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1.
Nursing ; 49(9): 24-31, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31365456

RESUMO

Hypertrophic cardiomyopathy (HCM), a common congenital heart disease, is the leading cause of sudden cardiac death in adolescents, young adults, and athletes. Older adults with HCM are less likely to experience sudden cardiac death, but their quality of life can be impaired. This article discusses diagnostic criteria, treatments, and nursing interventions, including patient teaching, for adults with HCM.


Assuntos
Cardiomiopatia Hipertrófica/enfermagem , Adulto , Humanos , Diagnóstico de Enfermagem , Educação de Pacientes como Assunto
2.
Nursing ; 49(9): 34-40, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436720

RESUMO

Retinal detachments are a rare but serious event, and nurses have an important role in helping maintain optimal outcomes for these patients. This article addresses the causes and treatments for a detached retina.


Assuntos
Descolamento Retiniano/enfermagem , Humanos , Diagnóstico de Enfermagem , Descolamento Retiniano/complicações
3.
BMJ ; 366: l4912, 2019 08 23.
Artigo em Inglês | MEDLINE | ID: mdl-31444168

RESUMO

The studyFeatherstone K, Northcott A, Harden J, et al. Refusal and resistance to care by people living with dementia being cared for within acute hospital wards: an ethnographic study. Health Serv Deliv Res 2019;7.This study was funded by the National Institute for Health Research Health Services and Delivery Research Programme (project number 13/10/80).To read the full NIHR Signal, go to https://discover.dc.nihr.ac.uk/content/signal-000779/understanding-dementia-care-in-hospitals.


Assuntos
Demência/enfermagem , Demência/psicologia , Hospitalização , Cooperação do Paciente , Inglaterra , Humanos , Relações Profissional-Paciente , Medicina Estatal/normas , País de Gales
4.
Rev Lat Am Enfermagem ; 27: e3154, 2019 Aug 19.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31432914

RESUMO

OBJECTIVE: to analyze the metabolic syndrome concept and to identify its essential features, antecedents, and outcomes within the context of nursing. METHOD: conceptual analysis, based on the methodological steps of a model. We carried out an integrative review by accessing four databases online: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Índice Bibliográfico Español en Ciencias de la Salud. RESULTS: the essential features most frequently involved the diagnostic criteria of metabolic syndrome. Inadequate nutrition and physical inactivity were highlighted as the most common antecedents of the syndrome, and the outcomes were occurrences of cardiovascular disease and diabetes mellitus type 2. As implication, we highlight relevant empirical data to the broad definition of the concept. CONCLUSION: we could analyze the concept under study regarding essential features, antecedents, and outcomes, operationally defining it as a potential nursing phenomenon, which demands health care focusing on reducing risks and morbidity and mortality for cardiovascular diseases.


Assuntos
Síndrome Metabólica/enfermagem , Enfermagem , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/enfermagem , Doenças Cardiovasculares/prevenção & controle , Humanos , Síndrome Metabólica/complicações , Fatores de Risco
6.
J Nurs Adm ; 49(9): 423-429, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436740

RESUMO

The development of a program to integrate an organization's values and culture, Watson's Caring Theory, and personal motivators resulted in transforming nursing theory into practice and a noted improvement in the patient experience. This article will teach the reader how this was accomplished.


Assuntos
Emoções , Relações Enfermeiro-Paciente , Cuidados de Enfermagem/organização & administração , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Relações Profissional-Família , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
7.
Soins Psychiatr ; 40(323): 21-24, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31402035

RESUMO

The acute crisis is often followed by boredom. Patients become impatient, restless, looking for ways to take their mind off things and entertain themselves. The occupational activity can then come to the rescue of these downtimes, offering solutions to encourage an encounter. Caregivers work together to 'bore' the patient. In this search for the encounter, they must take the risk of forgoing the occupational activity for the sake of the therapeutic.


Assuntos
Tédio , Transtornos Mentais/enfermagem , Humanos , Transtornos Mentais/psicologia
8.
Rech Soins Infirm ; 137(2): 49-61, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453671

RESUMO

Introduction and objective : In the activity of wound and scar nurses (Infirmières spécialisées en plaies et cicatrisation ; ISPC), the "second-line" nursing consultation is also an opportunity to offer applicants the opportunity for training. This study is part of an exploratory perspective, with the objective of questioning the didactic dimension of this type of consultation. To address the issue, attention is focused on the analysis of the ISPC's activity.Material and method : Two simple self-confrontation interviews of an ISPC are analyzed on the basis of video consultations.Results and discussion : Although the results identified remain incomplete since the interviews were based on a single individual, this article shows how the ISPC, after the interviews, is able to formulate future adjustments to their practice. The first avenue is to highlight a necessary transformation of the discourse of the ISPC during consultations. The second is to question the modality of the post-consultation follow-up.


