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A prevenção do suicídio é uma questão de saúde pública que requer atenção e comprometimento da sociedade. Abrange diversas ações, sendo que profissionais da saúde, educação e mídias sociais são fundamentais nessas tarefas. Desenvolvemos um projeto de extensão para realizar atividades educativas com esse público, visando refletir e sensibilizar sobre diferentes perspectivas do suicídio. Ao longo de quatro encontros com cada grupo profissional, foram realizadas rodas de conversa e vivências grupais. Para isso, usamos recursos didáticos, dinâmicas e textos literários para tratar sobre os fatores de risco e proteção, considerando as especificidades da realidade local, a importância da abordagem do tema nas escolas e a regulação da veiculação de notícias sobre comportamentos suicidas. Além disso, o projeto encerrou com um colóquio que reuniu 252 pessoas e discutiu a prevenção do suicídio como um caminho interdisciplinar de cuidado. Portanto, essa experiência proporcionou espaços de escuta, diálogo e reflexão sobre a problemática do suicídio, além de reconhecer a importância da abordagem interdisciplinar para a prevenção desse fenômeno.

ABSTRACT Objective: To understand the role of nurses in field hospitals aimed at patients with Covid-19. Methods: Qualitative research based on Alfred Schütz’s social phenomenology. Twenty nurses working in São Paulo were interviewed between May and June 2020. The testimonies were organized and analyzed based on the theoretical-methodological and thematic framework. Results: The following categories emerged: “Nurses’ challenges in field hospital care”, “Visibility of nursing in the Covid-19 pandemic scenario” and “Covid-19 post-pandemic professional valorization”. Final considerations: The reflection on the results that emerged in this study may contribute to support improvements in training, working conditions and valuing nurses, considering the importance of this professional category in the scope of health services. New investigations may increase knowledge in the area, providing subsidies for professional role in this and other health situations that require nursing intensity and excellence.

ABSTRACT Objective: To understand the experiences of intensive care unit nurses who provide care to patients with COVID-19. Methods: Qualitative study grounded in Alfred Schütz’s social phenomenology in which 20 nurses who work in intensive care units at public and private hospitals were interviewed between July and September 2020. Data were analyzed according to the adopted theoretical-methodological framework and the literature related to the subject. Results: The interviewed nurses mentioned demands about working conditions, professional recognition and training, and support to physical and mental health, which proved necessary considering the care intensity experienced by these professionals during the COVID-19 pandemic. Conclusion: Learning the nurses’ experiences evidenced the need to adjust to a new way of providing care that included the physical space, new institutional protocols, continuous use of protective equipment, and patients’ demand for special care. This originated the necessity to be around situations that interfered with their health and motivated them to carry out professional projects after the COVID-19 pandemic.

El artículo presenta la aplicación de tres metodologías que buscan mejorar la percepción del peligro de conductores inexpertos en carreteras de montaña, mediante retroalimentación basada en fotografías, videos cortos y simulación de recorridos reales. Los escenarios de las tres metodologías se evaluaron con la metodología iRAP y estos resultados se compararon con la percepción del peligro percibida por los conductores inexpertos. La metodología iRAP califica las carreteras de 1 a 5 estrellas, donde 1 es la más peligrosa y 5 es la más segura. A tres grupos en formación se les aplicó una evaluación inicial, luego un proceso de formación mediante retroalimentación y, finalmente, una evaluación final. La aplicación de fotografías mejoró la percepción del peligro en carreteras más seguras (3 a 4 estrellas). Mediante videos, las mujeres reaccionaron mejor a la formación en percepción del peligro en carreteras más peligrosas (1 a 2 estrellas). Al aplicar simulación de recorridos reales, no hubo mejoras en la percepción del peligro. Se concluye que la aplicación de fotografías y videos son válidos, pero es preciso reforzar la formación de los conductores inexpertos para identificar elementos instigadores de riesgo en carreteras de montaña.

