Reflections on nursing students' fear and anxiety arising from clinical practicums / Reflexiones sobre el miedo y la ansiedad de los estudiantes de enfermería derivados de las prácticas clínicas / Reflexões sobre o medo e a ansiedade de estudantes de enfermagem emergentes da prática clínica

Background. Anxiety and fear are emotional responses that may emerge when individuals anticipate threats. Undergraduate nursing students may experience feelings of hopelessness and anguish in the clinical learning experience, directly impacting their academic performance. This study aims to reflect upon the fear and anxiety faced by nursing students during clinical training. Synopsis of Contents. Two thematic axes were focused: Students' perception regarding preceptorship attitudes and positions; Relational teaching-learning processes and their influence on the students' professional identity. Preceptors are expected to encourage the establishment and maintenance of good relationships in the collaborative network in which students are included, especially with the multi-professional health team, to have more comprehensive academic support. Conclusion. The role and importance of each individual in academic training, such as students and professors, is emphasized, seeking to promote positive experiences in the teaching-learning process to enable undergraduate students to more effectively develop moral sensitivity and take responsibility for patient-centered care.

Marco contextual. La ansiedad y el miedo son respuestas emocionales que pueden surgir cuando las personas anticipan amenazas. Los estudiantes de pregrado en enfermería pueden experimentar sentimientos de desesperanza y angustia en la experiencia de aprendizaje clínico, lo que impacta directamente en su desempeño académico. Este estudio tiene como objetivo reflexionar sobre el miedo y la ansiedad que enfrentan los estudiantes de enfermería durante la formación clínica. Síntesis del contenido. Se enfocaron dos ejes temáticos: la percepción de los estudiantes sobre las actitudes y posiciones de la preceptoría; Los procesos de enseñanza-aprendizaje relacionales y su influencia en la identidad profesional de los estudiantes. Se espera que los preceptores favorezcan el establecimiento y mantenimiento de buenas relaciones en la red colaborativa en la que se incluyen los estudiantes, especialmente con el equipo multiprofesional de salud, para tener un apoyo académico más integral. Conclusión. Se enfatiza el papel y la importancia de cada individuo en la formación académica, como estudiantes y profesores, buscando promover experiencias positivas en el proceso de enseñanza-aprendizaje que permitan a los estudiantes de pregrado desarrollar más efectivamente la sensibilidad moral y asumir la responsabilidad del cuidado centrado en el paciente.

Enquadramento. A ansiedade e o medo são respostas emocionais que podem surgir quando os indivíduos antecipam ameaças. Estudantes de graduação em enfermagem podem vivenciar sentimentos de desesperança e angústia na experiência de aprendizagem clínica, impactando diretamente seu desempenho acadêmico. Este estudo tem como objetivo refletir sobre o medo e a ansiedade enfrentados por estudantes de enfermagem durante a formação clínica. Síntese do conteúdo. Dois eixos temáticos foram enfocados: Percepção dos alunos sobre atitudes e posições de preceptoria; Processos relacionais de ensino-aprendizagem e sua influência na identidade profissional dos alunos. Espera-se que os preceptores incentivem o estabelecimento e a manutenção de boas relações na rede colaborativa em que os alunos estão inseridos, principalmente com a equipe multiprofissional de saúde, para ter um suporte acadêmico mais abrangente. Conclusão. Ressalta-se o papel e a importância de cada indivíduo na formação acadêmica, como alunos e professores, buscando-se promover experiências positivas no processo ensino-aprendizagem para que os graduandos desenvolvam de forma mais efetiva a sensibilidade moral e assumam a responsabilidade pelo cuidado centrado no paciente.

Reflections on nursing students fear and anxiety arising from clinical practicums.

BACKGROUND: Anxiety and fear are emotional responses that may emerge when individuals anticipate threats. Undergraduate nursing students may experience feelings of hopelessness and anguish in the clinical learning experience, directly impacting their academic performance. This study aims to reflect upon the fear and anxiety faced by nursing students during clinical training. SYNOPSIS OF CONTENTS: Two thematic axes were focused: Students' perception regarding preceptorship attitudes and positions; Relational teaching-learning processes and their influence on the students' professional identity. Preceptors are expected to encourage the establishment and maintenance of good relationships in the collaborative network in which students are included, especially with the multi-professional health team, to have more comprehensive academic support. CONCLUSIONS: The role and importance of each individual in academic training, such as students and professors, is emphasized, seeking to promote positive experiences in the teaching-learning process to enable undergraduate students to more effectively develop moral sensitivity and take responsibility for patient-centered care.

