Objective: to know the feelings of nurses regarding palliative care in adult intensive care units. Method: qualitative study, which adopted the theoretical framework of Social Representations, carried out with 30 nurses of the state of Santa Catarina included by Snowball sampling. Data were collected through semi-structured interviews conducted from April to August 2015, organized and analyzed through the Collective Subject Discourse. Results: the results showed how central ideas are related to feelings of comfort, frustration, insecurity and anguish, in addition to the feeling that the professional training and performance are focused on the cure. Conclusion: the social representations of nurses regarding the feelings related to palliative care are represented mainly by negative feelings, probably as consequence of the context in which care is provided. Descriptors: Palliative Care; Nursing Care; Nursing; Social Perception; Intensive Care Units. RESUMO Objetivo: conhecer os sentimentos dos enfermeiros acerca dos cuidados paliativos em unidades de terapia intensiva de adultos. Método: estudo qualitativo, cujo referencial teórico adotado foi o das Representações Sociais, realizado com 30 enfermeiros do estado de Santa Catarina incluídos por amostragem Bola de Neve. Os dados foram coletados por meio de entrevistas semiestruturadas realizadas de abril a agosto de 2015, organizados e analisados por meio do Discurso do Sujeito Coletivo. Resultados: os resultados apontaram como ideias centrais estão relacionadas aos sentimentos de conforto, frustração, insegurança e angústia, além do sentimento de que a formação e atuação profi ssional estão voltados para o curativo. Conclusão: as representações sociais dos enfermeiros acerca dos sentimentos relacionados aos cuidados paliativos estão representadas principalmente por sentimentos negativos, provavelmente consequentes ao contexto em que se dá o cuidado. Descritores: Cuidados Paliativos; Cuidados de Enfermagem; Enfermagem; Percepção Social; Unidades de Terapia Intensiva. RESUMENObjetivo: conocer los sentimientos de los enfermeros sobre los cuidados paliativos en unidades de cuidados intensivos para adultos. Método: estudio cualitativo que adoptó el marco teórico de las representaciones sociales, y se llevó a cabo con 30 enfermeros en el estado de Santa Catarina que fueron incluidos por muestreo tipo bola de nieve. Los datos fueron recolectados a través de entrevistas semiestructuradas realizadas entre abril y agosto de 2015, organizados y analizados utilizando el Discurso del Sujeto Colectivo. Resultados: los resultados mostraron que las ideas centrales están relacionadas con sentimientos de comodidad, frustración, inseguridad y angustia, y la sensación de que la actividad profesional y la formación se centran en la curación. Conclusión: las representaciones sociales de los enfermeros sobre los sentimientos relacionados con los cuidados Palliative care and the intensive care nurses: feelings that endure Natyele Rippel Silveira

Objective:To learn the perception of health professionals in an Intensive Care Unit towards palliative care. Method: This was a descriptive and qualitative study based on the converging care approach conducted at an intensive care unit in the South of Brazil. Semistructured interviews were used to investigate the understanding of the professionals about palliative care in this unit. The data were organized and analyzed using the discourse of the collective subject method with the help of Qualiquantisoft® software. Results: Participants included 37 professionals (12 nurses, 11nursing technicians, 5 physical therapists and 9 doctors). The key ideas extracted from the interviews were: care in the end stage of life that avoids futile measures; comfort care; lack of standardized care and lack of team training. Conclusion: The professionals perceived palliative care as appropriate in the last stages of life, with no need for futile treatment or as comfort measures. However, they are aware of the lack of standardization and lack of capacity building in this area, which leads them to conceive palliative care as terminal care, and measures are recommended to break with this stigma.

Objective: to know the ethical problems experienced by oncology nurses. Method: descriptive and exploratory study with a qualitative approach, performed in inpatient units and in chemotherapy out-patients units that provide assistance to oncological patients in two capitals in the South region of Brazil. Eighteen nurses participated in this study, selected by snowball sampling type. For data collection, semi-structured interviews were carried out, which were recorded and transcribed, and then analyzed by thematic analysis. Results: two categories were established: when informing or not becomes a dilemma - showing the main difficulties related to oncological treatment information regarding health staff, health system, and infrastructure; to invest or not - dilemmas related to finitude - showing situations of dilemmas related to pain and confrontation with finitude. Conclusion: for the effective confrontation of the ethical problems experienced by oncology nurses to occur, it is important to invest in the training of these professionals, preparing them in an ethical and human way to act as lawyers of the patient with cancer, in a context of dilemmas related mainly to the possibility of finitude.

