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1.
Texto & contexto enferm ; 29: e20180426, Jan.-Dec. 2020. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1101974

RESUMO

ABSTRACT Objective: to know the issues in evidence in rural nursing. Method: a six-stage integrative review. Data was collected from May to July 2017, in the SciELO, CUIDEN, PubMed, and ScienceDirect databases, with "Rural nursing" as descriptor. The analysis used was qualitative with the construction of subsets and topics. Results: of the 30 articles analyzed, 32% addressed professional training; 25% collective health-related practices; 12% hospital care; 10% job satisfaction; 7% were dedicated to telehealth and 3% of the studies addressed the following topics: nurses' recruitment and permanence in rural areas, continuing education, and professional practice in urgency and emergency regulation centers. Conclusion: working in rural areas demands that nurses face particularities such as isolation, difficulty of access, diverse socioeconomic conditions and specific epidemiological profiles, which influence the professional practice, making it a challenge.


RESUMEN Objetivo: conocer los temas en evidencia en la enfermería en el territorio rural. Método: revisión integradora compuesta por seis etapas. Los datos se recolectaron de mayo a junio de2017 en las bases de datos SciELO, CUIDEN, PubMed y ScienceDirect, con el siguiente descriptor: "Rural nursing". El análisis empleado fue el cualitativo con la elaboración de subconjuntos y temas. Resultados: de los 30 artículos analizados, el 32% abordaron la formación profesional; el 25%, acciones relacionadas con la salud colectiva; el 12%, la atención hospitalaria; el 10%, la satisfacción en el trabajo; el 7% estaban dedicados a la telesalud y el 3% de los estudios trataron dos temas: reclutamiento y permanencia de las enfermeras en el Espacio rural, educación permanente y desempeño profesional en la central de regulación de urgencias y emergencias. Conclusión: para desempeñarse profesionalmente en el territorio rural, una enfermera debe hacer frente a diversas particularidades como el aislamiento, la dificultad de acceso, condiciones socioeconómicas diversas y perfiles epidemiológicos específicos, que influyen sobre la práctica profesional, factores que la convierten en un desafío.


RESUMO Objetivo: conhecer os temas em evidência na enfermagem no território rural. Método: revisão integrativa composta por seis etapas. Os dados foram coletados no período de maio a julho de 2017, nas bases SciELO, CUIDEN, PubMed, ScienceDirect, com o descritor "Rural nursing". A análise utilizada foi qualitativa com a construção de subconjuntos e tópicos. Resultados: dos 30 artigos analisados 32% abordavam a formação profissional; 25% ações relacionadas a saúde coletiva; 12% assistência hospitalar; 10% a satisfação no trabalho; 7% dedicaram a telessaúde e 3% dos estudos trataram dos temas: recrutamento e permanência das Enfermeiras no Espaço rural, educação permanente e a atuação profissional em central de regulação de urgência e emergência. Conclusão: a atuação no território rural demanda à enfermeira enfrentar particularidades como isolamento, dificuldade de acesso, condições socioeconômicas diversas e perfis epidemiológicos específicos, que influenciam a prática profissional, o que a torna um desafio.


Assuntos
Saúde Pública , Enfermagem Rural , Cuidados de Enfermagem , Prática Profissional , Zona Rural , Saúde da População Rural , Enfermagem em Saúde Comunitária
2.
Nurs Leadersh (Tor Ont) ; 33(3): 20-28, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33097102

RESUMO

Community Care City of Kawartha Lakes provides primary care through its Community Health Centre, a range of hospice services and numerous community support services. Along with other essential service providers, our organization has continued to operate throughout the pandemic. As a community-based health services provider, we recognized the imperative and the privilege for our organization and the larger home and community care sector to support individuals, especially those most vulnerable due to health status, socio-economic circumstances or isolation, to safely remain at home during the pandemic, in compliance with public health directives. This article describes the strategies and approaches we implemented along with reflections on the leadership practices and principles that emerged. It does not purport to be an exemplar for crisis management of the COVID-19 pandemic. Rather, it seeks to draw attention to the contributions made by community-based organizations and potentially serve as a case study for debate.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Infecções por Coronavirus/enfermagem , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Ontário/epidemiologia , Estudos de Casos Organizacionais , Pneumonia Viral/epidemiologia
3.
Br J Community Nurs ; 25(10): 480-488, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-33030369

