Path of fear: Experiences of health professionals in the fight against COVID-19.

This study aimed to understand the expressions of fear in the journeys of health professionals who worked in the confrontation of coronavirus disease 2019 (COVID-19), in the city of Manaus, in the Brazilian Western Amazon. This is an exploratory qualitative study that adopts interpretive description as a method to generate informed knowledge responsive to the needs of the practice. We included 56 participants, comprising 23 health managers and 33 health workers (middle and higher level) of different professional categories. The results revealed three circles of experience: (1) knowledge and professional experience in dealing with the disease (unknown-known-experienced); (2) the growing proximity to death and loss (predicted-witnessed-suffered); and (3) the involvement and proximity to whatever affects the individual, their emotions, and personal transformations in the face of the threat (the collective, the neighbor, and oneself). Our results suggest that health professionals who worked during the COVID-19 pandemic in Manaus experienced insecurity, dread, and fear, illustrating the complexity of developing their activities in the front line of care and management during the different phases of the pandemic. A contribution of the study is precisely that of capturing this complexity, which suggests the impossibility of analyzing fear only in its simple manifestation, or in each circle of experience.

[The implication of social support in the lives of people with hypertension]. / A implicação do apoio social no viver de pessoas com hipertensão arterial.

This study aimed to know the types of support offered by the network of social support and implications on hypertensive life. Qualitative study whose methodology was based on Grounded Theory. 35 people were interviewed between October 2008 and August 2010, 22 hypertensive compulsorily enrolled in HIPERDIA at a Health Unit in Belém / PA, 5 family members, 5 health professionals and 3 representatives of community institutions, referenced by hypertensive patients, as members of the network support Data were subjected to coding procedures: analysis, comparison and categorization. The category "Identifying the types of social support offered to people in their living with hypertension" was the Intervening Condition of the Theory The types of emotional informational and instrumental support originated mainly from family relationships and may mean alternative treatments,featuring a care focused on people with hypertension and their network of relationships which requires attention from healthcare professionals, including nurses.

Nursing guidelines for caregivers of children with congenital heart disease after discharge: Integrative Review.

Objective: To identify the nursing guidelines for caregivers of children with congenital heart disease (CHD) after hospital discharge. Methods: This is an integrative literature review of articles published between 2016 and 2022. In order to select the studies, the controlled descriptors "Nursing Care", "Nursing", "Heart Defects, Congenital", "Caregivers" and "Child" were used in four scientific databases - LILACS, SCIELO, PUBMED and BDENF. Results: The current integrative literature review analyzed 11 articles from the original sample. The main nursing care issues are those related to nutrition, oral health, leisure and physical activity, care with medication and the surgical wound, as well as the need to offer support to these children's families. The authors emphasize that nurses are present at various moments in a child's life, including at birth, but the approach to CHD is scarce in their basic training as nurses, as well as in their professional practice, and there is a shortage of continuing education proposals for the care of children with CHD. Conclusion: The study showed that nursing guidelines are focused on basic care and family support for these children. Lastly, this study highlighted the important role of nurses in terms of consolidating guidelines on the care needs of these children.

[Social representations of diabetic foot for people with type 2 diabetes mellitus]. / Representações sociais do pé diabético para pessoas com diabetes mellitus tipo 2.

This is a qualitative study with the purpose to understand the social representations of the diabetic foot for people with type 2 diabetes mellitus. Semi-structured interviews were held with ten people with diabetes mellitus, who participated in a support group. Two categories emerged from the content analysis: the foot disease with perceived alterations and present threats, and feet care, with care as a concern with the future, and non-care as a feeling of guilt. The results show that the subjects seek hopes of not developing foot disease or controlling the situation, influenced by the representations of alterations and threats. When non-care occurs, the feeling of guilt emerges, since the subjects knew about the necessary care but did not use it. The social representations contributed in the search for comprehension of how the subjects with diabetes mellitus build the knowledge that that express their identity and guide their behavior, especially regarding the diabetic foot.

