Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original... more Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original theoretical reflection. Development: The notion of nursing as an ecology of knowledge calls for a clarification of the status of science that we assign to it. Nursing affirms itself as science in a context of paradigmatic transition, which, on the one hand, creates some difficulties, but, on the other hand, opens a wide range of opportunities. Nursing is action knowledge expressed in professionalized integral care, thus it is a practical human science. It is a science of plural knowledge. Conclusion: The specific knowledge of nursing results from a process situated in a given context, where, in a process of reflection in action in a hermeneutic spiral, scientific knowledge intersects with other experiential knowledge. A mix of knowledge that corresponds to the various patterns. These patterns coexist and interact with each other and the context, which turns nursing knowledge into a true ecology of knowledge. The systematization of nursing knowledge will be truly promising in the light of an epistemological pragmatism and an understanding of the operations of systematization that allow moving from personal knowledge to public knowledge. Public knowledge is systematized and validated to become scientific knowledge.
Cultura de los Cuidados Revista de Enfermería y Humanidades, 2016
Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original... more Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original theoretical reflection. Development: The notion of nursing as an ecology of knowledge calls for a clarification of the status of science that we assign to it. Nursing affirms itself as science in a context of paradigmatic transition, which, on the one hand, creates some difficulties, but, on the other hand, opens a wide range of opportunities. Nursing is action knowledge expressed in professionalized integral care, thus it is a practical human science. It is a science of plural knowledge. Conclusion: The specific knowledge of nursing results from a process situated in a given context, where, in a process of reflection in action in a hermeneutic spiral, scientific knowledge intersects with other experiential knowledge. A mix of knowledge that corresponds to the various patterns. These patterns coexist and interact with each other and the context, which turns nursing knowledge into a true ecology of knowledge. The systematization of nursing knowledge will be truly promising in the light of an epistemological pragmatism and an understanding of the operations of systematization that allow moving from personal knowledge to public knowledge. Public knowledge is systematized and validated to become scientific knowledge.
OBJECTIVE To analyze the history of the life and activism of Portuguese nurse Maria Augusta Sousa... more OBJECTIVE To analyze the history of the life and activism of Portuguese nurse Maria Augusta Sousa. METHOD Sousa's life story was obtained by means of semi-structured interview swith Sousa as the oral source of data. NVivo qualitative research software was used for data analysis. Content analysis focused on thematic analysis based on the theoretical and philosophical ideas of Michel Foucault, in particular, power and techniques of the self. RESULTS Alienation and political participation were revealed as pertinent issues. In techniques of production of activist subjects, the following were highlighted: the importance of the review of formal education; actions of involvement with the world, society and the profession; and finally, techniques of the self, techniques of constitution of activist subjects, professional identity and way of being. CONCLUSION The constitution of the nurse Maria Augusta Sousa as an activist came about through questioning of how to be, education in the cont...
OBJECTIVE Determining which is the most effective solution (heparin flush compared to 0.9% saline... more OBJECTIVE Determining which is the most effective solution (heparin flush compared to 0.9% saline flush) for reducing the risk of occlusions in central venous catheters (CVC) in adults. METHOD The systematic review followed the principles proposed by the Cochrane Handbook; critical analysis, extraction and synthesis of data were performed by two independent researchers; statistical analysis was performed using the RevMan program 5.2.8. RESULTS Eight randomized controlled trials and one cohort study were included and the results of the meta-analysis showed no difference (RR=0.68, 95% CI=0.41-1.10; p=0.12). Analysis by subgroups showed that there was no difference in fully deployed CVC (RR=1.09, CI 95%=0.53-2.22;p=0.82); Multi-Lumen CVC showed beneficial effects in the heparin group (RR=0.53, CI 95%=0.29-0.95; p=0.03); in Double-Lumen CVC for hemodialysis (RR=1.18, CI 95%=0.08-17.82;p=0.90) and Peripherally inserted CVC (RR=0.14, CI 95%=0.01-2.60; p=0.19) also showed no difference. CO...
Background. Brain diseases are a major health issue in modern societies, leading to multiple loss... more Background. Brain diseases are a major health issue in modern societies, leading to multiple losses and disruptions. Objective. Based on the question " Are stroke patients' quality of life and well-being also influenced by hospitalization and its duration and nature? " , this study aimed to characterize the patients' life situation upon returning home, assess the illness and recovery process, and understand how stroke patients experience hospital stay and discharge. Methodology. Qualitative, descriptive, exploratory study, using semi-structured interviews with a nonprobability sample of recent stroke patients. Results. Data were presented using three different approaches: a brief socio-demographic characteriza-tion; a description of the general meaning captured; and a detailed assessment of the themes identified. Mean age of 71 years (71.3±10.4); an average of 690 days since the ischemic episode; length of hospital stay between 9 and 61 days (x̄ =21 days). Intervie...
