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Backes DS, Medeiros LDSD, Veiga ACD, Colomé JS, Backes MTS, Santos MRD, Zamberlan C. Collective prenatal care facilitated by educational technology: perception of pregnant women. Cien Saude Colet 2024; 29:e00392023. [PMID: 38198317 DOI: 10.1590/1413-81232024291.00392023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 06/13/2023] [Indexed: 01/12/2024] Open
Abstract
This article aims to explore the perception of pregnant women regarding collective prenatal care facilitated by educational technology, in the light of complexity thinking. Qualitative, exploratory and descriptive study conducted between August and November 2022. The participants were 19 pregnant women from a Family Health Strategy in the central region of the State of Rio Grande do Sul. Data were collected through individual interviews following prenatal meetings and analyzed using thematic analysis. The analysis of the data revealed three thematic axes: Prenatal care: the necessary reconnection of knowledge; Collective prenatal care: collaborative (re)construction of experiences and practices; and Educational technology: tool to foster self-reflection and self-knowledge. Collective prenatal care, facilitated by educational technology, can promote better practices in the pregnancy-postpartum journey by creating collaborative and shared environments for knowledge construction and enabling autonomous and informed decision-making.
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Affiliation(s)
- Dirce Stein Backes
- Faculdade de Enfermagem, Universidade Franciscana (UFN). R. dos Andradas 1614, Centro. 97010032 Santa Maria RS Brasil.
| | - Leandro da Silva de Medeiros
- Faculdade de Enfermagem, Universidade Franciscana (UFN). R. dos Andradas 1614, Centro. 97010032 Santa Maria RS Brasil.
| | | | - Juliana Silveira Colomé
- Faculdade de Enfermagem, Universidade Franciscana (UFN). R. dos Andradas 1614, Centro. 97010032 Santa Maria RS Brasil.
| | | | | | - Claudia Zamberlan
- Programa de Pós-Graduação em Saúde Materno Infantil, UFN. Santa Maria RS Brasil
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Anderson TJ, Erdmann AL, Backes MTS. Nursing care management in radiation protection in interventional radiology. Rev Gaucha Enferm 2022; 43:e20210227. [PMID: 36477999 DOI: 10.1590/1983-1447.2022.20210227.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Accepted: 05/16/2022] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVE To reflect on the elements of nursing care management in radiological protection in interventional radiology. METHODOLOGY A reflection paper based on national and international articles and laws addressing the nursing care management issue and radiological protection in interventional radiology. RESULTS From the conceptions of nursing care management and professional practice, the following elements were perceived in this management: expertise and applicability of the radiological protection principles, biological effects of ionizing radiation, occupational dose monitoring, personal and collective protective equipment, patient safety, training in radiological protection, quality assurance program. CONCLUSION The management of nursing care in radiological protection in interventional radiology is implemented in an elementary way regarding care aimed at dose reduction, either for workers or patients. There is a need to recognize, understand and characterize the management of nursing care in this scenario.
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Affiliation(s)
- Tiago Jorge Anderson
- Universidade Federal de Santa Catarina (UFSC). Florianópolis, Santa Catarina, Brasil
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Backes DS, Zinhani MC, Erdmann AL, Backes MTS, Büscher A, Caino Marchiori MRT. Nursing care as a systemic and entrepreneurial phenomenon. Rev Esc Enferm USP 2022; 56:e20220249. [PMID: 36150028 PMCID: PMC10081617 DOI: 10.1590/1980-220x-reeusp-2022-0249en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2022] [Accepted: 08/16/2022] [Indexed: 11/21/2022] Open
Abstract
The objective is to produce a critical-reflexivity analysis of nursing care, from the perspective of complexity thinking and social entrepreneurship. Theoretical-reflective study, supported by the framework of complexity thinking and social entrepreneurship. The main characteristics that lead and support nursing care are analyzed from a systemic-entrepreneurial perspective. A parallel is conceived between vertical care, design from a hierarchical structure and nursing care in the systemic-entrepreneurial perspective, which leads to singularity, originality, circularity, complementarity and interactivity. The centrality of nursing care is reaffirmed as a tangible social good or not. Theoretical reflection on nursing care as a systemic and entrepreneurial phenomenon raises a unique and multidimensional perception of the human being/user, health, the nursing work process, in order to achieve an increasingly agile, dynamic, circular, complementary and interdependent care.
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Rodrigues DB, Backes MTS, Delziovo CR, Santos EKAD, Damiani PDR, Vieira VM. Complexity of high-risk pregnancy care in the health care network. Rev Gaucha Enferm 2022; 43:e20210155. [PMID: 35920482 DOI: 10.1590/1983-1447.2022.20210155.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 12/06/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To understand the complexity of high-risk care for pregnant women in the health care network. METHOD Qualitative study with theoretical framework of Edgar Morin's Complex Thought and Grounded Theory methodology, Strauss's version. Data collection by theoretical sampling, including twelve health professionals and seven women users of the care network in a municipality in the south of Brazil from July to October 2018. Analysis by open and axial coding and selective integration. RESULTS The phenomenon "Caring for high-risk pregnant women in the health care network", comprises four categories: Noticing autonomous decision making; Promoting care; Developing multiprofessional work; and Accessing the health care network. CONCLUSION Every high-risk pregnant woman should be seen as a singular and multidimensional being with comprehensive and continuous care, considering the complexity of local, regional, and global reality.
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Affiliation(s)
- Débora Batista Rodrigues
- Universidade Federal de Santa Catarina (UFSC), Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
| | - Marli Terezinha Stein Backes
- Universidade Federal de Santa Catarina (UFSC), Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
| | | | - Evangelia Kotzias Atherino Dos Santos
- Universidade Federal de Santa Catarina (UFSC), Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
| | - Pattrícia da Rosa Damiani
- Universidade Federal de Santa Catarina (UFSC), Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
| | - Vanessa Maria Vieira
- Universidade Federal de Santa Catarina (UFSC), Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
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Moro Stochero H, Souza Antunes C, Najar Smeha L, Cruz da Silva S, Stein Backes MT, Stein Backes D. Percepções de gestantes e puérperas no contexto de pandemia da covid-19. Av enferm 2022. [DOI: 10.15446/av.enferm.v40n1supl.100057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Objetivo: compreender as percepções e experiências de gestantes e puérperas no contexto depandemia da covid-19.
Materiais e métodos: estudo qualitativo, de caráter exploratório-descritivo, realizado com 38mulheres, gestantes e puérperas. Os dados foram coletados a partir de um formulárioeletrônico semiestruturado, entre fevereiro e abril de 2021. As participantes foram,inicialmente, convidadas por meio das mídias sociais e, a partir do retorno afirmativo, aparticipação foi oficializada, individualmente, em endereço on-line previamente informado.Os dados foram analisados pela técnica de análise de conteúdo modalidade temática.
Resultados: os dados codificados resultaram em três categorias temáticas: “Da informação àconstrução de vínculos de acolhida e respeito”; “Medo e incertezas vivenciados pelasgestantes e puérperas”; “Estratégias qualificadoras do acompanhamento materno-infantil”.
Conclusões: a pandemia provocada pelo novo coronavírus não só freou o avanço deiniciativas na área da saúde materno-infantil, como também as retrocedeu em vários aspectos,principalmente no que se refere à falta de informações com relação ao contágio do vírus, àdiminuição da frequência das consultas pré-natais, à limitação da presença do acompanhantena hora do parto, entre outros.
