The research object of the present study is the knowledge of pregnant women about the signs of the beginning of labor. This is a descriptive, observational study with a quantitative approach. The study was carried out in Basic Health Units of a municipality in the interior of the state, which is a reference in coverage and quality in basic care in a state in the northeast region of Brazil. The Data collection began after approval from the Research Ethics Committee. Study’s participants were pregnant women from the 28th gestational week onwards. It should be noted that the majority, 45.35% of pregnant women; were between 20 and 29 years old; with an average age of 26.6 years old; brown women (70.35%), whose family income is up to 1 minimum wage (49, 42%); live with a partner (54.87%) and reported having high school education (29.07%) at the time of collection. There was no association between scientific research, with p-value results above 0.05. The present study evaluated that pregnant women's knowledge about signs of the beginning of labor, concluding through statistical analyzes there was no association with most of the variables used. Despite the lack of association between the collection of guidelines and the recognition of signs of labor, the descriptive data from this study suggest that pregnant women record the signs of labor when they report going to the maternity ward when they feel two or more contractions within a period of 10 minutes; however, these same pregnant women were unable to inform whether they should observe 10 minutes as an appropriate time, nor the number of contractions to be felt during this time. Therefore, when talking about prenatal education about decisive topics that are directly related to positive results during this period, it is necessary to make use of not only different strategies and methodologies for teaching and health education and access to information, but also strategy for investigating this knowledge, and solidifying this information.

Introduction: Cervical cancer (CC) has been identified as a public health problem in developing countries, revealing high mortality rates among women of low socioeconomic status. The prevention of this pathology took a different direction due to the Covid 19 pandemic, in addition to the limitation of affected women in hospital environments and the modification of treatment modalities to reduce the postponement of surgical intervention for benign tumors. Objective: To analyze the interference of the covid-19 pandemic in the prevention of cervical cancer in the health regions of the State of Alagoas. Methodology: This is an ecological research, with a descriptive observational quantitative approach. The inclusion criteria for the subjects were: women aged between 25 and 59 years, who underwent preventive examination in the public network and women who were registered in the SISAB database. The exclusion criterion was: women who had not started their sexual life. Approved by the Research Ethics Committee of the Federal University of Alagoas, CAAE no 59049922.0.0000.5013. The information was collected from July to September 2022, using information from the Primary Care Information System (SISAB) database made available by the Ministry of Health (DATASUS) through TABNET in the health regions of the state of Alagoas. Statistics were constructed using the statistical package R version 4.3.0 (R Core Team, April/2023), descriptive and inferential analyzes were carried out for the data obtained in this study. Results: Reports on cervical cancer prevention throughout the state of Alagoas demonstrate the harm and difficulties encountered during the pandemic due to low adherence to preventive exams, which is an aggravating factor in the care of sexually active women. Conclusion: The entire state of Alagoas suffered losses in the prevention of cervical cancer due to the Covid 19 pandemic, showing a 23.4% decrease in exams carried out in 2020 and 2021 compared to 2018 and 2019.

Introduction: The pandemic has had numerous impacts on mental health and increased the use of self-medication. In addition, as a result of the challenging environment in which postgraduate students are inserted, they may become more susceptible to mental distress and the use of self-medication. Objective: To identify the factors associated with self-medication among Brazilian postgraduate students in the context of the COVID-19 pandemic. Methodology: This is a cross-sectional, analytical and observational study, in which an electronic questionnaire was applied through the Research Electronic Data Capture platform. The collection period was from May to July 2022. The eligibility criteria were: postgraduate students aged 18 or over, of both sexes, living in Brazil, with an internet connection. The data was analyzed using binary logistic regression, with a significance level of α=0.05. The study was approved by the research ethics committee under opinion no. 56048822.9.0000.5393. Results: 5334 postgraduate students took part in the survey. Of these, 1,731 (32.7%) reported practicing self-medication in general. Among the factors associated with self-medication in general, the following were identified: female gender, family member diagnosed with a mental disorder, use of psychotropic drugs and stimulants during the pandemic, smoking before the pandemic, and positive Common Mental Disorder (CMD). With regard to self-medication with psychotropic drugs, of the 1,802 postgraduate students who reported using psychotropic drugs, 151 (8.4%) claimed to self-medicate. The following were identified as risk factors for this practice: psychological counseling during the pandemic, use of the Unified Health System, use of continuous medication, use of psychotropic drugs before and during the pandemic, use of sedatives, antidepressants and stimulants during the pandemic and positive CMT. Finally, of the 5334 postgraduate students, 449 (8.4%) reported self-medicating to protect themselves from COVID-19. And as a risk factor associated with this practice, the following were identified: Catholic religion or being of other religions, use of over-the-counter medication, if someone living with them tested positive for COVID-19 and if they had health insurance. Conclusions: The results show the impact of the pandemic on the lives and mental health of postgraduate students, as well as the need for more discussion on the subject within universities. This makes it necessary to develop health promotion and disease prevention actions for this population.

Introduction: Autistic Spectrum Disorder (ASD) exerts a strong influence on family dynamics with caregiver overload, usually the mother. The Unified Health System needs to provide comprehensive, longitudinal and coordinated care aimed at strengthening the patient-family binomial and the full development and insertion of these children in society, in a multidisciplinary and comprehensive way. ASD significantly impacts the lives of affected individuals and their families. They face daunting challenges and multiple demands in their daily lives, when compared to parents of children with other disabilities or parents of typically developing children. Motivated by this context, evidence from the literature and the need to expand the possibilities of care for nursing with the support of nursing theories. Objective: To understand the daily life of the family of a child with ASD in the light of Meleis' Theory of Transitions and contributions to nursing care. Methodology: Descriptive exploratory study with a qualitative approach. Data were collected at the Riding Therapy Association of Alagoas, located in the city of Maceió -AL. The population corresponds to parents of children diagnosed with ASD. The collection was carried out from June to July 2022 using a form for data characterizing the families based on medical records, genograms and ecomaps, and an interview mediated by the life history narrative. Data were analyzed in the light of Afaf Meleis' nursing theory. The study was approved by the ethics and research committee, protocol opinion number 5,391,849, which also presents the CAAE: 56353521.1.0000.5013. Results: 5 family members participated in the study. From their stories and genogram and ecomap data, we sought to respond to the objectives in the light of Meleis' Theory. The results are to reveal the understanding of the daily life of parents of children with ASD in order to promote and list contributions to nursing, with a view to enhancing more representativeness and autonomy in the care of children with such specificities, with the intention that in own nursing consultations that screening is increasingly incisive and its diagnosis much earlier, based on a theoretical framework according to the results obtained Conclusion: In view of the study, the theory made it possible to present the reflections in the understanding of the particularities that involve children with ASD in the face of challenging scenarios, from this perspective, it is of paramount importance to understand the concepts of Meleis' Theory of Transitions so that users of health services commonly experience transitions throughout their lives, for example, those triggered by illness. Through culturally congruent care with the client's real needs, their state of wellbeing can be achieved, as well as facilitating the reformulation of identity and behavior change.

INTRODUCTION: In Brazil, there are about three million births per year. Of these, 98% occur in hospital establishments (public or private), where technologies are used in order to make care safer for women and babies. In this context, care and technology are related and provide a basis for care practices, so that noninvasive care technologies, implemented, above all, by nursing, gain space from the perspective of humanistic care. OBJECTIVE: To analyze the association between sociodemographic and clinical factors and the use of obstetric care technologies. METHOD: This is a quantitative, exploratory, observational and cross-sectional study conducted in the two main high-risk maternity hospitals in Alagoas, whose participants were postpartum women in joint accommodation. Data collection was performed from November 2021 to October 2022, through the application of a semi-structured form. After data collection, they were organized and analyzed based on descriptive and inferential statistics, using Microsoft Excel and EpiInfo 2.0, the Chi-square test of association was applied, assuming two hypotheses and considering a statistically significant difference with a value of p ≤ 0.050. This research obtained approval from the Research Ethics Committee of UFAL and UNCISAL. RESULTS: We collected 349 forms, of which a sociodemographic profile was drawn, we found a sample of mostly brown women, between 20 and 29 years old, with a family income of up to one minimum wage, who had completed high school education and were single. In the clinical variables, we found a mean of term pregnancies, of the single type, with at least 7 prenatal consultations, neonatal outcomes in joint housing and with at least one associated maternal comorbidity. By contrasting the most used care technologies, we perceive a higher prevalence of light and hard technologies in the high-risk scenario. As for the inference analyses, there was no significant difference between sociodemographic and clinical variables and the context of use of light, light-hard or hard technologies, except for the association between the presence of comorbidities and the non-use of light-hard technologies. CONCLUSION: From the results of this study, we can identify that in the high-risk scenario studied, light and hard technologies were the most used, so that, among the hard technologies, the cesarean section was the one with the highest prevalence. As for the associations, although most were not significant, it is worth emphasizing the need for better use of soft-hard technologies, even in the high-risk context, in order to provide evidence-based practice and a positive childbirth experience for women.

Introduction: The universal access to health with the law 8. 080/90, with the Charter of Rights of Health Users and a policy that regulates the integral care of the population composed of Lesbian, Gay, Bisexual, Transgender and Transvestites, Queer, Intersexual, Agender or Asexual and the other people of the flag and the plurality of sexual orientations and gender variations, receives incipient care in nursing consultations. Objective:To analyze the nurses' knowledge about the assistance provided to transsexual men in the gynecological-obstetrical consultation. Methodology: This is a descriptive research with a qualitative approach, which studied a specific population, nurses working in primary health care in the municipality of Maceió-Alagoas. Results: Fourteen nurses participated in the study; the time of performance in Primary Care ranged from two years to more than 26 years, and the year of academic training as a bachelor in nursing, ranged from 1989 to 2019. We noticed that the professionals are confused about the term gender identity, either due to lack of knowledge or embarrassment at the time of the interview. At first, in his consultation, the professional should use gender affirmation in his speech, with the appropriate use of the pronoun linked to the social name, as well as guidance on the effects of hormone therapy, as well as post mastectomy care, performing oncotic cytology, are some examples of attributions of nurses that target trans men, in addition to the needs that are presented by him. Conclusion: It is concluded that, analyzing what was put, it is observed that the participating professionals need better training on the subject, which could be offered by the municipal health service in which they work, aiming to improve nursing care, including in this case, the trans man and his needs at all stages of life, as a point of nursing care. As well as, the use of principles such as humanization and quality in the access to all those who seek the health system.

