Objective:To analyze the concept of disruptive behavior in healthcare work. Method: An integrative review carried out in the theoretical phase of a qualitative research substantiated by the theoretical framework of the Hybrid Model of Concept Development. The search for articles was conducted in the CINAHL, LILACS, PsycINFO, PubMed and SciVerse Scopus databases in 2013. Results: 70 scientific articles answered the guiding question and lead to attributes of disruptive behavior, being: incivility, psychological violence and physical/sexual violence; with their main antecedents (intrapersonal, interpersonal and organizational) being: personality characteristics, stress and work overload; and consequences of: workers' moral/mental distress, compromised patient safety, labor loss, and disruption of communication, collaboration and teamwork. Conclusion: Analysis of the disruptive behavior concept in healthcare work showed a construct in its theoretical stage that encompasses different disrespectful conduct adopted by health workers in the hospital context, which deserve the attention of leadership for better recognition and proper handling of cases and their consequences.
The purpose was to analyse the managerial work of the nurse, to know nurses' actions, to verify the importance towards the planning and to identify some factors that interfere in the management. A descriptive research was accomplished in 10 basic health units in Fortaleza, CE, Brazil, with 10 nurses. Data collection was carried aout in january 2008, by means of a structured interview. Most of the nurses were female between 37 and 57 years-old. For seven nurses the management of people and the planning are the most important aspects. Some difficulties about the incomplete composition of the teams, lack of professional ability and low financial resource were reported. This research gathers information for knowledge and analisys of the management actions of the nurses in the basic atention.
Objective: understand the perceptions of adolescent students regarding the use of Facebook social media in sexual and reproductive health learning in the Family Health Strategy. Method: a qualitative, descriptive study developed with 96 adolescents from a public school and a private school in Fortaleza-CE who concluded an educational intervention using Facebook. The information was collected in the online environment itself, as well as in a questionnaire applied in person. For the collection and analysis of this information, netnography was used. Results: Facebook contributed to the sexual and reproductive health education in an interactive, playful and practical way, reducing the embarrassment of some adolescents to converse on the subject, and brought adolescents closer to the health service, by strengthening their bond with Health professionals. Final considerations: health professionals should recognize that such virtual spaces on the Internet offer potential for the production of health care, especially among adolescents. Descriptors: Nursing; Family Health Strategy; Health Education; Adolescent Health; Sexual Health. RESUMO Objetivo: compreender as percepções de adolescentes escolares acerca do uso da mídia social Facebook na aprendizagem em saúde sexual e reprodutiva, na Estratégia Saúde da Família. Método: estudo qualitativo, descritivo, desenvolvido com 96 adolescentes de uma escola pública e outra particular de Fortaleza-CE que concluíram uma intervenção educativa mediada pelo Facebook. As informações foram coletadas no próprio ambiente on-line, bem como em um questionário aplicado presencialmente. Para coleta e análise dessas informações, utilizou-se a netnografi a. Resultados: o Facebook contribuiu para o aprendizado em saúde sexual e reprodutiva, de maneira interativa, lúdica e prática, amenizando a vergonha de alguns adolescentes para dialogar sobre a temática, e aproximou os adolescentes do serviço de saúde, mediante o fortalecimento do vínculo com os profi ssionais de saúde. Considerações fi nais: os profi ssionais de saúde devem reconhecer que esses espaços virtuais na Internet podem ser territórios de produção do cuidado em saúde, especialmente com adolescentes. Descritores: Enfermagem; Estratégia Saúde da Família; Educação em Saúde; Saúde do Adolescente; Saúde Sexual. RESUMENObjetivo: comprender las percepciones de adolescentes en edad escolar acerca del uso del medio de comunicación social Facebook en el aprendizaje en salud sexual y reproductiva, en la Estrategia Salud de la Familia. Método: estudio cualitativo, descriptivo, desarrollado con 96 adolescentes de una escuela pública y otra particular de Fortaleza-CE que concluyeron una intervención educativa mediada por Facebook. Las informaciones fueron colectadas en el propio ambiente on-line, bien como en un cuestionario aplicado presencialmente. Para colecta y análisis de esas informaciones, se utilizó la netnografi a. Resultados: Facebook contribuyó para el aprendizaje en salud sexual y reproductiva, de manera interactiva, lúdica ...
