Creating spaces for care for nurses working in the pandemic in light of the nursing process.

OBJECTIVES: To make a dialog about the nursing professionals' perception regarding how they cope with COVID-19 and the repercussions on their practice and personal life. METHODS: This is a qualitative study, typified as participatory action research, which was carried out using Paulo Freire's Research Itinerary linked to the steps of the Nursing Process. To that end, the following guiding question was launched: How is it for you to act as a nursing professional in the hospital area during the COVID-19 pandemic? RESULTS: Three syntheses emerged, which guided the discussion: The challenges of being a nursing professional in the pandemic. The learning and growth that the challenges of the pandemic have generated and Nursing as the protagonist of care. The Virtual Culture Circle was a space where, despite the limitations, provided a social interaction among the participants, with mutual exchange of experiences, with many reflections, besides expressions of feelings, experiences and learning obtained during the COVID-19 pandemic. CONCLUSIONS: The nurses perceived that, although this moment highlights and appreciates the profession, nursing is overloaded and exhausted by the COVID-19 pandemic, with repercussions on professional and personal life. The care for those who care needs to be planned and implemented in different scenarios, and the Nursing Process built based on theoretical and scientific knowledge guide the effective improvement of the quality of health care.

COVID-19 vaccination campaign: dialogues with nurses working in Primary Health Care.

OBJECTIVE: To reflect on the perception of nurses working in Primary Health Care about the development of the COVID-19 vaccination campaign. METHOD: This is a participatory action qualitative study, based on the methodological theoretical precepts by Paulo Freire, which consists of three interconnected phases: Thematic Research, Coding and Decoding, and Critical Unveiling. Three virtual Culture Circles were held between February and March 2021, with 11 nurses from Primary Health Care, residing in Santa Catarina, Brazil. RESULTS: Nurses defined two themes for discussion in the Culture Circle: 1. Matches in the COVID-19 vaccination campaign, representing the potentialities; 2. Mismatches in the COVID-19 vaccination campaign, in which the weaknesses were revealed. CONCLUSION: Nurses indicated potentialities such as teamwork, with hope, motivation, and joy in the vaccination campaign operationalization, through innovative and old actions. They also highlighted weaknesses such as lack of specific training and communication, difficulties with recording and application of the immunobiological, mentioning the anti-vaccine movement and the intense work, which requires adjustments to improve assistance to the population.

Virtual cultural circle: promoting the health of nurses fighting the covid-19.

OBJECTIVE: To report a virtual Cultural Circle experience implemented with nurses to allow them to dialogue and promote health amidst the pandemic of the Coronavirus Disease 2019 (COVID-19). METHOD: Experience report of a virtual Cultural Circle based on Paulo Freire's framework. The stages were correlated to the oil lamp, the symbol of the nursing profession: the lamp body was considered the Thematic Investigation, the lamp support corresponded to Encoding and Decoding, and the light corresponded to Critical Unveiling. Fourteen nurses working in different health settings located in different Brazilian regions participated. RESULTS: Two themes emerged: adjusting my inner light and taking care of my family and work. FINAL CONSIDERATIONS: The nurses exchanged experiences and strengthened themselves to overcome the challenges imposed by the fight against the COVID-19, acquiring autonomy to take care of themselves and provide care to others.

Determinantes sociais da saúde de mulheres imigrantes haitianas: repercussões no enfrentamento da COVID-19

