Taka Oguisso

Ocorrências éticas com profissionais de enfermagem: um estudo quantitativo

This study aimed at identifying characteristics of ethical occurrences related to nursing care in a large private hospital in the city of Sao Paulo. There were 190 occurrences reported to the hospitals Nursing Ethical Committee (NEC) between 1995 and 2004. Most occurrences caused no damages to the patient, the health institution, the nursing staff or the professional involved. From the total of 398 procedures taken, 94.5% of the cases were advices given to nursing staff members by the NEC, including advice from the immediate superiors to the staff members involved. In 93.7% of the occurrences only one staff member was involved. Clinical units accounted for 76.3% of the services involved with ethical occurrences. As a result, it may be said that the study showed the importance of giving advices to the staff in order to prevent customers from damaging occurrences.This study aimed at identifying characteristics of ethical occurrences related to nursing care in a large private hospital in the city of São Paulo. There were 190 occurrences reported to the hospitals Nursing Ethical Committee (NEC) between 1995 and 2004. Most occurrences caused no damages to the patient, the health institution, the nursing staff or the professional involved. From the total of 398 procedures taken, 94.5% of the cases were advices given to nursing staff members by the NEC, including advice from the immediate superiors to the staff members involved. In 93.7% of the occurrences only one staff member was involved. Clinical units accounted for 76.3% of the services involved with ethical occurrences. As a result, it may be said that the study showed the importance of giving advices to the staff in order to prevent customers from damaging occurrences.

A Escola de Enfermagem da Universidade de São Paulo e a reconfiguração da identidade profissional da Enfermagem Brasileira

This study intends to contribute for reflection around Brazilian nursing professional identity. For this purpose the subject was rescued from images built up on the knowledge related to identity, nursing professionalization and the blacks in Brazil. It is considered that representations of native inferiority, raised for blacks, have favored the exclusion of black women from the professional nursing education. Based on historical analysis and pertinent documentation, preserved at the Historical-Cultural Center for the Iberian-American Nursing, particularly the admittance forms, outcomes allow to state that the University of Sao Paulo, School of Nursing, has provided the inclusion of men and black women into the professional nursing, thus re-dimensioning the Brazilian Nursing identity.Este estudo pretende contribuir para a reflexao em torno das representacoes da identidade profissional da enfermagem brasileira. Para tanto, recupera o tema a partir de imagens construidas sobre a nocao de identidade, profissionalizacao da enfermagem e os negros no Brasil. Considera-se que as representacoes da inferioridade nata, erigidas para os negros, favoreceram a exclusao de mulheres negras da formacao profissional da enfermagem. Com base na analise historica e documentacao pertinente, preservada no Centro Historico-Cultural da Enfermagem Ibero-Americana, em especial, as Fichas de Admissao, os resultados permitem afirmar que, a Escola de Enfermagem da Universidade de Sao Paulo propiciou a inclusao de homens e mulheres negras na enfermagem profissional redimensionando a identidade da enfermagem brasileira.

Acupuntura na enfermagem brasileira: dimensão ético-legal

The objective of this study was to reflect on the legal and ethical aspects for the practice of acupuncture by nurses in Brazil. There is a need for nurses to be involved on a task force to create legal regulations and establish the scope of practice of acupuncture. This will prevent the restriction of the practice of acupuncture only to a specific health care professional group.Se trata de un estudio que tuvo como objetivo contribuir a la reflexion respecto a la practica profesional de la acupuntura del enfermero, contemplando las dimensiones etico-legales del ejercicio de esa actividad. Se concluye que la participacion de la enfermeria en la reglamentacion legal para la actividad de la acupuntura es urgente y necesaria, para establecer sus limites y lo que abarca, sin, con todo, limitarse a una determinada categoria profesional.

A responsabilidade legal do enfermeiro

The term responsibility in a general form is initially defined in this paper following of an analyse to the nurses civil, penal and ethics responsibilities regard of actual legislation. In a second part, the author identifies the commom problems that can occur of an inaccurate practice of the assistencial actions and the nurses implications and their level of responsibility in relation to the severity of the deriving risk. At last, advise to the nurses to keep up atualized concerning to the scientific knowledge evolution and to the ethics and legal aspects of profession.