Objective: to construct an educational manual for people with diabetes mellitus and diabetic foot.Method: a scoping study, approved by a Research Ethics Committee, and performed in a teaching hospital in the State of Santa Catarina (Brazil). Data collection was performed between September and November 2016, it included a narrative review and consultations of 14 participants -11 experts (eight nurses, one nursing teacher and two physicians) and three diabetic people and their companions about the contents of the educational manual. The Delphi technique was used in the consultation with the experts, and 70% or more total agreement was established for the permanence of contents in the manual. An evaluation form was used with the diabetic people and their companions, containing a Likert scale for the content evaluation and open questions asking for their opinion about the manual.Results: the existing literature and consultation with the participants supported the preparation for the manual content. The manual was constructed from the consultation of literature and with the participants, and was reviewed by the experts. In the first round of consultation with the experts, eight out of the 21 constructed contents did not reach 70% agreement. The percentages ranged from 45% to 90%. In the second round, all content was considered relevant. diabetic people considered the manual to be adequate and easy to understand.Conclusion: the method made the construction of the manual possible which resulted in a nursing technology for use in health education in the care of people with diabetic patients with diabetic foot. DESCRIPTORS: Self-care. Diabetes mellitus. Diabetic foot. Manuals. Nursing. MANUAL DE CUIDADOS ÀS PESSOAS COM DIABETES E PÉ DIABÉTICO:CONSTRUÇÃO POR SCOPING STUDY RESUMO Objetivo: construir um manual educativo para pessoas com diabetes mellitus com pé diabético.Método: scoping study, aprovado por Comitê de Ética em Pesquisa, realizado em um hospital escola do Estado de Santa Catarina (Brasil). A coleta de dados, foi realizada entre setembro e novembro de 2016, incluiu revisão narrativa e consulta a 14 participantes -11 experts (oito enfermeiros, um professor de enfermagem e dois médicos) e três pessoas com diabetes e seus acompanhantes sobre os conteúdos do manual educativo. Utilizou-se a técnica Delphi, na consulta com os experts, e estabeleceu-se a necessidade de 70%, ou mais, de concordância total para permanência dos conteúdos no manual. Com as pessoas com diabetes e acompanhantes aplicou-se formulário avaliativo, contendo escala Likert para avaliação dos conteúdos e pergunta aberta questionando opinião sobre o manual.Resultados: a literatura existente e a consulta aos participantes subsidiou a elaboração dos conteúdos do manual. A partir da consulta na literatura e com os participantes, foi construído o manual, que foi revisado pelos experts. Na primeira rodada de consulta com experts, dos 21 conteúdos construídos, a partir do estudo de revisão, oito não atingiram 70% de concordância. Os percentuais o...

ABSTRACT:Integrative research that aimed to identify results in the publications available through the databases LILACS, SciELO and PubMed, period 2004-2009, the contributing factors to the increment of the survival rates in five years and the disease-free survival rate in five years in women with breast cancer. The results in 40 publications showed a higher incidence of the disease for the age groups between 50-60 years and 40-49 years. Screening programs, genetic, immunohistochemical and cytological diagnostic methods, increment of the education and socioeconomic patterns, associations of conventional therapies with new therapies contribute to the increase of survival rates, quality of life and care for women with breast cancer. DESCRIPTORS: TASA DE SUPERVIVENCIA EN MUJER CON CÁNCER DE MAMA: ESTUDIO DE REVISIÓN RESUMEN:Investigación integrativa que identificó en las publicaciones de LILACS, SciELO y PubMed en el período 2004-2009, los factores contribuyentes para la elevación de las tasas de supervivencia en cinco años y supervivencia libre de enfermedades en cinco años de las mujeres con cáncer de mama. Los resultados de 40 publicaciones, demuestran que la mayor incidencia de la enfermedad se dio entre los 50-60 años y 40-49 años. Programas de rastreo, elevación de la escolaridad, del patrón socioeconómico, estudios genéticos, inmunohistoquímicos y citológicos además de las terapéuticas convencionales favorecen a la elevación de las tasas de supervivencia, la calidad de vida y de los cuidados de la mujer con cáncer de mama. DESCRIPTORES:Tasa de supervivência. Neoplasias de la mama. Diagnóstico precoz.

the dimensions of safety culture present in the survey have to be valued by professionals and managers to allow safe patient care.

