Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2016-02-02T16:10:09Z No. of bitstreams: 1 Tatiana Ibrahim de Serpa Pinto Rocha.pdf: 653236 bytes, checksum: 3f12cf84347ed66912cd8107722cc769 (MD5) / Made available in DSpace on 2016-02-02T16:10:09Z (GMT). No. of bitstreams: 1 Tatiana Ibrahim de Serpa Pinto Rocha.pdf: 653236 bytes, checksum: 3f12cf84347ed66912cd8107722cc769 (MD5) Previous issue date: 2008 / Empresa de Ônibus e Turismo Pedro Antônio LTDA / Mestrado Profissional em Enfermagem Assistencial / O processo de trabalho do (a) enfermeiro(a) é construído por saberes originários de diferentes matrizes científicas e configuram uma atividade centrada no cuidado com articulação no campo da administração. No exercício da função, o (a) enfermeiro (a) utiliza uma série de saberes que podemos chamar de tecnologias. Tecnologias que são empregadas no trabalho do enfermeiro nos diferentes momentos da produção. Este estudo tem como objetivo, analisar o processo de trabalho do (a) enfermeiro (a), buscando identificar o uso das tecnologias no gerenciamento e no cuidado em saúde. Trata-se de um estudo descritivo com abordagem qualitativa. Como campo de estudo foi escolhido o Hospital Universitário Sul Fluminense, no Município de Vassouras. Os dados foram coletados através de entrevista temática com enfermeiros do hospital e observação participante. A análise dos dados se deu por meio da triangulação associada ao método hermenêutico dialético. Os resultados mostraram a utilização de diferentes ferramentas tecnológicas no gerenciamento do cuidado em que a fusão da função gerencial com a assistencial é uma constante. Nesse processo, destacamos o saber da teoria clássica da administração, como elemento presente em grande parte da produção naquele hospital. Apontamos, como conclusão, a importância de novos dispositivos para a descentralização do trabalho e a recuperação da centralidade no usuário / The working process of the nurse is constituted by facts derived from different scientific matrixes and configures an activity centered in the care, with an articulation in the administration field. In the realization of his function, the nurse uses a series of knowledge that we can call technologies. Technologies that are used in the work of the nurse on the different moments of the production. This study has as objective analyze the working process of the nurse, trying to identify the use of the technologies in the management and in the care in health. It‟s a descriptive study with qualitative approach. The Hospital Universitário Sul Fluminense, in Vassouras, was selected as the study field. The data were collected through a theme interview with the nurses of the hospital and participated observation. The analysis of the data was done by triangulation combined with the Hermeneutic-Dialectical Method. The results showed the utilization of different technological tools in the management of the care, in which the fusion of the management and care functions is a constant. In this process, we give emphasis to the knowledge of the administration classic theory, as an element present in a great part of the production in that hospital. We point out as a conclusion, the importance of new ways to the decentralization of work and the re-acquire of the users‟ centrality

Purpose: The purpose of this study was to explore the experiences of distracted practice across the healthcare team. Definition: Distracted practice is the diversion of a portion of available cognitive resources that may be needed to effectively perform/carry out the current activity. Background: Distracted practice is the result of individuals interacting with the healthcare team, the environment and technology in the performance of their jobs. The resultant behaviors can lead to error and affect patient safety. Methods: A qualitative descriptive (QD) approach was used that integrated observations with semi-structured interviews. The conceptual framework was based on the distracted driving model and a completed concept analysis. Results: There were 22 observation sessions and 32 interviews (12 RNs, 11 MDs, and 9 Pharmacists) completed between December, 2014 and July 2015. Results suggested that distracted practice is based on the main theme of cognitive resources which varies by the subthemes of individual differences; environmental disruptions; team awareness; and “rush mode”/time pressure. Conclusions and Implications: Distracted practice is an individual human experience that occurs when there are not enough cognitive resources available to effectively complete the task at hand. In that moment an individual shifts from thinking critically, being able to complete their current task without error, to not thinking critically and working in an automatic mode. This is when errors occur. Additional research is needed to evaluate intervention strategies to reduce and prevent distracted practice.

Yes / This study investigated the relationship of ethnicity to the differences between blood pressure (BP) measured in a clinic setting and by ambulatory blood pressure monitoring (ABPM) in individuals with a previous diagnosis of hypertension (HT) and without a previous diagnosis of hypertension (NHT). A cross-sectional comparison of BP measurement was performed in 770 participants (white British (WB, 39%), South Asian (SA, 31%), and African Caribbean (AC, 30%)) in 28 primary care clinics in West Midlands, United Kingdom. Mean differences between daytime ABPM, standardized clinic (mean of 3 occasions), casual clinic (first reading on first occasion), and last routine BP taken at the general practitioner practice were compared in HT and NHT individuals. Daytime systolic and diastolic ABPM readings were similar to standardized clinic BP (systolic: 128 (SE 0.9) vs. 125 (SE 0.9) mm Hg (NHT) and 132 (SE 0.7) vs. 131 (SE 0.7) mm Hg (HT)) and were not associated with ethnicity to a clinically important extent. When BP was taken less carefully, differences emerged: casual clinic readings were higher than ABPM, particularly in the HT group where the systolic differences approached clinical relevance (131 (SE 1.2) vs. 129 (SE 1.0) mm Hg (NHT) and 139 (SE 0.9) vs. 133 (SE 0.7) mm Hg (HT)) and were larger in SA and AC hypertensive individuals (136 (SE 1.5) vs. 133 (SE 1.2) mm Hg (WB), 141 (SE 1.7) vs. 133 (SE 1.4) mm Hg (SA), and 142 (SE 1.6) vs. 134 (SE 1.3) mm Hg (AC); mean differences: 3 (0-7), P = 0.03 and 4 (1-7), P = 0.01, respectively). Differences were also observed for the last practice reading in SA and ACs. BP differences between ethnic groups where BP is carefully measured on multiple occasions are small and unlikely to alter clinical management. When BP is measured casually on a single occasion or in routine care, differences appear that could approach clinical relevance.