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INTERDISCIPLINARY TRAINING FOR THE FAMILY APPROACH IN PRIMARY HEALTHCARE 在初级保健中开展家庭方法的跨学科培训
Q2 Nursing Pub Date : 2023-05-08 DOI: 10.1590/1980-265x-tce-2022-0178en
Mary A. Marchetti, B. Toso, Fernanda Ribeiro Baptista Marques, F. P. D. Nascimento, Estela de Castro Duarte Pontes, M. Mandetta
ABSTRACT Objective: To reflect on the interdisciplinary training of health team professionals to work with the family in Primary Healthcare, considering the complexity of the family phenomenon in their health and illness experiences. Method: A reflection article in which the need to incorporate new concepts for training professionals to work with the family in Primary Healthcare is discussed. Results: The theoretical articulation between the Patient- and Family-Centered Care Model, Interprofessional Education and Primary Healthcare is fundamental to guide interdisciplinary training in health, aiming at including the family as the protagonist of the care of its members and active in the teaching and learning process of the healthcare professionals. Conclusion: It becomes necessary to promote changes in the training model of health professionals to incorporate collaborative practice with the family.
摘要目的:考虑到家庭现象在健康和疾病经历中的复杂性,对初级卫生保健中与家庭合作的卫生团队专业人员的跨学科培训进行反思。方法:一篇反思文章,其中讨论了在初级卫生保健中纳入培训专业人员与家庭合作的新概念的必要性。结果:以患者和家庭为中心的护理模式、跨专业教育和初级卫生保健之间的理论衔接是指导卫生跨学科培训的基础,旨在使家庭成为其成员护理的主角,并积极参与卫生保健专业人员的教学过程。结论:有必要推动卫生专业人员培训模式的变革,将家庭合作实践纳入其中。
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引用次数: 2
COHERENCE, CREATIVITY AND AUDACITY IN METHODOLOGICAL DECISIONS 方法决策的连贯性、创造性和大胆性
Q2 Nursing Pub Date : 2023-05-01 DOI: 10.1590/1980-265x-tce-2023-e001en
M. Zanchetta, Kateryna Metersky
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引用次数: 2
NURSING PROCESS DIRECTED TO NEWBORNS IN A USUAL RISK MATERNITY WARD: NURSES' PERCEPTIONS 针对新生儿的护理过程在一个常见的风险产科病房:护士的看法
Q2 Nursing Pub Date : 2023-05-01 DOI: 10.1590/1980-265x-tce-2022-0197en
Jucimara Montagner Michelon, D. S. Backes, Regina Gema Santini Costenaro, Silomar Ilha, V. L. Lunardi, Cláudia Zamberlan
ABSTRACT Objective: to know nurses' perception in relation to the Nursing Process directed to newborns in a usual risk maternity ward. Method: an action-research study was conducted between September 2021 and January 2022 with nurses from a usual risk maternity ward in southern Brazil. The data collected through focus groups were submitted to content analysis. Results: the organized and analyzed data resulted in two thematic categories, namely: Nursing process: a self-reflection and self-criticism inducing device; and Nursing process: a (re)signifying care tool for newborns. In synthesis, it is shown that the Nursing Process is a driver of best practices in the Obstetric and Neonatal Nursing context. Conclusions: the Nursing Process directed to the care of newborns in a usual risk maternity ward is not only constituted as a theoretical-methodological tool to guide and qualify the care provided, but as a self-reflection and professional self-criticism inducing technology, with a view to the development of new knowledge and practices both in the scope of management and in Nursing care.
