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Medicine (Baltimore) ; 100(12): e24776, 2021 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-33761639


BACKGROUND: Postoperative complications after abdominal surgery are high, and there is no reliable intervention program to prevent them. Some studies have pointed out that early postoperative activities have advantages in preventing the occurrence of complications, but lack of evidence-based basis. The purpose of this study is to systematically evaluate the effect of nursing intervention is guiding early postoperative activities on the rapid recovery of patients undergoing abdominal surgery. METHODS: China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database and Chinese Biomedical Database, PubMed, Embase, Web of Science and the Cochrane Library will be searched by computer, and a randomized controlled study is conducted on early participation in exercise programs after abdominal surgery from the establishment of the database to January 2021. The language is limited to English and Chinese. The quality of the included study is independently extracted and the literature quality is evaluated by 2 researchers, and the included literature is analyzed by Meta using RevMan5.3 software. RESULTS: This study will evaluate the effect of nursing intervention is guiding early postoperative activities on the rapid rehabilitation of patients undergoing abdominal surgery through the indexes of postoperative quality of life score, the incidence of complications, mortality, length of stay and so on. CONCLUSION: This study will provide reliable evidence-based basis for establishing a reasonable and effective postoperative activity guidance program for patients undergoing abdominal surgery. ETHICS AND DISSEMINATION: Private information from individuals will not be published. This systematic review also does not involve endangering participant rights. Ethical approval will not be required. The results may be published in a peer-reviewed journal or disseminated at relevant conferences. OSF REGISTRATION NUMBER: DOI 10.17605/OSF.IO/59MD4.

Abdomen/cirugía , Atención de Enfermería/métodos , Cuidados Posoperatorios/métodos , Complicaciones Posoperatorias/epidemiología , Procedimientos Quirúrgicos Operativos/rehabilitación , Mortalidad Hospitalaria , Humanos , Incidencia , Tiempo de Internación , Metaanálisis como Asunto , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Calidad de Vida , Ensayos Clínicos Controlados Aleatorios como Asunto , Procedimientos Quirúrgicos Operativos/efectos adversos , Revisiones Sistemáticas como Asunto , Factores de Tiempo , Resultado del Tratamiento
Appl Nurs Res ; 58: 151410, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33745558


OBJECTIVE: This study aimed to assess the post-contact risk of nurses who provide care for patients diagnosed with COVID-19. METHODS: This investigation employed a quantitative-descriptive design. The study sample was comprised of the frontline nurses in the COVID-19 center hospitals in the northern part of Saudi Arabia. Snowball sampling was used, resulting in 80 frontline nurses. A survey using a self-administered questionnaire in a Google form was employed to collect the data, which was collected from May 20 through June 25, 2020. RESULTS: Some of the study participants were reported to have a history of both staying in the same household with each other (35%) and of traveling with a confirmed COVID-19 patient (20%). These participants were considered as community exposed to COVID-19. There were 8.8% who were classified as high risk due to failure in removing and replacing personal protective equipment (PPE); 6.3% were at high risk for not performing hand hygiene before and after touching COVID-19 patients, and 5% did not follow the recommended guidelines in performing hand hygiene after touching the patients' surroundings. In addition, 3.8% of the participants had an accident related to biological material, such as with splashes of biological fluid (in the eyes). These nurses were classified as high risk for COVID-19 virus infection, CONCLUSION: This study identifies practices that need improvement in combatting this virus. Since policies and guidelines may not always be optimal in all settings, a tailor-fitted guideline is appropriate. Nurse leaders, for example, need to establish an infection control system that provides real-time monitoring and facilitates immediate correction for nurses. Doing so will provide the nurses with a continuous awareness of predisposing themselves to acquiring the virus.

/epidemiología , Atención de Enfermería/estadística & datos numéricos , Personal de Enfermería en Hospital/estadística & datos numéricos , Exposición Profesional/estadística & datos numéricos , Medición de Riesgo/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Arabia Saudita/epidemiología , Encuestas y Cuestionarios , Adulto Joven
Medicine (Baltimore) ; 100(10): e24072, 2021 Mar 12.
Artículo en Inglés | MEDLINE | ID: mdl-33725818


BACKGROUND: Blood pressure lowering treatments can help prevent cardiovascular disease. However, little is known about the possibility of home visiting programs for hypertension. This study aims to evaluate the effectiveness of home visiting programs on hypertensive patients. METHODS: We systematically reviewed the medical literature and performed a meta-analysis. Five electronic databases were systematically searched from their inception to September 2019. Two reviewers independently assessed the risk of bias of the studies included in the review using tools developed by the Cochrane Collaboration. The meta-analysis was performed using Review Manager software (version 5.3). RESULTS: Thirteen RCTs with 2674 participants were identified. The home visiting program demonstrated a greater reduction in systolic blood pressure (MD = -5.63, 95% confidence interval (CI): -8.32 to -2.94), diastolic blood pressure (MD = -4.14, 95% CI: -6.72 to -1.56) and waist circumference (MD = -2.61, 95% CI: -3.5, -1.72) during a 6 month intervention. However, there were no significant differences between the groups in terms of body mass index, weight, or blood lipids. CONCLUSION: Home visiting programs were associated with improved BP control and reduced blood pressure, which indicate that it might be an effective method for management of hypertension.

