Revista gaucha de enfermagem / EENFUFRGS最新文献

Objective: To learn about the risk practices for foot complications among patients with type 2 Diabetes Mellitus and the role of nursing in promoting self-care, in light of Dorothea Orem.

Method: Qualitative study, anchored in the methodological framework of Thematic Oral History. It was conducted through semi-structured interviews with 39 patients with type 2 Diabetes Mellitus in Arapiraca/AL, from August to September 2023. The interviews were transcribed, textualized and transcreated, based on the methodological framework.

Results: Participants presented risk practices for foot complications due to inadequate footwear, foot warmers, use of instruments on the feet, inadequate nail trimming and walking barefoot. Nursing, from Dorothea Orem's perspective, is essential for user self-care because it provides guidance that prevents or mitigates risk practices for foot complications.

Conclusion: Lack of adherence to self-care practices has a multifactorial etiology and results in a risk of foot injuries. It was demonstrated that Orem's theory serves as a guide for nursing actions, aiming at care and educational practices to mitigate these risks.

Objective: To evaluate the implementation of the Thirst Management Model in the immediate postoperative period guided by the Knowledge Translation framework.

Method: A quasi-experimental study, in the Post Anesthesia Care Unit of a large university hospital in northern Paraná. Implementation took place in two phases: preparation and implementation and change. Data was collected by observing the practice of nursing professionals. The implementation process was evaluated by measuring adoption and aspects of fidelity, using descriptive analysis of the level of adherence to the evidence in the continuous improvement cycles and the reach of the target audience. The adoption of the Thirst Management Model at pre- and post-implementation times was compared using Chi-square.

Results: In the pre-implementation period, 236 events in the care provided by nursing professionals related to thirst management were observed, and 198 in the post-implementation period. Adoption of the evidence went from 28.2% pre-implementation to 78.4% post-implementation (p<0.001). The level of adherence exceeded the 70% target in one of the three cycles: 61.1%, 66.6%, 84.0%. The target audience was reached 100% in the first rapid cycle.

Conclusion: The use of the theoretical framework and its multifaceted intervention significantly increased the adoption of the Thirst Management Model.

Objective: To evaluate the implementation of the partogram as a facilitating technology in childbirth care and associated factors.

Method: Cross-sectional study conducted in a maternity hospital in the city of Divinópolis, MG, in 2023. A structured questionnaire on childbirth care was applied to the puerperal women, gathering clinical data and the pregnant woman's booklet. Descriptive statistical analysis of the data was performed, and Fisher's exact test, Pearson's Chi-square test and Mann Whitney test were used to verify associations. The results considered significance level at 5%.

Results: 213 puerperal women participated in the research. Effective best practices included the presence of a companion (94.4%) and the administration of oxytocin after the expulsion period (92.5%). Information about the partogram was obtained from 180 (84.5%) medical records. Among these, the prevalence of births that were monitored with the professionals' entries in the partogram was 36.6%. The partogram was more frequently completed in the records of married puerperal women (p=0.027) and those who had premature rupture of membranes (p=0.029).

Conclusions: The Partogram was implemented in an incipient manner in the maternity ward and was more frequently completed in the medical records of married puerperal women and those who had premature rupture of membranes.

Objectives: To understand the perceptions of obstetric nurses (midwives) about the work dynamics in the parturition process at hospitals from Porto Alegre/Rio Grande do Sul.

Method: Exploratory-descriptive study with a qualitative approach with 12 midwives Who worked at eight obstetric centers in the city, recruited using the snowball technique. Data collection was carried out by the application of a semi-structured instrument and electronically, from September to November of 2023. The data analysis technique was thematic.

Results: Midwives realize that their performance contributes to the rescue of physiological birth. The work of midwives in households was replaced by a non-collaborative and often interventionist model. Administrative demands, the staffing framework, and the relationships between professionals appear as factors that hinder the insertion of nurses in childbirth care.

Final considerations: The legislation does not guarantee autonomy to provide birth assistance. Implications for practice are the need for managers committed to implementing the collaborative birth care model and review in staffing for full autonomy of midwives in this scenario.

Objective: To present a study protocol to evaluate the efficacy of auricular acupuncture on compassion fatigue scores in nursing professionals, compared to the placebo group and control group.

Method: Randomized, controlled, double-blind, three-arm parallel clinical trial protocol, conducted with nursing professionals from a teaching hospital who present compassion fatigue. Volunteers will be randomly assigned to three groups to receive eight sessions of auricular acupuncture or follow-up. The primary outcome will be the compassion fatigue score, and the secondary outcome will be compassion satisfaction, measured by the Brazilian version of the Professional Quality of Life scale, and the depression, anxiety, and stress scores, measured by the Depression, Anxiety, and Stress scale, Brazilian version.

