Aplicabilidade prática do empowerment nas estratégias de promoção da saúde

Este estudo tem como objetivo identificar nas pesquisas em saúde quais estratégias de "empowerment" foram abordadas para a promoção da saúde, caracterizando-as na ótica das perspectivas crítico-social e pós-estruturalista. Trata-se de uma Revisão Integrativa realizada em maio de 2011 nas bases de dados Medline, Lilacs e SciELO, com os seguintes critérios de inclusão: artigos completos de pesquisa, relatos de casos ou relatos de experiências publicados no período de 2002 a 2011, em Português, Espanhol e Inglês, tendo como critério de busca a palavra-chave "empowerment" e o descritor, "promoção da saúde" (DeCS/Bireme). Foram selecionados 20 artigos, os quais apresentaram estratégias de "empowerment" individual e/ou comunitário e caracterizaram-se em uma perspectiva crítico-social. Acredita-se que algumas atividades, em especial as que envolviam grupos de discussão temática, representaram uma ferramenta mobilizadora e de "empowerment", quais sejam: teatro, círculo de cultura, terapia comunitária, oficinas de escuta terapêutica, visita domiciliar, extensão universitária e projetos de ação social. Compreende-se que toda estratégia de "empowerment" também o é de promoção da saúde, mas nem toda estratégia de promoção da saúde é empoderadora.

The meaning of hope for individuals with spinal cord injury in Brazil

AIM

To understand the meaning of hope among individuals with spinal cord injury.

DESIGN

A qualitative study employing the ethnographic method was used, with 18 individuals.

METHOD

Participant observation was chosen to understand individuals with spinal cord injury and interviews were used to elicit information about the hope experience. The data were analysed using Ernst Bloch's theory of hope.

FINDINGS

Participants constructed their own personality and sense of self, including their hopes for their future, based on their life before their injury. Life after experiencing spinal cord injury highlighted the limitations and potentialities of their hopes. Using a sense of hope to establish goals for the future helped participants overcome obstacles.

CONCLUSION

Hope in people with spinal cord injury helped them cope with the fundamental changes to their daily lives. Hope played an important role in articulating coping strategies and setting and achieving goals. These findings may help nurses understand the limits and potentialities of hope as an instigator of goals in the daily life of individuals with spinal cord injury.

CONTRIBUIÇÕES DO PENSAMENTO DE MICHEL MAFFESOLI PARA PESQUISA EM ENFERMAGEM E SAÚDE

RESUMO Objetivo: realizar uma análise da produção científica na área da enfermagem e da saúde que adotou o referencial teórico e metodológico de Michel Maffesoli, bem como refletir sobre suas contribuições para a enfermagem e saúde. Método: revisão integrativa da literatura, realizado nas publicações científicas da área da saúde, indexadas na SciELO®, BVS, Scopus®, CINAHL®, PubMed®, Web of Science®. Empregou-se a palavra “Maffesoli”, tendo como critérios de inclusão serem artigos completos, originais ou de reflexão, que aplicaram o referencial teórico de Michel Maffesoli na análise ou discussão dos dados, disponíveis nos idiomas português, inglês, espanhol e francês. Resultados: selecionaram-se 30 artigos, sendo grande parte deles com abordagem qualitativa e oriundos da enfermagem. As noções mais presentes nos estudos foram cotidiano, ética da estética, tribo, potência, jogo duplo, pós-modernidade, os quais abordaram o cotidiano nos seus diferentes cenários de cuidado. Expressa-se a importância de estar atento aos aspectos subjetivos do cotidiano, considerando sua complexidade, possibilitando novos e outros modos de estar-junto. Conclusão: o pensamento de Michel Maffesoli contribui para a construção do conhecimento em enfermagem e saúde, indicando caminhos nas dimensões do cuidado, no campo acadêmico e profissional, a partir do cotidiano das pessoas, ressignificando o cuidado que vai para além da técnica, incitando-nos a mudar o olhar e a direção, para que possamos estar em sintonia com as diferentes situações do viver e do conviver, abandonando o des-envolvimento, para nos envolvermos com um cuidado afetivo, aquele que toca, sendo, portanto, efetivo.

