Natureza e fonte de conflitos relacionais no contexto da oncologia pediátrica: revisão integrativa da literatura / Nature and source of conflicts of relationships in the context of pediatric oncology: an integrative literature review

Identificar os conflitos relacionais no contexto da oncologia pediátrica quanto a sua natureza e fonte. Revisão integrativa da literatura nas bases PubMed (National Center for Biotechnology Information), CINAHL (Cummulative Index to Nursing and Allied Health Literature) e LILACS (Literatura Latino-Americana e do Caribe em Ciências da Saúde); e na Biblioteca Científica Eletrônica Online SciELO (Scientific Electronic Library Online), nos últimos dez anos, nas línguas inglesa, espanhola e portuguesa. Utilizou-se Análise Qualitativa de Conteúdo para guiar o processo analítico. Identificaram-se sete tipos de natureza dos conflitos e três temas referentes às fontes de conflitos: dificuldades dos profissionais no envolvimento com as famílias e as crianças; repercussões negativas da hospitalização para o funcionamento familiar; e insuficiência de suporte à equipe multiprofissional.Destacam-se como natureza de conflitos os do tipo intrafamiliares e entre profissionais e família; e como fonte de conflitos as barreiras na comunicação e as alterações familiares. A síntese do conhecimento pode auxiliar profissionais da saúde a identificar conflitos na prática clinica.

To identify the conflicts of relationships in the pediatric oncology context regarding its nature and source. Integrative literature review, in National Center for Biotechnology Information (PubMed), Cummulative Index to Nursing and Allied Health Literature (CINAHL), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Scientific Electronic Library Online (SciELO), in the last ten years, in English, Spanish and Portuguese. A Qualitative Content Analysis conducted data analysis. Seven types of conflicts were identified and three themes of sources of conflicts emerged: the professionals' difficulty in the involvement with the families and children; negative repercussions of hospitalization on the family functioning; lack of institutional politics of support to the families, professionals and children. Thenatures of conflict evidenced in this literature review were within the family and between staff and families. The sources of conflict were communication barriers and changes in family functioning. This synthesis can help health professionals to identify conflicts in practice.

Creación y evolución del grupo de investigación: perspectivas de cuidado definición de las líneas de investigación / Creation and development of the research group: perspectives of care establishing lines of inquiry

La enfermería es una disciplina profesional cuyo componente disciplinar se fortaleció en el siglo XX. Como es necesario continuar el proceso, es de primordial importancia el aporte de la academia en forma organizada y una de las alternativas es a través de la creación de líneas de investigación. Consciente de ello la Facultad de Enfermería de la Fundación Universitaria de Ciencias de la Salud decidió realizar el proceso con la participación de sus docentes y así orientar las líneas de investigación de acuerdo con las áreas de conocimiento y los enfoques teóricos y metodológicos establecidos. Para el desarrollo se asumió el concepto de investigación integrativa, según el cual las líneas de investigación tienen que ver tanto con el área temática como con el nivel, las fases y los tipos de investigación. El proceso fue cualitativo y se originó con un grupo de dos enfermeras con especialización y experiencia en diferentes áreas y una epidemióloga, quienes revisaron y analizaron los trabajos de investigación realizados por docentes y estudiantes en el histórico de producción investigativa de la facultad, desde 1992 en pregrado y a partir de 1996 en las especializaciones. Los resultados se tomaron como base para identificar los temas de interés de los profesores y se definieron dos líneas de investigación: “Desarrollo histórico y teórico de enfermería” y “Enfermería al cuidado de la persona”. En cada una se determinaron y fundamentaron las áreas que la conforman. El proceso culminó con la creación del grupo Perspectivas de cuidado y su registro en COLCIENCIAS.

Nursing is a professional field whose disciplinary component strengthened in the 20th century. Organized academic support is essential for the process needs to continue. Building lines of inquiry is one of the alternatives. Aware of this the Nursing School of the Health Sciences University Foundation decided to conduct the process with its faculty members and thus orient the lines of inquiry according to determined knowledge patterns and theoretical approaches and methodologies. The concept of comprehensive research in which lines of inquiries are related to the thematic area as well as to the level, phases and types of research, was adopted. This qualitative process started with a group of two experienced nurses specialized in different areas, and a female epidemiologist, who reviewed and analyzed the historical research work production of the faculty and students of the school since 1992 at undergraduate level and since 1996 at postgraduate level. Results were considered as the fundamental to identify the topics of interest of the professors and defined two lines of inquiry: “Historical and Theoretical Development of Nursing” and “Nursing and Patient Care”. Component areas were determined and established in each of them. The ultimate achievement of this process was the creation of the Perspectives of Care group and its registration in COLCIENCIAS.