Pub Date : 2022-10-18DOI: 10.15253/2175-6783.20222380705
Fabiane Blanco Silva Bernardino, Emanuelly Wedja do Nascimento Lima E Silva, Ronaldo Antônio da Silva, Leandro Felipe Mufato, Cláudia Silveira Vieira, M. A. Gaíva
Objective: to understand the experience of family members in the care of preterm newborns discharged from the Neonatal Intensive Care Unit. Methods: qualitative study, developed with 16 family members of preterm newborns discharged from a neonatal unit through semi-structured interviews. Data were submitted to thematic content analysis. Results: three categories were listed: Family members' rearrangements in the care of the preterm newborn at home; recognizing the specific care needs of the preterm child; and care in the face of complications and sequelae resulting from prematurity. Conclusion: family members recognize that the preterm newborn requires differentiated care and, therefore, experience a reorganization of their daily lives to promote the care of the child after discharge from the neonatal unit. Contributions to practice: this study points out the relevance of the nurse's work with families in neonatal units by strengthening family skills so that they can undertake care, so that it can be offered safely and meet the health demands that arise on a daily basis at home, in addition to guiding them about the need for monitoring the child after discharge.
{"title":"Experience of family members in the care of preterm newborns discharged from a neonatal intensive care unit","authors":"Fabiane Blanco Silva Bernardino, Emanuelly Wedja do Nascimento Lima E Silva, Ronaldo Antônio da Silva, Leandro Felipe Mufato, Cláudia Silveira Vieira, M. A. Gaíva","doi":"10.15253/2175-6783.20222380705","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380705","url":null,"abstract":"Objective: to understand the experience of family members in the care of preterm newborns discharged from the Neonatal Intensive Care Unit. Methods: qualitative study, developed with 16 family members of preterm newborns discharged from a neonatal unit through semi-structured interviews. Data were submitted to thematic content analysis. Results: three categories were listed: Family members' rearrangements in the care of the preterm newborn at home; recognizing the specific care needs of the preterm child; and care in the face of complications and sequelae resulting from prematurity. Conclusion: family members recognize that the preterm newborn requires differentiated care and, therefore, experience a reorganization of their daily lives to promote the care of the child after discharge from the neonatal unit. Contributions to practice: this study points out the relevance of the nurse's work with families in neonatal units by strengthening family skills so that they can undertake care, so that it can be offered safely and meet the health demands that arise on a daily basis at home, in addition to guiding them about the need for monitoring the child after discharge.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"8 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83177992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.15253/2175-6783.20222381043
Jamile Mineu Pereira, N. G. Guedes, Viviane Martins da Silva, R. E. Carvalho
Objective: to develop and validate an instrument to assess the knowledge of oncology nurses about the fully implanted central venous catheter. Methods: this is a methodological study. The instrument was built based on an integrative review and included 25 questions (10 about general aspects of the device and puncture; 10 about heparinization and complications; and 5 about the dressing). After construction, the instrument was evaluated by five experts, in a single round, in four items, on the adequacy of the questions to the objectives of the instrument, the valuation of the questions, the content and the clarity of each question. Adequacy was confirmed by the minimum Concordance Index of 80%. Results: all items in the questions about heparinization and complications were considered adequate, and two questions about general aspects and puncture and one question about dressing had an agreement rate of 60%. Changes were made as suggested by experts. Conclusion: the instrument, for the most part, presented clear, relevant questions that serve the purpose. Contributions to practice: it is expected to contribute with institutions and with a safe care of nurses who assist cancer patients with fully implanted catheters.
