Analysis of Portuguese language blogs about bariatric surgery: key doubts of internauts regarding the postoperative period.

BACKGROUND: The Internet, particularly blogs have become an important tool for patients to disseminate and exchange information on a variety of health topics, including bariatric surgery. By virtue of its interactivity being free of judgement from health care providers, blogs expose gaps in patients' knowledge and understanding. PURPOSE: This study analyzes the main doubts expressed in blogs by patients in the postoperative period of bariatric surgery. METHOD: This is a qualitative exploratory study of 11 blogs of patients, who underwent bariatric surgery, that were available on the Internet between October 2013 and May 2017. The data were collected through a structured instrument and analyzed according to Bardin's suggestions. The sampling method used was intentional. RESULTS: Evolution of diet, weight loss, plateau effect, weight regain, physical exercises, physiological changes, complications, use of contraceptive and pregnancy were the main areas of concern. CONCLUSION: More needs to be done to educate and prepare bariatric patients for the postoperative period. The content found in blogs serves towards building better links with patients, helps them make better decisions, and provides them an opportunity to be active participants in their own treatment.

Neonatal Intestinal Obstruction Syndrome.

Neonatal intestinal obstruction is caused by an anatomical abnormality that produces bowel movement failure. Intestinal obstruction presents with three classic clinical signs: vomiting, abdominal distention, and failure to pass meconium. Intestinal obstruction is one of the most common causes for admitting a pediatric patient to the pediatric surgery unit in his or her first weeks of postnatal life. Congenital obstruction of the digestive tract in neonates is a common problem, with the most frequent cause being anorectal malformations (41%), followed by esophageal obstruction (24%), and duodenal obstruction (20%). [Pediatr Ann. 2018;47(5):e220-e225.].

Implementation of Improvements in an Electronic Documentation Nursing Process System Structured on NANDA-I, NOC and NIC (NNN) Classification.

The aim of this study was to present the experience of a teaching hospital with the implementation of improvements to an electronic documentation system of the nursing process (PROCEnf-USP®). The improvements were based on functional performance and technical quality of the system. It was adopted Scrum™ method for version control PROCEnf-USP® by enabling agility, flexibility and possibility of integration between development and users. The PROCEnf-USP® has been used since 2009 and has professional and academic environments. The current version lets you generate reports and supports decisions about diagnoses, outcomes and interventions. It is provided the use of indicators to monitor results and registration at the point of care. The establishment of important.

Usability Testing of PROCEnf-USP: A Clinical Decision Support System.

Decision support systems (DSSs) are recognized as important tools, capable of processing high volumes of data and increasing productivity. The usability of these tools affects their effectiveness. By evaluating the interactions between registered nurses (RNs) and the DSSs, this study explores how they impact RN decision-making. This study analyzed 24 months (2011-2012) of data collected in Brazil in two units of a large, public, urban hospital in São Paulo that uses a nurse documentation system with an embedded DSS based on NANDA-I. Using mixed effects logistic regression, this study analyzed the agreement between RNs and a DSS when selecting nursing diagnoses. Results suggest that the agreement is mediated by characteristics of the RNs (education and experience) as well as units and year of encounter. Surprisingly, disagreement between RN and DSS when selecting defining characteristics (DC) had positive effects on the odds of agreement on diagnoses. Our results suggest that DSSs support nurses' clinical decision making, but the nurse's clinical judgment is the mediating factor. More research is necessary.

Nursing Clinical Documentation System Structured on NANDA-I, NOC, and NIC Classification Systems.

Information is a key feature that health professionals need to exercise their profession with efficiency and quality. This study aims to present the experience of the usage of an electronic system for clinical documentation in nursing in a university hospital. It is a methodological research of technology production. The system was developed in four phases: Conception, Elaboration, Construction, and Transition, and was named Electronic Documentation System of the University of São Paulo Nursing Process (PROCEnf-USP™). The knowledge base of PROCEnf-USP™ was organized in hierarchy of domains and classes, according to NNN linkages.

Violence and vulnerability of female migrants in drop houses in Arizona: the predictable outcome of a chain reaction of violence.

This qualitative research study examines the experiences of immigrant women crossing the U.S./Mexico border and the proliferation of "drop houses" in Arizona as a new phenomenon, one that is often marked by kidnappings and sexual assault. Little research has been published on the violence women face on their journey, and the drop houses have almost completely escaped scholarly analysis. We argue that the drop houses must be seen as a consequence of a "state of emergency" declared by policy makers that led to changes in U.S. national and local immigration policies that fueled what we call a "chain reaction of violence."

