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1.
Hu Li Za Zhi ; 67(1): 81-88, 2020 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-31960399

RESUMO

BACKGROUND & PROBLEMS: Early rehabilitation after stroke is important for the recovery of bodily functions in stroke patients. However, the percentage of completion of early limb rehabilitation among stroke patients is only 16%. PURPOSE: Raise the early rehabilitation intervention rate to 88% for patients with stroke within 24 hours of hospitalization. RESOLUTION: We developed an education course on post-stroke rehabilitation and a related e-Learning course as well as organized an 'alliance for recovery' team. In addition, we established a standard for post-stroke relay rehabilitation and designed rehabilitation relay cards, Xbox rehabilitation games, and nine squares challenge for brain stroke care. RESULTS: The accuracy of the knowledge of nursing staff related to physical rehabilitation improved from 72.4% to 100%; the accuracy of their perceptions regarding early limb rehabilitation increased from 16% to 100%; and patient satisfaction increased from 68% to 98%. CONCLUSIONS: We deployed diverse and innovative strategies to assist limb rehabilitation in patients with stroke. Patients and caregivers should be encouraged to participate in early rehabilitation and related programs and should apply the skills and rehabilitation activities learned to daily life.


Assuntos
Extremidades/fisiopatologia , Reabilitação do Acidente Vascular Cerebral/métodos , Reabilitação do Acidente Vascular Cerebral/enfermagem , Acidente Vascular Cerebral/fisiopatologia , Difusão de Inovações , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Satisfação do Paciente/estatística & dados numéricos , Desenvolvimento de Programas
2.
J Nurs Adm ; 50(2): 85-89, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977945

RESUMO

OBJECTIVE: The aim of this study was to examine program effectiveness in changing Caritas leadership, self-caring behaviors, and perceptions of coworkers of participants who completed the Caritas Coach Education Program (CCEP). BACKGROUND: The CCEP has been a highly successful education program for individuals who wish to intellectually and experientially learn to teach, live, and practice human caring theory. METHODS: A pretest-posttest descriptive design was used to evaluate changes in perceptions of self-caring, caritas leadership, and coworker behaviors after completion of CCEP. RESULTS: The mean scores of all measures improved significantly. CONCLUSIONS: After completion of CCEP, participants demonstrated statistically significant changes in 3 caritas measures: leadership, coworker, and self-rating. Caritas Coach participants exhibited the greatest change in their self-caring scores.


Assuntos
Atitude do Pessoal de Saúde , Educação em Enfermagem/organização & administração , Empatia , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Filosofia em Enfermagem , Adulto , Arizona , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde
3.
J Nurs Adm ; 50(2): 90-94, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977946

RESUMO

As the role of nursing grows in healthcare, the engagement of frontline nurses in evidence-based practice, quality improvement, and research is becoming the expectation and no longer the exception. Clinical nurses are in a unique position to inform and implement scholarly projects. The purpose of this staff development and capacity-building project was to increase the output of scholarly work among frontline nurses through the formalization of nursing inquiry support via designated nursing inquiry project coordinators.


Assuntos
Educação Continuada em Enfermagem/organização & administração , Papel do Profissional de Enfermagem , Pesquisa em Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Cultura Organizacional , Desenvolvimento de Pessoal/organização & administração , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
4.
J Nurs Adm ; 50(2): 95-103, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977947

RESUMO

OBJECTIVE: The study objective was to investigate a charge nurse pilot training program as an effective, evidence-based training modality to improve leadership style and resiliency. BACKGROUND: Leadership is inherent and necessary in the charge nurse role. Little published research about charge nurse leadership training programs exists. METHODS: A pre-post design, with intervention and comparison groups, was conducted at an integrated healthcare system. A random sample of charge nurses was selected to pilot a standardized charge nurse leadership training program including in-person learning to foster leadership skills and nurture resiliency. RESULTS: The sample included 19 control participants and 22 intervention participants. Significant improvement was noted in transformational, transactional, leadership outcomes, and resiliency from preintervention to postintervention for the all subjects. Of the 22 intervention participants, the training elicited higher satisfaction with leadership behavior, followed by effectiveness and their ability to motivate. Charge nurses who attended training had higher resiliency scores pre-post intervention. CONCLUSION: The charge nurse pilot training was an effective program that led to improved leadership style and resiliency.


