bluuebunny/crossref_metadata_2025 huggingface dataset:
O enfermeiro no desenvolvimento da comunidade: atuação como educador
Authors: Velasques Cristina Liberatori , Diniz Maria Estela Lopes , Braga Maria Clara de Albuquerque , Neves Teresa Cristina das
Published: March 2015

O presente estudo versa sobre a importância da atuação do Enfermeiro como educador, afim de contribuir, de modo significativo, no âmbito da prevenção de doenças ou mesmo de complicações que destas possam surgir. Todas as ações de Enfermagem realizadas na comunidade foram baseadas no Processo de Enfermagem desenvolvido por HORTA . Deste modo, os pesquisadores enfatizaram a necessidade de se prestar ao indivíduo, família e comunidade uma assistência planejada, com bases científicas, a fim de melhorar a qualidade da assistência e afirmar a Enfermagem como ciência.
Problemas de um serviço de enfermagem: experiência na estruturação de um programa de trabalho
Authors: Menezes Dilma Neto de , Lopes Maria do Carmo Santos
Published: March 2015

O trabalho foi desenvolvido visando identificar problemas e analisar sugestões que servissem de subsídios para estruturação de um programa de atividades centrado nas necessidades sentidas pelos enfermeiros, estabelecendo estragégias e ações que possibilitem mudanças na prática da Enfermagem no hospital em estudo.
Fator de risco: enfoque na disciplina enfermagem em centro cirúrgico
Authors: Bianchi Estela Regina Ferraz , Castellanos Brigitta E. P. , Gatto Maria Alice Fortes , Silva Arlete
Published: March 2015

Foi abordado o tema da assistência de enfermagem em centro cirúrgico dentro de uma visão do "enfoque de risco" para o paciente cirúrgico, considerando os vários riscos que podem acarretar agravos à sua saúde. Os fatores de risco foram abordados em relação ao ambiente físico, material e equipamento, pessoal e ao próprio paciente. Estes aspectos foram relacionados à área do centro cirúrgico, de recuperação anestésica e ao centro de material. O trabalho foi desenvolvido com dois grupos de alunos da Escola de Enfermagem da Universidade de São Paulo, cursando o 5º semestre de graduação, visando auxiliá-los como futuros profissionais a desenvolver uma melhor assistência de enfermagem ao paciente cirúrgico.
Tratamento das escaras de decúbito com própolis
Authors: Azevedo Ivete Borsaro Soares de , Sampaio Rosani Fernandes , Montes Juan Cruz , Contreras Rabinadranth Loyola Leyela
Published: March 2015

No presente trabalho, as autoras avaliam o uso do método natural da Própolis concentrada a 3% (resina das plantas colhidas pelas abelhas passada pelo processo de digestão das mesmas liberando assim inúmeras enzimas enriquecendo o produto), em tratamento das escaras de decúbito. O trabalho consiste em: a) Preparar as escaras de decúbito para que, em tempo mais reduzido, sejam feitas as correções cirúrgicas e/ou curá-las em definitivo; b) Avaliar o poder bactericida e bacteriostatico da Própolis. Deve-se ressaltar que o medicamento ativou consideravelmente a regeneração dos tecidos, reduzindo o tempo e o custo usuais para tratamento clássico das escaras de decúbito.
Avaliação da assistência prestada pelo estudante de enfermagem em um hospital geral do INAMPS na cidade do Recife: opinião dos pacientes
Authors: Lins Lenes Clécia Saraiva , Sá Maria da Penha Carlos de
Published: March 2015

Considerando as dificuldades existentes na utilização de Hospitais do INAMPS, como campo de estágio, as autoras desenvolveram esta pesquisa objetivando avaliar a assistência prestada pelos estudantes, a aceitação da mesma pelos pacientes, confrontando com a opinião da direção dos Hospitais sobre o assunto. O estudo abrange o trabalho realizado pelas estudantes de enfermagem junto a 41 pacientes cumprindo o estágio curricular de Introdução à Enfermagem II. Conclui que o paciente previdenciário aceita e até prefere a assistência prestada pelo estudante, identifica uma assistência sistematizada e metodológica e sugere que haja continuidade de estágios que são proveitosos tanto para o paciente como para a Instituição.
Desenvolvimento de enfermagem planejada em psiquiatria
Authors: Nunes Márcia B. Gil , Rocha Ruth Mylius , Santos Mauro Leonardo S. Caldeira dos , Silva Neusa França da
Published: March 2015

A enfermagem vem evoluindo e adquirindo identidade própria, através da elaboração e implementação de metodologias assistenciais, a partir de teorias que lhe dão base científica. Observa-se, entretanto, que a Enfermagem Psiquiátrica não participa desta transformação, mantendo-se à margem. Paralelamente, observa-se que a participação do enfermeiro nas transformações da assistência psiquiátrica é pequena. A partir destas afirmativas colocam-se algumas questões: o enfermeiro psiquiátrico, valoriza seu papel como agente terapêutico? O enfermeiro psiquiátrico sente necessidade de enfermagem planejada? Possui conhecimentos científicos e vê como aplicar a enfermagem planejada em Psiquiatria? Ou a enfermagem planejada não se aplica à Psiquiatria? O presente trabalho se propõe a: 1) analisar estas questões, bem como suas causas, a partir dos dados obtidos em pesquisa realizada em instituições psiquiátricas no Rio de Janeiro; 2) oferecer subsídios para a aplicação da Enfermagem Planejada em Psiquiatria.
Opções reativas do estudante de enfermagem frente ao banho terapêutico do grande queimado
Authors: Nascimento Maria Aparecida de Luca
Published: March 2015

