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1.
Am J Nurs ; 121(1): 64-67, 2021 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-33350703

RESUMO

Editor's note: This is the second article in a new series on clinical research by nurses. The series is designed to give nurses the knowledge and skills they need to participate in research, step by step. Each column will present the concepts that underpin evidence-based practice-from research design to data interpretation. The articles will also be accompanied by a podcast offering more insight and context from the author.


Assuntos
Competência Clínica , Enfermagem Baseada em Evidências/métodos , Pesquisa em Enfermagem/organização & administração , Seleção de Pacientes , Humanos , Recursos Humanos de Enfermagem no Hospital/organização & administração , Participação do Paciente
3.
Metas enferm ; 23(8): 66-72, oct. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-196934

RESUMO

OBJETIVO: revisar la evidencia científica referente a los cuidados de la placenta y a la seguridad del recién nacido en el nacimiento Lotus. MÉTODO: revisión narrativa. Se llevaron a cabo diferentes estrategias de búsqueda en las siguientes bases de datos y plataformas: Pubmed, Cochrane, Ovid, Scielo, Cuiden, Clinical key, BMJ, Metas de Enfermería y Google Scholar. Palabras usadas: Lotus birth, umbilical non severance, cord clamping, care, safety, nacimiento Lotus. Filtros: 2016-2020, sobre cuidados placenta y seguridad recién nacido, estudios epidemiológicos. RESULTADOS: se localizaron 169 documentos. Se seleccionaron seis artículos. En dos artículos se trataban los cuidados de la placenta que eran lavadas con agua tibia en las primeras horas, secadas y envueltas en paños de tejidos naturales, usando sales y hierbas aromáticas para acelerar el proceso de secado, y dejándola a la altura del recién nacido. En los otros cuatro documentos se describían seis casos de complicaciones infecciosas que se resolvieron con antibioterapia, en madres que habían presentado bolsa rota prolongada, cultivos vaginales positivos y ausencia de antibioterapia periparto. DISCUSIÓN: el Lotus birth es una práctica infrecuente, asociada tradicionalmente al parto domiciliario, que se va introduciendo en el medio hospitalario. Es escasa la evidencia disponible sobre los cuidados de la placenta en el nacimiento Lotus y la seguridad de esta práctica para los recién nacidos


OBJECTIVE: to review the scientific evidence regarding placenta care and newborn safety in Lotus Birth. METHODS: a narrative review. Different search strategies were conducted in the following databases and platforms: Pubmed, Cochrane, Ovid, Scielo, Cuiden, Clinical key, BMJ, Metas de Enfermería and Google Scholar. Terms used: Lotus Birth, umbilical non severance, cord clamping, care, safety, nacimiento lotus. Filters: 2016-2020, on placenta care and newborn safety, epidemiological studies. RESULTS: in total. 169 documents were located. Six articles were selected. Two articles discussed placenta care: they were washed with warm water during the first hours, dried and wrapped in natural fabric cloths, using salts and aromatic plants to accelerate the drying process, and placed at the same height as the newborn. The other four documents described six cases of infectious complications, which were solved with antibiotic therapy, in mothers who had presented prolonged broken sac, positive vaginal cultures, and lack of peripartal antibiotic therapy. DISCUSSION: Lotus Birth is a rare practice, traditionally associated with home births, which has been increasingly introduced in the hospital setting. There is limited evidence available about placenta care in Lotus Birth, and the safety of this practice for newborns


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Segurança do Paciente , Placenta/fisiologia , Enfermagem Baseada em Evidências/métodos , Parto Domiciliar/enfermagem , Parto Obstétrico/enfermagem , Enfermagem Neonatal/métodos , Características Culturais , Enfermeiras Obstétricas
4.
Metas enferm ; 23(7): 49-59, sept. 2020. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-196460