Cuidados Posteriores/métodos , Visita Domiciliaria , Hipertensión/terapia , Atención de Enfermería/métodos , Determinación de la Presión Sanguínea/estadística & datos numéricos , Humanos , Hipertensión/diagnóstico , Ensayos Clínicos Controlados Aleatorios como Asunto , Resultado del Tratamiento
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200594, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33681957


OBJECTIVE: Reflect on the work experienced by the nurse in coping with the COVID-19 pandemic in a public hospital of the State of Rio Grande do Norte. METHODS: Reflective essay based in the professional experience in a public reference hospital for the care of patients affected by COVID-19 in the State of Rio Grande do Norte. Results were organized in two empirical categories, which emphasize potentialities and barriers in the nurse's work in the face of the COVID-19, presented by means of Ishikawa diagram. RESULTS: Two categories emerged from the experiences: Nursing leadership in organizing health services to face COVID-19; and the performance of nursing care management in the COVID-19 pandemic. FINAL CONSIDERATIONS: It is necessary to value the nurse's work in all its attributes, as well as strengthen the interdisciplinary work processes, which collaborate to overcome the crisis caused by the pandemic.

Adaptación Psicológica , Liderazgo , Rol de la Enfermera/psicología , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Adulto , Brasil/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención de Enfermería/estadística & datos numéricos , Pandemias
Invest. educ. enferm ; 39(1): [E04], 15 febrero 2021. table 1, table 2, table 3, Figure 1
Artículo en Inglés | LILACS, BDENF - Enfermería, COLNAL | ID: biblio-1151086


Objective. To synthesize the best available evidence regarding the effectiveness of nursing case management in primary health care, compared to usual care, in improving blood pressure in adults over 18 years with hypertension. Methods. systematic review that includes studies carried out with adult patients diagnosed with hypertension, with or without other concomitant chronic diseases, followed-up by a case manager nurse, who evaluated the effectiveness of case management in the improvement of blood pressure. A critical evaluation of the studies was made and the results of interest were described using the instruments and tools from the Joanna Briggs Institute. Due to the heterogeneity of the included studies, the results of similar measures were not grouped in statistical meta-analysis. A narrative and tabular format was used to synthesize and present them. Results. Six randomized controlled trials were critically evaluated and included in the review. The total sample was 1963 participants. The results showed the outcomes compared at baseline and at the end of follow-up (six or twelve months). Regarding the main outcome, systolic and diastolic blood pressure, there was some reduction in the group followed-up through case management in studies lasting six months; however, the impossibility of comparing the findings poses limitations to answering the questions in this review. Conclusions. Despite the heterogeneity of the studies, the narrative and tabular analysis demonstrated that short-term case management in primary care (six-month studies) helped to reduce blood pressure levels, although the level of evidence for these results is low or very low.

Objetivo. Sintetizar las mejores evidencias disponibles sobre la efectividad del manejo de casos de enfermería en la atención primaria en salud en comparación con los cuidados habituales para mejorar la presión arterial en adultos mayores de 18 años con hipertensión arterial sistémica. Métodos. Revisión sistemática de estudios realizados en pacientes adultos con diagnóstico de hipertensión arterial, monitoreados por el enfermero gestor de casos quien evaluó la efectividad del manejo de la mejoría de la presión arterial con o sin otras enfermedades crónicas concomitantes. Se realizó una evaluación crítica de los estudios y se describieron los resultados de interés utilizando los instrumentos y herramientas del Instituto Joanna Briggs. Debido a la heterogeneidad de los estudios, los resultados de medidas similares no se agruparon en el meta-análisis estadístico. Se utilizó un formato narrativo y tabular para sintetizarlos y presentarlos. Resultados. Seis ensayos clínicos aleatorios fueron evaluados críticamente e incluidos en la revisión. La muestra total fue de 1963 participantes. Los resultados mostraron los hallazgos comparados al inicio y al final del seguimiento (seis o doce meses). En cuanto al resultado principal, la presión arterial sistólica y diastólica tuvo una reducción en el grupo acompañado por el gestor de manejo de casos en los estudios que duraron seis meses; sin embargo, la imposibilidad de comparar los hallazgos plantea limitaciones para responder las preguntas de esta revisión. Conclusión. A pesar de la heterogeneidad de los estudios, el análisis narrativo y de las tablas demostró que la gestión de casos por enfermería, a corto plazo (estudios de seis meses), en atención primaria, ayudó a reducir los niveles de presión arterial, aunque el nivel de evidencia para estos resultados fue bajo o muy bajo.

