Assessing nursing diagnoses and interventions in labour and high-risk pregnancies. / Avaliando diagnósticos e intervenções de enfermagem no trabalho de parto e na gestação de risco.

OBJECTIVE: To evaluate the use of nursing diagnoses and interventions proposed for women in labour and high-risk pregnancies. METHOD: This is a descriptive, retrospective study with documentary analysis of 1000 medical records and a checklist conducted from July to September 2014, at a maternity hospital in Paraiba, Brazil. It consisted of analysing descriptive measures and comparing the relationship between nursing diagnoses and interventions using NANDA - International and the Nursing Interventions Classification. RESULTS: The most common diagnoses in labour were acute pain (62%), fatigue (24.7%), and anxiety (22%). For high-risk pregnant women they were impaired sleep and rest (100%), risk of infection (81.8%), and anxiety (77.2%). The interventions were hand washing (80.8%) and identify and accommodate patient in the bed (78%). CONCLUSION: The diagnoses express needs during parturition and the psychobiological changes in high-risk pregnancy. The interventions are disconnected from the diagnoses and should therefore be reviewed and altered.

[Nursing care systematization according to the nurses' view: a methodological approach based on grounded theory]. / Sistematizaçãao da assistência de enfermagem na perspectiva dos enfermeiros: uma abordagem metodológica na teoria fundamentada.

This study was aimed at understanding, from the nurses' perspective, the experience of going through the Systematization of nursing care (SNC) in an obstetric service unit. We used grounded theory as the theoretical and methodological framework. The subjects of this study consisted of thirteen nurses from a public hospital in the city of João Pessoa, in the state of Paraíba. The data analysis resulted in the following phenomenon. "perceiving SNC as a working method that organizes, directs and improves the quality of care by bringing visibility and providing security for the nursing staff" The nurses expressed the extent of knowledge about the SNC experienced in obstetrics as well as considered the nursing process as a decision-making process, which guides the reasoning of nurses in the planning of nursing care in obstetrics. It was concluded that nurses perceive the SNC as an instrument of theoretical-practical articulation leading to personalized assistance.

Factors associated with the quality of life of caregivers of children and adolescents with chronic conditions.

OBJECTIVE: To evaluate the quality of life and associated factors in caregivers of children and adolescents with chronic conditions. METHOD: Cross-sectional study, developed with data from the Children Information System of Adolescents with Chronic Diseases. The sample consisted of 143 caregivers. Data collection took place between August and October 2018. For data analysis, chi-square statistics and Binary Logistic Regression were used. RESULTS: Through the study it was possible to identify that the variables that had impact on the low quality of life of the caregiver were: greater number of children with chronic conditions, routine use of medication, and financial limitations, which were considered risk factors. In turn, owning a home and having emotional support were protective factors. CONCLUSION: It was observed that the caregivers had low quality of life, and knowledge of the factors that contribute to this may enable an outstanding care to the caregiver.

[Computers in nursing: development of free software application with care and management]. / Informática em enfermagem: desenvolvimento de software livre com aplicação assistencial e gerencial.

This study aimed at developing an information system in nursing with the implementation of nursing care and management of the service. The SisEnf--Information System in Nursing--is a free software module that comprises the care of nursing: history, clinical examination and care plan; the management module consists of: service shifts, personnel management, hospital indicators and other elements. The system was implemented at the Medical Clinic of the Lauro Wanderley University Hospital, at Universidade Federal da Paraiba. In view of the need to bring user and developer closer, in addition to the constant change of functional requirements during the interactive process, the method of unified process was used. The SisEnf was developed on a WEB platform and using free software. Hence, the work developed aimed at assisting in the working process of nursing, which will now have the opportunity to incorporate information technology in their work routine.

Predictive model of hospitalization for children and adolescents with chronic disease.

OBJECTIVES: Describe a predictive model of hospitalization frequency for children and adolescents with chronic disease. METHODS: A decision tree-based model was built using a database of 141 children and adolescents with chronic disease admitted to a federal public hospital; 18 variables were included and the frequency of hospitalization was defined as the outcome. RESULTS: The decision tree obtained in this study could properly classify 80.85% of the participants. Model reading provided an understanding that situations of greater vulnerability such as unemployment, low income, and limited or lack of family involvement in care were predictors of a higher frequency of hospitalization. CONCLUSIONS: The model suggests that nursing professionals should adopt prevention actions for modifiable factors and authorities should make investments in health promotion for non-modifiable factors. It also enhances the debate about differentiated care to these patients.