The knowledge of expert nurses and the practicalreflective rationality Objective: To identify the... more The knowledge of expert nurses and the practicalreflective rationality Objective: To identify the characteristics of an expert nurse. Methodology: A group of 49 nurses starting their Master's degree was asked to answer the following question: "Which characteristics and skills distinguish a novice from an expert nurse?" The answers were analyzed and classified based on Bardin's content analysis. Results: Through a three-stage classification process, the competences and skills assigned to expert nurses were divided into 17 categories. These nurses showed wide-ranging skills and acquired meta-competencies. Expert nurses are characterized by their leadership, supervision and ability to manage change, as well as their communication and relational skills. They have the ability to act reflectively, plan, systematize and consistently assess; they also show more dexterity. They have more adaptive skills, confidence and achieve a broader view. They are competent while managing conflicts and stress, as well as articulating theory and practice; they create knowledge, make use of research, respond to complex situations and are capable of making decisions. Conclusion: Expert nurses have anticipation skills, insight, use detailed observation, take immediate action and are able to define priorities; they keep context in mind and have a tendency for specialization.
Based on a literature review, we propose to reflect on the nature of nursing knowledge, resulting... more Based on a literature review, we propose to reflect on the nature of nursing knowledge, resulting in a synthesis. Human responses unfold on a stage of unpredictability, with the complexity of human beings and contexts, requiring robust conceptual framework for their understanding. The dialogic, hologramatic and recursive organizational principles are a starting point for understanding the facilitating action of transition processes for welfare. The answers to welfare and health problems, beyond the simple transfer of knowledge, are structured by and for practical action in a swinging movement from practice to theory and back to practice. Nursing finds the epistemological field as a practical human science with public and private knowledge, a process of translation in which knowledge is produced and implemented in a hermeneutical spiral.
Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original... more Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original theoretical reflection. Development: The notion of nursing as an ecology of knowledge calls for a clarification of the status of science that we assign to it. Nursing affirms itself as science in a context of paradigmatic transition, which, on the one hand, creates some difficulties, but, on the other hand, opens a wide range of opportunities. Nursing is action knowledge expressed in professionalized integral care, thus it is a practical human science. It is a science of plural knowledge. Conclusion: The specific knowledge of nursing results from a process situated in a given context, where, in a process of reflection in action in a hermeneutic spiral, scientific knowledge intersects with other experiential knowledge. A mix of knowledge that corresponds to the various patterns. These patterns coexist and interact with each other and the context, which turns nursing knowledge into a true ecology of knowledge. The systematization of nursing knowledge will be truly promising in the light of an epistemological pragmatism and an understanding of the operations of systematization that allow moving from personal knowledge to public knowledge. Public knowledge is systematized and validated to become scientific knowledge.
Cultura de los Cuidados Revista de Enfermería y Humanidades, 2016
Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original... more Objective: Contribute to situate and characterize the knowledge in nursing. Methodology: Original theoretical reflection. Development: The notion of nursing as an ecology of knowledge calls for a clarification of the status of science that we assign to it. Nursing affirms itself as science in a context of paradigmatic transition, which, on the one hand, creates some difficulties, but, on the other hand, opens a wide range of opportunities. Nursing is action knowledge expressed in professionalized integral care, thus it is a practical human science. It is a science of plural knowledge. Conclusion: The specific knowledge of nursing results from a process situated in a given context, where, in a process of reflection in action in a hermeneutic spiral, scientific knowledge intersects with other experiential knowledge. A mix of knowledge that corresponds to the various patterns. These patterns coexist and interact with each other and the context, which turns nursing knowledge into a true ecology of knowledge. The systematization of nursing knowledge will be truly promising in the light of an epistemological pragmatism and an understanding of the operations of systematization that allow moving from personal knowledge to public knowledge. Public knowledge is systematized and validated to become scientific knowledge.