This study aimed to analyze the application of Wanda Horta's Theory of Basic Human Needs in nursing care for the elderly in primary care. It was a care-research with a qualitative approach. It was carried out with thirty elderly people enrolled in the Teaching Care Unit Professor Gilberto de Macedo, located in the city of Maceió - AL. The collection of information through interviews took place from August to October 2022, during nursing consultations, based on a semi-structured script. The analysis of the information was based on the assumptions of Wanda Horta's theory. The results indicated a predominance of women (73.3%), with a mean age of 72 years, who reported being illiterate, married, of the Protestant religion, with at least one child and mostly residing with a family member. The identified psychobiological human needs were oxygenation; hydration; nutrition; elimination; sleep and rest; exercise and physical activities; sexuality; perception (olfactory, visual and auditory); locomotion/physical safety and neurological regulation/orientation in time and space. It was possible to verify associations between psychobiological needs, which reinforces that the evaluation of the elderly in Primary Care services should aim at a global analysis with emphasis on functionality. Because, for the elderly, only one problem cannot justify their symptomatology, since the long-lived population usually manifests a sum of signs and symptoms, a consequence of several concomitant pathologies, where the inefficiency of one system leads to insufficiency in the others. The psychosocial needs highlighted were love and acceptance/emotional/herbal security; leisure/recreation; self-realization/self-esteem/body care/self-image and freedom of participation/autonomy. It was evident that both men and women had needs related to psychosocial aspects during the consultation. It should be emphasized that despite this result, people of the male and female gender undergo changes in different ways during old age, according to the influences suffered throughout life and the social worldview. Among the psycho-spiritual needs, religious expression predominated and revealed its influence on the quality of life of these people. From this, it was identified that the application of the Theory of Basic Human Needs during the nursing consultation made it possible to carry out care for the elderly in a holistic and comprehensive way, based on their needs, which demonstrates that this theoretical model is configured as a possibility of reorienting the nursing care model in elderly care in primary care.

The COVID-19 pandemic has implemented new measures regarding the safety of operating theatres and post-anesthetic recovery room through the institution of new routine protocols. Thus, we sought to identify the adaptations in the work process in the operating room and post-anesthetic recovery room after the emergence of COVID-19. Descriptive research with quantitative approach, of the cross-sectional type, using the Survey tool. Data collection was performed online through nurses registered with the Brazilian Association of Nurses of the Surgical Center, Anesthetic Recovery and Material and Sterilization Center (SOBECC) and through the selection of nurses through the Lattes Platform – CNPq. Data analysis occurred through the statistical package r 4.3.0 (r core team, April/2023), with statistically significant results for p(<0.05) values. The sample totaled 61 nurses at the national level. Data collection occurred through a self-administered structured questionnaire, after approval by the research ethics committee with CAAE: 58893022.0.0000.5013. Of the results of the research, 61 (100%) stated that they used the surgical mask in the patient, regarding the use of the oxygen catheter under the mask, 44 (72.1%) reported using it, of these 24 (39.3%) selfreported testing positive for Covid-19 when analyzing the statistical significance we obtained a value of p (0.059) OR: 3.73 (0.47 – 4.04) and coefficient -0.983. Regarding PPE in the care of patients with covid-19, 50 (81.9%) reported using the waterproof apron, 59 (96.8%) of the N95/PFF2 mask, 50 (81.9%) of the surgical mask and 47 (77%) gloves that cover the wrist of the apron. The use of PPE in the care of patients diagnosed with covid-19 that generate aerosols, 52 (85.3%) made use of glasses or face shield, 59 (96.7%) N95/PFF2 mask, 14 (23%) surgical mask. Regarding the use of the N95/PFF2 mask with expiration valve, 26 (42.7%) reported using it, with 12 (19.7%) self-reporting positive for covid-19, presented p(0.07) OR:8.67(1.15 – 163.1) with coefficient 2.16. Thus, it was identified the adaptations that occurred in the institutions, at the national level, within the operating room during the most critical period of the pandemic and thus, associate with the scientifically published data, in addition to the protocols established by ANVISA, MS and SOBECC.

Covid-19 is a disease caused by the severe acute respiratory syndrome coronavirus (SARSCoV-2), with a significant global spread and mortality. Within the context of the pandemic, there has been an observed increase in mental disorders specifically depression and anxiety among healthcare professionals, particularly those in the nursing team. The aim of this research was to analyze the prevalence and factors associated with anxiety and depression in nursing professionals who were actively involved in healthcare during the COVID-19 pandemic. This cross-sectional epidemiological study was conducted with nursing professionals at a university hospital in a city in Minas Gerais, Brazil. Data were obtained with a sociodemographic, economic, and work questionnaire, along with the Beck Anxiety Inventory and the Beck Depression Inventory. The data collection process involved distributing Google Forms access links via participants’ WhatsApp and/or email. Data analysis was conducted using R 3.6 statistical software. The study sample predominantly consisted of female nursing professionals, nursing technicians/assistants. Most of the sample was composed by those who were brown/mulatto race, single, with income greater than three minimum wages, self-rated health as good. Nursing professionals with a family income greater than two and a half minimum wages and those working 40 hours per week exhibited a higher likelihood of developing moderate and severe anxiety. Furthermore, professionals with four or more years of experience in the field and a university degree demonstrated a higher likelihood of developing moderate anxiety. Those who were married or/in a relationship and had and had a college degree were more likely to experience severe anxiety. Nursing professionals with a university degree are more likely to experience mild depression. Additionally, individuals who were married/cohabiting, separated/divorced and had a college degree exhibited a higher likelihood of experiencing moderate depression. Moreover, individuals with an income greater than two and a half minimum wages and self-rated health as regular and good were more likely to experience severe depression. The prevalence of anxiety and depression was higher among nursing professionals who were married, had a university degree, and worked 40 hours per week. Specifically for depression, higher prevalence was observed among professionals with higher family income. However, there was no influence of gender, age, presence of children or self-assessment of health status on the prevalence of both anxiety and depression was observed.

Fibromyalgia is a complex and systemic, idiopathic syndrome, characterized by the presence of diffuse and chronic musculoskeletal and joint pain, hyperalgesia, associated with other symptoms. This study has as object of study: the perception of people with fibromyalgia about their corporeity. It was guided by the guiding question: How do people with fibromyalgia perceive their corporeality? And it aimed to: understand the perception of people with fibromyalgia about their corporeity. A qualitative study was chosen, with an approach of the phenomenology of perception, anchored in the theoretical-philosophical support of Maurice Merleau-Ponty. From October 2022 to January 2023, phenomenological interviews were carried out, using an instrument with a semi-structured script, 15 people with fibromyalgia for at least three months, living in Maceió-AL, participated. After transcribing and analyzing the interviews, the results were explained in four ontological categories: corporeality permeated by pain; corporeity impacted by the stigmatization of fibromyalgia; corporeality misunderstood in the professional context; and fragile corporeality in social life. After the phenomenological analysis, it was possible to understand the perception of people with FM about their corporeality, which is effectively shown by the body as the first condition of the Being, and, therefore, it is through this that people with FM become aware of their way of being in the world. And, in it, they manifest themselves with their existence permeated by pain, by the stigmatization of FM, by misunderstanding in the professional context and weakened in social life, by having their corporeality affected by FM.

For nursing care, it is necessary to base it on theoretical and methodological references that guarantee the scientific nature of the profession. To this end, nursing theories guarantee professional autonomy and favor the planning of actions, in a personalized way, according to the needs of the assisted person. Among the mid-range nursing theories, the Tidal Model, developed by Phil Barker and Poppy Buchanan-Barker, stands out. The Theory proposes person-centered care based on lived experiences related to psychic suffering. The theory uses the metaphor in which it considers life as a journey in an ocean of experiences. In which, crisis situations represent storms that can shake the boat during its course, while the nurse is represented as the “lifeguard” who guides the boat to a safe harbor, and enables recovery until the person is ready to resume your journey. For the practical execution of this care, the Theory has instruments that help the nurse and person during the consultations, including the Holistic Assessment intended for the first meeting between professional and person and the One-to-One Session for subsequent consultations. In view of the lack of instruments that help the practice of nurses who work in the context of mental health services in Brazil, this study aims to carry out the cross-cultural adaptation and validation of the Holistic Assessment and One-to-One Session instruments for the Brazilian context. This is a methodological research for the translation, cross-cultural adaptation and validation of the Tidal Model, Holistic Assessment and One-to-One Session instruments into Brazilian Portuguese. The methodology proposed by Beaton, adapted by Ferrer, was used, which considers the steps: I) Translations into the target language; II) Synthesis of the translations by the expert committee; III) Back- translation; IV) Validation of equivalence by developers; V) Pre-test and; VI) Presentation of documentation to developers. The translators had Portuguese as their native language, the back-translator had British English as his main language. The expert committee was composed of translators, doctors, masters and specialists in mental health. The pre-test phase had the participation of CAPS users and nurses who were close to the area. A sociodemographic questionnaire, the Holistic Assessment, the One-to-One Session, and general and specific semantic validation forms were used. For phases I-IV, a qualitative assessment was carried out by summarizing the instruments at each stage, the semantic validation phase used descriptive analyzes through absolute and relative frequencies, measures of central tendency and dispersion. In view of the completion of the first three stages, the developers of the Tidal Model carried out an equivalence assessment, pointing out adjustments in the terms “patient”, “agitation” and “pain”, which were adapted to “person”, “disorder” and “suffering”. . In the pre-test stage, 32 CAPS users participated, with one loss. The user profile consisted of people with a mean age of 39.73 years, female, black or brown, with incomplete primary or secondary education, without partners, without occupation and with income. Participants rated the Holistica Assessment as “very good” (N = 18, 58.06%), “easy to understand” (N = 19, 61.29%) and all considered that the instrument addressed “very important” issues . The One-to-One Session was evaluated as &quot;very good&quot; (N = 20, 64.52%), with questions of &quot;easy&quot; (N = 22, 70.97%) to understand and important questions (N = 31, 100%). Regarding the individual assessment of the items, both instruments had all the items considered important, the understanding of the items varied between 80%-100% for the Holistic Assessment and 90%-100% for the One-to-One Session.

