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1.
J Pediatr Nurs ; 64: 56-63, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35152001

RESUMO

PURPOSE: to develop a care bundle for best practices in conducting the family interview for organ and tissue donation with the families of children and adolescents. DESIGN AND METHODS: methodological study, with a qualitative approach, developed in Brazil, in three stages: literature review, qualitative study with professionals and family members, and development of the care bundle. RESULTS: Nine studies were selected and 17 health professionals and nine family members were interviewed. With this data, the care bundle was developed in three categories: communication of death, emotional support and information about organ and tissue donation. The recommendations were evaluated by five external professionals and all of them assessed the bundle as having the highest possible quality. CONCLUSIONS: the care bundle was built following the stages of integrative literature review and interviews with professionals working in this scenario and family members who have already gone through a family interview for organ and tissue donation of children and adolescents. PRACTICE IMPLICATIONS: the use of this material is seen as an important resource to support the professional during the conduction of the family interview in a scenario as sensitive and challenging as the care to family members facing death and the decision of organ and tissue donation of children and adolescents. Furthermore, the care bundle can increase the quality of family interviews and impact the reduction of family refusals. DESCRIPTORS: Practice Guideline as Topic. Tissue and Organ Procurement. Patient Care Team. Nursing. Pediatrics. Communication.


Assuntos
Transplante de Órgãos , Pacotes de Assistência ao Paciente , Pediatria , Obtenção de Tecidos e Órgãos , Adolescente , Criança , Família/psicologia , Humanos , Doadores de Tecidos
2.
J Nurs Manag ; 30(5): 1355-1365, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35318756

RESUMO

AIM: To understand the management actions for prevention and control of health care-associated infections (HAIs) performed by health professionals. BACKGROUND: Prevention of nosocomial infections has evidence-based practice at its essence, but not all institutions are successful in implementing prevention methodology. METHODS: Qualitative research with Grounded Theory methodological framework. The research was carried out in two southern Brazilian hospitals. Data collected were employed through open interviews with 21 health professionals and managers. This process occurred concurrently with the data analysis, through constant comparative analysis. RESULTS: The understanding of the co-responsibility of managerial actions emerged as a central phenomenon of the theoretical model. Management actions for the prevention and control of HAIs are a collective phenomenon, in which co-responsibility sustains the effectiveness of the offered assistance. The behaviours of health teams in the face of structural and human weaknesses influence the construction of a supportive relationship in the effectiveness of patient safety actions. CONCLUSIONS: The sharing of responsibilities between professionals and the actions of prevention and control of HAIs arising from this conduct positively influence the promotion of safer and improved quality care. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing managers should consider applying the tools to prevent and control HAIs and generate in-depth discussion to promote institution's cultural changes.


Assuntos
Infecção Hospitalar , Infecção Hospitalar/prevenção & controle , Atenção à Saúde , Teoria Fundamentada , Humanos , Segurança do Paciente , Pesquisa Qualitativa
3.
Rev Gaucha Enferm ; 39: e20170274, 2018 Jul 02.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29995076

RESUMO

OBJECTIVE: To understand the meanings of care to brain dead potential organ donors for nurses, and construct a theoretical model. METHOD: Qualitative study based on the Grounded Theory approach. Data were collected through open interviews with 12 nurses, distributed in three sample groups in a university hospital in northeastern Brazil, from December 2010 to June 2011. RESULTS: The phenomenon Unveiling multiple relationships and interactions of nurses in the complexity of patient care in brain dead potential donors is supported by the interrelationship of five categories and results from the need to organize care practices in the context of the intensive care unit, considering the factors involved in the relationship between nurses, staff and family and reveals challenges for nurses imposed by the complexity of the care process. CONCLUSIONS: The meaning of care to brain dead potential donors involves understanding the complexity of this patient who can save somebody's life through organ donation.


