Guidance on diagnosis, prevention and treatment of thromboembolic complications in COVID-19: a position paper of the Brazilian Society of Thrombosis and Hemostasis and the Thrombosis and Hemostasis Committee of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy

ABSTRACT Hemostatic abnormalities and thrombotic risk associated with coronavirus disease 2019 (COVID-19) are among the most discussed topics in the management of this disease. The aim of this position paper is to provide the opinion of Brazilian experts on the thromboprophylaxis and management of thrombotic events in patients with suspected COVID-19, in the sphere of healthcare in Brazil. To do so, the Brazilian Society of Thrombosis and Hemostasis (BSTH) and the Thrombosis and Hemostasis Committee of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy (ABHH) have constituted a panel of experts to carefully review and discuss the available evidence about this topic. The data discussed in this document was reviewed by May 9, 2020. Recommendations and suggestions reflect the opinion of the panel and should be reviewed periodically as new evidence emerges.

Guidance on diagnosis, prevention and treatment of thromboembolic complications in COVID-19: a position paper of the Brazilian Society of Thrombosis and Hemostasis and the Thrombosis and Hemostasis Committee of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy.

Hemostatic abnormalities and thrombotic risk associated with coronavirus disease 2019 (COVID-19) are among the most discussed topics in the management of this disease. The aim of this position paper is to provide the opinion of Brazilian experts on the thromboprophylaxis and management of thrombotic events in patients with suspected COVID-19, in the sphere of healthcare in Brazil. To do so, the Brazilian Society of Thrombosis and Hemostasis (BSTH) and the Thrombosis and Hemostasis Committee of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy (ABHH) have constituted a panel of experts to carefully review and discuss the available evidence about this topic. The data discussed in this document was reviewed by May 9, 2020. Recommendations and suggestions reflect the opinion of the panel and should be reviewed periodically as new evidence emerges.

Autonomia profissional e sistematizacao da assistencia de enfermagem: percepcao de enfermeiros / Professional autonomy and nursing care systematization: the nurses' perception / Autonomia profesionaly sistematizacion de la atencion de enfermeria: percepcion de los enfermeros

O objetivo com esta pesquisa foi verificar a percepção dos enfermeiros sobre a autonomia profissional e a utilização da Sistematização da Assistência de Enfermagem (SAE) em uma instituição hospitalar. Trata-se de uma pesquisa qualitativa descritiva, cujos dados foram coletados por grupo focal, no segundo semestre de 2007, em um hospital privado de médio porte de Curitiba-PR, com 15 enfermeiros de unidades de internação e tratados pela análise temática. Emergiram três categorias: SAE como instrumento para conquistar autonomia; Questionamentos sobre SAE como instrumento para a autonomia; e Conhecimento e tomada de decisão para a autonomia. Os participantes consideraram o conhecimento propiciado pela SAE como impulso para concretizar a autonomia profissional. O estudo favorece reflexões para a atuação do enfermeiro de maneira mais empoderada e com maior visibilidade.

This study aims at verifying nurses' perception of professional autonomy and the Systematization of Nursing Assistance (in Portuguese, SAE) in a hospital. It is a qualitative and descriptive research. Data was collected by a focus group in the second half of 2007 at a mid-sized private hospital in Curitiba-PR., and analyzed according to thematic analysis. Fifteen nurses working at inpatient units took part in the study. Three categories emerged: SAE as an instrument to reach autonomy; Queries on SAE as an instrument in order to reach autonomy; and Knowledge and decision making to attain autonomy. The participants considered the knowledge afforded by SAE as a motivation to achieve professional autonomy. The present study encourages reflections on the empowerment and more visibility of nursing actions.

El presente estudio busca analizar la percepción de los enfermeros sobre la autonomía profesional y el uso del programa Sistematización de la Atención de Enfermería (SAE) en un hospital mediano de Curitiba. Se trata de una investigación cualitativa descriptiva con datos recogidos por el grupo focal durante el segundo semestre de 2007. Quince enfermeros de las unidades de hospitalización participaron en el estudio. Del análisis temático emergieron tres categorías: SAE como instrumento para conquistar autonomía; Cuestionamientos sobre el SAE como instrumento para la autonomía y Conocimiento y para la toma de decisión para la autonomía. Los participantes consideran que el SAE propicia conocimiento que ayuda a concretar la autonomía profesional. El estudio lleva a reflexionar sobre el empoderamiento y mayor visibilidad de las acciones de los enfermeros.