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Enferm Intensiva (Engl Ed) ; 33(3): 151-162, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35927175


INTRODUCTION: The Nursing Process is the scientific method specific to the nursing discipline. However, although in recent years it has rapidly expanded in certain areas, this has not been the case in special units such as the intensive care unit. OBJECTIVE: To determine the reasons nurses show little awareness of incorporating nursing methodology in intensive care units. METHOD: Literature review conducted between November and December 2020 in the databases Pubmed, Cinahl, Cuiden, Lilacs, Cochrane, Sicelo, Web of Science, in addition to a search of grey literature and electronic journals. Boolean operators AND and OR were used and the temporal limiter of the last 10 years (2010-2020) was applied. RESULTS: A total of 20 articles were selected. Intensive Care Units nurses perceived a lack of knowledge on how to use nursing methodology. This problem begins in university education and continues in the institutions with little continuing education. Nurses' work overload takes time from being able to use this tool, which is among the lowest of their priorities. CONCLUSIONS: Research studies are required on solutions that, in the nurses' words, could be useful in tackling this problem, and on the impact that training programmes in methodology have on its application in practice.

Unidades de Terapia Intensiva , Processo de Enfermagem , Humanos
Comput Intell Neurosci ; 2022: 2047948, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35942463


The economy of contemporary society is developing rapidly and the society is making continuous progress. The population is aging and diet structure is also adjusted. Acute cerebral infarction(ACI) in the elderly has become a common disease that seriously threatens the health of the elderly. Therefore, research on nursing of senile ACI is of great significance. Nursing is essential in the thrombolytic therapy of cerebral infarction. This article aims to study the process design of intravenous thrombolytic nursing for elderly patients with ACI and the conclusions are as follows: the nursing process has a good nursing effect. This increased the Barthel index of elderly patients with ACI after intravenous thrombolysis care by 15.8 compared with that before care. Compared with the traditional nursing mode, the nursing course and cost are significantly reduced.

Isquemia Encefálica , Processo de Enfermagem , Idoso , Infarto Cerebral/tratamento farmacológico , Fibrinolíticos/uso terapêutico , Humanos , Terapia Trombolítica
Creat Nurs ; 28(3): 149-153, 2022 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-35927013


Conceptual frameworks in nursing help shape the thinking and behavior of nursing practice. They also facilitate understanding about nursing's unique contributions that complement the way of medicine. Current health crises illuminate the need for disruptive change, and consequently the need for new conceptual frameworks to guide disruptive practice. The Way of Nursing conceptual framework moves nursing beyond the nursing metaparadigm and the nursing process toward the necessary thinking to address the complex health challenges of individual patients, families, communities, and the planet. The Way of Nursing affirms nurses' capacity to lead change and disrupt systems for the benefit of all.

Processo de Enfermagem , Humanos
Hu Li Za Zhi ; 69(3): 31-40, 2022 Jun.
Artigo em Chinês | MEDLINE | ID: mdl-35644595


BACKGROUND: A valid and reliable nursing record audit tool can simplify nursing records and provide a basis for quality auditing. PURPOSE: To ensure the validity and reliability of the Nursing Process Scale to promote accurate monitoring of nursing record quality. METHODS: This study employed structural equation modeling to examine the content validity and reliability of the current Nursing Process Scale. A total of 660 results from a medical center were used to revise the content and then the validity and reliability of the revised scale were analyzed. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used in three stages, namely item generation and content validity testing, item analysis and validity testing, and reliability testing. RESULTS: Validity, reliability, and organization based on clinical practice were used to identify and remove scale items with low factor loadings. The remaining items were organized under several factors in the revised Nursing Process Scale, which had good internal consistency with a Cronbach's α of .653 in the EFA, a Kaiser-Meyer-Olkin value of .614, and a significant Bartlett's test of sphericity value. Five factors and 22 questions were extracted from the original 32 questions. The CFA conducted after the model correction reduced the number of questions to 10 and the number of factors to 3, with each index reaching the ideal level. To improve ease-of-use in clinical settings, the important items were reduced from 32 to 22 questions, including the 10 questions suggested by the CFA. CONCLUSIONS: The validity, reliability, and organization based on clinical practice were considered in the removal of items with low factor loadings. Axial conversion was used to generate a component matrix, which allowed item rearrangement across factors and the revision of the Nursing Process Scale. The development of simple valid and reliable audit tools will save auditor time and allow the effective evaluation of nursing record quality and improvement in record integrity. This revised scale was reviewed and approved for implementation in 42 clinical wards.