Trata-se de pesquisa exploratória junto a estudantes de enfermagem, diante da técnica de balneoterapia do grande queimado, considerando a necessidade da mesma, assim como a síndrome dolorosa à qual este tipo de paciente é submetido, quando da aplicação desta técnica. Os resultados foram obtidos através de dois questionários: o primeiro, aplicado aos estudantes antes do início do ensino clínico onde a referida técnica seria executada; o segundo, após o término do mesmo. Os estudantes foram observados, durante a execução da balneoterapia, e as impressões foram colhidas pelo observador através de uma "folha de observação". Concluiu-se que os fatores que levam os estudantes a não optarem por trabalhar prestando assistência ao grande queimado, executando a técnica de balneoterapia, não estão diretamente relacionados à sua formação profissional e, sim, a fatores inerentes a eles próprios.
Avaliação das ações educativas em enfermagem para diabéticos, uma experiência de integração docente-assistencial, no Hospital Universitário: UFC, Fortaleza-CE
Authors: Paiva Mônica Maria dos Santos , Gurgel Almerinda Holanda , Freitas Rita Ilca Guerra de , Alves Margarida Alacoque Luna
Published: March 2015

O trabalho é um estudo exploratório que visa identificar as necessidades prioritárias de saúde, de um grupo de pacientes diabéticos. Partindo da identificação destas necessidades, uma orientação sistematizada foi elaborada e implementada com o objetivo de tornar o paciente auto-suficiente.
Atuação da enfermagem junto a jovens escolares - 2º grau
Authors: Bueno Sonia Maria Villela , Oliveira Maria Helena Pessini de
Published: March 2015

Engajados à proposta da Organização Mundial de Saúde (OMS) e Associação Brasileira de Enfermagem (ABEn) frente aos problemas que envolvem os jovens, organizamos, neste Ano Internacional da Juventude, uma programação de Educação e Saúde mental, junto às Escolas estaduais de 2º grau de Ribeirão Preto-SP. Propusemos verificar como os jovens percebem a fase da adolescência; quais seus maiores problemas, quais os assuntos que gostariam de discutir, como evidenciam a profissão da enfermagem e a sua inserção no trabalho e na política. Das seis escolas, uma foi escolhida para o plano piloto. Nas demais, utilizamos técnicas de observação e entrevista. Como instrumento, foi utilizado o questionário, aplicado em 1976 sujeitos, de ambos os sexos, numa faixa etária de 14 a 36 anos. Estes demonstraram conhecimento satisfatório sobre a juventude e saúde, melhores e piores coisas da vida e funções da enfermagem. Evidenciaram preocupação com o futuro, profissão e a política atual. A referência aos assuntos que gostariam de discutir, 85% foram para tóxico, álcool e tabagismo, 83%, para gravidez e aborto; 81%, para sexo e doenças venéreas; 78%, para namoro; 69%, para prostituição; 67%, para lazer e profissão; 66%, higiene e saúde; 61% suicídio etc. Foram ministradas aulas e realizadas orientação e encaminhamento aos jovens.
Grupo de pacientes de cirurgia cardíaca: relato de experiência
Authors: Kuhn Elisa Helena , Kruse Maria Henriqueta Luce , Rusche Patrícia Pereira , Dovera Themis Silveira
Published: March 2015

Neste trabalho relata-se uma experiência de grupo com pacientes de cirurgia cardíaca. A atividade realiza-se no INSTITUTO DE CARDIOLOGIA DO RIO GRANDE DO SUL e tem por objetivo proporcionar aos pacientes a oportunidade de verbalizarem suas ansiedades e conversarem sobre suas experiências relacionadas com a cirurgia e anestesia. Os grupos reúnem-se duas vezes por semana sendo constituídos por pacientes adultos em pré e pós-operatório imediato. A equipe de saúde é composta por enfermeiros, psicólogo, anestesista, cardiologistas e fisioterapeutas e sua atuação é no sentido de auxiliar na compreensão dos procedimentos aos quais o paciente vai se submeter, desfazendo fantasias distorcidas da realidade.
Avaliação do desempenho do profissional enfermeiro em unidades de internação
Authors: Luz Hildete Bahia da , Lunardi Neiva
Published: March 2015

