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Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article focuses on nursing research, dissemination of knowledge and its potential contribution to the nursing practice. It mentions recognizing the importance of strengthening the relationship and interaction between clinicians and academics as a way of establishing an alliance that promotes, firstly, collaborative research and continuous training for the search, analysis, interpretation, and application of available research.

Background: Although international evidence demonstrates that health promotion improves the quality of life and optimizes several health behaviors of cancer survivors, educational programs for cancer survivors are scarce in Portugal. Objectives: To validate the content and structure of an educational nursing intervention to promote health behaviors in cancer survivors. Methodology: A modified e-Delphi study was conducted with three rounds of online questionnaires. Twenty-six of the 30 invited expert nurses participated in the study. Results: The experts reached a consensus to include 25 structure-related items and 110 content-related items. The experts considered that the intervention should include four to eight presential sessions, with the possible inclusion of a family member, or in a group, reinforced the idea of nurses' initial preparation, discussed participant inclusion criteria, and strengthened the use of standardized language to support the contents. Conclusion: The expert consensus adds robustness and consistency to this educational intervention and will promote the health of cancer survivors. [ABSTRACT FROM AUTHOR]

Introducción: La interacción de los estudiantes de enfermería con los enfermeros clínicos en su lugar de práctica influye en su proceso de aprendizaje, generando posibles modelos mentales de atención que muy probablemente serán replicados cuando los estudiantes egresen. Objetivo: Comprender la experiencia del profesional de enfermería en su relación con el estudiante durante su práctica clínica. Metodología: Estudio cualitativo fenomenológico, con muestreo por bola de nieve, hasta llegar a saturación de datos. Colecta de datos mediante entrevista no estructurada a profundidad, las entrevistas fueron grabadas y transcritas literalmente para el análisis. Resultados: Participaron 19 enfermeros (4 hombres y 15 mujeres) y se identificaron dos categorías: estar-con y coexistiendo con los estudiantes. Conclusiones: El profesional de enfermería considera que los estudiantes deben comprender y trabajar de manera colaborativa para aprovechar su experiencia y conocimientos, evitar las criticas destructivas, así como respetar la individualidad. Una buena relación entre estudiantes y enfermeros clínicos podría llevar a un mejor aprovechamiento de la práctica.

La pandemia por la covid-19 ha implicado que las prácticas formativas en enfermería se modifiquen dadas las restricciones para la práctica presencial en concordancia con la política de reducción del contacto persona a persona. Analizar los retos, pero también las estrategias para flexibilizar y reformular las actividades prácticas, además de cumplir con los objetivos de aprendizaje y competencias, son asuntos prioritarios, pues la pandemia continúa y la formación de profesionales de enfermería no puede detenerse. En dicho contexto, el llamado es a la innovación que permita trascender de las formas convencionales de práctica y que hagan viable la formación de profesionales de enfermería en medio de la pandemia.

This paper aims to consider the responsibilities of doctoral nurses to lead changes in practice through a very personal reflection of over 52 years in nursing. The reflective learning moves from an early training experience where I learned to 'do' to becoming a nursing professor with a doctoral qualification and an 'evidence-based doer.' The change witnessed has been considerable. As the highest educated professional, I have learned that doctoral nurses are responsible for leading and directly influencing clinical practice, either as a practitioner, an educator, or a researcher. They are capable of encouraging the development of critical thinking skills and helping practitioners to be curious, take risks with ideas, identify gaps in the evidence base, and be creative in their problem-solving. If the strategic vision for nurses globally is to provide the best quality of patient care, then evidence-based practice is key to leading from the head, hand, and heart. Doctoral nurses understand the patient benefits of a high staff-to-patient ratio and having a critical mass of university qualified nurses and must strive to influence policy to this effect. As each country, particularly in Latin America, develops a critical mass of doctorally qualified nurses, then they can harness their innovation, create new ways of working, attract them back into practice, and strengthen their political voice to lead strategic change. Doctoral nurses must develop their leadership skills and their confidence to lead. They have a responsibility to realise their potential and identify the opportunities to really make a difference. [ABSTRACT FROM AUTHOR]