Objetivos: Compreender as repercussões da COVID-19 no contexto dos determinantes sociais da saúde de mulheres imigrantes haitianas. Método: Estudo qualitativo, tipo ação-participante, fundamentado nos pressupostos de Freire, realizando-se um Círculo de Cultura Virtual, com a participação de 11 mulheres imigrantes haitianas. Foram percorridas as etapas do Itinerário de Pesquisa: Investigação Temática;Codificação e Descodificação;Desvelamento Crítico. Resultados: Nos diálogos emergiram o medo em relação à pandemia, escassos recursos econômicos, preconceito e racismo como aspectos dos determinantes sociais de saúde, que implicam na sua saúde mental das imigrantes, mas que referiram sentir-se acolhidas no Brasil. Conclusão: A partir dos determinantes sociais da saúde, apresentados pelas mulheres imigrantes haitianas no enfrentamento da pandemia mostra- se relevante a articulação entre ações de promoção da saúde, com ênfase na competência cultural, de forma a estimular o empoderamento das pessoas. Objectives: To understand the repercussions of COVID-19 in the context of the social determinants of health of Haitian immigrant women. Method: Qualitative, participatory action study, based on Freire's assumptions, with a Virtual Culture Circle andbthe participation of eleven Haitian immigrant women. The stages of the Research Itinerary were covered: Thematic Research;Encoding and Decoding;Critical Unveiling. Results: In the dialogues, fear of the pandemic, scarce economic resources, prejudice, and racism emerged as aspects of the social determinants of health, which affect the mental health of immigrants but who mentioned feeling welcomed in Brazil. Conclusion: Based on the social determinants of health, presented by Haitian immigrant women in facing the pandemic, the collaboration between health promotion actions is relevant, with an emphasis on cultural capability, in order to stimulate the empowerment of individuals.

Determinantes sociais da saúde de mulheres imigrantes haitianas: repercussões no enfrentamento da COVID-19

Objetivos: Compreender as repercussões da COVID-19 no contexto dos determinantes sociais da saúde de mulheres imigrantes haitianas. Método: Estudo qualitativo, tipo ação-participante, fundamentado nos pressupostos de Freire, realizando-se um Círculo de Cultura Virtual, com a participação de 11 mulheres imigrantes haitianas. Foram percorridas as etapas do Itinerário de Pesquisa: Investigação Temática;Codificação e Descodificação;Desvelamento Crítico. Resultados: Nos diálogos emergiram o medo em relação à pandemia, escassos recursos econômicos, preconceito e racismo como aspectos dos determinantes sociais de saúde, que implicam na sua saúde mental das imigrantes, mas que referiram sentir-se acolhidas no Brasil. Conclusão: A partir dos determinantes sociais da saúde, apresentados pelas mulheres imigrantes haitianas no enfrentamento da pandemia mostra- se relevante a articulação entre ações de promoção da saúde, com ênfase na competência cultural, de forma a estimular o empoderamento das pessoas. Objectives: To understand the repercussions of COVID-19 in the context of the social determinants of health of Haitian immigrant women. Method: Qualitative, participatory action study, based on Freire's assumptions, with a Virtual Culture Circle andbthe participation of eleven Haitian immigrant women. The stages of the Research Itinerary were covered: Thematic Research;Encoding and Decoding;Critical Unveiling. Results: In the dialogues, fear of the pandemic, scarce economic resources, prejudice, and racism emerged as aspects of the social determinants of health, which affect the mental health of immigrants but who mentioned feeling welcomed in Brazil. Conclusion: Based on the social determinants of health, presented by Haitian immigrant women in facing the pandemic, the collaboration between health promotion actions is relevant, with an emphasis on cultural capability, in order to stimulate the empowerment of individuals.

Cancer in times of COVID-19: repercussions in the lives of women undergoing oncological treatment

