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Vivência de enfermeira no cuidado transpessoal às famílias de neonatos egressos da unidade de terapia intensiva Vivencia de enfermera en el cuidado transpersonal a familias de neonatos egresados de la unidad de cuidados intensivos Experience of a nurse in transpersonal caring for families of neonates discharged from the intensive care unit
Luciane Favero,Vernica de Azevedo Mazza,Maria Ribeiro Lacerda
Acta Paulista de Enfermagem , 2012, DOI: 10.1590/s0103-21002012000400002
Abstract: OBJETIVO: Descrever a vivência de enfermeira domiciliar no cuidado transpessoal às famílias de neonatos egressos de unidade de terapia intensiva. MéTODOS: Pesquisa qualitativa tipo estudo de caso descritivo. Utilizou-se a Teoria do Cuidado Transpessoal operacionalizada pelo Processo de Cuidar de Lacerda. Sete famílias foram acompanhadas e tornaram-se participantes do estudo. Os dados foram coletados por meio de documentos e registros em arquivo. RESULTADOS: As práticas de cuidados do cuidador familiar, suas demandas e necessidades; a importancia da enfermagem no processo de hospitaliza o, alta e cuidados domiciliares foram constatadas. CONCLUS O: Esse caminhar possibilitou compreender que as a es do cuidar precisam estar aliadas ao cuidado humano, e à necessidade de investimentos em pesquisas capazes de aliar o cuidado domiciliar ao cuidado transpessoal na enfermagem e demais profiss es da área de saúde. OBJETIVO: Describir la vivencia de enfermera domiciliaria en el cuidado transpersonal a familias de neonatos egresados de la unidad de cuidados intensivos. MéTODOS: Investigación cualitativa de tipo estudio de caso descriptivo. Se utilizó la Teoría del Cuidado Transpersonal operacionalizada por el Proceso de Cuidar de Lacerda. Fueron acompa adas siete familias tornándose participantes del estudio. Los datos fueron recolectados por medio de documentos y registros en archivo. RESULTADOS: Las prácticas de cuidados del cuidador familiar, sus demandas y necesidades; la importancia de la enfermería en el proceso de hospitalización, alta y cuidados domiciliarios fueron constatados. CONCLUSIóN: Ese caminar posibilitó comprender que las acciones del cuidar precisan estar aliadas al cuidado humano, y a la necesidad de inversiones en investigaciones capaces de aliar el cuidado domiciliario al cuidado transpersonal en la enfermería y demás profesiones del área de la salud. OBJECTIVE: To describe the lived experience of home nursing in transpersonal care for families of neonates discharged from the intensive care unit. METHODS: A qualitative research of the descriptive case study type. We used the Theory of Transpersonal Caring, operationalized by the caring process of Lacerda. Seven families were followed and became study participants. Data were collected by means of documents and archived records. RESULTS: The care practices of family caregivers, their demands and needs; and, the importance of nursing in the process of hospitalization, discharge and home care were detected. CONCLUSION: This pathway enabled understanding that the actions of caring must be allied
O paradoxo da liberdade e da autonomia nas a??es do enfermeiro
Przenyczka, Ramone Aparecida;Lenardt, Maria Helena;Mazza, Vernica de Azevedo;Lacerda, Maria Ribeiro;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000200022
Abstract: different factors affect nurses' work relations with consequences on their professional freedom/autonomy. this can be understood in different ways, according to philosophical works and also lead to competing conclusions. considering some of these concepts, this essay was carried out aiming to reflect on nurses' professional freedom/autonomy focusing on some philosophical currents regarding freedom. from the considerations, it can be inferred that nursing freedom/autonomy, protected by nursing professionals' code of ethics, is correlated to an objective possibility where the professional has action power within an array of faculties (or possibilities) and facing the diversities in his/her work relations still needs to overcome hindrances to achieve his/her ideal of freedom.
O paradoxo da liberdade e da autonomia nas a es do enfermeiro
Ramone Aparecida Przenyczka,Maria Helena Lenardt,Vernica de Azevedo Mazza,Maria Ribeiro Lacerda
Texto & Contexto - Enfermagem , 2012,
Abstract: Existen diversos factores que afectan las relaciones de trabajo del enfermero con consecuencias para su libertad/autonomía profesional. Esta puede ser entendida de diversas maneras, de acuerdo con las obras de filosofía, y conducen a conclusiones, también, dispares. Para considerar algunos de estos conceptos, se llevó a cabo este ensayo con el fin de reflexionar sobre la libertad y la autonomía profesional del enfermero dentro de algunas corrientes filosóficas sobre la libertad. De las afirmaciones hechas, parece que la libertad/autonomía del enfermero, protegida por el Código de ética de los Profesionales de Enfermería, corresponde a una posibilidad objetiva cuando el profesional tiene el poder de actuar en un conjunto de facultades (o posibilidades) y que, de frente a la diversidad en sus relaciones de trabajo, aún tiene que superar ciertos obstáculos para lograr su ideal de libertad.
