Marilane de Oliveira Fani Amaro

The importance of using quality indicators in nursing care

OBJECTIVE To investigate the opinion of hospital nurses on the use of quality indicators for nursing care. METHOD Research based on the qualitative approach, conducted with 41 nurses from two charity hospitals in Minas Gerais, from September to October 2013. Interviews with a semi-structured script were used to collect data. The empirical data were organized by means of content analysis. RESULTS Indicators are important for assessing the provided care, for improving the quality of care, and for defining strategies to achieve goals. CONCLUSIONS The difficulties encountered when using these indicators revealed the following constituent elements: lack of time, inadequate number of professionals and lack of knowledge on the subject. It was concluded that nurses understand that indicators are instruments that enable evaluations and improvements, but their understanding of how to use these instruments is incomplete and fragmented.

Opinião dos enfermeiros sobre a utilização dos indicadores de qualidade na assistência de enfermagem

OBJECTIVE To investigate the opinion of hospital nurses on the use of quality indicators for nursing care. METHOD Research based on the qualitative approach, conducted with 41 nurses from two charity hospitals in Minas Gerais, from September to October 2013. Interviews with a semi-structured script were used to collect data. The empirical data were organized by means of content analysis. RESULTS Indicators are important for assessing the provided care, for improving the quality of care, and for defining strategies to achieve goals. CONCLUSIONS The difficulties encountered when using these indicators revealed the following constituent elements: lack of time, inadequate number of professionals and lack of knowledge on the subject. It was concluded that nurses understand that indicators are instruments that enable evaluations and improvements, but their understanding of how to use these instruments is incomplete and fragmented.

IMPORTANCE OF TRADITIONAL KNOWLEDGE IN THE USE OF MEDICINAL PLANTS IN BURITIS ,MG, BRAZIL

The objective of this research was to determine the knowledge and reason for use, as well as means of obtaining and uses of medicinal plants in the city of Buritis, MG . The survey data were collected between January and July 2011. Based on a semi-structured questionnaire, 393 residents in Buritis were interviewed. Of these, 91% claimed to know and use medicinal plants, the majority (64%) women. The predominant age group was 21-40 years ( 50%). The main reason for the use of plants is by family tradition (77%). The part of the plant most used in homemade preparations was the sheet, the most widely used form of preparation was infused, the majority acquires medicinal plants in their own backyard. We conclude that the use of medicinal plants in the municipality studied, is traditional, but this knowledge is disappearing among the younger generations. Thus, this study contributes to the rescue of the knowledge and culture of the population studied. As soon as one of the goals of an ethnopharmacological work is the return of research results to the community, the same will be done through lectures and textbooks in schools to assist with the process of awareness about the importance of biodiversity of the Cerrado.

Fatores relacionados à autoaplicação de insulina em indivíduos com diabetes mellitus

Objetivo: Identificar os fatores associados a autoaplicacao de insulina em adultos com Diabetes Mellitus. Metodo: Estudo transversal desenvolvido no municipio de Vicosa-MG, que avaliou 142 pacientes. A coleta de dados foi realizada entre abril e julho de 2013 mediante entrevista no domicilio do participante. Regressao logistica multipla foi utilizada. Resultado: A prevalencia de autoaplicacao de insulina foi de 67,6%, apresentando associacao com idade entre 57 e 68 anos (OR = 0,3; IC95%: 0,1 - 0,9), conviver com companheiro e filhos (OR = 2,5; IC95%: 1,1 – 5,0), ter 9 anos ou mais de estudo (OR = 8,4; IC95%: 1,9 - 37,9), morar em area nao coberta pela Estrategia Saude da Familia (ESF) (OR = 2,8; IC95%: 1,1 - 7,0).Conclusao: Autoaplicacao de insulina mostrou-se associada a idade, escolaridade, situacao conjugal e cobertura da ESF. O reconhecimento desses fatores pode contribuir para o desenvolvimento de estrategias para adesao a autoaplicacao de insulina. Palavras-chave: Diabetes mellitus. Insulina. Autocuidado. Adesao a medicacao.OBJECTIVE To identify the factors associated with the self-application of insulin in adult individuals with Diabetes Mellitus. METHOD A cross-sectional study developed in the city of Viçosa-MG, which assessed 142 patients. The data collection was performed between April and July 2013 through an interview at the participants home. Multiple logistic regression was used. RESULTS The prevalence of the self-administration of insulin was of 67.6%, and it was associated with ages between 57 and 68 years old (OR = 0.3, 95% CI: 0.1-0.9), living with a partner and children (OR = 2.5, 95% CI: 1.1-5.0), 9 years or more of study (OR = 8.4, 95% CI: 1.9-37.9), living in an area not covered by the Family Health Strategy (FHS) (OR = 2.8, 95% CI: 1.1 - 7.0). CONCLUSION The self-application of insulin was associated with age, schooling, marital status, and the FHS coverage. The recognition of these factors may contribute to the adherence to the self-application of insulin.

