Tatiane Michel

Significado atribuído pelos idosos à vivência em uma instituição de longa permanência: contribuições para o cuidado de enfermagem

RESUMO: Trata-se de estudo etnografico com o objetivo de interpretar o significado atribuido pelos idosos a vivencia em uma Instituicao de Longa Permanencia para Idosos, do municipio de Curitiba, Parana. As informacoes foram coletadas por meio de observacao participante e entrevista etnografica, em uma instituicao de carater privado com fins lucrativos, no periodo de janeiro a agosto de 2010, e analisadas em dominios, taxonomias e tema cultural. Os informantes-chave foram idosos residentes, selecionados mediante criterios de inclusao. Emergiram os dominios culturais: motivos que levaram a viver na instituicao; maneiras de viver: atividades do cotidiano; atividades promovidas pela instituicao; sentimentos atribuidos a vivencia; atributos da instituicao; e atributos das pessoas residentes; e o tema cultural: em busca do nectar da vida. Essa vivencia significou para os idosos a possibilidade de ser cuidado, compreendido de forma abrangente, como manutencao da vida e otimizacao do bem-estar, implicando em acoes de cuidado de enfermagem. DESCRITORES: Idoso. Instituicao de longa permanencia para idosos. Pesquisa. Enfermagem. Antropologia cultural. MEANING ASSIGNED BY THE ELDERLY TO THE EXPERIENCE AT A LONG STAY INSTITUTION: CONTRIBUTIONS FOR THE NURSING CARE

O desempenho de idosas institucionalizadas no miniexame do estado mental

Objective: To evaluate institutionalized elder women’s performance in the mini-mental state examination. Methods: This cross-sectional descriptive study was conducted among 34 elder women who were residents in a long term facility in Curitiba, PR. Data were collected with the mini-mental state examination (MMSE) and analyzed with descriptive statistics. Results: Participants had a mean age of 79.82 ± 8.23 and their overall mean score on the MMSE was 16.62 ± 5.60. The mean score of performance among illiterates and literate participants were 14.90 and 19.75 points, respectively. The mean score of performance among participants aged 65 to 79 and participants aged 80 and over were 18 and 15.65 points, respectively. Conclusion: There were a large number of elder women (26.5%) with cognitive impairment. Lower educational level and advanced age were associated with lower scores on the mini-mental status examination.Objective: To evaluate institutionalized elder women’s performance in the mini-mental state examination. Methods: This cross-sectional descriptive study was conducted among 34 elder women who were residents in a long term facility in Curitiba, PR. Data were collected with the mini-mental state examination (MMSE) and analyzed with descriptive statistics. Results: Participants had a mean age of 79.82 ± 8.23 and their overall mean score on the MMSE was 16.62 ± 5.60. The mean score of performance among illiterates and literate participants were 14.90 and 19.75 points, respectively. The mean score of performance among participants aged 65 to 79 and participants aged 80 and over were 18 and 15.65 points, respectively. Conclusion: There were a large number of elder women (26.5%) with cognitive impairment. Lower educational level and advanced age were associated with lower scores on the mini-mental status examination.

A produção científica da enfermagem e a utilização da teoria de Madeleine Leininger: revisão integrativa 1985 - 2011

Esta es una revision integradora cuyo objetivo fue reflexionar acerca de la utilizacion de la teoria de la diversidad y universalidad del cuidado cultural de Madeleine Leininger para la produccion cientifica brasilena de enfermeria. Fueron consultadas las siguientes bases de datos: Base de Datos de Enfermeria, Literatura Latinoamericana y de Caribe en Ciencias de la Salud y Scientific Electronic Library Online en el periodo de enero de 1985 hasta enero de 2011. Fueron seleccionados 62 articulos de los cuales se ha elegido cuatro grupos de acuerdo a la semejanza metodologica: 16,12% de relatos de experiencia; 45,16% de procesos investigativos; 22,58 % de reflexion y 16,12% de revision sobre la teoria de Leininger. Se constato que se utiliza la teoria para favorecer la propuesta del cuidado holistico en enfermeria y la intencion de conocer y respetar la cultura de los clientes para que las acciones de la enfermera lleguen al resultado esperado. Suscita gran contribucion porque trae reflexiones y delinea orientaciones para la practica de enfermeria.

Fatores contributivos para a independência funcional de idosos longevos

OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.

Contributory factors for the functional independence of oldest old

OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukeys test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.

O TRABALHO DE CAMPO ETNOGRÁFICO EM INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS a

RESUMO O estudo teve como objetivo relatar o desenvolvimento do trabalho de campo etnografico em uma instituicao de longa permanencia para idosos. Trata-se de relato de experiencia enfatizando os aspectos metodologicos desta vivencia por meio de ferramentas originarias de estudos culturais antropologicos. Apresentam-se os caminhos metodologicos adotados ao longo do desenvolvimento da coleta, registro e analise das informacoes, utilizando a observacao participante e entrevista etnografica. Seguiu-se o padrao ciclico do metodo etnografico proposto por Spradley e McCurdy, no qual os dados obtidos foram repetidamente confirmados e aprofundados por outras observacoes e entrevistas. As tecnicas utilizadas mostraram-se valiosas para a revelacao antropologica. As vivencias no cotidiano da ILPI foram momentos ricos em aprendizado e investigacao, percebendo a amplitude da influencia que as dimensoes culturais tem no cotidiano e comportamentos humanos. O desenvolvimento da habilidade do olhar antropologico entre os profissionais de Enfermagem pode aperfeicoar as praticas de saude. Pala ala ala alavr vr vr vr vras-chave: Assistencia de longa duracao. Cultura. Pesquisa em Enfermagem

