Bakgrund: I världen lever 36,7 miljoner människor med HIV varav 7000 av dessa lever i Sverige. HIV/AIDS är en blodsmitta som klassificeras under smittskyddslagen där AIDS är det mest avancerade stadiet av HIV. Sjuksköterskor och  sjuksköterskestudenter i världen har varierande kunskap om sjukdomen och patienter som lever med HIV/AIDS beskriver att sjuksköterskors inställningar till dem skiftar. Syfte: Att beskriva sjuksköterskors och sjuksköterskestudenters inställningar till att vårda patienter som lever med HIV/AIDS. Metod: Genom en litteraturöversikt över den befintliga kunskapen inom det valda problemområdet har tio artiklar analyserats och sammanställts. Artiklarna är från databaserna CINAHL Complete och PubMed och är antingen kvalitativa eller kvantitativa. Resultat: I litteraturöversikten framträdde fem huvudteman och fyra underteman.   Huvudtemana berörde synen på HIV/AIDS och PLHA, rädsla för att smittas och försiktighetsåtgärder relaterat till inställningar, villighet till att vårda PLHA relaterat till erfarenhet, inställningar relaterat till utbildning samt faktorer relaterat till inställningar att vårda PLHA. Resultatet visade på både positiva och negativa inställningar som sjuksköterskor och sjuksköterskestudenter hade och hur kunskap, erfarenhet, utbildning och kön kunde kopplas till inställningarna. Diskussion: Styrkorna och svagheterna med författarnas utförande av denna litteraturöversikt diskuterades i metoddiskussionen. Utifrån Joyce Travelbees omvårdnadsteori, litteraturöversiktens bakgrund och ny forskning har resultatets huvudfynd diskuterats i resultatdiskussionen. Hur sjuksköterskor och sjuksköterskestudenter bedriver vården till PLHA i förhållande till den kunskap och de inställningar de har gentemot dem och hur detta uppfattades av patienterna, belyses i resultatdiskussionen. / Background: There are 36,7 million people living with HIV/AIDS around the world. About 7000 of these are living in Sweden. HIV/AIDS is a blood infection that is classified by the Swedish Communicable Disease Act. AIDS is the most advanced stage of the HIV disease. The knowledge of nurses and student nurses about HIV/AIDS varies in the world and their attitudes are described by PLHA as varying. Aim: To describe nurses’ and nursing students’ attitudes towards caring for patients living with HIV/AIDS. Method: A literature review to look over the current knowledge concerning the selected subject-matter was conducted by analysing ten selected scientific articles. The qualitative and the quantitative articles were from the CINAHL Complete and PubMed databases. Results: Five main themes and four sub themes emerged in this literature review. The main themes concerned the view about HIV/AIDS and PLHA, fear of contagion and safety precautions related to attitudes, willingness to care for PLHA related to experience, attitudes related to education and factors affecting the attitudes to caring for PLHA. The result showed both positive and negative attitudes that nurses and nursing students had. As well as how knowledge, experience, education and gender could relate to their attitudes. Discussion: The strengths and weaknesses of the authors’ execution of this literature review were discussed in the method discussion. The main findings in this literature review are discussed in the result discussion in relation to Joyce Travelbees theory, the background and complementary scientific articles. Also, nurses’ and nursing students’ way of caring for PLHA in relation to the knowledge and attitude they have against PLHA and how that is perceived by the patients are discussed.

Bakgrund: Humant Immunbristvirus har sedan upptäckten under 1980-talet tagit mer än 35 miljoner människors liv. I tidigare studier framkommer det att personer med HIV/AIDS utsätts för diskriminering och stigmatisering inom sjukvården. Syfte: Att beskriva sjuksköterskestudenters attityder till personer med HIV/AIDS och vilka faktorer som kan påverka deras attityder. Metod: En litteraturstudie innehållande 11 artiklar med kvantitativ ansats granskades, analyserades och sammanställdes. Databaserna som användes vid artikelsökningen var PubMed och CINAHL. Resultat: Det framkom att sjuksköterskestudenter hade både positiva och negativa attityder gentemot personer med HIV/AIDS. Sjuksköterskestudenter hade också olika negativa attityder till olika patientgrupper samt både positiv och negativa vilja att vårda personer med HIV/AIDS. Faktorer som framkom påverka attityderna var kunskaper och tidigare erfarenheter, studielängd, kön, ålder, land och religion. Konklusion: Sjuksköterskestudenters negativa attityder mot personer med HIV/AIDS har visat sig kunna förbättras genom ökad kunskap om HIV/AIDS. Genom att sjuksköterskeutbildningen organiseras på ett sådant sätt att studenterna får mer kunskaper om HIV/AIDS under studietiden kan de förbättrade kunskaperna leda till mindre negativa attityder och därmed förbättra livskvalitén hos personer med HIV/AIDS samt främja deras hälsa. / Background: The Human Immunodeficiency virus has, since its discovery in the 1980s, taken more than 35 million people's lives. Previous studies show that people with HIV/AIDS are subject to discrimination and stigmatization within health care. Aim: To describe nursing students’ attitudes towards people with HIV/AIDS and what factors that influence their attitudes. Method: A literature study containing 11 articles with a quantitative approach were reviewed, analyzed and compiled. The databases PubMed and CINAHL were used. Results: It was revealed that nursing students had both positive and negative attitudes towards people with HIV/AIDS. The nursing students also had various negative attitudes towards different patient groups as well as positive and negative willingness to care for people with HIV/AIDS. Factors that emerged to influence the attitudes were knowledge, previous experiences, length of study, age, gender, country and religion. Conclusion: Nursing students negative attitudes towards people with HIV/AIDS have been shown to be improved by more knowledge of HIV/AIDS. By organizing the nursing education in such a way that the students receive more knowledge about HIV/AIDS during their period of studies, the improved knowledge can lead to less negative attitudes, thus improving the quality of life of people with HIV/AIDS and promoting their health.