Assuntos
Morte Encefálica , Enfermagem de Cuidados Críticos , Assistentes de Enfermagem/psicologia , Cuidados de Enfermagem , Recursos Humanos de Enfermagem Hospitalar/psicologia , Assistência Terminal , Doadores de Tecidos , Adulto , Atitude do Pessoal de Saúde , Atitude Frente a Morte , Brasil , Hospitais Universitários , Humanos , Papel do Profissional de Enfermagem , Relações Médico-Enfermeiro , Relações Profissional-Família , Pesquisa Qualitativa , Obtenção de Tecidos e Órgãos , Adulto Jovem
4.
Cien Saude Colet ; 28(8): 2313-2322, 2023 Aug.
Artigo em Português, Inglês | MEDLINE | ID: mdl-37531539

RESUMO

This study aimed to analyze the application of the lean philosophy in the Health Care Network (RAS) for the early diagnosis of breast cancer. This case study was produced with data from interviews, document analysis, and observation and was conducted from June to July 2019. The setting was the seat of the municipality of the North Metropolitan Region, Ceará State, Brazil, involving three points of the RAS (Primary Care Unit, Medical Specialties Center, and Polyclinic). The following issues were identified: long waiting times, first-come-first-served care, and insufficient medical workload. Implementing the theoretical model of lean philosophy would reduce the total process time from 36 days to 15 in the Primary Care Unit/Medical Specialty Center flow and from 33 to 13 days in the Primary Care Unit/Polyclinic. The presented model is an efficient reference for improving the management and early diagnosis of breast cancer in the RAS.


Objetivou-se analisar a aplicação da filosofia lean na Rede de Atenção à Saúde (RAS) para o diagnóstico precoce do câncer de mama. Trata-se de estudo de caso, com produção dos dados por entrevistas, análise documental e observação, desenvolvido entre junho e julho de 2019. O cenário foi o município sede da Região Metropolitana Norte, CE, Brasil, envolvendo três pontos da RAS (Unidade Básica de Saúde, Centro de Especialidades Médicas e Policlínica). Identificaram-se como problemas: elevado tempo de espera, atendimento por ordem de chegada e insuficiência da carga horária médica. A implementação do modelo teórico da filosofia lean reduziria o tempo total dos processos de 36 dias para 15 no fluxo Unidade Básica de Saúde/Centro de Especialidades Médicas e de 33 para 13 dias na Unidade Básica de Saúde/Policlínica. Verificou-se que o modelo apresentado se configura como referencial eficiente para melhoria da gestão e do diagnóstico precoce do câncer de mama na RAS.


Assuntos
Neoplasias da Mama , Humanos , Feminino , Neoplasias da Mama/diagnóstico , Detecção Precoce de Câncer , Atenção à Saúde , Instalações de Saúde , Brasil
5.
Rev Esc Enferm USP ; 56: e20220232, 2023.
Artigo em Inglês, Português | MEDLINE | ID: mdl-36734328

RESUMO

OBJECTIVE: To analyze the continuity of care for children with chronic conditions from the transition from hospital to home. METHOD: Parallel-convergent mixed-methods research, with a cross-sectional study and Grounded Theory. A characterization instrument and the Care Transitons Measure were applied to 201 legal guardians of children with chronic conditions, and semi-structured interviews were conducted with 35 participants (among professionals and guardians). Data were combined by integration. RESULTS: The efforts of the hospital team to promote continuity of care after discharge from the transition from hospital to home impact on the quality-of-care transition perceived by caregivers, with a mean of 89.5 (standard deviation = 12.5) points. However, the absence of formal mechanisms to guide the transition of care makes it difficult to achieve continuity of care in the health network. CONCLUSION: Continuity of care for children is hindered by barriers, against which hospital care professionals seek individual strategies to overcome them. It is essential to establish institutional actions and public policies aiming at the transition of care to promote continuity of care.


