Nursing Interventions for Client and Family Training in the Proper Use of Noninvasive Ventilation in the Transition from Hospital to Community: A Scoping Review.

Noninvasive ventilation is an increasingly disseminated therapeutic option, which is explained by increases in the prevalence of chronic respiratory diseases, life expectancy, and the effectiveness of this type of respiratory support. This literature review observes that upon returning home after hospital discharge, there are difficulties in adhering to and maintaining this therapy. The aim of this study is to identify nursing interventions for client and family training in the proper use of noninvasive ventilation in the transition from hospital to community. A scoping review was carried out by searching MEDLINE, CINAHL, Scopus, and Web of Science. The articles were selected by two independent reviewers by applying the predefined eligibility criteria. Regarding transitional care, the authors opted to include studies about interventions to train clients and families during hospital stay, hospital discharge, transition from hospital to home, and the first 30 days after returning home. The eight included publications allowed for identification of interventions related to masks or interfaces, prevention of complications associated with noninvasive ventilation, leakage control, maintenance and cleaning of ventilators and accessories, respiratory training, ventilator monitoring, communication, and behavioral strategies as transitional care priority interventions to guarantee proper training in the transition from hospital to community.

Nursing Interventions for Head and Neck Cancer Patients That Promote Embracement in the Operating Room/Surgery Unit: A Near-Empty Scoping Review.

Head and neck tumours are the fifth leading cause of cancer deaths worldwide. They are hostile invasive neoplastic diseases that negatively impact individuals' functionality. The aim of this study was to map the nursing interventions to be carried out with head and neck cancer patients in preoperative nursing consultations. Given the study's aim, a scoping review was chosen based on the principles advocated by the Joanna Briggs Institute and using the CINAHL and Medline databases. The review was conducted in April and May 2021. Of the 56 articles obtained, only 1 met the inclusion criteria, indicating a gap in studies about head and neck cancer patients. Preoperative nursing consultations allow patients and family members to ask questions and voice concerns. The nursing intervention identified by the review included interviews, in which nurses explain the concepts related to the diagnosis, the procedures involved in the surgery, and the inherent consequences. Flyers containing images and photos can be used to facilitate interpretation.

Participation of Nursing Students in Evidence-Based Practice Projects: Results of Two Focus Groups.

The development of true evidence-based practice requires that practitioners have the knowledge and skills to research, analyze, and use evidence. These skills must be acquired in pre-graduate training. The objective of the present study was to analyze the contributions of students' participation in knowledge translation projects to clinical practice for evidence-based learning. This was a qualitative, descriptive, and exploratory study that used focus groups. Scripted interviews were administered. The design of the study included five phases and took place in the partnering institutions of the Safety Transition Project, involving fifteen participants. The study was authorized by the Research Ethics Committee. The data were analyzed following the steps encoding the categories, storage and recovery, and (3) interpretation and using computer software (WebQDA®, Ludomédia, Aveiro, Portugal). Four categories were identified: learning evidence; communicating science; evidence-based practice; and developing skills. The successful implementation of evidence-based practice education resulted in students who understand its importance and use it competently. Further research should explore the skills developed by nurses involved in similar projects and their contribution to an EBP culture.

Learning to use evidence at nursing undergraduation: a contribution to collective health. / Aprender a usar evidência na graduação em enfermagem: um contributo para a saúde coletiva.

There is universal agreement that health professionals have not implementing evidence-based practice as would be desirable and recommended by science and international institutions with responsibility for the guidelines issued for health contexts. This focus group with eight participants aimed to understand the perspective of students from the undergraduate nursing course on their involvement in a project of knowledge transfer to the clinic. Qualitative analysis followed the coding steps; storage/retrieval and interpretation of the findings and it was carried out by using a software for qualitative data analysis. This study is authorized by an Ethics Committee and respected the principles inherent to the investigation. The four categories that emerged from the content analysis were: Belonging, Using Evidence, Improving Care and Developing Competencies. The analysis of categories, subcategories and verbatim transcripts allowed us to conclude that participation in transference projects for clinics, according to the students, generates learning opportunities about the implementation and communication of evidence, facilitates integration in the service, participation, collaborative work and the development of transversal skills.

