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RESEARCH
Adherence to standard precautions in a teaching hospital
Revista Brasileira de Enfermagem. 2017;70(1):96-103
01-01-2017
Abstract
RESEARCHAdherence to standard precautions in a teaching hospital
Revista Brasileira de Enfermagem. 2017;70(1):96-103
01-01-2017DOI 10.1590/0034-7167-2016-0138
Views0ABSTRACT
Objective:
analyze related factors and the level of adherence to standard precautions of nursing professionals from the clinical medical division of a teaching hospital.
Method:
a quantitative, cross-sectional, analytical study was conducted with 54 nursing professionals using the Psychometric Scale of Adherence to Standard Precautions, translated and validated to Brazilian Portuguese.
Results:
the global score of adherence was intermediate (4.41); no statistically significant correlation was observed between adherence and professional category (p=0.404) and length of professional practice (p= 0.612). A correlation was observed between ‘Washes hands after removing disposable gloves’ (p=0.026) and professionals with nursing practice above 10 years.
Conclusion:
adherence to standard precautions by the nursing team was intermediate, with no statistically significant difference in relation to the professional category and length of professional practice.
Keywords:Exposure to Biological AgentsNursing, TeamOccupational RisksPersonal Protective EquipmentUniversal PrecautionsSee more
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RESEARCH
Analysis of adverse events following immunization caused by immunization errors
Revista Brasileira de Enfermagem. 2017;70(1):87-95
01-01-2017
Abstract
RESEARCHAnalysis of adverse events following immunization caused by immunization errors
Revista Brasileira de Enfermagem. 2017;70(1):87-95
01-01-2017DOI 10.1590/0034-7167-2016-0034
Views0See moreABSTRACT
Objective:
to analyze adverse events following immunization (AEFI) caused by immunization error in the state of Paraná, Brazil, from 2003 to 2013.
Method:
this is a descriptive, documental, retrospective, and quantitative research using secondary data from the Adverse Event Following Immunization Information System and the Immunization Program Evaluation System. We included cases confirmed and/or associated with different types of vaccines. For the analysis, we collected frequencies and incidence rates, and used simple linear regression models with Student’s t-test.
Results:
it was observed an AEFI increase due to immunization errors, especially hot subcutaneous abscesses. BCG vaccine had the highest incidence of adverse events and children under one year old were the most affected individuals.
Conclusion:
the current scenario is worrisome because these are preventable AEFI – injuring patients due to bad vaccination practices – that may undermine the population’s confidence, reducing immunization coverage, and the progress in the control of vaccine-preventable diseases.
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RESEARCH
Nursing practice environment and work satisfaction in critical units
Revista Brasileira de Enfermagem. 2017;70(1):79-86
01-01-2017
Abstract
RESEARCHNursing practice environment and work satisfaction in critical units
Revista Brasileira de Enfermagem. 2017;70(1):79-86
01-01-2017DOI 10.1590/0034-7167-2016-0211
Views0See moreABSTRACT
Objective:
to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU).
Method:
a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfaction (IWS) were applied to investigate the environment of nursing practices and work satisfaction, respectively.
Results:
a total of 100 (34.84%) nurses and 187 (65.15%) nursing assistants/technicians participated in this study. The environment was favorable for autonomy and relationships and it showed vulnerability for control of practices and organizational support. The IWS score indicated low work satisfaction. “Environment of practices”, “length of work in the ICU” and “willingness to work” were associated with work satisfaction.
Conclusion:
to invest in the environment of practices, in factors that promote willingness to work and length of experience in the ICU increases nursing work satisfaction.
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RESEARCH
Care for women involved with drugs: social representations of nurses
Revista Brasileira de Enfermagem. 2017;70(1):71-78
01-01-2017
Abstract
RESEARCHCare for women involved with drugs: social representations of nurses
Revista Brasileira de Enfermagem. 2017;70(1):71-78
01-01-2017DOI 10.1590/0034-7167-2016-0339
Views0See moreABSTRACT
Objective:
analyze social representations of nurses related to the care for women involved with drugs.
Method:
qualitative research founded on the theory of social representations, with 42 nurses from a public maternity ward of Salvador-BA, using identification questionnaire, test of free association of words, and semi-structured interview. We analyzed the structure of social representations and the similarity tree of free evocations, and also analyzed the content of interviews.
Results:
care for women involved with drugs is represented by a set of words that shows theoretical questions and scientific techniques, but faced with experiences in the training, in the daily work and in ideas and values assigned to the consumption of drugs especially in the gravidic-puerperal period.
