[Environmental education for nursing faculty members: perception and relation to nurse training]. / Educação ambiental para docentes enfermeiros: percepção e relação com a formação do enfermeiro.

OBJECTIVE: to describe the perception of nursing teachers on environmental education and its relation to the professional training received by nurses. METHOD: exploratory-descriptive, qualitative study performed with 17 nurses working in Undergraduate Nursing courses at Federal Institutions of Higher Education of Rio Grande do Sul. Data were collected between January and April 2013, through semi-structured interviews and the analysis of pedagogical projects. Content analysis framework was used for data analysis. RESULTS: the following categories emerged: multiplicity of perceptions about environmental education, where environmental education, although still perceived through a naturalist bias, also includes a well rounded vision for socio-cultural context and human values; and environmental education in in the nursing education program, showing an incipient approach in vocational training, while recognizing its importance in nursing care. CONCLUSIONS: Environmental education must be fostered with the goal of providing training committed to environmental sustainability.

[Contributions of ludic care in nursing to chemical detoxification due to the use of crack cocaine]. / Contribuições do cuidado lúdico em enfermagem na desintoxicação química devido ao uso de crack.

OBJECTIVE: to understand the contributions of ludic care in nursing by stimulating the acceptance of chemical detoxification from crack on the perception of people in the detoxification process. METHODS: an exploratory, descriptive study with a qualitative approach, performed with five people hospitalized for chemical detoxification from crack, from March to July 2013 in a chemical detox unit of a midsize hospital in the central region of Rio Grande do Sul. Data was collected using a semi-structured interview and was subjected to content analysis. RESULTS: Two categories emerged: Ludic care in nursing as a stimulus to the acceptance of chemical detoxification; Ludic care in nursing in the promotion for healthy living after chemical detoxification. CONCLUSION: ludic care in nursing proved to enhance the acceptance of chemical detoxification from crack in the reality investigated.

Men's experience of caring for a family member with cancer: a theory based on data.

OBJECTIVE: to understand the meaning attributed by men to the experience of caring for their family member with cancer and to develop a substantive theory that represents the experience of men caring for their family member with cancer. METHOD: this is qualitative research guided by the methodological framework of Grounded Theory and the precepts of Symbolic Interactionism. A form with identification and interview data was used. The analysis followed the substantive and theoretical coding stages. RESULTS: 12 male caregivers of their family member with cancer participated. The constant comparative analysis of the data allowed the creation of a substantive theory "Experiencing the care of a family member with cancer: men as a caregivers" explaining the experience that has as its central category "The love that drives care", representing the symbolic actions and attitudes of men living in the context of illness due to cancer and care. CONCLUSION: the theory allowed us to understand feelings, perceptions, ways of acting and facing the diagnosis, providing care, recognizing difficulties and learning from the situations that arise, making explicit the interactional processes and symbolic elements present and how these influence male caregivers in their actions and attitudes. BACKGROUND: (1) For men, caring is a choice (2) Taking care symbolizes a way of expressing love and reciprocation. (3) Love in caring is strengthened by reciprocity, commitment, gratitude and zeal. (4) To provide care, man reorganizes himself and adjusts to the conditions that present themselves (5) Male caregivers need to be heard and included in the actions of health teams.

Praxis Model for Technology Development: a participatory approach.

OBJECTIVE: To present the Praxis model for Technology Development validated content and appearance. METHOD: A methodological study with validity of a nursing research model, carried out from March to September 2022. A total of 26 research nurses from all regions of Brazil participated. The model items were considered relevant and reliable when the Content Validity Index Confidence Interval was ≥ 0.8 in just one round. When minor, modifications or deletions were made, as suggested by specialists. RESULTS: The model was operationalized in the pragmatic, productive/artistic, experimental and revolutionary phases. Its assessment was considered relevant by judges, obtaining an average index of 0.950 for its content and 0.825 for appearance. CONCLUSION: The praxis model presents theoretical clarity, a relevant and applicable approach in technological development research in nursing.

Elaboration and validity of the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias.

OBJECTIVE: to elaborate and validate the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias. METHODS: a methodological study, developed in three stages: instrument structuring through documentary research and researchers' expertise; instrument validity with a panel of 11 expert judge nurses; and instrument final composition. RESULTS: the instrument, after validity by experts, consisted of 30 items, divided into the content (26 items) and appearance (four items) domains. In the initial instrument validity process, 11 items were modified and seven were withdrawn, as they had a percentage of agreement below 0.80. The instrument showed excellent internal consistency, with values greater than 0.90 in its psychometric criteria. CONCLUSION: the instrument produced and validated aimed at assessing research methodological models for technological development showed good reliability, and may contribute to the methodological rigor of technological development research in nursing.