摘要目的:了解护士对普通风险产科病房新生儿护理过程的看法。方法:在2021年9月至2022年1月期间,对巴西南部一家常见风险产科病房的护士进行了一项行动研究。通过焦点小组收集的数据提交内容分析。结果:通过对数据的整理和分析,得出两个主题类别,即:护理过程:一个自我反思和自我批评的诱导装置;护理过程:新生儿的(重新)有意义的护理工具。综合而言,这表明护理过程是产科和新生儿护理领域最佳实践的驱动因素。结论:针对普通风险产科病房新生儿护理的护理流程不仅是一种理论方法工具,用于指导和鉴定所提供的护理,而且是一种自我反思和专业自我批评诱导技术,以期在管理范围和护理范围内发展新的知识和实践。
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引用次数: 2
CROSS-CULTURAL CARE IN PRIMARY HEALTH CARE NURSES’ EXPERIENCE IN BORDER TERRITORIES 边境地区初级卫生保健护士经验中的跨文化护理
Q2 Nursing Pub Date : 2023-04-28 DOI: 10.1590/1980-265x-tce-2022-0250en
Fabiana Paes Nogueira Timoteo, Rosane Meire Munhak da Silva, G. Manfrini, M. A. Baggio
ABSTRACT Objective: identify cross-cultural nursing care, based on the Sunrise model, based on primary care nurses’ experiences in border territories. Method: this is qualitative research, carried out in Foz de Iguaçu, Brazil, with 18 nurses through semi-structured interviews, in person and remotely, between January 2020 and January 2021, and data analyzed by thematic analysis. Results: the factors influencing individuals’ care and health were identified, according to their social, cultural structure and worldview, and the decisions and actions of transcultural care by nurses, through consultations or home visits. The Sunrise model components emerged empirically in primary care nurses’ practice. Conclusion: it is recommended that health managers adopt the Transcultural Care Theory to guide culturally efficient nursing care practice, particularly in border territories.
摘要目的:基于Sunrise模型,基于边境地区初级保健护士的经验,识别跨文化护理。方法:本研究是一项定性研究,于2020年1月至2021年1月在巴西福兹德伊瓜帕拉苏对18名护士进行了半结构化访谈,包括面对面和远程访谈,并通过主题分析对数据进行分析。结果:通过咨询或家访,根据个体的社会、文化结构和世界观,以及护士跨文化护理的决策和行动,确定了影响个体护理和健康的因素。日出模型的组成部分出现在初级保健护士的实践经验。结论:建议卫生管理人员采用跨文化护理理论来指导文化上有效的护理实践,特别是在边境地区。
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引用次数: 3
BLOOD DONATION FROM GAY AND BISEXUAL MEN: CONTEXTUALIZING THE APPROVAL OF THE FEDERAL SUPREME COURT 同性恋和双性恋男性献血:联邦最高法院批准的背景
Q2 Nursing Pub Date : 2023-04-21 DOI: 10.1590/1980-265x-tce-2022-0148en
Luciana Miranda Rodrigues, Cristiane Gouvêa Machado, Ivia Maksud
ABSTRACT Objective: to discuss the process of allowing blood donation by the LGBTQIAP+ community by the Federal Supreme Court in contrast to the Legislation of the Regulatory Agency for Blood and Blood Components. Method: this is a reflective study, considering the principles and concepts of Pierre Bourdieu’s symbolic capital as a theoretical-methodological framework. Analysis was carried out in documents that dealt with the permission of blood donation by gay and bisexual men, such as bills, FSC decisions and media materials relevant to the proposed theme. Results: we argue that two historical events were decisive for the vote on the act of unconstitutionality by the Federal Supreme Court: the mobilization of lesbian, gay, bisexual and transgender social movements and the coronavirus pandemic. Conclusion: validation of the right to blood donation contributes to the exercise of citizenship of lesbian, gay, bisexual and transgender people.
目的:探讨联邦最高法院允许LGBTQIAP+社区献血的过程,并与血液和血液成分监管机构的立法进行对比。方法:这是一项反思性研究,将皮埃尔·布迪厄的象征资本的原则和概念作为理论-方法框架。对涉及允许男同性恋和双性恋男子献血的文件进行了分析,如法案、FSC决定和与拟议主题相关的媒体材料。结果:我们认为,两个历史事件对联邦最高法院对违宪行为的投票起了决定性作用:女同性恋、男同性恋、双性恋和变性人社会运动的动员和冠状病毒大流行。结论:确认献血权有助于女同性恋、男同性恋、双性恋和变性人行使公民权。
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引用次数: 0
PERSPECTIVE OF IMMIGRANTS ON PERSONAL AND FAMILY INTEGRATION IN BRAZILIAN SOCIETY 移民对巴西社会中个人和家庭融合的看法
Q2 Nursing Pub Date : 2023-04-17 DOI: 10.1590/1980-265x-tce-2022-0226en
Erika dos Santos Ratuchnei Dal Pizzol, M. Barreto, M. D. C. Figueiredo, M. Gurrutxaga, Francisca Maria Garcia Padilla, M. Santos, Iven Giovanna Trindade Lino, S. Marcon
ABSTRACT Objective: to describe the experiences of immigrants and their families related to integration in Brazil. Method: this is a descriptive study, with a qualitative approach, carried out in a municipality in southern Brazil. The informants were 13 immigrants who had lived in Brazil between six months and five years and who were able to communicate in Portuguese, English or Spanish. Data were collected between May and November 2021, through semi-structured interviews, audio-recorded and subjected to thematic content analysis. Results: the 13 participants were aged between 27 and 65 years (mean age 36 years), nine of whom were women, seven from Venezuela and the others from countries in South, Central America and Africa. Three categories emerged which show the adversities experienced, especially in relation to jobs (low wages, labor exploitation, non-recognition of academic titles), communication difficulties and distance from family. On the other hand, they also show satisfaction with public safety, health care and the possibility of personal and professional development. To maintain family unity and their origins, people in an immigration situation financially help members who could not migrate, make typical foods and use the native language in the home environment. Conclusion: integration into Brazilian society is permeated by challenges, namely the absence/distance from family of origin and/or constituted, lack of understanding of language, work and financial problems and social support network weakness. However, immigrants seek to maintain an adequate family functioning based on the support of institutions and the maintenance of the culture of origin.