Objective: to understand the path taken in the public health system by people with morbid obesity in the search for bariatric surgery. Method: qualitative research based on the social phenomenology of Alfred Schütz, with 17 hospitalized morbidly obese people, with a scheduled date for bariatric surgery. The phenomenological interview with open questions was used and the statements were analyzed in the light of the theoretical-methodological framework and literature related to the theme. Results: the participants were able to schedule bariatric surgery by referring friends, family and public people. The waiting list for the procedure generated anguish and anxiety due to fear of surgery, weight gain, risk of worsening health and physical limitations, but it helped prepare for its performance. The experience lived in the search for bariatric surgery led these people to want continuity of care in the Basic Health Unit, after the surgery, by professionals trained to meet their needs. Conclusion: the aspects inscribed in the path of people in search of bariatric surgery signal the need to strengthen the assistance-related flows of the public health system and to invest in professional training to reduce the social inequalities in access to bariatric surgery and increased quality of services.

Abstract Objective: To understand the health care experience of individuals with morbid obesity assisted in public healthcare services. Method: This was a qualitative study based on Alfred Schütz’s social phenomenology, carried out in the medical-surgical clinic of a public hospital in São Paulo, Brazil. Interviews with open questions were conducted between January and April 2017. Results: Seventeen individuals with morbid obesity participated in the study. The findings revealed care(lessness) experiences of obese individuals in the Brazilian Healthcare System in terms of structure/logistics and human resources. Study participants shared care expectations about health care management and staff, and further considered the Primary Health Care service as a scenario of power to have their obesity-related care needs met. Conclusion: The findings need to be carefully (re)examined by the healthcare system’s micro- and macro management, as well as by health teaching and research personnel, in order to integrate, follow up and qualify care actions towards the prevention and control of obesity in public healthcare services.

ABSTRACT Objective Identify the knowledge produced on nursing interventions with people suffering from obesity in Primary Health Care. Method Integrative literature review of publications indexed in the databases: CINAHL, LILACS, MEDLINE, SciELO, SCOPUS and WEB OF SCIENCE, between 2011 and 2016. Results Thirty-three articles were selected. The knowledge produced covered two themes: “Counseling aimed at weight control and promotion of healthy lifestyle habits” and “Perception of Primary Health Care nurses regarding interventions with people with obesity.” Conclusion The results may help prompt reflections on professional training, management, and health services in terms of the relevance of nurses working with people suffering from obesity, with the support of digital technologies, motivational techniques, and nursing consultations. This could enhance their activities in the multiprofessional teams in which they participate at this healthcare level.

The objective of this study was to identify the performance of Chilean primary health care nurses. This was a qualitative study based on the approach of social phenomenology. Data collection was conducted between January and April 2013 through interviews with 13 nurses. Nurse performance showed that they experience greater professional autonomy and are closer to users; however, they suffered from professional burnout. Their expectations included the desire to be recognized for their work and better service management. Contributions of this study include the possibility of considering new designs for professional management practices in primary health care from the perspective of Chilean nurses. These designs should be based on the reorganization of work processes and by occupying spaces in macropolitics, influencing the professional performance of nurses at this level of health care.

Este artículo explora el fenómeno de la negación no psicótica del embarazo, una situación en la cual la mujer desconoce que está embarazada por cinco meses o más, o hasta el parto. Este fenómeno es explorado a través de tres conceptos psicoanalíticos distintos: desautorización, embarazo impensable y experi encia de indiferencia. El mecanismo de defensa de desautorización en casos de negación del embarazo es considerado como una explicación por que la mujer no enlaza sus cambios corporales con un posible embarazo. Se percibe que mujeres que no enlazan el acto sexual con el embarazo que sufrieron por causa de una situación traumática. Estas situaciones son comprendidas en el concepto de embarazo impensable. En este artículo, experiencia de indiferencia es relacionada con pacientes fronterizos, una estructura ps icopatológica posible para mujeres que no saben que están embarazadas.

