Objective: to identify strategies to promote the recognition and visibility of the nursing work performed in the Central Supply and Sterilization.Method: qualitative, descriptive research with nurses from a hospital in Southern Brazil, from October to November 2014, totaling 17 participants, data collection was performed through semi structured interviews and discursive textual analysis.Results: among the strategies, the exchange of experiences between the nurses of the Central Supply and Sterilization department and the nurses of other units were highlighted; Selection of workers was based on the criteria required for the on-site performance and Permanent Education Service, with topics focused on the sector. These strategies have led to changes in the way of perceiving a nursing area, which is still not very visible, although it is essential for the activities performed at the hospital. The visibility of the work performed in the Central Supply and Sterilization department is still distorted, as although the work developed in the sector is considered important by external professionals, many were not aware of the diversity of activities performed or had the specific knowledge required.Conclusion: the research evidenced the need for the nurses of the Central Supply and Sterilization department to engage, perceive and modify the image of the sector and the way in which the administration of health institutions has been dealing with the advances in the processing of medical and surgical articles. DESCRIPTORS:Nursing. Work. Sterilization. Nurse's role. Education. ESTRATÉGIAS QUE CONTRIBUEM PARA A VISIBILIDADE DO TRABALHO DO ENFERMEIRO NA CENTRAL DE MATERIAL E ESTERILIZAÇÃO RESUMOObjetivo: identificar estratégias para promover o reconhecimento e a visibilidade do fazer do enfermeiro na Central de Material e Esterilização.Método: pesquisa qualitativa, descritiva, realizada com enfermeiros de um hospital do sul do Brasil, de outubro a novembro de 2014, totalizando 17 participantes, através de entrevista semiestruturada e análise textual discursiva.Resultados: dentre as estratégias, destacaram-se a troca de vivência entre os enfermeiros da Central de Material e Esterilização e os enfermeiros de outras unidades; seleção dos trabalhadores, a partir de critérios necessários para a atuação no local e Serviço de Educação Permanente, com temáticas voltadas ao setor. Estas estratégias suscitaram mudanças no modo de perceber uma área da enfermagem, ainda pouco visível, apesar de tão essencial para as atividades realizadas no hospital. A visibilidade do trabalho realizado na Central de Material e Esterilização ainda se apresenta distorcida, pois, apesar de o trabalho desenvolvido no setor ser considerado importante pelos profissionais externos, muitos não conheciam a diversidade de atividades realizadas nem possuíam o conhecimento específico exigido.Conclusão: a pesquisa evidenciou a necessidade de engajamento dos próprios enfermeiros da Central de Material e Esterilização para se fazerem perceber e modificarem a imagem...

RESUMO Objetivo: refletir sobre como a construção moral do estudante de graduação em enfermagem pode fomentar a humanização do cuidado. Método: trata-se de uma reflexão teórica pautada em duas diferentes correntes: piagetina e a kohebergina. Resultados: mencionam-se como possíveis encaminhamentos desta reflexão: o reconhecimento da dimensão moral do cuidado; a necessidade de considerar a cultura dos sujeitos envolvidos no cuidado; a superação do tecnicismo na enfermagem, contemplando-se também a dimensão ética do cuidado e, finalmente, a instrumentalização de docentes para que sejam habilitados a trabalhar a moralidade humana como um exercício de cidadania em todos os momentos acadêmicos. Conclusão: acredita-se que a formação acadêmica em enfermagem dedicada à construção moral pode auxiliar na constituição de um enfermeiro capaz de cuidar de maneira humanizada.

Aflatoxin B1 (AFB1) is considered by different International Agencies as a genotoxic and potent hepatocarcinogen. However, despite the fact that the fungi producing this compound are detected in some work environments, AFB1 is rarely monitored in occupational settings. The aim of the present investigation was to assess exposure to AFB1 of workers from one Portuguese waste company located in the outskirt of Lisbon. Occupational exposure assessment to AFB1 was done with a biomarker of internal dose that measures AFB1 in the serum by enzyme-linked immunosorbent assay. Forty-one workers from the waste company were enrolled in this study (26 from sorting; 9 from composting; 6 from incineration). A control group (n = 30) was also considered in order to know the AFB1 background levels for the Portuguese population. All the workers showed detectable levels of AFB1 with values ranging from 2.5ng ml(-1) to 25.9ng ml(-1) with a median value of 9.9±5.4ng ml(-1). All of the controls showed values below the method's detection limit. Results obtained showed much higher (8-fold higher) values when compared with other Portuguese settings already studied, such as poultry and swine production. Besides this mycotoxin, other mycotoxins are probably present in this occupational setting and this aspect should be taken into consideration for the risk assessment process due to possible synergistic reactions. The data obtained suggests that exposure to AFB1 occurs in a waste management setting and claims attention for the need of appliance of preventive and protective safety measures.

