Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 12.721
Filtrar
1.
Ann Palliat Med ; 10(8): 8737-8745, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34488363

RESUMO

BACKGROUND: The purpose of this study was to analyze the effect of the meticulous nursing model on the treatment compliance and quality of life of patients with upper gastrointestinal bleeding (UGIB). METHODS: A total of 108 UGIB patients treated in Linyi Central Hospital from October 2018 to October 2019 were selected as the study subjects, and were randomly divided into a research group and reference group, with 54 cases in each group. The reference group received conventional nursing while the research group received meticulous nursing on this basis to compare the clinical intervention effect and the impact on quality of life in the 2 groups of patients. RESULTS: The Generic Quality of Life Inventory-74 (GQOLI-74) scores in the 2 groups of patients after intervention were significantly higher than those before intervention (P<0.001), and the score of the research group after intervention was significantly higher than that of the reference group (P<0.001). The Stanford Acute Stress Reaction Questionnaire (SASRQ) scores of the patients presented a trend opposite to GQOLI-74 (P<0.001). The number of fully satisfied cases in the research group was significantly higher than that in the reference group (P<0.05), while the number of dissatisfied cases was significantly lower than that in the reference group (P<0.05). The self-rating anxiety scale (SAS) scores in the 2 groups of patients after intervention were significantly lower than those before intervention (P<0.001), and the score of the research group after intervention was significantly lower than that of the reference group (P<0.001). The total clinical effective rate and treatment compliance of the research group were significantly higher than those of the reference group (P<0.05). CONCLUSIONS: The meticulous nursing model can effectively improve the quality of life of UGIB patients, reduce the psychological stress response, and improve clinical treatment compliance and nursing satisfaction with a definite effect, making it worthy of promotion and application. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100048735.


Assuntos
Hemorragia Gastrointestinal , Qualidade de Vida , Humanos , Modelos de Enfermagem , Cooperação do Paciente , Resultado do Tratamento
2.
Medicine (Baltimore) ; 100(29): e26754, 2021 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-34398054

RESUMO

ABSTRACT: Meaning in life (MiL) is regarded as a valuable indicator of positive functioning in terms of an understanding of one's purpose in life, well-being, and professional commitment. As such, it is important to improve MiL for the stability of nursing staff. General self-efficacy is a significant predictor of both MiL and nursing professional commitment. Nursing professional commitment is key for both the stability of nursing staff and the provision of excellent health care. Few scholars have investigated the relationship between general self-efficacy and nursing professional commitment. In particular, a possible mediating effect of MiL has not been fully explored in nursing students.We aimed to examine the association between general self-efficacy and MiL among nursing students and to determine whether MiL mediates the relationship between general self-efficacy and nursing professional commitment for Chinese nursing students.A cross-sectional descriptive design was used. Between June and September 2019, 710 Chinese nursing students from 2 colleges completed the Meaning in Life Scale (MiLS), General Self-Efficacy Scale (GSES), and Nursing Professional Commitment Scale (NPCS). Data were analyzed using structural equation modeling (SEM) and SPSS (version 23.0, IBM Corp, Armonk, NY).The mean MiL score was above the moderate level (M = 52.55, SD = 9.79). However, the mean scores of self-efficacy and nursing professional commitment were relatively low. Self-efficacy was positively related to MiL (B = 0.46, P < .01), and MiL was positively related to nursing professional commitment (B = 0.37, P < .01). However, self-efficacy was not related to nursing professional commitment (B = 0.12, P = .01). We therefore suggest that MiL has a complete mediating role between self-efficacy and nursing professional commitment among Chinese nursing students.In this study, we confirmed the complete mediation of nursing professional commitment by MiL in nursing students, thus providing scientific evidence that could be beneficial for the development of interventions to increase nursing professional commitment.


