Teaching and learning nursing management in the hospital context: an approach in the light of Pichon-Rivière.

Objective: Analyze the articulation of students, professors (supervisors of the undergraduate practicum) and nursing professionals in teaching and learning nursing management at graduation in a public university hospital.

Method: This is a study of qualitative approach, anchored in the operative group reference of Pichon-Rivière. Data collection was held between October 2013 and September 2014 and consisted of a self-administered questionnaire, participant observation and focus group.

Researching safety culture: deliberative dialogue with a restorative lens.

Safety culture is a key component of patient safety. Many patient safety strategies in health care have been adapted from high-reliability organizations (HRO) such as aviation. However, to date, attempts to transform the cultures of health care settings through HRO approaches have had mixed results.

Nursing management practicum: impact to the team in medical-surgical units.

Objective: Learn the perceptions of nursing professionals of a university hospital regarding the interactive process with nursing management practicum students.

Methods: A qualitative, exploratory, descriptive study was conducted by means of 11 semi-structured interviews with nurses, nursing technicians and nursing aides in medical-surgical units. The information, collected between December 2013 and January 2014, was submitted to a thematic analysis and discussed according to Pichon-Rivière.

Surgical center: challenges and strategies for nurses in managerial activities.

Objective: Analyze the challenges and strategies of nurses performing managerial activities in a surgical center.

Method: Exploratory, descriptive study with a qualitative approach, involving six nurses by means of the Focus Group Technique, between April and August 2013. Data were submitted to thematic content analysis.

Contributions of the sandwich doctoral program to methodological approaches: an experience report.

Objective To share our experience on theoretical and methodological insights we have gained as researchers working together during the Sandwich Doctoral Program. Method This is a descriptive experience report. Results We have incorporated restoration thinking into a study on patient safety culture and will enhance knowledge translation by applying principles of deliberative dialogue to increase the uptake and implementation of research results.

Motivations, contradictions and ambiguities in the leadership of nurses in management positions in a university hospital.

Objective: To analyze the contradictions and ambiguities which permeate nurses' motivation for exercising leadership in management positions, in a university hospital.

Method: This study has a qualitative approach and is exploratory and descriptive, and used a total of 33 semi-structured interviews which were submitted to thematic analysis.

Results: The information converged on five categories: Motivation to take on a management position; The view of nursing managers on the exercising of leadership; The emblematic aspect of working with people; Leadership in nursing--mediatory and conciliatory; Time: a dilemma between managing and caring.

Public health emergency: social representations among managers of a university hospital.

Aim: to comprehend the social representations of public health emergencies among managers who experienced the Influenza A (H1N1) Pandemic of 2009.

Method: a qualitative case study, with its theoretical and methodological framework based on the Theory of Social Representations. The data was obtained through the techniques of free association and semi-structured interviews, applied individually to managers who worked in different positions of the hierarchical management structure of the institution during the pandemic emergency, a total of 30 participants.

Nursing workload and patient safety--a mixed method study with an ecological restorative approach.

Objective: The aim of this study was to analyze the potential association between nursing workload and patient safety in the medical and surgical inpatient units of a teaching hospital.

Method: a mixed method strategy (sequential explanatory design).

Results: the initial quantitative stage of the study suggest that increases in the number of patients assigned to each nursing team lead to increased rates of bed-related falls, central line-associated bloodstream infections, nursing staff turnover, and absenteeism.

[The social representations of the process of choosing leaders in the perspective of the nursing team].

This exploratory-descriptive, qualitative study was performed with the objective to analyze the social representation of the process of choosing leaders among nursing workers of a university hospital. The information was obtained through free word association and open interviews. For the purposes of this study, thematic content analysis was performed, guided by the Social Representations Theory.

[The notion of task in focus groups].

The aim of this paper is to revisit the concept of task in light of Pichon-Riviére's referential and to discuss its application in research with focus groups. Focus groups are understood as a research technique which proposes to investigate a topic in depth, allowing the construction of new ideas and answers on the subject in focus. The presuppositions of operative groups were used to support the research practice with focus groups.

Participative leadership in the management process of nightshift nursing.

This is a qualitative, exploratory, descriptive study, aiming to identify the perceptions of nurses regarding the leadership process and to analyze how this process takes place on the nightshift. Data collection was performed through the Focus Groups Technique, with 13 nightshift nurses of a public teaching hospital. Two categories that resulted from the thematic analysis are the focus of this article: the context of nightshift nursing work and leadership from the perception of the nightshift nurses.

[Group process: reflections of a nursing team].

The objective of this qualitative, exploratory-descriptive study was to analyze the group process of a nursing team at Hospital de Clínicas de Porto Alegre (HCPA), under the light of Pichon-Rivière's Operative Group Theory. Data collection took place in 2008, using a semi-structured questionnaire and focal group. The group work concept is one of the four categories that resulted from the study, and is the object of approach in the present article.

[Yellow fever: nurse counseling on travelers' health at basic health clinics].

