Board game on sexually transmitted infections for imprisoned women

INTRODUCTION

The board games is an educational technology that represents an appealing, active and playful pedagogical strategy and may be capable of motivating imprisoned women to learn about Sexually Transmitted Infections.

METHODS

A methodological study to develop and evaluate a board game, following these stages: 1. Integrative literature review to identify educational technologies on Sexually Transmitted Infections used by imprisoned women; 2. Development of the board game; and 3. Content validation performed by 23 evaluators and semantic evaluation carried out with 10 imprisoned women who were enrolled in a school located within a female prison unit in the city of Recife, state of Pernambuco, Brazil.

RESULTS

The board game consisted of the following: 01 board; 01 instructions manual; 05 pawns; 52 cards; and 01 dice. A global Content Validity Index of 0.966 was reached in the content validation process performed by health and education professionals. In the validation of the board game content regarding appearance, performed by designers/developers, most of the items obtained a Content Validity Coefficient below 0.85, which resulted in the need for adjustments and a new validation round with these professionals, in which Content Validity Coefficient = 0.917 was obtained. In the semantic evaluation, all the women stated that they improved their knowledge, increased their motivation to attend the class and would like to play the board game again.

CONCLUSIONS

The "Previna" board game has been validated and can be considered an important pedagogical tool in the construction of knowledge in relation to the prevention, treatment and control of Sexually Transmitted Infections in the female prison context. The quality of this educational technology is directly related to its development based on an appropriate theoretical and methodological framework, in addition to satisfactory feedback from the target audience.

TRIAL REGISTRATION

Not applicable.

Effect of a board game on imprisoned women's knowledge about sexually transmitted infections: a quasi-experimental study

INTRODUCTION

Board games can be used as a playful educational practice in the teaching and learning process, as they constitute an educational technology that can be a source of health knowledge and an aid in decision-making. The objective of this research was to assess the effect of a board game on imprisoned women's knowledge about STIs.

METHODS

A quasi-experimental study was conducted in 2022 with 64 imprisoned women who were students at a school located in a prison unit from the city of Recife, state of Pernambuco, Brazil. A 32-item instrument was used to assess knowledge about sexually transmitted infections before, immediately after the intervention and at 15 days. The intervention consisted in applying the Previna board game in a classroom. All the analyses were performed in the Stata software, version 16.0, with a 5% significance level.

RESULTS

The knowledge mean in the pre-test was 23.62 (± 3.23) points, whereas it rose to 27.93 (± 2,28) in the immediate post-test, dropping to 27.34 (± 2.37) (p < 0.001) in post-test 2, which was performed 15 days after the intervention. There was a statistically significant difference in the means obtained between the pre-test and the immediate post-test (p < 0.001), with a difference of 4.241 points, as well as between the pre-test and post-test 2 (p < 0.001), a difference of 3.846 spots.

CONCLUSIONS

The Previna board game significantly increased its players' knowledge about STIs, and such increase in knowledge remained significant during the follow-up period.

Estratégias para prevenção e controle da sífilis na população privada de liberdade: revisão integrativa

Objetivo: identificar na literatura científica quais estratégias de saúde foram utilizadas para a prevenção e controle da sífilis na população privada de liberdade. Método: revisão integrativa realizada em outubro de 2021 nas bases de dados - Medline/PubMed; Scopus; Web of Science, Cumulative Index to Nursing and Allied Health e na Biblioteca Virtual em Saúde. Resultados: identificou-se 553 artigos e, após a aplicação dos critérios de inclusão e exclusão, foram selecionados 17 para compor a amostra. As estratégias de saúde para prevenção e controle da sífilis identificadas dentro do sistema prisional foram: vigilância e análise epidemiológica; intervenção educativa para prevenção; e uso de protocolo de rastreamento e tratamento. Conclusão: as estratégias identificadas são relevantes para avaliar a situação da sífilis dentro do contexto prisional e reduzir sua transmissão. Entretanto, são poucas as estratégias de intervenção educacional para prevenção da sífilis entre os apenados

Effect of a board game about sexually transmitted infections on imprisoned women's knowledge: protocol for a quasi-experimental study

INTRODUCTION

The prevalence of sexually transmitted infections in imprisoned women is high. In the prison school context, education in health is one of the best strategies to achieve positive indicators in terms of health promotion and disease prevention. The use of educational technologies, such as board games, can aid in the process of knowledge acquisition on a given subject matter. This article describes the protocol of a health educational intervention that addresses content about sexually transmitted infections directed to imprisoned women in a prison school.

