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Palliative Care and Nursing: A Look Inside 姑息治疗和护理:内部观察
Q3 Nursing Pub Date : 2022-05-13 DOI: 10.5294/aqui.2022.22.2.1
Maria Yaquelin Expósito Concepción
Palliative care is becoming increasingly relevant in health systems to meet the need for care for patients facing problems associated with life-threatening diseases, their families and people of all ages with severe health-related suffering, especially those near the end of life. Looking inward makes us reflect on palliative care and nursing, the misalignment between specific nursing education and graduate training, and the need to define skills that directly affect care and highlight the training, management, and research demands in caring for these patients and their families.
姑息治疗在卫生系统中越来越重要,以满足面临与危及生命的疾病相关问题的患者、他们的家人和所有年龄段与健康相关的严重痛苦的人,特别是那些接近生命尽头的人的护理需求。向内看让我们反思姑息治疗和护理,特定护理教育和研究生培训之间的错位,以及定义直接影响护理的技能的必要性,并强调护理这些患者及其家人的培训、管理和研究需求。
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引用次数: 2
Translation and Cross-Cultural Adaptation of the System Usability Scale to Brazilian Portuguese 系统可用性量表在巴西葡萄牙语中的翻译与跨文化适应
Q3 Nursing Pub Date : 2022-05-13 DOI: 10.5294/aqui.2022.22.2.8
Douglas Fabiano Lourenço, Elenince Carmona Valentim, M. Lopes
Objective: To adapt culturally the System Usability Scale to Brazilian Portuguese and assess its internal consistency and structural construct validity. Materials and methods: This methodological study of a measurement instrument’s cultural adaptation included the initial translation, the translations’ synthesis, the back-translation, the evaluation by a committee of eight experts, testinh with a sample of 100 students, who evaluated the usability of the WhatsApp application, and the evaluation of structural construct validity by exploratory factor analysis. Results: The judges validated the Brazilian version of the System Usability Scale in the second round. It was revealed that, following the structural construct validation, the version had a unidimensional structure and an acceptable level of reliability (Cronbach’s alpha of 0.76). Besides, in the usability test, no suggestions for change were made. Conclusions: It is worth noting that the Brazilian version of this scale was semantically, idiomatically, conceptually, and culturally equivalent to the original English version and showed adequate reliability and structural construct validity.
目的:对巴西葡萄牙语系统可用性量表进行文化调整,评估其内部一致性和结构构念效度。材料与方法:对测量工具的文化适应性进行方法学研究,包括初始翻译、译文综合、反翻译、由8位专家组成的委员会的评估、100名学生的样本测试(学生评估WhatsApp应用程序的可用性)以及探索性因子分析对结构构式效度的评估。结果:评委在第二轮中验证了巴西版本的系统可用性量表。经结构构念验证,该版本具有单维结构和可接受的信度水平(Cronbach 's alpha为0.76)。此外,在可用性测试中,没有提出任何更改建议。结论:值得注意的是,该量表的巴西语版本在语义、习语、概念和文化上与原英语版本相当,并显示出足够的信度和结构构念效度。
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引用次数: 5
Analysis of the “Diagnostic Reasoning” Concept in Nursing “诊断推理”概念在护理中的应用分析
Q3 Nursing Pub Date : 2022-05-13 DOI: 10.5294/aqui.2022.22.2.2
Bárbara Coeli Oliveira da Silva, Millena Freire Delgado, Rafaela Cavalcanti de Nascimento, A. C. X. D. Lira, A. R. Feijão, B. Enders
Objective: To develop an operational definition of the “diagnostic reasoning” concept in nursing. Materials and methods: This concept analysis is based on Walker and Avant’s model. All the referential steps were followed: concept selection, determining the objectives and proposals for concept analysis, identifying the possible uses of the concept, determining the defining attributes, identifying a model case, identifying the contrary case, and identifying the precedents and consequences of the concept. Results: A sample of 20 studies was selected, identifying the following attributes: specialized thinking, cognitive skills, existing knowledge, intellectual competence; hypothesis-oriented reasoning; precedents: clinical assessment, practical experience, data interpretations, intuition, diagnostic judgment, information processing, clinical reasoning; consequences: improvement of nursing care, communication, planning interventions, addressing the identified problem, achieving effective results, autonomous actions, and quality of patient records. Conclusions: The study contributes to understanding the operational definition of the diagnostic reasoning concept in nursing by identifying the core attributes, precedents, and consequences.
