Nursing is a specific field of knowledge and social practice that has been consolidated and strengthened as science. In Brazil, it has been developed due to the increase and qualification of strict sense post-graduate programs. This study aims to present a historical review of the strict sense post-graduate nursing courses in Brazil and to reflect on their evolution, progress, challenges and future perspectives. It explores the creation of strict sense post-graduate courses, highlighting the movement to build a culture of academic and professional post-graduation in nursing. The historical path of their consolidation, expansion, conquest of excellence and international visibility over four decades, and the challenges and future perspectives are showed. It is found that the post-graduate programs in the field has contributed to the advancement and consolidation of scientific, technological knowledge and innovation in nursing and health care, having as philosophy the respect for diversity and the free exchange of ideas, the improvement of quality of life and health, and the effectiveness of citizenship.

Ao retornar à comunidade, no período pós-parto, a mulher necessita de atendimento de enfermagem sistematizado. Objetivou-se nesta pesquisa analisar a ocorrência de 22 diagnósticos de enfermagem de interesse no puerpério imediato e tardio. Trata-se de estudo descritivo, do qual participaram 40 puérperas. Realizou-se a coleta de dados no período de fevereiro a maio de 2008, no domicílio das participantes, mediante um encontro com entrevista, exame físico e observação. O julgamento clínico dos diagnósticos foi baseado na Taxonomia II da NANDA. Entre os diagnósticos identificados, destacaram-se: conhecimento deficiente; risco para infecção; integridade tissular prejudicada; amamentação eficaz; ansiedade; nutrição desequilibrada, menos do que as necessidades corporais; disposição para processos familiares melhorados; risco de integridade da pele prejudicada; e insônia. Foram encontrados indícios de novos diagnósticos: risco de amamentação interrompida, risco de amamentação ineficaz. Os resultados indicam áreas para o direcionamento das ações de enfermagem no pré-natal e puerpério e a necessidade de acompanhamento mais próximo da puérpera do que o previsto nas políticas de saúde.

Objective: To understand the feelings of nursing professionals who have committed medication errors. Methods: Descriptive and exploratory study with a qualitative approach. The subjects were 15 nursing professionals from a university hospital in Goiânia. Data were collected by interviews guided by a semi-structured instrument, which were recorded and analyzed according to the premises of Bardin. Results:The results showed that the most common feelings are panic, despair, fear, guilt and shame, among others. The coping strategies they adopt include looking for someone to share the problem, formally communicating the error and looking for information and knowledge. Conclusion: Hospitals should not ignore that human beings can err, but turn this into a motive to implement systemic strategies, such as the review of medication processes, ideal work conditions, psychological support and investment in continuing education. Keywords: Medication errors/psychology; Nurses/psychology; Feelings; Behavior RESUMO Objetivo: Conhecer os sentimentos dos profissionais de enfermagem que cometeram erro de medicação. Métodos: Estudo descritivo, qualitativo, realizado com 15 profissionais de enfermagem de um hospital universitário de Goiânia. Os dados foram coletados através de entrevistas semi-estruturadas, gravadas e analisadas segundo os pressupostos de Bardin. Resultados: Os resultados mostraram que os sentimentos mais comuns são pânico, desespero, medo, culpa, vergonha, entre outros. Adotam, como estratégias de enfretamento buscar alguém para compartilhar o problema, realizar comunicação formal do erro e buscar informação e conhecimento. Conclusão: Os hospitais não devem negligenciar a falha do ser humano, mas fazer disso um motivo para a implementação de estratégias sistêmicas como a revisão dos processos de medicação, condições ideais de trabalho, apoio psicológico e investimento em educação continuada. Descritores: Erros de medicação/psicologia; Enfermeiras/psicologia; Sentimentos; Conduta RESUMEN Objetivo: Conocer los sentimientos de los profesionales de enfermería que cometieron error en la medicación. Métodos: Se trata de un estudio descriptivo, cualitativo, realizado con 15 profesionales de enfermería de un hospital universitario de Goiânia. Los datos fueron recolectados a través de entrevistas semi-estructuradas, grabadas y analizadas según las premisas de Bardin. Resultados: Los resultados mostraron que los sentimientos más comunes son pánico, desesperación, miedo, culpa, vergüenza, entre otros. Adoptan, como estrategias de enfretamiento buscar a alguien para compartir el problema, realizar comunicación formal del error y buscar información y conocimiento. Conclusión: Los hospitales no deben descuidar la falla del ser humano, sino hacer de ello un motivo para la implementación de estrategias sistémicas como la revisión de los procesos de medicación, condiciones ideales de trabajo, apoyo psicológico e inversión en educación continuada.

