Suchergebnisse

Objective: This study aims to identify the context of the humanization of care regarding the meaning, source of
information and perception of the nursing staff of the Pediatric Hospitalization Unit (PHU) on their own care. Methods:
Descriptive study with qualitative approach, carried out at Hospital das Clinicas, UFTM. Participants were 21
professionals. They answered a questionnaire with closed and open questions. Results: The professionals have
recognized the institution as the main source of information. The concept of humanization and perception of their
assistance, three categories emerged: structural organization / service management and relational. Nurses consider
providing humanized and humanizing is a precondition for the establishment of quality care. Conclusion: It is
concluded that the nursing staff of the IPU recognizes the institution's participation in an informative, however, this is
not always experienced.

Objective: To compare nursing staff sizing in the relevant legislation according to the workload.Method: Prospective documentary study conducted in the 2017- 2018 period in six pediatricintensive care units for children in Paraná. The workload was measured with the use of theNursing Activities Score; the sizing was based on legislation and work schedules. Data werecompared, and a bootstrap confidence interval of 95% was used in statistical analysis.Results: Considering 58 beds, 80 medical records and 412 assessments of care and workload,the nursing staff was oversized, if compared to the stipulations of the Normative ResolutionNo 543/2017 of Brazil's Federal Council of Nursing (COFEN) in two units, and in four units,according to Normative Resolution No 26/2012 of the National Health Surveillance Agency(ANVISA).Conclusion: The findings indicate the need for changes to obtain a proper staff sizing, includingworkload, and changes in legislation. When only the normative resolutions are considered,oversizing or undersizing may occur. ; Objetivo: comparar el dimensionamiento entre la carga de trabajo efectiva del equipo deenfermería y lo que establece la legislación.Método: estudio documental prospectivo que se realizó de 2017 a 2018 en seis unidades deterapia intensiva infantil en Paraná. La carga de trabajo se midió por Nursing Activities Score;el dimensionamiento se basó en la legislación y en la escala de trabajo. Se compararon losdatos y el análisis estadístico utilizó intervalo de confianza bootstrap de 95%.Resultados: considerándose 58 camas, 80 prontuarios y 412 evaluaciones de cuidado y cargade trabajo, el dimensionamiento se mostró elevado en relación a lo estableció la Resolución543/2017 del Consejo Federal de Enfermería en dos unidades, y en cuatro por la Resolución26/2012 de la Agencia Nacional de Vigilancia Sanitaria.Conclusión: se constató la necesidad de cambios para adecuar el dimensionamiento,incluyéndose la carga de trabajo, y cambio en la legislación. Considerándose solamente lasresoluciones, es posible incurrir en super o sub dimensionamiento. ; Objetivo: comparar o dimensionamento da equipe de enfermagem com o estabelecido segundoa carga de trabalho e a legislação.Método: estudo documental prospectivo realizado de 2017 a 2018 em seis unidades de terapiaintensiva infantil no Paraná. A carga de trabalho foi mensurada pelo Nursing Activities Score; odimensionamento foi baseado na legislação e escala de trabalho. Os dados foram comparados e aanálise estatística utilizou intervalo de confiança bootstrap de 95%.Resultados: considerando-se 58 leitos, 80 prontuários e 412 avaliações de cuidado e carga detrabalho, o dimensionamento mostrou-se elevado em relação ao estipulado pela Resolução543/2017 do Conselho Federal de Enfermagem em duas unidades, e em quatro pela Resolução26/2012 da Agência Nacional de Vigilância Sanitária.Conclusão: os achados indicam necessidade de mudanças para adequado dimensionamento,incluindo-se a carga de trabalho, e mudanças na legislação. Ao se considerar unicamente asresoluções, é possível incorrer em super ou subdimensionamento.