Study on the prevalence of neurogenic bladder in Brazilians with traumatic and non-traumatic spinal cord injury

CONTEXT

Considering that SCI is the main cause of neurogenic bladder, in Brazil, studies and statistical data on the number of people with neurogenic bladder are practically non-existent. To ascertain the prevalence of neurogenic bladder among users of SARAH Network hospitals with traumatic and non-traumatic spinal cord injury.

METHODS

Data collection form from electronic medical records to characterize the sample. The variables were related to sociodemographic data such as age, care unit, and date of admission; and to clinical data, such as main diagnosis, neurogenic bladder diagnosis. In the cases of traumatic spinal cord injury, the ASIA Impairment Scale (AIS) was considered. The statistical tests were Mann-Whitney, for two independent samples, and Pearson's Chi-squared, for the categorical variables.

FINDINGS

The sample included 954 participants. The prevalence of neurogenic bladder was 94.65%, of which 67% had a traumatic spinal cord injury diagnosis and 69.32% were male. Mean age of the participants was 46.12 years old (SD = 15.78 years).

CONCLUSION/CLINICAL RELEVANCE

The prevalence of neurogenic bladder found in the sample was 94.65%. The analysis showed that participants with TSCI are more afflicted by lower urinary tract dysfunction than those with NTSCI. TSCI was more prevalent among males and NTSCI was more prevalent among females. This was a pioneering study on the prevalence of neurogenic bladder in SCI in Brazil. However, further studies will be necessary to corroborate the data found here. The development of a database with national data is indispensable to obtain more reliable results that could provide a basis for public healthcare policies for the prevention and rehabilitation of people with SCI in Brazil.

Sexual behavior in the everyday life of adolescents and young adults from the hip hop culture

This is a quantitative, cross-sectional, descriptive study, conducted in two consecutive series in 2007 (S1) and 2008 (S2), comprised of 350 people between 15 and 29 years of age, with the aim to understand the profile of adolescents and young adults from the hip hop culture of Seville, Spain, and to detect risky sexual behavior in their everyday lives. Data were obtained by means of a self-administered questionnaire followed by a statistical analysis, corresponding to a sexually active population (91%), who initiated their sexual experiences before 16.5 years of age. Most state they are heterosexual and use contraception. In conclusion, the image of this group is tied to virile masculine stereotypes, constituting the imaginary of this body of people. Direct interventions are needed to promote health and disease prevention, before adolescence, involving health services, families and schools, which address sexual education and love, taking into account the social construct and everyday life.

A alteridade como critério para cuidar e educar nutrizes: reflexões filosóficas da prática

Este estudo configura-se como um ensaio teórico-filosófico da prática do cuidar-educar nutrizes, embasada no nosso cotidiano profissional e no conceito de alteridade desenvolvido por Emmanuel Lévinas. Traz à tona as inquietudes que povoam nossos pensamentos na busca de um algo a mais no sentido do estabelecimento de um agir mutuamente comprometido no cuidar de mulheres que experenciam o processo de amamentação. Acreditamos que a alteridade é um critério ético fundamental que ao ser removido das relações de cuidado, o diálogo não se estabelece e o cuidado pode não se efetivar, porque o pensamento dominante da normalidade, acaba por anular o ser nutriz, estabelecendo, a priori, a forma de pensar e viver a situação.

Percepção dos receptores sanguíneos quanto ao processo transfusional

Pesquisa qualitativa, exploratória descritiva, que objetivou conhecer a percepção dos receptores sanguíneos quanto ao processo transfusional. A pesquisa foi realizada em uma unidade de hemoterapia de um município da região sul do Brasil e os dados foram analisados por meio do Discurso do Sujeito Coletivo. Foram entrevistados, por meio de instrumento semiestruturado, onze pacientes, homens e mulheres entre 30 e 95 anos, em recuperação pós-cirúrgica de cirurgia cardíaca, submetidos à transfusão sanguínea. Emergiram quatro Ideias Centrais: Perda e reposição sanguínea; Preservação da vida; Reconhecimento do processo transfusional e Segurança transfusional. A percepção sobre a mudança que os pós-transfundidos começam a vivenciar a partir do processo transfusional traz à tona uma ressignificação da própria vida. Este estudo mostrou que os pacientes transfundidos percebem o processo transfusional como uma alternativa de sobrevivência e, mesmo tendo conhecimento sobre o processo e seus significados, permanecem receios e angústias que podem ser minimizados pela equipe multiprofissional.

