Teoría y práctica del cuidado cultural: un recorrido desde el aula a las practicas asistenciales / Teoria e prática do cuidado cultural: um percurso da sala de aula às práticas de cuidado / Theory and practice of cultural care: a journey from the classroom to care practices

Goals: Understand the relationship that is established among professors, students and assistencial nurses, between the theory and practice of cultural care. Methods: Qualitative, hermeneutic, with a critical approach. A sociodemographic questionnaire, discussion groups and episodic interviews were used. Model: 34 participants: 6 teachers, 11 nurses and 17 students. Results: Three subjects were identified: 1. The theory and practice of cultural care in nursery: the learned knowledge. The cultural care is not formalized in the curriculum, some aspects from the cultural care are included in the theory of the courses. 2. Practice and theory of the cultural care in nursery: the lived experience. The rigid protocols and homogenizers from the health institutions were the major obstacle to specify along the practice of cultural care. 3: The relationship of theory and practice in nursery: what is recognized. Professors and nurses formers of human talent recognize their lack of preparation to form the students in cultural care. Conclusions: There is a breach between the theory and the practice around cultural care. It is required to include the cultural care in the curriculum and make it congruent with the theory and the practice, allowing the dialog of knowledge and surpassing not only the communication barriers, but attitudinal and institutional, which were found in thestudy.(AU)

Objetivo: Comprender la relación que establecen profesores, estudiantes y enfermeras asistenciales, entre teoría y práctica del cuidado cultural. Métodos: Cualitativo, hermenéutico, con enfoque crítico. Se utilizó cuestionario socio demográfico, grupos de discusión y entrevistas episódicas. Muestra: 34 participantes: 6 profesores, 11 enfermeras y 17 estudiantes. Resultados: Se identificaron tres temas: 1. Teoría y práctica del cuidado cultural en enfermería: lo aprendido. El cuidado cultural no está formalizado en el currículo, algunos aspectos del cuidado cultural son incluidos en la teoría de los cursos. 2. Práctica y teoría del cuidado cultural en enfermería: lo vivido. Los protocolos rígidos y homogeneizantes de las instituciones de salud fueron los mayores obstáculos para concretar en la práctica el cuidado cultural. 3. Relación entre la teoría y la práctica en Enfermería: lo reconocido. Los profesores reconocen su escasa preparación para formar a los estudiantes en el cuidado cultural. Conclusiones: Existe una fisura entre la teoría y la práctica en torno al cuidado cultural. Se requiere incluir el cuidado cultural en el currículo y hacerlo congruente con la teoría y la práctica, permitiendo el diálogo de saberes y superando no solo barreras comunicativas, sino actitudinales e institucionales, las cuales se encontraron presentes en el estudio.(AU)

Objetivo: compreender a relação que se estabelece por professores, alunos e enfermeiros, entre a teoria e a prática do cuidado cultural. Métodos: Qualitativo, hermenêutico, com abordagem crítica. Foram utilizados questionário sociodemográfico, grupos de discussão e entrevistas episódicas. Amostra: 34 participantes: 6 professores, 11 enfermeiros e 17 alunos.Resultados: foram identificados três temas: 1. Teoria e prática do cuidado cultural em enfermagem: o que foi aprendido. O cuidado cultural não está formalizado no currículo, alguns aspectos do cuidado cultural estão incluídos na teoria dos cursos. 2. Prática e teoria do cuidado cultural em enfermagem: o que tem sido vivenciado. Os protocolos rígidos e homogeneizadores das instituições de saúde foram os maiores obstáculos para a efetivação do cuidado cultural. 3. Relação teoria e prática em enfermagem: o que se reconhece. Professores e enfermeiras que treinam talentos humanos reconhecem que estão mal preparados para treinar alunos no cuidado cultural. Conclusões: Há uma lacuna entre a teoria e a prática em torno do cuidado cultural. É necessário incluir o cuidado cultural no currículo e tornálo congruente entre a teoria e a prática, permitindo o diálogo de saberes e a superação das barreiras não apenas comunicativas, mas também atitudinais e institucionais presentes no estudo.(AU)

Bedside nurses' care model: challenges and perspectives for an innovative practice.