{"title":"Development and validation of an instrument to assess the knowledge of oncology nurses about a fully implanted catheter","authors":"Jamile Mineu Pereira, N. G. Guedes, Viviane Martins da Silva, R. E. Carvalho","doi":"10.15253/2175-6783.20222381043","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381043","url":null,"abstract":"Objective: to develop and validate an instrument to assess the knowledge of oncology nurses about the fully implanted central venous catheter. Methods: this is a methodological study. The instrument was built based on an integrative review and included 25 questions (10 about general aspects of the device and puncture; 10 about heparinization and complications; and 5 about the dressing). After construction, the instrument was evaluated by five experts, in a single round, in four items, on the adequacy of the questions to the objectives of the instrument, the valuation of the questions, the content and the clarity of each question. Adequacy was confirmed by the minimum Concordance Index of 80%. Results: all items in the questions about heparinization and complications were considered adequate, and two questions about general aspects and puncture and one question about dressing had an agreement rate of 60%. Changes were made as suggested by experts. Conclusion: the instrument, for the most part, presented clear, relevant questions that serve the purpose. Contributions to practice: it is expected to contribute with institutions and with a safe care of nurses who assist cancer patients with fully implanted catheters.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"44 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74223581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.15253/2175-6783.20222381191
Anniely Rodrigues Soares, Anna Tereza Alves Guedes, Daniele de Souza Vieira, Rafaella Karolina Bezerra Pedrosa, B. Toso, N. Collet, Altamira Pereira dos Santos Reichert
Objective: to understand the perception of health professionals and mothers about the Children's Handbook. Methods: qualitative study, developed in Family Health Units, with 25 professionals and 11 mothers of children under three years old by means of semi-structured interviews. The empirical material was submitted to Inductive Thematic Analysis and interpreted in the light of Symbolic Interactionism. Results: Child Health Handbook was seen as a multi-professional and intersectoral tool that allows continuity of care, guides the professional's conduct and the care of the child's family. However, it was still seen as a vaccination card. As for use, weaknesses were mentioned during home visits and in professionals' records. In addition, mothers only used it when they took the child to the health service. Conclusion: professionals and mothers presented distinct opinions about the Child Health Notebook. Some considered it as an extension of the medical record and others as a tool like the child's card, being used by specific professionals and at specific times. Contributions to practice: the data reveal meanings and perceptions of the health team and mothers about the Child's Health Handbook and its use, bringing contributions to the scientific knowledge on the subject.
{"title":"Perception and use of the Child's Health Handbook by professionals and mothers: an interactionist approach","authors":"Anniely Rodrigues Soares, Anna Tereza Alves Guedes, Daniele de Souza Vieira, Rafaella Karolina Bezerra Pedrosa, B. Toso, N. Collet, Altamira Pereira dos Santos Reichert","doi":"10.15253/2175-6783.20222381191","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381191","url":null,"abstract":"Objective: to understand the perception of health professionals and mothers about the Children's Handbook. Methods: qualitative study, developed in Family Health Units, with 25 professionals and 11 mothers of children under three years old by means of semi-structured interviews. The empirical material was submitted to Inductive Thematic Analysis and interpreted in the light of Symbolic Interactionism. Results: Child Health Handbook was seen as a multi-professional and intersectoral tool that allows continuity of care, guides the professional's conduct and the care of the child's family. However, it was still seen as a vaccination card. As for use, weaknesses were mentioned during home visits and in professionals' records. In addition, mothers only used it when they took the child to the health service. Conclusion: professionals and mothers presented distinct opinions about the Child Health Notebook. Some considered it as an extension of the medical record and others as a tool like the child's card, being used by specific professionals and at specific times. Contributions to practice: the data reveal meanings and perceptions of the health team and mothers about the Child's Health Handbook and its use, bringing contributions to the scientific knowledge on the subject.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"12 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74775494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.15253/2175-6783.20222381367
Ana Clara Dantas, Jéssica Naiara de Medeiros Araújo, Bárbara Ebilizarda Coutinho Borges, Amanda Benício da Silva, Hanna Priscilla da Silva Medeiros, Leandro Carvalho de Melo, Allyne Fortes Vitor
Objective: to map existing evidence on spiritual care for patients hospitalized with COVID-19. Methods: scoping review developed in accordance with methodological processes developed by the Joanna Briggs Institute, carried out through a search in the data bases SCOPUS, Science Direct, MEDLINE, Web of Science, CINAHL, and Google Scholar®, in addition to a reverse search in the works selected. The review included studies with evidence on the topic at hand, which had been published in any language, in any time frame. Results: 19 studies were analyzed, and 8 different spiritual care interventions were mapped, which were: listening to the spiritual pain of the patient; grief support; on-line video tools with content on faith and resilience; on-line calls with relatives; availability of religious representatives; spiritual triage; training professionals to provide spiritual care; and music therapy as an instrument of spirituality. Conclusion: this review allowed mapping the evidence about spiritual care in patients hospitalized with a diagnosis of COVID-19, addressing strategies to bring spirituality into health care. Contributions to practice:this study contributes for the advancement of the practice of nursing regarding spirituality and patients with COVID-19, providing subsidies to use spirituality as a tool to support care and facilitate dealing with difficult situations.