Enfermeiros prescrevendo medicamentos: possibilidades e perspectivas

Efforts to ensure the implementation of nurses prescribing medications have been a challenge in different parts of the world. This paper aimed at describing how this issue has been accomplished in some countries and reflecting about nursing professional legislation in Brazil in relation to this subject. Data from the International Council of Nurses (ICN) and the Ministry of Health Programs on Public Health show the need for a stronger political action by nurses and their institutional representations in order to create a legislation to better define their scope and functions in relation to prescription of medicines.Esfuerzos para garantizar la implementacion de la prescripcion de medicinas por enfermeros han sido un desafio en diversas partes del mundo. Este estudio pretende describir como esta prescripcion viene siendo realizada en algunos paises y reflexionar sobre la legislacion del ejercicio profesional de enfermeria en Brasil sobre este tema. Datos del Consejo Internacional de Enfermeras (CIE) y Programas de Salud Publica del Ministerio de Salud, demuestran la necesidad de una actuacion politica mas fuerte de los enfermeros y de sus organos representativos a fin de crear una legislacion que pueda definir mejor el ambito y funciones de los enfermeros con relacion a la prescripcion de medicinas.

Ocorrências éticas de enfermagem: cotidiano de enfermeiros gerentes e membros da comissão de ética de enfermagem

O objetivo deste estudo foi compreender o significado das acoes dos enfermeiros frente as ocorrencias eticas envolvendo os profissionais de enfermagem. Os dados foram obtidos por meio de entrevista com enfermeiros gerentes e enfermeiros membros da Comissao de Etica de Enfermagem que vivenciaram o fenomeno. Os dados foram analisados segundo o referencial da fenomenologia sociologica. As experiencias dos enfermeiros permitiram desvelar as seguintes categorias concretas de significado vivido, pois eles buscam: a humanizacao da assistencia, a melhoria continua do processo de cuidar, a credibilidade profissional, a satisfacao da clientela, a desmistificacao do medo da punicao, a parceria no processo educativo, o respeito ao sigilo etico e a expectativa em relacao ao encaminhamento da ocorrencia a Comissao de Etica. A tipificacao foi descrita ao final. As acoes dos enfermeiros nas ocorrencias eticas despertam o interesse dos profissionais de enfermagem, que querem assegurar uma assistencia isenta de riscos ou danos e promover a valorizacao desses profissionais.

Trajetória das Anotações de Enfermagem: um levantamento em periódicos nacionais (1957-2005)

Este estudo e resultado de um levantamento sobre anotacao de enfermagem, em uma base de dados informatizada denominada PeriEnf da Escola de Enfermagem da Universidade de Sao Paulo, realizado em 2005. Objetivou-se descrever os achados por categorias e analisar os temas mais citados no conteudo das anotacoes de enfermagem. Pautou-se na tecnica de analise de conteudo, proposta por Bardin, para analisar os 51 textos selecionados no periodo de 1957 a 2005. Houve um acentuado crescimento do numero de estudos que envolvem o tema, sendo a anotacao do tipo descritiva, a mais pesquisada e discutida, entretanto esta pratica de enfermagem permanece sendo realizada como um ato mecânico, escasso em conteudo e sem refletir a assistencia de enfermagem efetivamente prestada ao paciente.This paper is an outcome of a survey on nursing records, made in 2005, through the University of São Paulo, School of Nursing, data basis called Perienf. It aimed at describing data according to categories and analyse themes most cited in the content of the nursing records. Content analysis by Bardin was utilized for this technical analysis of 51 selected texts from 1957 to 2005. There was a progressive growth of studies on the subject, being descriptive records the most studied and discussed. However this nursing action is being kept as a mechanical act, with scarce content and without reflecting nursing care effectively delivered to patient.