Epidemiological profile of spinal cord injury in Brazil

OBJECTIVE

To identify and analyze the biosocioeconomic profile associated with the occupation and education of persons with spinal cord injury (SCI) from Brazil.

DESIGN

Analytical, quantitative, descriptive, cross-sectional.

PARTICIPANTS

Sample composed of 618 Brazilian adults with SCI and access to the internet.

SETTING

Community-based, Brazil.

METHODS

An online form was developed and publicized on Brazilian social media to voluntarily register for participation in research. Pearson's Chi-squared test was used to analyze the association between categorical variables and the Kruskal Wallis test was used for comparisons and adjusted Odds Ratio with a 95% Confidence Interval.

RESULTS

Among the 618 participants, 68.9% were men, with mean age of 38.04 years (SD = 9.85); 58.7% were people with paraplegia and most injuries were traumatic (78.5%), most caused by road traffic accidents (40.8%) and weapons (17.5%). The majority were graduates or post-graduates (49.5%) and received an income of up to US$ 749.58 (55.1%); 70.9% of the participants were beneficiaries of social welfare (63.6%) or unemployed (7.3%). There was a reduction in the employment rate from 91.3% to 15.2% after SCI. An association was found between education and current occupation (P ≥ 0.001). Participants with higher education had higher odds (7.48) to being employed relative to those with elementary education.

CONCLUSION

A serious employment situation after SCI was found, with high unemployment and dependence on social welfare. This shows the need for investment in public policies for the rehabilitation, focused on participation, return to the labor market, and ending dependence on social welfare.

Quotidiano de equipes de consultório na rua: tecendo redes para a promoção da saúde

Resumo Objetivo compreender as potências e limites para a promoção da saúde de pessoas em situação de rua no quotidiano da equipe de Consultório na Rua. Método estudo de casos múltiplos holístico-qualitativo, fundamentado na Sociologia Compreensiva do Quotidiano, realizado com dois informantes-chave e 20 profissionais de equipe de Consultório na Rua de duas capitais do Sul do Brasil. Utilizou-se a Análise de Conteúdo Temática. Resultados as potências para a promoção da saúde de pessoas em situação de rua advêm da articulação da rede intrasetorial e intersetorial pela equipe de Consultório na Rua, além do vínculo e da redução de danos. Os limites enfrentados para desenvolver ações de promoção da saúde se deparam na especificidade e características desse público na terceirização da assistência social, na gestão, na política. Conclusões e implicações para a prática a promoção da saúde ainda é um desafio para a equipe a ser superado perante as demandas de agravos, o tratamento do adoecimento e a lógica biomédica. As estratégias intrasetoriais e intersetoriais podem ser estabelecidas para alcançar ações em rede e efetivamente promover saúde, contemplando direitos fundamentais à vida de pessoas em situação de rua, mesmo em um quotidiano com condições desfavoráveis de viver e conviver.

The daily life of pregnant women: nursing promoting being healthy

This is a qualitative, exploratory-descriptive study, grounded on the everyday life and interpretative sociology. The aim of the study was to understand the everyday life of pregnant women and their families, based on prenatal care. The study was conducted in a health center in southern Brazil, and it involved ten pregnant women. Data were collected by means of semi-structured interviews, using the intrafamilial genogram and ecomap, between March and May of 2011. Data analysis involved: preliminary analysis, ordering, key links, coding and categorization. The results show that the everyday life of pregnant women involves biological changes and emotional experiences that generate a need for changing their pace of life, whose implementation depends on social changes, requiring a support network that may contribute to promote health during pregnancy.

Protocol for a scoping review on nursing care and the autonomy of disabled persons

INTRODUCTION

Considering the limitations that disabled persons experience, our understanding of caring for these people has evolved over time worldwide. Because nursing care is dependent on the choices made by patients, nurses can play an emancipatory role by empowering patients with disabilities to become the primary agent in their rehabilitation. Objective was to conduct a range analysis protocol proposing the mapping of conceptual elements for a nursing care model based on the autonomy of disabled persons.