Aplica??o da Teoria do Cuidado Transpessoal de Jean Watson: uma década de produ??o brasileira
Favero, Luciane;Meier, Marineli Joaquim;Lacerda, Maria Ribeiro;Mazza, Vernica de Azevedo;Kalinowski, Luísa Canestraro;
Acta Paulista de Enfermagem , 2009, DOI: 10.1590/S0103-21002009000200016
Abstract: this systematic review aimed to describe and analyze the use of jean watson's theory of human caring in brazilian studies in the last ten years. a literature search using medline (medlars - medical literature analysis and retrieval system), lilacs (latin american and caribbean health science literature) bdenf (nursing database), and scielo (scientific electronic library online) databases was conducted. a sample of 34 publications met the systematic review inclusion criteria. the results showed that 61.8% of the studies were conducted in the south of brazil, and these studies suggested that the theory of human caring could be used in the three levels of care: primary, secondary, and tertiary. the majority of publications (64.7%) used the carative factors proposed by jean watson in 1979. there is a need for research approaches in respect to changes occurred in the theory of human caring that evolved into the clinical caritas processes. few studies have tested these new processes. this fact makes difficulty to use them in clinical practice.
A aplica??o do método do arco da problematiza??o na coleta de dados em pesquisa de enfermagem: relato de experiência
Borille, Dayane Carla;Brusamarello, Tatiana;Paes, Marcio Roberto;Mazza, Vernica de Azevedo;Lacerda, Maria Ribeiro;Maftum, Mariluci Alves;
Texto & Contexto - Enfermagem , 2012, DOI: 10.1590/S0104-07072012000100024
Abstract: this study was developed with 152 employees of a psychiatric hospital of the state network of paraná in 2008. aim: to report the experience of applying the arch method in the data collection of a nursing study. the data used for the description of the experience were obtained through the application of the arch method. the development of the steps of this method requires critical analysis and reflection of the study object and well-designed planning so that the results are achieved. the experience of applying the method in the research to construct a benchmark for mental healthcare allowed the reflection-action-reflection, from the experiences of the work quotidian of the subjects, and presented a possibility for research data collection it contributed to the humanization of the care provided and mobilized those involved for the significant learning of the reality, in a dynamic and complex form.
Family needs on child development in the light of health promotion
Vernica de Azevedo Mazza,Anna Maria Chiesa
Online Brazilian Journal of Nursing , 2008,
Abstract: This is an analytical exploratory research; its object is family health needs on child development apprehended by the dialectics between objective and subjective dimensions. Object interpretation was grounded on the theoretical background of Health Promotion, underpinned by the concept of empowerment. Objectives: 1. To characterize the potential for social development in health districts of Curitiba City/ Brazil. 2. To characterize social inclusion of families with children under 5 years of age in the coverage area of the Health Primary Unit. 3. To apprehend the perceived health needs by families and representatives of social agencies on child development. 4. To analyze data based on the theoretical background of Health Promotion. Methodology: This study was carried out in the city of Curitiba, at Bairro Novo Health District. Qualitative-quantitative techniques were used. Research subjects were members of families with children until 5 years of age, residents in the coverage area of the Health Unit and representatives of socialization agencies working with families in that area. In the objective dimension, secondary data were obtained at Instituto Brasileiro de Geografia e Estatística (IBGE) – Brazilian Institute of Geography and Statistics – from the census of 2000, in order to characterize social inequalities among Health Districts, using the construct of Social Inclusion Indicator and Home Quality Indicator. Data were clustered according to the census sectors that entail each Health District. Families’ characterization was undertaken by means of a semi-structured interview with 49 families, entailing information on social inclusion. In the subjective dimension, data were obtained by means of a focal group undertaken with 21 families and by means of semi-structured interviews with 12 representatives of socialization agencies: Family protection council, Primary Health Care Unit, “Pastoral da Crian a (community-based organization run by the Catholic Church to provide help to mothers and children), day-care center and pre-school. Data were analyzed by means of the dialectic-hermeneutic method. Results: The municipality presented a Social Inclusion Indicator of 3.66; SII in Bairro Novo was 3.23, below municipality average. Families’ characterization unveiled the social inequalities existent in the area. Data analysis disclosed families’ health needs, showing differences in their apprehension as well as in their fulfillment. Contradictions were found in the practices of socialization agencies, subjects’ control and autonomy, based on families’ normative vi
The nursing care in the spiritual dimension: undergraduates’ experience
Janei Rabello de Souza,Mariluci Alves Maftum,Vernica de Azevedo Mazza
Online Brazilian Journal of Nursing , 2009,
Abstract: Exploratory descriptive research objectifying: know how nursing undergraduates experience care in the spiritual dimension. Ten students participated and data were collected through a semi-structured interview and organized in the following categories. The study aimed to reflect upon nursing education towards the related contents of spiritual care in nursing practice. Apprehending how their beliefs have supported them to care in the spiritual realm. They reported the difficulties in apprehending a person’s spiritual dimension but they acknowledge its significance in caring. Unknowing the subject makes them insecure to deliver such caring.
