ABSTRACT
OBJECTIVE: Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute. METHODS: Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme. RESULTS: Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain. FINAL CONSIDERATIONS: These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.
Subject(s)
Neoplasms , Palliative Care , Humans , Medical Oncology , Neoplasms/complications , Neoplasms/therapy , Pain , Pain ManagementABSTRACT
ABSTRACT Objective: Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute. Methods: Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme. Results: Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain. Final considerations: These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.
RESUMEN Objetivo: Describir acciones implementadas al manejo del dolor en asistencia en cuidados paliativos oncológicos y analizar la contribución del Hospital do Câncer IV, mientras unidad de referencia en el National Cancer Institute. Métodos: Estudio de historia del tiempo presente, cuyas fuentes fueron documentos escritos y entrevistas con cinco participantes. Recolecta ocurrió de febrero a junio de 2018. Análisis de fuentes escritas mediante crítica interna y externa a documentos, considerando su cronología y temática. Resultados: Profesionales contribuyeron con acciones al manejo del dolor en cuidados paliativos oncológicos: en las discusiones y redacción final de decretos, como relatores en eventos nacionales e internacionales, en la elaboración de conductas de humanización y sistematización de la asistencia en el abordaje del dolor. Consideraciones finales: Esas acciones favorecieron la asistencia en cuidados paliativos oncológicos en los varios niveles de atención de salud a los pacientes y familiares, con mayor reconocimiento técnico y científico para todos.
RESUMO Objetivo: Descrever as ações implementadas para o manejo da dor na assistência em cuidados paliativos oncológicos e analisar a contribuição do Hospital do Câncer IV, enquanto unidade de referência no Instituto Nacional de Câncer. Métodos: Estudo de história do tempo presente, cujas fontes foram documentos escritos e entrevistas com cinco participantes. A coleta ocorreu de fevereiro a junho de 2018. A análise das fontes escritas deu-se mediante crítica interna e externa aos documentos, considerando sua cronologia e temática. Resultados: Profissionais contribuíram com ações para o manejo da dor em cuidados paliativos oncológicos: nas discussões e redação final de portarias, como relatores em eventos nacionais e internacionais, na elaboração de condutas de humanização e sistematização da assistência na abordagem da dor. Considerações finais: Essas ações favoreceram a assistência em cuidados paliativos oncológicos nos vários níveis de atenção de saúde aos pacientes e familiares, com maior reconhecimento técnico e científico para todos.
ABSTRACT
RESUMO Objetivo: Analisar as implicações da implantação das "Enfermarias Mistas" na configuração do espaço assis tencial do Instituto de Psiquiatria da Universidade Federal do Rio de Janeiro (IPUB), na visão da equipe de enfermagem. Metodo: Estudo sócio-histórico, cujas fontes primárias foram documentos escritos e documentos orais produzidos com 5 profissionais da equipe de enfermagem. Resultados: Nas Enfermarias Mistas a distri buição de doentes por sexo deu lugar a uma distribuição por quadro clínico, propiciando o surgimento de um espaço terapêutico diferenciado e facilitador da reabilitação psicossocial, denominado "enfermaria de portas abertas". A equipe de enfermagem ainda permaneceu com papéis de vigilância e controle, porém com maior liberdade para o planejamento de ações de reabilitação psicossocial. Conclusõa: As Enfermarias Mistas tiveram a equipe de enfermagem como principal agente transformador. Funcionou como estratégia de convivência sem segregação sexual, propiciando a existência de um novo espaço terapêutico, rompendo, dentro dopossível,com o modelo manicomial.
ABSTRACT Objective: To analyze the implications of implementing "mixed wards" in the design of assistance space of the Psychiatry Institute of the Federal University of Rio de Janeiro (IPUB), from the perspective of the nursing staff. Method: Sociohistorical study, whose primary sources were written and oral documents produced by 5 professional nursing staff members. Results: The distribution of patients by gender in mixed wards gave rise to a distribution by clinical presentation, which led to the emergence of a differentiated therapeutic space facilitating psychosocial rehabilitation called "open-door ward". The nursing staff still took roles of surveillance and control, but had greater freedom for the planning of psychosocial rehabilitation. Conclusion: Mixed wards worked as a strategy to cohabit without sexual segregation, allowing for the existence of a new therapeutic area, which ended, where possible, with the asylum model.