Evolución de la campaña Nursing Now Brasil / Evolution of the Nursing Now Campaign in Brazil

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How to Perform Prehospital Emergency Telephone Triage: A Systematic Review.

Prehospital emergency telephone triages are mechanisms to verify the appropriate need for care in an emergency call by telephone. Considering the high rates of trauma and clinical cases that need prehospital care, the importance of knowing how the services that send rescue teams can guarantee improved care is highlighted. The objective of this study was to characterize the services that support effective telephone triage. Literature review was conducted in 6 phases to answer the following question: How can prehospital emergency telephone triage be performed? To search for primary studies, we used specific search strategies in the databases: LILaCs, PubMed, CINAHL, LISA, ISTA, and SCOPUS. The sample consisted of 23 studies whose information was extracted using a validated tool. Among the selected studies, 2 come from CINAHL, 2 from LISA, 4 from PubMed, 1 from ISTA, and 14 from SCOPUS, which were published between 2006 and 2016 in 17 different journals with varying types of scopes and originated from 13 countries on 3 distinct continents. The articles were nonexperimental and indicated the broad use of software constructed to support the telephone triage. The prehospital emergency telephone triages are frequently performed to identify the event, deduct the need for support, and prioritize those calls that require a rescue team. They should take place with the support of institutional protocols and technological support to guarantee dynamic data and constant training of the ambulance dispatchers.

Involuntary Hospitalization of Patients With Mental Disorders: Knowledge of Health Professionals.

A descriptive and exploratory study with a qualitative approach was undertaken to describe the knowledge of health professionals at a psychiatric hospital about involuntary hospitalization. Health professionals from the admission ward of a psychiatric hospital located in an inner city of the state of São Paulo, Brazil, participated in the study. Data were collected through semistructured interviews with sixteen health professionals and the analysis was based on thematic analysis. The professionals' lack of knowledge about involuntary hospitalizations was evidenced, including unfamiliarity with the modalities of psychiatric hospitalization, confusion to understand involuntary and compulsory hospitalization as well as the role of the public prosecutor in these cases. In that sense, the study participants' lack of knowledge and, on the other hand, the inertia of the public prosecutor's office can hamper the full enjoyment of rights by persons with mental disorders. In this scenario, psychiatric health professionals should know and understand the legislation as well their responsibility according to it, combining political with theoretical-technical knowledge.

Cateterismo urinario permanente: práctica clínica / Cateterismo urinário de demora: prática clínica / Urinary catheterization delay: clinical practice

Objetivo: Verificar cómo el procedimiento de inserción del catéter urinario permanente ha ocurrido en la práctica clínica de enfermería. Método: Estudio observacional, exploratorio y descriptivo, desarrollado en hospitales de un municipio del interior del estado de São Paulo, Brasil. Las premisas éticas fueron cumplidas (Parecer 233/2008/Comité de Ética en Investigación de la Escuela de Enfermería de la Universidad de São Paulo). Los datos fueron recolectados mediante entrevista, utilizándose un instrumento semiestructurado. De las trece instituciones del municipio, nueve participaron del estudio. Resultados: En las instituciones investigadas, el procedimiento es practicado de manera ritualista respecto al método y los materiales. Conclusión: Para practicar el cateterismo urinario permanente es necesario mayor compromiso de los profesionales y mayores inversiones en investigaciones para esclarecer los aspectos que todavía no pueden ser comprobados (AU)

Objetivo: Verificar como o procedimento de inserção do cateter urinário de demora tem se dado na prática clínica da enfermagem. Método: Estudo observacional, exploratório e descritivo, realizado em hospitais de um município do interior paulista. Seguidos os preceitos éticos (Parecer 233/2008/ Comitê de Ética em Pesquisa da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo), os dados foram coletados por entrevista, utilizando-se um instrumento semi-estruturado. Dentre as treze instituições do município, nove participaram do estudo. Resultados: Nas instituições pesquisadas o procedimento é realizado de forma ritualista quanto ao método e materiais. Conclusão: Para realização do cateterismo urinário de demora é necessário maior comprometimento dos profissionais e maiores investimentos em pesquisas para esclarecimento dos pontos que ainda não podem ser comprovados

