Suzinara Beatriz Soares de Lima

Grounded theory - conceptual and operational aspects: a method possible to be applied in nursing research

Se trata de estudio de naturaleza descriptiva reflexiva, apoyado en la literatura y de abordaje cualitativa. Tiene por objetivos discutir aspectos conceptuales de la teoria fundamentada en los datos y presentar la aplicabilidad de esa metodologia en el area de enfermeria. Consiste en marco teorico interpretativo y sistematico que extrae de las experiencias experimentadas por actores sociales aspectos significativos que posibilitan construir bases teoricas, potencializando la expansion del conocimiento. Se muestra una importante y consistente metodologia para objetos de estudio que envuelven interacciones humanas y que conforman fenomenos de la practica de la profesion todavia no desvelados y debidamente comprendidos, mediante el rigor requerido para la construccion de conocimientos de abordaje cualitativa.This is a descriptive-reflective study based on literature and qualitative design. It aimed to discuss conceptual aspects of Grounded Theory (GT) and to present the applicability of this methodology within the nursing field. GT consists of an interpretative and systematic framework that extracts significant aspects from experiences of social actors and which enables researchers to construct theoretical frameworks and intensify expansion of knowledge. It has been shown to be an important and consistent framework for objects of study that involve human interactions and which include phenomena concerning professional practice and which have not yet been properly examined and understood according to the rigor required for the construction of knowledge in qualitative designs.

TEORIA FUNDAMENTADA NOS DADOS - ASPECTOS CONCEITUAIS E OPERACIONAIS: METODOLOGIA POSSÍVEL DE SER APLICADA NA PESQUISA EM ENFERMAGEM

Se trata de estudio de naturaleza descriptiva reflexiva, apoyado en la literatura y de abordaje cualitativa. Tiene por objetivos discutir aspectos conceptuales de la teoria fundamentada en los datos y presentar la aplicabilidad de esa metodologia en el area de enfermeria. Consiste en marco teorico interpretativo y sistematico que extrae de las experiencias experimentadas por actores sociales aspectos significativos que posibilitan construir bases teoricas, potencializando la expansion del conocimiento. Se muestra una importante y consistente metodologia para objetos de estudio que envuelven interacciones humanas y que conforman fenomenos de la practica de la profesion todavia no desvelados y debidamente comprendidos, mediante el rigor requerido para la construccion de conocimientos de abordaje cualitativa.This is a descriptive-reflective study based on literature and qualitative design. It aimed to discuss conceptual aspects of Grounded Theory (GT) and to present the applicability of this methodology within the nursing field. GT consists of an interpretative and systematic framework that extracts significant aspects from experiences of social actors and which enables researchers to construct theoretical frameworks and intensify expansion of knowledge. It has been shown to be an important and consistent framework for objects of study that involve human interactions and which include phenomena concerning professional practice and which have not yet been properly examined and understood according to the rigor required for the construction of knowledge in qualitative designs.

Teoría fundamentada en los datos - aspectos conceptuales y operacionales: metodología posible de ser aplicada en la investigación en enfermería

Se trata de estudio de naturaleza descriptiva reflexiva, apoyado en la literatura y de abordaje cualitativa. Tiene por objetivos discutir aspectos conceptuales de la teoria fundamentada en los datos y presentar la aplicabilidad de esa metodologia en el area de enfermeria. Consiste en marco teorico interpretativo y sistematico que extrae de las experiencias experimentadas por actores sociales aspectos significativos que posibilitan construir bases teoricas, potencializando la expansion del conocimiento. Se muestra una importante y consistente metodologia para objetos de estudio que envuelven interacciones humanas y que conforman fenomenos de la practica de la profesion todavia no desvelados y debidamente comprendidos, mediante el rigor requerido para la construccion de conocimientos de abordaje cualitativa.This is a descriptive-reflective study based on literature and qualitative design. It aimed to discuss conceptual aspects of Grounded Theory (GT) and to present the applicability of this methodology within the nursing field. GT consists of an interpretative and systematic framework that extracts significant aspects from experiences of social actors and which enables researchers to construct theoretical frameworks and intensify expansion of knowledge. It has been shown to be an important and consistent framework for objects of study that involve human interactions and which include phenomena concerning professional practice and which have not yet been properly examined and understood according to the rigor required for the construction of knowledge in qualitative designs.