RESUMO Objetivo compreender a vivência do enfrentamento e repercussões da COVID-19, na percepção de mulheres em tratamento oncológico. Método estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática;Codificação e Descodificação;Desvelamento Crítico. Foi realizado Círculo de Cultura virtual, com a participação de 12 mulheres em tratamento do câncer de mama, de diferentes localidades do Brasil. Resultados no Círculo de Cultura virtual discutiram dois temas: desafios no enfrentamento do câncer e da COVID-19;aprendizados gerados nessa vivência, considerando um renascimento das próprias cinzas. Considerações finais o momento pandêmico tem instigado reflexões sobre o viver. Assim, as mulheres em tratamento oncológico e também em restrição social puderam expressar seus sentimentos, descobrindo e redescobrindo fragilidades e fortalezas para ressignificar e crescer como seres, em uma sociedade, que pode e deve articular estratégias para promoção da saúde. RESUMEN Objetivo comprender la experiencia de afrontamiento del COVID-19, según la perciben las mujeres en tratamiento oncológico. Método investigación-acción cualitativa y participativa basada en las tres fases del Itinerario de Investigación de Paulo Freire: Investigación Temática;Codificación y decodificación;y revelación crítica. Se realizó un Círculo Cultural en línea con 12 mujeres de diferentes lugares de Brazil sometidas a tratamiento contra el cáncer de mama. Resultados en el Círculo de Cultura virtual se discutieron dos temas: desafíos en el afrontamiento del cáncer y COVID-10;y el aprendizaje generado en esa experiencia, con miras a renacer de sus propias cenizas. Consideraciones finales la pandemia ha llevado a pensar en vivir. En consecuencia, las mujeres en tratamiento oncológico y también bajo restricciones sociales pudieron expresar sus sentimientos, y al descubrir y redescubrir debilidades y fortalezas, resignificarse y crecer en una sociedad que puede y debe desplegar estrategias de promoción de la salud. ABSTRACT Objective to understand the experience of coping with COVID-19, as perceived by women undergoing cancer treatment. Method qualitative, participatory action research based on the three phases of Paulo Freire's Research Itinerary: Thematic Investigation;Coding and Decoding;and Critical Unveiling. A Culture Circle was held online with 12 women from different places in Brazil undergoing breast cancer treatment. Results in the virtual Culture Circle, they discussed two themes: challenges in coping with cancer and COVID-10;and learning generated in that experience, with a view to rebirth from their own ashes. Final considerations the pandemic has prompted thinking about living. Accordingly, women undergoing cancer treatment and also under social restrictions were able to express their feelings, and in discovering and rediscovering weaknesses and strengths, to resignify themselves and to grow in a society that can and should deploy strategies for health promotion.

Pandemic and immigration: haitian families facing COVID-19 in Brazil / Pandemia e imigração: famílias haitianas no enfrentamento da COVID-19 no Brasil / Pandemia e inmigración: familias haitianas que enfrentan COVID-19 en Brasil

Objetivo: compreender a vivência do enfrentamento e repercussões da COVID-19 na perspectiva das famílias de imigrantes haitianos no Brasil. Método: estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática; Codificação e Descodificação; Desvelamento Crítico. Foi realizado Círculo de Cultura Virtual em maio de 2020, com 10 famílias de imigrantes haitianos, residentes no oeste de Santa Catarina. Resultados: os participantes discutiram preocupações geradas no enfrentamento da pandemia: trabalho e subsistência da família no Brasil e no Haiti; incerteza do futuro; risco de contaminação e de morrer no Brasil; cancelamento das aulas dos filhos; desânimo e solidão. Desvelaram oportunidades na vivência da pandemia: ajuda recebida; força pessoal e familiar; repensar a vida; confiança em Deus e esperança. Conclusões e implicações para a prática: os imigrantes haitianos se encontram em situação de vulnerabilidade social, econômica e de saúde mental no enfrentamento da COVID-19. A identificação dessa vulnerabilidade, considerando fatores sociais, econômicos e culturais é fundamental à proposição de políticas públicas e adoção de estratégias efetivas de enfrentamento da situação. O Círculo de Cultura Virtual amplia possibilidades para a enfermagem, pois possibilita as interações necessárias à promoção da saúde, mesmo diante da pandemia