M.Cur. (Professional Nursing Science) / Career planning of learner nurses, has been identified as an important tool to improve the retention of nurses in the health care system (Department of Health, 2008:12). First year learner nurses leave the nursing profession because they experience dissatisfaction in nursing as the career of choice. Miller and Marvin [ca 2008] state that career planning leads to greater ownership of work roles, taking initiative, and ongoing professional development. People involved in career planning are better collaborators, more likely to get along with their co-workers and supervisors, and more likely stay in and add value to the organization. Little has been done to improve career orientation of nurses, which has been identified as an important tool to improve nursing in the health care system (Department of Health, 2008:12). After six months of training, first year learner nurses starts to leave the nursing profession because they experience dissatisfaction in nursing as the career of choice. This problem is assigned to a lack of career orientation at nursing training colleges. It was unclear how first year learner nurses experience nursing as a career of choice, after having been exposed to the academic environment and nursing practice setting for six months in nursing. The central statement of the study was that learner nurses after entering nursing as a career of choice could be orientated on career planning that requires a career plan with guidelines or actions to be followed during their first year of nursing. The purpose of this study was to explore and describe the lived experiences of first year learner nurses on nursing as a career of choice with the intention of describing guidelines on career planning for learner nurses at a nursing college in the Johannesburg Region. Purposive sampling was used and all (52) first year learner nurses who have been in training for more than six months at a nursing college were selected as a target population. .Interviewing by means of narrative story writing, in-depth individual unstructured questioning of the participants, focus group interviews was conducted until saturation of data was achieved.

Student Number : 8229351 - MSc (Nursing) research report - Faculty of Health Sciences / The use and teaching of CAM (complementary and alternative medicine) therapies is a growing trend worldwide in the pursuit of health and the amelioration of some disease problems. Chronic, insoluble problems, stress (both mental and physiological), and pain are particularly the target of these therapies. In February 2001, South Africa became a world leader when she passed legislation promoting ten traditional or complementary and alternative therapies into professionalism. The purpose of this study was to assess the trends and patterns of use of senior nursing students of CAM therapies, and their intention to use such CAM therapies on their patients, or to refer their patients to practitioners of CAM therapies. A self-report survey was used to obtain this data, partly constructed from knowledge gathered in the literature review. Senior nursing students from three teaching institutions in Johannesburg participated in the survey. A pilot study to test the feasibility of the study and the reliability of the instrument was carried out at one of these three institutions. The group that participated in the pilot was not the same group that was later used as subjects at this institution. The pilot test was then subjected to a Peason's Product-Moment Correlation test to assess testretest reliability. Pearson's r was found to be 0.8, which shows high reliability of the instrument. Descriptive statistics (frequencies, means, and proportions) were used to summarize and present the results. The main results are as follows. A much larger group of respondents saw allopathic practitioners than CAM practitioners for their personal health problems and to maintain their health. Knowledge of CAM therapies was reported to be fairly low, though this may be due to the number of therapies presented for consideration. A large percentage of the respondents was interested in learning about, and even practicing CAM therapies on their patients, and in referring their patients to CAM practitioners or being able to advise them about CAM therapies and remedies appropriately. Given these results, with regard to nursing education, it was suggested that at least an introductory course to the basic tenets of CAM therapies and "holistic" or "body-mind medicine", needs to be presented to all student nurses. The problems inherent in developing adequate and relevant research avenues for these complex subjects, and an understanding of a range of the most commonly practiced CAM therapies needs to be included at neophyte nursing level. Focussed suggestions are made in the body of the report. Focussed suggestions are also made with regard to future research, both within the field of nursing and related allopathic disciplines possibly interested in incorporating aspects of CAM therapies within their own bodies of knowledge, and outside these disciplines. Suggestions relevant to the teaching and practice of a few CAM therapies practiced by the researcher, and of pharmacological and other possible avenues of research relevant to some of these therapies, will be made in the form of further articles submitted to the professional magazines of the CAM therapies concerned.

