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1.
Rev Esc Enferm USP ; 53: e03489, 2019 Aug 19.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31433019

RESUMO

OBJECTIVE: To identify work process-related causes associated with nursing errors reported in newspapers. METHOD: This was a documentary and qualitative study based on the work process theory and hermeneutic analysis that examined 112 news articles published between 2012 and 2016 in 21 high-circulation Brazilian newspapers, organized and codified using Atlas.ti software. RESULTS: The causes associated with the reported errors were associated with workforce (lack of professionals and training, turnover, work overload, lack of information, recklessness, negligence, and distraction); work instruments (similar labels or packages, storage, lack of product identification and information, and medical prescriptions); and the object of nursing work (overcrowding and specific characteristics of patient). CONCLUSION: Analysis of the possible causes of reported errors identified the negative outcomes of nursing work, while also identifying elements of the work process that influenced these results. The findings emphasize the importance of understanding these errors so they can be avoided and of reviewing nursing work conditions to guarantee quality and safety of care.

2.
Enferm Clin ; 2019 May 07.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31076259

RESUMO

OBJECTIVES: To describe the changes in basic activities of daily living (BADL) function before and during hospital admission in older patients admitted to an acute medical unit and to assess the effect of age on loss of BADL function. METHODS: Prospective observational study. The study included 91 patients aged 65 and older consecutively admitted to an acute medical unit of an urban public teaching hospital in Portugal, between May and September 2017. Functional status was measured at three times: at hospital admission; at about 2 weeks before hospital admission (baseline); an on the discharge day. The functional condition was evaluated using the Katz index. Differences in scores for BADL between baseline and admission, between admission and discharge, and between baseline and discharge were used to define pre-admission, in-hospital and overall functional decline. RESULTS: Pre-admission, in-hospital and overall functional decline occurred in 78.0%, 4.4% and 63.7% of the participants, respectively. In contrast, in-hospital functional improvement occurred in a minority of the patients (14.3%). Hospitalized older people are discharged with BADL function that is worse than their baseline function. The oldest patients are at high risk of poorer functional outcomes because they are less likely to recover BADL function lost before admission. CONCLUSION: These results emphasize the overriding need for implementing in-hospital processes to prevent functional decline and enhance functional recovery. This study also highlights the need for nurses to closely monitor the functional status of hospitalized older people, particularly in oldest-old patients.

3.
Rev Bras Enferm ; 72(suppl 1): 24-31, 2019 Feb.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30942341

RESUMO

OBJECTIVE: To analyze the professional practice models used by nurses in the hospital context. METHOD: A descriptive study with a qualitative approach was carried out in 19 hospitals with 56 nurses. Data collection was carried out by means of a semi-structured interview. RESULTS: The following categories emerged from analysis: a practice focused on the management of signs and symptoms, where the biomedical model, prevention of complications, and early detection of signs and symptoms of clinical worsening stood out, and a practice based on patients' human responses, emphasizing health promotion, self-care promotion, autonomy reconstruction, functional rehabilitation, patients' training, preparation to return home, and facilitation of transitions. FINAL CONSIDERATIONS: In spite of the evolution seen in some contexts, a distance between the models practiced and those presented is still found, which indicates the need for changes ensuring structuring and systematization of the professional practice.


Assuntos
Modelos de Enfermagem , Humanos , Entrevistas como Assunto/métodos , Recursos Humanos de Enfermagem no Hospital/psicologia , Portugal , Prática Profissional , Pesquisa Qualitativa
4.
Rev Bras Enferm ; 72(suppl 1): 189-196, 2019 Feb.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30942362

RESUMO

OBJECTIVE: To analyze the nursing errors reported by the journalistic media and interpret the main implications of this communication for the visibility of this problem. METHOD: Documental research, qualitative, descriptive and exploratory, with data collected in news reports from Brazil and Portugal, analyzed through hermeneutics with resources of Atlas Software. RESULTS: We analyzed 112 news items published between 2012 and 2016 that resulted in six categories: Year - highest occurrence in 2012; Age group of the patient - children; Professional category - nurses; Type of error - medication; Outcome - death; Possible attributed cause - occupational conditions. FINAL CONSIDERATIONS: Nursing mistakes are a challenge for the profession, and the way they are communicated by the media is not very explanatory, contributing to a negative visibility of the profession, and to making society insecure. Improving the way they are served in the media contributes to the visibility of the problem without affecting the professional image.