目的:整理COVID-19住院患者精神护理的现有证据。方法:根据乔安娜布里格斯研究所制定的方法学流程进行范围审查，通过在SCOPUS、Science Direct、MEDLINE、Web of Science、CINAHL和谷歌Scholar®数据库中进行搜索，并对所选作品进行反向搜索。这项审查包括了在任何时间框架内以任何语言发表的、对当前主题有证据的研究。结果:对19项研究进行分析，绘制出8种不同的精神护理干预措施，分别为:倾听患者的精神痛苦;悲伤的支持;以信仰和韧性为内容的在线视频工具;与亲戚在线通话;有无宗教代表;精神分流;培训专业人员提供精神关怀;音乐疗法是一种精神疗法。结论:本综述可以绘制出诊断为COVID-19的住院患者的精神护理证据，并提出将精神护理纳入医疗保健的策略。对实践的贡献:本研究有助于推进关于精神和COVID-19患者的护理实践，为使用精神作为支持护理和促进处理困难情况的工具提供补贴。
{"title":"Spiritual care in patients hospitalized with COVID-19: scoping review","authors":"Ana Clara Dantas, Jéssica Naiara de Medeiros Araújo, Bárbara Ebilizarda Coutinho Borges, Amanda Benício da Silva, Hanna Priscilla da Silva Medeiros, Leandro Carvalho de Melo, Allyne Fortes Vitor","doi":"10.15253/2175-6783.20222381367","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381367","url":null,"abstract":"Objective: to map existing evidence on spiritual care for patients hospitalized with COVID-19. Methods: scoping review developed in accordance with methodological processes developed by the Joanna Briggs Institute, carried out through a search in the data bases SCOPUS, Science Direct, MEDLINE, Web of Science, CINAHL, and Google Scholar®, in addition to a reverse search in the works selected. The review included studies with evidence on the topic at hand, which had been published in any language, in any time frame. Results: 19 studies were analyzed, and 8 different spiritual care interventions were mapped, which were: listening to the spiritual pain of the patient; grief support; on-line video tools with content on faith and resilience; on-line calls with relatives; availability of religious representatives; spiritual triage; training professionals to provide spiritual care; and music therapy as an instrument of spirituality. Conclusion: this review allowed mapping the evidence about spiritual care in patients hospitalized with a diagnosis of COVID-19, addressing strategies to bring spirituality into health care. Contributions to practice:this study contributes for the advancement of the practice of nursing regarding spirituality and patients with COVID-19, providing subsidies to use spirituality as a tool to support care and facilitate dealing with difficult situations.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"31 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77707450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-18DOI: 10.15253/2175-6783.20222381344
Iara Sescon Nogueira, Emanuella Regina Vilhena da Silva, M. Z. Gallina, F. Constantino, Everson Manjinski
Objective: to understand the knowledge and preventive practices of elderly people about COVID-19. Methods: qualitative research developed with 11 elderly people living in a condominium for the elderly. Data were obtained using the technique of individual interviews and then submitted to lexicographic analysis by means of the Descending Hierarchical Classification using the software IRaMuTeQ®; and discussion in the light of the literature on COVID-19. Results: six classes emerged: Building knowledge and preventive practices about COVID-19; Emotional consequences; Preventive and control practices; Recognition and importance of prevention strategies; Physical, social, and economic impacts; and Individual and collective risk factors. Conclusion: the elderly understands the negative consequences of COVID-19, identifying the individual and collective risk factors, learned based on experiences during the pandemic, previous experiences, dialogues, and sources of information. They recognize the importance of preventive practices, carrying out care in the home and urban environment. Contributions to practice: the study contributes positively to the care of the elderly with the construction of knowledge about COVID-19, especially in the context of elderly residents in a condominium for the elderly, sensitizing and grounding health professionals to plan and develop problematizing educational actions, impacting on professional practice.