Copyright of Revista Enfermagem Digital Cuidado e Promoção da Saúde is the property of Revista Enfermagem Digital Cuidado e Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Enfermagem Digital Cuidado e Promoção da Saúde is the property of Revista Enfermagem Digital Cuidado e Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Intervenciones de enfermería dirigidas a las personas con úlceras venosas: una revisión integrativa Intervenções de Enfermagem dirigidas às pessoas com úlceras varicosas: uma revisão integrativa Objetivos: identificar y describir los fundamentos teóricos, los componentes, la duración, el modo de entrega y los resultados de las intervenciones de enfermería dirigidas a personas con úlceras venosas disponibles en la literatura. Materiales y método: revisión integrativa entre los años 2000 y 2018 en las bases de datos electrónicas Pubmed, Ovidnursing y EBSCOhost. Resultados: esta revisión incluye dieciséis artículos. En su mayoría, las intervenciones fueron de carácter educativo, tres se desarrollaron en la comunidad (bajo el modelo Leg Club) y el resto de intervenciones fueron entregadas personalmente, cara a cara, por una enfermera profesional. El tiempo mínimo de duración de aquellas fue de ocho semanas, con seguimientos telefónicos. Las variables de resultados más comunes fueron la cicatrización de la úlcera venosa y la reducción del área de la herida. Conclusiones: hubo diversidad en relación con los componentes de las intervenciones y los resultados esperados. Se debe reforzar el reporte de las intervenciones y el uso de teorías de enfermería que respalden su diseño. Para citar este artículo / To reference this article / Para citar este artigo Cifuentes JE, Guerrero S. Nursing Interventions Aimed at Persons with Venous Ulcers: an Integrative Review. Aquichan. 2020;20(1):e2017. DOI: https://doi.org/10.5294/aqui.2020.20.1.7 Recibido: 10/08/2019 Aceptado: 18/12/2019 Publicado: 13/03/2020

Objective: to determine the levels of stress experienced by nursing students who carry out their clinical practices in a university institution in the city of Cartagena (Colombia). Materials and methods: a descriptive, cross-sectional study was carried out. With a sample of 98 Nursing students enrolled in semesters from IV to IX. A KEZKAK questionnaire on the perception of stress in nursing students in clinical practices was applied. The analyzes were performed using descriptive statistics. Results: the students were aged 20-24 years (61.2%), were women (93.9%).They presented a high level of stress (51%), during clinical practices because they considered lack of skills (68.4%) impotence and uncertainty, and the patient seeks an intimate and / or loving relationship with 48%, respectively. Conclusions: students show that the lack of skills in providing care to patients in critical situations becomes a determinant of stress. [ABSTRACT FROM AUTHOR]

Background: The way adolescents with chronic illness (ACI) cope with adversity is associated with their resilience potential, which is also built through the relationship established with nurses. Objectives: To identify resilience-promoting nursing interventions in ACI; to assess resilience in ACI; and to establish an association between their level of resilience and the received interventions. Methodology: An exploratory sequential mixed-methods study was conducted. First, a qualitative study was conducted with a focus group of 8 nurses from a pediatric hospital, resulting in a list of resilience-promoting nursing interventions (LIER). Then, a quantitative study was conducted where a questionnaire was applied to 32 ACI (including the Resilience Scale and the LIER obtained in the first study). Results: Nurses reported several resilience-promoting nursing interventions. In a sample of 32 ACI, the level of resilience was average and higher in the adolescents with neurological diseases and in girls. A low correlation was found between the level of resilience and the nursing interventions. Conclusion: The results should be disseminated, and increased investment should be made so that the promotion of resilience in ACI clearly results from nursing interventions. [ABSTRACT FROM AUTHOR]