OBJECTIVE: To understand the practice of nurses in the context of the care model at the bedside of the patient in an Intensive Care Unit, in the light of the ethics of virtue. METHOD: Qualitative research, carried out in an Intensive Care Unit of a University Hospital MG/Brazil. Data were collected in February 2016 through a semi-structured interview applied to the 12 nurses who worked at the unit. The data were submitted to Thematic Content Analysis. RESULTS: The "bedside" care model encourages innovative practice, (re)directing nurses in the search for their telos, patient care, overcoming the fragmentation of nursing care and reconfiguring professional identity. However, the organization of the model in the scenario raised challenges related to the recognition of nurses by the multi-professional team, generating identity ruptures. CONCLUSION: The adopted bedside model interferes in the nurses' relationship with care, bringing together professional and patient, enhancing innovative and excellent practice.

The Impact of Nurse-Led Innovations and Tactics During a Pandemic.

The COVID-19 pandemic hit southeast Michigan hard and a rapid influx of patients forced Beaumont Health to shift rapidly into an emergency management model with a laser focus on transforming clinical care and administrative processes to meet complex patient care needs. Navigating this landscape required agility, surge planning, strong interprofessional teams, transformational leadership, nurse-led innovations, support, and transparency to manage the ever-changing environment. This article explains nursing's response and nurse-led innovations that were implemented to meet the needs of the community, patients, and staff, as well as lessons learned to ensure preparedness for any potential future surge.

Development and Clinical Uses of a Mobile Application for Smart Wound Nursing Management.

OBJECTIVE: Establishing a smart platform for wound nursing management is imperative to accelerating the development of this specialty. A mobile application (app) was created based on the clinical needs of wound care to improve working efficiency and wound management, as well as enable information sharing and categorical retrieval of patient records. METHODS: Supported by the National Mobile Laboratory of China, the authors' wound care center collaborated with information technology engineers and user interface designers to establish a multidisciplinary team of experts in wound nursing information management and develop a digital app. Electronic tablets were chosen as a convenient clinical method to collect complete information in a standardized format. In the app, case records are synchronously cataloged for rapid retrieval. The app was designed such that practicing nurses could quickly learn how to use the various functions of the app. Through constant iterative optimization, the relevant functional modules have been further improved. RESULTS AND CONCLUSIONS: After a 1-year clinical trial, app functions have stabilized, fulfilling the expectations of technicians and boosting the operating efficiency of clinical practices. In comparison with traditional methods, the app allows for easy access to patient information; rapidly reviewed, synchronous cataloguing; and convenient retrieval. Further exploration is warranted.

Cuidar en la era tecnocientífica: De la finitud al superhombre / Cuidar na era tecnocientífica: da finitude ao super-homem / Caring in the technoscientific era: From finitude to Overman

El objetivo de este artículo de carácter reflexivo, es analizar la técnica y el cuidado como esencias humanas y como son su relaciones y efectos, en la contemporaneidad humanista enrutada hacia el posthumanismo. Metodología: La experiencia de cuidado en ámbitos altamente tecnificados, han creado cuestionamientos por el sentido y la esencia del cuidado en espacios tecnificados. A partir de estos dos grandes conceptos, se recorre un camino hermenéutico. Con referentes teóricos como Heiddeger, Nietzche y Mélich para buscar respuestas y nuevas preguntas en una contemporaneidad “dataista” y tecnificada, que anula el cuidado como esencia humana. Conclusión: Una solución ante la posible obsolescencia del cuidado, no es dejar de lado lo técnico, sino reavivar el cuidar del cuidado, resignificar el significado de la otredad que erróneamente es invisibilizada tras el telón de una obsolescencia programada y aparentemente necesaria. Cuidar del cuidado, es verdaderamente cuidar del otro y de esta casa común, es reconocer la finitud como orientación, como posibilidad, como una respuesta y una apertura al cuidado que permite cerrar brechas y abrir oportunidades. Es considerar lo técnico, no como un mecanismo emplazador-explotador, sino, por el contrario, cuidador.(AU)

O objetivo deste artigo reflexivo é analisar a técnica e o cuidado como essências humanas e como suas relações e efeitos estão na contemporaneidade humanística direcionada ao pós-humanismo. Metodologia: A experiência do cuidado em áreas altamente técnicas, criou questões sobre o significado e a essência do cuidado em espaços técnicos. A partir desses dois grandes conceitos, é percorrido um caminho hermenêutico. Com referenciais teóricos como Heiddeger, Nietzche e Mélich, para buscar respostas e novas questões em uma "dataista" e contemporaneidade tecnificada, que anula o cuidado como essência humana. Conclusão: Uma solução para a possível obsolescência do cuidado não é deixar otécnico de lado, mas reviver o cuidado, ressignificar o significado de alteridade que por engano se torna invisível por trás da cortina de uma obsolescência programada e aparentemente necessária. Cuidar é realmente cuidar do outro e deste lar comum, é reconhecer a finitude como orientação, como uma possibilidade, como uma resposta e uma abertura ao cuidado que permite fechar lacunas e abrir oportunidades. É considerar o técnico, não como um mecanismo localizador-explorador, mas, pelo contrário, um zelador.(AU)

