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Objective: to analyze the level of stress and sleep quality in nursing students according to terms of the nursing program. Method: descriptive and cross-sectional research developed in a higher education institution in Northeastern Brazil on 167 students. We used data collection, sociodemographic information, and a scale for assessing stress and sleep quality in nursing students. Results: we identified a statistically significant difference between domains of the stress scale and the terms of the undergraduate program, and between the quality of sleep and such terms such as as in the fourth and sixth semesters. Conclusion: different stress scores show that the semester which concerns students the most is the fifth. Quality of sleep was deemed good for the first, third, fifth, seventh, and eighth semesters; and poor for the fourth and sixth terms. RESUMEN Objetivo: evaluar el nivel de estrés y la calidad de sueño en estudiantes de enfermería durante los períodos de la carrera. Método: investigación descriptiva y transversal realizada con 167 estudiantes de una institución de enseñanza superior del Nordeste brasileño. En la recolección de datos se utilizaron informaciones sociodemográficas y una escala de evaluación de estrés y calidad de sueño en estudiantes de enfermería. Resultados: se identificó una diferencia estadística significativa entre los aspectos de la escala de estrés y los períodos de la carrera de grado, y entre la calidad de sueño y los períodos de la carrera, como en el cuarto período y en el sexto período. Conclusión: los diferentes puntajes de estrés demuestran que el semestre que más le había preocupado al estudiante fue el quinto semestre. Se encontró una buena calidad de sueño en el primer, el tercer, el quinto, el séptimo y el octavo períodos; y se encontró una mala calidad de sueño en el cuarto período y en el sexto período. RESUMO Objetivo: analisar o nível de estresse e a qualidade do sono em estudantes de enfermagem por períodos do curso. Método: pesquisa descritiva e transversal desenvolvida em uma instituição de ensino superior do Nordeste brasileiro com 167 estudantes. Utilizaram-se, para coleta de dados, informações sociodemográficas e uma escala de avaliação do estresse e qualidade do sono em estudantes de enfermagem. Resultados: identificou-se diferença estatística significante entre os domínios da escala de estresse e os períodos do curso de graduação, e entre a qualidade do sono e os períodos do curso, como no quarto e sexto períodos. Conclusão: os diferentes escores do estresse demonstram que o semestre do estudante que mais o preocupa é o quinto. A qualidade de sono mostrou-se de boa qualidade para o primeiro, terceiro, quinto, sétimo e oitavo períodos; e qualidade ruim de sono para o quarto e sexto períodos.

Objetivo: Analisar os níveis de estresse e sua associação com o comportamento alimentar dos discentes da graduação em Enfermagem de uma universidade pública. Método: estudo transversal, observacional, com abordagem quantitativa. O estudo será desenvolvido no Departamento de Enfermagem da Universidade Federal do Rio Grande do Norte. Será aplicada uma ficha de identificação para o reconhecimento sociodemográficos, juntamente com: a escala para Avaliação de Estresse em Estudantes de Enfermagem e o Questionário Holandês do Comportamento Alimentar. Resultados esperados: identificar a associação entre o estresse e o comportamento alimentar entre os discentes da graduação em Enfermagem. O estudo será significativo para a formação de novos profissionais, mediante análise das condições alimentares e a influencia do estresse na formação profissional, corroborando para elaboração futura de estratégias para minimizar os efeitos do estresse, e consequentemente, das disfunções na alimentação dos estudantes.