As observações do cotidiano na Unidade de Terapia Intensiva Neonatal (UTIn), as reflexões sobre a dicotomia entre a teoria, o discurso e o modo de atuação de muitos enfermeiros junto aos pais dos recém-nascidos, suscitaram-nos inquietações que nos levaram a desenvolver este estudo, com os objetivos de conhecer a vivência da enfermeira no cuidado ao recém-nascido e aos seus pais na UTIn e compreender como as enfermeiras vivenciam o processo de vínculo afetivo entre recém-nascidos internados em UTIn e seus pais. Realizamos a pesquisa de acordo com a abordagem da fenomenologia social de Alfred Schütz. Os sujeitos do estudo foram oito enfermeiras assistenciais, com experiências em UTIn de hospitais públicos e privados. Dentre as categorias concretas do vivido, que emergiram dos discursos, destacamos o Contato Humano. Os resultados da análise mostraram que as enfermeiras percebem-se como elo de aproximação entre filhos e pais e acreditam que exercem papel importante na formação de vínculo afetivo entre eles.Las observaciones de lo cotidiano en la Unidad de Terapia Intensiva Neonatal (UTIn), las reflexiones sobre la dicotomía entre la teoría, el discurso y el modo de actuación de muchos enfermeros junto a los padres de los recién nacidos, nos suscitaron inquietudes que nos llevaron a desarrollar este estudio, con los objetivos de conocer la vivencia de la enfermera en el cuidado al recién nascido y a sus padres en la UTIn y comprender como las enfermeras experimentan el proceso de vínculo afectivo entre recién nascidos internados en UTIn y sus padres. Realizamos la investigación de acuerdo con el abordaje de la fenomenología social de Alfred Schütz. Los sujetos del estudio fueron ocho enfermeras asistenciales, con experiencias en UTIn de hospitales públicos y privados. Entre las categorías concretas de lo vivido, que emergieron de los discursos, destacamos el Contacto Humano. Los resultados del análisis mostraron que las enfermeras se perciben como un elemento de aproximación entre hijos y padres y creen que ejercen un papel importante en la formación de un vínculo afectivo entre ellos.The study was motivated by observations of the routine at neonatal intensive care units (NICU), thoughts about the dichotomy between theory, discourse, and the practice of many nurses towards the newborns' parents. The objectives were to learn about nurses' experiences regarding neonatal care to newborns and their parents, and to understand how nurses experience the process of affective attachment between newborns hospitalized at NICUs and their parents. This study was developed according to the social phenomenology approach of Alfred Schütz. Study subjects were eight practical nurses who had worked at NICU of public and private hospitals. Categories of experience emerged from the discourses, including Human Contact. The analysis revealed that nurses see themselves as the connection between parents and children, and believe they play an important role in creating the affective attachment between parent and child.

RESUMO Objetivou-se investigar como a política de descentralização do aconselhamento e teste rápido de HIV (Vírus da Imunodeficiência Humana), sífilis e hepatites foi implementada a partir do matriciamento das equipes de Atenção Básica em Porto Alegre. É um estudo qualitativo, no qual foram realizadas oito entrevistas com matriciadoras. Entre os aspectos positivos, estão a realização da capacitação dos profissionais da Atenção Básica, de interconsultas, supervisões e visitas. Essas experiências destacam a potencialidade de um trabalho mais horizontal entre os níveis de atenção especializado e básico. Entre os aspectos considerados negativos, destacam-se a ênfase na parte técnica do teste e a descontinuidade do matriciamento.

ABSTRACT Objective: to understand the meaning of nursing care in primary health care from the perspective of Chilean nurses. Method: this was a qualitative study based on the social phenomenology of Alfred Schutz. Data was collected between January and April 2013, through interviews with 13 primary health care nurses in Chile. Results: the nurses perceived primary care as a gratifying experience, considering it an encounter of subjectivities. However, they felt burdened with multiple functions and by the hierarchical pressure to achieve targets. They strived to implement innovative care, expressed by the desire to go beyond traditional care practices, and improve the efficiency of management at the various levels of health care. Conclusion: it is important to discuss the results of the present study in the context of health care and especially nursing education, with the goal of better preparing nurses who will deliver care at the primary health care level.

ABSTRACT Objectives: To understand the actions of nurses toward obesity in primary health care units. Methods: A phenomenological study was carried out with 12 nurses of a city in the state of Minas Gerais. The interviews were organized into categories and analyzed according to the social phenomenology of Alfred Schütz and literature associated with the theme. Results: The following categories emerged, expressing the actions of nurses toward obesity prevention and control: “Guidance on healthy lifestyle habits”, “Barriers to the actions of nurses”, and “Focusing specifically on obesity”. Final considerations: Considering that guidance on healthy lifestyle habits was mostly carried out during individual and collective activities directed to the general population, regardless of their weight conditions, nurses must reorganize their professional practice in primary health care units by implementing specific actions for users with obesity or at risk of developing it.