Assuntos
Continuidade da Assistência ao Paciente , Alta do Paciente , Humanos , Criança , Estudos Transversais , Transferência de Pacientes , Doença Crônica , Pesquisa Qualitativa
6.
Rev Bras Enferm ; 76Suppl 2(Suppl 2): e20220347, 2023.
Artigo em Inglês, Português | MEDLINE | ID: mdl-37255187

RESUMO

OBJECTIVES: to analyze the quality of child and adolescent care transitions from hospital to home, considering the presence of chronic disease. METHODS: quantitative, cross-sectional study, carried out from February to September 2019 in two hospitals in the south of Brazil. We used an instrument to characterize participants and the Care Transitions Measure (CTM-15) for the legal tutors of children and adolescents that were discharged from the institutions. RESULTS: the general mean of the quality of transition of care was 87.9 (SD=13.4), in a scale from 0 to100). We found a significant difference in the quality of transition of care when comparing patients with and without chronic disease (90.0 and 84.3; p=0.001). CONCLUSIONS: we found the quality of the transition of care to be satisfactory, with better results for patients with chronic disease. This can help understand the most impactful aspects in the transition of care, especially in regard to children health.


Assuntos
Alta do Paciente , Transferência de Pacientes , Humanos , Adolescente , Criança , Estudos Transversais , Hospitais , Doença Crônica
7.
Transplant Proc ; 55(6): 1359-1361, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37105826

RESUMO

BACKGROUND: This study was designed to discuss the time elapsed between cell, tissue, and organ donation and transplantation and detection of adverse events notified in São Paulo, Brazil. METHODS: This is a descriptive study with a quantitative approach. Data were provided by the Transplant Center of the state of São Paulo from the "Individual notification form of adverse reactions in Biovigilance" between 2016 and 2019. Analysis was performed using descriptive statistics. RESULTS: Fifty-two notifications were analyzed, and 3 categories were formed: (1) adverse events detected on the same day of the transplant, 8; (2) adverse events detected between 1 week and 1.5 years after transplant, 40; and (3) adverse events detected 2 years after transplant, 4. CONCLUSION: The discussion on the topic is beginning; however, it is important. Clinical management of transplant recipients and comprehending what is considered an adverse event and the natural course of a patient's life can impact clinical decision-making, public policies, and patient safety research. This study highlights the need to investigate related factors to adverse events, especially the time between the transplant procedure and adverse event detection, to establish clinical guidelines.


Assuntos
Transplante de Órgãos , Obtenção de Tecidos e Órgãos , Transplantes , Humanos , Brasil , Transplante de Órgãos/efeitos adversos , Segurança do Paciente
8.
Transplant Proc ; 55(6): 1346-1351, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37537077

RESUMO

BACKGROUND: Map Interventions is capable of supporting the multidisciplinary team that works in organ and tissue donation to disseminate quality in this process. METHODS: A scoping review study that was conducted through the steps proposed by the Joanna Briggs Institute. RESULTS: Fifty-six studies made up the sample. 2018 (no. 07, 12.5%) had the highest number of publications. The country that published the most was the United States (no. 16, 28.56%). The database with the most publications was the Cumulative Index to Nursing and Allied Health Literature - CINAHL (no. 15, 26.78%). The most used interventions, which had the most significant impact on the improvement of results and quality, were the use of indicators in all stages of the organ and tissue donation process; the use of real goals that can be achieved; frequent audits, validation of instruments to track opportunities for improvement; as well as methodologies to implement quality and education among professionals who work in this process. Such interventions reveal important changes in the organ donation process, especially in the notification of potential and effective donors, as well as providing an opportunity for safety in the stages of the organ and tissue donation process. CONCLUSION: The interventions tracked suggest the implementation of a set of actions formed by the continuous use of auditing, indicators, continuing education with the team that works in the process of organ and tissue donation, combined with the management of the results obtained through the indicators, where it is generated from these data, actions that have a direct impact on the weaknesses identified.