Background: The way adolescents with chronic illness (ACI) cope with adversity is associated with their resilience potential, which is also built through the relationship established with nurses. Objectives: To identify resilience-promoting nursing interventions in ACI; to assess resilience in ACI; and to establish an association between their level of resilience and the received interventions. Methodology: An exploratory sequential mixed-methods study was conducted. First, a qualitative study was conducted with a focus group of 8 nurses from a pediatric hospital, resulting in a list of resilience-promoting nursing interventions (LIER). Then, a quantitative study was conducted where a questionnaire was applied to 32 ACI (including the Resilience Scale and the LIER obtained in the first study). Results: Nurses reported several resilience-promoting nursing interventions. In a sample of 32 ACI, the level of resilience was average and higher in the adolescents with neurological diseases and in girls. A low correlation was found between the level of resilience and the nursing interventions. Conclusion: The results should be disseminated, and increased investment should be made so that the promotion of resilience in ACI clearly results from nursing interventions. [ABSTRACT FROM AUTHOR]

Objectives: This work sought to identify and describe the theoretical foundations, components, duration, delivery mode, and results of the nursing interventions aimed at persons with venous ulcers as available in the literature. Materials and method: Integrative review between 2000 and 2018 in the Pubmed, Ovidnursing, and EBSCOhost electronic databases. Results: This review includes 16 articles. Most of the interventions were of educational nature; three were developed in the community (through the Leg Club model) and the other ones were delivered by a nursing professional, face to face. The minimum time of duration for these was eight weeks, with telephone follow up. The most-common result variables were venous ulcer healing and reduction of the wound area. Conclusions: Diversity existed in relation with the components of the interventions and the results expected. Report of the interventions must be reinforced, along with the use of nursing theories that support their design. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This study aims to identify actions developed by nurses in primary care which translate competencies of the general care nurse based on the Portuguese Order of Nurses competency framework. Descriptive exploratory study in a sample of 46 general care nurses, who exercise their functions in primary care. The most common actions performed by participants are: to protect the client's right, to act according to the guidelines, to request collaboration from health services, to document information processing, to evaluate a group care plan, to collaborate with health services. The professional values and guiding principles seem to be clearly present in the practice of general nurses in primary care. The knowledge about the actions that nurses use in a given context of their practice may allow for a better monitoring of competencies, an improvement in the training plans as well as a consequent continuous improvement of the quality of care services. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Nursing, like any profession, is a social product that takes, in every period of history, so that it is possible in the circumstances in question. A literature review was conducted to analyze the influence of empiricism in practice and nursing education in Cuba. Concepts, approaches and positions of the author are highlighted. It was considered thaº zxciop`xz t the empirical character that has always marked nursing practice contributes greatly to knowledge acquisition that taxed to improvement of care; however, teaching and professional practice of nursing should not be advocated through empiricism. The timely intervention of teachers in improving the performance of learners, from the laboratory to the patient, strengthen, among others, the value of responsibility in them, which will refine the methods, techniques, theories and models based nursing.

Objective: the aim of this paper is to describe and analyze the literature on nursing models applied to clinical practice. Materials and method: integrative literature review regarding the nursing models applied to clinical practice, under the Ganong proposal, with an observation window of 20 years that included the review of 17 databases by using the search tool Descubridor. Results: the review of 44 documents showed that nearly half of them were papers based on a reflective analysis or a literature review. Most of the studies were descriptive. Most of the papers were published in the last decade and in English. The content identified four categories including the general applications of conceptual models in the nursing practice; why they should be implemented; How to implement the models; and finally, who should undertake the leader role in this implementation. Conclusions: the conceptual models applied to clinical practice are useful, important and they allowed innovation in the nursing practice. The use of conceptual models help nurses to meet the expectations of society with professional autonomy and with a better service. They contribute to the development of nursing knowledge and can generate solid contributions to innovate care in response to user needs. The use of models should be strengthen in nursing research in order to qualify continuously the nursing practice in its different roles. [ABSTRACT FROM AUTHOR]