Com base nos conceitos de KATZ², elabora-se um instrumento de avaliação profissional para enfermeiros, subdividido em três etapas: habilidade conceitual, humana e técnica. Discriminam-se qualidades desejáveis aos enfermeiros, conceituação das mesmas, e um cálculo matemático para atribuição dos graus. Justifica-se o presente estudo com o interesse dos autores em despertar, nos administradores do Serviço de Enfermagem, a importância da problemática da avaliação profissional, pois se entende que, a partir da mensuração da qualidade do desempenho, pode-se predizer a qualidade da assistência prestada à clientela. O instrumento a ser apresentado não será baseado nos bons enfermeiros e sim naquilo que fazem, nos tipos de habilitações que demonstram ter na execução eficiente do seu trabalho. Habilidade entendida como uma capacidade que pode ser desenvolvida e que se manifesta no desempenho das funções.
Rotina de enfermagem na avaliação dos comprometimentos oculares na Hanseníase
Authors: Cristofolini Lúcia , Axcar Selma Regina , Biz Lourdes Pedro , Vieth Hannelore
Published: March 2015

O reconhecimento do grande número de pacientes com lesões oculares e a inexistência de um controle oftalmológico sistematizado no Hospital Lauro de Souza Lima motivaram a dinamização do serviço de oftalmologia com a participação da enfermagem. Estabeleceram-se os seguintes objetivos: - oferecer atendimento permanente e sistematizado de prevenção e tratamento oftalmológico; - desenvolver e aplicar técnicas simples de prevenção e tratamento; - ampliar os conhecimentos específicos da equipe de enfermeiras; - oferecer campo de treinamento profissional. O elemento básico para o sucesso da unidade foi a disposição das enfermeiras em assumir o trabalho, a cooperação e a disponibilidade do médico oftalmologista e o estabelecimento de rotinas de trabalho. A rotina para a avaliação dos comprometimentos oculares tem duas etapas: 1) Entrevista com o paciente para identificação dos sintomas subjetivos dos comprometimentos oculares; 2) Exame ocular: área superciliar e ciliar; vias lacrimáis; pálpebras; músculos orbiculares; conjuntiva; episclera; esclera; córnea; pupila; cristalino; pressão intra-ocular; acuidade visual. Na rotina descrita, utiliza-se um mínimo de recursos que permite, à enfermagem, identificar os principais problemas oftalmológicos do paciente nos quais pode intervir com ações preventivas e curativas.
A enfermagem na assistência ao deficiente mental: níveis de prevenção
Authors: Andrade Maria Cecília Denipoti de
Published: March 2015

Objetiva-se estabelecer a posição e papéis da Enfermagem na assistência ao indivíduo mentalmente retardado, nos níveis de prevenção em saúde: promoção da saúde e proteção específica, identificação precoce de casos de deficiência mental, aconselhamento genético, educação e tratamento específicos, reabilitação e treinamento vocacional. Procura-se enumerar algumas atividades que o profissional de Enfermagem pode desenvolver na assistência ao deficiente mental, visando expandir e estimular a participação desse profissional nessa prática.
Ensino de relacionamento terapêutico em enfermagem psiquiátrica dificuldades e perspectivas
Authors: Fraga Maria de Nazaré de Oliveira , Damasceno Raimunda Nobre , Calixto Maria de Lourdes Gomes
Published: March 2015

As autoras relatam o modelo de ensino de relacionamento terapêutico adotado na disciplina Enfermagem Psiquiátrica. O estudo tem como objetivo principal divulgar a tentativa de adaptar os princípios de relacionamento terapêutico às questões específicas da realidade da assistência da enfermagem a pacientes psiquiátricos hospitalizados e às dificuldades inerentes ao aluno iniciante nesta área. Além da revisão de literatura, o estudo traz o relato de um caso, assim como discorre sobre as dificuldades percebidas na vivência de seis anos de ensino; contém uma análise dos resultados e das limitações do modelo e propõe medidas para tornar a intervenção de enfermagem mais efetiva para o paciente considerando o contexto sócio-econômico, político e familiar de sua internação.
A formação do aluno de enfermagem e as atribuições do enfermeiro no programa de assistência à criança
Authors: Feijó Neide Marina , Gigante Renata Lúcia
Published: March 2015

Este trabalho tem como finalidade analisar a formação do aluno de Enfermagem e as atribuições do enfermeiro no Programa de Assistência à Criança. Para se alcançar tal propósito, foi utilizado como referencial o currículo da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, nos itens pertinentes às disciplinas de enfermagem pediátrica e saúde pública confrontando com a portaria SSCG de 7/2/83 que regulamenta as atribuições do enfermeiro nas unidades de saúde do Estado de São Paulo. O tratamento é analítico, fundamentado em correntes filosóficas
A participação do enfermeiro de saúde pública na saúde familiar
Authors: Costa Zélia Sena , Leite Josete Luzia , Tocantins Florence Romijn , Begosi Marlisete Reid
Published: March 2015

As autoras partem do pressuposto de que o avanço da epidemiologia tem demonstrado que muitas enfermidades estão associadas a determinadas estruturas sociais. Face a um enfoque científico, humanístico e personalizado, o Enfermeiro tem conquistado um papel de destaque junto à família, uma vez que este grupo social se constitui em uma via estratégica para utilização de parâmetros psicossocias tendo em vista a função básica de ajuda e apoio. Considerando que a contribuição do Enfermeiro de Saúde Pública é de vital importância para a melhoria do nível de saúde familiar, concluem que existe uma necessidade premente da aplicação adequada do Processo de Enfermagem a nível familiar, propondo a inserção da concepção - unidade familiar - como princípio básico da Assistência de Enfermagem.
Assistive technology for visually impaired women for use of the female condom: a validation study
Authors: Cavalcante Luana Duarte Wanderley , Oliveira Giselly Oseni Barbosa , Almeida Paulo César de , Rebouças Cristiana Brasil de Almeida , Pagliuca Lorita Marlena Freitag
Published: March 2015