Objective: To compare nursing staff sizing in the relevant legislation according to the workload.Method: Prospective documentary study conducted in the 2017- 2018 period in six pediatricintensive care units for children in Paraná. The workload was measured with the use of theNursing Activities Score; the sizing was based on legislation and work schedules. Data werecompared, and a bootstrap confidence interval of 95% was used in statistical analysis.Results: Considering 58 beds, 80 medical records and 412 assessments of care and workload,the nursing staff was oversized, if compared to the stipulations of the Normative ResolutionNo 543/2017 of Brazil's Federal Council of Nursing (COFEN) in two units, and in four units,according to Normative Resolution No 26/2012 of the National Health Surveillance Agency(ANVISA).Conclusion: The findings indicate the need for changes to obtain a proper staff sizing, includingworkload, and changes in legislation. When only the normative resolutions are considered,oversizing or undersizing may occur. ; Objetivo: comparar o dimensionamento da equipe de enfermagem com o estabelecido segundoa carga de trabalho e a legislação.Método: estudo documental prospectivo realizado de 2017 a 2018 em seis unidades de terapiaintensiva infantil no Paraná. A carga de trabalho foi mensurada pelo Nursing Activities Score; odimensionamento foi baseado na legislação e escala de trabalho. Os dados foram comparados e aanálise estatística utilizou intervalo de confiança bootstrap de 95%.Resultados: considerando-se 58 leitos, 80 prontuários e 412 avaliações de cuidado e carga detrabalho, o dimensionamento mostrou-se elevado em relação ao estipulado pela Resolução543/2017 do Conselho Federal de Enfermagem em duas unidades, e em quatro pela Resolução26/2012 da Agência Nacional de Vigilância Sanitária.Conclusão: os achados indicam necessidade de mudanças para adequado dimensionamento,incluindo-se a carga de trabalho, e mudanças na legislação. Ao se considerar unicamente asresoluções, é possível incorrer em super ou subdimensionamento. ; Objetivo: comparar el dimensionamiento entre la carga de trabajo efectiva del equipo deenfermería y lo que establece la legislación.Método: estudio documental prospectivo que se realizó de 2017 a 2018 en seis unidades deterapia intensiva infantil en Paraná. La carga de trabajo se midió por Nursing Activities Score;el dimensionamiento se basó en la legislación y en la escala de trabajo. Se compararon losdatos y el análisis estadístico utilizó intervalo de confianza bootstrap de 95%.Resultados: considerándose 58 camas, 80 prontuarios y 412 evaluaciones de cuidado y cargade trabajo, el dimensionamiento se mostró elevado en relación a lo estableció la Resolución543/2017 del Consejo Federal de Enfermería en dos unidades, y en cuatro por la Resolución26/2012 de la Agencia Nacional de Vigilancia Sanitaria.Conclusión: se constató la necesidad de cambios para adecuar el dimensionamiento,incluyéndose la carga de trabajo, y cambio en la legislación. Considerándose solamente lasresoluciones, es posible incurrir en super o sub dimensionamiento.

