OBJECTIVE: To verify the prevalence and factors associated with vaccination against hepatitis B among Primary Health Care workers in Montes Claros/MG. METHOD: A cross-sectional, analytic study was undertaken. Data were collected through a form, which contained sociodemographic, occupational, general health and behavioral variables. Associations were investigated through bivariate analysis and Poisson's multivariate regression, using SPSS 17.0. RESULTS: 95.5% answered the question about vaccination; 47.5% did not complete the vaccination scheme. The prevalence of vaccinated professionals was lower among older workers, who were hired, did not participate in occupational health updates and consumed alcohol. Prevalence levels were higher among professionals with more years of education and who reported contact with piercing and cutting instruments . CONCLUSIONS: Professional education, knowledge and perception of infection risks are important determinants of the vaccination scheme. Instability at work may lead to negligence and negligent behaviors may repeat themselves. The characterization of professionals who did not get vaccinated will direct educative actions in occupational health.

OBJECTIVE: To know the strategies of resistance adopted by nursing staff, facing situations of moral distress, from an ethical perspective. METHOD: The authors conducted qualitative research through semi-structured interviews, with fifteen nursing staff members of a university hospital in the extreme south of Brazil, using textual discourse analysis and the theoretical reference of Foucault. RESULTS: Two categories were constructed: denial of oneself and the other - in which one perceives that the nursing staff can perform actions that are governed predominantly by immobility and conformism, avoiding confrontations with whoever represents power in situations that provoke moral distress in them; possibility to care for oneself and for the other - in which nursing workers in situations that provoke moral distress for them exercise power and endurance. CONCLUSION: it was perceived that some professionals seem to use ethical coping strategies, in order to ensure and preserve their professional values. However, often the choice of some nursing professionals may be to relapse into immobility and the absence of building strategies of endurance. This situation may represent their reduced exercise of power and insufficient resistance in the face of ethical problems, contributing to the intensification of their invisibility in the area of health.

OBJECTIVES: This descriptive study used a quantitative approach to assess the nursing care needs of patients with mental disorders, the mean number of care hours these patients were provided and the workload these patients require nursing team. METHODS: The research was conducted in a public neuropsychiatric hospital located in south eastern Brazil in 2010 and included 105 patients as subjects. A patient classification tool was applied to characterise care profiles. Statistical analysis was performed using principal component analysis and analysis of variance. RESULTS: Patients were predominantly in the low care category (73.3%). The mean care hours ranged from 0.57 to 0.88 for nurses and 1.97 to 3.16 for nursing assistants, and the workload ranged from 119.6 to 183 hours . CONCLUSIONS: The present study showed that the care needs of most patients were at a low level of dependency and that most patients did not need to be institutionalised. Furthermore, it was found that the care hours provided by the nursing staff were not sufficient to meet the care needs of the patients.

AIM: To evaluate, from the students' point of view, educational software developed as a tool to help teachers and students in neonatal nursing. METHOD: The study evaluates the contents and simulations addressed in the software. A total of 57 undergraduate nursing students affiliated with five Brazilian public colleges participated. RESULTS: The general assessment of the software was highly satisfactory: 82.4% of the sample characterized the software as quite effective as a teaching tool. Most components were assessed as good or very good. The participants' suggestions and comments are being considered in the improvement and adaptation of the new software version. CONCLUSION: The results show that the product is adequate for use in neonatal nursing courses and nursing training on the physical examination techniques and semiology of preterm newborns, falling within the pedagogical framework of active methods.

OBJECTIVE: describe the process of transcultural adaptation and validation of the Stanford Presenteeism Scale for Brazilian Portuguese. METHODS: Methodological study of the cultural adaptation and validation of the tool which involved 153 nursing staff and included six aspects of equivalence, obtained through the following stages: translation, first version of consent, retranslation, specialist committee, pre-test, study of test-retest credibleness and dimensional validity. RESULTS: The stability of the items varied from moderate to almost perfect and the sequence constancy was almost perfect. Two factors were identified through the exploratory fact analysis: the first one included the physical aspects - completing work; and the second one the psychological aspects - avoided distraction . CONCLUSIONS: the results suggest adequacy of the tool in the Brazilian Portuguese version, indicating its use in the context of the study group and in similar groups, contributing to the study of evidences which consolidate strategies that favor the health conditions of the jobholders.

AIM: to identify alcohol use and the associated factors in pregnant adolescents of the municipality of Teresina-PI. METHOD: this is cross-sectional study with 256 pregnant adolescents whose data were obtained through questionnaires covering socioeconomic, pregnancy and alcohol consumption characteristics and through the application of the Alcohol Use Disorders Identification Test, an instrument developed by the World Health Organization for screening for the excessive use of alcohol. Descriptive statistical analysis was performed using the chi-square test and odds ratio. RESULTS: the study indicates a prevalence of 32.4% for alcohol use during pregnancy in adolescents. Of these, 36.1% had scores consistent with risky use. The factors associated with an increased risk of alcohol use during pregnancy are: not having a partner, living on less than 1 minimum wage, not being religious, performing up to 3 prenatal consultations, having suffered violence and alcohol use in previous pregnancies. CONCLUSION: a high prevalence of alcohol consumption by pregnant adolescents and various risk factors involved in this process were identified. These data reflect the need for the use, by nurses, of screening technologies for alcohol consumption during pregnancy and health promotion strategies among groups of adolescents.

