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The authenticity of women who decided for a natural childbirth: experiences 决定自然分娩的女性的真实性:经历
IF 0.5 Pub Date : 2022-04-13 DOI: 10.15253/2175-6783.20222372265
Elayne Arantes Elias, Dayanne Teresinha Granetto Cardoso Floriani, Letycia Sardinha Peixoto Manhães, Andyara do Carmo Pinto Coelho Paiva, F. Cardoso, Lauanna Malafaia da Silva, Nelson Augusto Mendes
Objective: to understand the meanings of experiences of women who have undergone natural childbirth. Methods: heideggerian qualitative phenomenological research with 14 women carried out through open audiorecorded interviews, transcribed and analyzed whose steps were the routing for constitution of units of meaning, understanding and hermeneutics. Results: most of them decided to give birth normally and this experience meant: having chosen and dreamed of natural birth because it was better, having planned to give birth, having known how the moment would be and that it was a great experience allied to the feeling of being more powerful and strong and that they would advise other women without any regrets. Despite the positive experience, many did not receive information about childbirth. Conclusion: the experience of natural birth proved to be authentic due to the women’s decision, with assertive reports, which is provided by quality assistance by obstetric nursing, active from prenatal to postpartum. Contributions to practice: reflection and strengthening of the obstetric nurse’s actions in this process, which goes from prenatal care to labor, childbirth, and puerperium, following the guidelines of good practice in women’s health care and public health policies.
目的:了解自然分娩妇女的经历意义。方法:对14名女性进行海德格尔定性现象学研究,通过公开录音访谈,对其步骤进行转录和分析,这些步骤是意义、理解和解释学单位构成的路径。结果:她们中的大多数人决定正常分娩,这种经历意味着:选择并梦想自然分娩,因为它更好,已经计划好了分娩,知道那一刻会是什么样子,这是一次伟大的经历,让人感觉更强大,更强大,她们会无怨无悔地建议其他女性。尽管有积极的经历,但许多人并没有得到有关分娩的信息。结论:由于妇女的决定,自然分娩的经历被证明是真实的,有自信的报告,这是由产科护理提供的高质量援助,从产前到产后都很活跃。对实践的贡献:反思和加强产科护士在这一过程中的行动,该过程从产前护理到分娩、分娩和产褥期,遵循妇女保健和公共卫生政策的良好做法准则。
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引用次数: 0
Minors using Ritalin: obstacles in Primary Health Care surveillance 未成年人使用利他林:初级卫生保健监测中的障碍
IF 0.5 Pub Date : 2022-02-04 DOI: 10.15253/2175-6783.20222372148
Maycon Hoffmann Cheffer, Bianca Machado Cruz Shibukawa, Gabriele da Silva Borges, Elisete Teleginski Dietrichkeit, Tere Campos, M. A. Salci, Ieda Harumi Higarashi
Objective: to understand how nursing workers from Family Health Strategy teams track children and adolescents using Ritalin. Methods: qualitative study, based on the theoretical references of the essential primary health care attributes. The participants were 27 nurses from the Family Health Strategy. Data collection took place through interviews later submitted to content analysis in the NVivo software. Results: three categories emerged: (Lack of) knowledge about the population who uses Ritalin: co-responsibilities in the process of assistance and difficulties to follow up on the use of Ritalin; Primary care knowledge and know-how in the setting of Ritalin use; The prescription of Ritalin as a demand from schools. Conclusion: the monitoring of children and adolescents who use Ritalin has shortcomings, and primary health care must organize itself to increase and strengthen the care to this population.
目的:了解家庭健康战略小组护理人员对儿童和青少年利他林使用情况的跟踪情况。方法:基于基本初级卫生保健属性的理论参考,进行定性研究。参与者是来自家庭保健战略的27名护士。数据收集是通过采访进行的,然后提交给NVivo软件进行内容分析。结果:(1)对利他林使用人群的认识不足;(2)利他林使用过程中的共同责任和随访困难;初级保健知识和技能在利他林使用的设置;利他林的处方是学校的需求。结论:对使用利他林的儿童和青少年的监测存在不足,初级卫生保健必须组织起来,增加和加强对这一人群的护理。
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引用次数: 0
Educational technology for promoting parental self-efficacy in controlling childhood asthma 提高父母控制儿童哮喘自我效能感的教育技术
IF 0.5 Pub Date : 2022-02-04 DOI: 10.15253/2175-6783.20222371588
K. F. Lima, Ana Jéssica Lopes Dias, Ana Karen de Sousa Alves, Francisco Mateus Rodrigues Furtuoso, Thais de Queiroz Serra, Victórya Suéllen Maciel Abreu, L. P. Barbosa
Objective: to verify the self-efficacy of parents and caregivers in controlling childhood asthma before and after an educational intervention and to associate the scores with sociodemographic factors. Methods: quasi-experimental study, with 65 parents and caregivers of children with asthma. The Self-Efficacy and Their Child’s Level of Asthma Control scale – Brazilian version – was used before and 30 days after the intervention with the reading of the booklet “Are you able to control your child’s asthma – let’s learn together?” For the analysis, McNemar’s Chi-square and Wilcoxon statistical tests were used. Results: after 30 days,the effect of the intervention demonstrated statistical significance between high self-efficacy scores and the following variables: marital status (Odds Ratio:2.6;p≤0.001), family income (Odds Ratio:3.4;p≤0.001) and Bolsa Família Program benefit (Odds Ratio:2.9;p≤0.001). Conclusion: the educational booklet was shown to be effective in increasing the self-efficacy of parents and caregivers in the control and management of childhood asthma.