Objective: to understand the experience of coping and repercussions of COVID-19 from the perspective of Haitian immigrant families in Brazil. Method: qualitative, action-participant study, based on Paulo Freire's Research Itinerary, which has three phases: Thematic Research; Encoding and Decoding; Critical Unveiling. A Virtual Culture Circle was held in May 2020, with 10 families of Haitian immigrants residing in western Santa Catarina. Results: the participants discussed concerns generated in facing the pandemic: work and family subsistence in Brazil and Haiti; uncertainty of the future; risk of contamination and dying in Brazil; cancellation of children's classes; discouragement and loneliness. They revealed opportunities in experiencing the pandemic: help received; personal and family strength; rethinking life; trust in God and hope. Conclusions and implications for practice: Haitian immigrants are in a situation of social, economic and mental health vulnerability when facing COVID-19. The identification of this vulnerability considering social, economic and cultural factors is fundamental to the proposition of public policies and the adoption of effective strategies to face the situation. The Virtual Culture Circle expands possibilities for nursing, as it enables the interactions necessary for health promotion, even in the face of the pandemic

Objetivo: comprender la experiencia de afrontamiento y las repercusiones de COVID-19 desde la perspectiva de las familias de inmigrantes haitianos en Brasil. Método: estudio cualitativo, de tipo acción-participante, basado en el Itinerario de Investigación de Paulo Freire, que tiene tres fases: Investigación temática; Codificación y decodificación; Revelación crítica. En mayo de 2020 se realizó un Círculo de Cultura Virtual, con 10 familias de inmigrantes haitianos que residen en el oeste de Santa Catarina. Resultados: los participantes discutieron las preocupaciones generadas al enfrentar la pandemia: el trabajo y la subsistencia familiar en Brasil y Haití; la incertidumbre del futuro; el riesgo de contaminación y muerte en Brasil; la cancelación de las clases infantiles; el desánimo y la soledad. Revelaron oportunidades en la experiencia de la pandemia: la ayuda recibida; fortaleza personal y familiar; el repensar la vida; la confianza en Dios y la esperanza. Conclusiones e implicaciones para la práctica: los inmigrantes haitianos se encuentran en una situación de vulnerabilidad social, económica y de salud mental en la confrontación de COVID-19. La identificación de esta vulnerabilidad, considerando los factores sociales, económicos y culturales es fundamental para la propuesta de políticas públicas y la adopción de estrategias efectivas para enfrentar la situación. El Círculo de Cultura Virtual amplía las posibilidades de la enfermería, ya que permite las interacciones necesarias para la promoción de la salud, incluso ante la pandemia