The objective of this reflective article is to analyze technique and care as human essences and how their relationship and effects are in the humanistic contemporaneity routed towards posthumanism. Methodology: The experience of care in highly technical areas have created questions about the meaning and essence of care in technical spaces. From these two great concepts, a hermeneutical path is traveled. With theoretical references such as Heiddeger, Nietzche and Mélich to search for answers and new questions in a "dataist" and technified contemporaneity, which nullifies care as a human essence. Conclusion: A solution to the possible obsolescence of care is not to leave the technical aside, but to revive the care of care, to resignify the meaning of otherness that is mistakenly made invisible behind the curtain of a programmed and apparently necessary obsolescence. Caring for care is truly caring for the other and for this common home, it is recognizing finitude as orientation, as a possibility, as a response and an opening to care that allows closing gaps and opening opportunities. It is to consider the technical, not as a locator-exploiter mechanism, but, on the contrary, a caretaker.(AU)

Alteration of Smell Sensation: Brief Review With Implications for Nursing Care During the COVID-19 Pandemic.

ABSTRACT: BACKGROUND: Alteration in olfaction, the sense of smell, can lead to a surprisingly high level of functional disability. Effects can range from mild changes in nutrient intake to a significant decrease in quality of life. Olfactory dysfunction can follow clinical problems such as trauma to the brain and nose. During recent months, in the setting of the current worldwide pandemic of coronavirus disease 2019 (COVID-19), the infection caused by severe acute respiratory syndrome coronavirus 2, it has become clear that olfaction can also be damaged by viruses that enter the body through the nose. METHODS: To learn more about this important clinical problem, we reviewed the current literature about smell sensation and the contextual application of altered olfaction in the setting of COVID-19. Knowledge about this topic, along with other clinical aspects of COVID-19, is expanding quickly. CONCLUSION: Nurses perform assessments, assist with implementing treatment interventions, and provide vital education to patients and their families. These interventions help patients with olfactory dysfunction achieve the best possible functional outcome.

What Lies Ahead for Nursing.

This is the last of three articles exploring ways in which frontline nurses may be affected by recommendations of the forthcoming National Academy of Medicine Future of Nursing 2020-2030 study. For this third article, interviews were conducted with nurse leaders from diverse practice areas to see how their thinking about the future had shifted as 2020 drew to a close.

Actitudes hacia la vejez y actitudes hacia la sexualidad del adulto mayor en estudiantes y profesionales de enfermería / Attitudes towards old age and attitudes towards elderly's sexuality in students and nursing professionals

OBJETIVO: Analizar la relación entre las actitudes hacia la vejez y actitudes hacia la sexualidad del adulto mayor en profesionales y estudiantes de enfermería de Yucatán, México. METODOLOGÍA: Se realizó un estudio con 212 estudiantes y profesionales de enfermería. Se aplicó el instrumento de actitudes negativas hacia la vejez en población mexicana y el cuestionario de actitudes hacia la sexualidad en la vejez analizándose con SPSS V. 22 mediante estadística descriptiva e inferencial. RESULTADOS: No existe relación entre actitudes hacia la vejez y sexualidad del adulto mayor (p = 0,504); sin embargo, se halló relación de la edad con los estereotipos negativos físicos y conductuales asociados a la vejez (p = 0,001), así como de las actitudes hacia la sexualidad del adulto mayor, miedo al envejecimiento en los estudiantes de enfermería (p = 0,022), y de la edad con miedo al envejecimiento (p = 0,041), y miedo al deterioro intelectual y/o abandono en los profesionales de enfermería (p = 0,042). CONCLUSIÓN: Se hace necesaria la intervención para modificar los estereotipos en la muestra, lo que repercutirá en un mejor cuidado

OBJETIVE: Analyze the relationship between the attitudes towards old age and attitudes towards sexuality of the elderly in nursing professionals and students. METHODOLOGY: The study incorpórate 212 students and nursing professionals from Mérida, Yucatán, Mexico. For the study, it applies the instrument of negative attitudes towards old age in the Mexican population and questionnaire attitudes towards sexuality in old age was analyzed with SPSS V. 22 using descriptive and inferential statistics. RESULTS: indicate that there is no relationship between attitudes towards old age and the sexuality of the elderly (p = .504), however there are a relationship between age and the stereotypes of physicists and the behaviors associated with old age (p. = .001), as well as attitudes toward the sexuality of the elderly and fear of aging in nursing students (p = .022) and of the age with fear of aging (p = .041) and the fear of intellectual deterioration and / or abandonment in nursing professionals (p = .042). CONCLUSION: It is necessary an intervention to modify the stereotypes in the sample, which will affect better attention care

Categorías de análisis en los resultados en salud sensibles a la práctica enfermera en salud mental / Analysis categories in patient health outcomes in psychiatric mental health nursing

No disponible

Current status and future directions of U.S. genomic nursing health care policy.

