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Eur J Oncol Nurs ; 45: 101725, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32044721


PURPOSE: Addressing psychosocial distress is an essential part of cancer care. Therefore, nurses at the University Hospital Zurich have been screening all cancer inpatients with the Distress Thermometer (DT) since 2012. Screening is ineffective without any form of psychosocial intervention. We aimed to identify adherence to the screening protocol and how the reported problems influenced the nursing process. We compared changes in the documentation before and after screening implementation. METHODS: This retrospective descriptive study used screening data and documentation of psychosocial items in the nursing process of inpatients at an oncologic ward. These data were compared with data obtained before screening implementation and were collected from electronic health records. All data were analyzed descriptively. RESULTS: 65% (N = 1111) of the 2166 inpatients were screened. With the implementation, more psycho-oncological referrals were made (4.5% vs. 11.7%) and more psychosocial issues were described in the nursing process (24.6% vs. 51.2%). Inpatients mentioned emotional problems in 37.5% (N = 353) and physical problems in 47.4% (N = 504) of cases. 15.7% (147) had a psychosocial nursing diagnosis. Only 10.7% (N = 26) of patients who noted anxiety, also had a nursing diagnosis of "anxiety". In contrast, 71.1% (N = 202) of patients who noted pain, had a nursing diagnosis of "pain". CONCLUSIONS: Although nurses are more sensitised to psychosocial issues after DT implementation, they do not use screening results to adapt nursing documentation to the psychosocial needs of the patients. Further studies are needed to investigate how distress screening and psychosocial issues can be integrated into nurses' daily work.

Programas de Rastreamento/normas , Neoplasias/enfermagem , Neoplasias/psicologia , Processo de Enfermagem/estatística & dados numéricos , Enfermagem Psiquiátrica/normas , Encaminhamento e Consulta/normas , Estresse Psicológico/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Enfermagem Psiquiátrica/estatística & dados numéricos , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Suíça , Adulto Jovem
AORN J ; 111(2): 199-210, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31997319


Workplace bullying is an important nursing issue that can influence a nurse's propensity to commit practice errors. This systematic review examines the influence of bullying behaviors on nursing practice errors and includes articles from 2012 to 2017 that focus on bullying among nurses in multiple health care settings, including ORs, emergency departments, and acute inpatient and critical-care units. Analysis of 14 relevant articles revealed four themes: the influence of the work environment on nursing practice errors, individual-level connections between bullying and nursing practice errors, barriers to teamwork, and communication impairment. This review indicates that nurses perceive that bullying influences nursing practice errors and patient outcomes, although the mechanisms are unclear. Additional research is needed to elucidate the effects of bullying on nursing practice errors and patient outcomes.

Erros Médicos/psicologia , Enfermeiras e Enfermeiros/psicologia , Processo de Enfermagem/normas , Violência no Trabalho/psicologia , Humanos , Erros Médicos/estatística & dados numéricos , Enfermeiras e Enfermeiros/estatística & dados numéricos , Processo de Enfermagem/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/normas
Aust Crit Care ; 33(1): 71-79, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-30910478


BACKGROUND: Organisational and unit-level context can have a significant impact on implementation of evidence in practice, the latter being particularly important in the complex intensive care context. Evaluating the context may allow modifiable characteristics to be identified and addressed. OBJECTIVES: The objective was to examine the relationship between dimensions of the context and research utilisation in one intensive care unit. METHODS: This study used a quantitative cross-sectional survey. All registered nurses working in one Australian quaternary referral hospital intensive care unit were surveyed using the Alberta Context Tool and research utilisation instrument. Descriptive statistics were used, and bivariate analysis was undertaken to determine associations among demographic data, dimensions of context, and research utilisation. RESULTS: The survey response rate was 33% (67/205). Most respondents were women with a mean of 8 years of intensive care nursing experience. The dimensions of culture, evaluation, informal interactions, structural/electronic resources, and organisational slack (time and space) were positively correlated with research utilisation. CONCLUSIONS: Research utilisation was associated with numerous context dimensions, emphasising their effect on knowledge translation in this setting. Intensive care nurses are in a unique position to impact care delivery and provide evidence-based care to ensure optimal outcomes to patients at high risk of morbidity and mortality. Identified dimensions may be targeted and developed in future strategies to optimise the context for translating evidence into this complex practice environment.