Nurse's protagonism in structuring and managing a specific unit for Covid-19

ABSTRACT Objective: to report the experience in the structuring and managing process of a specific unit for COVID-19, highlighting the role of nurses in decision-making. Method: an experience report on the creation and management of the Coronavirus Disease 2019 (COVID-19) unit, in March 2020, in 2020, in a philanthropic hospital of the state of Santa Catarina. Results: the unit was structured with 10 intensive care beds and 20 infirmary beds. Meetings were held to make decisions, as well as to create protocols and flows with active participation of the nurse. In questions related to direct assistance, adaptations were developed in the nursing process performed at the hospital and the organization of new flows and routines. The physical space was structured, considering the high risk of transmissibility for the disease. Professionals were hired with staffing readjustment according to the complexity of the service, making up a team of professionals with experience in critical care. There were trainings for developing knowledge and skills prior to the first cases, which were systematically maintained. In addition, it was observed that the nurses were concerned about the mental health of the professionals working in this unit and, therefore, support actions were programmed. Conclusion: the foundation in the scientific evidence and recommendations of the competent bodies at the world and national levels for the structuring of the COVID-19 unit is emphasized. The role of the nurse in all the interfaces stands out, assuming a fundamental role from the composition of the commissions, going through the planning and functioning of the physical structure, management of human resources, and construction of care protocols and flows, in addition to acting directly in the care provided. RESUMEN Objetivo: reportar la experiencia en el proceso de estructuración y gestión de una unidad específica para COVID-19, destacando el protagonismo del enfermero en la toma de decisiones. Método: informe de experiencia sobre la creación y gestión de la unidad Coronavirus Disease 2019 (COVID-19), en marzo de 2020, en un hospital filantrópico del estado de Santa Catarina. Resultados: la unidad se estructuró con 10 camas de cuidados intensivos y 20 de enfermería. Se realizaron reuniones para tomar decisiones y crear protocolos y flujos con participación activa del enfermero. En las cuestiones relacionadas con la asistencia directa, se desarrollaron adaptaciones en el proceso de enfermería realizado en el hospital y se organizaron nuevos flujos y rutinas. Se estructuró el espacio físico, en vistas del elevado riesgo de transmisibilidad de la enfermedad. Se contrataron profesionales con readecuación de número según la complejidad del servicio, conformándose así un equipo de profesionales con experiencia en cuidados críticos. Se realizaron sesiones de capacitación para el desarrollo de conocimientos y habilidades antes de que surgieran los primeros casos, que se mantuvieron sistemáticamente. Además, se observó cierta preocupación entre el personal de Enfermería con relación a la salud mental de los profesionales actuantes en esa unidad y, por lo tanto, se programación acciones de apoyo. Conclusión: se forjan las bases sobre las evidencias científicas y las recomendaciones de los organismos competentes a nivel mundial y nacional para la estructuración de la unidad COVID-19. Se destaca el protagonismo de los enfermeros en todas las interfaces, quienes asumen un rol fundamental desde la composición de las comisiones, pasando por la planificación y el funcionamiento de la estructura física, la gestión de recursos humanos y, finalmente, la elaboración de protocolos y flujos de atención, además de su actuación directa en la asistencia provista. RESUMO Objetivo: relatar a experiência no processo de estruturação e gestão de uma unidade específica para COVID-19, ressaltando o protagonismo do enfermeiro nas tomadas de decisão. Método: relato de experiência sobre a criação e a gestão da unidade Coronavirus Disease 2019 (COVID-19), em março de 2020, em um hospital filantrópico do Estado de Santa Catarina. Resultados: a unidade foi estruturada com 10 leitos de terapia intensiva e 20 de enfermaria. Realizaram-se reuniões para a tomada de decisões, criação de protocolos e fluxos com participação ativa do enfermeiro. Nas questões relacionadas à assistência direta, desenvolveram-se adaptações no processo de enfermagem realizado no hospital e ordenamento de novos fluxos e rotinas. O espaço físico foi estruturado, considerando-se o alto risco de transmissibilidade da doença. Realizou-se contratação de profissionais com readequação do dimensionamento conforme a complexidade do serviço, formando-se uma equipe de profissionais com experiência em cuidados críticos. Houve treinamentos para o desenvolvimento de conhecimentos e habilidades anteriormente aos primeiros casos, que foram mantidos sistematicamente. Ademais, observou-se preocupação dos enfermeiros com relação à saúde mental dos profissionais atuantes nesta unidade e, portanto, programaram-se ações de suporte. Conclusão: enfatiza-se o alicerce nas evidências científicas e recomendações dos órgãos competentes a níveis mundial e nacional para a estruturação da unidade COVID-19. Destaca-se o protagonismo do enfermeiro em todas as interfaces, o qual assume papel fundamental desde a composição das comissões, perpassando pelo planejamento e funcionamento da estrutura física, gestão de recursos humanos e construção de protocolos e fluxos de cuidado, além de atuar diretamente na assistência.

