Work environment of hospital nurses during the COVID-19 pandemic in Brazil.

AIM: To investigate the nurses' work environment in university hospitals during the COVID-19 pandemic in Brazil. BACKGROUND: The COVID-19 pandemic brought challenging times for nurses worldwide. In Brazil, as well as in several countries, nurses are working hard in hospital settings caring for patients infected with the virus, sometimes with unfavourable work environment conditions. METHODS: This study was a convergent embedded mixed methods research. The sample comprised 104 nurses from three Brazilian university hospitals. Data were collected in April-June 2020 from an online questionnaire with a self-reporting Likert scale survey designed to measure the nurses' perceptions of their work environment. Qualitative data in the form of written comments were also collected through an open question. Data were analysed using descriptive statistics and content analysis. RESULTS: The quantitative results showed that the responses to 'I received training on the correct use of personal protective equipment' and 'I am afraid of being infected' items had the best and worst evaluations, respectively. The qualitative findings revealed five themes: feeling of insecurity, lack of personal protective equipment, lack of diagnostic tests, changes in the care flow and fear of the unknown. CONCLUSION: The study has highlighted the challenges faced by hospital nurses while caring for patients with COVID-19. IMPLICATIONS FOR NURSING AND NURSING POLICY: The gaps identified will assist the policymakers and hospital managers in developing policies to enhance the support offered to nurses and improve the care provided to patients with COVID-19 in university hospitals. The results also indicate the need for attention to the mental health of the professionals due to the increasing workload and treatment of an illness hitherto unknown.

[Teaching in higher education in nursing: an integrative literature review]. / Docência no ensino superior em enfermagem: revisão integrativa de literatura.

OBJECTIVE: To analyze the knowledge produced about teaching in higher education in nursing. METHOD: Integrative literature review of full articles available on the LILACS, SciELO, BDENF and ERIC databases, through the descriptors "nursing faculty"and "practices of nursing faculty" and keywords "Teaching in nursing" or "Education in nursing"and "Nursing professors" and "Teaching knowledge" in Portuguese, English or Spanish, published from January 2008 to November 2013. RESULTS: 31 articles were identified. The data led to the following thematic categories: Training for faculty, Conflict of roles: being a nurse and being a teacher and Organization of the teaching work. CONCLUSIONS: It was found that there are numerous gaps in understanding the teaching activity in nursing. The concerns identified may offer help for understanding the teaching world and conceptions about being a teacher in nursing.

Humanized care in the Intensive Care Unit: discourse of Angolan nursing professionals.

OBJECTIVES: to analyze the perception of nursing professionals in an intensive care unit in Angola about humanized care and identify resources necessary for its implementation. METHODS: a qualitative, descriptive study conducted with 15 professionals in June-October/2020 in intensive care unit in Angola. The data were collected through semi-structured interviews; analysis based on the collective subject discourse technique. RESULTS: five central ideas emerged: three related to the perception of humanized care ("From integral vision and empathy to a set of actions in all phases of care", "Humanizing is extending care to family members and companions", "Humanized care requires the establishment of a bond of trust and guarantee of individualized care"); and two on the resources necessary for this care ("Need for infrastructure - human and material resources", "Professional training and humanized care are interconnected"). FINAL CONSIDERATIONS: humanized care involves objectivity and subjectivity; it includes family members. An adequate infrastructure can provide it.

Reorganization of nursing work in an intensive care unit during the COVID-19 pandemic.

OBJECTIVE: To describe the reorganization of nursing work in an intensive care unit of a public hospital due to the COVID-19 pandemic. METHOD: Report of the experience from February to April 2020, about the reorganization of a unit. RESULTS: The description of the experience was divided into four moments: Definition of the cohort isolation; Reorganization of the intensive care units as General and Respiratory; Health care teams and work shifts; and Wearing and removing protective clothing by the teams. CONCLUSION: The COVID -19 pandemic brought numerous challenges to the management of intensive care units. The socialization of management experiences can contribute to the definition of new strategies, including in the post-pandemic period.

[Teaching strategies of nursing care: a look on pedagogical trends]. / Estratégias de ensino do cuidado em enfermagem: um olhar sobre as tendências pedagógicas.