Objective: To compare nursing staff sizing in the relevant legislation according to the workload.Method: Prospective documentary study conducted in the 2017- 2018 period in six pediatricintensive care units for children in Paraná. The workload was measured with the use of theNursing Activities Score; the sizing was based on legislation and work schedules. Data werecompared, and a bootstrap confidence interval of 95% was used in statistical analysis.Results: Considering 58 beds, 80 medical records and 412 assessments of care and workload,the nursing staff was oversized, if compared to the stipulations of the Normative ResolutionNo 543/2017 of Brazil's Federal Council of Nursing (COFEN) in two units, and in four units,according to Normative Resolution No 26/2012 of the National Health Surveillance Agency(ANVISA).Conclusion: The findings indicate the need for changes to obtain a proper staff sizing, includingworkload, and changes in legislation. When only the normative resolutions are considered,oversizing or undersizing may occur. ; Objetivo: comparar o dimensionamento da equipe de enfermagem com o estabelecido segundoa carga de trabalho e a legislação.Método: estudo documental prospectivo realizado de 2017 a 2018 em seis unidades de terapiaintensiva infantil no Paraná. A carga de trabalho foi mensurada pelo Nursing Activities Score; odimensionamento foi baseado na legislação e escala de trabalho. Os dados foram comparados e aanálise estatística utilizou intervalo de confiança bootstrap de 95%.Resultados: considerando-se 58 leitos, 80 prontuários e 412 avaliações de cuidado e carga detrabalho, o dimensionamento mostrou-se elevado em relação ao estipulado pela Resolução543/2017 do Conselho Federal de Enfermagem em duas unidades, e em quatro pela Resolução26/2012 da Agência Nacional de Vigilância Sanitária.Conclusão: os achados indicam necessidade de mudanças para adequado dimensionamento,incluindo-se a carga de trabalho, e mudanças na legislação. Ao se considerar unicamente asresoluções, é possível incorrer em super ou subdimensionamento. ; Objetivo: comparar el dimensionamiento entre la carga de trabajo efectiva del equipo deenfermería y lo que establece la legislación.Método: estudio documental prospectivo que se realizó de 2017 a 2018 en seis unidades deterapia intensiva infantil en Paraná. La carga de trabajo se midió por Nursing Activities Score;el dimensionamiento se basó en la legislación y en la escala de trabajo. Se compararon losdatos y el análisis estadístico utilizó intervalo de confianza bootstrap de 95%.Resultados: considerándose 58 camas, 80 prontuarios y 412 evaluaciones de cuidado y cargade trabajo, el dimensionamiento se mostró elevado en relación a lo estableció la Resolución543/2017 del Consejo Federal de Enfermería en dos unidades, y en cuatro por la Resolución26/2012 de la Agencia Nacional de Vigilancia Sanitaria.Conclusión: se constató la necesidad de cambios para adecuar el dimensionamiento,incluyéndose la carga de trabajo, y cambio en la legislación. Considerándose solamente lasresoluciones, es posible incurrir en super o sub dimensionamiento.

In recent years, the IMF has released a growing number of reports and other documents covering economic and financial developments and trends in member countries. Each report, prepared by a staff team after discussions with government officials, is published at the option of the member country

The objective was to identify the use of personal protection equipment by nursing workers during procedures which expose them to biological fluids. It was observational, descriptive and transversal research, with a quantitative approach, undertaken in a public hospital in the state of Paraná, in January – May 2014, using nonparticipant and intentional observation of 201 procedures through the use of a checklist. It was ascertained that, in the Surgical Center, procedure gloves (97%) obtained the greatest adherence, but that closed shoes and eye protection were not used on any occasion. In the Central Sterile Services Department, no worker used the procedure gloves, either rubber or heat-resistant, although the surgical mask (44.4%) had the greatest adherence in the cleaning room. In the Intensive Care Units and Emergency Room, the procedure gloves were used (100%), although adherence to the eye protection was low (0.86%). The nursing staff did not use all the equipment stipulated by legislation during their activities. ; El objetivo de la investigación fue identificar la utilización de los equipos de protección individual por los trabajadores de enfermería, durante procedimientos que los expongan a los fluidos biológicos. Investigación observacional, descriptiva, transversal con abordaje cuantitativo, desarrollada en un hospital público del estado de Paraná, en el periodo de enero a mayo de 2014, utilizándose observación no participante e intencional de 201 procedimientos por medio de un checklist. Se verificó en el Centro Quirúgico que los guantes de procedimientos (97%) tuvieron mayor adhesión, sin embargo zapatos cerrados y gafas no fueron utilizados ninguna vez. En la Central de Material y Esterilización, ningún trabajador utilizó guantes de procedimientos, pero la máscara común (44,4%) tuvo mayor adherencia en el salón de limpieza. En las Unidades de Terapia Intensiva y Emergencia, los guantes de procedimiento fueron utilizados (100%), pero la adhesión a las gafas fue baja (0,86%). Los trabajadores de enfermería no utilizaron todos los equipos preconizados por la legislación durante sus actividades. ; O objetivo foi identificar a utilização dos equipamentos de proteção individual pelos trabalhadores de enfermagem, durante procedimentos que os exponham aos fluidos biológicos. Pesquisa observacional, descritiva, transversal com abordagem quantitativa, desenvolvida em um hospital público do estado do Paraná, no período de janeiro a maio de 2014, utilizando-se da obser vação não-par ticipante e intencional de 201 procedimentos por meio de um checklist. Verificou-se no Centro Cirúrgico que as luvas de procedimentos (97%) obtiveram maior adesão, entretanto sapatos fechados e óculos não foram utilizados nenhuma vez. Na Central de Material e Esterilização nenhum trabalhador utilizou as luvas de procedimentos, borracha e térmicas, entretanto a máscara comum (44,4%) teve maior aderência na sala de limpeza. Nas Unidades de Terapia Intensiva e Pronto Socorro as luvas de procedimento foram utilizadas (100%), porém a adesão aos óculos foi baixa (0,86%). Os trabalhadores de enfermagem não utilizaram todos os equipamentos preconizados pela legislação durante suas atividades.