Enfermagem de Cuidados Críticos/estatística & dados numéricos , Unidades de Terapia Intensiva/estatística & dados numéricos , Processo de Enfermagem/estatística & dados numéricos , Adulto , Austrália , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários
J Nurs Care Qual ; 35(1): 34-39, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30998558


BACKGROUND: The Kamishibai Card (K-Card) process is a storytelling methodology designed to help identify barriers and remove or redesign them. PURPOSE: The purpose of this study was to evaluate the effectiveness of the K-Card process for central venous line (CVL) maintenance bundle compliance in a pediatric intensive care unit. METHODS: A retrospective evaluation of the implementation of the K-Card process was performed using a pretest and posttest design. RESULTS: A total of 1003 central venous catheter maintenance observations were completed during the study period. A statistically significant change was noted in one element of the CVL maintenance bundle, tubing timed and dated. The most frequent cause for noncompliance with the CVL maintenance bundle was incomplete communication during handoff, followed by device associated factors (failure of device, use of device, and availability of device). CONCLUSIONS: The K-Card process had a positive impact on CVL maintenance bundle compliance in the study setting.

Cateterismo Venoso Central/normas , Fidelidade a Diretrizes/normas , Controle de Infecções/normas , Processo de Enfermagem/normas , Infecções Relacionadas a Cateter/prevenção & controle , Cateterismo Venoso Central/métodos , Cateterismo Venoso Central/estatística & dados numéricos , Cateteres Venosos Centrais/efeitos adversos , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Controle de Infecções/métodos , Controle de Infecções/estatística & dados numéricos , Processo de Enfermagem/estatística & dados numéricos , Melhoria de Qualidade , Estudos Retrospectivos
Nurs Leadersh (Tor Ont) ; 33(4): 35-44, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33616524


At the onset of the COVID-19 pandemic, an immediate priority for nurse leaders was to develop a care delivery plan to address anticipated surges in patient volumes and potential staff shortages. This article describes actions taken to enhance patient care capacity. Strategies included reviewing the competencies of nurses and other health professionals, mapping out redeployment pathways, preparing nurses and other health professionals for redeployment as needed and creating a collaborative care team model. This article includes an in-depth focus on the design, implementation and outcomes of an innovative role for fourth-year nursing students in the collaborative care team model.

Fortalecimento Institucional/métodos , Processo de Enfermagem/normas , Assistência ao Paciente/métodos , Assistência à Saúde/métodos , Assistência à Saúde/tendências , Humanos , Processo de Enfermagem/estatística & dados numéricos , Pandemias/prevenção & controle , Pandemias/estatística & dados numéricos
East Mediterr Health J ; 25(3): 181-188, 2019 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-31054228


Background: Information on the scope of nursing practice is urgently needed in the Eastern Mediterranean region to help policy makers and directors of nursing develop informed workforce plans. Aims: This study aimed to validate the Arabic translation and cultural adaptation of the Actual Scope of Practice Questionnaire (A-ASCOP). Methods: The process of translation and cultural validation adhered to WHO guidelines. The process involved forward translation, review by an expert panel, back-translation, pre-testing and cognitive interviewing. Results: The clarity, meaningfulness and relevance of the first Arabic version of the A-ASCOP has been validated. Conclusion: Subject to psychometric analysis, the A-ASCOP is suitable for use in Lebanon and countries of the Middle Eastern region.

Processo de Enfermagem/estatística & dados numéricos , Adulto , Cultura , Humanos , Líbano , Oriente Médio , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Tradução , Adulto Jovem
Perspect Psychiatr Care ; 55(4): 624-631, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30990906


PURPOSE: In this study, we aimed to determine the relationship between communication competence and patient care behaviors of nurses. DESIGN AND METHODS: The study was designed as a descriptive relational study and conducted in Akdeniz University Hospital between March 2018 and May 2018. Data of this study were collected from clinical nurses working in Akdeniz University Hospital. The study was carried out with 262 nurses who accepted to agreed participate in the study. FINDINGS: Of all nurses, 97% were college graduates, 63% were married, and 35% had working experience between 5 and 9 years. There was a moderate positive correlation between communicative competence and care behaviors of nurses (r = 0.5, P < 0.01). PRACTICE IMPLICATIONS: More training can be implemented to educate nurses about communication barriers to equip them with effective communication skills and strategies. The nursing process is a scientific method of exercising and implementing of nursing care, this is only achieved through dialogue, interpersonal environment, and specific verbal and nonverbal communication skills. In service training of nurses on effective communicative techniques will inevitably have a positive impact rather than reflection on patient care.

Competência Clínica , Comunicação , Relações Enfermeiro-Paciente , Processo de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Adulto , Competência Clínica/estatística & dados numéricos , Feminino , Humanos , Masculino , Processo de Enfermagem/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Turquia
Rev. pesqui. cuid. fundam. (Online) ; 11(3): 700-706, abr.-maio 2019. il
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-988187