Acquiring of knowledge about sexual health by blind people: an action research. / Aquisição de conhecimentos sobre saúde sexual por pessoas cegas: uma pesquisa-ação.

OBJECTIVE: to evaluate knowledge about sexual health, with blind people, before and after educational intervention. METHOD: action research conducted with 58 blind people enrolled in a philanthropic educational institution. A form with sociodemographic and knowledge variables about Sexually Transmitted Infections was used. The Chi-square and Fisher tests were performed. RESULTS: men presented higher frequency of alcoholism (p <0.001) and illicit drugs (p = 0.006). It was found that they used a male condom more frequently than women using a female condom (p = 0.003), although they had more knowledge about the prevention of Sexually Transmitted Infections (p = 0.006). Among these infections, Trichomonas vaginalis (52.4%) was more frequent. Knowledge gaps on risk factors and safe sex were identified. After the intervention, an increase in the knowledge about sexual health was detected. CONCLUSION: the educational intervention, in the light of problematizing pedagogy, (re) constructed the knowledge on sexual health, empowering the participants regarding the prevention of Sexually Transmitted Infections. Therefore, it is necessary that nurses carry out educational interventions with this clientele, aiming to soften deficits of knowledge about the thematic in screen.

The quality of life of health professionals working in the prison system. / Qualidade de vida no trabalho dos profissionais de saúde no sistema prisional.

This study aimed to evaluate the Quality of Work Life (QWL) of health professionals in prisons and identify QWL-associated factors. This is an exploratory, descriptive and cross-sectional survey conducted in five prisons. The study included 29 health professionals, who answered the TQWL-42 questionnaire. Results were obtained through descriptive statistics and multiple linear regressions. QWL was higher among women, younger workers, professionals with incomplete higher education or who have been working at the prison for 4 to 6 years. QWL overall assessment was 69.55 points. We observed that variables gender and education and biological/physiological and environmental/organizational spheres are associated with the overall assessment of QWL.

Assessment of a prototype for the Systemization of Nursing Care on a mobile device.

OBJECTIVES: assess a prototype for use on mobile devices that permits registering data for the Systemization of Nursing Care at a Neonatal Intensive Care Unit. METHOD: an exploratory and descriptive study was undertaken, characterized as an applied methodological research, developed at a teaching hospital. RESULTS: the mobile technology the nurses at the Neonatal Intensive Care Unit use was positive, although some reported they faced difficulties to manage it, while others with experience in using mobile devices did not face problems to use it. The application has the functions needed for the Systematization of Nursing Care at the unit, but changes were suggested in the interface of the screens, some data collection terms and parameters the application offers. The main contributions of the software were: agility in the development and documentation of the systemization, freedom to move, standardization of infant assessment, optimization of time to develop bureaucratic activities, possibilities to recover information and reduction of physical space the registers occupy. CONCLUSION: prototype software for the Systemization of Nursing Care with mobile technology permits flexibility for the nurses to register their activities, as the data can be collected at the bedside.

[Forms of management of the national school meals program]. / As formas de gestão do programa nacional de alimentação escolar (PNAE).

The National School Meals Programme (PNAE in Portuguese initials) is a supplementary program to education that aims to provide school meals for pupils across the school system enrolled in public and philanthropic schools of primary education, secondary education, youth education, adult education and comprehensive education. The principles of the program are the universality and the expansion of student services in order to meet the Organic Law on Food and Nutritional Security (LOSAN), as well as the Food Security and Nutrition System. The objective of this study is to discuss forms of PNAE management to ensure that the students' right to school meals. This study is a reflection on how the resources of school meals are being managed, be it with a centralized, decentralized, semi-centralized or outsourced model. We conclude that the knowledge of the different forms of managing federal resources for food for school communities allows for making an informed choice regarding implementation and enforcement of PNAE.

Factors associated with the quality of life of caregivers of children and adolescents with chronic conditions / Factores associados a la calidad de vida de los cuidadores de niños y adolescentes con enfermedades crónicas / Fatores associados à qualidade de vida de cuidadores de crianças e adolescentes com condições crônicas

ABSTRACT Objective To evaluate the quality of life and associated factors in caregivers of children and adolescents with chronic conditions. Method Cross-sectional study, developed with data from the Children Information System of Adolescents with Chronic Diseases. The sample consisted of 143 caregivers. Data collection took place between August and October 2018. For data analysis, chi-square statistics and Binary Logistic Regression were used. Results Through the study it was possible to identify that the variables that had impact on the low quality of life of the caregiver were: greater number of children with chronic conditions, routine use of medication, and financial limitations, which were considered risk factors. In turn, owning a home and having emotional support were protective factors. Conclusion It was observed that the caregivers had low quality of life, and knowledge of the factors that contribute to this may enable an outstanding care to the caregiver.

