How to cite this article: Cruz RAO, Araujo ELM, Nascimento NM, Lima RJ, França JRFS, Oliveira JS. Reflections in the light of the complexity theory and nursing education. Rev Bras Enferm [Internet]. 2017;70(1):224-7. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0239Submission: 05-25-2016 Approval: 10-03-2016 ABSTRACT Objective: to refl ect on nursing education, taking into account the principles of complex thinking proposed by Morin. Method: refl ection based on the principles of the complexity theory by Edgar Morin. Results: the application of complexity in teaching proposes an emancipatory education based on questioning and social transformation. It comprises the education of nurses who interact with others as a characteristic of their work. It is necessary to prepare students to develop critical and refl ective attitudes and actions to overcome the fragmentation and linearity of knowledge. Conclusion: nursing care has been based on a reductionist assistance, refl ecting the Cartesian model. Thus, nursing education seeks to comprise shared knowledge and experiences so that no subject or professional overpowers another, accepting the uniqueness of professionals and patients. Descriptors: Nursing; Nursing Care; Teaching; Curriculum; Complexity Theory. RESUMOObjetivo: refl etir sobre a formação em Enfermagem levando em consideração os princípios do pensar complexo proposto por Morin. Método: refl exão fundamentada nos princípios da Teoria da Complexidade de Edgar Morin. Resultados: a aplicação da complexidade no ensino propõe uma educação emancipadora pautada no questionamento e na transformação social. Compreende a formação de enfermeiros que tenham como característica do seu trabalho a interação com o outro. Faz-se necessário preparar o discente para desenvolver atitudes e ações críticas e refl exivas capazes de superar a fragmentação e a linearidade do conhecimento. Conclusão: o cuidado de Enfermagem tem sido baseado numa assistência reducionista, refl etindo o modelo cartesiano. Assim, a formação do enfermeiro busca contemplar saberes e experiências compartilhados de maneira que não exista o domínio de nenhuma disciplina sobre as outras, de nenhum profi ssional sobre o outro, aceitando as singularidades tanto dos profi ssionais como do próprio cliente/paciente. Descritores: Enfermagem; Cuidados de Enfermagem; Ensino; Currículo; Teoria da Complexidade. RESUMENObjetivo: refl exionar sobre la formación en Enfermería teniendo en consideración los principios del pensar complejo propuesto por Morin. Método: refl exión fundamentada en los principios de la Teoría de la Complejidad de Edgar Morin. Resultados: la aplicación de la complejidad en la enseñanza propuesta una educación emancipadora pautada en el cuestionamiento y en la transformación social. Comprende la formación de enfermeros que tengan como característica de su trabajo la interacción con el otro. Se hace necesario preparar al aprendiz para desarrollar actitudes y acciones críticas y refl exivas capaces de superar la fragmentación y la linealidad del c...

No abstract

Chronic migraine is a difficult disease to diagnose, and its pathophysiology remains undefined. Its symptoms affect the quality of life and daily living tasks of the affected person, leading to momentary disability. This is a pilot, randomized, controlled, double-blind clinical trial study with female patients between 18 and 65 years old with chronic migraine. The patients underwent twelve mindfulness sessions paired with anodal transcranial direct-current stimulation (tDCS) over the left dorsolateral prefrontal cortex (DLPFC), with current intensity of 2 mA applied for 20 min, three times a week for 4 weeks. In addition, 20 min of mindfulness home practices were performed by guided meditation audio files. A total of 30 participants were evaluated after the treatment, and these were subdivided into two groups—active tDCS and sham tDCS, both set to mindfulness practice. The FFMQ-BR (Five Facet of Mindfulness Questionnaire), MIDAS (Migraine Disability Assessment), and HIT-6 (Headache Impact Test) questionnaires were used to evaluate the outcomes. After the treatment, the active mindfulness and tDCS group showed better results in all outcomes. The sham group also showed improvements, but with smaller effect sizes compared to the active group. The only significant difference in the intergroup analysis was the outcome evaluated by HIT-6 in the post treatment result. Our results provide the first therapeutic evidence of mindfulness practices associated with left DLPFC anodal tDCS with a consequent increase in the level of full attention and analgesic benefits in the clinical symptoms of patients with chronic migraine.