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Santos DG, Dos Santos EKA, Giacomozzi AI, Backes MTS, Bordignon JS. ATENDIMENTO DE ENFERMAGEM ÀS MULHERES EM SITUAÇÃO DE VIOLÊNCIA SEXUAL: REPRESENTAÇÕES SOCIAIS DE ENFERMEIROS. Cogit Enferm 2022. [DOI: 10.5380/ce.v27i0.79138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: conhecer as representações sociais de enfermeiros acerca do atendimento de enfermagem prestado às mulheres em situação de violência sexual. Método: estudo qualitativo, tipo exploratório-descritivo, fundamentado na Teoria das Representações Sociais, realizado em um centro de referência de um Hospital Universitário do Sul do Brasil. A coleta de dados foi realizada por meio de entrevistas semiestruturadas, com 20 enfermeiros. As entrevistas foram submetidas à análise de conteúdo com apoio do software Qualitativa Data Analysis Mine. Resultados: revelam, na vivência do atendimento prestado, representações como: condutas desenvolvidas pelos enfermeiros; dificuldades encontradas para o desenvolvimento das atividades assistenciais às mulheres em situações de violência sexual; e sugestões para melhorar o atendimento a essas mulheres. Conclusão: as representações sociais dos enfermeiros acerca do atendimento de enfermagem prestado às mulheres em situação de violência sexual estão ancoradas na execução de protocolos de forma humanizada, objetificada na noção de acolhimento.
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Backes DS, Zinhani MC, Erdmann AL, Backes MTS, Büscher A, Caino Marchiori MRT. O cuidado de enfermagem como fenômeno sistêmico e empreendedor. Rev Esc Enferm USP 2022. [DOI: 10.1590/1980-220x-reeusp-2022-0249pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The objective is to produce a critical-reflexivity analysis of nursing care, from the perspective of complexity thinking and social entrepreneurship. Theoretical-reflective study, supported by the framework of complexity thinking and social entrepreneurship. The main characteristics that lead and support nursing care are analyzed from a systemic-entrepreneurial perspective. A parallel is conceived between vertical care, design from a hierarchical structure and nursing care in the systemic-entrepreneurial perspective, which leads to singularity, originality, circularity, complementarity and interactivity. The centrality of nursing care is reaffirmed as a tangible social good or not. Theoretical reflection on nursing care as a systemic and entrepreneurial phenomenon raises a unique and multidimensional perception of the human being/user, health, the nursing work process, in order to achieve an increasingly agile, dynamic, circular, complementary and interdependent care.
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Rodrigues DB, Backes MTS, Delziovo CR, Santos EKAD, Damiani PDR, Vieira VM. Complexidade do cuidado da gestante de alto risco na rede de atenção à saúde. Rev Gaucha Enferm 2022. [DOI: 10.1590/1983-1447.2022.20210155.pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo Compreender a complexidade do cuidado da gestante de alto risco na rede de atenção à saúde. Método Estudo qualitativo com referencial teórico do Pensamento Complexo de Edgar Morin e metodológico da Teoria Fundamentada nos Dados, versão Straussiana. Coleta por amostragem teórica, participaram doze profissionais de saúde e sete mulheres usuárias da rede de atenção em um município do sul do Brasil no período de julho a outubro de 2018. Análise por codificação aberta, axial e integração seletiva. Resultados O fenômeno “Cuidando da gestante de alto risco na rede de atenção à saúde”, compreende quatro categorias: Percebendo a autonomia na tomada de decisões; Promovendo o cuidado; Desenvolvendo um trabalho multiprofissional e Acessando a rede de atenção à saúde. Conclusão Toda gestante de alto risco deve ser vista como um ser singular e multidimensional com cuidado integral e contínuo, que abrange a complexidade do real a nível local, regional e global.
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Anderson TJ, Erdmann AL, Backes MTS. Gestão do cuidado em enfermagem na proteção radiológica em radiologia intervencionista. Rev Gaucha Enferm 2022. [DOI: 10.1590/1983-1447.2022.20210227.pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
RESUMO Objetivo: Refletir sobre os elementos da gestão do cuidado em enfermagem na proteção radiológica em radiologia intervencionista. Metodologia: Estudo reflexivo realizado a partir de artigos e legislação nacional e internacional abordando a temática da gestão do cuidado em enfermagem e proteção radiológica em radiologia intervencionista. Resultados: A partir das concepções de gestão do cuidado em enfermagem e atuação profissional na prática vislumbrou-se como elementos dessa gestão: conhecimentos e aplicabilidade dos princípios de proteção radiológica, efeitos biológicos da radiação ionizante, monitoramento de dose ocupacional, equipamentos de proteção individual e coletiva, segurança do paciente, educação em proteção radiológica, programa de garantia de qualidade. Conclusão: A gestão do cuidado em enfermagem em proteção radiológica em radiologia intervencionista é implementada de forma incipiente no que tange aos cuidados voltados para redução de dose, seja para trabalhadores ou paciente. Torna-se necessário reconhecer, compreender e caracterizar a gestão do cuidado em enfermagem nesse cenário.
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Amorim TS, Backes MTS, Carvalho KMD, Santos EKAD, Dorosz PAE, Backes DS. Gestão do cuidado de Enfermagem para a qualidade da assistência pré-natal na Atenção Primária à Saúde. Esc Anna Nery 2022. [DOI: 10.1590/2177-9465-ean-2021-0300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo compreender o significado da gestão do cuidado de Enfermagem para a qualidade da assistência pré-natal na visão de enfermeiras da Atenção Primária à Saúde. Método pesquisa qualitativa desenvolvida com a Teoria Fundamentada nos Dados e o pensamento complexo de Edgar Morin. Realizaram-se observações participantes e entrevistas semiestruturadas individuais com 11 enfermeiras da atenção primária. Análise dos dados: codificação aberta, axial e seletiva/integração e organização pelo software NVIVO®. Resultados o fenômeno central “Promovendo a gestão do cuidado de Enfermagem na Atenção Primária à Saúde” evidenciou que a gestão do cuidado de Enfermagem realizada pelas enfermeiras contribui para promover a autonomia das gestantes, a qualidade dos cuidados, o protagonismo e o empoderamento maternos no processo de gestar, parir, nascer e amamentar, envolvendo a participação da família/rede de apoio nos cuidados. Considerações finais e implicações para a prática a gestão do cuidado realizada pelas enfermeiras busca acolher as singularidades das gestantes/famílias e promover o cuidado singular, multidimensional, contínuo, vigilante, sistematizado e integrado, valorizando a subjetividade e o protagonismo da mulher, pautado nos princípios da autonomia e empoderamento materno. Recomendam-se o dimensionamento de pessoal adequado, a realização das ações de saúde de forma integrada/em rede, a comunicação efetiva entre os diferentes níveis de atenção e a preparação intensificada para o parto fisiológico, o puerpério e a amamentação.