[Integrative review: a portrait of death and its implications in academic teaching]. / Revisáo integrativa: um retrato da morte e suas implicações no ensino acadêmico.

This is an integrative literature review aimed at finding out how death, teaching about death and the dying process have been addressed in scientific publications in the health field. The research was performed using the Literatura da América Latina e Caribe em Ciências da Saúde e Base de Dados em Enfermagem (Latin America and Caribe Health Sciences Literature and Nursing Database) databases with the descriptors "death" and "teach". The survey covered national publications between 1998 and 2010, 14 articles were selected to compose the corpus of the study. The results indicated the lack of proper training by students, teachers and other health professionals to deal with death, since they had little or no preparation throughout their academic life. Thus, stimulating scientific production within this theme promotes a bigger diffusion of this specific knowledge and helps in the qualification and training of professionals to deal with death and the dying process.

Supervised Internship: attributions and limitations from the perspective of nursing supervisors, faculty advisor and managers.

OBJECTIVES: to describe the attributions and limitations in internship nursing supervisors', faculty advisors' and managers' work in the process of carrying out Supervised Internship in nursing education. METHODS: a qualitative exploratory-descriptive research. Interviews were conducted between February and July 2018 with 26 participants: four managers, nine faculty advisors, six primary care nursing supervisors and seven hospital care nursing supervisors. Data analysis was performed using the Content Analysis technique. RESULTS: among the main attributions are participation in the organization of the field, mediation between educational and health institutions, presentation of the world of work; as limitations are the high number of institutions in the field, work overload, lack of commitment or lack of didactic preparation towards student education. FINAL CONSIDERATIONS: we evidenced the need to (re)define and clarify everyone's roles and (re)think the integration strategies for monitoring students.

Palliative care in Primary Health Care: an integrative literature review.

OBJECTIVES: to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care. METHODS: an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame. RESULTS: 22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization of health services and on the importance of educational interventions on the subject. FINAL CONSIDERATIONS: evidence found relating palliative care in Primary Health Care points to the possibility of this care; health teams work closely with the family and their home, but the need to expand this theme is still perceived.

Care Facilitator Cart: a product technology built with nursing professionals.

OBJECTIVES: to describe a product technology building (Care Facilitator Cart) with nursing professionals working in surgical clinic and medical clinic at a university hospital in Rio Grande do Sul. METHODS: a qualitative, methodological research guided by the Business Model Canvas, with 52 nursing professionals, through non-participant observation and brainstorming, carried out from April to October 2016. The records were analyzed through content analysis. RESULTS: the product was built with two floors, a retractable table, a removable compartment for disposal and separation of infectious, recyclable and sharps waste, lid opening by a sensor, among others. FINAL CONSIDERATIONS: the invention unleashes possibilities to be an innovative instrument aimed at performing safe care in hospital institutions, with a view to reducing professional wear, rework, infection control, and effectiveness of procedures and techniques.

Validation of educational booklet: an educational technology in dengue prevention.

OBJECTIVE: to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population. METHOD: methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out. RESULTS: the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization. CONCLUSION: the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.

Men's experience of caring for a family member with cancer: a theory based on data / Experiencia de hombres en el cuidado de un familiar con cáncer: una teoría fundamentada en los datos / Vivência de homens no cuidado ao familiar com câncer: uma teoria fundamentada nos dados

Objective: to understand the meaning attributed by men to the experience of caring for their family member with cancer and to develop a substantive theory that represents the experience of men caring for their family member with cancer. Method: this is qualitative research guided by the methodological framework of Grounded Theory and the precepts of Symbolic Interactionism. A form with identification and interview data was used. The analysis followed the substantive and theoretical coding stages. Results: 12 male caregivers of their family member with cancer participated. The constant comparative analysis of the data allowed the creation of a substantive theory "Experiencing the care of a family member with cancer: men as a caregivers" explaining the experience that has as its central category "The love that drives care", representing the symbolic actions and attitudes of men living in the context of illness due to cancer and care Conclusion: the theory allowed us to understand feelings, perceptions, ways of acting and facing the diagnosis, providing care, recognizing difficulties and learning from the situations that arise, making explicit the interactional processes and symbolic elements present and how these influence male caregivers in their actions and attitudes.