Assuntos
Liderança , Enfermeiras Administradoras/educação , Enfermeiras Administradoras/psicologia , Papel do Profissional de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Supervisão de Enfermagem/organização & administração , Resiliência Psicológica , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Sudeste dos Estados Unidos , Inquéritos e Questionários
5.
J Nurs Adm ; 49(12): 610-616, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31725059

RESUMO

Creating a nursing journal club is an initiative to promote nurses' use of best evidence in practice. A virtual nursing journal club (VNJC) was implemented in a Magnet-designated, midsize community hospital. The VNJC fostered nurses' reading nursing research studies and subsequent interaction with other nurses. The VNJC's formation, implementation, and evaluation are described. Quantitative and qualitative research critique items and an evaluation form are included that are essential to the site's ongoing processes.


Assuntos
Educação Continuada em Enfermagem/métodos , Disseminação de Informação/métodos , Bibliotecas Digitais/organização & administração , Informática em Enfermagem/organização & administração , Pesquisa em Enfermagem/educação , Recursos Humanos de Enfermagem no Hospital/educação , Publicações Periódicas como Assunto , Adulto , Feminino , Hospitais Comunitários , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
6.
Rev Lat Am Enfermagem ; 27: e3179, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596414

RESUMO

OBJECTIVE: to evaluate the effect of an educational program on blood pressure recording for nursing professionals in relation to theoretical knowledge and the quality of these records. METHOD: quasi-experimental study conducted in a hospital service located in the city of São Paulo. The theoretical knowledge of 101 professionals was measured using a validated questionnaire before and after the educational intervention; the quality of blood pressure records was evaluated using a validated form which was applied to 354 records in the pre-intervention period and 288 in the post-intervention period. The educational program was based on active teaching-learning methodologies and consisted of two strategies: expository/dialogue class and a board game. The Wilcoxon, Mann-Whitney, Fisher and Chi-Square tests were used for comparisons, adopting a level of significance of α=0.05. RESULTS: the median of the professionals' scores increased from 19 to 22 points in the post-intervention period (p<0.001). There was an improvement in the quality of the blood pressure recordings regarding the variables: cuff size (p<0.001), arm used in the procedure (p<0.001) and patient position (p<0.001). CONCLUSION: the educational program showed positive results in the promotion of knowledge among nursing professionals and in the improvement of the quality of blood pressure recording.


Assuntos
Determinação da Pressão Arterial/enfermagem , Educação Continuada em Enfermagem/métodos , Recursos Humanos de Enfermagem no Hospital/educação , Adulto , Pressão Sanguínea , Determinação da Pressão Arterial/instrumentação , Brasil , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/normas , Melhoria de Qualidade , Inquéritos e Questionários
7.
J Nurs Adm ; 49(10): 463-465, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31517754

RESUMO

This article describes an innovative academic-practice partnership designed to promote new nurse competency and meet employer needs for graduates with in-demand knowledge and competencies in specialty patient populations. Three practice partners identified areas of need and with the school of nursing developed specialty nursing elective courses with precepted clinical experiences.


Assuntos
Currículo , Bacharelado em Enfermagem/organização & administração , Relações Interinstitucionais , Colaboração Intersetorial , Recursos Humanos de Enfermagem no Hospital/educação , Preceptoria/organização & administração , Adulto , Feminino , Humanos , Masculino , Estados Unidos , Adulto Jovem
8.
J Nurs Adm ; 49(10): 466-472, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31490797

RESUMO

Palliative care (PC) is a national and global priority, yet there is insufficient knowledge regarding PC among generalist clinicians. An interdisciplinary educational initiative was implemented to enhance a hospital workforce's PC knowledge and skills. More than 1000 clinicians attended at least 1 of 27 educational offerings. Measurable gains were evident in key outcome measures including PC referrals and advanced directive documentation. Changes reflected a transformation of workforce culture and resulted in 2 national awards for improving PC.


Assuntos
Educação Continuada em Enfermagem/organização & administração , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/educação , Recursos Humanos de Enfermagem no Hospital/educação , Enfermagem de Atenção Primária/métodos , Adulto , Currículo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
9.
Nurs Older People ; 31(1): 36-38, 2019 Jan 24.
Artigo em Inglês | MEDLINE | ID: mdl-31468921

RESUMO

A simulation-based training course was designed to support the development of nurses' skills in falls assessment and prevention. National guidance on falls risk assessment and prevention was used to develop the course content. The course enabled participants to practise real-life scenarios in a safe environment, reflect on their performance and receive feedback from their peers. The post-course evaluations showed positive feedback with all the nurses reporting benefit from this style of learning. They all thought their participation would have a significant effect on their clinical practice and aid their ability to care for patients who had fallen. On an organisational level, the trust has seen an 11% reduction in the number of falls since the training was introduced in 2016.