Assuntos
Transplante de Órgãos , Obtenção de Tecidos e Órgãos , Humanos , Estados Unidos , Doadores de Tecidos
9.
Transplant Proc ; 55(6): 1421-1424, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37295993

RESUMO

BACKGROUND: We aimed to identify the challenges and strategies experienced by patients undergoing liver transplantation during the COVID-19 pandemic. METHODS: This was a descriptive study with a qualitative approach conducted in a large liver transplant hospital in southern Brazil. RESULTS: The participants included liver transplant patients between the years 2011 and 2022. Data collection was performed using a semi-structured interview. Data analysis comprised approximation of information and calculation of percentages. RESULTS: A total of 23 patients participated. Challenges identified included an increased dependence on others for daily activities, fear and stress due to the possibility of contamination, and the need for isolation from family and friends. Strategies included adaptation to the daily routine, reorganization of tasks inside and outside the home, formation of a support network, and reduced attendance to consultations and exams. CONCLUSIONS: Evidence of anguish and suffering of patients facing isolation and separation from family members was observed. Still, the study revealed the strength and determination of the patients to create strategies for preventing the SARS-CoV-2 virus and caring for themselves and their families. The study demonstrates the need for support from the health team in the face of such a scenario.


Assuntos
COVID-19 , Transplante de Fígado , Humanos , COVID-19/epidemiologia , SARS-CoV-2 , Pandemias/prevenção & controle , Transplante de Fígado/efeitos adversos , Família
10.
Rev Bras Enferm ; 75Suppl 1(Suppl 1): e20210613, 2022.
Artigo em Inglês, Português | MEDLINE | ID: mdl-35674547

RESUMO

OBJECTIVE: to map health care actions in the organ and tissue donation process in Brazilian regions during the COVID-19 pandemic. METHODS: a mixed methods study. Data collection was performed simultaneously through an online questionnaire with 72 nurses. Descriptive statistical analysis and content analysis. RESULTS: a total of 34.7% of professionals work in the state of São Paulo. The largest number of responses was from the Southeast region. Four categories emerged. The first addresses triage care actions; the second involves guidelines for SARS-CoV-2 prevention in potential donors; the third relates to the epidemiological screening of professionals; the fourth presents the scenario of donation training in pandemic times. CONCLUSION: care actions are aimed at tracking the path taken until arrival at the hospital, assessing temperature and saturation curves, in addition to screening for signs and symptoms for SARS-CoV-2 contamination among professionals.


Assuntos
COVID-19 , Obtenção de Tecidos e Órgãos , Brasil/epidemiologia , Humanos , Pandemias/prevenção & controle , SARS-CoV-2
11.
Transplant Proc ; 54(5): 1324-1328, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35810015

RESUMO

BACKGROUND: The aim of this study was to identify home care management strategies for patients undergoing liver transplant, through teleconsultation, during the COVID-19 pandemic for maintenance and improvements in treatment adherence. METHODS: This was a qualitative, exploratory, and descriptive research study. Participants included patients who underwent liver transplant between 2020 and 2021. Through a semistructured script, data were analyzed according to the recommendations of content analysis and then simple statistics were applied. RESULTS: Twenty-two people participated in the study. Two analysis categories were developed, which resulted in 7 strategies and 22 care actions. The care strategy with the highest adherence involved actions related to the prevention of COVID-19. CONCLUSIONS: Teleconsultation is an excellent tool to manage and supervise post-liver transplant care of patients. Considering that teleconsultation has presented strategies and care actions, which were developed by the patients, the patients have a direct effect on treatment adherence despite pandemic impositions.