METHODS AND ANALYSIS

A protocol was developed in corporating insights from recent innovations and applying the scope review method of Arksey and O'Malley as a reference using their scoping review methodology as a guide. For the construction of research guiding question, the patient, intervention, comparison and outcomes strategy was adapted. Considerable research in online databases (14) from 2000 to 2018 will be integrated by bibliographical research. Proceed a consult in the Annals of the Brazilian Congress of Nursing, Brazilian Nursing Association and Portuguese Rehabilitation Nursing Association, as well as professional Portuguese and Brazilian nursing legislation. The entire reference list of the covered studies searched manually to detect considerable additional studies. In addition to these searches, stakeholders, including nurse experts in the rehabilitation field and disabled persons, will be requested and included.

ETHICS AND DISSEMINATION

This study does not require ethical approval because it is a review and collection of data on publicly available materials. The results of this research will be published in a relevant journal on the subject of rehabilitation and presented at international scientific events in the area of rehabilitation nursing. Thus, the elaboration of this protocol further maps the gaps and strengthens the concepts capable of presenting strong evidence which assists and supports safer, smarter and more objective care for those living with permanent daily care obligations.

The routine of the street outreach office team: Procedures and care for the homeless

This study aims to understand the routine of the street outreach office team regarding the attention paid to the homeless. It is a holistic qualitative multiple case study, based on Michel Maffesoli's Comprehensive and Quotidian Sociology. It was performed using two key informants and 20 professionals of the street outreach office of two capitals in the South of Brazil. For data analysis, we used the Thematic Content Analysis. The itinerancy, the unexpected and the immediacy of homeless people are part of the team's everyday life. The potentialities of the teams are their intra- and intersectoral networks; inter- and transdisciplinarity; and available material/diagnostic resources, whereas the limitations are their inequalities, vulnerabilities and social exclusion, in addition to the specificities of the homeless and the multiple problems that these people live with. Understanding the routine of the street outreach office reveals co-responsibility in unique actions aligned with the needs of the homeless, precisely signalling that health care needs to be integrated into a network so that these individuals can meet the complex challenges of living in unsafe street environments.

Technosociality in the daily lives of primary care professionals and health promotion: scoping review

ABSTRACT This study aimed to map the available evidence on technosociality in the daily lives of primary care professionals to promote the health of people/families. This is a scoping review based on the Joanna Briggs Institute and Prisma-ScR. The PCC strategy (participants, concept and context) was used. The sample comprises 25 articles. The predominant language was English, the year, 2018, the strength of evidence, 5 and the quality of evidence, high and moderate. Technologies are part of the daily life of PHC professionals and include health control, curative and medication measures. They are sources of communication between professionals and professionals and users. For the use of technologies, it is essential that professionals are trained, using evidence-based practices to achieve the objectives in view of the needs of each one. The use of technologies to promote the health of people/families represents a technological innovation in Primary Health Care, with the possibility of impacting health conditions and promoting healthier life choices.

Potências e limites no cotidiano da formação acadêmica no cuidado à saúde da pessoa surda

Resumo Objetivo compreender as potências e os limites no cotidiano da formação dos estudantes de graduação no cuidado à saúde da pessoa surda. Método trata-se de um estudo qualitativo e interpretativo, fundamentado na Sociologia Compreensiva e do Cotidiano, envolvendo 18 estudantes de uma universidade federal do Sul do Brasil dos cursos de graduação em Enfermagem, Farmácia, Fonoaudiologia, Medicina, Nutrição, Odontologia e Psicologia. As fontes de evidências foram entrevistas individuais desenvolvidas no período de outubro a novembro de 2019. A análise dos dados envolveu a análise preliminar, a ordenação, as ligações-chave, a codificação e a categorização. Resultados as potências no cotidiano da formação dos estudantes no cuidado à saúde da pessoa surda mostram-se na comunicação instituinte, na tecnossocialidade no cuidado e no falar Libras e poder integrar-se à comunidade surda. Os limites mostram-se nos modelos e nas práticas formativas não inclusivas, na impessoalidade da interpretação e na falta de especificidade técnica na disciplina de Libras. Conclusão e implicações para a prática conclui-se que há a necessidade de se refletir sobre os currículos dos cursos da área da saúde, proporcionado a inclusão do cuidado à saúde da pessoa surda, a fim de capacitar os estudantes para a atuação nos diferentes níveis de complexidade.