Objetivo: comprender el significado atribuido por los hombres a la experiencia de asistir a un familiar con cáncer y desarrollar una teoría sustantiva que represente la experiencia de los hombres acerca de dicho cuidado. Método: se trata de una investigación cualitativa guiada por el marco metodológico de la Teoría Fundamentada y los preceptos del Interaccionismo Simbólico. Se utilizó un formulario con datos de identificación y entrevista. El análisis siguió las etapas de codificación sustantiva y teórica. Resultados: participaron 12 hombres cuidadores de un familiar con cáncer. El constante análisis comparativo de los datos permitió elaborar una teoría sustantiva "Vivenciando el cuidado de un familiar con cáncer: el hombre como cuidador" explicando la experiencia que tiene como categoría central "El amor que impulsa el cuidado", representando la acciones y actitudes simbólicas del hombre que vive en el contexto de enfermedad por cáncer y sus cuidados. Conclusión: la teoría permitió comprender los sentimientos, percepciones, formas de actuar y afrontar el diagnóstico, brindar cuidados, reconocer dificultades y aprender de las situaciones que se presentan, explicitando los procesos de interacción y elementos simbólicos presentes y cómo influyen en los hombres cuidadores en sus acciones y actitudes.

Objetivo: apreender o significado atribuído pelos homens à vivência do cuidado ao seu familiar com câncer e elaborar uma teoria substantiva que represente a vivência de homens no cuidado ao seu familiar com câncer. Método: trata-se de uma pesquisa qualitativa norteada pelo referencial metodológico da Teoria Fundamentado nos Dados e pelos preceitos do Interacionismo Simbólico. Utilizouse formulário com dados de identificação e entrevista. A análise seguiu as etapas de codificação substantiva e teórica. Resultados: participaram 12 homens cuidadores de seu familiar com câncer. A análise comparativa constante dos dados permitiu a elaboração de uma teoria substantiva "Vivenciando o cuidado de um familiar com câncer: o homem como cuidador" explicativa da vivência que tem como categoria central "O amor que conduz o cuidar", representando as ações e atitudes simbólicas do homem ao viver no contexto do adoecimento por câncer e do cuidado. Conclusão: a teoria permitiu conhecer os sentimentos, percepções, modos de agir e enfrentar o diagnóstico, desempenhar o cuidado, reconhecer as dificuldades e aprender com as situações que se apresentam, deixando explícito os processos interacionais e os elementos simbólicos presentes e como estes influenciam os homens cuidadores em suas ações e atitudes.

Praxis Model for Technology Development: a participatory approach / Modelo Práxico para el Desarrollo Tecnológico: un enfoque participativo / Modelo Práxico para Desenvolvimento de Tecnologias: uma abordagem participativa

ABSTRACT Objective: To present the Praxis model for Technology Development validated content and appearance. Method: A methodological study with validity of a nursing research model, carried out from March to September 2022. A total of 26 research nurses from all regions of Brazil participated. The model items were considered relevant and reliable when the Content Validity Index Confidence Interval was ≥ 0.8 in just one round. When minor, modifications or deletions were made, as suggested by specialists. Results: The model was operationalized in the pragmatic, productive/artistic, experimental and revolutionary phases. Its assessment was considered relevant by judges, obtaining an average index of 0.950 for its content and 0.825 for appearance. Conclusion: The praxis model presents theoretical clarity, a relevant and applicable approach in technological development research in nursing.

RESUMEN Objetivo: Presentar el contenido y apariencia validada del Modelo Praxis para el Desarrollo Tecnológico. Método: Estudio metodológico, con validación de un modelo de investigación de enfermería, realizado de marzo a septiembre de 2022. Participaron 26 enfermeros investigadores de todas las regiones de Brasil. Los ítems del modelo se consideraron relevantes y fiables cuando el Intervalo de Confianza del Índice de Validez de Contenido fue ≥ 0,8 en una sola ronda. Cuando fue menor, se hicieron modificaciones o supresiones, según lo sugerido por especialistas. Cuando fue menor, se hicieron modificaciones o supresiones, según lo sugerido por especialistas. Resultados: El modelo fue operacionalizado en las fases pragmática, productiva/artística, experimental y revolucionaria. Su valoración fue considerada relevante por los jueces, obteniendo un índice medio de 0,950 por su contenido y 0,825 por su apariencia. Conclusión: El modelo de praxis presenta claridad teórica, un enfoque relevante y aplicable en la investigación de desarrollo tecnológico en enfermería.