{"title":"Elderly people's knowledge and preventive practices about COVID-19","authors":"Iara Sescon Nogueira, Emanuella Regina Vilhena da Silva, M. Z. Gallina, F. Constantino, Everson Manjinski","doi":"10.15253/2175-6783.20222381344","DOIUrl":"https://doi.org/10.15253/2175-6783.20222381344","url":null,"abstract":"Objective: to understand the knowledge and preventive practices of elderly people about COVID-19. Methods: qualitative research developed with 11 elderly people living in a condominium for the elderly. Data were obtained using the technique of individual interviews and then submitted to lexicographic analysis by means of the Descending Hierarchical Classification using the software IRaMuTeQ®; and discussion in the light of the literature on COVID-19. Results: six classes emerged: Building knowledge and preventive practices about COVID-19; Emotional consequences; Preventive and control practices; Recognition and importance of prevention strategies; Physical, social, and economic impacts; and Individual and collective risk factors. Conclusion: the elderly understands the negative consequences of COVID-19, identifying the individual and collective risk factors, learned based on experiences during the pandemic, previous experiences, dialogues, and sources of information. They recognize the importance of preventive practices, carrying out care in the home and urban environment. Contributions to practice: the study contributes positively to the care of the elderly with the construction of knowledge about COVID-19, especially in the context of elderly residents in a condominium for the elderly, sensitizing and grounding health professionals to plan and develop problematizing educational actions, impacting on professional practice.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"49 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77110061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222380688
Rute Xavier Silva, G. G. D. M. Sá, R. Q. Souto, Josicleide Montenegro da Silva Guedes Alcoforado, Lívia Moreira Barros, Hákilla Pricyla de Jesus Souza, Nelson Miguel Galindo Neto
Objective: to unveil experts’ experiences on traces not preserved by health and safety professionals. Methods: qualitative research developed with 27 criminal experts through telephone interview. Data were processed in IraMuTeQ and analyzed by the Descending Hierarchical Classification. Results: four thematic classes were obtained that evidenced the existence of a communication gap with the pre-hospital service experienced by experts, who believe that training of these professionals and police officers is necessary. In cases of differentiation between suicide and homicide, experts experience corpse mobilization, in addition to weapon removal from the original location. Health professionals mischaracterize the victim’s corpse and leave health care objects, such as gloves and syringes, in place, while police mischaracterize the scene, move objects and do not adequately isolate the scene. Conclusion: experts experience forensic traces not preserved by health and safety professionals in the position of objects and the victim’s corpse, feel a communication gap and point out the need for training and awareness of professionals. Contribution to practice: the findings can redirect the training of police officers and health professionals who work with crime situations.
