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Lived Experiences of Nursing Professionals Providing Care to COVID-19 Patients 护理专业人员为COVID-19患者提供护理的亲身经历
Q3 Nursing Pub Date : 2022-12-16 DOI: 10.5294/aqui.2022.22.4.7
Jack Roberto Silva Fhon, V. A. Püschel, L. Oliveira, Jessica Soares Silva, Rodrigo Santana Tolentino, V. Silva, Luípa Michele Silva, Fábio da Costa Carbogim
Objective: To analyze nursing professionals’ reports on their lived experience in the care provided to hospitalized patients with COVID-19. Materials and Methods: This is an exploratory study using a qualitative analysis, which included twelve nurses and eight nursing technicians from a public hospital in Brazil, conducted between December 2020 and February 2021. The inclusion criteria were professionals who provided care to COVID-19 patients in emergency, intensive care, and inpatient units and who had at least one year of experience in the institution. The interviews were analyzed through content and similarity analysis that generated a similarity tree; the Reinert method was used for thematic categories. Results: Most participants were female, with a mean age of 34.15 years and 4.85 years of experience. From the analysis, the words ‘patient,’ ‘to stay,’ and ‘to find’ were the most frequent, and for the categories, they were “nursing professionals’ feelings regarding the pandemic,” “the nurses’ role and work with the multi-professional team in the care provided to patients with COVID-19,” “precautions with the care provided to patients with COVID-19,” and “nursing professionals’ concern that their family members may become ill during the pandemic.” Conclusions: The nursing staff is predominantly composed of females and, in their reports on the lived experience of providing care to patients with COVID-19, they pointed out that concern and fear were prevalent, with the family being one of the protective factors to withstand the risks of working against something novel that may result in death.
目的:分析护理专业人员对COVID-19住院患者护理的生活经验报告。材料和方法:这是一项使用定性分析的探索性研究,研究对象包括2020年12月至2021年2月期间来自巴西一家公立医院的12名护士和8名护理技术人员。纳入标准是在急诊、重症监护和住院病房为COVID-19患者提供护理的专业人员,并且在该机构至少有一年的工作经验。通过内容和相似度分析对访谈进行分析,生成相似树;主题分类采用Reinert方法。结果:参与者以女性为主,平均年龄34.15岁,工作经验4.85岁。从分析中可以看出,“病人”、“留下来”和“找到”这三个词是最常见的,就类别而言,它们是“护理专业人员对大流行的感受”、“护士在为COVID-19患者提供护理时的作用和与多专业团队的合作”、“为COVID-19患者提供护理时的预防措施”和“护理专业人员对其家庭成员可能在大流行期间生病的担忧”。结论:护理人员主要由女性组成,她们在关于为COVID-19患者提供护理的生活经验的报告中指出,担忧和恐惧普遍存在,家庭是抵御可能导致死亡的新事物风险的保护因素之一。
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引用次数: 0
Obstetric Violence: A Conceptual Analysis in the Nursing Context 产科暴力:护理背景下的概念分析
Q3 Nursing Pub Date : 2022-12-14 DOI: 10.5294/aqui.2022.22.4.8
Gabriele Santos do Nascimento, Vitória Ribeiro dos Santos, Emanuella de Castro Marcolino, Gleicy Karine Nascimento de Araújo-Monteiro, Ana Márcia Nóbrega Dantas, Renata Clemente dos Santos-Rodrigues
Objective: To analyze the concept of “Obstetric violence” in the Nursing context based on identifying its antecedents, attributes, and consequences. Materials and method: It is a conceptual analysis that follows the method proposed by the Walker and Avant model, which consists of eight stages. Six stages were used to contemplate the study objective, namely: selection of the concept; delimitation of the analysis objectives; identification of different uses of the concept in the literature; determination of the essential attributes; identification of the concept’s antecedents and consequents, and definition of the concept’s empirical references. Results: The sample was comprised of 22 studies. A total of 31 antecedents were evidenced: 24 attributes for physical violence; 35 for psychological/emotional violence; 6 for institutional and sexual violence, and 5 for structural violence. Regarding the consequences, 39 elements were found. Conclusions: The study contributes to Nursing science, research, and clinical practice, providing scientific support with a deep discussion of the phenomenon and presenting the antecedents, attributes, and consequences of obstetric violence in detail. It enables Nursing professionals to recognize the empirical indicators of the concept; thus, it is likely that they will have more knowledge that will lead them to more precise Nursing care, in addition to subsidies to prevent obstetric violence.