RESUMO Objetivo: Apresentar o conteúdo e aparência validados do Modelo Práxico para Desenvolvimento de Tecnologias. Método: Estudo metodológico, com validação de um modelo de pesquisa em enfermagem, realizado de março a setembro de 2022. Participaram 26 enfermeiros pesquisadores de todas as regiões do Brasil. Os itens do modelo foram considerados relevantes e confiáveis quando o Intervalo de Confiança do Índice de Validade de Conteúdo foi ≥ 0,8 em apenas uma rodada. Quando menor, modificações ou exclusões foram realizadas, conforme sugestões dos especialistas. Resultados: O modelo foi operacionalizado nas fases pragmática, produtiva/artística, experimental e revolucionária. Sua avaliação foi considerada pertinente pelos juízes, obtendo índice médio de 0,950 para seu conteúdo e 0,825 para aparência. Conclusão: O modelo práxico apresenta clareza teórica, abordagem pertinente e aplicável em pesquisas de desenvolvimento tecnológico em enfermagem.

VER-SUS project: Influences on the training and performance of nurses.

OBJECTIVE: To analyze the influences of the Vivências e Estágios na Realidade do Sistema Único de Saúde (Brazilian Unified Health System), in the training and performance of nurses. METHOD: A qualitative study was carried out with 14 nurses who participated in the VER-SUS project in Rio Grande do Sul State. The data were collected through a semi-structured interview technique. The data were analyzed, interpreted and discussed, through the technique of Content Analysis. RESULTS: The categories "VER-SUS Influences on Nursing Training for SUS" and "VER-SUS Contributions for Nurses Performance in the SUS" were highlighted. FINAL CONSIDERATIONS: It was possible to identify the influences of the VER-SUS project in the training and performance of the nursing professionals, pointing out the revision of the Pedagogical Projects of Course and the preparation of the teachers, as a way to carry out the training with emphasis in the Brazilian Unified Health System.

Care-educational technologies: an emerging concept of the praxis of nurses in a hospital context.

OBJECTIVE: to know the praxis of nurses in the hospital context and, from this, to define a concept about Care-Educational Technologies. METHOD: qualitative, exploratory-descriptive research, developed in a university hospital in Rio Grande do Sul State, Brazil, with 21 nurses (non-probabilistic sampling), through non-participant observation and semi-structured interview, conducted from March to December 2015. Records were analyzed through content analysis. RESULTS: the results showed that in the context of nurses' work, it is possible to deduce care-educational possibilities, based on the person-person, person-tool and/or person-universe relationship. The concept was defined based on the intertwining of caring-training and training-caring for oneself and other people. FINAL CONSIDERATIONS: the reflections point to the need to develop or strengthen the autonomy of those involved in the health-disease process. This is based on the empowerment of people under their lives' conditions, in their multidimensionality, within human praxis.

Aplicativo multimídia para cuidados domiciliares de pacientes pós-cirúrgicos: protótipo de tecnologia cuidativo-educacional* / Aplicación multimedia para el cuidado domiciliario de pacientes posquirúrgicos: prototipo de tecnología asistencial-educativa / Multimedia application for home care of post-surgery patients: care-educational technology prototype*

Objetivo: desenvolver um protótipo de Tecnologia Cuidativo-Educacional em forma de aplicativo multimídia, voltado aos cuidados domiciliares de pacientes pós-cirúrgicos com dispositivos invasivos. Método: pesquisa metodológica, desenvolvida entre março de 2021 e abril de 2022, norteada pelo modelo ADDIE (Analize, Design, Develop, Implement e Evaluate). Realizou-se a prototipagem com auxílio do software Adobe Experience Design, sendo aplicados plugins para a animação dos ícones e a inclusão dos vídeos educacionais. Resultados: o protótipo "Home Self-Care" contém logomarca, menu principal com descrição dos dispositivos invasivos, informações sobre o procedimento, cuidados e dúvidas frequentes dos pacientes, bem como imagens e vídeos educacionais para conduzir a construção do conhecimento. Ressalta-se que futuramente o aplicativo será hospedado em loja virtual. Conclusão: o uso desta ferramenta visa a continuidade do cuidado, estimulando a autonomia e empoderamento dos usuários em domicílio. Acredita-se que a tecnologia facilitará a recuperação do paciente e reduzirá as (re)internações.

Objective: to develop a care-educational technology prototype, in the form of a multimedia application, aimed at home care of post-surgical patients with invasive devices. Method: this is methodological research, developed between March 2021 and April 2022, guided by the ADDIE model (Analyze, Design, Develop, Implement and Evaluate). Prototyping was carried out with the help of Adobe Experience Design software, applying plugins for icon animation and inclusion of educational videos. Results: the "Home Self-Care" prototype contains a logo, main menu with description of invasive devices, information about the procedure, care and frequently asked questions by patients as well as images and educational videos to guide the construction of knowledge. It should be noted that in the future the application will be hosted in a virtual store. Conclusion: using this tool aims at continuity of care, encouraging users' autonomy and empowerment at home. It is believed that the technology will facilitate patient recovery and reduce (re)admissions.