Introduction: Self-harm in students is a national problem and there are few studies carried out in Brazil, showing the need to carry them out in view of the knowledge gaps. Objective: To assess self-harm behavior, risk for depression and trait and state anxiety in public school students in the municipality of Maceió, Alagoas. Method: This is a cross-sectional study in which students from two schools in Maceió were interviewed, one at elementary school and the other at secondary school. The study included students from the sixth to the ninth year of elementary school at a municipal public school, and students from the first to the third year at the state school. Four instruments were used for data collection: a) Identification form; b) State-Trait Anxiety Inventory (IDATE); c) Depression Scale (CES-D); and d) Questionnaire of Impulsivity, Self-Injury and Suicidal Ideation for Adolescents - QIAIS-A. Univariate descriptive statistics were used to analyze the data using the mean and standard deviation, as well as Pearson's correlation test for continuous variables and Spearman's correlation test for non-continuous variables. Fisher's exact test was used for inferential analysis. Results: 90 (72.6%) students were found to be at risk of depression, with moderate state anxiety (116 - 97.5%) and moderate trait anxiety (117 - 96.7%). In relation to the assessment of impulsivity, it was observed that students had an average impulse/hyperkinesis of 12.14 (±6.37), impulse control (6.45±2.71), 84 (64.1%) students were at risk of self-harm, 39 (29.8%) had risk behavior for self-harm and 118 (90.8%) had suicidal ideation. Conclusion: The findings suggest that students who self-harm have a higher risk of depression, moderate anxiety and suicidal ideation. This puts them at greater risk of death due to the mental suffering they experience. It is therefore important to think about care strategies in schools that aim to monitor and evaluate self-harm behaviors.

Introduction: It is known that receiving a medical diagnosis in the face of a chronic illness/situation or even with the need to undergo mutilating surgery such as ostomization, usually have a major impact on people's lives. The object of study is the social representations of women with ostomies. Objective: Understand the Social Representations of Women with Ostomies. Methodology: This is a descriptive research with a qualitative approach, carried out with 18  women who were in two reference centers for the care of people with stoma, located in the city of Maceió/AL. The collected data were transcribed in full and analyzed according to the content analysis technique from Bardin's perspective. The Theory of Social Representations was used as a theoretical reference. Results: It became possible to identify three thematic units: The appearance of the ostomy; Living with the ostomy and Social representations regarding the meanings/feelings related to the ostomy. The results demonstrated the social representations of women with a stoma, which is experienced in a dramatic and conflicting way, resulting in the emergence of various feelings that cause an internal conflict in them. Conclusion: The fact that most people have never heard of or had contact with an individual with a stoma causes negative representations to be created when faced with what is unfamiliar. Therefore, it is important to work on this topic so that social barriers and stereotypes are broken, so that people with a stoma feel included and belonging to society, so that negative feelings are alleviated.

Intersectorality presents itself as an instrument for articulation aimed at planning and operationalizing policies, programs and projects, creating a dynamic that enables the strengthening of public policies. In order to outline strategies guided by intersectorality, the municipality of Delmiro Gouveia/AL sought a partnership with the Federal University of Alagoas – UFAL to combat NCDs. This study aims to analyze intersectorality in the municipality of Delmiro Gouveia and the planning of intersectoral actions in light of the complexity paradigm. This is a qualitative study with a descriptive approach. The production of information took place from August to October 2021 using the conversation circle technique – RC: 1st RC – Situational Diagnosis; 2nd RC – Situational Strategic Planning and 3rd RC – Discussion for the construction of intersectoral projects. To organize and interpret the findings, the thematic analysis method was used. After analyzing the 3 RCs with 19 participants in total, it was possible to identify 19 cores of meaning, which, based on the application of the proposed theoretical framework, gave rise to 2 thematic categories, titled: The whole in the parts and the parts in the whole : understanding this spiral in the context of the SUS and Dialoguing with social actors: perspectives for intersectorality in the municipality of Delmiro Gouveia. The first category discusses intersectorality in the municipality of Delmiro Gouveia from the perspective of complexity theory, highlighting the advances and weaknesses in conducting intersectoral actions. The second category seeks to list the sensitive points of the network, identifying the root of the problems and pointing out prospects for implementing intersectoral planning. In this way, it was initially possible to understand a difficulty in articulating health management as a mediator and other social actors in understanding the problems and in the search for resolution collectively, demonstrating a vision based on the paradigm of simplification. As the discussion between researchers, managers, workers and health counselors deepened, the roots of the problems were identified and paths for building solutions were also presented, highlighting how complex the needs and demands of a population are based on the reflections from the perspective of the complexity paradigm. The RCs opened a space to deepen discussions by triggering intersectoral projects in the municipality that aim to promote health and strengthen primary care in Delmiro Gouveia.

The object of this study is health promotion with workers from the Street Office. The office's work environment is dynamic and characterized by the lack of a physical structure and by the exposure to climatic variations and by the meeting with stories of joys and anguish, which demand a self-donation and dedication from the worker. In this process, it is important to take care of the caregiver. In this perspective, the objectives of the study are: Recognize actions to promote workers&#39; health that the Consultório na Rua teams develop according to the workers; perception; Identify possible changes in the interventions to promote the health of workers and workers of the Consultório na Rua teams during the COVID-19 pandemic; Recognize actions to promote workers&#39; health that can be developed from the perspective of the team; To develop actions to promote the health of the worker that are viable for the team. For this, qualitative research was developed, based on the convergent care research methodology and the information collection technique was participant observation from May to October 2021 and 4 convergence groups. There was the participation of 39 workers with representatives of the six teams of the Consultório na Rua in the state of Alagoas. In the data analysis, three categories emerged, namely: 1) How do I take care of myself as a worker at the Street Clinic? 2) how did the pandemic interfere in the health promotion of Consultório na Rua workers? 3) how is it possible to promote health in the work of Consultório na Rua? It was found that the moment of intervention was a space of care and the Reichian stretching proved to be a complementary practice in the promotion of the worker&#39;s health, which favored body awareness and self-perception. It is hoped to be able to contribute to knowledge in the area of worker health and also of Reichian stretching as a health promotion intervention with this public. This study allows the awakening for other integrative and complementary interventions and practices to be developed with these workers. In addition, it brings the provocation of thinking about the implementation of a specific policy to promote the health of workers in their different contexts and realities.

This study aimed to understand the life world of nurses when assisting pregnant women in highrisk prenatal care. A qualitative study with a phenomenological approach, using Alfred Schütz's comprehensive sociology as theoretical and methodological support. The study development scenarios were the four referral outpatient clinics for high-risk prenatal care in Alagoas: Hospital Universitário Professor Alberto Antunes, in Maceió; Santa Monica Maternity School, in Maceió; Espaço Nascer, in Arapiraca; and the Quitéria Neves Women's Health Care Center, in Santana do Ipanema. The study included seven nurses who provide care to pregnant women in high-risk prenatal clinics in Alagoas. Open interviews were carried out at the place of work of each of the nurses, guided by the following triggering questions: “What is the experience of working as a nurse assisting pregnant women who are at high risk during prenatal care for you?”; What actions do you perform in the prenatal clinic with high-risk pregnant women? The thematic categories emerged from the statements: the life world of nurses in high-risk prenatal care; the nurse's life world translated into the look that makes the difference; nurses' life world facing difficulties and challenges to work in high-risk prenatal care; nurses' life world building autonomy and empowerment in their work in high-risk prenatal care. The analyzed data allowed us to identify the activities performed by nurses who provide assistance to pregnant women in high-risk prenatal care in Alagoas, through the identification of the "reasons why" and "reasons for" this professional action and the subjects' statements, revealing the care practice and recognition of their professional practice.

