O ensino de enfermagem gerontológica na formação do enfermeiro

At the current time of demographic changes in the world , it is observed that the health sector requires restructuring of its practices in caring for the elderly , in order to enable a comprehensive and humane care . In this sense, we identify the need for qualified professionals to assist the elderly and, therefore , it is important that training curricula are adequate to this reality . The study aims to analyze how it develops teaching gerontological nursing component in undergraduate nursing . This is a descriptive , exploratory study with a qualitative approach, in two higher education institutions in the city of Natal / RN . The population involved corresponded to the coordinators of graduate courses in nursing and teachers who teach content of health care for the elderly, a total of seven participants . The data collection instruments were used: a questionnaire containing questions related to the characterization of the participants and the teaching of gerontological nursing in undergraduate courses in nursing and a form with items of analysis for pedagogical projects . The results were presented descriptively in tables and analyzed from coming themes of the main themes of the instruments defined in: knowledge about the research participants , knowledge of teaching gerontological nursing component and knowledge of pedagogical projects , discussed under Resolution paragraph . 03 of 7/11/2001 , which establishes standards for the nursing program , the educational projects of educational institutions , the Theoretical Donald Shoon and thematically relevant literature . The results indicate that the majority of participants were female (four), all have graduate though , none of them stated in the qualification of aging or elderly health area; the organization of the contents of the component in the curriculum, workload theoretical- methodological and practical teaching strategies presented was heterogeneous and sometimes diverging at the same institution . On the definition of gerontological nursing component was identified that is not well defined along the pedagogical design of educational institutions surveyed . It was concluded that in the context of this study , teaching gerontological nursing is present in the course of nursing education, but needs reevaluation and updating in order to teach a wider range of driving and health practices

Vivência do enfermeiro no cuidado humano na Unidade de Terapia Intensiva adulto

The purpose of the study was to understand the nurse s experience with human care in the Adult Intensive Care Unit (ICU). The objective was to describe the nurse s experience in caring for patients in the ICU and to analyze the nurse s perception of the care provided. The study is a descriptive inquiry of qualitative nature with a phenomenological approach. We interviewed eight nurses, 26 and 43 years of age, that provide care in the ICU of a private hospital in Natal/RN, during the manths of July and August of 2006. We analyzed the data acording to the method of Colaizzi. Four categories emerged from the data: The search for the maintenance of life, The technicalbureaucratic activities, The recognition of the patient s individuality, and the expression of the nurse s feelings.The analysis allowed us to describe the lived experience of the nurse s care the ICU and to comprehend the structural elements of this experience. The results showed that the nurse s experience presents itself as a process of the several actions and feelings that occur while the social relations between the patient and the nurse develop. Finally, we understand that although the study shows an experience based on a biological model of health, these nurses possess an initial idea on how to reach humanized care in its essence, needing, however, of an institutional policy that favors this practice, an educational formation that prepares her to recognize her field of work as a place of continuous learning and an understanding of the health model as an ally in the search of humanized care

Sistema especialista para detecção de falhas em comandos elétricos

This work consists of the creation of a Specialist System which utilizes production rules to detect inadequacies in the command circuits of an operation system and commands of electric engines known as Direct Start. Jointly, three other modules are developed: one for the simulation of the commands diagram, one for the simulation of faults and another one for the correction of defects in the diagram, with the objective of making it possible to train the professionals aiming a better qualification for the operation and maintenance. The development is carried through in such a way that the structure of the task allows the extending of the system and a succeeding promotion of other bigger and more complex typical systems. The computational environment LabView is employed to enable the system

Sistema Especialista para Supressão Online de Alarmes em Processos Industriais

Operating industrial processes is becoming more complex each day, and one of the factors that contribute to this growth in complexity is the integration of new technologies and smart solutions employed in the industry, such as the decision support systems. In this regard, this dissertation aims to develop a decision support system based on an computational tool called expert system. The main goal is to turn operation more reliable and secure while maximizing the amount of relevant information to each situation by using an expert system based on rules designed for a particular area of expertise. For the modeling of such rules has been proposed a high-level environment, which allows the creation and manipulation of rules in an easier way through visual programming. Despite its wide range of possible applications, this dissertation focuses only in the context of real-time filtering of alarms during the operation, properly validated in a case study based on a real scenario occurred in an industrial plant of an oil and gas refinery