目的:验证教育干预前后家长和照顾者在控制儿童哮喘方面的自我效能感,并将其得分与社会人口学因素联系起来。方法:准实验研究,对65例哮喘患儿家长及照顾者进行调查。自我效能和孩子的哮喘控制水平量表——巴西版——在干预前和干预后30天使用,并阅读小册子“你能控制你孩子的哮喘吗?让我们一起学习?”分析采用McNemar’s卡方检验和Wilcoxon统计检验。结果:30天后,高自我效能评分与婚姻状况(比值比为2.6,p≤0.001)、家庭收入(比值比为3.4,p≤0.001)、Bolsa Família计划获益(比值比为2.9,p≤0.001)的干预效果均有统计学意义。结论:教育手册能有效提高家长和照顾者对儿童哮喘控制和管理的自我效能感。
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引用次数: 0
Psychosocial Care Center: daily work and articulation with the network in the pandemic 社会心理护理中心:大流行期间的日常工作和与网络的衔接
IF 0.5 Pub Date : 2022-02-04 DOI: 10.15253/2175-6783.20222371660
Aline Delmondes Silvano, Larissa de Almeida Rézio, Felipe Aureliano Martins, M. N. Bittencourt, Mirelly Thaina de Oliveira Cebalho, Ana Karolina Lobo da Silva, Flávio Adriano Borges
Objective: to analyze the daily work of a Psychosocial Care Center and its articulation with the Psychosocial Care Network in the context of the COVID-19 pandemic. Methods: this is a qualitative study, produced by means of the researcher’s diary and semi-structured interviews with nine health professionals, submitted to thematic-categorical content analysis. Results: the pandemic revealed failures in the management of services, lack of public investment, and the unpreparedness of professionals, intensifying work fragmentation, network disarticulation, non-assistance, and pre-existing asylum practices. Conclusion: the reality of the daily work of psychosocial care services shows that multifaceted actions that consider the complex social process of the psychiatric reform are necessary, especially in the pandemic, seeking the effective institutionalization of the psychosocial care model and the formation of centers of resistance to the established asylum model.
目的:分析2019冠状病毒病疫情背景下某社会心理护理中心的日常工作及其与社会心理护理网络的衔接情况。方法:这是一项定性研究,通过研究人员的日记和与9名卫生专业人员的半结构化访谈,提交主题分类内容分析。结果:大流行暴露了服务管理的失败、公共投资的缺乏和专业人员的准备不足,加剧了工作碎片化、网络脱节、不提供援助和预先存在的庇护做法。结论:心理社会护理服务日常工作的现实表明,有必要采取多方面的行动,考虑到精神病学改革的复杂社会过程,特别是在大流行病中,寻求社会心理护理模式的有效制度化,并形成对既定庇护模式的抵抗中心。
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引用次数: 0
Happiness at work and psychological trauma in nurses 工作中的快乐和护士的心理创伤
IF 0.5 Pub Date : 2022-02-04 DOI: 10.15253/2175-6783.20222371953
S. Feitor, Elisabete Borges
Objective: to analyze the relationship between happiness levels at work and psychological trauma in nurses and their variation according with sociodemographic/professional variables. Methods: cross-sectional study with 113 nurses. The sociodemographic/professional questionnaires applied were the Shorted Happiness at Work Scale and the Impact Event Scale Revised. Pearson’s correlation, Students T and Mann-Whitney’s tests were used. Results: there was a mean score of 4.25 (±1.05) in the Shorted Happiness at Work Scale and 24.8 (±13.9) in the Impact Event Scale Revised. The variables sex, dependents, and leisure activities influenced job satisfaction; age, children, leisure activities, professional experience, and work shift influenced psychological trauma. There was a negative weak correlation between job satisfaction and psychological trauma (r=-0.270). Conclusion: nurses showed moderate levels of happiness at work and low levels of psychological trauma, suggesting that higher levels of happiness may protect them from psychological traumas.
