IV RESUMENEste trabajo buscó analizar los factores que interfieren en la pesquisa en Enfermería, en la visión de los enfermeros de un hospital público universitario en la ciudad de Fortaleza, Estado del Ceará. Estudio de naturaleza volcada en la cantidad y calidad, realizado con 22 enfermeros, cuyos datos fueron recogidos en el periodo de 04/03 a 30/04 de 2005. Los resultados destacan el gusto por la pesquisa y su importancia en la mejora de la praxis, crecimiento personal y profesional, significando actividad que produce saber, que trae soluciones para el cotidiano, más que presupone una inversión personal muy grande, ofrecido por la carencia de recursos humanos, físicos, materiales y por los huecos en la formación académica, alertando para la necesidad de cambios curriculares en la gradación. Por lo tanto, los enfermeros consideran la realización de la pesquisa un gaño personal e institucional, más que depende apenas de inversión y esfuerzo propios, tornándose una actividad laboriosa, desmotivadota, que necesita de una política organizacional en este aspecto. DESCRIPTORESInvestigación en enfermería. Hospitales Universitarios. Educación continua en enfermería. RESUMOEste trabalho procurou analisar os fatores que interferem na pesquisa em Enfermagem, na visão dos enfermeiros de um hospital público universitário na cidade de Fortaleza-CE. Estudo de natureza quanti-qualitativa, realizado com 22 enfermeiros, cujos dados foram colhidos no período de 04/03 a 30/04 de 2005. Os resultados destacam o gosto pela pesquisa e sua importância na melhora da práxis, crescimento pessoal e profissional, significando atividade que produz saber, que traz soluções para o cotidiano, mas que pressupõe um investimento pessoal muito grande, ensejado pela carência de recursos humanos, físicos, materiais e por lacunas na formação acadêmica, alertando para a necessidade de mudança curricular na graduação. Portanto, os enfermeiros consideram a realização de pesquisa um ganho pessoal e institucional, mas que depende apenas de investimento e esforço próprios, tornando-se uma atividade laboriosa, desmotivadora, que necessita de uma política organizacional neste aspecto.
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</xml><![endif]--><!--[if gte mso 10]> <mce:style><! /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabela normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} --> <!--[endif] --> <p class="Estilo" style="line-height: normal;">OBJETIVO – Determinar a incidência e a etiologia da diarreia nosocomial e comparar sua ocorrência com outras infecções hospitalares em pacientes internados na Hematologia. MÉTODOS – Estudo prospectivo caso-controle de 18 de setembro de 1991 a 30 de junho de 1993. Durante visitas semanais, investigou-se a diarreia nosocomial. Foram realizadas coproculturas, testes imunológicos para toxina A de C. difficile (ELISA TOX-A), para Rotavirus (ELISA Rotaclone) e testes sorológicos para Shigella spp. Os casos desenvolveram diarreia nosocomial, e os controles não desenvolveram. A colite pseudomembranosa (CPM) foi investigada nos óbitos. Em adição, comparamos dados deste estudo com a configuração de 2007. RESULTADOS – Dos 388 pacientes internados, 66 (63 adultos) foram selecionados para o estudo, 19 adquiriram diarreia nosocomial e 47 foram controles. A incidência da diarreia nosocomial foi de 4,9% e de infecção sanguínea 6,2%. Os mais importantes patógenos isolados foram Rotavírus [(26,66%)/(7,89%)], C. difficile enterotoxigênico [(18,75%)/(5,26%)] e Shigella flexneri [(5,55%)/(0%)] de casos e controles, respectivamente. Penicilinas e cefalosporinas foram associadas com diarreia nosocomial. CPM foi identificada durante necropsia em um paciente assintomático. A taxa global de infecção hospitalar na hematologia no estudo caso–controle foi de 33,5%. Em 2007, foi de 29%; sete pacientes tiveram diarreia e cinco deles com quadro clínico sugestivo de colite. CONCLUSÕES – Diarreia é uma importante complicação em pacientes da Hematologia; sua frequência é alta e está associada ao uso de antibióticos beta-lactâmicos. Gastrenterite foi a segunda mais frequente infecção nosocomial, perdendo para infecção sanguínea. Rotavírus foi o mais frequente patógeno entérico isolado, seguido de C. difficile enterotoxigênico e Shigella flexneri. Achado de CPM sugere condição de transportador assintomático de C. difficile. Faz-se necessário contínuo monitoramento da diarreia nosocomial.</p>
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