Objective: to understand how nurses deal with the elderly’s autonomy at the end of life. Method: qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil. Results: nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team. Final considerations: the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.

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There are difficulties for nursing professionals to interact with the child's family and the dialogical order/disorder/interaction/organization in the implementation of the management process of care is.

Objective: To understand the conditions that influence the adherence and application of best practices by nurses in the context of the Nursing care management in the Kangaroo Mother Care in the Neonatal ICU. Method: Study of qualitative approach, whose theoretical and methodological frameworks were Symbolic Interactionism and Grounded Theory, respectively. We used the in-depth interview with 8 nurses from the Neonatal ICU of a public maternity hospital in the city of Rio de Janeiro. Results: The conditions involved in adhering to the best practices of humanization in the Neonatal ICU are related mainly to human resources, interaction among professionals, work processes and leadership strategies; and care management. Conclusion: Professional and institutional challenges have been identified that need to be addressed to improve adherence and implementation of the Kangaroo Mother Care best practices.

The study aimed to understand the intervening conditions in the interactions of nurses in managing the nursing care for hospitalized children with chronic conditions. To do that, it used Complex Thinking and Grounded Theory as theoretical and methodological references, respectively. Eighteen subjects participated in the study, pooled into three sample groups: nurses, nursing technicians, and their families. A semi-structured interview was used for data collection. Data analysis followed three stages of coding: open, axial, and selective. The study considered family members, professional experience, the physical structure of the unit, human and material resources, good mood, job satisfaction, confidence, dialogue, and empathy as conditions that influence nurses' interactions in care management. It found that subjective, cognitive, socio-cultural and institutional conditions influence the interactions of nurses, creating order/disorder in nursing care management.

Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.

Objective: To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis. Method: We verifi ed the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct). Results: The intraclass correlation coeffi cient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach's alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a signifi cant association with p<0.01. Conclusion: We verifi ed, by the presented results, that the instrument has been validated for use in Brazil. Descriptors: Patient Cooperation; Medication Adherence; Chronic Kidney Disease; Kidney Dialysis; Nursing in Nephrology. RESUMEN Objetivo: Comprobar la validez del cuestionario de adhesión del paciente con enfermedad renal crónica en hemodiálisis para Brasil. Método: Se evaluaron las siguientes propiedades psicométricas del instrumento: confi abilidad (estabilidad y consistencia interna) y validez (predictiva, de contenido y de constructo). Resultados: Los valores de la correlación intraclase fueron de 0,98 para las cuestiones de adhesión y de 0,91 para las de percepción. En relación a la kappa de las 14 cuestiones evaluadas, 12 resultaron un valor mayor que 0,8. Mientras que el Alfa de Cronbach fue de 0,57. Los expertos pudieron garantizar la validez predictiva y de contenido del instrumento, en la que el puntaje de validez de contenido global fue de 0,96. Se obtuvo la validez de constructo, evaluada a Rev Bras Enferm [Internet]. 2017 mai-jun;70(3):558-65.

Objective: to understand, from the perspective of complexity, the factors related to communication for the management of the nursing care before the death and dying of hospitalized people. Method: the Complex Thought and Grounded Theory were used as theoretical and methodological references, respectively. The data were collected through semi-structured interviews, from May 2015 to January 2016, with three sample groups, totaling 41 participants: nurses, nursing technicians and members of the multidisciplinary team of a public hospital in Minas Gerais, Brazil. The data analysis followed the steps of open, axial and selective coding. Results: the management of the nursing care before the terminality and death involves a complex process of communication among patient, relatives and professionals, in which the interactions are permeated by the meanings of the end of life. Subjective, educational, sociocultural and institutional conditions influence nurses' interactions, generating order/disorder in the management of care. Conclusion: communication represents an important challenge for nursing management because it involves different actors, given the context of uncertainties and affectivities in the process of death and dying. It is important to emphasize the importance of the nurses being open to communication with these people, because this process requires complex actions regarding the demand for training and permanent education, as well as interdisciplinary action to guarantee humanization and comprehensive care.