Objective: To identify the stressors in clinical practices in students from the Faculty of Nursing at a public university in Antioquia (Colombia) and to explore the relationship between stress level and the variables sex and academic semester. Methods: A cross-sectional, quantitative study was conducted during the first 2016 academic semester. The study population was all students from 5th to 8th semester in clinical practice, no sampling was done. The participants answered by self-report the KEZKAK scale by Zupiría et al. to evaluate 41 stressors in the clinical practices of nursing students. Scores above 1,5 indicated the presence of stress. Results: 156 of the 224 enrolled students participated in the study (69.6% of the total). The mean for the scale was 2,0, which is equivalent to moderate stress level; 88% of the items showed some degree of stress (3 items with high level ≥2,5: poor work performance and harming the patient, causing physical harm to the patient, and confusing the types of medications). Statistically significant differences were found in the total average score by gender (highest in females) and academic semester (highest during the fifth). It was found that the KESKAK domains with the highest scores were: lack of skills (2,2), work overload (2,2), contact with suffering (2,0), and the patient seeking a close relationship (2,0). Conclusion: nursing students have a moderate level of stress caused by situations of the clinical practice, factors related to lack of skills and work overload were predominated. [ABSTRACT FROM AUTHOR]

Estudo qualitativo, com abordagem da fenomenologia social de Alfred Schütz, que teve como objetivo conhecer e discutir as expectativas dos docentes, enfermeiras e estudantes com relação ao ensino em campo clínico. Participaram do estudo nove docentes, 11 enfermeiras e 11 estudantes do Curso de Graduação em Enfermagem de uma universidade pública de São Paulo. A coleta dos dados foi realizada em 2012 e os resultados mostraram que os sujeitos esperam que o ensino clínico subsidie a articulação entre a teoria e a prática profissional; e almejam que tal ensino possibilite o desenvolvimento de uma postura próativa e participativa dos envolvidos na aprendizagem. A reciprocidade de perspectivas foi evidenciada, devendo ser considerada na elaboração de projetos pedagógicos voltados para a formação do enfermeiro.

Objetivo: Desarrollar el formato Proceso de Atención de Enfermería Estandarizado (PAE) en los pacientes ingresados en un centro penitenciario. Material y métodos: Estudio descriptivo trasversal, realizado a una muestra de treinta pacientes ingresados en el Centro penitenciario de Soria entre Marzo y Junio del 2011. Se realiza una recogida de información mediante una revisión de las historias clínicas y la realización de una entrevista de valoración de enfermería por patrones funcionales de Marjory Gordon. Posteriormente se obtienen los Diagnósticos enfermera utilizando taxonomía NANDA, (Nor American Nursing Diagnosis Asociacion) así como los problemas interrelacionados. Mediante taxonomía NIC (Nursing Interventions Clasification) Clasificaciones de intervenciones de enfermería y NOC (Nursing Outcomes Clasification). Clasificación de resultados de enfermería, se marcan las actividades y los criterios de resultados para cada diagnostico, del mismo modo para los problemas interrelacionados. Resultados: Los diagnósticos enfermeros encontrados en la muestra de pacientes analizada, así como la frecuencia de los mismos, ponen de manifiesto las peculiaridades en cuanto a las necesidades de cuidados de salud de la población penitenciaria, lo que hace posible realizar Planes de Cuidados enfermeros estandarizados para la población objeto de estudio, que faciliten la continuidad de dichos cuidados.

Copyright of Investigacion & Educacion en Enfermeria is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Estudo reflexivo com o objetivo de analisar a articulação entre o enfermeiro-docente (Homo sapiens) e o enfermeiro-assistencial (Homo faber) no ambiente hospitalar, à luz do pensamento gramsciano. Na Enfermagem, coexistem duas dimensões: a teórica, exemplificada na figura do enfermeiro docente com seus projetos de pesquisa e publicações científicas; e a dimensão prática, com a atuação técnico-assistencial. Evidencia-se o distanciamento do enfermeiro docente em relação aos cenários de prática da graduação, assim como do enfermeiro assistencial, da pesquisa e da prática baseada em evidências científicas. Face ao dilema entre Homo faber e Homo sapiens na Enfermagem, emerge a importância de refletir sobre a dimensão ética subjacente às ações de ambos, centradas no ser humano. Este diálogo não pode ser ignorado, pois dele depende o desbravamento de novos horizontes e o crescimento da Enfermagem enquanto ciência e prática social.

