ABSTRACT
Introducción: Las acciones de enfermería en el campo de la Cirugía de Mínimo Acceso (CMA) están encaminada a brindarles al paciente y la familia una atención de calidad que se sustente en el cuidado y la satisfacción de las necesidades físicas y psicológicas con una actitud ética y humanista ante el uso de las tecnologías. Objetivo: Destacar las acciones que realiza el personal de enfermería en los diferentes escenarios de la Cirugía de Mínimo Acceso. Material y Métodos: Se realizó una revisión bibliográfica para la cual se consultaron fuentes de información impresa y electrónica. Las bases de datos consultadas fueron la plataforma SCielo Regional, MEDLINE, Pubmed. Además, se utilizaron los criterios de los autores en la práctica profesional. Desarrollo: La experiencia de trabajo del profesional de enfermería en las áreas de cirugía laparoscópica, endoscopía terapéutica y radiología intervencionista, prueba que la adecuada preparación teórico-práctica garantiza el dominio de los procesos que las conforman, así como los elementos de infraestructura que las soportan. Una apropiada organización del trabajo; agilidad y eficacia durante las intervenciones; conservación y durabilidad del equipamiento; así como la necesaria y complementaria relación médico-enfermera-paciente es imprescindible para el funcionamiento armónico del equipo de trabajo. Conclusiones: Una actuación de enfermería basada en la integración de los conocimientos científicos y técnicos de la profesión, los principios básicos de la Cirugía de Mínimo Acceso y el conocimiento tecnológico requerido garantiza cuidados de calidad(AU)
Introduction: Nursing activities in the field of Minimal Access Surgery (MAC) is aimed providing a quality care to patient and the family based on the care and satisfaction of physical and psychological needs with an ethical attitude and humanistic taking into consideration the use of technologies. Objective: To highlight the actions performed by nursing staff in the different scenarios of the Minimal Access Surgery. Material and Methods: A bibliographic review was carried out for which printed and electronic information sources were consulted. The databases consulted were the SCielo Regional platform, MEDLINE, Pubmed. Also authors' criteria in their professional practice were used. Development: The professional experience of the nursing staff in the areas of laparoscopic surgery, therapeutic endoscopy and interventional radiology, proves that an adequate theoretical and practical preparation guarantees the processes’ mastery comprising them, as well as the infrastructure elements that support them. Proper job organization; agility and effectiveness during interventions; conservation and durability of the equipment; necessary and complementary doctor-nurse-patient relationship are essentials for a harmonious functioning of the Team Work. Conclusions: A nursing action based on the integration of the scientific and technical knowledge of the profession, the basic principles of minimal access surgery and the required technological knowledge guarantees a quality care(AU)
Subject(s)
Humans , Male , Female , Minimally Invasive Surgical Procedures/nursing , Education, Nursing, Continuing/methods , Nursing Care/methodsABSTRACT
Trata-se de uma revisão sistemática da literatura, que objetivou identificar evidências científicas relacionadas ao emprego de sistemas robóticos em cirurgias de revascularização do miocárdio. A busca foi realizada nas bases de dados LILACS, BDENF, MEDLINE E CINAHL, nos idiomas Inglês, Português e Espanhol, com recorte temporal de dez anos, utilizando-se os descritores: Robótica, procedimentos cirúrgicos cardíacos e Procedimentos cirúrgicos minimamente invasivos; na classificação do nível de evidência, foram considerados os níveis I a IV...
