scholarly journals Productivity of subjectivity and autonomy of nursing professionals in Pediatrics

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 41-48 ◽  
Author(s):  
Juliane Portella Ribeiro ◽  
Giovana Calcagno Gomes ◽  
Marina Soares Mota ◽  
Camila Daiane Silva ◽  
Paulo Roberto Boeira Fuculo Junior

ABSTRACT Objective: To know the aspects involved in the production of subjectivity and autonomy of nursing professionals working in Pediatric Units. Method: An exploratory and descriptive study, with a qualitative approach, performed with users, professionals and nursing managers, totaling 44 participants. Data collection took place in the pediatric hospitalization units of two University Hospitals through semi-structured interviews, organized and treated by Nvivo 10 software and then submitted to content analysis. Results: The production of subjectivity and autonomy in nursing workers involves both the conditions of the work environment as the relation of the nursing team, the relation of hierarchy and the profile of the professional that works in the Pediatric Unit. Final considerations: The valorization path of the nursing profession emerges, whose knowledge and competence in the area of work contribute to the construction of autonomous subjectivities.

2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Edilaine Maran ◽  
Laura Misue Matsuda ◽  
Dandara Novakowski Spigolon ◽  
Elen Ferraz Teston ◽  
Edna dos Santos Almeida ◽  
...  

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.


2015 ◽  
Vol 24 (3) ◽  
pp. 731-739 ◽  
Author(s):  
Simone Vidal Santos ◽  
Roberta Costa

ABSTRACTA qualitative study was conducted using a convergent care approach, whose aim was to identify the knowledge of the neonatal nursing team about the prevention of skin lesions in hospitalized newborns. This study was conducted in the neonatal unit of a hospital in southern Brazil with 14 nursing professionals. Data were obtained through semi-structured interviews performed in November and December 2012. Data analysis was through apprehension, synthesis, theorization and a recontextualization processes. The results show nursing professionals are aware of newborn skin particularities, recognizing the need for skin protection, body temperature regulation, transepidermal water loss, and proper hygiene. The team also recognized the need for hydration and proper handling, as well as the need for precautions in invasive procedures, prevention of pressure and puncture lesions, care in device fixation and use of antiseptics. The results of this study demonstrated the need for providing sensitive and risk-free care, thus promoting comfort and safety for these patients.


2014 ◽  
Vol 23 (2) ◽  
pp. 460-468 ◽  
Author(s):  
Bruna Caroline Rodrigues ◽  
Verônica de Azevedo Mazza ◽  
Ieda Harumi Higarashi

This exploratory descriptive study, using a qualitative approach, aimed to characterize the social support of nurses in the care of their own children. The participants were ten nurses who were mothers, selected through a snowball method. Data collection occurred from November 2011 to January 2012 through semi-structured interviews and construction of families' genograms and ecomaps. Data were analyzed through Bardin content analysis, leading to the establishment of two categories: (1) Returning to work: the importance of family support and (2) The family and their interactive contexts: types of bonds. The social support network of the family is essential to the lives of these women, who need support, assistance and guidance in directing their activities in everyday overload.


2019 ◽  
Vol 13 ◽  
Author(s):  
Geicielle Karine de Paula ◽  
Fernanda Garcia Bezerra Góes ◽  
Aline Cerqueira Santos Santana da Silva ◽  
Juliana Rezende Montenegro Medeiros de Moraes ◽  
Liliane Faria da Silva ◽  
...  

