Objective: develop the content and face validation of an educative manual for patients with head and neck cancer submitted to radiation therapy. Method: descriptive methodological research. The Theory of Psychometrics was used for the validation process, developed by 15 experts in the theme area of the educative manual and by two language and publicity professionals. A minimum agreement level of 80% was considered to guarantee the validity of the material. Results: the items addressed in the assessment tool of the educative manual were divided in three blocks: objectives, structure and format, and relevance. Only one item, related to the sociocultural level of the target public, obtained an agreement rate <80%, and was reformulated based on the participants' suggestions. All other items were considered appropriate and/or complete appropriate in the three blocks proposed: objectives - 92.38%, structure and form - 89.74%, and relevance - 94.44%. Conclusion: the face and content validation of the educative manual proposed were attended to. This can contribute to the understanding of the therapeutic process the head and neck cancer patient is submitted to during the radiation therapy, besides supporting clinical practice through the nursing consultation.

Objective: to assess the level of urinary incontinence and its impact on the quality of life of patients undergoing radical prostatectomy. Method: cross-sectional study carried out with prostatectomized patients. The data were collected from the following instruments: sociodemographic questionnaire, Pad Test, International Consultation on Incontinence Questionnaire - Short Form and King Health Questionnaire. Data were submitted to descriptive and bivariate statistical analysis. The level of significance was set at 0.05. Results: a total of 152 patients participated, with a mean age of 67 years. Among incontinent patients, there was a predominance of mild urinary incontinence. Urinary incontinence had a very severe impact on the general assessment of quality of life in the first months and severe impact after six months of surgery. The greater the urinary loss, the greater the impact on the quality of life domains Physical Limitations, Social Limitations, Impact of Urinary Incontinence and Severity Measures. Most participants reported no erection after surgery and therefore did not respond to the question of the presence of urinary incontinence during sexual intercourse. Conclusion: the present study evidenced the occurrence of urinary incontinence after radical prostatectomy at different levels and its significant impact on the quality of life of men, which reveals the need of interventions for controlling it.

Objetivo: refletir sobre o conceito de Cultura de Seguran�a e suas dimens�es, no contexto da equipe de Enfermagem. M�todo: estudo descritivo, tipo an�lise te�rico-reflexiva, elaborado por meio de artigos cient�ficos em bases eletr�nicas de dados. Resultados: a reflex�o foi mobilizada em quatro dimens�es: �Compromisso da lideran�a e aspectos organizacionais�; �Trabalho em equipe�; �Comunica��o eficiente e gerenciamento de risco�; e �Aprendizagem organizacional e abordagem n�o punitiva dos erros�. Contata-se que, para uma cultura de seguran�a positiva, torna-se imprescind�vel uma lideran�a comprometida com a melhoria cont�nua da qualidade, o est�mulo ao trabalho em equipe centrado em apoio m�tuo e compartilhamento de informa��es, bem como avalia��o dos erros com foco em discuss�es dos erros notificados, capacita��es e educa��o cont�nua. Conclus�o: acredita-se que a implementa��o de interven��es multifacetadas, pautadas nas dimens�es da cultura de seguran�a, possam auxiliar enfermeiros e equipe na preven��o de erros em diversos n�veis e setores dos cuidados em sa�de.

managers should have their perspectives broadened concerning the relevance of the nursing process and the professional training. The active participation of legislative nursing bodies, local healthcare management and the federal government may open the way for the effective implementation of the nursing process.

Objective:to analyze the correspondence between the actions contained in the fall prevention protocol of the Ministry of Health and the Nursing Interventions Classification (NIC) by a cross-mapping. Method:this is a descriptive study carried out in four stages: protocol survey, identification of NIC interventions related to nursing diagnosis, the risk of falls, cross-mapping, and validation of the mapping from the Delphi technique. Results:there were 51 actions identified in the protocol and 42 interventions in the NIC. Two rounds of mapping evaluation were carried out by the experts. There were 47 protocol actions corresponding to 25 NIC interventions. The NIC interventions that presented the highest correspondence with protocol actions were: fall prevention, environmental-safety control, and risk identification. Regarding the classification of similarity and comprehensiveness of the 47 actions of the protocol mapped, 44.7% were considered more detailed and specific than the NIC, 29.8% less specific than the NIC and 25.5% were classified as similar in significance to the NIC. Conclusion:most of the actions contained in the protocol are more specific and detailed, however, the NIC contemplates a greater diversity of interventions and may base a review of the protocol to increase actions related to falls prevention..