BACKGROUND: As genomic science moves beyond government-academic collaborations into routine healthcare operations, nursing's holistic philosophy and evidence-based practice approach positions nurses as leaders to advance genomics and precision health care in routine patient care. PURPOSE: To examine the status of and identify gaps for U.S. genomic nursing health care policy and precision health clinical practice implementation. METHODS: We conducted a scoping review and policy priorities analysis to clarify key genomic policy concepts and definitions, and to examine trends and utilization of health care quality benchmarking used in precision health. FINDINGS: Genomic nursing health care policy is an emerging area. Educating and training the nursing workforce to achieve full dissemination and integration of precision health into clinical practice remains an ongoing challenge. Use of health care quality measurement principles and federal benchmarking performance evaluation criteria for precision health implementation are not developed. DISCUSSION: Nine recommendations were formed with calls to action across nursing practice workforce and education, nursing research, and health care policy arenas. CONCLUSIONS: To advance genomic nursing health care policy, it is imperative to develop genomic performance measurement tools for clinicians, purchasers, regulators and policymakers and to adequately prepare the nursing workforce.

Developing operational standards for Midwifery Centers.

BACKGROUND: Midwifery centres have been identified in over 56 countries. Consensus was reached on a global definition for midwifery centres, yet there is a lack of standards to assure consistent quality of care is provided. METHODS: Evidence-based standards and guidelines developed from American Association of Birth Centres (USA), Midwifery Unity Network (UK/EU), World Health Organization, International Childbirth Initiative, and White Ribbon Alliance, were gathered, duplicate standards were removed, and language was adapted for global use with sensitivity to low and middle countries (LMIC). An initial list of 52 midwifery centre standards were identified. Through an informal modified Delphi process these were reviewed by global midwifery centres experts, researchers, and midwifery centre staff at focus groups in Haiti, Mexico and Bangladesh for significance, language, and usability. The standards were then piloted at midwifery centres in eight countries (Sierra Leone, Cambodia, Bangladesh, Mexico, Haiti, Peru, Uganda and Trinidad). All feedback was incorporated into the final standards. RESULTS: A final list of 43 standards, organized into 3 domains including quality standards for care providers, dignity standards for women, and community standards for administration, were agreed on. CONCLUSION: Midwifery centres are prevalent around the globe. Identifying standards for quality of care provides a foundation for the midwifery centre model to be replicated and ensure consistent quality of care. Evidence based standards for midwifery centres in LMIC, allows systems to embrace and encourage the implementation and growth of midwifery centres to address accessible, acceptable, respectful, woman-centred, community-engaged maternal health care that participates fully in the health care system.

The Future of Nursing: Creating A Culture of Equity.

As development of the Future of Nursing 2020-30 Report by the National Academy of Medicine is underway, the nursing profession is positioned to continue positively impacting health and health equity in the United States. Progress to date engenders hope that nurses will continue to take a significant role in reducing health disparities. The work to create a culture of health aligns with the Christian imperative to "love your neighbor as yourself."

Instructive Messages and Lessons From Chinese Countermarching Nurses of Caring for COVID-19 Patients: A Qualitative Study.

INTRODUCTION: The World Health Organization declared the COVID-19 outbreak as a Public Health Emergency of International Concern on January 31, 2020. China was the first country to experience the challenges of controlling COVID-19. Therefore, the purpose of this study was to examine the experiences of Chinese nurses who countermarched to the outbreak city for medical support in the very first period of this global infection. METHODOLOGY: A qualitative study of phenomenological research design was used to describe the experiences of 10 Chinese nurses. Data were collected in February 2020 through in-depth interviews and analyzed by conventional content analysis methods. RESULTS: Chinese nurses experienced different psychological stages, work pressure, and challenges. New concepts of nursing also emerged during their clinical care for COVID-19 patients. DISCUSSION: The guidance synthesized from the Chinese nurse stories could give specific direction for a well-prepared global nursing workforce and high-quality patient care in the present and future epidemics. The worries about discrimination of COVID-19 patients' needs to be addressed culturally and emotionally as a priority by health care workers when they care for COVID-19 patients.

