Português / Inglês www.scielo.br/reeusp RESUMO A educação permanente enfati za a interdisciplinaridade da equipe de saúde, focaliza a práti ca como fonte do conhecimento e coloca o profi ssional para atuar ati vamente no processo educati vo. Este estudo objeti vou identi fi car demandas e expectati vas, fatores que interferem na qualifi cação de trabalhadores de enfermagem de um hospital universitário e propor práti cas de capacitação na perspecti va da educação permanente. O processo investi gati vo fundamentado nos princípios da pesquisa-ação foi realizado no período de 2007 a 2008, tendo como sujeitos enfermeiros, técnicos e auxiliares de enfermagem. Os dados foram obti dos em oficinas de capacitação com 114 trabalhadores de enfermagem. Os resultados permiti ram identi fi car as condições insti tucionais em que as ações educati vas ocorrem, a possibilidade de mobilização dos trabalhadores para identi fi cação e resolução de problemas no trabalho e a necessidade de mudanças nas práti cas de capacitação. Esta pesquisa subsidiou a elaboração da proposta de um Núcleo de Educação Permanente em Enfermagem para a insti tuição. DESCRITORES Serviço Hospitalar de Educação Educação em enfermagem Capacitação em serviço Pesquisa qualitati va ABSTRACTPermanent educati on emphasizes on the interdisciplinarity of the health team, focuses on practi ce as the source of knowledge and places professionals as acti ve actors of the educati onal process. The objecti ve of this study was to identi fy demands and expectati ons, i.e. factors that interfere in the qualifi cati on of nursing workers of a university hospital, and propose capacitati on practi ces from the perspecti ve of permanent educati on. The investi gati on process founded on the principles of acti on-research was performed from 2007 to 2008. Subjects were nurses, nursing technicians and nursing aides. Data collecti on was performed in training workshops with 114 nursing workers. The results permitt ed to identi fy the insti tuti onal conditi ons in which educati onal acti ons take place, the possibility of mobilizing workers to identi fy and solve problems at works, and the need to make changes in training practi ces. This study provided support for elaborati ng a proposal of a Center for Permanent Educati on in Nursing at the insti tuti on. DESCRIPTORSEducati on Department, Hospital Educati on, nursing Inservice training Qualitati ve research RESUMENLa capacitación permanente enfati za la interdisciplinaridad del equipo de salud, focaliza la prácti ca como fuente de conocimiento y coloca al profesional para trabajar acti vamente en el proceso educati vo. Estudio que objeti vó identi fi car demandas y expectati vas, factores que interfi eren en la calificación de trabajadores de enfermería de un hospital universitario, y proponer prácti cas de capacitación permanente en perspecti va de educación permanente. El proceso investi gati vo fundamentado al principio de la pesquisa-acción se realizó entre 2007 y 2008, siendo sujetos enfermeros, técnicos y auxiliares de enfe...

Objective: to identify the perspective of elderly persons on healthy aging as described by scientific literature. Method: a descriptive integrative review type study was performed, guided by the question: what knowledge has been produced about healthy aging from the perspective of the elderly? It was carried out using the Scopus Info Site (SCOPUS), Cumulative Index to Nursing & Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Literature of Latin America and the Caribbean (LILACS), EMBASE and WEB OF SCIENCE databases and in the directory of the Scientific Electronic Library Online Journals (SciELO), for literature published in the period between 2005 and 2016. Result: Eleven papers were regarded as eligible for this review. These studies revealed that healthy aging is related to different health dimensions: biological (adoption of healthy habits and behaviors with self-responsibility), psychological (feelings of optimism and happiness), spiritual (faith and religiosity) and social (reciprocity in social support factors and the capacity to live autonomously and independently). Conclusion: the synthesis of knowledge on healthy aging from the perspective of the elderly can support the actions of professionals who work with this population group to encourage and value the social determinants involved, so overcoming the exclusive focusing on the adoption of habits and behaviors inherent to lifestyle to achieve aging in a healthy way.