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Luz SCL, Backes MTS, Rosa RD, Schmit EL, Santos EKAD. Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU. Rev Bras Enferm 2021; 75:e20201121. [PMID: 34614096 DOI: 10.1590/0034-7167-2020-1121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 05/09/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To identify the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method. METHODS Integrative literature review with a time cut from 02/01/2015 to 06/01/2019, totaling ten articles in the final sample. RESULTS The findings were categorized into two categories: Potentialities for humanized care from the perspective of the Kangaroo Method; Barriers or difficulties to the implementation of the Kangaroo Method. Several potentialities for humanized care allied to technology and continuing education were identified, as well as several barriers to the implementation of the Kangaroo Method, such as lack of physical space, lack of professionals and team training, lack of knowledge, lack of adherence and professional demotivation. FINAL CONSIDERATIONS There are still few studies that address the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method, and most of those included in this review were conducted in Brazil and present a qualitative approach.
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Affiliation(s)
| | | | - Rosiane da Rosa
- Secretaria de Estado da Saúde. Florianópolis, Santa Catarina, Brazil.,Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
| | - Eudinéia Luz Schmit
- Secretaria de Estado da Saúde. Florianópolis, Santa Catarina, Brazil.,Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil
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Figueira TN, Backes MTS, Knihs NDS, Maliska ICA, Amante LN, Bellaguarda MLDR. Products and technologies for treating patients with evidence-based pressure ulcers. Rev Bras Enferm 2021; 74:e20180686. [PMID: 34468545 DOI: 10.1590/0034-7167-2018-0686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Accepted: 02/26/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to identify products/technologies for treating patients with pressure ulcers with an evidence level 1. METHOD this is an integrative literature review. A survey of studies was carried out using the United States National Library of Medicine Portal, Scientific Electronic Library Online, Virtual Health Library, National Library of Medicine(®), The Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean in Health Sciences, Nursing Database. RESULTS sixteen articles were selected with level of evidence 1. The findings were categorized into five categories: Topical therapy to promote healing; Alternative therapy to promote healing; Topical therapy to promote debridement; Topical therapy to minimize lesion contamination; Topical therapy to reduce lesion size. FINAL CONSIDERATIONS the 17 products/technologies identified favor/fast healing, debridement, minimize contamination and reduce lesion size to accelerate healing.
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Affiliation(s)
| | | | | | - Isabel Cristina Alves Maliska
- Universidade Federal de Santa Catarina, Hospital Universitário Professor Polydoro Ernane de São Thiago. Florianópolis, Santa Catarina, Brazil
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Backes DS, Santini T, Freitas CDSD, Naujorks AA, Backes MTS, Büscher A. The Learning Incubator: an innovative teaching and learning technology in nursing. Rev Esc Enferm USP 2021; 55:e20200048. [PMID: 34415005 DOI: 10.1590/1980-220x-reeusp-2020-0048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Accepted: 03/04/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To understand the meaning of the Learning Incubator as a teaching and learning technology in the nursing area. METHOD Qualitative research, supported by grounded theory. Data was collected from March to November 2019, through interviews with guiding questions and hypotheses directed at two different groups. The analysis was done by comparative data analysis and included open, axial and integrated coding, as proposed by the method. The theoretical sample included 23 participants, which were nurses, technicians, and nursing students. RESULTS The delimitation of the categories converged in the phenomenon (Re)signifying knowledge and practices in the Learning Incubator. Guided by the paradigmatic model, the categories were named according to the three following components: Condition: Recognizing that the being and the professional practice are inextricable; Action/interaction: Revisiting professional practices that are repetitive and mechanic; Consequence: Referring to the reflections and knowledge constructed in the Learning Incubator. CONCLUSION The Learning Incubator, as seen by the study participants, is not limited to the Incubator meetings or the themes addressed in it. Beyond a welcoming physical space, the Incubator expands itself and becomes a tool that promotes self-reflection and self-assessment of professional behaviors and attitudes.
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Backes MTS, Higashi GDC, Damiani PDR, Mendes JS, Sampaio LDS, Soares GL. Working conditions of Nursing professionals in coping with the Covid-19 pandemic. ACTA ACUST UNITED AC 2021; 42:e20200339. [PMID: 34161545 DOI: 10.1590/1983-1447.2021.20200339] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2020] [Accepted: 01/27/2021] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To trigger a reflection on the current working conditions of Nursing professionals in coping with the Covid-19 pandemic. METHOD A theoretical-reflective study supported by studies from the Marxist perspective, national and international scientific articles, and official documents from the World Health Organization and the Federal Nursing Council. RESULTS The daily work of Nursing professionals in the face of the Covid-19 pandemic presents unfavorable working conditions in Brazil and worldwide, with emphasis on the deficit of professionals, overload of activities, low pay, and personal protective equipment, often insufficient and inadequate, conditions that can lead to exhaustion, illness and death. CONCLUSION This study can contribute to raising discussions about the need for improvements in the working conditions of Nursing professionals, especially in pandemic times and the impact on the health of these professionals.
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Affiliation(s)
| | | | | | - Janifer Souza Mendes
- Universidade Federal de Santa Catarina (UFSC). Florianópolis, Santa Catarina, Brasil
| | | | - Gustavo Lopes Soares
- Universidade Federal de Santa Catarina (UFSC). Florianópolis, Santa Catarina, Brasil
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Damiani PDR, Backes MTS, Stoco PH, Fernandes VMB, Soares GL. Immunochromatography and laboratory serologies: an evaluation of immunodiagnoses in prenatal care. Rev Bras Enferm 2021; 74:e20200877. [PMID: 34037148 DOI: 10.1590/0034-7167-2020-0877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 11/13/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to describe the use of affinity chromatographies and laboratory serologies in the evaluation of immunodiagnoses during prenatal. METHODS quantitative study, characterized as a descriptive observational research. Data was collected from the records of 46 pregnant women who were in prenatal follow up in the Primary Health Care in a capital in the South of Brazil. The data found was codified and analyzed using descriptive statistics. RESULTS a mean of 43.1 days was found to take place between the request of laboratory serology and the evaluation by a professional. It was also found that 21.7% of pregnant women did not collect the serologies requested during the first prenatal consultation, and that the affinity chromatographies were only applied in 10.8% of the participants. CONCLUSIONS in spite of the studies for the improvement of prenatal consultations, for the provision of new technologies and for the permanent education offered to the professionals, there are still questions that make the actual implementation of affinity chromatographies more difficult.
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Backes DS, Adames NH, Weissheimer AS, Büscher A, Backes MTS, Erdmann AL. The entrepreneurial nursing care inducing healthy practices in vulnerable communities. Rev Gaucha Enferm 2021; 42:e20200010. [PMID: 33566892 DOI: 10.1590/1983-1447.2021.20200010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2020] [Accepted: 10/05/2020] [Indexed: 05/30/2023] Open
Abstract
OBJECTIVE To understand the meaning of entrepreneurial nursing care as inducer of healthy practices in vulnerable communities. METHOD Grounded theory, whose data collection took place between March and December 2019, from interviews with 19 participants from the central region of Rio Grande do Sul, Brazil and comparative data analysis. RESULTS The phenomenon was delimited: Experiencing small/big transformations in the invisibility of everyday life in promoting healthy practices in vulnerable communities. Conducted by the paradigmatic model, the categories were named based on the components: Condition: Making choices and negotiating non-negotiable exchanges; Action/interaction: Motivating oneself to maintain basic human needs; Consequence: Broadening perspectives and transcending personal and collective boundaries. CONCLUSION Entrepreneurial nursing care as inducer of healthy practices in vulnerable communities is not reduced to a scientific theory or to the linear and decontextualized apprehension of healthy living, but extends to reach small/big transformations that occur in the invisibility of everyday life.