Assuntos
Esgotamento Profissional , Modelos de Enfermagem , Autoeficácia , Estudantes de Enfermagem , Adolescente , China , Estudos Transversais , Feminino , Humanos , Masculino , Psicometria , Adulto Jovem
3.
Ann Palliat Med ; 10(7): 7587-7595, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34353046

RESUMO

BACKGROUND: The purpose was to investigate the effect on quality of life and inflammatory factor levels of patients with acute respiratory distress syndrome (ARDS) and ventilator-associated pneumonia (VAP). METHODS: A total of 110 ARDS patients with VAP were randomly divided into an experimental group and control group. The control group received routine nursing while the experimental group received ICU nursing risk management combined with the cluster nursing model to compare the clinical efficacy in the two groups of patients. RESULTS: There were no significant differences in general information (P>0.05). The total clinical effective rate of patients in the experimental group was significantly higher than that of the control group (P<0.05). The Acute Physiology and Chronic Health Evaluation (APACHE II) scores of all patients after nursing were significantly lower than those before nursing (P<0.001), and the APACHE II score in the experimental group after nursing was significantly lower than that in the control group (P<0.001). The interleukin-8 (IL-8), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α) levels of all patients after nursing were significantly lower than those before nursing (P<0.001), and the levels in the experimental group after nursing were significantly lower than those in the control group (P<0.001). The vital capacity (VC), total lung capacity (TLC), and forced expiratory volume 1 second (FEV1)/forced vital capacity (FVC) levels of all patients after nursing were significantly higher than those before nursing (P<0.001), and the levels in the experimental group after nursing were significantly higher than those in the control group (P<0.001). The MOS 36-item short form health survey (SF-36) scores of all patients after nursing were significantly higher than those before nursing (P<0.001), and the scores in the experimental group after nursing was higher than that in the control group (P<0.001). CONCLUSIONS: ICU nursing risk management combined with the cluster nursing model can effectively and significantly reduce inflammatory reactions, improve pulmonary function, and enhance the quality of life of ARDS patients with VAP, making it worthy of promotion and application. TRIAL REGISTRATION: Chinese Clinical Trial Registry ChiCTR2100048112.


Assuntos
Pneumonia Associada à Ventilação Mecânica , Síndrome do Desconforto Respiratório , Humanos , Unidades de Terapia Intensiva , Modelos de Enfermagem , Qualidade de Vida , Gestão de Riscos
4.
Nursing ; 51(8): 39-42, 2021 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-34347753

RESUMO

ABSTRACT: Strengths-based approaches focus on identifying an individual's assets and resources to find solutions that support their health. These principles are already inherent in nursing philosophies and processes. This article presents a call to reshape the current deficit-based, provider-centric model by formalizing inclusion of holistic, strengths-based approaches into nursing care.


Assuntos
Cuidados de Enfermagem/métodos , Cuidados de Enfermagem/organização & administração , Empoderamento , Enfermagem Holística , Esperança , Humanos , Modelos de Enfermagem , Autoeficácia
5.
J Cardiothorac Surg ; 16(1): 203, 2021 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-34321032

RESUMO

BACKGROUND: As a new surgical method for older adults with cardiac insufficiency, transapical mitral valve clamp surgery requires the cooperation of practitioners across multiple disciplines to ensure appropriate treatment and nursing care. This study aimed to explore the utility of a multidisciplinary team nursing model in the clinical treatment and nursing care of patients undergoing transapical mitral valve clamping. METHODS: Our sample of ten patients included four men (40%) and six women (60%), with a mean age of 71.4 ± 5.2 years. The multidisciplinary team comprised nurses that specialized in severe illness, cardiac health, rehabilitation, psychology, nutrition, and pain. The team engaged in comprehensive discussions regarding problems specific to the patients undergoing transapical mitral valve surgery, allowing them to formulate individualized nursing measures and implement precise policies. RESULTS: No serious postoperative complications occurred in any of the ten patients included in this study, and a significant improvement was noted in the cardiac status of all the patients. Color ultrasound findings at discharge indicated that the degree of reflux of all the patients was ≤2+. Among the ten patients, the Activity of Daily Living Scale scores at discharge were significantly higher than before the operation (69.0 ± 4.6 vs. 55.0 ± 5.8). In addition, the 6-min walking test results at discharge were significantly better than those observed before the operation (318.0 ± 21.7 m vs. 295.2 ± 18.4 m). CONCLUSIONS: Utilization of a multidisciplinary team allows nurses across various specialties to provide more comprehensive and systematic care for patients undergoing a mitral valve clamping operation, thus promoting patient recovery.