Processo de Enfermagem , Registros de Enfermagem , Análise Fatorial , Humanos , Reprodutibilidade dos Testes
Rev Bras Enferm ; 75(6): e20201109, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35766750


OBJECTIVES: to understand the perception of Primary Health Care nurses about the application of the Nursing Process. METHODS: this is a qualitative, descriptive study. Data was collected through semi-structured interviews with Primary Health Care nurses from a city in the interior of the state of São Paulo, analyzed by Content Analysis under the theoretical framework of Work Process. RESULTS: three categories were obtained: Extrinsic factors to the Nursing Process; Intrinsic factors to the Nursing Process; and Knowledge. FINAL CONSIDERATIONS: the nurses considered the Nursing Process relevant for the profession, but historical, political, and social issues related to nursing, and health, as well as conflicts regarding its concept and academic training, hinder its application.

Enfermeiras e Enfermeiros , Processo de Enfermagem , Brasil , Humanos , Percepção , Atenção Primária à Saúde , Pesquisa Qualitativa
Rev Bras Enferm ; 75(6): e20210898, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35584516


OBJECTIVES: to reflect on the global understanding of the Nursing Process concept, with emphasis on the Brazilian context. METHODS: a reflection article, aligned with the vision and expertise of researchers who are members of the Nursing Process Research Network. RESULTS: the reflection is presented in two main topics: The evolution of Systematization of Nursing Care X Nursing Process concepts and its consonance with national and international practices, and Brazilian legislation; The Nursing Process concept realignment in Brazilian legislation in line with current care, teaching and research practices. Final Considerations: the reflections were oriented to the Nursing Process' conceptual, normative and legal issues, including elements of its historical evolution, and, with that, pointed to the need to modify the Brazilian regulation on the Nursing Process.

Processo de Enfermagem , Brasil , Humanos
MedUNAB ; 25(1): 42-51, 202205.
Artigo em Espanhol | LILACS | ID: biblio-1372552


Introducción. La enfermedad pulmonar obstructiva crónica es un problema de salud pública a nivel mundial y el cese del consumo de tabaco es la medida más efectiva para disminuir la incidencia y su progresión. Esta medida es especialmente eficaz en personas envejecidas, en quienes las consecuencias son más agudas a causa de los cambios biopsicosociales, cambios que aumentan la probabilidad de infecciones, dependencia funcional y fragilidad. El objetivo de este reporte es describir los cambios en el hábito tabáquico de una persona mayor con enfermedad pulmonar obstructiva crónica, tras ser incluida en un plan de cuidado organizado y según las etapas del proceso de Enfermería dirigido al cese del hábito tabáquico. Metodología. Reporte de caso de Enfermería bajo el Modelo de Promoción de la Salud de Nola Pender y el proceso de Enfermería, articulado con la taxonomía diagnóstica North American Nursing Diagnosis Association International, la Clasificación de Resultados de Enfermería (Nursing Outcomes Classification) y la Clasificación de Intervenciones de Enfermería (Nursing Interventions Classification). Resultados. Tras el proceso de Enfermería se evidencia la cesación del hábito tabáquico en la persona mayor y se destaca en el proceso la participación del núcleo familiar y el reconocimiento de los riesgos en salud asociados. Conclusiones. Se reconoce el rol de Enfermería como preponderante en la prevención y el abandono del hábito tabáquico que, orientado por un proceso de cuidado organizado, con respaldo disciplinar y científico, ayuda a mejorar el estado de salud y manejo de los factores de riesgo.

