Factors influencing adherence to standard precautions among nursing professionals in psychiatric hospitals

OBJECTIVE Evaluate and correlate individual, work-related and organizational factors that influence adherence to standard precautions among nursing professionals of psychiatric hospitals in São Paulo. METHOD An exploratory cross-sectional study conducted with 35 nursing professionals, using the assessment tool for adherence to standard precautions through the Likert scale, ranging from 1 to 5. RESULTS Knowledge of the precautions received a high score (4.69); adherence received (3.86) and obstacles (3.78), while intermediaries and the scales of organizational factors received low scores (2.61). There was a strong correlation between the magnitude adherence scale and the personal protective equipment availability (r = 0.643; p = 0.000). The training scale for prevention of HIV exposure (p = 0.007) was statistically different between the nurses and nursing assistants. CONCLUSION The organizational factors negatively contributed to adherence to standard precautions, indicating that psychiatric institutions lack safe working conditions, ongoing training and management actions to control infections.

Family Health Strategy professionals' view on the effects of Hansen's disease training

OBJECTIVEEvaluating how professionals of family health teams from three municipalities of Pernambuco perceive and interpret the effects of Hansen's disease training.METHODSA qualitative study using the perspective of Habermas. Six focus groups, totaling 33 nurses and 22 doctors were formed. The guide consisted of: reactions to training, learning, transfer of knowledge and organizational results.RESULTSThere were recurrent positive opinions on instructor performance, course materials, and an alert attitude to the occurrence of cases; the negative points were about lack of practical teaching, a lot of information in a short period of time and little emphasis on basic content. Low perceived self-efficacy and low locus of control, ambiguity, conflict of skills and the lack of support for the learning application. Nurses showed greater dissatisfaction with the organizational support.CONCLUSIONThe low effectiveness of training reveals the need to negotiate structured training from work problematization, considering performance conditions.

Effects of web-based electrocardiography simulation on strategies and learning styles

OBJECTIVETo identify the association between the use of web simulation electrocardiography and the learning approaches, strategies and styles of nursing degree students.METHODA descriptive and correlational design with a one-group pretest-posttest measurement was used. The study sample included 246 students in a Basic and Advanced Cardiac Life Support nursing class of nursing degree.RESULTSNo significant differences between genders were found in any dimension of learning styles and approaches to learning. After the introduction of web simulation electrocardiography, significant differences were found in some item scores of learning styles: theorist (p < 0.040), pragmatic (p < 0.010) and approaches to learning.CONCLUSIONThe use of a web electrocardiogram (ECG) simulation is associated with the development of active and reflexive learning styles, improving motivation and a deep approach in nursing students.

The influence of quality of life in treatment adherence of diabetic patients: a systematic review

AbstractOBJECTIVETo verify the influence of quality of life in treatment adherence of patients with diabetes mellitus.METHODSystematic review of the literature using the databases MEDLINE, CINAHL, Scopus, LILACS, SciELO and Web of Science with studies published between 2003 and 2014 in English, Portuguese or Spanish.RESULTSSix studies were included in the review, three were identified as having better quality of life scores, being related to better adherence to diabetes treatment measured by glycated hemoglobin or characteristics related to diet, exercise, use of medication and foot care. No association was found between quality of life and adherence in two investigations and a study found a negative association between these variables.CONCLUSIONThere is causal relationship between quality of life and adherence with diabetes treatment. It is suggested that psychosocial aspects of patients should be considered by health professionals in the search for better clinical outcomes in diabetes care.

Meanings attributed by family members in pediatrics regarding their interactions with nursing professionals

Abstract OBJECTIVE Understanding the meanings attributed by family caregivers of children in hospital environments about their interactions with nursing professionals. METHODS This qualitative study used Symbolic Interactionism as a theoretical reference and Grounded Theory as the methodological framework. It was carried out in a Pediatrics Center in southern Brazil, in the first half of 2013. Participants were 15 family caregivers of hospitalized children. Data were collected through interviews and submitted to open and axial analysis. RESULTS Interactions with the nursing team enable family to trust or distrust in the provided child care and to positively evaluate the care received. CONCLUSION Interactions between family members and the nursing team contribute to the significance attributed by the family to the nursing care received by the child. Nurses should be aware of the attitudes of the nursing team regarding the child and their family, prioritizing humanized care.

Depression and suicide risk among nursing professionals: an integrative review

Abstract OBJECTIVE Discussing the factors associated with major depression and suicide risk among nursing professionals. METHOD An integrative review in PubMed/MEDLINE, LILACS, SciELO and BDENF databases, between 2003 and 2015. RESULTS 20 published articles were selected, mostly from between 2012 and 2014, with significant production in Brazil. Nursing professionals are vulnerable to depression when young, married, performing night work and having several jobs, and when they have a high level of education, low family income, work overload, high stress, insufficient autonomy and a sense of professional insecurity and conflict in the family and workrelationship. Suicide risk was correlated with the presence of symptoms of depression, high levels of emotional exhaustion, depersonalization and low personal accomplishment; characteristics of Burnout Syndrome. CONCLUSION Suicide risk among nursing professionals is associated with symptoms of depression and correlated with Burnout Syndrome, which can affect work performance.