Objetivo: desarrollar un prototipo de tecnología asistencial-educativa en forma de aplicación multimedia, dirigida a la atención domiciliaria de pacientes posquirúrgicos con dispositivos invasivos. Método: investigación metodológica, desarrollada entre marzo de 2021 y abril de 2022, guiada por el modelo ADDIE (Analyze, Design, Develop, Implement y Evaluate). El prototipado se realizó con la ayuda del software Adobe Experience Design, aplicando plugins para la animación de íconos y la inclusión de videos educativos. Resultados: el prototipo "Home Self-Care" contiene un logo, un menú principal con descripción de los dispositivos invasivos, información sobre el procedimiento, cuidados y preguntas frecuentes de los pacientes, además de imágenes y videos educativos para orientar la construcción del conocimiento. Cabe señalar que en el futuro la aplicación estará alojada en una tienda virtual. Conclusión: el uso de esta herramienta tiene como objetivo la continuidad de la atención, estimulando la autonomía y el empoderamiento de los usuarios en el hogar. Se cree que la tecnología facilitará la recuperación del paciente y reducirá las (re)hospitalizaciones.

Elaboration and validity of the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias / Elaboración y validación del Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias / Elaboração e validação do Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias

ABSTRACT Objective: to elaborate and validate the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias. Methods: a methodological study, developed in three stages: instrument structuring through documentary research and researchers' expertise; instrument validity with a panel of 11 expert judge nurses; and instrument final composition. Results: the instrument, after validity by experts, consisted of 30 items, divided into the content (26 items) and appearance (four items) domains. In the initial instrument validity process, 11 items were modified and seven were withdrawn, as they had a percentage of agreement below 0.80. The instrument showed excellent internal consistency, with values greater than 0.90 in its psychometric criteria. Conclusion: the instrument produced and validated aimed at assessing research methodological models for technological development showed good reliability, and may contribute to the methodological rigor of technological development research in nursing.

RESUMEN Objetivo: elaborar y validar el Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias. Métodos: estudio metodológico, desarrollado en tres etapas: estructuración de instrumentos a través de la investigación documental y la pericia de los investigadores; validación del instrumento con un panel de 11 enfermeros jueces expertos; y composición final del instrumento. Resultados: el instrumento, después de la validación por especialistas, constó de 30 ítems, divididos en los dominios contenido (26 ítems) y apariencia (cuatro ítems). En el proceso de validación del instrumento inicial, se modificaron 11 ítems y se retiraron siete, por tener un porcentaje de concordancia inferior a 0,80. El instrumento mostró una excelente consistencia interna, con valores superiores a 0,90 en sus criterios psicométricos. Conclusión: el instrumento producido y validado para evaluar modelos metodológicos de investigación para el desarrollo tecnológico mostró buena confiabilidad, y puede contribuir al rigor metodológico de la investigación en desarrollo tecnológico en enfermería.

RESUMO Objetivo: elaborar e validar o Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias. Métodos: estudo metodológico, desenvolvido em três etapas: estruturação do instrumento por meio de pesquisa documental e da expertise dos pesquisadores; validação do instrumento com painel de 11 enfermeiros juízes especialistas; e composição final do instrumento. Resultados: o instrumento, após a validação por especialistas, foi composto por 30 itens, divididos entre os domínios conteúdo (26 itens) e aparência (quatro itens). No processo de validação do instrumento inicial, 11 itens sofreram modificação e sete foram retirados, pois apresentaram percentual de concordância inferior a 0,80. O instrumento apresentou ótima consistência interna, com valores superiores a 0,90 em seus critérios psicométricos. Conclusões: o instrumento produzido e validado voltado à avaliação de modelos metodológicos de pesquisa para o desenvolvimento tecnológico apresentou boa confiabilidade, podendo contribuir no rigor metodológico das pesquisas de desenvolvimento tecnológico em enfermagem.

Palliative care in Primary Health Care: an integrative literature review / Cuidados paliativos en la Atención Primaria de Salud: una revisión integradora de la literature / Cuidados paliativos na Atenção Primária à Saúde: revisão integrativa de literatura

ABSTRACT Objectives: to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care. Methods: an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame. Results: 22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization of health services and on the importance of educational interventions on the subject. Final Considerations: evidence found relating palliative care in Primary Health Care points to the possibility of this care; health teams work closely with the family and their home, but the need to expand this theme is still perceived.