Objetivo. Sintetizar as melhores evidências disponíveis sobre a efetividade do gerenciamento de casos de enfermagem na atenção primária em saúde, em comparação com os cuidados usuais na melhoria da pressão arterial em adultos acima de 18 anos com hipertensão arterial sistêmica. Métodos. Revisão sistemática que incluiu estudos realizados com pacientes adultos diagnosticados com hipertensão, com ou sem outras doenças crônicas concomitantes, acompanhados por enfermeiro gestor de casos, que avaliou a eficácia do gerenciamento de casos na melhora da pressão arterial. Foi realizada uma avaliação crítica dos estudos e descritos os resultados de interesse com a utilização dos instrumentos e ferramentas do Instituto Joanna Briggs. Devido à heterogeneidade dos estudos incluídos, os resultados de medidas semelhantes não foram agrupados na meta-análise estatística. Um formato narrativo e tabular foi usado para sintetizá-los e apresentá-los. Resultados. Seis ensaios clínicos randomizados foram avaliados criticamente e incluídos na revisão. A amostra total foi de 1963 participantes. Os resultados mostraram os desfechos comparados no início e no final do acompanhamento (seis ou doze meses). Em relação ao desfecho principal, pressão arterial sistólica e diastólica, houve alguma redução no grupo acompanhado pelo gerenciamento de casos em estudos com duração de seis meses; no entanto, a impossibilidade de comparar os achados impõe limitações para responder às perguntas desta revisão. Conclusões. Apesar da heterogeneidade dos estudos, a análise narrativa e tabular demonstrou que o gerenciamento de casos de curto prazo na atenção primária (estudos de seis meses) ajudou a reduzir os níveis de pressão arterial, embora o nível de evidência para esses resultados seja baixo ou muito baixo.

Humanos , Planificación de Atención al Paciente , Atención Primaria de Salud , Manejo de Caso , Adulto , Revisión Sistemática , Hipertensión , Atención de Enfermería
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200281, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33605360


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.

/diagnóstico , Educación de Postgrado en Enfermería/organización & administración , Atención de Enfermería/normas , Técnicas de Planificación , Guías de Práctica Clínica como Asunto , Adulto , Brasil , Curriculum , Femenino , Política de Salud , Humanos , Masculino , Teoría de Enfermería , Adulto Joven
Artículo en Inglés | MEDLINE | ID: mdl-33579729


BACKGROUND: The global COVID-19 pandemic has impacted on the mental health of individuals, particularly those with chronic illnesses. We aimed to quantify stress, anxiety and depression among individuals with Inflammatory bowel disease (IBD) in Australia during the pandemic. METHODS: An electronic survey was made available to IBD patients Australia-wide from 17 June to 12 July 2020. Respondents with an underlying diagnosis of IBD and over 18 years of age were included. A validated questionnaire (Depression, Anxiety, Stress Score-21, DASS21) was used to assess depression, anxiety and stress. Data on potential predictors of depression, anxiety and stress were collected. RESULTS: 352 participated in the survey across Australia. 60.5% of respondents fulfilled DASS criteria for at least moderate depression, anxiety or stress. 45% reported a pre-existing diagnosis of depression and/or anxiety. Over 2/3 of these respondents reported worsening of their pre-existing depression/anxiety due to the current pandemic. Of those without a pre-existing diagnosis of anxiety or depression, high rates of at least moderate to severe depression (34.9%), anxiety (32.0%) and stress (29.7%) were noted. Younger age (OR 0.96, 95% CI 0.94 to 0.98, p<0.001), lack of access to an IBD nurse (OR 1.81, 95% CI 1.03 to 3.19, p=0.04) and lack of education on reducing infection risk (OR 1.99, 95% CI 1.13 to 3.50, p=0.017) were associated with significant stress, anxiety and/or depression. CONCLUSION: High prevalence of undiagnosed depression, anxiety and stress was identified among respondents. Improved access to IBD nurse support and greater attention to education are modifiable factors that may reduce depression, anxiety and/or stress among patients with IBD during the pandemic.