É consensual que os profissionais de saúde não estão a implementar a prática baseada na evidência como seria desejável e recomendado pela ciência e organismos internacionais com responsabilidade sobre as diretrizes emanadas para os contextos de saúde. Este focus group com oito participantes teve por objetivo compreender a perspetiva dos estudantes do curso de graduação em enfermagem sobre o seu envolvimento num projeto de transferência de conhecimento para a clínica. A análise qualitativa seguiu as etapas de codificação, armazenamento/recuperação e interpretação dos achados, e foi efetuada com um software de análise de dados qualitativos. Estudo autorizado por uma comissão de ética e que respeitou os princípios inerentes à investigação. As quatro categorias que emergiram da análise de conteúdo foram: "pertencer", "usar evidência", "melhorar cuidados" e "desenvolver competências". A análise das categorias, subcategorias e verbatins permite concluir que a participação em projetos de transferência para a clínica, na voz dos estudantes, gera oportunidades de aprendizagem sobre a implementação e comunicação de evidência, facilita a integração no serviço, a participação, o trabalho colaborativo e o desenvolvimento de competências transversais.

Transitional rehabilitation care and patient care continuity as an advanced nursing practice.

OBJECTIVE: To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care. METHODS: Integrative literature review oriented toward answering the question "What nursing interventions guarantee transitional rehabilitation care to dependent adult or elderly people when they return home after hospitalization?". RESULTS: The patients did not participate much in the planning of hospital discharge and decision-making when they had to return home. Informal caretakers reported that professionals showed detachment during hospitalization and delayed guiding instructions. Health professionals mentioned lack of time to offer this care modality as a difficulty. FINAL CONSIDERATIONS: Ensuring training, follow-up, and coordination between care levels is essential. Care integration can reduce hospital stay and the impact of post-discharge complications. Transitional care contributes to a sustainable health system, higher care quality, and client satisfaction.

Health Promotion and Disease Prevention in the Elderly: The Perspective of Nursing Students.

Health promotion and disease prevention are closely linked to health literacy. Therefore, intervention to increase individuals' knowledge is essential if action is to be taken to promote a healthy lifestyle with support from health professionals for decision making on choices leading to behavioral change. Taking into account the growing aging population, nurses and nursing students have to develop interventions to promote health and prevent disease in these people, in order to keep them healthy and with quality of life. This study aims to understand how nursing students' experiences in a clinical teaching context contributed to the development of their competencies in the promotion of health and prevention of disease in the elderly. METHOD: Qualitative, exploratory, and descriptive study carried out with ten students about to finish a graduate nursing course in a higher education institution in the South of Portugal. This study was carried out through narratives, one of the most common data collection procedures in social and health investigations. The content analysis technique, more specifically the thematic categorical analysis, was used for data analysis. The study received authorization from the Ethics Committee of the institution where it took place. RESULTS: Three categories were found: "Strategies to promote health and prevent disease in the elderly", "Health improvements from the implementation of the strategies to promote health and prevent disease in the elderly", and "The impact your participation in these strategies to promote health and prevent disease in the elderly had on your formative process". CONCLUSION: The students developed competencies during their clinical teaching experiences through the implementation of strategies of health promotion and disease prevention adapted to/focused on the needs of the elderly.

Transitional Care Management from Emergency Services to Communities: An Action Research Study.

In recent years, nurses have developed projects in the area of hospital to community transition. The objective of the present study was to analyze the transitional care offered to elderly people after they used emergency services and were discharged to return to the community. The action research method was chosen. The participants were nurses, elderly people 70 years old or older, and their caregivers. The study was carried out from October 2018 to August 2019. The data were collected by means of semi-structured interviews with the nurses, analysis of medical records, participatory observation, phone calls to the elderly people and caregivers, and team meetings. The qualitative data were submitted to Bardin's content analysis. Statistical treatment was carried out by applying SPSS version 23.0. The institution's research ethics committee approved the research. Only 31.4% of the sample experienced care continuity after discharge, and the rate of readmission to emergency services during the first 30 days after discharge was 33.4%. The referral letters lacked data on information provided to patients or caregivers, and nurses mentioned difficulties in communication between care levels, as well as obstacles to teamwork; they also mentioned that the lack of health policies and clinical rules to formalize transitional care between the hospital and the community perpetuated non-coordination of care between the two contexts. The low level of literacy of patients and their relatives are mentioned as a cause for not understanding the information regarding seeking primary health care services and handing the discharge letter. It was concluded that there is an urgent need to mobilize health teams toward action in the patients' process of returning home, and this factor must be taken into account in care planning.