RESUMEN Objetivos: analizar la evidencia científica sobre la implementación y desempeño de los cuidados paliativos en la Atención Primaria de Salud. Métodos: revisión integradora de la literatura, de acuerdo con el Preferred Reporting Items for Systematic Reviews and Meta-Analyses, realizada en las bases de datos PubMed, SciVerse Scopus y LILACS, en diciembre de 2020, sin marco temporal. Resultados: se analizaron 22 artículos científicos originales, 14 clasificados como nivel de evidencia VI. El objetivo fue conocer las vivencias y roles de los profesionales, pacientes y familiares sobre los cuidados paliativos en Atención Primaria de Salud, artículos centrados en el tema de la gestión y organización de los servicios de salud y en la importancia de las intervenciones educativas sobre el tema. Consideraciones Finales: la evidencia encontrada que relaciona los cuidados paliativos en Atención Primaria de Salud apunta a la posibilidad de este cuidado; Los equipos de salud trabajan en estrecha colaboración con la familia y su hogar, pero aún se percibe la necesidad de ampliar este tema.

RESUMO Objetivos: analisar evidências cientificas sobre a implementação e realização dos cuidados paliativos na Atenção Primária à Saúde. Métodos: revisão integrativa da literatura, segundo o Preferred Reporting Items for Systematic Reviews and Meta-Analyses, realizada nas bases de dados PubMed, SciVerse Scopus e LILACS, em dezembro de 2020, sem recorte temporal. Resultados: foram analisados 22 artigos científicos originais, 14 classificados com nível de evidência VI. Objetivou-se compreender as experiências e os papéis de profissionais, pacientes e familiares sobre cuidados paliativos na Atenção Primária à Saúde, artigos voltados para a temática de gestão e organização dos serviços de saúde e sobre a importância de intervenções educativas na temática. Considerações Finais: evidências encontradas relacionando cuidados paliativos na Atenção Primária à Saúde apontam para a possibilidade desse cuidado; equipes de saúde atuam de maneira próxima a família e seu domicílio, porém ainda se percebe a necessidade de ampliação deste tema.

Teaching-service integration in supervised internship in nursing: the perspective of nursing supervisors, professors and managers / Integración enseñanza-servicio en el internado curricular de enfermería supervisada: perspectiva de enfermeras supervisoras, docentes y gerentes / Integração ensino-serviço no estágio curricular supervisionado de enfermagem: perspectiva de enfermeiros supervisores, docentes e gestores

ABSTRACT Objective: to analyze the influence of supervised internship on teaching-service integration from the perspective of internship nursing supervisors, faculty advisors and managers. Method: this is a qualitative descriptive-exploratory, carried out in an undergraduate nursing course at a federal university in the countryside of Rio Grande do Sul, between February and July 2018, with 26 participants: managers, faculty advisors, primary care nursing supervisor and hospital care nursing supervisor. The semi-structured interview was the technique used for data collection, which were analyzed using Content Analysis. Results: in the first category, "influences of supervised internship on healthcare services", the possibility of mutual transformation for the service and for students was verified, promoting professionals' learning, sharing new ideas and encouraging nurses in the search for knowledge. However, it was identified students' lack of interest in carrying out activities and limitations in planning joint actions. In the second category, "teaching-service integration: limitations and possibilities", it was identified that teaching-service integration is occurring in a fruitful way, while advances are still needed for its realization. The planning of internship actions is not always consistent with the healthcare service's needs and activities that take place in teaching are not always shared with professionals. Internship was described as a potentiator in effecting integration. Conclusions: developing internship enables the realization of learning, mobilizes the routine of services and professionals, instigating them to change and improving knowledge, promoting healthcare qualification.