RESUMO:A participação da mulher na tomada de decisão, nas ações de promoção à saúde, é um direito que deve ser respeitado. Este estudo buscou compreender a necessidade de cuidado e o desejo de participação nas decisões sobre o parto de gestantes de Londrina-PR. Utilizou-se a pesquisa fundamentada na fenomenologia social. As gestantes foram entrevistadas no período de agosto a novembro de 2008. Foram analisados 14 depoimentos, resultando na formação de quatro categorias: preferência pelo tipo de parto, insegurança, necessidade de cuidado e tomada de decisão no parto. Os resultados evidenciaram que, apesar de desejarem participar do seu parto e de verbalizarem suas necessidades, escolhas e preferências, as mulheres não encontram condições favoráveis para que suas necessidades de cuidado e o desejo de participação nas decisões sobre o parto sejam viabilizados; fato que interfere nas relações face a face e impede o direito à escolha informada em relação ao parto. DESCRITORES:Enfermagem obstétrica. Pré-natal. Parto humanizado. Tomada de decisões. Pesquisa qualitativa. PREGNANT WOMEN CARE NEEDS AND DESIRES TO PARTICIPATE IN THEIR DELIVERY DECISIONS: A STUDY CARRIED OUT IN LONDRINA, PARANÁ, BRAZILABSTRACT: Women's participation in decision making involving health care promotion is a right that should be respected. This study aimed to better understand the need for care and the desire to participate in delivery decisions among pregnant women in Londrina, PR, Brazil. This study was based on social phenomenology. The pregnant women were interviewed from August to November, 2008. Statements from 14 pregnant women were analyzed and were divided into four categories: type of delivery preference; insecurity; the need for care; and decision-making in delivery. Results showed that although women expressed their needs and their wish to participate in the decisions regarding their delivery, they did not find favorable conditions so that their care needs and desire to participate in delivery decisions were made possible, a fact which interferes in face-to-face relationships and impedes the right to informed choices with respect to the delivery process.DESCRIPTORS: Obstetrics nursing. Prenatal. Humanized delivery. Decision making. Qualitative research. LA NECESIDAD DE ATENCIÓN Y EL DESEO DE PARTICIPAR EN EL PARTO DE LAS MUJERES EMBARAZADAS RESIDENTES EN LONDRINA-PARANÁ, BRAZILRESUMEN: La participación de la mujer en la toma de decisiones y en las acciones para promover la salud, es un derecho que debe ser respetado. Este estudio trata de comprender la necesidad de cuidado y el deseo de participar en las decisiones sobre el parto de las mujeres embarazadas residentes en Londrina-PR. Es una investigación basada en la fenomenología social. Las embarazadas fueron entrevistadas en el período de agosto a noviembre de 2008. Se analizaron 14 declaraciones, lo que resultó en la formación de cuatro categorías: preferencia por el tipo de parto, inseguridad, necesidad de atención y toma de decisiones en el parto. Los resultados mostraron que a...

One third of the immigrant population around the world is made up of women. Of these women, many belong to the Portuguese community. Immigrants account for more than one in five Canadians. The Portuguese older immigrant women living in Canada are vulnerable to be victims of intimate partner violence (IPV), which is a prevalent and important global health issue that affects differently diverse groups. There are few available researches regarding IPV on this population. The objective of this study is to understand how Portuguese older immigrant women living in Canada experience IPV. This is a qualitative study with a social phenomenological focus. Alfred Schutz's motivation theory was used to analyze the impulses that led older women to face IPV. The data were collected from July to October 2013 in the Greater Toronto Area. Ten women 60 years or older were included in the study. The participants perceived themselves as being victimized by their current or ex partners. They are unhappy and suffer from a variety of health problems, which they related to their experience of IPV. These factors, along with participants' personal beliefs, and their legal situations as immigrants in Canada, made them act, either in a way that would try to maintain their relationships, or tried to escape the violent situation. IPV is a complex phenomenon, with different perceptions surrounding it. The experiences of the older immigrant women showed that ending the marriage is not always a possibility to them because of cultural issues and their immigrant status in Canada. Some women wish help and support to improve their relationships.