Assuntos
Meios de Comunicação de Massa/tendências , Erros Médicos/enfermagem , Segurança do Paciente/normas , Brasil , Hermenêutica , Humanos , Enfermagem/normas , Enfermagem/tendências , Portugal , Pesquisa Qualitativa , Estudos Retrospectivos
5.
Enferm. glob ; 18(54): 180-209, abr. 2019. tab
Artigo em Espanhol | LILACS-Express | ID: ibc-ET1-2983

RESUMO

Introducción: El consumo de sustancias causantes de dependencia es un problema de salud pública y potencia otros comportamientos de riesgo, entre los cuales, la agresión física, en los jóvenes. Objetivo: Evaluar el consumo de sustancias adictivas (tabaco, alcohol y marihuana) en una población estudiantil de una ciudad del Norte de Portugal.Métodos: Estudio cuantitativo, descriptivo y transversal. La muestra estuvo compuesta por 1.066 adolescentes, de una región del norte de Portugal, que estudiaban en nueve centros de enseñanza secundaria y universitaria de esa región y con una edad media de 17 años. Los participantes respondieron a un cuestionario tipo test en soporte papel y digital. Resultados: Se deduce que el consumo de sustancias que causan dependencia tiene lugar a edades precoces de la adolescencia, que el consumo actual de bebidas alcohólicas se ha elevado y que el consumo de tabaco, alcohol y marihuana se potencian entre sí. Conclusiones: Como el consumo de estas sustancias tiene como base factores individuales y de contexto, y afecta a los resultados de esta investigación, se considera que la intervención con los jóvenes debe incluir una estrategia concertada de políticas sociales, educativas y de salud y que simultáneamente apelen a la adhesión de los jóvenes estudiantes


Introdução: O consumo de substâncias aditivas é um problema de saúde pública e potencia outros comportamentos de risco, entre os quais o envolvimento em agressões físicas, nos jovens. Objetivo: Avaliar o consumo de substâncias aditivas (tabaco, álcool y marijuana) numa população estudantil de uma cidade do Norte de Portugal.Métodos: Estudo quantitativo, descritivo e transversal. O estudo envolveu 1.066 jovens, de uma cidade da região Norte de Portugal, que estudavam em nove instituições de ensino secundário e uma de ensino superior e idade média de 17 anos. Utilizou-se um questionário, de auto preenchimento e fornecido em suporte papel e digital. Resultados: Verificou-se que o consumo de substâncias aditivas se iniciou em idades precoces da adolescência, que o consumo atual de bebidas alcoólicas é elevado e o consumo de tabaco, álcool e marijuana se potenciam entre si. Conclusões: O consumo de substâncias aditivas tem como base fatores individuais e contextuais que influenciam os resultados desta investigação, considerando-se importante que a intervenção com jovens deve incluir uma estratégia de aproximação concertada de políticas sociais, educativas e de saúde apelativas da adesão pelos jovens estudantes


Introduction: The consumption of addictive substances is a public health problem likely to precipitate other risk behaviours in youngsters, including physical aggression. Aim: To evaluate the consumption of tobacco, alcohol and marijuana in a student population of a city in the north of Portugal.Methods: A quantitative study, descriptive and cross-sectional. The study involved 1.066 young students, from a city in the north of Portugal, enrolled in nine high school and higher education institutions, with an average age of seventeen years. A self-administered questionnaire was applied in paper and digital format. Results: Results showed that the consumption of addictive substances began in early adolescence, that the current consumption of alcoholic beverages is high and the consumption of tobacco, alcohol and marijuana is often interrelated. Conclusions: The consumption of addictive substances is influenced by individual and contextual factors affecting these research results. Thus, it is crucial to plan an intervention strategy encompassing social, educational and health policies appealing for young students' adherence

6.
Aquichan ; 19(1): 31-35, Jan.-Mar. 2019. tab
Artigo em Inglês | LILACS-Express | ID: biblio-1011140

RESUMO

ABSTRACT Objective: Measuring instruments play, namely, an important role in the safety and quality of care. The aim of this study consists in validating a scale conceived to evaluate the structure of the operating room (OR). Materials and Methods: Validation and psychometric evaluation were carried out of the instrument. The sample was comprised of 1019 professionals working in the OR for at least two years in 71 Portuguese hospitals; the research was conducted in 2017. Results: The results obtained in the reliability and validity tests reveal good internal consistency. The 28 items of the scale, and after the principal components analysis, were grouped into seven dimensions: "Environment and equipment", "Resources for quality and safety", "Circuits in the operating room", "Facilities and operating requirements", "Training and praxis in the operating room", "Continuity in nursing care", and "Specificities of professional groups". Conclusion: The psychometric study allows us to state that the scale of structure indicators in the operating room (SIOR) is a reliable and valid instrument. Its use will permit evaluating and monitoring the structural conditions of the ORs.


RESUMEN Objetivo: los instrumentos de medida desempeñan, particularmente, un importante papel en la seguridad y la calidad de los cuidados. El objetivo de este estudio consiste en validar una escala concebida para evaluar la estructura del bloque operatorio (BO). Materiales y método: se realizó la validación y la evaluación psicométrica del instrumento. La muestra fue de 1019 profesionales con actividad en el BO durante al menos dos años en 71 hospitales portugueses; la investigación se realizó en 2017. Resultados: los resultados obtenidos en las pruebas de confiabilidad y validez revelan una buena consistencia interna. Los 28 ítems de la escala, y después del recurso al análisis de componentes principales, quedaron agrupados en 7 dimensiones: "Ambiente y equipamientos", "Recursos para la calidad y seguridad", "Circuitos en el bloque operatorio", "Instalaciones y requisitos de funcionamiento "," Formación y praxis en el bloque operatorio "," Continuidad en la asistencia de enfermería ", y" Especificidades de los grupos profesionales ". Conclusión: el estudio psicométrico permite afirmar que la Escala de Indicadores de Estructura en el Bloque Operativo (IEBO) es un instrumento fidedigno y válido. Su utilización permitirá evaluar y monitorear las condiciones estructurales de los BO.


