Sílvia Teresa Carvalho de Araújo

Vision as an instrument of perception in trauma and orthopedic nursing care

A visao, mais do que um sentido, e um poderoso instrumento que identifica e seleciona, de forma que tudo depende do que ja se viu antes para determinar a maneira como interpretamos o que esta sendo visto. O objetivo deste artigo e discutir o papel da visao como instrumento para uma assistencia de enfermagem holistica e de qualidade. E um estudo exploratorio, de abordagem qualitativa, utilizando o metodo da Sociopoetica. Os dados foram agrupados nas seguintes categorias: (1) Visao como instrumento e (2) Alteracoes corporais externas. Como em traumato-ortopedia, os enfermeiros devem ser capazes de conduzir a assistencia a pacientes em condicoes complexas em um ambiente de cuidado que muda rapidamente. Os resultados demonstraram a visao como poderoso instrumento de cuidado em Enfermagem Traumato-Ortopedica, permitindo uma atuacao profissional verdadeiramente adequada as necessidades do paciente.

Comunicação como temática de pesquisa na Nefrologia: subsídio para o cuidado de enfermagem

OBJETIVOS: Identificar a tendencia de pesquisas na area de Nefrologia com foco na comunicacao e analisar a abordagem sobre comunicacao nestas pesquisas. METODOS: Levantamento de artigos nas bases de dados LILACS, SciELO, BDENF e MEDLINE, publicados entre 1997 e 2007, em portugues e espanhol, com foco na comunicacao, ou no relacionamento com o cliente ou nos seus sentimentos, emocoes e percepcoes. As informacoes sobre os artigos foram organizadas em quadros e divididas em tres categorias: comunicacao, relacionamento/interacao e sentimentos/emocao/percepcao. RESULTADOS: A maioria dos artigos relaciona-se aos sentimentos, emocoes e percepcoes da clientela. O vinculo profissional/paciente aparece como facilitador da comunicacao. Olhar o cliente de forma integral e individualizada promove um cuidado mais adequado. CONCLUSAO: Atraves da investigacao da comunicacao, pode-se descrever melhor suas caracteristicas fundamentais, suas perspectivas e possibilidades durante a interacao e o cuidado prestado.Objectives: To identify trends on nephrology research that focus on communication and to analyze the use of communication as a theme in research. Methods: A literature search of publications in Portuguese and Spanish from 1997 through 2007 that focused on communication or interaction with clients regarding feelings, emotions, and perceptions, was performed in the LILACS, SciELO, BDENF, and MEDLINE databases. The publications were grouped into three categories: communication, relationship/interaction, and feelings/emotions/perceptions. Results: The majority of the publications were related to the feelings, emotions, and perceptions of the clients. Professional/Client interaction emerged as a facilitating mechanism of the communication. Holistic and individualized care were identified as the most adequate modality of care. Conclusion: Identification and analysis of research on communication allowed the description of its main characteristics, its perspectives, and its potential to improve professional/client interactions during the delivery of care.

Diálise peritoneal: a percepção tátil do cliente na convivência com o cateter

Objective: The purpose of this study was to investigate the clients’ tactile perception toward living with a peritoneal dialysis catheter indicating their care needs. Methods: This qualitative study was based on the principles of social poetics and according to the research group. It was carried out in the period from March to May 2006 and it used dynamics of artistic creation with seven clients, in a university hospital. Results: The analyses pointed at the adaptation, denial, care, indifference, indisposition, ill–being, which revealed the categories self-esteem and self-image. Conclusions: The group, as the active subject in the research, reported their experiences through dialogues.

Expressão não verbal do paciente no cuidado: percepção do enfermeiro em unidade cardiointensiva

That is the perception of nurses related to observation, identification and analysis of non-verbal communication to translate the patients reaction and feelings during the care provided. Method: Qualitative approach through creative dynamics with fourteen nurses in cardio intensive unit, in Rio de Janeiros Hospital, in 2009. RESULTS: The non-verbal communications is presented in the bath in bed (12%) preoperative (12%), postoperative (12%), admission (12%), venous puncture(12%), family visit (8%), preparation of material (3%), venous dissection (3%), aspiration (3%), cardio version (3%), 18% of statements missed refer to situations of fear death (preoperative) and the inability against family abandonment. DISCUSSION: There is a validation that 7% of the thoughts are represented by words and 93% by body signals. Considerations: the nurse observes, identifies and analyses the NCV to translate the reaction, the patients feeling and needs to be met by care.

Desgaste da equipe de enfermagem no centro de tratamento de queimados

PURPOSE: To describe the sensorial perceptions of the nursing team regarding their burn out during nursing care. METHODS: This was a qualitative study using sociopoetic approach from the inter-personal relationships of the research group based on the dynamics of creativity and sensibility. The study was conducted in the beginning of 2008. Participants consisted of 11 nursing professionals from a municipal hospital in Rio de Janeiro. RESULTS: Based on Seligmann-Silvas concept of mental burn out and Araujos concept of corporal sense, the studys findings suggested that the sensory effects of the vision and audition caused emotional burn out of the nursing team. Touch during debridement of wounds led to physical and psychic exhaustion. However, the strongest causes of burn out of the nursing team were the patients social problems related to the cause of their burns. CONCLUSIONS: The nursing team used defensive strategies to reduce psychic burn out and suffering during nursing care. This research allowed us to re-think nursing care through the subjective perceptions of the nursing team.Purpose: To describe the sensorial perceptions of the nursing team regarding their burn out during nursing care. Methods: This was a qualitative study using sociopoetic approach from the inter-personal relationships of the research group based on the dynamics of creativity and sensibility. The study was conducted in the beginning of 2008. Participants consisted of 11 nursing professionals from a municipal hospital in Rio de Janeiro. Results: Based on Seligmann-Silva’s concept of mental burn out and Araujo’s concept of corporal sense, the study’s findings suggested that the sensory effects of the vision and audition caused emotional burn out of the nursing team. Touch during debridement of wounds led to physical and psychic exhaustion. However, the strongest causes of burn out of the nursing team were the patients social problems related to the cause of their burns. Conclusions: The nursing team used defensive strategies to reduce psychic burn out and suffering during nursing care. This research allowed us to re-think nursing care through the subjective perceptions of the nursing team.

