RESUMO Objetivo: descrever a experiência da integração entre dados quantitativos e qualitativos, por meio de uma pesquisa de métodos mistos. Método: trata-se de um relato de experiência da utilização dessa abordagem metodológica em um estudo de tese de doutorado em enfermagem sobre a governança da prática profissional de enfermagem no ambiente hospitalar. Resultados: o texto apresenta três tópicos principais: fundamentação teórica sobre as características e tipologias dos estudos de métodos mistos; procedimentos de coleta, análise e combinação dos dados; e benefícios e desafios da realização desse tipo de estudo. Conclusão: sustenta-se que a realização de uma pesquisa de métodos mistos permitiu a identificação de convergências e divergências entre os dados qualitativos e quantitativos, contribuindo para a produção de resultados que se complementam entre si.

The current scientific literature reports on the incidence of hearing impairments due to HIV/AIDS, and the hearing changes can occur due to damage to the outer, middle or inner ear. Thus, it is important to study how these changes occur, the hearing loss and their associations with the HIV/AIDS infection. To identify the factors related to hearing loss in people with HIV/AIDS in the global scientific literature. Study carried out an Integrative Review of the Literature. The key words used were: hearing loss, hearing disorders and deafness, separately associated to the keyword HIV on PUBMED, SciELO, LILACS and ISI databases. We used complete original papers, of free access, in English, Spanish, French and Portuguese. Thirteen quantitative studies from 1994-2010 were selected. We did not find any strong direct association between anti-retroviral therapy and hearing loss; however, there are indications of hearing loss in the population studied, and their associations and causes need to be better investigated.

The aim of this study was to identify the main health management issues in Brazil according to the opinion of managers who were intentionally chosen. Data was collected from July to November 2010, through key-informant interviews: two directors from national reference private hospitals, located in Southeast Brazil; and executive authorities of the Brazilian Unified Health System (SUS), one of each government level - municipal, state, and federal managers. SUS management was considered outdated; the system was defined as lacking stable funding and having flaws in planning and service assessment. Moreover, both sectors lack professionalization in management. In conclusion, SUS is still in consolidation and requires more resources, stable funding and management able to bring its principles and guidelines into reality. Management issues affect both public and private sectors and the public-private partnerships have not been oriented by public responsibility.

This Integrative Literature Review, sought to evidence and discuss the main characteristics of the concept of leadership and of the nurse leader, as well as their contributions to the practice of nursing and health from nursing scientific publications indexed in the database Medical Literature Analysis and Retrieval System Online (MEDLINE) and published between 1998 and 2008. Following the inclusion criteria, a total of 36 studies were selected for analysis, of these 89% (33 articles) were published in foreign journals and 11% (3) published in national journals. The profiles of nursing leaders encountered were the authentic and the authoritative, with the leadership evidenced as an organizational tool that combines communication, interpersonal relationships, planning, the commitment to success and the resolvability of conflicts. Education is presented as fundamental for the formation of leaders, relating directly the valorization of academic titles with the improvement of this competence.

Objectives: to validate the content and appearance of an educational game about first aid for schoolchildren with experts in education and health. Methods: this is a methodological, quantitative and descriptive research, carried out using the Delphi technique, using an online collection instrument, covering 55 items of the game. Content and appearance assessment was performed by 26 judges. The data were analyzed using Content Validity index. Results: the final prototype is presented in a board format, composed of four buildable pawns and 117 cards between questions, alerts and challenges. Overall Content Validity index of 0.95 and greater than 0.8 was obtained for all items in two Delphi rounds. Conclusions: the educational game validated by experts is a pedagogical tool for teaching first aid to schoolchildren as an option to traditional educational practices.

Objective: to understand how professional interaction takes place in the hospital organizational structure for the management of Permanent Education in Health, to guarantee patient safety and the quality of nursing care. Method: this is a qualitative study, which used the structuralist aspect of the Grounded Theory as a methodological framework. 27 interviewers participated in the study, who made up four sample groups. Results: six categories and 13 subcategories were presented, representing the studied phenomenon and highlighting particularities of the public health system and the influence of the manager’s support and management priority, the disposition of the organizational structure, the institutional culture, the external encouragement to institution, and the nurses’ initiative and leadership in the professional interaction for the management of the Permanent Education in Health, patient safety, and quality of care triad, revealing the need for cultural change through interdisciplinarity. Conclusion: the professional interaction in the hospital organizational structure requires the creation of new management models with an emphasis on more participative management, in order to improve the care processes in hospital institutions.