摘要目的:描述移民及其家庭在巴西融入社会的经历。方法:这是一项描述性研究,采用定性方法,在巴西南部的一个城市进行。这些告密者是13名移民,他们在巴西生活了6个月到5年,能够用葡萄牙语、英语或西班牙语交流。数据是在2021年5月至11月期间通过半结构化访谈、录音和专题内容分析收集的。结果:13名参与者的年龄在27到65岁之间(平均年龄36岁),其中9名是女性,7名来自委内瑞拉,其他来自南美、中美洲和非洲国家。出现了三个类别,显示了所经历的逆境,特别是与工作(低工资、劳动剥削、不承认学术头衔)、沟通困难和远离家庭有关。另一方面,他们也对公共安全、卫生保健以及个人和职业发展的可能性表示满意。为了保持家庭团结和他们的起源,处于移民状态的人在经济上帮助那些不能移民的成员,制作典型的食物,并在家庭环境中使用母语。结论:融入巴西社会充满了挑战,即与原籍家庭和/或构成家庭的缺席/距离,缺乏对语言的理解,工作和财务问题以及社会支持网络薄弱。然而,移民寻求在机构支持和维持原籍文化的基础上维持适当的家庭功能。
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引用次数: 1
VIRTUAL ASSISTANT: A TOOL FOR HEALTH CO-PRODUCTION IN COPING WITH COVID-19 虚拟助理:应对COVID-19的卫生合作生产工具
Q2 Nursing Pub Date : 2023-04-17 DOI: 10.1590/1980-265x-tce-2022-0136en
Greici Capellari Fabrizzio, Lincoln Moura de Oliveira, Diovane Ghignatti da Costa, Alacoque Lorenzini Erdmann, José Luís Guedes dos Santos
ABSTRACT Objective: to describe the development of a virtual assistant as a potential tool for health co-production in coping with COVID-19. Method: this is an applied technological production research study developed in March and April 2020 in five stages: 1) literature review, 2) content definition, 3) elaboration of the dialog, 4) test of the prototype, and 5) integration with the social media page. Results: the literature review gathered diverse scientific evidence about the disease based on the Brazilian Ministry of Health publications and by consulting scientific articles. The content was built from the questions most asked by the population, in March 2020, evidenced by Google Trends, in which the following topics emerged: concept of the disease, prevention means, transmission of the disease, main symptoms, treatment modalities, and doubts. Elaboration of the dialog was based on Natural Language Processing, intentions, entities and dialog structure. The prototype was tested in a laboratory with a small number of user computers on a local network to verify the functionality of the set of apps, technical and visual errors in the dialog, and whether the answers provided were in accordance with the user's question, answering the questions correctly and integrated into Facebook. Conclusion: the virtual assistant proved to be a health education tool with potential to combat “Fake News”. It also represents a patient-centered form of health communication that favors the strengthening of the bond and interaction between health professionals and patients, promoting co-production in health.