The objective of this qualitative, exploratory and descriptive study is to investigate the nursing practices related to travelers' health counseling. Data were collected from nursing professionals who work in the immunization sector of three Basic Health Units in Porto Alegre, Rio Grande do Sul, Brazil, using the technique of semi-structured interview. Five categories emerged from content analysis: care profile, health orientation, referrals to exchange the National Immunization Card for the International Certificate of Vaccination, information source and information material.

Leadership in nursing: analysis of the process of choosing the heads.

The process of choosing heads can be strategic to achieve desired results in nursing care. This study presents an exploratory and descriptive research that aims to analyze the process of choosing heads for the ward, in the nursing area of a teaching hospital in Porto Alegre. Data was collected from registered nurses, technicians and nursing auxiliaries through a semi-structured interview technique and free choice of words.

[Planning human resources in nursing: challenge for the leadership].

This study proposes an essay of issues involving human resources planning in nursing in the hospital sector in our current reality, discussing possible topics for future research. This is a retrospective of the evolution of research on determining the number of staff in Brazil, and the incorporation of new instruments to evaluate the work load based on the degree of dependency of the patients and actions in care. The impact of the quantity and quality of human resources on the results of care is discussed, and the role of leaders in adapting the staff composition, in order to supply safe, risk-free care to the patients and their families, seeking a management model for health practices from the perspective of complex care.

[Concepts of a multidisciplinar team on runaway patients].

A qualitative study that aimed at learning the way an emergency care multidisciplinary team at a public university hospital conceives and deals with the problem of patients who run away from hospital was carried out. Data were collected using the focus groups technique, whose sample was constituted by ten individuals, approached by non-directive group dynamics. Three thematic classes resulted from content analysis: a certain ambivalence; emergency, a place of (lack of) control; fears and insecurities.

[Nursing supervision: a management tool].

Supervision is a management tool in the nurse's working context. This qualitative exploratory-descriptive study aimed at understanding how the work routine of nurses in supervisory positions is organized. Data were collected by semi-structured interviews with five subjects working at Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil, and submitted to content analysis.

Social representations of health surveillance among workers.

This is a qualitative, exploratory-interpretative study, with the purpose of investigating the social representations of health surveillance among members of the National Health Surveillance Agency - ANVISA, in Rio Grande do Sul State. It was found that health surveillance is represented by subjects as a process that, despite the contradictions, is being constructed and lived in the job routine with signs of renovation of existing representations. Thus, health protection acquires a new understanding, deviating from the prevention limits that traditionally focus on disease in order to return to promotion itself.

Health and self-care among garbage collectors: work experiences in a recyclable garbage cooperative.

Study performed with garbage pickers who organized a cooperative to sort recyclable garbage in Porto Alegre, Brazil, in a shed loaned by the city administration. This activity, which has attracted an increasing number of people excluded from the formal job market, presents peculiar health risks and patterns of disease. The study aimed to learn about the participants' concepts and self-care actions, proposing discussions and jointly reflection on their problems.

[Group work to promote learning in health].

This article discusses group practice as a tactic to promote learning in health education, and the concept of group and its implications on learning. What type of care is needed to develop health education strategies that will generate participation, exchange of experiences, and promote positive changes in the daily life of those involved. It is proposed that groups are a care alternative that needs to be included in the professional daily life, aiming at changing one-dimensional views of health care.

Immediate adverse reactions to intravenous iodinated contrast media in computed tomography.

This exploratory-descriptive, non-experimental quantitative research aimed to learn about immediate adverse reactions to intravenous iodinated contrast media in hospitalized patients submitted to computed tomography at a teaching hospital in the South of Brazil. During the study period, all adverse reactions showed mild intensity, at a frequency of 12.5% with ionic iodinated contrast media, and 1% with non-ionic contrast agent.

[Significant situations in the space and context of hemodialysis: what do users say about?].

A qualitative study performed at a hemodialysis clinic in the interior of Paraná. Semi-structured interviews were used to look at significant situations for chronic renal patients, experienced in the space and context of hemodialytic treatment. The results indicated difficulties associated with the communication process, causing discomfort and a feeling of helplessness, especially at the beginning of the treatment.

[To wash or not to wash the hands? Reasons for a nursing team].

A qualitative study was performed by asking the nursing team at an emergency care hospital about the reasons that lead them to wash their hands or not, since this is an important measure to control cross infection in hospitals. The data, obtained by using the focus groups technique were submitted to enunciation analysis, resulting in emerging topics. It was found out that the supply of material and environmental resources is essential but does not solve all problems.

[Iodine contrast in computed tomography: preventing adverse reactions].

Computed tomography is an X-ray exam that has been widely indicated and chosen for diagnostic purposes, especially during the last few decades. However, although it is highly revealing, in several cases the procedure presents risks associated with exposure to radiation and to the iodine contrast medium. Few publications are available in the nursing literature regarding these issues.