Artículos - Revista Brasileira de Enfermagem

ABSTRACT

Objectives:

to unveil the meanings of mothers whose children died as a result of domestic accidents in childhood.

Methods:

a qualitative research, in the light of Heideggerian phenomenology, with ten mothers whose children died from domestic accidents. It was carried out in a municipality of the Northeast Region of Brazil through phenomenological interviews between May and June 2017. The existential analytic was constituted by the comprehensive moments of the Heideggerian method.

Results:

the meanings unveiled pointed out that, to understand the sudden death of her child, the mother oscillates between feeling guilty, pointing and denying guilt. She reports emptiness, permanent pain, non-acceptance of her child’s death, and the desire to keep him in her life. In this journey, the fear that brings limitations to her life and that of her other children is revealed. Final Considerations: it was revealed that the death of the child in infancy compromises the integrality of being a mother, indicating the need for systematic and continuous care for the adequate management of the emotional and social effects.

ABSTRACT

Objectives:

to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2.

Methods:

quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão.

Results:

the adherence to self-care was greater when it comes to medications (M_d=7.0) and foot care (M_d= 6.0), but lower in regard to blood sugar testing (M_d=1.0), exercise (M_d=2,0), and diet (general) (M_d=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities.

Conclusions:

identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.

ABSTRACT

Objectives:

to analyze the validity of the Resilience at Work Scale (RAW Scale – Brazil), 25 and 20-item versions, based on its internal structure (dimensional and correlation), with professors and health workers from a public university in southern Brazil.

Methods:

methodological study, developed in 2018, with 526 participants. For psychometric tests, the following were used: Confirmatory Factor Analysis; composite reliability, and convergent validity against the Engagement at work; Occupational self-efficacy; Overall resilience; General Health Questionnaire; and Social support at work scales.

Results:

both versions had factor loadings > 0.30, adequate fit indices and satisfactory composite reliability. In both versions, strong and direct correlations with general Resilience and Self-efficacy were evidenced; moderate and direct with social Engagement and Support; and moderate and inverse with General Health.

Conclusions:

the RAW Scale 25 and 20 – Brazil meets the validity requirements with potential for assessing resilience at work within the studied context.

ABSTRACT

Objectives:

to analyze the teamwork in the Family Health Strategy from the perspective of professionals from the Primary Care Department and the municipal manager/secretary of health of a Municipal Health Secretariat.

Methods:

an exploratory/qualitative study. All professionals of the Department and municipal manager/municipal health secretary/interior of Minas Gerais participated. Data collection was through semi-structured interviews/May to November/2019. Data analysis: Content analysis/thematic mode and work process theoretical referential.

Results:

three categories emerged: Inter-professional relations permeated by non-material instruments of work; Professional training, experience, and profile influence teamwork; and Proposals for the realization of teamwork in the Family Health Strategy. Results revealed assumptions for teamwork in the referred Strategy, facilitators/difficulties/strategies for its realization, according to the professionals. Final Considerations: collaboration/communication/proactivity to facilitate teamwork. Need for approximation between municipal management and Family Health Strategy to achieve teamwork.

ABSTRACT

Objectives:

to evaluate the quality of Primary Health Care attributes according to the characterization and perspective of women of reproductive age.

Methods:

descriptive, quantitative, cross-sectional study, with 397 women of reproductive age from six municipalities in the 16th Health Region of the state of Paraná, with variables for sociodemographic characterization and the Primary Care Assessment Tool (PCATool).

Results:

mean age, 30.43 years old, most were married, 70.2% worked outside the home and 55.5% had completed high school. The highest average score of the eight domains evaluated was “Family Guidance” and “Coordination – Integration of Care”, with averages of 5.86 and 4.89. Domains “Integrality – Services Provided” and “Community Orientation” had lower averages (3.32 and 3.76).

Conclusions:

the study allowed tracing the characterization of the participants and identifying that the attributes of Primary Care are unsatisfactory, making it necessary to expand access to the services offered and to qualify the comprehensive care for women’s health.