Assuntos
COVID-19 , Serviços de Assistência Domiciliar , Transplante de Fígado , Consulta Remota , Humanos , Pandemias/prevenção & controle , Consulta Remota/métodos
12.
Transplant Proc ; 54(5): 1202-1207, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35760625

RESUMO

BACKGROUND: The aim of this study was to identify variables related to organ donation that can contribute to the development of best practices in planning and conducting family interviews by health professionals. METHODS: This descriptive and prospective study of quantitative approach was conducted at 2 southern Brazil health institutions referenced in organ donation. Data collection occurred between 2018 and 2019 by health professionals who conduct family interviews using validated instruments that assessed the stages of the interview. Analysis was performed by means of the proportions of the studied variables associated with the donation authorization categories per the χ2 test. The significance level adopted was 0.05. RESULTS: The variables that presented the highest level of significance in the correlation with the prevalence of family authorization for organ donation included the following: communication with the family about the results of each test in the brain death diagnostic protocol; identification of whether the family understood the information about the death; presence of a member of the transplantation commission who had training to communicate information about organ donation; presence of a family member who had power to authorize the donation; and the interval between the communication of death and information about organ donation. CONCLUSIONS: The study presents important gaps that can be filled by health teams and hospitals in order to improve the welcoming and respect for families, as well as the organ donation rates. It is important to understand that each family is unique when facing mourning, and to distance the communication of death from the discussion about organ donation is an act of respect and empathy.


Assuntos
Transplante de Órgãos , Obtenção de Tecidos e Órgãos , Comunicação , Família , Humanos , Estudos Prospectivos , Doadores de Tecidos
13.
Rev Bras Enferm ; 74(2): e20200746, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34037143

RESUMO

OBJECTIVES: to develop a guide of care recommendations for good practices in care transition for adult patients undergoing liver transplantation. METHODS: a methodological study, based on the Appraisal of Guidelines for Research & Evaluation in the updated version, II. Care recommendations were sustained by conducting an integrative literature review and qualitative research. RESULTS: from evidence, three topics emerged: Care Transition Planning; Health Education for Self-Care; Care Management. Each of the central topics has respective subtopics, totaling six, giving rise to 30 care recommendations. Concerning evaluators' scores, in all domains the scores were higher than 90%. FINAL CONSIDERATIONS: the proposed guide assists professionals in conducting care transition in liver transplantation, ensuring greater safety for patients in continuity of home care.


Assuntos
Transplante de Fígado , Cuidado Transicional , Adulto , Continuidade da Assistência ao Paciente , Humanos , Pesquisa Qualitativa , Autocuidado
14.
Rev Bras Enferm ; 74(2): e20190206, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34161535

RESUMO

OBJECTIVES: to identify information that can support creating good practice assumptions to develop family interview for organ and tissue donation. METHODS: this scoping study, conducted in two Brazilian hospitals in the southern, between April and December 2017, included integrative review and consultation with 15 families who experienced interview for organ donation. For data analysis, thematic content analysis was used. RESULTS: three categories emerged: communication of death, which shows the need to know the history of hospitalization of patients; emotional support, the team must have mastery of the stages of mourning; information about donation, professionals need to know the stages of the donation process and respect families' time. FINAL CONSIDERATIONS: good practice assumptions point to the need for team training, respect for family time and the use of simple language.


Assuntos
Luto , Obtenção de Tecidos e Órgãos , Brasil , Comunicação , Família , Humanos
15.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200610, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33886836

RESUMO

OBJECTIVES: to map the care recommendations available in the literature capable of supporting health professionals' decision-making in the organ and tissue donation process before the COVID-19 pandemic. METHODS: is a nine-step scoping review with searches performed in three databases and an electronic library (Science Direct). RESULTS: 873 publications were retrieved, 15 selected for analysis. All were published in 2020, originating mainly on China, with predominance of original articles. The most frequent recommendations relate to testing to detect SARS-CoV-2 infection for deceased donors (52.6%) and clinical evaluation of potential donors and possible donors (31.6%). FINAL CONSIDERATIONS: it is believed that the recommendations evidenced will support health professionals in the process of donation and organ transplantations to determine interventions for decision-making during the COVID-19 pandemic.