Wounds are a health problem whose biopsychosocial impacts can be exacerbated by delayed healing, a multifactorial process that includes damage related to infections. Among the main infectious agents in wounds, the Staphylococcus aureus species stands out, a microorganism recognized for its antimicrobial resistance capacity, as occurs with oxacillin-resistant S. aureus. In this sense, the present study aimed to characterize the epidemiological profile of individuals with chronic lesions and to track oxacillin-resistant Staphylococcus aureus. This is a cross-sectional, quantitative, descriptive study carried out with individuals undergoing outpatient follow-up for the treatment of chronic wounds. The study included 53 adults of both sexes, who had wounds with an evolution time equal to or greater than six weeks. The collection of sociodemographic data and clinical aspects took place through interviews, consultations with medical records and evaluation of the lesion. The biological material was collected with a sterile swab and the isolated microorganisms were submitted to biochemical tests and cultured in a selective-differential medium for presumptive identification. The determination of the Minimum Inhibitory Concentration was carried out using the broth microdilution technique. The statistical analysis of the results took place in a descriptive manner. From the analysis of sociodemographic and clinical data, there was a higher frequency of female individuals (58.49%), self-declared brown (47.17%), with a mean age of 59.6 years, incomplete elementary school (43 .40%), dependent on social/social security benefits (84.91%) and residing in Maceió (69.81%). In addition, most participants (90.57%) reported comorbidities, with systemic arterial hypertension and diabetes mellitus being more frequent; reports of smoking (7.55%), routine use of alcohol (3.77%) and hospitalization in the last 12 months (20.75%) were less frequent. Regarding the clinical characteristics of the lesion, there was a higher frequency of individuals with wounds smaller than 10cm2 (33.96%) and between 10 and 50cm2 (32.08%), 10 years or more of evolution (37.74%), single lesion (56.60%), classified as venous ulcer (64.15%) and located in the lower limbs (96.23%). In addition, the presence of unfavorable signs in the evaluation of the perilesional skin (64.15%) and edge (60.38%) prevailed, as well as the presence of signs of infection (56.60%); however, the presence of favorable signs, such as the presence of only viable tissue in the wound bed (62.26%), and little (41.51%) or moderate (43.40%) volume of exudate, of the serous type ( 84.91%), were also frequent. The use of systemic antimicrobials was reported by 3.77% of the participants, although all (100%) used topical antimicrobials. The presumptive identification confirmed the presence of eight strains of S. aureus, from seven lesions/participants. Most of the isolates (75%) were sensitive to the lowest concentration of oxacillin evaluated (3.90ug/ml), although two isolates (25%) were resistant to oxacillin (62.5ug/ml and 500ug/ml). The sociodemographic and clinical profile of the participants consisted mainly of female individuals, mixed race, with incomplete primary education and dependent on social security benefits, who reported comorbidities, especially hypertension and diabetes. In addition, wounds with 10 years or more of evolution, located in the lower limbs and classified as venous ulcers were frequent. Screening and determination of antimicrobial susceptibility made it possible to detect two oxacilian-resistant clinical strains of S. aureus.

This is a historical-social research that had as its object the configuration and diffusion of Sespian culture in Brazil in the years 1942 to 1960. The objectives were: to describe the configuration, modus operandi of SESP and the culture that it imprinted on the Brazilian regions where operated and analyze the diffusion of Sespian culture as a civilizing process in health in Brazil. The sources were documentary and had as criteria for inclusion of the documents legibility and the fact that they could be photocopied. The information collected was supported by Norbert Elias' concepts of civilizing process, culture, configuration and behavior. The results showed that SESP was configured as a so-called modern public health model, which spread across the country through the action of professionals, teachers in primary schools, duly trained to transmit the new sanitary practices and dissemination through leaflets. magazines, newsletters and published books. Its services had a national demonstration effect, and its specialists became multiplier agents of the model in other institutions. The diffusion of Sespian culture throughout Brazil and its modus operandi had in the nurses an instrument of coercion, because, through the training and formation of the assistants/visitors and the supervision of the team, they ensured the success of the civilizing process, understanding that the visitors health services were carriers of a discourse that provoked "changes in behavior and feelings" (emphasis added) through the implantation of new habits, customs and daily practices. sanitary behavior and individual and collective conduct in relation to health and other aspects of the population's daily life. The analyzed sources and the information discussed in this study allow us to state that the objectives were achieved, and that SESP developed a health policy that behaved as a civilizing process, spreading an American health culture considered superior to the Brazilian one by the actions of affirmation of the best hygienic practices, widely disseminated through advertising, pedagogical actions in health education, continuous training, training of health visitors, disseminators of foreign culture and the actions of coercion and control carried out through supervision and collection of recorded data and reports, of in order to confirm the hypothesis presented in this study.

The objective of this work was to map the existing scientific literature on the use of games for the education and health promotion of people in cancer care. This is a review of scope in which the following steps proposed by the Joanna Briggs Institute are adopted: definition of the title and question of research, definition of inclusion and exclusion criteria, definition of the research strategy, selection of studies/sources of evidence, consultation exercise, data extraction, and analysis and presentation of results. When establishing the PCC, the following guide question was asked: what is the scientific evidence on the use of games for education and health promotion of people with cancer? The inclusion criteria were studies that met the objectives proposed by this research of primary methodological, quantitative and/or qualitative design, secondary of the type: systematic reviews, meta-analyses and/or metasynthesis, published in indexed sources and in the gray literature. In addition, they should have open access to the open acess type or with access through the CAPES journal portal via the higher education institution, with no restrictions on the language and year of publication. The final searches were conducted between March and June 2022 in the databases: Epistemonikos, MedLine via PubMed, Latin American and Caribbean Literature in Health Sciences (LILACS) via Virtual Health Library - VHL/Bireme, Scopus, Embase, Web Of Science, Cochrane Database of Systematic Reviews and). In addition, the sources of gray literature were consulted: Brazilian Digital Library of Theses and Dissertations (BDTD), Catalogue of Theses & Dissertations - CAPES and Google Scholar. The descriptors and keywords "oncology", "cancer", "games", "play", "health education" and "health promotion" were used, which, combined with each other through the Boleyn operators, resulted in three search crosses used in order to promote the comprehensive reach of related research. The final sample of this review consisted of 54 studies. These date from 2001, with the highest number of publications in the years 2018 and 2019 (n=7 per year), being mostly carried out in the American (n=27) and European (n=13) continents, with emphasis on countries such as the United States of America (n=22), Australia and Brazil (n=5 in each respective).The journals Games for Health Journal (n=5) and Journal of Medical Internet Research (n=3) presented the highest number of publications, with 78% (n=42) of these primary data sources. These were mostly performed with children (n=24) and adolescents/young adults (n=23). We cited 39 games and platforms/programs based on games aimed at the education and health promotion of people with cancer, the most cited adventures in Sophoria, AlphaBeatCancer, Ben's Game, Brave Ranger, Breast Care Bingo Game, Cytarius, Empower Stars!, Escape from Diab, FUN QUEST, ILOVEBREAST, iManageCancer (adults and children), INTERTT, Kidz with Leukemia: A Space Adventure, among others. Also pointing out the use of recreational games of the Nintendo WiiTM for this purpose. Among these only two (My Wonderful Life and Shop Talk) constituted as board games, the others being characterized as electronic / digital. Different mechanics and elements were adopted in order to meet the different groups of this population, also highlighting those four games restricted their target audience considering the sex of users, three of them aimed at female users and one for males. These were used for health education during diagnosis, treatment, control and cure, being inserted in the approach of relevant topics in the field such as treatment adem, self-efficacy for disease management, management of nausea and vomiting, promotion of physical activity and changes in health behaviors and quality of life. It was concluded that the use of games constitutes a favorable strategy for health education in oncology, and scientific evidence was presented for its use among the various groups of patients with possibilities available for different clinical and social contexts. It is indicated that research in the area shows promising and follows trends in the field of health.

Introduction: Mental health care involves not only welcoming those who need it, but also the entire strategy that involves the functioning of services, including economic assessments that include estimates of the cost of the resources needed for their functioning. Objective: To identify the use and financially estimate the cost of mental health care for children and adolescents treated at the Center for Psychosocial Care for Children and Adolescents (CAPSi) in Maceió. Method: This is a study with a quantitative, retrospective approach, based on health cost assessment using primary data, delimited from the perspective of a public health service provider, within a three-month time horizon corresponding to July, August and September 2019, with direct costs being identified considering the measurement by measures of central tendency according to the use of the users of the chosen service, using the bottom-up approach to cost valuation. The participants in this study comprise three different groups: companions of service users, CAPSi professionals and SMS professionals from Maceió; that converge to provide information distinct from a single research instrument: the Sociodemographic and Use and Service Costs Inventory (ISDUCS). Thus, for descriptive analysis, absolute and relative frequencies, measures of central tendency, were used. Linear Bivariate Analysis was performed and also considering the significance of p value <0.05 and all tests were applied with 95% confidence. In addition, this study was approved by the Research Ethics Committee (CEP) of UFAL, according to the Consolidated Authorization Opinion under number 3,566,665. Results: Individual consultations and therapeutic workshops totaled 68.1% of all procedures offered to the 726 patients who used this service, during the period studied. These users were mostly adolescents (60.9%), male (63.4%), who had been attending the community health service for over 1 year (78.8%), mainly due to Externalizing Disorders (29.1 %) and Autism (23.8%), used psychotropic drugs (93.4%) with greater use of antipsychotics (63.1%). They were accompanied by women (90.1%), generally the mothers (66.7 %%), without employment (75.2%), low education (64.5%), some also with mental disorders (28 , 4%) and using psychiatric drugs (21.3%). Most of the families came from the V Health District of Maceió (33.5%), were surviving on up to 1 minimum wage (58.9%), usually with access to government social benefits (31.1%). Approximately R $ 233,925.44 is spent per month at CAPSi, with most of it earmarked for payroll (79.9%). The average cost of annual care per user is estimated: R$ 1501.86 in Individual Monitoring and R$ 1657.58 in Therapeutic Program. Predictors of this cost: diagnosis and care offered, length of service, family income, responsible person's mental illness. Conclusion: The clinical and sociodemographic characteristics of the demand and the direction of the care offered directly imply the public cost of mental health for children and adolescents.