Nursing guidelines for caregivers of children with congenital heart disease after discharge: Integrative Review / Directrices de enfermería para cuidadores de niños con cardiopatía congénita tras el alta: Revisión Integradora / Orientações de enfermagem para cuidadores de crianças com cardiopatia congênita após a alta: Revisão Integrativa

Objective. To identify the nursing guidelines for caregivers of children with congenital heart disease (CHD) after hospital discharge. Methods. This is an integrative literature review of articles published between 2016 and 2022. In order to select the studies, the controlled descriptors "Nursing Care", "Nursing", "Heart Defects, Congenital", "Caregivers" and "Child" were used in four scientific databases ­ LILACS, SCIELO, PUBMED and BDENF. Results. The current integrative literature review analyzed 11 articles from the original sample. The main nursing care issues are those related to nutrition, oral health, leisure and physical activity, care with medication and the surgical wound, as well as the need to offer support to these children's families. The authors emphasize that nurses are present at various moments in a child's life, including at birth, but the approach to CHD is scarce in Invest Educ Enferm. 2023; 41(3): e05Nursing guidelines for caregivers of children with congenitalheart disease after discharge: Integrative Reviewtheir basic training as nurses, as well as in their professional practice, and there is a shortage of continuing education proposals for the care of children with CHD. Conclusion. The study showed that nursing guidelines are focused on basic care and family support for these children. Lastly, this study highlighted the important role of nurses in terms of consolidating guidelines on the care needs of these children.

Objetivo. Identificar las orientaciones de enfermería para los cuidadores de niños con cardiopatía congénita (CC) después del alta hospitalaria. Métodos. Se trata de una revisión bibliográfica integradora de los artículos publicados entre 2016 a 2022. Se utilizaron los descriptores controlados "Nursing Care", "Nursing","Heart Defects, Congenital", "Caregivers" y "Child" para seleccionar los estudios en cuatro bases de datos científicas - LILACS, SCIELO, PUBMED y BDENF. Resultados. Se analizaron 11 artículos de la muestra original en esta revisión. Los principales tipos de cuidados de enfermería son los aspectos relacionados con la nutrición, la salud bucodental, el ocio y la actividad física, los cuidados con la medicación y la herida quirúrgica, así como la necesidad de ofrecer apoyo a las familias de estos niños. Los autores enfatizan que, aunque, las enfermeras están presentes en diversos momentos de la vida del niño, incluyendo el nacimiento, el abordaje de la ECC es escaso en su formación básica como enfermeras, así como en su práctica profesional, y faltan propuestas de formación continua en el cuidado de estos niños. Conclusión. El estudio mostró que las orientaciones de enfermería se centran en los cuidados básicos y en el apoyo familiar a niños con ECC. Por último, este estudio se evidenció el importante papel de las enfermeras en la consolidación de las orientaciones para las necesidades de atención de estos niños.

Objetivo. Identificar as orientações de enfermagem para cuidadores de crianças com cardiopatias congênitas (CC) após alta hospitalar. Métodos. Trata-se de uma revisão integrativa da literatura de artigos publicados entre 2016 e 2022. Para seleção dos estudos, foram utilizados os descritores controlados "Nursing Care", "Nursing", "Heart Defects, Congenital", "Caregivers"), y "Child" em duas bases de dados científicos ­ LILACS, SCIELO, PUBMED e BDENF. Resultados. Na presente revisão integrativa da literatura, foram analisados onze artigos da amostra original. Os principais cuidados de enfermagem são os relacionados com à alimentação, saúde bucal, lazer e atividade física, cuidados com medicamentos e com a ferida operatória, como também a necessidade de oferecer apoio à família dessas crianças. Os autores ressaltam que o enfermeiro está presente em diversos momentos da vida da criança, inclusive, no nascimento, porém a abordagem sobre CC é escassa na sua formação básica como enfermeiro, assim como em sua atuação profissional, percebendo-se escassez de propostas de educação continuada para o cuidado de crianças com CC. Conclusão. O estudo apontou que as orientações de enfermagem estão voltadas ao cuidados básicos da assistência e ao apoio familiar dessas crianças. Por fim, foi evidenciado nessa pesquisa o importante papel do enfermeiro para a consolidação das orientações das necessidades voltadas ao cuidar dessas crianças.