Assuntos
Implante de Prótese de Valva Cardíaca , Próteses Valvulares Cardíacas , Insuficiência da Valva Mitral , Valva Mitral , Idoso , Constrição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valva Mitral/diagnóstico por imagem , Valva Mitral/cirurgia , Insuficiência da Valva Mitral/cirurgia , Modelos de Enfermagem , Equipe de Assistência ao Paciente , Estudos Prospectivos , Volume Sistólico , Resultado do Tratamento , Função Ventricular Esquerda
6.
Diabetes Metab Syndr ; 15(5): 102228, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34330071

RESUMO

AIM: Amidst COVID-19 pandemic, the health care delivery in India faces major challenges owing to the overwhelming hospitals, exhausted healthcare workers, and shortage of crucial medical supplies such as ventilators and oxygen. The study aims to propose a novel successful interventional home care model, the Virtual COVID In-Patient (VCIP) care for effective COVID management. METHODS: The Covid-19 positive patients enrolled in VCIP were chosen for the study. A 24/7 active multidisciplinary WhatsApp group was created for each patient, for remote monitoring of temperature, blood pressure, blood glucose, respiratory and pulse rate along with the symptoms. Advice on sleep and exercises were given along with the medication via video-audio consultations. Lab facility was provided at the doorstep. Training on various devices, medications including steroids, delivering subcutaneous injections etc were given via video platforms. RESULTS: Among the 220 patients who availed the VCIP facility, only two were hospitalized, yielding a 99.5 % success rate in preventing hospitalizations and patients enrolled have been immensely satisfied with their experience. CONCLUSIONS: With similar pandemics anticipated in near future, VCIP model may be considered for successful domiciliary treatment and overcoming the challenges.


Assuntos
COVID-19/terapia , Serviços de Assistência Domiciliar/organização & administração , Modelos Organizacionais , Algoritmos , COVID-19/complicações , COVID-19/diagnóstico , COVID-19/epidemiologia , Controle de Doenças Transmissíveis/métodos , Controle de Doenças Transmissíveis/organização & administração , Complicações do Diabetes/epidemiologia , Complicações do Diabetes/terapia , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/terapia , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Índia/epidemiologia , Internacionalidade , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , Monitorização Fisiológica/métodos , Pandemias , Prognóstico , Encaminhamento e Consulta/organização & administração , Telemedicina/organização & administração , Resultado do Tratamento
7.
Worldviews Evid Based Nurs ; 18(4): 272-281, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34309169

RESUMO

BACKGROUND: The Advancing Research and Clinical practice through close Collaboration (ARCC© ) Model is a system-wide framework for implementing and sustaining evidence-based practice (EBP) in hospitals and healthcare systems. The model involves assessing organizational culture and readiness for EBP in addition to the development of a critical mass of EBP mentors who work with point-of-care clinicians to facilitate the implementation of evidence-based care. Determining how the various components of the ARCC© Model relate to one another is important for understanding how EBP culture and mentorship impact EBP implementation, nurses' job satisfaction, and intent to stay. AIMS: The current study aimed to test a model that could explain the relationships and direct pathways among eight key variables in the ARCC© Model: (1) EBP culture, (2) mentorship, (3) knowledge, (4) beliefs, (5) competency, (6) implementation, (7) nurses' job satisfaction, and (8) intent to stay. METHODS: Structural equation modeling was used to test relationships among the variables in the ARCC© Model with data obtained from an earlier cross-sectional descriptive study with 2,344 nurses from 19 hospitals and healthcare systems across the United States. RESULTS: The final structural equation model found that EBP culture and mentorship were key variables that positively impacted EBP knowledge, beliefs, competency, implementation, job satisfaction, and intent to stay among nurses. LINKING EVIDENCE TO ACTION: As described in the ARCC© Model, establishing a strong sustainable EBP culture along with a critical mass of EBP mentors is crucial for the development of EBP competency and consistent implementation of evidence-based care by nurses. A strong EBP culture along with EBP mentorship also can result in higher job satisfaction and intent to stay. Implementation of the ARCC© Model is a key strategy in assisting systems to reach health care's Quadruple Aim.