Today, every organization is struggling to attract, recruit and retain staff. This is because it has become a” war of talent”, since it is difficult to recruit candidates with excellence. This means that it is important for employees to work with their brand to succeed. The purpose of this thesis is to investigate what nursing students find attractive with employees’ brand and what would make them stay in Norrbotten after their studies, and how this differs from employees work with employer branding. The study was conducted with a qualitative method and an adductive approach. The collected material was interpreted with a thematic analysis and coded with an empirical-driven and theoretical coding. The results of this study showed that organizations work with employer branding, but that they could developed. The results also showed that there are significant factors that students find attractive: work environment, work tasks, development opportunities, good colleagues and a good manager. The salary was an important factor even though it was not the biggest. Which differs from the employee’s biggest factors in their work with employer branding: the locality, development opportunities, work environment, salary, working conditions, working hours, career opportunities and benefits. The result also shows that there are factors that can affect the student’s choice moving after their studies. / Idag kämpar varje organisation med att attrahera, rekrytera och behålla personal. Detta för att det har blivit ett ”krig om talang”, då det är svårt att rekrytera kandidater med spetskompetens. Detta gör att det är av vikt för arbetsgivare att arbeta med sitt varumärke för att lyckas.Syftet med studien är att undersöka vad sjuksköterskestudenter finner attraktivt med arbetsgivares varumärke och vad som skulle få dem att stanna i Norrbotten efter studierna, samt hur detta skiljer sig mot arbetsgivares arbete med employer branding. Studiens genomfördes med en kvalitativ metod och en aduktiv ansats. Det insamlade materialet tolkades med entematisk analys och kodades med en data-driven och teoretisk kodning. Resultatet i denna studie visade att arbetsgivarna arbetar med employer branding men att de hade kunnat utvecklas. Resultatet visade även att det finns betydande faktorer som studenterna finner attraktiva: arbetsmiljö, arbetsuppgifter, utvecklingsmöjligheter, bra kollegor och en bra chef. Lönen var även en viktig faktor, och kunde påverka exempelvis val av tjänst. Vilket skiljer sig från de betonade faktorerna i arbetsgivarnasarbete medemployer branding: orten, kompetensutveckling, arbetsmiljö, lön, arbetsvillkor, arbetstider, karriärmöjligheter och förmåner.Resultatet visade även att det finns faktorer som kan påverka studenternas val att flytta efter sina studier.

Introdução: Diferentes pesquisas apontam que os estressores acadêmicos podem impactar na saúde dos discentes de enfermagem. Por outro lado, sabe-se que alguns indivíduos são capazes de se adaptar a situações de adversidade (resiliência), apresentando melhores condições de saúde. No entanto, pouco se sabe se tais alterações estão relacionadas ao ingresso no curso superior, pois poucas pesquisas analisam tais alterações longitudinalmente, bem como as relações simultâneas entre os fenômenos de saúde e o papel da resiliência na melhoria da saúde dos discentes. Objetivos: identificar se ocorrem alterações na saúde, nos níveis de resiliência e na qualidade de vida de discentes após um ano do ingresso no curso de graduação em enfermagem; e analisar como se dão as relações simultâneas de causalidade entre estresse psicoemocional, sintomas depressivos, qualidade do sono e resiliência na explicação da qualidade de vida dos discentes um ano após o ingresso no curso. Método: Essa pesquisa organiza-se em duas etapas de abordagem quantitativa: metodológica (Calibração) e longitudinal. Na Fase 1, coletaram-se os dados com alunos do 2o, 3o e 4o anos (respectivamente 4o,6o e 8o semestres) de uma universidade estadual de São Paulo. Na etapa seguinte, a coleta ocorreu com os alunos do 1o ano (1o e 2o semestres de 2016) no início das aulas e ao final do ano letivo com os instrumentos já calibrados em duas universidades de São Paulo, uma estadual e outra federal. Nessas etapas, aplicaram-se os seguintes instrumentos: Formulário para caracterização sociodemográfica e acadêmica; Instrumento para Avaliação do Estresse em Discentes de Enfermagem, Center for Epidemiologic Studies Depression Scale, Índice de Qualidade de Sono de Pittsburgh; Escala de Resiliência de Wagnild & Young; e o Instrumento de Avaliação de Qualidade de Vida. Utilizou-se a análise fatorial confirmatória para a calibração dos instrumentos e o teste ANOVA para modelos mistos para analisar as alterações de saúde, resiliência e qualidade de vida ao longo do ano letivo. A Modelagem de Equações Estruturais foi utilizada para compreender as relações de dependência entre as variáveis. Resultados: A estrutura fatorial e a consistência interna foram satisfatórias para explicar os fenômenos. 