Assuntos
Cicatriz/enfermagem , Encaminhamento e Consulta , Ferimentos e Lesões/enfermagem , Humanos
9.
Rech Soins Infirm ; 137(2): 91-98, 2019 06.
Artigo em Francês | MEDLINE | ID: mdl-31453676

RESUMO

Introduction : Nursing care for a venous ulcer includes repairing the dressing and applying the medical compression bandage (MCB). Nurses use the application technique found in the guidelines to achieve the required pressure level. There are wide disparities in the way an MCB is applied.Methodology : An observational study combining quantitative and qualitative components was conducted to evaluate the application of MCBs and to explore the elements that nurses take into account when applying MCBs.Results : Of the 261 patients, 27% had MCBs applied according to the guidelines. The main variation found was that the heel was left out of the bandage for 48% of patients. The private nurses interviewed expressed that the patient's opinion was taken into account in order to promote compliance.Discussion : Regarding the nursing knowledge used to perform the application of an MCB, it appears that the empirical knowledge proposed by Carper is not the only element taken into account. Patient participation in the choice of the application technique, which could be linked with a sense of artistry allows nurses to guide their practice.


Assuntos
Bandagens Compressivas , Úlcera Varicosa/enfermagem , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Pesquisa em Avaliação de Enfermagem , Participação do Paciente , Guias de Prática Clínica como Assunto , Pesquisa Qualitativa
10.
J Natl Black Nurses Assoc ; 5*30(1): 14-20, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31465680

RESUMO

Worldwide, Schizophrenia Spectrum Disorder (SSD) affects a low percentage of individuals, but a severe health disparity exists for African-Americans, especially men. Several factors are contributing to this inequality. These factors occur at the individual, social, and organizational levels. With the other challenges facing African-Americans, SSD disparity is another shackle affecting this population. For health care providers, the challenges are treating a complex disorder in a hard to reach and stigmatized population. The purpose of this article is to provide an overview of the SSD disparity among African-Americans as identified in the literature and to discuss the role that Advanced Practice Nurses and other mental health providers have in reducing the disparity.


Assuntos
Afro-Americanos/psicologia , Disparidades nos Níveis de Saúde , Esquizofrenia/etnologia , Afro-Americanos/estatística & dados numéricos , Humanos , Masculino , Papel do Profissional de Enfermagem , Esquizofrenia/enfermagem , Fatores Socioeconômicos
11.
Soins ; 64(837): 12-17, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31345301

RESUMO

In cases of septic shock, high quality blood cultures are essential for identifying the causative agent and adapting the antibiotic treatment. Student nurses are relatively unfamiliar with recent guidelines on collecting blood cultures. Improving how they are taught during initial training, a key moment for the learning of best care practices, should help to optimise the global management of septic shock.


Assuntos
Hemocultura , Educação em Enfermagem , Estudantes de Enfermagem/psicologia , Antibacterianos/uso terapêutico , Humanos , Aprendizagem , Choque Séptico/tratamento farmacológico , Choque Séptico/enfermagem
12.
Soins ; 64(837): 41-44, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31345309

RESUMO

Virtual reality is an innovative solution in simulation when it is used to reinforce caregivers' skills. A health facility has set up a continuing professional development programme using this technique. It has enabled caregivers to reinforce their skills in the area of blood transfusion safety.


