Incident analysis occurrence related to potentially dangerous medicines distributed in teaching hospital. / Análise das ocorrências de incidentes relacionados aos medicamentos potencialmente perigosos dispensados em hospital de ensino.

OBJECTIVE: To analyze the reports of incidents related to potentially hazardous medications distributed at a teaching hospital in the interior of São Paulo. METHODS: A descriptive, retrospective study with a quantitative approach of data from the analysis of pharmacovigilance notifications that occurred between January 2009 and December 2014, from tables and graphs, showing the absolute/relative frequencies. RESULTS: From 786 reports of pharmacovigilance, 188 were related to potentially hazardous medicines, 36.7% of which were ineffective, 32.44% were technical complaints, 15.95% were adverse reactions, 7.44% were phlebitis, 5.13% were extravasation , 1.06% dispensing error, 0.53% administration error and 0.53% medication error. The professionals who most notified were nurses. The most commonly reported pharmacological groups were drugs with action on the nervous system (35.63%). CONCLUSION: The analysis showed that there were a significant number of reports and the need to adopt strategies to ensure greater patient safety.

Pressure Injury in the Pediatric Population: Cohort Study Using the Braden Q Scale.

OBJECTIVE: To identify the risk and incidence of pressure injuries in bedridden pediatric patients to determine the most prevalent risk factors and preventive measures and to define the sociodemographic, clinical, and therapeutic profiles in this group. METHODS: Prospective cohort study performed between March 2015 and March 2016 in the intensive care unit and the pediatric ward of a public teaching hospital. The study included 85 pediatric patients (45 intensive care unit and 40 pediatric ward patients). MAIN OUTCOME MEASURE: Patients' Braden Q Scale score was assessed at 48-hour intervals until discharge from the aforementioned units, discharge from the hospital, and/or death. MAIN RESULTS: Researchers observed that 93.3% of intensive care unit patients and 87.5% of pediatric ward patients were categorized as high-risk patients, and 12 patients presented with 24 pressure injuries with an incidence of 14.1% and a mean of 4 days before pressure injury occurrence. Patients with pressure injuries in the cohort averaged a hospital length of stay of 7.7 days. Of these, the mean age was 4.1 years and most were female, receiving enteral nutrition, and had diagnoses related to neurological and respiratory diseases.' Vasopressor use had a statistically significant association (P < .05) with the development of pressure injuries. The primary risk factor identified on the Braden Q Scale for the development pressure injury was a "mobility and activity" deficit. CONCLUSIONS: Most patients (hospitalized in either unit) were at high risk of developing pressure injuries. No specific preventive guidelines were in place in this hospital prior to this study; therefore, the authors aimed to develop a protocol for the prevention and reduction of pressure injuries in pediatric patients.

Postsurgical alveolar bone graft patients: elaboration and application of a data-gathering instrument for nutrition and nursing.

OBJECTIVES: To relate nutritional status with food acceptance by patients undergoing alveolar bone grafting and to elaborate an interdisciplinary instrument for data collection, involving nutrition and nursing teams. DESIGN/INTERVENTION: A prospective, longitudinal, and comparative study with a quantitative approach was conducted in a tertiary institutional hospital. The nutritional anthropometric evaluation was performed one day before surgery (M1) and at hospital discharge (M2), by measuring body mass index (BMI), triceps skinfold thickness (TST), subscapular skinfold thickness (SST), and arm muscle circumference (AMC). The interdisciplinary instrument for data collection was used. PATIENTS: The sample comprised 150 patients, aged 10 to 20 years, of both genders, who agreed to participate in this study. RESULTS: Most of patients were well-nourished during the study. There was correlation between BMI and Σ TST + SST at M1 and M2 (P < .0001) and between BMI and AMC (P < .0001). Concerning food acceptance, 145 patients had adequate intake and 5 did not. Comparisons between the groups of patients revealed decreases in values for BMI, Σ TST + SST, and AMC from -0.37, 0.0, and 0.3, respectively, at M1 to -0.71, -3.0, and 0.0, respectively, at M2. BMI and AMC showed similar decreases in both groups. CONCLUSIONS: The interdisciplinary instrument was useful and appropriate for associating nutritional status with food acceptance, adding value for teamwork.

Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review.