目的:描述虚拟助手作为应对COVID-19卫生合作生产的潜在工具的开发。方法:这是一项应用技术生产研究,于2020年3月至4月开展,分为五个阶段:1)文献综述,2)内容定义,3)对话阐述,4)原型测试,5)与社交媒体页面整合。结果:文献审查根据巴西卫生部的出版物和咨询科学文章收集了有关该病的各种科学证据。内容是根据2020年3月民众提出的最多问题构建的,谷歌趋势证明了这一点,其中出现了以下主题:疾病的概念、预防手段、疾病的传播、主要症状、治疗方式和疑虑。对话的细化基于自然语言处理、意图、实体和对话结构。原型在实验室与本地网络上的少量用户计算机进行测试,以验证这套应用程序的功能,对话框中的技术和视觉错误,以及提供的答案是否与用户的问题一致,正确回答问题并集成到Facebook中。结论:该虚拟助手被证明是一种健康教育工具,具有打击“假新闻”的潜力。它还代表了一种以患者为中心的卫生交流形式,有利于加强卫生专业人员与患者之间的联系和互动,促进卫生领域的合作。
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引用次数: 0
CANADIAN-BRAZILIAN INSIGHTS FOR TRANSCULTURAL NURSING: AN EXPLORATION OF COMMUNITY HEALTH NURSING CONTEXTS 加拿大-巴西跨文化护理的见解:社区卫生护理背景的探索
Q2 Nursing Pub Date : 2023-04-07 DOI: 10.1590/1980-265x-tce-2022-0263en
M. Zanchetta, Rafaella Queiroga Souto, Kateryna Metersky, Alana Ferguson, Gleicy Karine Nascimento de Araújo Monteiro, Bianka Nóbrega Fernandes
ABSTRACT Objective: to analyze the distinct features, incongruencies, and harmony between the features of Canadian-Brazilian community health nursing as well their practices. Method: ethnographic research conducted in primary healthcare clinics (city of João Pessoa, Brazil). Data collection unfolded from July to September 2018 and included direct, unstructured participant observation of collective social and professional-clientele interactions, with a structured personal digital log and reports of the researcher's observations, as well as social immersion in community settings. The fieldwork log was thematically analyzed to build the meaning of the comparative nursing practice. Results: analysis of observations’ reports identified challenges and opportunities to promote sustainable changes and create a supportive environment. Nurses’ competencies to promote health are in consonance with conceptual, political, and ethical sounding perspectives. Among the distinctive practices observed was that in Brazil, the prescribing practice has been well-established because legally the registered nurses are allowed to prescribe within the primary healthcare programs. In Canada, registered nurses have been granted authority to do so, upon receipt of specific training and under certain scope of advanced practice. Thematic analysis revealed uniqueness of the grasped information, incongruence between community health nursing practices and harmony between contextual practices of Brazil-Canada community health nursing composed the empirical evidence. Conclusions: this research uncovered the compatibility between Canadian and Brazilian practice as well as intricate features of Brazilian community health nurses. Unquestionably, the evidence sums up to the consolidation of the well-established Brazil-Canada cooperation in the field of primary health care. This evidence addresses the political perspective of cooperation for global health.
【摘要】目的:分析加拿大-巴西社区卫生护理的特点、不协调、和谐及其实践。方法:在初级卫生保健诊所(巴西jo o Pessoa市)进行人种学研究。数据收集从2018年7月到9月展开,包括对集体社会和专业客户互动的直接、非结构化的参与者观察,以及研究人员观察结果的结构化个人数字日志和报告,以及社区环境中的社会沉浸。对实地考察日志进行专题分析,构建比较护理实践的意义。结果:对观察报告的分析确定了促进可持续变革和创造支持性环境的挑战和机遇。护士促进健康的能力与概念、政治和伦理观点一致。在观察到的独特做法中,在巴西,处方做法已经确立,因为从法律上讲,注册护士被允许在初级卫生保健方案中开处方。在加拿大,注册护士在接受特定培训和在一定范围的高级实践后,被授予这样做的权力。专题分析揭示了巴西-加拿大社区卫生护理掌握信息的独特性、社区卫生护理实践之间的不一致性和情境实践之间的协调性构成了实证证据。结论:本研究揭示了加拿大和巴西实践的兼容性以及巴西社区卫生护士的复杂特征。毫无疑问,证据表明巩固了巴西-加拿大在初级保健领域建立已久的合作。这一证据涉及全球卫生合作的政治观点。
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引用次数: 1
INTEGRATIVE APPROACH TO THE DEVELOPMENT OF SITUATION SPECIFIC THEORIES: THEORETICAL REFLECTION 情境理论发展的综合途径:理论反思
Q2 Nursing Pub Date : 2023-04-07 DOI: 10.1590/1980-265x-tce-2022-0255en
J. D. Aldrighi, A. Dalmolin, N. M. Girardon-Perlini, M. R. Lacerda, Tatiane Herreira Trigueiro, Marilene Loewen Wall
ABSTRACT Objective: reflect on the use of the integrative approach and its contribution as a methodological path for the development of situation specific theories in nursing. Method: reflexive study, considering the methodological framework of Im and Meleis and the possibilities of its incorporation into Brazilian nursing for the development of situation specific theories. Results: the following topics are presented: Integrative approach: possibilities to develop situations specific theories; and, Usefulness of the development of situation specific theories from the integrative approach. The reflection is based on the experience of using the methodological framework for the development of situation specific theories, in addition to discussing the potentialities the framework has regarding the construction of theories that guide nursing care in particular contexts. Conclusion: the integrative approach is underused in the Brazilian context of theory production, despite being a nursing reference. Therefore, it needs to be made visible to strengthen the development of knowledge that represents diverse and specific realities in order to advance in clinical practice.
