RCAAP Repository

ABSTRACT Objectives: to investigate the process of implementing advance directives in palliative care teams in southern Brazil. Methods: an exploratory-descriptive study with a qualitative approach conducted with 51 professionals from seven palliative care teams from December 2018 to April 2019. Data were collected through semi-structured online interviews and submitted to discursive textual analysis. Results: the implementation process starts on approach of the advance directives with patients, so that their wishes and desires are the guiding axis for planning care and conduct. Final Considerations: the palliative philosophy is important with regard to advance directives, due to the preparation of these professionals in the search for dignity, quality of life and respect for patient autonomy, in addition to reducing suffering and offering dignified death, based on the understanding of human finitude as a natural process that belongs to life.

ABSTRACT Objectives: to discover what were the contributions of the Reflexive Group from the perspective of men being sued by marital violence, who participated in a social technology. Methods: qualitative study, resulting from the evaluation stage of an action-research, based on the perspective of Critical Freedom and carried out with 44 men who were being sued in the Peace at Home Courts, in Salvador, Bahia, Brazil. Results: the discourses of men being sued for marital violence showed that the reflections enabled them to share their experiences; understand their attitudes as disrespectful, violent, and liable in criminal courts; elaborate of strategies for a harmonious marital life; and become multipliers as a result of their willingness to socialize the information and knowledge that emerged from their group. Conclusions: the study presents a successful experience of the participation of men in reflexive groups and is a precedent for the validation of this social technology.

ABSTRACT Objectives: to identify anthropometric techniques and measurements related to nursing diagnoses and interventions, included in the NANDA International (NANDA-I) and Nursing Interventions Classification (NIC), respectively. Methods: descriptive study of the revision of the NANDA-I and NIC taxonomies by professors of Nursing of the Universidad Complutense de Madrid. Results: A total of 24 nursing diagnoses, 20 nursing interventions and 71 nursing activities were identified that require the use of anthropometric measurements. Conclusions: anthropometric measurements are necessary in the conduct of numerous nursing diagnoses and nursing interventions that are commonly used in healthcare practice. It would be useful to systematize the use of anthropometric techniques in the application of the nursing process and to standardize this training process.

ABSTRACT Objectives: to develop and validate an obstetric surgical safety checklist for intraoperative care. Methods: this is a methodological study with two phases: integrative review in databases, using selection criteria and descriptors to synthesize the evidence and develop the checklist; checklist content validation, with 37 judges, who answered a Likert-type questionnaire. For analysis, a >85% content validation index was applied. Results: the checklist’s first moment reached a 96.1 content validation index; the second moment, 95.5; the third moment, 98.9. Thus, the validation index of all verifying sections present in the three surgical moments was 97.1. Cronbach’s Alpha value was 95.57%. Conclusions: the checklist items were validated by judges, with improvement of some items and insertion of others.

ABSTRACT Objectives: to analyze the leisure physical activity of people with and without chronic non-communicable diseases by the single health system of the city of Ribeirão Preto – São Paulo. Methods: observational cross-sectional study, data were collected by means of interviews in a sample for convenience and random of adults. Results: there were 719 people, where 70.1% had chronic non-communicable diseases, being 68.1% inactive. Physical inactivity presents a similar distribution between the groups with and without disease and a national average in leisure physical activity. Conclusions: these data are aimed at health services that do not encourage physical and auditory leisure activities, such as multiprofessional activities in the health area.

ABSTRACT Objectives: to perform a cross-cultural adaptation of the Latino Student Patient Safety Questionnaire for Brazilian Nursing and Medical students. Methods: methodological study carried out in six stages — forward translation, synthesis, back-translation, expert committee assessment, pre-test and reporting to the authors of the original instrument. Data at the expert committee and pre-test stages were collected and analyzed using the web platform e-Surv. The level of agreement adopted for the expert committee evaluation with 20 participants and the pre-test evaluation with 38 students was ≥ 90%. Results: the first evaluation round by the expert committee showed a <90% agreement for 21 out of the 26 questionnaire items, requiring adjustments. In the pre-test, three items in the instrument reached a <90% agreement and were revised to obtain the final version. Conclusions: the Brazilian version of the Latino Student Patient Safety Questionnaire instrument was considered culturally adapted to Brazilian Portuguese.

ABSTRACT Objectives: to know how people with tuberculosis undergoing treatment exercise their rights throughout daily life while experiencing illness. Methods: this qualitative study was developed from April to May 2015, with people with tuberculosis undergoing treatment in an outpatient clinic of the Municipal Tuberculosis Control Program in the city of Pelotas. Data were collected through semi-structured interviews and verified by content analysis, under the thematic modality. Results: people announced aspects that involved human rights pertaining to their experiences, and they had difficulties to achieve full rights to dignity, health, social security, and social services. Such rights were neither guaranteed by the State nor by their families. Final Considerations: it is necessary for health professionals and services to inform and equip people with tuberculosis, directly or indirectly, for the full exercise of their rights.