RESUMOO modelo de assistência ao parto e nascimento no Brasil tem sido tema de muitas discussões e estudos sobre a incorporação de práticas obstétricas que considerem a autonomia da mulher no processo de parturição. O modelo proposto pelas Casas de Parto configura-se como um cenário para esses cuidados. Este estudo voltou-se para a compreensão da vivência da mulher parturiente no contexto de uma Casa de Parto situada em São Paulo. Os dados foram coletados no período de março a outubro de 2007 e analisados à luz do referencial da Fenomenologia Social de Alfred Schütz. Sete mulheres participaram da pesquisa. Os resultados evidenciaram que a mulher que escolhe a Casa de Parto para dar à luz busca pelo cuidado humanizado e que nesse contexto ela passa por experiências positivas e negativas. Faz-se necessário discutir as polí-ticas públicas de assistência ao parto, sua implementação e seu impacto sobre os indicadores de saúde perinatal. DESCRITORES ABSTRACTIn Brazil, the delivery and birth care model in Brazil has been the topic of many studies and discussions about introducing obstetric practices that take women's autonomy into account in the parturition process. Birthing Centers propose models that represent a new scenario to deliver such care. The objective of this was to understand the experience of women in labor in the context of a Birthing Center located in the city of São Paulo. Data was collected from March to October 2007 and analyzed according to the Alfred Schütz social phenomenology framework. Seven women participated in this study. Results showed that women choose the Birthing Center expecting to receive humanized care and that, within this context, they have positive and negative experiences. It is imperative to discuss public policies for delivery care, as well as its implementation and impact on perinatal health indicators. KEY WORDSWomen's health. Natural childbirth. Humanizing delivery. Obstetrical nursing. RESUMENEl modelo de atención del parto y nacimiento en Brasil ha sido tema de muchas discusiones y estudios sobre la incorporación de prácticas obstétricas que consideren la anatomía de la mujer en el proceso de parición. El modelo propuesto por las Casas de Partos se configura como un escenario para tales cuidados. Este estudio apuntó a la comprensión de la experiencia de la mujer parturienta en el contexto de una Casa de Partos situada en San Pablo. Los datos fueron obtenidos en el período de marzo a octubre de 2007 y analizados a la luz del referencial de la Fenomenología Social de Alfred Schutz. Siete mujeres participaron de la investigación, y los resultados evidenciaron que la mujer que escoge la Casa de Partos para dar a luz lo hace por el cuidado humanizado y, en este contexto, tiene experiencias positivas y negativas.. Se hace necesario discutir las políticas públicas de atención del parto, su implementación y su impacto sobre los indicadores de salud perinatal. DESCRIPTORESSalud de la mujer. Parto normal. Parto humanizado. Enfermería obstétrica.

Objective:The aim of this paper is to understand the experience of smokers in view of unsuccessful attempts to quit smoking. Method: This study is based on social phenomenology. Between November and December of 2014, nine interviews were conducted with people that had attempted to quit smoking. The content of these interviews was analyzed and discussed based on the related literature. Results: Unsuccessful attempts to quit smoking are related to tobacco addiction; cigarettes are seen as a support to cope with everyday stressful situations. Attempts to quit the smoking habits were based on the need of health improvement and insistence of family and friends. Smokers reported the use of habit cessation strategies learned in support groups, but they also express expectation of specialized psychological support. Conclusion: The study points out the need to expand the strategies of approaching smokers, and reinforcing psychological support in order to achieve success in the attempt to quit smoking.

Objective:To understand the life experience of homeless women. Method: A social phenomenological study was conducted with 10 women assisted by a shelter. The analysis of the interviews was based on the theoretical framework of social phenomenology of Alfred Schütz and thematic literature. Results: The participants face adversities in the street context, with emphasis on the risk of physical and sexual abuse, and seek shelters as a possibility for minimizing difficulties experienced. They hope to leave the streets; however, they see themselves trapped in this social reality, due to the addiction to alcohol and other drugs. Conclusion: The understanding of the life experience of homeless women shows daily confrontations and reveals the conflict between the desire for leaving and remaining on the streets, given the complexity of the reality that keeps them in this condition. DESCRIPTORS

The study was motivated by observations of the routine at neonatal intensive care units (NICU), thoughts about the dichotomy between theory, discourse, and the practice of many nurses towards the newborns' parents. The objectives were to learn about nurses' experiences regarding neonatal care to newborns and their parents, and to understand how nurses experience the process of affective attachment between newborns hospitalized at NICUs and their parents. This study was developed according to the social phenomenology approach of Alfred Schütz. Study subjects were eight practical nurses who had worked at NICU of public and private hospitals. Categories of experience emerged from the discourses, including Human Contact. The analysis revealed that nurses see themselves as the connection between parents and children, and believe they play an important role in creating the affective attachment between parent and child.