Enfermagem - Mestrado Profissional

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http://repositorio.ufes.br/handle/10/17580
Programa de Pós-Graduação em Enfermagem

Centro: CCS
Telefone: (27) 3335 7280
URL do programa: http://www.enfermagem.vitoria.ufes.br/pt-br/pos-graduacao/PENF

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Navegando Enfermagem - Mestrado Profissional por Assunto "Aleitamento materno"

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    Aplicativo educacional para apoiar o ensino do processo de enfermagem na assistência à mulher, à criança e à família em amamentação
    (Universidade Federal do Espírito Santo, 2018-03-28) Resende, Fabíola Zanetti; Primo, Cândida Caniçali; Leite, Franciele Marabotti Costa; Cubas, Márcia Regina
    Introduction: Nursing care to the woman, the child and the family in the breastfeeding process has a multiplicity of factors that may interfere with the initiation, maintenance and duration of breastfeeding. The development of the nursing process or nursing consultation individualizes the care and makes easier to identify the influencing factors, therefore contributing to reduce premature weaning. The nurse may use a variety of nursing diagnoses and specific nursing interventions to solve the observed problem, showing the importance of the procedures that bring nursing statements representative of clinical practice. This study aimed at aligning the benefits of Computer Information Technologies to Teaching-Learning and Development of the nursing process / nursing appointment. Objective: To reorganize the INCP® subset to assist women, children and families in the breastfeeding process, and to develop an application to support the teaching of the nursing process or the nursing consultation to breastfeeding. Methodology: Methodological study. The subset reorganization was performed in five steps: 1) Cross-mapping between the nursing diagnoses and outcomes of the INCP® subset and the 2015 INCP® version; 2) Content Validation of nursing diagnoses and outcomes with judges; 3) Cross-mapping between the nursing interventions of the INCP® subset and the 2015 INCP® version; 4) Validation of nursing interventions with judges; 5) Structuring the INCP® subset to assist women, children and the family in the process of breastfeeding. The application was developed in four steps: 1) Definition of requirements and elaboration of the conceptual map of the application; 2) Generation of alternatives of implementation and prototyping; 3) Tests; and 4) Implementation. Results: 13 diagnoses / outcomes obtained (validation index of content) VIC greater than or equal to 0.8 (13.3%); 34 from 0.6 to 0.79 (34.7%); 51 less than 0.6 (52%). The terms “Lack of privacy”, “Decision making towards effective breastfeeding”, “Effective mother role performance” and “Improved mother role performance” had no other validated statement that maintained the relationship between nursing diagnoses and outcomes, therefore three statements were added, totaling 50 nursing diagnoses/outcomes. Of the 396 nursing interventions submitted for validation, 350 obtained VIC greater than or equal to 0.80. The application “Cuidartech Amamenta” contains five navigation options: “INCP® Breastfeeding Subset”, which brings the diagnoses, outcomes and interventions; “Case studies”, which contains 10 cases for the exercise of diagnostic reasoning; “About INCP®”, “About INCP® Subsets” and “About Interactive Theory of Breastfeeding”, which shows content about each of these topics; and “Credits”, which has information about the purpose of the application and responsible team. Conclusion: The validation process involved nurses from all regions of Brazil, which shows the representativeness of the statements in clinical practice in maternity ward, Neonatal Intensive Care Unit, Human Milk Bank and primary care. The subset, containing 50 diagnoses, 27 outcomes and 350 nursing interventions, served as the basis for the development of the application “Cuidartech Amamenta”. These two tools present themselves as new technologies in nursing that can provide the development of the nursing process or nursing consultation. The application can be used in teaching-learning as a support to students for diagnosis reasoning and decision-making.
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    Avaliação do diagnóstico de enfermagem : amamentação ineficaz
    (Universidade Federal do Espírito Santo, 2015-04-10) Alvarenga, Sandra Cristina de; Primo, Cândida Caniçali; Castro, Denise Silveira de; Brandão, Marcos Antônio Gomes; Leite, Franciele Marabotti Costa; Zandonade, Eliana
    This study has the aim of describing the characteristics that define the Nursing diagnosis “ineffective breastfeeding” and the factors related to it; to examine the association between the socio-demographic, clinical and obstetric profile of the recently given birth mothers with the diagnosis in study. This is a descriptive study of the transversal type. The study was developed at the Maternity of a University Hospital. Seventy-three mother-baby binomials were hospitalized in the joint accommodation system, in the period from July to August, 2014. For data collection, an instrument was developed based on the defining characteristics of the “ineffective breastfeeding” diagnosis, and the factors related to it, and also patient's sociodemographic, clinical and obstetric data. The data was analyzed by the statistics package SPSS version 19.0 for Windows®. Results: The inefficient breastfeeding diagnosis was present in 58.9% of the binomials. The recently given birth mothers were 27 years old in mean, didn't have a partner (63%), had more than eight years of schooling (71,2%), were employed (52,1%), did pre-natal visits (97,3%), and were multiparous (64,4%). As for the newborns, 58,9% were female, to term (90,4%), didn't breastfeed in the first hour after birth (87,7%). The mother's schooling was the only socio-demographic variable that had a meaningful association to the “ineffective breastfeeding” diagnosis. The defining characteristics with meaningful association to the “ineffective breastfeeding” diagnosis were: breast suction discontinuity; insufficient breast emptying; perceived inadequate milk supply; breast feeder resistance in apprehending the areola-nipple region with the mouth; absence of observable signs of ocitocin liberation; and breast feeder cries when put on breast. The related factors were: unsatisfactory suction reflex of the breast feeder, and mother anxiety. Conclusion: The study is relevant for the improvement of the components of the “ineffective breastfeeding” diagnosis, as helping Nurses in the clinical practice, hence it will contribute to the planning of Nursing actions at the joint accommodation, and for the mother-son binomial, and also in partially reducing the gap that presently exists in the literature about Nursing diagnosis on breastfeeding