Teaching and learning sexuality in nursing education

Sexuality is recognized as part of holistic nursing care, but its inclusion in clinical practice and nursing training is inconsistent. Based on the question "How students and teachers acknowledge sexuality in teaching and learning?", we developed a study in order to characterize the process of teaching and learning sexuality in a micro perspective of cur- riculum development. We used a mixed methods design with a sequential strategy: QUAN → qual of descriptive and explanatory type. 646 students and teachers participated. The quantitative component used ques- tionnaire surveys. Document analysis was used in the additional component. A curricular dimension of sexuality emerges guided by a behaviourist line and based on a biological vision. The issues considered safe are highlighted and framed in steps of adolescence and adulthood and more attached to female sexuality and the procreative aspect. There is in emergence a hidden curriculum by reference to content from other dimensions of sexuality but less often expressed. Theoretical learning follows a communicational model of reality through ab- straction strategies, which infers a deductive method of learning, with a behaviourist approach to assessment. Clinical teaching ad- dresses sexuality in combination with reproductive health nursing. The influencing factors of teaching and learning of sexuality were also explored. We conclude that the vision of female sexuality taught and learned in relation to women has a projection of care in clinical practice based on the same principles.

Teaching and learning sexuality in nursing education

Sexuality is recognized as part of holistic nursing care, but its inclusion in clinical practice and nursing training is inconsistent. Based on the question "How students and teachers acknowledge sexuality in teaching and learning?", we developed a study in order to characterize the process of teaching and learning sexuality in a micro perspective of curriculum development. We used a mixed methods design with a sequential strategy: QUAN-qual of descriptive and explanatory type. 646 students and teachers participated. The quantitative component used questionnaire surveys. Document analysis was used in the additional component. A curricular dimension of sexuality emerges guided by a behaviourist line and based on a biological vision. The issues considered sage are highlighted and framed in steps of adolescence and adulthood and more attacghed to female sexuality and procreative aspect. There is in emeergence a hidden curriculum by reference to content from other dimensions of sexuality but less often expressed. Theoretical learning follows a communicational model of reality through abstraction strategies, which infers a deductive method of learning, with a behaviourist approach to assessment. Clinical teaching adresses sexuality in combination with reproductive lealth nursing. The influencing factors of teaching and learning of sexuality were also explored. We conclude that the vision of female sexuality taught and learned in relation to women has a projection of care in clinical practice based on the same principles

Nursing Interventions in Prevention and Healing of Leg Ulcers: Systematic Review of the Literature

Aim: The purpose of this study was to define nursing interventions for patients with venous, arterial or mixed leg ulcers. Methodology: A survey was conducted in EBSCO (CINAHL Plus with Full Text, MEDLINE with Full Text), MedicLatina, Academic Search Complete, with full text articles, published between 2008/01/01 and 2015/01/31, with the following keywords: [(MM "leg ulcer") OR (wound care) OR (wound healing)] AND [(nursing) OR (nursing assessment) OR (nursing intervention)]. Results: The different leg ulcer etiologies require different therapeutic approach to prevention and treatment. Predictive factors were identified associated with healing: patient-centred care, interpersonal relationship, pain control, control of the exudate, education for health self-management, self-care, therapeutic compliance, implementation of guidelines, auditing and feedback on the practices. Conclusion: Evidence-based practice helps to improve efficiency, safety and quality of nursing care directed to people with leg ulcers or at risk of developing this type of wounds.

Nursing Interventions in Prevention and Healing of Leg Ulcers: Systematic Review of the Literature.

Abstract Aim: To identify nursing interventions aimed at persons with venous, arterial or mixed leg ulcers. Methodology: Carried out research in the EBSCO search engine: CINAHL Plus with Full Text, MEDLINE with Full Text, MedicLatina, Academic Search Complete, sought full text articles, published between 2008/01/01 and 2015/01/31, with the following keywords [(MM "leg ulcer") OR (wound care) OR (wound healing)] AND [(nursing) OR (nursing assessment) OR (nursing intervention)], filtered through initial question in PI[C]O format. Results: The different etiologies of leg ulcer require a specific therapeutic and prophylactic approach. Factors that promote healing were identified: individualization of care, interpersonal relationship, pain control, control of the exudate, education for health self-management, self-care, therapeutic adherence, implementation of guidelines of good practice and auditing and feedback of the practices. Conclusion: Person-centred care and practices based on evidence improves health results in prevention and treatment of leg ulcers.

Moçambique: educação e VIH/SIDA: as perspectivas dos professores e directores face ao VIH/SIDA na realidade ecolar

Esta dissertação centra-se na análise da perspectiva dos directores/ professores de Educação Cívica e Moral da 6ª e 7ª das Escolas Primárias e Completas (EPCs) na realidade do VIHISIDA nessas mesmas escolas, considerando as representações que estes actores têm face a esta patologia. Este estudo visa apreender a construção da resposta ao fenómeno no quotidiano escolar. Pretende, igualmente, avaliar as representações dos actores face às intervenções e hipóteses de melhoria da resposta dada. E, ainda, chamar a atenção da sociedade, do ministério e da escola, para a necessidade de se ouvir as diversidades que caracterizam as escolas na resposta ao VIH/SIDA. O trabalho de campo foi realizado nas EPCs do Distrito de Quelimane e Nicoadala, com base em entrevistas semi-estruturadas realizadas aos Directores e aos professores da província da Zambézia. Foi igualmente feita recolha documental e bibliográfica, tendo-se recorrido ao apoio de teorias pertinentes ao estudo. Face à investigação realizada, podemos concluir que, apesar do envolvimento dos actores locais no processo de prevenção do VIH/SIDA, existem carências e lacunas a nível da respectiva formação pedagógica e epidemiológica, a nível das condições de trabalho e no que diz respeito às fracas articulações entre o Ministério da Educação e o Ministério da Saúde. ABSTRACT: This dissertation focuses on the perspectives of the principals/teachers of civic and moral education of the 6th and 7th classes o EPC’s on the reality on HIV/AIDS in schools, considering the representation that they have on this pathology. This study aims to understand the construction of responses to the phenomenon in the everyday life. It also aims to take a closer look at the representations of the actors on the interventions and the possibilities of improving the daily responses of the EPC's. Another aspect that was considered was of the society, the ministry and schools on the relevance of listening and nuances of schools in response to HIVIAIDS. Based on the fieldwork in the districts of Quelimane and Nicoadala, semi-structured interviews with school principals/ teachers were carried out as well as the collection of documents, bibliographies and the support of pertinent theories. According to this research we can conclude that besides the local actors' involvements in the prevention process of HIVIAIDS, there are lacks and needs on teaching training and on epidemics, on working conditions and a weak dialogue between Education and Health Ministries.