Assuntos
COVID-19 , Infecções por Coronavirus , Obtenção de Tecidos e Órgãos , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Humanos , Transplante de Órgãos , Pandemias , SARS-CoV-2
16.
Rev Bras Enferm ; 73(2): e20180514, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32236367

RESUMO

OBJECTIVES: To evaluate the perception of safety culture by health professionals who work with organ and tissue donation. METHODS: A quantitative, descriptive study developed with 185 health professionals who act directly and indirectly with organ and tissue donation from two hospitals in the South of Brazil. The data collection was performed between January and July 2017 by using the Safety Attitudes Questionnaire. The analysis took place through descriptive statistics. RESULTS: The mean score of the domains evaluated ranged from 41.6, for Perception of management of the unit, and 80.9 for Job satisfaction. Positive perception of safety culture in this study was evidenced only for Job satisfaction with a score higher than 75. CONCLUSIONS: Of the six domains evaluated, only one had a positive score, evidencing the need to elaborate effective strategies for implanting safety culture in these institutions.


Assuntos
Pessoal de Saúde/psicologia , Gestão da Segurança/normas , Obtenção de Tecidos e Órgãos/métodos , Adulto , Atitude do Pessoal de Saúde , Brasil , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Inquéritos e Questionários , Obtenção de Tecidos e Órgãos/normas
17.
Online braz. j. nurs. (Online) ; 23(supl.1): e20246677, 08 jan 2024. ilus
Artigo em Inglês, Português | LILACS-Express | LILACS | ID: biblio-1555143

RESUMO

OBJETIVO: Descrever as evidências científicas acerca do ultrassom à beira do leito, executado pelos profissionais de saúde em ambiente crítico. MÉTODO: Revisão de escopo pautado nas normas e termos metodológicos do Joanna Briggs Institute (JBI), norteada pela pergunta "Como está descrito na literatura o uso do Point-of-Care Ultrasound - POCUS / ultrassom à beira do leito pelos profissionais de saúde na assistência direta ao paciente crítico?". A busca envolve nove bases de dados e na literatura cinzenta. A seleção de evidências se apresenta em três etapas, e para o gerenciamento das referências dos estudos se utiliza o software Mendeley. A avaliação dos estudos está sustentada nos critérios preestabelecidos de inclusão, e foi realizada por três revisores, sendo dois de modo independente e um terceiro para a preciação das divergências. Os dados extraídos têm apresentação descritiva e sintética dos resultados.


OBJECTIVE: To describe the scientific evidence about bedside ultrasound health professionals performing in a critical environment. METHOD: Scope review based on Joanna Briggs Institute methodological terms and standards, guided by the question "How is the use of Point-of-Care Ultrasound - POCUS / ultrasound at the bedside described in the literature by health professionals in direct care to critical patients?". The search involves nine data bases and in the gray literature. The selection of evidence is in three stages, and the Mendeley software is used to manage study references. The study evaluation is based on the pre-established inclusion criteria and was carried out by three reviewers, two independently and a third, to assess differences. The extracted data has a descriptive and synthetic presentation of the results.

18.
Rev Bras Enferm ; 72(suppl 1): 129-136, 2019 Feb.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30942354

RESUMO

OBJECTIVE: To understand how care management in prenatal care in a Care Center in Angola happens. METHOD: A qualitative study, which used the Constructivist Grounded Theory (GT) as a methodological framework. The theoretical sample consisted of 22 participants, including nursing professionals, pregnant women and nursing students from Huambo, Angola. The data were collected by interviews and analyzed according to initial and focused coding. RESULTS: Five categories arose: Embracing the pregnant woman for prenatal care; Performing the prenatal consultation; Creating a bond and dialogical relationship with pregnant women; Establishing collaborative working relationships; and Inserting the pregnant woman's family into prenatal care. CONCLUSION: The management of nursing care in the study setting is effective through complementary and interdependent steps, based on collaborative relationships among professionals and in the effort to establish bonds with pregnant women and their families.