Objective: to describe the experience of students in the development of an activity in the discipline of Caring Process in Nursing Graduate Program. Method: qualitative, descriptive study, of the type of experience report. It was used the Arch of Maguerez, from the question: What weaknesses in the teaching of the process of Nursing in the Academy? Results: it was observed that Nursing evolves in search of several skills, knowledge and professional practices. Thus, the teaching of the Nursing process, for the most part, is still related to the transmission of conceptual bases, with fragmentation of the construction of knowledge, which has contributed to the lack of meaning. Conclusion: weaknesses in the teaching of the nursing process in the academy had resulted in difficulties of implementation and adherence in public and private services and there is a need to reflect on the fragmentation between theory and practice. Descriptors:Nursing; Teaching; Nursing Processes. RESUMOObjetivo: descrever a experiência de discentes no desenvolvimento de uma atividade na disciplina de Processo de Cuidar na Pós-Graduação em Enfermagem. Método: estudo qualitativo, descritivo, do tipo relato de experiência. Utilizou-se o Arco de Maguerez, a partir da questão: Quais as fragilidades no ensino do processo de Enfermagem na Academia?Resultados: observou-se quea Enfermagem evolui na busca de diversas habilidades, saberes e fazeres profissionais. Assim, o ensino do processo de Enfermagem, em sua maioria, ainda está relacionado à transmissão de bases conceituais, com fragmentação da construção do conhecimento, o que tem contribuído para a falta de significado. Conclusão: as fragilidades no ensino do processo de Enfermagem na academia tinham resultado em dificuldades de implantação e de adesão nos serviços públicos e privados e há a necessidade de refletir acerca da fragmentação entre teoria e prática. Descritores: Enfermagem; Ensino; Processos de Enfermagem. RESUMENObjetivo: describir la experiencia de los estudiantes en el desarrollo de una actividad en la disciplina de Proceso de Cuidar en el Postgrado en Enfermería. Método: estudio cualitativo, descriptivo, del tipo relato de experiencia. Se utilizó el Arco de Maguerez, a partir de la cuestión: ¿Cuáles son las fragilidades en la enseñanza del proceso de Enfermería en la Academia? Resultados: se observó que la Enfermería evoluciona en la búsqueda de diversas habilidades, saberes y haceres profesionales. Así, la enseñanza del proceso de Enfermería, en su mayoría, todavía está relacionada a la transmisión de bases conceptuales, con fragmentación de la construcción del conocimiento, lo que ha contribuido a la falta de significado. Conclusión: las fragilidades en la enseñanza del proceso de Enfermería en la academia habían resultado en dificultades de implantación y de adhesión en los servicios públicos y privados y que hay la necesidad de reflexionar acerca de la fragmentación entre teoría y práctica. Descriptores: Enfermería; Enseñanza; Procesos de Enfermería.

No abstract

BackgroundChronic migraine is a disease with a difficult diagnosis and an as yet undefined pathophysiology. Its symptoms affect the quality of life and the daily activities of the individual, leading to momentary disability. This study is a controlled clinical trial of a randomized parallel group that will select patients aged between 18–65 years who are diagnosed with chronic migraine.Methods / DesignThis study will be held at the Aging Studies Laboratory and Neuroscience of the Federal University of Paraíba, where twelve sessions of transcranial direct current stimulation (tDCS) and associated with mindfulness practices will be applied over four weeks (one per week). Muse, a portable electroencephalogram (EEG), will be used to measure brain wave biomarkers before and after the intervention. We will use, at the beginning and end of treatment and one month after the completion of any intervention, the score on the Migraine Disability Assessment (MIDAS) questionnaire as the primary outcome and the scores on the HIT-6 (Headache Impact Test) questionnaire and on the Five Facet Mindfulness Questionnaire (FFMQ-BR) as the secondary outcomes.DiscussionBased on the use of tDCS in patients with chronic pain, and in benefits of Mindfulness practice in these patients, the objective is to evaluate if the mindfulness-associated tD provides satisfactory results in the painful prophylaxis of patients with chronic migraine.Trial registrationClinicaltrials.gov, NCT04219345. Registered 16 September 2019. Retrospectively registered.

Congenital Zika Syndrome (CZS) is characterized by changes in cranial morphology associated with heterogeneous neurological manifestations and cognitive and behavioral impairments. In this syndrome, longitudinal neuroimaging could help clinicians to predict developmental trajectories of children and tailor treatment plans accordingly. However, regularly acquiring magnetic resonance imaging (MRI) has several shortcomings besides cost, particularly those associated with childrens' clinical presentation as sensitivity to environmental stimuli. The indirect monitoring of local neural activity by non-invasive functional near-infrared spectroscopy (fNIRS) technique can be a useful alternative for longitudinally accessing the brain function in children with CZS. In order to provide a common framework for advancing longitudinal neuroimaging assessment, we propose a principled guideline for fNIRS acquisition and analyses in children with neurodevelopmental disorders. Based on our experience on collecting fNIRS data in children with CZS we emphasize the methodological challenges, such as clinical characteristics of the sample, desensitization, movement artifacts and environment control, as well as suggestions for tackling such challenges. Finally, metrics based on fNIRS can be associated with established clinical metrics, thereby opening possibilities for exploring this tool as a long-term predictor when assessing the effectiveness of treatments aimed at children with severe neurodevelopmental disorders.

O presente estudo tem como objetivo revisar a literatura que trata do emprego de biomonitores para avaliação da qualidade do ar, no Brasil. Utilizou-se como método a revisão integrativa que investigou a produção do conhecimento sobre o tema. Para isso, recorreu-se às bases de dados Google Acadêmico, SciELO e Biblioteca Digital Brasileira de Teses e Dissertações (BDTD), estabelecendo como recorte temporal o período entre 2019 e 2022. Os termos de busca utilizados foram “biomonitoramento”, “biomonitor” e “bioindicador” para maior abrangência do tema e retorno de resultados mais representativos. Foram identificados 68 estudos brasileiros que preencheram os critérios iniciais de inclusão. Em seguida, os trabalhos passaram por 3 fases de filtragem, tendo como elementos de análise: (i) os títulos, (ii) os resumos e conclusões e, por último, (iii) os textos completos. Ao final, restaram 6 estudos que efetivamente versaram sobre o tema. Após análise da produção científica, concluiu-se que, apesar das limitações em decorrência de alguns fatores como os meteorológicos e os relativos à fisiologia e anatomia dos vegetais, os biomonitores apresentam bons resultados quando utilizados para monitoramento da qualidade do ar.