Objective: The study's purpose has been to analyze the contributions of the Nursing Care Systematization (NCS) with regards to the care provided to the chronic renal failure-bearing patient, and then identifying the main nursing diagnoses found. Methods: It is an integrative literature review that was carried out at the databases/libraries, namely, MEDLINE, LILACS, SciELO and BDENF. This research followed the methodology comprised by six stages as proposed by Lawrence H. Ganong. Results: 15 articles were included in this study. They emphasized that the NCS is a study-based importance instrument, which has a direct impact on the patient safety. The studies also showed the following as the main nursing diagnoses: risk of infection, activity intolerance, risk of ineffective renal perfusion and altered sleep pattern. Conclusion: Notwithstanding the prominent NCS importance, though in a controversial way, the workers do not have enough knowledge and do not demand enough personnel to perform the work adequately in the nephrology services due to work overload

Objetivo: Analisar as contribuições da sistematização da assistência de enfermagem (SAE) no cuidado prestado ao paciente com Insuficiência Renal Crônica, identificando os principais diagnósticos de enfermagem encontrados. Método: foi realizado uma revisão integrativa de literatura, nas bases/bibliotecas de dados MEDLINE, LILACS, SciELO e BDENF. Seguindo a metodologia composta por seis etapas, proposta por Lawrence H. Ganong. Resultados: obteve-se 15 artigos que compuseram na integra esta pesquisa. Os quais destacaram que a SAE é um instrumento de importância fundamentada nos estudos, que impacta de maneira direta na segurança do paciente. Trazendo ainda como principais diagnósticos de enfermagem: Risco de infecção, intolerância a atividade, risco de perfusão renal ineficaz e padrão de sono alterado. Conclusão: apesar da importância destacada da SAE, de maneira controvérsia, os trabalhadores não possuem conhecimento suficiente e não demandam de pessoal o suficiente para exercer a de maneira adequada nos serviços de nefrologia, devido à sobrecarga de trabalho

Objetivo: Analizar las contribuciones de la sistematización de la asistencia de enfermería (SAE) en el cuidado prestado al paciente con Insuficiencia Renal Crónica, identificando los principales diagnósticos de enfermería encontrados. Método: se realizó una revisión integrativa de literatura, en las bases / bibliotecas de datos MEDLINE, LILACS, SciELO y BDENF. Siguiendo la metodología compuesta por seis etapas, propuesta por Lawrence H. Ganong. Resultados: se obtuvieron 15 artículos que compusieron en la integración de esta investigación. Los cuales destacaron que la SAE es un instrumento de importancia fundamentada en los estudios, que impacta de manera directa en la seguridad del paciente. Tratándose además como principales diagnósticos de enfermería: Riesgo de infección, intolerancia a la actividad, riesgo de perfusión renal ineficaz y patrón de sueño alterado. Conclusión: a pesar de la importancia destacada de la SAE, de manera controvertida, los trabajadores no poseen conocimiento suficiente y no demandan de personal suficiente para ejercer la adecuada en los servicios de nefrología, debido a la sobrecarga de trabajo

Humanos , Masculino , Feminino , Insuficiência Renal Crônica/enfermagem , Processo de Enfermagem/tendências , Processo de Enfermagem/estatística & dados numéricos , Cuidados de Enfermagem/métodos
Rev. pesqui. cuid. fundam. (Online) ; 11(1): 181-185, jan.-mar. 2019. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-968604


Objetivo: Identificar as dificuldades dos acadêmicos de enfermagem na aplicabilidade da Sistematização da Assistência de Enfermagem. Método: Estudo do tipo analítico transversal, realizada com discentes do curso de graduação em Enfermagem, no período de agosto a outubro de 2014. Para análise, foi realizado cálculo das frequências e percentuais estatísticos. O estudo foi aprovado pelo CEP da Universidade do Estado do Amazonas sob n. CAAE 36848914.0.0000.5016. Resultados: Dentre os 66 participantes, 52 (78,8%) afirmam que a SAE é utilizada nos campos de estágio e que possuem dificuldade em desenvolver as etapas do Processo de Enfermagem, principalmente, o Diagnóstico de Enfermagem 31 (47%) e prescrição de enfermagem 21 (31,8%). Além disso, os discentes reconhecem a importância da SAE para o estabelecimento de metas e como ferramenta para o cuidar. Conclusão: Os acadêmicos de enfermagem têm encontrado dificuldade na aplicação no processo de enfermagem como instrumento de trabalho

Objective: To identify the difficulties of nursing students in the applicability of Nursing Care Systematization. Methods: Cross sectional analytical study, carried out with undergraduate nursing students, from August to October 2014. For the analysis, the statistical frequencies and percentages were calculated. The study was approved by the CEP of the State University of Amazonas under No. CAAE 36848914.0.0000.5016. Results: Among the 66 participants, 52 (78.8%) stated that the SAE isused in the training fields and that they have difficulty in developing the stages of the Nursing Process, mainly Nursing Diagnosis 31 (47%) and prescription Of nursing 21 (31.8%). In addition, students recognize the importance of SAE in setting goals and as a tool for caring. Conclusion: Nursing scholars have found difficulty in applying the nursing process as a working tool

