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The scope of this work was to identify the prevalence of domestic violence against non-institutionalized elderly individuals, and to establish if violence is an independent factor associated with the Physical Component (PC) and Mental Component (MC) scores of the Health-Related Quality of Life (HRQOL) of these elderly individuals. It is a cross-sectional epidemiologic and population-based investigation that is part of the SABE (Wellbeing, Health and Aging) study. A sample of 1,126 elderly individuals filled out the Short-Form 12 (SF-12) Health Survey, namely a generic instrument that assesses HRQOL through the Physical and Mental components. The prevalence of domestic violence against of the elderly was 10% (CI 95% 9.1-13.6). In the multiple analyses, violence against the elderly was significantly associated to the MC (β = -3.03; p = 0.000) and to the PC (β = -1.69; p = 0.017) of HRQOL, independently of the sociodemographic, health, family support, and functional incapacity covariables. The prevalence of domestic violence was high and compromised the physical and mental health of the elderly.

Objective: To examine whether religiousness mediates the relationship between sociodemographic factors, multimorbidity and health-related quality of life of older adults., Methods: This population-based cross-sectional study is part of the Survey on Health, Well-Being, and Aging (SABE). The sample was composed by 911 older adults from Sao Paulo, SP, Southeastern Brazil. Structural equation modeling was performed to assess the mediator effect of religiousness on the relationship between selected variables and health-related quality of life of older adults, with models for men and women. The independent variables were: age, education, family functioning and multimorbidity. The outcome variable was health-related quality of life of older adults, measured by SF-12 (physical and mental components). The mediator variables were organizational, non-organizational and intrinsic religiousness. Cronbach's alpha values were: physical component = 0.85; mental component = 0.80; intrinsic religiousness = 0.89 and family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) = 0.91., Results: Higher levels of organizational and intrinsic religiousness were associated with better physical and mental components. Higher education, better family functioning and fewer diseases contributed directly to improved performance in physical and mental components, regardless of religiousness. For women, organizational religiousness mediated the relationship between age and physical (β = 2.401, p < 0.01) and mental (β = 1.663, p < 0.01) components. For men, intrinsic religiousness mediated the relationship between education and mental component (β = 7.158, p < 0.01)., Conclusions: Organizational and intrinsic religiousness had a beneficial effect on the relationship between age, education and health-related quality of life of these older adults.

This study aimed to perform the cultural adaptation and analyzing the psychometric properties of the Brazilian version of the Underwood's Daily Spiritual Experience Scale (DSES). The adaptation followed the internationally recommended procedures and the adapted version maintained equivalence to the original after wording adjustments in five items. In the application to 179 medical-surgical patients it was found evidences of internal consistency (Cronbach's alpha=0.91), test-retest reliability (ICC=0.94) and convergent validity, correlating with the Intrinsic Religiosity subscale of the Duke Religious Index DUREL (r=0.56, p<0.001). Exploratory factor analysis extracted three principal components explaining 60.5% of the total variance. The DSES-Brazilian version shows evidences of reliability and validity among hospitalized patients. Further studies are needed to confirm its factor composition and to test its applicability in different populations.

The aim of this study is to make the Quality of Life Instrument for Youths with Type 1 Diabetes available, considering that there are no specific instruments to evaluate the Health Related Quality of Life of Youths with type 1 Diabetes in Brazil. This instrument is derived from the American instrument "Diabetes Quality of Life for Youths". The methods recommended in literature were used for the adaptation to the Brazilian culture and validation. The instrument includes 50 items distributed in the domains: Satisfaction (17 items) Impact (22 items) and Concerns (11 items). Its use demonstrated that its psychometric properties were adequate for its use in our environment.

It is noticeable the greater focus on scientific production in Graduate courses compared to the attention given to the preparation for teaching practices. This is a relevant issue considering the importance of having Masters and Doctors also prepared to form professionals in their area. This article discusses some aspects of the preparation of Graduate level students enrolled in the Teaching Improvement Program (Programa de Aperfeiçoamento de Ensino, PAE), which the University of São Paulo offers. It also describes the experience of students who participate in the program, emphasizing its contribution to the development of competences for college teaching in Nursing.

Therapeutic Intervention Scoring System-28 (TISS-28) is a tool that enables the measurement of the nursing work load in Intensive Care Units and the estimate of how grave the disease is. In this study are presented the operational definitions for its application, proposed by a group of specialists in the area, with the aim of rendering uniform the meaning of each of the items and preventing interpretation biases.