110 discentes participaram da calibração dos instrumentos e 117 compuseram a fase longitudinal em março e 100 em dezembro de 2016. Verificou-se aumento significativo do estresse psicoemocional em todos os domínios do instrumento; redução da duração e da qualidade subjetiva do sono; e aumento do estresse psicoemocional geral e dos sintomas depressivos. O modelo hipotetizado final presentou boa qualidade de ajuste e de resíduos. O estresse psicoemocional reduziu a qualidade do sono e aumentou a intensidade dos sintomas depressivos, os quais diminuíram a qualidade de vida direta e indiretamente (através do estresse). A resiliência reduziu os níveis de estresse e sintomas depressivos e melhorou a qualidade do sono. Conclusão: O ambiente acadêmico de enfermagem apresenta potencial para doenças, com impacto à qualidade de vida. O estresse psicoemocional é o preditor dos fenômenos analisados e a resiliência um fator protetor contra o estresse. Sugere-se que as instituições repensem seus elementos curriculares, promovam a resiliência e criem espaços de promoção à saúde dos alunos. / Introduction: Several investigations highlight that academic stressors may impact on the health status of undergraduate nursing students. On other hand, the previous literature confirms that few individuals are able of adapting to adverse situations and, so, present a better health condition. However, it is not clear if the changes in health status are related to the nursing degree program once: few studies have longitudinally assessed health status changes; the simultaneous relations among health phenomena; and the potential role of resilience on nursing students health. Objectives: to identity if the health status, resilience and quality of life of nursing degree students change after the first academic-year; and to assess how the simultaneous relations of causality among psycho-emotional stress, depressive symptoms, sleep quality and resilience are arranged to explain the quality of life of nursing degree students after the first academic-year. Method: this research is organized in two phases, both of quantitative approach: Phase 1-methodologic (tools calibration) assessment; and Phase 2- longitudinal study. In the Phase 1, data were gathered from students enrolled in the 2nd, 3rd and 4th academic years (respectively 4th,6th, and 8th semesters) of a state university of Sao Paulo. In the next phase, we gathered the data from 1st year (1st and 2nd semesters of 2016) students at the starting of classes and one year after the first data collection with the calibrated instruments in two universities of Sao Paulo- one state and other federal. In these phases, we applied the following instruments: demographic and academic form; Instrument for stress evaluation in nursing students, Center for Epidemiologic Studies Depression Scale, Pittsburgh Sleep Quality Index; Connor-Davidson Resilience Scale; and the Instrument for Quality of Life Assessment. We used the confirmatory factor analysis to calibrate the instruments and the ANOVA for mixed models to assess the changes in health status across the first academic year. The Structural Equation Modelling was applied to evaluate the dependency relations among the variables. Results: the factorial structure and the internal consistency were satisfactory to explain the phenomena. 110 students attended the instruments calibration phase. In the longitudinal phase, 117 students were included in March and 100 in December 2016. We found a significant increase of psycho-emotional stress in all instruments domains; a decrease of duration and subjective quality of sleep; and an increase of general psychoemotional stress and depressive symptoms. The final hypothesized model showed good adjustment for quality and residues indexes. The psycho-emotional stress reduced the sleep quality and increased the depressive symptoms, which decreased the quality of life directly and indirectly (Through the stress). Resilience relieved the stress levels and the depressive symptoms and improved the sleep quality. Conclusion: the nursing academic environment has potential for illnesses, with impact on quality of life. The psycho-emotional stress is predictor of the assessed phenomenon and resilience is a protective factor against stress. We suggest that the teaching institutions rethink the curricular elements, promote the resilience and create spaces for students health promotion.

