Nursing classification in collective health--the International Classification of Nursing Practice in Collective Health project

Words used by Brazilian nurses in their practice in collective health were identified in the project CIPESC developed in Brazil. The project represented the Brazilian contribution to the international project of ICN and it was developed by managers and 115 researchers in the health basic units of 15 research sites selected all over the country. It was applied 10 research tools and 49 focal groups were performed with the participation of 720 individuals of the nursing staff. The information contained in the focal groups were transcribed and it was submitted to processual and semantic analysis in order to characterize the work process and to contribute for a standardized language used by the nursing staff in collective health field. The results showed what the nurses do and the reasons for their nursing actions.     

Brazilian literature on nursing work founded on marxist categories

This article discusses the Brazilian scientific literature on nursing work based on Marxist categories, with the aim of investigating their contributions and tendencies. The study is a quanti-qualitative review of 97 articles published between 1981 and 2008, indexed in the LILACS. It is discussed: number and periodical distribution; themes; methodological and conceptual approaches. It was identified: a growing body of literature on nursing especially from 2000 onwards; the growth of approaches on the subjects, their perceptions and social interaction; the incorporation recently into the debate on caring and nursing care management; the predominance of qualitative research and, from the 1990s onwards, the incorporation of concepts from other theoretical paths linked to Marxists categories. There was evidence of a search for understanding of the movements, contradictions and dilemmas in nursing as a heterogeneous social practice.     

Validation of the meaning of terms identified in the CIPESC project for the axis focus of nursing practice of ICNP

This work aims at continuing the contribution of Brazilian nursing in the elaboration of ICNPa, which is being constructed by the coordination of ICN. It has two main objectives which are: 1) the definition of the terms identified in the CIPESC project and classified in the axis focus of nursing practice of the Nursing Phenomena Classification of ICNPa-Beta Version; 2) the validation of these definitions within a group of judges composed of professionals who were previously involved in the execution of the CIPESC project, or who were teachers or nurse assistants in the area of community health nursing. The process was carried out in two phases, considering that the definitions that had a 0.80 rate of Agreement (RA) within the group of judges were validated. Ninety-nine definitions of the terms were validated: 26 attained a RA equal to 1.00; 56 attained a RA between 0.90-0.99 and, 17 attained a RA between 0.80 an 0.89. The definition of one term was not validated.     

Development of an expert system for identification of nursing diagnosis related to urinary elimination

The study involved an evaluation of the ALTURIN.EXP system and its improvement that culminated in the establishment and evaluation of a new system named ALTURIN.SDD. In the present work the evaluation phases of the ALTURIN.EXP and development of the ALTURIN.SDD systems are described. The ALTURIN.SDD system was developed by utilizing a "shell" program specially built for this project, the Program for Diagnose Determination (SDD, 1.0 Version), which had as a target Windows 95/98/Me platforms. The nursing diagnoses are those present in the NANDA 2001-2002 classification. This development experience shall be applied in the development of other specialized systems.     

How to integrate humanization and technology in nursing training

This paper discusses the current incorporation of the subject of humanization of care in the current context of Brazilian nursing. The relation between nursing and technology is approached, in this study, from a historical perspective. The study also develops the proposition of "human re-signification", having as reference the concept of Cyborg, considering the way this concept has been employed in the contemporary cultural and feminist theoretical framework.     

Utilization of classification in the practice and teaching of nursing. The Brazilian experience

The authors describe the strategies used for the construction and implementation of a classification model computerized used in the nurses' of an academical hospital daily professional. The classification is structured in the theoretical reference of Benedet and Bub (1999) whose taxonomia has for base the theory of the basic needs of Horta (1979), Carpenito (1997) and NANDA (1999). The model constitute a reality in practice and a progress in the production of the knowledge of the Brazilian nursing.     

Data standards, terminology and classification systems for caring in health and nursing

Information is essential for nursing care because nurses in subsidizing clinical decision making for the resolution and reduction of health problems. This review integrative study identified publications in national and international journals the major data standards, terminologies and classification systems used in health care and nursing. The research was conducted on MEDLINE, CINAHL and SCIELO using the keywords: Information Systems, Nursing Informatics, Medical Informatics, Computerized Medical Records Systems, Terminology and Nomenclature of Medicine Systematized. It was selected 91 articles which were analyzed in two empirical categories: "data standards for health care and nursing" and "terminologies and classification systems in nursing" From the various data standards, terminologies and classification systems, it is important that nursing take ownership of them aiming to improve and renew the quality of care.     

Religious nurses in the fight for space in the nursing field

Historic social study that aims to describe the circumstances of creation of the Union of Brazilian Religious Nurses (UBRN); to analyze the strategies of the religious nurses in their seek for space in nursing area; to comment the importance UBRN for education area and nursing practice. Primary sources: written documents and oral report; secondary sources: books, articles, thesis and dissertations related to the thematic. The UBRN contributed for religious nurses have assured their participation in forum and decision of different questions involving the Brazilian nursing. Still it contributed for the increment in the number of nursing schools both in technic and superior level, as well as in directing religious nurses to faculty, aiming to inculcate to those nurses the religious habits, instituting a new model of catholic nursing.     

Nursing data, classification systems, and quality indicators: what every HIM professional needs to know

The nursing profession has developed a number of classification systems. What can HIM professionals learn from the processes and results? This article presents an overview of the major nursing classification systems and examines some of the national efforts to standardize nursing data elements.     