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Maus LCDS, Santos EKAD, Backes MTS, Marín AE. PERCEPÇÕES DE EQUIPES DE SAÚDE DA FAMÍLIA SOBRE A ATENÇÃO EM ANTICONCEPÇÃO. Cogit Enferm 2020. [DOI: 10.5380/ce.v25i0.67381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: identificar as percepções de equipes de Saúde da Família sobre a atenção em anticoncepção.Método: pesquisa qualitativa, do tipo exploratório-descritiva. Coleta de dados por meio de entrevistas semiestruturadas, totalizando 55 participantes atuantes na Estratégia Saúde da Família de uma capital do Sul do Brasil. Para organização e codificação dos dados, utilizaram-se os recursos do software webQDA e, para análise dos dados, seguiram-se os quatro processos genéricos: apreensão, síntese, teorização e transferência.Resultados: emergiram quatro categorias: percepções sobre a atenção em anticoncepção; ações da atenção em anticoncepção; características das pessoas que demandam atenção em anticoncepção; e sensações vivenciadas pelas equipes ao atuarem na atenção em anticoncepção.Conclusão: os pontos e contrapontos levantados pelos participantes precisam ser amplamente discutidos durante o processo de trabalho das equipes, tendo em vista o aperfeiçoamento da atenção em anticoncepção, contribuindo, dessa maneira, para a redução das gravidezes não planejadas e suas implicações.
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Backes DS, Forgiarini AR, Silva LDD, Souza MHT, Backes MTS, Büscher A. Nursing entrepreneur care in social inequity contexts. Rev Bras Enferm 2020; 73:e20190014. [PMID: 32490999 DOI: 10.1590/0034-7167-2019-0014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Accepted: 07/11/2019] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to identify emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care. METHODS qualitative study carried out in two stages: field approach from healthcare interventions in a Recycling Materials Association, and individual interviews conducted between October and December 2018. RESULTS the analysis resulted in three thematic categories: Social contribution of recyclable materials collectors; From the assistentialist perception to entrepreneurial Nursing care; Emancipatory strategies of recycling work. Final Considerations: the emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care are related to the appreciation, recognition and enhancement of social work that has been already performed by these professionals, and to the creation of spaces for the socialization of experiences, expectations and perspectives.
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Silva VBDS, Backes MTS, Mello JFD, Magagnin JS, Brasil JM, Silva CID, Santos CD. CONSTRUÇÃO COLETIVA DE UM FLUXOGRAMA PARA ACOMPANHAMENTO DAS GESTANTES COM SÍFILIS NO MUNICÍPIO DE SÃO JOSÉ-SC. Cogit Enferm 2020. [DOI: 10.5380/ce.v25i0.65361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: instrumentalizar, com fluxograma e Procedimento Operacional Padrão, os enfermeirosda Atenção Primária à Saúde, a fim de monitorar os casos de sífiisl gestacional.Método: pesquisa de abordagem qualitativa, tipo pesquisa-ação, modalidade prático-educativa.Participantes: representantes da Vigilância Epidemiológica, Programa Saúde da Mulher, AtençãoPrimária à Saúde, enfermeiros da Estratégia Saúde da Família e do corpo clínico médico.Concretizado na prefeitura de São José-SC, no mês de outubro de 2017.Resultados: elaborou-se um instrumento para auxiliar no atendimento de gestantes com exame deteste rápido reagente para sífilis.Conclusão: os participantes atuantes na prática assistencial da atenção primária permitiram, atravésde um processo dinâmico, a legitimidade, buscando atender às demandas dos serviços e dosprofissionais. A celeridade no diagnóstico, acompanhamento e tratamento da sífilis na gestaçãoestão relacionados com o manejo adequado, associado a ações, estratégias e atualizações,proporcionando assistência qualificada durante o período gestacional, para efetivamente erradicara sífilis congênita.
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Backes MTS, Carvalho KMD, Santos EKAD, Backes DS. New coronavirus: what does nursing have to learn and teach in times of a pandemic? Rev Bras Enferm 2020; 73:e20200259. [DOI: 10.1590/0034-7167-2020-0259] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Accepted: 07/18/2020] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: To promote a theoretical reflective analysis of what nursing has to learn and teach to global society in times of OVID-19 pandemic. Methods: Reflective theoretical essay aimed at contributing new knowledge and raising new questions, based on the assumptions of Edgar Morin’s complexity thinking, subsidized by readings of texts extracted from electronic databases, as well as speeches by health professionals available in open communication tools. Results: COVID-19 reiterates that the biological warfare of the current pandemic is not fought with nuclear or fire weapons, but with care in its multiple dimensions: physical, emotional, spiritual, family, social, political and economic. Final considerations: Nursing has to learn and teach global society that its main object of work, care, is related to the expansion of systemic interactions and associations and the capacity to strengthen the interlocution with complex reality.
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Vieira BDC, Backes MTS, Costa LD, Fernandes VMB, Dias HHZR, Backes DS. Applying best practices to pregnant women in the obstetric center. Rev Bras Enferm 2019; 72:191-196. [PMID: 31851253 DOI: 10.1590/0034-7167-2018-0422] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 09/23/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To identify the meaning attributed by nursing technicians to good care practices based on scientific evidence used with the pregnant women during the dilation stage of labor. METHOD A qualitative study, based on Grounded Theory principles. Twelve interviews with nursing technicians attending labor in the obstetric center of two public hospitals, in Florianópolis/SC, were performed, from August of 2016 to March of 2017. Data were analyzed using open, axial coding. RESULTS The implementation of good practices, for nursing technicians, means adequately performing their activities, providing humanized care to the pregnant woman, respecting her autonomy, promoting pain relief, and a peaceful labor. FINAL CONSIDERATIONS An adequate number of technicians must be determined to maintain quality of care, and to complete nursing records in a more detailed and systematized manner.
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Amorim TS, Backes MTS, Santos EKAD, Cunha KSD, Collaço VS. Assistência obstétrica/neonatal: ampliação da prática clínica do enfermeiro na Atenção Primária. ACTA PAUL ENFERM 2019. [DOI: 10.1590/1982-0194201900050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Resumo Objetivo Compreender o significado da ampliação da prática clínica do enfermeiro na atenção obstétrica e neonatal no contexto da atenção primária. Métodos Pesquisa qualitativa, com o referencial teórico filosófico do Pensamento Complexo de Edgar Morin e com o referencial metodológico da Teoria Fundamentada nos Dados. As etapas de coleta, análise e construção da teoria ocorreram em sequências alternadas, entre setembro de 2016 a setembro de 2017. A saturação teórica dos dados ocorreu com a inclusão de 11 entrevistas individuais com enfermeiras da atenção primária e com quatro observações participantes. Os dados foram organizados por meio do software NVIVO10® e analisados em três etapas: codificação aberta, axial e integração. Resultados Emergiu o fenômeno central “Provocando mudanças na atuação do enfermeiro da atenção primária” e a três categorias: Compreendendo os significados da gestão do cuidado de Enfermagem na atenção primária; lidando com o movimento antagonista e regulador que influencia a qualidade e melhorando a qualidade para promover a resolutividade da atenção primária. Conclusão Os significados do movimento de liderança em prol da ampliação da prática clínica do enfermeiro na Atenção Primária relacionam-se com: as resistências na postura de alguns profissionais, a inconstância de recursos humanos e materiais, mas, sobretudo, com a busca pela essência do cuidar.