A simulação clínica tem sido compreendida como uma prática segura e reflexiva durante o processo ensino/aprendizagem em enfermagem. Ademais, a simulaçãopode ser uma oportunidade para que o estudante de enfermagem desenvolva habilidades de comunicação.Contudo é ausente na literatura brasileira, uma ferramenta que avalie a comunicação verbal e não verbal do estudante em ambientes simulados.A Health Communication Assessment Tool (HCAT), ferramenta desenvolvida por pesquisadores americanos, difundida em algumas universidades e países, mostrou-se válida e confiável para tal demanda, e avalia a comunicação de estudantes de enfermagem em simulação clínica. O objetivo geral desse estudo é realizar adaptação cultural da ferramenta Health Communication AssessmentTool -HCAT, para o português brasileiro.Trata-se de uma pesquisa metodológica, autorizada pelo Comitê de Ética em Pesquisa envolvendo Seres Humanos. A Health Communication Assessment Tool (HCAT) trata-se de uma escala composta por 24 afirmações - alterada pelos autores originais para 22 afirmações, durante o curso desta pesquisa - que busca avaliar o uso ou falta de uso de comportamentos de comunicação interpessoal e de comunicação em saúde(verbal ou não verbal).Foi utilizado o referencial teórico metodológico de Guillemin, Bombardier e Beaton (1993) aprimorado por Ferrer et. al (1996): a) tradução inicial para língua portuguesa; b) avaliação pelo Comitê de Juízes; c) retrotradução; d) avaliação semântica dos itens; e) pré-teste e análise das medidas adaptada,a qual será realizada em estudo posterior. O estudo foi desenvolvido em uma instituição de ensino superior pública do estado de São Paulo. A etapa de tradução inicial para língua portuguesa foi realizada por dois tradutores, de forma independente, dando origem à primeira versão consensual em português, a qual foi composta por 16 afirmações da tradução versão 1, cinco da tradução versão 2, e as demais afirmações (09, 11, 4 20) foram idênticas entre as traduções. Em seguida, a primeira versão consensual em português foi submetida à avaliação por um Comitê de Juízes para verificação de equivalências semânticas, idiomáticas, culturais e conceituais entre a versão original e a versão brasileira; nesta etapa houve mais de 80% de concordância entre os juízes em todas as afirmações, dando origem à segunda versão consensual em português. A retrotraduação foi submetida à avaliação dos autores finais, os quais sugeriram a exclusão de duas afirmações para adequação da ferramenta à nova versão em inglês. Para a avaliação semântica, participaram 10 professores de enfermagem, distribuídos entre a região Nordeste (2), Sudeste (4) e Sul (4), os quais foram convidados por e-mail e avaliaram semanticamente cada uma das afirmações da versão brasileira do HCAT. Todos os itens obtiveram avaliação de concordância acima de 80%, com exceção da \'afirmação 8\'que obteve 70 %. O pré-teste e análise das medidas adaptadas, não realizadas nesse estudo, se constituem na finalização do processo de validação do HCAT para o Brasil. A ferramenta deverá ser utilizada por uma amostra representativa de professores de enfermagem/ou educadores que atuam em simulação clínica. A versão brasileira do HCAT foi considerada adaptada culturalmente para o Brasil e poderá ser útil para avaliar a capacidade comunicativa dos estudantes de enfermagem durante cenários de simulação clínica / Clinical simulation has been understood as a safe and reflexive practice during the teaching/learning process in nursing. In addition, the simulation can be an opportunity for the nursing student to develop communication skills. However, there is no tool to evaluate verbal and nonverbal communication of the student in simulated environments in the Brazilian literature. The Health Communication Assessment Tool (HCAT) is a tool developed by American researchers, disseminated in some universities and countries, proved to be valid and reliable for such demand, and evaluates the communication of nursing students in clinical simulation. The general objective of this study is to develop a cultural adaptation of the Health Communication Assessment Tool -HCAT to Brazilian Portuguese. This is a methodological research, authorized by the Research Ethics Committee involving Human Beings. The Health Communication Assessment Tool (HCAT) is a scale compounded by 24 statements - altered by the original authors to 22 statements during the course of this research - that seeks to evaluate the use or lack of use of interpersonal communication and communication behaviors in health (verbal or nonverbal). In order to develop the cultural adaptation, the theoretical-methodological frame work elaborated by Guillemin, Bombardier and Beaton (1993) and enhanced by Ferrer et al. (1996) was used: a) initial translation from the original to Portuguese; b) evaluation by the Judges Committee; c) back-translation; d) semantic evaluation of the items; e) pre-test and analysis of the adapted measures which will be carried out in later study. This research was developed at a public higher education institution in the state of São Paulo. The initial translation to Portuguese was done by two translators, independently, giving rise to the first consensual version in Portuguese, which consisted of 16 statements of the first translated version, 05 of the second translated version, and the other statements (09, 11, 4, 20) were identical in both the translations. Afterwards, the first consensual version in Portuguese was submitted to a Judges Committee for evaluation of semantic, idiomatic, cultural and conceptual equivalences between the original version and the Brazilian version; at this stage there was more than 80% agreement among the judges in all the statements, resulting in the second consensual version in Portuguese. The back translation was submitted to the final authors for evaluation, who suggested the exclusion of two statements in order to adapt the tool to the new version in English. In what concerns the Semantic Evaluation, 10 nursing professors distributed among the Northeast (2), Southeast (4) and South (4) of Brazil were invited by e-mail and semantically evaluated each of the statements of the Brazilian version of the HCAT. All items showed an agreement in evaluation above 80%, with the exception of the statement \"8\" which had 70% agreement. The pre-test and analysis of the adapted measures, not developed in this study, represent the completion of the validation process of HCAT for Brazil. The tool shall be used by a representative sample of nursing teachers or educators who work in clinical simulation. The Brazilian version of the HCAT was considered culturally adapted to Brazil and can be useful to evaluate the communicative ability of nursing students during clinical simulation scenarios