The present study has as its object the social representations of women about the use of legal psychoactive substances (SPA) during pregnancy. With regard to the phenomenon of SPA consumption, it is important to note that these substances have accompanied humanity since the oldest civilizations, their use was associated with cultural, religious and medical diversity. As time went by, changes in the pattern of consumption suffered, as a consequence, public health problems arose, with repercussions for society in general, such as violence and drug addiction. The relevance of this theme was to bring a broader vision through social representations to better assist this woman who makes use of legal SPA during pregnancy. Thus, the general objective: To understand the social representations of women about the use of licit SPA in pregnancy and the specific objectives: to describe the social representations of women who use licit SPA in pregnancy and to discuss the use of licit SPA in pregnancy. This is a descriptive, exploratory study with a qualitative approach. The study took place at the 3rd Health Center, a Basic Health Unit located in the city of Arapiraca - AL. The research participants were 25 women who used SPA during pregnancy, the sample was defined by wide homogeneity. Data were collected from December to March 2021, through semi-structured audio-recorded interviews. The collected data were transcribed in full and analyzed according to the technique of content analysis from the perspective of Bardin. The Theory of Social Representations was used as a theoretical framework. Thus, it became possible to identify three thematic categories: The knowledge of women who use licit SPA during pregnancy; social representation of women regarding the use of lawful SPA in pregnancy; and social representation of women in the face of the social context in the use of legal SPA in pregnancy. The results showed the SR of women who use licit SPA in pregnancy in their social context in the face of individual feelings, their knowledge about licit SPA and in the face of society, arose from various feelings that cause conflict in the individual and social scope. The feelings resulting from the SR evidenced in the study were: distorted or deficient knowledge and the lack of understanding about the legal SPA in pregnancy, denial, incapacity, guilt, prejudice, contempt, isolation and social withdrawal and influence and family conflicts. In this way, this study made it possible to understand the SR of women about the use of legal SPA in pregnancy, from a consensual universe, formed from social support and shared by women and their social relationships

Introduction: From the moment the woman is faced with the diagnosis of female cancer, her way of life and her interpersonal relationships become objects of reflection and questioning. Understanding the meaning attributed to this experience becomes essential to promote and optimize coping strategies in order to increase the quality of life of women in their biopsychosocial integrality. Objective: Understand the representational content of women experiencing female cancer. Methodology: Descriptive, exploratory study with a qualitative approach, conducted with 20 women who were at a reference center in oncology, located in the city of Maceio/Alagoas. Approved by the Research Ethics Committee of the Federal University of Alagoas, CAAE n° 23846919.5.0000.5013. The information was collected from January to March 2021, through semi-structured audio-recorded interviews. The information collected was transcribed in full and analyzed according to the technique of content analysis from the perspective of Bardin, categorized into thematic units. The Theory of Social Representations was used as a theoretical framework. Results: The representational contents of female cancer are related to internal suffering and strongly anchored in representations of death, fear, despair. The speeches pointed out that depression ends up joining these representations, reflecting too much on decision-making regarding adherence and continuity of treatment. The study also revealed that the support of the society in which the woman is inserted and the way she receives the diagnosis can have a decisive influence on the representations she builds about the disease and the way she faces treatment. Conclusion: Within the social representations that each woman presents there is a world of meanings and senses covered by common sense, added to scientific knowledge and knowledge, which require a meticulous and attentive look because they permeate female cancer, enabling nursing professionals to provide individualized assistance and understand all the biopsychosocial processes experienced by women facing cancer.

Jatropha multifida or Adenoropium multifidum (synonymy), popularly known as coral plant, coral, coral flower, blood flower, balsam, mertiolate, a shrub whose red flowers with yellowish anthers look like small pieces of coral and stem with latex presence. Widely used in folk medicine, as a purgative, against gonorrhea, diuretic, healing and anti-inflammatory. The aim of this research was to verify the antioxidant and antimicrobial activity of in natura and lyophilized latex from J. multifida. The latex was collected in the city of Igreja Nova/AL and was later submitted to the lyophilization process, thus originating the in natura and lyophilized extracts used in the study. Phytochemical prospection, antioxidant activity and antimicrobial activity tests were performed. The phytochemical activity of the latex extracts performed confirmed the presence of saponins, flavonoids, anthraquinones and tannins. The results showed that the in natura and freeze-dried latex extract showed moderate antioxidant activity, and can be considered as a promising source of fighting free radicals, but the values found in the freeze-dried latex (73.1 μg/mL) were more expressive in the concentration a 5% than in natura latex (84.5 μg/mL). For antimicrobial activity, both extracts presented a MIC of 15.6 μg mL-1 and a CBM of 125 μg mL-1 against S. epidermidis and E. faecalis, E. aerogenes same values for the MIC extracts of 125 μg mL-1 and 125 μg ml-1 CBM. For S. aureus the MIC was the same for both extracts of 125 μg mL-1, however, the CBM was better in the lyophilized with the same MIC value, the same happened with P. aeruginosa. Against E. coli, the lyophilized latex showed a better 125 μg mL-1 MIC, but in natura latex showed a better 125 μg mL-1 CBM activity in CBM. Already against the fungal strain C. albicans both extracts showed weak activity for both MIC which was 500 μg mL-1 and CBM 1000 μg mL-1. It is concluded that the in natura and lyophilized latex of J. multifida can be considered potential antimicrobial and antioxidant agents, but the lyophilized latex showed the best results in the tests performed, being a promising one to be used in future researches.

Abortion is a serious public health problem and has several repercussions for women's health and quality of life. This research has as its object of study the experience of abortion by women. It was developed from the research question: What is the hidden phenomenon in the woman's experience during the abortion process? To answer this question, the study objective was defined as: Unveiling facets of the hidden phenomenon in the experience of women undergoing abortion. Qualitative research, based on the theoretical-methodological framework of Existential Phenomenology by Martin Heidegger. Ten women who experienced abortion participated in the study. The phenomenological interview was carried out with the triggering question: Tell me how it was for you to experience the abortion process? The question was deepened according to the need and purpose of the study. The interviews were analyzed based on the comprehensive methodical moments of Martin Heidegger, thus establishing the four meaning units that guided the understanding of this study: Being a woman discovering herself in the face of abortion; Being a woman experiencing the abortion process; Being-woman understanding the abortion process, Being-woman giving new meaning to the abortion process. It is concluded that the unveiling of women's experiences in the abortion process brings to light a world of meanings that are inherent to this experience, and should therefore constitute subsidies to guide comprehensive and individualized care, based on the needs of each woman.

Introduction: The records of nursing found in the medical records of patients treated by the team health of the Project HOPE during their assistance inside the S.S. HOPE, in Maceió-Alagoas, from February to November of 1973 are the object of the study. These registers explain the american influence on Nursing in Alagoas as some nurses of the Project were part of the faculty of the first undergraduate course in nursing in the state. Aims: Survey what content is present in thenursing records of medical records referred to; and Verify if the content of the nursing records in these medical records points to the application of the nursing process in the care of these patients. Methodology: Quantitative, descriptive, historical-documentary study carried out with support for the Centro de Apoio a Pesquisa, into Hospital Universitário Professor Alberto Antunes of the Universidade Federal de Alagoas with a sample of 446 medical records totaling 523 attendances provided performed in the universe of 951 medical records. Social data and nursing records were collected through a form developed in Google Spreadsheets® and treated with functions of this same application saved in the cloud for descriptive, statistical analysis. Results: The instruments of nursing records were widely used for americans and brazilians but the americans participation were wider than brazilians participation. The nurses used evolution sheets as well as recording vital signs, checking medications, monitoring of treatments prescribed by the medical and nursing team and the nursing process was registered in Kardex. However, in the later, few consultations received this kind of document correctly filled out, indicating that the nursing process, even though it was present in the intellectual exercise of their work, was not registered properly in the patient’s medical record. Conclusion: The nursing records used indicated a large appropriation of technical and scientific knowledge of the american nurses. However, a low proportion of the application of the nursing process registration was still found, indicating a low appropriation of this practice.

Introduction:This study had as its object the experience of uncertainty experienced by nursing professionals during the illness process by COVID-19. The uncertainty of the disease is intrinsically related to the inability to make sense of events that are related to it, in the sense of assigning concrete values, predicting results and building coping strategies. It is noteworthy that receiving the diagnosis by itself does not alleviate the uncertainty of the person affected by COVID-19. Objectives: To analyze the uncertainties experienced by nursing professionals who got sick from COVID-19. Methodology: It was a qualitative exploratory-descriptive research, carried out with 20 nursing professionals who fell ill by Covid-19, whose statements were collected through semi-structured interviews. Minayo's content analysis was performed and Merle Mishel's (1990) Reconceptualized Theory of Disease Uncertainty was used as a theoretical framework. Results and discussion: After organizing the data and reflecting on the findings, the following categories of analysis emerged: Category 1 - Cognitive capacity and the inference in the predictability of (un)certainty of the disease; Category 2 - A real threat? The uncertainty of the unknown; Category 3 - Coping strategies - "Coping" - and their repercussions on adaptive reactions. Conclusion: Assuming that the worldwide pandemic for the new Coronavirus arose with a multitude of uncertainties and that these reflect as a lack of clarity and inadequacy in the cognitive state, impairing the interpretation and evaluation of the events of the disease experience and compromising the adaptation of the sick person, We understand that the application of the Disease Uncertainty Theory was an adequate theoretical framework for reading the phenomenon of illness among nursing professionals by COVID-19.

Specifications for Sound Level Meters. Technological advances have improved health behaviors aimed at premature and underweight children (RNP), increasing the chances of survival and the length of stay in intensive care units. Health care practices can favorably impact neurodevelopment through the promotion of neuroprotective technologies and strategies to reduce stress and pain. In this context, “smartphones” are multifunctional devices that enable functionalities beyond communication. Currently, there are several applications whose creation proposals are related to the measurement of environmental noise. They are digital tools that have the same purpose as decibel meters, devices that measure ambient sound pressure levels. That said, it is hypothesized that noise measurement applications are viable instruments for measuring noise in the intensive care unit. Objective: to analyze the feasibility of using applications to measure noise in a neonatal intensive care unit. Methodology: Accuracy study, carried out in the Neonatal Intensive Care Unit of a teaching hospital in a capital of northeastern Brazil, the sample used was a census, where measurements of sound noise were performed in all NICU beds and at three different times, totaling 30 measures. To measure the sound noise, a digital decibel meter “MINIPA® MSL1301” and a “smartphone” “samsung® J7” with the applications “Sound meter”, “Sound detector”, “Smart tools” installed were used. These were selected by searching the “play store”. Result: In all applications, the minimum and medium levels were the ones that presented the greatest variations, while the averages for the maximum noises approached the decibel meters. Suggesting that the use of APPs is more reliable for measuring maximum noise. Among all applications, APP 3 was more accurate. Conclusion: APP2 and APP3 were viable, but APP3 with greater accuracy, being considered as another viable resource for measuring noise inside NICUs, but testing this and other applications in various types of NICUs is suggested.