Cover Page -- Title Page -- Copyright Page -- Guiné-Bissau: Pedido De Desembolso Ao Abrigo Do Instrumento De Crédito Rápido -- Sumário -- CAIXAS -- FIGURAS -- QUADROS -- APÊNDICES -- Siglas e Acrónimos -- ANTECEDENTES, DESENVOLVIMENTOS ECONÓMICOS RECENTES, PERSPECTIVAS E RISCOS -- A. Contexto -- B. Desenvolvimentos económicos recentes -- C. PERSPEcTIVAS -- RESTAURAR A ESTABILIDADE MACROECONÓMICA -- A. Restabelecimento da disciplina fiscal e normalização das operações governamentais -- B. Retoma de reformas estruturais fiscais -- 1. Principais Indicadores Económicos, 2011-16 -- 2a. Operações do Governo Central, 2011-16 (mil milhões de FCFA) -- 2b. Operações do Governo Central, 2011-16 (percentagem do PIB) -- 1. Reforma da Administração Fiscal na Guiné-Bissau -- 2. Fortalecimento da Gestão das Finanças Públicas (GFP) na Guiné-Bissau -- C. Reformas estruturais para criar condições para um crescimento económico sustentável -- 3. O FUNPI: Conceção, Implementação e Impacto -- PEDIDO DE DESEMBOLSO AO ABRIGO DA LINHA DE CRÉDITO RÁPIDO -- 3. Síntese Monetária, 2011-16 -- 4. Balanço de Pagamentos, 2011-16 -- 5. Indicadores da Capacidade de Reembolso ao FMI, 2014-24 -- AVALIAÇÃO DO CORPO TÉCNICO -- 1. Desenvolvimentos Económicos, 2009-14 -- 2. Outros Desenvolvimentos Económicos, 2009-14 -- 3. PERSPEcTIVAS a Médio Prazo, 2012-17 -- I. Estabilidade Financeira e Desenvolvimento na Guiné-Bissau -- II. Carta de Intenções -- Anexo I-Memorando de Políticas Económicas e Financeiras -- Anexo II-Memorando Técnico de Entendimento -- Sumário -- Guiné-Bissau: Pedido De Desembolso Ao Abrigo Do Instrumento De Crédito Rñpido-anexo Informativo -- RELAÇÕES COM O FMI -- RELAÇÕES COM O GRUPO BANCO MUNDIAL -- RELAÇÕES COM O GRUPO DO BANCO AFRICANO DE DESENVOLVIMENTO -- QUESTÕES ESTATÍSTICAS.

Objectives: To assess the adequacy of nursing staff and understand how these professionals perceive this issue.
Methods: evaluative, exploratory, descriptive, quantitative and qualitative study, developed in Obstetric and Mixed
Pediatric ICUs for the Hospital Don Malan / IMIP in Petrolina-PE. Was calculated the scaling nursing and 13 semistructured interviews were conducted, analyzed according to Bardin. Results: Mixed Pediatric ICU has correct number
of staff and Obstetric decreasing the frame. The units have shortage of nurses and an incorrect distribution by
category/ bed. It was observed that the nursing staff of the Pediatric ICUs Mixed considers its high workload, while in
the ICU Obstetric this was considered mild. Conclusion: The scaling of nursing without compliance with the current
legislation may compromise the quality of care offered, especially in units of critical care.