目的:反思综合方法的使用及其作为护理情境特定理论发展的方法论路径的贡献。方法:反思性研究,考虑Im和Meleis的方法框架及其纳入巴西护理的可能性,以发展具体情况的理论。结果:提出了以下主题:综合方法:发展情境特定理论的可能性;从综合方法发展情境特定理论的有用性。反思是基于使用方法框架来发展情境特定理论的经验,此外还讨论了框架在特定环境下指导护理的理论建设方面的潜力。结论:综合方法在巴西的理论生产背景下使用不足,尽管是护理参考。因此,为了在临床实践中取得进步,需要使其可见,以加强代表多样化和具体现实的知识的发展。
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引用次数: 0
SYNCHRONOUS AND OBSERVATIONAL TELESIMULATION IN HEALTH: A SCOPING REVIEW 健康领域的同步和观测模拟:范围综述
Q2 Nursing Pub Date : 2023-04-07 DOI: 10.1590/1980-265x-tce-2022-0103en
Fabiana Critina Pires Bernardinelli, Juliana da Silva Garcia Nascimento, Kleiton Gonçalves do Nascimento, Gustavo Correa de Amorim, Amanda Diniz Silva, Suzel Regina Ribeiro Chavaglia
ABSTRACT Objective: to map the necessary steps and components for operationalizing a synchronous and observational telesimulation design in the context of developing clinical competencies aimed at students and health professionals. Method a scoping review supported by the recommendations of the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews: Checklist and Explanation, and by the assumptions of the Joanna Briggs Institute Reviews’ manual method. The search was carried out in November 2021 in 13 databases, totaling nine studies in the final sample, which were then analyzed using Thematic Analysis. Results two categories were developed: steps and components for operationalizing a synchronous and observational telesimulation design; and challenges to implement synchronous and observational telesimulation. Conclusion operationalizing a synchronous and observational telesimulation has been supported by a six-step instructional design, characterized by planning, preparation, participation, teledebriefing, learner assessment/feedback collection and additional learning, capable of developing the students’ cognitive and affective skills. The relevant challenges to this context were also highlighted, configured by the need to obtain a sufficient technological structure for remotely transmitting the telesimulated scenario and an adequately trained faculty.
目的:在培养学生和卫生专业人员临床能力的背景下,绘制同步和观察性远程模拟设计操作的必要步骤和组成部分。方法:采用推荐的《系统评价的首选报告项目》和《范围评价的元分析扩展:清单和解释》,以及乔安娜布里格斯研究所评价手册方法的假设,支持范围评价。该研究于2021年11月在13个数据库中进行,最终样本中共有9项研究,然后使用主题分析对其进行分析。结果分为两类:实现同步观测模拟设计的步骤和组成部分;以及实现同步观测模拟的挑战。结论六步教学设计支持同步和观察远程模拟的实施,其特点是计划、准备、参与、远程汇报、学习者评估/反馈收集和额外学习,能够培养学生的认知和情感技能。会议还强调了这方面的相关挑战,因为需要有足够的技术结构来远程传送远程模拟情景,并需要训练有素的教员。
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引用次数: 0
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Texto Contexto Enfermagem
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