Sueli Leiko Takamatsu Goyatá

Teaching the nursing process to undergraduates with the support of computer technology

Objective: To evaluate the virtual learning environment for the teaching of nursing process to undergraduate students. Methods: This was an exploratory study of cross-sectional design. The population consisted of 42 students divided into groups A and B, with 21 each, randomly selected. Data were collected using the web platform and exercises related to program content, including identifi cation and classifi cation of nursing diagnoses, both in the virtual environment as well as in a printed version. Results: We found a signifi cant association between the variables “has a microcomputer” and “preference for the exercises on the web platform” (p = 0.0044) and between “has a microcomputer” and “Internet access” (p = 0.000001). The majority of the students preferred to perform the exercises in a virtual environment for its convenience, speed and practicality (61.9%). Conclusion: The use of virtual environment for teaching and learning was positively evaluated by students, but the results pointed to the need for adequacies of educational technology resources.Objective: To evaluate the virtual learning environment for the teaching of nursing process to undergraduate students. Methods: This was an exploratory study of cross-sectional design. The population consisted of 42 students divided into groups A and B, with 21 each, randomly selected. Data were collected using the web platform and exercises related to program content, including identifi cation and classifi cation of nursing diagnoses, both in the virtual environment as well as in a printed version. Results: We found a signifi cant association between the variables “has a microcomputer” and “preference for the exercises on the web platform” (p = 0.0044) and between “has a microcomputer” and “Internet access” (p = 0.000001). The majority of the students preferred to perform the exercises in a virtual environment for its convenience, speed and practicality (61.9%). Conclusion: The use of virtual environment for teaching and learning was positively evaluated by students, but the results pointed to the need for adequacies of educational technology resources.

Spiritual distress: integrative review of literature

This study aims to identify concepts and clinical indicators that evidence spiritual distress in patients. Integrative review was the method adopted for the development of the study. In the initial stage, 82 studies were found in the following databases PUBMED, COCHRANE, CINAHL, LILACS and North American Nursing Diagnosis Association Conference Proceedings and 18 were selected. The descriptors used were spirituality and nursing diagnosis in addition to the term spiritual distress. Literature review (38.9%) and articles with level of evidence IV (27.8%) were the predominant types of study. The analysis of the articles revealed that the identified concepts of spiritual distress presented common and related elements to the human being subjective and individual response to life experiences, which harm the human spiritual dimension. Defining spiritual distress is a complex task since it depends on the perspective of those evaluating it, limiting in this way, its generalization. However, knowledge regarding the constructs that guide the understanding of human spirituality can base the nursing care in its spiritual dimension, thus providing theoretical support for the diagnosis.

Efeitos da acupuntura no tratamento da ansiedade: revisao integrativa

OBJECTIVE to evaluate the scientific evidence that is available in the literature on the effects of acupuncture for treating anxiety and on the quality of such studies. METHOD the study is an integrative review of CINAHL, LILACS, PUBMED-PICO, SciELO, and The Cochrane Library between 2001 and 2014. Keywords anxiety, acupuncture therapy, acupuncture, and anxiety disorders were combined among themselves to ensure a wide search of primary studies. RESULTS among 514 articles, 67 were selected to be fully read and 19 were included. Among these, 11 were found to have strong evidence levels. Among the six articles about randomized clinical studies, five were found to be of reasonable quality. Two studies used acupuncturist nurses to perform their interventions. Its results showed positive and statistically significant effects from using acupuncture for treating subjects with anxiety. CONCLUSION acupuncture seems to be a promising treatment for anxiety; however, there is a need for improving the methodological quality of the research on this field.