目的:对护理学中的“诊断推理”概念进行操作性定义。材料和方法:本概念分析基于Walker和Avant的模型。遵循了所有参考步骤:概念选择、确定概念分析的目标和建议、确定概念的可能用途、确定定义属性、确定示范案例、确定相反案例以及确定概念的先例和后果。结果:选择了20项研究的样本,确定了以下属性:专业思维、认知技能、现有知识、智力;假设导向推理;先例:临床评估、实践经验、数据解释、直觉、诊断判断、信息处理、临床推理;结果:改善护理、沟通、计划干预、解决已发现的问题、取得有效结果、自主行动和患者记录质量。结论:本研究通过识别核心属性、先例和后果,有助于理解护理中诊断推理概念的操作定义。
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引用次数: 0
Adaptation and Validation of the Tuberculosis Related Stigma Scale in Portuguese 葡萄牙语结核病相关污名量表的适应和验证
Q3 Nursing Pub Date : 2022-05-13 DOI: 10.5294/aqui.2022.22.2.6
Maria Isabel Pereira da Silva, Beatriz Rodrigues Araújo, João Manuel Costa Amado
Objective: To adapt and validate the Tuberculosis Related Stigma Scale (TRSS) in European Portuguese. Materials and method: A methodological study in a sample of 204 individuals being treated for pulmonary tuberculosis in Portuguese Pulmonary Diagnostic Centers, with at least one month of treatment or in follow-up. The evaluation process of linguistic and conceptual equivalence involved translation, the consensus among judges, back-translation, semantic validation, and pre-testing of the TRSS. The scale’s psychometric properties were assessed by verifying the reliability and validity of the results and calculating Cronbach’s alpha coefficient and the exploratory factor analysis of principal components, with Varimax rotation of the scale items. Results: The Portuguese version of the TRSS has a Cronbach’s alpha coefficient of 0.94 and has 23 items distributed in two dimensions: “Community’s perspectives on tuberculosis” (11 items) and “Person’s perspectives on tuberculosis” (12 items). Its psychometric characteristics ensure adequate reliability and validity for the Portuguese population. Conclusions: The TRSS is a valid and reliable instrument to assess stigma in people with pulmonary tuberculosis and, to date, the only scale validated in this domain for the Portuguese population, which allows nurses to make an integrated intervention.
目的:调整和验证欧洲葡萄牙语中的结核病相关污名量表(TRSS)。材料和方法:一项方法学研究,以204名在葡萄牙肺诊断中心接受肺结核治疗的患者为样本,至少接受一个月的治疗或随访。语言和概念对等的评估过程包括翻译、评委之间的共识、反翻译、语义验证和TRSS的预测试。通过验证结果的可靠性和有效性,计算Cronbachα系数和主成分的探索性因素分析,以及量表项目的Varimax旋转,来评估量表的心理测量特性。结果:葡萄牙版TRSS的Cronbachα系数为0.94,共有23个项目分布在两个维度:“社区对结核病的看法”(11个项目)和“个人对结核病的观点”(12个项目)。它的心理测量特征确保了葡萄牙人口的充分可靠性和有效性。结论:TRSS是评估肺结核患者耻辱感的有效和可靠的工具,也是迄今为止唯一一个在葡萄牙人群中验证的量表,它允许护士进行综合干预。
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引用次数: 2
Concept Analysis of Interpersonal Skills in Nursing 护理中人际交往能力的概念分析
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.3
Jennifer Rojas Reyes, L. N. Rivera Álvarez
Objective: To determine a broad definition of the term interpersonal skills in nursing.Materials and methods: This theoretical study follows Walker and Avant’s method of concept analysis to examine the defining attributes of the concept. A literature search on interpersonal aspects of nursing was conducted in databases, e-books, and institutional repositories to recognize the uses, attributes, antecedents, consequences, and empirical referents of the concept. Experts on professional and relationship skills were consulted between 2009 and 2019.Results: This information was analyzed, concluding that interpersonal skills in nursing are defined as the abilities of professional nurses to express their knowledge, abilities, attitudes, and values in relationships with colleages, patients, and their relatives and achieve a humane and person- centered practice.Conclusion: The concept of interpersonal skills in nursing is limited, given a lack of clarity in practice and research on the indistinct use of terms related to interpersonal skills and interpersonal knowledge. This analysis advances nursing theory towards practice and research.