Este estudo, de caráter explicativo e transversal, e natureza predominantemente qualitativa, tem o objetivo de analisar o processo de trabalho dos gestores municipais da Estratégia Saúde da Família (ESF), a fim de apreender a concepção de gestão que permeia seu agir em saúde. Os dados foram coletados através de entrevista semiestruturada gravada, junto aos gestores da ESF pertencentes a 12 municípios da Terceira Coordenadoria Regional de Saúde do Rio Grande do Sul (3ªCRS/RS), totalizando 15 sujeitos. A análise temática congregou uma abordagem dialética, seguindo os passos de pré-análise, exploração e tratamento do material e interpretação dos resultados. Os resultados foram organizados em três subtemas elucidativos das ações desenvolvidas pelos gestores investigados: 1) Ações de organização/funcionamento da Saúde da Família; 2) Ações de formação/educação permanente ou continuada; 3) Ações de monitoramento e avaliação. Apreendem-se do processo de trabalho duas concepções de gestão, sendo a primeira relacionada à gestão clássica/tradicional e a segunda relativa aos preceitos da cogestão. À guisa de conclusão, depreende-se que o processo de trabalho dos gestores da ESF na 3ªCRS/RS apresenta fortalezas e fragilidades, relacionadas à concepção de gestão que estrutura seu trabalho. Assim, sugere-se a revisão de algumas práticas, de modo que a cogestão seja a concepção preferencial utilizada para a administração da Saúde da Família.

Although there is an abundance of literature concerning the ingestion of food contaminated with aflatoxin B1 (AFB1), only a small number of studies explore mycotoxin exposure in occupational settings. Taking this into consideration, our study was developed with the intention of elucidating whether there is occupational exposure to AFB1 in Portuguese poultry and swine production facilities. A specific biomarker was used to assess exposure to AFB1. A total of 45 workers (34 from poultry farms; 11 from swine production facilities) participated in this study, providing blood samples. Additionally, a control group (n=30) composed of subjects without any type of contact with agricultural activity was considered. All participants signed a consent form and were provided with the study protocol. Eighteen poultry workers (58.6%) and six workers from the swine production facilities (54.5%) showed detectable levels of AFB1. In the control group, the AFB1 values were all below 1 ng/ml. No significant differences in AFB1 levels in serum between workers from poultry and swine farms were found. Poultry workers, however, showed the highest serum levels and a significant statistical difference between this group and the control group was found. Results suggest that exposure to AFB1 by inhalation occurs in both occupational settings representing an additional risk that needs to be recognised, assessed and prevented.

This review study aimed to verify how studies conducted in Brazil have related infant mortality to prenatal care and to present contributions of the clinic in the light of Canguilhem and The relationship between infant mortality and prenatal care is related to the insufficient number of consultations or to the quality of the care provided. Even when the number of and routine consultations in the prenatal care were adequate, avoidable deaths were present.For the qualification of prenatal care, it is suggested that the clinical knowledge and other elements that comprise the process of human living are considered, in order that the clinical view is enlarged and articulated to the technologies available in the health system and, together, they are able to contribute to the reduction of infant mortality in Brazil. Mortalidad infantil y prenatal: contribuciones de la clínica bajo la perspectiva de Canguilhem y FoucaultEste estudio de revisión tuvo por objetivo verificar cómo investigaciones realizadas en Brasil relacionan la mortalidad infantil y el prenatal, y presentar contribuciones de la clínica bajo el marco teórico de Canguilhem y Foucault para la calificación de la asistencia.Se realizó una revisión integradora de la literatura a partir de búsquedas en las bases de datos SciELO, LILACS, MEDLINE y BDENF, en el período de 2000 a 2009. La relación entre la mortalidad infantil y el prenatal se refiere al número insuficiente de consultas o a la calidad de la atención prestada. Mismo cuando el número y la rutina de consultas en el prenatal fueron adecuadas, las muertes evitables estuvieron presentes. Para la calificación de la asistencia ofrecida, se sugiere que sean considerados el conocimiento clínico y los demás elementos componentes del proceso del vivir humano, con la intención de que la perspectiva clínica sea ampliada y articulada a las tecnologías disponibles en el sistema de salud y, en conjunto, consigan contribuir para la reducción de la mortalidad infantil en Brasil.

The nursing process can contribute to consolidate nursing as a science, as it evidences the systematization of its thinking and its actions, providing visibility to the work that is done. However, national and international studies have reported many difficulties that are faced when implementing it. These difficulties motivated the development of this study, which had the objective of discussing and reflecting on nursing work from a theoretical revision supported by aspects of subjectivity according to Deleuze and Guattari, considering that they may be unconsciously expressed by nurses in their daily professional tasks, resulting in the non-implementation of the nursing process.

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