Ensino do processo de enfermagem a graduandos com apoio de tecnologias da informática

Objective: To evaluate the virtual learning environment for the teaching of nursing process to undergraduate students. Methods: This was an exploratory study of cross-sectional design. The population consisted of 42 students divided into groups A and B, with 21 each, randomly selected. Data were collected using the web platform and exercises related to program content, including identifi cation and classifi cation of nursing diagnoses, both in the virtual environment as well as in a printed version. Results: We found a signifi cant association between the variables “has a microcomputer” and “preference for the exercises on the web platform” (p = 0.0044) and between “has a microcomputer” and “Internet access” (p = 0.000001). The majority of the students preferred to perform the exercises in a virtual environment for its convenience, speed and practicality (61.9%). Conclusion: The use of virtual environment for teaching and learning was positively evaluated by students, but the results pointed to the need for adequacies of educational technology resources.Objective: To evaluate the virtual learning environment for the teaching of nursing process to undergraduate students. Methods: This was an exploratory study of cross-sectional design. The population consisted of 42 students divided into groups A and B, with 21 each, randomly selected. Data were collected using the web platform and exercises related to program content, including identifi cation and classifi cation of nursing diagnoses, both in the virtual environment as well as in a printed version. Results: We found a signifi cant association between the variables “has a microcomputer” and “preference for the exercises on the web platform” (p = 0.0044) and between “has a microcomputer” and “Internet access” (p = 0.000001). The majority of the students preferred to perform the exercises in a virtual environment for its convenience, speed and practicality (61.9%). Conclusion: The use of virtual environment for teaching and learning was positively evaluated by students, but the results pointed to the need for adequacies of educational technology resources.

Effects from acupuncture in treating anxiety: integrative review

OBJECTIVE to evaluate the scientific evidence that is available in the literature on the effects of acupuncture for treating anxiety and on the quality of such studies. METHOD the study is an integrative review of CINAHL, LILACS, PUBMED-PICO, SciELO, and The Cochrane Library between 2001 and 2014. Keywords anxiety, acupuncture therapy, acupuncture, and anxiety disorders were combined among themselves to ensure a wide search of primary studies. RESULTS among 514 articles, 67 were selected to be fully read and 19 were included. Among these, 11 were found to have strong evidence levels. Among the six articles about randomized clinical studies, five were found to be of reasonable quality. Two studies used acupuncturist nurses to perform their interventions. Its results showed positive and statistically significant effects from using acupuncture for treating subjects with anxiety. CONCLUSION acupuncture seems to be a promising treatment for anxiety; however, there is a need for improving the methodological quality of the research on this field.

Assessment of the coordination of integrated health service delivery networks by the primary health care: COPAS questionnaire validation in the Brazilian context

BackgroundHealth systems organized as networks and coordinated by the Primary Health Care (PHC) may contribute to the improvement of clinical care, sanitary conditions, satisfaction of patients and reduction of local budget expenditures. The aim of this study was to adapt and validate a questionnaire - COPAS - to assess the coordination of Integrated Health Service Delivery Networks by the Primary Health Care.MethodsA cross sectional approach was used. The population was pooled from Family Health Strategy healthcare professionals, of the Alfenas region (Minas Gerais, Brazil). Data collection was performed from August to October 2013. The results were checked for the presence of floor and ceiling effects and the internal consistency measured through Cronbach alpha. Construct validity was verified through convergent and discriminant values following Multitrait-Multimethod (MTMM) analysis.ResultsFloor and ceiling effects were absent. The internal consistency of the instrument was satisfactory; as was the convergent validity, with a few correlations lower then 0.30. The discriminant validity values of the majority of items, with respect to their own dimension, were found to be higher or significantly higher than their correlations with the dimensions to which they did not belong.ConclusionThe results showed that the COPAS instrument has satisfactory initial psychometric properties and may be used by healthcare managers and workers to assess the PHC coordination performance within the Integrated Health Service Delivery Network.

Quality of primary health care: an analysis of avoidable hospitalizations in a Minas Gerais county, Brazil

The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.