RESUMO

OBJETIVO: conocer los métodos anticonceptivos adecuados para su uso en el periodo postparto según la evidencia científica, así como el momento idóneo para informar sobre la anticoncepción postparto. MÉTODO: se realizó una revisión narrativa, mediante localización y búsqueda bibliográfica de los artículos publicados en las siguientes bases de datos: PubMed, Cochrane Plus y Cuiden. También se consultó la base de datos Uptodate, Biblioteca de Salud Reproductiva de la Organización Mundial de la Salud (OMS) y las Guías de Práctica Clínica (GPC) del Sistema Nacional de Salud, así como los protocolos publicados en la Sociedad Española de Contracepción (SEC). La búsqueda se estableció entre los años 2010-2020, incluyéndose solo artículos en español e inglés. Los documentos encontrados fueron revisados y seleccionados en función de varios criterios de inclusión. RESULTADOS: de los 579 documentos identificados, cuatro fueron eliminados por ser duplicados, por lo que fueron revisados un total de 575 artículos. De los mismos, 524 artículos fueron eliminados por incumplir los criterios de inclusión y solo 51 fueron seleccionados para valorar la calidad de los mismos, de los cuales se incluyeron 27 en la revisión. Los resultados se organizaron según los siguientes contenidos: cuándo y cómo informar sobre los métodos anticonceptivos postparto y los métodos anticonceptivos adecuados para ese periodo. CONCLUSIONES: a pesar de la demanda poblacional existe un déficit de información y consejo sobre la planificación familiar postparto. Los profesionales de la salud han de aprovechar cada oportunidad durante el embarazo, el parto y el puerperio para proporcionar información y asesoramiento. Los métodos anticonceptivos adecuados para el postparto son variados. Sigue existiendo controversia en relación al momento de inicio de los anticonceptivos con gestágenos y sobre el momento más idóneo para la inserción del DIU


OBJECTIVE: to identify the contraceptive methods adequate for use in the post-partum period according to scientific evidence, as well as the adequate time to inform about post-partum contraception. METHOD: a narrative review was conducted, through bibliographic location and search of the articles published in the following databases: PubMed, Cochrane Plus and Cuiden. The Uptodate database was also consulted, as well as the Library of Reproductive Health by the World Health Organization (WHO) and the Clinical Practice Guidelines (CPG) by the National Health System, and the protocols published at the Spanish Society of Contraception (SEC). The search was established during the years 2010-2020, and only articles in Spanish and English were included. The documents found were reviewed and selected according to various inclusion criteria. RESULTS: of the 579 documents identified, four were eliminated because they were duplicates; therefore, 575 articles were reviewed in total. Out of these, 524 articles were eliminated because the inclusion criteria were not met, and only 51 were selected in order to assess their quality, and 27 of these were included in the review. Results were classified according to the following contents: when and how to inform about post-partum contraception methods, and the contraceptive methods adequate for said period. CONCLUSIONS: regardless of demands by the population, there is deficit of information and advice regarding post-partum family planning. Health professionals must take every opportunity during pregnancy, delivery and puerperium, in order to provide information and guidance. There is a variety of contraceptive methods adequate for the post-partum period. There is still some controversy regarding the time to initiate contraception with gestagens, and the most adequate time to insert an IUD


Assuntos
Humanos , Feminino , Planejamento Familiar , Anticoncepção/enfermagem , Enfermagem Baseada em Evidências/métodos , Período Pós-Parto , Enfermeiras Obstétricas , Cuidado Pós-Natal , Conhecimentos, Atitudes e Prática em Saúde , Progestinas/uso terapêutico , Dispositivos Anticoncepcionais Femininos
6.
PLoS One ; 15(8): e0237342, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32760163

RESUMO

OBJECTIVES: To explore how to integrate the "best" practice into nursing of venous thromboembolism (VTE) based on the integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. METHODS: A mixed-methods design was used. A steering group for clinical evidence implementation (EI) was established to conduct pre-implementation baseline surveys, a thorough analysis of the evidence, and an analysis of the survey results. The hindering and enabling factors associated with the clinical implementation of the evidence were analysed based on the three core elements of i-PARIHS, to formulate the clinical implementation plan for VTE nursing evidence. On-site expert reviews and focus group interviews were used to evaluate the feasibility of the draft plan, make adjustments, and finalize the evidence-based practice plan, which was then put into practice and evaluated. RESULTS: A new nursing process, a health education manual and a nursing quality checklist on VTE has been established and proved to be appropriate through the implementation. Compliance with evidence related to VTE nursing increased significantly in the two units, with better compliance in unit B than unit A. The knowledge, attitude and behaviour scores for VTE nursing increased substantially in both nurses and patients. CONCLUSION: The EI programme of incorporating the "best" evidence on VTE nursing into clinical practice using the i-PARIHS framework demonstrated feasibility, appropriateness and effectiveness and could serve as a reference.