OBJECTIVES: to analyze the production of knowledge in research articles about the effectiveness of nursing protocols for reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection rate in hospitalized adult and older patients. METHODS: an integrative review of three full articles, available in the MEDLINE Complete - EBSCO, Scopus and Web of Science databases, from 01/01/2015 to 04/26/2021. RESULTS: the three protocols reduced infection rates, and from the review/synthesis of their knowledge, a level IV body of evidence emerged to compose the nursing care process aimed at reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection. FINAL CONSIDERATIONS: this process gathers scientific evidence to support the elaboration of nursing protocols and, consequently, the conduction of clinical trials on its effectiveness in reducing urinary tract infection by indwelling urinary catheter.

Cultural adaptation of the Glamorgan Scale to Brazilian Portuguese: Pressure Injury in Pediatrics.

OBJECTIVE: to describe the methodological process of cultural adaptation of the Glamorgan Scale to Brazilian Portuguese. METHOD: a methodological study of translation and cultural adaptation of the Glamorgan Scale, following the six stages: initial translation, synthesis of translations, back-translation, committee of experts, pre-test, and submission of the adapted version to the author for approval. The committee of experts was composed of five physicians and, during evaluation, a semantic, idiomatic, cultural and conceptual analysis was carried out. The agreement and representativeness of the items were assessed using the Content Validity Index. A minimum value of 80% agreement was considered. RESULTS: all stages of the translation and cross-cultural adaptation process were satisfactory. In the evaluation made by the committee of experts, all items obtained an agreement greater than 80% in the first evaluation round. The pre-test stage allowed for a critical overview of the instrument, where few modifications were suggested by the participants. CONCLUSION: the Glamorgan Scale was translated and culturally adapted to Brazilian Portuguese. Future psychometric studies are necessary to validate the scale.

Vulnerabilities of nurses in an intensive care unit: an integrative review.

OBJECTIVES: to identify vulnerabilities of nurses who work in an intensive care unit. METHODS: an integrative review was held from 2006 to 2019, with searches on the platforms/databases LILACS, BDENF, SciELO, MEDLINE, Scopus, CINAHL, and Web of Science. The theoretical framework of ergology, by Schwartz, was used and the guiding question "What are the main vulnerabilities of nurses who work in an intensive care unit"? RESULTS: eleven articles were included. Five topics of vulnerabilities emerged: physical, emotional, communication process, care process, and organizational. We observed that the organizational vulnerability was kept as a common and intersection factor in developing the other four. CONCLUSIONS: vulnerabilities found have a relationship to the physical, emotional, communication, care process, and institution organization elements. The organization aspect intersected with the others, configuring itself as the core in this context.

Theoretical reflections of Leininger's cross-cultural care in the context of Covid-19.

OBJECTIVE: To reflect on cross-cultural care for the population based on the theoretical assumptions and concepts of Leininger's Transcultural Theory, related to the recommendations for combating the Covid-19 pandemic. METHOD: Reflective theoretical study based on culturally competent care, related to the Brazilian reality, using the conceptual attributes of care, culture, and worldview. Critically articulated the reasonings about the guidelines for preserving, accommodating, and repatterning actions for the care of people. RESULTS: The nurse must know cross-cultural care in order to consider individual and/or collective treatment and respect the existing differences in beliefs and values. This premise corroborates the adherence to Covid-19 prevention and treatment recommendations. The lack of knowledge about the transmissibility and invisibility of the virus and the risk factors, combined with the cultural diversity of the population, can make it difficult to adhere to health recommendations. FINAL CONSIDERATIONS: Cross-cultural care favors the practice of health education and can provide conditions for greater adherence of the population to nursing actions.

Coronavirus infections: health care planning based on Orem's Nursing Theory.

OBJECTIVE: to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory. METHOD: the active methodologies used were a literature search and seminar presentations, with an understanding of Orem's theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used. RESULTS: for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes. FINAL CONSIDERATIONS: theoretical-practical reflections of the academic context support nursing care planning.

Authentic leadership among nursing professionals: knowledge and profile.

OBJECTIVES: to identify the knowledge of nursing professionals about leadership models and evaluate the authentic leadership profile among them. METHODS: analytical study, conducted between August and December 2015, involving 84 nursing professionals working in a public and tertiary hospital. We used two instruments: Sociodemographic Questionnaire with questions about leadership and the Authentic Leadership Questionnaire. RESULTS: both nurses and nursing technicians were unaware of authentic leadership. Both pointed to communication, planning, and organization as competencies of the leader (n = 58, 95%). Regarding the authentic leadership profile, we observed that the score was "high" among nurses and "low" among technicians. Holding a leadership position and professionally upgrading has positively influenced the highest-profile of authentic leadership. CONCLUSIONS: nurses demonstrated to know behavioral leadership, while nursing technicians showed knowledge about situational leadership. Nurses had a high score of authentic leadership behaviors, while nursing technicians had a low score, but we found no significant difference between them. Holding a leadership position and professionally upgrading has positively influenced the highest profile of authentic leadership.