To determine the teaching strategies adequate for the contents and concepts imbricated in care is a challenge for nursing educators. This qualitative, descriptive and exploratory study aimed to know the strategies applied to teach nursing care used by ten nurses, professors of the Nursing Department in a University in the metropolitan area of the city of Porto Alegre, state of Rio Grande do Sul, Brazil. The information was collected through the Focal Group technique, from June 2004 to March 2005. The thematic analysis of the data resulted in the category Strategies to Teach Care, with the sub-categories demonstration, exhibition, observation, and discussion. The evidences point to attempts of replacing the traditional content transmission notion, without however, effectively showing another pedagogical tendency. We can conclude that the technical competence is still privileged which leads to a disregard of the learning that aims at the development of a reflexive and critic stance.

Analyzing the operational conditions of crash carts in clinical and surgical hospitalization units.

OBJECTIVE: To evaluate the operational conditions of crash carts in all clinical and surgical hospitalization units of public hospitals in a region in Southern Brazil. METHOD: Quantitative, cross-sectional study to evaluate crash carts in adult clinical and surgical hospitalization units. The data were collected through a checklist containing 16 continuous variables. RESULTS: Nineteen crash carts in nineteen units were evaluated. Analysis shows that the most frequent problems were excess of equipment and its lack of organization, medication in incorrect compartments and/or with no identification, and inappropriate environment for transportation. CONCLUSION: The most relevant factors that possibly interfere with the operational conditions of crash carts are directly related to the organization and management of material resources, which may lead to the reduction of its functionality during patient care. Such problem may be solved by readjusting items and performing frequent verification.

Nursing Activities Score: trajectory of the instrument from paper to cloud in a university hospital.

OBJECTIVE: To report the process of organization and construction of an information technology structure named Nursing Activities Score (NAS) Cloud Technology®. METHOD: This project was based on the life cycle theory and has enabled the development of technological production through software engineering. RESULTS: The NAS Cloud Technology® was developed for remote and collaborative access on a website hosted by Google Sites® and protected in a business environment by the certified security and data protection devices Health Insurance Portability and Accountability Act (HIPPA). In 2015, this system received more than 10.000 submissions/month, totaling 12 care units for critical patients covered by the information technology structure, circa 200 nurses per day involved in the collection and hundreds of daily submissions, integrating the complete transition from paper to cloud. CONCLUSION: The development of NAS Cloud Technology® system has enabled the use of technology as a facilitating means for the use of Nursing care data, providing tools for decision-making on the nursing personnel sizing required for the care demands in the inpatient care units. The potential of cloud structures stands out due to their possibility of innovation, as well as low-cost access and high replicability of the information system.

Medical device-related pressure injuries in critical patients: prevalence and associated factors.

OBJECTIVE: To determine the prevalence of medical device-related pressure injuries in critical patients and analyze the associated factors. METHOD: Epidemiological, cross-sectional study. Sociodemographic, clinical and medical device data were collected. Inspection of the skin/mucous membranes was performed to identify and classify the injuries. Analysis using descriptive statistics, Poisson regression and the Spearman correlation coefficient. RESULTS: Ninety-three patients were evaluated and 58 developed injuries, with a prevalence of 62.4%. Injuries by the orotracheal tube (50%), nasogastric tube (44.1%) and urinary catheter (28.6%) were the most prevalent, and the most affected regions were, respectively, the auricular (79.5%), nasal ala (86.7%) and urethral meatus (76.9%). Factors associated with injuries were severe edema (p = 0.005), low Braden (p<0.001) and Glasgow (p = 0.008) scores, length of stay in intensive care (p<0.001) and hospitalization diagnosis classified as other causes (p<0.001). The use of more than one device (p<0.001) and a longer time of use (p<0.001) were correlated. CONCLUSION: The high prevalence of injuries and the associated factors indicate the need for preventive measures and risk monitoring.

Social representations of comfort for patients' family members in palliative care in intensive care.

OBJECTIVE: To know the social representations of comfort for patients' family members in palliative care in intensive care. METHOD: Descriptive, qualitative study, theoretical framework adopted was Social Representations. 30 family members of patients admitted to an intensive care unit in palliative care participated. Data were collected through semi-structured individual interviews, organized and analyzed using the Collective Subject Discourse technique. RESULTS: Pointed out as central ideas, positive and negative feelings of family members, communication and interaction with the team, ICU as excellence and palliative care as a measure of comfort for the patient and the family. CONCLUSION: The social representations about the comfort of family members of hospitalized patients in an intensive care unit in palliative care are identified by the family members' feelings during the visit, communication, and the humanized care applied by nursing professionals in the patients in palliative care.