Course 2010/2011 ten students of nursing at the University of Alicante were sent to nursing EU countries to conduct their professional practices. This raises the concern to understand the nurse culture in the context of the European Union from the experience of nursing students Erasmus. Material and Methods. Ethnography. Strategy of data collection: observation. Role of non-participant observer researcher. Informant: Erasmus student nurses 2010/2011 academic year. Sources: Written (field notes). Ethical issues. Consent is sought for teachers and students to attend coordination meeting and informative. Descriptive analysis by Boyle (1994). Results: The data reported characteristics of the context of learning, esenario practices, practical experience of students and caregivers practices in the various scenarios. Subcategories are identified as a mentor, teaching methods, range, type of practical work, learning, practice carers. Conclusion: The professional culture in the context of the Union remains diverse in terms of the level of training and practice carers. As components of culture emerge the importance of mentor figure for its proximity to the student and identifies contextual features that promote student learning.

Objetivo. Describir los factores relacionados con la aplicación del proceso de atención de enfermería (PAE) y las taxonomías de diagnósticos, intervenciones y resultados esperados, en Unidades de Cuidado Intensivo -UCI- de Medellín. Metodología. Estudio descriptivo de corte transversal realizado en una muestra de 65 profesionales de enfermería de 12 UCI entre abril y junio de 2007. Se exploraron variables sociodemográficas y laborales, metodologías para el cuidado, aplicación del PAE y nivel de aptitud clínica; además del tipo de institución y existencia de registros de enfermería estructurados según la metodología. Resultados. Los profesionales son mujeres jóvenes con poca experiencia que cuidan realizando la valoración, planean con base en el diagnóstico médico y siguen los protocolos establecidos en las UCI. Manifiestan no aplicar el PAE - sin embargo, valoran, planean e intervienen y en menor medida formulan diagnósticos y evalúa-, tienen bajo nivel de aptitud clínica. Conclusión. Los profesionales de enfermería otorgan importancia al PAE como elemento que da identidad profesional, no obstante, no lo incorporan como metodología para el cuidado.Objetivo. Descrever os fatores relacionados com a aplicação do processo de atendimento de enfermagem (PAE) e as taxonomias de diagnósticos, intervenções e resultados esperados, em Unidades de Cuidado Intensivo -UCI- de Medellín. Metodologia. Estudo de corte transversal realizado numa mostra de 65 profissionais de enfermagem de 12 UCI entre abril e junho de 2007. Exploraram-se variáveis sócio-demográficas e trabalhistas, metodologias para o cuidado, aplicação do PAE e nível de aptidão clínica; além do tipo de instituição e existência de registros de enfermaria estruturados segundo a metodologia. Resultados. Os profissionais são mulheres jovens com pouca experiência que cuidam realizando a valoração, planejam com base no diagnóstico médico e seguem os protocolos estabelecidos nas UCI. Manifestam não aplicar o PAE - no entanto, valorizam, planejam e intervêm; em menor, medida formulam diagnósticos e avaliam-, têm sob nível de aptidão clínica. Conclusão. Os profissionais de enfermagem outorgam importância ao PAE como elemento que dá identidade profissional, não obstante, não o incorporam como metodologia para o cuidado.Objective. To describe the factors related with the application of the nursing care process (NCP) and diagnostic taxonomies, interventions and expected results in intensive care units -ICU- of Medellin. Methodology. Cross-sectional study performed in a sample of 65 nursing professionals from 12 ICU between April and June of 2007. Sociodemographic and labor variables, care methodologies, NCP application and clinical aptitude were explored; the type of institution and the existence of structured nursing reports according to the methodology were explored as well. Results. Professionals are young women with a little experience who take care doing assessment; they plan based on the medical diagnosis and follow ICU established protocols. They say they don’t apply the NCP - however they take part, assess and plan, and in a lower degree they diagnose and evaluate-, they have low clinical aptitude too. Conclusion. Nursing professionals attach importance to the NCP as a tool that gives professional identity however they don’t incorporate it as a care methodology.