O ensino da enfermagem, ao longo da sua história, vem sendo caracterizado pela constante implementação de mudanças curriculares nos cursos de graduação e discussões de propostas pedagógicas. Na atualidade, dentro do contexto bio-psico-social-econômico-cultural, tem sido necessário considerar a complexidade do ser humano e o meio em que vive, no sentido de viabilizar recursos que possibilitem a formação de profissionais competentes para lidar com os desafios do século XXI. Não se pode, portanto, perder de vista as visões humanitárias, ameaçadas pela própria contemporaneidade com suas relações virtuais e cada vez mais distante do toque e do calor humano. Os estudantes de graduação da Escola de Enfermagem de Ribeirão Preto-USP (EERP-USP), freqüentemente, trazem aos educadores as dificuldades que manifestam ao se depararem com as atividades da prática profissional do enfermeiro, nova para os mesmos, e os questionamentos e dúvidas que levantam em relação ao curso. Este estudo teve como objetivos: verificar através das verbalizações em grupo a existência de sentimentos de ansiedade, angústia e medo que, segundo a literatura, podem aparecer nos alunos de graduação em enfermagem na transição teórico-prática; discutir os resultados obtidos neste trabalho de grupo à luz das fases do desenvolvimento de grupo, com base no referencial de Yalom (1995) e Lasalle e Lasalle (2001); investigar a opinião das participantes do estudo sobre aspectos positivos e negativos dos encontros grupais, através do procedimento de entrevista individual. O grupo foi realizado na EERP-USP, totalizando 16 encontros, com a participação de 12 alunas matriculadas na disciplina ERG-218 Fundamentos II. Trata-se de uma investigação qualitativa conduzida pela observação participante. O estudo envolveu três momentos: pré-grupo (passos que precederam a coleta de dados), encontros grupais (coleta de dados propriamente dita) e avaliação (através de entrevista individual). A análise de dados foi feita com base no levantamento de temas presentes em cada encontro, relacionando-os às fases do processo grupal (fase inicial, fase operacional e fase de término) e dos revelados nas entrevistas de avaliação. Estes temas foram discutidos através de comentários reflexivos. Fatores terapêuticos como: coesão, catarse, altruísmo e universalidade permearam os encontros grupais. Foram identificadas, ainda, características de funcionamento como apoio, ênfase no aqui-agora e diretividade como fatores que proporcionaram a estruturação do grupo. Conclui-se que, embora limitada a um grupo específico de alunos, esta estratégia de suporte foi útil e merece atenção de estudos futuros. O trabalho em grupo facilita as trocas de experiências relacionadas ao curso, bem como traz a oportunidade de exposição de medos e angústias, enfrentados pelos estudantes, auxiliando na formação de seres humanos incumbidos da tarefa de cuidar do outro. / Throughout its history, nursing teaching has been characterized by the constant implementation of curricular changes in undergraduate courses and discussions on pedagogical proposals. Nowadays, in the biopsychosocial, economic and cultural context, there has been a need to take into account the complexity of human beings and the environment they live in, so as to constitute resources that allow for the formation of competent professionals to deal with the challenges of the XXIst century. Hence, we cannot forget about the humanitarian views, which are threatened by modernity, with its virtual relations that are increasingly distant from touch and human warmth. Undergraduate students at the Ribeirão Preto College of Nursing -USP (EERP-USP) frequently present their teachers with the difficulties they face when they are confronted with professional nursing practices, which are new to them, and with the inquiries and doubts they bring up with respect to the course. This study aimed to verify the existence of anxiety, anguish and fear which, according to literature, undergraduate students may experience in the transition process from theory to practice, on the basis of comments presented in a group activity; to discuss the results of this group work in view of group development phases, in accordance with Yalom (1995) and Lasalle and Lasalle (2001); and to examine the study participants’ opinion about positive and negative aspects of group meetings through individual interviews. 16 group meetings were held at EERP-USP, with the participation of 12 students enrolled in subject ERG-218 Fundamentals II. A qualitative study was carried out by means of participant observation. The study involved three phases: pre-group (steps before data collection), group meetings (actual data collection) and evaluation (through individual interviews). Data analysis was based on a survey of the subjects present in each meeting, which were related to the phases of the group process (initial, operational and final phase), as well as subjects that came up during the evaluation interviews. These subjects were discussed through reflective comments. Therapeutic factors like cohesion, catharsis, altruism and universality permeated the group meetings. Furthermore, we identified characteristics of functioning as support, emphasis on the here and now and directiveness as factors that structured the group. We conclude that, although limited to a specific student group, this support strategy was useful and deserves further study. Group work facilitates the exchange of course-related experiences and offers the opportunity to expose fears and anxieties faced by the students, thus assisting in the formation of human beings who are charged with delivering care to others.