Medical device-related pressure injury prevention in critically ill patients: nursing care.

OBJECTIVES: to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients. METHODS: this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used. RESULTS: six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible. FINAL CONSIDERATIONS: nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.

Pedagogical Content Knowledge of nursing freshman professors in medium-level technical education.

OBJECTIVES: to analyze the practice and construction processes of Pedagogical Content Knowledge of freshman professors, in secondary education in nursing. METHODS: a collective case study with a qualitative approach. Data collection with biographical interview, non-participant observation of sessions and group interview. With the results interpreted in the light of Shulman's theoretical framework, content analysis enabled the creation of the category Manifestation of Pedagogical Content Knowledge. RESULTS: predominance of traditional teaching practices, with an attempt at more flexible postures, with pedagogical knowledge and encouragement for student reflection. Final Considerations: the transition from the traditional model to a dialogical teaching (with the student's role) highlights the process of expanding Pedagogical Content Knowledge of, such as learning in and about the practice itself, seeking to strengthen teaching knowledge. A manifestation of reflective thinking was evidenced, with a perception of teaching professionalization.

Psychiatric nursing and mental health teaching in relation to Brazilian curriculum.

OBJECTIVES: to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum. METHODS: an Integrative Literature Review with no temporal delineation, whose data collection took place in ten Brazilian and international databases, adding to the total 35 objects of analysis. RESULTS: a priori categories were adopted, consisting of the psychiatric nursing and mental health teaching in Brazil according to the 1923, 1949, 1962, 1972, 1994 and 2001 nursing curriculum, presented in the light of the dimensions: thought model; places of practice; methods or contents used; and profile or skills of the student. FINAL CONSIDERATIONS: the study made it possible to observe psychiatric nursing and mental health teaching historical evolution, indicating that teaching transformations involved changes in curriculum, Psychiatric Reform and the way nursing undergraduate courses and schools take these determinants.

Conhecimentos, atitudes e práticas de uma equipe multidisciplinar de residentes sobre cuidados paliativos / Knowledge, attitudes and practices of a multidisciplinary team on palliative care / Conocimientos, actitudes y prácticas de un equipo multidisciplinar sobre cuidados paliativos

Objetivo: analisar conhecimentos, atitudes e práticas de residentes sobre Cuidados Paliativos. Método: estudo quantitativo, transversal, avaliativo do tipo Conhecimento, Atitude e Prática, desenvolvido em um hospital universitário da região Sul do Brasil. Participaram 49 residentes vinculados ao Programa de Residência Integrada Multiprofissional em Saúde. A coleta de dados ocorreu por meio do Google Forms. As análises foram realizadas no software Statistical Package for the Social Sciences v.25. Com nível de significância de 0,05. Resultados: A maioria afirmou não ter recebido informação suficiente sobre Cuidados Paliativos na graduação, 53,1% não sabem identificar pacientes candidatos a abordagem. Os aspectos conceituais são reconhecidos pelos residentes, no entanto, o uso de escalas, suspensão ou não de procedimentos e o uso de opióides geraram respostas diversas. O domínio Atitude foi significativo entre as categorias profissionais (P=0,008). Conclusão: Embora os participantes tenham mostrado compreensão sobre a temática, foram evidenciadas fragilidades, especialmente nos domínios atitude e prática

Objective: to analyze knowledge, attitudes and practices of multiprofessional residents related to the palliative care assistance. Method: a quantitative study, transversal, evaluative of the type Knowledge, Attitude and Practice, developed in a university hospital from the South of Brazil. 49 residents vinculated to the Multiprofessional Integrated Healthcare Residency Program participated. Data collection was made through Google Forms. The analyses were graphically represented and made with IBM SPSS Statistics v.25 software. Level of significance adopted was 0.05. Results: young group, with little professional experience, mainly women. The majority affirmed they haven't received sufficient information about palliative care and pain in graduation, 53,1% didn't knew how to identify patients candidates to palliative care. The conceptual aspects of palliative care are recognized by the residents. Nevertheless, the use of scales in palliative care, whether or not to suspend procedures and/or feeding and the use of opiates generated less cohesive answers between members of the group. Only the distribution of the Attitude domain was significant between the professional categories (P=0,008). Conclusion: participants have demonstrated comprehension about the thematic, even then, fragilities were evidenciated, especially in the Attitude and Practice domains. Palliative care should be a focus of study in the healthcare permanent education, as well as in the multiprofessional residency programs