Objetivo: Buscou-se identifi car os principais instrumentos utilizados para verifi car a síndrome de Burnout e estresseem enfermeiros. Método: Tratou-se de uma revisão integrativa nas bases de dados eletrônicas SCIELO, CINAHL,SCOPUS e LILACS, nas quais foram utilizados os descritores indexados no MeSH “stress” (1º); “burnout” (2º); “nursing”(3º) e acompanhados do conector “and” em busca de artigos dos anos de 2009 a 2015, baseado na questão depesquisa: Quais são os principais instrumentos utilizados para verifi cação de síndrome de Burnout e estresse emenfermeiros? Resultados: Foram analisados 15 artigos, foi notório que o Maslach Burnout Inventory encontra-sepresente na maioria das pesquisas desenvolvidas. Mas também são citados, embora em menor quantidade: JobStress Scale, Oldenburg Burnout Inventory, Questionnaire Stress of Conscience e a escala de Bianchi. Conclusões: Osinstrumentos descritos nesse trabalho auxiliam no enfrentamento da Síndrome de Burnout e no estresse dostrabalhadores, pois após verifi cação desse(s) o enfermeiro pode buscar tratamento para a(s) patologia(s), o local detrabalho pode defi nir estratégias para enfrentamento para os funcionários, identifi car estressores e não permitir queo estresse interfi ra na assistência ao paciente.Palavras-chave: Esgotamento profi ssional; Inquéritos e Questionários; Enfermagem. ABSTRACTObjective: We sought to identify the main instruments used to check the syndrome of burnout and stress amongnurses. Method: This was an integrative review in electronic databases SCIELO, CINAHL, Scopus and LILACS, in whichthe indexed descriptors were used in MeSH “stress” (1); “Burnout” (2); “Nursing” (3) and accompanied by the connector“and” looking for articles the years 2009-2015, based on the research question: What are the main instrumentsused to check syndrome Burnout and stress in nurses? Results: 15 articles were analyzed, it was clear that theMaslach Burnout Inventory is present in most developed research. But they are also cited in smaller quantities; JobStress Scale, Oldenburg Burnout Inventory, Stress Questionnaire of Conscience and Bianchi scale. Conclusions: Theinstruments described in this work help in coping with the burnout syndrome and stress of workers, because afterverifi cation that (s) nurses can seek treatment for (s) condition (s), the workplace can defi ne strategies to coping foremployees, identify stressors and not allow stress to interfere with patient care.Keywords: Burnout, Professional; Surveys and Questionnaires; Nursing.

Objetivo : descrever a teoria ambientalista de Florence Nightingale com base no modelo de avaliacao de Meleis. Metodologia: trata-se de um estudo teorico reflexivo, elaborado em 2015, a partir de literatura pertinente e a descricao do modelo de avaliacao de teorias de Meleis, nos componentes estruturais e funcionais. Resultados: a teoria apresenta conceitos de ser humano, ambiente, saude e enfermagem, tendo como foco principal o controle do meio ambiente. A acao do enfermeiro no trato do enfermo implementada dentro de um ambiente saudavel constitui sua principal proposicao para a enfermagem. Conclusoes: a teoria ambientalista e uma teoria usual e sempre atual, nao apenas pelo que e descrito sobre a higiene, micro-organismos, sujidades e no tratamento dos doentes, mas pela aplicabilidade na pratica de enfermagem com relacao ao ser humano, ambiente e saude. A teoria detem conceitos fundamentais da Enfermagem. Descritores : Teoria de Enfermagem, Meio Ambiente, Enfermagem, Analise. DESCRIPTIVE ANALYSIS OF THE ENVIRONMENTALIST NURSING THEORY Ojective to describe the Environmental Theory of Florence Nightingale based on Meleis´ model for theory evaluation. Methodology: this is a reflective theoretical study conducted in 2015, using pertinent literature and the structural and functional components of the descriptive phase of Meleis´ model of theory evaluation to examine the theory. Results: the theory presents the concepts human being, environment, health and nursing, while focusing on environment control. Nursing action in the treatment of patients implemented in a healthy clean environment constituted the main theoretical proposition for nursing. Conclusions: the Environmental Theory is basic and current, not only because of its description of hygienic actions, micro-organisms, and unsanitary conditions that must be considered in caring for patients, but because of its applicability in nursing practice in relation to the person, environment and health. The theory contains concepts that are fundamental to Nursing. Descriptors : Nursing Theory, Environment, Nursing, Analysis. ANALISIS DESCRIPTIVA DE LA TEORIA AMBIENTALISTA DE ENFERMERIA Objetivo : describir la Teoria Ambientalista con base en el modelo de evaluacion propuesto por Meleis. Metodologia: es un estudio teorico reflexivo, realizado en 2015, a partir de la literatura y la parte descriptiva del modelo de evaluacion de teoria de enfermeria de Meleis, en la estructura y funcionamiento. Resultados: la teoria presenta conceptos de ser humano, medio ambiente, salud y enfermeria, centrandose en el medio ambiente. La principal proposicion de enfermeria de la teoria dice que la accion de la enfermera en el trato de enfermos se hace em un medio ambiente saludable. Conclusiones: la teoria ambientalista es una teoria siempre actual, no solamente porque describe la higiene, los microorganismos e las condiciones insalubres que deben ser consideradas, pero tambien por su aplicabilidad en la practica de enfermeria con el ser humano, medio ambiente y la salud. La teoria tiene conceptos fundamentales de Enfermeria. Descriptores : Teoria de Enfermeria, Medio Ambiente, Enfermeria, Analisis.

