Management actions for prevention and control of healthcare-associated infections: A grounded theory approach.

AIM: To understand the management actions for prevention and control of health care-associated infections (HAIs) performed by health professionals. BACKGROUND: Prevention of nosocomial infections has evidence-based practice at its essence, but not all institutions are successful in implementing prevention methodology. METHODS: Qualitative research with Grounded Theory methodological framework. The research was carried out in two southern Brazilian hospitals. Data collected were employed through open interviews with 21 health professionals and managers. This process occurred concurrently with the data analysis, through constant comparative analysis. RESULTS: The understanding of the co-responsibility of managerial actions emerged as a central phenomenon of the theoretical model. Management actions for the prevention and control of HAIs are a collective phenomenon, in which co-responsibility sustains the effectiveness of the offered assistance. The behaviours of health teams in the face of structural and human weaknesses influence the construction of a supportive relationship in the effectiveness of patient safety actions. CONCLUSIONS: The sharing of responsibilities between professionals and the actions of prevention and control of HAIs arising from this conduct positively influence the promotion of safer and improved quality care. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should consider applying the tools to prevent and control HAIs and generate in-depth discussion to promote institution's cultural changes.

Care management of a patient with Devic's Disease in Primary Health Care. / Gestão do cuidado de um paciente com Doença de Devic na Atenção Primária à Saúde.

OBJECTIVE: Describing the care management of a patient affected by Devic's Disease in the Primary Health Care setting. METHOD: A clinical-qualitative case study based on the health status of a Devic's Disease patient in a Health Center of the municipality of Florianópolis, accompanied by the Family Health Team. Data collection was carried out by electronic medical records, documents of the patient's domain, as well as a semi-structured interview with the participant. Ethical aspects of research involving human beings were respected. RESULTS: The categories were defined according to relevance criteria with the purpose of reporting the case study, presenting a unique implemented therapeutic project and describing the patient's perception of her situation. CONCLUSION: Acupuncture and auriculotherapy were successfully performed, evidencing an improvement in the patient's pain, which may contribute to new possibilities of care. Despite this, not all the available care tools were implemented, considering the range of complementary care therapies that go beyond the medicinal approach.

Actions and interactions in clinical nursing practice in Primary Health Care. / Ações e interações na prática clínica do enfermeiro na Atenção Primária à Saúde.

OBJECTIVE: Understanding the actions and interactions required for developing clinical nursing practice in Primary Health Care. METHOD: A qualitative study anchored in the Grounded Theory. Data was collected between April and October 2016 with nurses divided into two sample groups. RESULTS: Eighteen (18) nurses participated in the study. The category "Recognizing the Systematization of Nursing Care as an essential element for clinical nursing practice" supports the "actions-interactions" component and it is composed of two subcategories: "Accomplishing clinical practice in nursing consultations", which presents the challenges encountered in performing clinical practice; and "Highlighting management tools for evidence-based clinical practice", which operates through strategies in response to the studied phenomenon. CONCLUSION: Care actions developed in clinical nursing practice are highlighted by the systematization of care in nursing consultations, a moment of direct interaction with the individual, thus contributing to improvement in the quality of care provided.

Data analysis: comparison between the different methodological perspectives of the Grounded Theory. / Análise de dados: comparação entre as diferentes perspectivas metodológicas da Teoria Fundamentada nos Dados.

Grounded Theory (GT) has undergone many transformations since its proposition as a research method in the 1960s. As a result of these changes, three different GT approaches have been outlined: classic, straussian and constructivist ground theory, each with its peculiarities, but mainly concerning data analysis. Thus, this study aimed to describe and compare the data analysis process adopted by the different methodological perspectives of GT. The text is organized into two topics. Firstly, we present the common and differentiating characteristics of the three methodological perspectives of GT. In sequence, the data analysis system adopted in each of the GT methodological perspectives is described and exemplified, varying between two and three stages, and may or may not include the use of the paradigmatic model. Thus, this study provides support for understanding the different data analysis systems adopted in GT, which may contribute to the rigor and scientific quality of nursing research adopting this method.

Resilience of the health team in caring for people with mental disorders in a psychiatric hospital.