STRENGHTS AND LIMITS IN THE DAILY LIFE OF THE ADHERENCE TO REHABILITATION OF PEOPLE WITH SPINAL CORD INJURY AND THEIR FAMILIES

ABSTRACT Objective: to understand the strengths and limits in the daily life of the adherence to rehabilitation of people with spinal cord injury and their families. Method: an interpretive study of a qualitative nature, based on Comprehensive and Everyday Life Sociology, involving 21 participants, 12 individuals with spinal cord injury and 9 family members, in a Specialized Rehabilitation Center in southern Brazil. The sources of evidence were individual and collective interviews, adopting the strategy of workshops for data validation. The Atlas.ti software was used for data collation and organization. Data analysis involved the following stages: preliminary analysis, ordering, key links, coding, and categorization. Results: the following categories and subcategories were found: Strengths in the adherence to rehabilitation - welcoming and walking side by side; rehabilitation: a return to life; coexistence that brings the family together, as well as practicing faith. Limits on the adherence to rehabilitation - (d)efficiency of the health professionals in health care. Conclusion: rehabilitation was evidenced as a possibility of returning to life, which enables coexistence among equals and stimulates self-care and adaptation. The family rescues the desire to live, and faith is a mechanism of hope and optimism. It is noteworthy that the welcoming deficit in Primary Health Care and the scarcity of rehabilitation care services in the hospital determine the onset of avoidable complications, in addition to the lack of guidance and/or referrals, characterizing a gap in the Referral and Counter-Referral System.

Protocol for a scoping review of skin self-care of people with spinal cord injury

INTRODUCTION

In recent years, increasing methodological references have been used in scientific research; these are points of support in the search for evidence, formulation and elaboration of instruments, scales, guideline and protocols. However, significant variability currently exists in scoping review conduct and reporting, thus limiting the potential of the methodology to advance research and practice about skin self-care of people with spinal cord injury (SCI). Our objective was to perform a scoping review protocol within the health rehabilitation context of people with SCI, focusing on skin self-care.

METHODS AND ANALYSIS

The protocol was developed by using the scoping review methodological framework proposed by Arksey and O'Malley and further refined by the Joanna Briggs Institute, incorporating insights from more recent innovations in scoping review methodology. Sensitive searches of 13 electronic databases from 2007 to 2017 will be supplemented by grey literature searches. Two reviewers using a tool developed for this scoping review will screen eligible studies.

ETHICS AND DISSEMINATION

The scoping review will undertake a secondary analysis of previously collected data and does not require ethical approval; however, the ethical precepts of copyright will be respected. The results will facilitate a better understanding of the practical health rehabilitation context of people with SCI, the impacts of these rehabilitations and how to build an evidence base for this work in the future.

Simulação realística como ferramenta de ensino na comunicação de situação crítica em cuidados paliativos

RESUMO Objetivo Identificar a percepção, habilidades e competências dos estudantes de enfermagem frente à comunicação da situação crítica em cuidados paliativos por meio da simulação realística. Método Estudo descritivo quali-quantitativo, desenvolvido com 41 estudantes do Curso de Graduação em Enfermagem de uma universidade do sul do Brasil. Pesquisa realizada no laboratório de práticas simuladas, entre março e maio de 2019. Resultados A média de idade dos estudantes era 23,4 anos. Quanto à percepção deles sobre comunicação da situação crítica: 39% pontuam como difícil; 75,6% nunca participaram de uma comunicação em situações críticas e; 36,60% se sentem bastante estressados nesse contexto. Da análise dos dados qualitativos, emergiram duas categorias: Sentimentos e dificuldades do estudante frente à comunicação de situações críticas em cuidados paliativos e; Principais competências adquiridas por meio da ferramenta de ensino-simulação. Conclusão e implicações para a prática da enfermagem A simulação clínica é importante ferramenta no processo ensino-aprendizagem, faz emergir a observação e torna os estudantes confiantes na habilidade de manter diálogos interprofissionais e com a família. Implica, desta maneira, na prática profissional no tocante às tomadas de decisão, na comunicação de más notícias.

