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THE LEARNING PROCESS OF THE STUDENT CARE: STARTING OF CRITICAL REFLECTIONS

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THE LEARNING PROCESS OF THE STUDENT CARE: STARTING OF CRITICAL REFLECTIONS

Ana Cristina SpínolaI,a, José AmendoeiraI,II,b

IEscola Superior de Saúde. Instituto Politécnico de

Santarém. Santarém, Portugal

IIUnidade de Investigação. Instituto Politécnico de

Santarém. Santarém Portugal

Introduction: Clinical education is a privileged context

in the training of nursing students, because of the spec- ificity of the learning process of care. The use of peda- gogical strategies such as critical thinking, promotes the development of critical thought used for the best clinical judgment of these actors.

Objective: Characterize the dimensions of the concept

of care valued by the student during the clinical teach- ing process.

Methods: The research method utilized is case study; as

source of data we used the critical thinking narration epi- sodes, developed in the context of clinical education with students in the 4th year of the 1st Cycle of the nursing program at a health school. At this stage of research, we mobilize the material produced by the students in different clinical contexts of education, giving them the database status for the investigation developed. We resorted to con- tent analysis and CmapsTools software for identification of the care process material dimensions.

Results: This study highlights three dimensions into care

concept: design, nursing intervention, and the learning process of nursing care.

Conclusions: Students emphasize planning and nursing

care dimensions and its organization into process care. They seek the appropriate intervention for each person as the center point of care. They value learning process of care, reflecting on the practice of it. We consider these aspects as integrators in the theoretical teaching and as important aspects for students in the knowledge appropriation of clinical education. The integration and implementation of this knowledge, by the students, becomes visible in their clinical practice.

Descriptors: nursing students, care process, clinical teach-

ing, critical thinking, learning strategies.

a [email protected] b [email protected]

SOCIODEMOGRAPHIC AND GyNECOLOGICAL OBSTETRIC CHARACTERISTICS OF ITALIAN NURSING ACADEMICS

Karine BezerraI,a, Camila MoreiraI,b, Igor MendesI,c,

Jamilly TorresII,d, Ana Kelve DamascenoI,e, Ana Fátima

FernandesI,f, Mônica OriáI,g

IUniversidade Federal do Ceará. Brazil

IIUniversità degli Studi di Roma La Sapienza. Rome, Italy

Introduction: To know and comprehend cultural, social

e obstetrics characteristics became an important subject on consolidation of health public politics.

Objective: This study aimed to delineate the sociode-

mographic and gynecological obstetric profile ofNurs- ing students.

Methods: Quantitative and cross-sectional study developed

in Rome, Italy, involving 135 nursing students. Data col- lection was performed using an online form and address- ing the sociodemographic and gynecological obstetric profile of participants.

Results: About the participants’ age, we identified that a

population in late adolescence and early youth. The average age was 21.7 years (SD±11.4). With regard to socio-demo- graphic characteristics, most participants were Caucasian (n=98, 72.6%), single 118 (87.4%), Catholic (n= 84, 62.2%), per capita income of up to 3,000 euros (n=89,65.9%) and lived with the family 88 (65.2%). It was noticed that almost the entire sample (N=133, 98.5%) who performed the paptest, gynecological examination for prevention of cervical cancer, 122 (88.9%) reported performing the exam annually. Regarding the use of contraceptive meth- ods 101 (74.8%) stated academic use oral contraceptives, 56 (41.5%) use male condoms and 7 (5.2%) did not use any method. Entire sample showed no previous pregnancy and only 1 participant (0.7%) had presented miscarriage.

Conclusions: Describing the socio-demographic and

obstetric gynecological profile of nursing students is nec- essary in order to helps to target interventions, seeking to understand the risk factors for which the customer is pre- disposed and thus strengthen educational strategies for effective health promotion.