OBJECTIVE: Evaluating and understanding the resilience process of the health team in caring for people with mental disorders in a psychiatric hospital. METHOD: A mixed-method study with concomitant triangulation of data from a cross-sectional study, with health professionals, and Grounded Theory in the data. Quantitative data were collected using the Resilience Scale and analyzed using descriptive and inferential statistics. Qualitative data were obtained from interviews and analyzed using initial and focused coding. RESULTS: 40 health professionals participated in the study. Mean responses of the participants in the resilience scale were 99.80 ± 12.86 points, with a minimum of 35 and a maximum of 114 points. From the qualitative data, we can highlight the professionals' commitment in developing competencies in caring for people with mental disorders; valorization of teamwork and positive impact on work for the re-signification of the meaning of life. CONCLUSION: Understanding this process of resilience enables developing strategies to improve the quality of life of workers in psychiatric hospitals. OBJETIVO: Avaliar e compreender o processo de resiliência da equipe de saúde no cuidado a pessoas com transtornos mentais em um hospital psiquiátrico. MÉTODO: Estudo de método misto com triangulação concomitante de dados de um estudo transversal, com profissionais de saúde, e uma Teoria Fundamentada nos Dados. Os dados quantitativos foram coletados a partir da Escala de Resiliência e analisados por meio de estatística descritiva e inferencial. Os dados qualitativos foram obtidos a partir de entrevistas e analisados mediante codificação inicial e focalizada. RESULTADOS:: Participaram da pesquisa 40 profissionais de saúde. Na escala de resiliência, a média das respostas dos participantes foi 99,80±12,86 pontos, o mínimo foi de 35 e o máximo de 114 pontos. Nos dados qualitativos, destacaram-se o empenho dos profissionais para o desenvolvimento de competências para o cuidado de pessoas com transtornos mentais, a valorização do trabalho em equipe e o impacto positivo no trabalho para a ressignificação do sentido da vida. Conclusão: O entendimento desse processo de resiliência possibilita o desenvolvimento de estratégias para a melhoria da qualidade de vida dos trabalhadores que atuam em hospitais psiquiátricos.

Myocardial revascularization: factors intervening in the reference and counter-reference in Primary Health Care.

OBJECTIVE: Understanding the factors that influence the reference and counter-reference process of people indicated/submitted to Myocardial Revascularization surgery in the Primary Health Care scenario. METHOD: A qualitative research anchored in the Grounded Theory, totaling 41 participants subdivided into three groups (patients, health professionals and managers) in the Metropolitan and West Region of Santa Catarina. RESULTS: Two categories elucidate the intervening factors found, contrasting the potentialities and obstacles in (creating) the bond between people affected by cardiovascular diseases and primary health care for the reference process, highlighting weaknesses in the primary health care services provided, with failures in the counter-reference for people submitted to myocardial revascularization surgery. CONCLUSION: Strengthening the potentialities presented in this study is essential for the reference process of people affected by Cardiovascular Disease, as well as strategic actions focused on solving the evidenced obstacles which contribute to deficiencies in the referral and counter-referral process, thus impeding integral care in the health care network. OBJETIVO: Compreender os fatores que influenciam o processo de referência e contrarreferência da pessoa com indicação/submetida à Cirurgia de Revascularização Miocárdica no cenário da Atenção Primária à Saúde. MÉTODO: Pesquisa qualitativa ancorada na Teoria Fundamentada nos Dados, totalizando 41 participantes subdivididos em três grupos (pacientes, profissionais de saúde e gestores) na Região Metropolitana e Região Oeste de Santa Catarina. RESULTADOS: Duas categorias elucidam os fatores interventores encontrados, Contrastando as potencialidades e entraves no vínculo da pessoa acometida por doenças cardiovasculares com a atenção primária à saúde para o processo de referência e Destacando fragilidades nos serviços disponibilizados na atenção primária à saúde, com insucessos da contrarreferência da pessoa submetida à cirurgia de revascularização miocárdica. CONCLUSÃO: Torna-se essencial o fortalecimento das potencialidades apresentadas neste estudo para o processo de referência da pessoa acometida por Doença Cardiovascular, assim como ações estratégicas com foco na resolução dos entraves apontados e que contribuem para a deficiência do processo de referência e contrarreferência, dificultando a integralidade do cuidado na rede de atenção à saúde.