Esta pesquisa centra-se na formação profissional voltada para o processo de doação/transplante de órgãos humanos, visto tratar-se de assuntos complexos que demandam, entre outros aspectos, o preparo profissional adequado para atuação oportuna. Assim, neste estudo, objetivou-se analisar a formação, o preparo e o enfrentamento dos problemas relativos ao processo de doação de órgãos, identificando esses elementos com os graduandos em Enfermagem, de uma instituição pública, possibilitando, após o levantamento, elaborar, executar e avaliar as ações educativas sobre essa temática, na perspectiva da manutenção da saúde mental do enfermeiro (a). A partir desses achados, concomitantemente objetivou-se realizar um evento científico para dar ênfase no processo de educação e multidisciplinaridade na doação/transplante de órgãos e tecidos humanos.Utilizando- se da investigação qualitativa, humanista, mediatizada pelo método da pesquisa- ação, realizou-se o levantamento temático. O referencial teórico-metodológico adotado delimitou o método em três partes: levantamento de temas geradores, codificação/descodificação e desvelamento crítico. O levantamento de dados sócio-demográficos e da percepção temática ocorreu através da aplicação de questionários contendo questões abertas, para identificação dos temas geradores, usando categorização temática. A ação educativa ocorreu a partir do tratamento didático dos temas geradores, transformando-os em conteúdos programáticos, que foram codificados/descodificados e desvelados criticamente pelos participantes, por meio de círculos de cultura. A verificação de aprendizagem, ocorreu através da avaliação diagnóstica, formativa e somativa. A elaboração, o desenvolvimento e a avaliação da ação educativa, foram realizados após aprovação pelo comitê de ética em pesquisa (Processo nº. 292.446) Os resultados, foram trabalhados em três encontros direcionados pelos temas geradores identificados, junto com os participantes. 1º) discutiu-se o conceito de vida/morte; princípios e valores. 2º) trabalhou-se dois temas geradores, sendo: a) processo de doação/transplante de órgãos; b) formação acadêmica em doação/transplante de órgãos. 3º) focou-se na educação para a doação junto à população. Os temas foram se complementando no decorrer dos encontros. No primeiro, a visão ingênua dos graduandos começou a ser desmistificada ao se aproximarem da complexidade de todo o processo, e se consolidando após o segundo encontro ao se articular as discussões do primeiro dia de atividade, com os esclarecimentos sobre a atuação do profissional enfermeiro no processo de doação. No terceiro encontro, após intensas discussões realizadas nos dias anteriores, pôde-se observar grande preocupação dos estudantes em discutir melhor esse tema durante sua formação acadêmica e, em ampliar as atividades educativas junto à população. As dificuldades que permeiam todo o processo podem ser sanadas, através da conscientização tanto da população quanto dos acadêmicos e profissionais que já atuam nessa área, visando preservar, o bem-estar e saúde mental de todos os envolvidos nesse processo. Emanados por essa realidade, um evento científico foi realizado em parceria Brasil/Espanha, buscando abordar questões do processo de doação e transplantes de órgãos que consideramos frágeis diante desse estudo. Assim, depreendemos que o processo educativo concretizado por esse estudo atendeu as lacunas de saberes e práticas, sobretudo pela problematização do contexto / This research focuses on professional training geared towards the process of human donation/transplant, meanwhile these are complex issues that require, among other things, the professional preparation suited for opportune action. This study aimed to analyze the training, preparation and coping with problems related to organ donation process, identifying those elements with nursing undergraduate students of a public institution, making it possible, after the investigation, developing, implementing and evaluating educational activities about this theme with according to mental health nurses perspective. Based on these findings, simultaneously, aimed to conduct a scientific event to give emphasis on education and multidisciplinary process in the donation / transplant of human organs and tissues. Using humanist and qualitative research mediated by the method Research-Action-Participant, took place the thematic investigation. The theoretical framework adopted is divided into three sections: search generating themes, encryption/decryption and critical unveiling. The data entry of socio-demographic and thematic perception data occurred through the questionnaires use containing open questions to identify the generating themes using thematic categorization. The educational activity occurred from the didactic treatment of generating themes, turning them thematic contents, which were encoded/decoded and, critically, unveiled by participants through crop circles. The verification of learning occurred by diagnostic evaluation, formative and somative evaluation. The preparation, development and evaluation of educational activities were conducted after approval by the Ethics in Research Committee (Process nº. 292.446). The results were worked in three meetings targeted by generating themes identified, along with the participants. 1) Discussion about life\'s concept and death\'s concept; principles and values. 