Meaning assigned by the elderly to the experience at a long stay institution: contributions for the nursing care

RESUMO: Trata-se de estudo etnografico com o objetivo de interpretar o significado atribuido pelos idosos a vivencia em uma Instituicao de Longa Permanencia para Idosos, do municipio de Curitiba, Parana. As informacoes foram coletadas por meio de observacao participante e entrevista etnografica, em uma instituicao de carater privado com fins lucrativos, no periodo de janeiro a agosto de 2010, e analisadas em dominios, taxonomias e tema cultural. Os informantes-chave foram idosos residentes, selecionados mediante criterios de inclusao. Emergiram os dominios culturais: motivos que levaram a viver na instituicao; maneiras de viver: atividades do cotidiano; atividades promovidas pela instituicao; sentimentos atribuidos a vivencia; atributos da instituicao; e atributos das pessoas residentes; e o tema cultural: em busca do nectar da vida. Essa vivencia significou para os idosos a possibilidade de ser cuidado, compreendido de forma abrangente, como manutencao da vida e otimizacao do bem-estar, implicando em acoes de cuidado de enfermagem. DESCRITORES: Idoso. Instituicao de longa permanencia para idosos. Pesquisa. Enfermagem. Antropologia cultural. MEANING ASSIGNED BY THE ELDERLY TO THE EXPERIENCE AT A LONG STAY INSTITUTION: CONTRIBUTIONS FOR THE NURSING CARE

Do real ao ideal - o (des)cuidar da saúde dos idosos longevos

OBJECTIVE to analyze similarities and dissimilarities in the meanings assigned to health care by long-lived elders and nursing professionals in a healthcare setting. METHOD ethnographic qualitative research, based on the Spradley-McCurdy method and the interpretive anthropology of Geertz and Kleinman. The sample consisted of 20 key informants. Data were collected through participatory observation and ethnographic interviews from March to October 2013 and analyzed in domains, taxonomies and cultural themes. RESULTS Six domains and cultural taxonomies emerged and revealed reasons, attributes, and resources in providing care in relationship to long-lived elders and nursing professionals; finally, the following cultural theme emerged: the real to the ideal - the health (un)care of long-lived elders. CONCLUSION The study showed the distance between the desired and actual health care provided to aged people in the scenario studied.

Scientific nursing production and Madeleine Leininger's theory: integrated review 1985 - 2011

Esta es una revision integradora cuyo objetivo fue reflexionar acerca de la utilizacion de la teoria de la diversidad y universalidad del cuidado cultural de Madeleine Leininger para la produccion cientifica brasilena de enfermeria. Fueron consultadas las siguientes bases de datos: Base de Datos de Enfermeria, Literatura Latinoamericana y de Caribe en Ciencias de la Salud y Scientific Electronic Library Online en el periodo de enero de 1985 hasta enero de 2011. Fueron seleccionados 62 articulos de los cuales se ha elegido cuatro grupos de acuerdo a la semejanza metodologica: 16,12% de relatos de experiencia; 45,16% de procesos investigativos; 22,58 % de reflexion y 16,12% de revision sobre la teoria de Leininger. Se constato que se utiliza la teoria para favorecer la propuesta del cuidado holistico en enfermeria y la intencion de conocer y respetar la cultura de los clientes para que las acciones de la enfermera lleguen al resultado esperado. Suscita gran contribucion porque trae reflexiones y delinea orientaciones para la practica de enfermeria.

Institutionalized elder women's performance in the mini-mental state examination

Objective: To evaluate institutionalized elder women’s performance in the mini-mental state examination. Methods: This cross-sectional descriptive study was conducted among 34 elder women who were residents in a long term facility in Curitiba, PR. Data were collected with the mini-mental state examination (MMSE) and analyzed with descriptive statistics. Results: Participants had a mean age of 79.82 ± 8.23 and their overall mean score on the MMSE was 16.62 ± 5.60. The mean score of performance among illiterates and literate participants were 14.90 and 19.75 points, respectively. The mean score of performance among participants aged 65 to 79 and participants aged 80 and over were 18 and 15.65 points, respectively. Conclusion: There were a large number of elder women (26.5%) with cognitive impairment. Lower educational level and advanced age were associated with lower scores on the mini-mental status examination.Objective: To evaluate institutionalized elder women’s performance in the mini-mental state examination. Methods: This cross-sectional descriptive study was conducted among 34 elder women who were residents in a long term facility in Curitiba, PR. Data were collected with the mini-mental state examination (MMSE) and analyzed with descriptive statistics. Results: Participants had a mean age of 79.82 ± 8.23 and their overall mean score on the MMSE was 16.62 ± 5.60. The mean score of performance among illiterates and literate participants were 14.90 and 19.75 points, respectively. The mean score of performance among participants aged 65 to 79 and participants aged 80 and over were 18 and 15.65 points, respectively. Conclusion: There were a large number of elder women (26.5%) with cognitive impairment. Lower educational level and advanced age were associated with lower scores on the mini-mental status examination.