Introduction. Quitting tobacco consumption is the most effective measure for reducing the incidence and progression of chronic obstructive pulmonary disease, which is a global public health issue. This measure is especially effective in seniors, in whom the consequences are more acute due to biopsychosocial changes, changes that increase the probability of infection, functional dependence and fragility. The objective of this report is to describe the changes in the tobacco habits of a senior with chronic obstructive pulmonary disease after being included in an organized health care plan according to the Nursing process' stages for quitting tobacco habits. Methodology. A nursing case report under Nola Pender's Health Promotion Model and the Nursing process, articulated with the diagnostic taxonomy North American Nursing Diagnosis Association International, Nursing Outcomes Classification and Nursing Interventions Classification. Results. It was evident the senior quit their tobacco habits after the Nursing process was carried out, and participation from family members and recognition of the associated health risks stood out in the process. Conclusions. The role of Nursing is pivotal in preventing and quitting tobacco habits, which, guided by an organized health care process with disciplinary and scientific support, helps improve health conditions and manage risk factors.

Introdução. A doença pulmonar obstrutiva crônica é um problema de saúde pública global e a cessação do consumo de tabaco é a medida mais eficaz para reduzir sua incidência e progressão. Essa medida é especialmente eficaz em idosos, nos quais as consequências são mais agudas devido a alterações biopsicossociais, alterações que aumentam a probabilidade de infecções, dependência funcional e fragilidade. O objetivo deste relato é descrever as mudanças no hábito de fumar de um idoso com doença pulmonar obstrutiva crônica, após a inclusão em um plano de cuidados organizado e de acordo com as etapas do processo de Enfermagem visando a cessação do tabagismo. Metodologia. Relato de caso de Enfermagem sob o Modelo de Promoção da Saúde de Nola Pender e o processo de Enfermagem, articulado com a taxonomia diagnóstica North American Nursing Diagnosis Association International, a Classificação de Resultados de Enfermagem Nursing Outcomes Classification e a Classificação de Intervenções de Enfermagem Nursing Interventions Classification. Resultados. Após o processo de Enfermagem, evidencia-se a cessação do tabagismo no idoso e destaca-se a participação do núcleo familiar e o reconhecimento dos riscos à saúde associados no processo. Conclusões. O papel da Enfermagem é reconhecido como preponderante na prevenção e cessação do tabagismo, o que, pautado por um processo assistencial organizado, com respaldo disciplinar e científico, auxilia na melhoria do estado de saúde e no manejo dos fatores de risco.

Doença Pulmonar Obstrutiva Crônica , Idoso , Abandono do Hábito de Fumar , Enfermagem Baseada em Evidências , Terminologia Padronizada em Enfermagem , Processo de Enfermagem
J Healthc Eng ; 2022: 5719897, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35480160


Neurosurgery is mainly for the treatment of head trauma, cerebrovascular disease, brain tumors, and spinal cord disorders. These operations are difficult and risky, so disability and mortality are high. To reduce the risk of surgery, reduce postoperative complications, and improve the treatment effect of patients, this article applies deep learning and microscopic imaging to the nursing process of neurosurgery. Through deep learning and microscopic imaging, doctors can learn about patients during surgery. The specific situation of the trauma site, after which surgery is performed according to the situation, effectively reduces the casualties, reduces the loss of patients, and provides a reference for the research of neurosurgery nursing. Research results prove that deep learning and microscopic imaging can play an important role in the nursing process of neurosurgery. Compared with conventional treatment methods, microscopic imaging treatment can effectively improve the treatment effect, and the operation time for patients is less than that of conventional treatment. About 20% and the incidence of postoperative complications is lower than 30%, which can effectively reduce the cost to patients and improve the quality of treatment.

Aprendizado Profundo , Neurocirurgia , Processo de Enfermagem , Humanos , Procedimentos Neurocirúrgicos , Complicações Pós-Operatórias
J Healthc Eng ; 2022: 4539125, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35360484


With the pollution of the environment and the acceleration of the social rhythm, the prevalence of tumors has increased year by year, and tumors have brought huge pain and inconvenience to patients. However, traditional nursing work consumes a lot of manpower and material resources, but it is difficult to improve the happiness of cancer patients, and it also brings a lot of troubles to many nursing workers. Based on the above reasons, we reengineered the traditional nursing process based on the BPR theory and applied the new process to the analysis of the management effect of cancer patients after oral chemotherapy drugs. The data shows that there are 23 patients with no pressure ulcer risk (score greater than 19) before care, 27 patients with low risk (15-19 points), 32 patients with moderate risk (13-14 points), and 18 people at high risk (less than 12 points). After nursing, there were 82 patients with no pressure ulcer risk, 10 patients with low risk, 7 patients with moderate risk, and 1 patient with high risk. This shows that the risk of pressure ulcers in patients with cancer after the use of chemotherapy drugs is significantly reduced compared with those without nursing. Nursing intervention can improve the psychological state of cancer patients during the recovery period, and nursing intervention can promote the compliance of cancer patients in various aspects of rehabilitation.