INTRODUCTION: Pregnancy and birth, in most cases, occurs uneventfully, but in many cases complications may arise that may be related to the assistance offered, either in relation to the structure of birthplaces, as well as due to errors in the work process and that may lead to adverse events. It can be seen that there are still many challenges to be overcome and, consequently, immediate interventions are needed to make care safer. Before that, it is important to evaluate the safety culture so that professionals are made aware of the importance of promoting Patient Safety P. OBJECTIVE: To evaluate the patient safety culture in high-risk maternity hospitals of a state in the Northeast region of Brazil. METHODS: This is a descriptive study of quantitative nature of the survey type, conducted in two high-risk maternity hospitals of a state in the northeastern region of Brazil. Data collection was performed in the period December 2020 to April 2021, through the instrument "Patient Safety Survey in Hospitals", which in addition to evaluating the profile of professionals, has 42 items divided into 12 dimensions that assesses the Patient Safety Culture (CSP). After collection, the data were validated and analyzed using descriptive statistics through the JASP Software. The research was approved by the Research Ethics Committee of the Federal University of Alagoas. RESULTS: A total of 318 professionals participated in the study, being the majority female, with a mean age of 41.7 years, with a post-graduation in specialization and most of them are part of the nursing team and with a mean time of work in the profession of 14.5 years. As for the time of work in the hospital/maternity, it was observed that the highest percentages concentrated between 16 to 20 years and 1 to 5 years, in addition, regarding the time of work in the current area, the percentages were also concentrated in the aforementioned intervals. The professionals' workload was predominantly from 20 to 39 hours per week. Regarding the dimensions of CSP, no dimension was rated as strong for CSP. We highlight the dimensions that were evaluated with the highest percentages of positive answers, however, being considered neutral, namely: supervisor's expectations and actions for patient safety, teamwork in the unit, organizational learningcontinuous improvement and openness to communication. The other eight dimensions were considered as weak for CSP. When assessing the number of AE notifications made by professionals in the last 12 months, it was observed that 77.3% had not made any notifications. Regarding the patient safety score assigned to the work unit, 49.0% perceived safety as regular. CONCLUSION: We observed several weak points for the CSP, which urges the need for a reflective analysis by professionals and managers about the quality of care. Improvements in the 12 dimensions of CSP are necessary, especially regarding the non-punitive responses to errors, because if professionals believe that they will be penalized for the errors and AEs committed, they will end up neglecting the notifications. It is noteworthy that it is important the commitment of all to transform this culture of blame into a just culture, which establishes balance between the responsibility of the professional and the organization.

The sequelae of COVID-19 have a real impact on the quality of life of people who come into contact with the SARS-CoV-2 virus, and may persist indefinitely. Thus, the object proposed for this study is "the perception of what is experienced by people with sequelae of COVID-19". Its guiding question for the research is: What is the perception of what is experienced by people with sequelae of COVID-19? Justification/relevance: Answer how people diagnosed with COVID-19 perceived the impact of the sequelae resulting from this disease on their experience and what are the consequences faced in its evolution, as it covers their body and mind, knowledge that was urgent given the magnitude that the COVID-19 pandemic reached, demanding to learn not only about the virus and how it compromises the human organism. The study findings will contribute to the structuring of strategies that enable the care of people with sequelae of COVID-19. Therefore, the objective of the study were be to unveil the perception of the experience of people with sequelae of COVID-19. Methodology: Qualitative study with a phenomenological approach, carried out with 14 people who were diagnosed with sequelae of COVID-19 and who were undergoing treatment during the period of the phenomenological interviews, from February to May 2021. The interview was guided by the triggering question: “Tell me what your perception of your lived with COVID-19 sequels is, how it affected your mind and body”. The results showed four ontological units that were analyzed and interpreted in light of the philosophical theoretical framework of Maurice Merleau-Ponty. Among the categories that emerged from the statements, the theme stands out: Perceiving your sick body and living in the world-of-COVID-19; Experiencing feelings of uncertainty, determined by the consequences that limit their return to normality and compromise their quality of life; Recognizing the support mechanisms of being-sequenced by COVID-19 in the process of coexisting in the world; Discerning new ways of coexisting in the world. The research was approved by CEP/UFAL, CAAE no. 41216620.6.0000.5013. Conclusion: I could see that the person being followed by COVID-19 has a body with limitations that has its world changed abruptly, immersed in a world full of terrifying feelings that rob them of tranquility, being required to find new ways to coexist . It is hoped that this study can contribute to the implementation of initiatives that are capable of offering humanized care.

Introdução: a doença falciforme constitui uma patologia muito presente na população brasileira e o sistema de saúde deve estar organizado para cuidar desse público. Para sistematizar a assistência de enfermagem é imprescindível o uso de ferramentas que darão suporte para obtenção de dados quanto à forma e conteúdo. Reafirmando, assim, a importância do processo de validação. Objetivo: validar o conteúdo do instrumento “Consulta de enfermagem para pessoa com úlcera falcêmica, à luz da teoria de Orem”. Metodologia: a proposta metodológica para validação do instrumento obedeceu aos critérios estabelecidos pelos procedimentos teóricos de Pasquali (1998). Assim, a pesquisa perpassou por 3 momentos. Momento 1) construção do instrumento; 2) Análise dos juízes peritos na área, que foram selecionados de acordo com os critérios de Fehring (1994). Os juízes julgaram o instrumento, através de escala Likert de 5 pontos, quanto clareza de linguagem, pertinência prática e relevância teórica. A análise destes dados foi mediante o Coeficiente de Validade de Conteúdo (CVC), sendo adotada a concordância entre juízes igual ou maior que 0.8. O momento 3) aconteceu através da análise semântica, utilizando a técnica de brainstorming. Esta pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Universidade Federal de Alagoas, sob o número CAAE: 04247718.4.0000.5013. Resultados: a elaboração dos 23 itens e 271 subitens do instrumento ocorreu a partir dos 12 critérios de construção de itens para escalas psicométricas, de um levantamento literário sobre pessoa com úlcera falcêmica e dos conceitos e pressupostos da teoria postulada por Orem. 9 juízes peritos na área foram responsáveis por julgar os itens, sendo 8 (89%) do sexo feminino e 1 (11%) do sexo masculino. Destes, 2 (22%) possuem pós-doutorado e 7 (78%) possui doutorado. No quesito clareza de linguagem, 17 itens (74%) obtiveram CVC=0.9, 4 (17,3%) itens apresentaram CVC=1 e apenas 2 (8,7%) CVC=0.8. No quesito pertinência prática 21 itens (91,3%) obtiveram CVC=1 e 2 (8,7%) foram identificados com CVC=0.9. Em se tratando se relevância teórica, 20 itens (87%) tiveram CVC=1,0 e 3 itens (13%) CVC=0.9. O instrumento obteve CVC total de 0.94. Os juízes teceram 96 comentários, 73 sugestões foram acatadas. A deliberação de aceitar ou não as sugestões fundamentaram-se na literatura pertinente. Na análise semântica, 3 estudantes do último ano do curso de enfermagem, julgaram item por item do instrumento quanto a compreensão dos mesmos. 4 itens receberam sugestão de adequação e todas foram acatadas. Conclusão: Desta forma, o instrumento apresenta conteúdo válido e está organizado para viabilizar embasamento científico ao enfermeiro e o pensamento crítico para tomar as decisões clínicas que possam satisfazer as reais necessidades de autocuidado da pessoa com úlcera falcêmica. A Teoria de Orem foi vista como apropriada, sendo clara e valorosa. Salienta-se a importância da análise semântica para facilitar o entendimento dos itens e subitens do instrumento, tornando-o compreensível para todos os extratos da população meta. Esta pesquisa contribuiu para o fortalecimento da enfermagem como ciência, e para a melhoria da assistência a pacientes com úlcera falcêmica.

