RESUMONeste estudo analisou-se o efeito do Treinamento e uso de Ficha de Avaliação Sistema zada para controle da dor após cirurgia cardíaca, sobre a intensidade da dor e o consumo de morfi na suplementar. Três grupos de pacientes foram submedos a um ensaio clínico não randomizado com prescrição analgésica padronizada. No Grupo I, a equipe de enfermagem não recebeu treinamento sobre avaliação e manejo da dor e cuidou dos doentes conforme a ro na da ins tuição. Nos grupos II e III, toda a equipe foi treinada. A equipe de enfermagem do grupo II u lizou a Ficha Sistema zada sobre Dor, e a do grupo III não a u lizou. O grupo II apresentou dor menos intensa e maior uso de morfina suplementar. O treinamento associado à Ficha de Avaliação aumentou a chance de iden fi car a dor e infl uenciou o processo de decisão do enfermeiro na administração de morfi na, favorecendo o alívio da dor dos pacientes. DESCRITORESCirurgia torácica Dor pós-operatória Medição da dor Analgesia Educação Cuidados de enfermagem ABSTRACTWe analyzed the eff ects of training and the applica on of a form for systema zed pain assessment of pain control a er cardiac surgery on pain intensity and supplementary morphine use. Three pa ent groups underwent a non-randomized clinical trial with standardized analgesic prescrip ons. In Group I, the nursing staff did not receive specifi c training regarding pain assessment and management, and pa ents were treated following the established protocol of the ins tu on. In Groups II and III, the nursing staff received targeted training. In Group II the nursing staff used a form for systema zed pain assessment, which was not used in Group III. Group II presented a lower intensity of pain and greater consump on of supplementary morphine compared to Groups I and II. Training associated with the systema zed assessment form increased the chance of iden fying pain and infl uenced nurses' decision-making process, thus promo ng pain relief among pa ents. DESCRIPTORS RESUMENSe analizó el efecto del Entrenamiento y uso de Ficha de Evaluación Sistema zada para control del dolor posterior a cirugía cardíaca, sobre la intensidad del dolor y consumo de morfi na suplementaria. Tres grupos de pacientes fueron some dos a ensayo clínico no randomizado, con prescripción analgésica estandarizada. En Grupo I, el equipo de enfermería no recibió entrenamiento sobre evaluación y manejo del dolor, y cuidó a los pacientes conforme las ru nas ins tucionales. En Grupos II y III, todo el equipo recibió entrenamiento. El Grupo II u lizó la Ficha Sistema zada sobre Dolor, el Grupo III no la u lizó. El Grupo II presentó dolor menos intenso y mayor uso de morfi na suplementaria. El entrenamiento asociado a la Ficha de Evaluación aumentó la chance de iden fi car el dolor e infl uyó en el proceso decisorio del enfermero en la administración de morfi na, favoreciendo el alivio del dolor de los pacientes. DESCRIPTORES

Aos meus pais, João e Lúcia, pelo carinho, apoio, dedicação e por um dos principais ensinos: a perseverança que me auxilia até os dias de hoje a enfrentar os obstáculos da vida. Ao meu marido, Marcos, pelo amor, companheirismo, carinho, compreensão e paciência durante todos os momentos. E por ser uma pessoa maravilhosa e que me proporciona muitos momentos felizes mesmo nas dificuldades. Ao meu filho, Dimitri, que já amo e está sendo um grande presente de vida e tem participado indiretamente deste trabalho. AGRADECIMENTOS À Prof. Dra. Cibele Andrucioli de Mattos Pimenta, a quem admiro e tive o privilégio de ter como minha orientadora, obrigada pelos ensinamentos, paciência e orientação neste trabalho. Ao Prof. Dr. José Otávio Costa Auler Júnior, profissional admirável, obrigada pelo incentivo, pela presença nas dificuldades, acreditar e estimular o crescimento de nós enfermeiros.