OBJECTIVE To validate assistive technology for visually impaired women to learn how to use the female condom. METHOD a methodological development study conducted on a web page, with data collection between May and October 2012. Participants were 14 judges; seven judges in sexual and reproductive health (1st stage) and seven in special education (2nd stage). RESULTS All items have reached the adopted parameter of 70% agreement. In Stage 1 new materials were added to represent the cervix, and instructions that must be heard twice were included in the 2nd stage. CONCLUSION The technology has been validated and is appropriate for its objectives, structure / presentation and relevance. It is an innovative, low cost and valid instrument for promoting health and one which may help women with visual disabilities to use the female condom.
Social representation of domestic violence against women among Nursing Technicians and Community Agents
Authors: Silva Camila Daiane , Gomes Vera Lúcia de Oliveira , Oliveira Denize Cristina de , Marques Sergio Corrêa , Fonseca Adriana Dora da , Martins Sibele da Rocha
Published: March 2015

OBJECTIVE To analyze the social representations of the Nursing Technicians and Community Health Agents about domestic violence against women. METHOD A qualitative study carried out in the city of Rio Grande, RS, in which evocations and interviews were collected between July and November 2013. For the treatment of data were used the EVOC 2005 software and the context analysis. RESULT It is a structured representation, in which the central nucleus contains conceptual, imaging and attitudinal elements, namely: abuse, aggression, physical aggression, cowardice and lack of respect. Such terms were present in the context of the interviews. The professionals acknowledged that violence is not limited to physical aspects and were judgemental about the acts of the aggressor. CONCLUSION This knowledge may enable the problematization of the studied phenomenon with the team, and facilitate the search for prevention and intervention strategies for victims, offenders and managers of health services.
Children's health care assistance according to their families: a comparison between models of Primary Care
Authors: Oliveira Vanessa Bertoglio Comassetto Antunes de , Veríssimo Maria de La Ó Ramallo
Published: March 2015

OBJECTIVE To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. METHOD A cross-sectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. RESULTS ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. CONCLUSION The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil.
Needs of psychopedagogical training for the care of children with chronic disease: perceptions of hospital nursing
Authors: Rosselló Maria Rosa , De la Iglesia Begoña , Paz-Lourido Berta , Verger Sebastià
Published: March 2015

OBJECTIVE To identify the psychopedagogical training needs of the pediatric nurses in the largest public hospital of the Balearic Islands, Spain. METHOD This study was developed with a quantitative and qualitative design, where 78 nurses (97.5% of the service) answered a questionnaire, and 15 participated in interviews that were analyzed via content analysis. RESULTS The quantitative results show gaps in the knowledge and psychopedagogical skills of the staff. These aspects could facilitate the development of tasks tailored to the personality and the psychoevolutional time of children with chronic diseases, as well as to the emotional state of families. The qualitative data was organized into four categories: family support; hospital and education; psychopedagogical training and difficulties in practice. The little communication between nurses and teachers is evident. CONCLUSION The data reinforces the need to implement training strategies and interdisciplinary work among health professionals, educators and families.
Hospital admissions due to ambulatory care sensitive conditions among children by age group and health region
Authors: Prezotto Kelly Holanda , Chaves Maria Marta Nolasco , Mathias Thais Aidar de Freitas
Published: March 2015

OBJECTIVE to describe hospital admissions for ambulatory care sensitive conditions in children under five years of age in the State of Paraná, Brazil by condition type, age group and health region. METHOD a temporal ecological study was conducted using data from the Unified Health System Hospital Information System for the period 2000 to 2011. Conditions were grouped in accordance with the list of ambulatory care sensitive conditions in Brazil. RESULTS there was an increase in the rate of admissions for ambulatory care sensitive conditions in all age groups in 50% of the health regions, with a marked increase in children under the age of one. Pneumonia, gastroenteritis and asthma were the main causes of admissions. There was an increase in the proportion of overall admissions accounted for by pneumonia and gastroenteritis. CONCLUSION the increase in admissions reveals the need for actions to improve access to primary healthcare and provide effective treatment of the main ambulatory care sensitive conditions in order to prevent hospital admissions among children.
Construction and validation of nursing diagnoses for individuals with diabetes in specialized care
Authors: Nogueira Luciana Gomes Furtado , Nóbrega Maria Miriam Lima da
Published: March 2015

