RESUMO:Exigências de produtividade e qualidade ampliam os requisitos de qualificação dos trabalhadores tornando cada vez mais generalizada a implantação de modelos de formação e gestão baseados em competências profissionais, especialmente no Serviço de Atendimento Pré-Hospitalar Móvel. Esta pesquisa objetivou caracterizar o gerenciamento do enfermeiro neste serviço de acordo com a visão dos profissionais da equipe enfermagem. Trata-se de estudo exploratório, qualitativo, realizado em um município do interior de Minas Gerais. Foi utilizada entrevista semi estruturada com três enfermeiros e seis auxiliares de enfermagem e para a interpretação dos dados foi aplicada Análise Temática de Conteúdo. Os aspectos técnicos destacaram-se dentre os temas, associando o gerenciamento ao controle/ fiscalização das atividades. Evidenciou-se uma relação à distância entre equipe e supervisor, bem como a carência de educação em serviço. Espera-se que através da transformação da prática do gerenciamento de enfermagem neste serviço, ocorra aumento no conhecimento técnico-científico e melhora na qualidade da assistência. DESCRITORES:Enfermagem. Gerenciamento. Socorro de urgência. Supervisão. EMERGENCY MEDICAL SERVICE NURSING STAFF PERCEPTIONS ABOUT NURSING MANAGEMENTABSTRACT: Demands for quality and efficiency increase worker qualification requirements, generalizing more and more the implementation of management models based on professional competence, especially in Emergency Medical Services. This study aimed to characterize nursing management in this service according to the nursing team professionals' perceptions. It is an exploratory, qualitative study carried out in a city in the interior of the Brazilian state of Minas Gerais. Semi-structured interviews among three nurses and six nursing assistants were used for data collection and Thematic Content Analysis was applied in data analysis. Technical aspects were highlighted from data analysis, associating management to control and surveillance of professional activities. A distant relationship between team and supervisor and a lack of continued education was evidenced. It is expected that a change in the nursing management practices for this service enables an increase in the technical-scientific knowledge and thus improves the quality of care. DESCRIPTORS:Nursing. Management. Emergency relief. Supervision. LA PERCEPCIÓN DEL EQUIPO DE ENFERMERÍA DE UN SERVICIO DE ATENCIÓN HOSPITALARIA MÓVIL SOBRE LA GESTIÓN EN ENFERMERÍARESUMEN: Las exigencias de productividad y calidad aumentan los requisitos de calificación de los trabajadores y la implementación de modelos de formación y de gestión basados en competencias, especialmente en el Servicio de Atención Hospitalaria Móvil. El objetivo del presente estudio fue caracterizar la administración del enfermero en este servicio según la visión de los profesionales de enfermería. Es una investigación exploratoria, cualitativa, realizada en municipio del estado de Minas Gerais. Se hicieron entrevistas semiestructuradas con tres enfermeras licen...

The objective of this study was to evaluate the perception of the elderly residents of a long-stay nursing home on the process of institutionalization. We interviewed 14 subjects, five women and nine men, aged between 60 and 92 years. Data collection was conducted with a semi-structured sociodemographic interview, which presented the guiding question: “Tell me about how is your life, what do you do and how did you come to live here”. From the analysis, we found topics related to feelings of abandonment, loneliness, anger, ingratitude, living with chronic pain, satisfaction of property in the nursing home, productivity and social relationship. Given the thematic analysis, it was possible to group them into three categories such as: what the elderly feel, what the elderly perceive and what the elderly desire. As a result, we need public policies that addresses to the service provided by institutions regarding elderly expectations.

Objective: to estimate the prevalence of the probability of common mental disorders among abusers of alcohol and other drugs.Method: a cross-sectional study. The sample was made up of 234 individuals undergoing treatment and rehabilitation for chemical dependence in private clinics and in a Psychosocial Care Center in the Southeast area of the state of Goiás, Brazil. Instruments on sociodemographic profile, use of licit and/or illicit drugs, and a questionnaire that tracks common mental suffering were applied.Results: the outcome variable was the probability of common mental disorder, with 37.2% of the total of the sample. Association between the probability of common mental disorders and the female gender (odds ratio=4.06; 95% CI 1.56-10.56), age ≤25 years old (odds ratio=3.00; 95% CCI 1.41-6.38), and use of marijuana in life (odds ratio=2.83; 95% CI 1.38-5.78) were found. Conclusion: the study showed an association between the use and abuse of drugs and risk for common mental disorders. DESCRIPTORS:Substance-related disorders. Psychiatric nursing. Prevalence. Mental disorders. TRANSTORNO MENTAL COMUM ENTRE INDIVÍDUOS QUE ABUSAM DE ÁLCOOL E DROGAS: ESTUDO TRANSVERSAL RESUMOObjetivo: estimar a prevalência da probabilidade de transtorno mental comum entre indivíduos que abusam de álcool e outras drogas.Método: estudo transversal. A amostra constituiu-se de 234 indivíduos em tratamento e reabilitação de dependência química em clínicas e em um Centro de Atenção Psicossocial na região sudeste do Estado de Goiás. Foram aplicados instrumentos sobre perfil sociodemográfico, consumo de drogas lícitas e/ou ilícitas, e o questionário que rastreia sofrimento mental comum.Resultados: a variável desfecho foi a probabilidade de transtorno mental comum, com 37,2% do total da amostra. Houve associação da probabilidade para transtorno mental comum com sexo feminino (odds ratio=4,06; IC95% 1,56-10,56), idade ≤25 anos (odds ratio=3,00; IC95% 1,41-6,38) e uso de maconha na vida (odds ratio=2,83; IC95% 1,38-5,78).Conclusão: o estudo revelou a associação entre uso e abuso de drogas com o risco para transtorno mental comum. DESCRITORES:Transtornos relacionados ao uso de substâncias. Enfermagem psiquiátrica. Prevalência. Transtornos mentais.http://dx.doi.org/10.1590/0104-07072017004480015Texto Contexto Enferm, 2017; 26(1):e4480015Lucchese R, Silva PCD, Denardi TC, Felipe RL, Vera I, Castro PA, et al. 2/7 TRASTORNO MENTAL COMÚN ENTRE PERSONAS QUE ABUSAN DE ALCOHOL Y DROGAS: ESTUDIO TRASVERSAL RESUMENObjetivo: estimar la prevalencia de probabilidad de trastorno mental común entre sujetos que abusan de alcohol y otras substancias.Metodo: estudio trasversal. La muestra se constituyó de 234 sujetos en tratamiento y rehabilitación por la dependencia química en clínicas y en un Centro de Atención Psicosocial en la región sudeste del Estado de Goiás, en Brasil. Fueron aplicados instrumentos sobre el perfil sociodemográfico, el consumo de drogas lícitas y/o ilícitas y el cuestionario que rastrea el sufrimiento mental común.Resultados: l...