目的:分析护理背景下“产科暴力”的概念,确定其前因、属性和后果。材料和方法:这是一个概念分析,遵循沃克和Avant模型提出的方法,包括八个阶段。通过六个阶段来思考研究目标,即:概念的选择;分析目标的界定;识别该概念在文献中的不同用法;确定基本属性;识别概念的前因和结果,并定义概念的经验参考。结果:样本由22项研究组成。共有31个前因得到证实:24个属性为身体暴力;心理/情感暴力35分;机构暴力和性暴力6次,结构性暴力5次。至于后果,发现了39种元素。结论:本研究为护理科学、研究和临床实践做出了贡献,通过对这一现象的深入讨论,并详细介绍了产科暴力的前因后果、属性和后果,提供了科学支持。它使护理专业人员认识到概念的经验指标;因此,除了为防止产科暴力提供补贴外,她们还可能获得更多的知识,从而获得更精确的护理。
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引用次数: 1
Aromatherapy on Psycho-Emotional Symptoms and Fatigue in Nursing Professionals in the COVID-19 Setting 芳香疗法治疗新冠肺炎环境下护理人员的精神运动症状和疲劳
Q3 Nursing Pub Date : 2022-10-28 DOI: 10.5294/aqui.2022.22.4.5
B. Yamada, Paula Helena Caldas Seixas, Isabelle Lourenço Fedel, R. Turrini, Juliana Rizzo Gnatta
Objective: To compare the effectiveness of aromatherapy with lavender essential oil (EO) versus an EO synergy on psycho-emotional symptoms and fatigue of nursing professionals in the COVID-19 setting. Materials and Methods: This is a quasi-experimental pilot study conducted in 2020. The professionals were randomized in Group 1 — lavender, and in Group 2 — lavender and other EOs synergy. The instruments were validated in Brazil, namely the Self-Reporting Questionnaire (SRQ-20) and the Fatigue Pictogram, which were applied at three moments: before the intervention, after 21 days of intervention, and three weeks after the end of the intervention follow-up. The data were evaluated using Pearson’s x2 test or Fisher’s exact test (dichotomous variables) and Student’s t-test or Mann-Whitney test (continuous variables). Results: A total of 18 professionals participated, and both groups presented improved SRQ-20 scores (p < 0.010), which was maintained in the follow-up for Group 1 compared to the pre-intervention moment (p = 0.033). There was a significant decrease in fatigue in professionals in both groups (p = 0.010), but no difference was observed in the improvement of the impact of fatigue on daily life. Conclusions: There was a reduction in psycho-emotional symptoms and fatigue in nursing professionals who used aromatherapy during the COVID-19 pandemic in both groups.
目的:比较在新冠肺炎环境中,薰衣草精油(EO)芳香疗法与EO协同疗法对护理专业人员心理-运动症状和疲劳的有效性。材料和方法:这是一项在2020年进行的准实验性试点研究。专业人员被随机分为第1组——薰衣草,第2组——薰衣草和其他EOs的协同作用。这些工具在巴西进行了验证,即自我报告问卷(SRQ-20)和疲劳图,它们在三个时刻应用:干预前、干预21天后和干预随访结束后三周。使用Pearson的x2检验或Fisher的精确检验(二分变量)和Student的t检验或Mann-Whitney检验(连续变量)对数据进行评估。结果:共有18名专业人员参与,两组的SRQ-20评分均有所改善(p<0.010),与干预前(p=0.033)相比,第1组在随访中保持了这一水平。两组专业人员的疲劳程度均显著降低(p=0.010)。但在疲劳对日常生活影响的改善方面没有观察到差异。结论:在新冠肺炎大流行期间使用芳香疗法的护理专业人员中,两组患者的精神运动症状和疲劳都有所减轻。
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引用次数: 1
Falls Suffered by Hospitalized Adult Patients: Support to the Nursing Team as the Second Victim 住院成人患者跌倒:作为第二受害者对护理团队的支持
Q3 Nursing Pub Date : 2022-10-25 DOI: 10.5294/aqui.2022.22.4.6
Deise Vacario de Quadros, A. Magalhães, Eduarda Boufleuer, Juliana Petri Tavares, R. Kuchenbecker, Daiane Dal Pai
Objective: To describe the support received by the second victim in falls suffered by hospitalized adult patients from the nursing team’s perspective. Materials and Methods: This is an exploratory and descriptive study with a qualitative approach, conducted in a large general hospital in the southern region of Brazil. Data collection was carried out through semi-structured interviews with 21 nursing professionals (seven nurses and fourteen nursing technicians) selected by random sampling, who worked in the inpatient units where falls occurred with a level of harm ranging from moderate to severe during March and May of 2020. The data were submitted to content analysis from July to August of the same year. Results: On the one hand, from the nursing team’s perspective, support for the second victim was considered incipient by the hospital institution. On the other, participants highlighted the support received by their families and peers in the work environment. The study followed the guidelines of the Consolidated Criteria for Reporting Qualitative Research (COREQ). Conclusions: An institutional flow of support for the second victim needs to be formalized to mitigate the repercussions on staff.