To evaluate the incorporation of the technologies of the Windows Project by health professionals. Methods: This is an evaluation research with triangulation methods using the four levels of evaluation of Kirkpatrick. The subjects of study were physicians and nurses of the Basic Units of the Western Region Health Project. Results: Three Teams incorporated the technology, nine partially incorporated and six non-incorporated the technology. Three nurses and two physicians incorporated the technology, nine nurses and five physicians incorporated partially-five nurses and two physicians failed to incorporate the technology. Five categories of behavior change and four dimensions related to the incorporation of technology were identified. Conclusions: The incorporation of the Technologies of the Windows Project proved to be closely related to the process of continuing education. The professional work routine analysis provides clues about the technologies already in use by the teams and the needs of incorporating a new technology

Pain is one of the most prevalent symptoms in cancer patients and may be directly related to cancer or to the procedures needed for its diagnosis and treatment. It is estimated that about 40% of cancer patients receive inadequate treatment for painful conditions. Among the barriers to adequate pain management are inadequate knowledge and the dysfunctional beliefs of healthcare professionals. Therefore, the present study aims to assess the knowledge of oncology nurses on the management of pain, as well as the factors associated with it. It is a cross-sectional study with 126 nurses working at a High Complexity Oncology Centre in Brazil. Knowledge about the management of cancer pain was evaluated through the instrument ‘Nurses’ Knowledge on Cancer Pain Management—World Health Organization—developed by Ramos (1994). In the analysis of the association between knowledge about pain management and the independent variables, Poisson regression was used with robust variance, and values of p ≤ 0.05 were considered statistically significant. Adequate knowledge prevalence was 54.1% confidence intervals (CI 5.40%–62.80%). These nurses differed in relation to those with inadequate knowledge regarding the source of knowledge about pain, the ethical aspects in the treatment of the patient with oncologic pain, and non-pharmacological methods (coeliac plexus neuroleptic block) for pain control. Also, the factors associated with adequate knowledge were longer professional experience time ([10–19 years (ratio prevalence (RP) = 1.72, 95% CI: 1.05–2.81), 20–29 years (RP = 2.56, 95% CI: 1.63–4.02), 30–39 years (RP = 3.45, 95% CI: 2.25–5.29]), and not believing that the use of opioids causes harm to patients corresponded with a greater chance prevalence ratio (PR = 1.20, 95% CI: 1.12–1.20) of having adequate knowledge. The findings of the study point to the need for continuing education, updated education, and reflection, especially for nurses with less professional experience.

Objective: To compare the relief of symptoms provided by palliative care consultation team (PCCT) compared to the traditional care team (TC), in patients with advanced cancer in the first 48 hours of hospitalization. Method: Allocated to PCCT Group and TC Group, this study assessed 290 patients according to the Edmonton Symptom Assessment System (ESAS) within the first 48 hours of hospitalization. The main outcome was a minimum 2-point reduction in symptom intensity. Results: At 48 hours, the PCCT Group had a 2-point reduction in the mean differences (p <0.001) in pain, nausea, dyspnea, and depression; and TC Group, on nausea and sleep impairment (p <0.001). Multiple Logistic Regression found for the PCCT Group a greater chance of pain relief (OR 2.34; CI 1.01-5.43; p = 0.049). Conclusion: There was superiority of the PCCT Group for pain relief, dyspnea and depression. There is a need for more studies that broaden the understanding of team modalities.

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APRESENTAÇÃO Este 14º volume de resumos, o 4º publicado como Suplemento da Revista Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo, dos Trabalhos de Conclusão do Curso (TCC) de Graduação em Enfermagem das 26ª, 27ª e 28ª turmas de alunos, foi organizado em duas grandes linhas de pesquisa. A primeira linha, Cuidar em Enfermagem, inclui estudos sobre diferentes aspectos da assistência de enfermagem nas áreas da Saúde do Adulto e do Idoso, Saúde da Mulher e Saúde da Criança e do Adolescente, inseridos nos níveis de atenção: primária, secundária e terciária. A segunda linha de pesquisa, Trabalho e Educação em Enfermagem, inclui dentre outros, estudos sobre conhecimentos, atitudes, qualidade de vida, acidentes e condições de trabalho dos enfermeiros, alunos e profissionais de saúde.As Organizadoras