CIRCLE DANCING IN THE EVERYDAY LIFE OF THE ELDERLY PERSON

ABSTRACT Objective: to understand the everyday life of the elderly person who practices circle dancing. Method: a interpretative qualitative research based on Comprehensive sociology and the daily life. Data collection occurred between September 2016 and March 2017 through in-depth interviews and participant observation. There was a total of 20 participants, with 17 of them practicing the dancing and three circle dance leaders in the Basic Health Units of a municipality in southern Brazil. Data analysis included preliminary analysis, ordering, key links, coding and categorization. Results: two thematic categories emerged: The daily life of the elderly person; Experiencing circle dancing in everyday life. The daily lives of the elderly are involved in domestic activities, family care, volunteer work, community groups and physical activities. The elderly expressed that circle dancing brought changes, made them more balanced, calm, cheerful, attentive, interactive, with pain relief and improved family and social relationships. Conclusion: circle dancing in the daily life of the elderly person causes emotional, physical, social and, mainly, family changes in their everyday way of living, making them more positive, loving and sensitive, healthier, it also contributes to health promotion and a better quality life.

Therapeutic path of Brazilians with spinal cord injury until rehabilitation

The start of rehabilitation directly affects the effectiveness of treatment. This is a quantitative, exploratory, analytical, and cross-sectional study, with 618 Brazilian adults with spinal cord injury (SCI). Participants were predominantly male (68.90%), with a mean age of 38.04 years (SD = 9.85), with higher education (49.50%), receiving social security benefits (63.60%), and with a monthly income of up to 3 minimum wages (55.10%). The main cause of SCI was traffic accident (40.80%) and 58.70% of the participants had paraplegia. Moreover, 19.40% had not undergone any rehabilitation and the mean time to start rehabilitation after SCI was 17.68 months (SD = 38.80). Participants with the highest level of education were 4.30 times more likely to undergo rehabilitation. The results suggest that those who were more educated and with higher income also had greater access to rehabilitation programs and sought these programs earlier. In contrast, those with less resources had fewer opportunities for rehabilitation. The optimization of referral systems in the health care network, outreach programs, and a greater supply of rehabilitation centers can increase access to rehabilitation among people with SCI.

Qualidade de vida e lesão medular traumática: um estudo com uso de data sets internacionais

Avaliar a qualidade de vida (QV) de pessoas com lesão medular traumática (LMT) e sua associação com o tempo de LMT. Estudo quantitativo, analítico e transversal. Os dados foram coletados com dois instrumentos validados (questionário biosociodemográfico e Data Set de QV da International Spinal Cord Society). Amostra com 81 participantes, 81,5% do sexo masculino, com média de idade de 36±11,9 anos. A satisfação com a saúde psicológica apresentou maior escore (7,2), apesar disso, 86,4% estavam insatisfeitos ou completamente insatisfeitos com a QV geral. Não houve diferença quando comparado o nível da LMT com satisfação com a vida como um todo (p=0,237). A QV geral foi associada ao tempo de LMT (p=0,005), sugerindo que após cinco anos da LMT, as pessoas tendem a ficar mais satisfeitas com suas vidas. Este estudo mostrou que a maioria dos participantes com LMT apresentam-se insatisfeitos com a qualidade de vida.

Circle dance: integrative and complementary practice in the daily health promotion for older adults

ABSTRACT Objectives: to understand circle dance as an integrative and complementary practice for health promotion in older adults’ daily lives. Methods: an interpretive, qualitative study, based on Michel Maffesoli’s Comprehensive Sociology of Everyday Life. There were 20 participants, 17 older adults and three focalizers in circles held in Basic Health Units in a municipality in southern Brazil. Data were collected through interviews and observation, between September 2016 and March 2017, and analyzed through preliminary analysis, ordering, key links, coding and categorization. Results: three categories emerged that express the daily life of circle dance with older adults: circles that spin; challenges for new circles to spin; entering, being and staying in the circle. Final Considerations: circle dance provided older adults with a feeling of belonging to a group, combined with pleasure and well-being, contributing to promotion of older adults’ health.