Limitations and possibilities in university management performed by nursing managers.

OBJECTIVE: Understand limitations and possibilities in university management performed by nursing managers of the undergraduate nursing course of a public university. METHOD: A qualitative study with theoretical and methodological framework anchored in the Grounded Theory. Data collection took place between May and September 2016, and the studied scenario was the Nursing Department of a public university in southern Brazil. RESULTS: The entrepreneurial profile and the leadership in interpersonal relations were highlighted among the possibilities, in addition to the co-responsibility in raising public resources to solve the university educational demands; as limitations, the scarcity of financial resources and the high demand for bureaucratic activities which have repercussions on the slowness of university public management processes. CONCLUSION: The nursing manager experiences limitations through their actions and interactions with people, and recognizes possibilities in the structure and processes of coordinating issues of collective interest in the university educational context.

University educational management and clinical practice applied to nursing by the faculty of a public university.

OBJECTIVE: to emphasize university educational management actions and their articulation to develop clinical practice in nursing training, designed by its faculty. METHODS: a single-case study with qualitative approach. The sources were composed of documentary research, focused interview with key informant and direct non-participant observation. Data were organized with the help of NVivo®10. Analysis followed the explanation construction technique from the perspective of complex thinking. RESULTS: three categories emerged: Characterization of university educational management actions; Articulation of university educational management with clinical practice and its repercussion; and Spaces to develop university educational management and clinical practice. Final considerations: university educational management actions are associated with the work of professors, supporting teaching, research, and extension in order to improve clinical knowledge in the general nursing training.

Psychosocial care for people with suicidal behavior from the perspective of users and health professionals. / Atenção psicossocial às pessoas com comportamento suicida na perspectiva de usuários e profissionais de saúde.

OBJECTIVE: To understand the implications of the assistance provided to people with suicidal behavior within the scope of the Psychosocial Care Network, from the perspective of users and health professionals. METHOD: A qualitative research, under the theoretical framework of complex and methodological thinking in Grounded Theory. Interviews were conducted from May to December 2017, with users assisted due to suicidal behavior and with health professionals in psychosocial care settings. The comparative data analysis technique was used. RESULTS: 18 users and health professionals participated. Non-acceptance intensifies users' introspection, demotivation and hopelessness, increasing the difficulty of exposing their desires. In situations of embracement, availability and bonding with professionals, patients feel more open, to the point of giving new meanings to life and reducing thoughts of death. CONCLUSION: Weaknesses and potentialities were noticed in the care provided by health professionals to users with suicidal behavior, within the scope of the Psychosocial Care Network. The need for management committed to the quality of care in the face of the risk of suicide stands out.

Contributions of the nurse's clinical practice to Primary Care.

OBJECTIVE: To understand the repercussions of the nurse's clinical practice on Primary Health Care. METHOD: Qualitative research with the theoretical and methodological contribution of Grounded Theory. Data collection took place between May and October 2016 in Florianópolis' Primary Care service. The theoretical sample was comprised of 18 nurses divided into two groups. RESULTS: nurses' clinical practice has repercussions on the consolidation of the trust bond between individuals, families and communities, by amplifying the problem-solving efficacy of the Primary Health Care professional's clinical practice. This is due to the implementation of clinical nursing protocols, and also the use of the International Classification for Nursing Practice. FINAL CONSIDERATIONS: Nurses' clinical practice has positive repercussions on the health of Primary Health Care users.

Understanding marital violence: a study in grounded theory.

OBJECTIVE: to understand the phenomenon of marital violence based on the experience of women in judicial process and network professionals. METHOD: a qualitative study, with theoretical-methodological support in grounded theory. Data collection took place in two regional Courts for Peace in the Home in a municipality of the Brazilian Northeast. Interviews were conducted with 38 participants, who composed two sample groups: women in situations of violence and network professionals. RESULTS: the understanding of marital violence emerged for the phenomenon "Experiencing marital violence as a progressive and cyclical process, with repercussions for health and implications for social relations". CONCLUSION: in recognizing marital violence as a recurring problem in the life of women, with implications for their own health and that of their children, the study points to the relevance of coping strategies based on institutional and social support.