Assuntos
Enfermagem Neonatal/métodos , Cuidados de Enfermagem/métodos , Angola , Teoria Fundamentada , Humanos , Entrevistas como Assunto/métodos , Enfermagem Neonatal/normas , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/normas , Satisfação do Paciente , Gestantes/psicologia , Cuidado Pré-Natal/métodos , Pesquisa Qualitativa , Estudantes de Enfermagem/psicologia
19.
Texto & contexto enferm ; 33: e20230162, 2024. tab, graf
Artigo em Inglês | LILACS-Express | LILACS, BDENF - enfermagem (Brasil) | ID: biblio-1560572

RESUMO

ABSTRACT Objective: to develop and validate an educational game capable of supporting health education actions for patients undergoing liver transplantation. Method: this is a study of a technological product, based on the User-Centered Design framework, carried out in a reference hospital for liver transplantation. Participants were patients undergoing liver transplantation, nurses and information technology professionals. Data collection took place through semi-structured interviews and a questionnaire, using Brazilian standards for usability assessment. Data analysis occurred through content analysis, based on the calculation model for the System Usability Scale. Results: seventeen patients participated, including seven nurses and four information technology professionals. The game is made up of five paths with the main care to be carried out at home. Each path presents steps to be followed with its rules. As for validation, the overall mean was 1.38. Usability assessment by patients had a mean of 80 points, while by professionals it was above 75%. Conclusion: it is considered that the aforementioned tool is capable of being used in practice by users. Furthermore, this was adjusted to meet the needs of patients undergoing liver transplantation to support and manage home care.


RESUMEN Objetivo: desarrollar y validar un juego educativo capaz de apoyar acciones de educación en salud para pacientes sometidos a trasplante de hígado. Método: estudio de un producto tecnológico, basado en el marco del Diseño Centrado en el Usuario, realizado en un hospital de referencia para trasplante hepático. Los participantes fueron pacientes sometidos a trasplante de hígado, enfermeras y profesionales de tecnologías de la información. La recolección de datos se realizó a través de entrevistas semiestructuradas y cuestionario, utilizando estándares brasileños para la evaluación de la usabilidad. El análisis de los datos ocurrió a través del análisis de contenido, basado en el modelo de cálculo de la System Usability Scale. Resultados: participaron 17 pacientes, entre ellos siete enfermeras y cuatro profesionales de tecnologías de la información. El juego se compone de cinco recorridos cuyo cuidado principal se realizará en casa. Cada camino presenta pasos a seguir con sus reglas. En cuanto a la validación, la media general fue de 1,38. La valoración de la usabilidad por parte de los pacientes tuvo una media de 80 puntos, mientras que la de los profesionales superó el 75%. Conclusión: se considera que la herramienta antes mencionada es susceptible de ser utilizada en la práctica por los usuarios. Además, esto se ajustó para satisfacer las necesidades de los pacientes sometidos a trasplante de hígado para apoyar y gestionar la atención domiciliaria.


RESUMO Objetivo: desenvolver e validar jogo educativo capaz de subsidiar ações de educação em saúde ao paciente submetido ao transplante hepático. Método: estudo de produto tecnológico, sustentado no referencial doDesign Centrado no Usuário, realizado em hospital de referência em transplante hepático. Participantes foram pacientes submetidos ao transplante hepático, enfermeiros e profissionais da tecnologia da informação. A coleta de dados ocorreu por meio de entrevista semiestruturada e questionário, utilizando as normas brasileiras para avaliação da usabilidade. A análise dos dados ocorreu por meio de análise de conteúdo, com base no modelo de cálculo para a escala de System Usability Scale. Resultados: participaram 17 pacientes, dos quais, sete enfermeiros e quatro profissionais da tecnologia da informação. O jogo é formado por cinco caminhos com os principais cuidados a serem desenvolvidos em domicílio. Cada caminho apresenta etapas a serem seguidas com suas regras. Quanto à validação, a média geral foi de 1,38. A avaliação da usabilidade pelos pacientes teve média de 80 pontos, já pelos profissionais foi acima de 75%. Conclusão: considera-se que a referida ferramenta está apta para ser usada na prática pelos usuários. Ainda, essa foi ajustada para atender às necessidades dos pacientes submetidos ao transplante hepático para apoiar e gerenciar os cuidados em domicílio.