Uno de los desafíos para el cuidado de enfermería del presente siglo es el rescate de la unidad del ser a través de procesos de investigación relacionados con la capacidad de las enfermeras de interrogarse, establecer la naturaleza de los fenómenos y los valores relacionados. Este reto se centra en gran medida en poder conocer y comprender la esencia de las experiencias en los fenómenos tanto de salud como de enfermedad en la cotidianidad de los seres humanos. La epistemología como ciencia del desarrollo del conocimiento proporciona herramientas para abordar el significado o significados, entendido este como uno de los conceptos del dominio de la práctica de enfermería. El significado se puede establecer desde diferentes áreas del saber; entre otras, la filosofía con enfoques metodológicos como la fenomenología y la hermenéutica, al igual que la lingüística, la pedagogía, la psicología social y la etnografía. Estas diversas formas de concebir el conocimiento conllevan distintos abordajes que dan soporte a la práctica. La enfermera, en el proceso de dar cuidado, debe trascender de la noción exclusivamente lingüística del significado hacia el rescate de la unidad del ser, considerando el lenguaje como un elemento necesario, pero no exclusivo, para comprender e interpretar en las narrativas la experiencia y los significados que se atribuyen.Um dos desafios para a atenção de enfermagem do século presente tem a ver com o resgate da unidade do ser através de processos de pesquisa vinculados à capacidade das enfermeiras para se interrogar, estabelecer a natureza dos fenômenos e os valores associados. Esse desafio está focado, notadamente, em poder conhecer e compreender a essência das experiências nos fenômenos tanto de saúde, quanto de doenças no dia-a-dia dos seres humanos. A epistemologia como ciência de desenvolvimento do conhecimento oferece ferramentas para se aproximar do significado ou significado, entendido ele como um dos conceitos inerentes ao domínio da prática da enfermagem. Podemos estabelecer o significado desde diferentes áreas do conhecimento; entre outras, a filosofia com abordagem metodológica como a fenomenologia e a hermenêutica, igual que a lingüística, a pedagogia, a psicologia social e a etnografia. Essas diversas formas de entender o conhecimento conduzem a diferentes abordagens que sustentam a prática. A enfermeira, no intuito de prover cuidados, deve ultra-passar a noção exclusivamente lingüística do significado além do resgate da unidade do ser, considerando a linguagem como um elemento necessário, mas não exclusivo, para compreender e interpretar a experiência e os significados a ela atribuídos dentro da história.One of the challenges for nursing care in this century is the rescue of the human being unit through research processes related with the capacity of nurses to reflect on themselves, to establish the nature of the phenomena and of the related values. This challenge is greatly focused on being able to know and to understand the essence of experiences in both health and nursing the phenomena in the daily routine of human beings. The epistemology as the knowledge development science provides tools to address the meaning or meanings, understanding these as one of the domain concepts of the nursing practice. The importance can be established from different knowledge areas; among others, philosophy with different methodological approaches such as phenomenology and hermeneutics, as well as linguistics, pedagogy, social psychology and ethnography. These various forms of conceiving knowledge entail several approaches that provide support to the practice. The nurse, in the process of providing care, should go beyond the exclusively linguistic notion of significance to the rescue of the human being unit, considering the language as an element necessary, but not exclusive, to understand and interpret in the narratives, the attributed experience and significance.