RESUMEN Objetivo: analizar la influencia de la Pasantía Curricular Supervisada en la integración docencia-servicio desde la perspectiva de enfermeras supervisoras de pasantías, asesoras de facultad y gerentes. Método: estudio cualitativo descriptivo-exploratorio, realizado en un curso de licenciatura en enfermería en una universidad federal del interior de Rio Grande do Sul, entre febrero y julio de 2018, con 26 participantes: gerentes, asesores de facultad, enfermeras supervisoras de atención primaria y enfermeras supervisoras de atención hospitalaria. La entrevista semiestructurada fue la técnica utilizada para la recolección de datos, los cuales fueron analizados mediante Análisis de Contenido. Resultados: en la primera categoría, "influencias de la pasantía supervisada en los servicios de salud", se verificó la posibilidad de transformación mutua para el servicio y para los estudiantes, promoviendo el aprendizaje de los profesionales, compartiendo nuevas ideas y animando a las enfermeras en la búsqueda de conocimiento. En la segunda categoría, "Integración docencia-servicio: limitaciones y posibilidades", se identificó que la integración docencia-servicio se está dando de manera fructífera, mientras que aún se necesitan avances para su realización; La planificación de las acciones de internado no siempre es acorde con las necesidades del servicio de salud y las actividades que se desarrollan en la docencia no siempre se comparten con los profesionales. La etapa se describió como un potenciador al efectuar la integración. Conclusiones: el desarrollo de la pasantía posibilita la realización de aprendizajes, moviliza la rutina de los servicios y profesionales, instigándolos a cambiar y mejorando los conocimientos, promoviendo la calificación de la asistencia sanitaria.

RESUMO Objetivo: analisar a influência do Estágio Curricular Supervisionado na integração ensino-serviço na perspectiva dos enfermeiros supervisores de estágio, docentes orientadores e gestores. Método: estudo qualitativo descritivo- exploratório, realizado em um curso de graduação em enfermagem de uma Universidade Federal do interior do Rio Grande do Sul, entre fevereiro e julho de 2018, com 26 participantes: gestores, docentes orientadores, enfermeiros supervisores da atenção básica e enfermeiros supervisores da atenção hospitalar. A entrevista semiestruturada foi a técnica utilizada para coleta dos dados, os quais foram analisados por meio da Análise de Conteúdo. Resultados: na primeira categoria "influências do Estágio Curricular Supervisionado nos serviços de saúde" constataram-se a possibilidade de transformação mútua para o serviço e para o discente, promovendo aprendizagem dos profissionais, compartilhamento de novas ideias e estímulo ao enfermeiro na busca pelo conhecimento. Entretanto, identificou-se desinteresse de discentes na realização das atividades e limitações no planejamento de ações conjuntas. Na segunda categoria, "integração ensino-serviço: limitações e possibilidades" identificou-se que a integração ensino-serviço está ocorrendo de forma proveitosa, ao mesmo passo que ainda são necessários avanços para sua efetivação; o planejamento de ações do estágio nem sempre condiz com as necessidades do serviço de saúde e as atividades que ocorrem no ensino nem sempre são compartilhadas com os profissionais. O estágio foi descrito enquanto potencializador na efetivação da integração. Conclusões: o desenvolvimento do estágio possibilita a concretização da aprendizagem, mobiliza a rotina dos serviços e dos profissionais, instigando-os a mudanças e ao aprimoramento de conhecimentos, promovendo a qualificação da assistência de saúde.

Sentimentos, dificuldadese estratégias de enfrentamento da morte pela enfermagem / Feelings, difficulties and ways of coping with death by nursing / Sentimientos, dificultades y formas de enfrentamiento de la muerte por la enfermería

Objetivo: Conhecer os sentimentos, dificuldades e as estratégias de enfrentamento dos profissionais de enfermagem frente à situação de morte dospacientes. Métodos:Revisão integrativa da literatura realizada com busca na Biblioteca Virtual emSaúde, emdezembrode 2021. Utilizaram-se as palavras-chave: "atitude frente à morte" e "enfermagem". Resultados:Foram encontrados 60artigos, destes,13 foramselecionados. Dentreas dificuldadesenfrentadas pelos profissionais de enfermagem frente a morte,está olidar com a finitude;compreender e aceitar o sofrimento causado pela morte;os sentimentos vivenciados diante do processo de morrer e morte e as estratégias de enfrentamento da morte pelos profissionais de enfermagem.Considerações finais:Fomentar espaços de discussão sobre o processo de morte e morrer, nas suas múltiplas visões culturais e científicas pode minimizar o sofrimento. Além disso, discutir a morte na formação não isenta o profissional do sofrimento, possibilita refletir acerca do suporte frente ao processo de morte.

Objective: To knowthe feelings, difficulties and coping strategies of nursing professionals facing the situation of death of patients. Methods:Integrative literature review carried out with a search in the Virtual Health Library, in december2021.The keywords "attitude toward death" and "nursing" were used. Results:60 articles were found and selected 13. Difficulties are identified: the dealingwith finitude; difficulty in understanding and accepting the suffering caused by death; the feelings experienced in the process of death and dyingand the coping strategies of death by nursing professionals. Final Considerations:Fostering discussion spacesabout the process of death and dying, in its multiple cultural and scientific visions can minimize suffering. In addition, discussing deathfrom the training process may not exempt the professional from suffering, but can prepare it to better supportthe process.

