As intervenções e responsabilidades do enfermeiro de saúde pública em Portugal: uma scoping review / The public health nurse's interventions and responsibilities in Portugal: a scoping review / Las intervenciones y responsabilidades del enfermero de salud pública en Portugal: una scoping review

Objetivo: revisar os estudos que referenciam as intervenções e responsabilidades do enfermeiro de saúde pública, desde a criação do Serviço Nacional de Saúde (SNS) Português em 1979, até aos nossos dias. Método: scoping review, seguindo a versão PCC - participants, concept and context, do The Joanna Briggs Institute. Consultamos bases de dados como a Biblioteca do Conhecimento Online, Scientific Eletronic Library Online, EBSCOhost Online Research Databases. O período de publicação foi de 1979 a 2018. Resultados: selecionamos quatro artigos publicados e seis dissertações de mestrado, entre 2010 e 2016. Os temas têm a ver com atividades e atuações dos enfermeiros, autonomia e competências, fundamentos normativos, perceções de equipas de saúde, transmissão e obtenção de informação em saúde. Conclusão: Os resultados apurados, mesmo que escassos, forneceram pistas para uma reflexão acerca do modo, tipo dos processos de intervenção, destes enfermeiros, que segundo a opinião de alguns deles, compreendem mais as suas competências do que as concretizam.

Objective: to review studies that refer to interventions and responsibilities of public health nurses, since the creation of the Portuguese National Health Service (NHS) in 1979, to the present day. Method: scoping review, following the PCC - participants, concept and context version of The Joanna Briggs Institute. We consulted databases such as the Biblioteca do Conhecimento Online, Scientific Electronic Library Online, EBSCOhost Online Research Databases. The publication period was from 1979 to 2018. Results: we selected four published articles and six master's dissertations, between 2010 and 2016. The subjects have to do with nurses' activities and actions, autonomy and competences, normative foundations, perceptions of nursing teams, health, transmission and collection of health information. Conclusion: The results, even if scarce, provided clues for a reflection on the mode, type of intervention processes of these nurses, who, according to some of them, understand their competences more than they concretize them.

Objetivo: revisar estudios que se refieren a intervenciones y responsabilidades de enfermeros de salud pública, desde la creación del Servicio Nacional de Salud de Portugal (SNS) en 1979, hasta la actualidad. Método: revisión de alcance, siguiendo el PCC - participantes, concepto y versión de contexto del Instituto Joanna Briggs. Consultamos bases de datos como Biblioteca do Conhecimento Online, Scientific Eletronic Library Online, EBSCOhost Online Research Databases. El período de publicación fue 1979 a 2018. Resultados: seleccionamos cuatro artículos publicados y seis disertaciones de maestría, entre 2010 y 2016. Los temas tienen que ver con las actividades, acciones de los enfermeros, autonomía y competencias, fundamentos normativos, percepciones de los equipos de enfermería, salud, transmisión y recopilación de información sanitaria. Conclusión: los resultados, aunque escasos, proporcionaron pistas para reflexionar sobre el modo, tipo de procesos de intervención de estos enfermeros, quienes, según algunos de ellos, entienden sus competencias más de lo que las concretan.

A Mixed Methods Review of Male Nursing Students' Challenges during Nursing Education and Strategies to Tackle these Challenges.

BACKGROUND: Calls to action have been placed for recruitment of more men to address nursing shortage and to achieve a better balance and diversity in workforce. Studies also indicated patients' demand for male nurses. Despite this, male nursing students experience challenges during their education resulting in their attrition. No reviews have explored this research area. This review explored the challenges of male nursing students during their education and identified strategies used to tackle these challenges. METHODS: Literature was searched within three databases using indexed search phrases and 1 mixed-methods, six quantitative, and 36 qualitative studies (n = 43), published from December 1990 to May 2018, were reviewed. The qualitative and quantitative data were separately extracted and analyzed using thematic synthesis and narrative summaries, and then compared using joint displays. FINDINGS: "Call me a nurse" and "Male nurses understand us better: Need more men in nursing" were the prominent themes. An array of educational and clinical challenges was identified. Students used appraisal-focused, problem-focused, and social support strategies to tackle these challenges. CONCLUSION: Considering the identified challenges, the lack of support and efforts from educators and institutions, we reiterate calls to action for strategic policies to help male nursing students adapt to educational and clinical learning environments and to increase their recruitment and retention in nursing.

The role of universities in attracting male students on to pre-registration nursing programmes: An electronic survey of UK higher education institutions.