目的:从护理团队的角度描述住院成年患者跌倒后第二名受害者所得到的支持。材料和方法:这是一项定性的探索性描述性研究,在巴西南部地区的一家大型综合医院进行。数据收集是通过对21名护理专业人员(7名护士和14名护理技术人员)的半结构化访谈进行的,这些护理专业人员是通过随机抽样选出的,他们在2020年3月和5月发生中度至重度跌倒的住院病房工作。数据于同年7月至8月提交内容分析。结果:一方面,从护理团队的角度来看,医院机构认为对第二名受害者的支持是初期的。另一方面,参与者强调了他们的家人和同龄人在工作环境中得到的支持。该研究遵循了定性研究报告综合标准(COREQ)的指导方针。结论:为第二名受害者提供支助的体制流动需要正式化,以减轻对工作人员的影响。
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引用次数: 0
Effects of Cancer Treatment on the Comfort of Children and Adolescents with Cancer: A Scoping Review 癌症治疗对癌症儿童青少年舒适度的影响:范围界定综述
Q3 Nursing Pub Date : 2022-10-24 DOI: 10.5294/aqui.2022.22.4.4
Vagner José Lopes, Nen NalúAlves das Mercês, Silvia Francine Sartor, Marli Aparecida Rocha de Souza, L. Silva
Objectives: To map and examine the scientific evidence concerning the effects of cancer treatment on the comfort of children and adolescents with cancer. Materials and Methods: This scoping review was carried out in the following electronic information resources: BVS, PubMed, Cinahl, SciVerse Scopus, Lilacs, Web of Science, and Google Scholar. Two independent reviewers analyzed the studies’ relevance. Results: The search yielded 4,295 publications, of which 20 comprised the final sample. Following evidence mapping, the effects (20; 100 %) on comfort were found, and the most prevalent were pain (12; 60 %), fear (9; 45 %), nausea (5; 25 %), difficulty eating (4; 20 %), and distress (4; 20 %). Regarding the oncologic treatment modality, antineoplastic therapy prevailed in 11 (55 %) of the selected articles. Conclusions: Cancer treatment affects the comfort of children and adolescents with cancer, causing suffering and changing their well-being. It indicates the need to evaluate its impact and take nursing care measures to reduce complications and improve these patients’ adaptation to treatment.
目的:绘制和检查有关癌症治疗对儿童和青少年癌症患者舒适度影响的科学证据。材料和方法:本综述在以下电子信息资源中进行:BVS, PubMed, Cinahl, SciVerse Scopus, Lilacs, Web of Science和谷歌Scholar。两位独立评论家分析了这些研究的相关性。结果:搜索产生了4295份出版物,其中20份构成了最终样本。循证映射后,效应(20;(100%),最常见的是疼痛(12;60%),恐惧(9%;45%),恶心(5%);25%),进食困难(4%;20%)和苦恼(4;20%)。关于肿瘤治疗方式,抗肿瘤治疗在11篇(55%)文章中占主导地位。结论:癌症治疗影响儿童和青少年癌症患者的舒适度,造成痛苦并改变他们的幸福感。提示需要评估其影响并采取护理措施,以减少并发症,提高患者对治疗的适应。
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引用次数: 0
Towards the Transition to an Empowered and Resilient Leadership of Nursing Professionals 向护理专业人员的授权和弹性领导过渡
Q3 Nursing Pub Date : 2022-10-21 DOI: 10.5294/aqui.2022.22.4.1
M. G. Moreno-Monsiváis
This editorial is oriented to reflect on the need for a transition to an empowered and resilient leadership of nursing professionals as a fundamental axis of strong, competent, and empowered health systems to face epidemiologic, social, economic, political, and cultural challenges from a globalized, complex, and demanding world.