Neste trabalho propomos refletir sobre a enfermagem entendida como uma prática social. Para construir essas idéias, revisitamos esse conceito nas suas raízes filosóficas e sociais. Com o intuito de contribuir para esta reflexão, buscamos, no desenvolvimento da enfermagem, desde os seus primórdios, características que a definem como uma prática histórica e socialmente construída. Por fim propomos também um conceito de prática social e, nesta perspectiva, construímos, ao longo do texto, um outro conceito para enfermagem.La propuesta de este trabajo es reflexionar sobre la enfermería comprendida como una práctica social. Para construirlo hemos buscado ese concepto en sus raíces filosóficas y sociales. Intentando contribuir para esta reflexión, presentamos un análisis del desarrollo de enfermería, desde el comienzo de su práctica histórica y socialmente construida. Al fin, proponemos un concepto de práctica social, construyendo, a lo largo del texto un otro concepto para Enfermería.In this work we aimed at reflecting about the nursing as a social practice. To build these ideas, we reconsidered this concept in its philosophical and social roots. With the purpose to contribute for this reflection, we looked for the characteristics that define the nursing as an historical and socially build practice, through the nursing development, since its beginning. At last we also propose a concept of social practice and, into this perspective, we built,along the text, an other concept for the nursing.

Classificar tem o sentido de segregar. Significa ver o mundo como algo que pode ser formado por entidades distintas que poderiam ser ordenadas e tornar real aquilo que se organizou. Assim, o Diagnóstico de Enfermagem (DE) pretende ser um arquivo, que permite a montagem de um quadro de saberes sobre os indivíduos. Neste trabalho pretendemos conhecer o modo pelo qual as enfermeiras construíram esse aparelho documental. Assim, analisamos as publicações da Revista Brasileira de Enfermagem e constatamos que alguns sentidos foram atribuídos aos DE o que nos permitiu agrupá-los em cinco classes. Observamos, também, que os discursos da revista atribuem poderes a essa classificação, pois ao difundir esse saber o fortalecem.Clasificar tiene el sentido de segregar. Significa ver el mundo como algo que puede ser formado por entidades distintas que podrían ser ordenadas y volver real aquello que se organizó. Así, el Diagnóstico de Enfermería (DE) pretende ser un archivo, que permite el montaje de un cuadro de saberes sobre los individuos. En este trabajo pretendemos conocer el modo por el cual las enfermeras construyeron ese aparato documental. Así, hicimos un análisis en las publicaciones de la Revista Brasileira de Enfermagem (Revista Brasileña de Enfermería) y constatamos que algunos sentidos se atribuyen a los DE lo que nos permitió agruparlos en cinco clases. Observamos, también, que los discursos de la revista atribuyen poderes a esa clasificación, pues al difundir ese saber lo fortalecen.Classifying means segregating. It means seeing the world as something that can be made up of different entities that could be sorted and make what has been organized into something real. Thus, the Nursing Diagnoses (ND) aims at being an archive that allows a knowledge framework to be drawn about the individuals. In this paper we intend to learn how nurses have built this documental device. So, we analysed articles published on the Revista Brasileira de Enfermagem and found out that some meanings have been attributed to ND, which allowed us to group them into five classes. We also observed that the journal's discourses assign powers to such classification, because they make this knowledge stronger by publicising it.

Este estudo teve por objetivo apresentar e comparar a técnica da delimitação geométrica para aplicação de injeção intramuscular na região ventro-glútea com a tradicional. Trata-se de um estudo quasi-experimental do tipo grupo-controle não-equivalente, realizado em peças anatômicas de cadáveres verificando a precisão da punção, entre a delimitação tradicional, pela mão, e a geométrica, constituída ao traçar linhas imaginárias entre proeminências ósseas do quadril configurando um triângulo, cujo baricentro circunscreverá o sítio de punção. O estudo revelou que o sítio de punção delimitado pela técnica geométrica guardou proporção entre as estruturas envolvidas, coincidiu com o ventre muscular da região ventro-glútea em 100,0% das punções. Já para a tradicional, o sítio de punção se distanciou do ventre muscular em 39,9% das punções.Este estúdio tuvo por objectivo presentar y comparar la técnica de la delimitación geométrica para aplicación de injección intramuscular en la región ventroglútea. Tratase de un estúdio casi-experimental del tipo grupo-control no equivalente realizado con piezas anatómicas de cadaveres verificando la precisión de la punción entre la delimitación tradicional por la mano y la geométrica por la técnica del trazado de lineas imaginárias traves de las proeminencias oseas del quadril configurando un triangulo, cuyo centro es el sitio de punción. Lo estudio demonstró que el sitio de punción delimitado por la técnica geométrica guardó proporción entre las estructuras envolvidas y concidió con el centro muscular de la región ventroglútea en 100% de las punciones. Por otro lado, en la técnica tradicional, el sitio de punción se ha distanciado del centro muscular en 39,9% de las punciones.This study aimed at presenting and comparing geometrical and traditional technique for intramuscular injection in the ventrogluteal area. This is a quasi-experimental study of non-equivalent control group type, carried out with anatomical parts of corpses to verify the precision of punction between traditional delimitation using hand as reference and the geometrical model which was constituted by tracing imaginary lines across bone structures of the hip, making a configuration of a triangle whose barycenter points the punction site. The study demonstrated that the punction site delimited by the geometrical technique keeped proportion of the envolved structures, and matched with the muscular womb of the ventrogluteal area in 100% of punctions. In another hand, in the traditional technique the punction site varied in 39.9% of punctions.