ABSTRACT Objectives: to assess and correlate sociodemographic and work variables with the quality of life (QoL) of nursing professionals who work with children and adolescents with cancer. Methods: a cross-sectional, analytical, correlational study with 123 volunteers from a public hospital. Sociodemographic characterization questionnaire and WHOQOL-Bref have been used. Results: “sex” (p=0.017), “work shift” (p=0.022), “employment relationship” (p=0.049) “having children” (p=0.002), “work sector” (p=0.047), “work shift” (p=0.007) and “employment relationship” (p=0.040) had worse quality of life. “Job duty length” (p=0.027) and “years of study” (p=0.001) and, conversely, “age” (p=0.004) and “job tenure” (p=0.001) were positively correlated with quality of life domains. Conclusions: most professionals rated the overall quality of life as “good”. Sociodemographic and work characteristics are associated with worse quality of life. The more years of study and the better job duty length the better the quality of life.

ABSTRACT Objectives: to analyze how certified nurse-midwives identify preceptorship in a nursing-midwifery enhancing course conducted by the Universidade Federal Fluminense as a possibility of training to promote institutional support and intervention. Methods: a descriptive, exploratory research with qualitative approach. Six certified nurse-midwife preceptors from the Nursing-Midwifery Enhancing Course participated in the study in 2019. Two public maternity hospitals in Rio de Janeiro were settings of the research. Individual interview and thematic content analysis were used to collect and analyze data. Results: exchange of knowledge between preceptors and trainees encouraged learning and reflection stemming from delivery and birth, contributing to expansion of autonomy and professional leading role in training, health care, and management. Final Considerations: collective meetings that promote work analysis and value the performance of certified nurse-midwives have led to intervention processes and institutional support in maternity hospitals in Rio de Janeiro, Brazil.

ABSTRACT Objectives: to describe the construction and validation process for a mobile application for development of the nursing history and diagnosis. Methods: methodological study conducted in 2018 in three stages: content creation, based on the Basic Human Needs categories and nursing diagnoses; content assessment by nine nursing judges, with calculation of the content validity index; and construction of the application, which included definition of the requirements, a conceptual map, implementation and prototyping options, tests and implementation. Results: the application was organized by sections: Grouped Basic Human Needs, Cranial pair tests, Clinical assessment scales and Additional tests. Two section were adjusted according to the judges’ suggestions. Final Considerations: it is the first application produced in Brazil based on the Basic Human Need categories, which enables quick access to information, concepts and typical nomenclatures of semiology, recording of clinical data and definition of nursing diagnoses.

ABSTRACT Objectives: to understand nurses’ perceptions about Imogene King’s concepts on CMIOS and its association with caring for patients with hypertension in Primary Health Care. Methods: a qualitative interventionist research with Family Health Strategy nurses who care for patients with hypertension at Primary Health Care in Maracanaú-CE. A focus group was held with seven nurses, in two audio-recorded and transcribed meetings, to analyze the production of meanings based on discursive practices. Results: the categories personal system, interpersonal system, and social system emerged referring to the potentialities and difficulties found both for understanding concepts, but also in the interaction with oneself, with hypertensive patients and health organization, with a view to adequate care for hypertensive patients. Final Considerations: it was verified the understanding of nurses’ knowledge in relation to King’s concepts, associating its application in the context of care for patients with hypertension.

ABSTRACT Objectives: to understand nurses’ and physicians’ perceptions of the care of people with cancer admitted to an emergency department of a general hospital. Methods: descriptive study with a qualitative approach. Data collection took place from September to November 2017 through semi-structured interviews in which participated 12 professionals from the emergency department, including nurses and physicians. The data were analyzed using Minayo’s operative proposal. Results: three categories emerged: 1) The person with cancer from nurses and physicians’ perspective; 2) Comprehensive care of people with cancer or deconfiguration in the emergency department?; and 3) The context of the emergency department and the repercussions on the care of people with cancer. Final Considerations: we identified that the care provided to people with cancer in the emergency department is carried out differently regarding the overall population due to the disease’s particularities, which lead us to reflect on the quality and humanization of care.

ABSTRACT Objectives: to analyze the philosophical, theoretical and methodological conceptions of the Theory of Praxic Intervention in Nursing in Collective Health by professors at a federal university, aiming at structuring a reference proposal for teaching nursing care. Methods: Convergent Assistance Research, with 17 teachers, gathered in convergence groups for instrumentalization and production about the referential. Results: the focus was primarily on issues considered preliminary to the theoretical and philosophical deepening of theory; and then a theoretical-methodological essay on historicity and dialectics was developed for teaching in nursing care. Final Considerations: when electing Theory of Praxic Intervention in Nursing in Collective Health, the potential of the referential to make operational, in the teaching of assistance, the assumptions of historicity and dialectics operational, founding new conceptions for care. This decision represents a paradigmatic challenge exposing weaknesses in the formation related to its Cartesian origin and its limitations regarding intrinsic philosophical complexity.