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Livramento DDVPD, Backes MTS, Damiani PDR, Castillo LDR, Backes DS, Simão AMS. Perceptions of pregnant women about prenatal care in primary health care. ACTA ACUST UNITED AC 2019; 40:e20180211. [PMID: 31188972 DOI: 10.1590/1983-1447.2019.20180211] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 01/21/2019] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To understand the perceptions of pregnant women about the care received during prenatal care, in the field of primary health care. METHOD Qualitative study, based on Grounded Theory. Data collection was performed from August to December 2016, through a semi-structured interview with 12 pregnant women who received prenatal care in the city of Florianópolis/SC/Brazil. Data collection and analysis were performed concomitantly. Data analysis was performed using open and axial coding. RESULTS Three categories were elaborated: Care before and during gestation, Participation in groups of pregnant women, and Quality care during pregnancy. CONCLUSION The perceptions of the pregnant women about the care received during the prenatal care is related to the care given, humanized reception, consideration of the pregnant woman's subjectivity and support in the difficult moments that make this period satisfactory.
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Simão AMS, Santos JLGD, Erdmann AL, Mello ALSFD, Backes MTS, Magalhães ALP. Management of prenatal nursing care at a Health Center in Angola. Rev Bras Enferm 2019; 72:129-136. [PMID: 30942354 DOI: 10.1590/0034-7167-2017-0685] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2017] [Accepted: 03/16/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To understand how care management in prenatal care in a Care Center in Angola happens. METHOD A qualitative study, which used the Constructivist Grounded Theory (GT) as a methodological framework. The theoretical sample consisted of 22 participants, including nursing professionals, pregnant women and nursing students from Huambo, Angola. The data were collected by interviews and analyzed according to initial and focused coding. RESULTS Five categories arose: Embracing the pregnant woman for prenatal care; Performing the prenatal consultation; Creating a bond and dialogical relationship with pregnant women; Establishing collaborative working relationships; and Inserting the pregnant woman's family into prenatal care. CONCLUSION The management of nursing care in the study setting is effective through complementary and interdependent steps, based on collaborative relationships among professionals and in the effort to establish bonds with pregnant women and their families.
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Backes DS, Haag BK, Vasconcelos J, Dalcin CB, Backes MTS, Lomba L. Nursing students in the community: entrepreneurial strategy and proponent of changes. Rev Bras Enferm 2019; 71:1799-1804. [PMID: 30088656 DOI: 10.1590/0034-7167-2017-0382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Accepted: 01/11/2018] [Indexed: 05/29/2023] Open
Abstract
OBJECTIVE To report the insertion of the nursing students of the Franciscan University Center in the community through the project Adopting a Family, contributing to critical thinking within the Nursing academic production and its articulation to collective health. RESULTS In the professors' evaluation, the activity represented an effective articulation and insertion of the university in the community; for the students, it allowed for spaces of construction, deconstruction and negotiation with the unknown and the uncertain; for the families, it enabled the feeling of being remembered and valued as human beings and citizens. Through the experiences had, the transformation of health practices goes through the emergence and valuation of new knowledge. FINAL CONSIDERATIONS The insertion of the university in the community is constituted by an entrepreneurial strategy that is proponent of changes, due to its more effective and resolute outreach of health issues proposed by the national health system.
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Affiliation(s)
- Dirce Stein Backes
- Centro Universitário Franciscano. Santa Maria, Rio Grande do Sul, Brazil
| | | | - Janine Vasconcelos
- Centro Universitário Franciscano. Santa Maria, Rio Grande do Sul, Brazil
| | | | | | - Lurdes Lomba
- Escola Superior de Enfermagem de Coimbra. Coimbra, Portugal
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Costa LD, Hoesel TC, Teixeira GT, Trevisan MG, Backes MTS, Santos EKAD. PERCEPTIONS OF PREGNANT WOMEN ADMITTED TO A HIGH-RISK REFERENCE SERVICE. Reme Revista Mineira de Enfermagem 2019. [DOI: 10.5935/1415-2762.20190047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Volkmer C, Santos EKAD, Erdmann AL, Sperandio FF, Backes MTS, Honório GJDS. BREAST RECONSTRUCTION FROM THE PERSPECTIVE OF WOMEN SUBMITTED TO MASTECTOMY: A META-ETNOGRAPHY. Texto contexto - enferm 2019. [DOI: 10.1590/1980-265x-tce-2016-0442] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: to analyze qualitative studies published in the national and international scientific literature on breast reconstruction after mastectomy for breast cancer, from the perspective of women. Method: systematic literature review using meta-ethnography, where the synthesis of knowledge is based on the induction and interpretation of the data found. Searches in the electronic databases identified 65 studies. 27 studides meet the inclusion and exclusion criteria. 13 studies compressed the analytical corpus of the review, according to the Critical Appraisal Skills Programme checklist. The data were synthesized by means of the meta-ethnographic approach. Results: the analyzed studies showed similarities regarding the women´s decision to perform breast reconstruction, the difficulty of choosing the type of surgery and to deal with the experience of the reconstruction, and that the women had difficulties in establishing relationships with certain health professionals, especially with doctors. They refer to the ambivalence of feelings regarding the expectations and results of breast reconstruction and complex process of "carrying on". Conclusion: this review synthesizes the scientific knowledge regarding women's perspective regarding the breast reconstruction process and highlights that health professionals must understand the perceptions of women undergoing mastectomy and breast reconstruction in order to improve the care provided.
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Maus LCDS, Santos EKAD, Backes MTS, Gregório VRP, Borck M. ATTENTION ON CONTRACEPTION BY FAMILY HEALTH TEAMS: CONVERGENCE OF EDUCATIONAL AND INVESTIGATIONAL PRACTICES. Texto contexto - enferm 2019. [DOI: 10.1590/1980-265x-tce-2017-0124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to build health actions in conjunction with Family Health teams to improve contraceptive care. Method: a qualitative research, in the convergent care modality, with theoretical and methodological support from the Paideia Support. Data collection was performed through semi-structured interviews and convergence groups. The research participants belonged to five Health Centers in the city of Florianópolis, Brazil. The empirical material was organized and coded through the webQDA software. Data analysis followed the four generic processes: apprehension, synthesis, theorization and transference. Results: the analysis of the semi-structured interviews allowed the elaboration of proposals to improve contraceptive care and the convergence groups provided opportunities for education and awareness on the theme of contraceptive care. The first strategy used in the convergence groups was the presentation of inserts with the proposed actions to improve contraceptive care, allowing the participants of the groups to validate the actions (or not). The second strategy used Therapeutic Dolls to create scenes that contextualize contraceptive care in the daily services, allowing the recognition of two categories for analysis: the vulnerability profile of the users who demand contraceptive care; and the possibilities for perfecting this attention. Conclusion: the Family Health teams are betting on actions aimed at guaranteeing the access of users, especially adolescents, to sexual and reproductive health services.