RESUMEN Objetivo Evaluar la calidad de vida y los factores asociados de los cuidadores de niños y adolescentes con afecciones crónicas. Método Estudio transversal, desarrollado con datos del Sistema de Información Infantil de Adolescentes con Enfermedades Crónicas. La muestra consistió en 143 cuidadores. La recolección de datos tuvo lugar entre agosto y octubre de 2018. Para el análisis de datos, se utilizó estadísticas de chi-cuadrado y regresión logística binaria. Resultados El estudio posibilitó identificar que las variables que tuvieron un impacto en la baja calidad de vida del cuidador fueron: mayor número de niños con afecciones crónicas, uso rutinario de medicamentos y limitaciones financieras, que se consideró como factores de riesgo. A su vez, ser propietario de una casa y tener apoyo emocional eran factores protectores. Conclusión Se observó que los cuidadores tenían baja calidad de vida y el conocimiento de los factores que contribuyen a esto puede permitir una atención especial para el cuidador.

RESUMO Objetivo Avaliar a qualidade de vida e fatores associados de cuidadores de crianças e adolescentes com condições crônicas. Método Estudo transversal, desenvolvido com dados do Sistema de Informação de Crianças de Adolescentes com Doenças Crônicas. A amostra foi composta por 143 cuidadores. A coleta de dados ocorreu entre agosto e outubro de 2018. Para análise dos dados utilizou-se a estatística qui-quadrado e a Regressão Logística Binária. Resultados Com o estudo foi possível identificar que as variáveis que possuíam impacto sobre a baixa qualidade de vida do cuidador foram: maior número de filhos com condições crônicas, uso rotineiro de medicamentos e limitação financeira, as quais foram consideradas fatores de risco. Por sua vez, possuir casa própria e ter apoio emocional consistiram em fatores de proteção. Conclusão Observou-se que os cuidadores possuíam qualidade de vida baixa e o conhecimento dos fatores que contribuem para isso poderá possibilitar um cuidado diferenciado ao cuidador.

Tecnologia da informação e comunicação: impactos na gestão de enfermagem / Information and communication technology: impacts on nursing management / Tecnología de la información y la comunicación: impactos en la gestión de enfermería

Objetivo: compreender como as tecnologias da informação e comunicação influenciam o processo de tomada de decisão de enfermeiros gestores em um hospital universitário. Método: trata-se de um estudo qualitativo, descritivo, realizado com nove enfermeiros gestores das unidades assistenciais de um hospital de ensino, por meio de entrevista semiestruturada. Submeteram-se os dados à Análise de Conteúdo Temática. Resultados: informa-se que emergiram duas categorias, "Descrevendo o uso do AGHU" e "Sugestões de melhorias para o uso do AGHU", e os gestores demonstraram possuir pouca qualificação no uso de Sistemas de Informação, apresentaram dificuldades quanto à implantação do sistema utilizado e acesso à internet. Conclusão: conclui-se que o sistema AGHU, da forma como se encontra estruturado, não está sendo utilizado de maneira coesa, tendo repercussão negativa na qualidade dos serviços prestados à gestão de saúde.(AU)

Objective: to understand how information and communication technologies influence the decision making process of nurse managers in a university hospital. Method: this is a qualitative, descriptive study, carried out with nine nurses managing the assistance units of a teaching hospital, through a semi-structured interview. The data was submitted to the Thematic Content Analysis. Results: it is informed that two categories have emerged, "Describing the use of UHMA" and "Suggestions for improvements for the use of UHMA", and the managers demonstrated to have little qualification in the use of Information Systems, presented difficulties regarding the implementation of the system used and access to the internet. Conclusion: it is concluded that the UHMA system, as it is structured, is not being used in a cohesive manner, having a negative impact on the quality of the services provided to health management.