University management nurse: a grounded theory.

OBJECTIVE: to understand the meaning of the university management performed by nurses managers of the nursing undergraduate course of a public university. METHOD: this is a qualitative research, based on the grounded theory. Data collection took place between May and September 2016, with open interviews, in the scenario of a federal public university. The technique of constant comparative analysis of the data was followed, obtaining a theoretical sample with 19 nurses, in two sample groups. RESULTS: there were three categories emerged that shaped the phenomenon: Articulating complex collectives through university management for the qualified training of new nurses. The categories included: a) conditions, defined by perceiving the commitment to the collective, previous experiences, and training for health management, as motivations to be a teacher manager; b) actions/interactions, delimited by Knowing and recognizing, in practice, the university management process, limits and possibilities in the coordination of complex collective subjects; and, c) consequences, such as Improving teaching work and taking responsibility for university education. CONCLUSION: the nurses teaching managers to explain university management as a set of individual and collective actions that, articulated in a complex social environment, promote conditions for the training of critical and reflexive nurses with the demands of society.

Myocardial revascularization: factors intervening in the reference and counter-reference in the hospital setting.

OBJECTIVE: To understand the intervening factors in the process of reference and counter-reference of the individual with heart disease in the scenario of high complexity in the health care network. METHOD: Research anchored in the Grounded Theory (Teoria Fundamentada nos Dados). It totaled 21 participants. The data collection scenario was a cardiovascular reference hospital in the south of Brazil and occurred between March and June 2014. RESULTS: The intervening factors in the reference process were the difficulty to access the points of the network and telemedicine and the central to manage the flow of patients in the network. In the counter-reference, there was a link with the hospital and the lack of communication among network professionals. CONCLUSION: It reveals the need to reorganize the service flow in HCN, enhancing PHC, expanding the performance of medium complexity and increasing the capacity of high complexity in order to carry out the process of reference and counter-reference.

Referral and counter-referral: repercussions of coronary artery bypass graft in the perspective of Primary Care.

OBJECTIVE: to understand how repercussions of the referral and counter-referral of patients with indication/submitted to Coronary Artery Bypass Graft Surgery in the context of Primary Health Care. METHOD: qualitative research with a theoretical-methodological contribution anchored in the Grounded Theory. Theoretical sampling was performed with 41 participants, divided into three sample groups (patients, health professionals and managers) in the Metropolitan Region and Western Region of Santa Catarina State. RESULTS: the need for improvement in the process of recording clinical data in the regulation system emerged to strengthen patient referral; and the absence of a formal process of counter-referral and adaptation of lifestyle with repercussion in the counter-referral. FINAL CONSIDERATIONS: the repercussions of the referral and counter-referral of patients with indication/submitted to the CABGS in the context of Primary Care are experienced through professional guidance and, in particular, by family support.

Permanent education for healthcare professionals in the Covid-19 pandemic: a scope review protocol / Educação permanente para profissionais da saúde na pandemia da Covid-19: protocolo de revisão de escopo

ABSTRACT Purpose: to investigate, examine and synthesize evidence from studies on permanent education for health professionals aimed at the covid-19 pandemic. Methods: six national and international indexed sources will be searched. The review will include studies with any methodological approach, addressing permanent education for health professionals during the covid-19 pandemic. The context of health services in any scenario will be considered - national or international primary, specialized, or hospital healthcare. Final Considerations: research results are expected to reveal the topics approached in permanent health education in various national and international contexts. The review will also list the gains and problems found in various places while applying permanent education as a strategy to fight the covid-19 pandemic.