The training and praxis of the nurse in the light of nursing theories.

OBJECTIVE: to report the experience of the development of nursing knowledge from nursing theories and points of contact with the nurse's praxis. METHOD: case report on the reflections on contents addressed in the discipline offered in the Graduate Program in Nursing in a federal public university. The students presented seminars approaching the main nursing theories, generating extensive discussion and correlating them with the nurse's practice. Review and reflection on the contents addressed. RESULT: two themes were defined: the training of nursing undergraduate students and the development of knowledge in relation to the concepts of nursing theories; and care models and nurses' critical reasoning about the applicability of nursing theories. FINAL CONSIDERATION: the reflections produced permeated the development and acquisition of knowledge and of representative meanings of healthcare practice from the assumptions and constructs of the theories.

Applicability of Orem: training of caregiver of infant with Robin Sequence.

OBJECTIVE: to report the nurses' experience in relation to the training of caregivers of infants with Isolated Robin Sequence (IRS) for maintaining care after hospital discharge from the perspective of Self-Care Theoretical Framework. METHOD: the following categories were considered in this experience report: self-care action, self-care capacity, therapeutic self-care demand, self-care deficit, and nursing system. The nursing system was wholly compensatory and supportive-educative. RESULTS: caregivers' training by nurses results in the acquisition of technical skills and specific knowledge related to the infant's positioning in elevated ventral decubitus, nasopharyngeal intubation, feeding-facilitating techniques and care with the feeding tube. FINAL CONSIDERATIONS: the continuity of home care is guaranteed from caregivers' training for the therapeutic demand.

Desenvolvimento de aplicativo móvel para predição do risco de lesão por pressão: escala de glamorgan / Development of a mobile application for predicting the risk of pressure injury: Glamorgan Scale

Objetivo: Desenvolver um aplicativo móvel que utilize a Escala de Glamorgan para prever o risco de lesões por pressão em pacientes pediátricos, no cuidado à beira do leito. Método: Trata-se de um estudo metodológico para o desenvolvimento de um aplicativo móvel visando a predição do risco de lesão por pressão pela Escala de Glamorgan, com base no referencial metodológico de Cook & Dupras. Resultados: Seguindo as etapas estabelecidas pelo referencial metodológico, concluímos o desenvolvimento do aplicativo móvel em saúde intitulado "LPP - Escala de Glamorgan". O aplicativo é composto por cinco abas que fornecem informações relevantes sobre a avaliação e prevenção de lesões por pressão. Conclusão: O aplicativo foi desenvolvido conforme as etapas estabelecidas no referencial metodológico. Além disso, foi incluída uma aba específica para facilitar a aplicação rápida e intuitiva da Escala de Glamorgan por enfermeiros durante o atendimento à beira do leito.(AU)

Objective: To develop a mobile application that uses the Glamorgan Scale to predict the risk of pressure injuries in pediatric patients, in bedside care. Method: This is a methodological study for the development of a mobile application aimed at predicting the risk of pressure injury by the Glamorgan Scale, based on the methodological framework of Cook & Dupras. Results: Following the steps established by the methodological framework, we completed the development of the mobile health application entitled "LPP - Glamorgan Scale". The application consists of five tabs that provide relevant information on the assessment and prevention of pressure injuries. Conclusion: The application was developed according to the steps established in the methodological framework. In addition, a specific tab was included to facilitate the quick and intuitive application of the Glamorgan Scale by nurses during bedside care.(AU)