{"title":"Criminal experts’ experience on forensic traces not preserved by health and safety professionals","authors":"Rute Xavier Silva, G. G. D. M. Sá, R. Q. Souto, Josicleide Montenegro da Silva Guedes Alcoforado, Lívia Moreira Barros, Hákilla Pricyla de Jesus Souza, Nelson Miguel Galindo Neto","doi":"10.15253/2175-6783.20222380688","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380688","url":null,"abstract":"Objective: to unveil experts’ experiences on traces not preserved by health and safety professionals. Methods: qualitative research developed with 27 criminal experts through telephone interview. Data were processed in IraMuTeQ and analyzed by the Descending Hierarchical Classification. Results: four thematic classes were obtained that evidenced the existence of a communication gap with the pre-hospital service experienced by experts, who believe that training of these professionals and police officers is necessary. In cases of differentiation between suicide and homicide, experts experience corpse mobilization, in addition to weapon removal from the original location. Health professionals mischaracterize the victim’s corpse and leave health care objects, such as gloves and syringes, in place, while police mischaracterize the scene, move objects and do not adequately isolate the scene. Conclusion: experts experience forensic traces not preserved by health and safety professionals in the position of objects and the victim’s corpse, feel a communication gap and point out the need for training and awareness of professionals. Contribution to practice: the findings can redirect the training of police officers and health professionals who work with crime situations.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"36 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90774289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222380876
B. H. Fiorin, Beatriz Costa, Lucas Dalvi Armond Rezende, Alcy Leal Aranha, Bruna Moraes Barbieri, Walckiria Garcia Romero Sipolatti, R. L. Moreira
Objective: to identify the risk factors for surgical site infection in patients after heart procedure. Methods: integrative literature review by searching the Medical Literature Analyses and Retrieval System online, Latin American and Caribbean Literature on Health Sciences, Scientific Electronic Library Online, Nursing Database. The search for the articles occurred during the month of February 2022. Results: 24 articles were eligible for the review. In all studies, the population was mostly male, aged between 51 and 70 years, who underwent elective myocardial revascularization surgery. The main comorbidities presented were diabetes mellitus, hypertension, and obesity. The infection rates ranged from 2.4% to 38.9%, and the main pathogen identified was Staphylococcus aureus. Conclusion: the main comorbidities present in patients who manifested surgical site infection were diabetes, hypertension, obesity, and smoking. The risk factors were gender, age, and prolonged preoperative hospitalization. Antibiotic prophylaxis, trichotomy, nasal decolonization, and adequate skin antisepsis were the most adopted prophylactic measures. Contributions to practice: knowing the profile of patients who developed infection may favor planning risk control actions.
{"title":"Surgical site infection in adult patients after heart procedures: an integrative review","authors":"B. H. Fiorin, Beatriz Costa, Lucas Dalvi Armond Rezende, Alcy Leal Aranha, Bruna Moraes Barbieri, Walckiria Garcia Romero Sipolatti, R. L. Moreira","doi":"10.15253/2175-6783.20222380876","DOIUrl":"https://doi.org/10.15253/2175-6783.20222380876","url":null,"abstract":"Objective: to identify the risk factors for surgical site infection in patients after heart procedure. Methods: integrative literature review by searching the Medical Literature Analyses and Retrieval System online, Latin American and Caribbean Literature on Health Sciences, Scientific Electronic Library Online, Nursing Database. The search for the articles occurred during the month of February 2022. Results: 24 articles were eligible for the review. In all studies, the population was mostly male, aged between 51 and 70 years, who underwent elective myocardial revascularization surgery. The main comorbidities presented were diabetes mellitus, hypertension, and obesity. The infection rates ranged from 2.4% to 38.9%, and the main pathogen identified was Staphylococcus aureus. Conclusion: the main comorbidities present in patients who manifested surgical site infection were diabetes, hypertension, obesity, and smoking. The risk factors were gender, age, and prolonged preoperative hospitalization. Antibiotic prophylaxis, trichotomy, nasal decolonization, and adequate skin antisepsis were the most adopted prophylactic measures. Contributions to practice: knowing the profile of patients who developed infection may favor planning risk control actions.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"10 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82239787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222378693