RESUMOObjetivo: analisar o uso de estratégias lúdicas no cuidado à criança hospitalizada na perspectiva da equipe de Enfermagem. Método: trata-se de um estudo qualitativo, descritivo, no setor da Pediatria de um hospital municipal, por meio de entrevistas semiestruturadas com 15 profissionais de enfermagem, cujos dados foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: entende-se que as estratégias lúdicas são compreendidas majoritariamente como uma forma de entreter/distrair as crianças hospitalizadas. Utilizam-se materiais hospitalares, brincadeiras, desenhos, conversa/amizade, vestimentas diferenciadas e contação de histórias, especialmente, durante os cuidados procedimentais. Identificam-se, contudo, fatores limitantes do uso dessas estratégias lúdicas no cuidado à criança, como a escassez de recursos/materiais/investimentos, o medo das crianças em relação aos profissionais e aos procedimentos, a falta de tempo e a presença dos familiares. Conclusão: avalia-se que os fatores limitantes precisam ser superados para a garantia do atendimento integral às crianças hospitalizadas, considerando que o brincar é um direito garantido legalmente, além de contribuir para a recuperação mais prazerosa e para o pleno desenvolvimento infantil. Descritores: Saúde da Criança; Criança Hospitalizada; Enfermagem; Enfermagem Pediátrica; Jogos e Brinquedos; Cuidado de Enfermagem. ABSTRACT Objective: to analyze the use of play strategies in hospitalized child care from the perspective of the Nursing team. Method: this is a qualitative, descriptive study in the pediatrics sector of a municipal hospital, through semi-structured interviews with 15 nursing professionals, whose data were submitted to the Content Analysis technique in the Thematic Analysis modality. Results: it is understood that play strategies are understood mainly as a way to entertain/distract hospitalized children. Hospital materials, games, drawings, conversation/friendship, differentiated clothing and storytelling are used, especially during procedural care. However, there are limitations to the use of these play strategies in child care, such as scarce resources/materials/investments, children's fear of professionals and procedures, lack of time and the presence of family members. Conclusion: it is estimated that the limiting factors need to be overcome to guarantee the integral care of hospitalized children, considering that playing is a legally guaranteed right, as well as contributing to a more pleasant recovery and to the full development of children. Descriptors: Child Health; Hospitalized Child; Nursing; Pediatric Nursing; Games and Toys; Nursing Care. RESUMEN Objetivo: analizar el uso de estrategias lúdicas en el cuidado al niño hospitalizado en la perspectiva del equipo de Enfermería. Método: se trata de un estudio cualitativo, descriptivo, en el sector de la Pediatría de un hospital municipal, por medio de entrevistas semiestructuradas con 15 profesionales de enfermería, cuyos datos fueron sometidos a la técnica de Análisis de Contenido, en la modalidad Análisis Temático. Resultados: se entiende que las estrategias lúdicas son comprendidas mayoritariamente como una forma de entretene/distraer a los niños hospitalizados. Se utilizan materiales hospitalarios, juegos, dibujos, conversación/amistad, vestimentas diferenciadas y cuenta de historias, especialmente, durante los cuidados procedimentales. Se identifican, sin embargo, factores limitantes del uso de esas estrategias lúdicas en el cuidado al niño, como la escasez de recursos / materiales / inversiones, el miedo de los niños hacia los profesionales y los procedimientos, la falta de tiempo y la presencia de los familiares. Conclusión: se evalúa que los factores limitantes necesitan ser superados para la garantía de la atención integral a los niños hospitalizados, considerando que el jugar es un derecho garantizado legalmente, además de contribuir para la recuperación más placentera y para el pleno desarrollo infantil. Descriptores: Salud del Niño; Niño Hospitalizado; Enfermería; Enfermería Pediátrica; Juego e Implementos de Juego; Atención de Enfermería. 


2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Aline Silvia Esteves Morais ◽  
Gisele Fernandes Tarma Cordeiro ◽  
Angela Aparecida Peters ◽  
Tatiana Marques dos Santos ◽  
Rosa Gomes dos Santos Ferreira ◽  
...  

ABSTRACT Objective: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. Methods: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin’s work. Results: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. Final considerations: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.


2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Fernanda Carla Pereira Duarte ◽  
Fernanda Garcia Bezerra Góes ◽  
Juliana Rezende Montenegro Medeiros de Moraes ◽  
Laura Johanson da Silva ◽  
Liliane Faria da Silva ◽  
...  

