ABSTRACT
Este estudo discute o método funcional na enfermagem, abordado através de uma dinâmica de grupo desenvolvida com mestrandos da EERP-USP, sendo divididos em três grupos. Após a dinâmica, responderam um questionário com 04 perguntas. As respostas do grupo I mostraram desvantagens da modalidade funcional que interferem no trabalho como: relações impessoais, fragmentação de tarefas e centralização das decisões, gerando insatisfação no trabalhador. Os grupos II e III apontaram algumas vantagens quando o trabalho é baseado em equipe, das quais destacamos a troca de experiências, o planejamento participativo e as decisões compartilhadas, sendo estes, fatores que levam à satisfação no trabalho.
This study discusses the functional method applied to Nursing, approached through a group dynamics developed with three groups of Master students from the University of Seto Paulo at Ribeirão Preto College of Nursing. After the dynamics, the subjects answered a questionnaire with four questions. The responses of the first group showed the limitations of the functional model that interfere in the work such as: impersonal relationships, fragmentation of tasks, centralization of decisions causing the workers' dissatisfaction. The groups II and III pointed out some advantages when the work is based on a team, such as the exchange of experiences, participant planning and shared decisions, resulting in satisfaction at work.
Subject(s)
Group Processes , Nursing/methods , Professional Practice , Education, NursingABSTRACT
T-cell responses were evaluated prospectively in 41 patients with acute human immunodeficiency virus type 1 (HIV-1) infection (30 untreated and 11 receiving zidovudine, lamivudine, and indinavir) and in 38 uninfected adults. By 6-12 months, treated patients had significantly greater median Candida and tetanus lymphoproliferative responses (stimulation index [SI], 76 and 55, respectively) than did untreated patients (SI, 7 and 6, P=.02 and.001, respectively), and the responses of treated patients surpassed those of uninfected adults (SI, 19 and 32, P= .002 and .101, respectively). Unlike the patients in the untreated group, the patients in the treated group mounted a 6-fold increased HIV-1 p24 response (SI increase, 1.0 to 5.7, P= .01) within 3 months. HIV-1-specific cytotoxicity remained detectable in most treated patients. Thus, combination therapy administered within 3-4 months of infection was associated with improved T-cell memory responses that were distinct from those of untreated patients. The amplified HIV-1-specific T-cell responses may help maintain cytotoxic activities.