RESUMO

People with chronic pain faced potential treatment disruption during the COVID-19 pandemic in Singapore, as the focus of healthcare shifted. A model of rapid integration of a pain centre with community healthcare teams was implemented to care for vulnerable older patients with chronic pain and multiple comorbidities. Telemedicine and home visits by community nurses were used, with risk-mitigation measures, ensuring comprehensive assessment and treatment compliance. Medications from pain physicians were delivered at home through a hospital pharmacy. A secure national electronic health records system used by all teams ensured seamless access and documentation. Potential emergency department visits, admissions and delayed discharges were thus avoided. Integration of community teams with chronic pain management services can be recommended to ensure pandemic preparedness.


Assuntos
Dor Crônica/terapia , Enfermagem em Saúde Comunitária , Infecções por Coronavirus , Visita Domiciliar , Clínicas de Dor , Manejo da Dor , Pandemias , Pneumonia Viral , Telemedicina , Betacoronavirus , Comportamento Cooperativo , Assistência à Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Encaminhamento e Consulta , Singapura , Fluxo de Trabalho
4.
Br J Community Nurs ; 25(Sup10): S12-S16, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-33030379

RESUMO

The COVID-19 pandemic of 2020 has led to considerable changes in how healthcare is delivered, as it has pushed people to think outside the box technologically. Mobile working is becoming more widespread, useful and valuable in this innovative period in the NHS. Point-of-care (POC) technology encompasses mobile devices and systems that support health professionals in their daily activities of patient care. It allows the user to safely assess and diagnose individuals at the point of care, providing actionable information to allow rapid clinical decision-making. POC technology also has the ability to support and educate patients with health needs, encouraging patients and their carers to assume greater more control of and responsibility over their health. Providing patients individual care plans to maintain their health will help realise the future of self-care. This article describe the development of a mobile app-Juzo Care-designed to enhance the management of chronic oedema and lymphoedema in mobile working settings.


Assuntos
Enfermagem em Saúde Comunitária , Edema/enfermagem , Linfedema/enfermagem , Aplicativos Móveis , Educação de Pacientes como Assunto , Sistemas Automatizados de Assistência Junto ao Leito , Autocuidado , Betacoronavirus , Doença Crônica , Infecções por Coronavirus , Assistência à Saúde , Humanos , Pandemias , Pneumonia Viral , Guias de Prática Clínica como Assunto , Medicina Estatal , Reino Unido
5.
Br J Community Nurs ; 25(Sup8): S6-S10, 2020 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-32936703

RESUMO

The impact of nutrition on recovery from various illnesses is well recognised. Malnutrition can affect duration of hospitalisation and impede recovery, and therefore it is important to monitor this condition, especially in at-risk groups, such as older adults and those with chronic disease. Underlying malnutrition impairs the immune system, potentially making people more vulnerable to infections such as COVID-19 and impacting recovery. Patients recovering from severe illness are likely to have muscle wasting or feel weak and may have increased protein needs. In addition individuals who have been discharged from hospital may need ongoing nutritional rehabilitation. This article explores the range of symptoms of COVID-19 that can interfere with dietary intake, such as respiratory issues, loss of taste and smell and fatigue and weakness. It goes on to describe how community nurses can identify risk of malnutrition and dietary issues when working remotely. Additionally, it signposts to a range of resources developed to assist patients and carers in accessing appropriate dietary advice.


Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Desnutrição/diagnóstico , Desnutrição/prevenção & controle , Pneumonia Viral/complicações , Enfermagem em Saúde Comunitária , Infecções por Coronavirus/terapia , Suplementos Nutricionais , Humanos , Desnutrição/etiologia , Papel do Profissional de Enfermagem , Estado Nutricional , Apoio Nutricional , Pandemias , Pneumonia Viral/terapia
6.
Can Bull Med Hist ; 37(2): 427-460, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32822554

RESUMO

As new government health policy was created and implemented in the late 1910s and the late 1960s, women patients and health practitioners recognized gaps in the new health services and worked together to create better programs. This article brings the histories of the district nursing program (1919-43) and local birth control centres (1970-79) together to recognize women's health provision (as trained nurses or lay practitioners) as community-based and collaborative endeavours in the province of Alberta. The district nursing and birth control centre programs operated under different health policies, were influenced by different feminisms, and were situated in different Indigenous-settler relations. But the two programs, occurring half a century apart, provided space for health workers and their patients to implement change at a community level. Health practitioners in the early and late twentieth century took women's experiential knowledge seriously, and, therefore, these communities formed a new field of women's health expertise.


Assuntos
Instituições de Assistência Ambulatorial/história , Enfermagem em Saúde Comunitária/história , Anticoncepção/história , Pessoal de Saúde/história , Serviços de Saúde do Indígena/história , Saúde da Mulher/história , Alberta , Feminino , Feminismo/história , Política de Saúde/história , História do Século XX , Humanos , Saúde da População Rural/história
7.
Artigo em Inglês | PAHO-IRIS | ID: phr-52570

RESUMO

[ABSTRACT]. Objective. To describe and analyze the current nursing regulations across countries in the Region of the Americas. Methods. A country comparative analysis was carried out by gathering information from the ministries of health, nursing schools, councils, associations, and boards in 2018. The main categories evaluated were type of regulatory bodies, requirements for initial professional registration, and registration renewal. Results. All countries regulate the nursing profession through a regulatory body. Competency exams for initial registration are required in the United States, Canada, and most Caribbean countries. Registration renewal is required in 54.3% of the countries. Continuing education is required for professional registration renewal in the United States, Canada, and 53% of Caribbean countries. Labor hours are required in the United States and Canada. Conclusion. Regulations promote and protect professional integrity. The Pan American Health Organization/World Health Organization recommends that countries make efforts to evaluate competency and training, consider the use of competency exams for initial registration, and add continuing education as requirements for registration renewal.


[RESUMEN]. Objetivo. Describir y analizar la normativa reguladora vigente en materia de enfermería en los países de la Región de las Américas. Métodos. Se efectuó un análisis comparativo de los países reuniendo información de los ministerios de salud, escuelas de enfermería, consejos, asociaciones y comités profesionales en 2018. Las principales categorías evaluadas fueron los tipos de organismos reguladores, los requisitos para el registro profesional inicial y la renovación del registro. Resultados. Todos los países regulan la profesión de enfermería por medio de un organismo regulatorio. Los Estados Unidos, Canadá y la mayoría de los países del Caribe exigen exámenes de competencia para el registro inicial. En el 54,3% de los países se exige la renovación periódica del registro. En los Estados Unidos, Canadá y el 53% de los países del Caribe se requiere cumplimentar educación continua para renovar el registro profesional. En los Estados Unidos y Canadá se requiere acreditar horas de trabajo. Conclusión. Los mecanismos regulatorios promueven y protegen la integridad profesional. La Organización Panamericana de la Salud/Organización Mundial de la Salud recomienda que los países evalúen la competencia y la capacitación profesionales, consideren la posibilidad de utilizar exámenes de competencia para el registro inicial y requieran educación continua como requisito para renovar el registro profesional.