Objetivos:analizar los conocimientos, actitudes y prácticas de los residentes sobre la asistencia en cuidados paliativos. Método: estudio cuantitativo, transversal, evaluativo del tipo Conocimiento, Actitud y Práctica, desarrollado en un hospital universitario de la región sur de Brasil. En el estudio participaron 49 residentes vinculados al Programa Integrado de Salud Multiprofesional La recogida de datos se realizó a través de Google Forms. Los análisis se realizaron utilizando el software Statistical Package for the Social Sciences v.25. El nivel de significancia adoptado fue de 0,05. Resultados: La mayoría dijo no haber recibido suficiente información sobre Cuidados Paliativos y manejo del dolor al graduarse, el 53,1% no sabe cómo identificar a los pacientes candidatos al abordaje. Los aspectos conceptuales del tema son reconocidos por los residentes, sin embargo, el uso de balanzas, suspensión o no de procedimientos y / o alimentos y el uso de opioides han generado respuestas diferentes. El dominio Actitud fue significativo entre las categorías profesionales (P = 0,008). Conclusión: Aunque los participantes mostraron comprensión sobre el tema, se evidenciaron debilidades, especialmente en los dominios de actitud y práctica

Características clínicas de reanimações cardiopulmonares intra-hospitalares registradas em prontuário: estudo transversal / Clinical characteristics of in-hospital cardiopulmonary resuscitations recorded in medical records: a cross-sectional study / Características clínicas de las reanimaciones cardiopulmonares intrahospitalarias registradas en las historias clínicas: estudio transversal

Objetivo: identificar características clínicas das paradas cardiopulmonares e reanimações cardiopulmonares ocorridas em ambiente intra-hospitalar. Método: estudo quantitativo, prospectivo e observacional, a partir de informações de prontuários de pacientes submetidos a manobras de reanimação devido à parada cardiopulmonar entre janeiro e dezembro de 2021. Utilizou-se um instrumento baseado nas variáveis do modelo de registro Utstein. Resultados: em 12 meses foram registradas 37 paradas cardiopulmonares. A maioria ocorreu na unidade de terapia intensiva respiratória, com causa clínica mais prevalente hipóxia. 65% dos pacientes foram intubados no atendimento e 57% apresentaram ritmo atividade elétrica sem pulso. A duração da reanimação variou entre menos de cinco a mais de 20 minutos. Como desfecho imediato, 57% sobreviveram. Conclusão: dentre os registros analisados, a maior ocorrência de paradas cardiopulmonares foi na unidade de terapia intensiva respiratória, relacionada à Covid-19. Foram encontrados registros incompletos e ausência de padronização nas condutas.

Objective: identify the clinical characteristics of cardiopulmonary arrests and cardiopulmonary resuscitations in the in-hospital environment. Method: this is a quantitative, prospective and observational study based on information from the medical records of patients who underwent resuscitation maneuvers due to cardiopulmonary arrest between January and December 2021. An instrument based on the variables of the Utstein registration protocol was used. Results: thirty-seven cardiopulmonary arrests were recorded in 12 months. The majority occurred in a respiratory intensive care unit, with hypoxia being the most prevalent clinical cause. Sixty-five percent of the patients were intubated and 57% had pulseless electrical activity. The duration of resuscitation ranged from less than five to more than 20 min. As for the immediate outcome, 57% survived. Conclusion: among the records analyzed, the highest occurrence of cardiopulmonary arrests was in respiratory intensive care units, and they were related to Covid-19. Moreover, incomplete records and a lack of standardization in cardiopulmonary resuscitation procedures were found.

Objetivo: Identificar las características clínicas de paros cardiopulmonares y reanimaciones cardiopulmonares que ocurren en un ambiente hospitalario. Método: estudio cuantitativo, prospectivo y observacional, realizado a partir de información presente en historias clínicas de pacientes sometidos a maniobras de reanimación por paro cardiorrespiratorio entre enero y diciembre de 2021. Se utilizó un instrumento basado en las variables del modelo de registro Utstein. Resultados: en 12 meses se registraron 37 paros cardiopulmonares. La mayoría ocurrió en la unidad de cuidados intensivos respiratorios, la causa clínica más prevalente fue la hipoxia. El 65% de los pacientes fue intubado durante la atención y el 57% presentaba un ritmo de actividad eléctrica sin pulso. La duración de la reanimación varió entre menos de cinco y más de 20 minutos. Como resultado inmediato, el 57% sobrevivió. Conclusión: entre los registros analizados, la mayor cantidad de paros cardiopulmonares se dio en la unidad de cuidados intensivos respiratorios, relacionada con Covid-19. Se encontraron registros incompletos y falta de estandarización en el procedimiento.

