Etiological factors related to the nursing diagnosis "post-trauma syndrome" in women victims of violence: A systematic review and meta-analysis.

OBJECTIVE: Identify etiological factors related to the determination of the nursing diagnosis post-trauma syndrome in women victims of violence DATA SOURCE: : Five databases were searched: SciVerse Scopus, PubMed, Latin American and Caribbean Health Sciences Literature, CINAHL with Full Text, and PsycINFO DATA SYNTHESIS: : A total of nine etiological factors related to post-trauma syndrome were identified: physical assault, sexual assault, psychological violence, childhood trauma, low education level, low socioeconomic status, lack of employment, age under 40 years, and depression severity. Such factors were associated with the nursing diagnosis of post-trauma syndrome, according to the synthesis CONCLUSION: : We believe that identifying the nursing diagnosis post-trauma syndrome in its current form shown in the NANDA-I taxonomy is limited as the determination of nursing interventions is based on the etiological factors identified during the diagnostic reasoning step IMPLICATIONS FOR NURSING PRACTICE: : This study brings the need to implement knowledge about nursing diagnoses related to violence against women, highlighting the lack of literature that can exemplify the practice of nurses with regard to care relevant to the public in question.

Evaluation of the growth percentiles of children with congenital heart disease.

The purpose of this study was to evaluate the correlation between anthropometric measures of children with congenital heart disease with percentiles that represent their growth indicators. Anthropometric evaluations of 135 hospitalized children with congenital heart disease were performed in a hospital specialized in cardiac diseases in Fortaleza, CE, Brazil. For the growth evaluation, percentiles of height by age, weight by height and weight by age were calculated. Children's average age was 4.74 months (+ 3.78) and 66.7% of the children were male. The medians of the three percentiles presented values below percentile 10, indicating a high proportion of values considered of risk. The subscapular thickness presented positive correlation with the three percentiles. The values of percentiles studied indicated growth delay.

Nursing diagnoses in children with congenital heart disease: a survival analysis.

PURPOSE: To analyze the relationship between nursing diagnoses and survival rates in children with congenital heart disease. METHODS: A total of 270 observations were carried out in 45 children with congenital heart disease who were followed for 15 days. FINDINGS: Differences in mean survival times were identified in children not more than 4 months of age with respect to the following diagnoses: impaired gas exchange, ineffective breathing pattern, activity intolerance, delayed growth and development, and decreased cardiac output. CONCLUSIONS: The main diagnoses are identified early in the hospitalization period and are conditions resulting from hemodynamic alterations and prescribed medical treatment. IMPLICATIONS FOR NURSING PRACTICE: Congenital heart disease provokes serious hemodynamic alterations that generate human responses, which should be treated proactively.

Analysis of the concept of powerlessness in individuals with stroke.

OBJECTIVES: To identify and analyze the concept of the powerlessness in individuals with stroke, according to the NANDA-I Taxonomy. METHODS: Concept analysis from online access of four databases using the descriptors: impotence; helplessness, learned; Stroke, depression in languages: Portuguese, English and Spanish. RESULTS: The critical attributes of the feeling of powerlessness are: fragility, helplessness, lack of control, and power to achieve the proposed results for recovery and adaptation. Eleven new antecedents were found. It is recommended to reformulate three antecedents present in the taxonomy. Fourteen consequent were found. It is suggested to amend three consequential from the review. CONCLUSIONS: With the analysis, a more complete concept of the powerlessness was elaborated allowing clarifying the critical attributes that, in turn, will help the rehabilitating nurse to recognize the signs and symptoms and to strengthen mechanisms of tolerance and resistance to stress.

[Systematic review and meta-analysis of the accuracy of "impaired gas exchange" defining characteristics]. / Meta-analisi dell'accuratezza delle caratteristiche definenti di "Compromissione degli scambi gassosi"

INTRODUCTION: Nursing diagnoses share some common defining characteristics. OBJECTIVE: To identify key defining characteristics for the nursing diagnosis "Impaired gas exchange". METHOD: Systematic review with meta-analysis of three studies in samples with different clinical profiles. The relevance and quality of the studies were assessed according the QUADAS protocol. RESULTS: Two studies were on children with acute respiratory infection and one on adults with mechanical ventilation. The heterogeneity statistic test suggested that the studies are homogeneous. The defining characteristics with higher accuracy were: headaches upon waking, irritability and tachycardia. DISCUSSION: The clinical indicators headache, irritability and tachycardia are signals secondary to hypoxia. Although of different magnitudes according to the age, they are the body's physiological responses. CONCLUSIONS: A comparison of the defining characteristics of "Impaired gas exchange" showed their accuracy. Obtaining measures can contribute to a better identification of this nursing diagnosis.

[Nursing diagnoses in children with congenital heart disease: differences by gender and age]. / Diagnósticos enfermeros en niños con cardiopatías congénitas: diferencias por género y edad.