Ansiedad/epidemiología , Depresión/epidemiología , Enfermedades Inflamatorias del Intestino/psicología , Pandemias , Estrés Psicológico/epidemiología , Adulto , Australia/epidemiología , Estudios Transversales , Femenino , Encuestas Epidemiológicas , Humanos , Enfermedades Inflamatorias del Intestino/enfermería , Masculino , Persona de Mediana Edad , Atención de Enfermería , Educación del Paciente como Asunto , Prevalencia , Conducta de Reducción del Riesgo
J Nurs Adm ; 51(3): 141-148, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570371


OBJECTIVE: The purpose of this study was to evaluate nurses' perceptions of decisional involvement (DI). BACKGROUND: Decisional involvement is a measure or gauge of nurses' perceived shared leadership. There has been limited research examining factors associated with actual and preferred DI. METHODS: A descriptive, observational study design was used. A total of 189 RNs completed the Decisional Involvement Scale and Evidence-Based Practice Implementation Scale. Nurses' preferred DI (DI-P) and actual DI (DI-A) were analyzed, and DI total and subscale scores were compared based on nurses' demographic and clinical practice characteristics. RESULTS: The DI-A and DI-P total scores were significantly different, including subscales for DI-A compared with DI-P score. Dissonance scores by subscale were highest for recruitment, governance, and support. Unit-based council (UBC) participants had significantly higher actual DI, compared with non-UBC participants. Nurses' perceptions of implementing evidence-based practice (EBP) was not significantly different by low versus high EBP implementation; nor were the scores significantly correlated with their DI-A or DI-P scores. CONCLUSIONS: Findings indicate nurses' perceptions of DI-A and DI-P. This study provided further examination of the differences and interrelationships between DI and nurses' demographic and clinical practice characteristics. Dissonance DI scores provide opportunities for targeting interventions to engage nurses in shared leadership.

Toma de Decisiones , Liderazgo , Rol de la Enfermera/psicología , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Lugar de Trabajo/psicología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Medio Oeste de Estados Unidos , Encuestas y Cuestionarios
J Am Assoc Nurse Pract ; 33(2): 97-99, 2021 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-33560749


ABSTRACT: The year 2020 was one of tremendous challenge and change for our communities and our profession. As the next decade unfolds, the doctor of nursing practice (DNP) will be required for entry to practice as a nurse practitioner (NP), and we will all continue to recover individually and as a nation from the experiences of the year 2020. Doctor of nursing practice-prepared NPs need to be equipped to take the lead in post-COVID recovery and the challenges the US health care system faces through an increased emphasis on curricula and clinical experiences focused on health disparities, community health, and health promotion.

/enfermería , Curriculum , Educación de Postgrado en Enfermería/organización & administración , Enfermeras Practicantes/educación , Enfermeras Practicantes/normas , Atención de Enfermería/normas , Guías de Práctica Clínica como Asunto , Adulto , Competencia Clínica , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estados Unidos
ABCS health sci ; 46: e021206, 09 fev. 2021. ilus
Artículo en Inglés, Portugués | LILACS | ID: biblio-1152233


INTRODUCTION: Autistic Spectrum Disorders (ASD) or Autistic Disorders (AD) are complex neurodevelopmental disorders characterized by social communication deficits, social interaction, and nonverbal behavior in multiple contexts. OBJECTIVE: To analyze the knowledge of the nursing team about ASD and the approach to the subject during professional training based on the principles addressed in the Human Caring Theory. METHODS: Descriptive study with a qualitative approach, adopting the Human Caring Theory by Jean Watson as a theoretical reference. Ten semi-structured interviews were conducted with professionals from the nursing team of a Primary Health Center in the ABC Region from São Paulo State, Brazil, in May 2019. Their knowledge about ASD in children was assessed by a 7-question guiding script. Data analysis was performed using Content Analysis Method. RESULTS: Four main categories were elaborated: the care based on humanistic-altruistic values, the cultivation of sensitivity for self and the other, the valorization of the feelings expression and the interpersonal relationship, the promotion of intra and interpersonal teaching-learning process. CONCLUSION: The nursing team professionals are not prepared to work in the care of children with ASD. During their training, the subject's approach is poor, making professionals feel insecure and unable to provide care to this child and his family.

INTRODUÇÃO: Os Transtornos do Espectro Autista (TEA) ou Transtornos Autísticos (TA) são desordens do neurodesenvolvimento complexas caracterizadas por déficits na comunicação social, interação social e no comportamento não verbal em múltiplos contextos. OBJETIVO: Analisar, com base nos princípios abordados na Teoria do Cuidado Humano, o conhecimento da equipe de enfermagem acerca dos TEA e a abordagem do tema durante a formação profissional. MÉTODOS: Estudo descritivo, de abordagem qualitativa, que adotou a Teoria do Cuidado Humano de Jean Watson como referencial teórico. Foram realizadas dez entrevistas semiestruturadas com os profissionais da equipe de enfermagem de uma Unidade Básica de Saúde-Escola da Região do ABC Paulista em maio de 2019. Seu conhecimento sobre o conhecimento acerca dos TEA em crianças foi avaliado com o auxílio de um roteiro norteador composto por 7 questões. A análise dos dados foi realizada por meio do método de Análise de Conteúdo. RESULTADOS: Foram elaboradas quatro categorias principais: o cuidado baseado em valores humanístico-altruístas, o cultivo da sensibilidade para si e para o outro, a valorização da expressão de sentimentos e a relação interpessoal, a promoção do ensino-aprendizagem intrapessoal e interpessoal. CONCLUSÃO: Os profissionais de enfermagem não estão preparados para atuar na assistência da criança com TEA. O tema é pouco abordado durante sua formação, fazendo com que os profissionais se sintam inseguros e incapazes de prestar assistência a essa criança e sua família.