Transcultural adaptation of a translation into Portuguese of terms included in the International Classification for Nursing Practice and identified in the Classification of Nursing Practice in Community Health Project

The nursing classification systems have contributed to delimit our professional domain, by identifying concepts that are part of our professional language, and by promoting the knowledge concerning those concepts meanings. In this work, the authors report the process of transcultural adaptation of 145 terms (or concepts) identified in the CIPESC project and already included in the axis Focus of nursing practice of the Nursing Phenomena Classification/ICNP--Beta version. The process of transcultural adaptation was done through the comparison of the translation of those 145 terms into the Portuguese of Brazil with the translation of the same terms into the Portuguese of Portugal, taking the original text in English as the basis of comparison.     

Brazilian congresses -- bridges to freedom and nursing transformation

This study concerns the comprehension of the converging points in Brazilian Nursing Congresses as well as of their contribution to the production of nursing knowledge. The investigation method used was that of historical research with a documental analysis of the Proceedings of Brazilian Nursing Congresses from 1977 to 1987. The main converging points appearing in the lecturers' speeches refer to: higher and secondary education; nursing care; healthcare policies; the image of nurses and its transformation over the years.     

The health labor market in the South-East of Brazil: the insertion of the nursing team

The study points out the main characteristics of the nursing labor market in the Brazilian South-East, using Medical-Sanitary Assistance-AMS research data as a reference base, which were recently published by the Brazilian Institute of National Statistics and Geography-IBGE. With 272398 jobs in this region, the nursing team mainly works in the public health system and hospital institutions. In coherence with the Brazilian health system decentralization policies, the municipalization of nursing jobs and signs of labor market flexibility were observed in 1999. In view of this national and regional context, a research should be carried to obtain a quantitative and qualitative analysis of the current labor market for the nursing team.     

Curricular supervisioned traineeship in the nursing undergraduate program: re-visiting the history

This literature review deals with curricular supervisioned traineeship in the nursing undergraduate program, whose objectives were to understand how the program is currently structured and to identify today's challenges, by tracing back its history and understanding the laws governing the program. Issues of Revista Brasileira de Enfermagem published between 1954 and 2006 were used as a main source. The study revealed that this academic activity has gone through several transformations since it was first structured in 1972, at a time when nursing was carried out from a biologicist and hospital-centered perspective. After 1994, it sought to have a structure based on the integrality and articulation between theory and practice, and teaching and service, with a view to the construction of the Brazilian public health system - SUS; a process that was enhanced in 2001 upon the implementation of the Brazilian Education Guidelines.     

The Revista Brasileira de Enfermagem: presenting perspectives for its analysis

This essay proposes a reflection on different perspectives for analyzing the Brazilian Journal of Nursing. The journal, which is considered an instrument for the diffusion of knowledge and ideology of the nursing field, has been the object of few studies. In this essay, the authors adopt as theoretical reference the signification triangle of Pierre Levy and aspects of the feminist theory. The authors believe the journal should be analyzed as an object that produces, in its relation with nursing professionals, elements that constitute a culture, knowledge and symbology of the Brazilian nursing.     

Building a new form for professional organization--a challeng for the "Political-Professional Project of Brazilian Nursing"

This article is a reflection about the form of Brazilian nursing professional organization, highlighting the limits of the current model and the challenges for the future. It is based on the authors' analysis of an important social movement of Brazilian Nursing, the "Participation Movement" that took place from 1980 to 1990. This Movement has promoted a reflection about nursing work and organization and about nursing participation in the country's re-democratization, as well as defending the right to health. This article summarizes some gains obtained by the movement, especially in the Brazilian Nursing Association-ABEn, and limits in the discussion about the professional organization. It highlights the need to establish agreements and to include in the "Nursing Political-Professional Project" the importance of building a unifying organization originating from ABEn.     

Nursing education through REBEn: 1990-2001

This paper looks at the scientific production of nursing professionals, on the subject of education in nursing, published in REBEn (BRAZILIAN JOURNAL OF NURSING) between 1990-2001. It aims at identifying articles on education in nursing and analyzing the levels and sub-themes in 168 articles obtained from 43 magazines. Results showed that undergraduation teaching was the most highlighted theme, followed by education for health and continued education. There was less attention to the theme education (in general), post-graduation and High School Education. The study concluded that, in the last decade, Brazilian nursing has reflected upon curriculum changes, which were conquered by its professionals; valued its educational role through privileging education in health and highlighted continued education due to technological advances.     

Classification of researchers/consultants in the nursing area in the CNPq: contribution to a data bank

This study is an analysis of the themes and the knowledge subareas where nursing researchers from CNPq (Brazilian Council for Technological and Scientific Development) are included, based on the projects assessed over the period from 2002 through 2003. Their goals were to present the distribution of researchers according to their present classification in the Nursing area adopted by CNPq and discuss the representativity of the researchers from this knowledge area. Results evidenced that the predominant subareas regarding research in this category were: fundamentals of the care process, followed by the area of adult nursing care. This study also revealed the existing concentration of researchers and pointed out for the need to establish inclusion strategies and to stimulate the return on financial resources to the research they develop. Authors emphasize the importance of an update in the subareas as well as a strengthening effort in scientific production.