RESUMO Objetivo: investigar/examinar e sintetizar evidências de estudos sobre Educação Permanente para profissionais da saúde voltada para a pandemia da covid-19. Métodos: serão realizadas buscas em seis fontes indexadas nacionais e internacionais. Serão incluídos estudos de qualquer natureza metodológica, que abordem o uso da Educação Permanente para profissionais da saúde na pandemia da covid-19. Será considerado o contexto de serviços de saúde em qualquer cenário, seja a atenção primária, especializada ou hospitalar nos âmbitos nacional e internacional. Considerações Finais: espera-se que os resultados desta pesquisa revelem as temáticas abordadas ao longo das ações de Educação Permanente em diversos contextos nacionais e internacionais. Além disso, serão elencados os ganhos obtidos e os problemas encontrados em diversos territórios no contexto da aplicação da Educação Permanente como estratégia de enfrentamento à pandemia da covid-19.

University management: contributions for nurses who are faculty members and managers.

OBJECTIVE:: To comprehend how university management contributes on the performance of nurses who are professors and managers in a public university. METHOD:: Qualitative research anchored on the Grounded Theory. The setting to collect the data was a public university in south Brazil and it happened between May and September of 2016. A total of 19 nurses took part in the study, all of them also faculty members and managers that were divided in two sample groups. RESULTS:: Two subcategories were created: the comprehension that university management improves the faculty performance; obtaining a wider view of the university. FINAL CONSIDERATIONS:: The contributions of university management for faculty nurses who are managers are mainly on the personal and professional satisfaction through the production and dissemination of knowledge, reflecting positively on the refinement of the teaching competences to train Nurses with knowledge, technical skills and cognitive abilities to answer society's needs. OBJETIVO:: Compreender como a gestão universitária contribui na atuação de enfermeiros docentes gestores de uma universidade pública. MÉTODO:: Pesquisa qualitativa ancorada na Teoria Fundamentada nos Dados. O cenário de coleta de dados foi uma universidade pública do sul do Brasil e ocorreu entre maio e setembro de 2016. Participaram do estudo 19 enfermeiros docentes gestores divididos em dois grupos amostrais. RESULTADOS:: Elucidam duas subcategorias: compreender que a gestão universitária aperfeiçoa a atuação docente; obter uma visão ampliada da universidade. CONSIDERAÇÕES FINAIS:: As contribuições da gestão universitária para os enfermeiros docentes gestores encontram-se especialmente na satisfação profissional e pessoal através da produção e disseminação do conhecimento, repercutindo de forma positiva no aperfeiçoamento de competências docentes para a formação de Enfermeiros com conhecimentos, habilidades e aptidões técnicas e cognitivas para atender às necessidades da sociedade.

Limitations and possibilities in university management performed by nursing managers / Límites y posibilidades en la gestión universitaria realizada por enfermeros gestores / Limites e possibilidades na gestão universitária realizada por enfermeiros gestores

Abstract Objective: Understand limitations and possibilities in university management performed by nursing managers of the undergraduate nursing course of a public university. Method: A qualitative study with theoretical and methodological framework anchored in the Grounded Theory. Data collection took place between May and September 2016, and the studied scenario was the Nursing Department of a public university in southern Brazil. Results: The entrepreneurial profile and the leadership in interpersonal relations were highlighted among the possibilities, in addition to the co-responsibility in raising public resources to solve the university educational demands; as limitations, the scarcity of financial resources and the high demand for bureaucratic activities which have repercussions on the slowness of university public management processes. Conclusion: The nursing manager experiences limitations through their actions and interactions with people, and recognizes possibilities in the structure and processes of coordinating issues of collective interest in the university educational context.

Resumen Objetivo: Comprender los límites y posibilidades en la gestión universitaria realizada por enfermeros gestores de la carrera de licenciado en enfermería de una universidad pública. Método: Investigación cualitativa, con marco de referencia teórico metodológico anclado en la Teoría Fundamentada en los Datos. La recolección de datos ocurrió entre mayo y septiembre de 2016, y el escenario estudiado fue el Departamento de Enfermería de una universidad pública de la región Sur de Brasil. Resultados: Entre las posibilidades, se destacaron el perfil emprendedor y el liderazgo en las relaciones interpersonales, además de la corresponsabilización en la captación de recursos públicos para resolución de las demandas educativas universitarias; como límites, la escasez de recursos financieros y la elevada demanda de actividades burocráticas que repercuten en morosidad de los procesos de gestión pública universitaria. Conclusión: El enfermero gestor, mediante sus acciones e interacciones con las personas, enfrenta límites y reconoce posibilidades en la estructura y los procesos de la coordinación de temas de interés colectivo en el marco educativo universitario.

