Objective: to promote reflection upon the barriers, facilitators and potential implications of patient advocacy on the part of nurses.Results: this reflection results from a thorough reading of the international literature addressing patient advocacy along with Brazilian and international studies addressing moral distress and its relationship with patient advocacy.Conclusion: the barriers imposed on patient advocacy are well-known and such constraints are based on the organizational structure of health institutions and power relationships established between doctors and nurses, challenging and discouraging nurses from acting in accordance with their knowledge and conscience, often leading to a condition known as moral distress.DESCRIPTORS: Health advocacy. Nursing. Nursing ethics. ADVOCACIA DO PACIENTE NA ENFERMAGEM: BARREIRAS, FACILITADORES E POSSÍVEIS IMPLICAÇÕES RESUMOObjetivo: realizar uma reflexão acerca das barreiras, facilitadores e possíveis implicações do exercício da advocacia do paciente pelos enfermeiros.Resultados: essa reflexão resulta de uma leitura minuciosa da literatura internacional acerca da advocacia do paciente, acrescida de estudos nacionais e internacionais acerca do sofrimento moral e suas relações com o exercício da advocacia.Conclusão: as barreiras diante do exercício da advocacia do paciente são notórias, pautando-se na própria estrutura organizacional das instituições de saúde e nas relações de poder entre equipes médica e de enfermagem, desafiando e desencorajando os enfermeiros a agirem de acordo com seus conhecimentos e consciências, implicando, muitas vezes, em situações reconhecidas como de sofrimento moral. DESCRITORES:Advocacia em saúde. Enfermagem. Ética em enfermagem.http://dx.doi.org/10.1590/0104-07072017000100014Texto Contexto Enferm, 2017; 26(3):e0100014Tomaschewski-Barlem JG, Lunardi VL, Barlem ELD, Silveira RS, Ramos AM, Piexak DR 2/7 DEFENSA DEL PACIENTE EN ENFERMERÍA: BARRERAS, FACILITADORES Y LAS POSIBLES IMPLICACIONES RESUMENObjetivo: realizar una reflexión sobre las barreras, facilitadores y las posibles consecuencias del ejercicio de la defensa de los pacientes por enfermeras.Resultados: esta reflexión resulta de una lectura exhaustiva de la literatura internacional en defensa de los pacientes, como estudios nacionales e internacionales acerca de la angustia moral y su relación con la práctica de la defensa de los pacientes.Conclusión: los obstáculos al ejercicio de la defensa de los pacientes son notorios, basándose en la estructura organizativa de las instituciones de salud y de las relaciones de poder entre los equipos de médicos y enfermeros, desafiando y desencorajando los enfermeras para actuar de acuerdo con sus conocimientos y conciencia, resultando a menudo en situaciones consideradas como sufrimiento moral. DESCRIPTORES:Defensa de la salud. Enfermería. Ética en enfermería.

Percepção de profissionais de saúde em relação ao cuidado a pessoas idosas institucionalizadasThe perception of health professionals toward the care of institutionalized elderly Resumo Objetivo: conhecer o significado que profissionais de saúde atribuem ao cuidado de pessoas idosas institucionalizadas. Método: pesquisa qualitativa, exploratóriodescritiva, realizada em uma instituição de longa permanência para idosos localizada na região central do Rio Grande do Sul. Participaram do estudo 14 profissionais de saúde: enfermeiros, farmacêutico, fisioterapeuta, médico, nutricionista e técnicos de enfermagem. Os dados foram coletados entre agosto e setembro de 2009, por meio de um questionário semiestruturado. Resultados: os dados analisados resultaram em três categorias: Cuidando de pessoas idosas, Percebendo a equipe multidisciplinar e Enfrentando a nova realidade. Conclusão: o cuidado de pessoas idosas institucionalizadas constitui um desafio crescente para os profissionais de saúde, a ser superado por meio do trabalho multidisciplinar. AbstractObjective: To know the meaning attributed by health professionals to the care of institutionalized elderly. Method: Qualitative, exploratory-descriptive research, carried out in a long-term care institution for the elderly located in central Rio Grande do Sul state. Fourteen health professionals took part in the study, including nurses, pharmacist, physiotherapist, doctor, nutritionist, and nursing technicians. Data were collected between August and September 2009, through a semi-structured questionnaire. Results: Data analysis has resulted in three categories: Caring for the elderly, Realizing the multidisciplinary team, and Facing the new reality. Conclusion: the care of the institutionalized elderly is a growing challenge for health professionals, and it needs to be coped with through multidisciplinary work. Palavras-chave:Enfermagem Geriátrica. Equipe de Assistência ao Paciente. Instituição de Longa Permanência para Idosos.

Objective:To identify the exposure of rural workers to the sun's ultraviolet radiation and pesticides; to identify previous cases of skin cancer; and to implement clinical and communicative nursing actions among rural workers with a previous diagnosis of skin cancer. Method: Observational-exploratory study conducted with rural workers exposed to ultraviolet radiation and pesticides in a rural area in the extreme south of Brazil. A clinical judgment and risk communication model properly adapted was used to develop interventions among workers with a previous history of skin cancer. Results: A total of 123 (97.7%) workers were identified under conditions of exposure to the sun's ultraviolet radiation and pesticides; seven (5.4%) were identified with a previous diagnosis of skin cancer; four (57.1%) of these presented potential skin cancer lesions. Conclusion: This study's results enabled clarifying the combination of clinical knowledge and risk communication regarding skin cancer to rural workers.

Objective of this study was to identify the socio demographic profile and drug use in elderly enrolled in a health unit and to propose nursing actions through identification of diagnoses and prescriptions related, focused on the use of drugs, targeted to these elderly. This descriptive study was conducted in a family health unit, in the state of Rio Grande do Sul, Brazil, with 97 elderly. For data collection it was used a structured form. The data were analyzed by descriptive statistics. it was used Risner's model of diagnostic reasoning for the identification of nursing diagnosis. The elderly used 3.46 drugs and 31.86%, five or more. Seven nursing diagnosis were identified. Those diagnoses were present in at least ten elderly for whom prescriptions related were established. The results of this study may assist in achieving effective action for the resident elderly who uses drugs.

The present study aimed to identify the profile of diseases and injuries that affect casual dock workers and identify casual dock workers’ perceptions of positive and negative work influences on their health. This study consisted of two phases. The first phase was a quantitative study composed of a retrospective analysis, conducted with 953 medical records. The second phase of the research is a non-random sample with 51 casual dock workers. Data analysis was performed with SPSS 19.0. The average age of the casual dock workers was 48.7. Concerning working time, the majority had more than 19.6 years of dock work experience. In the first phase, 527 pathologic diagnoses were identified. The diagnoses that affected the musculoskeletal system (15.8%, N = 152; p < 0.01) were highlighted. Consequences to physical health produced by accidents stood out, with fracture registration predominating (12.8%, N = 122; p < 0.05). Significant differences were found for positive work influence on the cardiovascular system and family health. It was concluded that the diagnoses obtained are related to the influence of dock work perception and have motivated an introduction of preventive measures.