Resumo Objetivo Descrever o estado da arte da formação do enfermeiro em instituições públicas brasileiras de ensino superior no que se refere ao cuidado ao idoso Métodos Pesquisa documental, descritiva e de abordagem qualitativa, com dados da plataforma do Ministério da Educação de julho de 2017. Foram levantadas informações dos cursos presenciais de graduação em enfermagem das universidades públicas, seguindo três fases de acesso e coleta dos dados: identificação, seleção e elegibilidade. Houve análise descritiva de caracterização e Análise Temática Indutiva qualitativa, utilizando o Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ). O projeto seguiu as normativas éticas vigentes da Resolução 510/2016 do Conselho Nacional de Saúde. Resultados As 87 universidades selecionadas ofertavam 154 cursos de graduação em enfermagem, a maioria na Região Nordeste. Do total de cursos, 69 (44,8%) apresentavam disciplinas mistas (que abordavam o cuidado ao idoso) e 53 (34,4%) específicas de saúde do idoso. Nos conteúdos das ementas, os termos mais utilizados na construção da nuvem de palavras foram: saúde (162), idoso (154), enfermagem (113), adulto (81), assistência (72), processo (69) e atenção (52). Na análise de similitude, verificaram-se três principais eixos organizadores das disciplinas voltadas a essa temática: saúde, enfermagem e idoso. Conclusão O ensino da enfermagem precisa estar alinhado às políticas públicas vigentes e ser coerente com o modelo de atenção à saúde proposto. Portanto, é fundamental que a formação ofertada seja condizente com as atuais demandas do mercado de trabalho.

Objective:to synthesize the knowledge about the association of frailty syndrome and cognitive impairment in older adults.Method:the Joanna Briggs Institute’s systematic review of etiology and risk factors was adopted. The search for the studies was conducted by two independent reviewers in the databases MEDLINE, Embase, CINAHL and LILACS and by manual search was performed by tow reviewers independently. The measures of association Odds Ratio and Relative Risk were used in the meta-analysis. The software R version 3.4.3 and the meta-analysis package Metafor 2.0 were used for figure analysis.Results:three studies identified the association of frailty syndrome and cognitive impairment through Odds Ratio values show that frail older adults are 1.4 times more likely to present cognitive impairment than non-frail older adults. Four studies analyzed the association through the measure of Relative Risk and found no statistical significance, and four studies used mean values.Conclusion:despite of the methodological differences of the studies and the lack of definition of an exact proportion in the cause and effect relationship, most studies indicate Frailty Syndrome as a trigger for Cognitive decline.

Processo gerencial em centro cirúrgico sob a ótica de enfermeiros Management process in surgicenters from the perspective of nurses Proceso de gestión en el quirófano bajo la óptica de enfermeros

Factors associated with the probability of common mental disorders in pregnant women: a cross-sectional study AbstrActObjective: To estimate the prevalence of probability of common mental disorders in pregnant women and associated factors. Methods:A cross-sectional study with a quantitative and descriptive approach was performed with 330 pregnant women enrolled in a Women's Health Service located in Mid-West Brazil. Data were obtained through a questionnaire about socio-demographic characteristics and family or personal history. The Self-Reporting Questionnaire and Poisson regression were applied to screen for common mental disorders, aiming to identify factors associated with it. Results: The prevalence of probability of common mental disorders among pregnant women was 57.1% and it was associated with marital status, gestational age, unplanned pregnancy and bleeding. Conclusion: The prevalence of pregnant women likely to have common mental disorders and the average Self-Reporting Questionnaire score estimated in this study were higher than those found in other studies with samples from the general population.

Objective: To synthesize the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy aging. Method: A systematic review, based on the Joanna Briggs Institute’s proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases. Results: Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centered on the elderly and the inclusion of the elderly, family and nurses as agents of this care. Conclusion: According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganization, so that they are indeed comprehensive and contextualized. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favoring a process of healthy and active aging.