Assuntos
Enfermagem Baseada em Evidências/organização & administração , Satisfação no Emprego , Mentores , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Cultura Organizacional , Reorganização de Recursos Humanos/estatística & dados numéricos , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem , Inquéritos e Questionários
8.
Holist Nurs Pract ; 35(4): 206-210, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34115739

RESUMO

This article aims to share the historical context of spirituality in nursing, meanings and expressions of spirituality, and different models of spirituality along with its significance in nursing education and practice. Several challenges and tools for the successful integration of spirituality in education and practice are also discussed.


Assuntos
Atenção à Saúde/métodos , Espiritualismo/psicologia , Atenção à Saúde/tendências , Humanos , Modelos de Enfermagem , Papel do Profissional de Enfermagem/psicologia
9.
Rev Bras Enferm ; 74(3): e20190718, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34161494

RESUMO

OBJECTIVES: to describe a medium-range nursing theory for the cardiovascular rehabilitation process. METHODS: theoretical development study, addressing the elaboration of medium-range theory, based on Roy's Adaptation Model, which combined theoretical deduction with induction strategies, based on literature review and concept analysis. RESULTS: the Medium-Range Theory for Nursing in Cardiovascular Rehabilitation presents eleven concepts and respective definitions, organized in relationships that represent elements, through modeling and image representation. Theoretical assumptions and propositions are presented. FINAL CONSIDERATIONS: the theory presented aims to contribute to the description of the cardiovascular rehabilitation process from the perspective of the adaptation of the person, family and groups, as well as to impact the nursing care implemented to patients in the process. The procedures advanced from conceptualization to operationalization, through the production of theoretical propositions that will guide future theoretical testing.


Assuntos
Reabilitação Cardíaca , Adaptação Psicológica , Humanos , Modelos de Enfermagem , Teoria de Enfermagem
10.
Rev Bras Enferm ; 74(suppl 5): e20200910, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105697

RESUMO

OBJECTIVE: Description and discussion dimensions of Integrated Care Model. METHODS: A descriptive study is done that describe a technological innovation, intervention strategies for professional performance. RESULTS: Integrated Care Model (ICM) has two main categories include individual and Group-and disease-specific Model. First, is used for risky patients or with comorbidities. In second category; Chronic Care Model (CCM) is common form of Integrated Care Model to improve resultants in the patients with chronic condition, to move from acute care to integrate, regular, long-lasting, preventative and community-based nursing. FINAL CONSIDERATIONS: It is important to consider patient as an active member of the treatment team. It seems to be essential to monitor performance of care system. On the other hand, offer multidisciplinary care leads to present desirable care, tailored to the specific needs of patients regarding safety, patient-centered care and their culture.


Assuntos
Planejamento Antecipado de Cuidados , Prestação Integrada de Cuidados de Saúde/organização & administração , Assistência de Longa Duração , Doença Crônica , Comorbidade , Comportamento Cooperativo , Humanos , Assistência de Longa Duração/organização & administração , Modelos de Enfermagem , Modelos Organizacionais , Avaliação de Resultados em Cuidados de Saúde , Assistência Centrada no Paciente/organização & administração
11.
Nurs Adm Q ; 45(3): 219-225, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34060505

RESUMO

The COVID-19 pandemic has overwhelmed communities. Physical, emotional, and financial struggles have heightened, especially with our vulnerable populations. People have been afraid to return to their provider's office. For children, there has been an interruption of well-visits and immunizations. As the nation saw a decline in immunization uptake, a pilot nurse-led program was designed to increase vaccinations and address the social determinant needs during a global pandemic. The purpose of this article is to describe the planning and implementation of a curbside immunization event. The Logic model was used as a framework to ensure an efficient and replicable process. Initial observations showed an overall increase in immunization uptake and 97% of participants current with recommended vaccinations. Most parents (93%) would attend again and recommend it to others. They also felt that infection control precautions helped make the care delivered safe and efficient. Social determinants of health were assessed and addressed. This method of vaccine delivery is a viable model going into the future. Others may replicate this model, and it may also serve as a platform regarding flu or COVID-19 vaccine distribution.