Assuntos
Mão de Obra em Saúde , Enfermagem em Saúde Comunitária , Legislação como Assunto , Educação em Enfermagem , Educação Continuada em Enfermagem , Papel do Profissional de Enfermagem , América , Mão de Obra em Saúde , Enfermagem em Saúde Comunitária , Legislação como Assunto , Educação Continuada em Enfermagem , Educação em Enfermagem , Papel do Profissional de Enfermagem , América
8.
Br J Community Nurs ; 25(8): 376-380, 2020 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-32772722

RESUMO

There has been a surging interest in using elastomeric infusion devices to deliver outpatient parenteral antimicrobial therapy (OPAT), which is more cost-effective than standard antibiotic administration, which requires multiple daily home visits. This has been particularly important since the outbreak of the coronavirus pandemic, because reducing patient contact can also help to minimise transmission of COVID-19 to outpatients who are at a high risk of COVID-19-triggered complications. In this retrospective study, the clinical effectiveness of intravenous (IV) infusion of flucloxacillin using an elastomeric device was explored in a convenience sample of patients. Patients with three primary infective diagnoses-bloodstream infection, non-vertebral osteomyelitis and vertebral osteomyelitis-were included in the analyses. In non-vertebral osteomyelitis patients, Accufuser antibiotic infusion shortened the course of OPAT care relative to standard antibiotic administration (p<.05). In contrast, in vertebral osteomyelitis patients, it prolonged the course of OPAT care relative to standard administration (p<.05). In patients with bloodstream infections, no significant difference was found between the treatment modes (p=.93). Thus, the clinical effectiveness of Accufuser antibiotic infusion varies among patients with different infective diagnoses, and there seems to be a complex relationship between the method of antibiotic delivery and the patient's condition.


Assuntos
Antibacterianos/administração & dosagem , Bacteriemia/tratamento farmacológico , Enfermagem em Saúde Comunitária/métodos , Floxacilina/administração & dosagem , Terapia por Infusões no Domicílio/métodos , Bombas de Infusão , Osteomielite/tratamento farmacológico , Doenças da Coluna Vertebral/tratamento farmacológico , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Assistência à Saúde/métodos , Elastômeros , Humanos , Infusões Intravenosas/instrumentação , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Estudos Retrospectivos
10.
J Nurs Adm ; 50(9): 456-461, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826514

RESUMO

OBJECTIVE: The aim of this study was to understand the experiences of nurses making the role transition from clinical nurse specialists (CNSs) (hospital based) into transitional care nurse (TCN) roles (community based). BACKGROUND: The shift from fee-for-service to value-based care has led to the development of transitional care programs. However, little is known about the perceptions of nurses transitioning from a hospital- to a community-based position. Their perceptions can inform training and future recommendations for the TCN role. METHODS: Five of 6 eligible TCNs from a community rural hospital in Vermont who transitioned from a CNS role to a TCN role participated in individual, face-to-face interviews using a semistructured interview guide. Data were audio recorded, transcribed verbatim, and analyzed using the constant comparative method. RESULTS: Seven major themes were identified: enhanced patient-centered care, collaboration among the other TCNs, transitioning from expert to novice, recommendations for navigating and negotiating systems, discomfort with the role transition, a level of altruism and autonomy, and recommendations for improving the TCN role. Minor themes supported the major themes. CONCLUSIONS: Our findings provide implications to improve the transitions of CNSs into a TCN role. Transitional care nurse programs are essential in transitioning individuals from hospital to home. To achieve maximum benefit from TCN programs and ensure their sustainability, nursing leaders must address gaps in both community resources and TCN training.