这篇社论旨在反思向有能力、有韧性的护理专业人员领导过渡的必要性,将其作为强大、有能力和有能力的卫生系统的基本轴心,以应对来自全球化、复杂和苛刻世界的流行病、社会、经济、政治和文化挑战。
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引用次数: 0
Adopting the Role of Caregiver of Chronic Patients: Specific Situation Theory 慢性病患者照顾者角色的选择:特定情境理论
Q3 Nursing Pub Date : 2022-09-30 DOI: 10.5294/aqui.2022.22.4.2
Lorena Chaparro-Díaz, S. Carreño-Moreno, Jennifer Rojas-Reyes
Objective: To present the proposal for a specific situation theory on adopting the role of caregiver of chronic patients. Materials and methods: Based on Meleis and Im’s integrating strategy, multiple information sources were employed to develop this theory. Results: This prescriptive theory derives from Meleis’ mid-range theory based on an exhaustive literature review and the authors’ practical and research experience. The information was integrated into core concepts such as caregiver’s transition, caregiver role insufficiency, nature and conditions of the transition, nursing transitional care for the caregiver, and healthy transition. Assertions were also derived, such as the adoption of the caregiver role influencing the response patterns or the result indicators related to the caregiver’s quality of life and perception of burden. Finally, a theoretical process and an empirical indicator called ROLE are described. Conclusions: This theoretical development recognizes the process faced by caregivers in adopting their role in the care of chronic patients and guides possible nursing interventions to favor a healthy transition.
目的:提出慢性病患者采取照顾者角色的特定情境理论。材料和方法:基于Meleis和Im的整合策略,利用多种信息来源来发展这一理论。结果:这一规定性理论是在详尽的文献回顾和作者的实践和研究经验的基础上形成的。这些信息被整合到核心概念中,如照顾者的过渡、照顾者角色不足、过渡的性质和条件、照顾者的护理过渡护理和健康过渡。还得出了一些结论,如照顾者角色的采用影响了反应模式或与照顾者生活质量和负担感知相关的结果指标。最后,本文描述了一个理论过程和一个实证指标ROLE。结论:这一理论发展认识到护理人员在采取他们在慢性患者护理中的作用所面临的过程,并指导可能的护理干预措施,以促进健康的过渡。
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引用次数: 1
Safety of Healthcare Workers in the Context of the COVID-19 Pandemic: Nurses’ Understanding 新冠肺炎大流行背景下医护人员的安全:护士的理解
Q3 Nursing Pub Date : 2022-09-26 DOI: 10.5294/aqui.2022.22.4.3
D. S. Backes, Karen Ariane Bär, C. Rodrigues, T. Santini, Maria de Lurdes Lopes de Freitas Lomba, Regina Gema Santini Costenaro
Objective: To understand the meaning of worker safety in healthcare during a pandemic from the perspective of nurses, based on interventions related to continuing education in health. Materials and method: This action-research study is based on the constructivist paradigm. The study was conducted between August 2020 and April 2021 through open individual interviews, mediated by guiding questions without prior validation. The interviews were conducted with 19 nurse managers of inpatient units who had previously participated in a schedule of continuing education interventions in a university hospital in the South region of Brazil. Research data were analyzed based on Minayo’s thematic content analysis. Results: The research data resulted in two thematic categories: “Reframing knowledge and professional practices” and “From banalization to resumption of preventive care.” The categories indicate that, in addition to specific and normative educational processes, it is necessary to promote self-reflection and individual and collective self-examination. Conclusions: From the understanding of nurses, the pandemic period aroused greater reflection and self-examination among nursing/health professionals, especially concerning preventive health care, which is addressed as secondary.