OBJECTIVE To construct statements of nursing diagnoses related to nursing practice for individuals with diabetes in Specialized Care, on the basis of the Database of Nursing Practice Terms related to diabetes, in the International Classification for Nursing Practice (ICNP®) and in the Theory of Basic Human Needs and to validate them with specialist nurses in the area. METHOD Methodological research, structured into sequential stages of construction, cross-mapping, validation and categorization of nursing diagnoses. RESULTS A list was indicated of 115 statements of diagnostic, including positive, negative and improvement statements; 59 nursing diagnoses present in and 56 nursing diagnoses absent from the ICNP® Version 2011. 66 diagnoses with CVI ≥ 0.50 were validated, being categorized on the basis of human needs. CONCLUSION It was observed that the use of the ICNP® 2011 favored the specifications of the concepts of professional practice in care with individuals with diabetes.
Association between self-reported health and sociodemographic characteristics with cardiovascular diseases in adults
Authors: Arruda Guilherme Oliveira de , Santos Aliny de Lima , Teston Elen Ferraz , Cecilio Hellen Pollyanna Mantelo , Radovanovic Cremilde Aparecida Trindade , Marcon Sonia Silva
Published: March 2015

OBJECTIVE To assess the association of sociodemographic and self-rated health in the presence of cardiovascular diseases and the association of this perception with the type of disease. METHODS A cross-sectional population survey study carried out with 1,232 individuals aged between 20 and 59 years of both genders living in the metropolitan region of Maringá-PR. Data were analyzed using multiple and simple logistic regression. RESULTS In multivariate analysis, the age range and self-rated health were associated with cardiovascular disease, and in the univariate analysis self-rated regular health was associated with arterial hypertension, while self-rated poor health was associated to heart failure, stroke, and to acute myocardial infarction (heart attack). CONCLUSION The differences in association of self-rated health with these diseases can indicate how individuals with certain characteristics cope with the disease, allowing for more individualized and specific health care.
Pharmacotherapy and analysis of gaseous mediators in hypertensive patients
Authors: Eid Letícia Palota , Soriano Renato Nery , Batalhão Marcelo Eduardo , Balderrama Lais Palotta , Carnio Evelin Capellari
Published: March 2015

OBJECTIVE To evaluate the effect of using antihypertensive classes of drugs of the calcium channel antagonists and inhibitors of angiotensin-converting enzyme in plasma concentrations of hydrogen sulfide and nitric oxide in patients with hypertension. METHODS Cross-sectional study with quantitative approach conducted with hypertensive patients in use of antihypertensive classes of drugs: angiotensin-converting enzyme inhibitors or calcium channel antagonists. RESULTS It was found that the concentration of plasma nitric oxide was significantly higher in hypertensive patients that were in use of angiotensin-converting enzyme inhibitors (p<0.03) and the hydrogen sulphide concentration was significantly higher in hypertensive plasma in use of calcium channel antagonists (p<0.002). CONCLUSION The findings suggest that these medications have as additional action mechanism the improvement of endothelial dysfunction by elevate plasma levels of vasodilatory substances.
Analysis of the physical aspects of quality of life of kidney recipients
Authors: Mendonça Ana Elza Oliveira de , Salvetti Marina de Góes , Maia Eulália Maria Chaves , Silva Ana Cristina de Oliveira e , Torres Gilson de Vasconcelos
Published: March 2015

OBJECTIVE To identify the main factors of the physical domain modified after kidney transplantation and analyze the influence of those aspects in the perception of Overall quality of life (QOL). METHOD Longitudinal study, conducted with 63 chronic kidney patients, evaluated before and after kidney transplant, using the quality of life scale proposed by the World Health Organization. RESULTS We observed significant improvement in the physical aspects of QOL after kidney transplantation. Significant correlations were observed between physical aspects and the Overall QOL. CONCLUSION The kidney transplant generated improvement in all physical aspects of QOL. The factors that showed stronger correlation with the Overall QOL before the transplant were the capacity to work and pain. After the transplant, the perception of need for treatment was the factor that showed stronger correlation with the Overall QOL.
Facilitators of the transition process for the self-care of the person with stoma: subsidies for Nursing
Authors: Mota Marina Soares , Gomes Giovana Calcagno , Petuco Vilma Madalosso , Heck Rita Maria , Barros Edaiane Joana Lima , Gomes Vera Lúcia de Oliveira
Published: March 2015

OBJECTIVE To know the facilitating factors of the transition process from dependency to the self-care of people with a stoma. METHOD This is a descriptive study of qualitative approach, including 27 people with permanent stomas due to cancer. The data were collected through semi-structured interviews and submitted to content analysis based on the Transition Theory as theoretical reference. RESULTS The self-care facilitators related to the person were the positive significance of ostomy; the preparation for this experience already in the preoperative period; emotional stability; faith; religiousness; and a sense of normalcy acquired from a next image similar to the previous one. The facilitators related to the community were the following: receiving equipment for free from the government; support from family and the multidisciplinary team, especially the nurses; and having contact with other people with stomata. CONCLUSION The results allow that nurses develop strategies to help people with stomata to resume their self-care.
Contributory factors for the functional independence of oldest old
Authors: Ribeiro Dâmarys Kohlbeck de Melo Neu , Lenardt Maria Helena , Michel Tatiane , Setoguchi Larissa Sayuri , Grden Clóris Regina Blanski , Oliveira Edinaldo Silva de
Published: March 2015