目的:确定护理中人际交往能力的广义定义。材料和方法:本理论研究遵循Walker和Avant的概念分析方法,以检验概念的定义属性。在数据库、电子书和机构资料库中进行了关于护理人际关系方面的文献检索,以识别该概念的用途、属性、前因、后果和经验参考。在2009年至2019年期间,他们咨询了专业和人际关系技巧方面的专家。结果:对这些信息进行分析,得出护理人际交往能力的定义是专业护士在与同事、患者及其亲属的关系中表达自己的知识、能力、态度和价值观的能力,并实现人性化和以人为本的实践。结论:护理中人际技巧的概念是有限的,因为在实践和研究中缺乏明确的人际技巧和人际知识相关术语的模糊使用。这一分析将护理理论推向实践和研究。
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引用次数: 1
A Glance at the Barriers and Enablers of the Nursing Role in Pandemics: An Integrative Review 流行病中护理作用的障碍和促成因素综述
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.4
J. Reyes-Luna, P. Jara-Concha
Objective: to analyze the enablers and barriers to nurses’ professional role fulfillment during pandemics and disasters.Materials and methods: this was an integrative review based on the SALSA analytical method, carried out in eight databases, namely: Medline, Proquest, CINAHL, Web of Science, BVS, SpringerLink, Scopus, and Pubmed. The descriptors used were the following: ‘nurse’s role’ AND ‘pandemic’ AND ‘patient’ AND ‘coronavirus infection’, in English, Spanish and Portuguese. Filters along with inclusion and exclusion criteria were applied to the 11,031 articles found, after which the final sample consisted of a total of 32 articles.Results: considering the objectives set and the results obtained, it is noted that all actions focused on three main instances, namely: a) training and updating for role performance; b) predictors, enablers, and barriers for exercising the role in the face of a pandemic; and c) evidence of the role in the face of pandemics.Conclusion: this study allowed understanding both the barriers and the enablers that allow the fulfillment of nurses’ professional role in the face of pandemics or catastrophes. It also clarified that emerging infectious diseases must be addressed in an immediate, collaborative, and multidisciplinary way. Nurses’ experience, leadership, and professional training are key attributes that these professionals possess to enable their role to be more proactive during an emergency situation.
目的:分析在流行病和灾难期间护士履行职业角色的促成因素和障碍。材料和方法:这是一项基于SALSA分析方法的综合综述,在八个数据库中进行,即:Medline、Proquest、CINAHL、Web of Science、BVS、SpringerLink、Scopus和Pubmed。使用的描述词如下:英语、西班牙语和葡萄牙语中的“护士角色”、“大流行”、“患者”和“冠状病毒感染”。筛选以及纳入和排除标准被应用于发现的11031篇文章,之后最终样本共包括32篇文章。结果:考虑到设定的目标和取得的结果,注意到所有行动都集中在三个主要实例上,即:a)培训和更新角色表现;b) 在疫情面前发挥作用的预测因素、推动者和障碍;以及c)在面对流行病时发挥作用的证据。结论:这项研究有助于理解护士在面对流行病或灾难时发挥专业作用的障碍和促成因素。它还澄清说,必须以立即、合作和多学科的方式应对新出现的传染病。护士的经验、领导力和专业培训是这些专业人员所具备的关键特质,使他们能够在紧急情况下发挥更积极的作用。
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引用次数: 0
Professional Care in Home for Children and Teenagers with Special Health Needs: An Integrative Review 对有特殊健康需求的儿童和青少年家庭专业护理的综合评价
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.5
Paloma Mayara Vieira de Macena, L. Fernandes, Mariana Matias Santos, N. Collet, Beatriz Rosana Gonçalves de Oliveira Toso, Elenice Maria Cecchetti Vaz
Objective: Analyzing the results of scientific publications on professional home care for children and teenagers with special health needs.Materials and method: An integrative review with articles published between 2009 and 2020 conducted in the BDEnf, Lilacs, Medline/PubMed databases and in the SciELO electronic library. The data were analyzed in four stages: data reduction; display of the data; comparison of data; drawing and verification of completion.Results: There were identified 5,641 articles; after the application of the inclusion and exclusion criteria and disposal of duplicates, 637 articles were chosen for the reading of titles and abstracts, of which 61 were selected for full reading and of these, 28 composed the final sample. The offer of remote support actions and concern in training caregivers regarding the technical-scientific aspects of home care was identified, in addition to promoting the improvement of the quality of life of children/teenagers and their families. A gap was evidenced regarding the identification and management of pain by home service professionals.Conclusions: The performance of home services to this specific population focuses on the demands of care with health technologies and on promoting symptom relief, reducing the workload of caregivers and assisting in dehospitalization.