Humanos , Niño , Trastorno Autístico/enfermería , Teoría de Enfermería , Cuidado del Niño , Capacitación Profesional , Atención de Enfermería , Grupo de Enfermería , Relaciones Profesional-Paciente , Centros de Salud , Salud del Niño , Investigación Cualitativa , Emociones
J Nurs Adm ; 51(3): 117-119, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570365


Dynamic nursing leadership and engagement of nursing at all levels are critical to effective care delivery. During the COVID-19 crisis, many organizations suspended non-COVID-related meetings, including professional governance councils where practice decisions are made. This article highlights how shared or professional governance was leveraged during this global pandemic at a large academic medical center and community hospital effectively sustaining autonomous nursing practice while responding to a rapidly changing environment and impacting quality patient care.

/enfermería , Consejo Directivo/organización & administración , Hospitales Comunitarios/organización & administración , Liderazgo , Enfermeras Administradoras/organización & administración , Atención de Enfermería/organización & administración , Personal de Enfermería en Hospital/organización & administración , Adulto , Chicago , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Organizacionales , Pandemias
J Nurs Adm ; 51(3): 126-127, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570368


A strong shared governance framework gives nurses control over their practice. Whether unit based or system wide, shared governance provides the infrastructure to deliver high-quality patient care, especially in a crisis. This month's Magnet® Perspectives column takes a closer look at the concept of shared governance, how it has evolved, why it is important, and how it helped nurses in Magnet hospitals navigate the early months of the COVID-19 pandemic. We explore the critical nature of ensuring that everyone's voice is heard to not only survive but also ultimately thrive during times of change.

/enfermería , Liderazgo , Enfermeras Administradoras/organización & administración , Atención de Enfermería/organización & administración , Personal de Enfermería en Hospital/organización & administración , Rol Profesional , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Organizacionales , Pandemias , Estados Unidos
J Nurs Adm ; 51(3): 156-161, 2021 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-33570373


OBJECTIVE: The purpose of this study was to test the effectiveness of a daylong resilience retreat on healthcare professionals' anxiety levels, intention to engage in mindfulness practices, and self-efficacy around mindfulness. BACKGROUND: Caregiver burnout is a concern that needs to be addressed at the organizational level so that professionals can reduce their risk of psychological injury while providing high-quality care. The COVID-19 (novel coronavirus) pandemic has exacerbated symptoms of burnout among nurses nationally. METHODS: Ten sessions of daylong resilience retreats were delivered to independent groups of nurses, nurse practitioners, and other healthcare professionals. Preretreat and postretreat assessments were completed using a 19-item survey developed by the research team to assess state anxiety, intention to engage in mindfulness practices, and self-efficacy around mindfulness. RESULTS: One hundred six healthcare professionals completed the resilience retreats. There was a statistically significant decrease in state anxiety scores following the retreat. The majority of the participants reported high intentions to engage in mindfulness practices and felt confident about incorporating mindfulness in their lives. CONCLUSIONS: Brief resilience retreats endorsed by nurse leadership can reduce perceived anxiety and facilitate engagement in contemplative practices, which are associated with a decrease in the risk of burnout.

Ansiedad/prevención & control , Agotamiento Profesional/psicología , /psicología , Atención Plena , Atención de Enfermería/psicología , Personal de Enfermería en Hospital/psicología , Adulto , Agotamiento Profesional/prevención & control , Femenino , Humanos , Liderazgo , Masculino , Persona de Mediana Edad , Enfermeras Administradoras/psicología , Pandemias , Resiliencia Psicológica , Estados Unidos
Medicine (Baltimore) ; 100(6): e23970, 2021 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-33578514


BACKGROUND: This study will assess the effect of advanced nursing care (ANC) on psychological disorder (PD) in hypertensive retinopathy of pregnancy (HTRP). METHODS: This study will search electronic databases from inception to the present (Cochrane Library, MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, CNKI, and Chinese Biomedical Literature Database), and other sources. All literature sources will be searched without limitations to language and study status. All eligible case-controlled study (CCS) will be included in this study. Two authors will independently carry out literature selection, data collection, and study quality assessment. Any confusion will be solved by a third author through discussion. Statistical analysis will be conducted using RevMan 5.3 software. In addition, a narrative synthesis will be elaborated if it is necessary. RESULTS: This study will summarize most recent high quality evidence to appraise the effect of ANC on PD in HTRP. CONCLUSION: The results of this study will seek to identify the effect of ANC on PD in HTRP among pregnancy population. OSF REGISTRATION:

Retinopatía Hipertensiva/psicología , Trastornos Mentales/enfermería , Atención de Enfermería/métodos , Adulto , Estudios de Casos y Controles , Manejo de Datos , Femenino , Humanos , Retinopatía Hipertensiva/complicaciones , Trastornos Mentales/etiología , Trastornos Mentales/psicología , Atención de Enfermería/estadística & datos numéricos , Embarazo , Complicaciones del Embarazo/epidemiología , Proyectos de Investigación
Nurs Res ; 70(2): 132-141, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33630536


OBJECTIVE: The aim of this study was to describe computational ethnography as a contemporary and supplemental methodology in EHR workflow analysis and the relevance of this method to nursing research. METHODS: We explore the use of audit logs as a computational ethnographic data source and the utility of data mining techniques, including sequential pattern mining (SPM) and Markov chain analysis (MCA), to analyze nurses' workflow within the EHRs. SPM extracts frequent patterns in a given transactional database (e.g., audit logs from the record). MCA is a stochastic process that models a sequence of states and allows for calculating the probability of moving from one state to the next. These methods can help uncover nurses' global navigational patterns (i.e., how nurses navigate within the record) and enable robust workflow analyses. RESULTS: We demonstrate hypothetical examples from SPM and MCA, such as (a) the most frequent sequential pattern of nurses' workflow when navigating the EHR using SPM and (b) transition probability from one record screen to the next using MCA. These examples demonstrate new methods to address the inflexibility of current approaches used to examine nursing EHR workflow. DISCUSSION: Within a clinical context, the use of computational ethnographic data and data mining techniques can inform the optimization of the EHR. Results from these analyses can be used to supplement the data needed in redesigning the EHR, such as organizing and combining features within a screen or predicting future navigation to improve the record that nurses use.

Actitud del Personal de Salud , Registros Electrónicos de Salud/organización & administración , Almacenamiento y Recuperación de la Información/métodos , Atención de Enfermería/organización & administración , Carga de Trabajo/estadística & datos numéricos , Humanos , Investigación en Enfermería , Interfaz Usuario-Computador , Flujo de Trabajo
Rev. enferm. UFPE on line ; 15(1): [1-19], jan. 2021. ilus, mapas, tab
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145784


Objetivo: analisar a situação do tratamento inadequado da Sífilis Congênita (SC). Método: trata-se de um estudo misto, descritivo, com dados coletados no Sistema de Informação de Agravos de Notificação, no período de 2014 a 2017. Realizaram-se, adicionalmente, entrevistas semiestruturadas com os profissionais de saúde da Atenção Básica (AB), sendo os dados quantitativos estudados pela estatística descritiva, e os qualitativos, por meio da Análise de Conteúdo. Resultados: identificaram-se 61 recém-nascidos que receberam tratamento inadequado para SC. Entrevistaram-se enfermeiros da AB do município de Macapá atuantes nas áreas de abrangência das residências das crianças. Aponta-se que as análises das entrevistas permitiram a criação de três categorias: o saber do enfermeiro sobre a doença; a experiência do enfermeiro para a detecção de casos de SC na sua área de atuação; e as estratégias do enfermeiro para a busca de crianças com história de sífilis. Conclusão: evidenciou-se a fragilidade no tratamento da SC em Macapá com um alto índice de tratamento inadequado. Avalia-se que os perfis sociodemográficos e clínico das mães e crianças potencializam as vulnerabilidades individual, programática e social.(AU)

Objective: to analyze the situation of inadequate treatment of Congenital Syphilis (CS). Method: it is a mixed, descriptive study with data collected in the System of Information on Disease Notification (SINAN), within the period from 2014 to 2017. In addition, semi-structured interviews were carried out with health professionals from Basic Care (BC), with the quantitative data studied through descriptive statistics, and the qualitative data by means of Content Analysis. Results: 61 newborns who received inadequate treatment for CS were identified. Nurses from the BC of Macapá who work in the areas of the children's residences were interviewed. It is pointed out that the analysis of the interviews allowed the creation of three categories: the nurse's knowledge on the disease; the nurse's experience for the detection of cases of CS in his/her area of operation; and the nurse's strategies for the search of children with history of syphilis. Conclusion: the fragility in the treatment of CS in Macapá was evidenced with a high rate of inadequate treatment. The sociodemographic and clinical profiles of mothers and children are estimated to have enhanced individual, programmatic and social vulnerabilities.(AU)