Introdução: As minorias sexuais e de gênero são alvo de discriminação, o que contribui com a exclusão social e com grande associação à vulnerabilidade à sua saúde mental e ao sofrimento, repercutindo no desenvolvimento de transtornos mentais, como o transtorno de ansiedade generalizada e numa qualidade de vida prejudicada. Nesse contexto, percebe-se que são necessárias ações voltadas a essa população, como a meditação, que atua no sentido de complementar as práticas destinadas ao cuidado. Objetivo: Avaliar o efeito da meditação na ansiedade e na qualidade vida em minorias sexuais e de gênero. Método: Trata-se de um ensaio clínico randomizado de natureza prospectiva, controlado, paralelo, aberto, com dois braços sobre o efeito da meditação com foco na respiração na ansiedade e na qualidade de vida em discentes pertencentes a minorias sexuais e de gênero da Universidade Federal de Alagoas (UFAL). A amostra foi calculada em 50 pessoas, 25 por grupo. Destes, 23 indivíduos participaram do grupo experimental, que receberam a intervenção da meditação por 8 semanas, sendo um encontro semanal de 30min, com três blocos de meditação de 10min cada. Além disso, este grupo recebeu um caderno de meditação para que pudesse realizar práticas diárias de 20min em seu domicílio. O grupo controle foi composto por 19 pessoas, também acompanhado por 8 semanas, mas que não sofreu exposição a nenhuma intervenção. Foram utilizados os seguintes instrumentos de coleta de dados: Questionário de identificação, Inventário de Ansiedade Traço-Estado (IDATE), World Health Organization Quality of Life (WHOQOL) e o MINI (MINI International Neuropsychiatric Interview – Versão 7.0.2). As análises descritivas utilizaram a frequência absoluta e relativa, média e desvio padrão. A análise bivariada utilizou Teste Qui-Quadrado de Pearson (χ2 ) e correlação de Pearson, Teste t de Student e ANOVA. Foi considerado intervalo de confiança de 95% e valor ρ < 0,05. Este estudo foi aprovado pelo Comitê de Ética em Pesquisa (CEP) da UFAL, conforme o Parecer Consubstanciado de Autorização sob o número 2.826.905, registrado e aprovado na Plataforma ReBEC (Registro Brasileiro de Ensaios Clínicos), sob o número de registro RBR3bskgt. Resultados: Identificou-se que houve uma diminuição das médias do IDATE-Estado, ao se comparar o pré-teste (51,87±10,20) com a 4ª semana (42,70±12,85) e a 8ª semana (41,12±14,02) no grupo experimental. Houve redução significativa de ansiedade estado da fase inicial para as 4 semanas de meditação (ρ = 0,015). O mesmo se observou nas médias do IDATE-Traço do grupo experimental, com média no pré-teste de 58,65 (±7,90), 4ª semana de 54,17 (±11,30) e 8ª semana de 51,25 (±12,83). Na qualidade de vida geral, houve um aumento de sua média desde o pré-teste até a finalização do acompanhamento no grupo experimental, sendo 48,91 (±19,18) no pré-teste, 49,45 (±19,02) na 4ª semana e 53,90 (±13,47) na 8ª semana. O mesmo não se verificou no grupo controle, onde a média aumentou na 4ª semana, mas depois diminuiu na 8ª semana. Não se identificou significância estatística no efeito da meditação para a qualidade de vida. Quanto às queixas apontadas por grupo, observou-se uma diminuição significativa da insônia, da 4ª semana (χ²=11,25; p = 0,004) para a 8ª semana de prática (χ²=11,53; p = 0,009). Conclusão: Conclui-se que a hipótese alternativa desta pesquisa é parcialmente verdadeira, ou seja, o efeito da meditação apresentou significância estatística em relação à ansiedade estado, mas não para a qualidade de vida em minorias sexuais e de gênero, comparado ao grupo controle. Assim, a meditação é uma prática integrativa complementar que auxilia na diminuição da ansiedade de seus praticantes. Sendo de fácil acesso, baixo custo e que pode ser utilizada por qualquer pessoa ou profissional da saúde, podendo a enfermagem utilizá-la em sua prática de cuidados.

A dor é considerada um problema de saúde global e a adesão ao seu adequado gerenciamento é um direito humano, especialmente na fase neonatal, quando expressada tão peculiarmente. Apresenta-se como objeto de pesquisa o gerenciamento da dor neonatal pela equipe multiprofissional em procedimentos dolorosos e com a seguinte questão: como ocorre o gerenciamento da dor neonatal pela equipe multiprofissional em procedimentos dolorosos? O objetivo geral foi avaliar o gerenciamento da dor neonatal, e os específicos, descrever a compreensão e as formas de avaliação da dor utilizadas pela equipe diante dos procedimentos dolorosos; identificar medidas farmacológicas e não farmacológicas utilizadas pela equipe no alívio da dor neonatal e verificar o registro de informações no prontuário relacionadas às medidas de gerenciamento da dor. Estudo descritivo, transversal, quantitativo, realizado em dois hospitais escola de referência no cuidado aos recém-nascidos de risco do estado de Alagoas, aprovado pelo parecer 3.082.531 e realizado de fevereiro a setembro de 2019, com 42 profissionais atuantes nas unidades de Cuidado Neonatal Convencional e de Terapia Intensiva Neonatal. A coleta de dados ocorreu em três etapas: 1. Aplicação de questionário; 2. Formulação da ficha de observação; 3. Observação da prática clínica assistencial ao recémnascido durante procedimentos dolorosos. Os dados foram tabulados e analisados estatisticamente com o software EpiInfo® versão 3.5.3. Quanto ao conhecimento suficiente para avaliar a dor houve diferença nas respostas (52,4% nível médio “concordaram parcialmente” / 33,3% nível superior “discordaram”). Já o conhecimento de escalas específicas de dor teve concordância em níveis variados de respostas (26,3% nível médio “concordou totalmente” / 38,15% nível superior “concordou parcialmente”). Na etapa da observação: 100% dos profissionais de ambos os grupos não aplicaram escalas de dor neonatal, sendo a avaliação da dor realizada de forma empírica. A maioria em ambos os grupos não utiliza medidas analgésicas (84,2% nível médio/61,5% nível superior), e quando fizeram uso, utilizaram medidas não farmacológicas como contenção facilitada, glicose oral, colo e sucção não nutritiva. Não houve registro nos prontuários das medidas de gerenciamento da dor em 100% das oportunidades de observação. Embora a equipe apresente conhecimentos sobre a dor neonatal, ainda não se utiliza da aplicação de escalas de dor neonatal sistematicamente e quando fazem uso de medidas para o seu gerenciamento, as mesmas ainda não são registradas no prontuário dos recém-nascidos.

O brincar e o lazer constituem uma das áreas prioritárias das políticas públicas para a primeira infância. Nesse sentido a criança hospitalizada tem o direito de desfrutar de alguma forma de recreação. O Brinquedo Terapêutico (BT) surgiu como um recurso na diminuição dos sentimentos negativos decorrente de situações ameaçadoras e atípicas. Funcionando como um recurso para enfrentar a hospitalização, o Conselho Federal de Enfermagem (COFEN) reconhecia a utilização da técnica do BT como competência do Enfermeiro que atua na área pediátrica, entretanto, a partir de 2017, o COFEN passou a reconhece-lo como competência de toda a Equipe de Enfermagem que atua na área pediátrica, na assistência à criança e família. Observou-se ainda que os estudos voltados ao tema do BT tinham o enfoque maior na criança e poucos relacionavam o uso do BT à equipe de enfermagem. Com isso, o presente estudo propõe-se compreender o significado do Brinquedo Terapêutico para a equipe de enfermagem no cuidado de enfermagem na hospitalização pediátrica. Reconhece-se a importância desse, por perpassar um direito da criança e do adolescente hospitalizados, por contribuir para uma das áreas prioritárias das políticas públicas para a primeira infância, por ser uma reconhecida necessidade da criança que respeita as características de crescimento e desenvolvimento das mesmas. Estudo descritivo, de abordagem qualitativa. O cenário foi a Clínica Pediátrica do Hospital Universitário Professor Alberto Antunes (HUPAA), situado na cidade de Maceió em Alagoas, Os participantes foram os 19 profissionais da equipe de enfermagem. A coleta de dados foi realizada por entrevista semiestruturada individual e observação não estruturada. Durante o período de Setembro de 2019 a Dezembro de 2019. Os profissionais de enfermagem são sensíveis aos aspectos negativos da hospitalização pediátrica e reconhecem a importância de meios para diminuição desse sofrimento, reconhecendo o brincar e uso do brinquedo no ambiente hospitalar como benéficos, tanto para as crianças, como para seus familiares e para os próprios profissionais de saúde. Porém a técnica do BT ainda é pouco clara para a equipe de enfermagem, a utilização do BT é mais relacionada aos alívios do medo e da ansiedade, também desconhecem as legislações a respeito do BT, mas em suas falas mostram experiências que se aproximam das finalidades do BT. O uso do brinquedo no hospital ainda é visto como dissociado do cuidado de enfermagem, o que mostra a necessidade de estudos sobre o tema, assim como a importância das instituições implantarem tal uso, precedido de capacitações e sensibilizações, o que fortalecerá uma assistência de enfermagem qualificada, a partir de um olhar direcionado para as necessidades e particularidades da hospitalização pediátrica e promovendo a reflexão crítica acerca da prática da equipe de enfermagem frente ao brinquedo terapêutico.

Os cuidadores familiares de pessoas com Esclerose Lateral Amiotrófica são suscetíveis às reverberações da doença por vivenciarem muito intimamente a experiência de adoecimento desse enfermo. Nesse contexto, a investigação aqui proposta tem como objeto de pesquisa as vivências de cuidadores familiares de pessoas que vivem com Esclerose Lateral Amiotrófica, partindo do objetivo de desvelar as vivências de cuidadores familiares de pessoas que vivem com a ELA através da aplicação do referencial teórico-metodológico da fenomenologia de Martin Heidegger. Com um desenho qualitativo do tipo descritivo com abordagem fenomenológica, o estudo foi desenvolvido pautado na questão norteadora: qual o fenômeno velado nas vivências de cuidadores familiares de pessoas que vivem com Esclerose Lateral Amiotrófica? O meio utilizado para alcance de resposta foi a partir de entrevista fenomenológica pautada em instrumento semiestruturado elaborado pela pesquisadora, aplicado a doze cuidadores familiares de pacientes com ELA, residentes no Estado de Alagoas, durante o período de setembro de 2019 a março de 2020. Após transcrição das entrevistas com base nos momentos metódicos compreensivos de Heidegger, os resultados foram agrupados em três categorias temáticas ontológicas: descobrindo-se pertencente, mesmo que indiretamente, ao mundo-da-ELA, que englobou a inserção do ser cuidador ao mundo permeado pela ELA e seus impactos inerentes; compreendendo o decorrer da doença descrito sob a ótica do cuidador familiar, categoria que expõe a percepção própria que o familiar passa a desenvolver acerca do diagnóstico e tudo que ele causa nas suas vidas; e revelando as transformações existenciais provenientes do processo de enfrentamento da ELA, que envolve as transformações decorrentes das adaptações requeridas pelo cenário implementado pela ELA, implicando na descoberta de posturas e estratégias que tornam possível o convívio com a doença. Concluiu-se que o decorrer das vivências compartilhadas demonstra que existe um mundo de significados e sentidos encoberto pelo papel de ser um cuidador familiar de uma pessoa que vive com a ELA, o que requer um olhar minucioso e atencioso para a temática. 