Transitional rehabilitation care and patient care continuity as an advanced nursing practice / Cuidado transicional de rehabilitación y continuidad de atención al paciente como práctica avanzada de enfermería / Cuidado transicional de reabilitação e continuidade da assistência ao paciente como prática avançada de enfermagem

ABSTRACT Objective: To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care. Methods: Integrative literature review oriented toward answering the question "What nursing interventions guarantee transitional rehabilitation care to dependent adult or elderly people when they return home after hospitalization?". Results: The patients did not participate much in the planning of hospital discharge and decision-making when they had to return home. Informal caretakers reported that professionals showed detachment during hospitalization and delayed guiding instructions. Health professionals mentioned lack of time to offer this care modality as a difficulty. Final considerations: Ensuring training, follow-up, and coordination between care levels is essential. Care integration can reduce hospital stay and the impact of post-discharge complications. Transitional care contributes to a sustainable health system, higher care quality, and client satisfaction.

RESUMEN Objetivos: Analizar las necesidades, elementos facilitadores y dificultadores de cuidados transicionales de rehabilitación. Métodos: Revisión Integrativa de Literatura, respondiendo la pregunta: "¿Cuáles intervenciones de enfermería garantizan la continuidad de cuidados de rehabilitación al adulto/anciano dependiente en su regreso luego de una internación?". Resultados: Existe baja participación de la persona en la planificación de su alta y en la toma de decisiones al regresar a casa. Los cuidadores informales refieren distanciamiento de los profesionales durante la internación, y que la transmisión de enseñanzas es tardía. Los profesionales de salud alegan como dificultad la falta de tiempo del equipo para estos cuidados. Consideraciones Finales: Resulta esencial garantizar la formación, seguimiento y coordinación entre niveles de cuidados. La integración de cuidados puede reducir el tiempo de internación y las complicaciones postalta. El cuidado de transición favorece un sistema de salud sostenible, un aumento cualitativo del cuidado y la satisfacción de los pacientes.

RESUMO Objetivos: Analisar as necessidades, elementos facilitadores e dificultadores, de cuidados transicionais de reabilitação Métodos: Revisão integrativa da literatura para responder à questão "Quais as intervenções de enfermagem que garantem a continuidade dos cuidados de reabilitação à pessoa adulta/idosa dependente no regresso a casa, após hospitalização?". Resultados: Existe uma baixa participação da pessoa no seu planejamento da alta e na tomada de decisão no regresso a casa. Os cuidadores informais referem distanciamento dos profissionais durante a internação e que a realização de orientações é tardia. Os profissionais de saúde envolvidos apontam como dificuldade a falta de tempo da equipe para este cuidado. Considerações Finais: É fundamental garantir formação, acompanhamento e coordenação entre níveis de cuidados. A integração de cuidados pode reduzir o tempo de internação e as complicações pós-alta. O cuidado transicional contribui para um sistema de saúde sustentável, o incremento da qualidade dos cuidados e a satisfação dos clientes.

Aprender a usar evidência na graduação em enfermagem: um contributo para a saúde coletiva / Learning to use evidence at nursing undergraduation: a contribution to collective health

Resumo É consensual que os profissionais de saúde não estão a implementar a prática baseada na evidência como seria desejável e recomendado pela ciência e organismos internacionais com responsabilidade sobre as diretrizes emanadas para os contextos de saúde. Este focus group com oito participantes teve por objetivo compreender a perspetiva dos estudantes do curso de graduação em enfermagem sobre o seu envolvimento num projeto de transferência de conhecimento para a clínica. A análise qualitativa seguiu as etapas de codificação, armazenamento/recuperação e interpretação dos achados, e foi efetuada com um software de análise de dados qualitativos. Estudo autorizado por uma comissão de ética e que respeitou os princípios inerentes à investigação. As quatro categorias que emergiram da análise de conteúdo foram: "pertencer", "usar evidência", "melhorar cuidados" e "desenvolver competências". A análise das categorias, subcategorias e verbatins permite concluir que a participação em projetos de transferência para a clínica, na voz dos estudantes, gera oportunidades de aprendizagem sobre a implementação e comunicação de evidência, facilita a integração no serviço, a participação, o trabalho colaborativo e o desenvolvimento de competências transversais.