Neoplasias , Processo de Enfermagem , Lesão por Pressão , Humanos , Neoplasias/tratamento farmacológico , Lesão por Pressão/epidemiologia , Prevalência
Invest. educ. enferm ; 40(1): 81-96, 01/03/2022. tab, ilus
Artigo em Inglês | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1369305


Objective. To make a dialog about the nursing professionals' perception regarding how they cope with COVID-19 and the repercussions on their practice and personal life. Methods. This is a qualitative study, typified as participatory action research, which was carried out using Paulo Freire's Research Itinerary linked to the steps of the Nursing Process. To that end, the following guiding question was launched: How is it for you to act as a nursing professional in the hospital area during the COVID-19 pandemic? Results. Three syntheses emerged, which guided the discussion: The challenges of being a nursing professional in the pandemic. The learning and growth that the challenges of the pandemic have generated and Nursing as the protagonist of care. The Virtual Culture Circle was a space where, despite the limitations, provided a social interaction among the participants, with mutual exchange of experiences, with many reflections, besides expressions of feelings, experiences and learning obtained during the COVID-19 pandemic. Conclusion. The nurses perceived that, although this moment highlights and appreciates the profession, nursing is overloaded and exhausted by the COVID-19 pandemic, with repercussions on professional and personal life. The care for those who care needs to be planned and implemented in different scenarios, and the Nursing Process built based on theoretical and scientific knowledge guide the effective improvement of the quality of health care.

Objetivo. Dialogar sobre la percepción de los profesionales de enfermería con respecto a la lucha contra el COVID-19 y las repercusiones en su práctica profesional y en su vida personal. Métodos. Estudio cualitativo del tipo investigación acción participante, realizado mediante el itinerario de investigación de Paulo Freire vinculado a las etapas del Proceso de Enfermería. Para ello se propuso la siguiente pregunta orientadora: ¿Cómo ha sido su actuación como profesional de la enfermería en el área hospitalaria durante la pandemia de COVID-19? Para organizar el Círculo de Cultura Virtual (CCV), las investigadoras invitaron por WhatsApp® a los profesionales de enfermería de las instituciones hospitalarias de Santa Catarina (Brasil); participaron 10 enfermeras. Resultados. Emergieron tres síntesis que guiaron la discusión: Los retos de ser profesional de enfermería en la pandemia, El aprendizaje y el crecimiento que generaron los retos de la pandemia, y La enfermería como protagonista del cuidado. A pesar de las limitaciones, el CCV fue un espacio que proporcionó una interacción social entre los participantes, con intercambio mutuo de experiencias, con muchas reflexiones, así como expresiones de sentimientos, vivencias y aprendizajes obtenidos durante la Pandemia de COVID-19. Conclusión. Las participantes perciben que, aunque el momento destaca y valora la profesión, están sobrecargados y agotados por la pandemia del COVID-19, lo cual ha tenido repercusiones en la vida profesional y personal. El cuidado para las personas que cuidan requiere planificarse y ser implementado en los diferentes escenarios. El Proceso de Enfermería, construido con base en los conocimientos teóricos y científicos, debe servir de guía para la mejora efectiva de la calidad de los cuidados de salud.

