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1.
Rarianne Carvalho Peruhype Laís Mara Caetano da Silva Elisangela Gisele de Assis Ana Carolina Scarpel Moncaio Lenilde Duarte de Sá Pedro Fredemir Palha 《Revista latino-americana de enfermagem》2014,22(6):988-993
OBJECTIVE:
to propose a discussion about traces of the derivation of meanings, the subjects'' discomfort and resistance when they are called upon to signify a questionnaire on the transfer of the Directly Observed Treatment of Tuberculosis policy, in order to reveal the limitations of closed questionnaires in the subject''s interpretation process.METHOD:
health professionals from a Primary Health Care Unit in Porto Alegre/RS were interviewed and some excerpts from the interviews were investigated in the light of French Discourse Analysis.RESULTS:
resistance, discomfort, slips, silencing and the derivation of meanings were observed in the subjects'' interpretation.CONCLUSION:
the interpretation process has multiple meanings and varies from subject to subject. The questionnaire, as a prototype of the logically stabilized universe, fails when the purpose is to control the interpretation. Its isolated use in health research can entail inexactness or incompleteness of the collected data. Therefore, its use associated with qualitative research techniques is ideal. 相似文献2.
3.
Maria Cristina Barbaro Angelina Lettiere Ana Márcia Spanó Nakano 《Revista latino-americana de enfermagem》2014,22(1):108-114
Objective
evaluate prenatal care for adolescents in health units, in accordance with the attributes of Primary Health Care (PHC) guidelines.Method
quantitative study conducted with health professionals, using the Primary Care Assessment Tool-Brazil to assess the presence and extent of PHC attributes.Results
for all the participating units, the attribute Access scored ≤6.6; the attributes Longitudinality, Coordination (integration of care), Coordination (information systems) and Integrality scored ≥6.6, and the Essential Score ≤6.6. Comparing basic units with family health units, the attribute scores were equally distributed; Accessibility scored ≤6.6, the others attributes scored ≥6.6; however, in the basic units, the Essential Score was ≤6.6 and, in the family health units, ≥6.6.Conclusion
expanding the coverage of family health units and the training of professionals can be considered strategies to qualify health care. 相似文献4.
5.
Nadirlene Pereira Gomes Alacoque Lorenzini Erdmann 《Revista latino-americana de enfermagem》2014,22(1):76-84
Objective
to construct a theoretical matrix based on the meanings of the interactions and actions experienced by the professionals regarding the nursing care practices and the health of women in situations of conjugal violence in the ambit of the Family Health Strategy.Methods
research based in Grounded Theory. Following approval by the Research Ethics Committee, 52 professionals were interviewed in Santa Catarina, Brazil. The analysis was based on open, axial and selective codifications.Results
the theoretical model was delimited based on the phenomenon "Recognizing conjugal violence as a public health problem, and the need for management of the care for the woman", which reflects the experience of the professionals in relation to care for the woman, as well as the meanings attributed to this care.Conclusions
the phenomenon allows one to understand the movement of action and interaction regarding the care for the woman in a situation of conjugal violence. 相似文献6.
7.
José Carlos Santos Rosa Maria Pereira Sim?es Maria Pedro Queiroz de Azevedo Erse Jorge Daniel Neto Fa?anha Lúcia Amélia Fernandes Alves Marques 《Revista latino-americana de enfermagem》2014,22(4):679-684
OBJECTIVES:
to evaluate the results of "+Contigo" training, developed by nurses and directed at 66 health professionals of integrated school health teams in Primary Health Care.METHOD:
quantitative with data collection through the Suicide Behavior Attitude Questionnaire, administered before and after the training.RESULTS:
significant increases were observed in suicide prevention knowledge and in changing attitudes of health professionals towards individuals with suicidal behavior.CONCLUSION:
these results allow us to affirm that nurses hold scientific and pedagogical knowledge that grant them a privileged position in the health teams, to develop training aimed at health professionals involved in suicide prevention. 相似文献8.
Simone Albino da Silva Tamara Cristina Baitelo Lislaine Aparecida Fracolli 《Revista latino-americana de enfermagem》2015,23(5):979-987
Objective:
to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process.Method:
evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1.Results:
the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services.Conclusions:
the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients. 相似文献9.
Ana Carine Arruda Rolim Gracyelle Alves Remigio Moreira Sarah Maria Mendes Gondim Soraya da Silva Paz Luiza Jane Eyre de Souza Vieira 《Revista latino-americana de enfermagem》2014,22(6):1048-1055
OBJECTIVE:
to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents.METHOD:
cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used.RESULTS:
female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting.CONCLUSION:
the study''s results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents. 相似文献10.