OBJECTIVE To analyze the history of the life and activism of Portuguese nurse Maria Augusta Sousa... more OBJECTIVE To analyze the history of the life and activism of Portuguese nurse Maria Augusta Sousa. METHOD Sousa's life story was obtained by means of semi-structured interview swith Sousa as the oral source of data. NVivo qualitative research software was used for data analysis. Content analysis focused on thematic analysis based on the theoretical and philosophical ideas of Michel Foucault, in particular, power and techniques of the self. RESULTS Alienation and political participation were revealed as pertinent issues. In techniques of production of activist subjects, the following were highlighted: the importance of the review of formal education; actions of involvement with the world, society and the profession; and finally, techniques of the self, techniques of constitution of activist subjects, professional identity and way of being. CONCLUSION The constitution of the nurse Maria Augusta Sousa as an activist came about through questioning of how to be, education in the cont...
OBJECTIVE Determining which is the most effective solution (heparin flush compared to 0.9% saline... more OBJECTIVE Determining which is the most effective solution (heparin flush compared to 0.9% saline flush) for reducing the risk of occlusions in central venous catheters (CVC) in adults. METHOD The systematic review followed the principles proposed by the Cochrane Handbook; critical analysis, extraction and synthesis of data were performed by two independent researchers; statistical analysis was performed using the RevMan program 5.2.8. RESULTS Eight randomized controlled trials and one cohort study were included and the results of the meta-analysis showed no difference (RR=0.68, 95% CI=0.41-1.10; p=0.12). Analysis by subgroups showed that there was no difference in fully deployed CVC (RR=1.09, CI 95%=0.53-2.22;p=0.82); Multi-Lumen CVC showed beneficial effects in the heparin group (RR=0.53, CI 95%=0.29-0.95; p=0.03); in Double-Lumen CVC for hemodialysis (RR=1.18, CI 95%=0.08-17.82;p=0.90) and Peripherally inserted CVC (RR=0.14, CI 95%=0.01-2.60; p=0.19) also showed no difference. CO...
Background. Brain diseases are a major health issue in modern societies, leading to multiple loss... more Background. Brain diseases are a major health issue in modern societies, leading to multiple losses and disruptions. Objective. Based on the question " Are stroke patients' quality of life and well-being also influenced by hospitalization and its duration and nature? " , this study aimed to characterize the patients' life situation upon returning home, assess the illness and recovery process, and understand how stroke patients experience hospital stay and discharge. Methodology. Qualitative, descriptive, exploratory study, using semi-structured interviews with a nonprobability sample of recent stroke patients. Results. Data were presented using three different approaches: a brief socio-demographic characteriza-tion; a description of the general meaning captured; and a detailed assessment of the themes identified. Mean age of 71 years (71.3±10.4); an average of 690 days since the ischemic episode; length of hospital stay between 9 and 61 days (x̄ =21 days). Intervie...
The knowledge of expert nurses and the practicalreflective rationality Objective: To identify the... more The knowledge of expert nurses and the practicalreflective rationality Objective: To identify the characteristics of an expert nurse. Methodology: A group of 49 nurses starting their Master's degree was asked to answer the following question: "Which characteristics and skills distinguish a novice from an expert nurse?" The answers were analyzed and classified based on Bardin's content analysis. Results: Through a three-stage classification process, the competences and skills assigned to expert nurses were divided into 17 categories. These nurses showed wide-ranging skills and acquired meta-competencies. Expert nurses are characterized by their leadership, supervision and ability to manage change, as well as their communication and relational skills. They have the ability to act reflectively, plan, systematize and consistently assess; they also show more dexterity. They have more adaptive skills, confidence and achieve a broader view. They are competent while managing conflicts and stress, as well as articulating theory and practice; they create knowledge, make use of research, respond to complex situations and are capable of making decisions. Conclusion: Expert nurses have anticipation skills, insight, use detailed observation, take immediate action and are able to define priorities; they keep context in mind and have a tendency for specialization.
Based on a literature review, we propose to reflect on the nature of nursing knowledge, resulting... more Based on a literature review, we propose to reflect on the nature of nursing knowledge, resulting in a synthesis. Human responses unfold on a stage of unpredictability, with the complexity of human beings and contexts, requiring robust conceptual framework for their understanding. The dialogic, hologramatic and recursive organizational principles are a starting point for understanding the facilitating action of transition processes for welfare. The answers to welfare and health problems, beyond the simple transfer of knowledge, are structured by and for practical action in a swinging movement from practice to theory and back to practice. Nursing finds the epistemological field as a practical human science with public and private knowledge, a process of translation in which knowledge is produced and implemented in a hermeneutical spiral.
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