RESUMO Objetivo: os instrumentos de medida desempenham, nomeadamente, um importante papel na segurança e qualidade dos cuidados. O objetivo deste estudo consiste em validar uma escala concebida para avaliar a estrutura do bloco operatório (BO). Material e método: foram realizadas a validação e a avaliação psicométrica do instrumento. A amostra foi constituída por 1019 profissionais com atividade no BO há pelo menos dois anos em 71 hospitais portugueses; a pesquisa foi realizada em 2017. Resultados: os resultados obtidos nos testes de confiabilidade e validade revelam uma boa consistência interna. Os 28 itens da escala, e após o recurso à análise de componentes principais, ficaram agrupados em sete dimensões: "Ambiente e equipamentos", "Recursos para a qualidade e segurança", "Circuitos no bloco operatório", "Instalações e requisitos de funcionamento", "Formação e práxis no bloco operatório", "Continuidade na assistência de enfermagem", e "Especificidades dos grupos profissionais". Conclusão: o estudo psicométrico permite-nos afirmar que a Escala de Indicadores de Estrutura no Bloco Operatório (IEBO) é um instrumento fidedigno e válido. A sua utilização permitirá avaliar e monitorizar as condições estruturais dos BOs.

7.
Qual Manag Health Care ; 28(2): 103-107, 2019 Apr/Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30921283

RESUMO

BACKGROUND AND OBJECTIVES: This study aims to validate an instrument designed to measure care quality in the operating room. METHODS: We conducted a transversal exploratory descriptive study with the objective of analyzing the psychometric properties of the scale. The 13 items included in the scale result from 2 previously conducted studies, a literature review study and a Delphi study. The instrument was administered to health professionals with at least 2 years of experience in the operating room in 71 Portuguese hospitals. RESULTS: The sample consisted of 1019 professionals who worked in an operating room; among them were nurses and doctors. The results show that the scale is a reliable and valid instrument composed of 3 dimensions: assessment of the quality of care; evaluation of processes; and control systems. CONCLUSION: The final version of the scale meets the validity requirements, revealing high potential to be used in research and clinical practice. The use of this scale will allow evaluation and comparison of the results among the different operating rooms.

8.
Rev Gaucha Enferm ; 40: e20180139, 2019 Feb 18.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30785548

RESUMO

OBJECTIVE: To identify nurses' agreement on nursing conceptions with the potential to support their practice in the death and dying process context. METHOD: An exploratory and descriptive study with a quantitative approach was carried out with 3,451 nurses from 36 hospitals in Portugal, from July 2015 to March 2016. Data collection was carried out with the use of questionnaires and data analysis was carried out by means of descriptive and inferential statistics. RESULTS: Among conceptions with the potential to support practice, nurses highlighted those from Virginia Henderson, Afaf Meleis, and Madeleine Leininger. The following variables influenced the degree of agreement: region, service, gender, professional training, and length of professional practice. CONCLUSION: Considering current challenges of a practice that is mostly based on meeting needs, the relevance of nursing practices' purposes emerges in order to facilitate experiencing death and the dying process in culturally significant ways.

9.
Rev. bras. enferm ; 72(supl.1): 189-196, Jan.-Feb. 2019. graf
Artigo em Inglês | LILACS-Express | ID: biblio-990677

RESUMO

ABSTRACT Objective: To analyze the nursing errors reported by the journalistic media and interpret the main implications of this communication for the visibility of this problem. Method: Documental research, qualitative, descriptive and exploratory, with data collected in news reports from Brazil and Portugal, analyzed through hermeneutics with resources of Atlas Software. Results: We analyzed 112 news items published between 2012 and 2016 that resulted in six categories: Year - highest occurrence in 2012; Age group of the patient - children; Professional category - nurses; Type of error - medication; Outcome - death; Possible attributed cause - occupational conditions. Final considerations: Nursing mistakes are a challenge for the profession, and the way they are communicated by the media is not very explanatory, contributing to a negative visibility of the profession, and to making society insecure. Improving the way they are served in the media contributes to the visibility of the problem without affecting the professional image.