Interrater reliability of Nursing Activities Score among Intensive Care Unit health professionals

ABSTRACT Objective To analyze the interrater reliability of NAS among critical care nurses and managers in an ICU. Method This was a methodological study performed in an adult, general ICU in Norway. In a random selection of patients, the NAS was scored on 101 patients by three raters: a critical care nurse, an ICU physician and a nurse manager. Interrater reliability was analyzed by agreement between groups and kappa statistics. Results The mean NAS were 88.4 (SD=16.2) and 88.7 (SD=24.5) respectively for the critical care nurses and nurse managers. A lower mean of 83.7 (SD=21.1) was found for physicians. The 18 medical interventions showed higher agreement between critical care nurses and physicians (85.6%), than between critical care nurses and nurse managers (78.7). In the five nursing activities the Kappa-coefficients were low for all activities in all compared groups. Conclusion The study indicated a satisfactory agreement of nursing workload between critical care nurses and managers.

Web sites governamentais, uma esplanada à parte

Análise e avaliação de web sites do governo federal brasileiro, especificamente dos ministérios pertencentes aos setores constantes do programa Sociedade da Informação. O trabalho foi realizado mediante aplicação de lista de critérios e recomendações ergonômicas. Os critérios foram agrupados em quatro grandes quesitos: abrangência e propósito, conteúdo, planejamento visual/gráfico e funcionalidade. Concluiu-se que, com relação aos critérios adotados neste trabalho, os sites dos órgãos governamentais devem procurar maior adequação às recomendações ergonômicas.

Ferramentas de busca na Web

Existem hoje centenas de ferramentas para busca de informações nas cerca de um bilhão de páginas HTML que se estimam existir na Web. As peculiaridades destas ferramentas influenciam no tipo, número e qualidade dos recursos recuperados através delas. Este artigo oferece uma visão das principais categorias de ferramentas de busca da Internet, suas semelhanças, diferenças e características, bem como analisa as vantagens e desvantagens associadas a cada uma, de forma a proporcionar ao profissional da informação instrumental para aumentar sua eficiência na procura de recursos informacionais.

Avaliação do acesso a periódicos eletrônicos na web pela análise do arquivo de log de acesso

Este artigo apresenta uma abordagem sobre a avaliação do acesso a periódicos eletrônicos disponibilizados na World Wide Web por meio da análise do arquivo de log de acesso. O arquivo de log de acesso da revista Informação & Sociedade: Estudos é processado e apresentado como um exemplo de aplicação do uso de uma ferramenta automatizada de análise para arquivo de iog de acesso. As características inerentes à análise do arquivo de log de acesso são apresentadas e discutidas.

Análise de dinâmica de uso e de desempenho: o caso do web site da Embrapa Monitoramento por Satélite

A Embrapa Monitoramento por Satélite, há mais de uma década, utiliza a Internet como meio de difusão de resultados de pesquisa e de interação com clientes, parceiros e usuários. Com intuito de avaliar o uso do web site por esse público e o desempenho do sistema de comunicação eletrônica envolvido, tem-se utilizado o programa Webalizer, que monitora e elabora estatísticas de entradas e saídas do sistema, com base na análise de arquivos de log. Com os indicadores contabilizados pelo programa foi possível avaliar aspectos sobre a origem dos acessos, as ações executadas pelos usuários e sobre aspectos do desempenho do sistema em termos de respostas enviadas às solicitações dos usuários. Os resultados podem possibilitar a remodelagem do web site, de modo a melhorar a dinâmica de interação instituição-usuário e promover o desenvolvimento de uma abordagem própria de análise de logs.

Análisis de conectividad en la recuperación de información web

En este trabajo se presenta una introducción a los patrones de enlace, brindados por la estructura de red de la World Wide Web, como una nueva fuente de información para la recuperación de información efectiva y eficiente. Se describen sus características y tres tipos de algoritmos de ordenación por relevancia basados en el análisis de conectividad.

Fatores motivadores de uso de site web: um estudo de caso

A partir da adaptação de um conjunto de critérios de avaliação de sites web centrados no usuário, foram identificados fatores motivadores de uso de site de governo eletrônico. O site web selecionado para análise foi o Comprasnet. O objetivo geral da pesquisa foi identificar os critérios determinantes na tomada de decisão pela opção de uso do Comprasnet. Para tanto, foram realizadas entrevistas por telefone, em âmbito nacional, com os usuários do Comprasnet. Concluiu-se com a apresentação e discussão dos fatores motivadores de uso do Comprasnet, e foram apresentadas as limitações e recomendações para estudos posteriores.