Objetivo. Dialogar sobre a percepção dos profissionais da enfermagem no que tange ao enfrentamento da COVID-19 e as repercussões em sua prática profissional e em sua vida pessoal. Métodos. Estudo qualitativo do tipo pesquisa ação participante, realizado por meio do Itinerário de Pesquisa de Paulo Freire atrelado às etapas do Processo de Enfermagem. Para tal, se lançou a seguinte pergunta norteadora: Como está sendo para você atuar como profissional da enfermagem na área hospitalar durante a pandemia de COVID-19? Resultados. Emergiram três sínteses que nortearam a discussão: Os desafios de ser profissional de enfermagem na pandemia. Os aprendizados e crescimentos que os desafios da pandemia geraram e A enfermagem como protagonista do cuidado. O Círculo de Cultura Virtual foi um espaço onde, apesar das limitações, proporcionou uma interação social entre as participantes, com trocas de experiências mútuas, com muitas reflexões, além de expressões de sentimentos, vivências e aprendizados obtidos durante a pandemia da COVID-19. Conclusão. Os enfermeiros perceberem que, embora o momento destaque e valorize a profissão, estão sobrecarregados e extenuados pela pandemia da COVID-19, que repercutiu em sua vida profissional e pessoal. O cuidado para quem cuida necessita ser planejado e implementado nos diferentes cenários, e o Processo de Enfermagem construído com base em conhecimentos teóricos e científicos, guia a efetiva melhoria da qualidade da assistência à saúde.

Humanos , Saúde do Trabalhador , Assistência Hospitalar , COVID-19 , Processo de Enfermagem
Enferm. glob ; 21(65): 687-701, ene. 2022. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-203716


Objetivo: Identificar los indicadores empíricos de las necesidades humanas básicas y sociales que se encuentran en la atención de enfermería a las personas tratadas en las Unidades de Tratamiento de Quemaduras.Materiales y Método: Estudio descriptivo, transversal y exploratorio del tipo revisión integradora de literatura. Se identificaron 265 artículos, seleccionándose, tras el uso de los criterios de inclusión y exclusión, 16 estudios. Los datos recogidos se ingresaron en hojas de trabajo para el análisis estadístico descriptivo y de inferencia, analizándolos utilizando Microsoft Office Excel 2010 y el software Statistical Package for the Social Sciences (SPSS) versión 20.0. La distribución de indicadores empíricos se realizó, los cuales se discutieron basándose en producciones científicas en el área.Resultados: La búsqueda resultó en la identificación de 113 indicadores empíricos en total, 89 correspondientes a necesidades psicobiológicas, 21 a necesidades psicosociales y 03 a necesidades psico-espirituales. Las necesidades que más presentaron indicadores empíricos fueron Necesidad de regulación vascular (n=18) y Necesidad de oxigenación (n=16). Sin embargo, la necesidad de seguridad emocional mostró indicadores más frecuentes.Conclusión: Se encontró que la quemadura, además de afectar la integridad física, también afecta los aspectos emocionales, contribuyendo a los cambios en la integridad mental. La existencia de pocos estudios con el tema resalta la necesidad de producción científica relacionada con el tema, con el fin de contribuir a la práctica de la enfermería humana y holística (AU)

Objective: To identify the empirical indicators of basic and social human needs found in nursing care for people treated in Burn Treatment Units.Materials and Method: Descriptive, cross-sectional and exploratory study of the integrative literature review type. After applying inclusion and exclusion criteria, 16 of the 265 articles identified made up the sample. The data collected were inserted in spreadsheets for descriptive statistical analysis and inferences, analyzed using the Microsoft Office Excel 2010 program and the Statistical Package for the Social Sciences (SPSS) version 20.0 software. The distribution of empirical indicators was carried out, which were later discussed based on scientific productions in the area.Results: The search resulted in the identification of 113 empirical indicators, 89 corresponding to psychobiological needs, 21 to psychosocial needs and 03 to psycho-spiritual needs. The needs that most presented empirical indicators were Need for Vascular Regulation (n=18) and Need for Oxygenation (n=16). However, the Need for Emotional Security showed more frequent indicators.Conclusion: The burn, in addition to affecting physical integrity, also affects emotional aspects, contributing to changes in mental integrity. The existence of few studies with the theme highlights the need for scientific production related to the theme, in order to contribute to human and holistic nursing practice (AU)