Expected results: The results may strengthen the validity of auricular acupuncture to mitigate compassion fatigue, enabling its incorporation as a mental health care strategy for the nursing team in the workplace.

Final considerations: This protocol aims to test the efficacy of auricular acupuncture for compassion fatigue in hospital nursing professionals. In addition, it may contribute to the management of these professionals' quality of life and support future research on the application of this therapy by nurses. Record identifier RBR-28xttdt.

Objective: To analyze the prediction of hemorrhagic transformation in patients with ischemic stroke undergoing thrombolytic therapy and its association with the nursing diagnosis "Risk of bleeding".

Method: Retrospective cohort study in patients with post-thrombolysis ischemic stroke from a hospital in Rio Grande do Sul from January 2019 to December 2021. The patient data were extrected from electronic medical records. After processing, univariable and multivariable analysis was conducted using Poisson regression with robust variance.

Results: 249 patients were analyzed, 43 (17.4%) had hemorrhagic transformation, hospitalization time was 8 (5-12.5) days and 25 (10%) died. The predictors of hemorrhagic transformation were: increased age, pre-thrombolysis National Institute of Health Stroke Scale score and use of oxygen therapy via nasal goggles and Hudson mask. The nursing diagnosis "Risk of bleeding" was not associated with hemorrhagic transformation.

Conclusion: The predictors found can improve the nursing diagnosis "Risk of bleeding", but there was no correlation observed between this and the occurrence of hemorrhagic transformation.

Objective: To analyze the reframing of the concept of Health Promotion by nursing professors.

Method: Action research, combined with Lev Vygotsky's historical-cultural approach, developed with professors from the undergraduate Nursing course at a state university, in 2023. Data was produced during an extension course, recording and transcribing the discussions that took place in five meetings on the topic. Thematic analysis led to four themes: The concept of Health Promotion: reframing meanings; Contradictions between HP teaching and nursing practices in the service; Teaching Health Promotion in graduation; Perception of participants regarding their own transformation.

Results: At first, health promotion was understood as synonymous with prevention and specific health actions. During discussions, the redefinition of the concept of health promotion was demonstrated by presenting elements of the concept, such as principles and guidelines, as well as discussions about the presence of behavioral and critical pedagogy models in health promotion.

Conclusion: Reframing implies the need for reviewing, reorganizing, and transforming of teaching based on the appropriation of the concept of health promotion, with the use of innovative teaching methodologies and strategies, allowing progress in the undergraduate Nursing course.

Objective: To verify the correlation between perceived social support and health-related quality of life among women diagnosed with cancer.

Method: Analytical cross-sectional study conducted in 2019 with a sample of 119 women diagnosed with cancer treated at a reference hospital for oncological treatment in the southern region of Minas Gerais. Data collection was carried out through interviews and medical record analysis. The Medical Outcomes Study social support scale and the European Organization for Research and Treatment of Cancer quality of life questionnaire were used. Statistical analysis was performed using Spearman's correlation test.

Results: There was a positive correlation between all types of social support and the emotional and social functions of quality of life. Emotional/information, affective, and positive social interaction supports were positively correlated with global health status and negatively correlated with appetite loss.

Conclusion: Higher social support scores were correlated with a better quality of life among the women with cancer assessed. By identifying the specific types of social support that can improve certain dimensions of quality of life, nursing professionals will be able to plan and implement interventions more effectively.

Objective: To understand the use of the Child Health Handbook in Primary Care from the perspective of family health professionals and mothers.

Method: Qualitative research, grounded in Symbolic Interactionism, with 25 family health professionals and 11 mothers, in a city in Northeast Brazil. The data were collected in the months of September and October 2020, through semi-structured interviews and submitted to inductive thematic analysis.

Results: The following thematic units were developed: "Use of the Child Health Handbook in Primary Care: the role of nursing", which revealed nurses as the professionals who most frequently observe and fill out the records in the handbook and guide mothers; and "Obstacles to the use of the Child Health Handbook in Primary Care", which highlighted the weaknesses in academic training and the unavailability of the handbook as obstacles to its use.

Conclusion: Nurses play a central role in monitoring child development using the Child Health Handbook in Primary Care. The work of nurses, as important members of the multiprofessional team, has the potential to give new meaning to this instrument for other professionals, and for mothers, positively impacting child development.