METHODS AND ANALYSIS

A quasi-experimental study to test the effect of a board game on 64 imprisoned women's level of knowledge about sexually transmitted infections. The Previna board game was specifically created and validated for these women. The primary outcome will be the level of knowledge on sexually transmitted infections, measured using a score obtained after the assessment conducted during the initial interview, immediately after the intervention and after 15 days.

ETHICS AND DISCLOSURE

This study was approved by the Research Ethics Committee of the Federal University of Pernambuco (Opinion No. 3 986 050 and CAAE: 30035520.7.0000.5208). The results will be presented to the school and to the Federal University of Pernambuco, as part of the activities of a PhD Thesis in Nursing, and will be disclosed in peer-reviewed journals and scientific events.

TRIAL REGISTRATION NUMBER

RBR-2JWS7DV.

Effectiveness of educational interventions in knowledge, attitude, and practice for preventing respiratory infections: a systematic review and meta-analysis

OBJECTIVES

to demonstrate the effectiveness of educational interventions in knowledge, attitude and practice for preventing respiratory infections in adults and older adults.

METHODS

this is a systematic review carried out in 11 databases. Primary studies, without language and time restrictions, of the randomized, non-randomized and before-and-after clinical trial type, were selected. The risk of bias was assessed by two independent researchers, and the methodological quality was generated by the Grading of Recommendations, Assessment, Development and Evaluation.

RESULTS

the intervention effectiveness was evidenced in seven studies. The results of the random effects meta-analysis show that there is a statistically significant difference between knowledge about preventing respiratory diseases, with an OR of 2.82 (95%CI 1.70 to 4.69) for the occurrence of events represented by improved knowledge.

CONCLUSIONS

most studies show the effectiveness of educational interventions, which was determined through the Knowledge, Attitude and Practice survey.

CONSTRUÇÃO E VALIDAÇÃO DE CARTILHA EDUCACIONAL SOBRE SAÚDE SEXUAL E REPRODUTIVA PARA CASAIS SORODISCORDANTES

Objetivo: descrever o processo de construção e validação de cartilha educacional sobre saúde sexual e reprodutiva de casais sorodiscordantes. Método: estudo metodológico, desenvolvido em três etapas: construção da cartilha, validação do conteúdo e avaliação de aparência, realizado em Recife-PE, Brasil no ano de 2018. O conteúdo foi validado por 22 juízes e a aparência por seis casais sorodiscordantes. A relevância dos itens foi comprovada no valor Item-Level Content Validity Index e considerou-se o ponto de corte igual ou superior a 0,80 para concordância e pertinência da cartilha, segundo objetivo, estrutura, apresentação e relevância. Resultados: todos os itens obtiveram percentual de concordância acima de 80%, assim como na média global (91%). Na análise de conteúdo, foi verificado um valor de significância (p>0,05) em todos os itens e a avaliação de aparência obteve 100% de concordância. Conclusão: o uso de tecnologias como recurso educacional promove empoderamento do indivíduo e direciona o autocuidado.

JOGO DE TABULEIRO COMO DISPOSITIVO DE INFORMAÇÃO SOBRE HIV/AIDS PARA IDOSOS

Objetivo: validar o jogo de tabuleiro “Mural do Risco” sobre prevenção do Vírus da Imunodeficiência Humana/Síndrome da Imunodeficiência Adquirida entre idosos estudantes da Educação de Jovens e Adultos. Método: estudo metodológico desenvolvido no estado de Recife, Brasil, que validou o conteúdo do jogo e do guia de uso entre setembro e novembro de 2020 via e-mail. Participaram 27 juízes da área da saúde e 18 de outras áreas. Dados analisados por estatística descritiva para obtenção do Índice de Validade de Conteúdo e Escore Suitability Assessment of Materials. Resultados: ambos obtiveram Índice de Validade de Conteúdo de 0,90; o Escore Suitability Assessment of Materials foi de 22 pontos e do guia 24. Houve reestruturação das imagens, priorizando clareza, tamanho e relações com o idoso. Conclusão: o jogo e o guia estão adequados e, após o registro, poderão mediar práticas educacionais de prevenção do Vírus da Imunodeficiência Humana/Síndrome da Imunodeficiência Adquirida com idosos no  contexto escolar.