目的:分析有特殊健康需要的儿童和青少年专业家庭护理的科学出版物的结果。材料和方法:对2009年至2020年在BDEnf、Lilacs、Medline/PubMed数据库和SciELO电子图书馆中发表的文章进行综合评价。数据分析分为四个阶段:数据还原;数据显示;数据比较;完成的图纸和验证。结果:共鉴定出5641篇;在应用纳入和排除标准并处理重复后,选择637篇文章进行标题和摘要阅读,其中61篇文章进行全文阅读,其中28篇文章构成最终样本。除了促进改善儿童/青少年及其家庭的生活质量外,还确定了提供远程支助行动和关注培训照顾者关于家庭护理的技术-科学方面的问题。在家庭服务专业人员对疼痛的识别和管理方面存在差距。结论:对这一特定人群的家庭服务的表现侧重于卫生技术的护理需求,促进症状缓解,减少护理人员的工作量,并协助出院。
{"title":"Professional Care in Home for Children and Teenagers with Special Health Needs: An Integrative Review","authors":"Paloma Mayara Vieira de Macena, L. Fernandes, Mariana Matias Santos, N. Collet, Beatriz Rosana Gonçalves de Oliveira Toso, Elenice Maria Cecchetti Vaz","doi":"10.5294/aqui.2022.22.1.5","DOIUrl":"https://doi.org/10.5294/aqui.2022.22.1.5","url":null,"abstract":"Objective: Analyzing the results of scientific publications on professional home care for children and teenagers with special health needs.\u0000\u0000Materials and method: An integrative review with articles published between 2009 and 2020 conducted in the BDEnf, Lilacs, Medline/PubMed databases and in the SciELO electronic library. The data were analyzed in four stages: data reduction; display of the data; comparison of data; drawing and verification of completion.\u0000\u0000Results: There were identified 5,641 articles; after the application of the inclusion and exclusion criteria and disposal of duplicates, 637 articles were chosen for the reading of titles and abstracts, of which 61 were selected for full reading and of these, 28 composed the final sample. The offer of remote support actions and concern in training caregivers regarding the technical-scientific aspects of home care was identified, in addition to promoting the improvement of the quality of life of children/teenagers and their families. A gap was evidenced regarding the identification and management of pain by home service professionals.\u0000\u0000Conclusions: The performance of home services to this specific population focuses on the demands of care with health technologies and on promoting symptom relief, reducing the workload of caregivers and assisting in dehospitalization.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48216247","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}
引用次数: 1
Coping and adaptation of adults with cancer: the art of nursing care 癌症成人的应对与适应:护理艺术
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.7
Lina Marcela Cepeda-Trujillo, Jesús Miguel Mosquera-Aguirre, Daniela Yurani Rojas-Atehortua, A. Perdomo-Romero
Objective: To determine the coping and adaptive capabilities in patients with cancer undergoing treatment.Methodology: This was a quantitative and descriptive cross-sectional study; the sample consisted of 100 patients with a cancer diagnosis who received chemotherapy and/or radiotherapy treatment between June and August 2019, meeting the inclusion criteria. The Coping and Adaptation Processing Scale (CAPS) was used.Results: 53 % of the patients participating in the study presented high coping and adaptive capabilities; 40 % presented medium capabilities, and 7 % presented low capabilities.Conclusion: Continuous follow-up is extremely important throughout the disease process; having a romantic partner becomes a protective factor since patients feel heard and cared for, which motivates them to follow through with the treatment. In the nursing field, knowing the experience of those who live with an illness allows for transcending and impacting care by providing holistic attention to patients.