20.
Rev. baiana enferm ; 37: e52699, 2023. tab, graf
Artigo em Português | LILACS, BDENF - enfermagem (Brasil) | ID: biblio-1529692

RESUMO

Objetivo: desenvolver e avaliar um software para apoio à tomada de decisão dos profissionais da central de transplantes nas definições logísticas envolvidas no processo de captação e distribuição de órgãos para transplante. Método: estudo de produção tecnológica aplicada, sustentado pelo método Design Science Research Methodology. Participaram da etapa de avaliação da usabilidade dez enfermeiros da Central de Transplantes de Santa Catarina. A coleta de dados ocorreu de 1 a 20 de julho de 2021 por meio do questionário System Usability Scale. Resultados: o software utilizou linguagem JavaScript com ReactJS e PHP com Laravel, para o banco de dados PostgreSQL. A avaliação obteve escore médio de 98,25, sendo sua usabilidade considerada como melhor alcançável. Conclusão: o software demonstrou ser adequado e funcional, com fácil manuseio, reunindo informações integradas e objetivas. Representa um avanço na área, propondo uma inovação tecnológica para a gestão e apoio às decisões logísticas envolvidas no processo de captação e transplante de órgãos.


Objetivo: desenvolver e avaliar um software para apoio à tomada de decisão dos profissionais da central de transplantes nas definições logísticas envolvidas no processo de captação e distribuição de órgãos para transplante. Método: estudo de produção tecnológica aplicada, sustentado pelo método Design Science Research Methodology. Participaram da etapa de avaliação da usabilidade dez enfermeiros da Central de Transplantes de Santa Catarina. A coleta de dados ocorreu de 1 a 20 de julho de 2021 por meio do questionário System Usability Scale. Resultados: o software utilizou linguagem JavaScript com ReactJS e PHP com Laravel, para o banco de dados PostgreSQL. A avaliação obteve escore médio de 98,25, sendo sua usabilidade considerada como melhor alcançável. Conclusión: o software demonstrou ser adequado e funcional, com fácil manuseio, reunindo informações integradas e objetivas. Representa um avanço na área, propondo uma inovação tecnológica para a gestão e apoio às decisões logísticas envolvidas no processo de captação e transplante de órgãos.


Objective: to develop and evaluate a software to support the decision-making of transplant center professionals in the logistic definitions involved in the process of organ procurement and distribution for transplantation. Method: applied technological production study, supported by the Design Science Research Methodology method. Ten nurses from the Transplant Center of Santa Catarina participated in the usability evaluation stage. Data collection took place from 1 to 20 July 2021 through the System Usability Scale questionnaire. Results: the software used JavaScript language with ReactJS and PHP with Laravel, for the PostgreSQL database. The evaluation obtained a mean score of 98.25, and its usability is considered as best achievable. Conclusion: the software proved to be adequate and functional, with easy handling, gathering integrated and objective information. It represents a breakthrough in the area, proposing a technological innovation for the management and support to the logistic decisions involved in the process of organ procurement and transplantation.


Assuntos
Humanos , Masculino , Feminino , Validação de Programas de Computador , Transplante de Órgãos/métodos , Sistemas de Apoio a Decisões Clínicas/provisão & distribuição , Informática em Enfermagem , Gestão de Ciência, Tecnologia e Inovação em Saúde
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