Marta Cristiane Alves Pereira

A competência técnica em informática de alunos de enfermagem

Nurses in the information age need to build their knowledge and abilities in order to be competent in this area. The objective of this study was to verify the knowledge of nursing freshmen (1st semester) and seniors (8th semester) registered in 2008 and 2007, respectively, regarding their ability to use informatics resources. This is a non-experimental, descriptive, exploratory survey. Data collection was performed using a questionnaire based on a set of competences in informatics. The results revealed a low rate of informatics knowledge among the freshmen. However, regarding the applications that students had the most difficulty to operate, between the two periods, seniors had the worst performance, which shows it is necessary to include computer classes in the preparation of these new professional, in order to prepare them for the work market.Nurses in the information age need to build their knowledge and abilities in order to be competent in this area. The objective of this study was to verify the knowledge of nursing freshmen (1st semester) and seniors (8th semester) registered in 2008 and 2007, respectively, regarding their ability to use informatics resources. This is a non-experimental, descriptive, exploratory survey. Data collection was performed using a questionnaire based on a set of competences in informatics. The results revealed a low rate of informatics knowledge among the freshmen. However, regarding the applications that students had the most difficulty to operate, between the two periods, seniors had the worst performance, which shows it is necessary to include computer classes in the preparation of these new professional, in order to prepare them for the work market.

Nursing undergraduates' technical competence in informatics

Nurses in the information age need to build their knowledge and abilities in order to be competent in this area. The objective of this study was to verify the knowledge of nursing freshmen (1st semester) and seniors (8th semester) registered in 2008 and 2007, respectively, regarding their ability to use informatics resources. This is a non-experimental, descriptive, exploratory survey. Data collection was performed using a questionnaire based on a set of competences in informatics. The results revealed a low rate of informatics knowledge among the freshmen. However, regarding the applications that students had the most difficulty to operate, between the two periods, seniors had the worst performance, which shows it is necessary to include computer classes in the preparation of these new professional, in order to prepare them for the work market.Nurses in the information age need to build their knowledge and abilities in order to be competent in this area. The objective of this study was to verify the knowledge of nursing freshmen (1st semester) and seniors (8th semester) registered in 2008 and 2007, respectively, regarding their ability to use informatics resources. This is a non-experimental, descriptive, exploratory survey. Data collection was performed using a questionnaire based on a set of competences in informatics. The results revealed a low rate of informatics knowledge among the freshmen. However, regarding the applications that students had the most difficulty to operate, between the two periods, seniors had the worst performance, which shows it is necessary to include computer classes in the preparation of these new professional, in order to prepare them for the work market.

Perfil de diagnósticos de enfermagem em pessoas com diabetes segundo modelo conceitual de Orem

OBJECTIVE: To identify nursing diagnoses in people with diabetes mellitus according to Orems theory of self-care. METHODS: The sample consisted of 31 people with diabetes mellitus who received care in 2006 at a University Research and Community Service Center in the state of Sao Paulo. Data were collected through health assessment and interviews. Nursing diagnoses were made according to NANDA-I Taxonomy II, using critical thinking described by Risner. RESULTS: Among 37 nursing diagnoses, 3 of them were present in more than 50% of the participants: ineffective management of therapeutic regimen (67%), knowledge deficit (51%), and impaired skin integrity (51%). Eighteen nursing diagnoses were related to Orems requirements for universal self-care. CONCLUSION: Knowing the most common nursing diagnoses in people with diabetes mellitus can guide the educative actions of nurses in promoting the development of self-care agency among people with diabetes mellitus.OBJETIVO: Identificar los diagnosticos de enfermeria en personas con diabetes mellitus, segun el modelo conceptual de Orem. METODOS: Participaron en el estudio 31 personas con diabetes atendidas en un Centro Universitario de Investigacion y Extension, del interior paulista, en el 2006. Los datos fueron obtenidos por medio de examen fisico y entrevista dirigida de casos multiples. Los diagnosticos de enfermeria fueron identificados segun la Taxonomia II de la NANDA, mediante el proceso de raciocinio diagnostico de Risner. RESULTADOS: De los 37 diagnosticos de enfermeria, tres presentaron frecuencia superior al 50%: control ineficaz del regimen terapeutico (67%), conocimiento deficiente (51%) e integridad de la piel perjudicada (51%). Dieciocho diagnosticos de enfermeria estaban relacionados a los requisitos para el autocuidado universal, preconizado por Orem. CONCLUSION: Los diagnosticos de enfermeria se mostraron como indicadores diferenciados para guiar las acciones educativas del enfermero con enfasis en el desarrollo de las habilidades de autocuidado para personas con diabetes.