Objective: Verify how the urinary catheterization delay procedure has taken place in clinical nursing practice. Method: Observational, exploratory and descriptive study, undertaken at hospitals in an interior city in the State of São Paulo, Brazil. The ethical premises were complied with (Opinion 233/2008 University of São Paulo at Ribeirão Preto College of Nursing Research Ethics Committee). The data were collected through an interview, using a semi structured script. Nine out of 13 institutions in the city participated in the study. Results: At the participating institutions, the procedure is performed ritualistically in terms of method and materials. Conclusion: To practice urinary catheterization delay, greater professional commitment and further investments in research are needed to clarify aspects that cannot be proven yet (AU)

Conhecimento dos cuidadores de indivíduos com lesão medular sobre prevenção de úlcera por pressão / Conocimiento de los cuidadores de individuos con lesión medular acerca de la prevención de úlcera por presión / Knowledge on Pressure Ulcer Prevention among Caregivers of Spinal Cord Injury Patients

Estudo descritivo exploratório que teve como objetivos identificar as características sociodemográficas das pessoas com lesão da medula espinhal (LME) e de seus cuidadores familiares e avaliar o conhecimento dos cuidadores sobre prevenção de úlcera por pressão (UPP). Participaram do estudo 47 pessoas com LME e 47 cuidadores que responderam a um teste de conhecimento sobre prevenção de UPP. Esse teste é composto por questóes fechadas com opçóes de resposta: V = verdadeiro, F = falso e NS = não sei. Para análise estatística dos dados, foi utilizado o PROC TTEST do Software SAS® 9. Dos indivíduos com LME, 80,8% eram do sexo masculino, idade média de 41,6 anos e 57,5% tiveram lesão medular traumática. Quanto aos cuidadores, 89,3% eram do sexo feminino, com média de idade de 44 anos, 76,6% casados. A porcentagem média de acertos no teste de conhecimento foi de 67,8% (DP = 14,8), o mínimo foi 14,3% e o máximo foi 88,5%, o que demonstrou conhecimento insuficiente relacionado com a prevenção de UPP. A porcentagem de acertos no teste foi menor conforme o aumento da idade. A identificação dos déficits de conhecimento dos cuidadores sobre a temática permite ao enfermeiro realizar um planejamento de estratégias educativas para prevenção de UPP.

Estudio descriptivo exploratorio que tuvo como objetivos identificar las características sociodemográficas de las personas con lesión de la medula espinal (LME) y de sus cuidadores familiares y evaluar el conocimiento de los cuidadores acerca de la prevención de úlcera por presión (UPP). Participaron en el estudio 47 personas con LME y 47 cuidadores quienes contestaron una prueba de conocimiento sobre prevención de UPP. Esta prueba está conformada por cuestiones cerradas, con opción de respuesta: V = verdadero, F = falso y NS = no sé. Para análisis estadístico de los datos, se ha utilizado el PROC TTEST del Software SAS® 9. De los individuos con LME, el 80,8% era del sexo masculino, promedio de edad de 41,6 años, y el 57,5% tuvo lesión medular traumática. En cuanto a los cuidadores, el 89,3% era del sexo femenino, promedio de edad de 44 años, el 76,6% casado. El porcentaje promedio de respuestas correctas en la prueba de conocimiento fue del 67,8% (DP = 14,8), el mínimo fue el 14,3% y el máximo fue el 88,5%, lo que ha demostrado conocimiento insuficiente relacionado con la prevención de UPP. El resultado de respuestas correctas en la prueba fue menor conforme al aumento de la edad. La identificación de los déficits de conocimiento de los cuidadores acerca de la temática le permite al enfermero realizar una planeación de estrategias educativas para prevención de UPP.

A descriptive exploratory study that aimed to identify sociodemographic characteristics of persons with spinal cord injury (SCI) and of their family caregivers and to asses knowledge on pressure ulcer prevention among caregivers. Participants were 47 persons with SCI and 47 caregivers who completed a test of knowledge about prevention UPP. This test consists of closed questions with answer options: V = true, F = false and NS = not know. For statistical analysis we used the PROC TTEST Software SAS® 9. Among individuals with SCI, 80.8% were male, mean age of 41,6 years and 57,5% had traumatic SCI. Among caregivers, 89.3% were female with a mean age of 44 years, 76,6% were married. The mean percentage of correct answers on the knowledge test was 67,8% (SD = 14.8), the minimum was 14,3% and the maximum was 88,5%, demonstrating insufficient knowledge related to prevention UPP. The percentage of correct answers on the test was lower with increasing age. The identification of deficits knowledge of caregivers on the theme allows nurses to conduct a planning educational strategies for the prevention of UPP.

