Usefulness of the comfort theory in the clinical nursing care of new mothers: critical analysis. / Utilidade da teoria do conforto para o cuidado clínico de enfermagem à puérpera: análise crítica.

OBJECTIVE: The aim of this study was to evaluate the usefulness of the comfort theory for the clinical nursing care of new mothers. METHODS: This is a reflexive-theoretical study conducted in November and December 2014, based on the usefulness criterion proposed in the critical analysis of the Barnum nursing theory. RESULTS: The comfort theory in nursing care for new mothers applied to study analysis revealed that this theory meets the criteria of usefulness because it provides applicable concepts that facilitated the clinical nursing care of women in the postpartum period and helped increase their comfort level. The verification of these concepts showed that the theory can be applied in different settings of clinical care for new mothers. CONCLUSION: The theory can be used to support and improve clinical nursing care for postpartum women, and help improve puerperal comfort.

[Nursing care: how nursing assistants perceive it]. / Cuidado de enfermagem: percepção dos enfermeiros assistenciais.

This is a descriptive, exploratory study wih a qualitative approach performed in a University Hospital from the Federal Public Network of the city of Fortaleza, state of Ceará, Brazil. It aimed to understand how nursing assistants perceive nursing care and to know the actions performed by nurses that are recognized as care activities. Eight nurses from the surgical intensive care unit participated in the study. A questionnaire with open questions was used as an instrument of data collection. Analysis was performed through content analysis with the formation of thematic categories and a framework that allowed the best visualization of results. Results show that, although they know and conceptualize nursing care, nurses have difficulties in achieving the larger care, maybe because they are overloaded with technical procedures performed in hospital environments.

Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study.

OBJECTIVES: to identify factors associated with the sexual practices and positions performed by pregnant women. METHODS: a cross-sectional, quantitative study conducted with 354 pregnant women, in the interior of Ceará, Brazil, in 2016. For data collection, a form and a Pregnancy Sexuality Questionnaire were used. RESULTS: there was a reduction in the sexual initiative of the woman, sexual disposition of the couple, sexual practices and most of the sexual positions, while the maintenance of preliminary sexual activities and initiative to perform them was verified. Sexual practices and positions decreased (p<0.0001): preliminary sexual activities, sexual disposition, lubrication, orgasm, pain or discomfort, sexual positions, sexual practices, and sexual satisfaction. Sexual practices and positions increased (p<0.0001) as a function of: education, number of deliveries, sexual life, desire and arousal, and sexual disposition of the pregnant woman, frequency of orgasm and of sexual practices (p<0.0001). CONCLUSIONS: sexual practices and positions of pregnant women were affected by domains of sexual function, sexual, reproductive, physical, and psychological aspects.

Epidemiology of gestational syphilis in a Brazilian state: analysis in the light of the social-ecological theory.

OBJECTIVE: To analyze, in the light of the social-ecological theory, the temporal progression of gestational syphilis and its relationship with the implementation of the rede cegonha in Ceará. METHOD: This is a retrospective documental study, based on the information system of notifiable diseases about gestational syphilis in the perspective of the social-ecological theory. The sample consisted of all notifications from the state of Ceará in the period from 2007 to 2017. Data collection was carried out in October 2019. RESULTS: A total of 229,558 cases of gestational syphilis was reported in Brazil; of these, 7,040 were from the state of Ceará (3.1%), with a growing increase in cases over the years. Regarding the distribution of syphilis cases between the period before and after the implementation of the rede cegonha, there was an association with education (p < 0.0001), clinical classification (p < 0.0001), and gestational age (p = 0.0005). CONCLUSION: Despite the implementation of public policies and improvement of the epidemiological surveillance system, there is still a long way to go to control syphilis during pregnancy.

[Scientific knowledge production in Nephrology Nursing]. / Produção do conhecimento científico de Enfermagem em Nefrologia.

