Process of building an entrepreneurial career in Nursing

OBJECTIVE

To learn about the experiences of nurse entrepreneurs in building their careers and business trajectories.

METHOD

A descriptive and exploratory, qualitative study carried out with nurse entrepreneurs, recruited using the snowball technique. Interviews were conducted via Skype and audio-recorded between June and July 2021, which were transcribed and subjected to content analysis.

RESULTS

15 nurses participated. Three thematic axes were identified: "Entrepreneurship in nursing with the use of technologies", which presented niches of activity and the use of technologies; "Desire to innovate even with fear of the new", which reports feelings and motivations related to entrepreneurship, especially innovation; and "What nurses need to know before starting a business", which presents the risks and benefits of entrepreneurship, as well as the skills needed by entrepreneurs.

CONCLUSION

The entrepreneurial experience presents challenges for nurses. Thus, encouraging knowledge about entrepreneurship makes it possible to strengthen autonomy and gain new opportunities in nursing.

Mental health assistance in Primary Care: the perspective of professionals from the Family Health Strategy

OBJECTIVE

To learn about the perceptions of the professionals who work in Primary Health Care about mental health care.

METHODS

Descriptive and qualitative study, carried out with 29 health workers through open and individual interviews. The IRaMuTeQ® software was used to organize the data which, then, was submitted to a content analysis process in the thematic modality.

RESULTS

Three classes emerged from the content analysis: "Perceptions about the mental health care provided in the city", "The biomedical paradigm in mental healthcare", and "Elements for the construction of a new way for professionals to act in mental health".

FINAL CONSIDERATIONS

It was found that, despite the good infrastructure of the services and the elements pointed at by the professionals to create a new way to act, they do not do so, and the responsibility falls, mostly, on the psychologist to carry out these activities.

Essential management competencies of nurses: actions and interactions in the context of the Family Health Strategy

OBJECTIVE

to understand the meanings attributed by the Family Health Strategy (FHS) nurses to the management competencies essential to the performance of their actions.

METHOD

explanatory, qualitative study, whose methodological framework was based on Grounded Theory. A total of 12 Family Health Strategy nurses from a municipality in southern Brazil participated through semi-structured interviews, between December 2018 and February 2019.

RESULTS

the experience was understood by the phenomenon "Lapidating management competencies daily to play the role of a nurse in the context of the Family Health Strategy". As action/interaction strategies, the following categories emerged: "Evidencing the management skills of Family Health Strategy nurses" and "Recognizing the need for strategies to work on specificities in the context of the Family Health Strategy".

FINAL CONSIDERATIONS

according to the meanings attributed by nurses, there are several essential management skills for the work in the Family Health Strategy, but they are still little worked and developed in this context, mainly because it is a complex health care scenario.

Prisoners of suffering: perception of women on violence practiced by intimate partners

OBJECTIVE

to describe the perceptions of women, prisoners or partners of imprisoned men who experience/experienced intimate partner violence, and how they cope with this situation.

METHOD

a descriptive exploratory study with a qualitative approach conducted with 21 women. Empirical data collected between March and August 2018, through audio-recorded semi-structured interviews, were submitted to thematic content analysis.

RESULTS

women reported experiencing different forms of violence, which triggered suffering and negative commitment in their lives, far beyond the act itself, especially by the emotional and physical marks and their consequences. They also realize that coping with violence is individual responsibility, lived in the counterpoint between the desire to overcome it and passivity. Final considerations: intimate partner violence was uniquely revealed by women as a solitary experience, with permanent consequences in the physical, emotional, patrimonial, sexual and moral spheres, and limited internal and external resources make it difficult to cope with it.

Vivenciando o processo morte-morrer: uma análise fenomenológica do paciente com câncer em estágio terminal

Objetivou-se compreender o sofrimento que emana do processo de terminalidade e suas consequências na vida de quem o vivencia. Pesquisa fenomenológica, embasada no pensar heideggeriano realizada com 11 pacientes com câncer em estágio avançado. Os dados foram obtidos por entrevistas abertas, realizadas no período de novembro de 2015 a março de 2016. Como resultado emergiram duas temáticas: “Enfrentando o processo morte-morrer” e “Desvelando o sofrer pela terminalidade”, as quais mostram que é no enfrentamento da morte que cada Ser vivencia de forma única e individualizada seu modo de ser-no-mundo. Concluiu- se que o Ser que vivencia o processo de terminalidade da vida descortina de maneira própria, o seu encontro com o sofrimento e o processo de aceitação e compreensão da sua finitude, o que imputa à enfermagem um olhar crucialmente holístico e individual para que as necessidades de quem experiencia o processo de terminalidade da vida sejam contempladas.