Objective: The study aimed to identify the occupational hazards to which workers are exposed in nursing working in immunization room of the family health strategy of the municipality of Conde-Paraíba. Methods: this was an exploratory study, descriptive and qualitative. The survey was conducted in basic health units of the municipality of Conde-PB, using a semi-structured interview script, as a tool for data collection, with objective and subjective questions that addressed the topic. Have been followed all ethical and legal precepts of research involving humans. Results and discussion: Nursing workers working in immunization of the said rooms municipality do not have enough knowledge about the occupational hazards to which they are exposed in their work environment, use the individual protection equipment making them vulnerable to a variety of risk situations and contributing to the increase in the number of occupational accidents. Conclusion: The present research demonstrated through the lines of the participants that they are exposed to various occupational hazards to act in vaccine, and that the recognition of these risks is necessary to the development of action for prevention, elimination or control of them. Permanent education is the primary tool for nursing workers acquire knowledge about occupational accidents, their causes and ways to avoid them, thus minimizing the risks that may exist in the workplace. Keywords: Nursing; Occupational Hazards; Immunization.

Objective: to identify the knowledge exposed in the literature about the factors triggering Burnout Syndrome in nurses. Method: this is a descriptive, descriptive, integrative review type study, with searches in the LILACS, MEDLINE, and Scielo Virtual Library databases, using the descriptors "Burnout", "Nursing", "Stress" and "Professional exhaustion". The research was carried out in articles published between the years of 2010 and 2015, and a critical analysis of the articles was done, and the results are presented in figures form. Results: a total of 247 articles were found and 13 were included for the final study sample. Critical analysis allowed the identification of the main factors responsible for Burnout Syndrome in nurses, especially the excessive work day, followed by professional dissatisfaction. Conclusion: it is concluded that Nursing professionals themselves need to be aware of the importance of taking care of their health in the workplace, minimizing the risk of developing Burnout Syndrome. Descriptors: Nurses; Professional Exhaustion; Triggering Factors; Worker's health; Psychological stress; Nursing. RESUMO Objetivo : identificar o conhecimento exposto na literatura sobre os fatores desencadeantes da Sindrome de Burnout em enfermeiros. Metodo : trata-se de um estudo bibliografico, descritivo, tipo revisao integrativa, com buscas nas bases de dados LILACS, MEDLINE, e na Biblioteca Virtual Scielo, por meio da utilizacao dos descritores “Burnout”, “Enfermagem”, “Estresse” e “Esgotamento profissional”. Realizou-se a pesquisa em artigos publicados entre os anos de 2010 a 2015, e, foi feita a analise critica dos mesmos, e os resultados apresentam-se em forma de figuras . Resultados: encontrou-se um total de 247 artigos e 13 foram incluidos para a amostra final do estudo. Permitiu-se, pela analise critica, a identificacao dos principais fatores responsaveis pela Sindrome de Burnout em enfermeiros, destacando-se a jornada excessiva de trabalho, seguida da insatisfacao profissional. Conclusao : conclui-se a necessidade de os proprios profissionais de Enfermagem se conscientizarem sobre a importância de cuidar da sua saude no ambiente de trabalho, minimizando o risco de desenvolvimento da Sindrome de Burnout. Descritores : Enfermeiros e Enfermeiras; Esgotamento Profissional; Fatores Desencadeantes; Saude do Trabalhador; Estresse Psicologico; Enfermagem. RESUMEN Objetivo: identificar el conocimiento expuesto en la literatura sobre los factores desencadenantes del Sindrome de Burnout en enfermeros. Metodo: es un estudio bibliografico, descriptivo, tipo revision integrativa, con busquedas en las bases de datos LILACS, MEDLINE, y en la Biblioteca Virtual Scielo, por medio de la utilizacion de los descriptores "Burnout", "Enfermeria", "Estres" y "Agotamiento profesional". Se realizo la investigacion en articulos publicados entre los anos 2010 a 2015, y se hizo el analisis critico de los mismos, y los resultados se presentan en forma de figuras. Resultados: se encontro un total de 247 articulos y 13 fueron incluidos para la muestra final del estudio. Se permitio, por el analisis critico, la identificacion de los principales factores responsables por el Sindrome de Burnout en enfermeros, destacandose la jornada excesiva de trabajo, seguida de la insatisfaccion profesional. Conclusion: se concluye la necesidad de que los propios profesionales de Enfermeria se concientizaren sobre la importancia de cuidar de su salud en el ambiente de trabajo, minimizando el riesgo de desarrollo del Sindrome de Burnout. Descriptores : Enfermeros; Agotamiento Profesional; Factores Desencadenantes; Salud Laboral; Estres Psicologico; Enfermeria.