Objective: To identify in literature and education in allied health nursing practice can facilitate the process of nursing
care in the hospital. Method: Integrative Review held in LILACS database. The inclusion criteria considered in full
studies available in Portuguese, published in the last 10 years (2000 to 2010). Results: After reading and analyzing the
articles were drawn up three thematic categories: Health education and nursing; Educating through the vertical model
and horizontal, and the hospital. Conclusion: Knowledge can not simply be transferred, but instigated the educators in
this case, the individual client, the real subjects are the "building and rebuilding" the educator, both inserted in the
process of care and health education, is in the hospital or not.

Objective: To investigate generating feelings of psychological distress in nursing technicians before the process of suffering and death of the patient in a clinical unit, which is justified by the unexpected experiences and constant of daily stress faced by the nursing staff. Method: It is a qualitative and descriptive study. Data were collected through interviews with technical from clinical unit and analyzed by analysis of speech in thematic modality. Results: Feelings of frustration and powerlessness were seen by the subjects, resulting in pain, relieved by the use of some mechanisms such as religion. Conclusion: It is believed that foster opportunities for discussion about the process of death and dying, in its many cultural and scientific views can minimize suffering.

Objectives: To analyze the criteria for the peripheral venous access fixation in premature newborns used by nursing
staff of the Semi-Intensive Neonatal Unit of the public hospital in the interior of Bahia. Method: A qualitative
descriptive exploratory study that was made with sixteen professional nursing staff of a public hospital in the interior
of Bahia in the period from August to September 2009. This study was approved by the Ethics Committee, with opinion
number 01278-2009. Data were collected through semi-structured interviews and photographic records of peripheral
venous access, and analyzed through content analysis of Bardin and semiological analysis of images, respectively.
Results: The peripheral venous access fixation is achieved by inconsistent criteria and without scientific evidence.
There is no standard to guide the professionals to carry out this practice. Conclusion: We suggest the elaboration of a
care protocol care to underpin these professionals and systematize this practice, based on quality and excellence of
care.

The Tocantins Fossil Trees Natural Monument ("Monumento Natural das Árvores Fossilizadas do Tocantins") is a Fully Protected Conservation Unit (CU), which has 16 years of activities, since October 2016. In order to contribute to improving the management of the unit we present a synopsis of the actions developed by the staff, infrastructure, challenges and researches carried out in the CU. The provided information was collected from the report of the Unit´s supervisor and also obtained from literature. The developed investigations covered different areas of knowledge. The history of the CU was marked by some progress since 2013. Social-environmental activities are carried out inside the Conservation Unit and its buffer zones. In order to guide the conservation of the CU are performed courses and anti-fire measures, which are held periodically, directed to the Unit staff and local duelers from the MNAFTO. However, the latest survey evidences that the situation of the CU is far from ideal and a revision of the management plan is required.

Objective: Knowing the technologies of the working process predominant in the relationships between professionals and
users with sights to reach the comprehensiveness. Method: It is a qualitative study performed with 26 professionals of a
Psychosocial Care Unit - Centro de Atenção Psicossocial - (CAPS) in a municipality of the Rio Grande do Sul state, during
October 2006. The data were collected by means of a semi-structured interview and, subsequently, subjected to the
thematic analysis. Results: The soft, soft-hard and hard technologies are present in the CAPS daily practices, being that the
welcoming, bond and listening were identified as being soft ones; the structured skills as being soft-hard ones and the
medical charts and the psychotropic drugs as being hard ones. Conclusion: The use of technologies in the CAPS working
process might be mixed with comprehensiveness as the relationship between the health care staff and users is configured in
an interactive space.

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