[Living groups: contributions for an educational proposal for tuberculosis]. / Grupos de convivência: contribuições para uma proposta educativa em tuberculose.

This study is a report on care practice. Its objective was to develop a proposal for education in health care from a group of people with tuberculosis, seeking to increase the effectiveness of their treatment. The data was obtained through a proposal for education in health care, developed through a living group. Two interrelated themes resulted from the process of analyzing the data: the perception of tuberculosis and its care and treatment, and social isolation. These represent the elements that influence education in health care for people with tuberculosis, as well as the meaning that such a situation has to these people.

[The theme as intersubjectivity possibility -- the choice of the nursing journal: text and context]. / A temática como possibilidade de intersubjetividade--uma opção da revista texto & contexto--enfermagem.

The present study is a descriptive and exploratory research which has as its objective accomplishing a critical analysis of the magazine "Texto e Contexto-Enfermagem" (Nursing--Text and Context), as a thematic option. Eighteen issues of the magazine, published between 1992 and 2000, were analyzed. Two instruments were used to evaluate the inter-relation of the themes with the lines of research of the Post Graduation Program of Nursing in the Federal University of Santa Catarina (PEN/UFSC) in Brazil; the type of articles published; and the origin and profile of the authors of the magazine. It was verified that: the themes in the magazine are linked to the lines of research of PEN/UFSC; the average of articles published per issue is 23.88%; the majority of the articles are reflections and researches; most of the authors have a masters or doctors degree and do not teach at UFSC; and the rejection rate of the articles was 11.86%. The magazine bears most of the essential and complementary criteria established by CAPES and has great acceptance of among the Brazilian scientific community, since it brought a new dimension to the health care publications.

[Quality of life of patients with chronic renal insufficiency in hemodialysis treatment]. / Qualidade de vida de pessoas com insuficiência renal crônica em tratamento hemodialítico.

This is a convergent-assistance research, which has as its objective the identification of the factors affecting the quality of life of people suffering from Chronic Kidney Failure and who are undergoing hemodialysis. Data were collected in a health education program, developed for a companionship group, across hemodialysis sessions. During the analysis, four categories were identified, representing the elements that are considered as causes for the life quality conditions of those people: health assistance; acceptance and coping with the health condition; support received, and hoping for a better future. In spite of living with an illness which has important consequences on the physical well-being and social roles, persons referred to a life where quality can be achieved, although sometimes it may be difficult to perceive or conquer such quality.

O programa de avaliação da atenção básica na ótica dos profissionais de saúde e gestores / Program of assessment of primary care from the perspective of health professionals and managers

Objetivo: compreender a percepção dos profissionais de saúde e gestores acerca dos benefícios do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica. Métodos: estudo qualitativo, tendo como base conceitual o Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica e referencial metodológico a pesquisa avaliativa. Participaram 32 profissionais de saúde. Para a coleta de dados, utilizouse a entrevista aberta e para a análise, obteve-se as etapas analíticas da Grounded Theory com auxílio do software ATLAS.ti. Resultados: o Programa proporcionou melhorias para a prática assistencial, que antes da avaliação não eram valorizadas e desenvolvidas pelos profissionais. Entretanto, insuficiências foram pontuadas, principalmente no que tange à condução do processo avaliativo. Conclusão: para os participantes do estudo, o Programa proporcionou experiências positivas, que culminaram na reorganização de algumas atividades. Entretanto, insuficiências foram apontadas, principalmente quanto ao caráter normativo dessa avaliação. (AU)

Living with intestinal stoma: the construction of autonomy for care.

OBJECTIVE: to investigate the care undertaken in the health services for people with intestinal stoma, from the perspective of articulating the actions proposed in the Amplified and Shared Clinic, with a view to promoting autonomy. METHOD: qualitative study. PARTICIPANTS: 10 people who received a stoma, and their family members. Data was collected between 10th January and 30th June 2011, through two semi-structured interviews. Analysis was through the stages: anxiety, synthesis, theorization and recontextualization. RESULTS: presented in the categories: (1) the need to carry out stoma care; (2) receiving health support and care after discharge from hospital; (3) returning to daily activities and social reinsertion. CONCLUSION: the study identified common factors which influence the process of development of autonomy and the relationship which health professionals have with this achievement.