Objective: To analyze the quality of life of children with stomas according to the children and mothers' point of view; to compare the results related to quality of life in both groups, and to verify the statistical associations between those aspects and children's demographic and clinical data., Methods: After fulfilling ethical requirements, the specific data were obtained using the Autoquestionnaire Qualité de Vie Enfant Imagé, adapted and validated for Brazilian culture and also for this study by Assumpção Jr. et al. It is composed by 26 questions, 18 of them are distributed among four factors: Functions, Family, Autonomy and Leisure., Results: Twenty children, aged 4 to 12 years, from a Specialized Outpatient Ostomy Care Center for Children and their respective mothers answered the questionnaire. Ten boys and 10 girls participated, their mean age was 8.7 (SD = 2.64) years, with the predominance of Caucasians (55.0%), and elementary education level (65.0%). Clinical profile shows a predominance of urinary stomas (55.0%) caused by congenital diseases (60.0%). Related to quality of life, the total mean scores were 51.95 (SD = 7.90) and 49.60 (SD = 5.60), respectively for children and mothers, without statistically significant difference. Regarding each factor, the patients' scores were 8.14, 8.29, 10.27 and 11.41, respectively for autonomy, leisure, functions and family. Some statistically significant associations were verified between education level and mothers' quality of life (r = -0.56) and children's quality of life (r = -0.63), and also between mothers' quality of life and family (r = 0.86), autonomy (r = 0.60) and functions (r = 0.59)., Conclusion: This study improves the comprehension about quality of life of children with stoma as well as some of these aspects on their mother's point of view.

The study had the purpose to investigate aspects of the ICUs from the Municipal district of São Paulo, regarding the composition of the clinical staff; characteristics of the nursing personnel and nurses' characterization. Data were collected through 47 questionnaires distributed in 32 hospitals. Results show that: the morning and the afternoon shifts have a larger number of people from all clinical categories, the majority of the nursing personnel work 36 hours per week, nurses' wages varied from 700 to 1,500 "reais" and 66.1% of them were enrolled in Master Programs. Authors concluded that 79.2% of the clinical staff was formed by the nursing personnel.

The purposes of this research was to identify the activities developed by the nurses after undergraduation course at the School of Nursing of the University of São Paulo and to characterize their insertion in Intensive Care Units (ICUs), in relation to have been or not their first area of job, their previous experience in ICU, the specific initial training and difficulties faced to take on the ICU activities. The population was composed by nurses graduated between 1991 and 1995. A rol of names, addresses and telephone numbers was obtained at the school office. Two hundred and thirty five questionnaires were sent by mail and 117 (49.8%) were returned. The majority of the respondents (90.5%) were working as nurses, mainly in hospitals, which was the most indicated area of work (76.2%). Almost half of the informants (47.0%) said they worked or were working in ICUs and for 54.5% of them, this was their first job; 52.8% had no previous experience in ICU. Although 64.1% of these nurses had received a specific initial training, some difficulties to take on the ICU activities were faced: lack of knowledge and psychomotor skills (45.4%), handling equipments (25.8%) and relationship with the multiprofessional and the nursing team (8.2%).

This study is part of a project about ICU's characteristics in São Paulo city. This article describes the continuing education programs for nursing staff. 43 ICUs were analysed and the questionnaire answered by the ICU nurse coordinator was used to collect data. Results showed that 34 (79.1%) of the ICUs have initial program for training each nursing staff category and 18 (41.9%) had regular continuing education program focusing primarily on nursing procedures and routines and the update in pathologies. Continuing education programs are developed primarily by ICU's nurses. 50.2% of the nurses answered that they attended specialisation/extension courses too, in Medical Surgical Nursing or in other areas or in both areas. Due to this result and the development of the ICU's nurses as specialists, some suggestions are presented to improve the continuing education program in these Units.

The purpose of this study was to analyse the contribution of the Extension Courses in the Intensive Care held at the Nursing School from USP, with the aim to: 1) Follow up nurses in their work at the ICU. 2) Evaluate the contribution offered by the course. The population was formed by 38 nurses, considering that 60.5% didn't work in the ICU anymore mainly because they assumed another function in the institution and had several private problems. Regarding the contribution offered by the course, the main evaluation was the acquirement of knowledge (91.7%). However, 74.2% of the nurses declared the course didn't contribute to the increase of their wage, what do not impair them from investing in their professional improvement.

This study is the first part in a series of the articles reporting results of a project conducted to analyse the structural resources of ICUs in São Paulo city. This article describes the characteristics of those Units, considering the quantity and geographic location, bed number, maintainer entity, type of assistance, type of client, as well the percentage of beds usage and length of stay. Forty three ICUs were analysed and a questionnaire answered by the ICU nurse coordinator was used to collect data. The results showed that the number of ICUs in the hospital varied from 1 to 4, being more frequently those with only one ICU (68.8%). 79.2% of the Units were in private hospitals, located in the central area of the city. ICU beds represented 8.0% of the total hospital beds and there was an average of 10 beds per Unit. There was a predominance of general ICUs (60.5%), destined only for adult patients (51.2%) and for clinical-surgical treatment (95.3%). The percentage of beds usage in majority of ICU was between 80 to 100% and the length of stay was 4,5 days.

The present study aims at reporting the experience of construction of an interinstitutional relationship: university and health services, pointing out the possibilities and difficulties of the process.