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Backes DS, Zamberlan C, Siqueira HCHD, Backes MTS, Sousa FGMD, Lomba MDLLDF. EDUCAÇÃO DE QUALIDADE NA ENFERMAGEM: FENÔMENO COMPLEXO E MULTIDIMENSIONAL. ACTA ACUST UNITED AC 2018. [DOI: 10.1590/0104-070720180004580016] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
RESUMO Objetivo: refletir sobre a educação de qualidade na Enfermagem como fenômeno complexo e multidimensional. Método: trata-se de um estudo teórico-reflexivo desenvolvido e sistematizado em cinco unidades de reflexão: ambientes de aprendizagem significativa; metodologias ativas; convivência em realidades distintas; Redes colaborativas; e, Abordagens complexas de intervenção. Resultados: a análise das unidades de reflexão, à luz do pensamento complexo, demonstraram que a aprendizagem, na contemporaneidade, não pode mais ser concebida como processo pontual e linear. A educação de qualidade está relacionada à ampliação das interações e associações sistêmicas e à capacidade de fortalecer a interlocução com a realidade complexa e em constante mudança. Conclusão: necessita-se transcender o paradigma da simplificação e considerar a complexidade intrínseca que se encontra no cerne da ciência.
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Santos JLGD, Cunha KSD, Adamy EK, Backes MTS, Leite JL, Sousa FGMD. Data analysis: comparison between the different methodological perspectives of the Grounded Theory. Rev Esc Enferm USP 2018; 52:e03303. [PMID: 29668789 DOI: 10.1590/s1980-220x2017021803303] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2017] [Accepted: 10/31/2017] [Indexed: 11/21/2022] Open
Abstract
Grounded Theory (GT) has undergone many transformations since its proposition as a research method in the 1960s. As a result of these changes, three different GT approaches have been outlined: classic, straussian and constructivist ground theory, each with its peculiarities, but mainly concerning data analysis. Thus, this study aimed to describe and compare the data analysis process adopted by the different methodological perspectives of GT. The text is organized into two topics. Firstly, we present the common and differentiating characteristics of the three methodological perspectives of GT. In sequence, the data analysis system adopted in each of the GT methodological perspectives is described and exemplified, varying between two and three stages, and may or may not include the use of the paradigmatic model. Thus, this study provides support for understanding the different data analysis systems adopted in GT, which may contribute to the rigor and scientific quality of nursing research adopting this method.
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Pereira SB, Diaz CMG, Backes MTS, Ferreira CLDL, Backes DS. Good practices of labor and birth care from the perspective of health professionals. Rev Bras Enferm 2018; 71:1313-1319. [DOI: 10.1590/0034-7167-2016-0661] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2017] [Accepted: 10/16/2017] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: Determine the understanding of health professionals of an obstetric hospital regarding the good practices of labor and birth care recommended by the World Health Organization. Method: Research-initiative, with data collection between April and July 2016 using the focal group technique, with 27 health professionals of an obstetric hospital of Rio Grande do Sul with 21 hospitalization beds. Results: Three thematic categories were achieved: good obstetric practices and their meanings; from the biological character to singular and multidimensional care; from the punctual and fragmented conception to the labor and birth care network. Conclusion: Good practices, in addition to enabling rethinking the obstetric model and contributing to organize the maternal and child health care network in order to ensure access, humane care, and problem-solving capacity, also foster female protagonism.
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Backes DS, Gomes CA, Pereira SB, Teles NF, Backes MTS. Portable bathtub: technology for bed bath in bedridden patients. Rev Bras Enferm 2017; 70:364-369. [PMID: 28403298 DOI: 10.1590/0034-7167-2016-0178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2016] [Accepted: 08/19/2016] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE determine the benefits of the Portable Bathtub as technology for bed bath in bedridden patients. METHOD qualitative research of exploratory-descriptive character, whose data were collected by means of 30 interviews with patients, family members and professionals directly involved in bed bath, carried out with Portable Bathtub, in bedridden patients of a medical clinic, from July to December 2015. RESULTS from the data encoded by thematic content analysis resulted two categories: Portable Bathtub: from morphine to the patient's rekindled eyes; From mechanized practice to unique, transforming care. CONCLUSION we concluded that the Portable Bathtub constitutes enhancing technology, as it enables clinical improvement of the patient's general condition and transcends traditional mechanized practices by the reach of advanced nursing care practices.
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Affiliation(s)
- Dirce Stein Backes
- Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul, Brazil
| | - Carine Alves Gomes
- Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul, Brazil
| | | | - Noelucy Ferreira Teles
- Undergraduate Program in Nursing, Centro Universitário Franciscano, Santa Maria, Rio Grande do Sul, Brazil
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Aires LCDP, Santos EKAD, Bruggemann OM, Backes MTS, Costa R. Reference and counter-reference health care system of infant discharged
from neonatal unit: perceptions of primary care health professionals. Escola Anna Nery - Revista de Enfermagem 2017. [DOI: 10.5935/1414-8145.20170028] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Backes DS, Obem MK, Pereira SB, Gomes CA, Backes MTS, Erdmann AL. Learning Incubator: an instrument to foster entrepreneurship in Nursing. Rev Bras Enferm 2015; 68:1103-8. [PMID: 26676433 DOI: 10.1590/0034-7167.2015680615i] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2015] [Accepted: 08/06/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE this study aimed to know the contributions of the Learning Incubator to the process of lifelong education in health. METHOD this is a qualitative field research whose data was collected from August to December 2014 by the focus group technique. The research had 34 employees of a Teaching Hospital in the central region of the state of Rio Grande do Sul that participated previously in the incubation process. RESULTS from the data encoded by content analysis, three themes were selected: Learning Incubator - welcoming and integrating space; An instigating instrument that enhances possibilities; Continuous and lifelong education strategy. CONCLUSION the Learning Incubator is an important instrument to foster entrepreneurship in nursing and other health areas due to its capacity of rethinking mechanized practices, to the possibility of instigating new ways of being and acting, and to the ability of creating and developing new ideas based on individual and institutional needs.
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Affiliation(s)
- Dirce Stein Backes
- Curso de Enfermagem, Centro Universitário Franciscano, Santa Maria, RS, Brasil
| | | | | | - Carine Alves Gomes
- Hospital Casa de Saúde, Associação Franciscana de Assistência à Saúde, Santa Maria, RS, Brasil
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Backes MTS, Erdmann AL, Büscher A. The Living, Dynamic and Complex Environment Care in Intensive Care Unit. Rev Lat Am Enfermagem 2015; 23:411-8. [PMID: 26155009 PMCID: PMC4547063 DOI: 10.1590/0104-1169.0568.2570] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2014] [Accepted: 02/16/2015] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVE: to understand the meaning of the Adult Intensive Care Unit environment of care,
experienced by professionals working in this unit, managers, patients, families
and professional support services, as well as build a theoretical model about the
Adult Intensive Care Unit environment of care. METHOD: Grounded Theory, both for the collection and for data analysis. Based on
theoretical sampling, we carried out 39 in-depth interviews semi-structured from
three different Adult Intensive Care Units. RESULTS: built up the so-called substantive theory "Sustaining life in the complex
environment of care in the Intensive Care Unit". It was bounded by eight
categories: "caring and continuously monitoring the patient" and "using
appropriate and differentiated technology" (causal conditions); "Providing a
suitable environment" and "having relatives with concern" (context); "Mediating
facilities and difficulties" (intervenienting conditions); "Organizing the
environment and managing the dynamics of the unit" (strategy) and "finding it
difficult to accept and deal with death" (consequences). CONCLUSION: confirmed the thesis that "the care environment in the Intensive Care Unit is a
living environment, dynamic and complex that sustains the life of her hospitalized
patients".