Subject(s)
Humans , Databases as Topic , Cardiac Surgical Procedures/trends , Minimally Invasive Surgical Procedures/nursing , Myocardial Revascularization/nursing , Myocardial Revascularization/trends , Robotics/trendsABSTRACT
Enfermagem em radiologia é um novo campo de trabalho que requer além das habilidades habituais de enfermagem, competências na área de cuidados críticos. Este estudo descritivo se propôs a conhecer o perfil do enfermeiro e caracterizar as unidades de hemodinâmica e radiologia que realizam procedimentos minimamente invasivos. A amostra foi constituída por 15 hospitais com número de leitos superior a 50 localizados no município de São Paulo (Brasil). Dois questionários foram enviados às unidades por correio: um sobre as características da unidade e outro sobre o perfil do enfermeiro. O questionário sobre o perfil do enfermeiro foi respondido por 56 enfermeiros. O número médio de enfermeiros atuando em unidades de hemodinâmica e radiologia nos hospitais governamentais foi de 2,8 e nos hospitais privados de 2,2; tempo médio de formação profissional foi de 12,5 anos; 67,9% frequentaram um curso de especialização, a maioria em administração hospitalar. Dos enfermeiros, 16,1% tinham experiência anterior em radiologia e apenas 17,9% foram contratados para trabalhar de imediato nas unidades de radiologia/hemodinâmica. Metade dos serviços possuía uma estrutura física que atendia à normalização legal. O número de enfermeiros que participava de núcleos de estudo na área cardiovascular ou de radiologia foi reduzido.
Nursing Radiology is a new work field for nurses which require competency in critical care beyond common nursing abilities. The purpose of this descriptive study was to characterize nurses' profile and the structure of Interventional Radiology/Hemodynamic Units that perform minimally invasive procedures. Sample was constituted by 15 hospitals located in São Paulo city (Brazil) with a number of hospitals beds larger than 50. Two questionnaires were sent by mailing to the nurses: one about nurses' profile and the other one to collect data of the structure of the unit. The questionnaire about nurse's profile was answered by 56 nurses. The average number of nurses by unit at the governmental hospital was 2.8 and at the private hospitals was 2.2; mean time of profession 12.5 years, 67.9% had taken a specialization course, most of them in hospital administration. Of the nurses, 16.1% of them had a previous experience in radiology unit and only 17.9% was admitted to work priority at the radiology/hemodynamic unit. Half of the units have a physical structure that meets mandatory regulations. Few nurses has participated in study groups sessions on topics related to cardiovascular or radiology fields.
Nursing Radiology is a new work field for nurses which require competency in critical care beyond common nursing abilities. The purpose of this descriptive study was to characterize nurses' profile and the structure of Interventional Radiology/Hemodynamic Units that perform minimally invasive procedures. Sample was constituted by 15 hospitals located in São Paulo city (Brazil) with a number of hospitals beds larger than 50. Two questionnaires were sent by mailing to the nurses: one about nurses' profile and the other one to collect data of the structure of the unit. The questionnaire about nurse's profile was answered by 56 nurses. The average number of nurses by unit at the governmental hospital was 2.8 and at the private hospitals was 2.2; mean time of profession 12.5 years, 67.9% had taken a specialization course, most of them in hospital administration. Of the nurses, 16.1% of them had a previous experience in radiology unit and only 17.9% was admitted to work priority at the radiology/hemodynamic unit. Half of the units have a physical structure that meets mandatory regulations. Few nurses has participated in study groups sessions on topics related to cardiovascular or radiology fields.
Subject(s)
Humans , Hemodynamics , Minimally Invasive Surgical Procedures/nursing , Radiology, InterventionalABSTRACT
Se realizó un estudio descriptivo prospectivo en el Hospital Universitario "Camilo Cienfuegos" de Sancti-Spíritus, del 1ro de Junio del 2000 al 30 de Junio del 2001, con el propósito de destacar, el rol de enfermería en el trabajo que se realiza en el quirófano de cirugía laparoscópica. La población de estudio la constituyeron los 434 casos intervenidos quirúrgicamente en el salón No. 12 (Cirugía Laparoscópica), donde el sexo femenino predominó en ambas técnicas quirúrgicas con 302 casos (79,47 %.). El mayor porciento en cirugía laparoscópica correspondió al grupo de 26 a 35 años de edad con un 27,36 (52) y en la cirugía convencional el grupo predominante fue el de 36 a 45 con un 23,15 % (44). En cuanto a los casos operados el 44.73% tomo un tiempo que duró entre 25 y 39 minutos en la cirugía laparoscopia el cual se considera un tiempo adecuado, la cirugía convencional tubo un mayor tiempo quirúrgico. Al relacionar los diagnósticos de enfermería con ambas cirugías, se constató que la cirugía convencional aportó los por cientos más relevantes por ser más cruenta que la de mínimo acceso.