Being ethical and bioethical in daily life of primary health care: nurses' perceptions

OBJECTIVES

to understand the perceptions of ethics and bioethics and how to be ethical and bioethical in daily life of Primary Health Care, from the perspective of nurses.

METHODS

this is a Holistic-qualitative Multiple Case Study, based on Comprehensive Everyday Sociology, with 54 participants.

RESULTS

two subcategories and the category Being ethical and bioethical in daily life of PHC: nurses' perceptions emerged. The ethical and bioethical being permeates a subjective and abstract self, whose fears, anxieties and concerns are intertwined with the human and professional dimensions in daily work and in personal-professional relationship. Ethics and bioethics perceptions emerge from subjectivity, established relationships, lived experiences and daily actions of nurses essential to the profession, professionals and individuals to be cared for.

FINAL CONSIDERATIONS

ethical and bioethical perceptions and attitudes are essential to care, management and organizational actions, health care, and the safety of users and professionals.

Attitudes and Behaviors towards Vaccination in Portuguese Nursing Students

Knowing the attitudes and behaviors of nursing students in relation to vaccination is important because they will soon be determinant for the health literacy of the population. Vaccination remains the most effective response in the fight against communicable diseases, including COVID-19 and influenza. The objective of this study is to analyze the attitudes and behaviors of Portuguese nursing students with regard to vaccination. A cross-sectional study was carried out, with data collection from nursing students at a university in Lisbon, Portugal. A sample of 216 nursing students was obtained, representing 67.1% of the students enrolled in this university. What stands out from the results of the questionnaire "Attitudes and Behaviors in Relation to Vaccination among Students of Health Sciences" is that for the majority of students the answers were positive; in addition, 84.7% had a completed vaccination schedule for COVID-19. Being a nursing student, being in the final years of the course and being a woman are the factors that most influence the positive attitude of the students. The results obtained are motivating, because these students will be the future health professionals most likely to integrate health promotion programs through vaccination.

(RE)CONHECENDO O QUOTIDIANO DOS TRABALHADORES DE UM CENTRO DE SAÚDE: UM CAMINHO PARA PREVENÇÃO DO BURNOUT E A PROMOÇÃO DA SAÚDE

RESUMO Objetivo: compreender o quotidiano dos trabalhadores de um centro de saúde de Florianópolis Método: Estudo de abordagem qualitativa, na forma de uma pesquisa exploratório-descritiva. Participaram da pesquisa 18 trabalhadores. A coleta de dados foi realizada no período de abril a maio de 2014, através de entrevistas semiestruturadas, por meio de um roteiro, contendo as questões norteadoras: "como está o seu dia a dia?" e "como está o seu dia a dia no trabalho?". Os dados foram analisados à luz das noções e dos pressupostos teóricos e da sensibilidade de Michel Maffesoli. Resultados: foram encontradas seis categorias que descrevem o quotidiano dos trabalhadores: falta de tempo: corrido, estressante, cansativo; ótimo, bom, tranquilo; em adaptação; varia de acordo com o dia; razoável, mais ou menos; e organizado. Conclusão: a compreensão do quotidiano dos trabalhadores apontou que a maior parte da tensão e do estresse no dia a dia está concentrada no ambiente laboral.

Dança circular: prática integrativa e complementar no quotidiano da promoção da saúde da pessoa idosa

RESUMO Objetivos: compreender a dança circular como uma prática integrativa e complementar para a promoção da saúde no quotidiano da pessoa idosa. Métodos: estudo interpretativo, qualitativo, fundamentado na Sociologia Compreensiva e do Quotidiano de Michel Maffesoli. Foram 20 participantes, 17 pessoas idosas e três focalizadoras em rodas realizadas em Unidades Básicas de Saúde de um município do Sul do Brasil. Os dados foram coletados por meio de entrevista e observação, entre setembro de 2016 e março de 2017, analisados pelos processos de análise preliminar, ordenação, ligações-chave, codificação e categorização. Resultados: emergiram três categorias, que expressam o quotidiano da dança circular com pessoas idosas: as rodas que giram; desafios para novas rodas girarem; o entrar, o estar e o permanecer na roda. Considerações Finais: a dança circular proporcionou às pessoas idosas a sensação de pertencimento a um grupo, aliada ao prazer e bem-estar, contribuindo para a promoção da saúde desta população.