The kinds of knowledge involved in nursing home care: integrative review of the scientific production
Luciane Favero,Tatiana Braga de Camargo,Maria Helena Lenardt,Vernica de Azevedo Mazza
Online Brazilian Journal of Nursing , 2009,
Abstract: It is an integrative review on Brazilian Nursing scientific production which objectifies to recognize the different kinds of knowledge involved in nursing home care productions. The research study took up January/1998 to March/2008 and resulted in the analysis of 41 productions (34 articles, a PhD thesis, a post-graduation monograph, one graduation paper and four publications in Congress annals), distributed in the following database: MEDLINE, LILACS, SciELO and BDENF. The results evidenced that scientific knowledge was present in 100% of the studies followed by political (63.4%), ethical (56.1%), artistic (19.5%), philosophical and common sense (9.7% each), religious (7.3%), esthetical and mythical knowing (2.4% each). It can be concluded that the professionals in the researched studies use such knowing to deliver nursing home care, however there is a need to broaden studies on the theme in order to bring together scientific knowledge and the other kinds of knowing aforementioned, aiming to render clients and their families authentic, effective and through home care.
Location of Large-Scale Concentrating Solar Power Plants in Northeast Brazil  [PDF]
Vernica Wilma Bezerra Azevedo, Chigueru Tiba
Journal of Geographic Information System (JGIS) , 2013, DOI: 10.4236/jgis.2013.55043
Abstract: Heliothermic electricity generation is gaining popularity in several countries worldwide. In Brazil, this form of energy generation has not yet been explored for large scale projects. However, the country possesses extensive areas with normal and high-intensity direct irradiation and low seasonality factors, particularly in the semi-arid region of the Brazilian Northeast. The region also presents other important features for setting up such plants: proximity to transmission lines, sufficient flatness, non-endangered vegetation, a suitable land use profile low maximum wind speeds, low population density, and more recently, an increase in the demand for local electric energy due to economic growth above the Brazilian average. A Geographic Information System includes a set of specialised resources that allow us to manipulate spatial data, providing quickness and efficiency in the identification of appropriate places for installing solar power plants while also preparing us for future scenarios, with regards to their impacts, costs and benefits. This article presents a study of the optimal location for thermoelectric power plants in the semi-arid region of the Brazilian Northeast on the scale of 1:10,000,000. All provinces with good potential for the implementation of large-scale concentrating solar power plants are identified. Considering that the installed capacity for parabolic cylindrical concentrators in terrains with a steepness of less than 1% is 43.26 MW/km2 for systems without storage and 30.82 MW/km2 for systems with 6 hours of storage, the potential of the southeast region of Piauí alone is huge. Even with the lack of information about the urban areas, terrain continuity, and other variables,utilising only 10% of the identified potential area, or879.7 km2, would result in an installed capacity of 38.1-27.1 GW. This value corresponds to more than 1/3 of the potency of the current Brazilian electric system. If the same calculation is made for the semi-arid region of the Brazilian Northeast, its capacity will be greater than 1000 GW.
Análise do discurso: uma reflex?o para pesquisar em saúde
Macedo, Laura Christina;Larocca, Liliana Muller;Chaves, Maria Marta Nolasco;Mazza, Vernica de Azevedo;
Interface - Comunica??o, Saúde, Educa??o , 2008, DOI: 10.1590/S1414-32832008000300015
Abstract: in this study, we take speech and writing as means for discourse construction, highlighting the reasons for converting them into objects for analysis, and we present different instruments for doing this. we emphasize the importance of discourse analysis for the development of health studies, since it allows interpretation of the reality from a text or texts and shows the subjects of the production and the interpretation of these subjects, along with the context of their production. historically constructed contradictions, continuities and disruptions that make discourse a social practice are described. we consider discourse analysis to be a way of picking up the implied meaning in speech and writing, and thus a further way to approach the health-illness process. the aim of this reflection was to incorporate discourse analysis into the health field, thereby emphasizing this method as a rich contribution from social sciences.
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