RESUMEN Objetivo: Analizar los errores de enfermería noticiados por los medios periodísticos e interpretar las principales implicaciones de esa comunicación para la visibilidad de esta problemática. Método: Investigación documental, cualitativa, descriptiva y exploratoria, con los datos recogidos en los informes periódicos de Brasil y Portugal, analizó utilizando la hermenéutica con fondos de la Atlas.ti Software. Resultados: Se analizaron 112 noticias publicadas entre 2012 y 2016 que resultaron en seis categorías: Año - mayor ocurrencia en 2012; Edad del paciente - niños; Categoría profesional - enfermeros; Tipo de error - medicación; Descenso - muerte; y Posible causa atribuida - condiciones de trabajo. Consideraciónes finales: Los errores de enfermería constituyen un desafío para la profesión, y la forma en que son comunicados por los medios es poco explicativa, contribuyendo a una visibilidad negativa de la profesión, y para dejar a la sociedad insegura. Mejorar la forma en que se transmiten en los medios de comunicación contribuyen a la visibilidad del problema sin afectar la imagen profesional.


RESUMO Objetivo: Analisar os erros de enfermagem noticiados pela mídia jornalística e interpretar as principais implicações dessa comunicação para a visibilidade dessa problemática. Método: Pesquisa documental, qualitativa, descritiva e exploratória, com dados coletados em notícias de jornais do Brasil e Portugal, analisados por meio da hermenêutica com recursos do Software Atlas.ti. Resultados: Foram analisadas 112 notícias publicadas entre 2012 e 2016 que resultaram em seis categorias: Ano - maior ocorrência em 2012; Faixa etária do paciente - crianças; Categoria profissional - enfermeiros; Tipo de erro - medicação; Desfecho - morte; Possível causa atribuída - condições de trabalho. Considerações finais: Erros de enfermagem constituem um desafio para a profissão, e a forma como são comunicados pela mídia é pouco explicativa, contribuindo para uma visibilidade negativa da profissão, e para deixar a sociedade insegura. Melhorar a forma como são veiculados na mídia contribuem para a visibilidade do problema sem afetar a imagem profissional.

10.
Rev. bras. enferm ; 72(supl.1): 24-31, Jan.-Feb. 2019. tab
Artigo em Inglês | LILACS-Express | ID: biblio-990719

RESUMO

ABSTRACT Objective: To analyze the professional practice models used by nurses in the hospital context. Method: A descriptive study with a qualitative approach was carried out in 19 hospitals with 56 nurses. Data collection was carried out by means of a semi-structured interview. Results: The following categories emerged from analysis: a practice focused on the management of signs and symptoms, where the biomedical model, prevention of complications, and early detection of signs and symptoms of clinical worsening stood out, and a practice based on patients' human responses, emphasizing health promotion, self-care promotion, autonomy reconstruction, functional rehabilitation, patients' training, preparation to return home, and facilitation of transitions. Final considerations: In spite of the evolution seen in some contexts, a distance between the models practiced and those presented is still found, which indicates the need for changes ensuring structuring and systematization of the professional practice.


RESUMEN Objetivo: Analizar los modelos de ejercicio profesional aplicados por los enfermeros en el ámbito hospitalario. Método: Estudio descriptivo de abordaje cualitativo, realizado en 19 hospitales, con la participación de 56 enfermeros. Datos recolectados mediante entrevista semiestructurada. Resultados: Del análisis surgieron las categorías: práctica enfocada en la gestión de signos y síntomas, donde se destacaron el modelo biomédico, la prevención de complicaciones y la detección precoz de signos y síntomas de agravamiento clínico; y práctica enfocada en la respuesta humana de los pacientes, evidenciándose la promoción de salud, promoción del autocuidado, reconstrucción de la autonomía, readaptación funcional, capacitación de los pacientes, preparación para volver a casa y facilitación de las transiciones. Consideraciones finales: A pesar de la evolución notada, en ciertos contextos existe aún distancia entre los modelos practicados y los expuestos, expresándose la necesidad de cambios que aseguren la estructuración y sistematización de la acción profesional.


RESUMO Objetivo: Analisar os modelos de exercício profissional usados pelos enfermeiros no contexto hospitalar. Método: Estudo descritivo com abordagem qualitativa, realizado em 19 instituições hospitalares, com a participação de 56 enfermeiros. Para a coleta de dados, foi utilizada a entrevista semiestruturada. Resultados: Da análise, emergiram como categorias: prática centrada na gestão de sinais e sintomas, em que se destacaram o modelo biomédico, a prevenção de complicações e a deteção precoce de sinais e sintomas de agravamento clínico e prática centrada nas respostas humanas dos clientes evidenciando a promoção da saúde, a promoção do autocuidado, a reconstrução da autonomia, a readaptação funcional, a capacitação dos clientes, a preparação do regresso a casa e a facilitação das transições. Considerações finais: Apesar da evolução notada em alguns contextos, ainda há um distanciamento entre os modelos praticados e os expostos, apontando para a necessidade de mudanças que garantam a estruturação e sistematização da ação profissional.

