ResumoEnquadramento: A sistematização da assistência de enfermagem (SAE) é uma metodologia com sólida estrutura teórica e científica, para planear, organizar e sistematizar os cuidados. Objetivos: Conhecer os significados da SAE sob a ótica dos enfermeiros de uma instituição hospitalar da cidade de Itajubá, Minas Gerais -Brasil. Metodologia: Estudo de abordagem qualitativa, do tipo exploratório e descritivo. Amostra intencional de 30 enfermeiros. Para a análise dos dados, utilizou-se o método do discurso do sujeito coletivo. Resultados: Do tema, significados da SAE, emergiram as seguintes representações sociais: estratégia que norteia o cuidado; atividade exclusiva do enfermeiro; e é algo que não funciona na prática. Conclusão: Apesar da SAE ser amplamente discutida no âmbito da formação e exercício profissional, ainda existe a representação de ser um procedimento desacreditado na sua prática, embora seja reconhecida como norteadora dos cuidados e exclusiva do enfermeiro. Palavras-chave: enfermagem; metodologia; cuidados de enfermagem AbstractBackground: Nursing care systematization (NCS) is a methodology based on a solid theoretical and scientific framework that allows planning, organizing, and systematizing care. Objectives: To identify the meanings that nurses assign to NCS in a hospital located in the city of Itajubá, Minas Gerais -Brazil. Methodology: This was an exploratory and descriptive study with a qualitative approach using a purposive sample of 30 nurses. Data were analyzed using the discourse of the collective subject method. Results: The following central ideas emerged as meanings assigned to NCS: it is a care guiding strategy; it is an activity that is carried out exclusively by nurses; and it does not work in practice. Conclusion: Although NCS is a widely discussed topic in professional training and practice, its implementation in clinical practice is still questioned. However, NCS is recognized as a care guiding strategy and a nursing activity.

RESUMO: O objetivo deste estudo foi identificar a prevalência de aleitamento materno exclusivo entre profissionais de saúde em hospital credenciado como Amigo da Criança e as variáveis de risco para a não adesão ao aleitamento materno exclusivo. Estudo transversal realizado entre janeiro e junho de 2014, com EXCLUSIVE BREASTFEEDING PRACTICES AMONG HEALTH PROFESSIONALS OF A BABY FRIENDLY ACCREDITED HOSPITALABSTRACT: The present study aimed to identify the prevalence of exclusive breastfeeding among health professionals of a baby friendly accredited hospital and the risk variables for non-adherence to exclusive breastfeeding. Cross-sectional study carried out between January and June 2014, with 53 health professionals who had babies at the time they were working at a hospital in the state of Maranhão. Data was collected with the use of a structured questionnaire. Of these, 15 (2.83%) sustained exclusive breastfeeding for the first six months of their infants' lives. Breastfeeding was facilitated by the following factors: rooming-in facilities (n = 45/84.9%), support to breastfeeding provided by health professionals, friends or relatives (n = 43/81.1%). In turn, breastfeeding was complicated by the following factors: nipple trauma (n = 22/41.5%), pain (n = 20/37.7%), mastitis (n = 11/20.7%), formula milk, babies were given water (n = six /11.3%) and teas (n = four/7.5%). The fact that the lactating women performed their activities at a Baby Friendly Accredited Hospital did not have a positive influence on the duration of exclusive breastfeeding. DESCRIPTORS: Breastfeeding; prevalence; Health staff; Cross-sectional studies; Hospitals. El objetivo del estudio fue identificar la prevalencia de lactancia materna exclusiva entre profesionales de salud en hospital caracterizado como Amigo del Niño, y variables de riesgo de no adhesión a la lactancia materna exclusiva. Estudio transversal realizado entre enero y junio de 2014, con 53 profesionales de salud que tuvieron hijos mientras trabajaban en hospital del interior de Maranhão. Datos recolectados mediante instrumento estructurado. Practicaron lactancia materna exclusiva, hasta el sexto mes, 15 (28,3%) profesionales. Facilitaron la lactancia el alojamiento conjunto (n=45/ 84,9%), apoyo para amamantar de profesionales de salud, amigos o familiares (n=43/ 81,1%). Dificultaron la lactancia materna fisuras del pezón (n=22/ 41,5%), dolor (n=20/ 37,7%), mastitis (n=11/ 20,7%), ingesta de leches industrializadas (n=9 /17%), agua (n=6/ 11,3%) y tés (n=4/ 7,5%). El hecho de tratarse de profesionales trabajadoras en hospital "Amigo del Niño" no influyó positivamente en el tiempo de lactancia materna exclusiva.