Resumo Objetivo: Compreender limites e possibilidades na gestão universitária realizada por enfermeiros gestores do curso de graduação em enfermagem de uma universidade pública. Método: Pesquisa qualitativa, com referencial teórico-metodológico ancorado na Teoria Fundamentada nos Dados. A coleta de dados ocorreu entre maio e setembro de 2016, e o cenário estudado foi o Departamento de Enfermagem de uma universidade pública da região Sul do Brasil. Resultados: Dentre as possibilidades, destacaram-se o perfil empreendedor e a liderança nas relações interpessoais, além da corresponsabilização na captação de recursos públicos para resolução das demandas educacionais universitárias; como limites, a escassez de recursos financeiros e a elevada demanda de atividades burocráticas que repercutem em morosidade dos processos de gestão pública universitária. Conclusão: O enfermeiro gestor, por meio das suas ações e interações com as pessoas, vivencia limites e reconhece possibilidades na estrutura e nos processos da coordenação de assuntos de interesse coletivo no contexto educacional universitário.

Grounded theory: use in scientific articles published in brazilian nursing journals with Qualis A classification / Teoría fundamentada en los datos: uso en artículos científicos publicados en revistas de enfermería brasileñas con Qualis A / Teoria fundamentada nos dados: utilização em artigos de revistas brasileiras de enfermagem com Qualis A

ABSTRACT Objective: to analyze the use of Grounded Theory as a methodological framework in scientific articles published in Brazilian Nursing journals with Qualis Capes A1 and A2. Method: descriptive, documentary study with a quantitative approach. Five Brazilian nursing journals with Qualis A1 and A2 in the 2016 assessment were used as sources. Data were collected on the website of each journal through the Scientific Electronic Library Online (SciELO), by consulting the numbers published in the 2013-2016 quadrennium. Data were analyzed using descriptive statistics. Results: 49 articles were selected, most of them published by the Texto & Contexto Enfermagem journal (34.6%). Regarding the methodological aspect, the use of the Straussian perspective predominated (79,6). Regarding the methodological characteristics, most articles used theoretical sampling (63.3%), theoretical saturation (53.1%), comparative analysis (69.4%), and presented the development of a theoretical model or central category in the results (75.6%). However, only seven (14.3%) studies specified the use of memos, 22 (44.9%) mentioned the use of diagrams and 16 (32.7%) described the theory validation step. Conclusion: the need for consensus among Brazilian nursing researchers on the methodological characteristics to be described in studies using the Grounded Theory is highlighted.

RESUMEN Objetivo: analizar el uso de la teoría fundamentada en los datos como referencial metodológico en artículos científicos publicados en revistas brasileñas de enfermería con Qualis Capes A1 y A2. Método: estudio documental descriptivo con enfoque cuantitativo. Las fuentes utilizadas fueron las cinco revistas brasileñas de enfermería con Qualis A1 y A2 en la evaluación de 2016. La recopilación de datos se ha desarrollado en el sitio web de cada revista a través de la Scientific Electronic Library online (SciELO), consultando los números publicados en el periodo cuatrienal entre 2013-2016. Los datos se analizaron mediante estadística descriptiva. Resultados: se seleccionaron 49 artículos, la mayoría de ellos publicados por la Revista Texto & Contexto Enfermagem (34,6%). En cuanto al aspecto metodológico, predominó el uso de la perspectiva straussiana (79,6). Con respecto a las características metodológicas, la mayoría de los artículos utilizaron muestreo teórico (63,3%), saturación teórica (53,1%), análisis comparativo (69,4%), y presentaron el desarrollo del modelo teórico o categoría central en los resultados (75,6%). Sin embargo, solo siete (14,3%) estudios especificaron el uso de memorandos, 22 (44,9%) mencionaron el uso de diagramas y 16 (32.7%) describieron el paso de validación de la teoría. Conclusión: Se resalta la necesidad de consenso entre los investigadores de enfermería brasileña sobre las características metodológicas que se describirán en los estudios que utilizan la teoría fundamentada en los datos.