Objective: Refl ect on the essence of care in health vulnerability from the phenomenological perspective of Martin Heidegger. Method: Theoretical-refl exive study, anchored in three essential parts: 1) Care in Heidegger; 2) The essence of care in health vulnerability; And 3) Nursing care actions on health vulnerability. Results: Vulnerability must be recognized as an indelible trait of the human condition and has its constituents in the human being, co-presence and care. Caring is an interactive process that reveals itself in the relationship with the other. Respecting the integrity of the Being in vulnerability must be a priority in nursing care, through behaviors that privilege the Being. Conclusion: Understanding ontological care and its relation to vulnerability under Heidegger's phenomenological view allowed us to uncover the facets of care in health vulnerability by adding to the nursing knowledge body a comprehensive and refl ective perspective. Descriptors: Health Vulnerability; Philosophy, Nursing; Hermeneutics; Comprehensive Health Care; Nursing Care. RESUMO Objetivo: Refl etir sobre a essência do cuidado na vulnerabilidade em saúde sob a perspectiva fenomenológica de Martin Heidegger. Método: Estudo teórico-refl exivo, ancorado em três partes essenciais: 1) O cuidado em Heidegger; 2) A essência do cuidado na vulnerabilidade em saúde; e 3) As ações do cuidar em enfermagem na vulnerabilidade em saúde. Resultados: A vulnerabilidade deve ser reconhecida como traço indelével da condição humana e tem seus constituintes na pessoa humana, co-presenças e cuidado. O cuidar é um processo interativo que se desvela na relação com o outro. Respeitar a integridade do Ser em vulnerabilidade deve ser prioridade no cuidar em enfermagem, por meio de comportamentos que privilegiem o Ser. Conclusão: Compreender ontologicamente o cuidado e a sua relação com a vulnerabilidade sob o olhar fenomenológico de Heidegger permitiu desvelar as facetas do cuidado na vulnerabilidade em saúde, agregando ao corpo de conhecimento da Enfermagem uma perspectiva compreensiva e refl exiva. Descritores: Vulnerabilidade em Saúde; Filosofi a em Enfermagem; Hermenêutica; Assistência Integral à Saúde; Cuidados de Enfermagem. RESUMENObjetivo: Refl exionar sobre la esencia del cuidado en la vulnerabilidad de la salud bajo la perspectiva fenomenológica de Martin Heidegger. Método: Estudio teórico-refl exivo, basado en tres partes principales: 1) El cuidado de Heidegger; 2) La esencia del cuidado en la vulnerabilidad de la salud; e 3) Acciones del cuidar de la enfermería en la vulnerabilidad de la salud. Resultados: La vulnerabilidad debe ser reconocida como un trazo indeleble de la condición humana y tiene sus constituyentes en el propio ser humano, en las copresencias y en el cuidado. El cuidar es un proceso interactivo que se devela en la relación con el otro. Respetar la integridad del Ser en su vulnerabilidad debe tenerse como prioridad en el cuidar de la enfermería, mediante comportamientos que lo prioricen. Conclusión: Comprender ont...
Objective: to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization. Method: a descriptive study, carried out in the first half of 2018. Results: of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity. Conclusion: the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
Objective: To analyze, in the speeches of nurses, the habitus that conforms their professional identity in the primary health care area. Method: Qualitative study, carried out from March to October 2015, with nurses of primary healthcare units in the cities of Cajazeiras, in the state of Paraíba, and Maracanaú, in the state of Ceará. Data were collected by means of semi-structured interviews, and analyzed through discourse analysis. Results: Nurses, in their practice and perception, perceive that professional identity is linked to the meaning that involves the word "everything". This situation constitutes a habitus that directs the range of daily actions, often distant from the profession's core of knowledge. Final considerations: Trying to be and do everything in primary health care involves negative repercussions in the professional identity of nurses. Strategic guidance is necessary in order to achieve and embrace elements that reflect the essence of this category.
Informações acerca dos conselhos de saúde são importantes para se traçar estratégias que garantam a gestão participativa desses e seu pleno funcionamento. Objetivou-se analisar a organização e funcionamento do conselho municipal e dos seis conselhos regionais de saúde de Fortaleza-CE. Para a coleta de dados deste estudo descritivo, utilizou-se consulta aos arquivos dos conselhos e entrevistas semi-estruturadas aplicadas aos conselheiros. Foram entrevistados quatro representantes do conselho municipal e três representantes de cada um dos seis conselhos regionais, perfazendo um total de 22 conselheiros. A amostragem foi aleatória e dependeu da decisão dos sujeitos em participarem do estudo. A análise dos dados foi realizada por meio de descrição das falas. Os dados foram apresentados por categorias. Verificou-se baixa freqüência dos conselheiros regionais as reuniões. Os sujeitos referiram dificuldades em reconhecer seu papel de conselheiros. Constatou-se que a maior parte dos conselhos regionais e o municipal possuem estrutura que permite o pleno funcionamento. Entretanto, aqueles considerados em péssimas condições em determinados aspectos, principalmente no estrutural, prejudicam o funcionamento, organização e a participação popular no acompanhamento e fiscalização da gestão.
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