Objetivo: analizar la situación de tratamiento inadecuado de la Sífilis Congénita (CS). Método: se trata de un estudio descriptivo mixto, con datos recogidos en el Sistema de Información de Enfermedades de Notificación, en el período de 2014 a 2017. Además, se realizaron entrevistas semiestructuradas con profesionales de la salud de atención primaria (AB) , datos cuantitativos que se estudian mediante estadística descriptiva, y datos cualitativos, a través del análisis de contenido. Resultados: se identificaron 61 recién nacidos que recibieron tratamiento inadecuado por CE. Se entrevistó a enfermeras de AB en la ciudad de Macapá que trabajan en las áreas cubiertas por los hogares de los niños. Se señala que el análisis de las entrevistas permitió la creación de tres categorías: el conocimiento de la enfermera sobre la enfermedad; la experiencia del enfermero en la detección de casos de CS en su área de especialización; y las estrategias de la enfermera para encontrar niños con antecedentes de sífilis. Conclusión: se evidenció debilidad en el tratamiento del CS en Macapá con una alta tasa de tratamiento inadecuado. Se evalúa que los perfiles sociodemográficos y clínicos de madres e hijos potencian las vulnerabilidades individuales, programáticas y sociales.(AU)

Humanos , Masculino , Femenino , Sífilis Congénita , Sífilis Congénita/tratamiento farmacológico , Sífilis Congénita/transmisión , Sífilis Congénita/epidemiología , Perfil de Salud , Niño , Salud Materno-Infantil , Transmisión Vertical de Enfermedad Infecciosa , Atención de Enfermería , Epidemiología Descriptiva , Enfermería Maternoinfantil , Sistemas de Información en Salud
Rev. enferm. UFPE on line ; 15(1): [1-21], jan. 2021. ilus, tab
Artículo en Portugués | BDENF - Enfermería | ID: biblio-1145793


Objetivo: analisar a produção científica acerca dos cuidados de Enfermagem na mulher em situação de pós-abortamento Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa. Realizou-se a busca nas bases de dados LILACS, BDENF, CINAHL e Biblioteca Virtual SCIELO, utilizando-se os descritores "Enfermagem", "cuidados de Enfermagem" e "aborto" em artigos publicados entre 2008 e 2017. Aplicaram-se os seguintes critérios de inclusão: artigos em inglês, espanhol ou português e disponíveis na íntegra. Excluíram-se as publicações que não contemplavam o objeto de estudo, duplicadas e revisões de literatura. Avaliaram-se os estudos a partir da análise crítica, sendo observados os aspectos metodológicos e as convergências entre os resultados encontrados, possibilitando a elaboração de três categorias temáticas, apresentadas nos resultados e discussão. Resultados: selecionaram-se sete publicações que deram origem a três categorias: Humanização e integralidade no cuidado de Enfermagem a mulheres em situação de abortamento, Assistência de Enfermagem a mulheres em situação de abortamento e Riscos inerentes à mulher em pós-abortamento. Conclusão: entende-se que a produção científica sinaliza a necessidade da qualificação profissional e de uma atuação ética. Acredita-se que os resultados possam instrumentalizar a equipe de Enfermagem nos cuidados prestados a mulheres em situação de pós-abortamento.(AU)

Objective: to analyze the scientific production about the nursing care of women in post abortion situations Method: it is a bibliographic, descriptive, integrative review type study. The LILACS, BDENF, CINAHL and SCIELO Virtual Library databases were searched using the descriptors "Nursing", "nursing care" and "abortion" in articles published between 2008 and 2017. The following inclusion criteria were applied: articles in English, Spanish or Portuguese and available in their entirety. Publications that did not include the study object, duplicates and literature reviews were excluded. The studies were evaluated from the critical analysis, and the methodological aspects and convergences between the results were observed, allowing the elaboration of three thematic categories, presented in the results and discussion. Results: seven publications were selected which gave rise to three categories: Humanization and integrality in the Nursing Care of Women in abortion situations, Nursing Care of Women in abortion situations and Risks inherent to women in post-abortion situations. Conclusion: it is understood that scientific production signals the need for professional qualification and ethical action. It is believed that the results can instrumentalize the Nursing team in the care of women in post abortion situations.

Objetivo: analizar la producción científica sobre los cuidados de Enfermería de la mujer en situación postaborto. Método: se trata de un estudio bibliográfico, descriptivo, tipo de revisión integradora. La búsqueda se realizó en las bases de datos LILACS, BDENF, CINAHL y Biblioteca Virtual SCIELO, utilizando los descriptores "Enfermería", "atención de Enfermería" y "aborto" en los artículos publicados entre 2008 y 2017. Se aplicaron los siguientes criterios de inclusión: artículos en inglés, español o portugués y disponibles en su totalidad. Se excluyeron las publicaciones que no incluyeron el objeto de estudio, duplicados y revisiones de la literatura. Los estudios fueron evaluados en base al análisis crítico, observando los aspectos metodológicos y las convergencias entre los resultados encontrados, permitiendo la elaboración de tres categorías temáticas, presentadas en los resultados y discusión. Resultados: se seleccionaron siete publicaciones que dieron lugar a tres categorías: Humanización e integralidad en la atención de Enfermería a mujeres en situación de aborto, Atención de Enfermería a mujeres en situación de aborto y Riesgos inherentes a las mujeres en postaborto. Conclusión: se entiende que la producción científica señala la necesidad de calificación profesional y desempeño ético. Se cree que los resultados pueden instrumentalizar al equipo de Enfermería en la atención brindada a las mujeres en situaciones postaborto.(AU)