Conclusion:
The social representations of nurses show conflicts between social and cultural aspects around the problem of drugs and the health care provided to women involved with drugs.
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RESEARCH
Support to woman/nourisher in the advertising pieces of the World Breastfeeding Week
Revista Brasileira de Enfermagem. 2017;70(1):61-70
01-01-2017
Abstract
RESEARCHSupport to woman/nourisher in the advertising pieces of the World Breastfeeding Week
Revista Brasileira de Enfermagem. 2017;70(1):61-70
01-01-2017DOI 10.1590/0034-7167-2016-0376
Views0See moreABSTRACT
Objective:
to unveil the support to woman/nourisher in the advertisements of the World Breastfeeding Week.
Method:
This is a descriptive, exploratory, documentary, qualitative study. Since the collection until the analyses of these advertisements, we adopted the methodological steps of Gemma Penn, based on the semiology of Roland Barthes. The results were interpreted by the theory of Social Network of Sanícola and of the five types of support: companionship, emotional, instrumental, informational, and self-supportive.
Results:
we identified actors of the social network of the woman/nourisher in nine advertisements of the 22 world breastfeeding weeks. In five of them, partner, grandmother, and brother showed emotional and companionship support to breastfeeding. We observed self-support in three posters; instrumental support in one; and informational support in none.
Conclusion:
the support unraveled in only five advertisements included: emotional, companionship, instrumental, and self-supportive. In the others, there was no support. The set of supports was not revealed in any of them.
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RESEARCH
Emergency interventions for air medical services trauma victims
Revista Brasileira de Enfermagem. 2017;70(1):54-60
01-01-2017
Abstract
RESEARCHEmergency interventions for air medical services trauma victims
Revista Brasileira de Enfermagem. 2017;70(1):54-60
01-01-2017DOI 10.1590/0034-7167-2016-0311
Views0See moreABSTRACT
Objective:
to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims.
Method:
This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments.
Results:
Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed significance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene.
Conclusion:
Further studies are necessary, focused on care protocols for trauma victims
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RESEARCH
Evaluation of the hospital accreditation program: face and content validation
Revista Brasileira de Enfermagem. 2017;70(1):47-53
01-01-2017
Abstract
RESEARCHEvaluation of the hospital accreditation program: face and content validation
Revista Brasileira de Enfermagem. 2017;70(1):47-53
01-01-2017DOI 10.1590/0034-7167-2016-0184
Views0ABSTRACT
Objective:
to describe the results of face and content validation of the questionnaire entitled Quality Improvement Implementation Survey, and of two complementary scales as part of the adaptation process to the Brazilian language and culture.
Method:
included the following stages: (1) translation and synthesis of translations; (2) consideration by the expert committee; (3) back translation; (4) evaluation of verbal understanding by the target population.
Results:
the questionnaire was translated into Portuguese and its final version included 90 items. In the pre-test, the target population evaluated all items as easy to understand, with the global average of 4.58 (maximum value = 5).
Conclusion:
the questionnaire is currently translated into Portuguese and adapted to the Brazilian context. The adapted version maintained the semantic, idiomatic, conceptual and cultural equivalence, according to the assessment of the expert committee and the information provided by the target population, which confirmed the face and content validity.
Keywords:AccreditationAssurance of Health Care QualityHospital AdministrationOutcome Assessment (Health Care)Validation StudiesSee more -
RESEARCH
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
01-01-2017
Abstract
RESEARCHAdecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
01-01-2017DOI 10.1590/0034-7167-2016-0246
Views0RESUMEN
Objetivo:
Determinar cuál de las escalas evaluadas (NEMS y NAS), es más adecuada para Unidades de Cuidados Intensivos aplicando metodología de calidad.
Método:
Tras identificar como oportunidad de mejora la no adecuación de la escala NEMS para determinar cargas de trabajo de enfermería en UCI, se aplica metodología de los ciclos de mejora a dicha escala y a la NAS, como propuesta de mejora, evaluando los criterios: medición de cargas de trabajo al día y por turno, inclusión de todas las actividades enfermeras, y análisis por paciente y unidad.
Resultados:
Escala NEMS no muestra diferencias significativas en el cumplimiento (67%). Comparación NEMS-NAS, todos los criterios excepto el 1º, obtienen mejora significativa. NEMS sólo valora el criterio 1 (64,22%), y NAS todos con un cumplimiento para el 1º, 2º y 4º del 64,74%, y el 3º del 100%.