Perspectiva de jovens com diabetes sobre intervenção educativa na rede social Facebook®

Resumo Objetivo Apreender a perspectiva de jovens com diabetes mellitus sobre a participação em um grupo de estimulo ao autocuidado na rede social Facebook®. Métodos Estudo descritivo e exploratório, junto a 35 jovens com diabetes mellitus tipo 1 que participaram de um grupo no Facebook®. Os dados foram coletados por meio de entrevista semi-esturuada e após submetidos à análise de conteúdo, modalidade temática. Resultados Foram identificadas três categorias: assistência convencional oferecida aos jovens com diabetes mellitus; vantagens da utilização do Facebook® para inovação da assistência à saúde, e espírito de comunidade e fortalecimento a partir do Facebook®, as quais mostram que, na perspectiva de jovens com diabetes, a participação no grupo favoreceu o desenvolvimento do espírito de comunidade e o fortalecimento de vínculo entre os pares, além de auxiliar no processo de aceitação da doença e na formação de uma rede de suporte. Além disso, observou-se avaliação positiva sobre a participação, uma vez que os jovens manifestaram o desejo de que outros grupos com características semelhantes fossem implementados. Conclusão Ações educativas na rede social Facebook® são bem aceitas por jovens e pode constituir uma estratégia importante para aproximá-los dos serviços de saúde e auxiliá-los nas ações de autocuidado.

SÍNDROME DE BURNOUT ENTRE PROFISSIONAIS DE UM SERVIÇO DE ATENDIMENTO MÓVEL DE URGÊNCIA DO PARANÁ

Objetivo: identificar o risco para o desenvolvimento da Síndrome de Burnout em profissionais doServiço de Atendimento Móvel de Urgência (SAMU).Metodologia: estudo transversal, não probabilístico, realizado entre agosto e outubro de 2017 com101 profissionais atuantes em um SAMU do Paraná, utilizando questionário autoaplicável - MaslachBurnout Inventory. A análise de dados envolveu os testes de associação Qui-quadrado, Wilcoxone Mann-Whitney.Resultados: observa-se que o risco para desenvolvimento e manifestação da síndrome de Burnoutfoi identificado em 52 profissionais (51,9%) e foi mais frequente entre médicos e teleatendentes,indivíduos do sexo feminino, com mais de 40 anos, sem companheiro, sem filhos, que tinhamoutro vínculo empregatício e renda superior a 10 salários mínimos. Porém, só os que trabalhavamdurante o dia apresentaram risco significativamente maior (p=0,0075). Conclusão: as característicasdo processo de trabalho no SAMU geram sobrecarga aos profissionais, sendo importante aimplementação de estratégias que possam minimizar os efeitos estressores desta atuação.

Organizational climate and teamwork at the Family Health Strategy

ABSTRACT Objective: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. Method: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. Results: “Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). Conclusion: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.

Family presence during cardiopulmonary resuscitation and invasive procedures: a meta-synthesis

OBJECTIVE

To synthesize the best qualitative evidence regarding the perception of family members, patients and health professionals about family presence during cardiopulmonary resuscitation and invasive procedures.

METHOD

Systematic review with meta-synthesis performed in the databases of Web of Science, Scopus, CINAHL, PsycINFO, LILACS, MEDLINE, Embase and VHL. Articles published between 2010 and 2017 were included and evaluated with use of the Qualitative Data Extraction Instrument.

RESULTS

In total, were found 2,391 articles, out of which 26 were selected, and 24 were analyzed. The identified meta-theme was 'A pendular perspective: different views on family presence during cardiopulmonary resuscitation and invasive procedures', which is supported by the following themes: Benefits resulting from family presence; Disadvantages and/or limiting factors of family presence; and Context: environmental, sociocultural and care factors influencing the perception of family presence.

CONCLUSION

The perception of family members, patients and professionals about family presence is still controversial. The sensitization of these subjects can potentiate the practice by making it more systematized and qualified.

The challenges of teamwork in the family health strategy

Abstract Objective: To grasp the perceptions and experiences of professionals in the primary health care as teamwork in the Family Health Strategy (FHS) in a medium-sized municipality in the southern of Brazil. Method: Qualitative research carried out, between April and July 2016, with 13 health professionals (nurses, doctors, dentists, community health agents, nursing technicians and oral health aide) workers in FHS. Data were collected through semi-structured interviews, transcribed and submitted to content analysis. Results: From the analysis emerged three thematic categories: Teamwork from the perspective of the FHS health professionals; Strategies for maintaining teamwork out of daily routine; and Challenges of the insertion of Oral Health in the FHS. Conclusions and implications for a practice: Participants demonstrated that they understood the importance of teamwork and interpersonal relationships, and recognize the inherent challenges of this process. They revealed weaknesses in the relationships among dentistry and other members of the FHS, marked by a sense of exclusion and disinterest in participating.