Objetivo: identificar os obstáculos relacionados à sexualidade e à vida sexual de mulheres com câncer de mama. Metodologia: pesquisa descritiva, que incluiu dez mulheres submetidas à mastectomia ou quandrantectomia residentes no município de Florianópolis, selecionadas pelo método bola de neve. Dados obtidos por entrevistas semiestruturadas, realizadas entre março e maio de 2014, submetidos à análise de conteúdo e sustentados teoricamente por estudos afins. Resultados: os obstáculos encontrados envolvem o enfrentamento familiar e pessoal comprometidos e a alteração sexual e ginecológica. Conclusão: apesar do avanço científico e tecnológico, permanece a necessidade de cuidado integral e individualizado à mulher, aos companheiros e aos familiares.Descritores: Sexualidade, Neoplasias da mama, Mastectomia, Enfermagem. COMMITMENT TO SEXUALITY OF WOMEN WITH BREAST CANCERObjective: Identify obstacles related to sexuality and sexual life of women with breast cancer. Methodology: descriptive study, which included ten women undergoing mastectomy or quandrantectomia, residents in Florianopolis, selected by snowball method. Data from semistructured interviews, conducted between March and May 2014 and submitted to content analysis and theoretically supported by related studies. Results: The obstacles encountered includes confrontation of family and personal commitment and sexual and gynecological change. Conclusion: Despite the scientific and technological advances remain the need for comprehensive care and individualized to women, to companion and family.Descriptors: Sexuality, Breast neoplasms, Mastectomy, Nursing. COMPROMISO DE LA SEXUALIDAD DE LAS MUJERES CON CÁNCER DE MAMAObjetivo: Identificar los obstáculos relacionados con la sexualidad y la vida sexual de las mujeres con cáncer de mama.Metodología: estudio descriptivo, que incluía diez mujeres sometidas a mastectomía o quandrantectomia, residentes en Florianópolis, seleccionados por el método bola de nieve. Los datos recogidos por entrevistas semi-estructuradas, entre marzo y mayo de 2014, sometido a análisis de contenido y, en teoría apoyada por estudios relacionados. Resultados: Los obstáculos encontrados implican hacer frente familia y la evolución sexual y ginecológica personal y comprometido. Conclusión: A pesar de los avances científicos y tecnológicos continúa la necesidad de una atención integral e individualizada a las mujeres, compañeros y familiares.Descriptores: Sexualidad, Neoplasias de la mama, Mastectomía, Enfermería.

Objectives: To assess (a) the trend of MEDLINE citation of pediatrics articles associated with Brazilian institutions from 1990 through 2004; (b) the number of Brazilian pediatrics articles published in journals with the highest impact factor; and (c) the regional distribution of institutions.Methods: PubMed search limited to ages 0 to 18 years, English language, MEDLINE and humans subsets, Brazilian affiliation. For each year, we compared the articles retrieved to the whole of MEDLINE citations with the same search limits, except for affiliation, as well as to the total Brazilian scientific production cited in MEDLINE, without age limits. We made a descriptive analysis, and used the chi-square test for trend. Data concerning publication in journals with the highest impact factor were aggregated into three-year periods.Results: A total of 7,222 Brazilian pediatrics articles were listed in MEDLINE from 1990 through 2004, corresponding to 0.95% of all articles concerning the age group from 0 to 18 years. There was a fivefold increase in the absolute number of Brazilian articles along the study period. The ratio of Brazilian to total articles increased from 0.51 to 1.60% (p < 0.01). Scientific knowledge production remains strongly concentrated in the Southeast of Brazil.Conclusion: Brazilian research activities in pediatrics have had a steady upward trend, which relates to the proportional growth of the Brazilian scientific production as a whole.J Pediatr (Rio J). 2006;82(2):97-102: Knowledge production, pediatric research, bibliometrics, impact factor. ResumoObjetivos: Verificar (a) a tendência das citações de artigos de pediatria oriundos de instituições brasileiras, no MEDLINE, de 1990 até 2004; (b) o número de artigos publicados em periódicos com os maiores fatores de impacto; e (c) a distribuição regional das instituições.Métodos: Busca no PubMed com os seguintes limites: idade de 0 a 18 anos, língua inglesa, subconjuntos MEDLINE e humanos, afiliação brasileira. Para cada ano, comparamos os artigos encontrados com o total de citações no MEDLINE, obedecendo aos mesmos limites de busca, com exceção da afiliação; o mesmo foi feito com o total da produção científica brasileira citada no MEDLINE, sem limites de idade. Realizamos uma análise descritiva, usando o teste qui-quadrado para a tendência. Agregamos os dados relativos à publicação em periódicos com os maiores fatores de impacto em períodos de 3 anos. Resultados:Entre 1990 e 2004, o MEDLINE citou 7.222 artigos de pediatria brasileiros, correspondendo a 0,95% de todos os artigos tratando da faixa etária de 0 a 18. O número absoluto de artigos brasileiros aumentou cinco vezes durante esse período. A fração de artigos brasileiros em relação ao número total de artigos aumentou de 0,51 a 1,60% (p < 0,01). A produção científica permanece fortemente concentrada na Região Sudeste do Brasil.Conclusão: As atividades brasileiras de pesquisa em pediatria demonstram uma tendência ascendente constante, proporcional ao crescimento de toda a produção científica bras...