PROCenf evaluation: Are the assessments triggering the correct NANDA-I diagnoses?

PROCEnf-USP is a decision support system that offers staff nurses at the University Hospital in Sao Paulo, Brazil a set of questionnaires to guide patient assessment. Using the answers, the system computes probabilities for nursing diagnoses based on NANDA-I. This study aims to evaluate PROCenf in terms of its reliability (Does it consistently gives the right diagnose?) and its validity in Brazil (Does NANDA-I terminology represent the healthcare experience of a Brazilian population).

The great recession of 2007 and California nurses: a descriptive analysis.

This study investigates the effect of the Recession of 2007 on nurses' wages, demographics, human capital, and work environment characteristics using data from the California Board of Registered Nursing Surveys of 2006, 2008 and 2010. Findings suggest that the labor force is maximized, with nurses working as much as they can on their primary nursing positions (51 weeks a year). As the economy recovers, the nurse shortage will resurge. Intense focus in three policy areas is recommended: education, faculty training, and recruitment and retention of African Americans, Hispanics, and older nurses.

California nurse staffing law and RN workforce changes.

The minimum nurse-patient staffing legislation in California was fully implemented in 2004. The purpose of this study was to explore the effects on the minimum nurse-patient staffing legislation on the demographic, human capital, and work characteristics of the working RN population, focusing specifically on direct care nurses in the acute care setting. The most interesting finding of this study was an increase in nurse satisfaction after the minimum staffing law was implemented. Findings also suggest that work environments need to change to accommodate the changes that have occurred in the nurse population. Nurses should practice to the full extent of their education and training; nurses should be full partners in redesigning the health care system; nurse education should promote seamless academic progression; and effective workforce planning and policymaking should be conducted. Administrators, health policymakers, and advocates must develop job descriptions and work environments that maximize the attachment of the labor force in terms of hours worked per week of RNs for all nurses but especially for those over 50 years of age and non-Whites.

Work satisfaction among California registered nurses: a longitudinal comparative analysis.

California's minimum nurse-to-patient staffing ratio law, the nation's first, was implemented in 2004. This study had two aims: (a) to evaluate the effect of the nurse-to-patient ratios law on nurse job satisfaction in order to advance the debate over the merits of nurse staffing law, and (b) to compare California nurses who were satisfied against those who were not, in order to facilitate the development targeted retention interventions based on empirical evidence. The sample's overall job satisfaction increased significantly as the years passed, suggesting the nurse-to-patient ratios law was associated with improvements in nurse satisfaction. Satisfied RNs were more likely to have a balanced and financially secure life that included a partner, children living at home, higher hourly wages, and higher income from sources other than a nursing job. Nurses working in direct patient care positions remained dissatisfied in larger proportions than those working in other types of positions, even after the nurse-to-patient ratios were implemented. More nurses are satisfied today than before the ratios; nevertheless, far too many nurses (18.5%) have job satisfaction scores that are neutral or worse.

California Hispanic nurses: analysis of 1997, 2004, 2006, 2008 survey data.

Using data from the California Board of Registered Nursing Surveys of 1997, 2004, 2006 and 2008, this study explores demographic, human capital, and work environment changes in the Hispanic RN population and compared these changes to those occurring among non-Hispanic Whites. Results find several significant differences between the two groups. The most important finding is that Hispanic RNs enter and leave the profession at younger ages than their non-Hispanic White counterparts. There is an abrupt decrease in the proportion of Hispanic RNs after age 50, while the proportion non-Hispanic White continues to increase until age 65. Decided action is needed to increase recruitment and retention of Hispanic RNs in order to increase nurse-patient concordance and abate the looming nurse shortage.

Do wages matter?: a backward bend in the 2004 California RN labor supply.

Using data from the 2004 California Board of Registered Nursing Survey, a two-stage least-square equation was estimated to examine the effect of wages on hours worked by female registered nurses. Wages were found to have a nonlinear effect on hours worked, with a backward bending supply curve. Wages had a positive effect on the average hours worked per week up to $24.99 per hour and a negative effect between $30.00 and $100.00 per hour when compared with the wage category of $25.00 to $29.99. Results suggest that wages are important to secure the labor supply but do not increase aggregate supply beyond a wage threshold.