.4% did not remember the obtained value.This descriptive study aimed to investigate the prevalence of hypertension and its risk factors among undergraduate students in Lubango-Angola. The results obtained according to the health field model were: a) human biology: 61.3% were between 18 and 29 years old; prevalence of hypertension from 20.3 to 26.7%; 17.1% were overweight; 3.2% were obese; b) environment: 36.1% were exclusively students; 33.1% gained a family income of up to 250 dollars; c) life style: 86.2% practiced physical activity; 60.6% preferred salty food; 4.0% were smokers; 40.6% drank alcohol; d) health care: 82.8% already had their arterial pressure verified sometime in their life, and 65.4% did not remember the obtained value.

Utilização do óxido nítrico como terapêutica: implicações para a enfermagem

El oxido nitrico (NO) es un gas que transmite senales dentro del organismo. La transmision de la senal del gas producido en una celula atraviesa la membrana de la celula vecina y regula su funcion. Este mecanismo constituye un principio innovador de senalizacion de sistemas biologicos. Los descubridores del oxido nitrico como molecula senalizadora ganaran el Premio Nobel en 1998. Este gas ha creado una revolucion en la medicina, solucionando antiguos problemas. El objetivo de este trabajo es revisar la participacion del (NO) en patologias tales como la sepsis, hipertension e hipertension pulmonar. Son abordados tambien, aspectos importantes sobre la prestacion de cuidados de enfermeria a los pacientes tratados con esta terapia.Nitric oxide (NO) is a gas that transmits signals in the organism. Such signal transmission takes place by means of the gas synthesis and release in different cell types. After it is released, the gas penetrates the membrane of a neighboring cell and regulates its function. Such mechanism represents an entirely new signaling principle in biological systems. The discoverers of NO as a signaling molecule were awarded the Nobel Prize in Medicine and Physiology in 1998. This discovery has revolutionized medicine and originated new treatments for old problems. In this study, we review the role of NO in some pathologies such as sepsis, arterial hypertension and pulmonary hypertension and Nitric Oxide is explained in terms of its current merit for treatment and its impact on nursing care.Nitric oxide (NO) is a gas that transmits signals in the organism. Such signal transmission takes place by means of the gas synthesis and release in different cell types. After it is released, the gas penetrates the membrane of a neighboring cell and regulates its function. Such mechanism represents an entirely new signaling principle in biological systems. The discoverers of NO as a signaling molecule were awarded the Nobel Prize in Medicine and Physiology in 1998. This discovery has revolutionized medicine and originated new treatments for old problems. In this study, we review the role of NO in some pathologies such as sepsis, arterial hypertension and pulmonary hypertension and Nitric Oxide is explained in terms of its current merit for treatment and its impact on nursing care.

Obesidade como fator de risco para a hipertensão entre profissionais de enfermagem de uma instituição filantrópica

Analisou-se a presenca de obesidade relacionada com niveis de pressao alterados entre os profissionais de enfermagem de uma instituicao filantropica, tendo em vista a deteccao precoce de possiveis hipertensos. A populacao constituiu-se de 147 profissionais de enfermagem com idade de 20-70 anos. Realizou-se entrevista estruturada, individual, pelo pesquisador no local de trabalho desses profissionais. 91,8% eram mulheres; 29,2% possuiam idade superior a 40 anos; 11,6% apresentaram PAS>140mmHg e 6,8% PAD>90mmHg; 12,2% apresentaram obesidade grau I-II; 38,1% das mulheres, RCQ>0,85, 12,2% com idade 40-49 anos; 2,1% dos homens apresentaram RCQ>1,0, 1,4% encontravam-se na faixa etaria 40-49 anos. E possivel identificar que, embora os profissionais de enfermagem conhecam a gravidade da doenca e a importância da mudanca nos habitos de vida, ainda apresentam dificuldade para tal comportamento, o que sugere a necessidade de implementacao de programas educativos no local de trabalho, de modo a contribuir e favorecer a mudanca de comportamento destes profissionais.The present study analyzed the relationship between obesity and high blood pressure among nursing professionals of a philanthropic institution, with a view to the early detection of possible cases of hypertension. The study population consisted of 147 nursing professionals of ages between 20-70 years. The researcher performed structured, individual, interviews at the work site of those professionals, 91.8% of which were women; 29.2% were older than 40 years; 11.6% had a SBP > or = 140 mmHg and 6.8% DBP > or = 90 mmHg; 12.2% had obesity class I-II; 38.1% of women with a WHP > or = 0.85, 12.2% in the age range of 40-49 years; 2.1% of men with a WHR > or = 1.0, 1.4% in the age range of 40-49 years. It was found that, though nursing professionals know the severity of the disease and the importance of changing their life habits, they still find it difficult to adopt that behavior, which suggests the need to implement educational programs at the work site to help them to change their behaviors.