PICOT-clinic, acrónimo para la inferencia del razonamiento clínico en enfermería / PICOT-clinic, acronym for inference of clinical reasoning in nursing / PICOT-clinic, acrónimo para a inferência do raciocínio clínico em enfermagem

OBJETIVO: Presentar la codificación del acrónimo PICOT-clinic, como abordaje de mejora de los procesos de inferencia, deducción, inducción del razonamiento clínico en Enfermería: Método. Codificación de las etapas del PICOT-clinic se integran en transición consecutiva y consecuente en el razonamiento clínico, sostenidas por referencial teórico de Enfermería, los patrones de calidad de los cuidados de enfermería de la Orden de los enfermeros, la vulnerabilidad, así como el potencial de recuperación del cliente y las dimensiones de respuesta humana, propiciando la formulación de los Diagnósticos de Enfermería, respetando los principios de priorización de diagnósticos de Enfermería, planificando la prescripción de Intervenciones de Enfermería Focalizadas asociado con los objetivos SMARTp. RESULTADOS: El acrónimo PICOT-clinic como proceso para la sistematización del razonamiento de la clínica de los cuidados de Enfermería, presenta cinco etapas, P: persona a cuidar; I: Inferencia, deducción e inducción del razonamiento clínico; C: comparación de datos clínicos; O: Outcomes esperados para el cliente; T: Tipo y diseño de las intervenciones de Enfermería. CONCLUSIÓN: El PICOT-clinic es un organizador de debate estructurado que influye las diferentes formas de razonamiento de los enfermeros, la integración teórico-práctica, habilidades de pensamiento crítico, socialización intrínseca y ejercicio de la enfermería, enfocado en la situación real

OBJECTIVE: To present the coding of PICOT-clinic acronym, as an approach to improve the inference, deduction, induction processes of clinical reasoning in Nursing. Method. Coding of PICOT-clinic stages are integrated in consecutive and consequent transition on clinical reasoning in Nursing, based on a theoretical framework of Nursing, on fundamental patterns of Nursing knowledge, on Nursing care quality patterns of the Order of Nurses, on the vulnerability, as well as on the client's recovery potential, and on the dimensions of human responses, propitiating the formulation of the Nursing Diagnoses, respecting the principles of prioritization of Nursing diagnoses, planning the prescription of Tailored Nursing Interventions associated with SMARTp objectives. RESULTS: The PICOT-clinic acronym as a process for the systematization of Nursing care clinic rationale, presents the five stages, P: person to take care of; I: Inference, deduction and induction of clinical reasoning; C: comparison of clinical data; O: Outcomes expected for the client; T: Type and design of Nursing interventions. CONCLUSION: PICOT-clinic is a structured organizer of debate that influences the different forms of nurses' reasoning in the deepening of knowledge, in the theoretical-practical integration, in the critical thinking skills, in the intrinsic socialization to Nursing practice, focused on the circumstance/real situation

OBJETIVO: Apresentar a codificação do acrónimo PICOT-clinic, como abordagem de melhoria dos processos de inferência, dedução, indução do raciocínio clínico em Enfermagem: Método. Codificação das etapas do PICOT-clinic, integradas em transição consecutiva e consequente no raciocínio clínico em Enfermagem, sustentadas num referencial teórico de Enfermagem, nos padrões fundamentais do conhecimento em Enfermagem, nos padrões de qualidade dos cuidados de Enfermagem da Ordem dos Enfermeiros, na vulnerabilidade, bem como no potencial de recovery do cliente e nas dimensões de resposta humana, propiciando a formulação dos Diagnósticos de Enfermagem, respeitando os princípios de priorização de diagnósticos de Enfermagem, planeando a prescrição de Intervenções de Enfermagem Focadas associadas a objetivos SMARTp. RESULTADOS: O acrónimo PICOT-clinic como processo para a sistematização do raciocínio da clínica dos cuidados de Enfermagem, apresenta cinco etapas, P: pessoa a cuidar; I: Inferência, dedução e indução do raciocínio clínico; C: comparação dos dados clínicos; O: Outcomes esperados para o cliente; T: Tipo e desenho das intervenções de Enfermagem. CONCLUSÃO: O PICOT-clinic é um organizador de debate estruturado que influencia as diferentes formas de raciocínio dos Enfermeiros no aprofundamento do conhecimento, na integração teórico-prática, nas habilidades de pensamento crítico, na socialização intrínseca ao exercício da Enfermagem, focado na circunstância/situação real

Schizophrenia and Progressive Muscle Relaxation - A systematic review of effectiveness.

OBJECTIVE: We perform a systematically search, appraise and synthesize of the best available evidence on the effectiveness of Progressive Muscle Relaxation (PMR) in the adults with schizophrenia, in any setting, regarding anxiety, personal and social functioning, cognition, and well-being. METHOD: Major databases were searched to find both published and unpublished studies from inception until April 2017, using Schizophren* AND Relax* as keywords, and studies published in Portuguese, English, Spanish, Italian, French were considered for inclusion in this review. Methodological quality was assessed by two independent reviewers using the Critical Appraisal Checklist for Randomized Controlled Trials from the Joanna Briggs Institute. RESULTS: From a total of 1172 studies, five studies, involving 216 adults with schizophrenia, met the inclusion criteria for this systematic review after assessment of their methodological quality. These studies reported benefits in experimental group participants after PMR intervention on anxiety (assessed with State anxiety inventory, Beck Anxiety Inventory and Spielberger Trait Anxiety Inventory), well-being (assessed with Subjective Exercise Experiences Scale) and personal and social functioning (assessed with Sheehan Disability Scale and Therapist Rating Scale). CONCLUSIONS: Evidence suggests that PMR was effective in adults diagnosed with schizophrenia, except in one study where was only effective when combined with education. Thus, PMR may be useful to decrease state anxiety, improve well-being and social functioning in adults diagnosed with schizophrenia. However, due to the diversity of clinical intervention designs of PMR (different number and length of sessions) and outcome assessment scales, no strong evidence was found in this systematic review.