communication is an efficacious element in the care provided to the child with cancer and is extremely important to promoting palliative care when it is based on Humanistic Nursing Theory.

How to cite this article: Cruz RAO, Araujo ELM, Nascimento NM, Lima RJ, França JRFS, Oliveira JS. Reflections in the light of the complexity theory and nursing education. Rev Bras Enferm [Internet]. 2017;70(1):224-7. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0239Submission: 05-25-2016 Approval: 10-03-2016 ABSTRACT Objective: to refl ect on nursing education, taking into account the principles of complex thinking proposed by Morin. Method: refl ection based on the principles of the complexity theory by Edgar Morin. Results: the application of complexity in teaching proposes an emancipatory education based on questioning and social transformation. It comprises the education of nurses who interact with others as a characteristic of their work. It is necessary to prepare students to develop critical and refl ective attitudes and actions to overcome the fragmentation and linearity of knowledge. Conclusion: nursing care has been based on a reductionist assistance, refl ecting the Cartesian model. Thus, nursing education seeks to comprise shared knowledge and experiences so that no subject or professional overpowers another, accepting the uniqueness of professionals and patients. Descriptors: Nursing; Nursing Care; Teaching; Curriculum; Complexity Theory. RESUMOObjetivo: refl etir sobre a formação em Enfermagem levando em consideração os princípios do pensar complexo proposto por Morin. Método: refl exão fundamentada nos princípios da Teoria da Complexidade de Edgar Morin. Resultados: a aplicação da complexidade no ensino propõe uma educação emancipadora pautada no questionamento e na transformação social. Compreende a formação de enfermeiros que tenham como característica do seu trabalho a interação com o outro. Faz-se necessário preparar o discente para desenvolver atitudes e ações críticas e refl exivas capazes de superar a fragmentação e a linearidade do conhecimento. Conclusão: o cuidado de Enfermagem tem sido baseado numa assistência reducionista, refl etindo o modelo cartesiano. Assim, a formação do enfermeiro busca contemplar saberes e experiências compartilhados de maneira que não exista o domínio de nenhuma disciplina sobre as outras, de nenhum profi ssional sobre o outro, aceitando as singularidades tanto dos profi ssionais como do próprio cliente/paciente. Descritores: Enfermagem; Cuidados de Enfermagem; Ensino; Currículo; Teoria da Complexidade. RESUMENObjetivo: refl exionar sobre la formación en Enfermería teniendo en consideración los principios del pensar complejo propuesto por Morin. Método: refl exión fundamentada en los principios de la Teoría de la Complejidad de Edgar Morin. Resultados: la aplicación de la complejidad en la enseñanza propuesta una educación emancipadora pautada en el cuestionamiento y en la transformación social. Comprende la formación de enfermeros que tengan como característica de su trabajo la interacción con el otro. Se hace necesario preparar al aprendiz para desarrollar actitudes y acciones críticas y refl exivas capaces de superar la fragmentación y la linealidad del c...

It is fundamental the participation of nurses in the Palliative Care to the children with cancer in order to strengthen the trust between the children and the professional to have the relationship of dialogue as central axis.

Objectives: to characterize publications about palliative care and communication, with an emphasis on the approaches addressed, disseminated in online journals. Methods: it is a scope review, in which the mnemonic strategy Problem, Concept and Context was used, based on database research. The sample consisted of 86 publications. Results: most publications were written in the English language, published in the journal BMC Palliative Care, and with level of evidence IV. As for the approaches approached, the following stand out: Importance of communication in palliative care; Breaking the bad news in palliative care; Training professionals/staff to communicate in palliative care; and Communication strategies in palliative care. Final Considerations: the review made it possible to map a significant number of publications on palliative care and communication. It is recommended to produce new studies with better scientific evidence that guide the assistance of health professionals.

Objective:To analyze the effectiveness of an educational intervention with mothers to stimulate children under two years of age at risk for neuropsychomotor development.Method:Before-after intervention study, conducted with 52 mothers of children under two years old, enrolled in reference centers in early childhood education. Initially, maternal knowledge regarding child development and stimulation was assessed through a structured instrument. Then, workshops were held with the mothers and, after three months, maternal knowledge was revised, reapplying the data collection instrument. In the analysis, descriptive and inferential statistics were used, applying the McNemar and Wilcoxon tests and the Rasch Model from the Item Response Theory.Results:after the intervention, there was a significant increase in scores regarding the following aspects: knowledge of mothers about child development and stimulation from 5.77 ± 1.85 to 18.60 ± 1.94 (p <0.001); reduction of the maternal difficulty index in answering the instrument questions from 1.17 ± 0.57 to -1.98 ± 1.63 (p 0.01).Conclusion:the educational intervention contributed to the improvement of maternal knowledge regarding the development and forms of child stimulation, corroborating the importance of this action to advance the health of children at risk under maternal care at home.