Objetivo: Identificar las dificultades de los académicos de enfermería en la aplicabilidad de la Sistematización de la Asistencia de Enfermería. Métodos: Estudiodel tipo analítico transversal, realizada con discentes del curso de graduación en Enfermería, en el período de agosto a octubre de 2014. Para análisis, se realizó cálculo de las frecuencias y porcentajes estadísticos. El estúdio fueaprobado por el CEP de la Universidad del Estado de Amazonas bajo Nº CAAE 36848914. Resultados: Entre los 66 participantes, 52 (78,8%) afirman que la SAE es utilizada en los campos de práctica y que tienen dificultad en desarrollar las etapas del Proceso de Enfermería, principalmente, el Diagnóstico de Enfermería 31 (47%) y prescripción de enfermería 21 (31,8%). Además, los Estudiantes reconocen la importancia de la SAE para el establecimiento de metas y como herramienta para el cuidado. Conclusión: Los académicos de enfermeríahan encontrado dificultad en la aplicación en el proceso de enfermería como instrumento de trabajo

Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Estudantes de Enfermagem , Educação em Enfermagem , Processo de Enfermagem/estatística & dados numéricos , Aprendizagem , Cuidados de Enfermagem
Am J Perinatol ; 36(11): 1150-1156, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-30553235


OBJECTIVE: To determine the rate of therapeutic hypothermia (TH) use, current practices, and long-term follow-up. STUDY DESIGN: Prospective cross-sectional national survey with 19 questions related to the assessment of hypoxic-ischemic encephalopathy (HIE) and TH practices. An online questionnaire was made available to health care professionals working in neonatal care in Brazil. RESULTS: A total of 1,092 professionals replied, of which 681 (62%) reported using TH in their units. Of these, 624 (92%) provided TH practices details: 136 (20%) did not use any neurologic score or amplitude-integrated electroencephalogram (aEEG) to assess encephalopathy and 81(13%) did not answer this question. Any specific training for encephalopathy assessment was provided to only 81/407 (19%) professionals. Infants with mild HIE are cooled according to 184 (29%) of the respondents. Significant variations in practice were noticed concerning time of initiation and cooling methods, site of temperature measurements and monitoring, and access to aEEG, electroencephalogram (EEG), and neurology consultation. Only 19% could perform a brain magnetic resonance imaging (MRI), and 31% reported having a well-established follow-up program for these infants. CONCLUSION: TH has been implemented in Brazil but with significant heterogeneity for most aspects of hypothermia practices, which may affect safety or efficacy of the therapy. A step forward toward quality improvement is important.

Hipotermia Induzida/estatística & dados numéricos , Terapia Intensiva Neonatal/estatística & dados numéricos , Padrões de Prática Médica/estatística & dados numéricos , Brasil , Estudos Transversais , Pesquisas sobre Serviços de Saúde , Humanos , Hipotermia Induzida/métodos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal , Processo de Enfermagem/estatística & dados numéricos , Fisioterapeutas/estatística & dados numéricos , Estudos Prospectivos , Tempo para o Tratamento
J Nurs Care Qual ; 34(3): 236-241, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30198954


BACKGROUND: Hospital controlled drug processes are established to adhere to legislation, with little consideration of efficiency of processes. LOCAL PROBLEM: A controlled drug process existed, where nurses requested a porter to collect a hand-written order; however, only 19% of drug orders were processed this way. Instead, an unscheduled, ad hoc process led to an average of 17 nurse journeys to pharmacy daily. We aimed to reduce nurse journeys to the pharmacy by 25% to release nursing time. METHODS: A pre-/postintervention design was used with Lean Six Sigma methods. INTERVENTIONS: A multifaceted intervention involved process redesign, increasing the frequency of a porter-led delivery service, amending delivery times to reflect times of greatest need, and streamlining checking requirements. RESULTS: Following implementation, there was a statistically significant 44% decrease in nurse journeys to pharmacy for drug collections, which was maintained after 18 months. CONCLUSIONS: Interprofessional collaboration improving hospital-wide processes can have significant benefits for the release of nursing time.

Substâncias Controladas/administração & dosagem , Sistemas de Medicação/normas , Processo de Enfermagem/estatística & dados numéricos , Humanos , Sistemas de Medicação/legislação & jurisprudência , Processo de Enfermagem/normas , Indicadores de Qualidade em Assistência à Saúde/estatística & dados numéricos , Fatores de Tempo , Gestão da Qualidade Total/métodos
Rev. eletrônica enferm ; 21: 1-11, 2019. ilus, tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1119014