目的:分析护士工作幸福感与心理创伤的关系及其随社会人口学/专业变量的变化。方法:对113名护士进行横断面研究。所采用的社会人口学/专业问卷为工作幸福感量表和影响事件量表。采用Pearson相关检验、student T检验和Mann-Whitney检验。结果:工作幸福感量表平均得分为4.25(±1.05)分,影响事件量表修正得分为24.8(±13.9)分。性别、被赡养者和休闲活动影响工作满意度;年龄、儿童、休闲活动、专业经验和工作班次影响心理创伤。工作满意度与心理创伤呈弱负相关(r=-0.270)。结论:护士在工作中表现出中等程度的幸福感和较低程度的心理创伤,表明较高的幸福感可以保护护士免受心理创伤。
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引用次数: 0
Repercussions of the diagnosis of fetus malformation under the light of Betty Neuman's theory 从诺伊曼理论看胎儿畸形诊断的影响
IF 0.5 Pub Date : 2022-02-04 DOI: 10.15253/2175-6783.20222371993
Cristiane Vanessa da Silva, Thais Cerqueira Carvalho, Dibulo Ferreira Abrão, Adriana Peixoto da Silva, Fernanda Rodrigues Chaves Morais, Ivia Santos de Carvalho
Objective: to understand the repercussions of the fetus malformation diagnosis in the life of pregnant women, under the light of Betty Neuman’s theory. Methods: qualitative study, based on Betty Neuman’s theory. The semistructured interview included ten women pregnant with malformed fetuses hospitalized in a maternity hospital specialized in fetal risk. The thematic analysis technique was used, respecting all ethical aspects. Results: the way in which the malformation is communicated, the lack of empathy from professionals, the lack of information, being alone, fearing judgment, and feeling guilty led to emotional alterations and changes in the projects of the pregnant women. The family, specialized care, and religiosity contributed for the balance of the participants. Conclusion: Neuman’s theory allowed us to recognize stressing factors that shook the lines of defense of the pregnant women, leading to fragilities which are overcome by specialized care and by a support network.
目的:在Betty Neuman的理论指导下,了解胎儿畸形诊断对孕妇生活的影响。方法:以诺伊曼理论为基础,进行定性研究。半结构化访谈包括10名在胎儿风险专科妇产医院住院的畸形胎儿孕妇。采用主题分析技术,尊重所有伦理方面。结果:畸形的沟通方式、缺乏专业人员的同情、缺乏信息、孤独、害怕评判、内疚等因素导致孕妇的情绪变化和项目变化。家庭、专业护理和宗教信仰有助于参与者的平衡。结论:纽曼的理论让我们认识到压力因素动摇了孕妇的防线,导致脆弱,这是克服专业护理和支持网络。
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引用次数: 1
The role of researchers after the COVID-19 pandemic COVID-19大流行后研究人员的作用
IF 0.5 Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222372190
Marcos Lopes
In late 2019, the first cases of a disease, which would come to be known as COVID-19, emerged in a Chinese city, known for being the home to a market where wild animals were relatively common and to a virology laboratory of the highest security level. Coincidence or not, the debate about the origin of the disease involves these two places, and a lot of political interest. On the other hand, the tragedy that became one of the deadliest pandemics ever recorded has several other elements that are more or less important, depending on the moment and context.
2019年底,一种后来被称为COVID-19的疾病的第一例病例出现在中国的一个城市,这个城市以拥有野生动物相对常见的市场和安全级别最高的病毒学实验室而闻名。无论是否巧合,关于疾病起源的争论涉及这两个地方,以及许多政治利益。另一方面,这场成为有史以来最致命流行病之一的悲剧还有其他几个因素,这些因素或多或少都很重要,取决于当时的时刻和背景。
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引用次数: 0
Construction of a nursing care instrument for patients with central venous catheters 中心静脉置管患者护理仪的研制
IF 0.5 Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222370967
Stefhanie Conceição de Jesus, K. C. Bertoncello, F. A. F. Gonçalves, Aline Daiane Colaço, G. Lentz, D. Schneider
Objective: to build a nursing care instrument for patients with short-term central venous catheters in an Intensive Care Unit. Methods: a multi-method study in three stages: structuring of the instrument; pre-testing of the instrument; agreement analyses among nurses and final composition of the instrument. Results: the instrument, in its first version, presented three domains related to the moment of insertion (five items), maintenance (15 items) and catheter removal (ten items). Most of the 30 items were assessed as relevant (23/77%) and presented a satisfactory Content Validity Index (28/93%). Ten items were reformulated, 32 new items were included, and three items were deleted. Conclusion: the instrument was constructed, which presented response validity for the care of nurses to patients with central venous catheters in Intensive Care Units, consisting of three domains and 59 items evaluated by nurses and considered appropriate for the moments of insertion, maintenance and removal of the catheter.