This is a bibliographic research, with quantitative approach, that aimed to know the scientific production of theses and dissertations available in the database of the Center of Studies and Research in Nursing (CEPEn) and its applicability in the nursing area in nephrology. It was found 48 abstracts of theses and dissertations in the period from 1979 to 2007. The results point that these productions are concentrated in the Southeast and Southern regions of Brazil. Regarding the theoretical-methodological referential, the most frequent were: nursing assistance method and comprehensive approach; the investigated individuals were mostly the chronic renal patients. This thematic is still little investigated in the post-graduation stricto senso courses, however there are signs of expansion of the scientific studies in this area.

A Pilot Intervention Study to Improve Sexuality Outcomes in Breast Cancer Survivors.

OBJECTIVE: The main objective of the study is to assess the efficacy of the Permission, Limited information, Specific Suggestion, and sexual therapy (PLISSIT) model directly with breast cancer survivor (BCS) on sexual function and quality of life (QOL) domains. METHODS: A pilot control trial was conducted comparing the PLISSIT model intervention to usual care. The intervention was delivered by two health professionals (nurse and professional sexual therapist) consisted of five sessions on counseling, genitalia anatomy, human sexual response, and sexual function. Data were collected before and 3 months after the intervention using the Female Sexual Function Index and the World Health Organization QOL-BREF questionnaire. RESULTS: The sample consisted of 19 BCS (11 intervention, 8 controls) with a mean age of 54.5 8 years (standard deviation = 7.14) and the majority were married, Black or mixed Brazilian, received chemotherapy, radiation and/or hormonal therapy, and education varied from high school to college. There was significant improvement in physical health (P = 0.031), social relationships (P = 0.046), orgasm (P = 0.055), and pain (P = 0.049) over time and the intervention resulted in improved arousal (P = 0.038). CONCLUSIONS: The results suggest that the PLISSIT model may be an effective intervention for BCS in coping with and managing changes in sexuality and sexual function after treatment. It is important that nurses are aware of sexual intimacy concerns for BCS and integrate assessment into their nursing care.

PLISSIT model: sexual counseling for breast cancer survivors.

OBJECTIVE: Reporting the experience of use of the PLISSIT model as tool for the nursing care of breast cancer survivors with sexual dysfunction. METHOD: case study developed from January to August 2017, in the outpatient mastology clinic and sexuality service of a maternity in Fortaleza, Ceará, Brazil, with 15 breast cancer survivors. RESULTS: sexual counseling sessions were conducted using the PLISSIT model to address sexual issues, highlighting the particularities of women who experience survival after the treatment of breast cancer. FINAL CONSIDERATIONS: the model used in the practice of nursing care is customary and allows identifying issues experienced by women, as it has easy availability and practicality for use by nursing professionals, helping to address sexual matters with greater tranquility.

Decisões do governo brasileiro no enfrentamento da covid-19: repercussões para o cuidado clínico de enfermagem / Decisiones del gobierno brasileño en el enfrentamiento de covid-19: repercusiones para el cuidado clínico de enfermería / Brazilian government decisions in the fight against covid-19: repercussions for clinical nursing care

Objetivo: analisar as repercussões das decisões do Governo Federal brasileiro no enfrentamento da COVID-19 no cuidado clínico de enfermagem. Método: estudo documental baseado nas publicações de janeiro de 2020 a junho de 2021 divulgadas no site oficial do governo federal. Obtiveram-se 144 documentos que foram analisados na íntegra, apresentados em fluxograma e em Classificação Hierárquica Descendente, esta gerada pelo software IRaMuTeQ. Resultados: a Classificação Hierárquica Descendente gerou seis classes condensadas em: COVID-19 no Brasil, âmbito social, gestão pública, economia na pandemia e direcionamento da assistência em saúde. As decisões centraram-se em reconhecer a existência do cenário pandêmico e estabelecer criação de comitês para gestão e enfrentamento, gestão de insumos hospitalares, redefinição de metas relacionadas aos indicadores de saúde e combate à violência. Considerações finais: as determinações para enfrentamento da pandemia apresentaram ações circunscritas, prioritariamente aos aspectos curativistas, que impactaram na oferta dos cuidados clínicos de enfermagem ao reforçarem o modelo biomédico de atenção à saúde.