OBJECTIVE To investigate the socioeconomic and clinical factors that contribute to the functional independence of the oldest old of a community. METHOD Cross-sectional quantitative study whose sample consisted of 214 elderly people registered in Basic Health Units. Data were collected through structured interviews and application of the Functional Independence Measure. We used descriptive statistics, and for association of the variables we used the Student t-test, ANOVA and Tukey's test for multiple comparisons. RESULTS The significant variables that contributed to the functional independence were remaining economically active, practicing physical and leisure activities, having a social life, eating fruits, vegetables and meat. The orientation to conduct these practices reduces the demand for care and help needed in everyday activities. CONCLUSION Maintaining independence is primordial to delay disability and presents itself as an excellent field of work for nursing.
Empowering a group of seniors in a rural community
Authors: Machado Ana Rita Marinho , Santos Walterlânia Silva , Dias Flavia Aparecida , Tavares Darlene Mara dos Santos , Munari Denize Bouttelet
Published: March 2015

OBJECTIVE To describe the stages of the empowerment process of a group of seniors in a rural community. METHOD Convergent care research whose foundation is to use the scope of practice. Conducted with the proposal to change the practice of 21 seniors and nine health professionals, with the aim of health promotion empowerment. Data were collected during 22 meetings, and group interviews at the end of the intervention. RESULTS Showed that despite the initial impact of the change, the group was able to welcome the new change, taking advantage of the space to express anxieties, share joys, and build new knowledge, which led to the incorporation of changes that reflected in the development of healthy habits and improvements in interpersonal relationships. CONCLUSION The convergent care research consisted of strategy that changed the group's lives, empowering them with health promoting actions.
Evaluating the intervening factors in patient safety: focusing on hospital nursing staff
Authors: Oliveira Roberta Meneses , Leitao Ilse Maria Tigre de Arruda , Aguiar Leticia Lima , Oliveira Adriana Catarina de Souza , Gazos Dionisia Mateus , Silva Lucilane Maria Sales da , Barros Ariane Alves , Sampaio Renata Lopes
Published: March 2015

OBJECTIVE To evaluate intervening factors in patient safety, focusing on hospital nursing staff. METHOD The study is descriptive, with qualitative approach, excerpt from a larger study with analytical nature. It was undertaken in a public hospital in Fortaleza, CE, Brazil, between January and June 2013, with semi-structured interviews to 70 nurses, using Thematic Content Analysis. RESULTS The principal intervening factors in patient safety related to hospital nursing staff were staff dimensioning and workload, professional qualification and training, team work, being contracted to the institution, turnover and lack of job security, and bad practice/disruptive behaviors. These aspects severely interfere with the establishment of a safety culture in the hospital analyzed. CONCLUSION It is necessary for managers to invest in nursing staff, so that these workers may be valued as fundamental in the promotion of patient safety, making it possible to develop competences for taking decisions with focus on the improvement of quality care.
Evaluation of digital educational studenttechnology interaction in neonatal nursing
Authors: Castro Fernanda Salim Ferreira de , Dias Danielle Monteiro Vilela , Higarashi Ieda Harumi , Scochi Carmen Gracinda Silvan , Fonseca Luciana Mara Monti
Published: March 2015

OBJECTIVE To assess the digital educational technology interface Caring for the sensory environment in the neonatal unit: noise, lighting and handling based on ergonomic criteria. METHODS Descriptive study, in which we used the guidelines and ergonomic criteria established by ISO 9241-11 and an online Likert scale instrument to identify problems and interface qualities. The instrument was built based on Ergolist, which follows the criteria of ISO 9141-11. There were 58 undergraduate study participants from the School of Nursing of Ribeirao Preto, University of Sao Paulo, who attended the classes about neonatal nursing content. RESULTS All items were positively evaluated by more than 70% of the sample. CONCLUSION Educational technology is appropriate according to the ergonomic criteria and can be made available for teaching nursing students.
Perioperative thirst: an analysis from the perspective of the Symptom Management Theory
Authors: Conchon Marilia Ferrari , Nascimento Leonel Alves do , Fonseca Lígia Fahl , Aroni Patrícia
Published: March 2015

A theoretical study aimed to analyze the existing knowledge in the literature on the perioperative thirst symptom from the perspective of Symptom Management Theory, and supplemented with the experience of the study group and thirst research. Thirst is described as a very intense symptom occurring in the perioperative period, and for this reason it cannot be ignored. The Symptom Management Theory is adequate for understanding the thirst symptom and is a deductive theory, focused on the domains of the Person, Environment and Health / Illness Status, as well as on the dimensions of Experience, Management Strategies and Symptom Outcomes. Using the theory leads us to consider perioperative thirst in its multifactorial aspects, analyzing the interrelation of its domains and dimensions in order to draw attention to this symptom that has been insufficiently valued, recorded and treated in clinical practice.
Determination or determinants? A debate based on the Theory on the Social Production of Health
Authors: Rocha Patrícia Rodrigues da , David Helena Maria Scherlowski Leal
Published: March 2015