Assuntos
Enfermagem em Saúde Comunitária , Enfermeiras Clínicas , Papel do Profissional de Enfermagem/psicologia , População Rural , Cuidado Transicional/tendências , Adulto , Feminino , Humanos , Entrevistas como Assunto , Enfermeiras Clínicas/psicologia , Enfermeiras Clínicas/estatística & dados numéricos , Assistência Centrada no Paciente , Pesquisa Qualitativa , Vermont
11.
Br J Community Nurs ; 25(8): 402-406, 2020 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-32757893

RESUMO

The responsibility of the district nurse (DN), alongside complex case management and leadership, is to ensure Specialist Practitioner Qualification District Nurse (SPQDN) education continues to create practitioners delivering quality evidence-based care. DN leadership and its importance have come to the fore during the COVID-19 crisis, where hospital discharges have increased rapidly to make way for highly complex admissions (HM Government, 2020). This paper examines the importance of the SPQDN qualification, exploring the role of the DN within practice education. Continuation of the vital DN qualification will ensure that the numbers of qualified DNs increase, ultimately protecting community capacity. With a move towards an apprenticeship model to achieve the SPQDN, DNs must engage with and influence curriculum development to confirm courses deliver requirements of the workplace, commissioners and the 2019 NHS Long Term Plan. Expectations of the DN role within practice education have changed, moving away from the practice teacher standards to the new Nursing and Midwifery Council Standards for Student Support and Assessment. This poses new challenges in DN education in practice. The implications of this transition threaten to de-value the quality of the assessment process by removing the high standards of preparation previously demanded; ultimately, this is a risk to the provision of the quality practice education that previously existed.


Assuntos
Betacoronavirus , Enfermagem em Saúde Comunitária/educação , Infecções por Coronavirus/epidemiologia , Bacharelado em Enfermagem/organização & administração , Papel do Profissional de Enfermagem , Pneumonia Viral/epidemiologia , Currículo , Humanos , Pandemias , Reino Unido
12.
Br J Community Nurs ; 25(8): 390-395, 2020 Aug 02.
Artigo em Inglês | MEDLINE | ID: mdl-32757894

RESUMO

Community nurses in Singapore support vulnerable older persons with chronic health condition(s). In the situation of scaled-down community health and social services during the COVID-19 outbreak, the community nursing team adopted measures for pandemic preparedness. This report is to share the Singapore General Hospital community nursing experience, preparation and transforming efforts during the pandemic. Team segregation, active screening and triage before visits and other precautionary measures were executed to minimise the risk of exposure to COVID-19. There was a shift from face-to-face to teleconsultation to meet the requirement of safe social-distancing. Community nursing teams continued to play an active role in supporting older persons during the pandemic, despite the challenges. Moving to the lockdown phase ('circuit breaker'), teleconsultation, virtual meetings and integrated partnerships were essential to ensure healthcare accessibility and continuity of care. The experience gleaned was valuable to advance future community nursing services in the evolving healthcare landscape. Structured teleconsultation and technology advancement are useful to complement the service.


Assuntos
Betacoronavirus , Enfermagem em Saúde Comunitária/organização & administração , Infecções por Coronavirus/epidemiologia , Acesso aos Serviços de Saúde/organização & administração , Serviços de Enfermagem/organização & administração , Pneumonia Viral/epidemiologia , Telemedicina/organização & administração , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Singapura
14.
Br J Community Nurs ; 25(6): 294-298, 2020 Jun 02.
Artigo em Inglês | MEDLINE | ID: covidwho-561919

RESUMO

This paper discusses social prescribing as part of the wider NHS England universal personalised care model, and it describes how community nurses can engage with social prescribing systems to support community resilience. A case study based on the example of gardening, as a nature-based social prescription provided by the RHS Bridgewater Wellbeing Garden, is provided to illustrate the scope, reach and impact of non-medical, salutogenic approaches for community practitioners. The authors argue that social prescribing and, in particular, nature-based solutions, such as gardening, can be used as a non-medical asset-based approach by all health professionals working in the community as a way to promote health and wellbeing. They consider how the negative impact of social distancing resulting from COVID-19 restrictions could be diluted through collaboration between a holistic, social prescribing system and community staff. The paper presents a unique perspective on how community nurses can collaborate with link workers through social prescribing to help combat social isolation and anxiety and support resilience.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Programas Nacionais de Saúde/organização & administração , Distância Social , Isolamento Social/psicologia , Participação Social , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Reino Unido/epidemiologia
15.
Br J Community Nurs ; 25(6): 266-270, 2020 Jun 02.
Artigo em Inglês | MEDLINE | ID: covidwho-561167