Objetivo: analizar las repercusiones de las decisiones del Gobierno Federal brasileño en el enfrentamiento de la COVID-19 en el cuidado clínico de enfermería. Método: estudio documental basado en las publicaciones de enero de 2020 a junio de 2021 divulgadas en el sitio oficial del gobierno federal. Se obtuvieron 144 documentos que fueron analizados en su totalidad, presentados en diagrama de flujo y en Clasificación Jerárquica Descendente, esta generada por el softwareIRaMuTeQ. Resultados: La Clasificación Jerárquica Descendente generó seis clases condensadas en: COVID-19 en Brasil, ámbito social, gestión pública, economía en la pandemia y direccionamiento de la asistencia en salud. Las decisiones se centraron en reconocer la existencia del escenario pandémico y establecer comités para gestión y enfrentamiento, gestión de insumos hospitalarios, redefinición de metas relacionadas a los indicadores de salud y combate a la violencia. Consideraciones finales: las determinaciones para enfrentar la pandemia presentaron acciones circunscritas, prioritariamente a los aspectos curativos, que impactaron en la oferta de los cuidados clínicos de enfermería al reforzar el modelo biomédico de atención a la salud.

Objective: analyzing the repercussions of the decisions of the Brazilian Federal Government in confronting COVID-19 in clinical nursing care. Method: documentary study based on publications from January 2020 to June 2021 published on the official website of the federal government. We obtained 144 documents that were analyzed in full, presented in flowchart and Descending Hierarchical Classification, this generated by IRaMuTeQ software. Results: the Descending Hierarchical Classification generated six classes condensed into: COVID-19 in Brazil, social scope, public management, economy in the pandemic and direction of health care. The decisions focused on recognizing the existence of the pandemic scenario and establishing the creation of committees for management and coping, management of hospital inputs, redefinition of goals related to health indicators and combating violence. Final considerations: the determinations for coping with the pandemic presented limited actions, primarily to curative aspects, which impacted the provision of clinical nursing care by reinforcing the biomedical model of health care.

[International research in nursing: thematic and methodological tendencies]. / Pesquisa internacional em enfermagem: tendências temáticas e metodológicas.

It was aimed to analyze the research tendency developed by nursing in international scope. Obtained data of two nursing journals were analyzed from the total of 104 articles, being 58 of the Nursing and Health Sciences and 48 of the Journal of Research in Nursing published in the period of 2005 the 2006. The most investigated thematic areas are: professional formation (19.2%), adult health (11%), collective health (11%) and Care and Autonomy (9.6%). A major tendency of data collection carried outin hospital area (42.3%), teaching (34.7%), and public health (23%). We consider that the articles under analysis reveal tendency for qualitative approach, however, the study reveals the need to expand some areas such as the management.

[Analysis of nursing scientific production about family care at home (2000-2005)]. / Análise da produção científica da enfermagem acerca do cuidado familiar no domicílio (2000-2005).

This study aimed to analyze the nursing's scientific production about the thematic family care at home, through bibliographic research in electronic data bases in which nursing journals with QUALIS " C" international evaluation are indexed, and in the bibliographical collection of two universities of Ceará, relative to the period of 2000 to 2005. 33 articles were analyzed. The results permitted the verification that postgraduation students were more interested in the thematic; 85% of the studies were arising from of the Southeast of the Country and of the predominance of qualitative studies (26). We establish also 29 participations of family members in activities of care. In conclusion, the nursing has inserted the family care at home in its researches, however still of incipient way, what shows its inhibited contribution for the preparation of those families for the practical care.

Pain in the immediate puerperium: nursing care contribution.

OBJECTIVE: to analyze the contribution of clinical nursing care to the mother who has recently given birth with immediate postpartum pain based on the Kolcaba's Theory of Comfort. METHOD: qualitative study by the research-care method. Three nurses, who provided care for women in the immediate puerperium as caregiver-researchers and 30 postpartum women, were admitted to a public maternity hospital. A semi-structured interview was used for data collection, from which the thematic analysis of the content was carried out. RESULTS: nursing care with influences from the biomedical model was observed, but it expresses concern when being cared for. It offers administration of medications, guidelines and non-pharmacological measures for pain relief. FINAL CONSIDERATIONS: nursing care based on the Theory of Comfort contributed to pain relief in the immediate puerperium.

Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study / Factores relacionados a las prácticas y posiciones sexuales realizadas por mujeres embarazadas: estudio transversal / Fatores associados às práticas e posições sexuais realizadas por mulheres grávidas: estudo transversal

ABSTRACT Objectives: to identify factors associated with the sexual practices and positions performed by pregnant women. Methods: a cross-sectional, quantitative study conducted with 354 pregnant women, in the interior of Ceará, Brazil, in 2016. For data collection, a form and a Pregnancy Sexuality Questionnaire were used. Results: there was a reduction in the sexual initiative of the woman, sexual disposition of the couple, sexual practices and most of the sexual positions, while the maintenance of preliminary sexual activities and initiative to perform them was verified. Sexual practices and positions decreased (p<0.0001): preliminary sexual activities, sexual disposition, lubrication, orgasm, pain or discomfort, sexual positions, sexual practices, and sexual satisfaction. Sexual practices and positions increased (p<0.0001) as a function of: education, number of deliveries, sexual life, desire and arousal, and sexual disposition of the pregnant woman, frequency of orgasm and of sexual practices (p<0.0001). Conclusions: sexual practices and positions of pregnant women were affected by domains of sexual function, sexual, reproductive, physical, and psychological aspects.

RESUMEN Objetivos: identificar factores relacionados a prácticas y posiciones sexuales realizadas por mujeres embarazadas. Métodos: estudio transversal, cuantitativo, realizado con 354 mujeres embarazadas, en interior Cearense, Brasil, en 2016. Utilizado formulario y Encuesta de Sexualidad en el Embarazo, para recolecta de datos. Resultados: hubo reducción en la iniciativa sexual de la mujer, disposición sexual del casal, prácticas sexuales y mayoría de las posiciones sexuales, mientras que se constató manutención de actividades sexuales preliminares e iniciativa para realizarlas. Redujeron prácticas y posiciones sexuales (p<0,0001): actividades sexuales preliminares, disposición sexual, lubricación, orgasmo, dolor o incomodidad, posiciones sexuales, prácticas sexuales y satisfacción sexual. Prácticas y posiciones sexuales aumentaron (p<0,0001) en función de: escolaridad, número de partos, vida sexual, deseo y excitación y disposición sexual de la embarazada, frecuencia del orgasmo y prácticas sexuales. Conclusiones: prácticas y posiciones sexuales de embarazadas fueron afectadas por dominios de la función sexual, aspectos sexuales, reproductivos, físicos y psicológicos.

RESUMO Objetivos: identificar fatores associados às práticas e posições sexuais realizadas por mulheres grávidas. Métodos: estudo transversal, quantitativo, realizado com 354 mulheres grávidas, no interior do Ceará, Brasil, em 2016. Para coleta de dados, utilizou-se formulário e Questionário de Sexualidade na Gestação. Resultados: houve redução na iniciativa sexual da mulher, disposição sexual do casal, práticas sexuais e da maioria das posições sexuais, ao passo que se constatou manutenção das atividades sexuais preliminares e da iniciativa para realizá-las. Reduziram-se práticas e posições sexuais (p<0,0001): atividades sexuais preliminares, disposição sexual, lubrificação, orgasmo, dor ou desconforto, posições sexuais, práticas sexuais e satisfação sexual. Práticas e posições sexuais aumentaram (p<0,0001) em função de: escolaridade, número de partos, vida sexual, desejo e excitação e disposição sexual da gestante, frequência do orgasmo e de práticas sexuais. Conclusões: práticas e posições sexuais de mulheres grávidas foram afetadas por domínios da função sexual, aspectos sexuais, reprodutivos, físicos e psicológicos.