Caracteristicas epidemiológicas dos doadores de órgãos de um hospital público do sul de Brasil / Epidemiological characteristics of organ donors of a public hospital in southern Brazil / Características epidemiológicas de los donantes de órganos de un hospital público del sur de Brasil

Objetivo: determinar as características epidemiológicas dos doadores de órgãos de um hospital público do Sul do Brasil. Método: pesquisa documental, descrita e quantitativa, realizada no ano 2022 em um hospital público de um município no sul do Brasil, com dados referentes ao período de 2016 á 2021, agrupados em planilhas do Microsoft Office Excel e analisados pelo programa Epi InfoTM. Resultados: 76,47% dos doadores eram do sexo masculino, 55,88% dos doares teve Morte Encefálica por causas vasculares, 44,12% eram portadores de hipertensão arterial e houve maior doadores de rins (91,18%) e fígado (64,71%). Conclusão: o perfil dos doadores de órgãos da região estudada é caracterizado pela maioria do sexo masculino, faixa etária superior a 40 anos de idade com prevalência das comorbidades como hipertensão arterial, doenças psiquiátricas e cardiovasculares.

Objective: to determine the epidemiological characteristics of organ donors of a public hospital in southern Brazil. Method: documentary research, described and quantitative, conducted in the year 2022 in a public hospital in a municipality in southern Brazil, with data for the period from 2016 to 2021, grouped in Microsoft Office Excel spreadsheets and analyzed by the Epi InfoTM program. Results: 76.47% of donors were male, 55.88% of donors had brain death due to vascular causes, 44.12% were car-riers of arterial hypertension and there were higher donors of kidneys (91.18%) and liver (64.71%). Conclusion: the profile of organ donors in the region studied is characterized by the majority of males, aged over 40 years old with prevalence of comorbidities such as hypertension, psychiatric and cardiovascular diseases.

Objetivo: Determinar las características epidemiológicas de los donantes de órganos de un hospital público del Sur de Brasil. Mé-odo: investigación documental, descrita y cuantitativa, realizada en el año 2022 en un hospital público de un municipio en el sur de Brasil, con datos referentes al período 2016 a 2021, agrupados en hojas de cálculo de Microsoft Office Excel y analizados por el pro-grama Epi InfoTM. Resultados: 76,47% de los donantes eran de sexo masculino, 55,88% de los donantes tuvo Muerte Encefálica por causas vasculares, 44,12% eran portadores de hipertensión arterial y hubo mayor donantes de riñones (91,18%) e hígado (64,71%). Conclusión: el perfil de los donantes de órganos de la región estudiada es caracterizado por la mayoría del sexo masculino, grupo de edad superior a 40 años de edad con prevalencia de las comorbilidades como hipertensión arterial, enfermedades psiquiátricas y cardiovasculares.

Humanized nursing care in an intensive care unit in angola: facilitating and hindering factors revealed / Atención humanizada de enfermería en cuidados intensivos en angola: facilidades y dificultades reveladas / Cuidado de enfermagem humanizado em terapia intensiva em angola: facilidades e dificuldades desveladas

ABSTRACT Objective: to describe the aspects that facilitate and hinder the work of nursing professionals regarding the humanized care in an intensive care unit in Angola. Method: descriptive, qualitative research, conducted in an Intensive Care Unit of a general hospital in Huambo, Angola, Africa, with 15 nursing professionals, in 2020, through semi-structured interviews. The Collective Subject Discourse to analyze the data was used; and to organize the data, the QualiquantiSoft software was used. Results: five central ideas emerged from the statements: two involving the facilitating factors; and three involving the difficulties in providing humanized care. The facilitating factors refer to the involvement of the multidisciplinary healthcare team and the interpersonal relationships of the nursing team. The hindering factors are linked to the lack of material resources, equipment, and supplies; the scarcity of human resources; and the poor specialized skills of the nursing team. Conclusion: when referring to the humanization of nursing care, its facilitating factors are linked to behavior and professional relationships, while the difficulties, for the most part, involve management aspects that are not under the professionals' responsibility, thus requiring attention from the managers of the institution.