目的:基于与健康继续教育相关的干预措施,从护士的角度理解疫情期间医护人员安全的意义。材料和方法:本行动研究以建构主义范式为基础。该研究于2020年8月至2021年4月期间通过公开的个人访谈进行,通过指导性问题进行调解,未经事先验证。访谈对象是19名住院病房的护士经理,他们之前曾参加过巴西南部地区一所大学医院的继续教育干预计划。基于Minayo的主题内容分析对研究数据进行了分析。结果:研究数据分为两个主题类别:“重新定义知识和专业实践”和“从平庸到恢复预防性护理”。这些类别表明,除了具体和规范的教育过程外,还有必要促进自我反思以及个人和集体的自审。结论:从护士的理解来看,疫情期间引起了护理/卫生专业人员的更多反思和自我检查,特别是在预防性卫生保健方面,这是次要的。
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引用次数: 0
Palliative Care for the Elderly in the Healthcare System: A Scoping Review 医疗保健系统中老年人的姑息治疗:范围界定综述
Q3 Nursing Pub Date : 2022-08-16 DOI: 10.5294/aqui.2022.22.3.8
I. Velloso, C. Caram, I. Almeida, Maria José Silva Souza, Matheus Henrique Silva, Carolina Sales Galdino
Objective: To map the scientific evidence related to the organization of palliative care practices provided for the elderly in the Healthcare System. Materials and methods: This is a scoping review following the Joanna Briggs Institute’s method. The search was conducted in the PubMed, Cinahl, Web of Science, Scopus, VHL/Lilacs, Embase, and Cochrane databases, identifying 1,150 articles managed using the Endnote software. After the selection, the study sample consisted of 12 articles. The data were organized in Microsoft Excel spreadsheets, submitted to descriptive analysis, and discussed with the literature. Results: The relevance of palliative care practices for older adults to be organized in the Healthcare System was noted, focusing on primary healthcare, at home, and interdisciplinary coordination. However, there is still a fragmented offer of this care with limited considerations regarding the challenges and possibilities of its effectiveness. Conclusions: The mapping of scientific evidence on the subject shows that discussions regarding the insertion of palliative care in the Healthcare System are modest. The studies explore the role of primary care as the organizer of these practices, although in a fragmented perspective, with limited coordination between the Healthcare System services.
目的:绘制与医疗保健系统中为老年人提供姑息治疗实践组织相关的科学证据。材料和方法:这是根据乔安娜·布里格斯研究所的方法进行的范围审查。搜索在PubMed、Cinahl、Web of Science、Scopus、VHL/Lilacs、Embase和Cochrane数据库中进行,确定了1150篇使用Endnote软件管理的文章。选择后,研究样本由12篇文章组成。数据被组织在Microsoft Excel电子表格中,进行描述性分析,并与文献进行讨论。结果:注意到在医疗保健系统中组织老年人姑息治疗实践的相关性,重点是初级医疗保健、家庭护理和跨学科协调。然而,这种护理仍然是零散的,对其有效性的挑战和可能性考虑有限。结论:关于这一主题的科学证据表明,关于在医疗保健系统中引入姑息治疗的讨论是适度的。这些研究探讨了初级保健作为这些实践组织者的作用,尽管从分散的角度来看,医疗保健系统服务之间的协调有限。
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引用次数: 0
Latin American Nursing and Its Social and Cultural Resignification 拉丁美洲护理及其社会和文化的重新定位
Q3 Nursing Pub Date : 2022-08-09 DOI: 10.5294/aqui.2022.22.3.1
Claudia Marcela Velásquez Jiménez
The article reflects on the importance of leadership and empowerment in Latin American nursing as a collective body responsible for participating in and making public health and health worker policies. For this, it spotlights the contribution that nursing, as a discipline based on research and theory, makes to knowledge, which relies upon the evidence of care in the health-disease process of individuals, families, and groups. It also posits the region’s nurse shortage issue, the unequal recognition of nursing as a human care profession, and the need for action and prominence to face the challenge of redefining it.
这篇文章反思了拉丁美洲护理作为一个负责参与和制定公共卫生和卫生工作者政策的集体机构,领导力和赋权的重要性。为此,它强调了护理作为一门基于研究和理论的学科,对知识的贡献,知识依赖于个人、家庭和群体在健康疾病过程中的护理证据。它还提出了该地区的护士短缺问题,对护理作为一种人类护理职业的不平等承认,以及需要采取行动和突出地位来面对重新定义护理职业的挑战。
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引用次数: 1
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Aquichan
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