Assuntos
Prestação Integrada de Cuidados de Saúde/organização & administração , Enfermagem Baseada em Evidências/organização & administração , Implementação de Plano de Saúde/organização & administração , Unidades de Terapia Intensiva/organização & administração , Tromboembolia Venosa/terapia , Adulto , Prestação Integrada de Cuidados de Saúde/métodos , Enfermagem Baseada em Evidências/métodos , Estudos de Viabilidade , Feminino , Grupos Focais , Educação em Saúde/métodos , Educação em Saúde/organização & administração , Pesquisa sobre Serviços de Saúde , Médicos Hospitalares/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/estatística & dados numéricos , Avaliação de Programas e Projetos de Saúde/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
7.
Gerokomos (Madr., Ed. impr.) ; 31(2): 119-124, jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-193894

RESUMO

Las úlceras de la extremidad inferior siguen siendo en la actualidad un problema global. Las opciones analgésicas para el control del dolor se basan generalmente en medidas farmacológicas con acción local y/o sistémica. El sevoflurano es un anestésico general inhalatorio, asociado a sus efectos sobre el sistema nervioso central, y tradicionalmente no se emplea por otras vías que no sea inhalado. Sin embargo, hoy en día se le conoce una acción analgésica a nivel central y también periférico. Actualmente, su uso clínico ha llevado a algunos autores a considerar la posibilidad de nuevos efectos del sevoflurano a través de la vía tópica. OBJETIVO: Sintetizar las evidencias científicas disponibles sobre el uso del sevoflurano aplicado de forma tópica en úlceras de la extremidad inferior. METODOLOGÍA: Revisión sistematizada de la literatura científica, siguiendo la guía PRISMA. La búsqueda de estudios se realizó en las principales bases de datos bibliográficas, sin límite de fechas ni de idiomas. También se realizó una búsqueda incluyendo resúmenes de congresos. RESULTADOS: Se obtuvieron un total de 120 referencias. Finalmente, ocho de ellas correspondían a los estudios incluidos para la síntesis cualitativa. En la mayoría de los estudios se encontró una disminución del dolor de 8 a 2 puntos en las escalas empleadas. CONCLUSIONES: Los escasos estudios parecen sugerir un importante efecto analgésico aplicado de forma tópica, un probable efecto antibacteriano y un posible efecto promotor de la cicatrización. Sin embargo, son necesarios más estudios comparativos con un tamaño de muestra mayor, con mejor calidad en sus diseños


Leg ulcers are a global problem daily. The analgesic options for pain control are generally based on pharmacological measures with local and / or systemic action. Sevoflurane is a general inhalation anesthetic, associated with its effects on the central nervous system, its use not being traditional by other routes that are not inhaled. However, today it is known an analgesic action at the central level and at the peripheral level. Actually, the clinical use of this product has led some authors to consider the possibility of new effects of Sevoflurane topically. OBJECTIVE: To synthesize the available scientific evidences about the use of Sevoflurane topically on leg ulcers. METHODOLOGY: Systematized review of the scientific literature, following the PRISMA guide. The main bibliographic databases were searched without date or language limits. Also references lists and congress abstracts were searched. RESULTS: 120 references were identified. Finally, 8 of them were selected for qualitative synthesis. In most studies, was found a decrease in pain of 8 to 2 points in the scales used. CONCLUSIONS: The few studies suggest an analgesic effect applied topically, a probable antibacterial effect and a possible healing promoting effect. However, comparative studies of large sample are needed, with a better quality designs


Assuntos
Humanos , Sevoflurano/uso terapêutico , Extremidade Inferior/lesões , Úlcera do Pé/tratamento farmacológico , Administração Tópica , Prática Clínica Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/métodos , Cicatrização/efeitos dos fármacos
9.
Ontario; Registered Nurses Association of Ontario (RNAO); May 2020. 144 p.
Monografia em Inglês | BIGG - guias GRADE | ID: biblio-1116696

RESUMO

BPGs promote consistency and excellence in clinical care, administrative policies, procedures and education, with the aim of achieving optimal health outcomes for people, communities and the health system as a whole. This BPG replaces the RNAO BPG Oral Health: Nursing Assessment and Intervention, which was released in 2008. The purpose of this BPG is to provide nurses, the interprofessional team and caregivers with evidence-based recommendations for the provision of oral care for adults (18 years of age and older) that will: promote an interprofessional approach to providing oral care, enhance the delivery of oral care interventions, and ultimately lead to positive oral healthG outcomes for persons. This BPG recognizes that a person- and familycentredG approach to care is essential for providing oral care (or providing assistance with oral care) to adults across the continuum of care. This BPG also recognizes that when providing any form of oral care, infection control practices should be followed.