Introduction: women living with human immunodeficiency virus (HIV) have 15% of the 45% chance of transmitting the virus to their children during pregnancy, childbirth or breastfeeding. However, this risk is reduced to 2% when the treatment and monitoring are carried out since the gestational period until the birth of the child. Objective: build a logical model to subsidize the immediate care of health professionals to the newborn of women with HIV. Method: study described. It is the construction of a logical model based on "clinical Protocol and therapeutic guidelines for management of HIV infection in children and adolescents", manual of the Ministry of health, Brazil, 2014, in order to guide health professionals who, watch newborns in the first few minutes of life. Results: were listed eight components that are essential to the care of the newborn, such as: greeting, umbilical cord clamping, suctioning the airway, administering of vitamin K, shower, breastfeeding, administration of anti-retroviral and reference to specialized service. Conclusion: it is believed that the logical model will contribute to reducing the risks of mother-to-child transmission of the virus, since it includes the flow of care clearly and objectively. Keywords : health professionals; immediate care; newborn; vertical transmission of HIV.

The night work can lead to exhaustion and fatigue, often by the lack of sleep, identified on some studies as a negative factor to health. This article has as purpose to identify the characteristics of the nurse’s sleep-wake cycle that works on night shift. 11 articles were selected as results, 54% of the studies were published in the years of 2012 and 2013, which allowed to observe the characteristics of the night worker in the course of 24 hours. Two axes were elaborated: night worker and the sleep and night worker and the wake. Hence it is possible to conclude that hospital institutions need to adopt preventive measures regarding the workers’ physical and mental health from the night shift.

Objective: to analyze the scientific production on sleep disorders and circadian rhythmicity in blind people. Method: Integrative review of articles published in Portuguese, English and Spanish on the basis of PUBMED, CINAHL, SCOPUS and LILACS electronic data, using the descriptors “Sleep Disorders” OR “Sleep”,“Blindness” OR “Visually Impaired”. Results: 8 articles were selected.The circadian rhythm sleep disorders and clinical manifes

Aim: to analyze the sleep-wake cycle and the quality of sleep of nurses working in shifts in a university hospital. Method: a cross-sectional and descriptive study with a quantitative approach. Results: the sleep-wake cycle of a total of 104 nurses with a mean age of 39 years was evaluated through a sleep log diary. To measure sleep quality, we calculated the Pittsburgh Sleep Quality Index (PSQI). The perception of self-reported sleep quality measured by the Visual Analogue Scale (VAS) was 6.79 points on average for daytime sleep and 5.36 points for the group recording night time sleep, with a statistical difference. The group scored an average of 7 points in P S Q I . C onclusion: the data allowed us to evaluate nurses’ sleep as being of poor quality for the nocturnal group. The lack of sports activities and the shift work schedule may have influenced the quality of sleep.

Objetivo: Identificar os problemas adaptativos do modo psicossocial do modelo de Roy em pacientes renais crônicos em hemodiálise. Métodos: Estudo do tipo transversal, realizado com 178 pacientes de um centro de diálise do nordeste do Brasil. Resultados: Foram identificados três problemas adaptativos, sendo dois do modo de autoconceito: disfunção sexual e baixa autoestima; e um do modo de desempenho de papel: falha no papel. Conclusões: Os problemas adaptativos falha no papel, disfunção sexual e baixa autoestima se remetem à presença de uma doença cônica e a um tratamento invasivo, uma vez que essas condições afetam diretamente no estilo de vida do indivíduo. Descritores: Teoria de enfermagem; Diálise renal; Insuficiência renal crônica.

Aim: Identify the changes in the self-concept mode of Roy’s theoretical model in women undergoing hemodialysis. Method: This is a descriptive study, carried out in a city in northeastern Brazil, which involved 24 women undergoing dialysis treatment due to chronic kidney disease (CKD). Results: The main alterations were: low self-esteem in the personal self and sexual dysfunction in the physical self, in terms of the self-concept mode. Discussion: Women undergoing hemodialysis present self-adaptive problems as in Roy’s theoretical model; therefore, nurses should direct their care, emphasizing these adaptive problems. Conclusion: The changes identified in women undergoing hemodialysis were low self-esteem and sexual dysfunction, in terms of the self-concept mode of Roy’s theoretical model.

Aim: to check stress levels and the presence of the burnout syndrome in a population of nurses on day and night shifts in a hospital. Method: descriptive cross-sectional study with a quantitative approach, performed at the Hospital of Federal University of Rio Grande do Norte. Consists in applying questionnaires to nurses to obtain data through the form of socio-demographic data, then the instruments: the Bianchi scale to quantify the level of stress, and the Maslach Burnout Inventory (MBI) to identify the presence of the burnout syndrome. The organization of data will involve the use of the Microsoft Windows Excel 2010 spreadsheets and will be analyzed using the Statistical Package for the Social Sciences version 20.0. The data will be organized in tables and charts, and analyzed according to descriptive and inferential statistics.