RESUMO

The COVID-19 pandemic has placed increased strain on many aspects of the NHS. Dentists have been identified as having skills transferable to support community nursing teams as part of the redeployment response. This article aims to explore the roles dentists have undertaken within the community setting and reflect on dentists' transferable skills, training and personal experiences during redeployment. Despite differences in healthcare delivery, both professions share skills surrounding professionalism, communication, raising concerns and consent. Community nurses have supported dentists through specific training and competencies so that the latter are equipped with skills to support roles including wound care, catheter care and medication administration. Dentists have been well-received by community nursing colleagues and patients during redeployment. This experience has enabled redeployed dentists to establish new skillsets while improving their appreciation for the fundamental role that community nurses play within society.


Assuntos
Competência Clínica , Enfermagem em Saúde Comunitária/organização & administração , Infecções por Coronavirus/epidemiologia , Odontólogos/organização & administração , Programas Nacionais de Saúde/organização & administração , Pandemias , Pneumonia Viral/epidemiologia , Betacoronavirus , Humanos , Capacitação em Serviço , Reino Unido
16.
RECIIS (Online) ; 14(2): 372-385, abr.-jun. 2020. tab
Artigo em Português | LILACS | ID: biblio-1102546

RESUMO

A população LGBT (Lésbicas, Gays, Bissexuais, Travestis e Transexuais), por não se encaixar nos padrões heteronormativos, recebe um tratamento pejorativo e excludente, o que limita o acesso aos serviços de saúde. Este estudo tem como objetivos avaliar a implementação da Política Nacional de Saúde Integral à População LGBT (PNAIPLGBT) na atenção básica de saúde e compreender o conhecimento de enfermeiros da Estratégia Saúde da Família acerca da diversidade sexual e da homofobia. Trata-se de um estudo descritivo, exploratório e de natureza qualitativa. Os participantes relatam ausência ou limitação de conhecimento sobre a PNAIPLGBT. Assim, a falta de conhecimento sobre o público LGBT e o despreparo dos profissionais de saúde para acolher o público em questão resultam na restrição do acesso da população LGBT aos serviços de saúde, o que afeta diretamente na realização da Política Nacional de Atenção Integral à População LGBT.


The LGBT population (Lesbian, Gay, Bisexual, Transvestite and Transsexual), since it does not fit the heteronormative patterns, ends up receiving a pejorative and exclusive treatment, which limits access to health services. This study aims to evaluate the implementation of the National Policy on Comprehensive Health for LGBT Population (PNAIPLGBT) in basic health care and to understand the knowledge of nurses in the Family Health Strategy regarding sexual diversity and homophobia. This is a descriptive, exploratory study of a qualitative nature. Participants report absence or limitation of knowledge about PNAIPLGBT. Thus, the lack of knowledge about the LGBT public and the lack of preparation of health professionals to welcome the public in question results in the limitation of LGBT population access to health services, which directly affects the implementation of the National Policy of Comprehensive Attention to Population LGBT.


La población LGBT (Lesbianas, Gays, Bisexuales, Travestis y Transexuales) por no encajar en los patrones heteronormativos acaba recibiendo un trato peyorativo y excluyente, lo que limita el acceso a los servicios de salud. Este estudio tiene como objetivos evaluar la implementación de la Política Nacional de Salud Integral a la Población LGBT (PNAIPLGBT) en la atención básica de salud y comprender el conocimiento de enfermeros de la Estrategia Salud de la Familia en lo referente a la diversidad sexual y la homofobia. Se trata de un estudio descriptivo, exploratorio de naturaleza cualitativa. Los participantes reportan ausencia o limitación de conocimiento sobre la PNAIPLGBT. Así, la falta de conocimiento sobre el público LGBT y el despreparo de los profesionales de salud en acoger al público en cuestión, resulta en la limitación del acceso de la población LGBT a los servicios de salud lo que afecta directamente en la implementación de la Política Nacional de Atención Integral a la Población LGBT.