RESUMO Objetivo: analisar a utilização da Teoria Fundamentada nos Dados como referencial metodológico em artigos científicos publicados nos periódicos brasileiros da área da enfermagem com Qualis Capes A1 e A2. Método: estudo descritivo, documental e com abordagem quantitativa. As fontes utilizadas foram os cinco periódicos brasileiros da área da enfermagem com Qualis A1 e A2 na avaliação de 2016. A coleta dos dados se realizou no website de cada periódico através do Scientific Electronic Library Online (SciELO), mediante consulta aos números publicados no quadriênio 2013-2016. Os dados foram analisados por meio de estatística descritiva. Resultados: foram selecionados 49 artigos, sendo a maioria publicada pela Revista Texto & Contexto Enfermagem (34,6%). Em relação à vertente metodológica, predominou a utilização da perspectiva straussiana (79,6). Quanto às características metodológicas, a maioria dos artigos utilizou amostragem teórica (63,3%), saturação teórica (53,1%), análise comparativa (69,4%), e apresentou o desenvolvimento de modelo teórico ou categoria central nos resultados (75,6%). No entanto, somente sete (14,3%) estudos especificaram o uso de memorandos, 22 (44,9%) mencionaram a utilização de diagramas e 16 (32,7%) descreveram a etapa de validação da teoria. Conclusão: ressalta-se a necessidade de um consenso entre os pesquisadores da enfermagem brasileira quanto às características metodológicas a serem descritas nos estudos utilizando a Teoria Fundamentada nos Dados.

University educational management and clinical practice applied to nursing by the faculty of a public university / Gestión educativa universitaria y práctica clínica aplicadas a la enfermería por maestros en una universidad pública / Gestão educacional universitária e prática clínica aplicada à enfermagem por docentes em uma universidade pública

ABSTRACT Objective: to emphasize university educational management actions and their articulation to develop clinical practice in nursing training, designed by its faculty. Methods: a single-case study with qualitative approach. The sources were composed of documentary research, focused interview with key informant and direct non-participant observation. Data were organized with the help of NVivo®10. Analysis followed the explanation construction technique from the perspective of complex thinking. Results: three categories emerged: Characterization of university educational management actions; Articulation of university educational management with clinical practice and its repercussion; and Spaces to develop university educational management and clinical practice. Final considerations: university educational management actions are associated with the work of professors, supporting teaching, research, and extension in order to improve clinical knowledge in the general nursing training.

RESUMEN Objetivo: destacar las acciones de gestión educativa universitaria desarrolladas por docentes de enfermería y su articulación para el desarrollo de la práctica clínica en la formación de enfermeras. Métodos: un estudio de caso único con un enfoque cualitativo. Las fuentes estaban compuestas por investigación documental, entrevistas enfocadas con informantes clave y observación directa no participante. Los datos se organizaron con la ayuda del software NVivo 10, y el análisis siguió la técnica de construcción de la explicación desde la perspectiva del pensamiento complejo. Resultados: surgieron tres categorías: caracterización de acciones de gestión educativa universitaria; Articulación de la gestión educativa universitaria con práctica clínica y su repercusión; y Espacios para el desarrollo de la gestión educativa universitaria y la práctica clínica. Consideraciones finales: las acciones de gestión educativa universitaria son inherentes al trabajo del docente, subsidiando la enseñanza, la investigación y la extensión, con el fin de mejorar el conocimiento clínico en la formación general de las enfermeras.