Descriptors: Health Profile; Students; Young Adult;

Nursing; Health Promotion.

a [email protected] b [email protected] c [email protected] d [email protected] e [email protected] f [email protected] g [email protected]

SExUAL PROFILE OF NURSING STUDENTS ABOUT yOUR SExUAL BEHAVIORS

Karine BezerraI,a, Camila MoreiraI,b, Igor MendesI,c,

Maria Jussara MeloII,d, Tiago BarrosIII,e, Ana Fátima

FernandesI,f; Mônica OriáI,e

IUniversidade Federal do Ceará. Brazil

IIUniversità degli Studi di Roma La Sapienza. Rome, Italy IIIUniversidade Federal de Pernambuco. Brazil

Introduction: The knowledge about the sexual reality of

academic is relevant to support and direct preventive, edu- cational, evaluative and planning action’s care.

Objective: This study aimed to describe the sexual profile

of Italian academic nursing.

Methods: This is a quantitative and cross-sectional study

developed in Rome, Italy, involving 135 nursing students. Data collection was performed using an online form address- ing sexual characteristics of participants.

Results: It was observed that 105 (77.8%) of participants

have a stable partner, with much of the time relationship between 1 and 2 years (n=53, 50.5%). The average age of first intercourse was 16 years ( SD 1.9 ), with an age range of 17 to 18 years the most prevalent (n=87, 67.9%). Despite the onset of sexual activity among women having sex with feelings and passion, in this study various aca- demic cited first sexual as curiosity 44 (34.3 %) and desire 43 (33.6%). Data on age at menarche showed a greater fre- quency range 11-13 years of age (n=88, 65.2%), followed by the age group 14-17 years (n=45, 29%). However, a significant proportion had early onset of menstrual cycles, so that 34 (25.2%) participants had menarche before age 11. The mean age at menarche was 11.5 years. Sexual ori- entation was predominantly heterosexual (n=126, 93.4%) and only 9 (6.7%) reported having had sexual experience with the same sex.

Conclusions: Describing the sexual characteristics of

nursing students is necessary to support and direct inter- ventions and thus strengthens educational strategies for effective health promotion.

Descriptors: Health Profile; Sexual Behavior; Students;

Nursing; Health Promotion.

a [email protected] b [email protected] c [email protected] d [email protected] e [email protected] f [email protected] g [email protected]

PATIENTS UNDERGOING CHEMOTHERAPy: EFFECT OF A HIGH-CALORIE SUPPLEMENT ON NUTRITIONAL STATUS

Mariana M. BozI,a, Flávia DezordiI,b, Camila L. R.

CichacewskiII,c, Igor PedrosoI,d, Joselayne C. dos SantosI,e,

Maikol KurahashiII,f, Ivone M.I. MorimotoI,g

IPontifícia Universidade Católica do Paraná. Brazil IIHospital Santa Casa de Misericórdia de Curitiba. Brazil

Introduction: Unsatisfactory food intake, metabolic changes

in the body and high calorie demand due to the tumor are side effects of treatment modalities such as chemotherapy, radiation and surgeryarethe main causes of malnutrition in cancer patients.

Objective: To evaluate the effect a calorie denseindustri-

alized supplement has on the body mass index of cancer patients receiving chemotherapy.

Methods: A retrospective, quantitative study. Medical

records of 58 patients undergoing chemotherapy in the Oncology’s Clinic in a general hospital in Curitiba-Brazil, from 12/2010 to 10/2012, who drank 400ml/per day of a high-calorie industrialized supplement,during 90 days, were collected. P values <0.05 were considered statisti- cally significant.

Results: The same numbers of patients by gender with

mean age 60±11.7 years were evaluated. There was a pre- dominance of gastric cancer location (15.5%) followed by colon (12.1%) and breast (10.3%). During the nutritional consultations decreased the frequency of lack appetite (44.8% to 27.6%), nausea (41.4% to 22.4%), heartburn (19% to 5.2%), constipation (13.8% to 10.3%), diarrhea (12.1% to 10.4%) and asthenia (8.6% to 3.4%) reports. The initial BMI resulted in 21.12±3.41 kg/m² and the final in 24.55±3.67 kg/m² without statistical significance. There was a reduction in the frequency of underweight (44.8 % to 39.7 %) and increased normal weight (44.8% to 48.3%). It is noted that 72.4 % increased BMI and 10.4 % main- tained BMI classification.

Conclusions: The patients increased BMI and decreased

frequency of complications, demonstrating efficacy of performed nutritional intervention.

Descriptors: Nutritional intervention; nutritional supple-

ments; malnutrition; chemotherapy; nutrition and cancer.