Objective. To identify the profile of nursing diagnoses in people with hypertension and diabetes in primary health care. Methods. A cross-sectional study involving 175 individuals followed up in eight primary health units of Minas Gerais, Brazil. Data collection was made through interview and physical examination, and diagnostic inference was made according with NANDA-I Taxonomy II. Results. The average age of the users was 62.1 years and the female gender predominated (66.9%). A total of 26 diagnoses were identified, an average of 16 per client (standard deviation=3.9). The most frequent problem-focused diagnosis were: Ineffective Health Management (98.9%), Ineffective Peripheral Tissue Perfusion (78.3%), Sedentary lifestyle (74.3%), Obesity (54.3%) and Insomnia (51.4%). With respect to the defining characteristics and related factors, the average per person was 24 and 28, respectively. Conclusion. In this group of clients, the most frequent diagnoses were in the domain activity/rest. These diagnoses are the basis for planning nursing interventions and provide improved quality of life for these clients.

RESUMOObjetivo: avaliar o risco de idosos institucionalizados com comprometimento na realização das atividades de vida diárias (AVDs) desenvolverem lesão por pressão (LP). Método: trata-se de estudo transversal quantitativo, com amostra de 44 idosos, que utilizou como instrumentos de coleta de dados: questionário sobre perfil sociodemográfico dos idosos, escala de Katz e escala de Braden. Os dados foram analisados no programa estatístico SPSS 17.0. Resultados: verificou-se que 64,3% dos idosos possuíam risco de desenvolver LP, e 57,1% eram dependentes para realizar cinco ou mais AVDs. Quanto maior a independência para desenvolvimento de AVDs, menor o risco de desenvolver UP (r s = -0,74; p < 0,05). Conclusão: a utilização de escalas preditivas como as de Braden e de Katz proporciona parâmetros para o enfermeiro planejar cuidados com a pele de modo individualizado, visando a segurança e bem-estar dos idosos institucionalizados. ABSTRACTObjective: to evaluate the risk of institutionalized elderly people with impairment in performing daily life activities (DLAs) to develop pressure injury (PI). Method: This is a cross-sectional quantitative study, with a sample of 44 elderly people, which used as data collection instruments: a questionnaire on the sociodemographic profile of the elderly people, Katz scale and Braden scale. The data were analyzed in the statistical program SPSS 17.0. Results: it was verified that 64.3% of the elderly people had a risk of developing PI, and 57.1% were dependent to perform five or more DLAs. The higher the independence for DLA development, the lower the risk of developing PU (r s = -0.74, p <0.05). Conclusion: The use of predictive scales such as those of Braden and Katz ones provides parameters for the nurse to plan individualized skin care, aiming at the safety and well-being of the institutionalized elderly people. RESUMENObjetivo: evaluar el riesgo de ancianos institucionalizados con comprometimiento en la realización de las actividades de vida diaria (AVDs) desarrollar lesión por presión (LP). Método: se trata de un estudio transversal cuantitativo con una muestra de 44 ancianos que utilizó como instrumentos de recolección de datos: cuestionario sobre perfil sociodemográfico de los ancianos, escala de Katz y escala de Braden. Se analizaron los datos en el programa estadístico SPSS 17.0. Resultados: se verificó que el 64,3% de los ancianos tenían riesgo de desarrollar LP, y el 57,1% era dependiente para realizar cinco o más AVDs. Cuanto mayor la independencia para el desarrollo de AVD, menor es el riesgo de desarrollar UP (rs = -0,74; p <0,05). Conclusión: la utilización de escalas predictivas como las de Braden y de Katz proporciona parámetros para el enfermero planificar atención con la piel de modo individualizado, buscando la seguridad y el bienestar de los ancianos institucionalizados. Descriptores: Seguridad del paciente; Úlcera por presión; Anciano; Institucionalización; Enfermería.

Introdução: a Síndrome da Imunodeficiência Adquirida (AIDS, sigla em inglês) é uma doença infecciosa caracterizada por mudanças em sua evolução. A enfermagem se destaca na assistência ao portador de HIV/AIDS pelas ações efetivas de promoção e recuperação da saúde, em especial as relacionadas ao vínculo necessário para a adesão à terapêutica antirretroviral. Objetivo: caracterizar o perfil epidemiológico dos portadores de HIV/AIDS em seguimento no serviço de atendimento especializado de um município mineiro. Método: estudo quantitativo, cuja amostra foi de 204 pacientes. A coleta de dados foi realizada entre novembro/2011 e fevereiro/2012, e consistiu na análise das fichas de notificação do Sistema de Notificação de Agravos Notificáveis. Utilizou-se estatística descritiva para a análise dos dados. Resultados: 14,7% dos pacientes tinham infecção pelo vírus HIV e 85,3%, AIDS, com média de idade de 39 anos. Houve equivalência na distribuição por sexo para os portadores do HIV. 9% dos pacientes são analfabetos e 37,2% têm menos de 5 anos de estudo. 79,4% contaminaram-se por via sexual e, destes, 66,7% se declararam heterossexuais. Conclusão: pacientes com HIV/AIDS do município estudado possuem a idade, a heterossexualização, a feminização e a baixa escolaridade como fatores de risco para o HIV/AIDS.