Visão como instrumento da percepção na assistência em enfermagem traumato-ortopédica

A visao, mais do que um sentido, e um poderoso instrumento que identifica e seleciona, de forma que tudo depende do que ja se viu antes para determinar a maneira como interpretamos o que esta sendo visto. O objetivo deste artigo e discutir o papel da visao como instrumento para uma assistencia de enfermagem holistica e de qualidade. E um estudo exploratorio, de abordagem qualitativa, utilizando o metodo da Sociopoetica. Os dados foram agrupados nas seguintes categorias: (1) Visao como instrumento e (2) Alteracoes corporais externas. Como em traumato-ortopedia, os enfermeiros devem ser capazes de conduzir a assistencia a pacientes em condicoes complexas em um ambiente de cuidado que muda rapidamente. Os resultados demonstraram a visao como poderoso instrumento de cuidado em Enfermagem Traumato-Ortopedica, permitindo uma atuacao profissional verdadeiramente adequada as necessidades do paciente.

Como o estudante de enfermagem percebe a comunicação com o paciente em saúde mental

Objetivo Identificar como o estudante de Enfermagem percebe a comunicacao do paciente na saude mental e descrever como tal percepcao influencia em sua propria comunicacao para o cuidado. Metodos Qualitativo, com producao artistica individual apos relaxamento com musica instrumental e desenho em cubo planificado. A analise de palavras e frases enunciadas no coletivo evidenciou a unidade tematica sobre a percepcao da comunicacao atraves dos sentidos corporais compartilhada por 23 estudantes do setimo periodo do curso de Enfermagem. Resultados A producao demonstra a comunicacao percebida, verbalizada e indicativa de intervencao, aproximacao, escuta ampliada e atencao. Os sentidos corporais percebem comportamento, linguagem, transtornos, mecanismos de defesa, aproximacao e necessidades de melhorias no cuidado. Conclusao Os sentidos corporais do estudante registram e expressam a comunicacao verbal e nao verbal do paciente com transtorno mental por meio de sensacoes, do comportamento e das condicoes de higiene do corpo, que emanam necessidades de cuidado.

Communication as a tesearch theme in Nephrology: basis for nursing care

OBJETIVOS: Identificar a tendencia de pesquisas na area de Nefrologia com foco na comunicacao e analisar a abordagem sobre comunicacao nestas pesquisas. METODOS: Levantamento de artigos nas bases de dados LILACS, SciELO, BDENF e MEDLINE, publicados entre 1997 e 2007, em portugues e espanhol, com foco na comunicacao, ou no relacionamento com o cliente ou nos seus sentimentos, emocoes e percepcoes. As informacoes sobre os artigos foram organizadas em quadros e divididas em tres categorias: comunicacao, relacionamento/interacao e sentimentos/emocao/percepcao. RESULTADOS: A maioria dos artigos relaciona-se aos sentimentos, emocoes e percepcoes da clientela. O vinculo profissional/paciente aparece como facilitador da comunicacao. Olhar o cliente de forma integral e individualizada promove um cuidado mais adequado. CONCLUSAO: Atraves da investigacao da comunicacao, pode-se descrever melhor suas caracteristicas fundamentais, suas perspectivas e possibilidades durante a interacao e o cuidado prestado.Objectives: To identify trends on nephrology research that focus on communication and to analyze the use of communication as a theme in research. Methods: A literature search of publications in Portuguese and Spanish from 1997 through 2007 that focused on communication or interaction with clients regarding feelings, emotions, and perceptions, was performed in the LILACS, SciELO, BDENF, and MEDLINE databases. The publications were grouped into three categories: communication, relationship/interaction, and feelings/emotions/perceptions. Results: The majority of the publications were related to the feelings, emotions, and perceptions of the clients. Professional/Client interaction emerged as a facilitating mechanism of the communication. Holistic and individualized care were identified as the most adequate modality of care. Conclusion: Identification and analysis of research on communication allowed the description of its main characteristics, its perspectives, and its potential to improve professional/client interactions during the delivery of care.

Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis

Objective To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis. Method We verified the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct). Results The intraclass correlation coefficient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbachs alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a significant association with p<0.01. Conclusion We verified, by the presented results, that the instrument has been validated for use in Brazil.

Condições clínicas e comportamento de procura de cuidados de saúde pelo paciente renal crônico

Objective To identify the clinical conditions and health care demand behavior of chronic kidney patients in the therapeutic itinerary for hemodialysis.Methods Qualitative, descriptive and exploratory study based on an interview with ten patients at a renal replacement therapy clinic under hemodialysis treatment and analysis resulting from the use of the Collective Subject Discourse technique, by means of the software qualiquantisofty.Results The clinical conditions on the therapeutic itinerary evidenced symptoms of unease and the baseline disease profile identified included hypertensive nephrosclerosis, diabetic nephrosclerosis, undetermined cause and diabetic nephrosclerosis associated with arterial hypertension. The behaviors that negatively affected the health control were the delay to receive care in the health network, the non-acceptance of the disease and the treatment.Conclusion Few patients received early monitoring without any sign of symptoms. Nevertheless, the majority were hospitalized suddenly.