Objetivo: Identificar os indicadores empíricos das necessidades humanas básicas e sociais encontrados na assistência de enfermagem à pessoa atendida em Unidades de Tratamento ao Queimado.Materiais e Método: Estudo descritivo, transversal e exploratório do tipo revisão integrativa da literatura. Foram identificados 265 artigos, que após os critérios de inclusão e exclusão, 16 estudos compuseram a amostra. Os dados coletados foram inseridos em planilhas para análises estatísticas descritivas e inferências, analisados utilizando o programa Microsoft Office Excel 2010 e o software Statistical Package for Social Sciences (SPSS) versão 20.0. Foi realizada a distribuição dos indicadores empíricos e, posteriormente, discutidos a partir de produções científicas da área.Resultados: A busca resultou na identificação de 113 indicadores empíricos no total, sendo 89 correspondendo às necessidades psicobiológicas, 21 às necessidades psicossociais e 03, às necessidades psicoespirituais. As necessidades que mais apresentaram indicadores empíricos foram Necessidade de Regulação Vascular (n=18) e Necessidade de Oxigenação (n=16). No entanto, a Necessidade de Segurança Emocional apresentou indicadores mais frequentes.Conclusão: Constatou-se que a queimadura além de afetar a integridade física atinge, também, aspectos emocionais, contribuindo para alterações da sua integridade mental. A existência de poucos estudos com a temática evidencia a necessidade da produção científica relacionada ao tema, a fim de contribuir para a prática humana e holística de enfermagem (AU)

Humanos , Processo de Enfermagem , Cuidados de Enfermagem , Unidades de Queimados , Queimaduras/enfermagem
Comput Math Methods Med ; 2022: 8169963, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35295197


Objective: To survey the application of PDCA (plan, do, check, and action) process management in day operation ward and the influence of nursing quality and safety. Methods: The routine nursing management was carried out in our hospital from March 2019 to March 2020, which was set as the control group (N = 20), and the PDCA process management was implemented from March 2020 to March 2021 as the research group (N = 20). Twenty nurses and patients were selected as subjects in two periods of time. The nursing quality, the score of individual quality control examination in clinical department, the nursing quality of operating room, the incidence of adverse events and nursing errors, the number of problems existing in the quality management of nursing documents, and the score of nursing satisfaction were accessed. Results: In the comparison of nursing quality, the nursing safety, specialty quality, and nursing norms of the study group were higher compared to the control (P < 0.05). In terms of the scores of individual quality control examination in clinical departments, the scores of ward management, rescue, therapeutic articles, drug management, first-level nursing, nursing documents, and head nurses in the study group were greater compared to the control (P < 0.05). In terms of the operating room nursing quality score, the instrument management, instrument preparation, nurses' cooperation skills, disinfection and isolation quality, and the total score of the study group were above the control (P < 0.05). In terms of the incidence of operative adverse events and nursing errors, the incidence of nosocomial infection, iatrogenic injury, information check error, equipment failure, violation of operation regulations, ECG monitoring error, infusion operation error, and medication error in the study group was lower compared to the control (P < 0.05). According to the comparison of the number of problems existing in the quality management of nursing documents, the number of problems in temperature sheet, medical order, evaluation sheet, nursing record, and other nursing documents in the study group was lower than the control (P < 0.05). The scores of nursing communication, professional technology, nursing service attitude, nursing environment, and knowledge education in the study group were higher in contrast to the control (P < 0.05). Conclusion: The application of PDCA management can effectively enhance the nursing quality and safety of the day operation ward, further facilitate the quality of hospital nursing work, and improve patient satisfaction, which exert great potential, and application value in the management of day ward in the future.

Processo de Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Adulto , China , Biologia Computacional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Processo de Enfermagem/normas , Processo de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/normas , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Satisfação do Paciente/estatística & dados numéricos , Qualidade da Assistência à Saúde/organização & administração , Qualidade da Assistência à Saúde/normas , Qualidade da Assistência à Saúde/estatística & dados numéricos , Adulto Jovem
Comput Math Methods Med ; 2022: 6440138, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35309831