Assuntos
Transfusão de Sangue/enfermagem , Educação Continuada em Enfermagem , Treinamento por Simulação/métodos , Realidade Virtual , Competência Clínica , Difusão de Inovações , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Segurança do Paciente
13.
Hu Li Za Zhi ; 66(4): 29-39, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342499

RESUMO

BACKGROUND: Taiwan has the highest incidence and prevalence of dialysis in the world. The literature suggests that severity of depression at the beginning of dialysis treatment is an independent predictor of survival. Depression significantly worsens the condition of chronic renal disease patients, with the adverse consequences of depression including increased mortality and hospitalization rates as well as poor compliance and quality of life. Given the importance of this problem, providing safe and effective information and good nursing care to dialysis patients is urgently needed. PURPOSE: The purpose of this study was to explore the effects of implementing health promotion education groups on self-perceived depression, hope, and quality of life in dialysis patients. METHODS: Dialysis patients who met the study criteria and had provided consent to participate in the health promotion education group were randomly assigned to either the treatment group (20 persons) or the control group (20 persons). In the control group, routine dialysis treatment and nursing care were maintained. In addition to receiving routine dialysis treatment and nursing care, the experimental group participated in health promotion education group activities for 90 minutes, twice a week for a total of 8 sessions. The quantitative data from both groups and the qualitative data analysis of the experimental group were used to assess the effects of the intervention. RESULTS: The results showed that the intervention had significantly improved self-perceived depression, hope, and quality of life in the experimental group. The participants indicated that the health promotion education group had helped them learn to adapt to their physical conditions, change their mindset, learn to regard happiness as the purpose of life, and maintain hope and increase mutual support in the face of difficulties. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: This study demonstrated that the cross-disciplinary integrated care provided through health promotion education groups is able to significantly improve depression, hope, and quality of life in dialysis patients. Thus, health promotion education groups arranged by the case management nurses for dialysis patients have the potential to promote mental health and quality of life in these patients. Therefore, continuing education is recommended to strengthen the awareness and knowledge of dialysis case management nurses with regard to applying integrated cross-disciplinary care in health promotion education groups and to promoting the implementation of these groups in the holistic care of dialysis patients.


Assuntos
Depressão/prevenção & controle , Processos Grupais , Promoção da Saúde/métodos , Esperança , Educação de Pacientes como Assunto/métodos , Qualidade de Vida , Diálise Renal/psicologia , Humanos , Diálise Renal/enfermagem , Taiwan
14.
Hu Li Za Zhi ; 66(4): 71-78, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342503

RESUMO

BACKGROUND & PROBLEMS: An investigation found that 66.7% of the neonatal hypothermia (body temperature < 36.5°C) cases diagnosed within one hour of transfer from the delivery room in our hospital were affected by a significantly increased risk of physiological abnormalities, which subsequently increased their risk for mortality. Therefore, monitoring and maintaining the normal body temperature of newborn infants are vital in infant care. PURPOSE: This project aimed to improve the current situation of neonatal hypothermia. RESOLUTION: This project was implemented from Oct. 1, 2016 to Oct. 31, 2017 and used several approaches to improve neonatal hypothermia. A neonatal hypothermia caring protocol was developed and the infant admission materials were standardized; the infant hypothermia alert card and posters were displayed in easy-to-notice locations; an in-service training course on neonatal hypothermia was provided; and an infant hypothermia care checklist was tabulated for examination and recognition. RESULTS: After the implementation of this project, the average time required to raise the body temperature of infants to normal (36.5°C) was 1.5 hours, which was 2 hours faster than the pre-project time of 3.5 hours. Moreover, the time needed to raise the body temperature to normal was one hour for newborn infants with birthweights ≥ 2,500 grams, which was one hour faster than the pre-project time of two hours, and 1.5 hours for newborn infants with birthweights < 2,500 grams, which was three hours faster than the pre-project time of 4.5 hours. The goals of this project were effectively achieved in both groups. CONCLUSIONS: Neonatal hypothermia is an important issue affecting the health status of newborn infants. This project strengthened the awareness of nurses regarding neonatal hypothermia and is worthwhile to be implemented in clinical neonatal care.


Assuntos
Hipotermia/enfermagem , Enfermagem Neonatal , Humanos , Hipotermia/epidemiologia , Incidência , Recém-Nascido , Pesquisa em Avaliação de Enfermagem
15.
Hu Li Za Zhi ; 66(4): 87-94, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342505

RESUMO

Heart failure is a complicated chronic disease. Although numerous new medications are used to treat and improve the quality of life of patients with heart failure, the final treatment for terminal heart failure still relies heavily on heart transplants. However, as the number of heart donations is limited, many health institutions implant mechanical assist devices to perform heart functions temporarily. These implanted ventricular assist devices help reduce heart failure symptoms and enhance quality of life. However, driveline infection is one of the more severe complications associated with these devices. If this infection is not controlled, another heart surgery will be necessary to replace the device. Severe driveline infection may even lead to patient death. An approach to care that includes driveline wound care standardization and immobilization of the driveline has been shown to effectively decrease the incidence of driveline infections and to increase the survival rate. As Taiwan still lacks the relevant clinical care standards for implantable ventricular assist device support and driveline wound care, this study introduces the relevant Western literature and the author's clinical experience related to driveline wound management. We hope that this article serves as a useful reference for related nursing care.