Conclusión:
La escala NAS es más adecuada para medir cargas de trabajo de enfermería en UCI.
Keywords:Carga de TrabajoControl de CalidadEnfermeríaGestión de la CalidadUnidades de Cuidados IntensivosSee more
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REVIEW
Mental health interventions implemented in the COVID-19 pandemic: what is the evidence?
- Wanderson Carneiro Moreira
, - Kayo Henrique Jardel Feitosa Sousa ,
- Anderson Reis de Sousa ,
- Thiago da Silva Santana ,
- Regina Célia Gollner Zeitoune , [ … ],
- Maria do Perpétuo Socorro de Sousa Nóbrega
06-11-2021
Abstract
REVIEWMental health interventions implemented in the COVID-19 pandemic: what is the evidence?
Revista Brasileira de Enfermagem. 2021;74:e20200635
06-11-2021DOI 10.1590/0034-7167-2020-0635
- Wanderson Carneiro Moreira ,
- Kayo Henrique Jardel Feitosa Sousa ,
- Anderson Reis de Sousa ,
- Thiago da Silva Santana ,
- Regina Célia Gollner Zeitoune ,
- Maria do Perpétuo Socorro de Sousa Nóbrega
Views0See moreABSTRACT
Objective:
to map the evidence on mental health interventions implemented during the COVID-19 pandemic.
Method:
this scoping review was carried out in the MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, and Science Direct databases and in the medRxiv, bioRxiv, and PsyArXiv preprints servers using the descriptors “Covid-19”, “coronavirus infection”, “coronavirus”, “2019-nCoV”, “2019 novel coronavirus disease”, “SARS-CoV-2”, “health personnel”, “general public”, and “mental health”.
Results:
eight articles were selected and categorized into mental health interventions for the population, among which mental health interventions were for people diagnosed with suspicion/confirmed COVID-19 and mental health interventions for health professionals.
Conclusion:
telemonitoring, virtual games and strategies focused on social support and muscle relaxation techniques, characterized as non-pharmacological and low-cost, were shown as interventions, which, since they are effective, need to be encouraged and included in mental health care practices.
- Wanderson Carneiro Moreira
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Nursing performance in robotic surgeries: integrative review
- Raísha Costa Martins ,
- Denilse Damasceno Trevilato ,
- Marielli Trevisan Jost ,
- Rita Catalina Aquino Caregnato
06-07-2019
Abstract
Nursing performance in robotic surgeries: integrative review
Revista Brasileira de Enfermagem. 2019;72(3):795-800
06-07-2019DOI 10.1590/0034-7167-2018-0426
- Raísha Costa Martins ,
- Denilse Damasceno Trevilato ,
- Marielli Trevisan Jost ,
- Rita Catalina Aquino Caregnato
Views0ABSTRACT
Objective:
To know the scientific production on the performance of the nursing staff in robotic surgeries, identifying the role of the nurse in the three perioperative periods.
Methods:
Integrative review, search in the databases National Library of Medicine, National Institutes of Health, Scientific Electronic Library Online and Biblioteca Virtual em Saúde, performed from June to September, 2017; 17 selected articles met the inclusion criteria.
Results:
Most articles were published in foreign journals in English, nine in the United States, classified with evidence level of 4 and 5. The role of nursing in the perioperative period was identified, related mainly to patient safety. The most mentioned perioperative period in the articles was the intraoperative, with greater concern in the positioning of the patient.
Conclusion:
The nursing performance and patient safety in robotic surgeries are similar to the ones in major surgeries, requiring from the patient a specific knowledge on the setting and preparation of the robot.
Keywords:Nurse's RolePerioperative NursingRoboticsSurgical Procedures, OperativeTechnological DevelopmentSee more
- Raísha Costa Martins
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ORIGINAL ARTICLE
“Waiting for a miracle”: Spirituality/Religiosity in coping with sickle cell disease
- Maiara Vitor Gomes ,
- Aline da Silva Gomes Xavier ,
- Evanilda Souza de Santana Carvalho ,
- Rosa Cândida Cordeiro ,
- Sílvia Lúcia Ferreira , [ … ],
- Amarry Dantas Morbeck
10-21-2019
Abstract
ORIGINAL ARTICLE“Waiting for a miracle”: Spirituality/Religiosity in coping with sickle cell disease
Revista Brasileira de Enfermagem. 2019;72(6):1554-1561
10-21-2019DOI 10.1590/0034-7167-2018-0635
- Maiara Vitor Gomes ,
- Aline da Silva Gomes Xavier ,
- Evanilda Souza de Santana Carvalho ,
- Rosa Cândida Cordeiro ,
- Sílvia Lúcia Ferreira ,
- Amarry Dantas Morbeck
Views0See moreABSTRACT
Objective:
To understand spirituality/religiosity as experienced by people with sickle cell disease, and its influence on coping with the disease.