Resumo Objetivo Analisar o protagonismo de adolescentes escolares na prevenção de doenças sexualmente transmissíveis. Métodos Estudo qualitativo do tipo pesquisa-ação desenvolvido com dez adolescentes, com idade entre 15 e 16 anos, de uma escola pública. Os dados foram coletados em grupos focais, entrevistas e observação e analisados na técnica de análise do discurso. Resultados Os depoimentos revelaram que os adolescentes protagonizaram suas participações no planejamento da intervenção educativa, definindo e organizando o espaço educativo escolar, e confeccionando materiais e temas a serem utilizados nas ações de prevenção às doenças sexualmente transmissíveis, gerando um sentimento de domínio sobre o assunto. Conclusão Os participantes do estudo apresentaram protagonismo na elaboração de atividades de prevenção de doenças sexualmente transmissíveis no ambiente escolar.

The objective of the present study was to analyze the correlation between anthropometric indicators and blood pressure of adolescents from Imperatriz, state of Maranhão, Brazil. It is a quantitative cross-sectional study, developed between September and November of 2012 with 218 students. We used a questionnaire to collect data regarding identification, anthropometrics, and systolic and diastolic blood pressure. Considering blood pressure, we found that 4.6%, 2.4% and 1.3% of the sample were included in the borderline, stage 1 and stage 2 hypertension categories, respectively. Among female participants, body adiposity index and skinfold presented higher mean values than those of their male counterparts. Furthermore, we observed a positive correlation between systolic blood pressure and height (r=0.18), weight (r=0.20) and waist circumference (r=0.17), and a negative correlation between diastolic blood pressure and body adiposity index (r=-0.18). The measures of neck and waist circumference were the only anthropometric measures with positive and simultaneous correlations with systolic blood pressure for both genders.

Objectives: To identify how breastfeeding of children with microcephaly occurs due to congenital Zika syndrome. Methodology: Cross-sectional study, conducted between February and August 2017, with 40 mothers of children with microcephaly treated in a public maternity hospital in the interior of northeastern Brazil. Data collected from a structured instrument, analyzed descriptively. Results: 47.5% of the mothers breastfed their children in the first hour of life, 65% had no difficulties to breastfeed. Gestational age ranged from <37 to >40 weeks, head circumference averaged 31.25 centimeters. The time of diagnosis of microcephaly in 72.5% of the babies was postpartum. There were no statistically significant associations between breastfeeding problems, types of breastfeeding, maternal age and cephalic perimerate of children with microcephaly. Conclusion: Most children with microcephaly due to congenital Zika syndrome were breastfed in the first hour of life. The mothers of these children mentioned as difficulties in breastfeeding, mastitis, nipple fissure and incorrect catch.

Objetivou-se, nesta pesquisa qualitativa, avaliar como é realizado o cuidado da criança por mães alcoolistas. Realizaram-se entrevistas em profundidade com 10 mães alcolistas, no período de dezembro de 2011 a janeiro de 2012, em dois serviços de atenção em saúde mental do município de Imperatriz, MA. Os dados foram analisados confome a técnica de análise de conteúdo proposta por Bardin. Observou-se que o cuidado realizado pelas mães em dependência de álcool predispõe a criança a vulnerabilidades à sua saúde, pois afeta a capacidade cognitiva e as habilidades maternas para o cuidado infantil. O estudo possibilitou observar a importância dessa proposta de investigação realizada por enfermeiros, para a elaboração de estratégias de enfrentamento do alcoolismo e de trocas de experiência sobre o cuidado adequado da criança junto às mães alcoolistas.

Aim:  To  evaluate  the  knowledge  of  mothers  regarding  adverse consequences from the pentavalent vaccination before and after they participated in an educative  intervention.  Method:  This is  a  quasi-experimental  study,  with  a  before-and-after analysis, of a single group of 100 mothers of breastfeeding babies, from September to October 2014, in an outpatient clinic of a public maternity hospital in the municipality of  Imperatriz,  Brazil.  Results:  Following  the  intervention, a  significant  increase  in understanding  was  observed  among  the  study  participants  in  all  questions  (p<0.05) regarding adverse events after the pentavalent vaccine. After the intervention, there was a significant increase of right answers to the questions: who to seek advice from after an adverse  event  due  to  the  vaccine  (p=0.004)  and  which  adverse  events  from  the pentavalent vaccine are known to mothers (p=0.04). Conclusion: The results indicate a positive change in the  level  of  understanding  of  mothers regarding the  adverse  events after the  pentavalent vaccination.  The  study  provides  a  basis  for the  adoption  of long-term intervention strategies for nurses.

Using nursing competencies in health promotion practices is an international recommendation as a strategy to increase the efficiency of care. The objective of the study was to analyze the nurses' competencies identified in child health promotion practices. A qualitative study with thirteen nurses aged 23-57 years, from March to May 2013. Semi-structured interviews were conducted in primary care units of a northeastern Brazilian city. Top five skills to promote health were identified: to catalyze change, assessment, planning, implementation and partnerships. The study analyzed that although some skills have been identified, it was noted that the practice of nurses presented insufficient theoretical basis in relation to recommendations of the International Galway Consensus. The research contributes to a critical reflection on the use of health promotion skills in child care to support the practice of evidence-based nursing.