Nursing diagnoses in people with diabetes mellitus according to Orem's theory of self-care

OBJECTIVE: To identify nursing diagnoses in people with diabetes mellitus according to Orems theory of self-care. METHODS: The sample consisted of 31 people with diabetes mellitus who received care in 2006 at a University Research and Community Service Center in the state of Sao Paulo. Data were collected through health assessment and interviews. Nursing diagnoses were made according to NANDA-I Taxonomy II, using critical thinking described by Risner. RESULTS: Among 37 nursing diagnoses, 3 of them were present in more than 50% of the participants: ineffective management of therapeutic regimen (67%), knowledge deficit (51%), and impaired skin integrity (51%). Eighteen nursing diagnoses were related to Orems requirements for universal self-care. CONCLUSION: Knowing the most common nursing diagnoses in people with diabetes mellitus can guide the educative actions of nurses in promoting the development of self-care agency among people with diabetes mellitus.OBJETIVO: Identificar los diagnosticos de enfermeria en personas con diabetes mellitus, segun el modelo conceptual de Orem. METODOS: Participaron en el estudio 31 personas con diabetes atendidas en un Centro Universitario de Investigacion y Extension, del interior paulista, en el 2006. Los datos fueron obtenidos por medio de examen fisico y entrevista dirigida de casos multiples. Los diagnosticos de enfermeria fueron identificados segun la Taxonomia II de la NANDA, mediante el proceso de raciocinio diagnostico de Risner. RESULTADOS: De los 37 diagnosticos de enfermeria, tres presentaron frecuencia superior al 50%: control ineficaz del regimen terapeutico (67%), conocimiento deficiente (51%) e integridad de la piel perjudicada (51%). Dieciocho diagnosticos de enfermeria estaban relacionados a los requisitos para el autocuidado universal, preconizado por Orem. CONCLUSION: Los diagnosticos de enfermeria se mostraron como indicadores diferenciados para guiar las acciones educativas del enfermero con enfasis en el desarrollo de las habilidades de autocuidado para personas con diabetes.

Health services users with diabetes mellitus: from knowledge to the use of healthcare rights

Se trata de un estudio descriptivo de abordaje cualitativo, con el objetivo de analizar el conocimiento de los usuarios de los servicios de salud con diabetes mellitus (DM) acerca de sus derechos. Participaron 12 personas con DM atendidas en un centro universitario del interior paulista en 2008, por medio de entrevista abierta. El analisis de contenido tematico de los datos posibilito identificar dos categorias: el (des)conocimiento de los usuarios de los servicios de salud con diabetes sobre sus derechos y el ejercicio no consciente de sus derechos por las personas con DM. Fue posible constatar que, a pesar de los avances legalmente alcanzados por las politicas publicas, la mayoria de los usuarios de los servicios de salud con DM desconoce sus derechos, a pesar de que utilizan los beneficios provenientes de la legislacion, de manera no consciente. Se resalta como punto fundamental proveer informaciones completas y suficientes para que la persona pueda tomar la mejor decision en relacion a su tratamiento, preservando su autonomia en los servicios de salud.

Políticas públicas e direitos dos usuários do Sistema Único de Saúde com diabetes mellitus

This study approaches the relationship between public policies and the rights of SUS (Single Health System) users with diabetes mellitus regarding the supplies used in the treatment of diabetes, under the view of legal rules and procedures for support of this population. Health professionals should be a link between users and current health model, actively assuming a role of defending the rights of SUS users with diabetes mellitus. This posture is an ideal to be achieved and consolidated in daily practices. The educational process needs to be strengthened, including the ethical-political dimension during actions implemented with SUS users.This study approaches the relationship between public policies and the rights of SUS (Single Health System) users with diabetes mellitus regarding the supplies used in the treatment of diabetes, under the view of legal rules and procedures for support of this population. Health professionals should be a link between users and current health model, actively assuming a role of defending the rights of SUS users with diabetes mellitus. This posture is an ideal to be achieved and consolidated in daily practices. The educational process needs to be strengthened, including the ethical-political dimension during actions implemented with SUS users.

Usuários dos serviços de saúde com diabetes mellitus: do conhecimento à utilização dos direitos à saúde

Se trata de un estudio descriptivo de abordaje cualitativo, con el objetivo de analizar el conocimiento de los usuarios de los servicios de salud con diabetes mellitus (DM) acerca de sus derechos. Participaron 12 personas con DM atendidas en un centro universitario del interior paulista en 2008, por medio de entrevista abierta. El analisis de contenido tematico de los datos posibilito identificar dos categorias: el (des)conocimiento de los usuarios de los servicios de salud con diabetes sobre sus derechos y el ejercicio no consciente de sus derechos por las personas con DM. Fue posible constatar que, a pesar de los avances legalmente alcanzados por las politicas publicas, la mayoria de los usuarios de los servicios de salud con DM desconoce sus derechos, a pesar de que utilizan los beneficios provenientes de la legislacion, de manera no consciente. Se resalta como punto fundamental proveer informaciones completas y suficientes para que la persona pueda tomar la mejor decision en relacion a su tratamiento, preservando su autonomia en los servicios de salud.