Rita de Cássia de Marchi Barcellos Dalri Luiz Almeida da Silva Aida Maria Oliveira Cruz Mendes Maria Lúcia do Carmo Cruz Robazzi 《Revista latino-americana de enfermagem》2014,22(6):959-965
OBJECTIVE:
to analyze the relation between the workload and the physiological stress reactions among nurses working at a hospital service.METHODS:
cross-sectional, correlational, quantitative study, involving 95 nurses, in 2011 and 2012. Spearman''s bivariate Correlation Test was used.RESULTS:
most subjects are female, between 23 and 61 years old and working between 21 and 78 hours per week. The most frequent physiological reactions were back pain, fatigue/exhaustion, stiff neck and stomach acidity, with 46.3% of the subjects presenting low and 42.1% moderate physiological stress responses. No correlation was found between the workload and the physiological stress responses.CONCLUSION:
although most of the nurses work more than 36 hours/week, physiologically, they do not present high reaction levels in response to stress. These workers deal with conflicts in the vertical and horizontal relations between professionals, family members and patients. In that sense, taking care of professionals who offer health services can be a fundamental strategy, as good user care mainly depends on healthy teams. 相似文献11.
Sheila de Souza Vieira Maria Cecília Bevilacqua Noeli Marchioro Liston Andrade Ferreira Giselle Dupas 《Revista latino-americana de enfermagem》2014,22(3):415-424
Objective
to understand the meanings the family attributes to the phases of the decision-making process on a cochlear implant for their child.Method
qualitative research, using Symbolic Interactionism and Grounded Theory as the theoretical and methodological frameworks, respectively. Data collection instrument: semistructured interview. Nine families participated in the study (32 participants).Results
knowledge deficit, difficulties to contextualize benefits and risks and fear are some factors that make this process difficult. Experiences deriving from interactions with health professionals, other cochlear implant users and their relatives strengthen decision making in favor of the implant.Conclusion
deciding on whether or not to have the implant involves a complex process, in which the family needs to weigh gains and losses, experience feelings of accountability and guilt, besides overcoming the risk aversion. Hence, this demands cautious preparation and knowledge from the professionals involved in this intervention. 相似文献12.
Lucas Pereira de Melo Edemilson Antunes de Campos 《Revista latino-americana de enfermagem》2014,22(6):980-987
OBJECTIVE:
to interpret the meanings patients with type 2 diabetes mellitus assign to health education groups.METHOD:
ethnographic study conducted with Hyperdia groups of a healthcare unit with 26 informants, with type 2 diabetes mellitus, and having participated in the groups for at least three years. Participant observation, social characterization, discussion groups and semi-structured interviews were used to collect data. Data were analyzed through the thematic coding technique.RESULTS:
four thematic categories emerged: ease of access to the service and healthcare workers; guidance on diabetes; participation in groups and the experience of diabetes; and sharing knowledge and experiences. The most relevant aspect of this study is the social use the informants in relation to the Hyperdia groups under study.CONCLUSION:
the studied groups are agents producing senses and meanings concerning the process of becoming ill and the means of social navigation within the official health system. We expect this study to contribute to the actions of healthcare workers coordinating these groups given the observation of the cultural universe of these individuals seeking professional care in the various public health care services. 相似文献13.
14.
Carolina de Castilhos Teixeira Amália de Fátima Lucena Isabel Cristina Echer 《Revista latino-americana de enfermagem》2014,22(4):621-628
OBJECTIVE:
to identify activities developed by the healthcare team for pregnant and postpartum women who smoke.METHOD:
cross-sectional study with a sample of 135 healthcare team members who assist pregnant and postpartum women in a university hospital located in southern Brazil. The data was collected using questionnaires and analyzed using the Statistical Package for Social Sciences software.RESULTS:
76 (56.3%) staff members reported that they always addressed smoking cessation; however, the approach occurred in only two periods of the hospitalization and/or prenatal consultations, not including family members. In regard to the effectiveness of their actions, the health team assessed it as fair or poor, and mentioned the need for updating knowledge regarding this issue.CONCLUSIONS:
the health team did not perform the approach as recommended by the tobacco control guidelines, requiring training to offer a qualified and efficient intervention. 相似文献15.
16.
Luciana Scatralhe Buetto Marcia Maria Font?o Zago 《Revista latino-americana de enfermagem》2015,23(3):427-434
OBJECTIVE:
this study''s aim was to interpret the meanings assigned to quality of life by patients with colorectal cancer undergoing chemotherapy.METHOD:
the ethnographic method and the medical anthropology theoretical framework were used. Data were collected through semi-structured interviews and participant observations with 16 men and women aged from 43 to 75 years old undergoing chemotherapy in a university hospital.RESULTS:
the meanings and senses describe biographical ruptures, loss of normality of life, personal and social suffering, and the need to respond to chemotherapy''s side effects; chemotherapy is seen as a transitional stage for a cure. Quality of life is considered unsatisfactory because the treatment imposes personal and social limitations and QoL is linked to resuming normal life.CONCLUSIONS:
the meanings show the importance of considering sociocultural aspects in the conceptualization and assessment of quality of life. 相似文献17.