Method:
A qualitative, descriptive, and exploratory study conducted in the State of Bahia. Twenty-nine respondents participated in semi-structured interviews. Content analysis was used to analyze the empirical material.
Results:
Individuals with sickle cell disease experience spirituality/religiosity motivated by their hope for a miracle, and fear of death; among their rites are: reading religious materials, individual and group prayer, and attendance at worship services. The effects on their health include: comfort by means of coping by comparing two evils, anxiety relief, social support, and lifestyle changes; however, spirituality/religiosity may be impaired.
Final considerations:
This study demonstrates the need to qualify health professionals to address spiritual issues of these individuals during illness, with the aims of diagnosing suffering and anguish, and providing care, comfort and strengthening of the spiritual bonds of these individuals.
- Maiara Vitor Gomes
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ORIGINAL ARTICLE
Construction and validation of a mobile application for development of nursing history and diagnosis
- Evandro Bernardino Mendes de Melo ,
- Cândida Caniçali Primo ,
- Walckiria Garcia Romero ,
- Hugo Cristo Sant’Anna ,
- Carlos Alberto da Cruz Sequeira , [ … ],
- Mirian Fioresi
12-21-2020
Abstract
ORIGINAL ARTICLEConstruction and validation of a mobile application for development of nursing history and diagnosis
Revista Brasileira de Enfermagem. 2020;73:e20190674
12-21-2020DOI 10.1590/0034-7167-2019-0674
- Evandro Bernardino Mendes de Melo ,
- Cândida Caniçali Primo ,
- Walckiria Garcia Romero ,
- Hugo Cristo Sant’Anna ,
- Carlos Alberto da Cruz Sequeira ,
- Eliane de Fátima Almeida Lima ,
- Mirian Fioresi
Views0ABSTRACT
Objectives:
to describe the construction and validation process for a mobile application for development of the nursing history and diagnosis.
Methods:
methodological study conducted in 2018 in three stages: content creation, based on the Basic Human Needs categories and nursing diagnoses; content assessment by nine nursing judges, with calculation of the content validity index; and construction of the application, which included definition of the requirements, a conceptual map, implementation and prototyping options, tests and implementation.
Results:
the application was organized by sections: Grouped Basic Human Needs, Cranial pair tests, Clinical assessment scales and Additional tests. Two section were adjusted according to the judges’ suggestions.
Final Considerations:
it is the first application produced in Brazil based on the Basic Human Need categories, which enables quick access to information, concepts and typical nomenclatures of semiology, recording of clinical data and definition of nursing diagnoses.
Keywords:Educational TechnologyMobile ApplicationsNursing InformaticsNursing ProcessPhysical ExaminationSmartphoneSee more
- Evandro Bernardino Mendes de Melo
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ORIGINAL ARTICLE
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study
- Caroline Ribeiro de Sousa ,
- Janaína Fonseca Victor Coutinho ,
- João Bastos Freire Neto ,
- Rachel Gabriel Bastos Barbosa ,
- Marília Braga Marques , [ … ],
- Jamylle Lucas Diniz
10-01-2022
Abstract
ORIGINAL ARTICLEFactors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
10-01-2022DOI 10.1590/0034-7167-2020-0399
- Caroline Ribeiro de Sousa ,
- Janaína Fonseca Victor Coutinho ,
- João Bastos Freire Neto ,
- Rachel Gabriel Bastos Barbosa ,
- Marília Braga Marques ,
- Jamylle Lucas Diniz
Views0See moreABSTRACT
Objectives:
to assess factors associated with vulnerability and fragility in the elderly.
Methods:
crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index – 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted.
Results:
251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy.
Conclusions:
it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.