Sistema especialista fuzzy para dimensionamento de bombeio mecânico

Despite the emergence of other forms of artificial lift, sucker rod pumping systems remains hegemonic because of its flexibility of operation and lower investment cost compared to other lifting techniques developed. A successful rod pumping sizing necessarily passes through the supply of estimated flow and the controlled wear of pumping equipment used in the mounted configuration. However, the mediation of these elements is particularly challenging, especially for most designers dealing with this work, which still lack the experience needed to get good projects pumping in time. Even with the existence of various computer applications on the market in order to facilitate this task, they must face a grueling process of trial and error until you get the most appropriate combination of equipment for installation in the well. This thesis proposes the creation of an expert system in the design of sucker rod pumping systems. Its mission is to guide a petroleum engineer in the task of selecting a range of equipment appropriate to the context provided by the characteristics of the oil that will be raised to the surface. Features such as the level of gas separation, presence of corrosive elements, possibility of production of sand and waxing are taken into account in selecting the pumping unit, sucker-rod strings and subsurface pump and their operation mode. It is able to approximate the inferente process in the way of human reasoning, which leads to results closer to those obtained by a specialist. For this, their production rules were based on the theory of fuzzy sets, able to model vague concepts typically present in human reasoning. The calculations of operating parameters of the pumping system are made by the API RP 11L method. Based on information input, the system is able to return to the user a set of pumping configurations that meet a given design flow, but without subjecting the selected equipment to an effort beyond that which can bear

Projeto político de formação do enfermeiro: contextos, textos, (re)construções

This research analyses politic Project for nursing education, in its articulation with economical, political and social context of 1970s and 1980s in national level and, in special, nurse formation process in FAEN/UERN space, situating it on the context of Brazilian sanitary reformation movement and participation movement. The thesis is firmed on the sense of explaining whether that movement circa the nurse formation process has been able to build necessary instruments for the transformation of biomedical formation model historically consolidated, in the perspective of conceiving another model anchored on social determination of health/illness process, with the purpose of assuring ethical and political commitment with the SUS praised by sanitary reformation. The study visualized the object considering its specificity, its concrete historical determinations and institutional as well as organizational relationships that permeate possibilities of valorizing it, analyzing it, interpreting it and rebuilding it. Its operationalization occurred in three movements, it means, bibliographical review; documents study; interviews and focal groups realized with professors of the institution. We can apprehend as main results that the nurse formation process has incorporated widely spread conceptions by the sanitary reformation movement and participation movement, assuming the commitment with transformation of health services and social reality. Nevertheless it prevails, still, amongst some professors in the same institutional space, the commitment to a predominantly technicist formation, focused on instrumental knowledge. Opinion divergence explicit diversity of conceptions circa education and, as consequence, distinct political commitments, also contradictory to formation. Thus, there is a lacuna between what is foreseen on political pedagogical project and what is rendered in FAEN/UERN, evidencing the clash related to conceptual bases of formation project. Interpretations, divergent political attitudes and resistances to the process allowed several formation ways. However, formation under new conceptual bases, find limits on the context of social politics implemented in Brazil during the 1990s, neoliberal-based, expressed on expansion and consolidation of health private system, managed by market rules, strengthening biomedical formation model. Notwithstanding, there is a favorable to its implementation, starting from the first years of 21st century, moment when Brazilian sanitary reformation reappear on health speech, as well as facing the policy of permanent education in health. This reality explicit a process of dialectical tension between instituted and institutor, anticipating the moment of scission or adaptation and return to what is already known. Despite of clashed, knowledge, accumulated experience, contribution to services, the construction of partnerships out of university space and articulation with national movement of (re)orientation of nurse formation, have been constituted as vital instruments to offer support to formation in FAEN/UERN. Still, we consider necessary the (re)visitation to FAEN/UERN politic pedagogical Project considering the existing and implemented construction, without, yet, depreciate the norther axis of the project at the reaching of its intentionality

Caracterização das atividades diárias do enfermeiro chefe de seção em um hospital universitário

Trata-se de um estudo descritivo com a finalidade de identificar se o planejamento da assistência de enfermagem faz parte das atividades diárias dos 19 enfermeiros chefes de seção de um Hospital Universitário, através da análise temática de suas entrevistas. Verificou-se que das 309 atividades relatada pelos entrevistados, 71,51% são administrativas, 19,43% delegáveis, 18,74% assistenciais e 0,32% relacionadas apenas ao ensino, visto que as atividades com pesquisas não foram relatadas por eles. Dentre as atividades administrativas, o planejamento formal da assistência de enfermagem não foi mencionado como atividade diária desses enfermeiros. Alicerçadas nos resultados, as autoras fazem recomendações à Instituição em estudo e aos Cursos de Graduação em Enfermagem.

