Nursing professionals working in Emergency Care suffer from the physical symptoms of stress in their everyday activity. The objective of this study was to characterize these symptoms using the Occupational Stress Indicator, a semi-structured instrument. To do this, the authors created open questions that were applied in interviews that were recorded and analyzed. The researchers listed the following physical symptoms: headache, a sensation of fatigue, leg pain, and tachycardia. According to reports form the workers, pain always resulted from emotional stress or appeared after providing emergency care, which suggests the workers find it very difficult to differentiate physical from mental stress. The investigation found that there is a need for measures to follow workers in their working activity. A manual was created, containing basic suggestions to improve the quality of life of the health team.

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420Rev Bras Enferm, Brasília 2013 mai-jun; 66(3): 420-8. REVISãOEfetividade da intervenção breve para o uso abusivo de álcool na atenção primária: revisão sistemática RESUMO A pesquisa identifi cou estudos clínicos acerca das intervenções breves para o uso abusivo de álcool e analisou a efi cácia dos aconselhamentos para os consumidores. Estudo bibliográfi co sistemático que utilizou artigos publicados no período de 1997 a 2010. Os achados mostraram que a estratégia de intervenção breve é efetiva na redução da frequência e quantidade de álcool, com melhores resultados quando aplicada na atenção primária. Todos os profi ssionais da área da saúde obtêm bons resultados com o manejo dessa terapia. Não foi possível defi nir se a estratégia é mais efi caz se aplicada em bebedores de uso nocivo ou em crônicos, uma vez que a intervenção depende da mobilização de recursos motivacionais do paciente e de mudanças de atitude relacionadas ao consumo de álcool. Descritores: Álcool; Intervenção Breve; Atenção Primária; Tratamento, Efetividade. ABTRACTThe research identifi ed clinical studies on the brief interventions for the abusive use of alcohol and analyzed the effectiveness of professional advises proposed to alcohol consumers. The systematic bibliographical study was based on articles published during the period of 1997 to 2010. Brief intervention strategy is effective in the reduction on the frequency and amount of alcohol use, with better results when the strategy is applied to the primary attention situations. All professionals obtained good results using this therapy. It was not possible to determine if the strategy is most effective when applied to harmful drinkers or to chronic drinkers, since the intervention also depends on the patient's availability of motivational resources and on changes in attitude regarding the abusive use of alcohol. Key words: Alcohol; Brief Intervention; Basic Attention; Treatment; Effectiveness. RESUMENLa encuesta identifi có estudios clínicos sobre intervenciones breves para el abuso de alcohol y analizado la efi cacia de la orientación a los consumidores. Estudio sistemático utilizó la literatura publicada entre 1997 y 2010. Resultados mostraron que la estrategia de intervención breve es efectiva en la reducción de la frecuencia y la cantidad de alcohol, con mejores resultados cuando se utilizan para primaria. Todas atenciones en el área de la salud han tenido buenos resultados con la gestión de esta terapia. No se puede establecer la estrategia es más efi caz si se aplica en los bebedores de abuso de alcohol o crónica, ya que la intervención depende de la movilización de los cambios motivacionales y actitudinales del paciente relacionados con el consumo de alcohol.

Objective: To analyze the work process and its impact on nursing professionals in a mental health service for the care of drug users. Methods: Cross-sectional study including nursing professionals in a community mental health service. The research instrument was the SATIS-BR and a questionnaire with analysis categories of the work performed. Dialectic hermeneutics was used for the qualitative data. Data were processed and analyzed using the Statistical Package for the Social Sciences. Results: The work overloads identified have interfered with the satisfaction experienced by workers and reflected in their physical and mental health. Conclusion: In their work process, nursing professionals were exposed to all work overloads, with mental burnout more intense than the physical, reflecting in dissatisfaction with the work activity and in workers' physical health. ResumoObjetivo: Analisar o processo de trabalho e seu impacto nos profissionais de Enfermagem em serviço de saúde mental destinado à atenção aos usuários de substâncias psicoativas. Métodos: Estudo transversal que incluiu os profissionais de enfermagem em um serviço de saúde mental comunitário. O instrumento de pesquisa foi o SATIS-BR e um questionário com as categorias de análise do trabalho realizado. Para os dados qualitativos, empregou-se a hermenêutica dialética. Os dados foram processados e analisados no programa Statistical Package for Social Sciences. Resultados: Foram identificadas sobrecargas de trabalho que interferiram na satisfação percebida pelos trabalhadores e refletiram em sua saúde física e psíquica. Conclusão: Os profissionais de Enfermagem, em seu processo de trabalho, estiveram expostos a todas as cargas de desgaste, sendo o desgaste psíquico mais intenso que o físico, o qual refletiu na insatisfação com a atividade laboral e na saúde física dos trabalhadores.