C. Santana, Magda Lúcia Féllix de Oliveira, Mirella Machado Ortiz Modesto, Márcia Regina Jupi Guedes, Paola Kallyanna Guarneri Carvalho de Lima, Giovana Alves Santos
Objective: to analyze readmissions and deaths of hospitalized patients due to the effects of alcohol abuse. Methods: documentary, longitudinal and retrospective study, by analysis of hospital records, carried out in a teaching hospital, by descriptive analysis, univariate association, using Pearson's chi-square test. Results: 399 readmissions of 278 patients were analyzed. Two hospitalizations predominated (69.6%). Most were male (85.2%), and the mean age was 47.15 years (± 13.91); 91.2% were readmissions due to the use of alcoholic beverages, with 45.3% of complications associated with injuries, poisoning and external causes of morbidity and mortality. Twenty-seven (9.7%) patients died. The readmissions of retirees/housewives had an odds ratio of 3.0 of progressing to death. Conclusion: the analysis showed prevalent readmissions and mortality in males, productive age group, with a significant association of risk in intensive care patients and cause of death associated with complications of chronic alcohol use. Contributions to practice: the identification of the causes of readmissions helps nursing professionals in the early recognition of signs of severity and serves as a subsidy for the development of prevention strategies and actions to improve the care network.
{"title":"Readmissions and deaths from complications associated with alcohol abuse","authors":"C. Santana, Magda Lúcia Féllix de Oliveira, Mirella Machado Ortiz Modesto, Márcia Regina Jupi Guedes, Paola Kallyanna Guarneri Carvalho de Lima, Giovana Alves Santos","doi":"10.15253/2175-6783.20222378693","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378693","url":null,"abstract":"Objective: to analyze readmissions and deaths of hospitalized patients due to the effects of alcohol abuse. Methods: documentary, longitudinal and retrospective study, by analysis of hospital records, carried out in a teaching hospital, by descriptive analysis, univariate association, using Pearson's chi-square test. Results: 399 readmissions of 278 patients were analyzed. Two hospitalizations predominated (69.6%). Most were male (85.2%), and the mean age was 47.15 years (± 13.91); 91.2% were readmissions due to the use of alcoholic beverages, with 45.3% of complications associated with injuries, poisoning and external causes of morbidity and mortality. Twenty-seven (9.7%) patients died. The readmissions of retirees/housewives had an odds ratio of 3.0 of progressing to death. Conclusion: the analysis showed prevalent readmissions and mortality in males, productive age group, with a significant association of risk in intensive care patients and cause of death associated with complications of chronic alcohol use. Contributions to practice: the identification of the causes of readmissions helps nursing professionals in the early recognition of signs of severity and serves as a subsidy for the development of prevention strategies and actions to improve the care network.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"52 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76399336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222378412
Nery José de Oliveira Junior, D. Lourenção, V. B. Poveda, Caren de Oliveira Riboldi, Fabiana Zerbieri Martins, A. Magalhães
Objective: to evaluate the safety culture through an observation of the safety climate of health workers from a Surgical Center. Methods: cross-sectional study in eight surgical centers from a hospital complex. A validated Brazilian version of the Safety Attitudes Questionnaire/Operating Room was applied to a convenience sample of 172 health and support workers (physicians and nurses). The Chi-squared, Student's T, and Mann-Whitney's tests were used. Results: the general evaluation showed a positive safety climate. Only the nursing professionals reached the minimum score that indicates a positive result in the domain Quality of communication and collaboration. The domains Safety climate, Stress recognition, Communication in the surgical environment, and Perception of professional performance showed positive results, while Perception of management and Work conditions had the worst scores. Conclusion: the safety climate was positive. Nonetheless, communication showed shortcomings pointed out by the workers. Contributions to practice: identifying domains that need to be improved helps fomenting safety culture in surgical centers, leading to better care outcomes and work environments.