Assuntos
Imunização/enfermagem , Modelos de Enfermagem , Determinantes Sociais da Saúde/estatística & dados numéricos , Humanos , Imunização/estatística & dados numéricos , Programas de Imunização/métodos , Programas de Imunização/normas , Programas de Imunização/estatística & dados numéricos , Michigan , Projetos Piloto
12.
PLoS One ; 16(5): e0251029, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33939752

RESUMO

Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner's clinical judgment model using a mixed methods study design. A high-fidelity patient simulation was conducted among 80 undergraduate nursing students divided into a simulated control group (n = 39) and an experimental group (n = 41). Subsequent student performance evaluations used questionnaires and video recordings. After scenario simulations, the students showed a statistically significant increase in theoretical knowledge (p = 0.001) and clinical performance skills (p < 0.001), but there was no significant increase in self-confidence (p = 0.291). According to the video analysis, the "noticing" clinical judgment phase was the most frequently observed phase, while "reflection" was the least frequently observed phase. Additionally, "education" was the most frequently observed nursing domain, and "anxiety" was the least frequently observed domain. Although further simulation repetitions are required to reinforce students' self-confidence when caring for patients with upper gastrointestinal bleeding, the scenario was deemed effective. Moreover, emphasis should be placed on developing various scenarios to strengthen students' clinical judgment skills, especially "reflecting" and "emotional care."


Assuntos
Bacharelado em Enfermagem/métodos , Hemorragia Gastrointestinal/psicologia , Julgamento/fisiologia , Estudantes de Enfermagem/psicologia , Adulto , Competência Clínica , Feminino , Humanos , Masculino , Modelos de Enfermagem , Simulação de Paciente , Aprendizagem Baseada em Problemas/métodos , Autoimagem , Inquéritos e Questionários , Gravação em Vídeo/métodos , Adulto Jovem
14.
Rev Bras Enferm ; 74(suppl 5): e20200876, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34037136

RESUMO

OBJECTIVE: Evaluate the Hospital Nursing Service Management Model from the perspective of nurses from hospitals managed by social health organization, considering the type and dimensions of the model. METHODS: This is an exploratory, cross-sectional study with a quantitative approach; census population. The evaluation was conducted in 15 hospitals based on the Index of Professional Nursing Governance, including the descriptive analysis of the k-means method and multiple linear regression to score the instrument. Data collection was performed online, stored in REDCap®. RESULTS: Of 1,523 invited, 680 (44.6%) accepted and 518 (34.1%) completed the questionnaire. With a general average of 184.3 points, 12 hospitals indicated shared; and 3 (20%), traditional governance (average of 165.7 points). CONCLUSION: Managers presented a lower perception of shared governance with professionals without a management function. The type of function and time of activity at the institution influenced the results. The present model is hybrid, in the transition process from the traditional to corporate.


Assuntos
Cuidados de Enfermagem , Serviços de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Estudos Transversais , Hospitais , Humanos , Modelos de Enfermagem
15.
Nurse Educ Today ; 103: 104952, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33965714

RESUMO

BACKGROUND: The long-standing underachievement in the Indonesian national nursing competency examination (NNCE) has been a common concern, and there is limited information on the preparation program for this licensure examination. OBJECTIVE: To develop an NNCE preparation program model and evaluate its effectiveness in increasing competency among nursing graduates. DESIGN: A quasi-experimental study using participatory action research (PAR). SETTING: Faculty of nursing of a full-boarding private university in Indonesia. PARTICIPANTS: The participants were selected with the purposive sampling method. The 23 course coordinators and clinical instructors met the inclusion criteria of having worked for at least five years as classroom teachers and at least one year as course coordinators or clinical instructors. The 85 nursing graduates met the inclusion criteria of having finished the internship program and planned to take the NNCE. METHODS: The model was developed using PAR and the evaluation done to measure the increase in the competency level and the level of perceived readiness and satisfaction of both the participant educators and nursing graduates. RESULTS: The proposed model consists of core components and essential concepts. The core components are a holistic preparation process, active involvement and participation, knowledge and skill specialty, sharp examination-taking and skills, motivation to join the program and self-confidence to pass the NNCE, and time commitment for the preparation program. The essential concepts consist of awareness and trust, desire to change, sense of responsibility, mutual collaboration, equipped and empowered to act, definite direction and goals, mentoring. The model's evaluation indicated a significant increase in competency level, overall perceived readiness for the national nursing competency examination, and degree of satisfaction with the preparation program. CONCLUSIONS: The implementation of the preparation model effectively increased the nursing graduates' competency level, and both the participating educators and nursing graduates were satisfied with its effectiveness.