ANALySIS OF MATERNAL SELF-EFFICACy IN THE PROCESS OF TEENAGE MOTHERS’ BREASTFEEDING

Renata de Lima BizerraI,a, Anne Fayma Lopes ChavesII,b,

Karine de Castro BezerraII,c, Livia Maria Damasceno dos

SantosII,d, Maria Jussara MeloIII,e, Tiago Sousa BarrosIV,f,

Mônica Oliveira Batista OriáII,g

IFaculdade Católica Rainha do Sertão. Quixadá, Brazil IIUniversidade Federal do Ceará. Brazil

IIIUniversità degli Studi di Roma La Sapienza. Rome, Italy IVUniversidade Federal do Pernambuco. Brazil

Introduction: The evaluation of maternal self-efficacy in

the act of breastfeeding allows us to observe which areas mothers have greater difficulty, and it is possible to devise strategies to improve this reality.

Objective: Assess self-efficacy in adolescent mothers to

breastfeed in the Northeastern region of Brazil.

Methods: This is a quantitative study conducted in 14 Basic

Health Units in the municipalities of Quixadá, Mombaça and Tabuleiro do Norte during the months of September and October of 2013. The collection occurred through a form containing socioeconomic and obstetric aspects, besides the application of Breastfeeding Self-Efficacy Scale- SF. The data were analyzed using Epi Info program. The study was approved by the Committee of Ethics and Research of the Catholic Faculty Rainha do Sertão.

Results: The sample consisted of 172 mothers of children

under six months of age, with mean age of 16 years old, married, with complete high school education, that worked at home and had income from one to three minimum wages. These women had higher self-efficacy in breastfeeding, having greater adhesion to the items related to breastfeed- ing technique and less adhesion to items related to feeding the baby without using powdered milk.

Conclusions: It is concluded that the nurse who assists

the woman during the pregnancy-puerperal cycle should develop health education strategies in order to empower these mothers on aspects still with gaps, as well as seek- ing to maintain confidence of these women to breastfeed.

Descriptors: Breast Feeding; Self Efficacy; Adolescent;

Nursing; Health Promotion.

a [email protected] b [email protected] c [email protected] d [email protected] e [email protected] f [email protected] g [email protected] a [email protected] b [email protected] c [email protected] d [email protected] e [email protected] f [email protected] g [email protected]

ANALySIS OF THE DEVELOPMENT OF CHILDREN IN THE NORTHEASTERN REGION OF BRAzIL

Amanda NogueiraI,a, Anne Fayma Lopes ChavesII,b,

Rebeca RochaII,c, Karine de Castro BezerraII,d, Jamilly

TorresIII,e, Elizian Braga Rodrigues BernardoII,f, Mônica

Oliveira Batista OriáII,g

IFaculdade Católica Rainha do Sertão. Brazil IIUniversidade Federal do Ceará. Brazil

IIIUniversità degli Studi di Roma La Sapienza. Rome, Italy

Introduction: The profile of infant mortality has decreased

due to aspects of assessment of growth and development, which is performed by the nurse during childcare.

Objective: Evaluate the development in children up to

five years in the Health Centers of Sertão Central, in Ceará, Brazil.

Methods: This is a quantitative study. The sample con-

sisted of 100 children from zero to five years. The data were collected by an instrument containing socioeconomic information, issues related to child development and the milestones of development. The study was approved by the Committee of Ethics and Research of the Catholic Faculty Rainha do Sertão.

Results: The majority of the mothers had not completed

elementary school, worked at home, had income less than a minimum wage and held prenatal care. Regarding the children, 84% had normal weight at birth and 70% had the appropriate cephalic perimeter for their age. It was noted that 46% of children had no risk factor and 54% had one or more risk factors. The majority of children had the land- marks for their age group. As far as the classification of the development, it was found that 46% had a normal devel- opment, 43% had normal development with risk factors, 1% with alert for the development and 10% had probable developmental delay.

Conclusions: We realize the importance of the nurse is

on the alert regarding the presence of risk factors, seeking care focused on the prevention of complications to pro- mote the health of children.

Descriptors: Early childhood care; Child Care; Child

Development; Nursing; Health Promotion.

INFECTIONS, RESISTANCE AND ANTIBIOTIC