Ocorrências éticas na enfermagem

Descriptive and exploratory study with a quantitative approach involving hundred fourteen causes of nursing ethical occurrences (or infractions) between 1995-2001. The objectives of the study were to: 1) characterize the nursing professionals involved in ethical occurrences; 2) identify causes of mistakes made. Outcomes obtained showed that: a) nursing auxiliaries were responsible for the majority of ethical occurrences: b) the main cause of occurrences were negligence, followed by imprudence: c) the more frequent technical mistake observed was in the preparation and/or administration of medicines. This study aims to contribute for a better understanding of the ethical issue involved in the daily nursing practice, as well as to alert professionals in order to not be involved in similar ethical events.Estudio descriptivo y exploratorio com abordaje cuantitativo envolviendo ciento y catorce causas de ocurrencias eticas (o infracciones) entre 1995-2001. Los objectivos del estudio fueron: 1) caracterizar los profesionales de enfermeria envolvidos em ocurrencias eticas; 2) identificar las causas prevalientes de errores cuanto a la categoria de profisional y su jornada de trabajo. Resultados obtenidos demostraron que: a) los auxiliares de enfermeria eran responsables por la mayoria de las ocurrencias eticas; b) la causa principal de ocurrencias era la negligencia, seguida por imprudencia; c) los errores tecnicos mas observados eran em la preparacion y/o administracion de medicinas. Este estudio visa contribuir para la mejor comprension de las cuestiones eticas que envolven la pratica diaria de enfermeria y alertar los profesionales para que no incurran em eventos de esta naturaleza.Descriptive and exploratory study with a quantitative approach involving hundred fourteen causes of nursing ethical occurences (or infractions) between 1995 _ 2001. The objectives of the study were to: 1) characterize the nursing professionals involved in ethical occurences; 2) identify causes of mistakes made. Outcomes obtained showed that: a) nursing auxiliaries were responsible for the majority of ethical occurences; b) the main cause of occurrences were negligence, followed by imprudence; c) the more frequent technical mistake observed was in the preparation and/or administration of medicines. This study aims to contribute for a better understanding of the ethical issue involved in the daily nursing practice, as well as to alert profissionals in order to not be involved in similar ethical events.

Visão panorâmica da saúde no mundo e a inserção do home care

Worldwide overview of health and home care. It describes the World Health Organization (WHO) in its historical background, pointing out the Brazilian participation in its foundation and some of the most relevant facts and events that preceded its creation. Also, it depicts the history of the Pan-American Health Organization (PAHO) founded in December 1902 and its celebration of the first centennial. A general overview regarding the worlds health is given including globalization, as an irreversible fact, demographical and epidemiological changes, dependence and care delivery, home care services and policies on home care.Vision panoramica de la salud en el mundo y el home care. Describe la Organizacion Mundial de la Salud (OMS) en su aspecto historico, enfatizando la participacion brasilena em su fundacion y algunos hechos y eventos mas relevantes que antecederan esa creacion. Tambien describe la historia de la Organizacion Panamericana de la Salud (OPS), fundada en deciembre 1902 y la celebracion de su primero centenario en 2002. Uma vision general de la salud es ofrecida, incluyendo-se los aspectos de la globalizacion, como hecho irreversible, câmbios demograficos y epidemiologicos, la dependencia y el trabajo de la prestacion de los cuidados de home care, servicios de home care e politicas de home care.

Perfil de profissionais de enfermagem e ocorrências éticas

OBJECTIVE: to describe the profile of nursing professionals involved in ethical occurrences in a specific hospital. METHODS: this is a retrospective, exploratory study using a quantitative approach. RESULTS: data obtained with a previously created form, used to collect information recorded by members of the Nursing Ethics Committee (NEC) of the referred hospital, between 1995 and 2004. Analysis showed distribution of occurrences according to age group, gender, job position, working hours, time in the job, and the person who reported the occurrence to NEC. CONCLUSION: Data have favored partnerships for an educational process involving the NEC, Continuing Education Program, and the nursing managers, pointing out areas that need more investment to prevent these ethical occurrences.Objective: to describe the profile of nursing professionals involved in ethical occurrences in a specific hospital. Methods: this is a retrospective, exploratory study using a quantitative approach. Results: data obtained with a previously created form, used to collect information recorded by members of the Nursing Ethics Committee (NEC) of the referred hospital, between 1995 and 2004. Analysis showed distribution of occurrences according to age group, gender, job position, working hours, time in the job, and the person who reported the occurrence to NEC. Conclusion: Data have favored partnerships for an educational process involving the NEC, Continuing Education Program, and the nursing managers, pointing out areas that need more investment to prevent these ethical occurrences. Descriptors: Nursing ethics; Ethics; Nursing team/ethics