The UK nursing workforce is facing a crisis. More nurses are leaving than entering the profession, and there are tens of thousands of unfilled vacancies. Political factors are having a significant impact on numbers, in particular the decision to withdraw bursaries for nursing undergraduates, and a steep decline in EU nurses registering to work in the UK post-Brexit. Against this backdrop, there is a stark gender imbalance in the workforce, with only around 11% of registered nurses being male. We surveyed UK higher education institutions to try to identify whether the gendered nature of nursing was considered a concern and whether steps were being taken to address it. We sent an electronic survey to every UK university offering undergraduate nurse training validated by the Nursing and Midwifery Council (NMC). With a response rate of 42%, the majority of respondents felt that nursing departments should take much more responsibility to increase the proportion of male nurses entering the nursing profession. More needs to be done to diversify the workforce and make nursing an appealing career choice for men and women.

Male Nurses in Israel: Barriers, Motivation, and How They Are Perceived by Nursing Students.

The current worldwide nursing shortage remains a challenge for the nursing profession. Encouraging men to become nurses and, thereby, increasing the number of practitioners are crucial factors in facing this challenge. The historiography of nursing presents nursing as "women's work," based on the assumption that it is inherently appropriate for women only. Although men were employed as nurses even before nursing was recognized as a profession, male nurses were always a minority in the field. Over the years, the proportion of male nurses has increased, but they still comprise only 5 to 10% of the nursing workforce in the western world. This study examined men's motives for a career choice of nursing, how male nurses are perceived, and the barriers that they face. The study was conducted among 336 nursing students studying in a co-educational program in various academic tracks at a public, nonsectarian university in the south of Israel. Participants completed the following questionnaires in one study session: sociodemographic questionnaire; Attitudes Towards Men in Nursing Scale; motives for career choice questionnaire; and the questionnaire of the perceptions of the professional status of nursing. Study findings revealed that men tended to choose nursing because of financial constraints significantly more frequently than women (P=.001). Among the participants, there was no significant between-sex difference in the perception nursing as women's work (P=.002) or in perception of male nurses as homosexuals. Results of the study showed that the status of the nursing profession is considered low, and the low status deters men from choosing nursing as a career. The motivation for men's career choice must be understood, and men must be empowered to improve their work conditions and financial remuneration in order to recruit men to the field and to improve the perception of the profession and its public status.

If they do call you a nurse, it is always a "male nurse": experiences of men in the nursing profession.

BACKGROUND AND PURPOSE: Men are underrepresented in nursing, accounting for less than 6% of Canadian nurses. This research explores issues surrounding recruitment, retention, and work life satisfaction for men who are nurses working in acute care settings. METHOD AND FINDINGS: Purposive and snowball sampling was used in this descriptive, qualitative study. Sixteen men participated in four focus groups conducted in three communities in southwestern Ontario. The participants revealed that work stress, lack of full-time opportunities, and gender-based stereotypes contributed to job dissatisfaction. Providing care to patients and making a difference were personal rewards that influenced their desire to stay in the profession. To promote nursing as a viable profession, unrestricted by gender, the participants recommended that recruitment strategies begin at an earlier age. DISCUSSION AND CONCLUSION: Findings are discussed in relation to recruitment and retention issues with implications for education, practice, and management.

Men in nursing.

This literature review examines the ability of the nursing profession to recruit and retain men in nursing schools and in the nursing workforce. The authors consider such educational barriers as role stress, discrimination, and stereotyping, and explore questions of male touch and the capacity of men to care. In identifying challenges faced by men entering or working in a profession in which women predominate, the authors hope to promote actions on the part of nurse leaders, educators, and researchers that may address issues of sex bias and promote greater sexual diversity within nursing.

O trabalho na Central de Material e Esterilização e as repercussões para a saúde dos trabalhadores de enfermagem / The work inthe Central Sterile Service Department and the repercussions for the health of the health care professionals