Objetivo: Conocer los sentimientos, dificultades y estrategias de afrontamiento de los profesionales de enfermería ante la situación de muerte de los pacientes.Métodos: Revisión integrativa de la literatura realizada mediante la búsqueda en la Biblioteca Virtual en Salud, em diciembrede 2021. Se utilizaron lãs palabras clave: "actitud frente a lamuerte", y "enfermería". Resultados:Se han encontrado 60 artículos y seleccionados 13. Se identifican como dificultades: el manejo de lafinitud; dificultad para comprender y aceptar El sufrimiento causado por La muerte; los sentimientos vivenciados ante El proceso de morir y muerte y lãs estrategias de enfrentamiento de La muerte por los profesionales de enfermería. Consideraciones finales:Fomentar espacios de discusión sobre El proceso de muerte y morir, en sus múltiples visiones culturales y científicas puede minimizar El sufrimiento. Además, discutir La muerte desde El proceso de formación puedeno eximir al profesional del sufrimiento, sin embargo, puede prepararlo para soportar mejor El proceso.

Supervised Internship: attributions and limitations from the perspective of nursing supervisors, faculty advisor and managers / Internado Curricular Supervisado: atribuciones y limitaciones desde la perspectiva de la enfermera supervisora, asesora de la facultad y gerente / Estágio Curricular Supervisionado: atribuições e limitações na perspectiva do enfermeiro supervisor, docente orientador e gestor

ABSTRACT Objectives: to describe the attributions and limitations in internship nursing supervisors', faculty advisors' and managers' work in the process of carrying out Supervised Internship in nursing education. Methods: a qualitative exploratory-descriptive research. Interviews were conducted between February and July 2018 with 26 participants: four managers, nine faculty advisors, six primary care nursing supervisors and seven hospital care nursing supervisors. Data analysis was performed using the Content Analysis technique. Results: among the main attributions are participation in the organization of the field, mediation between educational and health institutions, presentation of the world of work; as limitations are the high number of institutions in the field, work overload, lack of commitment or lack of didactic preparation towards student education. Final Considerations: we evidenced the need to (re)define and clarify everyone's roles and (re)think the integration strategies for monitoring students.

RESUMEN Objetivos: describir las atribuciones y limitaciones en el desempeño de enfermeras supervisoras de internado, asesoras de facultad y gerentes en el proceso de realización del Internado Curricular Supervisado en la educación de enfermería. Métodos: investigación cualitativa exploratoria descriptiva. Las entrevistas se realizaron entre febrero y julio de 2018, con 26 participantes, como cuatro gerentes, nueve asesores de la facultad, seis enfermeras supervisoras de atención primaria y siete enfermeras supervisoras de atención hospitalaria. El análisis de los datos se realizó mediante la técnica de Análisis de Contenido. Resultados: entre las principales atribuciones, se destacó la participación en la organización del campo, mediación entre instituciones educativas y de salud, presentación del mundo del trabajo; como limitaciones, el alto número de instituciones en el campo, la sobrecarga de trabajo, la falta de compromiso o falta de preparación didáctica en cuanto a la formación de los estudiantes. Consideraciones Finales: se evidenció la necesidad de (re) definir y clarificar los roles de todos y (re) pensar las estrategias de integración para el seguimiento de los estudiantes.

RESUMO Objetivos: descrever as atribuições e limitações na atuação dos enfermeiros supervisores de estágio, docentes orientadores e gestores no processo de realização do Estágio Curricular Supervisionado na formação do enfermeiro. Métodos: pesquisa qualitativa exploratória-descritiva. Foram realizadas entrevistas, entre fevereiro e julho de 2018, com 26 participantes, como quatro gestores, nove docentes orientadores, seis enfermeiros supervisores da atenção básica e sete enfermeiros supervisores da atenção hospitalar. A análise dos dados ocorreu pela técnica de Análise de Conteúdo. Resultados: dentre as principais atribuições, destacaram-se a participação na organização do campo, mediação entre instituição de ensino e de saúde, apresentação do mundo do trabalho; como limitações, o elevado número de instituições no campo, a sobrecarga de trabalho, descompromisso ou falta de preparo didático para com a formação discente. Considerações Finais: evidenciou-se a necessidade de (re)definir e clarificar os papéis de todos e (re)pensar as estratégias de integração para o acompanhamento dos discentes.