Abstract Objective: To analyze the knowledge and practice of nursing professionals about the prophylaxis of ophthalmia neonatorum. Method: Descriptive study, of qualitative approach, carried out in the first semester of 2018, in a city hall hospital located in the lake area of the Rio de Janeiro's state, through semi-structured interviews with 14 Nursing professionals participating in the care of the newborn, whose data were submitted to the Thematic Analysis. Results: From the three emerging thematic categories, there are gaps in knowledge related to ophthalmia neonatorum, silver nitrate and the instillation procedure of this prophylactic solution, as well as differences in care practice regarding care before, during and after the procedure. Conclusion and implications for practice: The data point to the importance of training the Nursing team in the prophylaxis of ophthalmia neonatorum, the revision of guidelines and procedures aimed at standardizing the procedure, as well as emphasizing the need for adequate follow-up of pregnant women in prenatal care.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Isabela Maria Magalhães Sales ◽  
José Diego Marques Santos ◽  
Silvana Santiago da Rocha ◽  
Márcia Teles de Oliveira Gouveia ◽  
Nalma Alexandra Rocha de Carvalho

Abstract Objective: To know the main care procedures of the nursing team in the second stage of the Kangaroo Care Method that contribute to the hospital discharge of the newborn and the continuation of home care, and to prepare an explanatory brochure to guide professionals in the management of hospital discharge. Method: Qualitative, convergent care study, carried out with 17 nursing professionals from a reference maternity hospital. Data were collected through semi-structured interviews and focus groups and analyzed through content analysis. Results: There were relevant concerns about the use of kangaroo position, about the skin-to-skin care and hygiene of the newborn, and about respiratory changes as a warning sign for intervention. A brochure was developed to showcase the essential care provided by the nursing professionals - its goal is the proper continuation of health care of premature or underweight babies. Conclusion and implications for the practice: Nursing teams can contribute to the clinical stability of the newborn in the second stage of the Kangaroo-Mother Care Method and elaborate educational interventions that guarantee the continuation of care.


2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
José Luís Guedes dos Santos ◽  
Fernando Henrique Antunes Menegon ◽  
Gustavo Baade de Andrade ◽  
Etiane de Oliveira Freitas ◽  
Silviamar Camponogara ◽  
...  

ABSTRACT Objective: to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic. Methods: this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ. Results: five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.


2018 ◽  
Vol 17 (2) ◽  
pp. 361-399
Author(s):  
Fernanda Leticia Frates Cauduro ◽  
Sonia Maria Kalckmann de Macedo