Objetivo: comprender cómo las tecnologías de la información y la comunicación influyen en la toma de decisiones de los enfermeros gestores en un hospital universitario. Método: se trata de un estudio cualitativo, descriptivo, realizado con nueve enfermeros gestores de las unidades asistenciales de un hospital universitario, mediante entrevistas semiestructuradas. Los datos se enviaron a Análisis de Contenido Temático. Resultados: se informa que surgieron dos categorías, "Describiendo el uso de AGHU" y "Sugerencias de mejora en el uso de AGHU", y los gerentes demostraron tener poca calificación en el uso de Sistemas de Información, presentaron dificultades en la implementación del sistema usado y acceso a internet. Conclusión: se concluye que el sistema AGHU, tal como está estructurado, no se está utilizando de manera cohesionada, lo que repercute negativamente en la calidad de los servicios prestados a la gestión sanitaria.(AU)

Câncer bucal: voz e qualidade de vida pós mutilação / Oral cancer: voice and quality of life after mutilation / Cáncer oral: voz y calidad de vida después de la mutilación

Objetivo: investigar o impacto da deformidade bucal oncológica na comunicação oral e na qualidade de vida de adultos e idosos. Métodos: estudo observacional descritivo, transversal, com abordagem mista. Amostra de 41 pacientes, submetidos à cirurgia para retirada do câncer bucal, resultando em mutilação e inteligibilidade verbal. Instrumentos: Questionário sociodemográfico; Índice de Desvantagem Vocal; Questionário Qualidade de Vida da Universidade de Washington; Roteiro Semiestruturado para análise no software Iramuteq®.Resultado: a mutilação predominou em região de palato. Avaliação vocal mostrou o sexo masculino com pior qualidade de vida, expressivamente escala Social, enquanto, o feminino, escala Física. A análise lexical mostrou necessidades, frustrações e expectativas. Conclusão: o estudo revelou a vergonha, o medo, o isolamento social e, ao mesmo tempo, a esperança de voltar a, pelo menos, poder falar e ser compreendido pelas outras pessoas através do uso da prótese

Objective: to investigate the impact of oral cancer deformity on oral communication and the quality of life of adults and the elderly. Methods: descriptive, cross-sectional observational study with a mixed approach. Sample of 41 patients undergoing surgery to remove oral cancer, resulting in mutilation and verbal intelligibility. Instruments: Sociodemographic questionnaire; Voice Handicap Index; University of Washington Quality of Life Questionnaire; Semi-structured script for analysis in the Iramuteq® software. Result: mutilation predominated in the palate region. Vocal assessment showed the male sex with worse quality of life, significantly on the Social scale, while the female, Physical scale. Lexical analysis showed needs, frustrations and expectations. Conclusion:the study revealed shame, fear, social isolation and, at the same time, the hope of returning to at least being able to talk and be understood by other people through the use of the prosthesis

Objetivo: investigar el impacto de la deformidad del cáncer oral en la comunicación oral y la calidad de vida de adultos y ancianos. Métodos: estudio observacional descriptivo, transversal con enfoque mixto. Muestra de 41 pacientes sometidos a cirugía para extirpar el cáncer oral, lo que resulta en mutilación e inteligibilidad verbal. Instrumentos: cuestionario sociodemográfico; Índice de discapacidad de voz; Cuestionario de calidad de vida de la Universidad de Washington; Guión semiestructurado para análisis en el software Iramuteq®. Resultado: la mutilación predominó en la región del paladar. La evaluación vocal mostró el sexo masculino con peor calidad de vida, significativamente en la escala social, mientras que la hembra, la escala física. El análisis léxico mostró necesidades, frustraciones y expectativas. Conclusión: el estudio reveló vergüenza, miedo, aislamiento social y, al mismo tiempo, la esperanza de volver al menos a poder hablar y ser entendido por otras personas mediante el uso de la prótesis

[Information system in nursing: interacion of tacit-explicit knowledge]. / [Sistema de informação em enfermagem: interação do conhecimento tácito-explicito.

The present article aims to trace some theoretical and conceptual considerations on information systems in nursing, seeking to point out the knowledge based on the clinical practice evidences to construct a model of system integrated to the conceptual structures, formed by the combination of three sciences: information, computing and nursing. This knowledge can systematically describe and explain the necessary phenomena to develop a comprehensive information system that contribute for nursing records improvement and to consolidate a mechanism to provide basic measuring of costs, quality, patient access to care, and results of this care.