CONSTRUÇÃO E VALIDAÇÃO DE VÍDEO EDUCACIONAL PARA PREVENÇÃO DA VIOLÊNCIA SEXUAL DE ADOLESCENTES

RESUMO Objetivo: avaliar o processo de construção e validação de um vídeo educacional para prevenção da violência sexual em adolescentes em idade escolar. Métodos: trata-se de um estudo metodológico, desenvolvido durante o período de setembro de 2018 a fevereiro de 2021 em Recife-PE. Foi realizada a produção de vídeo educacional de acordo com a trajetória metodológica proposta por Kindem e Musberg. O vídeo foi submetido a validação de conteúdo e avaliação de aparência, por juízes especialistas e adolescentes em idade escolar, respectivamente. Na análise dos dados, utilizou-se frequência absoluta, índice de validade de conteúdo e teste binomial. Resultados: na validação de conteúdo, a concordância foi satisfatória e a média do índice de validade para todos os itens do vídeo foi de 0,92. Na avaliação de aparência, os adolescentes consideraram o vídeo compreensível, com nível de concordância mínima de 92,3%. Conclusão: o vídeo educacional construído foi considerado válido por juízes, para contribuir no conhecimento e atitude de adolescentes em idade escolar sobre a prevenção da violência sexual.

ELABORATION AND VALIDATION OF AN EDUCATIONAL VIDEO FOR THE PREVENTION OF SEXUAL VIOLENCE IN ADOLESCENTS

ABSTRACT Objective: to evaluate the elaboration and validation process of an educational video for the prevention of sexual violence in school-age adolescents. Method: this is a methodological study, developed from September 2018 to February 2021 in Recife-PE. Production of the educational video was carried out according to the methodological path proposed by Kindem and Musberg. The video was submitted to content validation and face evaluation by expert judges and school-age adolescents, respectively. In the data analysis, absolute frequency, Content Validity Index and binomial test were used. Results: in content validation, agreement was satisfactory and the mean validity index for all video items was 0.92. In the face evaluation, the adolescents considered the video understandable, with a minimum agreement level of 92.3%. Conclusion: the educational video elaborated was considered by the judges as valid to contribute to the knowledge and attitude of school-age adolescents regarding the prevention of sexual violence.

Production and use of educational technologies in nursing post-graduation

ABSTRACT Objective: To report, under the light of Gardner’s Theory of Multiple Intelligences, the experience of students with advanced educational practices, involving the production and use of technologies in the postgraduation nursing course of the Universidade Federal de Pernambuco. Methods: Experience report of students from the post-graduation nursing program from the Universidade Federal de Pernambuco, about the production of knowledge using educational technology and the application of active methodologies in the teaching-learning process for face-to-face and distance teaching. Results: The post-graduate students participated in the educational process in a creative way, both during in-person and distance teaching. They created: domino games, educational videos, parodies, conceptual maps, virtual role-playing, an interactive quiz, among others. Final considerations: The experience of the students with the advanced educational practices, including the production and use of technologies in nursing post-graduation showed that the teaching-learning process can be innovative and planned to go beyond traditional methods.

Effect of interventions based on educational technologies on the prevention of sexually transmitted infections in incarcerated women: protocol of a systematic review and meta-analysis

INTRODUCTION

Prisons are places with high vulnerability and high risk for the development of sexually transmitted infections. World Health Agencies recommend establishing intervention measures, such as information and education, on the prevention of diseases. Thus, technologies as tools for health education have been used to reduce sexually transmitted infections. However, no systematic review has investigated the effectiveness of these interventions. Therefore, this review's objective is to examine the effect of educational technologies used for preventing sexually transmitted infections in incarcerated women.

METHODS AND ANALYSIS

Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines will be strictly followed. The following electronic databases will be searched: Scopus; Cumulative Index of Nursing and Allied Health, Education Resources Information Center, Embase, PsycINFO, PubMed/Medline, Web of Science and Google Scholar. Randomised clinical trials of interventions that used educational technologies to prevent sexually transmitted infections in incarcerated women will be searched in the databases from the beginning of 2020 until December by two researchers independently. A narrative synthesis will be constructed for all included studies, and if there are sufficient data, a meta-analysis will be performed using the Review Manager software (V.5.3). Continuous results will be presented as the weighted mean difference or the standardised mean difference with 95% CIs. Under the heterogeneity of the included studies, a random-effects or fixed-effects model will be used. The studies' heterogeneity will be assessed by the I² method. The sensitivity analysis will be carried out to examine the magnitude of each study's influence on the general results. A significance level of p≤0.05 will be adopted.

ETHICS AND DISCLOSURE

Ethical approval is not required because no primary data will be collected. The results will be published in journals reviewed by peers.

PROSPERO REGISTRATION NUMBER

CRD42020163820.

Risk for impaired cardiovascular function nursing diagnosis: Content analysis to evaluate women in jail

OBJECTIVE

To analyze the content of the diagnostic proposal, risk for impaired cardiovascular function, focusing on incarcerated women.