Assuntos
Licenciamento em Enfermagem , Tutoria , Pesquisa sobre Serviços de Saúde , Humanos , Indonésia , Modelos de Enfermagem
16.
Rech Soins Infirm ; N° 144(1): 10-21, 2021 Apr 26.
Artigo em Francês | MEDLINE | ID: mdl-34002585

RESUMO

The historical development of nursing knowledge reflects the political, social, and professional contexts that have shaped it, but also different visions of science and scientific knowledge. This article focuses on these two elements, science and scientific nursing knowledge, in order to examine nursing knowledge in the context in which it was proposed. Examining the influences that have shaped its development allows us to situate it among what were recognized as the modalities of knowledge development and the structures of knowledge formulation. By looking back we thus seek to appreciate the true value of nursing knowledge by providing keys to understanding its particular nature in relation to contemporary views of knowledge formulation, and to highlight the merits of those who helped lay the foundations for disciplinary knowledge. This historical overview of the development of nursing knowledge raises awareness of the status and growth of nursing knowledge and of the theorists who made it possible. It also seeks to restore and inspire a respect for its pioneers that is often lacking in nursing.


Assuntos
Pesquisa em Enfermagem , Humanos , Conhecimento , Modelos de Enfermagem , Filosofia em Enfermagem
17.
Rech Soins Infirm ; N° 144(1): 44-53, 2021 Apr 26.
Artigo em Francês | MEDLINE | ID: mdl-34002590

RESUMO

Every academic discipline nurturing its own science draws on the development and dissemination of a knowledge. In pursuit of this project, the nursing discipline has proposed various conceptualizations of knowledge. The one developed by Chinn and Kramer, following Carper’s work, is without doubt the most prominent and most often borrowed concept in discussing the epistemological foundations of the discipline. This thoughtful article proposes an in-depth critical analysis of this theoretical development by focusing on “personal” and “esthetic” knowledge. As part of the analysis, the author scrutinizes the inherent logics that support these patterns of knowing. Finally, the author highlights some overinterpretations and discrepancies with regard to nursing practice.


Assuntos
Conhecimento , Modelos de Enfermagem , Humanos , Pensamento
18.
J Transcult Nurs ; 32(6): 647-654, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33882735

RESUMO

INTRODUCTION: The coronavirus pandemic has disproportionately negatively affected the ultraorthodox in Israel. Their unique characteristics and slow adoption of preventative health guidelines resulted in a significant increase in morbidity and mortality. To lower these rates, health and government authority figures employed methods to change the ultraorthodox community health behaviors. METHODOLOGY: This study utilizes the ACCESS model for transcultural nursing to analyze the response by authorities to high infection rates in the large ultraorthodox community in city of Beit Shemesh during the first wave of the outbreak (through early May). RESULTS: The authorities employed all model components to varying degrees and found moderate success in changing health behaviors of the ultraorthodox. DISCUSSION: Employing the ACCESS model as a response to the health care crisis among the ultraorthodox community in Beit Shemesh led to some success in increased compliance, thus lowering morbidity rates. However, not establishing strong respect and rapport hindered the process.