{"title":"Safety culture in surgical centers from the perspective of the multiprofessional team","authors":"Nery José de Oliveira Junior, D. Lourenção, V. B. Poveda, Caren de Oliveira Riboldi, Fabiana Zerbieri Martins, A. Magalhães","doi":"10.15253/2175-6783.20222378412","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378412","url":null,"abstract":"Objective: to evaluate the safety culture through an observation of the safety climate of health workers from a Surgical Center. Methods: cross-sectional study in eight surgical centers from a hospital complex. A validated Brazilian version of the Safety Attitudes Questionnaire/Operating Room was applied to a convenience sample of 172 health and support workers (physicians and nurses). The Chi-squared, Student's T, and Mann-Whitney's tests were used. Results: the general evaluation showed a positive safety climate. Only the nursing professionals reached the minimum score that indicates a positive result in the domain Quality of communication and collaboration. The domains Safety climate, Stress recognition, Communication in the surgical environment, and Perception of professional performance showed positive results, while Perception of management and Work conditions had the worst scores. Conclusion: the safety climate was positive. Nonetheless, communication showed shortcomings pointed out by the workers. Contributions to practice: identifying domains that need to be improved helps fomenting safety culture in surgical centers, leading to better care outcomes and work environments.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"105 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84913590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-20DOI: 10.15253/2175-6783.20222378534
Luípa Michele Silva, Ana Carolina de Souza, Jack Roberto Silva Fhon, R. A. Rodrigues, Larissa Azevedo dos Santos, Maria Fernanda Costa Troncha Gomes
Objective: to identify the factors associated with the use of assistive technologies by elders in their home environment. Methods: cross-sectional, analytical, and exploratory study with 127 elders capable of answering the data collection instruments. Analyses were carried out using Student's t, Pearson's correlation, and linear regression. Results: in regard to the type of assistive device used, 52.8% of interviewees used orthoses or prostheses, 48.8% used shower chairs, and 47.2% used wheelchairs. In the comparative analysis of the means, there was a statistically significant association between basic daily life activities and cognitive state. In basic daily life activities (r=0.52), as the score of the elderly in Katz's Index increases, the use of assistive devices also increases. In turn, as the Lawton and Brody Scale (r=-0.279) increases, the number of devices decreases. Conclusion: the prevalence of elders who use assistive devices in their homes was high, showing a direct association with their functional capacity and their performance of basic and instrumental daily life activities. Contributions to practice: this research contributes for the organization of elderly assistance by nursing workers, encouraging elder independence and autonomy.
{"title":"Factors associated with the use of assistive technologies in elders in their home environments","authors":"Luípa Michele Silva, Ana Carolina de Souza, Jack Roberto Silva Fhon, R. A. Rodrigues, Larissa Azevedo dos Santos, Maria Fernanda Costa Troncha Gomes","doi":"10.15253/2175-6783.20222378534","DOIUrl":"https://doi.org/10.15253/2175-6783.20222378534","url":null,"abstract":"Objective: to identify the factors associated with the use of assistive technologies by elders in their home environment. Methods: cross-sectional, analytical, and exploratory study with 127 elders capable of answering the data collection instruments. Analyses were carried out using Student's t, Pearson's correlation, and linear regression. Results: in regard to the type of assistive device used, 52.8% of interviewees used orthoses or prostheses, 48.8% used shower chairs, and 47.2% used wheelchairs. In the comparative analysis of the means, there was a statistically significant association between basic daily life activities and cognitive state. In basic daily life activities (r=0.52), as the score of the elderly in Katz's Index increases, the use of assistive devices also increases. In turn, as the Lawton and Brody Scale (r=-0.279) increases, the number of devices decreases. Conclusion: the prevalence of elders who use assistive devices in their homes was high, showing a direct association with their functional capacity and their performance of basic and instrumental daily life activities. Contributions to practice: this research contributes for the organization of elderly assistance by nursing workers, encouraging elder independence and autonomy.","PeriodicalId":45440,"journal":{"name":"Rev Rene","volume":"12 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75245830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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