Assuntos
Humanos , Adulto , Inquéritos de Saúde Bucal/instrumentação , Saúde Bucal , Pessoal de Saúde/organização & administração , Doenças da Boca/enfermagem , Doenças da Boca/reabilitação , Sistemas de Saúde/organização & administração , Pessoal de Saúde/educação , Enfermagem Baseada em Evidências/métodos
10.
Medicine (Baltimore) ; 99(11): e19183, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32176044

RESUMO

To investigate the effect of evidence-based nursing (EBN) intervention on upper limb function in postoperative breast cancer patients undergoing radiotherapy.A total of 126 breast cancer patients who had received postoperative radiotherapy in the Union Hospital affiliated with Tongji Medical College, Huazhong University of Science and Technology from September 2017 to September 2018 were randomly divided into 2 groups, namely, experimental and control groups, with 63 cases in each group. Both the control and experimental groups received routine postoperative radiotherapy followed by traditional and EBN interventions, respectively. All patients were followed up for 6 months and differences in the upper limb function after nursing intervention were compared between the 2 groups.The scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS), and short form-36 survey (SF-36) in the 2 groups had no statistical significance before intervention. After the EBN intervention, the SAS and self-rating depression scale scores of patients in the experimental group were lower than that of those in the control group. In the experimental group, 90.67% of the patients had an excellent score for the University of California, Los Angeles shoulder score, which was higher than that of the control group (73.92%). The Mayo Elbow Performance Score of the experimental group (95.01) was higher than that of the control group (91.33). The total length of the sum of arm circumference in the experimental group was (128.39 cm) lower than that of the control group (143.66 cm). The scores of SF-36 in the overall health, physical pain, mental health, and physiological functions of the patients in the experimental group were higher than those of the control group. All of these parameters' differences between the 2 groups were of statistical significance (P < .05).EBN can positively influence the negative emotional state of breast cancer patients after radiotherapy. At the same time, it is helpful in reducing the degree of lymph node edema on the affected side of the upper limb, thereby improving the function of the shoulder joint, which has a positive effect on the upper limb function.


Assuntos
Neoplasias da Mama/radioterapia , Neoplasias da Mama/cirurgia , Enfermagem Baseada em Evidências/métodos , Linfedema/enfermagem , Extremidade Superior/fisiopatologia , Adulto , Idoso , Neoplasias da Mama/patologia , China , Feminino , Humanos , Linfedema/etiologia , Mastectomia/efeitos adversos , Mastectomia/métodos , Pessoa de Meia-Idade , Medição da Dor , Prognóstico , Radioterapia Adjuvante , Valores de Referência , Índice de Gravidade de Doença , Resultado do Tratamento
11.
J Nurs Educ ; 59(2): 65-67, 2020 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-32003844

RESUMO

The purpose of this article is to describe the Nominal Group Technique and its application as a consensus-generating approach in nursing research. The approach incorporates face-to-face meetings to explore opinions, generate ideas, and determine priorities. The nominal group technique process, which is based on a study designed to develop a nursing student clinical placement (clinical practicum) evaluation tool, is described. Advantages of the approach include creative face-to-face discussions with minimal resource demands. The nominal group technique is beneficial and can be used to achieve consensus in nursing research, but a lack of anonymity may preclude the process in some investigations. [J Nurs Educ. 2020;59(2):65-67.].


Assuntos
Consenso , Bacharelado em Enfermagem/métodos , Enfermagem Baseada em Evidências/métodos , Humanos , Pesquisa em Educação de Enfermagem , Estudantes de Enfermagem/estatística & dados numéricos
13.
J Clin Nurs ; 29(7-8): 1332-1340, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31971305