This study was aimed at exploring the effect of ultrasound image evaluation of comprehensive nursing scheme based on artificial intelligence algorithms on patients with diabetic kidney disease (DKD). 44 patients diagnosed with DKD were randomly divided into two groups: group A (no nursing intervention) and group B (comprehensive nursing). In the same period, 32 healthy volunteers were selected as the control group. Ultrasonographic images based on the K non-local-means (KNL-Means) filtering algorithm were used to perform imaging examinations in healthy people and DKD patients before and after care. The results suggested that compared with those of the SAE reconstruction algorithm and KAVD reconstruction algorithm, the PSNR value of artificial bee colony algorithm reconstruction of image was higher and the MSE value was lower. The resistant index (RI) of DKD patients in group B after nursing was 0.63 ± 0.06, apparently distinct from the RI of the healthy people (controls) in the same group (0.58 ± 0.06) and the RI of DKD patients in group A (0.68 ± 0.07) (P < 0.05). The incidence rate of complications in DKD patients in group B was apparently inferior to that in group A. After comprehensive nursing intervention (CNI), the scores of all dimensions of quality of life (QoL) in DKD patients in group B were obviously superior versus those in DKD patients in group A. It suggests that implementation of nursing intervention for DKD patients can effectively help patients improve and control the level of renal function, while ultrasound images based on intelligent algorithm can dynamically detect the changes in the level of renal function in patients, which has the value of clinical promotion.

Algoritmos , Inteligência Artificial , Nefropatias Diabéticas/diagnóstico por imagem , Nefropatias Diabéticas/enfermagem , Ultrassonografia/estatística & dados numéricos , Adulto , Idoso , Idoso de 80 Anos ou mais , Biologia Computacional , Feminino , Humanos , Interpretação de Imagem Assistida por Computador/estatística & dados numéricos , Rim/irrigação sanguínea , Rim/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Processo de Enfermagem/estatística & dados numéricos , Qualidade de Vida , Circulação Renal , Ultrassonografia Doppler em Cores/estatística & dados numéricos
Comput Math Methods Med ; 2022: 6940715, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35136418


OBJECTIVE: To systematically evaluate the effect of collaborative nursing on self-care ability of postcolostomy patients with colorectal cancer (CRC). METHODS: PubMed, Web of Science, Embase, China National Knowledge Infrastructure, and Wanfang databases were searched to collect relevant literatures on randomized controlled trials of postcolostomy patients with CRC. The search period was started from 2010 to 2021. Statistical analysis was performed on the data extracted from the comprehensive meta-analysis with STATA 16.0 analysis software. RESULTS: As a result, it was found that the incidence of adverse reactions in the control group was higher than that in the treatment group. Seven studies included the preintervention self-care concept and preintervention self-care skills. Six studies included preintervention self-care responsibility and preintervention exercise of self-care agency (ESCA) scale. In the comparison among the concept of self-care after intervention, self-care skills, self-care responsibility, and ESCA scale, all of them had higher scores in the treatment group than in the control group (P < 0.05). It fully explains that collaborative nursing can significantly improve the evaluation indicators of patients' self-care ability and reduce patient complications. CONCLUSION: The application of collaborative nursing in the nursing work of patients with CRC after colostomy can significantly reduce the incidence of adverse nursing reactions.

Neoplasias Colorretais/enfermagem , Neoplasias Colorretais/cirurgia , Colostomia/enfermagem , Cuidados Pós-Operatórios/enfermagem , China , Colostomia/efeitos adversos , Biologia Computacional , Humanos , Processo de Enfermagem , Complicações Pós-Operatórias/enfermagem , Complicações Pós-Operatórias/prevenção & controle , Ensaios Clínicos Controlados Aleatórios como Assunto , Autocuidado
Comput Math Methods Med ; 2022: 5092969, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35103070


The onset of bronchiolitis is closely related to the anatomical characteristics of the bronchi in children of this age. This kind of injury is caused by epithelial necrosis, nasal mucosa, and mucosal edema caused by narrowing and blockage of the trachea. Children with this serious phenomenon will have respiratory and heart failure, which threatens the life of children to a large extent. In this paper, based on image enhancement technology, hypertonic saline aerosol inhalation treatment of pediatric bronchiolitis nursing care, through related cases, the application of image enhancement technology in hypertonic saline aerosol inhalation therapy and pediatric bronchiolitis is analyzed, and the tone mapping function is used. Tone mapping functions, hereditary arithmetics, and slope regimes for experimental field capture and detection were used for the objective of therapeutic approaches for the treatment of pediatric capillary pneumonia by hypertonic inhalation. Experimental results show that imaging technology hypertonic inhalation can control the main symptoms of bronchiolitis in infants and young children. Inhalation of 3% saline can shorten the course of moderately chronic children to half a year and can reduce the length of hospital stay by a quarter of the original requires hospitalization time, and the cure rate of pediatric bronchiolitis is increased to 93.7%.