Analisar a validade dos indicadores empíricos das necessidades humanas básicas contidos em um histórico de enfermagem para indivíduos hospitalizados com doenças infectocontagiosas. Pesquisa metodológica, desenvolvida em duas etapas: análise de conteúdo e validação clínica. Na primeira etapa participaram 37 enfermeiros especialistas e, da segunda, 65 indivíduos internados nas clínicas de doenças infectocontagiosas de dois hospitais universitários. Na validação clínica, foram avaliadas a presença e a ausência dos indicadores empíricos. Na análise de conteúdo, foram eliminados 14 indicadores empíricos, considerando o critério de relevância. Quanto aos critérios de clareza e precisão, 33 indicadores empíricos tiveram suas definições operacionais reformuladas, com alfa de Cronbach de 0,967 a 0,986. Na validação clínica, foram realizados ajustes para a estruturação final do histórico de enfermagem. Concluiu-se que os indicadores empíricos do histórico de enfermagem representaram adequadamente o foco de interesse e apresentaram excelente consistência interna.

To analyze the validity of empirical indicators of basic human needs contained in a nursing assessment for individuals hospitalized with infectious diseases. Methodological study developed in two stages: content analysis and clinical validation. A total of 37 specialist nurses participated in the first stage, and in the second stage there were 65 individuals admitted to the infectious disease clinics of two university hospitals. In the clinical validation, the presence and absence of empirical indicators were evaluated. In the content analysis, 14 empirical indicators were eliminated, considering the relevance criterion. Regarding the criteria of clarity and precision, 33 empirical indicators had their operational definitions reformulated, with Cronbach's alpha from 0.967 to 0.986. In clinical validation, adjustments were made to the final structure of the nursing assessment. It was concluded that the empirical indicators of the nursing assessment adequately represented the focus of interest and showed excellent internal consistency.

Humanos , Registros de Enfermagem/estatística & dados numéricos , Doenças Transmissíveis/enfermagem , Processo de Enfermagem/estatística & dados numéricos , Estudo de Validação
Rev. pesqui. cuid. fundam. (Online) ; 10(4): 1111-1117, out.-dez. 2018. tab
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-915699


Objetivo: Avaliar a posicao do enfermeiro frente ao Processo de Enfermagem em um hospital universitario. Método: Estudo transversal analitico, com amostra de 141 enfermeiros. A coleta de dados utilizou o instrumento Posicoes sobre o Processo de Enfermagem, realizou estatistica descritiva e associacoes, por meio do teste qui-quadrado de Pearson, e considerou significante p≤0,05. Resultados: Os escores gerais variaram entre 73 e 138. O escore total medio do instrumento Posicoes sobre o Processo de Enfermagem foi de 113,29 (DP=15,33). Os enfermeiros demonstraram atitudes fortemente favoraveis frente ao Processo de Enfermagem. Apresentar satisfacao com a carreira e com o setor de trabalho e ter conhecimento previo de diagnosticos de Enfermagem foram variaveis relacionadas as atitudes favoraveis frente ao Processo de Enfermagem. Conclusão: Este estudo permitiu concluir que os enfermeiros da instituicao estudada possuem atitudes favoraveis ao Processo de Enfermagem

Objectives: To analyze the Nurse's position on the Nursing Process (NP) at a University Hospital. Method: This is an analytical transversal study, N=141 Nurses. The data collection was done using the Positions on Nursing Process tool. Descriptive statistics and associations, conducted by Pearson's chi-square test. P<0.05 was considered significant. Results: The general scores varied between 73 and 138. The Positions on the Nursing Process total mean score was 113.29 (SD=15.33). The Nurses showing attitudes that are strongly favorable to the Nursing Process. Still, presenting no satisfaction with the career, satisfaction with the work station and having previous knowledge of the Nursing diagnoses are variables related to the attitudes that are favorable to the Nursing Process. Conclusion: This study allows us to conclude that the Nurses at the studied institution have favorable attitudes on the Nursing Process

Objetivos: Analizar la posicion del enfermero frente al Proceso de Enfermeria en un hospital universitario. Método: Estudio transversal analitico, N=141 enfermeros. La coleta de datos fue realizada a traves Del instrumento Posiciones sobre el Proceso de Enfermeria. Estadisticas y asociaciones descriptivas, realizado mediante la prueba de chi-cuadrado de Pearson. P<0,05 fue considerado significativo. Resultados: Las puntuaciones generales variaron entre 73 y 138. La puntuacion total media del PPE fue de 113,29 (DE=15,33). Los enfermeros demostrando actitudes fuertemente favorables al Proceso de Enfermeria. Aun, presentar satisfaccion con La carrera, satisfaccion con el sector de trabajo e tener conocimiento prévio de diagnosticos de Enfermeria de eventos son variables relacionadas a lãs actitudes favorables frente al Proceso de Enfermeria. Conclusión: Este estudio permite concluir que los enfermeros de la institucion estudiada poseen actitudes favorables al Proceso de Enfermeria