RESUMO

AIMS AND OBJECTIVES: To explore the relationship between critical thinking disposition and research competence among clinical nurses. BACKGROUND: The development of the nursing discipline and evidence-based practice calls for research competence and critical thinking disposition among clinical nurses. The verification of the relationship between critical thinking disposition and research competence could make contributions to promoting related knowledge building and providing practical implications for nurses, nurse educators and nurse managers. However, there is a lack of evidence exploring the relationship between critical thinking disposition and research competence in clinical nurses. DESIGN: A cross-sectional study. METHODS: A total of 156 clinical nurses from two tertiary hospitals participated in this study. The Chinese Version of Critical Thinking Disposition Inventory and Research Competence Scale for Clinical Nurses were used to measure critical thinking disposition and nursing research competence, respectively. Data were collected in September 2017. Descriptive statistics, bivariate correlation and linear regression were used to analyse data. The STROBE checklist was used in reporting this study. RESULTS: The clinical nurses surveyed showed a positive inclination to general critical thinking but reported an overall low level of nursing research competence. A moderate degree of positive correlation was found between critical thinking disposition and research competence among clinical nurses. Educational degree was also found as an influencing factor of nursing research competence of clinical nurses. CONCLUSION: The critical thinking disposition of clinical nurses is positively related to their research competence. RELEVANCE TO CLINICAL PRACTICE: Nurses with a passion for nursing research should pay attention to improving their critical thinking dispositions. Nurse educators and managers should provide better learning, working and research environments and more supports to cultivate critical thinking disposition and improve nursing research competence in nursing research education and practice.


Assuntos
Pesquisa em Enfermagem/normas , Pensamento , Adulto , China , Estudos Transversais , Enfermagem Baseada em Evidências/métodos , Feminino , Humanos , Masculino , Pesquisa em Educação de Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/normas , Inquéritos e Questionários
14.
Rev. Rol enferm ; 43(1,supl): 237-243, ene. 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193314

RESUMO

Clinical supervision and evidence-based practice in nursing should be understood as complementary and indissociable as they go hand in hand towards the same objectives. Therefore, the supervising process, should boost the evidence-based practice in order to promote better nursing care. The purpose of this study is to evaluate nurse's predisposition to incorporate evidence-based practice into their care and to identify barriers to its application with the purpose of propose contributions for the implementation of a nursing clinical supervision model that encourages the use of the best evidence available into the daily practice. The study is integrated into the research project "SAFECARE - Supervisão Clínica para a segurança e qualidade dos cuidados". It was developed an exploratory-descriptive study in an ambulatory surgery unit of a University Hospital in Porto, Portugal. It had a target population of 59 nurses, and it was used the "Evidence-Based Practice Questionnaire" as a method of collecting data. From the 49 questionnaires collected, we find that the subscale "Practices" has an average score of 4.89, the subscale "Attitudes" 5.36 and the subscale "knowledge/skills and competences" 5.08. These results showed that nurses have a low use of evidence-based practice when compared with the level of knowledge, skills and competences shown, although they seem to have a positive attitude towards this subject. These results can be partially explained by the overburden felt by the nurses, which identified the lack of time and motivation, but also inappropriate training and scarcity of team meetings and proper tools in the workplace as barriers


No disponible


Assuntos
Humanos , Masculino , Feminino , Enfermagem Baseada em Evidências/métodos , Procedimentos Cirúrgicos Ambulatórios/enfermagem , Cuidados de Enfermagem/métodos , Enfermagem Perioperatória/métodos , Supervisão de Enfermagem/organização & administração , Competência Profissional , Epidemiologia Descritiva
16.
Australas Emerg Care ; 23(1): 62-70, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31699613

RESUMO

BACKGROUND: Emergency nurses are responsible for the initial assessment, management and safety of critically ill patients. HIRAID, an evidence-informed emergency nursing assessment framework, is known to improve emergency nursing patient-assessment in the simulated environment however has not been evaluated in the clinical setting. METHODS: A pre-post design was used to assess the usability and impact of HIRAID on emergency nurses self-efficacy in the emergency department (ED). Nursing and medical staff from three Australian EDs were surveyed. Descriptive and optimal pooled sample t-tests statistics were conducted. RESULTS: One hundred and two emergency nurses completed the pre-intervention self-efficacy survey and 63 completed the post-intervention self-efficacy and satisfaction survey. Forty-two and 17 medical officers completed the pre- and post-intervention satisfaction surveys, respectively. Nursing staff self-efficacy levels were unchanged pre- and post-HIRAID implementation (Mean (SD): 8.8 (0.21) vs. 8.7 (0.20)) as was medical staff satisfaction (Mean (SD):7.5 (1.43) vs. 7.8 (1.07)), although there was a trend towards improved communication. CONCLUSION: The HIRAID structured approach to patient assessment is acceptable, feasible, practical and appropriate for use in the clinical environment. Further research will demonstrate the direct effects of HIRAID on clinical performance.