Epidemiology of gestational syphilis in a Brazilian state: analysis in the light of the social-ecological theory / Epidemiología de la sífilis gestacional en un Estado brasileño: análisis a la luz de la teoría social ecológica / Epidemiologia da sífilis gestacional em um estado brasileiro: análise à luz da teoria social ecológica

ABSTRACT Objective: To analyze, in the light of the social-ecological theory, the temporal progression of gestational syphilis and its relationship with the implementation of the rede cegonha in Ceará. Method: This is a retrospective documental study, based on the information system of notifiable diseases about gestational syphilis in the perspective of the social-ecological theory. The sample consisted of all notifications from the state of Ceará in the period from 2007 to 2017. Data collection was carried out in October 2019. Results: A total of 229,558 cases of gestational syphilis was reported in Brazil; of these, 7,040 were from the state of Ceará (3.1%), with a growing increase in cases over the years. Regarding the distribution of syphilis cases between the period before and after the implementation of the rede cegonha, there was an association with education (p < 0.0001), clinical classification (p < 0.0001), and gestational age (p = 0.0005). Conclusion: Despite the implementation of public policies and improvement of the epidemiological surveillance system, there is still a long way to go to control syphilis during pregnancy.

RESUMEN Objetivo: Analizar, a la luz de la teoría social ecológica, la evolución temporal de la sífilis gestacional y su relación con la implantación de la rede cegonha en Ceará. Método: Estudio retrospectivo, documental, a partir del sistema de información de agravios de notificación acerca de la sífilis gestacional en la perspectiva de la teoría social ecológica. La muestra fue compuesta por todas las notificaciones del estado de Ceará en el período de 2007 a 2017. La colecta de datos fue realizada en octubre de 2019. Resultados: Fueron notificados 229.558 casos de sífilis gestacional en Brasil; de estos, 7.040 fueron provenientes del estado de Ceará (3,1%), con aumento creciente de los casos a lo largo de los años. Con relación a la distribución de los casos de sífilis entre el periodo y después de la implantación de la rede cegonha, hubo asociación con escolaridad (p < 0.0001), clasificación clínica (p < 0,0001) y edad gestacional (p = 0,0005). Consideraciones Finales: A pesar de la efectuación de políticas públicas y mejora del sistema de vigilancia epidemiológica, todavía hay un largo camino para el control de la sífilis en la gestación.

RESUMO Objetivo: Analisar, à luz da teoria social ecológica, a evolução temporal da sífilis gestacional e sua relação com a implantação da rede cegonha no Ceará. Método: Estudo retrospectivo, documental, a partir do sistema de informação de agravos de notificação acerca da sífilis gestacional na perspectiva da teoria social ecológica. A amostra foi composta por todas as notificações do estado do Ceará no período de 2007 a 2017. A coleta de dados foi realizada em outubro de 2019. Resultados: Foram notificados 229.558 casos de sífilis gestacional no Brasil; destes, 7.040 foram oriundos do estado do Ceará (3,1%), com aumento crescente dos casos no decorrer dos anos. Com relação à distribuição dos casos de sífilis entre o período antes e após a implantação da rede cegonha, houve associação com escolaridade (p < 0,0001), classificação clínica (p < 0,0001) e idade gestacional (p = 0,0005). Conclusão: Apesar da efetivação de políticas públicas e aprimoramento do sistema de vigilância epidemiológica, ainda há um longo caminho para controle da sífilis na gestação.

[Adjustment of the theory of self-care deficit in home care in the light of Barnum's model]. / Adequação da teoria do déficit de autocuidado no cuidado domiciliar à luz do modelo de Barnum.

The study aimed at analyzing the Self-Care Deficit Theory adjustment, focusing on the atmosphere and the home care provider. Authors adopted the Barnum's model that suggests questions on the use of its concepts, seeking for its interrelations and scope. The answers to those questions were based on the Self-Care Deficit Theory applied to a real situation, observed in home care visits occurred in the second semester of 2000 to a paraplegic patient, whose care was provided by this wife and the family health nursing team. Authors found minimal adjustment conditions for home care, considering the environment and the care providers. They considered, comparatively, that the chosen theory may be directed to the care of patients in home hospitalization under the supervision of a nurse.

[Breast cancer: how women think and what they do]. / Câncer de mama: o pensar e o fazer das mulheres.