Abstract There is universal agreement that health professionals have not implementing evidence-based practice as would be desirable and recommended by science and international institutions with responsibility for the guidelines issued for health contexts. This focus group with eight participants aimed to understand the perspective of students from the undergraduate nursing course on their involvement in a project of knowledge transfer to the clinic. Qualitative analysis followed the coding steps; storage/retrieval and interpretation of the findings and it was carried out by using a software for qualitative data analysis. This study is authorized by an Ethics Committee and respected the principles inherent to the investigation. The four categories that emerged from the content analysis were: Belonging, Using Evidence, Improving Care and Developing Competencies. The analysis of categories, subcategories and verbatim transcripts allowed us to conclude that participation in transference projects for clinics, according to the students, generates learning opportunities about the implementation and communication of evidence, facilitates integration in the service, participation, collaborative work and the development of transversal skills.

Ser estudante de enfermagem em tempos de COVID-19 / Being a nursing student in times of COVID-19 / Ser estudiante de enfermería en tiempos de COVID-19

Objetivo: Compreender como a pandemia afetou os estudantes de enfermagem nos contextos de Ensino Clínico. Método: Este é um estudo de abordagem qualitativa, exploratória, transversal e descritiva. Os participantes foram 5 enfermeiros recém-licenciados que realizaram o último estágio clínico da sua licenciatura durante a pandemia de COVID-19. A análise de conteúdo ocorreu por meio da técnica para a análise dos achados das narrativas. Resultados: Emergiram 5 categorias: Dificuldades sentidas na integração; Dificuldades na concretização do ensino clínico; Influência da pandemia nas expectativas dos estudantes ante o ensino clínico de integração à vida profissional; Receios, relacionadas com a COVID 19; e Sugestões para a formação dos licenciados em enfermagem, com vista a capacitá-los para a gestão de situações de pandemia. Conclusões e implicações para a prática: O ensino clínico, cujo objetivo é atingir as competências exigidas para o exercício profissional, foi vivenciado com ansiedade, medo e pressão, porém com o suporte possível por parte dos supervisores clínicos, eles próprios também sob pressão, dado o aumento da sobrecarga de trabalho provocada pela pandemia. O estudo permite fazer recomendações para a educação e investigação em enfermagem

Aim: To understand how the pandemic has affected nursing students in clinical teaching contexts. Method: This was a qualitative, exploratory, cross-sectional, and descriptive study. The participants were five newly graduated nurses who had completed the last clinical internship of their program during the COVID-19 pandemic. The narratives were analyzed using content analysis. Results: Five categories emerged: Difficulties felt in integration; difficulties in completing clinical internship; the influence of the pandemic on students' expectations regarding the clinical internship for integration into professional life; fears related to COVID-19, and suggestions for training nursing graduates to prepare them to manage pandemic situations. Conclusions and implications for practice: The clinical internship was experienced with anxiety, fear, and pressure to achieve the skills required for professional practice, with the possible support provided by clinical supervisors, who were also under pressure given the increased work overload caused by the pandemic. The study allows for recommendations for the area of nursing education and research

Objetivo: Comprender cómo afectó la pandemia a estudiantes de enfermería en el ámbito de la enseñanza clínica. Método: Estudio de abordaje cualitativo, exploratorio, transversal y descriptivo. Participaron 5 enfermeros recién graduados que realizaron la última práctica clínica de licenciatura durante la pandemia de COVID-19. Se aplicó análisis de contenido para estudiar los hallazgos narrados. Resultados: Surgieron 5 categorías: Dificultades percibidas en la integración; Dificultades en la concreción de la enseñanza clínica; Influencia de la pandemia en las expectativas estudiantiles respecto de la enseñanza clínica de integración a la vida profesional; Temores relacionados con la COVID-19; y Sugerencias para la formación de licenciados en enfermería con el objeto de capacitarlos para manejarse en situaciones de pandemia. Conclusiones e implicaciones para la práctica: La enseñanza clínica fue experimentada con ansiedad, miedo y presión para alcanzar las competencias exigidas para el ejercicio profesional., con el respaldo posible de los supervisores clínicos, ellos mismos también bajo presión dado el aumento de la sobrecarga de trabajo provocada por la pandemia. El estudio brinda recomendaciones sobre educación e investigación en enfermería