Assuntos
Enfermagem em Emergência/métodos , Avaliação em Enfermagem/métodos , Adulto , Atitude do Pessoal de Saúde , Enfermagem em Emergência/normas , Enfermagem em Emergência/estatística & dados numéricos , Serviço Hospitalar de Emergência/organização & administração , Serviço Hospitalar de Emergência/estatística & dados numéricos , Enfermagem Baseada em Evidências/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , New South Wales , Avaliação em Enfermagem/normas , Avaliação em Enfermagem/estatística & dados numéricos , Autoeficácia , Inquéritos e Questionários
17.
Enferm. clín. (Ed. impr.) ; 30: 0-0, 2020. graf
Artigo em Espanhol | IBECS | ID: ibc-191714

RESUMO

OBJETIVO: Esta revisión tiene como objetivo realizar un mapeado de evidencias científicas en cuidados enfermeros dirigidos a controlar infecciones por coronavirus. MÉTODO: Se llevó a cabo una búsqueda bibliográfica en las bases de datos Medline, CINAHL, Scopus y en la colección principal de la WOS, sin límite de fecha y a través de las palabras clave «transmission», «infection», «contagious», «spreads», «coronavirinae», «coronavirus», «covid 19», «sarscov 2», «nurses» y «nursing». Inicialmente se identificaron 154 estudios y, tras seleccionarlos según criterios de elegibilidad, se incluyeron 16. RESULTADOS: Entre las recomendaciones principales, según la evidencia disponible, se encuentran el intercambio de aire en las habitaciones como medida para reducir el riesgo de contagio entre pacientes; el refuerzo de medidas en unidades de cuidados intensivos; seguimiento de contactos de casos positivos; y una adecuada formación de los profesionales. DISCUSIÓN Y CONCLUSIONES: Los estudios incluidos en la revisión trataron sobre prácticas de prevención y control de contagios, analizando riesgos asociados a la exposición y enumerando acciones para evitar complicaciones en pacientes críticos. Se identificaron patrones de transmisión de casos, contactos y factores asociados. También se estudiaron los conocimientos y actitudes profesionales, mostrando la importancia de una buena formación para el control de infecciones, y de disponer de equipos suficientes y adecuadas infraestructuras. Las enfermeras son vectores importantes de propagación. A pesar de que la evidencia disponible sobre la efectividad de cuidados para evitar el contagio por SARS-CoV-2 es escasa, los estudios publicados sobre la prevención y control ante brotes anteriores por coronavirus son de considerable utilidad


OBJECTIVE: This review aims to map scientific evidence in nursing care aimed at controlling coronavirus infections. METHOD: A bibliographic search was conducted in the Medline, CINAHL, Scopus and WOS main databases, with no date limit and using the keywords «transmission», «infection», «contagious», «spreads», «coronavirinae», «coronavirus», «covid 19», «sarscov 2», «nurses» and «nursing». Initially, 154 studies were identified and, after selecting them according to eligibility criteria, 16 were included. RESULTS: Among the main recommendations according to the available evidence are air exchange in rooms as a measure to reduce the risk of infection among patients; reinforcement of measures in intensive care units; follow-up of positive case contacts; and adequate training of professionals. DISCUSSION AND CONCLUSIONS: The studies included in the review addressed infection prevention and control practices by analyzing risks associated with exposure and listing actions to avoid complications in critically ill patients. Patterns of case transmission, contacts and associated factors were identified. Professional knowledge and attitudes were also studied, showing the importance of good infection control training, and of sufficient equipment and adequate infrastructure. Nurses are important vectors of spread. Although there is little evidence available on the effectiveness of care to prevent the spread of SARS-CoV-2, published studies on the prevention and control of previous outbreaks of coronavirus are of considerable value


Assuntos
Humanos , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Avaliação de Risco e Mitigação , Cuidados de Enfermagem/normas , Infecções por Coronavirus/enfermagem , Betacoronavirus , Medicina de Emergência Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/métodos , Unidades de Terapia Intensiva/normas
18.
PLoS One ; 14(12): e0226742, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31877147

