Thesis (Ph.D.)--University of Virginia, 2000. / Includes bibliographical references (p. 348-355). Also available online through Digital Dissertations.

Este estudo refere-se às evidências de necessidades de autocuidado de militares com hipertensão sistêmica da Marinha do Brasil. A hipertensão arterial é uma das doenças crônicas mais frequentes, de maior prevalência no mundo e a sua evolução leva a complicações que comprometem todos os sistemas orgânicos. Neste sentido o problema apresentado é: como se caracterizam as necessidades de autocuidado de militares hipertensos da Marinha do Brasil. Para tanto, o objetivo geral da pesquisa foi: Discutir as necessidades de cuidado no processo saúde/adoecimento do militar da Marinha do Brasil e os objetivos específicos: Descrever as características sociodemográficas e de autocuidado dos militares atendidos no ambulatório de cardiologia do HNMD; Identificar através dos depoimentos dos militares, as necessidades de autocuidado e; Propor estratégias de autocuidado em saúde aos militares. O referencial teórico utilizado foi o Modelo de Promoção de Saúde de Nola J Pender. Trata-se de um estudo misto de caráter exploratório e descritivo, realizado no ambulatório de Cardiologia do Hospital Naval Marcilio Dias, no município do Rio de Janeiro, no período de julho a agosto de 2014. Os sujeitos do estudo foram 20 militares hipertensos da Marinha do Brasil com idade acima dos 25 anos. Os dados foram coletados por meio de entrevista semiestruturada, em seguida, submetidos à análise de conteúdo de Bardin, emergindo três categorias e subcategorias assim denominadas: Primeira: Evidências de necessidades de autocuidado. Segunda: Identificação situacional da saúde dos militares com a subcategoria: A experiência do autocuidado para o militar com HAS. Terceira: Interesse pelo autocuidado com duas subcategorias: Interesse pelo aprendizado e Estratégias para o aprendizado do autocuidado. O perfil dos participantes caracterizou-se da seguinte maneira: Dos 20 militares, 19 são homens e 1 mulher, sendo 3 da ativa e 17 da reserva, a maioria são casados, idosos, de etnia parda e crença religiosa cristã, possuem ensino médio completo, com remuneração acima de 4 salários mínimos, residindo em local com saneamento básico. Quanto ao autocuidado referido pelos participantes: a maioria controla o uso de sal, ingesta hídrica adequada, utilizam alimentação balanceada, praticam algum tipo de exercício diário, a maioria referiu uso regular de anti-hipertensivos, e procura pelos serviços de saúde, quando necessário. Conclui-se que apesar do autocuidado referido, estes estão aquém às necessidades de saúde e não atendem às demandas de autocuidado necessária à manutenção da vida. Apesar de diversos fatores contribuírem para desmotivar os militares em relação ao autocuidado, eles apresentam interesse em aprender novas tecnologias de cuidar para adequação de sua saúde atual e melhora da qualidade de vida. Para atender às necessidades de autocuidado identificadas, sugere-se planejamento das ações estratégicas de promoção à saúde conjunta, com a equipe multiprofissional, instituindo a consulta de enfermagem, avaliação do autocuidado, prevenção dos fatores de risco e acompanhamento regular para análise das mudanças efetivas dos hábitos de vida saudáveis. / This study refers to the evidence of self-care needs of military personnel with systemic hypertension from the Navy of Brazil. Hypertension is one of the most common and prevalent chronic diseases in the world and its evolution leads to complications that compromise all of the body systems. Thus, the problem presented is: how do the self-care needs of hypertensive Navy servicemen in Brazil characterize. Therefore, the overall goal of the research was: Discuss the care needs in the process of health / illness of the Military Navy of Brazil and the specific objectives were: Describe the social, demographic and self-care characteristics of the military personnel who were tended on the HNMD's cardiology outpatient clinic; Identify the self-care needs through statements of the military personnel and; Propose health self-care strategies to the military personnel. The theoretical framework used was the Health Promotion Model, by Nola J Pender. Which is a mixed study of exploratory and descriptive nature, conducted at the Naval Hospital Marcilio Dias' cardiology clinic in the city of Rio de Janeiro, in the period from July to August 2014. The study subjects were 20 hypertensive military Navy servicemen over 25 years of age. The data was collected through a semi-structured interview and then submitted to Bardin's content analysis, emerging in three categories and subcategories hereby denominated: First: Evidence of self-care needs. Second: Situational identification of the military personnel's health with the subcategory: The experience of self-care for the hypertensive military personnel. Third: Interest in self-care with two subcategories: Interest in learning and strategies for learning self-care. The profile of the participants was characterized as follows: Out of the 20 military servicemen, 19 are men and 1 is a woman, those being, 3 active military and 17 military booking, most are married, elder, of mixed ethnicity and Christian religious belief, having finished high school with remuneration above 4 minimum wages, residing in places with basic sanitation. As for the self-care referred by the participants: the majority controls the use of salt, adequate fluid intake, balanced diet, practice some kind of daily exercise, the majority also reported regular use of antihypertensive drugs, and demand for health services when needed. We conclude that despite the referred self-care, these are beneath the health needs and do not meet the demands of self-care needed to sustain life. Although many factors contribute to discouraging the military in self-care, they do have an interest in learning new technologies to care for the adequacy of their current health state and improved quality of life. To meet the identified self-care needs, it is suggested the planning of strategic actions to promote joint health, with the multidisciplinary team, establishing nursing consultation, self-care assessment, prevention of risk factors and regular monitoring to analyze the effective change of healthy lifestyle.