RESUMO Objetivo: evidenciar as ações de gestão educacional universitária desenvolvidas por docentes enfermeiros e a articulação dessas para o desenvolvimento da prática clínica na formação de enfermeiros. Métodos: estudo de caso único, com abordagem qualitativa. As fontes foram compostas por pesquisa documental, entrevista focada com informante-chave e observação direta não participante. Os dados foram organizados com o auxílio do software NVivo 10, e a análise seguiu a técnica de construção da explanação sob a ótica do pensamento complexo. Resultados: emergiram três categorias: Caracterização das ações de gestão educacional universitária; Articulação da gestão educacional universitária com a prática clínica e sua repercussão; e Espaços para o desenvolvimento da gestão educacional universitária e da prática clínica. Considerações finais: as ações de gestão educacional universitária são inerentes ao trabalho do docente, subsidiando o ensino, pesquisa e extensão, a fim de aprimorar o conhecimento clínico na formação generalista de enfermeiros.

Atenção psicossocial às pessoas com comportamento suicida na perspectiva de usuários e profissionais de saúde / Atención psicosocial para personas con conducta suicida desde la perspectiva de usuarios y profesionales de la salud / Psychosocial care for people with suicidal behavior from the perspective of users and health professionals

RESUMO Objetivo Compreender as implicações da assistência prestada às pessoas com comportamento suicida no âmbito da Rede de Atenção Psicossocial, na perspectiva de usuários e profissionais de saúde. Método Pesquisa qualitativa, sob o referencial teórico do pensamento complexo e metodológico na Grounded Theory. Foram realizadas entrevistas, no período de maio a dezembro de 2017, com usuários assistidos por comportamento suicida e com profissionais de saúde em cenários da atenção psicossocial. Utilizou-se a técnica de análise comparativa dos dados. Resultados Participaram 18 usuários e 15 profissionais de saúde. O não acolhimento intensifica a introspecção, desmotivação e desesperança nos usuários, aumentando a dificuldade de exporem seus anseios. Em situações de acolhimento, disponibilidade e vinculação com os profissionais, os mesmos sentem-se mais abertos, a ponto de darem novos sentidos à vida e reduzirem os pensamentos de morte. Conclusão Foram identificadas fragilidades e potencialidades no atendimento prestado por profissionais de saúde aos usuários com comportamento suicida, no âmbito da Rede de Atenção Psicossocial. Ressalta-se a necessidade de uma gestão comprometida com a qualidade da assistência em face do risco de suicídio.

RESUMEN Objetivo Comprender las implicaciones de la asistencia brindada a las personas con conducta suicida dentro del alcance de la Red de Atención Psicosocial, desde la perspectiva de los usuarios y profesionales de la salud. Método Investigación cualitativa, bajo el marco teórico del pensamiento complejo y metodológico en la Grounded Theory. Se realizaron entrevistas, de mayo a diciembre de 2017, com usuarios asistidos por conducta suicida y con profesionales de la salud en entornos de atención psicosocial. Se utilizó la técnica de análisis de datos comparativos. Resultados Participaron 18 usuarios y 15 profesionales de La salud. La no recepción intensifica la introspección, la desmotivación y la desesperanza de los usuarios, lo que aumenta la dificultad de exponer sus deseos. En situaciones de recepción, la disponibilidad y la vinculación con profesionales, se sienten más abiertos, hasta el punto de dar nuevos significados a la vida y reducir los pensamientos de muerte. Conclusión Se notaron debilidades y potencialidades en la atención brindada por profesionales de la salud a usuarios con conducta suicida, dentro del alcance de la Red de Atención Psicosocial. Destaca la necesidad de una gestión comprometida con la calidad de la atención ante el riesgo de suicidio.

ABSTRACT Objective To understand the implications of the assistance provided to people with suicidal behavior within the scope of the Psychosocial Care Network, from the perspective of users and health professionals. Method A qualitative research, under the theoretical framework of complex and methodological thinking in Grounded Theory. Interviews were conducted from May to December 2017, with users assisted due to suicidal behavior and with health professionals in psychosocial care settings. The comparative data analysis technique was used Results 18 users and health professionals participated. Non-acceptance intensifies users' introspection, demotivation and hopelessness, increasing the difficulty of exposing their desires. In situations of embracement, availability and bonding with professionals, patients feel more open, to the point of giving new meanings to life and reducing thoughts of death. Conclusion Weaknesses and potentialities were noticed in the care provided by health professionals to users with suicidal behavior, within the scope of the Psychosocial Care Network. The need for management committed to the quality of care in the face of the risk of suicide stands out.