目的:了解接受治疗的癌症患者的应对和适应能力。方法:这是一项定量和描述性横断面研究;样本包括100名癌症诊断患者,他们在2019年6月至8月期间接受了化疗和/或放疗,符合纳入标准。采用应对与适应加工量表(CAPS)。结果:53%的患者表现出较高的应对和适应能力;40%表示中等能力,7%表示低能力。结论:持续随访在整个病程中至关重要;拥有一个浪漫的伴侣成为一种保护因素,因为患者感到被倾听和关心,这促使他们坚持治疗。在护理领域,了解那些患有疾病的人的经历,可以通过为患者提供全面的关注来超越和影响护理。
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引用次数: 2
Continuity of Care Challenges for Professional Nursing Practice 专业护理实践的连续性护理挑战
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.1
C. García-Vivar, Nelia Soto-Ruiz, P. Escalada-Hernández, M. Ferraz-Torres, M. R. Orzanco-Garralda, Leticia San Martín-Rodríguez
The transformation of health systems to meet the needs of chronic and multi-pathological patients has turned continuity of care into one of the mainstays of care programs and the design of new resources to care for these patients and their families. In this context, nurses’ professional practice poses challenges for the three dimensions of continuity of care: relational, informational, and managerial. Faced with these challenges, nursing research is essential for the profession and necessary to promote innovative quality care.
卫生系统为满足慢性和多病理患者的需求而进行的转型,已将护理的连续性变成了护理方案的支柱之一,并设计了新的资源来照顾这些患者及其家属。在这种情况下,护士的专业实践对护理连续性的三个方面提出了挑战:关系,信息和管理。面对这些挑战,护理研究对专业至关重要,对促进创新的优质护理是必要的。
{"title":"Continuity of Care Challenges for Professional Nursing Practice","authors":"C. García-Vivar, Nelia Soto-Ruiz, P. Escalada-Hernández, M. Ferraz-Torres, M. R. Orzanco-Garralda, Leticia San Martín-Rodríguez","doi":"10.5294/aqui.2022.22.1.1","DOIUrl":"https://doi.org/10.5294/aqui.2022.22.1.1","url":null,"abstract":"The transformation of health systems to meet the needs of chronic and multi-pathological patients has turned continuity of care into one of the mainstays of care programs and the design of new resources to care for these patients and their families. In this context, nurses’ professional practice poses challenges for the three dimensions of continuity of care: relational, informational, and managerial. Faced with these challenges, nursing research is essential for the profession and necessary to promote innovative quality care.","PeriodicalId":50736,"journal":{"name":"Aquichan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42206788","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}
引用次数: 3
Experience of Post-ICU Syndrome in Critical Disease Survivors 危重疾病幸存者icu后综合征的体会
Q3 Nursing Pub Date : 2022-01-26 DOI: 10.5294/aqui.2022.22.1.6
Á. Henao-Castaño, Nathaly Rivera-Romero, Heidi Paola Ospina Garzón
Introduction: Surviving Intensive Care Unit (ICU) brings positive and negative feelings, depending on each person’s experience. Likewise, some patients may present with negative mental and physical consequences after discharge, causing a very complex stay at home.Aim: To understand the experience of critical illness survivors after three months of ICU discharge.Methods: Hermeneutical phenomenological study using in-depth interviews with 15 adult participants after three months of ICU discharge. Data analysis was made considering Cohen, Kahn, and Steeves’ procedures.Results: Phenomenological analysis revealed three existential themes: Changes in memory and mood, Changes in day-to-day life, and My body after ICU.Conclusion: Surviving ICU brings with it positive aspects such as winning a battle against death. However, psychological, emotional, and physical consequences after discharge turn it into an exhausting experience.
导读:生存在重症监护室(ICU)会带来积极和消极的感受,这取决于每个人的经历。同样,一些患者在出院后可能会出现负面的精神和身体后果,导致非常复杂的居家生活。目的:了解重症患者出院3个月后的生活体验。方法:采用深度访谈法对15名出院3个月的成人进行解释学现象学研究。参照Cohen、Kahn和Steeves的方法进行数据分析。结果:现象学分析揭示了三个存在主题:记忆和情绪的变化、日常生活的变化和ICU后的我的身体。结论:在ICU生存带来了积极的方面,如赢得了与死亡的战斗。然而,出院后的心理、情感和身体后果使它成为一种令人筋疲力尽的经历。
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引用次数: 0
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Aquichan
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