11.
Rev. gaúch. enferm ; 40: e20180139, 2019. tab, graf
Artigo em Português | LILACS-Express | ID: biblio-985611

RESUMO

Resumo OBJETIVO Identificar a concordância dos enfermeiros sobre as concepções de enfermagem com potencial para sustentar a sua prática no âmbito da morte e dos processos de morrer. MÉTODO Estudo quantitativo, exploratório e descritivo, realizado em 36 hospitais de Portugal, de julho de 2015 a março de 2016, com participação de 3451 enfermeiros. Na coleta de dados utilizou-se o questionário e na análise recorreu-se à estatística descritiva e inferencial. RESULTADOS Dentre as concepções com potencial para sustentar a prática, os enfermeiros salientam as de Virginia Henderson, Afaf Meleis e Madeleine Leininger. As variáveis que afetam o grau de concordância são: região, serviço, gênero, formação profissional e tempo de exercício profissional. CONCLUSÃO Considerando os atuais desafios, de uma prática predominantemente centrada na satisfação das necessidades, emerge a pertinência da intencionalidade da ação dos enfermeiros, no sentido de facilitar a vivência da morte e dos processos de morrer, de formas culturalmente significativas.


Resumen OBJETIVO Identificar la concordancia de los enfermeros sobre las concepciones de enfermería con potencial para sostener su práctica en el ámbito de la muerte y de los procesos de morir. MÉTODO Estudio cuantitativo, exploratorio y descriptivo que se realizó en 36 hospitales en Portugal, de julio de 2015 a marzo de 2016, con la participación de 3451 enfermeros. En la recogida de los datos se utilizó el cuestionario y en el análisis se recurrió a la estadística descriptiva e inferencial. RESULTADOS De las concepciones con potencial para sostener la práctica, los enfermeros ponen de relieve las de Virginia Henderson, Afaf Meleis y Madeleine Leininger. Las variables que afectan el grado de concordancia son: región, servicio, género, formación profesional y tiempo de ejercicio profesional. CONCLUSIÓN Teniendo en cuenta los actuales desafíos, de una práctica predominantemente centrada en la satisfacción de las necesidades, emerge la pertinencia de la intencionalidad de la acción de los enfermeros, con el objetivo de facilitar la vivencia de la muerte y los procesos de morir, de formas culturalmente significativas.


Abstract OBJECTIVE To identify nurses' agreement on nursing conceptions with the potential to support their practice in the death and dying process context. METHOD An exploratory and descriptive study with a quantitative approach was carried out with 3,451 nurses from 36 hospitals in Portugal, from July 2015 to March 2016. Data collection was carried out with the use of questionnaires and data analysis was carried out by means of descriptive and inferential statistics. Results: Among conceptions with the potential to support practice, nurses highlighted those from Virginia Henderson, Afaf Meleis, and Madeleine Leininger. The following variables influenced the degree of agreement: region, service, gender, professional training, and length of professional practice. Conclusion: Considering current challenges of a practice that is mostly based on meeting needs, the relevance of nursing practices' purposes emerges in order to facilitate experiencing death and the dying process in culturally significant ways.

12.
Esc. Anna Nery Rev. Enferm ; 23(2): e20180330, 2019. graf
Artigo em Inglês | LILACS-Express | ID: biblio-1001964

RESUMO

ABSTRACT Objective: to analyze the outcomes of participatory planning and quality assessment of the nursing care provided in a hospital ward using a nursing management technology. Method: Convergent care research focuses on research and practice intervention, developed in a hospital in southern Brazil from April to August 2016. Participatory planning and quality evaluation was performed using the PRAXIS® technology. Results: In the participatory planning, a survey of needs/problems was carried out by 33 professionals followed by 5 workshops, where mission, guiding principles, 4 priority problems, expected results, objectives and plans of activities were defined. For quality evaluation, two indicators were used: satisfaction and notification of adverse events. The evaluation was carried out with 101 patients and /or relatives, predominating "great or good". Adverse events, 28 records, predominating medication errors. Conclusion: Participatory planning and quality assessment are essential to improve nursing care management and the PRAXIS® technological innovation has been a useful resource.


RESUMEN Objetivo: Analizar resultados de la planificación participativa e indicadores de evaluación de la calidad de la asistencia de enfermería, en unidad de internación hospitalaria con utilización de una tecnología de gestión. Método: Investigación Convergente Asistencial articulando investigación e intervención en la práctica. Desarrollada en hospital del sur de Brasil en el período abril a agosto de 2016. Realizado planificación y evaluación de la calidad con recursos de la tecnología PRAXIS® Resultados: En el planeamiento participativo, se realizaron levantamiento de necesidades /problemas elaborados por 33 profesionales, siguiente de 5 talleres, donde fueron definidas misión, principios orientadores y 4 problemas prioritarios, resultados esperados, objetivos y planes de actividades. Para la evaluación de la calidad, se utilizaron dos indicadores: satisfacción y notificación de eventos adversos. Se realizaron 101 evaluaciones con pacientes y/o familiares predominando "óptima o buena". Los eventos adversos, 28 registros, predominando los errores de medicación. Conclusión: La planificación participativa y la evaluación de la calidad son fundamentales para mejorar la gestión de los servicios de enfermería y la aplicación del PRAXIS® se ha constituido en un recurso útil.