Consequências do uso de fraldas descartáveis em pacientes adultos: implicações para a assistência de enfermagem / Consecuencias del uso de pañales desechables en pacientes adultos: implicaciones para la asistencia de enfermería / Consequences of Adult Patients Using Disposable Diapers: Implications for Nursing Care

Objetivo: verificar as consequências do uso de fraldas descartáveis em pacientes adultos e discutir suas implicações para a assistência de enfermagem. Método: estudo de análise de sobrevivência realizado por observação direta e sistematizada. Seguidos os preceitos éticos, durante um período de 30 dias, foram observados 43 pacientes maiores de 18 anos, usuários de fraldas descartáveis, na unidade de clínica médica de um hospital de grande porte do estado de São Paulo. Resultados: dentre os 43 (100%) pacientes da amostra, todos apresentaram evento subsequente ao uso de fraldas descartáveis. Os eventos observados foram uso de coletor urinário, uso do cateter urinário de demora, presença de infecção de trato urinário (ITU), presença de dermatite e úlcera por pressão (UPP), alterações do estado de consciência e do estado de orientação. Conclusão: observou-se uma relação entre o uso de fraldas de maneira indiscriminada com a qualidade do cuidado e segurança do paciente. A observação das implicações do uso de fraldas descartáveis na assistência de enfermagem ao paciente é recente e necessita novos estudos.

Objetivo: averiguar las consecuencias del uso de pañales desechables en pacientes adultos y discutir sus implicaciones para la asistencia de enfermería. Método: estudio de análisis de sobrevivencia realizado por observación directa y sistematizada. Seguidos los preceptos éticos, durante un periodo de 30 días, se observaron 43 pacientes mayores de 18 años, usuarios de pañales desechables, en la unidad de clínica médica de un gran hospital del departamento de São Paulo. Resultados: de los 43 (100%) pacientes de la muestra, todos presentaron evento subsecuente al uso de pañales desechables. Los eventos observados fueron uso de colector urinario, uso de catéter urinario, presencia de dermatitis y úlcera por presión (UPP), alteraciones del estado de conciencia y del estado de orientación. Conclusión: se observó una relación entre el uso de pañales de manera indiscriminada con la calidad del cuidado y la seguridad del paciente. La observación de las implicaciones del uso de pañales desechables en la asistencia de enfermería al paciente es reciente y necesita nuevos estudios.

Purpose: The study was designed to determine the consequences of adult patients using disposable diapers and to discuss the implications this has for nursing care. Method: A survival analysis study was conducted through direct and systematized observation. Forty-three patients over 18 years of age who use disposable diapers were observed for a period of 30 days at the medical unit of a large hospital in the Department of São Paulo. Findings: All 43 patients in the sample (100%) experienced events subsequent to the use of disposable diapers. The events observed include use of a urinary pouch, use of a delaying urinary catheter, the presence of dermatitis and pressure ulcers, and altered state of consciousness and orientation. Conclusion: A relationship between the indiscriminate use of diapers and the quality of patient care and safety was detected. Observance of the implications of the use of disposable diapers in nursing care for patients is recent and requires further studies.

Development, implementation, and assessment of a distance module in endocrine physiology.

This study aimed to develop, implement, and assess a distance module in endocrine physiology in TelEduc for undergraduate nursing students from a public university in Brazil, with a sample size of 44 students. Stage 1 consisted of the development of the module, through the process of creating a distance course by means of the Web. Stage 2 was the planning of the module's practical functioning, and stage 3 was the planning of student evaluations. In the experts' assessment, the module complied with pedagogical and technical requirements most of the time. In the practical functioning stage, 10 h were dedicated for on-site activities and 10 h for distance activities. Most students (93.2%) were women between 19 and 23 yr of age (75%). The internet was the most used means to remain updated for 23 students (59.0%), and 30 students (68.2%) accessed it from the teaching institution. A personal computer was used by 23 students (56.1%), and most of them (58.1%) learned to use it alone. Access to a forum was more dispersed (variation coefficient: 86.80%) than access to chat (variation coefficient: 65.14%). Average participation was 30 students in forums and 22 students in the chat. Students' final grades in the module averaged 8.5 (SD: 1.2). TelEduc was shown to be efficient in supporting the teaching-learning process of endocrine physiology.