- Caroline Ribeiro de Sousa
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ORIGINAL ARTICLE
Caring ability, burden, stress and coping of family caregivers of people in cancer treatment
- Larissa de Carli Coppetti ,
- Nara Marilene Oliveira Girardon-Perlini ,
- Rafaela Andolhe ,
- Laís Mara Caetano da Silva ,
- Steffani Nikoli Dapper , [ … ],
- Elissa Noro
10-21-2019
Abstract
ORIGINAL ARTICLECaring ability, burden, stress and coping of family caregivers of people in cancer treatment
Revista Brasileira de Enfermagem. 2019;72(6):1541-1546
10-21-2019DOI 10.1590/0034-7167-2018-0605
- Larissa de Carli Coppetti ,
- Nara Marilene Oliveira Girardon-Perlini ,
- Rafaela Andolhe ,
- Laís Mara Caetano da Silva ,
- Steffani Nikoli Dapper ,
- Elissa Noro
Views0See moreABSTRACT
Objective:
To analyze the association between the caring ability and the burden, stress and coping of family caregivers of people in cancer treatment.
Method:
A cross-sectional study with 132 family caregivers. The following instruments were applied: a characterization instrument, the Caring Ability Inventory, the Zarit Burden Interview, the Perceived Stress Scale, and the Brief COPE. The Spearman Correlation was used with significance ≤5%.
Results:
There were significant and positive correlations between total caring ability and: burden – interpersonal relationship (p=0.03); stress (p=0.02) and maladaptive coping (p=0.00); and inversely proportional correlations with problem-focused coping (p=0.03). The courage had inversely proportional correlation with: self-efficacy (p=0.03), interpersonal relationship (p=0.00), stress (p=0.04) and maladaptive coping (p=0.00). The knowledge had significant and positive correlation with problem-focused coping (p=0.00), adaptive coping (p=0.01), and inverse correlation with stress (p=0.02).
Conclusion:
The level of caring ability correlates with levels of stress and burden, and with the type of coping strategy used by family caregivers.
- Larissa de Carli Coppetti
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ORIGINAL ARTICLE
Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study
- Fernanda Letícia da Silva Campanati ,
- Laiane Medeiros Ribeiro ,
- Izabel Cristina Rodrigues da Silva ,
- Paula Regina de Souza Hermann ,
- Guilherme da Costa Brasil , [ … ],
- Silvana Schwerz Funghetto
10-18-2022
Abstract
ORIGINAL ARTICLEClinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(2):e20201155
10-18-2022DOI 10.1590/0034-7167-2020-1155
- Fernanda Letícia da Silva Campanati ,
- Laiane Medeiros Ribeiro ,
- Izabel Cristina Rodrigues da Silva ,
- Paula Regina de Souza Hermann ,
- Guilherme da Costa Brasil ,
- Karen Karoline Gouveia Carneiro ,
- Silvana Schwerz Funghetto
Views0See moreABSTRACT
Objectives:
to evaluate students’ knowledge gain after the implementation of clinical simulation in Nursing Fundamentals disciplines.
Methods:
a quasi-experimental intervention was carried out with 60 students, distributed in comparison and intervention groups, who underwent traditional teaching and traditional teaching associated with simulated teaching, respectively. Pre-test and post-test instruments were applied to both groups.
Results:
after analyzing the students’ performance through the applied instruments, both groups had a cognitive evolution along with the taught content, however, when compared, the intervention group obtained a higher knowledge gain than the comparison group (p = 0.016), demonstrating progressive and increasing improvement with the use of the methodology.
Conclusions:
simulated teaching significantly helps students in gaining technical-cognitive knowledge. Therefore, it is recommended to adhere to the use of this methodology for teaching Nursing Fundamentals.
- Fernanda Letícia da Silva Campanati
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ORIGINAL ARTICLE
Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
08-10-2020
Abstract
ORIGINAL ARTICLEEliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
08-10-2020DOI 10.1590/0034-7167-2018-0950
Views0See moreABSTRACT
Objectives:
to analyze theoretical conceptions of Eliot Freidson’s Sociology of Professions scoped on health and nursing professions.
Methods:
Eight nurses were interviewed, all involved in the development of the professional Council on the timeframe from 1975 to 1986. Documental resources were Laws, Ordinances, Resolutions, Reports, Meeting Minutes and Public Deeds. Information was organized as from literature and Eliot Freidson’s conceptions, and thematic content analysis was carried out.
Results:
the concepts authored by Eliot Freidson allowed for the development of a concept chart that portrays the nursing profession and that may be expanded for the other occupations in the health field, in consonance with professional organization in the country.
Final Considerations:
Eliot Freidson’s framework, in interpretation for nursing, consolidates the profession with relative autonomy, expertise by Nursing Care Systematization and credentialism by professional normalizations.
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