METHODS

A methodological study of nursing diagnosis content validation carried out from December/2018 to June/2019. A sample of 24 judges evaluated the proposed definition and the relevance of the proposed etiological factors of risk for impaired cardiovascular function. To determine the content validity of the etiological factors, the Content Validity Index was calculated and a value of 0.9 was adopted, in addition to the Wilcoxon test.

RESULTS

The diagnostic definition was considered consistent with the diagnostic label. All 18 etiological factors were validated with a Content Validity Index statistically >0.9 and categorized into risk factors, associated conditions, and at-risk populations.

CONCLUSION

The definition and 18 etiological factors of risk for impaired cardiovascular function were validated.

IMPLICATIONS FOR THE NURSING PRACTICE

The study allowed the new proposal for the risk for impaired cardiovascular function nursing diagnosis to be accepted to return to the taxonomy of NANDA International with an expanded and more consistent structure. The return of the referred nursing diagnosis to the taxonomy favors the nurse's diagnostic reasoning and the documentation of all nursing actions, linked to this diagnosis, which are aimed at minimizing cardiovascular risk.

Educational technologies on sexually transmitted infections for incarcerated women

OBJECTIVE

to analyze in the scientific literature the educational technologies on sexually transmitted infections used in health education for incarcerated women.

METHOD

an integrative review carried out by searching for articles in the following databases: Scopus, Cumulative Index of Nursing and Allied Health, Education Resources Information Center, PsycInFO, Medical Literature Analysis and Retrieval System Online, Latin American Literature in Health Sciences, Cochrane, and the ScienceDirect electronic library. There were no language and time restrictions. A search strategy was developed in PubMed and later adapted to the other databases.

RESULTS

a total of 823 studies were initially identified and, after applying inclusion and exclusion criteria, eight articles were selected. Most of them were developed in the United States with a predominance of randomized clinical trials. The technologies identified were of the printed materials type, isolated or associated to simulators of genital organs, videos, and games.

CONCLUSION

the technologies on sexually transmitted infections used in health education for incarcerated women may contribute to adherence to the prevention of this serious public health problem in the context of deprivation of liberty.

Caring to Nurses in a Hospital Setting: Meanings Unveiled by Photography

BACKGROUND AND PURPOSE

Care represents a human need and as a fundamental component of the social practice of nursing it should be reified in interpersonal relationships and in patients' biopsychosociocultural needs, thus requiring thinking on a regular basis. This study aims to analyze the senses and meanings of the caring process experienced by nurses in a hospital setting.

METHODS

Qualitative research oriented by Symbolic Interactionism as the theoretical framework. The data were collected through photography and by semi-structured interviews with 16 nurses from a University Hospital of Northeastern Brazil. After a narrative analysis, four representative themes were perceived.

RESULTS

The nurses' perception of caring was related to building relationships based upon complicity, solidarity, care, love, and technico-scientific competence but also upon the work overload and working conditions and difficulty to deal with human emotions and feelings of suffering, which are exposed and perceived in the social interacting process.

IMPLICATIONS FOR PRACTICE

The senses and meanings of caring converge into a rupture of the nurses' regular and crystallized actions. That assumes a critical and reflexive review of ways of interacting with the patient, family, and environment. It is necessary that nurses choose communicative strategies, such as photography, that can unfold feelings and emotions which are essential requirements in the process and in the evaluation of care in a hospitalization setting.

Construction and validation of an educational video for human papillomavirus vaccination

ABSTRACT Objectives: to validate an educational video aimed at the adhesion of human papillomavirus vaccination. Methods: a methodological study, where the knowledge about the theme and the technology to be constructed in six focal groups was identified; a theoretical framework was set up and the existing videos were uploaded. After that, pre-production, production and post-production were followed. In validation of content, 22 specialists participated, and in appearance, ten adolescents, ten mothers, ten teachers and ten audiovisual professionals. Absolute frequency, Binomial Test, and Content Validity Index were used. Results: agreement was satisfactory in most items. Regarding relevance, 20 items had indices above 0.80 among judges. Assessment was positive among girls and mothers. Only three items had indices less than 0.80 among teachers and video professionals. Conclusions: the educational video was validated, conferring credibility to contribute to educational actions and improve vaccination indexes.