2) Worked up two main themes, namely: a) donation process / organ transplants; b) academic training in donation / organ transplantation. 3) Focus on education for the donation among the population. The themes were complementing during the meetings. At first, the naive students view began to be demystified as they approached the complexity of the process, and consolidating after the second meeting, to articulate the discussions of the first day of activity, with the elucidation of the professional nurse acting in donation process. In the third meeting, after intensive discussions, it was observed major concern of students to discuss this subject during their education and expand educational activities among the population. The difficulties permeating the whole process can be solved through awareness both of the population as of academics and professionals already working in this area, to preserve the well-being and mental health of all involved in this process. Issued by this reality, a scientific event was held in partnership Brazil/Spain, seeking address issues of the donation process and organ transplants that we consider fragile before this study. Thus, we inferred that the educational process implemented by this study healed the gaps of knowledge and practices, especially by problematization of the context

Os enfermeiros têm a responsabilidade ética, legal e profissional de promover uma assistência segura na administração de medicamentos. A aprendizagem da administração de medicamentos está centrada no conhecimento que os enfermeiros constroem em sua formação acadêmica e na vivência profissional. O objetivo deste trabalho foi compreender o significado da administração de medicamentos, pelo estudante de enfermagem nas suas primeiras experiências. Dada a natureza do problema, esta investigação utilizou uma abordagem qualitativa, tendo como referencial metodológico a Teoria Fundamentada nos Dados, à luz do Interacionismo Simbólico. Como estratégias para a coleta de dados foi utilizada a observação não-participante e entrevistas semi-estruturadas, tendo como sujeitos 13 estudantes de uma instituição pública de ensino superior, localizada no interior do Estado de São Paulo. Os dados foram coletados, organizados e analisados por meio da estratégia da análise comparativa constante. Os resultados revelaram que os estudantes de enfermagem, ao vivenciarem o processo da administração de medicamentos, experienciaram insegurança ao administrar medicamentos; evidenciando as categorias: não valorizando a execução de determinados procedimentos básicos e emergindo sentimentos de dúvida para \"ser Enfermeiro\" no contexto desta ação. Como condições causais do fenômeno despontam a vivência de situações de erros e a percepção de conhecimentos teórico-práticos insuficientes; e como estratégia de ação a importância do laboratório e do campo de prática para o aprendizado. As condições intervenientes que influenciaram a realização dessa ação foram: tendo apoio dos colegas, família e professor e tendo dificuldades no relacionamento com o cliente. Como conseqüências as categorias: despertando para a responsabilidade da \"ação\" de administrar medicamentos e despertando para a profissão: sentindo-se enfermeiro ao administrar medicamentos. Enfim, os estudantes de enfermagem participantes do estudo atribuíram o significado da administração de medicamento como uma atividade de ilimitado valor e responsabilidade, conduzindo-os a um despertar para a futura profissão. / Nurses have the ethical, legal and professional responsibility to promote safe care in medication administration. Learning about medication administration is centered on the knowledge that nurses develop during their academic education and professional experience. This work aimed at understanding the meaning of medication administration to nursing students during their first experiences. Due to the nature of the problem addressed, a qualitative approach was used according to the Grounded Theory, in the light of Symbolic Interactionism. Non-participant observation and semi-structured interviews were used as strategies for data collection from 13 subjects who were students at a public college in São Paulo state. Data were collected, organized and analyzed through the strategy of constant comparative analysis. The results showed that, during the process of medication administration, the nursing students experienced insecurity according to the following categories: not valuing the execution of basic procedures and with feelings of doubt \"about being a nurse\" emerging in the context of this action. The causes for the phenomenon were: experiencing situations of error and the perception that theoretical and practical knowledge was insufficient. As action strategies, the following must be cited: the importance of laboratory and practical activities for learning; as interventional conditions that would influence the performance of this action: having support from colleagues, relatives, teachers and having difficulties in the relationship with the client, and as consequences: awakening to the responsibility of the \"action\" of administering medication and awakening to the profession: feeling as a nurse when administering medication. Finally, the nursing students participating in the study attributed the meaning of medication administration as an activity of unlimited value and responsibility which leads them to the awakening to a future profession.