THE IMPACT OF THE SUPPORTING SMOKING CESSATION PROGRAM IN A COUNTY FROM THE SOUTH MINAS GERAIS, BRAZIL

The aim of this study was to evaluate the impact of the Tobacco Treatment Program at a community clinic in the south of Minas Gerais, Brazil, for smoking cessation. A qualitative and quantitative, descriptive and exploratory research was conducted. Were identified sociodemographic characteristics, history of smoking and comorbidities ISSN 0717-2079 CIENCIA Y ENFERMERIA XX (1): 75-88, 2014 * Enfermeira. Professora da Escola de Enfermagem da Universidade Federal de Alfenas, Minas Gerais, Brasil. Email: sueligoyata@yahoo.com.br ** Farmacêutico. Profissional residente em Saúde da Família da Universidade Federal de Alfenas, Minas Gerais, Brasil. Email: marcelo_farma05@yahoo.com.br *** Farmacêutica. Professora da Faculdade de Ciências Farmacêuticas da Universidade Federal de Alfenas, Minas Gerais, Brasil. Email: walne23@yahoo.com.br **** Farmacêutica. Professora da Faculdade de Ciências Farmacêuticas da Universidade Federal de Alfenas, Minas Gerais, Brasil. Email: mhmcardoso@hotmail.com ***** Matemático. Professor do Instituto de Ciências Exatas da Universidade Federal de Alfenas, Minas Gerais, Brasil. Email: luizbeijo@yahoo.com.brEl objetivo de este estudio fue evaluar el impacto del Programa de Tratamiento del Tabaquismo de una clinica municipal, en el sur de Minas Gerais, Brasil, para dejar de fumar. Se realizo una investigacion cualitativa y cuantitativa, descriptiva y exploratoria. Se identificaron las caracteristicas sociodemograficas, antecedentes de tabaquismo y las comorbilidades de 35 fumadores, entrevistados en su casa. Las encuestas fueron sometidas al analisis del contenido. En relacion a los resultados cuantitativos obtenidos, el 62,9% de los usuarios comenzaron a fumar antes de los 15 anos y el 60% presentaba alta dependencia. En cuanto a dejar de fumar, el 82,9% habia dejado de fumar durante el tratamiento; despues de 18 meses, el 58,6% no presentaron recaidas. En el analisis cualitativo de los datos fueron identificados ocho categorias de analisis: historia de fumadores; tabaco como forma de inclusion y de vinculo social; tabaco como factor de liberacion de las tensiones de la vida diaria y del mecanismo compensatorio; proceso de cambio em el habito de fumar; concientizacion del tabaco como problema en la salud; fatores de exito para dejar de fumar; recaida como factor de fracaso y cesacion de fumar como rescate de la autoestima. Este estudio demuestra la importancia de la aplicacion de los programas de lucha contra el tabaquismo implementado por el gobierno municipal, resultando un gran impacto sobre el abandono del consumo de tabaco de los usuarios de los servicios de salud publica.

Spirituality and religiosity in patients with systemic arterial hypertension

Abstract Systemic arterial hypertension is a major risk factor for complications such as acute myocardial infarction, cerebrovascular accident, and chronic kidney disease, which results in an important public health problem in Brazil, generating high medical and socioeconomic costs due to such complications. Systemic arterial hyperten-sion associated with aspects such as spirituality and religiosity has been the subject of several studies. Thus, a descriptive, exploratory, cross-sectional study was conducted in order to assess the spirituality and religiosity of 65 hypertensive patients of a Service Center for Chronic Diseases. The domains “forgiveness” and “self-as-sessment” received better scores, with an average of 1.42 and 1.46, respectively. Whereas the “organizational religiosity” domain resulted in a higher average among respondents (3.00). Spirituality and religiosity of hyper-tensive patients are important dimensions that must be considered in developing a holistic treatment plan.

Desenvolvimento de um curso no Ambiente Virtual de Aprendizagem sobre a CIPE

Objetivo Desenvolver e avaliar um curso na Plataforma Moodle sobre diagnosticos, intervencoes e resultados de enfermagem, de acordo com a Classificacao Internacional para Praticas de Enfermagem. Metodos Estudo quantitativo, descritivo, de corte transversal realizado com 51 graduandos de enfermagem e profissionais enfermeiros. A avaliacao do curso foi realizada por meio do Inquerito COLLES. Utilizou-se o modelo de regressao linear multipla para analise das variaveis. Resultados O curso foi desenvolvido de acordo com os objetivos instrucionais definidos, utilizando diversos recursos tecnologicos: mapa de atividades, forum cafe com prosa, biblioteca virtual, material de apoio didatico personalizado, forum de discussao, Wiki e o video de animacao. Houve associacoes significativas entre quatro subitens do Inquerito COLLES e as variaveis imagens, recurso Wiki, tempo disponibilizado para as atividades e grupo. Conclusao A proposta de criacao desse curso mostrou-se efetiva e consistente para a inovacao na formacao profissional e educacao permanente em enfermagem.