Desafíos en la divulgación del conocimiento científico de enfermería producido en Brasil / Challenges in the dissemination of scientific nursing knowledge produced in Brazil

El producto y el proceso de la actividad científica son dependientes de la comunicación eficaz y las revistas son importantes vehículos para divulgación del conocimiento. Una estrategia utilizada por las revistas científicas para ganar prestigio y reconocimiento internacional es la indexación en bases de datos, fuente de diseminación y control bibliográfico de la producción científica. El objetivo de esta investigación fue identificar entre las revistas brasileras de enfermería, cuáles están indexadas en bases de datos internacionales e identificar junto a sus editores los problemas encontrados para esas indexaciones. Los resultados mostraron que de 21 revistas evaluadas ninguna está indexada en el ISI ni en el Journal Citation Report, 4,8% está indexada en la SciELO, 4,8% en la PsycINFO, 4,8% en la CAB HEALTH y CAB ABSTRACT, 4,8% en la Linguist and Language Behavior Abstract, 4,8% en Periodicals Tables of American Contents, 19% en CUIDEN, 19% en MEDLINE, 19% en CINAHL, 66,7% en LILACS y 100% en ULRICh'S. Las dificultades encontradas por los editores para la inclusión de revistas en las bases de datos internacionales son: manutención de la puntualidad debido a falta de recursos financieros, adopción de normas nacionales de publicación, déficit de citaciones bibliográficas en inglés y contenido editorial de las revistas. Sin embargo, han sido esfuerzos direccionados para la mejoría de la calidad editorial y la universalización del conocimiento producido por la Enfermería brasilera (AU)

The product and process of scientific activity are dependent on an efficacious communication and the journals are important means for the dissemination of knowledge. A strategy used by the scientific journals to meet excellence patterns and to achieve an international visibility is the indexation in data bases. The aim of this investigation was to identify, among the Brazilian Nursing journals, the ones indexed in international data bases and to identify, according to their editors, the problems found for these indexations. Results showed that among the 21 journals that were evaluated, none were indexed in ISI or in the Journal Citation Report, 4.8% were indexed in SciELO, 4.8% in PsycINFO, 4.8% in CAB HEALTH and CAB ABSTRACT, 4.8% in the Linguist and Language Behavior Abstract, 4.8% in the Periodicals Tables of American Contents, 19% in CUIDEN, 19% in MEDLINE, 19% in CINAHL, 66.7% in LILACS and 100% in Ulrich's. The difficulties found by editors to index their journals in international data bases were: problems to maintain timely publications due to the lack of financial resources, the adoption of national rules of publication, the deficit of bibliographical references in English and the editorial content of these journals. However, efforts are being directed to improve the editorial quality and the universalization of the knowledge produced by Brazilian Nursing (AU)

In-service nursing education delivered by videoconference.

Thirty nursing auxiliaries at a Brazilian hospital were trained in intramuscular injection at the ventrogluteal site in a lecture delivered by videoconference (over an IP connection at up to 512 kbit/s). Participants were able thereafter to practise on the same manikins used for demonstration during the lecture, until they felt confident in carrying out the procedure. They then completed an evaluation questionnaire on the use of videoconferencing as a teaching method. Most of their responses were favourable. The principal reasons given for attending the videoconference lecture were the ability to combine work and education, the opportunity to participate in an innovative approach and an interest in the subject of the lecture. The present study demonstrates the potential of videoconferencing for distance education in nursing.

Comunicación con el paciente. Una cuestión de calidad / Patient communication: a question of quality

La comunicación interpersonal como medio de promover salud y bienestar, se presenta como una orientación estratégica en el proceso de asistencia de enfermería. Mientras tanto, en nuestro medio, hemos observado el desarrollo de la comunicación mucho más orientado al cumplimiento del servicio. El presente trabajo tiene como objetivos: a) explorar la temática apuntando instrumentos de análisis de interacciones registradas en la literatura; b) difundir resultados de investigación sobre indicadores de la comunicación enfermero-paciente, contextualizándolos como plataforma de reflexión, teniendo en perspectiva la calidad del cuidado. Se resalta la necesidad de asumir una responsabilidad compartida entre enfermeros docentes y asistenciales, en el sentido de buscar continuamente el desarrollo de competencias en comunicación, para contribuir a una mayor eficiencia y mejora de la calidad del cuidado de enfermería (AU)