Changes brought about by the diagnosis and treatment of cancer always cause psychological, social, cultural, economic and spiritual disorders. We have tried to understand the significance of breast cancer for women and to find out what they do in order to detect it in an early stage. We have randomly chosen thirty-four women who went to a cancer prevention centre in the town of Fortaleza. We have carried out clinical examinations of the breasts, taught the circular self-examination technique and observed how the technique was learnt. We have analysed the results by means of an interactionist approach, and they have been organised according to their significance and to the development of early detection actions. We have concluded that women perceive cancer as a possibility of loss and death and make associations between people or past events and real or imaginary causes. Some of them perform early detection procedures, but the lack of information on the disease is evident, which makes it unfeasible to control breast cancer.

PLISSIT model: sexual counseling for breast cancer survivors / Modelo PILSET: asesoramiento sexual para sobrevivientes del cáncer de mama / Modelo PILSET: aconselhamento sexual para sobreviventes do câncer de mama

ABSTRACT Objective: Reporting the experience of use of the PLISSIT model as tool for the nursing care of breast cancer survivors with sexual dysfunction. Method: case study developed from January to August 2017, in the outpatient mastology clinic and sexuality service of a maternity in Fortaleza, Ceará, Brazil, with 15 breast cancer survivors. Results: sexual counseling sessions were conducted using the PLISSIT model to address sexual issues, highlighting the particularities of women who experience survival after the treatment of breast cancer. Final considerations: the model used in the practice of nursing care is customary and allows identifying issues experienced by women, as it has easy availability and practicality for use by nursing professionals, helping to address sexual matters with greater tranquility.

RESUMEN Objetivo: Informar la experiencia del uso del modelo PILSET como herramienta de cuidado de enfermería para sobrevivientes de cáncer de mama con disfunción sexual. Método: relato de experiencia desarrollado de enero a agosto de 2017, realizado en el ambulatorio de mastología junto con el servicio de sexualidad de una maternidad-escuela de Fortaleza, Ceará, Brasil, con 15 sobrevivientes de cáncer de mama. Resultados: se realizaron sesiones de asesoramiento sexual, utilizando el modelo PILSET para trabajar cuestiones sexuales, destacando las particularidades de la mujer que vive la sobrevida tras el tratamiento del cáncer de mama. Consideraciones finales: el modelo utilizado en la práctica del cuidado de enfermería es usual y permite identificar cuestiones vivenciadas por la mujer, pues es una herramienta de fácil disponibilidad y practicidad para profesionales de enfermería, ayudando a abordar cuestiones sexuales con mayor tranquilidad.

RESUMO Objetivo: Relatar a experiência do uso do modelo PILSET como ferramenta de cuidado de enfermagem para sobreviventes de câncer de mama com disfunção sexual. Método: relato de experiência desenvolvido de janeiro a agosto de 2017, realizado no ambulatório de mastologia em conjunto com o serviço de sexualidade de uma maternidade-escola de Fortaleza, Ceará, Brasil, com 15 sobreviventes de câncer de mama. Resultados: realizaram-se sessões de aconselhamento sexual, utilizando o modelo PILSET para trabalhar questões sexuais, destacando as particularidades da mulher que vivencia a sobrevida após o tratamento de câncer de mama. Considerações finais: o modelo utilizado na prática de cuidado de enfermagem é usual e permite identificar questões vivenciadas pela mulher, pois é uma ferramenta de fácil disponibilidade e praticidade para profissionais de enfermagem, auxiliando abordar questões sexuais com maior tranquilidade.

Cuidado de enfermagem na relação saber/poder e sexualidade junto a juventude escolar via webrádio / Nursing care in the relationship knowledge / power and sexuality with school youth via webrádio / Atención de enfermería en la relación conocimiento / poder y sexualidad con jóvenes escolares a través de webrádio

Objetivo: descrever a experiência de pós-graduandas de enfermagem sobre a sexualidade e a relação saber-poder junto à juventude escolar via WebRádio. Método: a experiência emergiu na disciplina de "Micropolítica", realizada no primeiro semestre de 2016, em articulação ao referencial teórico-filosófico Saber/Poder de Foucault e a temática da sexualidade. Resultados: na vivência é visto que a escola e o setor saúde se configuram como espaços de resistência. Há ausência de discurso professor(a)/enfermeiro(a)/juventude sobre a sexualidade. Culminou-se que o dispositivo de cuidado em saúde WebRádio é uma rede interdiscursiva, com envolvimento das singularidades, proporcionando práticas de cuidado junto à juventude. Considerações finais: A enfermagem, nesse cenário escolar, amplia sua autonomia de cuidado junto à juventude na construção de saberes interdiscursivos.