Assuntos
Acidentes por Quedas/prevenção & controle , Recursos Humanos de Enfermagem no Hospital/educação , Treinamento por Simulação , Idoso , Competência Clínica , Humanos , Pesquisa em Educação de Enfermagem , Pesquisa em Avaliação de Enfermagem , Medição de Risco
10.
Rev Esc Enferm USP ; 53: e03465, 2019 Jul 29.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31365723

RESUMO

OBJECTIVE: To determine the influence of nurse education and training on attitudes towards communication, emotional intelligence, and empathy. METHOD: A cross-sectional study was conducted using three separate instruments to measure attitudes towards communication, empathy, and emotional intelligence, and two questions to determine the academic qualifications of the study participants. The effect of the variables was tested using one-way ANOVA, Pearson correlations, and hierarchical multiple linear regression. RESULTS: The study sample comprised 438 nurses from hospitals in Valencia, Spain. Differences in subscale scores of the instruments according to degree level and specialized training were observed, showing that nurses with only a degree and less specialized training had lower capacity for empathy and emotional intelligence. The strongest correlations were found between the factors of the communication dimensions. Multiple linear regression showed that perspective taking and emotional clarity had the greatest predictive power. CONCLUSION: Degree level and specialized training were shown to influence the study variables and it is therefore necessary to prioritize education and training programs that promote the development of these skills to ensure improved service quality.


Assuntos
Comunicação , Inteligência Emocional , Empatia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Adulto , Estudos Transversais , Educação em Enfermagem/estatística & dados numéricos , Emoções , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Espanha , Adulto Jovem
11.
J Nurses Prof Dev ; 35(5): 255-260, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31318733

RESUMO

The purpose of this descriptive correlational study was to determine if implementing gamification teaching methodologies in nondigital format into nursing orientation has a positive effect on orientees' motivation and knowledge retention. The study included a convenience sample of 152 registered nurses who attended the nursing orientation class at a Midwestern acute care facility. This study found that gamification had a positive effect on the orientees' motivation and knowledge retention.


Assuntos
Jogos Experimentais , Capacitação em Serviço/normas , Motivação , Recursos Humanos de Enfermagem no Hospital/educação , Avaliação de Programas e Projetos de Saúde , Educação Continuada em Enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Recursos Humanos de Enfermagem no Hospital/normas
13.
BMC Health Serv Res ; 19(1): 469, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288801

RESUMO

BACKGROUND: Leadership style and organizational culture have often been studied independently in nursing research despite abundant evidence that the two factors both influence employee outcomes. Moreover, diverse theoretical typology and measuring instruments challenges generalizability of findings. Employees from different cultural, geographical, occupational settings were also reported to have varying interpretation on organizational culture and leadership style underlying constructs. This study aims to validate the Nursing Leadership and Organizational Culture (N-LOC) questionnaire, based on the two commonly used theoretical frameworks: Multifactor Leadership Theory and Competing Values Framework, on its applicability in an Asian hospital setting. METHODS: All full-time nurses from two distinctive Asian hospitals (H1: n = 295 and H2: n = 1146) were invited to participate in this questionnaire study. Exploratory factor analysis (EFA) was carried out when confirmatory factor analysis (CFA) fit indices were not satisfactory after model refinement to explore the actual underlying construct in sampled population. Part-time and outsourced nurses were excluded. 93 nurses from H1 were randomly selected for test-retest reliability 4 weeks post initial survey. Scale internal consistency, convergent and discriminant validity were also assessed. RESULTS: CFA results indicated that the proposed CVF organizational culture 4-factor structure was applicable to our sample but not the MLQ leadership 3-factor/9-factor structure. EFA revealed a 2-factor leadership style construct for our sample, named Confucius transformational and Laissez-Faire passive leadership. Transformational leadership traits already embedded in Confucius cultural values (self-sacrifice, stresses collective mission, instills pride) did not apply, the new Confucius transformational construct which resembles LMX theory paternalistic leadership style is deemed more suitable in an Asian context. A final 14-item 2-factor leadership and 13-item 4-factor organizational culture construct was yielded with satisfactory fit indices (CFI, TLI > 0.95, RMSEA < 0.08), internal consistency (Cronbach's alpha > 0.7), test-retest reliability (ICC > 0.4) and convergent and discriminant validity. CONCLUSION: A reliable N-LOC organizational culture and leadership questionnaire (N-LOC) has been validated in an Asian nurse context. Study results demonstrated the importance of scale validation in cross-cultural adaptation, as underlying scale constructs may change with specific cultural and contextual factors. Future studies are encouraged to test the adaptation of this scale in other cultural and occupational settings.