Humanos , Masculino , Feminino , Adulto , Enfermeiras e Enfermeiros , Diagnóstico de Enfermagem , Processo de Enfermagem/tendências , Processo de Enfermagem/estatística & dados numéricos , Brasil , Conhecimentos, Atitudes e Prática em Saúde
J Adv Nurs ; 74(12): 2894-2903, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30168158


AIM: To analyze publication patterns of 81 articles included in a "virtual journal." BACKGROUND: From May-July 2017, editors submitted articles from their journals representing distinction in nursing research, education, or practice. Brief responses explained their rationale for article selection. This sample embodied a unique exemplar of excellence in nursing publication and warranted further bibliometric analysis, which was undertaken from February to May 2018. DESIGN/METHOD: Using Scopus, each article (N = 81) was searched to obtain bibliographic information and subsequent second and third generation citations. Three concepts guided the analysis: (a) persistence, rate of subsequent citations over time; (b) reach, geographic distribution of subsequent citations; and (c) dissemination, specialty of follow-on citations represented as nursing or another discipline. Patterns amongst the second and third generation of citations were also examined. RESULTS: Of the 81 articles, 43 (53%) were cited at least once, resulting in 721 second generation citations. There was long-term persistence (N = 2094) over the third and fourth generation citations. There was a wide geographic reach, representing 41 states in the United States and 44 countries. Dissemination was broad with citations in the medical literature eclipsing nursing in the third generation. The highest cited articles were all research reports. Patterns of silos and ripple effect were identified. No pattern could be identified for the 31 articles with zero subsequent citations. CONCLUSION: This study revealed the impact of articles perceived as exemplar representations of 80 different nursing journals. Nursing research is being widely read and cited, both in and outside the profession.

Bibliometria , Educação em Enfermagem/estatística & dados numéricos , Processo de Enfermagem/estatística & dados numéricos , Pesquisa em Enfermagem/estatística & dados numéricos , Publicações Periódicas como Assunto/estatística & dados numéricos , Enfermagem/estatística & dados numéricos
Rev. pesqui. cuid. fundam. (Online) ; 10(3): 696-703, jul.-set. 2018.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-906379


Objetivo: Descrever a operacionalização do Processo de Cuidar em Enfermagem em uma Unidade de Terapia Intensiva (UTI) materna e analisar as barreiras encontradas pelos enfermeiros para pôr em prática o Processo de Enfermagem (PE). Métodos: pesquisa descritiva, exploratória, de abordagem qualitativa. O cenário foi uma UTI materna em Teresina, Piauí. Participaram do estudo 10 Enfermeiros denominados com nomes de deuses. Resultados: a partir das entrevistas, foram elaboradas duas categorias: Conhecimentos sobre o Processo de Enfermagem; Barreiras encontradas na prática do Processo de Enfermagem. Conclusão: percebeu-se que Enfermeiros necessitam ter como complemento para seus conhecimentos a educação permanente, juntamente com a continuada devido à sua importância no PE e que os enfermeiros encontram barreiras importantes para a execução do PE

Objetivo: Describir el funcionamiento del Proceso de Atención de Enfermería en una Unidad de Cuidados Intensivos (UCI) de la madre y analizar las barreras que enfrentan las enfermeras para implementar el proceso de enfermería (PE). Métodos: aproximación descriptiva, exploratoria, cualitativa. El escenario era una UCI materna en Teresina, Piauí. Los participantes del estudio fueron 10 enfermeras llamados dioses con nombres. Resultados: de las entrevistas, se desarrollaron dos categorías: el conocimiento del proceso de enfermería; Barreras encontradas en la práctica del proceso de enfermería. Conclusión: se observó que las enfermeras deben tener, además de su formación continua de conocimientos, junto con un continuo debido a su importancia en el PE y que las enfermeras son las principales barreras para la implementación de la EP

Objective: Describing the operation of the Nursing Care Process in a Maternal Intensive Care Unit (ICU) and analyze the barriers faced by nurses to implement the Nursing Process (PE). Methods: descriptive, exploratory, qualitative approach. The scenario was a maternal ICU in Teresina, Piauí. Study participants were 10 nurses called gods with names. Results: from the interviews, two categories were developed: knowledge of the nursing process; Barriers encountered in the practice of nursing process. Conclusion: it was observed that nurses need to have in addition to their knowledge continuing education, along with continued because of their importance in the EP and that nurses are major barriers to the implementation of the EP

Humanos , Masculino , Feminino , Unidades de Terapia Intensiva , Cuidados de Enfermagem/métodos , Processo de Enfermagem/estatística & dados numéricos , Educação Continuada em Enfermagem
Int J Ment Health Nurs ; 27(5): 1490-1500, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29488299