Objetivo: Desarrollar una aplicación móvil que utilice la Escala de Glamorgan para predecir el riesgo de lesiones por presión en pacientes pediátricos en cuidados de cabecera. Método: Se trata de un estudio metodológico para el desarrollo de una aplicación móvil dirigida a predecir el riesgo de lesión por presión mediante la Escala de Glamorgan, basado en el marco metodológico de Cook & Dupras. Resultados: Siguiendo los pasos establecidos por el marco metodológico, completamos el desarrollo de la aplicación móvil de salud titulada "LPP - Escala de Glamorgan". La aplicación consta de cinco pestañas que proporcionan información relevante sobre la evaluación y prevención de las lesiones por presión. Conclusión: La aplicación se desarrolló siguiendo los pasos establecidos en el marco metodológico. Además, se incluyó una pestaña específica para facilitar la aplicación rápida e intuitiva de la Escala de Glamorgan por parte del personal de enfermería durante los cuidados a pie de cama.(AU)

Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review / Protocolos de enfermería para reducir la infección del tracto urinario causada por catéteres permanentes: revisión integradora / Protocolos de enfermagem para redução de infecção urinária por cateteres de demora: revisão integrativa

ABSTRACT Objectives: to analyze the production of knowledge in research articles about the effectiveness of nursing protocols for reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection rate in hospitalized adult and older patients. Methods: an integrative review of three full articles, available in the MEDLINE Complete - EBSCO, Scopus and Web of Science databases, from 01/01/2015 to 04/26/2021. Results: the three protocols reduced infection rates, and from the review/synthesis of their knowledge, a level IV body of evidence emerged to compose the nursing care process aimed at reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection. Final Considerations: this process gathers scientific evidence to support the elaboration of nursing protocols and, consequently, the conduction of clinical trials on its effectiveness in reducing urinary tract infection by indwelling urinary catheter.

RESUMEN Objetivos: analizar la producción de conocimiento a partir de artículos de investigación sobre la efectividad de los protocolos de enfermería para reducir la estancia de una sonda vesical y la tasa de infección del tracto urinario relacionada con el catéter en adultos y ancianos hospitalizados. Métodos: revisión integradora de tres artículos completos, en las bases de datos MEDLINE Complete (EBSCO), Scopus y Web of Science, del 01/01/2015 al 26/04/2021. Resultados: los tres protocolos redujeron las tasas de infección y, de la revisión/síntesis de sus conocimientos, surgió un cuerpo de evidencia de nivel IV para componer el proceso de atención de enfermería, con el objetivo de reducir la permanencia de sonda vesical y la infección asociada. Consideraciones Finales: este proceso reúne evidencias científicas para apoyar la elaboración de protocolos de enfermería y, consecuentemente, la realización de ensayos clínicos sobre su efectividad en la reducción de la infección por sonda vesical permanente.

RESUMO Objetivos: analisar a produção do conhecimento de artigos de pesquisas acerca da efetividade de protocolos de enfermagem para redução do tempo de permanência de sonda vesical de demora e da taxa de infecção do trato urinário relacionada ao cateter em pacientes adultos e idosos hospitalizados. Métodos: revisão integrativa de três artigos na íntegra, nas bases de dados MEDLINE Complete (EBSCO), Scopus e Web of Science, no período de 01/01/2015 a 26/04/2021. Resultados: os três protocolos reduziram as taxas de infecção, e, da revisão/síntese de seu conhecimento, emergiu um corpo de evidências de nível IV para compor o processo de cuidar de enfermagem, visando à redução da permanência do cateter e da infecção associada. Considerações Finais: esse processo reúne evidências científicas para subsidiar a elaboração de protocolos de enfermagem e, consequentemente, a condução de ensaios clínicos sobre sua eficácia na redução de infecção do trato urinário por sonda vesical de demora.

[Documented nursing diagnoses for medical clinic patients]. / Diagnósticos de enfermagem documentados para pacientes de clínica médica.

This paper reports a descriptive study, based on nursing records, of nursing diagnoses documented three months after the implementation of the NANDA-I classification at the University of São Paulo's Hospital Universitário (HU-USP) and proposes outcomes and interventions for the 3 most frequent diagnoses. The convenience sample (34% of the month's admissions) consisted of 30 charts of patients admitted in the Medical Clinic in August of 2004 (60% female, average age 60.9 +/- 23.1 years, mean length of stay = 5.8 +/- 2.7 days). The diagnoses documented on the admission day were manually transcribed from the charts and analyzed according to their frequency. There were 144 diagnoses (31 categories), with an average of 4.8 +/- 4.0 diagnoses per patient (range = 1-10). The most frequent were: acute pain (66.7%), impaired tissue integrity (63.3%), ineffective airway clearance (43.3%), risk of impaired skin integrity (36.7%), and impaired skin integrity (33.3%). The proposed outcomes and interventions are presented.

