Objective to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic. Method qualitative study, using a semi-structured electronic form applied to nursing workers from pediatric services in the state of Rio de Janeiro, Brazil. Data were submitted to lexicographic analysis using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires, Word Cloud technique, and Similitude Analysis. Results different challenges concerning the COVID-19 pandemic were reported, including the need to promote comprehensive and quality care while being concerned with protecting oneself and others, with an emphasis on fear. A lack of protective equipment, training, diagnostic tests, and knowledge/information concerning the disease was also reported, in addition to a reduced number of nursing workers and a lack of appreciation for the profession. Conclusion managerial guidelines need to be adopted for properly allocating human and material resources in the health field, including the pediatric services, in addition to providing training on standard precautions. Actions to encourage, value, motivate, and support the nursing staff are needed during and after the pandemic to protect the physical and mental health of these professionals.

RESUMOObjetivo: analisar o uso de estratégias lúdicas no cuidado à criança hospitalizada na perspectiva da equipe de Enfermagem. Método: trata-se de um estudo qualitativo, descritivo, no setor da Pediatria de um hospital municipal, por meio de entrevistas semiestruturadas com 15 profissionais de enfermagem, cujos dados foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: entende-se que as estratégias lúdicas são compreendidas majoritariamente como uma forma de entreter/distrair as crianças hospitalizadas. Utilizam-se materiais hospitalares, brincadeiras, desenhos, conversa/amizade, vestimentas diferenciadas e contação de histórias, especialmente, durante os cuidados procedimentais. Identificam-se, contudo, fatores limitantes do uso dessas estratégias lúdicas no cuidado à criança, como a escassez de recursos/materiais/investimentos, o medo das crianças em relação aos profissionais e aos procedimentos, a falta de tempo e a presença dos familiares. Conclusão: avalia-se que os fatores limitantes precisam ser superados para a garantia do atendimento integral às crianças hospitalizadas, considerando que o brincar é um direito garantido legalmente, além de contribuir para a recuperação mais prazerosa e para o pleno desenvolvimento infantil. Descritores: Saúde da Criança; Criança Hospitalizada; Enfermagem; Enfermagem Pediátrica; Jogos e Brinquedos; Cuidado de Enfermagem. ABSTRACT Objective: to analyze the use of play strategies in hospitalized child care from the perspective of the Nursing team. Method: this is a qualitative, descriptive study in the pediatrics sector of a municipal hospital, through semi-structured interviews with 15 nursing professionals, whose data were submitted to the Content Analysis technique in the Thematic Analysis modality. Results: it is understood that play strategies are understood mainly as a way to entertain/distract hospitalized children. Hospital materials, games, drawings, conversation/friendship, differentiated clothing and storytelling are used, especially during procedural care. However, there are limitations to the use of these play strategies in child care, such as scarce resources/materials/investments, children's fear of professionals and procedures, lack of time and the presence of family members. Conclusion: it is estimated that the limiting factors need to be overcome to guarantee the integral care of hospitalized children, considering that playing is a legally guaranteed right, as well as contributing to a more pleasant recovery and to the full development of children. Descriptors: Child Health; Hospitalized Child; Nursing; Pediatric Nursing; Games and Toys; Nursing Care. RESUMEN Objetivo: analizar el uso de estrategias lúdicas en el cuidado al niño hospitalizado en la perspectiva del equipo de Enfermería. Método: se trata de un estudio cualitativo, descriptivo, en el sector de la Pediatría de un hospital municipal, por medio de entrevistas semiestructuradas con 15 profesionales de enfermería, cuyos datos fueron sometidos a la técnica de Análisis de Contenido, en la modalidad Análisis Temático. Resultados: se entiende que las estrategias lúdicas son comprendidas mayoritariamente como una forma de entretene/distraer a los niños hospitalizados. Se utilizan materiales hospitalarios, juegos, dibujos, conversación/amistad, vestimentas diferenciadas y cuenta de historias, especialmente, durante los cuidados procedimentales. Se identifican, sin embargo, factores limitantes del uso de esas estrategias lúdicas en el cuidado al niño, como la escasez de recursos / materiales / inversiones, el miedo de los niños hacia los profesionales y los procedimientos, la falta de tiempo y la presencia de los familiares. Conclusión: se evalúa que los factores limitantes necesitan ser superados para la garantía de la atención integral a los niños hospitalizados, considerando que el jugar es un derecho garantizado legalmente, además de contribuir para la recuperación más placentera y para el pleno desarrollo infantil. Descriptores: Salud del Niño; Niño Hospitalizado; Enfermería; Enfermería Pediátrica; Juego e Implementos de Juego; Atención de Enfermería.