Assuntos
Insuficiência Cardíaca/terapia , Coração Auxiliar , Infecções Relacionadas à Prótese/prevenção & controle , Desenho de Equipamento , Insuficiência Cardíaca/enfermagem , Coração Auxiliar/efeitos adversos , Humanos , Infecções Relacionadas à Prótese/etiologia , Qualidade de Vida , Taiwan , Fatores de Tempo
16.
Hu Li Za Zhi ; 66(4): 103-109, 2019 Aug.
Artigo em Chinês | MEDLINE | ID: mdl-31342507

RESUMO

Elderly patients with end stage renal disease (ESRD) frequently suffer from frailty, multiple comorbidities, and complications that greatly increase the mortality rate for this population. The irreversibility and variability of ESRD directly affect quality of life, which highlights the importance of gaining an early understanding of the preferences and expectations of these patients with regard to end-of-life care. This article describes a nursing experience that used ethical analysis to help an elderly ESRD patient and the dilemma faced by his family as to whether to sustain or withdraw hemodialysis. This article examines the uncertain trajectories of this disease and how to use shared decision making with the patient and his/her family to make the best decisions. A comprehensive assessment was conducted to identify the major health-related problems, to elicit the dilemmas faced in making the decision to sustain or end hemodialysis, and to understand the pain and suffering of the patient. Symptom control and comfort were identified as the most important goals of the patient, followed by building trust and rapport with his family. An analysis of the pros and cons of treatment was conducted using the 4-box ethical analysis developed by Josen, Siegler, and Winslade. The shared decision-making process was applied to help the patient express his expectations for his end-of-life care. While the health professionals considered that pain and suffering may influence the patient's decision, the patient found his connection between himself and others, self-value, and meaning of life through family love and support. A needs-based, flexible approach was adopted that established a continuous-care plan that was designed to provide the best care for the patient under a variety of possible scenarios while involving the family, which created a family-centered decision-making process that improved the quality of life of the elderly ESRD patient.


Assuntos
Tomada de Decisões/ética , Análise Ética , Falência Renal Crônica/enfermagem , Diálise Renal , Suspensão de Tratamento/ética , Idoso , Feminino , Humanos , Masculino , Qualidade de Vida
17.
18.
J Nurs Adm ; 49(7-8): 384-388, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318729

RESUMO

The nursing peer-review process is an effective and underutilized method to enhance nurse accountability and ownership of patient care and nursing practice. This article describes how 1 hospital created a clinical nurse-driven, nonpunitive, peer case review structure and mentorship processes. This innovative structure provides a framework to support nurses through shared governance and supports organizational efforts including Magnet® and Just Culture initiatives.


Assuntos
Tutoria , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/organização & administração , Revisão por Pares , Responsabilidade Social , Humanos , Papel do Profissional de Enfermagem , Cultura Organizacional , Inovação Organizacional
19.
Nursing ; 49(8): 34-40, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31268952

RESUMO

Polycystic ovary syndrome (PCOS) is a common endocrine disorder. Patients may present with a combination of hyperandrogenism symptoms, menstrual irregularities, metabolic syndrome, infertility, acne, and obesity. PCOS diagnosis is based on three diagnostic guidelines. Treatment options include oral contraceptive pills, antiandrogens, and metformin.


Assuntos
Síndrome do Ovário Policístico/enfermagem , Feminino , Humanos , Diagnóstico de Enfermagem , Educação de Pacientes como Assunto , Guias de Prática Clínica como Assunto
20.
Nursing ; 49(8): 43-45, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31343532

RESUMO

The Precision Medicine Initiative (PMI) is a government initiative to encourage individualized care. This article provides a snapshot of precision medicine and its implications for patients and study participants, as well as the PMI and the role of nurses as educated patient advocates.


Assuntos
Medicina de Precisão/enfermagem , Previsões , Humanos , Papel do Profissional de Enfermagem , Defesa do Paciente
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