Abstract

This is a methodological research, which aimed to determine the validity of an educational technology (ET) in the form of educational game of medicine administration, according to the judges and audience, using the theoretical stage of Pasquali model. Data were collected between September 2011 and May 2012 in two stages: 1) application and validation of TE by forty students of the 4th period of Nursing, at the Fluminense Federal University (target audience); 2) observation and validation of TE by 8 teachers (judges). The questionnaires were organized in Likert scale, with items distributed in blocks and analyzed quantitatively. The game was validated, since it has over 80% approval by the two groups, and may therefore be used as a TE in the discipline of Fundamentals of Nursing. The results were positive, demonstrating that students and teachers are more interested in content taught when most dynamic technologies are used in the classroom.

This is a descriptive study, with qualitative approach, aiming to identify the repercussions of heart failure on elders' quality of life; to describe the strategies used in facing these repercussions and, understand the perceptions of nursing care. Semi-structured interviews were carried out with ten elders holding heart insufficiency at a military hospital in Rio de Janeiro-RJ. It was identified that heart failure generates emotional, physical and financial repercussions in the elders' lives, provoking impact on their quality of life. Among the strategies created by the elders, it was noticed the palliative coping and the emotional conflict. The nursing cares noticed were orientation, affection, goodwill and dedication. To take care of the elders holding heart failure implies in evaluating repercussions in their functional capacity and autonomy, requiring capacities and competencies of the nurses to identify their specificities in the perspective of a whole care that contributes to the elders' quality of life.

RESUMO Objetivo: identificar a repercussão da violência urbana nas práticas de cuidado de enfermeiros, técnicos de enfermagem e agentes comunitários de saúde que atuam em territórios de abrangência da saúde da família, em Niterói, município do Estado do Rio de Janeiro. Metodologia: pesquisa descritiva do tipo estudo de caso. Dados coletados em duas unidades de saúde da família. Foram entrevistados 11 profissionais de saúde no terceiro trimestre de 2014. Optou-se pela entrevista semiestruturada e procedeu-se à análise de conteúdo para o tratamento dos depoimentos. Resultados: os profissionais percebem a violência urbana como algo negativo e que compromete as suas ações de cuidado, principalmente, quando as atividades são realizadas fora das unidades. Conclusão: são necessárias discussões sobre a problemática de forma intersetorial para que as estratégias elaboradas sejam resolutivas. Palavras-Chaves: Violência; saúde da família; atenção primária à saúde; enfermagem.

Background and objective The COVID-19 pandemic led to modify patient healthcare, with a high impact on patients with chronic pain. This comprehensive scoping review aims to map recommendations on the management of chronic pain patients during the COVID-19 pandemic and propose a workflow in the management of these patients. Methods The databases searched were PubMed, Embase, CINAHL, Scopus, Cochrane Library e LILACS. The studies were examined by two independent reviewers. The disagreements between reviewers were resolved through discussion or with a third reviewer. Results We presented the results in the form of a table, a workflow, and a narrative summary. The search resulted in 13 studies selected for full reading, including 1 consensus, 5 guidances, 2 expert panels, 1 joint statement, 2 educational flyers, and 2 free comments. We considered for these studies new technologies, including telemedicine. Each pain service needs to establish a screening model, classifying patients according to corresponding severity. Particular attention should be given to patients who use opioids and are at risk for their misuse. Non-pharmacological approaches and pain education should be maintained, considering the use of telehealth. Conclusions Recommendations for the management of chronic pain during COVID-19 include adjustments to the patient care model. The workflow proposes the use of telemedicine, screening for painful intensity, and the use of color-signaled intervention packages according to severity (green, yellow, and red).