RESUMEN Objetivo: describir las facilidades y dificultades de los profesionales de enfermería en la atención humanizada en cuidados intensivos en Angola. Métodos: investigación descriptiva, cualitativa, realizada en la Unidad de Cuidados Intensivos de un hospital general de Huambo, Angola, África, con 15 profesionales de enfermería en 2020, mediante entrevistas semiestructuradas. Se utilizó el Discurso Sujeto Colectivo para el análisis de los datos y el software QualiquantiSoft para su organización. Resultados: de los enunciados se desprenden cinco ideas centrales: dos se refieren a las facilidades y tres a las dificultades para ofrecer cuidados humanizados. Las facilidades se refieren a la implicación del equipo multiprofesional en los cuidados y a las relaciones interpersonales del equipo de enfermería. Las dificultades están relacionadas con la falta de recursos materiales, equipos y suministros; los escasos recursos humanos; y la falta de formación especializada del equipo de enfermería. Conclusión: en la humanización de los cuidados de enfermería, las facilidades están relacionadas con el comportamiento y las relaciones profesionales, mientras que las dificultades involucran, en su mayoría, aspectos de gestión que no están bajo el control de los profesionales, requiriendo la atención de los gestores de la institución.

RESUMO Objetivo: descrever as facilidades e dificuldades dos profissionais de enfermagem no cuidado humanizado em terapia intensiva em Angola. Método: pesquisa descritiva, qualitativa, realizada em Unidade de Terapia Intensiva de um hospital geral de Huambo, Angola, África, com 15 profissionais de enfermagem, no ano de 2020, por meio de entrevista semiestruturada. Utilizou-se o Discurso do Sujeito Coletivo para análise dos dados; e para a organização, o software QualiquantiSoft. Resultados: emergiram dos depoimentos cinco ideias centrais: duas envolvendo as facilidades; e três, as dificuldades em oferecer um cuidado humanizado. As facilidades referem-se ao envolvimento da equipe multiprofissional no cuidado e às relações interpessoais da equipe de enfermagem. As dificuldades estão atreladas à falta de recursos materiais, equipamentos e insumos; recursos humanos escassos e pouco preparo especializado da equipe de enfermagem. Conclusão: na humanização dos cuidados de enfermagem, as facilidades estão relacionadas ao comportamento e relações profissionais, enquanto as dificuldades, na sua maioria, envolvem aspectos de gestão que não estão sob a governabilidade dos profissionais, requerendo atenção dos gestores da instituição.

Pedagogical preparation of nursing professors for professional secondary technical education.

OBJECTIVE: To understand how the nursing professor pedagogically prepares for teaching in professional secondary technical education in the light of the Pedagogical Content Knowledge of Lee S. Shulman. METHOD: This is a qualitative and descriptive study. Two pedagogical workshops were held to collect data, with the participation of six professors from two technical schools. RESULTS: The categories Pedagogical preparation for the teaching exercise and Knowledge Base for Teaching have emerged. The results revealed the difference between the real and the ideal in the perception of the participants, when their preparation for the teaching exercise is situated between the learning with colleagues and the mastery over the Content Knowledge. FINAL CONSIDERATIONS: Professor training is necessary and is an alternative to qualify teaching in professional secondary technical education.

Incidência de lesões por pressão relacionadas a dispositivos médicos em unidade de terapia intensiva adulto* / Incidencia de lesiones por presión relacionadas con dispositivos médicos en unidades de cuidados intensivos para adultos / Incidence of medical device-related pressure injuries in an adult intensive care unit

Objetivo: determinar a incidência de lesões por pressão relacionadas a dispositivos médicos e os fatores associados em unidade de terapia intensiva adulta. Método: quantitativo, observacional, prospectivo. Os dados foram coletados entre setembro e novembro de 2020, em um hospital público. Utilizou-se instrumento para avaliações diárias da pele sob e peri os dispositivos. Resultados: foram analisados 1.579 dispositivos em 292 avaliações, em 47 pacientes. Identificando-se 233 lesões (14,9%). A incidência de lesões foi de 6,1%. Em 20,9% (n= 61) dos dispositivos utilizados, as lesões foram relacionadas ao tubo orotraqueal. Com relação às regiões acometidas por lesões, 10,4% (n= 24) ocorreram nas orelhas; 7,8% (n= 18), na face. As lesões estágio 1 foram as mais frequentes (n=147; 63,3%) nas avaliações realizadas. Conclusão: observou-se incidência de 6,1%. Ressalta-se a necessidade de manter a vigilância, em especial em pacientes com tubo endotraqueal. Medidas de prevenção devem ser adotadas para diminuir a ocorrência destas lesões.

