The student nurses saw themselves both as actors and spectators in situations involving ethical problems and demanding moral deliberation, demonstrating the ability to base their arguments soundly. They tended to emphasise the possibilities offered by dialogue and that different ethical values must be respected to find fair solutions to ethical problems.

A qualitative, descriptive and exploratory study was conducted through semi-structured interviews with 18 people undergoing amputation in the period 2008-2010, in public hospitals in Florianópolis. The objectives were to analyze the care provided by health professionals throughout the amputation process in the perspective of the amputee patient; and discuss the process of health care to the person with amputation in the bioethical analysis perspective. Data were analyzed according to content analysis. Three thematic categories emerged: the process of amputation; team performance and rehabilitation. Bioethics permits reflection on the care provided to amputees and problematizes the relationship of the health care process with support available through public health policies. The professional involved in this process has to take responsibility for putting the process in practice and interdisciplinary is essential for the recovery of the amputated patient.

Background Despite its great relevance, there are no studies in our country evaluating the application of the 2012 guidelines for the appropriate use of cardiac diagnostic catheterization. Objective To analyze the adequacy of coronary angiography performed in two hospitals in the southern region of Brazil. Methods This is a multicenter cross-sectional study, which analyzed indications, results and proposals for the treatment of 737 coronary angiograms performed in a tertiary hospital with multiple specialties (Hospital A) and a tertiary cardiology hospital (Hospital B). Elective or emergency coronary angiographies were included, except for cases of acute myocardial infarction with ST segment elevation. The level of statistical significance adopted was 5% (p < 0.05). Results Of the 737 coronary angiograms, 63.9% were performed in male patients. The mean age was 61.6 years. The indication was acute coronary syndrome in 57.1%, and investigation of coronary artery disease in 42.9% of the cases. Regarding appropriation, 80.6% were classified as appropriate, 15.1% occasionally appropriate, and 4.3% rarely appropriate. The proposed treatment was clinical for 62.7%, percutaneous coronary intervention for 24.6%, and myocardial revascularization surgery for 12.7% of the cases. Of the coronary angiographies classified as rarely appropriate, 56.2% were related to non-performance of previous functional tests, and 21.9% showed severe coronary lesions. However, regardless of the outcome of coronary angiography, all patients in this group were indicated for clinical treatment. Conclusion We observed a low number of rarely appropriate coronary angiograms in our sample. The guideline recommendation in these cases was adequate, and no patient required revascularization treatment. Most of these cases are due to non-performance of functional tests.

RESUMO:Revisão integrativa com o objetivo de identificar as abordagens teóricas referidas por autores de estudos atuais sobre a saúde do trabalhador de enfermagem. A busca das publicações entre 2008 e 2012 ocorreu em três bases de dados, utilizando-se os descritores saúde do trabalhador e enfermagem. A amostra constituiu-se de 18 artigos. Dentre os artigos excluídos, por não conterem a abordagem teórica explicitada, encontraramse estudos quantitativos, estudos transversais e de coorte. Os estudos selecionados possuem características semelhantes, relacionadas à subjetividade do trabalhador e as formas de organização do trabalho. As abordagens teóricas enriquecem a discussão sobre prazer e sofrimento no trabalho de enfermagem, ofertando um leque de possibilidades de interpretação para as situações vivenciadas pelos trabalhadores, e que independentemente da teoria adotada, os estudos corroboram entre si, no sentido de enriquecer o debate acerca da temática, alguns levantando situações emergentes, outros fornecendo subsídios para a melhoria das condições de trabalho. DESCRITORES:Saúde do trabalhador; Força de trabalho; Recursos humanos de enfermagem. THEORETICAL APPROACHES IN OCCUPATIONAL HEALTH OF NURSING WORKERS: AN INTEGRATIVE REVIEWABSTRACT: This integrative review aims to identify the theoretical approaches mentioned by authors in studies about the health of nursing workers. The search for publications between 2008 and 2012 occurred in three databases, using the descriptors of 'occupational health' and 'nursing'. The sample was made up of 18 articles which dealt specifically with the occupational health of nursing workers. Of the studies selected, the vast majority did not make clear the theoretical framework adopted, and among those which did, two approaches predominated: work and subjectivity, and health policies. The different theoretical approaches enriched the discussion showing the strong relation between organization, work conditions, and subjectivity and situations of pleasure and suffering in the nursing work. Entre los artículos excluidos, por no contener el abordaje teórico explicitado, están estudios cuantitativos, estudios transversales y de cohorte. Los estudios seleccionados poseen características semejantes, relacionadas a la subjetividad del trabajador y las formas de organización del trabajo. Los abordajes teóricos enriquecen la discusión sobre placer y sufrimiento en el trabajo de enfermería, ofreciendo una serie de posibilidades de interpretación para las situaciones vivenciadas por los trabajadores, y que independientemente de la teoría adoptada, los estudios corroboran entre sí, en el sentido de enriquecer el debate acerca de la temática, algunos verificando situaciones, otros proveyendo subsídios para la mejoría de las condiciones de trabajo. DESCRIPTORS: DESCRIPTORES:Salud del trabajador; Fuerza de trabajo; Recursos humanos de enfermería.

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