Assuntos
Humanos , Atenção Primária à Saúde , Política Pública , Enfermagem em Saúde Comunitária , Sexualidade , Minorias Sexuais e de Gênero , Pesquisa Qualitativa , Homofobia , Diversidade de Gênero , Acesso aos Serviços de Saúde
17.
Br J Community Nurs ; 25(6): 266-270, 2020 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-32496858

RESUMO

The COVID-19 pandemic has placed increased strain on many aspects of the NHS. Dentists have been identified as having skills transferable to support community nursing teams as part of the redeployment response. This article aims to explore the roles dentists have undertaken within the community setting and reflect on dentists' transferable skills, training and personal experiences during redeployment. Despite differences in healthcare delivery, both professions share skills surrounding professionalism, communication, raising concerns and consent. Community nurses have supported dentists through specific training and competencies so that the latter are equipped with skills to support roles including wound care, catheter care and medication administration. Dentists have been well-received by community nursing colleagues and patients during redeployment. This experience has enabled redeployed dentists to establish new skillsets while improving their appreciation for the fundamental role that community nurses play within society.


Assuntos
Competência Clínica , Enfermagem em Saúde Comunitária/organização & administração , Infecções por Coronavirus/epidemiologia , Odontólogos/organização & administração , Programas Nacionais de Saúde/organização & administração , Pandemias , Pneumonia Viral/epidemiologia , Betacoronavirus , Humanos , Capacitação em Serviço , Reino Unido
18.
Br J Community Nurs ; 25(6): 294-298, 2020 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-32496851

RESUMO

This paper discusses social prescribing as part of the wider NHS England universal personalised care model, and it describes how community nurses can engage with social prescribing systems to support community resilience. A case study based on the example of gardening, as a nature-based social prescription provided by the RHS Bridgewater Wellbeing Garden, is provided to illustrate the scope, reach and impact of non-medical, salutogenic approaches for community practitioners. The authors argue that social prescribing and, in particular, nature-based solutions, such as gardening, can be used as a non-medical asset-based approach by all health professionals working in the community as a way to promote health and wellbeing. They consider how the negative impact of social distancing resulting from COVID-19 restrictions could be diluted through collaboration between a holistic, social prescribing system and community staff. The paper presents a unique perspective on how community nurses can collaborate with link workers through social prescribing to help combat social isolation and anxiety and support resilience.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Programas Nacionais de Saúde/organização & administração , Isolamento Social/psicologia , Participação Social , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , Controle de Doenças Transmissíveis , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Reino Unido/epidemiologia
20.
Br J Community Nurs ; 25(5): 247-251, 2020 May 02.
Artigo em Inglês | MEDLINE | ID: covidwho-213010

RESUMO

Observation of infection trends through the course of the ongoing COVID-19 pandemic has indicated that those with certain pre-existing chronic conditions, such as hypertension, chronic obstructive pulmonary disease and obesity, are particularly likely to develop severe infection and experience disastrous sequelae, including near-fatal pneumonia. This article aims to outline how SARS-CoV-2 affects people and to consider why individuals living with long-term conditions are at increased risk from infection caused by this virus. A summary of available clinical guidelines with recommendations is presented, to provide community nurses with the up-to-date information required for protecting individuals living with a number of long-term conditions. Additionally, special measures required are outlined, so that community nurses may reflect on how to best provide nursing care for individuals living with long-term conditions and understand protection measures for individuals at increased risk from severe COVID-19.


Assuntos
Betacoronavirus , Doença Crônica/enfermagem , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Doença Crônica/epidemiologia , Enfermagem em Saúde Comunitária , Comorbidade , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Medição de Risco , Reino Unido/epidemiologia
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