Objective: to determine the incidence of medical device-related pressure injuries and associated factors in adult intensive care unit. Method: quantitative, observational, prospective. Data were collected between September and November 2020, in a public hospital. An instrument was used for daily evaluations of the skin under and peri the devices. Results: 1,579 devices were analyzed in 292 evaluations in 47 patients, identifying 233 injuries (14.9%). The incidence of injuries was 6.1%. In 20.9% (n = 61) of the devices used, the injuries were related to the orotracheal tube. Regarding the regions affected by injuries, 10.4% (n = 24) occurred in the ears; 7.8% (n = 18) in the face. Stage 1 injuries were the most frequent (n=147; 63.3%) in the evaluations performed. Conclusion: incidence was 6.1%. The need to maintain surveillance is emphasized, especially in patients with endotracheal tube. Prevention measures should be adopted to reduce the occurrence of these injuries.

Objetivo: determinar la incidencia de lesiones por presión relacionadas con dispositivos médicos y los factores asociados en la unidad de cuidados intensivos para adultos. Método: cuantitativo, observacional, prospectivo. Los datos fueron recogidos entre septiembre y noviembre de 2020, en un hospital público. Se utilizó instrumento para evaluaciones diarias de la piel bajo y peri los dispositivos. Resultados: se analizaron 1.579 dispositivos en 292 evaluaciones, en 47 pacientes. Identificándose 233 lesiones (14,9%). La incidencia de lesiones fue del 6,1%. En el 20,9% (n= 61) de los dispositivos utilizados, las lesiones fueron relacionadas al tubo orotraqueal. Con relación a las regiones afectadas por lesiones, 10,4% (n= 24) ocurrieron en las orejas; 7,8% (n= 18), en la cara. Las lesiones etapa 1 fueron las más frecuentes (n=147; 63,3%) en las evaluaciones realizadas. Conclusión: se observó incidencia de 6,1%. Se subraya la necesidad de mantener la vigilancia, en especial en pacientes con tubo endotraqueal. Se deben adoptar medidas preventivas para reducir la aparición de estas lesiones.

Humanized care in the Intensive Care Unit: discourse of Angolan nursing professionals / Atención humanizada en la Unidad de Cuidados Intensivos: discurso de los enfermeros angoleños / Cuidado humanizado na Unidade de Terapia Intensiva: discurso dos profissionais de enfermagem angolanos

ABSTRACT Objectives: to analyze the perception of nursing professionals in an intensive care unit in Angola about humanized care and identify resources necessary for its implementation. Methods: a qualitative, descriptive study conducted with 15 professionals in June-October/2020 in intensive care unit in Angola. The data were collected through semi-structured interviews; analysis based on the collective subject discourse technique. Results: five central ideas emerged: three related to the perception of humanized care ("From integral vision and empathy to a set of actions in all phases of care", "Humanizing is extending care to family members and companions", "Humanized care requires the establishment of a bond of trust and guarantee of individualized care"); and two on the resources necessary for this care ("Need for infrastructure - human and material resources", "Professional training and humanized care are interconnected"). Final Considerations: humanized care involves objectivity and subjectivity; it includes family members. An adequate infrastructure can provide it.

RESUMEN Objetivos: analizar percepción de enfermeros de una Unidad de Cuidados Intensivos en Angola sobre atenciones humanizadas e identificar recursos necesarios para su implementación. Métodos: estudio cualitativo, descriptivo, realizado con 15 profesionales en junio-octubre/2020, en una Unidad de Cuidados Intensivos de Angola. Los datos fueron recolectados mediante entrevista semiestructurada; análisis basado en técnica del Discurso del Sujeto Colectivo. Resultados: emergieron cinco ideas centrales: tres referentes a la percepción de la atención humanizada ("De la visión integral y empatía a un conjunto de acciones en todos los momentos de la atención", "Humanizar es extender atención a familiares y acompañantes", "Atención humanizada implica establecimiento de vínculo de confianza, garantía de atención individualizada"); y dos sobre los recursos necesarios para esa atención ("Necesidad de infraestructura - recursos humanos y materiales", "Capacitación profesional y atención humanizada están interconectados"). Consideraciones Finales: la atención humanizada involucra objetividad y subjetividad; incluye familiares. Hay necesidad de infraestructura adecuada para proporcionarlo.