O objeto do presente estudo trata das repercussões do trabalho na Central de Material e Esterilização (CME) para o processo saúde-doença dos trabalhadores de enfermagem, na perspectiva desse coletivo profissional. Através de conversas informais com os profissionais da CME e de minhas observações, identifiquei que os trabalhadores de enfermagem queixavam-se das sobrecargas física e mental, da inadequação dos recursos materiais, além do estresse advindo das exigências do posto de trabalho. Considerando a natureza do objeto de estudo e as questões norteadoras, pretende-se, como objetivo geral: discutir a situação de saúde dos trabalhadores de enfermagem em uma CME de um Hospital Geral, correlacionando com a organização do trabalho e processo laboral desses trabalhadores. Os objetivos específicos foram: descrever a organização e o processo de trabalho dos trabalhadores de enfermagem da CME de um Hospital Geral; analisar a configuração da organização e do processo de trabalho na CME, na perspectiva de interferência no processo saúde-doençados trabalhadores de enfermagem; e propor estratégias para melhorar a saúde e a segurança dos trabalhadores de enfermagem da CME. Para a realização desta pesquisa, optou-se pela abordagem qualitativa, de caráter descritivo e exploratório. O cenário do estudo foi CME de um hospital geral, de grande porte, do serviço público, situado no município do Rio de Janeiro. Os sujeitos foram 34 trabalhadores de enfermagem (vinte e cinco técnicos de enfermagem e nove enfermeiras). Utilizou-se a entrevista do tipo semiestruturada, associada à observação não participante no setor, sendo os dados obtidos nos meses de março a maio de 2013.Para o tratamento e a análise dos dados coletados recorreu-se à análise temática de conteúdo.O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Instituição e protocoladocom o nº 081.3.2012...

The subject matter of this study deals with the consequences of the work in the Central Sterile Service Department (CSSD) for the health-illness continuum of the health care professionals from the perspective of these professionals. Through informal conversations with the CSSD workers and observations of my own I indentified that the health workers complained about the physical and mental burden, the unsatisfactory materials, besides the stress coming from the demands of the workplace. Taking the nature of the subject matter and the guiding questions in consideration it is intended as the overall aim: to discuss the health condition from the health workers in a CSSD of a General Hospital, correlating it with the work organization and the labor process of these workers. The specific goals are: to describe the organization and process of the work of the health professionals of a CSSD from a General Hospital; to analyze how the configuration of the work organization and process in a CSSD affects the health-illness continuum of the health care professionals; to propose strategies to improve the health and the security of the health care professionals of a CSSD. In order to achieve these objectives a descriptive, exploratory qualitative approach was chosen. The study setting is the CSSD of a large, public General Hospital in the City of Rio de Janeiro. The participants are thirty-four health care professionals (twenty-five nursing assistants and nine nurses). It was used a semi-structured interview in addition to a non-participant observation of the setting, being the data obtained through the months from March to May 2013. For the treatment and analysis of the collected data it was employed the thematic content analysis. The study was approved by the Research Ethics Committee from the institution and filed in the protocol number 081.3.2012...

Is there a glass escalator for male nurses in Canada?

This study aims to answer two questions: Do male nurses receive a wage premium? and, secondly: Do men ride a "glass escalator" and rise to supervisory positions with a higher probability than women do? Using data from the 2005 National Survey of the Work and Health of Nurses (NSWHN), this study finds that male nurses do have higher odds of being in a higher income bracket if they are registered nurses. Further, male nurses who work as registered psychiatric nurses have a very small, but higher likelihood of being in a supervisory position, thus providing small evidence of the existence of a glass escalator within the labour market for nurses in Canada.

Sex differences in gender characteristics of Australian nurses and male engineers: a comparative cross-sectional survey.

There continue to be assumptions within the nursing literature that nursing is synonymous with a feminine sex role identity. A comparative cross-sectional survey consisting of the Bem Sex Role Inventory and the Australian sex role scale was used to determine sex difference in gender characteristics of Australian nurses and with male engineers. A statistically significant difference in femininity was found between all the samples (F((2,908)) = 20.24, p < 0.00001; F((2,908)) = 60.13, p < 0.00001). A statistical difference in masculinity was found between female nurses and the two male samples on the two masculine scales (F((2,908)) = 12.48, p < 0.000001; F((2,908)) = 6.94, p = 0.001). Path analysis found strong significant direct relationships between the samples and expressive orientation (t = 27.67) and self display (t = 12.42). Whilst differences in expressive characteristics were found between male and female nurses, a similar difference was found between male nurses and male engineers, supporting the notion that male nurses perceive themselves as having feminine characteristics essentially required for nursing.