RESUMEN Objetivo: Analizar las implicancias de la implementación de las "Enfermerías Mixtas" en la configuración del espacio asistencial del Instituto de Psiquiatría de la Universidad Federal de Río de Janeiro (IPUB), en la perspec tiva del personal de enfermería. Método: Estudio socio-histórico, cuyas fuentes primarias fueron documentos escritos y orales producidos con 5 miembros del personal profesional de enfermería. Resultados: La distribu ción de pacientes por género en las Enfermerías Mixtas generó una distribución por cuadro clínico, lo que llevó a la aparición de un espacio diferenciado terapéutico y facilitador de la rehabilitación psicosocial, llamado "enfermería de puertas abiertas". El personal de enfermeira, permaneció con funciones de vigilancia y control, pero con una mayor libertad para la planificación de la rehabilitación psicosocial. Conclusión: Las salas mixtas de hospitalización tuvieron al personal de enfermería como el principal agente de cambio. Funcionó como estrategia de convivencia sin segregación sexual, lo que permitió la existencia de un nuevo espacio terapéutico, rompiendo, posiblemente, con el modelo de aislamiento.
Subject(s)
Humans , Psychiatric Nursing/history , Psychiatric Rehabilitation , Nursing, Team/history , Brazil , Interviews as Topic , Hospitals, Psychiatric/historyABSTRACT
The purpose of this research is to analyze aspects of the sexuality of people with mental disorders, an issue that influenced nursing care in the mixed nursing wards of the Institute of Psychiatry at the Federal University of Rio de Janeiro between 1996-2002. A qualitative Historical Social Study methodology used written and oral texts that were analyzed drawing on Michel Foucault's ideas about sexuality. Results of the study indicate that a rupture occurred in the distribution model according to gender at the Psychiatric Hospitalization Unit. This, in turn, influenced nursing care. From this study, we conclude that accommodating patients in mixed wards better facilitates the psychosocial rehabilitation process and changes nursing teams' conceptions about the sexuality of people with mental disorders.
Subject(s)
Health Care Reform , Mental Disorders/psychology , Psychiatric Department, Hospital , Psychiatric Nursing , Sexuality , Brazil , Female , Humans , Male , Sex FactorsABSTRACT
OBJECTIVE: to describe the strategies of nurses in the National Institute of Cancer to disseminate its scientific capital and discuss the symbolic effects capitalized in the field of oncology in the 1980s. METHOD: historical social studies, with primary sources consisting of written documents and oral reports, and as secondary sources, articles and books on the subject, based on the French sociologist Pierre Bourdieu's concepts of scientific capital and habitus. RESULTS: it revealed the effective performance of nurses in this Institute on policies of cancer prevention and control and strategies used in the teaching of oncology nursing at the undergraduate level. In conclusion, nursing stands out in this context, through the dissemination of its scientific knowledge, as a participant in the construction of a scientific field of oncology nursing in Brazil, highlighting the occupation of important social areas.
Subject(s)
Oncology Nursing/history , Academies and Institutes , Brazil , History, 20th Century , Humans , Neoplasms/nursing , Neoplasms/prevention & control , Nurse's Role , Oncology Nursing/educationABSTRACT
O presente estudo aborda a ampliação do saber/poder da equipe de enfermagem de uma clinicapsiquiátrica de Juiz de Fora, no período de 1994 a 1996. Teve por objetivos descrever e analisar asestratégias utilizadas pelos enfermeiros para ampliar o saber/poder da equipe de enfermagem ereconfigurar a assistência prestada na instituição, a fim de favorecer a continuidade do seufuncionamento. Trata-se de uma Pesquisa sócio-histórica produzida com base em documentosescritos e orais, analisados sob a ótica foucaultiana. Os resultados mostraram que a inserção deenfermeiros na instituição possibilitou uma mudança no saber/poder da equipe, que passou porprofissionalização e capacitação, resultando em transformações no cuidado de enfermagem.Concluiu-se que a legislação em Saúde Mental e de Enfermagem foram elementos fundamentaispara que ocorresse tal transformação, que teve como principal elemento propulsor evitar o fechamento da instituição
Subject(s)
History of Nursing , NursingABSTRACT
This is an academic effort to rescue fragments of the construction process of an entity pioneering the representativeness of the Brazilian nursing - the Brazilian Nursing Association (ABEn), who completed 85 years of existence and created the first scientific journal of nursing, Nursing Annals, currently the Brazilian Nursing Journal, which celebrated 80 years in 2012. The contribution of ABEn for the scientific and professional development of nursing in the country is approached with analytical and critical humility and very timid perspective, since it was based more on information from secondary sources than on primary ones, according to an overview about what happen from 1926 to 2011. The subjectivity and selectivity of facts led us to highlight some instances of power over others, to highlight points of the development of Brazilian nursing as a discipline, profession and work field.