[Adaptation to the Portuguese language and validation of the Lunney Scoring Method for Rating Accuracy of Nursing Diagnoses]. / Adaptação para a língua Portuguesa e validação do Lunney Scoring Method for Rating Accuracy of Nursing Diagnoses.

The Lunney Scoring Method for Rating Accuracy of Nursing Diagnoses (LSM) is a semantic differential scale developed by Lunney to rate the accuracy of nursing diagnoses. The objective of this study was to adapt the LSM to the Portuguese language and to estimate its psychometric properties. The original scale was translated into Portuguese, back-translated into English, and the English versions were compared in order to adjust the Portuguese one (Escala de Acurácia de Diagnóstico de Enfermagem de Lunney--EADE). Four nurses were trained on the EADE and applied it on 159 diagnoses made for 26 patients of three primary studies, based on the records of patients' interviews and physical examinations. Cohen's Kappa estimates produced unacceptable inter-observer agreement rates, showing that the adapted tool has not acceptable reliability. Because of this result, validity tests were not conducted.

Communicating bad news: an integrative review of the nursing literature.

OBJECTIVES:: describe how the process of breaking bad news is established and identify how nurses approach the task of giving bad news. METHOD:: integrative review of the literature for articles in Portuguese and English published between 1993-2014, in the databases: Bireme, PubMed, Scopus, Web of Science, CINAHL and Embase. Nine articles were included using the selection flow chart. A digital form was completed for each article according to the Consolidated Criteria for Reporting Qualitative Research checklist and the level of scientific evidence was determined. RESULTS:: Of the 99 articles in identified, nine were included after applying the selection flowchart. DISCUSSION:: breaking bad news is frequent in the area of oncology and palliative care, with a strong cultural influence on the autonomy of nurses in this process. CONCLUSION:: the approach and skills of the nurse during this task influences the patient's reaction to the message. The theme is scarce in the literature and merits further investigation. OBJETIVOS:: Descrever como se estabelece o processo de comunicação de más notícias e identificar como o enfermeiro pratica a comunicação de más notícias. MÉTODO:: Revisão integrativa da literatura com artigos em português e inglês referente ao período 1993-2014 nas bases de dados Bireme, PubMed, Scopus, Web of Science, CINAHL e Embase. Elegeram-se nove artigos pelo fluxograma de seleção. Para cada artigo foi preenchida uma ficha eletrônica, elaborado um checklist do Consolidated Criteria for Reporting Qualitative Research e verificado o nível de evidência científica. RESULTADOS:: Foram identificados 99 artigos e incluídos nove pelo fluxograma de seleção. DISCUSSÃO:: Transmitir más notícias é frequente nas áreas de oncologia e cuidados paliativos, com forte influência cultural na autonomia do enfermeiro nesse processo. CONCLUSÃO:: O modo e a habilidade do enfermeiro durante a ação influenciarão a reação do paciente acerca da mensagem. O tema é escasso na literatura, necessitando ser explorado.

Atendimento remoto à saúde no contexto da pandemia: revisão integrativa / Atención remota de la salud en el contexto de la pandemia: revisión integradora / Remote health care in the context of the pandemic: integrative review

Objetivo: Identificar na literatura como se configurou, durante a pandemia, o teleatendimento pelos profissionais da saúde, quais ferramentas foram utilizadas; e o nível de evidência dos estudos publicados. Método: Revisão integrativa da literatura com busca realizada em janeiro de 2021, delimitando os últimos 5 anos, nas bases de dados: Cinahl, Cochrane, Lilacs, Scopus, PubMed, Web of Science e Embase. Resultados: Total de 912 títulos; 13 artigos incluídos. Os profissionais que utilizam a teleconsulta foram médicos, enfermeiros e fisioterapeutas. Os meios e ferramentas utilizados foram videochamadas; ligações telefônicas; e-mail, Zoom e Skype; iMessage e aplicativos como R-MAPP. Conclusão: a telemedicina foi um importante meio de educação em saúde e continuidade de tratamento; as áreas e profissões que utilizaram o teleatendimento e teleconsulta incluíram a equipe de saúde de um modo geral(AU)