RESUMO Objetivo: Analisar resultados do planejamento participativo e indicadores de avaliação da qualidade da assistência de enfermagem, em unidade de internação hospitalar com utilização de uma tecnologia de gestão. Método: Pesquisa Convergente Assistencial articulando investigação e intervenção na prática. Desenvolvida em hospital do sul do Brasil no período abril a agosto de 2016. Realizado planejamento e avaliação da qualidade com recursos da tecnologia PRAXIS®. Resultados: No planejamento participativo, realizou-se levantamento de necessidades/problemas elencados por 33 profissionais, seguido de 5 oficinas, onde foram definidas missão, princípios orientadores e 4 problemas prioritários, resultados esperados, objetivos e planos de atividades. Para avaliação da qualidade, utilizou-se dois indicadores: satisfação e notificação de eventos adversos. Realizadas 101 avaliações com pacientes e/ou familiares predominando "ótima ou boa". Os eventos adversos, 28 registros, predominando os erros de medicação. Conclusão: Planejamento participativo e avaliação da qualidade são fundamentais para melhoria da gestão dos serviços de enfermagem e a aplicação do PRAXIS® constituiu-se em recurso útil.

13.
Rev Lat Am Enfermagem ; 26: e3096, 2018 Nov 29.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-30517583

RESUMO

OBJECTIVE: to adapt and validate the Instrumental Expressive Social Support Scale (IESS) in a sample of older people. METHOD: methodological study. The sample of 964 community-dwelling older people was randomly divided into two groups. The first group was used as a calibration sample to study the number of factors underlying social support through Principal Axis Factoring, and the second group as a validation sample to test the "best fit" model through Confirmatory Factor Analysis. RESULTS: exploratory Factor Analysis suggested a three-factor solution, which was confirmed by Confirmatory Factor Analysis. The factors were similar to those in the pre-existing dimensions of the original instrument and were named as Sense of control (α = 0.900), Financial support (α = 0.802), Familiar and socio-affective support (α = 0.778). Confirmatory Factor Analysis showed acceptable fit. The model's goodness-of-fit indexes were satisfactory (χ2/df = 5.418; CFI = 0.903; NFI = 0.884; RMSEA = 0.098). The convergent validity was supported by associations between social support and medication adherence and positive affect. The discriminant validity was evidenced by association with negative affect. The reliability analysis showed high values of internal consistency. CONCLUSION: the instrument proved to be a valid measure for the assessment of social support in older people.

14.
J. Health NPEPS ; 3(2): 352-367, Julho-Dezembro. 2018.
Artigo em Português | LILACS-Express | ID: biblio-980849

RESUMO

Objetivo: apresentar os resultados do estudo de construção e análise psicométrica da Escala "Processos de Qualidade Assistencial no Bloco Operatório (Escala PQABO)" Método: trata-se de um estudo de desenho metodológico para o desenvolvimento e teste da confiabilidade e validade de instrumentos de medida. A escala é composta por 17 itens, tendo sido aplicada, através de um questionário online, a médicos e enfermeiros com atividades no bloco operatório. Resultados: o estudo psicométrico permitiu afirmar que a escala é um instrumento fidedigno e válido composto por quatro fatores: fluxos de comunicação; estratégias de suporte aos processos de trabalho assistencial; controle para a segurança e trabalho em equipe. Os resultados obtidos nos testes de fiabilidade revelam uma boa consistência interna para o total dos itens da escala. O valor de alpha de Cronbach da globalidade da escala foi de 0,845 o que sugere uma boa consistência interna do instrumento. Considerações Finais: a versão final da escala demonstra possuir propriedades psicométricas para medir os processos de qualidade no bloco operatório, assim como, a sua utilização permitirá avaliar e monitorizar os processos de trabalho nos blocos operatórios.


Objective: to present the results of the construction and psychometric analysis of the Scale "Quality Assurance Processes in the Operative Block (PQABO Scale)". Method: it is a study of methodological design for the development and test of the reliability and validity of measurement instruments. The scale is composed of 17 items and was applied through an online questionnaire to doctors and nurses with activities in the operating room. Results: The psychometric study allowed us to affirm that scale is a reliable and valid instrument composed of four factors: communication flows; strategies to support care work processes; control for safety and teamwork. The results obtained in the reliability tests reveal a good internal consistency for the total of the scale items. The Cronbach alpha value of the whole scale was 0.845 which suggests a good internal consistency of the instrument. Final Considerations: the final version of the scale demonstrates psychometric properties to measure the quality processes in the operative block, as well as their use will allow to evaluate and monitor the work processes in the operative blocks.


