Objective: to construct an educational manual for people with diabetes mellitus and diabetic foot.Method: a scoping study, approved by a Research Ethics Committee, and performed in a teaching hospital in the State of Santa Catarina (Brazil). Data collection was performed between September and November 2016, it included a narrative review and consultations of 14 participants -11 experts (eight nurses, one nursing teacher and two physicians) and three diabetic people and their companions about the contents of the educational manual. The Delphi technique was used in the consultation with the experts, and 70% or more total agreement was established for the permanence of contents in the manual. An evaluation form was used with the diabetic people and their companions, containing a Likert scale for the content evaluation and open questions asking for their opinion about the manual.Results: the existing literature and consultation with the participants supported the preparation for the manual content. The manual was constructed from the consultation of literature and with the participants, and was reviewed by the experts. In the first round of consultation with the experts, eight out of the 21 constructed contents did not reach 70% agreement. The percentages ranged from 45% to 90%. In the second round, all content was considered relevant. diabetic people considered the manual to be adequate and easy to understand.Conclusion: the method made the construction of the manual possible which resulted in a nursing technology for use in health education in the care of people with diabetic patients with diabetic foot. DESCRIPTORS: Self-care. Diabetes mellitus. Diabetic foot. Manuals. Nursing. MANUAL DE CUIDADOS ÀS PESSOAS COM DIABETES E PÉ DIABÉTICO:CONSTRUÇÃO POR SCOPING STUDY RESUMO Objetivo: construir um manual educativo para pessoas com diabetes mellitus com pé diabético.Método: scoping study, aprovado por Comitê de Ética em Pesquisa, realizado em um hospital escola do Estado de Santa Catarina (Brasil). A coleta de dados, foi realizada entre setembro e novembro de 2016, incluiu revisão narrativa e consulta a 14 participantes -11 experts (oito enfermeiros, um professor de enfermagem e dois médicos) e três pessoas com diabetes e seus acompanhantes sobre os conteúdos do manual educativo. Utilizou-se a técnica Delphi, na consulta com os experts, e estabeleceu-se a necessidade de 70%, ou mais, de concordância total para permanência dos conteúdos no manual. Com as pessoas com diabetes e acompanhantes aplicou-se formulário avaliativo, contendo escala Likert para avaliação dos conteúdos e pergunta aberta questionando opinião sobre o manual.Resultados: a literatura existente e a consulta aos participantes subsidiou a elaboração dos conteúdos do manual. A partir da consulta na literatura e com os participantes, foi construído o manual, que foi revisado pelos experts. Na primeira rodada de consulta com experts, dos 21 conteúdos construídos, a partir do estudo de revisão, oito não atingiram 70% de concordância. Os percentuais o...

Objective: to know the feelings of nurses regarding palliative care in adult intensive care units. Method: qualitative study, which adopted the theoretical framework of Social Representations, carried out with 30 nurses of the state of Santa Catarina included by Snowball sampling. Data were collected through semi-structured interviews conducted from April to August 2015, organized and analyzed through the Collective Subject Discourse. Results: the results showed how central ideas are related to feelings of comfort, frustration, insecurity and anguish, in addition to the feeling that the professional training and performance are focused on the cure. Conclusion: the social representations of nurses regarding the feelings related to palliative care are represented mainly by negative feelings, probably as consequence of the context in which care is provided. Descriptors: Palliative Care; Nursing Care; Nursing; Social Perception; Intensive Care Units. RESUMO Objetivo: conhecer os sentimentos dos enfermeiros acerca dos cuidados paliativos em unidades de terapia intensiva de adultos. Método: estudo qualitativo, cujo referencial teórico adotado foi o das Representações Sociais, realizado com 30 enfermeiros do estado de Santa Catarina incluídos por amostragem Bola de Neve. Os dados foram coletados por meio de entrevistas semiestruturadas realizadas de abril a agosto de 2015, organizados e analisados por meio do Discurso do Sujeito Coletivo. Resultados: os resultados apontaram como ideias centrais estão relacionadas aos sentimentos de conforto, frustração, insegurança e angústia, além do sentimento de que a formação e atuação profi ssional estão voltados para o curativo. Conclusão: as representações sociais dos enfermeiros acerca dos sentimentos relacionados aos cuidados paliativos estão representadas principalmente por sentimentos negativos, provavelmente consequentes ao contexto em que se dá o cuidado. Descritores: Cuidados Paliativos; Cuidados de Enfermagem; Enfermagem; Percepção Social; Unidades de Terapia Intensiva. RESUMENObjetivo: conocer los sentimientos de los enfermeros sobre los cuidados paliativos en unidades de cuidados intensivos para adultos. Método: estudio cualitativo que adoptó el marco teórico de las representaciones sociales, y se llevó a cabo con 30 enfermeros en el estado de Santa Catarina que fueron incluidos por muestreo tipo bola de nieve. Los datos fueron recolectados a través de entrevistas semiestructuradas realizadas entre abril y agosto de 2015, organizados y analizados utilizando el Discurso del Sujeto Colectivo. Resultados: los resultados mostraron que las ideas centrales están relacionadas con sentimientos de comodidad, frustración, inseguridad y angustia, y la sensación de que la actividad profesional y la formación se centran en la curación. Conclusión: las representaciones sociales de los enfermeros sobre los sentimientos relacionados con los cuidados Palliative care and the intensive care nurses: feelings that endure Natyele Rippel Silveira

Objective:To learn the perception of health professionals in an Intensive Care Unit towards palliative care. Method: This was a descriptive and qualitative study based on the converging care approach conducted at an intensive care unit in the South of Brazil. Semistructured interviews were used to investigate the understanding of the professionals about palliative care in this unit. The data were organized and analyzed using the discourse of the collective subject method with the help of Qualiquantisoft® software. Results: Participants included 37 professionals (12 nurses, 11nursing technicians, 5 physical therapists and 9 doctors). The key ideas extracted from the interviews were: care in the end stage of life that avoids futile measures; comfort care; lack of standardized care and lack of team training. Conclusion: The professionals perceived palliative care as appropriate in the last stages of life, with no need for futile treatment or as comfort measures. However, they are aware of the lack of standardization and lack of capacity building in this area, which leads them to conceive palliative care as terminal care, and measures are recommended to break with this stigma.

Objective: to know the ethical problems experienced by oncology nurses. Method: descriptive and exploratory study with a qualitative approach, performed in inpatient units and in chemotherapy out-patients units that provide assistance to oncological patients in two capitals in the South region of Brazil. Eighteen nurses participated in this study, selected by snowball sampling type. For data collection, semi-structured interviews were carried out, which were recorded and transcribed, and then analyzed by thematic analysis. Results: two categories were established: when informing or not becomes a dilemma - showing the main difficulties related to oncological treatment information regarding health staff, health system, and infrastructure; to invest or not - dilemmas related to finitude - showing situations of dilemmas related to pain and confrontation with finitude. Conclusion: for the effective confrontation of the ethical problems experienced by oncology nurses to occur, it is important to invest in the training of these professionals, preparing them in an ethical and human way to act as lawyers of the patient with cancer, in a context of dilemmas related mainly to the possibility of finitude.

the dimensions of safety culture present in the survey have to be valued by professionals and managers to allow safe patient care.