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Affiliation(s)
| | | | - Andreas Büscher
- Fakultät Wirtschafts und Sozialwissenschaften, Osnabrück, Nothwesfallen, DE
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Backes DS, de Souza MHT, Marchiori MTC, Colomé JS, Backes MTS, Lunardi Filho WD. The Idealized Brazilian Health System versus the real one: contributions from the nursing field. Rev Lat Am Enfermagem 2015; 22:1026-33. [PMID: 25591099 PMCID: PMC4309239 DOI: 10.1590/0104-1169.0040.2512] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Accepted: 10/08/2014] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE: to identify the perceptions of professionals working in a facility connected with
the Brazilian Unified Health System - SUS in regard to what they know, think and
talk about public health policy. METHOD: this exploratory-descriptive study with a qualitative nature was conducted with
28 professionals working in a facility connected with the SUS. Data were collected
through interviews with guiding questions and analyzed through the thematic
content analysis technique. RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web
that does not work in practice; The recurrent habit of complaining about the SUS;
The need to rethink the way of thinking about, acting in and managing the SUS.
CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines
that govern the Brazilian health system, however, they reproduce a dichotomous and
linear model of conception and practice strongly linked to the thinking of society
in general.
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Affiliation(s)
- Dirce Stein Backes
- Centro de Ciências da Saúde, Centro Universitário Franciscano, Santa Maria, RS, Brazil
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Ilha S, Backes DS, Backes MTS, Pelzer MT, Lunardi VL, Costenaro RGS. Family (re)organization of elderly with Alzheimer: the professors perception based on its complexity. Escola Anna Nery - Revista de Enfermagem 2015. [DOI: 10.5935/1414-8145.20150045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Dias MV, Backes DS, Barlem ELD, Backes MTS, Lunardi VL, Souza MHTD. Nursing undergraduate education in relation to the death-dying process: perceptionsin light of the complex thinking. Rev Gaucha Enferm 2014; 35:79-85. [DOI: 10.1590/1983-1447.2014.04.45177] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to perceive the death-dying process from the perspective of nursing students. This is an exploratory, descriptive and qualitative research study. Data were collected between June and July 2013, from three focus groups with six nursing students at a University Center located in the central region of Rio Grande do Sul, Brazil. The meetings were organized with an approach to increase discussions about the death-dying process from the perspective of the complex thinking. Data were analyzed by means of the Strategic Focal Analysis, and three categories were created: Death: a process of rupture or continuity?; Recognizing weaknesses in the undergraduate educational process; and Outlining strategies to broaden academic discussions. It is possible to conclude that the death/dying process is minimally discussed in undergraduate courses, and when it is discussed, it happens in a fragmented and disjunctive manner, without integrating it into the human living process.
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Ilha S, Dias MV, Backes DS, Backes MTS. Vínculo profissional-usuário em uma equipe da estratégia saúde da família DOI: 10.4025/cienccuidsaude.v13i3.19661. ACTA ACUST UNITED AC 2014. [DOI: 10.4025/cienccuidsaude.v13i3.19661] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Backes DS, Backes MTS, Erdmann AL, Büscher A. Do padrão nightingaleano de enfermagem ao sistema social luhmanniano: estudo teórico. Rev Bras Enferm 2013; 66:599-602. [DOI: 10.1590/s0034-71672013000400020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2013] [Accepted: 06/12/2013] [Indexed: 11/22/2022] Open
Abstract
O presente estudo, de caráter teórico, objetivou analisar e discutir um possível código binário para o sistema de Enfermagem, no sentido de identificar o seu próprio saber, na perspectiva dos pressupostos teóricos de Niklas Luhmann. Apostar em uma comunicação funcionalmente diferenciada e socialmente relevante para o sistema de enfermagem implica em transcender o tradicional código saúde-doença, predominante no sistema de saúde e cuja comunicação socialmente relevante é a doença. Implica, ainda, em investir proativamente na promoção e proteção do viver saudável de indivíduos, famílias e comunidades, para que a saúde seja o ponto central das discussões e intervenções.
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Affiliation(s)
- Dirce Stein Backes
- Centro Universitário Franciscano, Brasil; Universidade Federal do Rio Grande, Brasil
| | | | | | - Andreas Büscher
- Deutsches Netzwerk für Qualitätsentwicklung in der Pflege, Germany
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Abstract
Estudo qualitativo, partiu da questão: como se dá o cuidado intensivo oferecido ao paciente no ambiente de Unidade de Terapia Intensiva? Teve como objetivo compreender o cuidado intensivo oferecido ao paciente no ambiente de Unidade de Terapia Intensiva Adulto. O método utilizado foi a Grounded Theory. Realizou-se 39 entrevistas com 47 sujeitos diferenciados (pacientes, profissionais da saúde, gestores, profissionais dos serviços de apoio, familiares) de três Unidades de Terapia Intensiva Adulto, em Florianópolis/SC, Santa Maria/RS e Pelotas/RS, Brasil, entre junho de 2009 a setembro de 2010. A teoria "Sustentando a vida no ambiente complexo de cuidados em Unidade de Terapia Intensiva", foi delimitada por oito categorias, das quais será focalizada neste artigo a categoria "Cuidando e monitorando o paciente continuamente". Conclui-se que o cuidado intensivo requer um cuidado integral com os pacientes, que vai além do cuidado técnico e inclui as dimensões física, emocional, espiritual e social do ser humano.
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Backes DS, Backes MTS, Erdmann AL, Büscher A, Marchiori MT, Koerich MS. Significado da atuação da equipe da Estratégia de Saúde da Família em uma comunidade socialmente vulnerável. Ciênc saúde coletiva 2012; 17:1151-7. [DOI: 10.1590/s1413-81232012000500009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2011] [Accepted: 05/03/2011] [Indexed: 11/22/2022] Open
Abstract
O presente estudo objetivou compreender o significado da atuação profissional de uma equipe ESF em uma comunidade socialmente vulnerável. Utilizou-se como referencial metodológico a Teoria Fundamentada nos Dados e como técnica de coleta de dados a entrevista, realizada entre julho a dezembro de 2009, com 25 profissionais que integram a Estratégia Saúde da Família (ESF). A análise dos dados demonstrou que a ESF pode ser considerada uma estratégia facilitadora e estimuladora do processo de ampliação e de consolidação das redes de cuidado em saúde, à medida que sinaliza para uma nova abordagem de intervenção comunitária, pela valorização do ser humano como um ser singular e multidimensional, inserido em seu contexto real. Um novo modelo assistencial se desenvolve, em suma, mediante a reorganização da prática de atenção à saúde, intermediada pela multiplicidade de relações, interações e associações complexas que ocorrem no contexto familiar e social.
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Abstract
OBJETIVO: Compreender o significado de viver saudável para usuários, profissionais e gestores de uma equipe Estratégia Saúde da Família (ESF). MÉTODOS: Pesquisa de natureza qualitativa, baseada na grounded theory. Para a coleta de dados foram realizadas entrevistas com 25 participantes, dentre eles usuários, profissionais e gestores de uma equipe ESF, no período entre março e dezembro de 2009. RESULTADOS: A coleta e a análise dos dados, conduzida de forma sistemática e comparativa, evidenciaram que o viver saudável pode ser caracterizado como um processo auto-organizador, intermediado pela atuação dos profissionais da equipe ESF, especialmente, pelo agente comunitário de saúde, por meio da criação de vínculos de confiança e estímulo às interações e associações comunitárias. CONCLUSÃO: Concluiu-se que o viver saudável é um fenômeno singular, complexo, interativo, associativo, político e social, conjugado pelo envolvimento ativo e participativo dos usuários e pelo engajamento efetivo e socialmente responsável dos profissionais, gestores e autoridades políticas instituídas.