Work ability in nursing: relationship with psychological demands and control over the work

OBJETIVO: avaliar a associacao entre demandas psicologicas, controle sobre o trabalho e a reducao da capacidade para o trabalho em trabalhadores de enfermagem. METODO: estudo transversal, envolvendo 498 trabalhadores de enfermagem de um hospital universitario do Estado do Rio Grande do Sul, Brasil. A coleta de dados foi realizada em 2009, utilizando-se as versoes brasileiras do Indice de Capacidade para o Trabalho e da Job Stress Scale e, para a analise dos dados, modelos de regressao logistica. RESULTADOS: evidenciou-se prevalencias de 43,3% e de 29,7% de reducao da capacidade laboral e de alta exigencia no trabalho (alta demanda psicologica e baixo controle), respectivamente. As chances de os trabalhadores em alta exigencia apresentarem reducao da capacidade para o trabalho foram maiores e significativas quando comparados aos classificados em baixa exigencia, mesmo apos ajustes por possiveis confundidores, exceto idade e sexo. CONCLUSAO: constatou-se elevada prevalencia de reducao da capacidade laboral. A evidencia alerta para a necessidade de investigacao e analise detalhada dos aspectos psicossociais, relacionados ao processo de saude/adoecimento dos trabalhadores de enfermagem.OBJECTIVE to evaluate the association between psychological demands, control over the work and the reduction of work ability of nursing professionals. METHOD this cross-sectional study involved 498 nursing professionals of a university hospital in the State of Rio Grande do Sul, Brazil. Data collection was carried out in 2009 using the Brazilian versions of the Work Ability Index and Job Stress Scale, with logistic regression models used for the data analysis. RESULTS the prevalence of 43.3% for reduced work ability and 29.7% for high-strain in the job (high psychological demand and low control) were observed. The chances for professionals presenting reduced work ability under high-strain were higher and significant when compared to those classified as being under low-strain, even after adjusting for potential confounders, except for age and gender. CONCLUSION a high prevalence of reduced work ability was observed. This evidence indicates the need for investigation and detailed analysis of the psychosocial aspects of the professionals with regard to the health/disease process of nursing professionals.

Concepções de comunicação na gerência de Enfermagem Hospitalar entre enfermeiros gerentes de um hospital universitário

The objective of the following study was to analyze the conceptions that head nurses of a university hospital have about nursing communication management. It is a descriptive-exploratory study with an interpretative qualitative approach. The set of data was produced between September and October 2007 through interviews with 19 head nurses in a university hospital in Southern Brazil and submitted to thematic analysis. The nurses recognize the relevance of communication in nursing management, but have different perceptions: part of the research group understands communication from its interactive and dialogical perspective; others understand formal communication, based on the transmission and maintenance of standards and hospital routines, with emphasis on written communication. Further discussion about the triad communication, management and dialogue is required in order to build more interactive forms of hospital nursing care management.The objective of the following study was to analyze the conceptions that head nurses of a university hospital have about nursing communication management. It is a descriptive-exploratory study with an interpretative qualitative approach. The set of data was produced between September and October 2007 through interviews with 19 head nurses in a university hospital in Southern Brazil and submitted to thematic analysis. The nurses recognize the relevance of communication in nursing management, but have different perceptions: part of the research group understands communication from its interactive and dialogical perspective; others understand formal communication, based on the transmission and maintenance of standards and hospital routines, with emphasis on written communication. Further discussion about the triad communication, management and dialogue is required in order to build more interactive forms of hospital nursing care management.

Communication conceptions in Hospital Nursing Management between head nurses in a University Hospital

The objective of the following study was to analyze the conceptions that head nurses of a university hospital have about nursing communication management. It is a descriptive-exploratory study with an interpretative qualitative approach. The set of data was produced between September and October 2007 through interviews with 19 head nurses in a university hospital in Southern Brazil and submitted to thematic analysis. The nurses recognize the relevance of communication in nursing management, but have different perceptions: part of the research group understands communication from its interactive and dialogical perspective; others understand formal communication, based on the transmission and maintenance of standards and hospital routines, with emphasis on written communication. Further discussion about the triad communication, management and dialogue is required in order to build more interactive forms of hospital nursing care management.The objective of the following study was to analyze the conceptions that head nurses of a university hospital have about nursing communication management. It is a descriptive-exploratory study with an interpretative qualitative approach. The set of data was produced between September and October 2007 through interviews with 19 head nurses in a university hospital in Southern Brazil and submitted to thematic analysis. The nurses recognize the relevance of communication in nursing management, but have different perceptions: part of the research group understands communication from its interactive and dialogical perspective; others understand formal communication, based on the transmission and maintenance of standards and hospital routines, with emphasis on written communication. Further discussion about the triad communication, management and dialogue is required in order to build more interactive forms of hospital nursing care management.