PROTAGONISM OF ADOLESCENTS IN PLANNING ACTIONS TO PREVENT SEXUAL VIOLENCE

ABSTRACT Objective: to investigate the knowledge and attitude of school adolescents regarding sexual violence. Method: a qualitative study with data gathering, based on Maurice Merleau-Ponty’s Phenomenology of Perception, conducted in April 2018 with 12 adolescents from a state school in Recife, using the focus group technique. For data systematization, thematic content analysis was used in the following steps: pre-analysis, material exploration, treatment of results and interpretation. Results: three thematic categories were established: adolescents’ perceptions of sexual violence; reflective construction of adolescents on the factors of exposure to sexual violence; and facilitating aspects for the prevention of adolescent sexual violence. Conclusion: the perception of adolescents regarding sexual violence is influenced by cultural, structural, social, economic, psychological and biological aspects, which should be considered in the planning of actions aimed at preventing sexual violence for this public.

Contribuições dos aplicativos móveis para a prática do aleitamento materno: revisão integrativa

Resumo Objetivo Identificar as contribuições dos aplicativos móveis para a prática do aleitamento materno. Métodos Revisão integrativa da literatura, realizada nas bases de dados CINAHL, BDENF, Medline/PubMed, Scopus, LILACS, Web of Science e nas bibliotecas virtuais Cocharane e Scielo, para responder a questão norteadora: Quais as contribuições dos aplicativos móveis para a prática do aleitamento materno?. As buscas ocorreram entre setembro a novembro de 2017, utilizando os descritores “aplicativos móveis”, “aleitamento materno”, “período pós-parto”, “gestante” e “apoio social”. Após os cruzamentos desses descritores, identificou-se 530 artigos, que ao aplicar os critérios de elegibilidade, restaram nove estudos, avaliados quanto ao rigor metodológico e nível de evidência. Na extração dos dados empregou-se um instrumento validado e adaptado. Resultados Os aplicativos móveis que contribuíram para prática do aleitamento materno foram informacionais. Ofertaram orientações sobre promoção do aleitamento materno, alimentação infantil, uso de álcool na amamentação e posições para amamentar. Vários foram utilizados na coleta de dados referentes aos problemas, experiências e barreiras na amamentação; frequência da mamada; início do uso de fórmulas ou da alimentação complementar. Os aplicativos que continham a rede social de apoio na amamentação e os submetidos aos processos avaliativos tiveram pouca expressividade. Conclusão Os aplicativos foram direcionados apenas com objetivo de apoio informativo as nutrizes e sua rede social, na amamentação. Porém, apresentam lacunas quanto à qualidade de informações, usabilidade, aceitabilidade e eficácia desses aplicativos, como também não ficou evidenciado se a construção dos mesmos foi alicerçados na literatura científica.

Fatores de risco associados à exposição de adolescentes à violência sexual

Objetivo: analisar as evidências científicas sobre os fatores de risco associados à exposição de adolescentes à violência sexual.Síntese de conteúdo: revisão integrativa da literatura, realizada em quatro bases de dados e duas bibliotecas virtuais, sem limites do ano de publicação, utilizando-seos descritores: “delitos sexuais”, “adolescentes” e “fatores de risco”. Utilizou-se, também, a palavra-chave “violência sexual” e equivalentes, no idioma inglês. Na análise dos 22 artigos incluídos, os fatores associados à exposição dos adolescentes à violência sexual foram classificados em “abuso sexual” e “exploração sexual”. O consumo de álcool e/ou drogas foi o fator mais evidente, seguido do sexo casual, dabaixa escolaridade, da baixa renda, da violência familiar, dos relacionamentos em ambientes virtuais, da estigmatização do trabalho sexual e falta de moradia.Conclusão: os fatores apresentados devem ser considerados pela enfermagem para o reconhecimento de adolescentes vítimas de violência sexual, além de contribuir na prevenção de novos casos e na minimização dos efeitos que tal ato pode causar na vida desse público.

Validation of a clinical simulation setting in the management of postpartum haemorrhage

OBJECTIVE

To construct and validate a clinical simulation setting for postpartum haemorrhage.

METHOD

Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.

RESULTS

Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.

CONCLUSION

It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.

Caring for the carer: quality of life and burden of female caregivers

OBJECTIVE

To assess the quality of life and the burden of female caregivers.

METHOD

Descriptive, cross-sectional, quantitative study carried out with 224 informal caregivers from March to July 2016. Three instruments were used: a characterization form for the caregiver, the WHOQOL-Bref questionnaire and the Zarit Burden Interview. The following tests were used: Cronbach's Alpha, Kolmogorov-Smirnov, Kruskal-Wallis, Spearman and Mann-Whitney.