The purposes of this study were to identify the meaning of the quality of life for the people who suffer from Diabetes Mellitus, to recognize the aspects which affect most their lives due to this disease and the degree of the satisfaction in their lives as well. Participated in this research forty-six (46) diabetic patients, adults of both sexes, who were in a polyclinic for treatment. The results showed that the meaning of the quality of life had priority related to the physical well-being (54.5%), to the social and economical stability (26.0%), and to the spiritual and emotional well-being (16.9%). The most affected aspects due to this disease were: studying and home activities (38.5%) physical ability (25.6%) and family relationship (10.3%). Concerning about the degree of satisfaction with their lives, the majority of them (66.6%) considered themselves satisfied or very satisfied. It is worth while to point out the importance of considering the multimensionality of the concept of quality of life while attending the diabetic person.

The present study has the following objectives: to identify the significance of the quality of life of people with chronic illness and verify its interference in their quality of life. We have studied 71 people of both sexes, attended in the clinical settings of 2 public hospitals. The most common diagnoses were high blood pressure and diabetes mellitus. The significance of quality of life to interviewed people was related mainly to material comfort (40.9%); physical comfort (23.9%) and emotional comfort (11.2%). Chronic illness interfered in their quality of life because it has changed, especially, their physical capacity (67.6%), their work/study/home activities (64.8%) and their self-esteem (53.5%). Based on the results, we emphasize the importance of nursing in the adaptation process of people and their relatives considering the limitations of chronic illness.

The goal of this study was to analyse some practicing, teaching and learning aspects of physical examination done by ICU's nurses. It was accomplished with 26 ICU nurses that concluded the Intensive Care Nursing Specialization Course at the School of Nursing at São Paulo University. The results showed that 31 (68.9%) of the 45 presented items were done frequently by more than 50% of the nurses. The professional practice was considered the most important moment to physical examination learning. The responsibility by teaching was attributed to undergraduation course by 69.2% of the nurses.

The nursing care is based on the nursing assessment. In the nurse's professional activity there aren't clarity and consensus about the clinical entities, problems or phenomenons that nurses intended to care. Difficulties in deciding what should be collected are determined by this indefinition, that it is also present in nursing graduate courses. In this article the authors discuss that the Nursing Diagnosis can be the framework for the nursing assessment.

The goal of this study was to analyse the teaching-learning process of the pupil examination, in two aspects: the pupil diameter (DP), obtained by measurement and photomotor reflex (RFM), by subjective judgement. The sample was composed by 46 students of 4th semester in Nursing Undergraduate Course of University of São Paulo. The study was developed in two phases: the first was at nursing laboratory and the second, at clinical practice. The findings seemed to indicate that the learning was done because there was high level of agreement among students in their observation, development of an ability and a specific knowledge. The major difficulties was at clinical practice.

The purpose of this study was to characterize the hospitals of the municipality of São Paulo, with or without Intensive Care Units (ICU). It was analysed the maintainers entities of these hospitals, the type of assistance, and their geographic localization in accordance to the proposition of SUDS (Unificated and Decentralized System of Health). The results demonstrated that there is an uneven distribution of those resources with concentration in central areas, predominance of general and private hospitals and the use of those resources have been difficult to population.

This study characterizes some rehabilitation's agencies which provide assistance to deficients from Grande São Paulo. Analysis of data showed: the inadequate number and geographic distribution of theses institutions; the predominance of private agencies which promote variable services; just two agencies offered nursing services; the major group of patients was childrens and adolescents of both sexes. The authors believe that it's fundamental to make a reflexion about the resources to assist the deficient patients, the quality of the assistance and the effective participation of the nurse in this process.

Students and "instructors" opinions were collected on the teaching of the Medical Nursing I program (for undergraduates) and on their experience on the respiratory, cardiologic, neurological, digestive and renal hospital units. 63.2% of the students felt the objectives had been reached, 77.2% that there was "some uniformity" of teaching each unit, that their hospital experience had been satisfactory in both quality and quantity in all units but in the Neurology units (one of these units was being remodeled and could not be used), that bibliography was sufficcient and adequate (73.7%), that there had been correlation between theory and practice in all units, and that evaluation had been satisfactory. Evaluation by instructors of some itens was not very different.

The Nursing Assistance was organized by the teachers of Medical-Surgical Nursing of the University of São Paulo (Brasil) School of Nursing. The evaluation was made by both clients-technical, administrative and domestic personnel of the School - and teachers responsible for the services. Both groups mentioned satisfaction with the attendance received or rendered and made suggestions for their improvement.

This is a study about the students' about the teaching - apprenticeship process used for Medical-Surgical Nursing at the University of São Paulo School of Nursing, and their evaluation of the program. It also contains students' suggestion on the teaching method employed.

Urine Type I laboratorial exam anl it's physical, chemical and microscopic characteristics are presented, as novell as the care needed for it's collection, order to oftain accurate results in the analysis of urianry elements.