Assuntos
Enfermagem Baseada em Evidências/organização & administração , Liderança , Recursos Humanos de Enfermagem no Hospital/organização & administração , Hospitais de Ensino , Humanos , Pesquisa em Enfermagem , Recursos Humanos de Enfermagem no Hospital/educação , Cultura Organizacional , Projetos Piloto , Reprodutibilidade dos Testes , Inquéritos e Questionários
14.
J Infus Nurs ; 42(4): 183-192, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31283660

RESUMO

Infusion-associated medication errors have the potential to cause the greatest patient harm. A 21-year review of errors and near-miss reports from a national medication error-reporting program found that infusion-associated medication errors resulted in the identification of numerous best practices that support patient safety. A content analysis revealed that most errors involved improper dosage, mistaken drug choice, knowledge-based mistakes, skill-based slips, and memory lapses. The multifaceted nature of administering medications via infusions was highlighted. Opportunities for improvements include best practices such as developing learning cultures and reinforcing the independent double-check process on medications. Staff will likely benefit from education on specific medications, prescription details, and smart pump technology.


Assuntos
Infusões Intravenosas/estatística & dados numéricos , Erros de Medicação/estatística & dados numéricos , Segurança do Paciente , Guias de Prática Clínica como Assunto/normas , Humanos , Near Miss , Recursos Humanos de Enfermagem no Hospital/educação
15.
Int J Health Care Qual Assur ; 32(6): 910-926, 2019 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-31282262

RESUMO

PURPOSE: The purpose of this paper is to provide an empirical basis for considering in-service training, tenure prolongation and continuing education as methods for enhancing nursing performance. DESIGN/METHODOLOGY/APPROACH: A self-reported questionnaire was used to collect data from 532 nurses, who were selected using the simple random sampling method from ten hospitals in Accra North, Ghana. Confirmatory factor analysis (CFA) was used to test the study's hypotheses. FINDINGS: The resulting model is of good fit at 5 per cent significance level (χ2=1.492, p=0.222), with in-service training found to be the ultimate method for enhancing nursing performance. The fitted CFA model also shows that in-service training is positively associated with education and tenure at 1 per cent significance level (p<0.001). The overall evidence suggests that training, continuing formal education and tenure prolongation are methods for improving nursing performance. ORIGINALITY/VALUE: Apart from its contribution to the literature, this study applies validated primary data to empirically identify key methods for enhancing nursing performance.


Assuntos
Competência Clínica , Educação Continuada em Enfermagem/métodos , Capacitação em Serviço/organização & administração , Recursos Humanos de Enfermagem no Hospital/educação , Inquéritos e Questionários , Adulto , Países em Desenvolvimento , Gana , Humanos , Análise e Desempenho de Tarefas
16.
Eur J Oncol Nurs ; 41: 24-32, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31358254

RESUMO

PURPOSE: The administration of chemotherapy is a complex task which has many safety issues. Safe administration of chemotherapy by nurses should be evidence-based. The aim of this integrative review was to synthesise the evidence about education and practice requirements for safe administration of chemotherapy by nurses. METHOD: A systematic search of four databases identified 17 studies for inclusion in this review. Key words: Nurse, chemotherapy, cytotoxic drug, administration, safety, education. Data extracted from the studies included author, year, aims, design, sample, outcome measures and findings. After screening the articles, extracting study data and completing a summary table, critical appraisal of the studies was completed using the Mixed Methods Appraisal Tool (MMAT). RESULTS: All the studies focused on strategies to promote patient and nurse safety during nursing administration of chemotherapy. Content analysis identified five themes: governance, process safeguards, communication, interdisciplinary collaboration and education. Key strategies or interventions that increased patient and/or nurse safety identified were standardised computer-generated chemotherapy orders, barcodes, medication safety procedures, education and simulated learning. CONCLUSIONS: This review found low-level evidence exists about the education and safety requirements for nursing administration of chemotherapy. High-level research is needed to assist healthcare services to select evidence-based educational and safety strategies and provide appropriately resourced work environments to support the safe nursing administration of chemotherapy and deliver the best possible patient outcomes.