AIMS: To assess the relationship between gender and age and development of nursing diagnoses in children with congenital heart disease. METHOD: Cross-sectional study conducted on forty five children with congenital heart disease. Those nursing diagnoses with a frequency greater than 50% were selected for the association analysis, to which the chi-squared or Fisher tests were applied. The Levene test for homogeneity of variance and then the t-test was used to compare the mean age between children with and without the nursing diagnosis. RESULTS: The children had mean age of 4.74 months (SD=3.78 months) and 66.7% (30) were boys. The female gender was associated with the nursing diagnosis activity intolerance (P=.009) and delayed growth and development (P=.013). The presence of the nursing diagnoses impaired gas exchange, ineffective breathing pattern, ineffective tissue perfusion, decreased cardiac output and activity intolerance was associated with younger children. On the other hand, the children who presented risk of infection and delayed growth and development had higher mean of age. CONCLUSIONS: The population of girls had a higher risk for activity intolerance and delayed growth and development. Furthermore, younger children showed a higher risk for diagnoses related to respiratory and cardiovascular problems.

[Evaluation of defining characteristics of the nutritional nursing diagnosis in children enrolled in a nursery]. / Evaluación de las características definitorias de los diagnósticos de enfermería nutricionales en niños matriculados en una guardería.

OBJECTIVE: To determine the occurrence of the defining characteristics (DC) of nutritional nursing diagnoses (NND), verifying the association between the DC and the variables: gender, age, weight and height. METHOD: A descriptive study was conducted on 69 children aged between 1 and 4 years old, enrolled in a public nursery. The evaluation tool consisted of a check-list that included DC of NND and the signs and symptoms associated with malnutrition and obesity identified in the literature. RESULTS: The study sample consisted of 57.9% females, with a mean age of 2.72 years (±0.765). The DC of "Readiness for enhanced nutrition" diagnosis was most frequently observed. A statistically significant association was seen between "follows an appropriate standard for intake" and female gender (P=0.022). Highest age mean was identified in children with clinical indicators p3

Validación de juego educativo para la enseñanza de la valoración cardiovascular / Validation of an educational game for teaching cardiovascular assessment / Validação de jogo educativo para o ensino da valoração cardiovascular

Objetivo: evaluar un material educativo utilizado como recurso didáctico para apoyo a la enseñanza de la valoración cardiovascular. Metodología: el material educativo fue analizado por enfermeros expertos en cardiovascular y se aplicó a 30 estudiantes de enfermería de la Universidad Federal del Ceará (Brasil), en el período de enero a junio de 2006. Para el análisis de la consistencia interna fue calculado el coeficiente alfa de Cronbach. Para estudiar el rendimiento de los alumnos, se compararon los puntajes de una prueba que evaluaba el tema enseñado, antes y después de la intervención. Resultados: todos los expertos destacaron que el juego presenta consonancia, interactividad, coherencia, validez pedagógica y que motiva al alumno a participar en su proceso de aprendizaje. La diferencia de las medias de las evaluaciones pre y post intervención fue estadísticamente significativa. Conclusión: Se confirmó la validez y aplicabilidad del uso del juego como recurso pedagógico.

Objective: to evaluate an educational material used as a didactic resource to support the teaching of cardiovascular assessment. Methodology: the educational material was analyzed by experts in cardiovascular nursing and applied to 30 nursing students at the Federal University of Ceara (Brazil) in the period January - June of 2006. To analyze the internal consistency Cronbach alpha coefficient was calculated. To analyze the students performance the scores of a test that evaluated the taught topic applied before and after the intervention were compared. Results: all the experts highlighted that the game features are consistent, is interactive, coherent, has pedagogic validity and allowed the student to participate in his learning process. The direffence in the means of the pre and post intervension assessment was statistically significant. Conclusion: the validity and applicability of the game as a pedagogic resource was confirmed.

Objetivo: avaliar um material educativo utilizado como recurso didático para apoio ao ensino da valoração cardiovascular. Metodologia: o material educativo foi analisado por enfermeiros experientes em cardiovascular e se aplicou a 30 estudantes de enfermagem da Universidade Federal do Ceará (Brasil) no período dejaneiro a junho de 2006. Para análise da consistência interna foi calculado o coeficiente alfa de Cronbach. Para analisar o rendimento dos alunos se compararam as pontuações de uma prova que avaliava o tema ensinado antes e depois da intervenção. Resultados: todos os experientes destacaram que o jogo apresenta consonância, interatividade, coerência, validez pedagógica e que fazia participar ao aluno em seu processo de aprendizagem. A diferença das médias das avaliações pré e pós intervenção foi estatisticamente significante. Conclusão: confirmou-se a validez e aplicabilidade do uso do jogo como recurso pedagógico.