Objective: To identify predictors of stress and coping strategies adopted by nursing students. Methods: A cross-sectional study conducted with 146 nursing students. The research instruments consisted of the Ways of Coping Questionnaire (WOC) and the Instrument for the Assessment of Stress in Nursing Students (ASNS). Data were analyzed using the Pearson's correlation coefficient and regression analysis. Results: The following predictors of stress were identified: professional education, acquired practical knowledge, and free time and leisure. Predictors of stress were associated with denial and escape-avoidance coping strategies. Conclusion: The most common strategies used by students in stressful events were considered negative and of poor effectiveness, as efforts were focused on emotions and not on the problem, compromising students' professional training process. ResumoObjetivo: Identificar os preditores do estresse e as estratégias de coping utilizadas por estudantes de Enfermagem. Métodos: Estudo transversal realizado com 146 estudantes de Enfermagem. Os instrumentos de pesquisa foram: o inventário de estratégias de coping e a escala de avaliação de estresse. Para análise dos dados utilizaram-se correlação de Pearson e análise de regressão. Resultados: Identificaram-se como preditores do estresse a formação acadêmica, conhecimento prático adquirido, e tempo e lazer. Os preditores do estresse apresentaram associação com as estratégias de coping negação do problema e fuga da realidade. Conclusão: As estratégias mais utilizadas frente a eventos estressores foram consideras negativas e de baixa eficácia por centrarem seus esforços na emoção, e não no problema, comprometendo o processo de formação profissional.
OBJECTIVEUnderstanding nursing actions in the practice of inpatient advocacy in a burn unit.METHODA single and descriptive case study, carried out with nurses working in a referral burn center in southern Brazil. Data were collected through focus group technique, between February and March 2014, in three meetings. Data was analysed through discursive textual analysis.RESULTSThree emerging categories were identified, namely: (1) instructing the patient; (2) protecting the patient; and (3) ensuring the quality of care.CONCLUSIONSThis study identified that the nurses investigated exercised patient advocacy and that the recognition of their actions is an advance for the profession, contributing to the autonomy of nurses and the effectiveness of patients' rights and social justice.
RESUMOObjetivo: identificar as principais estratégias de cuidado por familiares que vivenciaram o processo de terminalidade da vida de entes queridos, bem como se os cuidados exercidos nesse processo contemplaram ou não os cuidados paliativos e se abarcaram os aspectos físico, social, emocional e espiritual. Método: revisão integrativa, realizada na SCIELO, BDENF e LILACS, no intervalo de 2011 a 2015, com os descritores “cuidados paliativos” e “família”, fazendo uma análise em categorização dos 17 artigos utilizados para a revisão. Resultados: foram identificadas duas modalidades de enfrentamento familiar. A primeira é representada pelo apoio familiar, crenças espirituais e cuidado no domicílio. A segunda, pelo apoio dos profissionais e prestação de informações pertinentes ao cuidado. Conclusão: as estratégias identificadas não requerem tecnologias avançadas para ser implementadas. Entretanto, é necessária uma imbricação nas esferas intrafamiliares, profissionais e de gestão em saúde. Descritores: Assistência Domiciliar; Cuidados paliativos; Enfermagem de Cuidados Paliativos na Terminalidade da Vida; Família; Tecnologias em Saúde; Estratégias de Enfrentamento.ABSTRACT Objective: to identify the main strategies of caring for family members who experienced the process of terminality the life of loved ones, as well as whether the care exercised in this process contemplated or not palliative care and covered the physical, social, emotional and spiritual aspects. Method: integrative review, performed in SCIELO, BDENF and LILACS, between 2011 and 2015, with the descriptors "palliative care" and "family", making a categorization analysis of the 17 articles used for the review. Results: two types of family coping were identified. The first is represented by family support, spiritual beliefs and care at home. The second, for the support of professionals, and provision of pertinent information to care. Conclusion: the strategies identified do not require advanced technologies to be implemented. However, an imbrication in the intra-familial, professional and health management spheres is necessary. Descriptors: Home care; Palliative Care; Palliative Care Nursing in the Termination of Life; Family; Health Technologies; Coping Strategies.RESUMEN Objetivo: identificar las principales estrategias de cuidado por familiares que vivenciaron el proceso de terminalidad de la vida de seres queridos, así como si los cuidados ejercidos en ese proceso contemplaron o no los cuidados paliativos y se abarcar los aspectos físico, social, emocional y espiritual. Método: revisión integrativa, que se realizó en SCIELO, BDENF y LILACS, en el intervalo de 2011 a 2015, con los descriptores "cuidados paliativos" y "familia", haciendo un análisis en categorización de los 17 artículos utilizados para la revisión. Resultados: se identificaron dos modalidades de enfrentamiento familiar. La primera es representada por el apoyo familiar, creencias espirituales y cuidado en el domicilio. La segunda, por el apoyo de los profesionales y la información pertinente al cuidado. Conclusión: las estrategias identificadas no requieren tecnologías avanzadas para ser implementadas. Sin embargo, es necesaria una imbricación en las esferas intrafamiliares, profesionales y de gestión en salud. Descriptores: Asistencia Domiciliaria; Cuidados Paliativos; Enfermería de Cuidados Paliativos en la Terminal de la Vida; Familia; Tecnologías de la Salud Estrategias de Enfrentamento.
Objective: To analyze the therapeutic touch in integral care to the human being in the light of Ecosystem Thinking, in the nurse's view. Method: Exploratory, descriptive, qualitative study conducted with 11 nurses, who used therapeutic touch in the daily work of professional work in different health scenarios, selected by the Snowball technique. Data were collected through semi-structured interviews and submitted to Discursive Textual Analysis. Results: Data analysis allowed us to verify that the application of therapeutic touch inte-related to the principles of Ecosystem Thinking makes it possible to care for the human being in their integrality. The elements participating in this technology, understood as a system and their subsystems, form a totality/ecosystem unit, which in continuous interrelationship with each other and with the universal energy field, produce movement and energy. This set seeks to harmonize and balance the energetic field of the human being, involving its bio-psycho-social and spiritual multidimensionalities as a whole. Conclusion: There is the possibility, when applying the Therapeutic Touch, using ecosystem principles, of providing effects of integral care to the human being and understanding it as a system, which continues to change, promoted by the interrelations of its components and with the environment, in which he lives and develops.
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