RESUMO

BACKGROUND: This study aimed to identify clinical nurses' evidence-based practice (EBP) knowledge, beliefs, organizational readiness, and EBP implementation levels, and to determine the factors that affect EBP implementation in order to successfully establish EBP. This study was conducted at a university-affiliated tertiary hospital located in a provincial area in Korea. The research design was based on Melnyk and Fineout-Overholt's Advancing Research & Clinical Practice through Close Collaboration model as the first step. METHODS: A descriptive and cross-sectional design was conducted and a convenience sample of 521 full-time registered nurses from an 849-bed tertiary hospital were included. Structured questionnaires were used to assess EBP knowledge, EBP beliefs, organizational culture & readiness and EBP implementation. Data were analyzed using SPSS V 25.0 by using descriptive and inferential statistics and hierarchical multiple regression was performed to determine the factors affecting the implementation of EBP. RESULTS: Our findings showed that the clinical nurses had a positive level of EBP beliefs, but the level of EBP knowledge, organizational readiness and EBP implementation were insufficient. EBP knowledge, beliefs, and organizational readiness were significantly positively correlated with EBP implementation. In the final model, EBP knowledge and organizational readiness were significant predictors of EBP implementation; the model predicted 22.2% of the variance in implementation. CONCLUSIONS: Based on these results, the main focus of the study was the importance of individual nurses' efforts in carrying out EBP, but above all efforts to create an organizational culture to prepare and support EBP at the nursing organization level. In the initial process of introducing and establishing EBP, nurse administrators will need to minimize expected barriers, enhance facilitators, and strive to build an infrastructure based on vision, policy-making, budgeting, excellent personnel and facilities within the organization.


Assuntos
Enfermagem Baseada em Evidências , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Cultura , Enfermagem Baseada em Evidências/educação , Enfermagem Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/organização & administração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Clínicas/educação , Enfermeiras Clínicas/organização & administração , Cultura Organizacional , República da Coreia , Inquéritos e Questionários , Adulto Jovem
19.
Enferm. clín. (Ed. impr.) ; 29(6): 365-369, nov.-dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-184657

RESUMO

El/la enfermero/a de familia y comunitaria es el profesional que a través de una mirada integral y holística asume la misión de acompañar a las personas desde su nacimiento hasta la muerte para desarrollar su potencial de salud, promocionando los diferentes entornos familiares, laborales y sociales para facilitar dicho desarrollo. A lo largo de la historia, diversos organismos de ámbito internacional, europeo y nacional, han ido regulando la figura de estos profesionales de enfermería de familia y comunitaria, hasta la fecha actual, donde existe normativa que regula de pleno derecho sus funciones, atribuciones y desempeño profesional. El personal de enfermería de familia y comunitaria puede dar respuestas a las necesidades de una población cambiante, y que asume nuevas responsabilidades en la gestión y la investigación. Sus amplias competencias básicas y avanzadas recogidas en un riguroso programa formativo suponen una mejora para el sistema sanitario, la profesión enfermera y la ciudadanía y la comunidad en la que vive. Aún existen muchos retos para que cada Consejería de Salud de cada comunidad haga posible que esta especialidad desarrolle todo su potencial de mejora de los cuidados


It is the mission of the Community and Family Nurse through an integral and holistic approach to accompany people from cradle to death in developing their health potential, and promote different family, work and social environments to facilitate this development. Throughout history, various international, European and national organizations have regulated the figure of the Community and Family Nurse, and now their functions, powers and professional performance are fully regulated. The Community and Family Nurse can respond to the needs of a changing population and take on new responsibilities in management and research. Their extensive basic and advanced skills gathered under a rigorous training programme, benefit the health system, the nursing profession, citizenry and its communities. Many challenges remain for the Health Departments of each Autonomous Region to make it possible for this specialty to develop its full potential for improving care


Assuntos
Humanos , Enfermagem em Saúde Comunitária/tendências , Enfermagem Familiar/tendências , Atenção Primária à Saúde , Enfermagem Primária/organização & administração , Enfermagem Primária/tendências , Enfermagem Baseada em Evidências/métodos , Saúde Pública , Sistemas de Saúde/tendências
20.
J Obstet Gynecol Neonatal Nurs ; 48(6): 693-704, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31629697

RESUMO

A review of new resources to support the provision of evidence-based care for women and infants.


Assuntos
Competência Clínica , Enfermagem Baseada em Evidências/métodos , Relações Enfermeiro-Paciente , Processo de Enfermagem/normas , Assistência Perinatal/métodos , Feminino , Humanos , Lactente , Período Pós-Parto , Gravidez
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