Quality organizational structures and nursing practices are key to positive patient outcomes. Whereas structures have been largely studied over the past few decades, less is known of the nursing practices that account for patient outcomes, such as patient satisfaction. This is especially true in psychiatric, mental health care settings. The aim of the present study is to determine the relative importance of eight Essential Professional Nursing Practices (EPNPs) on the satisfaction of hospitalized patients on mental health care units. A cross-sectional design was selected; 226 point-of-care mental health nurses completed the online EPNP questionnaire in Spring 2015. Statistical analyses included MANOVAs and a 2-step linear regression. A significant relationship was found between university preparation and scores on two EPNP subscales: autonomous decision-making and practicing with competent nurses. Scores on patient advocacy and control over practice subscales were significantly related to nurse-rated patient satisfaction. The findings reinforce the positive link between university education and the work of nurses and highlight the power dynamics that are salient in mental health care. The pertinence of EPNPs in psychiatric settings is brought to the fore, with practices of patient advocacy and nurse control over care examined in relation to empowerment. Implications for clinical and administrative leaders are addressed, with a focus on strategies for empowering patients and nurses.

Serviço Hospitalar de Enfermagem , Enfermagem Psiquiátrica/métodos , Estudos Transversais , Humanos , Transtornos Mentais/enfermagem , Processo de Enfermagem/estatística & dados numéricos , Satisfação do Paciente , Enfermagem Psiquiátrica/estatística & dados numéricos , Inquéritos e Questionários
AMIA Annu Symp Proc ; 2018: 348-357, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30815074


Documentation burden is a well-documented problem within healthcare, and improvement requires understanding of the scope and depth of the problem across domains. In this study we quantified documentation burden within EHR flowsheets, which are primarily used by nurses to document assessments and interventions. We found mean rates of 633-689 manual flowsheet data entries per 12-hour shift in the ICU and 631-875 manual flowsheet data entries per 12-hour shift in acute care, excluding device data. Automated streaming of device data only accounted for 5-20% of flowsheet data entries across our sample. Reported rates averaged to a nurse documenting 1 data point every 0.82-1.14 minutes, despite only a minimum data-set of required documentation. Increased automated device integration and novel approaches to decrease data capture burden (e.g., voice recognition), may increase nurses' available time for interpretation, annotation, and synthesis of patient data while also further advancing the richness of information within patient records.

Documentação , Processo de Enfermagem/estatística & dados numéricos , Registros de Enfermagem , Carga de Trabalho/estatística & dados numéricos , Enfermagem de Cuidados Críticos , Unidades Hospitalares , Humanos , Armazenamento e Recuperação da Informação , Unidades de Terapia Intensiva , Pesquisa em Enfermagem , Estudos de Tempo e Movimento
Gerokomos (Madr., Ed. impr.) ; 28(1): 42-48, mar. 2017. graf, tab
Artigo em Espanhol | IBECS | ID: ibc-162353


Introducción: El deterioro de la integridad cutánea representa una parte importante de la carga de trabajo en las consultas de enfermería de atención primaria. Objetivo: Cuantificar el tipo de heridas que se tratan en la consulta a demanda. Determinar qué grupo genera mayor demanda asistencial. Cuantificar el tiempo empleado por enfermería en el cuidado de las heridas, en las consultas a demanda. Metodología: estudio observacional multicéntrico urbano y transversal, realizado en el ámbito de la atención primaria en la ciudad de Castellón de la Plana durante enero/febrero de 2015. Resultados: La población incluida en los cinco centros de salud participantes fue de 95 040 habitantes mayores de15 años. La participación de los profesionales de enfermería en la recogida de datos fue del 80,40%. Las heridas quirúrgicas representaron el 40,33%. Las heridas en extremidades inferiores, el 29%; las úlceras por presión, el 14,38%, y otras lesiones el 16,28%, siendo el número total de curas de 2420. La carga de trabajo representa el 39,22% de la consulta de enfermería. Discusión: La ausencia de bibliografía sobre el tema nos impide realizar comparaciones entre estudios. Lo publicado se centra en consultas de nueva creación o atención a heridas agudas en urgencias. Conclusiones: Las heridas quirúrgicas generan mayor demanda de atención, seguidas de las lesiones de las extremidades inferiores y de las heridas no englobadas en otras franjas de estudio. Las úlceras por presión generan menor demanda. Pero el tiempo real de atención es superior en las heridas de las extremidades inferiores, lo que genera una carga de trabajo efectiva superior a las heridas quirúrgicas

Introduction: The deterioration of the skin integrity represents an important part of the workload in the consultations in primary care nursing. Objective: to quantify the type of lesions of the skin integrity are retreated in consultation and determine which group generates higher welfare demand. Quantize the time spent by nurses in wound care, in consultations on demand Methodology: observational multicenter study urban and cross in the field of primary health care in the city of Castellón de la Plana during January/February 2015. Results: The population included in the 5 participating health centres was 95,040 population > 15 years. The participation of nurses in the collection of data was 80,40%. QX wounds they represented (40,33%) injuries in EE.II. (29 %), for pressure ulcers (14.38 %) and other injuries (16.28 %), being the total number of cures of 2,420.The workload represents the 39.22% of the nursing consultation. Discussion: The absence of references on the subject prevents us from comparisons between studies, as published focuses on queries of new creation or acute wounds in emergency care. Conclusions: Are surgical wounds which generate increased demand for care, followed by lesions of the BSII and wounds not included in otherstrips of study, being by pressure ulcers who generate lower demand