Objective: To analyse the social representations of the professional autonomy of nurses and nursing for non-nursing health professionals. Methods: This is a qualitative study based on the theory of social representations. Fifty-three non-nursing professionals of a municipal hospital participated in this study. Data were collected between March and April 2015, from hierarchical free evocations using the inductor terms, "professional autonomy of nurses" and "nursing". The data were analysed using EVOC 2003. Results:The most likely core of the social representation of professional autonomy were the terms care, team, and responsibility. Moreover, the likely core of nursing comprises the elements care, team, responsibility, and work. Conclusions:The professional autonomy of nurses and nursing consists of fairly close objects of representation in the studied group, which makes them non-autonomous representations that are still sensitive to the incorporation of new elements. Keywords:Nursing. Nurses. Professional autonomy. Psychology, social. RESUMO Objetivo: Analisar as representações sociais da autonomia profissional do enfermeiro e da enfermagem para profissionais de saúde não enfermeiros.Métodos: Estudo qualitativo delineado pela abordagem estrutural das representações sociais. Participaram 53 profissionais de saúde não enfermeiros de um hospital municipal. A coleta de dados foi realizada de março a abril de 2015 e se deu através de evocações livres hierarquizadas, utilizando os termos indutores "autonomia profissional do enfermeiro" e, em seguida, "enfermagem". A análise de dados foi realizada pelo software EVOC 2003. Resultados:Figuraram como provável núcleo central da representação social da autonomia profissional os termos cuidado, equipe e responsabilidade. Por seu turno, o provável núcleo central da representação da enfermagem é composto pelos elementos cuidado, equipe, responsabilidade e trabalho. Conclusões:A autonomia profissional do enfermeiro e a enfermagem consistem em objetos de representação bastante próximos entre si para o grupo investigado, e, por isso, trata-se de representações não autônomas, ainda sensíveis à incorporação de novos elementos. Palavras-chave:Enfermagem. Enfermeiras e Enfermeiros. Autonomia profissional. Psicologia social. RESUMEN Objetivo: Analizar las representaciones de la autonomía profesional de las enfermeras y de enfermería para profesionales de la salud no-enfermeros.Métodos: estudio cualitativo descrito por el enfoque estructural de la Representación Social. Participaron 53 profesionales de salud no-enfermeros, de un hospital municipal. La recolección de datos se llevó a cabo a través de evocaciones libres con los términos inductores "autonomía profesional del enfermero" y "enfermería", entre marzo y abril de 2015. El análisis de datos fue realizado por el software EVOC 2003.Resultados: Calculada la base probable de la representación de la autonomía profesional en términos, cuidado de equipo y responsabilidad. Por su parte, el núcleo probable de enfermería se compo...