A pesquisa teve por objetivo analisar compreensivamente o significado atribuído ao pensar/fazer da prática do enfermeiro. Utilizou o método de revisão sistemática, tendo como pressuposto a concepção da Enfermagem dialógica e a interpretação na ótica de Martin Heidegger. A amostra, composta por trinta e três publicações, foi selecionada a partir da Revista Brasileira de Enfermagem no período de 1932 a 1971. A análise dos textos revelou que o pensar/fazer caminhou de uma Enfermagem essencialmente técnica para uma Enfermagem relacional que visava prioritariamente o mundo social e de saúde. Posteriormente, emerge a Enfermagem dialógica, estabelecida na relação enfermeiro/cliente através da ponte dada pela sistematização da assistência aos clientes. Assim, a Enfermagem brasileira demonstrou a busca por um habitat profissional próprio e autêntico, mas que acabou se restringindo ao mundo acadêmico ao longo dos últimos 30 anos. Na atualidade, acredito ser urgente para a comunidade da Enfermagem discutir suas especificidades epistemológicas contribuindo para um habitat social e profissional próprio.La investigación tenía como objetivo analizar el significado atribuido al pensar/hacer del práctica de la enfermera. Utilizó el método de revisión sistemática, teniendo como presupuesto el concepto de enfermería dialógica y de la interpretación en la óptica de Martin Heidegger. La muestra es compuesta por treinta y tres publicaciones, fue seleccionada de la Revista Brasileira de Enfermagem en el período de 1932 al 1971. El análisis de los textos reveló que el pensar/hacer caminó de la enfermería esencialmente técnica para la enfermería relacional que tuvo como objetivo prioritário el mundo social y el mundo del salud. Más adelante, la enfermería dialógica estabelecida en la relacción enfermera/cliente a través del puente dada para la sistematización de la ayuda a los clientes. Así, la Enfermería brasileña demonstró la búsqueda para un habitat profesional propio y auténtico, pero eso que acabó se restringiendo al mundo académico a lo largo de los ultimos 30 años. En la actualidad creo ser urgente para las enfermeras discutir sus especificidades epistemológicas que contribuyen para un propio habitat social y profesional.The research had as objective to analyze in a comprehensive way the attributed meaning to thinking/doing in the nurse practice. Was used the systematic literature review method with dialogic nursing conception and Martin Heidegger's point of view interpretation. The sample was composed by thirty and three publications, selected from the Brazilian Magazine of Nursing in the period between 1932 and 1971. The texts analysis revealed that the thinking/doing walked from a essential technical Nursing to a relational Nursing that aimed essentially the social world and of health. After arise the dialogical Nursing, established in the nurse/client relationship trough the bridge build by the systematization of the assistance to the clients. Thus, the Brazilian Nursing demonstrated the search for an own and authentic professional habitat, but end restricted itself to the academic world trough the last 30 years. Nowadays, I believe it must be urgent to the Nursing community to discuss its epistemological specificies contributing to an own social and professional habitat.