Introdução: O objeto deste estudo é a avaliação da reação álgica provocada pela aplicação da vacina Hepatite B na Região Ventroglútea em recém-nascidos. Essa vacina é administrada por via intramuscular, preferencialmente nas primeiras 12 horas após o nascimento, no vasto lateral da coxa pela equipe de enfermagem. Em detrimento a isso, há a região ventroglutea considerada há 60 anos como a mais segura para injeções intramusculares, porém na prática clínica é a de menor eleição por parte dos profissionais, principalemente em recém-nascidos. Pesquisas demonstram que a utilização desse sítio confere igual imunogenicidade e menor reatogenicidade local. Dentre as reações locais, a dor necessita de maiores elucidações, as produções existentes sugerem sua diminuição ao utilizar essa região. Objetivo: o objetivo geral foi analisar a reação álgica produzida pela aplicação da vacina Hepatite B na região ventroglútea em recém-nascidos e os específicos: analisar se a resposta álgica difere nos sexos masculino e feminino, verificar se difere conforme o peso, o comprimento, bem como o índice de massa corporal e comparar a resposta álgica conforme a idade gestacional de nascimento. Metodologia: Estudo quantitativo, exploratório de corte transversal, realizado no alojamento conjunto de um hospital universitário. A população foi composta por 121 Recém-nascidos. O estudo foi aprovado pelo Comitê de Ética em Pesquisa sob parecer n° 3.606.133. Para análise da reação álgica foi aplicada a escala de NIPS e mensurada a frequência cardíaca antes e durante a vacinação, bem como cronometrado o tempo de choro. Os escores produzidos através da escala foram relacionados ao sexo, cor, idade gestacional de nascimento, peso, comprimento, horas de vida e o uso de medidas de conforto durante o procedimento. Os dados foram inseridos no programa Microsoft Office Excel e Bioestat 5.0. Para descrição dos dados utilizou-se as medidas: mínimo, máximo, mediana, média, desvio padrão, coeficiente de Correlação de Spearmam e para o campo analítico, utilizou-se o teste Mann Whitney e Kruskal Wallis. Resultados: Evidenciou-se que a maioria dos recém-nascidos, embora estivessem confortáveis antes da vacinação, apresentaram dor durante o procedimento, com um escore médio calculado pela escala de NIPS de 2,87 (ausência de dor) antes e de 6,14 (presença de dor) durante, sendo considerado estatisticamente significativo (p<0,0001). Não houve diferença significativa entre os escores e as variáveis sexo, cor, idade gestacional de nascimento, peso, comprimento e horas de vida. Houve significância estatística apenas para os recém-nascidos que receberam medidas de conforto. Identificou-se uma correlação positiva fraca entre a FC e os escores de dor de NIPS e uma correlação forte deste último com o tempo de choro. Conclusão: Constatou-se que a reação álgica mesmo com o uso da região ventroglúteo é uma realidade expressa por escores de NIPS elevados, aumento da frequência cardíaca durante o procedimento e pelo o tempo de choro, e que não há variação conforme as características estudadas dos recém-nascidos. Assim, o uso da referida região justifica-se por sua maior segurança e menor possibilidade de eventos adversos.

A amamentação é uma habilidade que, para ocorrer de maneira efetiva, requer a movimentação coordenada de diversas estruturas orofaciais. Nesse contexto, a utilização de interfaces para fixação da sonda orogástrica na face deve ser um fator importante a ser avaliado, já que a fixação em locais que deixam livre a musculatura utilizada para amamentação favorece a efetividade da ação muscular e, assim, o comportamento de sucção do recém-nascido. Diante do exposto, o objeto de estudo da pesquisa foi a fixação da sonda orogástrica e sua relação com a prontidão para alimentação oral em recém-nascidos pré-termo tardios que fizeram uso de sonda orogástrica para alimentação fixada em região temporomandibular. A pesquisa teve como objetivo determinar se a fixação da sonda orogástrica em região temporomandibular em recém-nascidos pré-termo tardios otimiza a prontidão para alimentação oral quando comparada com outros tipos de fixação. Trata-se de um estudo de coorte. Participaram do estudo recém-nascidos pré-termo tardios (34 a 36 semanas e 6 dias de idade gestacional), em uso de sonda orogástrica como via de alimentação alternativa. Estes foram divididos em dois grupos, o grupo de expostos, compostos por recém-nascidos com sonda orogástrica fixada em região temporomandibular e o grupo de não expostos, compostos por recém-nascidos em uso de sonda orogástrica fixados em outras regiões da face. Foi realizada a medição da área da interface de fixação da sonda orogástrica diariamente, assim como verificação única de medidas antropométricas faciais dos recém-nascidos. Para avaliar a prontidão, foram realizadas duas avaliações, com intervalo mínimo de 24 horas, sendo utilizado o Instrumento de Avaliação da Prontidão do Pré-termo para Início da Alimentação Oral - PROFAS para direcionar a avaliação. Participaram do estudo 52 recém-nascidos, sendo 26 recém-nascidos em cada grupo de estudo. Observou-se que, na ocasião do início da transição alimentar, os recém-nascidos que fizeram uso da sonda orogástrica fixada em região temporomandibular apresentaram maior prontidão para alimentação oral quando comparados a recém-nascidos que utilizaram interface de fixação em região supralabial, sendo observada diferença significativa entre os grupos (p = 0,05), o que não ocorreu na segunda avaliação. Quando analisados os itens de desempenho de maneira isolada, o item reflexo de vômito apresentou predominância no grupo com fixação em região temporomandibular (p = 0,05) na primeira avaliação. Já na segunda avaliação, o estado de alerta foi predominante no grupo temporomandibular e o sono leve predominante no grupo supralabial (p = 0,025). O estado de consciência, em geral, foi mantido (p = 0,02). Conclui-se que a fixação da sonda orogástrica em região temporomandibular em recém-nascidos pré-termo tardios otimiza a prontidão para alimentação oral quando comparada com a fixação supralabial nas primeiras horas da transição alimentar.

O objeto de estudo dessa dissertação é a participação de alagoanas no movimento migratório para as escolas de formação de enfermeiras na capital do Brasil, no período de 1930 a 1960. São objetivos: descrever como a conjuntura social, da saúde e da Enfermagem favoreceu a migração de mulheres para ingressarem em Escolas de Enfermeiras no Rio de Janeiro; e analisar no perfil das mulheres alagoanas que migraram para Escolas de Enfermeiras no Rio de Janeiro a fim de obterem profissionalização em Enfermagem, entre 1930 e 1960, as características que deram maior visibilidade e concretude à sua migração. Trata-se de um estudo de natureza qualitativa, histórico-social. O recorte geográfico estabelecido para este estudo foi o Brasil, delimitado aos Estados de Alagoas e Rio de Janeiro, o primeiro por ser o estado de origem das moças migrantes que se matricularam nas Escolas de Enfermeiras no Rio de Janeiro; e o segundo por ter sido o estado em que despontou o processo de profissionalização da Enfermagem brasileira, bem como por ter sido o local de destino das alagoanas que migraram a fim de obter profissionalização em Enfermagem. O recorte temporal foi entre 1930 e 1960, tendo estabelecido as Escolas de Enfermagem Anna Nery,  Luiza de Marillac e Raquel Hadock Lobo para compor o estudo. Considerando os três passos na produção de um trabalho histórico – levantamento de dados; avaliação crítica destes dados; e  apresentação dos fatos, interpretação e conclusões – este estudo utilizou como fontes históricas recortes de jornais, atas das reuniões de diretoras de Escolas de Enfermagem e um banco de dados das fichas de inscrição de alunas alagoanas que migraram para estudar nas Escolas supracitadas. Após leitura crítica do corpus documental, os achados foram classificados, contextualizados e analisados à luz da teoria de Portes, transmutando o conceito de migração horizontal entre países em desenvolvimento para o nível dos deslocamentos internos no Brasil, na busca por qualificação em Enfermagem. Os resultados desta pesquisa foram categorizados de acordo com o teórico em determinantes primários, secundários e terciários da migração de recursos humanos qualificados, relativos aos locais de destino, de origem e individuais, respectivamente. Quanto aos determinantes primários, o Rio de Janeiro, no pós-1930, enquanto capital da República, representa a centralização do poder político, que atrelado à intensa urbanização, industrialização e investimento na rede escolar, emerge como estado modelo do Brasil; em decorrência disso, há um significativo aumento dos postos de trabalho a serem ocupados por enfermeiras diplomadas, pela ampliação da rede de assistência à saúde, sendo necessário um aumento na formação dessa profissional, o que culminou com o recrutamento de moças por todo o país, principalmente do Norte e Nordeste. Alagoas, sendo incapaz de oferecer maiores oportunidades para moças com ensino secundário e outros cursos, atrelado a ainda persistente política oligárquica, coronelista e patriarcal, acabou por impelir moças com níveis mais altos de qualificação a saírem do estado para conquistarem outras perspectivas de vida. O recrutamento pelas Escolas de Enfermeiras em estudo foi uma estratégia bem-sucedida dessas moças garantirem sua saída do Estado de maneira segura e honrada. No que concerne os fatores primários, o resgate dos dados das fichas de inscrição dessas alunas demonstram que, em sua maioria, detinham os atributos, explícitos e implícitos, para se tornarem discentes nas Escolas estudadas: branca, classe média, da capital, portadora do ensino secundário e de outros cursos, principalmente ginásio e normal, entre 16 e 25 anos e católicas. Conclui-se que a história das mulheres alagoanas, superando as adversidades decorrentes de um deslocamento geográfico, seja temporário ou permanente, contribuiu significativamente para visualizar uma faceta do prisma da consolidação da Enfermagem Moderna como carreira para as mulheres desta terra.