Humanos , Técnicas de Fechamento de Ferimentos/estatística & dados numéricos , Processo de Enfermagem/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia , Visita a Consultório Médico/estatística & dados numéricos
Rev Bras Enferm ; 70(1): 220-230, 2017.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28226062


Objective:: to identify evidences from the literature on the application of nursing process in care developed by the nurse in mental health. Method:: integrative literature review between 1990 and 2013, in the PubMed, Scopus, CINAHL and LILCACS bases. Descriptors: nursing processes, mental health, nursing care. Results:: 19 papers were identified. Limited and partial usage of the nursing process in care established by a therapeutic relationship that respects the patient's individuality. We observe care proposals systematized for patients that present pathological aspects in the limits between the physical and psychical, which might be a response to the influence of the practice based on evidences. Conclusion:: it was found an antagonistic movement between care based on the relationship and located in the standardization of diagnoses that respond to physical malaise. A lack of evidence was verified for the usage of the nursing process in mental health, and we point at the necessity for the creation of new possibilities for dialogue between relational and biological perspectives.

Serviços de Saúde Mental/normas , Processo de Enfermagem/estatística & dados numéricos , Enfermagem Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/normas , Humanos , Relações Médico-Enfermeiro
Rev. bras. enferm ; 70(1): 220-230, jan.-fev. 2017. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-843609


RESUMO Objetivo: identificar evidências da literatura sobre a aplicação do processo de enfermagem no cuidado desenvolvido pelo enfermeiro na saúde mental. Método: revisão integrativa da literatura, entre 1990 e 2013, nas bases PubMed, Scopus, CINAHL e LILACS. Descritores: processos de enfermagem, saúde mental, cuidados de enfermagem. Resultados: identificaram-se 19 artigos. Uso limitado e parcial do processo de enfermagem no cuidado estabelecido por meio da relação terapêutica que respeita a individualidade do paciente. Observaram-se propostas de cuidados sistematizados para pacientes que apresentam aspectos patológicos no limite entre físico e psíquico, podendo ser uma resposta à influência da prática baseada em evidências. Conclusão: constatou-se movimento antagônico entre cuidado pautado na relação e situado na padronização de diagnósticos que respondem ao mal-estar físico. Verificou-se falta de evidência para o uso do processo de enfermagem na saúde mental e aponta-se para necessidade da criação de novas possibilidades de diálogo entre perspectivas relacional e biológica.

RESUMEN Objetivo: identificar evidencias de la literatura sobre aplicación del proceso de enfermería en el cuidado brindado por el enfermero en salud mental. Método: revisión integrativa de la literatura, entre 1990 y 2013, bases PubMed, Scopus, CINAHL y LILACS. Descriptores: procesos de enfermería, salud mental, atención de enfermería. Resultados: se identificaron 19 artículos. Uso limitado y parcial del proceso de enfermería en atención, establecido mediante relación terapéutica que respeta la individualidad del paciente. Se observaron propuestas de atención sistematizadas para pacientes con aspectos patológicos limítrofes entre físico y psíquico, pudiendo constituir respuesta a influencia de práctica basada en evidencias. Conclusión: se constató movimiento antagónico entre atención pautada en la relación y referido en estandarización de diagnósticos correspondientes al malestar físico. Se verificó falta de evidencias para uso del proceso de enfermería en salud mental y se expresa necesidad de creación de nuevas posibilidades de diálogo entre perspectivas relacional y biológica.

ABSTRACT Objective: to identify evidences from the literature on the application of nursing process in care developed by the nurse in mental health. Method: integrative literature review between 1990 and 2013, in the PubMed, Scopus, CINAHL and LILCACS bases. Descriptors: nursing processes, mental health, nursing care. Results: 19 papers were identified. Limited and partial usage of the nursing process in care established by a therapeutic relationship that respects the patient’s individuality. We observe care proposals systematized for patients that present pathological aspects in the limits between the physical and psychical, which might be a response to the influence of the practice based on evidences. Conclusion: it was found an antagonistic movement between care based on the relationship and located in the standardization of diagnoses that respond to physical malaise. A lack of evidence was verified for the usage of the nursing process in mental health, and we point at the necessity for the creation of new possibilities for dialogue between relational and biological perspectives.

Humanos , Serviços de Saúde Mental/normas , Processo de Enfermagem/estatística & dados numéricos , Relações Médico-Enfermeiro , Enfermagem Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/normas