Câncer em tempos de COVID-19: repercussões na vida de mulheres em tratamento oncológico

Objetivo: compreender a vivência do enfrentamento e repercussões da COVID-19, na percepção de mulheres em tratamento oncológico. Método: estudo qualitativo, do tipo ação-participante, fundamentado no Itinerário de Pesquisa de Paulo Freire, que possui três fases: Investigação Temática;Codificação e Descodificação;Desvelamento Crítico. Foi realizado Círculo de Cultura virtual, com a participação de 12 mulheres em tratamento do câncer de mama, de diferentes localidades do Brasil. Resultados: no Círculo de Cultura virtual discutiram dois temas: desafios no enfrentamento do câncer e da COVID-19;aprendizados gerados nessa vivência, considerando um renascimento das próprias cinzas. Considerações finais: o momento pandêmico tem instigado reflexões sobre o viver. Assim, as mulheres em tratamento oncológico e também em restrição social puderam expressar seus sentimentos, descobrindo e redescobrindo fragilidades e fortalezas para ressignificar e crescer como seres, em uma sociedade, que pode e deve articular estratégias para promoção da saúde. Objective: to understand the experience of coping with COVID-19, as perceived by women undergoing cancer treatment. Method: qualitative, participatory action research based on the three phases of Paulo Freire's Research Itinerary: Thematic Investigation;Coding and Decoding;and Critical Unveiling. A Culture Circle was held online with 12 women from different places in Brazil undergoing breast cancer treatment. Results: in the virtual Culture Circle, they discussed two themes: challenges in coping with cancer and COVID-10;and learning generated in that experience, with a view to rebirth from their own ashes. Final considerations: the pandemic has prompted thinking about living. Accordingly, women undergoing cancer treatment and also under social restrictions were able to express their feelings, and in discovering and rediscovering weaknesses and strengths, to resignify themselves and to grow in a society that can and should deploy strategies for health promotion. Objetivo: comprender la experiencia de afrontamiento del COVID-19, según la perciben las mujeres en tratamiento oncológico. Método: investigación-acción cualitativa y participativa basada en las tres fases del Itinerario de Investigación de Paulo Freire: Investigación Temática;Codificación y decodificación;y revelación crítica. Se realizó un Círculo Cultural en línea con 12 mujeres de diferentes lugares de Brazil sometidas a tratamiento contra el cáncer de mama. Resultados: en el Círculo de Cultura virtual se discutieron dos temas: desafíos en el afrontamiento del cáncer y COVID-10;y el aprendizaje generado en esa experiencia, con miras a renacer de sus propias cenizas. Consideraciones finales: la pandemia ha llevado a pensar en vivir. En consecuencia, las mujeres en tratamiento oncológico y también bajo restricciones sociales pudieron expresar sus sentimientos, y al descubrir y redescubrir debilidades y fortalezas, resignificarse y crecer en una sociedad que puede y debe desplegar estrategias de promoción de la salud.

NURSE'S PROTAGONISM IN STRUCTURING AND MANAGING A SPECIFIC UNIT FOR COVID-19

ABSTRACT Objective: to report the experience in the structuring and managing process of a specific unit for COVID-19, highlighting the role of nurses in decision-making. Method: an experience report on the creation and management of the Coronavirus Disease 2019 (COVID-19) unit, in March 2020, in 2020, in a philanthropic hospital of the state of Santa Catarina. Results: the unit was structured with 10 intensive care beds and 20 infirmary beds. Meetings were held to make decisions, as well as to create protocols and flows with active participation of the nurse. In questions related to direct assistance, adaptations were developed in the nursing process performed at the hospital and the organization of new flows and routines. The physical space was structured, considering the high risk of transmissibility for the disease. Professionals were hired with staffing readjustment according to the complexity of the service, making up a team of professionals with experience in critical care. There were trainings for developing knowledge and skills prior to the first cases, which were systematically maintained. In addition, it was observed that the nurses were concerned about the mental health of the professionals working in this unit and, therefore, support actions were programmed. Conclusion: the foundation in the scientific evidence and recommendations of the competent bodies at the world and national levels for the structuring of the COVID-19 unit is emphasized. The role of the nurse in all the interfaces stands out, assuming a fundamental role from the composition of the commissions, going through the planning and functioning of the physical structure, management of human resources, and construction of care protocols and flows, in addition to acting directly in the care provided.