RESUMO Objetivos: analisar a percepção dos profissionais de enfermagem de uma Unidade de Terapia Intensiva em Angola sobre cuidados humanizados e identificar recursos necessários para sua implementação. Métodos: estudo qualitativo, descritivo, realizado com 15 profissionais em junho outubro/2020, em Unidade de Terapia Intensiva de Angola. Os dados foram coletados mediante entrevista semiestruturada; análise baseada na técnica do Discurso do Sujeito Coletivo. Resultados: emergiram cinco ideias centrais: três referentes à percepção do cuidado humanizado ("Da visão integral e empatia a um conjunto de ações em todos os momentos do cuidado", "Humanizar é estender cuidado aos familiares e acompanhantes", "Assistência humanizada requer estabelecimento de vínculo de confiança e garantia de cuidado individualizado"); e duas sobre os recursos necessários para esse cuidado ("Necessidade de infraestrutura - recursos humanos e materiais", "Capacitação profissional e cuidado humanizado estão interligados"). Considerações Finais: o cuidado humanizado envolve objetividade e subjetividade; inclui os familiares. Há necessidade de infraestrutura adequada para proporcioná-lo.

Simulação in situ com a equipe de enfermagem de terapia intensiva: relato de experiência / Situ simulation with an intensive therapy reference team: experience report / Simulación in situ con un equipo intensivo de referencia de terapia: informe de experiencia

Objetivo: relatar a implementação de simulações in situ na educação permanente dos profissionais de enfermagem de uma unidade de terapia intensiva. Métodos: relato de experiência realizada de dezembro de 2018 a fevereiro de 2019 com 37 profissionais de enfermagem. Aplicou-se dois cenários de simulação. As simulações foram gravadas em áudio e vídeo, seguidas de debriefing com Bom Julgamento. Resultados: O cenário da assistência ao paciente em parada cardiorrespiratória foi realizado sete vezes e teve a participação de 28 profissionais. O cenário assistencial voltado ao paciente em choque séptico ocorreu três vezes e envolveu nove participantes. O debriefing com Bom Julgamento associado às imagens videogravadas favoreceu a reflexão dos profissionais sobre suas ações durante as simulações. Conclusão: a simulação in situ em terapia intensiva demonstrou ser uma prática efetiva e inovadora para a educação permanente com a equipe de enfermagem. (AU)

Objective: to relate an implementation of simulations in situ in the permanent education of nursing professionals in an intensive care unit. Methods: relationship of experience carried out from December 2018 to February 2019 with 37 nursing professionals. Two simulation scenarios were applied. As simulations were recorded in audio and video, follow the debriefing with Bom Judgamento. Results: the scenario of assistance to patients in cardiorespiratory arrest was performed seven times and had the participation of 28 professionals. The care scenario aimed at the patient in septic shock occurred three times and involved nine participants. Debriefing with Good Judgment associated with video images favored a reflection by professionals about their actions during the simulations. Conclusion: an in situ simulation in intensive care demonstrated an effective and innovative practice for continuing education with the nursing team. (AU)

Objetivo: relacionar una implementación de simulaciones in situ en la educación permanente de profesionales de enfermería en una unidad de cuidados intensivos. Métodos: relación de experiencia realizada entre diciembre de 2018 y febrero de 2019 con 37 profesionales de enfermería. Se aplicaron dos escenarios de simulación. Como las simulaciones se grabaron en audio y video, siga el informe con Bom Judgamento. Resultados: el escenario de asistencia a pacientes en paro cardiorrespiratorio se realizó siete veces y contó con la participación de 28 profesionales. El escenario de atención dirigido al paciente en shock séptico ocurrió tres veces e involucró a nueve participantes. El debate con buen juicio asociado con las imágenes de video favoreció la reflexión de los profesionales sobre sus acciones durante las simulaciones. Conclusión: una simulación in situ en cuidados intensivos demostró una práctica efectiva e innovadora para la educación continua con el equipo de enfermería. (AU)