目的:为重症监护室短期中心静脉置管患者制作一套护理仪器。方法:分三个阶段进行多方法研究:仪器结构设计;仪器的预测试;护士间的一致性分析及仪器的最终组成。结果:该仪器在其第一版中呈现了与插入时刻(5项)、维护(15项)和拔管(10项)相关的三个域。30个题项中大部分被评估为相关(23/77%),内容效度指数为满意(28/93%)。修改10项,新增32项,删除3项。结论:构建的量表具有护士对重症监护病房中心静脉置管患者护理的响应效度,由3个域和59个项目组成,由护士评估,并认为导管插入、维持和拔出的时刻是合适的。
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引用次数: 1
Nurse managers in mental health units: from activities to time management 精神卫生单位的护士管理者:从活动到时间管理
IF 0.5 Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222371282
Luísa Paula da Silva Pires Alferes, M. Martins, Margarida Reis Santos, M. Teixeira, A. Poeira, R. Pires, Rui Paulo Asseiro Alferes
Objective: to understand the use of time by nurse managers in psychiatry and mental health units, as they carry out their daily tasks. Methods: cross-sectional study, carried out by 48 managers from public psychiatric units and from the social sector. Data collection was made through an online questionnaire that is part of the Scale of Perception of Nurse Manager Work, including 43 items separated in five functional domains of nurse managers. The responses were in a Likert scale: does not take time, takes little time, takes some time, takes much time. Results: the activities inherent to ethical and legal professional practices and to the management of care and of human resources required more time from the manager when compared to policy interventions, and consulting and professional development. Conclusion: the managers recognize that managing time implies organization, planning work, and establishing priorities in the tasks to be developed.
目的:了解精神病学和精神卫生单位的护士管理人员在执行日常任务时对时间的利用。方法:对48名来自公立精神科和社会部门的管理人员进行横断面研究。数据收集通过一份在线问卷进行,该问卷是护士管理者工作感知量表的一部分,包括43个项目,分为护士管理者的五个职能领域。回答采用李克特量表:不花时间,花很少时间,花一些时间,花很多时间。结果:与政策干预、咨询和专业发展相比,道德和法律专业实践以及护理和人力资源管理固有的活动需要管理者更多的时间。结论:管理者认识到管理时间意味着组织、计划工作和确定待开发任务的优先级。
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引用次数: 2
Experiencing pregnancy at an advanced maternal age in a private hospital 高龄产妇在私立医院怀孕
IF 0.5 Pub Date : 2022-01-05 DOI: 10.15253/2175-6783.20222370958
Andressa Kachel Chemim, Beatriz Cristina de Castro, J. D. Aldrighi, Marilene Loewen Wall, Aline Lara de Carvalho, Bruna Gizele Noronha de Medeiros, Tatiane Herreira Trigueiro
Objective: to describe the experiences of pregnant women at advanced maternal age assisted in a private hospital. Methods: a qualitative study, carried out with 17 women, by means of semi-structured interviews via telephone. The data was submitted to Thematic Content Analysis. Results: the participants were between 35 and 40 years old. Two categories emerged: Experiencing pregnancy as a couple and family: the preparation of the couple for pregnancy and childbirth (Pregnancy after 35 years old as an element of potentiality; Change in the family routine for the baby’s arrival) and Experiencing pregnancy and its changes: perceiving pregnancy as a healthy and calm experience (Change in emotional patterns related to the pregnancy process). Conclusion: experiencing pregnancy late in life was not a concern for women. Maturity and favorable socioeconomic conditions may have a protective influence on the course of healthy pregnancies in women attending the private health service.
目的:介绍某民营医院高龄孕妇的护理经验。方法:采用半结构化电话访谈法,对17名女性进行定性研究。数据提交给专题内容分析。结果:参与者年龄在35 - 40岁之间。出现了两个类别:作为夫妇和家庭经历怀孕;夫妇为怀孕和分娩做准备(35岁以后怀孕作为潜在因素;为婴儿的到来而改变家庭常规)和体验怀孕及其变化:将怀孕视为一种健康和平静的经历(与怀孕过程有关的情绪模式的变化)。结论:晚孕对女性来说不是一个问题。成熟和有利的社会经济条件可能对参加私营保健服务的妇女的健康怀孕过程产生保护作用。
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引用次数: 0
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