This is a methodological research, which aimed at organizing the systematization of nursing assistance in a critical care unit. The following steps were carried out: description of the nursing practice; transcription of nursing diagnoses; elaboration of a protocol for nursing diagnosis based in International Classification for Nursing Practice (ICNP); determination of nursing prescriptions and the elaboration of guidelines for care and procedures. The nursing practice and care complexity in ICU were characterized. Thus, systematization of nursing assistance is understood as a valuable tool for nursing practice.

Objective to evaluate the effectiveness of hydrocolloids in the healing of pressure ulcers in adult and older adult patients. Method systematic review with meta-analysis, based on the recommendations of the Cochrane Handbook. The search was undertaken in the databases: Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Health Sciences Literature (LILACS), Cochrane Database, Cumulative Index to Nursing and Allied Health Literature, Web of Science and the Scientific Electronic Library Online. Results 646 primary studies were identified, 69 were evaluated and nine were selected, referring to the use of the hydrocolloid dressing in healing; of these, four studies allowed meta-analysis. There was no statistically significant difference between the hydrocolloid group and the foams group (p value=0.84; Odds Ratio 1.06, CI 95% 0.61-1.86). A slight superiority of the polyurethane dressings was observed in relation to the hydrocolloid dressings. Conclusion the evidence is not sufficient to affirm whether the efficacy of hydrocolloid dressings is superior to that of other dressings. It is suggested that clinical randomized trials be undertaken so as to ascertain the efficacy of this intervention in the healing of pressure ulcers, in relation to other treatments.

Objective: to understand the role of the nurse in the collegiate management model of a teaching hospital, in the integrality of care perspective. Method: a single case study with multiple units of analysis, with the theoretical proposition "integrality of care is a result of the care offered to the user by multiple professionals, including the nurse". Data were obtained in a functional unit of a teaching hospital through interviews with 13 nurses in a non-participant observation and document analysis. Results: from the analytical categories emerged subcategories that allowed understanding that the nurse promotes integrality of care through nursing management, team work and integration of services. Final considerations: the theoretical proposition was confi rmed and it was verifi ed that the nursing management focus on attending to health care needs and is a strategy to provide integrality of care. Descriptors: Health Systems; Comprehensive Health Care; Nursing; Hospitals, Teaching; Hospital Administration. RESUMOObjetivo: apreender a atuação do enfermeiro no modelo de gestão colegiada de um hospital de ensino na perspectiva do cuidado integral. Método: estudo de caso único de múltiplas unidades de análise, com a proposição teórica "o cuidado integral resulta dos vários cuidados oferecidos ao usuário pelos vários profi ssionais, dentre esses o enfermeiro". Os dados foram obtidos em uma unidade funcional de um hospital de ensino por meio de entrevistas com 13 enfermeiros, observação não participante e análise de documentos. Resultados: a partir das categorias analíticas, emergiram subcategorias que possibilitaram apreender que o enfermeiro promove o cuidado integral por meio do gerenciamento de enfermagem, do trabalho em equipe e da integração entre os serviços. Considerações fi nais: ratifi cou-se a proposição teórica e constatou-se que o gerenciamento de enfermagem volta-se para o atendimento das necessidades de saúde e é uma estratégia para o cuidado integral. Descritores: Sistemas de Saúde; Assistência Integral à Saúde; Enfermagem; Hospitais de Ensino, Gestão Hospitalar. RESUMEN Objetivo: discurrir sobre la actuación del enfermero en el modelo de gestión colegiada de un hospital-escuela, bajo la perspectiva de la atención integral. Método: estudio de caso único de múltiples unidades de análisis con la proposición teórica "el cuidado integral es el resultante de diversos cuidados que varios profesionales, entre ellos el enfermero, ofrecen al usuario". Mediante entrevista a 13 enfermeros, observación no participante y análisis de documentos, se obtuvieron los datos necesarios en una unidad funcional de un hospital-escuela. Resultados: a partir de las categorías analíticas, emergieron subcategorías que consideran al enfermero como un promotor del cuidado integral por medio del gerenciamiento de la enfermería, del trabajo en equipo y de la integración entre los servicios. Consideraciones fi nales: se ratifi có la proposición teórica y se constató que el gerenciamiento de enfermería está volcado a la atenc...

Objective:To relate the managerial competencies required of nurses with the process of change experienced in the expansion of the Family Health Strategy (FHS). Method: A qualitative research conducted in primary health care in a southern Brazilian city, through interviews with 32 managerial and clinical nurses. The interviews were processed by IRAMUTEQ software. The resulting classes were examined under five managerial competencies to promote change. Results:The four classes obtained from data were: the Family Health Strategy expansion process; confrontations and potentialities; mobilization for the change; innovations in medical and nursing consultations. The classes were related to one or more competencies. Conclusion: The expansion of the Family Health Strategy requires managerial competencies of implementing and sustaining change, negotiating agreements and commitments, using power and influence ethically and effectively, sponsoring and selling new ideas, and encouraging and promoting innovation.

RESUMO:O objetivo deste artigo é refletir sobre a Prática Baseada em Evidências na prática profissional do enfermeiro. A prática baseada em evidências é uma metodologia para a prática clínica difundida entre os profissionais de saúde. Consiste na utilização de evidências científicas, produzidas por estudos desenvolvidos com rigor metodológico, para tomada de decisões sobre as melhores condutas frente a cada caso. A formação de uma evidência científica segue alguns passos: formulação de uma questão clínica, busca de evidências, avaliação crítica da evidência encontrada e tomada de decisão com base nessa evidência. PALAVRAS-CHAVE: Enfermagem; Pesquisa em enfermagem clínica; Prática profissional. EVIDENCE-BASED PRACTICE AS A TOOL FOR PROFESSIONAL PRACTICE OF NURSESABSTRACT: This article aims to reflect about the Evidence-based practice on the professional practice of nurses. Evidencebased practice is a methodology for clinical practice widespread among health professionals. It is the use of strong scientific evidence produced by studies conducted with methodological rigor, to the decision making process about the best way to conduct the case. The formation of a scientific evidence follows a few steps: formulating a clinical issue, looking for evidence, critical evaluation of the found evidence and decision-making based on that evidence. KEYWORDS: Nursing; Clinical nursing research; Professional practice.LA PRÁCTICA BASADA EN EVIDENCIAS COMO HERRAMIENTA PARA LA PRÁCTICA PROFESIONAL DEL ENFERMERO RESUMEN: El objetivo de este artículo es reflexionar sobre la Práctica Basada en Evidencias en la práctica profesional del enfermero. La práctica basada en evidencias es una metodología para la práctica clínica difundida entre los profesionales de la salud. Consiste en el uso de evidencias científicas, producidas por estudios desarrollados con rigor metodológico, para tomada de decisiones acerca de las mejores conductas frente a cada caso. La formación de una evidencia científica sigue algunos pasos: formulación de una cuestión clínica, busca de evidencias, evaluación crítica de la evidencia encontrada y tomada de decisión con base en esta evidencia.