RESULTS

The mean age of caregivers was 51.8 years with a standard deviation of 13.7. They were predominantly married, had a low income and low level of education, were first-degree relatives, had been providing care for one to five years and presented some pathology. The associations of quality of life that presented statistical significance were: income, marital status, number of people living with the caregiver and time of care.

CONCLUSION

The burden was negatively correlated with QOL, that is, the greater the burden, the more impaired will be the life of these caregivers.

Limits and possibilities for teaching and learning about breastfeeding

ABSTRACT Objective: To point out limits and possibilities involved in the teaching and learning process of undergraduate students from Health of a Federal Public Higher Education Institution on breastfeeding. Method: Instantaneous photography study carried out in undergraduate courses in the area of Health with professors and students involved in the teaching and learning process on breastfeeding. For data collection, the Focal Group technique was used with the students and the semi-structured interview with the professors. The speeches were submitted to the thematic content analysis of Bardin. Results: It was identified the thematic category: Limits and possibilities for the teaching and learning process on breastfeeding, from two sub-categories: Structural limitations of the courses; and Advances and obstacles in the relationship between theory and practice. Final considerations: Limits indicated as workload deficit and professor-centered teaching made progress in learning about breastfeeding difficult, and interdisciplinarity was a step forward in this process.

PROMOÇÃO DO ALEITAMENTO MATERNO NO SISTEMA PRISIONAL A PARTIR DA PERCEPÇÃO DE NUTRIZES ENCARCERADAS

RESUMO Objetivo: desvelar a promoção do aleitamento materno no sistema prisional a partir da percepção de nutrizes encarceradas, à luz da estrutura dos sistemas abertos de Imogene King. Método: estudo qualitativo, desenvolvido em unidade prisional feminina. Foram realizadas entrevistas semiestruturadas com 14 nutrizes encarceradas e a análise dos dados foi orientada pela técnica do Discurso do Sujeito Coletivo. Resultados: emergiram sete ideias centrais agrupadas a cada um dos três sistemas abertos de King: Sistema Pessoal - A promoção do Aleitamento Materno com foco na saúde da criança; Promoção do Aleitamento Materno Exclusivo de forma impositiva; Sistema Interpessoal - Interação conflituosa com os profissionais da saúde; Relação harmoniosa e de confiança com o Setor Psicossocial; Sistema Social: as regras do sistema prisional definindo a duração do Aleitamento Materno; Estrutura física e confinamento como estressores; O ambiente carcerário e suas regras como geradores de estresse e perturbação para a prática do aleitamento materno. Conclusão: a promoção do aleitamento materno no cárcere é impositiva e nega a autonomia da nutriz para a tomada de decisão consciente. A organização prisional possui condições peculiares que interferem tanto na prática da amamentação como na assistência à nutriz, o que leva a uma interação ineficiente entre mulheres e profissionais de saúde, dificultando, dessa forma, o alcance da meta do cuidado de enfermagem efetivo e da satisfação com a assistência prestada.

Characteristics of the ineffective social support network: integrative review

OBJECTIVE

To evaluate the characteristics of the ineffective social support network evidenced in its structure, functionality and dynamics.

METHOD

Integrative review, carried out in December 2017, in the bases Scopus, CINAHL, Web of Science, CUIDEN, BDENF, Lilacs and SciELO library by means of combinations between keywords/descriptors - Social Network, Social Networks, Social Support, Social Support Networks and the term "ineffective", finding 2012 publications and 24 composed the sample. The analysis of the results was based on the dimensions of the Social Support Network.

RESULTS

In the structural dimension, it was observed characteristics related to the amplitude, density of the network and fragility of the bonds; in the functional, the non-fulfillment of the function of social support in different occasions; and in the dynamics, conflicts and unexpected situations interfered negatively.

CONCLUSION

The evaluation of the characteristics of the ineffective social support network allows a better understanding of their relationships and instrumentalizes nurses in the mobilization of these networks directed to the well-being of the person, family and community.

Nursing Diagnoses of incarcerated mothers

OBJECTIVE

To identify the Nursing Diagnoses of incarcerated nursing mothers by the NANDA-I Taxonomy II.

METHOD

Descriptive/exploratory study developed in the Women's Penal Colony, Recife, PE.

RESULTS

The sample consisted of 18 women who were breastfeeding during the study period. A total of 17 diagnoses were listed, whose accuracy was classified as moderate and high by the Nursing Diagnoses Accuracy Scale (EADE, version 2). Five of these diagnoses were selected for discussion, regarding frequency, magnitude, and impact on the health and well-being of nursing mothers participating in the study.