OBJECTIVE: to analyze the images of Public Health Nurses in care delivery to society, disseminated by the Revista da Semana, in 1929. METHOD: historical-semiotic study. The documents used were images, to which an analysis matrix was applied, including fashion and body language literature, besides others to address the study object. The data were interpreted in the light of the sociologist Pierre Bourdieu's notions of object representations and body hexis. RESULTS: the distinctive use of uniforms for the Public Health Nurses' activities was a non-verbal communication strategy to gain visibility and credibility during home visits . CONCLUSIONS: Public Health Nurses were particularly responsible for patient care and guidance to prevent illnesses, with a view to the qualitative development of Public Health. The intent in this study was to produce knowledge on image records about nurses' care practice at the National Public Health Department's School of Nurses, as well as to strengthen Public Health Nursing History research in Brazil, thus contributing to a better understanding about the construction process of nurses' image.

OBJECTIVE: to seek the best evidence available in the literature concerning the knowledge produced and related to the techniques of intermittent and indwelling urinary catheterization, so as to place the nursing care given to patients submitted to urinary catheterization on a scientific foundation and to prevent urinary tract infections. METHOD: the literature search was undertaken in the Pubmed and Cochrane databases for the development of the integrative review. The sample was of 34 articles. These were analyzed by two independent researchers using an instrument adapted for ascertaining the level of evidence and the grade of recommendation, in addition to the use of the Jadad scale. RESULTS: the evidence available related to the nursing care for patients submitted to urinary catheterization is: the infection rate in the urinary tract does not alter whether the perineum is cleaned with sterile water or not, or with the use of povidone-iodine solution or chlorhexidine; or using clean or sterile technique. The use of an intermittent catheter with clean technique results in low rates of complications or infections compared to the use of an indwelling catheter. The removal of the catheter in up to 24 hours after surgery and the use of an antimicrobial-impregnated or hydrophilic-coated catheter reduce urinary tract infection . CONCLUSIONS: there are controversies in relation to periurethral cleansing technique, the type of material the catheter is made of, and some procedures for the maintenance and removal of the catheter. This review's results represent an updating of the nurse's conducts and decision-making for the prevention of urinary tract infections in urinary catheterization.

AIM: to compare possible differences regarding the presence of depressive symptoms according to the clinical diagnosis of Acute Coronary Syndrome, gender and age, one week before the first cardiac event. METHOD: cross-sectional, descriptive and exploratory study, which used the Beck Depression Inventory. The sample consisted of 253 patients. RESULTS: it was found that patients with a clinical diagnosis of unstable angina, female and under 60 years of age reported the presence of depressive symptoms more frequently. CONCLUSION: a high percentage of patients presented depressive symptoms at the time of hospitalization for the first episode of Acute Coronary Syndrome, and this prevalence was significantly higher among women, under 60 years of age, with unstable angina. These results should provide support for the care in the hospitalization, discharge and planning of the rehabilitation of these patients, as it is known that depression impairs the control of coronary disease.

OBJECTIVE: The aim of this study was to propose intervention strategies for the health of hospital-based nursing staff. METHOD: It was a field study, with a quantitative and qualitative approach, developed from data collected through the Monitoring System of Nursing Workers' Health in seven public and university hospitals of Brazil. Intervention strategies proposed considered regional specificities and the demands presented by professionals in each setting. RESULTS: The interventions were developed for: each workload to which nursing staff was exposed; processes of strain generated; and intervention strategies at the settings, according to the needs of the national scenario. CONCLUSION: Monitoring the health of nursing staff is a beginning point for building strategies directed at the health profile of each reality.

AIM: The aim of this paper is to describe the apparent and content validation for the Maternal Self-Efficiency Scale for the Prevention of Childhood Diarrhoea. METHOD: Methodological study with the execution of apparent and content validation by seven judges; semantic analysis, by 30 mothers of children under 5 years old and also a pre-test involving 31 mothers who have been selected through convenience. It has been considered necessary to have the agreement of at least 70% of the judges for apparent validation and a minimum of 80% for pertinence and Index of Content Validation. RESULTS: This paper shows that most items have been considered clear, comprehensive and relevant by the judges. The final Content Validity Index of the scale was 0.96. The suggestions of the mothers were accepted. CONCLUSION: The scale ended up having 25 items and two domains (family hygiene and general/eating practices) which assess the maternal self-efficiency for the prevention of diarrhea in their children, thereby contributing to the planning of nursing interventions.

OBJECTIVE: The study proposes to analyze the nursing staff workload of the sectors of a neonatal unit by means of the Nursing Activities Score - NAS and to calculate the quantitative ideal for the team, comparing it with the current workload. METHOD: The NAS tool was applied for all newborns interned for at least 24 hours; the sum of the NAS points provided the unit workload which was used for calculating the team assessment by means of mathematical equation. RESULTS: The sector of Low Risk presented a workload of 267 NAS points and an imbalance of 8.8 professionals daily; the Medium Risk sector a workload of 446.7 and an imbalance of 22.3; the High Risk sector a workload of 359 and a deficit of 17.9; the Isolation sector a demand of 609 and an imbalance of 18.2; and NICU a workload of 568.6 with a deficit of 16.1 professionals. CONCLUSION: The study disclosed an important imbalance of professionals in relation to the exalted work demand they are subjected to daily. The application of the Nursing Activities Score in neonatal units contributes to the evaluation of the workload and assessment of the nursing team.