Objetivo: presentar los resultados del estudio de construcción y análisis psicométrico de la Escala "Procesos de Calidad Asistencial en el Bloque Operativo (Escala PQABO)". Método: Se trata de un estudio de diseño metodológico para el desarrollo y prueba de la confiabilidad y validez de instrumentos de medida. La escala está compuesta por 17 ítems, habiendo sido aplicada, a través de un cuestionario online, a médicos y enfermeros con actividades en el bloque operatorio. Resultados: el estudio psicométrico permitió afirmar que la escala es un instrumento fidedigno y válido compuesto por cuatro factores: flujos de comunicación; estrategias de apoyo a los procesos de trabajo asistencial; control de seguridad y trabajo en equipo. Los resultados obtenidos en las pruebas de fiabilidad revelan una buena consistencia interna para el total de los elementos de la escala. El valor de alfa de Cronbach de la globalidad de la escala fue de 0,845 lo que sugiere una buena consistencia interna del instrumento. Consideraciones finales: la versión final de la escala demuestra poseer propiedades psicométricas para medir los procesos de calidad en el bloque operatorio, así como, su utilización permitirá evaluar y monitorear los procesos de trabajo en los bloques operativos.

15.
Rev. Rol enferm ; 41(11/12,supl): 135-142, nov.-dic. 2018. graf
Artigo em Inglês | IBECS | ID: ibc-179954

RESUMO

Being a parent of twin siblings is a major challenge for parents and requires a family restructuring to adapt to a new family environment. Objective: To understand the experiences of parents of twins and meanings attri-buted to them. Methods: a qualitative study was conducted, having the symbolic interactionism as a theoretical referential and the interpretative interactionism as the methodologi-cal referential. Twenty-nine parents with children under 4 years participated in this study. A semi-structured interview was conducted for data collection. Results: The twins family responses to parenting challenges are conditioned by the management and articulation of their difficulties, their strengths and personal re-sources. There is a clear choice in being a family with children that privileges nego-tiation and involvement of the couple in caring for the family, or, at least, part of the family, meaning the children and playing the parenting role. Conclusions: The family grows as a complex web, including its elements and inte-ractions. The symbolic construction evidences the way the family adjusts to this en-vironment of twin parenting. The health professionals should be able to anticipate the needs of families going through this process.


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Gêmeos/estatística & dados numéricos , Adaptação Psicológica , Poder Familiar/psicologia , Características da Família , Gravidez de Gêmeos/psicologia , Relações Familiares/psicologia , Apoio Social
16.
Rev. Rol enferm ; 41(11/12,supl): 173-180, nov.-dic. 2018. graf
Artigo em Inglês | IBECS | ID: ibc-179959

RESUMO

Introduction: In the current health care environment, the needs of the population provided the perfect opportunity for nurses to (re)define their practice and professional career. Within this framework, this study aimed thus at identifying the bases that are underlying the practice, as well as the factors that stimulate or jeopardise the quality of care and a practice that is consistent with the desired grounding. Method: Qualitative study with a phenomenological nature carried out in 19 public hospitals in mainland Portugal with the participation of 56 nurses. The tool used for collecting data was a semi-structured interview. Results: Regarding the factors that stimulate or jeopardise the quality of care a prac-tice that is consistent with the desired grounding, we could highlight features that were perfectly integrated in the triad structure, process and result. In relation to "structure", we could point out the following: organizational resources, human and material resources, service organization, nursing sustainment practices and organization of nursing care. Concerning "process", we could analyse: decision-making process, guiding principles for the professional practice, scientific methodology of health care service, health care documentation process, communication process, collaborative practice and management practice. In what concerns "result", the features were less evident in the participants' speech, and more stressed among clients and nurses. Conclusion: The explanatory approach to the grounding of the professional nursing practice, outlined in a three-dimensional perspective, makes clear the theoretical framework that grounds the practice, as well as the factors in hospital environment, that stimulate or jeopardise the quality of the nursing care


No disponible


Assuntos
Humanos , Avaliação em Enfermagem/tendências , Cuidados de Enfermagem/tendências , Processo de Enfermagem/organização & administração , Prática Profissional/organização & administração , Competência Profissional/estatística & dados numéricos , Qualidade da Assistência à Saúde/tendências , Gestão da Qualidade Total/tendências
17.
Rev. Rol enferm ; 41(11/12,supl): 217-221, nov.-dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-179966

RESUMO

Introduction and objectives: The family has suffered several changes throughout the times, leading to many elderly people living alone or with other elderly. In a family the situation of the elderly that depended on others can compromise the family's relationships, which leads to little availability to motivate them to mobilization. The objective of the study was to understand the way the family functions in view of to the dependence of the elderly with limited mobility in a community context. Methodology: Descriptive study, exploratory of a quantitive character. The data was gathered through a questionnaire, including the Lawton & Brody (1969) scales, the lifestyle profile (Nahas, 2013) and the familiar APGAR (Smilkstein, 1978). Non-probabilistic sample, composed by 1298 elderly with limited mobility, from 26 civil parishes from the municipality of Vila Nova de Famalicão. Results and discussion: Most of the people polled considered that his own family was a functional one (64.8%) and 49.6% were moderately dependent. By analysing the physical activity lifestyle profile and the familiar functionality one could con-clude that 65.2% had a positive profile, presenting typical behaviours of an active lifestyle. We think that the fact that 73.1% are inserted in functional families had something to do with it. We have verified a perfect association (p = 0.000) between dependency, lifestyle physical activity and familiar functionality - APGAR. Conclusions: The results show that the family determines the lifestyle physical acti-vity and the elderly's dependency. A functional family influences a positive physical activity profile, even in the elderly with limited mobility