This article aims to discuss the concepts of Social Determination of Health and Social Determinants of Health, by establishing a comparison between each of their guiding perspectives and investigating their implications on the development of health policies and health actions. We propose a historical and conceptual reflection, highlighting the Theory on the Social Production of Health, followed by a debate on the concepts, with a comparative approach among them.
Strategies for self-management support by patients with stroke: integrative review
Authors: Morais Huana Carolina Cândido , Gonzaga Nathalia Costa , Aquino Priscila de Souza , Araujo Thelma Leite de
Published: March 2015

OBJECTIVE To analyze strategies for self-management support by patients with stroke in the light of the methodology of the five A's (ask, advice, assess, assist and arrange). METHODS Integrative review conducted at the following databases CINAHL, SCOPUS, PubMed, Cochrane and LILACS. RESULTS A total of 43 studies published between 2000 and 2013 comprised the study sample. All proposed actions in the five A's methodology and others were included. We highlight the Assist and Arrange, in which we added actions, especially with regard to the use of technological resources and joint monitoring between patients, families and professionals. No study included all five A's, which suggests that the actions of supported self-management are developed in a fragmented way. CONCLUSION The use of five A's strategy provides guidelines for better management of patients with stroke with lower cost and higher effectiveness.
Scientific Literature on the Reliability and Validity of the Manchester Triage System (MTS) Protocol: A Integrative Literature Review
Authors: Souza Cristiane Chaves de , Araújo Francielli Aparecida , Chianca Tânia Couto Machado
Published: March 2015

OBJECTIVE To analyze the scientific production about the validity and reliability of the Manchester Triage System (MTS) protocol. METHOD A descriptive study of an integrative literature review. Articles on the validity and reliability of the MTS developed with children and adults published between 1999 and 2013 were included. RESULTS 14 articles were selected from a total of 8438, nine of validity and five of reliability. The reliability of the MTS ranged from moderate to almost perfect, with higher intra-evaluation. Regarding validity, the results seem to point to equivalent and satisfactory sensibility and specificity levels of the MTS. The instrument proved to be a good predictor of the need for hospitalization and of hospital mortality. CONCLUSION The reliability and validity of the MTS obtained in the studies is varied. It is recommended that new studies indicate necessary modifications to the MTS so that it is more safely used by nurses.
Effectiveness of Enteral Nutritional Therapy in the Healing Process of Pressure Ulcers: A Systematic Review
Authors: Blanc Gisely , Meier Marineli Joaquim , Stocco Janislei Giseli Dorociaki , Roehrs Hellen , Crozeta Karla , Barbosa Dulce Aparecida
Published: March 2015

OBJECTIVE To evaluate the effectiveness of enteral nutritional therapy (ENT) in the healing process of pressure ulcers (PU) in adults and the elderly. METHOD A systematic review whose studies were identified through the databases of Cochrane, MEDLINE/PubMed, SciELO, LILACS, EMBASE, CINAHL, Web of Science, and manual searches. It included randomized clinical trials (RCTs) without delimiting the period or language of publication, which addressed adults and elderly patients with pressure ulcers in a comparative treatment of enteral nutritional therapy and placebo or between enteral nutritional therapy with different compositions and dosages. RESULTS We included ten studies that considered different interventions. It resulted in more pressure ulcers healed in the groups that received the intervention. The included studies were heterogeneous with regard to patients, the type of intervention, the sample and the follow-up period, all of which made meta-analysis impossible. CONCLUSION Although the enteral nutritional therapy demonstrates a promotion of pressure ulcer healing, sufficient evidence to confirm the hypothesis was not found.
Trauma in the elderly caused by traffic accident: integrative review
Authors: Santos Ana Maria Ribeiro dos , Rodrigues Rosalina Aparecida Partezani , Diniz Marina Aleixo
Published: March 2015

OBJECTIVE To describe the scientific knowledge produced about trauma in the elderly caused by traffic accidents in healthcare area studies. METHODS Integrative review of studies from 2003 to 2013 searched in LILACS, SciELO, PubMed and CINHAL databases. We used combination of the descriptors injuries, wounds and accidents, in English, Portuguese and Spanish languages. RESULTS 32 studies were selected. In the thematic analysis, three categories emerged: epidemiological data from traffic accidents involving elderly; traffic accidents with elderly pedestrians; and trauma care in the elderly. We observed increased incidence of trauma in most countries and pedestrians represented a large part of the victims. Among these, the elderly are the most vulnerable group. CONCLUSION Studies showed that trauma care in the elderly need protocols and professionals with training in gerontology specialized in trauma care services.
Rawcliffe Bridge flood defence improvements scheme
Authors: Adams Dan , Quincey Katie , Daykin Adam
Published: March 2015

The £1·6 million Rawcliffe Bridge project forms part of the Environment Agency’s Flood Protection Project between the Aire and Calder Canal and the Dutch River in Yorkshire. The unique Trenchmix system has been successfully used to construct a 2·2-km-long and 3- to 6·5-m-deep low permeability cut-off barrier as part of the flood defence upgrade works. Atkins identified the potential for this technique at the site with Bachy Soletanche Limited joining the project team to offer specialist design and construction expertise for the Trenchmix solution. This collaborative approach helped to refine the specification and optimise the design, which ensured that the complex ground conditions and hydrogeological risks were managed effectively. This paper describes the Trenchmix process and presents the key components of the scheme: understanding the geology of the site and the complex ground and groundwater conditions; selection of an appropriate solution to address the risk of uplift and piping failure; the binder dosage trials in order to determine the cementitious contents required to achieve the required permeability and strength; and the quality assurance testing required to demonstrate compliance with the end-product specification.
Быстрое обращение матрицы индуктивностей
Authors: Кочнев Антон Вадимович , Савёлов Николай Семёнович
Published: March 2015