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The study aimed to present the guidelines, strengths, weaknesses, inviable factors, strategies adopted and to be adopted, of the National Policy on Alcohol and Other Drugs, Ministry of Health of Brazil, in the words of the State Administrative and Municipal of the two Centers of psychosocial care to users of alcohol and other drugs-Level II, municipal and state of S. Paulo; and to contribute to the production of new coping strategies, in an attempt to subsidize new programs which address the strengthening of the network of assistance to users of alcohol and other drugs. This is a descriptive, exploratory qualitative approach. The study was conducted with two managers of mental health, one state and one municipal, and two coordinators of the CAPS ad, also at the state and municipal levels. The ethical determinations determined by the Resolution CONEP / MS n º 196/06 were observed. The study was conducted in two phases: literature review and data collection. Data collection was performed between May 2008 and August 2009. The authors developed unstructured instruments for the socio-demographic characterization of the services and collaborators, and the data obtained in the recorded interview. The data were transcribed, reproduced, categorized and analyzed according to the hermeneutic dialectic method. Data analysis was based on the theoretical framework of sociologist Santos (2006), taking into perspective the five categories of the sociology of absences. The guidelines identified in the National Policy are: host, intersectorial, paradigm shift, risk reduction, psychosocial rehabilitation, family care and individualized treatment. All guidelines have been reproduced in the statements of the collaborators. Some of the issues addressed by them were: the need for coordination between the health network SUS; insufficient CAPS ad in almost all the national territory, dimensions / responsibilities of the technical team determined by the Ministry of Health-that MS should respond to the specificity of the services, lack of hospital beds in the general hospital support system, emergency beds and emergency rooms, insufficient CAPS III;

Objective Understanding the Moral Suffering experiences expressed in the daily life of the Family Health Strategy. Method This is a case study with a qualitative approach, conducted between August and October 2014 in a municipality of Minas Gerais. The sample was represented by 28 professionals of family health teams. Data were collected through interviews with semi-structured questionnaires, observation, projective technique and submitted to thematic content analysis. Results The results indicate that routine issues of the health care system lead professionals to experience a challenging practice in dealing with daily situations that contradict their ethical precepts and can compromise the quality of work, becoming triggers of Moral Distress. Conclusions Social vulnerabilities such as domestic violence, poor socioeconomic conditions and organizational weaknesses of the health system were the main triggers of Moral Distress. Therefore, it is necessary to amplify this reflection by workers of the Family Health Strategy, aiming to encourage the minimization of suffering experiences, considering their ethical values.

RESUMOEste estudo objetivou traduzir e adaptar culturalmente o instrumento Global Appraisal of Individual Needs -Initial e calcular seu Índice de Validade de Conteúdo. Trata-se de estudo metodológico, de adaptação cultural do instrumento. O instrumento foi traduzido para o português em duas versões que deram origem à síntese das traduções, submetida à avaliação de quatro juízes experts na área de álcool e outras drogas. Após modificações, foi retraduzido e ressubmetido aos juízes e autores do instrumento original, resultando na versão final do instrumento, "Avaliação Global das Necessidades Individuais -Inicial" O Índice de Validade de Conteúdo do instrumento foi de 0,91, considerado válido pela literatura. O instrumento "Avaliação Global das Necessidades Individuais -Inicial" é um instrumento adaptado culturalmente para o português falado no Brasil; entretanto, não foi submetido a testes com a população-alvo, o que sugere que sejam realizados estudos que testem sua confiabilidade e validade.