Protótipo de escala informatizada para busca ativa de potenciais doadores de órgãos

Objetivo: desenvolver prototipo de escala informatizada para busca ativa de potenciais doadores de orgaos e tecidos. Metodo: pesquisa metodologica, com analise de 377 prontuarios eletronicos de pacientes que evoluiram a obito, por morte encefalica, ou parada cardiorrespiratoria, nas unidades de terapia intensiva de hospital terciario. Nos obitos por parada cardiorrespiratoria, buscou-se identificar fatores que indicassem subnotificacao de morte encefalica. Nos protocolos, foram aplicados os indices de gravidade Acute Physiology and Chronic Health Evaluation II e Sepsis Related Organ Failure Assessment. A partir disso, construiu-se a escala que foi encaminhada a cinco especialistas, para avaliacao de conteudo, e, posteriormente, foi informatizada por modelo de prototipacao. Resultados: foram identificadas 34 subnotificacoes de morte encefalica nos prontuarios dos casos de parada cardiorrespiratoria. O teste de Wilcoxon demonstrou diferenca estatisticamente significativa entre os escores de admissao em unidade de terapia intensiva e abertura do protocolo de morte encefalica, para ambos os indices de gravidade. Conclusao: o prototipo foi efetivo para identificacao de potenciais doadores, bem como o grau de disfuncao orgânica de pacientes em morte encefalica.ABSTRACT Objective: to develop a prototype of a computerized scale for the active search for potential organ and tissue donors. Method: methodological study, with the analysis of 377 electronic medical records of patients who died due to encephalic death or cardiorespiratory arrest in the intensive care units of a tertiary hospital. Among the deaths due to cardiorespiratory arrest, the study aimed to identify factors indicating underreported encephalic death cases. The Acute Physiology and Chronic Health Evaluation II and Sepsis Related Organ Failure Assessment severity indexes were applied in the protocols. Based on this, a scale was built and sent to five experts for assessment of the scale content, and subsequently, it was computerized by using a prototyping model. Results: 34 underreported encephalic death cases were identified in the medical records of patients with cardiorespiratory arrest. Statistically significant differences were found in the Wilcoxon test between the scores of hospital admissions in the intensive care unit and the opening of the encephalic death protocol for both severity indexes. Conclusion: the prototype was effective for identifying potential organ donors, as well as for the identification of the degree of organ dysfunction in patients with encephalic death.

Usuarios de los servicios de salud con diabetes mellitus: del conocimiento a la utilización de los derechos a la salud

Se trata de un estudio descriptivo de abordaje cualitativo, con el objetivo de analizar el conocimiento de los usuarios de los servicios de salud con diabetes mellitus (DM) acerca de sus derechos. Participaron 12 personas con DM atendidas en un centro universitario del interior paulista en 2008, por medio de entrevista abierta. El analisis de contenido tematico de los datos posibilito identificar dos categorias: el (des)conocimiento de los usuarios de los servicios de salud con diabetes sobre sus derechos y el ejercicio no consciente de sus derechos por las personas con DM. Fue posible constatar que, a pesar de los avances legalmente alcanzados por las politicas publicas, la mayoria de los usuarios de los servicios de salud con DM desconoce sus derechos, a pesar de que utilizan los beneficios provenientes de la legislacion, de manera no consciente. Se resalta como punto fundamental proveer informaciones completas y suficientes para que la persona pueda tomar la mejor decision en relacion a su tratamiento, preservando su autonomia en los servicios de salud.

La competencia tecnica en informática de estudiantes de enfermería

Nurses in the information age need to build their knowledge and abilities in order to be competent in this area. The objective of this study was to verify the knowledge of nursing freshmen (1st semester) and seniors (8th semester) registered in 2008 and 2007, respectively, regarding their ability to use informatics resources. This is a non-experimental, descriptive, exploratory survey. Data collection was performed using a questionnaire based on a set of competences in informatics. The results revealed a low rate of informatics knowledge among the freshmen. However, regarding the applications that students had the most difficulty to operate, between the two periods, seniors had the worst performance, which shows it is necessary to include computer classes in the preparation of these new professional, in order to prepare them for the work market.Nurses in the information age need to build their knowledge and abilities in order to be competent in this area. The objective of this study was to verify the knowledge of nursing freshmen (1st semester) and seniors (8th semester) registered in 2008 and 2007, respectively, regarding their ability to use informatics resources. This is a non-experimental, descriptive, exploratory survey. Data collection was performed using a questionnaire based on a set of competences in informatics. The results revealed a low rate of informatics knowledge among the freshmen. However, regarding the applications that students had the most difficulty to operate, between the two periods, seniors had the worst performance, which shows it is necessary to include computer classes in the preparation of these new professional, in order to prepare them for the work market.