Objective: To identify in the literature how telecare and teleconsultation by health professionals were configured during the pandemic, which tools were used; and the level of evidence of published studies. Method: Integrative literature review with a search carried out in January 2021, delimiting the last 5 years, in the following databases: Cinahl, Cochrane, Lilacs, Scopus, PubMed, Web of Science and Embase. Results: Total of 912 titles; 13 articles included. The professionals who use teleconsultation were doctors, nurses and physiotherapists. The means and tools used were video calls; phone calls; email, Zoom and Skype; iMessage and apps like R-MAPP. Conclusion: telemedicine was an important means of health education and continuity of treatment; the areas and professions that used teleservice and teleconsultation included the health team in general.(AU)

Objetivo: Identificar en la literatura cómo, durante la pandemia, se configuró el teleservicio por parte de los profesionales de la salud, qué herramientas se utilizaron; y el nivel de evidencia de los estudios publicados. Método: Revisión integrativa de la literatura con búsqueda realizada en enero de 2021, delimitando los últimos 5 años, en las siguientes bases de datos: Cinahl, Cochrane, Lilacs, Scopus, PubMed, Web of Science y Embase. Resultados: Total de 912 títulos; 13 artículos incluidos. Los profesionales que utilizaron la teleconsulta fueron médicos, enfermeras y fisioterapeutas. Los medios y herramientas utilizados fueron las videollamadas; llamadas telefónicas; correo electrónico, Zoom y Skype; iMessage y aplicaciones como R-MAPP. Conclusión: la telemedicina fue un importante medio de educación en salud y continuidad del tratamiento; las áreas y profesiones que utilizaron el teleservicio y la teleconsulta incluyeron al equipo de salud en general(AU)

Sizing of nursing staff associated with self-care promotion in a pediatric semi-intensive care unit. / Dimensionamento de pessoal de enfermagem referente à promoção do autocuidado em unidade de terapia semi-intensiva pediátrica.

OBJECTIVES: To calculate and compare the nursing staff size associated with self-care promotion at a pediatric semi-intensive care unit. METHODS: This was a prospective study in which 31 children and their caregivers participated. The nursing workload associated with each participant was evaluated at two different times (first and second hospital stays) using the Nursing Activities Score instrument. The first hospital stay corresponded to self-care promotion. Staff size was calculated according to the nursing hours recommended by the Nursing Activities Score instrument and by Conselho Federal de Enfermagem (COFEN) resolution no. 527/16, in the two hospital stays, and the results were compared. RESULTS: The nursing workload in the first hospital stay (14.6 hours) was higher than the nursing workload in the second stay (9.9 hours) (p < 0.001). The Nursing Activities Score revealed that according to the nursing hours, the nursing staff size corresponded to 26 and 18 professionals in the first and second hospital stays, respectively, and to 15 professionals according to COFEN resolution no. 527/16. CONCLUSION: The number of personnel responsible for promoting self-care in pediatric semi-intensive care units, according to the nursing hours suggested by the Nursing Activities Score, was higher than that recommended by the existing legislation. This demonstrates the necessity of reconsidering staff size for this healthcare profile.

OBJETIVOS: Calcular e comparar o dimensionamento de pessoal no que diz respeito à promoção do autocuidado em unidade de terapia semi-intensiva pediátrica. MÉTODOS: Estudo prospectivo, do qual participaram 31 crianças e seus respectivos cuidadores. Os participantes foram avaliados em dois momentos (primeira e segunda internação) quanto à carga de trabalho de enfermagem, por meio do Nursing Activities Score. A primeira internação correspondeu à promoção do autocuidado. O dimensionamento de pessoal foi calculado segundo as horas do Nursing Activities Score e a resolução do Conselho Federal de Enfermagem (COFEN) 527/16, nas duas internações, e estes dados foram posteriormente comparados. RESULTADOS: A carga de trabalho de enfermagem na primeira internação (14,6 horas) foi maior em comparação à segunda (9,9 horas) (p < 0,001). O dimensionamento de pessoal segundo as horas, de acordo com o Nursing Activities Score, foi de 26 e 18 profissionais, e de 15 profissionais, conforme a resolução do COFEN 527/16. CONCLUSÃO: O quantitativo de profissionais referente à promoção do autocuidado em unidade de terapia semi-intensiva pediátrica, segundo as horas do Nursing Activities Score, foi superior ao recomendado pela legislação existente, demonstrando a necessidade de se reconsiderar o dimensionamento de pessoal neste perfil assistencial.

Homemade diet versusdiet industrialized for patients using alternative feeding tube at home - An integrative review.