Предлагается новый метод обращения матриц индуктивностей и других симметричных матриц, основанный на новой модификации метода исключения Гаусса для решения систем линейных алгебраических уравнений. Для указанной модификации сформулированы две леммы, которые стали основой двух вариантов предлагаемого метода обращения симметричных матриц. Один из этих вариантов выполняется в два этапа, а другой – в один этап. Оба варианта предлагаемого метода предполагают использование при обращении симметричных матриц только нижних треугольных матриц, что обеспечивает практически двукратную экономию машинной памяти. Выполнено сравнение предлагаемого метода как с классическими методами обращения симметричных матриц, так и с новейшим методом Кришнамурти – Менона. Существенным преимуществом предлагаемого метода является тот факт, что он не использует операцию извлечения квадратного корня, что значительно сокращает затраты машинного времени. Приведены результаты численных экспериментов, которые подтверждают, что предложенный метод обеспечивает сокращение общего числа арифметических операций и операций извлечения квадратного корня и затрат машинного времени в сравнении как с классическими методами, так и с методом Кришнамурти – Менона.
The Connection between Self concept (Actual self Congruence & Ideal Self congruence) on Brand Preferences
Authors: Upamannyu Nischay Kumar , Mathur Garima , Bhakar S.S
Published: March 2015

Self concept has been a very important concept in consumer behavior and it gives the central idea to the Marketing people in the market place, Academician and business student to understand the bases to evaluate the self concept. The extensive previous research work gave very important conceptual answer to implement new marketing strategy. A different class of  customer can be shot in the marketplace. These are the customers who buy product while evaluating the product self-image, product/brand image and their congruity and then they set their minds to buy the products in the market. The purpose of the research is to explore the self concept dimensions to examine the self congruity relationship with brand preference. Relationships between constructs (actual self congruity, ideal self congruity and brand preference) were hypothesized and data were collected through survey Method. The perceptions of 400 respondents about their self congruity with brand preference were obtained for two types of product usage (‘Mobile phone’ as conspicuous and ‘Bathing soaps’ as inconspicuous) with Seven brands in each type. The moderating role of ‘type of product usage (Conspicuous and inconspicuous)’ was examined in the relationship between actual/ideal self congruity and brand preference.
Challenges Facing Information Systems Security Management in Higher Learning Institutions: A Case Study of the Catholic University of Eastern Africa - Kenya
Authors: Okibo Bichanga Walter , Ochiche Obara Brigit
Published: March 2015

With the popularity of internet applications, many organizations are facing unprecedented security challenges. Security techniques and management tools have caught a lot of attention from both academia and practitioners. However, there is lacking a theoretical framework for the challenges facing information security management in higher learning institutions. Thus this research looked into the challenges facing information systems security management in higher learning institutions. The study was guided by understanding the major challenges facing Information Systems Security Management and establishing the extent of the use of Information Systems Security Management in higher learning institutions. The study used descriptive survey design. It targeted information systems projects managers, administrators or top management and other users (staff) of the systems in key departments. Systematic sampling strategy was used. Descriptive statistics of SPSS were used to analyze the data. Factor analysis technique was used to identify the major challenges that affect management of an institution’s information system security. Pearson’s Chi-Square was used to test the relationships that exist between the categorical variables. The study found out that system vulnerability, computer crime and abuse, environmental security and financial backing/security are key challenges institutions of higher learning are experiencing in the management of their information systems. The study recommends the implementation of new policies and procedures to guide information system security. Programs for monitoring and evaluating information systems security in relation to performance indicators should be put in place. Institutions should invest heavily in developing their staff through training programmes such as seminars, workshops and conferences to further develop staff skills and abilities on information systems security issues.
Measuring the Effectiveness of Online Advertising: The Tunisian Context
Authors: Khalifa Ali Haj
Published: March 2015

The development of the Internet tool was accompanied by a business turnaround which has deep effects on the rules of marketing and particularly company-customers relationships. The graphical interface that the Web can create between the company and its customers promotes its use as a medium of marketing communication. The advantages of e-communication are endless for companies, including timeliness, cost and interactivity. However, users are daily confronted with large masses of information which may affect the issue of effectiveness of this communication form. Therefore, it is necessary to know whether the information transmitted is accessed and if it achieves the objectives associated with it. In other words, to what extent the internet communication is effective. In this research, efficiency is studied through two indicators: the advertising memorization and the click on the pop-up advertising. The empirical study was conducted on a sample of 200 Internet users. The statistical analysis used is descriptive analysis and logistic regression. The main empirical results show that memory is largely affected by the location in the screen, size and animated banner advertising. As for the "click", it’s related to the colors used in the banner, size and clarity of the message.