CONCLUSION

The Nursing Diagnoses identified in this study are not exclusive to nursing mothers who are incarcerated. Some factors relevant to the prison environment may aggravate their problems, which reveal situations of health vulnerability and rights violation. These situations require changes that may respond to the health needs of this target population.

O ser-com-o-outro na condição sorodiscordante: uma abordagem fenomenológica da vulnerabilidade individual ao HIV

Compreendera sorodiscordância e a vulnerabilidade individual ao HIV nas relações de ser-com-o-outro sorodiscordante. Estudo qualitativo, ancorado na Fenomenologia Hermenêutica de Martin Heidegger. Participaram do estudo oito pacientes soropositivos e suas parcerias sorodiscordantes, totalizando 16 participantes. A entrevista foi o instrumento utilizado para obtenção das narrativas vividas pelos casais. Os conceitos fenomenológicos de “ser-com” e “ser-no-mundo”, descritos por Heidegger, permitiu que os sentidos e significados relacionados ao fenômeno da sorodiscordância fossem evidenciados de forma detalhada. As construções sociais de masculinidade, a reduzida capacidade do casal em negociar prática de sexo seguro, o uso da terapia antiretroviral como fator de proteção ao HIV acrescidos das influências culturais foram evidenciados como as principais situações de vulnerabilidade individual da existência sorodiscordante. A compreensão do significado existencial de ser-casal-sorodiscordante, segundo a estrutura ontológica “ser-um-com-o-outro” instiga mudanças da práxis do enfermeiro, oportunizando um atendimento diferenciado e integral ao casal sorodiscordante.

Quem são os moradores de residências terapêuticas? Perfil de usuários portadores de transtornos mentais desinstitucionalizados

RESUMO Este artigo teve como objetivo caracterizar o perfil sociodemográfico e clínico de moradores de Serviços Residenciais Terapêuticos (SRT). Trata-se de um estudo transversal, censitário, com 190 moradores de SRT de Recife (PE), analisando as variáveis de perfil sociodemográfico e o histórico psiquiátrico. Observou-se que os moradores se caracterizam, em sua maioria, por homens, solteiros, idosos, analfabetos e histórico de múltiplos e longos internamentos psiquiátricos. Conclui-se que as condutas iatrogênicas praticadas no hospital deixaram sequelas importantes em diversos aspectos da vida dos usuários e tornaram-se numa dívida social que ainda precisa ser paga pela sociedade.

Support to woman/nourisher in the advertising pieces of the World Breastfeeding Week

Objective:

to unveil the support to woman/nourisher in the advertisements of the World Breastfeeding Week.

Method:

This is a descriptive, exploratory, documentary, qualitative study. Since the collection until the analyses of these advertisements, we adopted the methodological steps of Gemma Penn, based on the semiology of Roland Barthes. The results were interpreted by the theory of Social Network of Sanícola and of the five types of support: companionship, emotional, instrumental, informational, and self-supportive.

Results:

we identified actors of the social network of the woman/nourisher in nine advertisements of the 22 world breastfeeding weeks. In five of them, partner, grandmother, and brother showed emotional and companionship support to breastfeeding. We observed self-support in three posters; instrumental support in one; and informational support in none.

Conclusion:

the support unraveled in only five advertisements included: emotional, companionship, instrumental, and self-supportive. In the others, there was no support. The set of supports was not revealed in any of them.

Promoção do aleitamento materno no ensino fundamental: revisão integrativa

Estudo com o objetivo de analisar as abordagens sobre a promoção do aleitamento materno no ensino fundamental. Revisão integrativa realizada na BVS, PUBMED, SCOPUS, CINAHL, COCHRANE e SciELO, sendo encontradas 1.598 publicações e sete selecionadas para a amostra final. Categorias identificadas - Abordagens sobre o conhecimento, percepções, crenças e experiências de aleitamento materno na perspectiva das crianças: as entrevistas revelaram conhecimentos e crenças desfavoráveis à amamentação; -  Abordagem do conteúdo de promoção do aleitamento materno no ensino fundamental: o conteúdo é abordado superficialmente nos livros didáticos e os educadores afirmam não ministrá-lo em aula. A abordagem da amamentação no ensino fundamental demonstrou-se variada, porém, reduzida, especialmente em relação às intervenções educativas. Ao enfermeiro cabe ampliar essa abordagem, com metodologias ativas e lúdicas, com vistas a impactar no futuro das próximas gerações.