La Teoría Fundamentada en Datos: Un camino a la investigación en enfermería

Se trata de un estudio de naturaleza descriptivo-reflexiva fundamentado en la literatura. La utilizacion de diferentes referenciales metodologicos ha sido una busqueda constante en la practica de investigacion en distintas areas del conocimiento. La enfermeria, en este sentido, ha buscado apoyar sus investigaciones en referenciales diversificados como forma de ampliar su cuerpo de conocimiento. De ese modo, este articulo tiene como objetivo tejer algunas consideraciones y reflexiones acerca de la utilizacion y de los aportes de la Teoria Fundamentada en Datos (TDF) en cuanto un metodo de investigacion en el area de la Enfermeria, por medio de un rescate de sus principales aspectos conceptuales, asi como de su aplicabilidad en trabajos del area. La TFD consiste en un referencial interpretativo y sistematico que extrae de las experiencias vivenciadas por actores sociales aspectos significativos que posibilitan construir bases teoricas, potenciando la expansion del conocimiento en enfermeria. Palabras clave: Enfermeria/ Investigacion en Enfermeria/ Teoria Fundamentada en Datos.

Nursing governance: an integrative review of the literature

El objetivo de este estudio fue identificar y caracterizar los tipos de gobernanza en enfermeria, destacando su impacto en la practica de los enfermeros y en cuidado en salud. Se trata de una revision integradora a partir de MEDLINE, CINAHL, LILACS y SciELO, de 2007 a 2011, con descriptores Gobernanza y Enfermeria, con un total de 25 articulos. Se identificaron tres modelos de gobernanza, estudiados principalmente en los Estados Unidos e Inglaterra: gobernanza compartida, gobernanza clinica y gobernanza publica. Las implicaciones de estos modelos son: mejora de la calidad de la atencion, mayor autonomia profesional de los enfermeros, mejora de la articulacion entre los servicios de salud y una mayor satisfaccion con el trabajo entre los enfermeras. Se senala la necesidad de realizar estudios sobre el tema en America Latina, para evaluar su aplicabilidad en diferentes contextos.The objective of this study was to identify and characterize types of nursing governance, with emphasis on its impact on nursing practice and health care. This integrative review covered reports published from 2007 to 2011 and indexed in MEDLINE, CINAHL, LILACS, and the Scientific Electronic Library Online (SciELO). Keywords used were governance and nursing , which retrieved 25 manuscripts. Most studies were from the United States and the United Kingdom. We identified three models of governance: shared governance, clinical governance, and public governance. The effects of the models identified included quality care improvement, more autonomy for nursing professionals, improved connections among health services, and greater satisfaction among nursing professionals. Additional studies on nursing governance in Latin America are needed to evaluate its applicability in different contexts.

Perfil dos pacientes atendidos na sala de emergência do pronto socorro de um hospital universitário

The following study aims to set a profile of the patients in the emergency room of a university hospital. It is a descriptive field study with a quantitative approach in which a semi-structured survey with socio-demographic variables has been applied and related to the service. The data collection happened from August to October of 2009. The data were organized in Excel, using a descriptive statistical analysis. It is highlighted that 74.5% of the people attended to are male, at an age group ranging from 31 to 60 years old (48.9%), married (61.7%), and with incomplete elementary school (70.2%). The main causes for service were mild trauma (31.9%) and stroke (8.5%), predominantly in the afternoon shift (49%). Most of the people attended (92%) kept hospitalized in the emergency room. The knowledge on the profile of patients attended contributes for the planning and executions of actions aiming to effectively serve the human being with quality.

Educação popular em saúde: metodologia potencializadora das ações do enfermeiro

The article aims at making a reflection about utilizing the health popular education as a potentializing methodology of the health actions performed by nurses. Since the 1970s, popular education became outstanding in the realm of health because it utilizes dialogue and listening as care tools and allows the expression of the critical thought and world views by appraising interpersonal exchanges between the scientific and the popular knowledge and learning about the health-sickness process and self-care. In view of the evolution of the public policies, health actions have required new methodologies in order to work with health promotion and prevention of diseases. Thus, Popular Education is capable of rescuing the nurse´s role as an educator under the care perspective, reflecting about the methodology and the utilized working tools and the impacts and results obtained through dialogue, respect and appraisal of the subjects within their collective environment.