The perspectives of Brazilian homemakers concerning living with type 2 diabetes mellitus.

The purpose of this study is to present an understanding of the experience of Brazilian homemakers with type 2 diabetes mellitus (DM2). A descriptive exploratory design was used and semi-structured interviews were conducted with 25 Brazilian homemakers concerning their experience. The interviews were recorded, transcribed, and the resulting text was analyzed using the sequential step method. Data converged to one dominant category, "constructing one's identity in the family context", which is comprised of three categories: gender differences; day-to-day concerns; and incongruity between knowledge and behavior related to DM2. These findings suggest that participants construct their identities within the family context and that their experience of living with DM2 is integral to their self-identification as wives and mothers. This, in turn, has implications for the design and implementation of programs to assist women in managing DM2 effectively.

[Convergent Care Research: use in developing models of nursing care]. / Pesquisa Convergente Assistencial: uso na elaboração de modelos de cuidado de enfermagem.

The present text is a theoretical reflection upon the importance of Nursing care models for the consolidation of this discipline, concerning the contribution of Convergent Care Research (Pesquisa Convergente Assistencial -PCA) in elaborating such models. Beyond this, this article discusses the importance of Convergent Care Research in the convergence of the academic and practical worlds of nursing, which aid towards a safe practice, systematize care, and establish connections between pragmatism and scientism, leading nurses to adopt more solid knowledge construction postures.

Redes de apoio a pessoa com deficiência física / Support network for people with disabliities / Red de apoyo para las personas con discapacidad

Este estudo versa sobre a rede de apoio à pessoa com deficiência física e de que forma esse apoio é prestado. Seu objetivo foi conhecer as redes de apoio à pessoa com deficiência física. Resulta de uma pesquisa descritiva com abordagem qualitativa, com base em entrevistas semi-estruturadas com 13 pessoas com deficiência física, sendo seis com amputação e sete com lesão medular atendidas em um centro de reabilitação. Foi utilizada análise qualitativa com os processos de codificação, categorização e interpretação, do qual resultaram em três categorias: composição da rede, tipo de apoio e o apoio que falta. O apoio predominante foi o instrumental e o emocional, especialmente aquele prestado pela família. As necessidades das pessoas entrevistadas estão relacionadas, dentre outras, à falta de acessibilidade. O conhecimento das redes de apoio é importante para guiar a prática do profissional enfermeiro e demais membros da equipe de saúde para ampliarem e fortalecerem a interconexão entre os integrantes da rede de apoio.

This study focuses on the support network for people with disabilities and how this support is provided. The objective was to identify and understand the support networks and how they support the person with disability. Results of a descriptive qualitative approach, based on semi-structured interviews with 13 people with physical disabilities, six with amputation and seven with spinal cord injury treated at are habilitation center. Qualitative analysis was used with then coding processes, categorization and interpretation, which in three categories: composition of the network, type of support and support which is lacking. The main support was instrumental and emotional, especially that provided by the family. The needs of the interviewed people are related, among others, the lack of accessibility. The knowledge of support net works is important to guide the practice of nurses and other members of the healthcare team to expand and streng then the interconnection between the members of the support network.

Este estudio se centra en la red de apoyo para las personas con discapacidad y cómo se proporciona este soporte. El objetivo fue identificar y comprender la red de apoyo y cómo apoyar a la persona con discapacidad. Se trata de una investigación cualitativa, descriptiva, con entrevistas semiestructuradas de 13 personas con discapacidad física, seis con amputación y siete con lesión medular, atendidas en un centro de rehabilitación. Fue utilizado análisis cualitativo seguiendo la codificación, categorización e interpretación, que resultaron en tres categorías: composición de la red, tipo de apoyo y la ausencia de apoyo. Los apoyos predominantes fueron el instrumental y el emocional, especialmente el procedente de la familia. Las necesidades de las personas entrevistadas están relacionadas, entre otros aspectos, a la falta de accesibilidad. El conocimiento de la red de apoyo es importante para orientar la práctica de las enfermeras y otros miembros del equipo de salud para ampliar y fortalecer la interconexión entre los miembros de la red.