This exploratory, qualitative, descriptive study examined the social representations of nurses' professional autonomy held by non-nursing health personnel at a public hospital in the Lakes Region of Rio de Janeiro State in 2015. On an approach structured by Social Representations Theory and Method, 53 health professionals responded to a free evocation form by verbalizing the first 5 words suggested them by the stimulus-term nurses' professional autonomy. EVOC 2003 software was used. The probable central core of the representation comprised the evocations care, team and responsibility, which expressed strongly image-rich and evaluative dimensions. Most of the subjects acknowledged that nurses have professional autonomy. It was concluded that the group's position is essentially favorable to the object represented. But the shortage of affective and practical dimensions reveals that this representation is still in the process of consolidation. Keywords: Professional autonomy; nursing; nurses; psychology, social. RESUMEN: Estudio cuyo objetivo fue analizar las representaciones sociales de la autonomía profesional del enfermero para profesionales de salud no enfermeros en un hospital público en la Região dos Lagos, en Río de Janeiro. Se trata de un estudio descriptivo, cualitativo, exploratorio, realizado en 2015 bajo un abordaje estructural de la Teoría y el Método de las Representaciones Sociales junto a 53 profesionales de salud que respondieron al formulario de evocaciones libres, verbalizando las primeras cinco palabras que les surgieran a partir del término inductor 'autonomía profesional del enfermero'. Para ese análisis, se ha utilizado el software EVOC 2003. Han compuesto el probable núcleo central de la representación las evocaciones de cuidado, equipo y responsabilidad, las que expresan fuertes dimensiones de imágenes y evaluaciones. La mayoría de los individuos reconoció la existencia de la autonomía profesional del enfermero. Se concluye que hay, esencialmente, una posición favorable del grupo en cuanto al objeto de representación. Sin embargo, la escasez de dimensiones afectiva y práctica revela que se trata de una representación aún en proceso de consolidación. Palabras Clave: Autonomía profesional; enfermería; enfermeras; psicología social. Representações sociais da autonomia profissional do enfermeiro para profissionais de saúde não enfermeiros IntroduçãoNa enfermagem, a autonomia profissional representa um tema complexo, cuja necessidade de exploração mais detalhada advém da configuração atual do trabalho do enfermeiro no âmbito hospitalar, que, progressivamente, tem ganhado novos contornos, novas demandas, dificuldades e tecnologias, mas que, por vezes, sustenta práticas ainda centradas no modelo biomédico [1][2][3][4][5] .

Objective:to compare the social representations of professional nurse autonomy produced by first and last-period undergraduate nursing students. Method:qualitative, descriptive and exploratory study, based on the structural approach of social representations, the Central Core Theory, carried out with 171 students from three federal public universities, using the free association technique on the object “professional nurse autonomy”. The data were submitted to EVOC 2005 software and to similarity analysis. Results:care was the central core of the representational structure identified among the students of the first period. Among last-period students, knowledge stood out as a core element. The term responsibility was identified as common to both central cores. Conclusion:regarding professional autonomy, the results point to an overlapping process of the reified and consensual universes during the undergraduate course. However, responsibility, inherent in the profession, remains cross-sectional. For the first period students, autonomy is resignified in a practical and attitudinal way, whereas for the last period students, the knowledge acquired stimulates them to assign meaning to professional autonomy with a cognitive and attitudinal representation. The data can support the use of innovative teaching practices in nursing undergraduate courses.

Objective: to describe the epidemiological profile of farmworkers exposed to pesticides in the city of Casimiro de Abreu, Rio de Janeiro State. Method: cross-sectional study, conducted through a questionnaire. The collected data were typed in spreadsheet and processed in the R software. Results: the predominance of female participants, between 40 and 60 years old, married, with some elementary education was observed. Furthermore, the family labor and the production for their own consumption and trade prevail. Herbicide is the most widely used pesticide. Most informants present poisoning symptoms, as they do not use Personal Protective Equipment nor sunscreen. Breast cancer is the most frequent in families; among the participants, 31% had hypertension and 6.4% diabetes. Conclusion: a population vulnerable to environmental and occupational risks, specially the middle-aged group and women, sets up a profile marked by regional differences.

Objectives: to translate and culturally adapt the Infant Feeding Intentions Scale for pregnant women in Brazil. Methods: methodological study that included stages of translation, synthesis, face and content validation, back translation and semantic assessment. In the face and content and semantic validation stages, we used the Content Validity Index for individual items and for the overall scale for clarity and representativeness. Results: nine (100.0%) experts participated in face and content validation, and the average index obtained was 85.0% for representativeness. In the semantic assessment, performed with 31 (100.0%) pregnant women, the tool was considered clear, obtaining an average index of 91.0%. Conclusions: the Brazilian version of the scale was considered representative and clear. After assessing psychometric properties, the scale is expected to be valid and reliable to assess maternal intention to breastfeed exclusively until the infant’s six months of life in different Brazilian settings.

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