Assuntos
Assistência à Saúde/normas , Tratamento Farmacológico/normas , Recursos Humanos de Enfermagem no Hospital/educação , Enfermagem Oncológica/educação , Enfermagem Oncológica/normas , Segurança do Paciente/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
17.
Eur J Oncol Nurs ; 41: 72-81, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31358261

RESUMO

PURPOSE: To identify the educational priorities of haematology nurses in relation to nursing care of patients with haematological conditions. METHOD: We used an online survey questionnaire to identify educational priorities and preferences for learning in haematology nurses across a European setting. Frequencies and descriptive statistics were calculated for demographic variables and chi-square tests to examine relationships between educational needs and demographic variables. RESULTS: 265 nurses from 21 countries responded, the majority being Staff Nurses (37.7%), with >5 years experience in haematology (77.3%) and educated to degree level or above (66.0%). The top 5 educational priorities were disease specific information for lymphoma, disease specific information for leukaemia, management of long-term side effects, understanding the immune system and new treatments in haematology. Demographic variables such as length of experience and patient group cared for influenced some educational priorities. Attending educational conferences was the preferred learning method. CONCLUSIONS: This study provides insight into self-perceived educational priorities for haematology nurses and priorities to inform development of educational initiatives.


Assuntos
Neoplasias Hematológicas/enfermagem , Hematologia/educação , Recursos Humanos de Enfermagem no Hospital/educação , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Oncológica/educação , Autoimagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
18.
J Nurses Prof Dev ; 35(4): E1-E8, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31206418

RESUMO

Early recognition of and prompt intervention for the deteriorating pediatric patient remains paramount in preventing cardiac arrests from occurring outside intensive care units. To decrease these events, we developed a three-part simulation-based blended learning course consisting of a computer-based training module, a simulation scenario, and follow-up in situ scenarios for inpatient nurses. After initiation of the course, our facility has seen a decrease in the number of codes outside critical care areas.


Assuntos
Conscientização , Deterioração Clínica , Parada Cardíaca/prevenção & controle , Treinamento por Simulação/métodos , Criança , Competência Clínica , Humanos , Unidades de Terapia Intensiva , Recursos Humanos de Enfermagem no Hospital/educação , Pediatria
19.
Am J Nurs ; 119(6): 26-35, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31135428

RESUMO

: Sickle cell disease (SCD) is an autosomal recessive genetic condition that alters the shape and function of the hemoglobin molecule in red blood cells. While the overall survival rate among children with SCD has improved in recent years, pediatric rates of hospitalization, ED use, and mortality from complications of SCD remain high. Among patients ages 18 and older, hospital admission and ED usage are even greater-and the median age at death of people with SCD is considerably lower than that of the general population. Nurses who care for patients with SCD have an opportunity to improve health outcomes and quality of life for these patients by recognizing the major SCD-associated complications and providing patients and their caregivers with appropriate educational information. The authors discuss the genetic, hematologic, and clinical features of SCD and describe the major associated health complications. In addition, they review the nursing implications of each complication and provide online links to resources for clinicians, patients, and caregivers.


Assuntos
Anemia Falciforme/complicações , Anemia Falciforme/enfermagem , Anemia Falciforme/fisiopatologia , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/educação , Guias de Prática Clínica como Assunto , Adulto , Currículo , Educação Continuada em Enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
20.
Am J Nurs ; 119(6): 38-45, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31135430

RESUMO

: Nursing students who don't specialize in ostomy care typically gain limited experience in the care of patients with fecal or urinary stomas. This lack of experience often leads to a lack of confidence when nurses care for these patients. Also, stoma care resources are not always readily available to the nurse, and not all hospitals employ nurses who specialize in wound, ostomy, and continence (WOC) nursing. Those that do employ WOC nurses usually don't schedule them 24 hours a day, seven days a week. The aim of this article is to provide information about stomas and their complications to nurses who are not ostomy specialists. This article covers the appearance of a normal stoma, early postoperative stoma complications, and later complications of the stoma and peristomal skin.


Assuntos
Ileostomia/enfermagem , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem no Hospital/educação , Estomia/enfermagem , Higiene da Pele/enfermagem , Higiene da Pele/normas , Estomas Cirúrgicos , Adulto , Currículo , Educação Continuada em Enfermagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto
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