Humanos , Femenino , Embarazo , Salud de la Mujer , Atención Integral de Salud , Aborto , Humanización de la Atención , Atención de Enfermería , Epidemiología Descriptiva , LILACS
Metas enferm ; 23(10): 65-71, dic.-ene. 2021. tab
Artículo en Español | IBECS | ID: ibc-197946


OBJETIVO: describir la conceptualización del cuidado de los estudiantes de Enfermería de la promoción 2013-2017 de la Unidad Académica Multidisciplinaria Matamoros (Universidad Autónoma de Tamaulipas. México). MÉTODO: estudio descriptivo transversal realizado entre septiembre y octubre de 2018. En función de un listado de 213 estudiantes se calculó una muestra de 138 personas, que fueron seleccionadas mediante muestreo aleatorio simple. Se analizaron variables sociodemográficas (sexo, edad) y las cinco conceptualizaciones del cuidado de Morse medidas con la Escala de Evaluación del Significado del Cuidar: característica personal humana, imperativo moral, afecto, relación interpersonal e intervención terapéutica (mínima conceptualización 9 a máxima 45 puntos). Se realizaron índices de estadística descriptiva y contraste de hipótesis para la comparación de medias. RESULTADOS: participaron 138 estudiantes (76,1% mujeres; 84,1% entre 21 y 25 años). La conceptualización con mayor media fue el cuidado como intervención terapéutica (media ()= 40,3; desviación estándar (DE)= 4,5), seguido del cuidado como relación interpersonal (= 39,3; DE= 4,5) y como característica personal (= 39,3; DE= 4,2). El menor grado de acuerdo se encontró respecto al cuidado como imperativo moral (= 37,8; DE= 4,2) y como afecto (= 37,1; DE= 4,3). Estas diferencias fueron estadísticamente significativas (p= 0,000). CONCLUSIONES: las docentes han de reflexionar sobre la educación que se está brindando a los futuros profesionales, ya que serán quienes proporcionarán un cuidado de calidad y calidez. Para que pueda darse un cuidado holístico y reafirmarse la profesión como ciencia y arte deben ser reforzadas las conceptualizaciones con menor puntuación: el cuidado como imperativo moral y como afecto

OBJECTIVE: to describe the conceptualization of care by Nursing students from the 2013-2017 years at the Unidad Académica Multidisciplinaria Matamoros (Universidad Autónoma de Tamaulipas, Mexico). METHOD: a descriptive cross-sectional study conducted between September and October, 2018. Based on a list of 213 students, a sample of 138 persons was estimated, who were selected through simple random sampling. Sociodemographic variables were analyzed (gender, age), as well as the five Conceptualizations of Caring by Morse, measured with the Assessment Scale of the Meaning of Caring: Human Personal Characteristic, Moral Imperative, Affection, Interpersonal Relationship and Therapeutic Intervention (minimum conceptualization of 9 to a maximum 45 points). Descriptive statistical indexes were conducted, as well as hypothesis contrasting for comparison of means. RESULTS: the study included 138 participants (76.1% female; 84.1% were 21-to-25-year old). The conceptualization with the highest mean score was Care as Therapeutic Intervention (mean ()= 40.3; standard deviation (SD)= 4.5), followed by Care as Interpersonal Relationship (= 39.3; SD= 4.5) and as Personal Characteristic (= 39.3; SD= 4.2). The lowest level of agreement was found regarding Care as Moral Imperative (= 37.8; SD= 4.2) and as Affection (= 37.1; SD= 4-3). These differences were statistically significant (p= 0.000). CONCLUSIONS: teachers must reflect about the education they are offering to future professionals, because they will be the ones to provide good-quality and warm care. In order to offer holistic care and strengthen the profession as a science and an art, those conceptualizations with lower scores should be reinforced: care as Moral Imperative and as Affection

Humanos , Masculino , Femenino , Adulto Joven , Adulto , Atención de Enfermería/métodos , Estudiantes de Enfermería/psicología , Percepción , Estudiantes de Enfermería/estadística & datos numéricos , Humanización de la Atención , Calidad de la Atención de Salud , Estudios Transversales , Relaciones Interpersonales