Predictive model of hospitalization for children and adolescents with chronic disease / Modelo predictor de internación hospitalaria para niños y adolescentes con enfermedades crónicas / Modelo preditor de internação hospitalar para crianças e adolescentes com doença crônica

ABSTRACT Objectives: Describe a predictive model of hospitalization frequency for children and adolescents with chronic disease. Methods: A decision tree-based model was built using a database of 141 children and adolescents with chronic disease admitted to a federal public hospital; 18 variables were included and the frequency of hospitalization was defined as the outcome. Results: The decision tree obtained in this study could properly classify 80.85% of the participants. Model reading provided an understanding that situations of greater vulnerability such as unemployment, low income, and limited or lack of family involvement in care were predictors of a higher frequency of hospitalization. Conclusions: The model suggests that nursing professionals should adopt prevention actions for modifiable factors and authorities should make investments in health promotion for non-modifiable factors. It also enhances the debate about differentiated care to these patients.

RESUMEN Objetivos: Describir un modelo predictor de frecuencia de internación hospitalaria para niños y adolescentes con enfermedades crónicas. Métodos: Se construyó un modelo basado en árboles de decisión, utilizando un banco de datos de 141 niños y adolescentes con enfermedades crónicas internados en hospital público federal. Para elaborar el modelo fueron consideradas 18 variables, la frecuencia de internación fue definida como desenlace. Resultados: Se obtuvo un árbol de decisiones capaz de clasificar correctamente al 80,85% de los participantes. La lectura del modelo permitió entender que las situaciones de mayor vulnerabilidad, como desempleo, bajos ingresos, restricciones y ausencia de compromiso familiar para el cuidado, actuaron como predictoras de mayor frecuencia de internación hospitalaria. Conclusiones: El modelo sugiere a la enfermería y equipo acciones preventivas para aquellos factores modificables, e inversión en promoción de salud para los factores no modificables; fortaleciendo también el debate sobre el cuidado diferenciado para esta población.

RESUMO Objetivos: Descrever um modelo preditor de frequência de internação hospitalar para crianças e adolescentes com doença crônica. Métodos: Foi construído um modelo baseado em árvore de decisão, a partir do banco de dados de 141 crianças e adolescentes, com doença crônica, internados em um hospital público federal. Para construção do modelo, foram incluídas 18 variáveis e a frequência de internação foi definida como desfecho. Resultados: Obteve-se uma árvore de decisão capaz de classificar corretamente 80,85% dos participantes. A leitura do modelo proporcionou o entendimento de que as situações de maior vulnerabilidade, como desemprego, baixa renda, restrições e ausência de envolvimento da família no cuidado, foram preditoras da maior frequência de internação hospitalar. Conclusões: O modelo sugere à enfermagem e equipe ações de prevenção para os fatores modificáveis e investimentos em promoção à saúde para os fatores não modificáveis e fortalece o debate sobre o cuidado diferenciado para esse público.

Predictive model of hospitalization for children and adolescents with chronic disease / Modelo predictor de internación hospitalaria para niños y adolescentes con enfermedades crónicas / Modelo preditor de internação hospitalar para crianças e adolescentes com doença crônica

ABSTRACT Objectives: Describe a predictive model of hospitalization frequency for children and adolescents with chronic disease. Methods: A decision tree-based model was built using a database of 141 children and adolescents with chronic disease admitted to a federal public hospital; 18 variables were included and the frequency of hospitalization was defined as the outcome. Results: The decision tree obtained in this study could properly classify 80.85% of the participants. Model reading provided an understanding that situations of greater vulnerability such as unemployment, low income, and limited or lack of family involvement in care were predictors of a higher frequency of hospitalization. Conclusions: The model suggests that nursing professionals should adopt prevention actions for modifiable factors and authorities should make investments in health promotion for non-modifiable factors. It also enhances the debate about differentiated care to these patients.

RESUMEN Objetivos: Describir un modelo predictor de frecuencia de internación hospitalaria para niños y adolescentes con enfermedades crónicas. Métodos: Se construyó un modelo basado en árboles de decisión, utilizando un banco de datos de 141 niños y adolescentes con enfermedades crónicas internados en hospital público federal. Para elaborar el modelo fueron consideradas 18 variables, la frecuencia de internación fue definida como desenlace. Resultados: Se obtuvo un árbol de decisiones capaz de clasificar correctamente al 80,85% de los participantes. La lectura del modelo permitió entender que las situaciones de mayor vulnerabilidad, como desempleo, bajos ingresos, restricciones y ausencia de compromiso familiar para el cuidado, actuaron como predictoras de mayor frecuencia de internación hospitalaria. Conclusiones: El modelo sugiere a la enfermería y equipo acciones preventivas para aquellos factores modificables, e inversión en promoción de salud para los factores no modificables; fortaleciendo también el debate sobre el cuidado diferenciado para esta población.