Aplicação da estimulação cognitiva no cuidado ao idoso institucionalizado com demência / Application of cognitive stimulation in the care of institutionalized elderly people with dementia / Aplicación de la estimulación cognitiva en el cuidado de personas mayores institucionalizadas con demência

Objetivo: identificar as evidências científicas sobre os cuidados de enfermagem aos idosos institucionalizados com demência. Método: trata-se de uma revisão integrativa da literatura, com a utilização da estratégia PICo. Foram incluídos estudos publicados no intervalo de 2009 a 2018, nas bases de dados LILACS, CINAHL, a MEDLINE e a SCOPUS. Os artigos tiveram sua análise de qualidade realizada a partir do instrumento Mixed Methods Appraisal Tool. Resultado: de 6.144 textos inicialmente obtidos foram selecionados 7 artigos, sendo 54% publicados em 2010 e 14% no ano de 2016. As intervenções identificadas estão relacionadas à prática de atividades físicas e de estimulação cognitiva, as quais demonstram ser bastante positivas no cuidado ao idoso com demência, pois permite estimular funções cerebrais ainda preservadas, promovendo uma melhora na sua qualidade de vida. Conclusão: a maioria das intervenções identificadas podem ser aplicadas pela equipe multiprofissional e podem ser associadas, quando necessário, aos recursos farmacológicos

Objective: to identify the scientific evidence on nursing care for institutionalized elderly people with dementia. Method: this is an integrative literature review, using the PICo strategy. Studies published from 2009 to 2018 were included in the LILACS, CINAHL, MEDLINE and SCOPUS databases. The articles were analyzed for quality using the Mixed Methods Appraisal Tool. Result: of 6,144 texts initially obtained, 7 articles were selected, 54% of which were published in 2010 and 14% in 2016. The identified interventions are related to the practice of physical activities and cognitive stimulation, which prove to be quite positive in the care of the child. elderly with dementia, as it allows to stimulate brain functions still preserved, promoting an improvement in their quality of life. Conclusion: most of the identified interventions can be applied by the multiprofessional team and can be associated, when necessary, with pharmacological resources

Objetivo: identificar la evidencia científica sobre el cuidado de enfermería para personas mayores institucionalizadas con demencia. Método: esta es una revisión de literatura integradora, utilizando la estrategia PICo. Los estudios publicados de 2009 a 2018 se incluyeron en las bases de datos LILACS, CINAHL, MEDLINE y SCOPUS. La calidad de los artículos se analizó utilizando la Herramienta de evaluación de métodos mixtos. Resultado: de 6.144 textos obtenidos inicialmente, se seleccionaron 7 artículos, el 54% de los cuales se publicaron en 2010 y el 14% en 2016. Las intervenciones identificadas están relacionadas con la práctica de actividades físicas y la estimulación cognitiva, que resultan ser bastante positivas en el cuidado del niño. ancianos con demencia, ya que permite estimular las funciones cerebrales aún preservadas, promoviendo una mejora en su calidad de vida. Conclusión: la mayoría de las intervenciones identificadas pueden ser aplicadas por el equipo multiprofesional y pueden asociarse, cuando sea necesario, con recursos farmacológicos

Research Care and Teaching Care Research in the Faculty of Nursing at Universidad de Antioquia. Testimonies and Legacies in 70 years of Institutional Life, 1950-2020.

The development of care research and its teaching in the Faculty of Nursing at Universidad de Antioquia cannot be understood outside the context in which it emerges and from the trajectory of its leading players. This is how this article will present a synthesis of the future of research, with its principal milestones and events in institutional history, in dialogue with the trajectories of four teaching nurses, protagonists of key moments in said history and living testimony of 70 years of institutional life. This panorama seeks to constitute a referent for strategic reflection, which inspires new generations to meet the research challenges and teach care research.

Formation of Nurses at Universidad de Antioquia: A Reality embodied in its Study Plans.

The article presents the trajectory of the study plans that have guided the formation of nursing professionals at Universidad de Antioquia in Medellín (Colombia). It presents the principal milestones or events that at a given moment determined significant ruptures in the formation processes and which show how this Faculty of Nursing, in its 70 years of existence, has always articulated the health needs of the context with the formulation of its study plans, with the sole purpose of forming critical and innovative nursing professionals capable of responding assertively to care needs, according with the principal challenges or trends that condition the health environment.