ABSTRACT Objectives: to identify and analyze possibilities for recognizing health needs in the nurses’ work at Family Health Strategy. Methods: a qualitative study with interviews and observation of the nurses’ work in the countryside of São Paulo. The empirical material was subjected to thematic content analysis and interpreted in the light of the health work process. Results: two themes emerged: Possibilities utilized and Possibilities neglected to recognize health needs. Careful observation, welcoming, attention, listening, bonding and dialogue developed by nurses, in live work in action with users, touched on the possibilities, which, taken advantage of, were evidenced in care in spontaneous demand, scheduled consultation, examination gynecological and group activities. Final Considerations: nurses are able to recognize health needs, which can expand their clinical practice and interprofessionality in Family Health.

ABSTRACT Objectives: to understand the spirituality and the practice of euphemism experienced by nursing professionals in the hospital scenario. Methods: a descriptive, exploratory research with a qualitative approach, carried out with 18 nursing professionals from a hospital in southern Brazil. Data collection took place from September to October 2018, through recorded audio interviews. The reports were submitted to thematic content analysis and the discussion was based on the theory of transpersonal care. Results: four categories emerged from the speeches: Motivational reflection of spirituality in the work environment; Adherence to the practice of euphemism by nursing professionals; Satisfaction and frustration in the practice of euphemism by nursing professionals and; Spirituality as an increase in human faith. Final Considerations: professionals understand spirituality and the practice of euphemism as a tool that helps in motivating the team to face difficulties at work and increase the faith of hospitalized patients.

ABSTRACT Objectives: to analyze the care provided to individuals with Tuberculosis (TB)-HIV coinfection in prison units in the state of São Paulo, according to the regional coordination of prisons. Methods: cross-sectional study conducted between 2016 and 2018. A structured questionnaire was applied to 112 directors or health professionals from 168 prison units. Data were analyzed by frequency distribution and multiple correspondence analysis. Results: 92.9% of participants reported active search for respiratory symptoms, 89.3% offer the directly observed treatment (DOT) for all TB cases, 95.5% anti-HIV testing for all inmates, 92.9% offer HIV follow-up in specialized care services and 59.8% antiretroviral drugs for cases of coinfection. An association was identified between the Northwest and Central regional coordinations and deficient human resources and low performance of actions for the diagnosis and follow-up of cases. Conclusions: although most prison units perform planned actions for the care of coinfected persons, some places need support to guarantee access to these actions.

ABSTRACT Objectives: to describe a product technology building (Care Facilitator Cart) with nursing professionals working in surgical clinic and medical clinic at a university hospital in Rio Grande do Sul. Methods: a qualitative, methodological research guided by the Business Model Canvas, with 52 nursing professionals, through non-participant observation and brainstorming, carried out from April to October 2016. The records were analyzed through content analysis. Results: the product was built with two floors, a retractable table, a removable compartment for disposal and separation of infectious, recyclable and sharps waste, lid opening by a sensor, among others. Final Considerations: the invention unleashes possibilities to be an innovative instrument aimed at performing safe care in hospital institutions, with a view to reducing professional wear, rework, infection control, and effectiveness of procedures and techniques.

ABSTRACT Objectives: to describe the development of an ICNP® terminology subset for Nursing Consultation to infants in Primary Health Care. Methods: a methodological study, described in five stages, carried out from May to September 2018 with 15 nurses who identified diagnoses, results, interventions, and validated the subset content. Results: the subset developed consists of 86 nursing diagnoses and results and 178 interventions, organized in the fields of Theory of Basic Human Needs. Final Considerations: the subset contributed to implement the systematized Nursing Consultation, assisting nurses in decision making. Construction and validation consolidate evidence-based practice, bringing the subset closer to practical reality, in addition to contributing to infant health care qualification.

ABSTRACT Objectives: to verify the effectiveness of a regional nutrition training program for nurses based on four levels of assessment: response, learning, behavior, and conclusions. Methods: this was a longitudinal, almost experimental before and after type of study, carried out in 2014 with eight nurses and 62 mothers attended in the Primary Health Care Units of the rural area of Ceará, Brazil, in a training program using educational technology on regional food. Results: the evaluations showed a positive reaction from the nurses; a very good post-test average (92.3%); a change in nurses’ behavior, verified by 30 educational activities after training; and satisfactory results, verified by improvement in knowledge, attitude and practice of the mothers about regional food and food safety after participating in the educational interventions carried out by the trained nurses. Conclusions: the training program was considered effective, showing positive results in the four levels of evaluation.

ABSTRACT Objectives: to learn and analyze the structure of nurses’ social representations about transvestite people. Methods: a qualitative research based on the Theory of Social Representations, with 110 nurses enrolled in Graduate Nursing courses, who answered the Free-Association Test, with the stimulus ‘transvestite’. Data were processed by the software Ensemble de Programmes Permettant I’ Analysedes Évocations. Results: in the central nucleus, the term “prejudice” was the most evoked, followed by “homosexual”, “identity” and “female-make-up”. Social representation is anchored in the social organization in which transvestite people are still seen and/or associated with homosexuals who make up and assume an identity, without being seen and/or understood as they really are. Final Considerations: although prejudice is noteworthy as a central element, terms present in the peripheral system reveal that the group recognizes transvestites as a person with rights, which can translate into health care practices.