Suchergebnisse

Objective: The objective was to understand the perception of the nursing team on the (dis)connections between
management actions and care performed by nurses in a surgical intensive care unit. Method: Exploratory
research with qualitative approach carried out in a surgical intensive care unit of a hospital in the public net of
Fortaleza-CE, Brazil. Data was collected between March and July 2011, through semi-structured interviews and
systematic observations, with 20 nursing professionals working in the sector. Results: The results were subjected
to content analysis and two categories emerged: perceptions of nurses on management and care, perception of
the nursing technicians on the relationship between management and care. Conclusion: It was found that nurses
had different views on the connections between management and care, while nursing technicians considered
them inseparable and necessary and, therefore, should be the focus of nurses' performance

Objective: To investigate the main stressors in nursing workers double or more working hours, check the main signs and symptoms indicative of stress. Methods: A descriptive study with quantitative approach. It was developed in a public hospital in the metropolitan region of Fortaleza. The sample consisted of 30 professionals, and 46.7% nursing auxiliaries, 33.3% nurses and 20% technical. The data was collected during November-December 2008, through semi-structured questionnaire. Results: 93.3% of professionals are women aged 31-40 years. The study revealed several factors leading to stress, especially wage dissatisfaction (83%), lack of leisure (73%) and workload (60%), potentially damaging the quality of care. Conclusion: It was perceived scarcity of time that the nursing staff dedicated to rest, leisure, living with the family and their professional qualifications.

ABSTRACT Objective: to reflect on educational practices as a tool for Participatory Management and on its implications for nursing care in primary health care. Method: reflective analysis drawn from the principles and guidelines of the Unified Health System and the educational practices in participatory management. Results: with the health reform process, social control has been the focus of attention in different spaces of construction of the Unified Health System. It is a strategy to democratize power, a channel of claim for social participation, becoming a tool to enable participative management. Conclusion: social participation in councils is still fragile, which indicates the need for emancipatory educational practices that empower council members and make them active subjects in the process, with implications for nursing care. Descriptors: Nursing; Health Education; Social Participation; Primary Health Care. RESUMO Objetivo: refletir sobre as práticas educativas como instrumento de Gestão Participativa e sobre suas implicações para o cuidado de enfermagem na atenção primária. Método: estudo de reflexão teórica elaborado a partir dos princípios e diretrizes do Sistema Único de Saúde e das práticas educativas na gestão participativa. Resultados: com a reforma sanitária, o controle social tem sido foco de atenção nos diferentes espaços de construção do Sistema Único de Saúde. Trata-se de uma estratégia para democratizar o poder, um canal de reivindicação da participação social, tornando-se uma ferramenta para viabilizar a gestão participativa. Conclusão: a participação social nos conselhos ainda é frágil, o que remete à necessidade de práticas educativas emancipadoras, que capacitem os membros do conselho e os tornem sujeitos ativos no processo, implicando no cuidado de enfermagem. Descritores: Enfermagem; Educação em Saúde; Participação Social; Atenção Primária à Saúde. RESUMEN Objetivo: reflexionar sobre las prácticas educativas como una herramienta de gestión participativa y sobre sus implicaciones para la asistencia de enfermería en la atención primaria. Método: estudio de reflexión teórica elaborado a partir de los principios y directrices del Sistema Único de Salud y de las prácticas educativas en la gestión participativa. Resultados: con la reforma de la salud, el control social ha sido el foco de atención en los diferentes espacios de construcción del Sistema Único de Salud. Se trata de una estrategia para democratizar el poder, un canal de demanda de la participación social, convirtiéndose en una herramienta para permitir una gestión participativa. Conclusión: la participación social en los consejos es todavía frágil, lo que apunta a la necesidad de prácticas educativas emancipatorias que habiliten a los miembros del consejo y les conviertan en sujetos activos en ese proceso, con implicaciones para la asistencia de enfermería. Descriptores: Enfermería; Educación en Salud; Participación Social; Atención Primaria de Salud. ; RESUMO Objetivo: refletir sobre as práticas educativas como instrumento de Gestão Participativa e sobre suas implicações para o cuidado de enfermagem na atenção primária. Método: estudo de reflexão teórica elaborado a partir dos princípios e diretrizes do Sistema Único de Saúde e das práticas educativas na gestão participativa. Resultados: com a reforma sanitária, o controle social tem sido foco de atenção nos diferentes espaços de construção do Sistema Único de Saúde. Trata-se de uma estratégia para democratizar o poder, um canal de reivindicação da participação social, tornando-se uma ferramenta para viabilizar a gestão participativa. Conclusão: a participação social nos conselhos ainda é frágil, o que remete à necessidade de práticas educativas emancipadoras, que capacitem os membros do conselho e os tornem sujeitos ativos no processo, implicando no cuidado de enfermagem. Descritores: Enfermagem; Educação em Saúde; Participação Social; Atenção Primária à Saúde. ABSTRACT Objective: to reflect on educational practices as a tool for Participatory Management and on its implications for nursing care in primary health care. Method: reflective analysis drawn from the principles and guidelines of the Unified Health System and the educational practices in participatory management. Results: with the health reform process, social control has been the focus of attention in different spaces of construction of the Unified Health System. It is a strategy to democratize power, a channel of claim for social participation, becoming a tool to enable participative management. Conclusion: social participation in councils is still fragile, which indicates the need for emancipatory educational practices that empower council members and make them active subjects in the process, with implications for nursing care. Descriptors: Nursing; Health Education; Social Participation; Primary Health Care. RESUMEN Objetivo: reflexionar sobre las prácticas educativas como una herramienta de gestión participativa y sobre sus implicaciones para la asistencia de enfermería en la atención primaria. Método: estudio de reflexión teórica elaborado a partir de los principios y directrices del Sistema Único de Salud y de las prácticas educativas en la gestión participativa. Resultados: con la reforma de la salud, el control social ha sido el foco de atención en los diferentes espacios de construcción del Sistema Único de Salud. Se trata de una estrategia para democratizar el poder, un canal de demanda de la participación social, convirtiéndose en una herramienta para permitir una gestión participativa. Conclusión: la participación social en los consejos es todavía frágil, lo que apunta a la necesidad de prácticas educativas emancipatorias que habiliten a los miembros del consejo y les conviertan en sujetos activos en ese proceso, con implicaciones para la asistencia de enfermería. Descriptores: Enfermería; Educación en Salud; Participación Social; Atención Primaria de Salud.

ABSTRACT Objective: to discuss, taking for reference the crisis in Brazil and its impact on public health policies, the insertion of Brazilian nursing in that context and its ways of practicing the profession, based on the study about the politicality of care. Method: the reflection is divided into two topics, the first is about public policies, the Brazilian Unified Health System and the deconstruction of the right to health with neoliberal offensive; and the second is about the nursing political action in the fight for the right to health and for democracy. Final considerations: we emphasize that nursing must assume its sociopolitical role to contribute to the construction of a better and fairer Brazil, saying no to neoliberal reforms, as well as fighting for rights already acquired and for the resumption of the democratic stability in the country.