Formando enfermeiros em Angola: análise e reforma / Trainee nurses in Angola: analysis and reform

O trabalho ora elaborado vem no intuito de descrever as facilidades e dificuldades que sentem os egressos do Instituto Superior de Enfermagem- ISE, da Universidade Agostinho Neto-UAN no desempenho do seu trabalho profissional com a finalidade de atualizar o currículo de formação já implementado desde 2002. Assim, tivemos como objetivo geral analisar as facilidades e as dificuldades no desempenho profissional dos licenciados em enfermagem, egressos do Instituto Superior de Enfermagem, sugerindocom base nesta análise, reformulações curriculares. Trata-se de um estudo descritivo no qual se utilizou como instrumento de coleta de dados um questionário com perguntas abertas e fechadas que contemplaram as características sociais e educacionais dos egressos, a inserção no mercado de trabalho, facilidades, dificuldades no trabalho e as demandas para melhor formação dos licenciados no ISE. Os resultados evidenciam que os egressos do ISE são maioritariamente adultos, grande maioria tem famílias constituídas, baixa procura pela continuidade de estudos na enfermagem, prestam atividades em mais de um emprego, ocupam cargos de chefia, prestam cuidado à pacientes diferenciados, se acham capacitados para gerir escolas e programas de ensinode enfermagem. As facilidades apontadas resgatam a dimensão política, a construção da identidade social e a integração da cidadania. As dificuldades foram apontadas principalmente para a inter-relação pessoal, necessidade de mudança de comportamento, pequena carga horária nas disciplinas com componente de estágio e necessidade de agregação de disciplinas. Baseados nesta análise, trazemos proposiçõespara reflexão no ISE, sobre as cargas horárias teóricas e práticas, agregação de disciplinas e conteúdos, análise e organização dos estágios, além de apontar contribuições para a Ordem dos Enfermeiros de Angola e para o Ministério da Saúde de Angola.

Sentidos e práticas do cuidar: o enfermeiro em Centros Municipais de Saúde do município do Rio de Janeiro / Senses and practices care: the nurse in Health Municipal Center in Rio de Janeiro

Esta pesquisa é fruto da dissertação de mestrado do Programa de Pós-Graduação em Enfermagem da Universidade do Estado do Rio de Janeiro (ENF/UERJ). Teve como objetivo geral compreender os sentidos e as práticas de cuidado realizadas pelos enfermeiros nos Centros Municipais de Saúde (CMS) em uma Área de Planejamento do município do Rio de Janeiro. A escolha pelo estudo dos sentidos e das práticas de cuidado ocorreu por entender-se que cada ser humano pensa, reflete e age de forma diferente, perante a realidade e a si próprio e, dessa forma, estabelecem relações entre esses sentidos e suas experiências de vida. Assim, torna-se necessário não somente estudar e conhecer as práticas de cuidados exercidas pelos enfermeiros da Atenção Primária em Saúde, mas também reconhecer e apreender os sentidos de cuidado que este profissional possui. Os trabalhos relativos à prática do enfermeiro na Atenção primária em Saúde discutem as atividades deste profissional, porém não as correlacionam ao cuidado de enfermagem. Trata-se de um estudo de natureza qualitativa, que privilegiou a utilização da abordagem Hermenêutica-Dialética. A pesquisa desenvolveu-se no período de 2007 a 2009, sendo utilizada a entrevista semi estruturada como instrumento de coleta de dados. Foram entrevistados 14 enfermeiros que desenvolvem suas atividades em CMS. A análise das entrevistas foi feita mediante a análise de seu conteúdo. Desta análise, foram identificadas três categorias: Prática do enfermeiro na Atenção Primária em Saúde; Fatores que influenciam a prática do enfermeiro e O cuidado do enfermeiro na Atenção Primária em Saúde. Com a análise dos dados, pôde-se perceber a diversidade de práticas realizadas pelo enfermeiro neste campo de atuação, porém o cuidado de enfermagem não é identificado diretamente como uma prática em saúde...

This study comes from a research about Pos-Graduation Program in Nursing from the University State in Rio de Janeiro (ENF/UERJ). The general objective is to understand the senses and practices care did by nurses in the Healthy Municipal Center in Rio de Janeiro. The choice for this study was made because of the senses and practices of care and the understandment that every human being think, analyze and act in different ways, in front of reality and yourself, so trough this way they built relationships between this senses and experiences of life. It`s necessary study and recognize the practices of care did by the nurses from Attention in Healthy but also, learn and recognize the senses of care that this professional has. The job related to the practice of nurse in the Attention in Healthy says about the nurse activities but doesn’t relative this activities with the nurse care. It`s about a qualitative study that focuses on the utility in Hermeneutic-Dialetical. The study was made in the period of 2007 until 2009. An interview was made to help the research collecting information. Fourteen nurses were interviewed about activities in CMS. The analyze of the interviews was made through the context of the subject. In this analyze were identify three categories: Nurse Practice in Primary Healthy Attention; Factors that impact the nurse practice and the care about the nurse in Primary Healthy Attention. About the senses of practice care the study concludes that the nurse understand the practice of care like a group of dimensions that include the technical practice, organization and a good practice in healthy...