Tecnologia para o autocuidado da saúde sexual e reprodutiva de mulheres estomizadas

RESUMO Objetivo: validar uma tecnologia do tipo cartilha impressa para o autocuidado na saúde sexual e reprodutiva de mulheres estomizadas. Método: estudo metodológico, com foco na construção e validação de cartilha impressa. O conteúdo da cartilha foi validado por 11 enfermeiros juízes especialistas, segundo o Índice de Validade de Conteúdo (CVI) maior ou igual a 0,80. A aparência foi validada por 9 mulheres estomizadas segundo avaliação da dificuldade e da conveniência do material educativo. Resultados: a cartilha foi considerada válida segundo os especialistas, com média global de CVI igual a 0,87 e, segundo o público-alvo, com 100% de concordância quanto à adequação da organização, estilo da escrita, aparência e motivação da cartilha. Conclusão: a tecnologia educativa em questão foi validada segundo conteúdo e aparência, constituindo-se, portanto, em um recurso adequado, confiável e de fácil compreensão para a aquisição de conhecimentos sobre o autocuidado na saúde sexual e reprodutiva de mulheres estomizadas.

Planejamento familiar de mulheres com transtorno mental: o que profissionais do CAPS têm a dizer

O objetivo deste estudo foi verificar demandas de planejamento familiar que chegam ao Centro de Atendimento Psicossocial (CAPS) e investigar contribuições desse serviço para as mulheres portadoras de transtorno mental. Trata-se de estudo qualitativo, realizado com oito profissionais de um CAPS de Fortaleza-CE. A coleta de dados ocorreu por meio de entrevista, sendo utilizada para análise a técnica de conteúdo. As demandas detectadas foram: solicitação de informações pelos familiares para lidar com paciente sexualmente ativo; pacientes suscetíveis à violência sexual e gravidez; mulheres com depressão, em uso de carbonato de lítio. As contribuições: necessidade de rede integrada (atenção básica/CAPS), com profissionais conhecedores das particularidades do planejamento familiar dessas mulheres - parte defende atendimento na atenção básica, parte, atendimento no CAPS, destacando-se o matriciamento como estratégia a corresponsabilizar os dois polos, evitando encaminhamentos desnecessários aos CAPS, pelo fortalecimento da resolubilidade dos casos na atenção básica.

Particularities of family planning in women with mental disorders

The study aimed to identify the gynecological and obstetric profile of women with mental disorders; to verify the association between medical diagnosis of mental disorder and correct/incorrect use of contraceptive methods, and verify diagnoses, frequency of hospitalizations and varieties of medication consumed. Participants were 255 women who received care in a Psychosocial Care Service. Data were collected through medical record review and structured interview. The inheritance of some mental disorders, psychiatric hospitalization as the cause to interrupt contraception, use of contraceptives that do not depend on personal control, drug interactions between psychotropic drugs and oral contraceptives; participation of the partner and/or relatives in the reproductive choice and contraceptive practice were particularities of this target audience in family planning. There was no statistical association between medical diagnoses and correct or incorrect use of contraceptives. Women suffering from mental disorders need specific and comprehensive family planning care.

Conhecimento e promoção do uso do preservativo feminino por profissionais de unidades de referência para DST/HIV de Fortaleza-CE: o preservativo feminino precisa sair da vitrine

Estudo descritivo-exploratório realizado nas 10 instituições públicas de referência para o tratamento de doenças sexualmente transmissíveis do município de Fortaleza-CE. Objetivou-se identificar o conhecimento de médicos e enfermeiros com relação ao preservativo feminino; verificar a dinâmica de promoção do método adotada por esses profissionais e averiguar a associação entre conhecer a colocação do preservativo feminino com as variáveis profissão e sexo. Participaram do estudo 26 dos 57 profissionais, ficando a amostra composta de 11 médicos e 15 enfermeiros, que se fizeram presentes nas unidades no período da coleta de dados e que aceitaram participar livremente do estudo. Os dados foram coletados por meio de questionário, de janeiro a março de 2006. Foram organizados em tabelas contendo apenas os valores absolutos, haja vista ser pequeno o tamanho da amostra. Os testes de Fisher e de Fisher-Reeman-Halton foram realizados para verificar a existência de associação entre variáveis. Os profissionais, indiferentemente à categoria, apresentaram déficit de conhecimento com relação às características básicas de método e modo de colocação (valores de p de Fisher maiores que 10%). Todavia, houve associação entre conhecer os passos de colocação do preservativo feminino e sexo feminino (p = 0,034). A promoção do método é pouco realizada por esses profissionais pelas seguintes razões: preço elevado do insumo, a unidade não oferece o método, a mulher desconhece o método ou não vai aderir a ele, e o maior acesso ao uso do preservativo masculino, razões que merecem ser banidas do discurso profissional.