Laura Johanson da Silva Josete Luzia Leite Carmen Gracinda Silvan Scochi Leila Rangel da Silva Thiago Privado da Silva 《Revista latino-americana de enfermagem》2015,23(3):483-490
OBJECTIVE:
construct an explanatory theoretical model about nurses'' adherence to the Kangaroo Care Method at the Neonatal Intensive Care Unit, based on the meanings and interactions for care management.METHOD:
qualitative research, based on the reference framework of the Grounded Theory. Eight nurses were interviewed at a Neonatal Intensive Care Unit in the city of Rio de Janeiro. The comparative analysis of the data comprised the phases of open, axial and selective coding. A theoretical conditional-causal model was constructed.RESULTS:
four main categories emerged that composed the analytic paradigm: Giving one''s best to the Kangaroo Method; Working with the complexity of the Kangaroo Method; Finding (de)motivation to apply the Kangaroo Method; and Facing the challenges for the adherence to and application of the Kangaroo Method.CONCLUSIONS:
the central phenomenon revealed that each nurse and team professional has a role of multiplying values and practices that may or may not be constructive, potentially influencing the (dis)continuity of the Kangaroo Method at the Neonatal Intensive Care Unit. The findings can be used to outline management strategies that go beyond the courses and training and guarantee the strengthening of the care model. 相似文献18.
Ana Lúcia Naves Alves Maria Inês Couto de Oliveira José Rodrigo de Moraes 《Revista de saúde pública》2013,47(6):1030-1040
OBJECTIVE
To analyze the prevalence of exclusive breastfeeding and the association with the Breastfeeding-Friendly Primary Care Unit Initiative.METHODS
Cross-sectional study, whose data source were research on feeding behaviors in the first year of life conducted in the vaccination campaigns of 2003 and 2006, at the municipality of Barra Mansa, RJ, Southeastern Brazil. For the purposes of this study, infants under six months old, accounting for a total of 589 children in 2003 and 707 children in 2006, were selected. To verify the relationship between being followed-up by Breastfeeding-Friendly Primary Care Unit Initiative units and exclusive breastfeeding practice, only data from the 2006 inquiry was used. Variables that in the bivariate analysis were associated (p-value ≤ 0.20) with the outcome (exclusive breastfeeding practice) were selected for multivariate analysis. Prevalence ratios (PR) of exclusive breastfeeding were obtained by Poisson Regression with robust variance through a hierarchical model. The final model included the variables that reached p-value ≤ 0.05.RESULTS
The prevalence of exclusive breastfeeding increased from 30.2% in 2003 to 46.7% in 2006. Multivariate analysis showed that mother''s low education level reduced exclusive breastfeeding practice by 20.0% (PR = 0.798; 95%CI 0.684;0.931), cesarean delivery by 16.0% (PR = 0.838; 95%CI 0.719;0.976), and pacifier use by 41.0% (PR = 0.589; 95%CI 0.495;0.701). In the multiple analysis, each day of the infant''s life reduced exclusive breastfeeding prevalence by 1.0% (PR = 0.992; 95%CI 0.991;0.994). Being followed-up by Breastfeeding-Friendly Primary Care Initiative units increased exclusive breastfeeding by 19.0% (PR = 1.193; 95%CI 1.020;1.395).CONCLUSIONS
Breastfeeding-Friendly Primary Care Unit Initiative contributed to the practice of exclusive breastfeeding and to the advice for pregnant women and nursing mothers when implemented in the primary health care network. 相似文献19.
Giovana Dorneles Callegaro Higashi Alacoque Lorenzini Erdmann 《Revista latino-americana de enfermagem》2014,22(2):269-276
Objective
to understand the meanings of the collegiate deliberations attributed by its members on an undergraduate nursing course.Method
Grounded Theory, interviews being held with 30 participants, making up 4 sample groups, between January and June 2012, in a public higher education institution.Result
5 categories emerged, indicating the phenomenon and weaving the paradigmatic model: Understanding the experience of the complex relationships and interactions in the deliberations of collegiate management in nursing: intertwining divergences, convergences, dialogs, collectivities and diversities. This deliberative process presents various meanings involving discussion, and divergent, convergent and complementary positions, through dialog, commitment and negotiation.Conclusion
the deliberations in the collegiate of nursing, intertwining dialogs, collectivities and diversities, mold the complex relational fabrics. 相似文献20.
Pain,health perception and sleep: impact on the quality of life of
firefighters/rescue professionals
Rafael Silva Marconato Maria Ines Monteiro 《Revista latino-americana de enfermagem》2015,23(6):991-999