RESUMO Objetivos: Descrever um modelo preditor de frequência de internação hospitalar para crianças e adolescentes com doença crônica. Métodos: Foi construído um modelo baseado em árvore de decisão, a partir do banco de dados de 141 crianças e adolescentes, com doença crônica, internados em um hospital público federal. Para construção do modelo, foram incluídas 18 variáveis e a frequência de internação foi definida como desfecho. Resultados: Obteve-se uma árvore de decisão capaz de classificar corretamente 80,85% dos participantes. A leitura do modelo proporcionou o entendimento de que as situações de maior vulnerabilidade, como desemprego, baixa renda, restrições e ausência de envolvimento da família no cuidado, foram preditoras da maior frequência de internação hospitalar. Conclusões: O modelo sugere à enfermagem e equipe ações de prevenção para os fatores modificáveis e investimentos em promoção à saúde para os fatores não modificáveis e fortalece o debate sobre o cuidado diferenciado para esse público.

[The search for theory-practice interaction in the nursing information system -- approach from grounded theory]. / A busca da interação teoria e prática no sistema de informação em enfermagem -- enfoque na teoria fundamentada nos dados.

This qualitative study aimed to understand, through nursing discourse, the relation between theory and practice in nursing and its implications for the development of information systems. Grounded theory was used as a methodological reference framework. The study population consisted of nurses who work at the clinic of a school hospital. Data analysis resulted in the main category: The search for theory-practice interaction in the nursing information system. This process was formed by the integration among categories, based on Strauss and Corbin's paradigm as a model with two phenomena: the attempt to apply the formal models in nursing practice and the perspective of the theory-practice gap in the nursing information system.

[Nurses attitude toward the manual recording system of medical records]. / O enfermeiro e sua percepção sobre o sistema manual de registro no prontuário.

The main goal of this work was to identify factors related to nurses' understanding about the manual recording system, through a descriptive-exploratory approach, developed with two hundred nursing professionals working at different hospital institutions located in the city of João Pessoa/Paraíba, Brazil. Data were collected with special forms using the Likert's behavioral scale. Results identified five factors such as: a) lack of knowledge about information systems; b) dissatisfaction with the manual recording system; c) needs of an informatized recording system to be used in nursing care; d) desire to utilize a classification system with all steps of the nursing process; and e) difficulties with nursing diagnosis related to manual recording. Findings demonstrated the dissatisfaction of nursing professionals about the manual recording system, requiring deep changes in the established recording model.

[Quality of life of the elderly in the community: application of the Flanagan scale]. / Qualidade de vida do idoso na comunidade: aplicação da escala de Flanagan.

The aim of this study was to evaluate the satisfaction degree of the elderly people regarding their quality of life. Data were obtained by a questionnaire characterizing the sample with a scale of quality proposed by Flanagan, using the interview technique. Among 128 elderly people, authors verified a insufficient degree of satisfaction. The dimensions of the quality of life pointed out by the Flanagan's scale were: personal development and fulfillment; family relations; social participation; welfare and material support; learning and friendship. The authors concluded that the Flanagan's scale presents limitations as a result of the subjectivity of the concept of quality.

[The grounded theory as a methodological alternative for nursing research]. / A grounded theory como alternativa metodológica para pesquisa em enfermagem.

This study presents a method of interpretative and systematic research with appliance to the development of studies in nursing called "the grounded theory", whose theoretical support is the symbolic interactionism. The purpose of the paper is to describe the grounded theory as an alternative methodology for the construction of knowledge in nursing. The study highlights four topics: the basic principle, the basic concepts, the trajectory of the method and the process of analysis of the data. We conclude that the systematization of data and its interpretation, based on social actors' experience, constitute strong subsidies to generate theories through this research tool.

[Methodology for the development of nursing information systems]. / Metodologias para desenvolvimento de sistemas de informação em enfermagem.

The present study has as objective to describe the methodologies for development of systems of information in health and the nursing, reflecting on aspects theoretical and practical based of this proposal. In this perspective, it focuses, critically, the hard and soft vision of the information system, the alternative methodologies and the necessities of new approaches in the system of information in nursing. It concludes emphasizing the necessity of if developing information systems that are extracted of the necessities of the practical of nursing and with the participation of these professionals.