Bronquite/enfermagem , Bronquite/terapia , Solução Salina Hipertônica/administração & dosagem , Administração por Inalação , Algoritmos , Bronquiolite/diagnóstico por imagem , Bronquiolite/enfermagem , Bronquiolite/terapia , Bronquite/diagnóstico por imagem , Biologia Computacional , Feminino , Humanos , Aumento da Imagem/métodos , Lactente , Masculino , Nebulizadores e Vaporizadores , Avaliação em Enfermagem , Processo de Enfermagem
JBI Evid Synth ; 20(5): 1330-1337, 2022 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-35066559


OBJECTIVE: This review aims to continuously map the nursing knowledge about people with paresis of voluntary muscles in any context of care. INTRODUCTION: Muscle paresis is a condition that significantly impacts quality of life. Nurses have a crucial role in managing this condition, particularly paresis of voluntary movement muscles. However, nursing knowledge about patients with paresis of voluntary muscles is dispersed, hampering the integration of evidence within the structure of information systems. Mapping how the nursing process components are identified is the first step in creating a Nursing Clinical Information Model for this condition, capable of integrating evidence into information systems. INCLUSION CRITERIA: This scoping review will consider studies focusing on the nursing process regarding people with paresis of voluntary muscles in all care contexts. The review will include quantitative, qualitative, and mixed-methods study designs, systematic reviews, clinical guidelines, dissertations, and theses. METHODS: The review process will follow JBI's scoping review guidance, as well as the Cochrane Collaboration's guidance on living reviews. Screening of new literature will be performed regularly, with the review being updated according to new findings. The search strategy will map published and unpublished studies. The databases to be searched will include MEDLINE, CINAHL, Scopus, JBI Evidence Synthesis , and the Cochrane Central Register of Controlled Trials. Searches for unpublished studies will include OpenGrey and Repositorios Científicos de Acesso Aberto de Portugal. Studies published in English and Portuguese from 1975 will be considered for inclusion. REGISTRATION: Open Science Framework:

Processo de Enfermagem , Qualidade de Vida , Humanos , Músculo Esquelético , Paresia , Portugal , Literatura de Revisão como Assunto
Bull Cancer ; 109(2): 139-150, 2022 Feb.
Artigo em Francês | MEDLINE | ID: mdl-35034787


BACKGROUND: Advanced practice nursing was introduced in France in 2018, in response to health needs. The first advanced practice nurses were graduated since 2019 and were trained in one among four medical areas including oncology and onco-hematology. The purpose of this article is to make an early assessment of the development of the profession of oncology Advanced Practice Nurse in France. METHOD: An exploratory study was conducted. A sample of 44 onco-hematology IPA graduated in 2019 and 2020 was recruited from June 2021 to end of July 2021. The 44 participants completed a questionnaire, by phone interviews or self-administered. RESULTS AND CONCLUSION: The distribution of the 44 participants concerns 12 of the 13 regions of metropolitan France. This profession shows an employability for 86% of the first graduates. These professionals practice in health care institutions and rather in oncology, 71% in the framework of an organizational protocol established with the oncologist. They appear to be well accepted by patients and oncology teams. Further studies on performance and quality indicators will make it possible to evaluate the added value of the oncology Advanced Practice Nurses in the cancer patient's pathway.

Hematologia , Recursos Humanos de Enfermagem/provisão & distribuição , Enfermagem Oncológica , Inquéritos e Questionários/estatística & dados numéricos , Emprego/estatística & dados numéricos , França , Hematologia/educação , Hematologia/organização & administração , Hematologia/estatística & dados numéricos , Humanos , Processo de Enfermagem/estatística & dados numéricos , Enfermagem Oncológica/educação , Enfermagem Oncológica/organização & administração , Enfermagem Oncológica/estatística & dados numéricos
Clin Nurs Res ; 31(3): 395-403, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34628951


The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 (n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.

COVID-19 , Processo de Enfermagem , Terminologia Padronizada em Enfermagem , Adulto , COVID-19/epidemiologia , Estudos Transversais , Surtos de Doenças , Humanos , Diagnóstico de Enfermagem , Adulto Jovem