Assuntos
COVID-19/psicologia , Comunicação , Comportamentos Relacionados com a Saúde/etnologia , Judeus/psicologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , Cultura , Atenção à Saúde , Humanos , Modelos de Enfermagem , Pandemias , SARS-CoV-2 , Enfermagem Transcultural
19.
Enferm Clin ; 31 Suppl 2: S82-S85, 2021 04.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-33849236

RESUMO

The objective of study is to provide an overview of the influence of nursing-based knowledge on the energy conservation model in dealing with nutritional problems in children with cancer. A case study with five pediatric patients and the nursing care approach is used. The assessment was performed using Levine's Conservation Model based on the domain of energy conservation, structural integrity, personal integrity, and social integrity. The nutritional problem of children with cancer was improved, as characterized by decreased nutritional score. Nutritional disorders greatly influence the quality of life of children with cancer, and therefore, it requires treatment so that patients can adapt to changes that occur in their internal and external environments. Levine's Conservation Model can be applied to pediatric patients with cancer who experience nutritional disorders and serve as a guide for nurses to conduct studies, decide on diagnoses, and arrange interventions to improve the quality of nursing care.


Assuntos
Neoplasias , Transtornos Nutricionais , Adaptação Fisiológica , Criança , Humanos , Modelos de Enfermagem , Neoplasias/complicações , Qualidade de Vida
20.
Rev. cuba. med. trop ; 73(1): e575, tab, graf
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1280328

RESUMO

Introducción: La observación de enfermería es una fuente de información que permite dar continuidad al cuidado del paciente. Objetivo: Caracterizar las observaciones de enfermería al ingreso de pacientes sida en el Centro Hospitalario del Instituto Pedro Kourí. Métodos: Se realizó un estudio de corte transversal. En las observaciones de enfermería del total de pacientes sida hospitalizados en enero de 2015, se analizó el registro de indicadores de estructura, contenido y redacción de la regulación cubana vigente, y la aplicación de la teoría de autocuidado de Orem. Resultados: Se revisaron 64 observaciones de enfermería. En estructura, el 39 por ciento de las observaciones omitió la sección datos subjetivos. El motivo de ingreso (20,3 por ciento ) y el informe del estado de salud (39 por ciento ) fueron los indicadores de contenido menos registrados en el encabezamiento al ingreso. No se registraron datos subjetivos sobre las actividades de autocuidado. Similar comportamiento tuvieron los requisitos de autocuidado de desviación de la salud y las actividades de autocuidado en los datos objetivos. La información sobre el personal de enfermería a cargo de las observaciones se registró en el 76,5 por ciento . Los indicadores de redacción se cumplieron en el 18,7 por ciento . Conclusiones: Se observaron dificultades en las observaciones de enfermería. Estas sugieren la necesidad de capacitación continuada sobre la regulación cubana vigente para dichas observaciones. La aplicación de la teoría de Orem en la caracterización de las observaciones permitió identificar el limitado registro sobre el déficit de autocuidado y las actividades encaminadas para suplir este déficit de vital importancia en pacientes sida(AU)


Introduction: Nursing observations are a source of information that ensures continuity in the care of patients. Objective: Characterize the nursing observations at admission of AIDS patients to the Hospital Center at Pedro Kourí Institute. Methods: A cross-sectional study was conducted of nursing observations about all the AIDS patients admitted in January 2015. An analysis was carried out of the structure indicators record, the content and layout of the current Cuban regulations, and the application of Orem's Self-Care Theory. Results: A total 64 nursing observations were reviewed. In terms of structure, 39 percent of the observations omitted the subjective data section. The content indicators least often recorded in the header at admission were the reason for admission (20.3 percent) and the health status report (39 percent)). Subjective data about self-care activities were not recorded. Similar behavior was observed concerning health deviation self-care requisites and self-care activities in the objective data section. Information about the nursing personnel in charge of observations was recorded in 76.5 percent)of the cases. Layout indicators were complied with in 18.7 percent of the cases. Conclusions: Difficulties were found in nursing observations which point to the need for continuous training about current Cuban regulations for such observations. Application of Orem's theory to the characterization of observations made it possible to identify the limited registration of self-care deficiencies and activities aimed at solving that deficit, an area of vital importance for AIDS patients(AU)


Assuntos
Humanos , Modelos de Enfermagem , Síndrome de Imunodeficiência Adquirida/enfermagem , Autocuidado/métodos , Estudos Transversais , Cuba , Cuidados de Enfermagem/métodos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...