Investigación cuantitativa, descriptiva y exploratoria, llevada a cabo en una unidad de emergencia de la ciudad de Curitiba, Estado de Paraná - Brasil, que tuvo como objetivo identificar la percepción del personal de enfermería acerca de su entorno de trabajo y comparar la percepción del entorno de trabajo de las enfermeras y técnicos de enfermería. Para la recolección de datos se utilizó el instrumento Nursing Work Index - revisado y adaptado al contexto brasileño (B- NWIR), compuesto por 57 elementos que se dividen en cuatro subescalas: autonomía, control sobre el medio ambiente, relación entre los médicos y las enfermeras y apoyo organizativo. Los puntajes inferiores a 2,5 se consideran positivos y por encima de este valor, negativo. Los datos se introdujeron en la hoja de cálculo Excel y se analizaron mediante el software SPSS v.20. La investigación mostró opinión ética favorable conforme a la legislación nacional existente para los estudios en humanos. Los participantes fueron 17 enfermeras y 46 técnicos de enfermería. Hubo un predominio de mujeres jóvenes; sólo la subescala "autonomía" tuvo un promedio de menos de 2,5 y evaluada positivamente por el personal de enfermería. Entre los ítems que componen el instrumento 11 obtuvieron resultados satisfactorios en cuanto a la percepción del ambiente de trabajo, pero no hubo acuerdo entre los grupos estudiados para las medias por ítem. El ambiente de trabajo se evaluó negativamente para la práctica profesional del personal de enfermería y los resultados pueden ayudar a las acciones futuras de los profesionales de enfermería y gestores de servicios con el fin de proporcionar un entorno adecuado para la atención en la unidad de emergencia y de emergencia. A quantitative, descriptive and exploratory study was carried out in an Emergency Care Unit of the Municipality of Curitiba, Paraná, Brazil, which aimed to identify the perception of the nursing team regarding their work environment and to compare the perception of the working environment among nurses And nursing technicians. For data collection, the Nursing Work Index - a revised version adapted to the Brazilian context (B-NWIR) was used, composed of 57 items, which is subdivided into four subscales: autonomy, control over the environment, relationship between doctors and nurses And organizational support. Scores below 2.5 are considered positive and above this negative value. The data obtained inserted in an Excel® worksheet and analyzed by SPSS Statistics software v.20. The research presented a favorable ethical opinion, according to the national legislation in force for studies with human beings. Participants were 17 nurses and 46 nursing technicians. There was a predominance of young women, only the subscale "Autonomy" obtained an average of less than 2.5 and evaluated positively by nursing technicians. Among the items that make up the instrument, 11 obtained satisfactory results regarding the perception of the work environment, however there was no agreement among the groups studied for the averages per item. The work environment evaluated in a negative way for the professional practice of the nursing team and the results can subsidize future actions of the nursing professionals and managers of the service with a view to providing an adequate environment to the attendance in an emergency and emergency unit. Pesquisa quantitativa, descritiva e exploratória, realizada em uma Unidade de Pronto Atendimento do Município de Curitiba, Paraná - Brasil, que objetivou identificar a percepção da equipe de enfermagem quanto ao seu ambiente de trabalho e comparar a percepção do ambiente de trabalho entre enfermeiros e técnicos de enfermagem.  Para a coleta de dados foi utilizado o instrumento Nursing Work Index – versão revisada e adaptada ao contexto brasileiro (B- NWIR), composto por 57 itens o qual é subdividido em quatro subescalas: autonomia, controle sobre o ambiente, relação entre médicos e enfermeiros e suporte organizacional. Escores abaixo de 2.5 são considerados positivos e acima deste valor, negativos. Os dados obtidos foram inseridos em planilha Excel® e analisados pelo software SPSS Statistics v.20. A pesquisa apresentou parecer ético favorável, conforme a legislação nacional vigente para estudos com seres humanos. Participaram 17 enfermeiros e 46 técnicos de enfermagem. Houve o predomínio de mulheres jovens; apenas a subescala “Autonomia” obteve média inferior a 2,5 e avaliada positivamente por técnicos de enfermagem. Entre os itens que compõem o instrumento, 11 obtiveram resultados satisfatórios quanto à percepção do ambiente de trabalho, contudo não houve concordância entre os grupos estudados para as médias por item. O ambiente de trabalho foi avaliado de forma negativa para a prática profissional da equipe de enfermagem e os resultados podem subsidiar futuras ações dos profissionais de enfermagem e gestores do serviço com vistas a proporcionar um ambiente adequado ao atendimento em unidade de urgência e emergência.


Author(s):  
Flávio Adriano Borges ◽  
Cinira Magali Fortuna ◽  
Adriana Barbieri Feliciano ◽  
Márcia Niituma Ogata ◽  
Maristel Kasper ◽  
...  

Objective: analyze professional implication with the support of humanization and articulators of permanent education in health as a tool of Permanent Education in Health. Method: this is an interventional study of qualitative approach, based on the theoretical reference of Institutional Analysis. Thirty-five humanization supporters and/or permanent education articulators participated in this study. Semi-structured interviews, monthly meetings, restitution meetings and a daily logbook were used as tools for data production. The material was analyzed according to the principles of the study reference and the results were presented according to the ideological, organizational and libidinal dimensions of professional implication. Results: this study identified a contradiction when finding a professional profile for the development of support and articulation; feelings of discouragement, pessimism and optimism in the development of these roles; influences of the nursing profession on the development of support and articulation; length of professional service; and the absence/presence of desire in such development. Conclusion: the analysis of professional implication consisted of a powerful tool generating training processes. It allowed learning and reflection of the practice through analysis of the actions performed by the professionals, generating changes in the conception of work in health.


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