A sinalização do enfermeiro entre os papéis de familiares visitantes e acompanhante de adulto e idoso

Trata-se de um estudo qualitativo, utilizando-se, como referencial teórico, o Interacionismo Simbólico e, como referencial metodológico, a Grounded Theory, visando: compreender a experiência interacional de familiares visitantes e acompanhantes de adultos e idosos hospitalizados, há mais de sete dias, em um Hospital Universitário de grande porte do Estado de São Paulo, e desenvolver um modelo teórico representativo dessa experiência. As estratégias para obtenção dos dados foram a observação e a entrevista. Dos resultados, emergiram dois fenômenos: vivendo a expectativa pela internação no Hospital Universitário e assumindo o papel de familiar visitante ou de familiar acompanhante. A compreensão da experiência nos permitiu ampliar o conhecimento, referente ao movimento que eles empreenderam na vivência denominada como movendo-se perante a sinalização do enfermeiro entre os papéis de familiar visitante e familiar acompanhante: compartilhando uma experiência de poucos prazeres em solidariedade ao adulto e ao idoso hospitalizados.

Qualidade de vida no trabalho do enfermeiro da Atenção Básica à Saúde

OBJETIVOS: Apreender as concepções e experiências de enfermeiros sobre qualidade de vida e qualidade de vida no trabalho na Atenção Básica à Saúde. MÉTODOS: Estudo descritivo de abordagem qualitativa, realizado no interior paulista, Brasil, com oito enfermeiros cujos depoimentos foram submetidos à análise de conteúdo, na vertente temática. RESULTADOS: Os enfermeiros apresentaram concepções ampliadas sobre qualidade de vida e qualidade de vida no trabalho, em geral, apresentando-se satisfeitos quanto às mesmas. Entretanto, foram apontados entraves comprometedores da qualidade de vida dos profissionais no contexto estudado determinados, principalmente, pela falta/inadequação de recursos materiais, humanos e ambientais, bem como pelo processo de trabalho estabelecido. CONCLUSÃO: Embora haja o reconhecimento da satisfação em trabalhar na Atenção Básica à Saúde, os problemas apontados revelam a importância de se mobilizar maior atenção dos profissionais e gestores para o tema.

Organização do sistema de referência e contra-referência no contexto do Sistema Único de Saúde: a percepção de enfermeiro

Este estudo teve como objetivo compreender e desvelar a percepção de enfermeiros sobre o sistema de referência e contra-referência, no contexto do Sistema Único de Saúde do município de Botucatu ISP/BR, a partir da experiência vivenciada na prática. Para tanto, optamos pela pesquisa qualitativa, na modalidade do fenômeno situado, vertente metodológica da fenomenologia. Num primeiro momento, buscamos realizar uma revisão histórica sobre o processo de construção do Sistema Único de Saúde no Brasil e o significado do sistema de referência e contra-referência neste contexto. A construção dos resultados foi realizada a partir das análises ideográfica e nomotética dos depoimentos de treze enfermeiras, tendo emergido destes treze temas, posteriormente agrupados em três categorias principais: o funcionamento do sistema de referência e contra-referência, as possibilidades de encaminhamento da clientela e fatores estruturais do sistema local, desvelando que a referência e contra-referência ainda não passa de um horizonte e só funciona quando há empenho pessoal dos profissionais isoladamente.

Toque: qual o uso atual pelo enfermeiro?

Este trabalho tem como objetivo verificar o uso do toque pelo enfermeiro, na categoria proposta por LE MAY (1986), assim como sua percepção de quando e por que ele o utiliza. Foram entrevistados, para tanto, 37 enfermeiros (20 docentes, 16 assistenciais e 1 aprimorando), em setembro de 1995, na capital e interior do Estado de São Paulo, constatando-se que a maioria da amostra coletada fez menção ao toque de forma expressiva, referindo utilizá-lo principalmente para demonstrar empatia e segurança em momentos que percebe a expressão das emoções do paciente.

O papel do enfermeiro como educador junto a cuidadores familiares de pessoas com AVC.

This article was written based on bibliographical research aiming at making a thematic analysis of the production of knowledge in newspapers and magazines about the nurse's role as an educator toward people who care for BVA (brain vascular accident) patients. The analysis gathered articles published in the 80's and 90's, from the Medline, Lilacs and Cinahl databases. Content analysis was the methodological background that allowed the organization of knowledge in two categories: educational intervention in the acute stage and the post-discharge support.

Sistema especialista para a monitoração do processo de degradação de medidores tipo indução de energia elétrica ativa

This paper presents a methodology and software for hazard rate analysis of induction type watt-hour meters, considering the main variables related with the degradation process of these meters, for the Elektro Electricity and Services SA. The modeling developed to calculate the watt-hour meters hazard rate was implemented in a tool through a user friendly platform, in Delphi language, enabling not only hazard rate analysis, but also a classification by risk range, localization of installation for the analyzed meters, and, allowing, through an expert system, the sampling of induction type watt-hour meters, based on the model risk developed with artificial intelligence, with the mainly goal of follow and manage the process of degradation, maintenance and replacement of these meters. © 2010 IEEE.

Entre o êxito e a frustação com a operacionalização da SAE: recursos humanos como componente determinante para a visibilidade do enfermeiro no processo de trabalho

Pós-graduação em Enfermagem (mestrado profissional) - FMB