This study provides evidence for nursing practice, thus contributing to the improvement of lactating mothers with nipple trauma care and, consequently, improving the rates of successful breastfeeding as well as the quality of life of breastfeeding mothers.

the leads identified during the study were as follows: group organization involves investment in motivation and leadership by the coordinators; production of grouping and cohesion is a result of participants and coordinators meeting together, interspersed with dialog, things said and left unsaid that the subjects expressed in the group dynamic; the sense of belonging guarantees their placement in the group based on the recognition of their knowledge and affective, social and health needs.

A qualitative study conducted in a teaching hospital with 15 nursing professionals. Attempted to analyze the reasons, attitudes and beliefs of nursing staff regarding adherence to personal protective equipment. Data were collected through focus groups, analyzed by the method of interpretation of meanings, considering Rosenstock’s model of health beliefs as a reference framework. Data revealed two themes: Occupational safety and Interpersonal Relationship. We identified several barriers that interfere in matters of safety and personal protective equipment, such as communication, work overload, physical structure, accessibility of protective equipment and organizational and management aspects. Adherence to personal protective equipment is determined by the context experienced in the workplace, as well as by individual values and beliefs, but the decision to use the personal protective equipment is individual.

RESUMO:Este estudo focaliza questões da gerência nos serviços públicos de saúde e têm como objetivo identificar elementos do trabalho gerencial do enfermeiro na Rede Básica de Saúde de Goiânia-GO. Pesquisa exploratória descritiva, de base quantitativa, realizada entre 2006/2007. Para a coleta de dados foi utilizada a entrevista estruturada com 44 enfermeiros gerentes de serviços. Foi construído um banco de dados, utilizando o Software Epi-Info versão 3.3.2. Os dados foram submetidos a um processo de codificação e analisados por medida de frequência simples e nas variáveis que o enfermeiro pode discorrer utilizamos a categorização por semelhança. Os resultados apontam aspectos que fortalecem e tornam mais visíveis as ações gerenciais dos enfermeiros, ao mesmo tempo que mostram as fragilidades do trabalho gerencial na Rede Básica de Saúde. A contribuição dos enfermeiros gerentes foi de grande significado para que a formação seja repensada pelas universidades e pelos gestores. DESCRITORES:Gestão em saúde. Enfermagem em saúde pública. Atenção primária à saúde. Enfermagem. MANAGERIAL WORK OF BRAZILIAN FEDERAL HEALTH CARE SYSTEM NURSESABSTRACT: This study focuses on management issues in public health services and attempts to identify elements of nursing managerial work in the local Public Health Care system of Goiânia-GO, Brazil. This exploratory, descriptive and quantitative study was carried out between 2006 and 2007. A structured interview was used for data collection and was composed of 44 service-manager nurses. A database was built, using the Epi-Info Software 3.3.2. The data was submitted to a coding process and analyzed through measuring simple frequencies similarity categorization. The results point out aspects which strengthen nursing managerial actions and make them more visible, as well as show the fragilities of managerial work in Brazilian Public Health Care. The contribution of these nurse managers meant a great deal in order that formal nursing education may be rethought by universities and managers.DESCRIPTORS: Health management. Public health nursing. Primary health care. Nursing. LA GESTIÓN DEL ENFERMERO EN LA RED DE SALUD BÁSICA RESUMEN:Este estudio se centra en cuestiones de gestión en los servicios salud pública, teniendo como objetivo identificar elementos de la gestión del enfermero en la Red de Salud Básica del municipio de Goiânia-GO. Investigación exploratoria, descriptiva de base cuantitativa, realizada entre 2006 y 2007. Para la recolección de los datos se utilizó la entrevista estructurada con 44 enfermeros gerentes de servicios. Fue construido un banco de datos, utilizando el Software Epi-Info versión 3.3.2. Los datos fueron sometidos a un proceso de codificación y analizados por medida de frecuencia simple y la clasificación por similitud. Los resultados señalan aspectos que fortalecen y hacen más visibles las acciones de gestión de los enfermeros, al mismo tiempo que muestran las fragilidades del trabajo de gestión en la Red Básica de Salud. La contribución de los enfermeros gerentes f...

OBJECTIVE: to analyze the formation of nursing doctorates in Brazil, from theses production, disciplines and other strategies focusing on research offered by courses.METHOD: a descriptive and analytical study of the performance of 18 doctoral courses in nursing, running from 1982 to 2010, and defended their theses between 2010-2012.RESULTS: 502 theses were defended in this period, most linked to the online research process of health and nursing care. There are gaps in the knowledge of theoretical and philosophical foundations of care, nursing history and ethics. There are also weaknesses in the methodological design of the theses, with a predominance of descriptive and/or exploratory studies. This was consistent with international standards set with regards to the proposition of research of disciplines and complementary strategies in forming the doctorate.CONCLUSION: despite the efforts and advances in research formation, it is essential to expand to more robust research designs with a greater impact on production knowledge that is incorporated into practice.