Este estudo refere-se às evidências de necessidades de autocuidado de militares com hipertensão sistêmica da Marinha do Brasil. A hipertensão arterial é uma das doenças crônicas mais frequentes, de maior prevalência no mundo e a sua evolução leva a complicações que comprometem todos os sistemas orgânicos. Neste sentido o problema apresentado é: como se caracterizam as necessidades de autocuidado de militares hipertensos da Marinha do Brasil. Para tanto, o objetivo geral da pesquisa foi: Discutir as necessidades de cuidado no processo saúde/adoecimento do militar da Marinha do Brasil e os objetivos específicos: Descrever as características sociodemográficas e de autocuidado dos militares atendidos no ambulatório de cardiologia do HNMD; Identificar através dos depoimentos dos militares, as necessidades de autocuidado e; Propor estratégias de autocuidado em saúde aos militares. O referencial teórico utilizado foi o Modelo de Promoção de Saúde de Nola J Pender. Trata-se de um estudo misto de caráter exploratório e descritivo, realizado no ambulatório de Cardiologia do Hospital Naval Marcilio Dias, no município do Rio de Janeiro, no período de julho a agosto de 2014. Os sujeitos do estudo foram 20 militares hipertensos da Marinha do Brasil com idade acima dos 25 anos. Os dados foram coletados por meio de entrevista semiestruturada, em seguida, submetidos à análise de conteúdo de Bardin, emergindo três categorias e subcategorias assim denominadas: Primeira: Evidências de necessidades de autocuidado. Segunda: Identificação situacional da saúde dos militares com a subcategoria: A experiência do autocuidado para o militar com HAS. Terceira: Interesse pelo autocuidado com duas subcategorias: Interesse pelo aprendizado e Estratégias para o aprendizado do autocuidado. O perfil dos participantes caracterizou-se da seguinte maneira: Dos 20 militares, 19 são homens e 1 mulher, sendo 3 da ativa e 17 da reserva, a maioria são casados, idosos, de etnia parda e crença religiosa cristã, possuem ensino médio completo, com remuneração acima de 4 salários mínimos, residindo em local com saneamento básico. Quanto ao autocuidado referido pelos participantes: a maioria controla o uso de sal, ingesta hídrica adequada, utilizam alimentação balanceada, praticam algum tipo de exercício diário, a maioria referiu uso regular de anti-hipertensivos, e procura pelos serviços de saúde, quando necessário. Conclui-se que apesar do autocuidado referido, estes estão aquém às necessidades de saúde e não atendem às demandas de autocuidado necessária à manutenção da vida. Apesar de diversos fatores contribuírem para desmotivar os militares em relação ao autocuidado, eles apresentam interesse em aprender novas tecnologias de cuidar para adequação de sua saúde atual e melhora da qualidade de vida. Para atender às necessidades de autocuidado identificadas, sugere-se planejamento das ações estratégicas de promoção à saúde conjunta, com a equipe multiprofissional, instituindo a consulta de enfermagem, avaliação do autocuidado, prevenção dos fatores de risco e acompanhamento regular para análise das mudanças efetivas dos hábitos de vida saudáveis. / This study refers to the evidence of self-care needs of military personnel with systemic hypertension from the Navy of Brazil. Hypertension is one of the most common and prevalent chronic diseases in the world and its evolution leads to complications that compromise all of the body systems. Thus, the problem presented is: how do the self-care needs of hypertensive Navy servicemen in Brazil characterize. Therefore, the overall goal of the research was: Discuss the care needs in the process of health / illness of the Military Navy of Brazil and the specific objectives were: Describe the social, demographic and self-care characteristics of the military personnel who were tended on the HNMD's cardiology outpatient clinic; Identify the self-care needs through statements of the military personnel and; Propose health self-care strategies to the military personnel. The theoretical framework used was the Health Promotion Model, by Nola J Pender. Which is a mixed study of exploratory and descriptive nature, conducted at the Naval Hospital Marcilio Dias' cardiology clinic in the city of Rio de Janeiro, in the period from July to August 2014. The study subjects were 20 hypertensive military Navy servicemen over 25 years of age. The data was collected through a semi-structured interview and then submitted to Bardin's