Objective: To describe the experience of postgraduate nursing students about sexuality and the knowledge-power relationship with school youth via WebRódio. Method: the experience emerged in the discipline of "Micropolitics", held in the first semester of 2016, in articulation with Foucault's Knowledge / Power theoretical and philosophical framework and the theme of sexuality. Results: in the experience it is seen that the school and the health sector are configured as spaces of resistance. There is an absence of teacher / nurse / youth speech about sexuality. It was concluded that the WebRadio health care device is an interdiscursive network, involving singularities, providing care practices to the youth. Final considerations: Nursing, in this school setting, expands its autonomy of care with the youth in the construction of interdiscursive knowledge.

Objetivo: Describir la experiencia de los estudiantes de posgrado de enfermería sobre sexualidad y la relación conocimiento-poder con los jóvenes escolares a través de WebRódio. Método: la experiencia surgió en la disciplina de "Micropolítica", realizada en el primer semestre de 2016, en articulación con el marco teórico y filosófico de Foucault Knowledge / Power y el tema de la sexualidad. Resultados: en la experiencia se ve que la escuela y el sector salud están configurados como espacios de resistencia. Hay una ausencia de discurso del maestro / enfermera / joven sobre la sexualidad. Se concluyó que el dispositivo de atención médica WebRadio es una red interdiscursiva, que involucra singularidades y brinda prácticas de atención a los jóvenes. Consideraciones finales: La enfermería, en este entorno escolar, amplía su autonomía de atención con los jóvenes en la construcción del conocimiento interdiscursivo.

Pain in the immediate puerperium: nursing care contribution / El dolor en el puerperio inmediato: contribución del cuidado de enfermeira / A dor no puerpério imediato: contribuição do cuidado de enfermagem

ABSTRACT Objective: to analyze the contribution of clinical nursing care to the mother who has recently given birth with immediate postpartum pain based on the Kolcaba's Theory of Comfort. Method: qualitative study by the research-care method. Three nurses, who provided care for women in the immediate puerperium as caregiver-researchers and 30 postpartum women, were admitted to a public maternity hospital. A semi-structured interview was used for data collection, from which the thematic analysis of the content was carried out. Results: nursing care with influences from the biomedical model was observed, but it expresses concern when being cared for. It offers administration of medications, guidelines and non-pharmacological measures for pain relief. Final considerations: nursing care based on the Theory of Comfort contributed to pain relief in the immediate puerperium.

RESUMEN Objetivo: analizar la contribución del cuidado clínico de enfermería a la puérpera con dolor en el posparto inmediato, fundamentado en la teoría del confort de Kolcaba. Método: estudio cualitativo, por el método de investigación-cuidado. Participaron tres enfermeras que prestan cuidados a la mujer en puerperio inmediato, como investigadoras-cuidadoras y 30 puérperas, en el posparto inmediato, internadas en una maternidad pública. Se utilizó entrevista semiestructurada para recolección de datos, de los cuales se procedió el análisis temático de contenido. Resultados: se observó la realización de un cuidado de enfermería con influencias del modelo biomédico, pero que expresa preocupación por el cuidado, ofrece administración de medicamentos, orientaciones y medidas no farmacológicas para el alivio del dolor. Consideraciones finales: el cuidado de enfermería fundamentado en la teoría del confort contribuyó para alivio del dolor en el puerperio inmediato.