No disponible


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Deambulação com Auxílio/estatística & dados numéricos , Limitação da Mobilidade , Idoso Fragilizado/estatística & dados numéricos , Características da Família , Cuidadores/estatística & dados numéricos , Assistência Domiciliar/estatística & dados numéricos , Portugal/epidemiologia , Relações Familiares
18.
Rev. Rol enferm ; 41(11/12,supl): 313-318, nov.-dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-179982

RESUMO

Introduction: The risk behaviours, safety and violence of young people have been a major concern for societies. Health promotion focused on the importance of a safe environment and the implications that come from incorrect behaviours at this stage of life in which building autonomy is critical. Objectives: To identify individual health measures adopted by adolescents/youngsters in this case and violence situations to which they are commonly exposed; to determine the level of the risk behaviour; to explore the connections between risk behaviours, school year, and gender. Method: A quantitative, correlational and transversal study was conducted. A selfadministered questionnaire it was deliver to participants. The sample comprised 1614 young people, of the municipality of Vila Nova de Famalicão, and attending the academic year of 2013/2014. Results: The average age of respondents was 17 years old and the majority were female, attended the secondary school and perceived their family as highly functional. The use of a protection helmet was more frequent when riding a motorcycle than riding a bicycle. The majority of participants reported the regular use of the seatbelt and did not drive nor accompanied a person driving under the influence of alcohol. Most of the respondents have not been involved in situations of violence. The majority showed low levels of risk behaviours. Conclusion: These study participants reported a positive image of the risk beha-viours. Notwithstanding, young people would still highly benefit from the development of multidisciplinary and innovative interventions leading to the acquisition of a healthy and responsible lifestyle


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Comportamento Perigoso , Assunção de Riscos , Comportamento do Adolescente , Exposição à Violência/prevenção & controle , Estudos Transversais , Violência/psicologia , Autorrelato
19.
Rev Gaucha Enferm ; 39: e20180039, 2018 10 22.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30365763

RESUMO

OBJECTIVE: To analyze the behavior of nursing managers and leaders when nursing errors are disclosed in the media. METHODOLOGY: A qualitative, retrospective, documental study of the collection carried out in newspapers in Brazil and Portugal, between 2012 and 2016. Analysis performed at Atlas.ti, using a Ricoeur technique based on Habermas Theory of Communicative Action. RESULTS: Managers and caretakers focused on the workforce, continuing with the opening of internal syndication, removal of position and dismissal. How to lead the discipline process, carrying out inspections, requesting documents and questioning about the facts, as well as repudiating some disclosed notes. CONCLUSION: Leaderships in nursing played a crucial role in developing a complex problem strategy. However, this was not done efficiently.

20.
BMJ Open ; 8(10): e022106, 2018 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-30297347

RESUMO

INTRODUCTION: Considering the limitations that disabled persons experience, our understanding of caring for these people has evolved over time worldwide. Because nursing care is dependent on the choices made by patients, nurses can play an emancipatory role by empowering patients with disabilities to become the primary agent in their rehabilitation. Objective was to conduct a range analysis protocol proposing the mapping of conceptual elements for a nursing care model based on the autonomy of disabled persons. METHODS AND ANALYSIS: A protocol was developed in corporating insights from recent innovations and applying the scope review method of Arksey and O'Malley as a reference using their scoping review methodology as a guide. For the construction of research guiding question, the patient, intervention, comparison and outcomes strategy was adapted. Considerable research in online databases (14) from 2000 to 2018 will be integrated by bibliographical research. Proceed a consult in the Annals of the Brazilian Congress of Nursing, Brazilian Nursing Association and Portuguese Rehabilitation Nursing Association, as well as professional Portuguese and Brazilian nursing legislation. The entire reference list of the covered studies searched manually to detect considerable additional studies. In addition to these searches, stakeholders, including nurse experts in the rehabilitation field and disabled persons, will be requested and included. ETHICS AND DISSEMINATION: This study does not require ethical approval because it is a review and collection of data on publicly available materials. The results of this research will be published in a relevant journal on the subject of rehabilitation and presented at international scientific events in the area of rehabilitation nursing. Thus, the elaboration of this protocol further maps the gaps and strengthens the concepts capable of presenting strong evidence which assists and supports safer, smarter and more objective care for those living with permanent daily care obligations.

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