content analysis, emerging in three categories and subcategories hereby denominated: First: Evidence of self-care needs. Second: Situational identification of the military personnel's health with the subcategory: The experience of self-care for the hypertensive military personnel. Third: Interest in self-care with two subcategories: Interest in learning and strategies for learning self-care. The profile of the participants was characterized as follows: Out of the 20 military servicemen, 19 are men and 1 is a woman, those being, 3 active military and 17 military booking, most are married, elder, of mixed ethnicity and Christian religious belief, having finished high school with remuneration above 4 minimum wages, residing in places with basic sanitation. As for the self-care referred by the participants: the majority controls the use of salt, adequate fluid intake, balanced diet, practice some kind of daily exercise, the majority also reported regular use of antihypertensive drugs, and demand for health services when needed. We conclude that despite the referred self-care, these are beneath the health needs and do not meet the demands of self-care needed to sustain life. Although many factors contribute to discouraging the military in self-care, they do have an interest in learning new technologies to care for the adequacy of their current health state and improved quality of life. To meet the identified self-care needs, it is suggested the planning of strategic actions to promote joint health, with the multidisciplinary team, establishing nursing consultation, self-care assessment, prevention of risk factors and regular monitoring to analyze the effective change of healthy lifestyle.

No description available.

This is the first monograph to be published on the work of the Queen Alexandra's Imperial Military Nursing Service (QAIMNS) in the Great War. The historiography of British military nursing during this period is scant, and research based monograph are negligible. What exists, does not focus specifically on the work of the Queen Alexandra's Imperial Military Nursing Service, (QAIMNS) the Reserve, (QAIMNSR) or the Territorial Force Nursing Service (TFNS) but tends to concentrate on the work of the volunteer, untrained, Voluntary Aid Detachment (VAD) nurses. Unfortunately, this has resulted in factually inaccurate representations of British WW1 nursing. The mass mobilisation of nurses by professional and voluntary nursing services led to rivalry between the different groups and my research addresses the relationship that develop between the trained and volunteer nurses. Also, my research examines the climatic and environmental conditions that impacted upon the effective delivery of nursing and casualty care and the mismanagement of services and supplies by the War Office and the Army Medical Services. Additionally, the political controversies and scandals over inadequate planning for the care, treatment and transportation of mass casualties is addressed. Furthermore, diseases and traumatic injuries sustained by nurses on active service are examined and, shell-shock, hitherto considered a combatants' condition is cited in relation to mental health issues of nurses on active service. Moreover, my research examines the deaths and disability rates within the ranks of nursing services. My research features individual awards for acts of bravery and mentioned in Dispatches. On the Home Front the politics of nursing are addressed. Nurses campaigned for professional recognition and many were supportive of universal suffrage and they argued for both professional and personal liberation. The struggle for professional recognition led to divisions within the civilian nursing leadership because they failed to arrive at a consensus on the content of the Nurse Registration Bill. Also, the supply of nurses for the war effort was consistently problematic and this led the Government to establish the Supply of Nurses Committee. Before it had its first sitting it had already become contentious and controversial. The issues are discussed. Using extensive primary sources, the monograph moves away from the myths, and uncritical and overly romanticised views of WW1 military nursing. It is hoped that by examining the personal, professional and political issues that impacted upon nurses the monograph will make a significant contribution to the historiography of WW1 military nursing and to the history of the Great War more generally.