Subject(s)
History of Nursing , Nursing Research/history , Periodicals as Topic/history , Societies, Nursing/history , Brazil , History, 20th Century , History, 21st CenturyABSTRACT
The objective of this study was to describe the circumstances that promoted the implementation of the new Program for Action Against Tuberculosis in Brazil (Programa de Ação na Luta contra a Tuberculose no Brasil) and discuss the strategies used by registered nurses from the Santa Maria State Hospital, Guanabara State, to adjust nursing care to the new program against tuberculosis. This was performed through document research, interviews, and statements from nurses working at the time of the reorganization. Documents were analyzed based on the concepts of habitus, field, and symbolic power by Pierre Bourdieu, and included written and oral documents as well as secondary sources. The reorganization of the nursing service was performed under the leadership of a nurse whose symbolic capital assigned power and prestige to implement the necessary changes. It is concluded that the work of that nurse made it possible to implement the new program and contributed to establishing the position and importance of the registered nurse in providing care to individuals with tuberculosis, for prevention and cure.
Subject(s)
History of Nursing , Tuberculosis, Pulmonary/prevention & control , Brazil , History, 20th Century , Humans , Tuberculosis, Pulmonary/historyABSTRACT
This qualitative research aimed to analyze the biomedical influence in the context of nurses' formation and professional activities; to reflect about ethical and legal implications of using medicinal plants in nursing care; to argue about the need to configure and delimit this resource as a legitimate instrument for expanding nursing care practice. We used the creative-sensible method and developed dynamics with a group of nurses to produce data, analyzed in the categories "the biomedical influence in the academic-professional orientation of nursing" and "ethical and legal implications in the applicability of medicinal plants in care". Results indicated the need to advance in studies on the nursing diagnosis that implies the prescription of medicinal plants, so that the client is well taken care of by nurses, thus legitimizing it as an extension of their professional practice. Not as an exclusive territory, but as shared and interdisciplinary health care action.
Subject(s)
Complementary Therapies/ethics , Complementary Therapies/legislation & jurisprudence , Nursing Care/ethics , Phytotherapy/ethics , Plants, Medicinal , Brazil , Clinical Nursing Research , Humans , Nursing DiagnosisABSTRACT
Historic social study that aims to describe the circumstances of creation of the Union of Brazilian Religious Nurses (UBRN); to analyze the strategies of the religious nurses in their seek for space in nursing area; to comment the importance UBRN for education area and nursing practice. Primary sources: written documents and oral report; secondary sources: books, articles, thesis and dissertations related to the thematic. The UBRN contributed for religious nurses have assured their participation in forum and decision of different questions involving the Brazilian nursing. Still it contributed for the increment in the number of nursing schools both in technic and superior level, as well as in directing religious nurses to faculty, aiming to inculcate to those nurses the religious habits, instituting a new model of catholic nursing.
Subject(s)
Catholicism , History of Nursing , Brazil , History, 19th Century , History, 20th CenturyABSTRACT
This is a historical-social research project. The main objective is to present the participation of the Anna Nery Nursing School in the medical assistance positions in the state of Sao Paulo during the Constitutionalist Revolution of 1932. The objective of the present investigation is to describe how the teachers and students of the Anna Nery Nursing School participated in the different operation fronts during this war and to analyse the implications of the performance of nurses and students of this School. Our main documental resource were written and photographical documents that belong to the Centre of Documentation of the EEA/UFRJ. The secondary source were articles and books that about the history of Brazil and Brazilian nursing. This investigation evidenced the importance of the nurse's work during times of crisis and it also made possible for the EEAN to earn symbolic profits.