RESUMO Objetivo: analisar a contribuição do cuidado clínico de enfermagem à puérpera com dor no pós-parto imediato, fundamentado na teoria do conforto de Kolcaba. Método: estudo qualitativo, pelo método de pesquisa-cuidado. Participaram três enfermeiras que prestam cuidados à mulher em puerpério imediato, como pesquisadoras-cuidadoras e 30 puérperas, no pós-parto imediato, internadas em uma maternidade pública. Utilizou-se entrevista semiestruturada para coleta de dados, dos quais procedeu-se a análise temática de conteúdo. Resultados: observou-se a realização de um cuidado de enfermagem com influências do modelo biomédico, porém, que expressa preocupação ao ser cuidado, oferece administração de medicações, orientações e medidas não farmacológicas para o alívio da dor. Considerações finais: o cuidado de enfermagem fundamentado na teoria do conforto contribuiu para alívio da dor no puerpério imediato.

Representações sociais de enfermeiros da atenção primária à saúde sobre cuidado de enfermagem no pós-parto / Representaciones sociales de enfermeros de atención primaria de salud sobre atención de enfermería en posparto / Social representations of primary health care nurses about nursing care in the postpartum period

RESUMO Objetivo: apreender as representações sociais de enfermeiros da Atenção Primária à Saúde sobre o cuidado de enfermagem no pós-parto. Método: estudo qualitativo, norteado pela Teoria das Representações Sociais, desenvolvido de setembro a outubro de 2015, com 31 enfermeiros da Estratégia Saúde da Família do município de Mossoró, Rio Grande do Norte, Brasil, por meio de entrevista semiestruturada. Os dados foram analisados com o auxílio do software ALCESTE, que realiza análise lexical de dados textuais. Resultados: verificou-se que os enfermeiros ancoram o cuidado de enfermagem no puerpério como cuidados desenvolvidos ao recém-nascido, priorizando a consulta de puericultura em detrimento da puerperal. Conclusão: é necessário que os enfermeiros desenvolvam o cuidado de enfermagem no pós-parto de forma integral, direcionado para além dos procedimentos técnicos, por meio de escuta qualificada e atenção às necessidades biopsicossociais da puérpera.

RESUMEN Objetivo: Comprender las representaciones sociales de enfermero de Atención Primaria de Salud sobre la atención de enfermería en el posparto. Método: Estudio cualitativo, orientado por la Teoría de las Representaciones Sociales, desarrollado de setiembre a octubre de 2015 con 31 enfermeros de la Estrategia Salud de la Familia del municipio de Mossoró, Rio Grande do Norte, Brasil, aplicándose entrevista semiestructurada. Datos analizados con ayuda del software ALCESTE, que efectúa un análisis lexical de los datos textuales. Resultados: Se verificó que los enfermeros enfocan la atención de enfermería durante el puerperio como cuidados brindados al recién nacido, priorizando la consulta de puericultura por sobre la puerperal. Conclusión: Es necesario que los enfermeros efectúen la atención de enfermería durante el posparto de manera integral, orientado más allá de los procedimientos técnicos, a través de una escucha calificada y atención de las necesidades biopsicosociales de la puérpera.

ABSTRACT Objective: to gain insight on the social representations of primary health care nurses about nursing care in the postpartum period. Method: Qualitative study based on the Theory of Social Representations, conducted from September to October 2015, with 31 nurses of the Family Health Strategy of the city of Mossoró, Rio Grande do Norte, Brazil, through semi-structured interviews. Data were analyzed with the aid of ALCESTE software, which conducts lexical analysis of text data. Results: It was found that the care provided by nurses prioritizes childcare appointments (care to the newborn) to the detriment of postpartum appointments. Conclusion: Nurses should develop integral postpartum care, which goes beyond the implementation of technical procedures, involving qualified listening and care to the biopsychosocial needs of postpartum women.

[Nursing care to the client with hypertension: a bibliographic review]. / Cuidado de enfermagem ao cliente com hipertensão: uma revisão bibliográfica.

This study aimed to identify the nursing care practices to the client with hypertension in the scientific production in the last ten years. It was carried out a bibliographic study, using in the BIREME, the LILACS, SciELO and BDENF's data basis, selecting thirty articles. The results were exposed in charts, tables and graphics, where prevails, in the literature analyzed, the nursing consultation as the more used practice, through the nursing attendance systematization and the Health Education with individual approaches, besides the realization of home visits with family approach. One believes that the systematization of nursing care will contribute in an expressive manner to the adhesion to the antihypertensive treatment.