BACKGROUND: Enteral nutrition therapy can be provided using comercialized products (chemically defined formulas) or blenderized home-made preparations. OBJECTIVE: To perform an integrative review of the literature comparing the use of both type of formulation. METHODS: In this descriptive study papers published in English, Spanish or Portuguese Brazil, in journals indexed in the databases PubMed, EMBASE, Scopus, Web of Science and Bireme without the period 2010 to 2015 were reviewed The terms "enteral nutrition, foods, formulated, diet, homemade diet industrial and artisanal diet" according to the MeSH were used for the search. RESULTS: Twelve articles were selected. Most studies showed a level 4 of evidence and were published in journal in the higher Qualis index. Four aspects were evaluated: comparison between groups studying the clinical effects; comparison of the chemical composition of home-made products; physical-chemical and microbiological analysis of the enteral diets comes; articles on epidemiological Data on home enteral nutrition. CONCLUSION: Industrialized diet is more suitable for patients using alternative feeding supply at home. But it has a higher cost.

Análise do perfil sociodemográfico de pacientes atendidos pelo telemonitoramento durante a pandemia por COVID-19 / Análisis del perfil sociodemográfico de los pacientes asistidos por telemonitorización durante la pandemia de COVID-19 / Analysis of the sociodemographic profile of patients assisted by telemonitoring during the COVID-19 pandemic

Objetivo: caracterizar o perfil sociodemográfico de pacientes atendidos pelo telemonitoramento durante a pandemia por COVID-19. Método: Trata-se de um estudo transversal retrospectivo, março a dezembro de 2020, a partir da análise de banco de dados secundários de registros de pacientes atendidos por telemonitoramento durante a pandemia por COVID-19. Foi realizada estatística descritiva, teste t-student e qui-quadrado, para as associações entre as variáveis do perfil sociodemográfico. Resultados: Amostra de 1.368 usuários atendidos pelo telemonitoramento, 59,48% sexo feminino, média de idade 40,3 anos, tendo maior frequência de teleatendimentos no mês de novembro 237 (17,32%). Do total, 1.108 (91,12%) testaram negativo e 108 (8,88%) positivo; pacientes positivos apresentaram associação significativa (p<0,05) com sexo, doença crônica e contato com outro assintomático. Conclusão: O telemonitoramento planejado durante a pandemia apresentou-se como estratégia fundamental, na ausência do atendimento presencial, devido às recomendações de distanciamento e isolamento social(AU)

Objective: to characterize the sociodemographic profile of patients treated by telemonitoring during the COVID-19 pandemic. Method: This is a retrospective cross-sectional study, from March to December 2020, based on the analysis of secondary databases of patient records assisted by telemonitoring during the COVID-19 pandemic. Descriptive statistics, t-student and chi-square tests were performed for the associations between the variables of the sociodemographic profile. Results: Sample of 1,368 users assisted by telemonitoring, 59.48% female, mean age 40.3 years, with a higher frequency of teleservices in November 237 (17.32%). Of the total, 1,108 (91.12%) tested negative and 108 (8.88%) tested positive; positive patients showed a significant association (p<0.05) with sex, chronic disease and contact with another asymptomatic patient. Conclusion: The telemonitoring planned during the pandemic was presented as a fundamental strategy, in the absence of face-to-face care, due to the recommendations of distancing and social isolation(AU)

Objetivo: caracterizar el perfil sociodemográfico de los pacientes atendidos por telemonitorización durante la pandemia de COVID-19. Método: Este es un estudio transversal retrospectivo, de marzo a diciembre de 2020, basado en el análisis de bases de datos secundarias de registros de pacientes asistidos por telemonitoreo durante la pandemia de COVID-19. Se realizaron pruebas descriptivas, t-student y chi-cuadrado para las asociaciones entre las variables del perfil sociodemográfico. Resultados: Muestra de 1.368 usuarios atendidos por telemonitorización, 59,48% del sexo femenino, edad media 40,3 años, con mayor frecuencia de teleservicios en noviembre 237 (17,32%). Del total, 1.108 (91,12%) dieron negativo y 108 (8,88%) dieron positivo; los pacientes positivos mostraron una asociación significativa (p<0,05) con el sexo, la enfermedad crónica y el contacto con otro paciente asintomático. Conclusión: El telemonitoreo planificado durante la pandemia se presentó como una estrategia fundamental, ante la falta de atención presencial, debido a las recomendaciones de distanciamiento y aislamiento social.(AU)