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Backes MTS, Backes DS, Erdmann AL. Relações e interações no ambiente de cuidados em Unidade de Terapia Intensiva. ACTA PAUL ENFERM 2012. [DOI: 10.1590/s0103-21002012000500006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: Discutir as relações e interações do ambiente de cuidados em Unidade de Terapia Intensiva (UTI). MÉTODOS: Estudo de abordagem qualitativa foi fundamentado na "Grounded Theory". Foram entrevistados 47 sujeitos diferenciados de três UTIs Adulto, localizadas em Florianópolis/SC, Santa Maria/RS e Pelotas/RS, entre junho de 2009 e setembro de 2010. RESULTADOS: Neste estudo, são apresentadas e discutidas duas categorias: "A rede de apoio, a ordem/desordem e perturbações no ambiente de UTI"; "Convivendo com certezas, incertezas e contradições no ambiente de UTI". CONCLUSÃO: Considera-se necessário compreender o ambiente de UTI a partir de uma visão sistêmica. E isso significa acolher a circularidade e dinamicidade de ordem-desordem-organização que continuamente (re) alimentam as relações e interações humanas e profissionais nesse ambiente.
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Backes MTS, Backes DS, Drago LC, Koerich MS, Erdmann AL. [From anthropocentrism to ecocentrism: educating for ecological care in health]. ACTA ACUST UNITED AC 2011; 32:263-9. [PMID: 21987986 DOI: 10.1590/s1983-14472011000200008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The focus of the paper is the meaning of ecological care as understood by students and educators and how this issue is addressed in programs in the fields of health sciences and health care in a federal public institution in southern Brazil. Our goal is to discuss the central category. The methodology adopted was Grounded Theory. Ten interviews were carried out among two sample groups between September, 2008, and April, 2009. The results led to the design of the theory: considering ecological care as broad and complex phenomenon, and the core category: the ecological care that results from relations, interactions and associations within the global environment. We concluded that rejecting anthropocentrism is not enough for the survival of all forms of life in the planet. This survival demands educating for ecocentrism and for systemic-functional interactivity and adaptability. We must go beyond speeches and world conferences and redo the web of interdependence of all beings and elements of nature.
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Backes DS, Backes MTS, Rangel RF, Erdmann AL, Büscher A. Significado de viver saudável para usuários, profissionais e gestores da saúde. Rev Bras Enferm 2011; 64:1094-9. [DOI: 10.1590/s0034-71672011000600016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2010] [Accepted: 01/05/2012] [Indexed: 11/21/2022] Open
Abstract
Pesquisa qualitativa, orientada pelo método "grounded theory", com o objetivo de compreender o significado de viver saudável em uma comunidade socialmente vulnerável para usuários, profissionais e gestores da saúde. Utilizou-se como técnica de coleta de dados a entrevista individual, com 25 participantes, dentre eles usuários, profissionais e gestores da saúde. A análise de dados foi processada de forma comparativa, conforme prevê o método "grounded theory". Para os usuários o viver saudável está associado às condições básicas de sobrevivência, às oportunidades de inclusão e participação social e às possibilidades interativas e associativas, para os profissionais da saúde, o mesmo está relacionado às articulações políticas e sociais e, para os gestores, ao desenvolvimento de estratégias capazes de reorientar o modelo de saúde vigente. Conclui-se, que o viver saudável é um processo singular, plural e complexo, construído com base no imaginário e vivido de cada ser humano.
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Affiliation(s)
| | | | | | | | - Andreas Büscher
- Universität Bielefeld; Centro Universitário Franciscano, Brasil
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Backes MTS, Erdmann AL, Büscher A, Backes DS. Desenvolvimento e validação de teoria fundamentada em dados sobre o ambiente de unidade de terapia intensiva. Esc Anna Nery 2011. [DOI: 10.1590/s1414-81452011000400016] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Estudo qualitativo que partiu da questão: como vêm sendo construídas as teorias e modelos de cuidado de enfermagem, focalizando o processo de construção da teoria substantiva, referente à Tese que teve como objetivos compreender o significado do ambiente de cuidados em Unidade de Terapia Intensiva e construir um modelo teórico sobre ele. O método utilizado foi a Grounded Theory. Realizaram-se 39 entrevistas com 47 sujeitos diferenciados de três Unidades de Terapia Intensiva Adulto, em Florianópolis/SC, Santa Maria/RS e Pelotas/RS, entre junho de 2009 a setembro de 2010. A teoria "Sustentando a vida no ambiente complexo de cuidados em Unidade de Terapia Intensiva" foi delimitada por oito categorias. Conclui-se que sustentar a vida no ambiente de Unidade de Terapia Intensiva significa investir intensivamente no cuidado de pacientes instáveis, com auxílio de tecnologias diferenciadas e profissionais capacitados, trabalhando em equipe, onde se convive com estresse/conflitos e dificuldades para lidar com a morte.
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Backes MTS, Backes DS, Drago LC, Koerich MS, Erdmann AL. Cuidado ecológico como um fenômeno amplo e complexo. Rev Bras Enferm 2011; 64:876-81. [DOI: 10.1590/s0034-71672011000500012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2010] [Accepted: 02/21/2011] [Indexed: 11/22/2022] Open
Abstract
Este estudo objetivou compreender o significado do cuidado ecológico na visão de estudantes e docentes da área da saúde de uma Instituição Pública de Ensino Superior. Pesquisa qualitativa exploratória, conduzida pelo método da Teoria Fundamentada nos Dados, com dados oriundos de dez entrevistas semiestruturadas, realizadas entre setembro de 2008 e abril de 2009, constituindo dois grupos amostrais. O processo de coleta e análise dos dados culminou com a formulação da teoria "Vislumbrando o cuidado ecológico como um fenômeno amplo e complexo", discutida pelo olhar da complexidade. Conclui-se que o ambiente acadêmico constitui-se em espaço apropriado para o desenvolvimento de habilidades sistêmicas capazes de contemplar as relações, interações e associações necessárias para a compreensão e promoção da sustentabilidade ambiental.
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Affiliation(s)
| | - Dirce Stein Backes
- Centro Universitário Franciscano, Brasil; Universidade Federal de Santa Catarina, Brasil
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Abstract
Estudo caso-controle, que objetivou analisar os fatores de risco associados ao baixo peso ao nascer de recém-nascidos de mães de Rio Grande-RS residentes nas proximidades da área industrial. Foram entrevistadas mães que deram à luz nas maternidades do município, durante os meses de abril a novembro de 2003. A amostra compreendeu 138 casos e 409 controles. Foi realizada análise estatística bivariada e multivariada. O Baixo Peso ao Nascer (BPN) manteve-se associado positivamente com natimortos prévios, BPN prévios, presença de hipertensão arterial durante a gestação e ameaça de aborto durante a gravidez atual. Foi possível identificar os principais fatores de risco a que estão expostas as gestantes e que interferem no peso ao nascer de seus filhos, os quais vêm somar-se àqueles decorrentes de uma maior exposição a poluentes, por residirem próximo às indústrias.
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