Objective To know the strategies used by nurses of Units of Family Health Strategies to identify and cope with the violence situation by intimate partners of pregnant women. Method Descriptive study with a qualitative approach, in which semi-structured interviews were conducted with 23 primary care nurses from September 2015 to April 2016. Thematic content analysis was used. Results The category "It's very complex" has emerged - actions to identify and cope with the violence situation by intimate partners of pregnant women. Physical injuries were the main violence indicative identified at prenatal care. The coping strategies were the referrals to specialized services and joint discussion with healthcare team. Conclusion There's a need to organize a nursing protocol that helps in the identification and classification of risk exposure to violence, permanent education of these professionals and strengthening of intersectoral actions.
How to cite this article: Bandeira LA, Santos MC, Duarte ERM, Bandeira AG, Riquinho DL, Vieira LB. Social networks of patients with chronic skin lesions: nursing care. Rev Bras Enferm [Internet] ABSTRACT Objective: To describe the social networks of patients with chronic skin damages. Method: A qualitative study conducted through semistructured interviews with nine subjects with chronic skin lesions from June 2016 to March 2017; we used the theoretical-methodological framework of Lia Sanicola's Social Network. Results: The analysis of the relational maps revealed that the primary network was formed mainly by relatives and neighbors; its characteristics, such as: reduced size, low density and few exchanges/relationships, confi gures fragility in these links. The secondary network was essentially described by health services, and the nurse was cited as a linker in the therapeutic process. Final considerations: Faced with the fragility of the links and social isolation, the primary health care professionals are fundamental foundations for the construction of networks of social support and care for patients with chronic skin lesions. Descriptors: Leg Ulcer; Chronic Disease; Nursing Care; Social network; Primary Health Care. RESUMO Objetivo: Descrever as redes sociais de portadores de lesão cutânea crônica. Método: Estudo qualitativo realizado através de entrevistas semiestruturadas com nove sujeitos portadores de lesões cutâneas crônicas no período de junho de 2016 a março de 2017; utilizou-se o referencial teórico metodológico de Rede Social de Lia Sanicola. Resultados: A análise dos mapas relacionais revelou que a rede primária era formada principalmente por familiares e vizinhos; suas características, como: tamanho reduzido, baixa densidade e poucas trocas/relacionamentos, confi gura fragilidade nesses vínculos. A rede secundária foi descrita essencialmente por serviços de saúde, e a enfermeira foi citada como formadora de vínculo no processo terapêutico. Considerações fi nais: Diante da fragilidade dos vínculos e do isolamento social, os profi ssionais da atenção primária à saúde são alicerces fundamentais para a construção de redes de apoio social e cuidado ao portador de lesão cutânea crônica. Descritores: Úlcera da Perna; Doença Crônica; Cuidado de Enfermagem; Rede Social; Atenção Primária à Saúde. RESUMEN Objetivo: Describir las redes sociales de portadores de lesión cutánea crónica. Método: Estudio cualitativo realizado a través de entrevistas semiestructuras con nueve sujetos portadores de lesiones cutáneas crónicas en el período de junio 2016 a marzo 2017; se utilizó el referencial teórico metodológico de Red Social de Lia Sanicola. Resultados: El análisis de los mapas relacionales reveló que la red primaria estaba formada principalmente por familiares y vecinos; sus características, como: tamaño reducido, baja densidad y pocos intercambios/relaciones, confi guran fragilidad en esos vínculos. La red secundaria fue descrita esencialmente por servicios de salud y la enfermera fue citada como formadora de ví...
Objective: To describe the safety culture of the patient from the perspective of nurses and physicians working in the maternal-child area. Method: A cross-sectional study conducted from January to September 2018 with 41 professionals of the Obstetrics Center and obstetric hospitalization of a university hospital in the south of the country. The Hospital Survey on Patient Safety Culture was used, with 12 dimensions of the safety culture, measured by means of a general score (0 to 10) and of positive answer percentages to assess strengths and weaknesses. Results: The action of supervisors/bosses can be considered a strength of patient safety, with 78.2% of positive answers; already regarding communication, it was considered a fragility, punctuating 13.24%. The general safety grade of the patient assigned to the work’s unit was very good, in a confidence interval of 95%. Conclusion: With the identification of the strengths and weaknesses of patient safety, it is possible to plan improvement actions. We emphasize that the non-punitive approach is essential.
Objetivo: identificar a aplicação das práticas essenciais da Lista de Verificação para Partos Seguros (LVPS) da Organização Mundial da Saúde realizadas em Hospital Universitário. Método: estudo transversal descritivo, realizado no período de janeiro a outubro de 2018, com 51 profissionais que assistem o trabalho de parto, parto e puerpério. Para identificar as práticas aplicadas, utilizou-se um questionário semiestruturado e análise estatística. Resultados: práticas relacionadas ao uso de fármacos, disponibilidade de recursos materiais, identificação de sangramento anormal, contato pele à pele, amamentação e planejamento reprodutivo estão conforme o preconizado. Contudo, não houve padronização quanto às avaliações no partograma e às orientações às mulheres e acompanhantes sobre os sinais de agravamento. Conclusões: a LVPS apresenta-se como uma ferramenta inovadora na assistência obstétrica. Oferece oportunidade de melhorias e qualificação dos cuidados, padronizando condutas essenciais, como as orientações sobre os sinais clínicos e registro no partograma, favorecendo a segurança do binômio mãe-bebê.
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