La importancia de la utilización de indicadores de calidad en la atención de enfermería

OBJECTIVE To investigate the opinion of hospital nurses on the use of quality indicators for nursing care. METHOD Research based on the qualitative approach, conducted with 41 nurses from two charity hospitals in Minas Gerais, from September to October 2013. Interviews with a semi-structured script were used to collect data. The empirical data were organized by means of content analysis. RESULTS Indicators are important for assessing the provided care, for improving the quality of care, and for defining strategies to achieve goals. CONCLUSIONS The difficulties encountered when using these indicators revealed the following constituent elements: lack of time, inadequate number of professionals and lack of knowledge on the subject. It was concluded that nurses understand that indicators are instruments that enable evaluations and improvements, but their understanding of how to use these instruments is incomplete and fragmented.

EFEITOS ANTINOCICEPTIVO E ANTI-INFLAMATÓRIO DO EXTRATO DAS FOLHAS DE PIPTADENIA GONOACANTHA (MART.) MACBR. EM MODELOS EXPERIMENTAIS ANIMAIS

This study aimed to evaluate the anti-inflammatory and antinociceptive effects of hydroalcoholic extract of P.gonoacantha leaves (EPG). The toxic effect of the EPG was tested against A.salina in order to determine a secure dose for subsequent assays. The antinociception was evaluated using the acetic acid-induced writhing and hot plate tests in Wistar rats. The anti-inflammatory effect of EPG was evaluated by carrageenan-induced paw edema tests in rats. The bioassay with A.salina showed low toxicity of EPG (LC50=1,508mg/L). Oral administration of EPG (50, 100 and 150mg/kg) significantly decreased the number of acetic acid-induced writhes, around 61.3%, 71.8% and 64.9% respectively. However, EPG failed to prolong the latency time in the hot plate test, suggesting that EPG predominantly inhibits peripheral pain mechanisms. The oral administration of EPG at doses of 50 and 100mg/kg significantly inhibited paw edema at 3rd h after the injection of the phlogistic agent by 34.5% and 37.5%, respectively. These data suggest that EPG has both antinociceptive and anti-inflammatory activities, and these effects may be attributed to inhibition of COX-2 and prostaglandin release.

ATIVIDADE ANTIBACTERIANA DE Brassica oleracea var. capitata EM MODELOS EXPERIMENTAIS IN VITRO

The ability of microorganisms, especially bacteria become resistant, has been widely discussed in various publications, and plants are one source to search for new drugs that each day has become more necessary. This work aimed to evaluate different ways of preparing extracts of Brassica oleracea var. capitata and test them fronts strain of Staphylococcus aureus using the test on solid medium by diffusion in agar and in liquid medium in the ELISA plate. Tests revealed that extracts obtained by solvent extraction and decoction hydroalcoholic acid have greater appeal to the search for new drugs with activity against S. aureus, and the latter fractions obtained by liquidliquid partition relating to solvents ethyl acetate, dichloromethane and hydroalcoholic remaining fraction showed more efficient. As for the solid medium, there was a lack of antibacterial activity of hydroalcoholic extract. However, a strong antibacterial activity was observed when analyzed in the same extracts in liquid medium. Ethanolic extracts with concentrations of 50 and 70% showed better results when evaluated for 8 h of incubation. Different results were observed when the period was bent where the concentrations became more expressive of the 70 and 80%. The results demonstrate that the species is a potential source of antibacterial agents. However, the choice of solvent, the extraction method and the bacterial growth medium should be considered. The data shown here motivates further studies for the isolation and identification of the active principles responsible for the antibacterial activity that can be used in the pharmaceutical industry, because of the large number of resistance to existing antibacterial drugs. Key-words: Anti-Bacterial Agents, Plants Medicinal, Medicine Traditional, Phytotherapy, Brassica.