ABSTRACT
Resumo Enquadramento: Os enfermeiros de família desenvolvem intervenções direcionadas à família como unidade, considerando as transições que ocorrem ao longo do seu ciclo vital, como as que decorrem do diagnóstico de uma doença crónica num dos seus membros, como é o caso da diabetes. Objetivo: Identificar as intervenções realizadas pelo enfermeiro de família na consulta de vigilância da diabetes. Metodologia: Estudo transversal, exploratório e descritivo de abordagem quantitativa, utilizando uma amostra aleatória simples de 106 pessoas portadoras de diabetes, que efetuaram consultas de enfermagem, de novembro a dezembro de 2019, em três unidades de saúde familiar. Resultados: Foram realizadas 27 intervenções do tipo avaliar, das 30 integrantes do instrumento de colheita de dados. Nas do tipo monitorizar foram realizadas as oito previstas. Do tipo ensinar foram realizadas 15 das 19 intervenções. Conclusão: O conhecimento sobre as intervenções realizadas, a maioria de avaliação diagnóstica poderá contribuir para a gestão da dotação segura dos enfermeiros de família, considerando os cuidados desenvolvidos em todas as etapas do processo de enfermagem.
Abstract Background: Family health nurses develop interventions aimed at the family as a unit, considering the transitions that occur throughout its life cycle, such as those resulting from the diagnosis of a chronic disease in one of its members, like diabetes. Objective: Identify the interventions performed by the family health nurse in the diabetes surveillance consultation. Methodology: Cross-sectional, exploratory, and descriptive study with a quantitative approach, using a simple randomized sample of 106 people with diabetes, who received nursing consultations from November to December 2019 in three family health units. Results: Twenty-seven assessing interventions were carried out, out of the 30 planned in the data collection tool. The eight planned monitoring interventions were performed. Of the educating type, 15 of the 19 interventions were carried out. Conclusion: Knowledge about the interventions carried out, most of which are diagnostic assessments, can contribute to the management of safe staffing of family health nurses, considering the care provided at all stages of the nursing process.
Resumen Marco contextual: Las enfermeras de família desarrollan intervenciones dirigidas a la familia como unidad, considerando las transiciones que ocurren a lo largo de su ciclo de vida, como las que resultandel diagnóstico de una enfermedad crónica en uno de sus miembros, como la diabetes. Objetivo: Identificar las intervenciones realizadas por la enfermera de família en la consulta de vigilancia de diabetes. Metodología: Estudio transversal, exploratorio y descriptivocon enfoque cuantitativo, utilizando una muestra aleatoria simple de 106 personas con diabetes, que realizaron consultas de enfermería, de noviembre a diciembre de 2019, entres unidades de salud de la familia. Resultados: Se realizaron 27 intervenciones del tipo evaluación, de los 30 integrantes del instrumento de recolección de datos. En el tipo de seguimiento se realizaron los ocho previstos. Del tipo de enseñanza, se realizaron 15 de las 19 intervenciones. Conclusión: El conocimiento sobre las intervenciones realizadas, la mayoría de las cuales son evaluaciones diagnósticas, puede contribuir para la gestión de la dotación segura de personal de enfermería de la familia, considerando el cuidado desarrollado en todas las etapas del proceso de enfermería.
ABSTRACT
Resumo Contexto: O cancro está associado a perda e ameaça à vida, pelo que o seu diagnóstico configura carga emocional, tensão e sofrimento psicológico dos indivíduos e famílias, mediados por múltiplos fatores condicionantes dos processos adaptativos. Objetivo: Conhecer quais os fatores condicionantes da adaptação das famílias face à situação de cancro em um dos seus membros. Método de revisão: Trata-se de uma scoping review seguindo a metodologia do Joanna Briggs Institute. A pesquisa incluiu artigos publicados entre 2015 e março de 2020 em português, inglês e espanhol. Apresentação e interpretação dos resultados: A partir dos 13 artigos incluídos identificaram-se os seguintes fatores condicionantes da adaptação familiar ao cancro de um dos seus membros: avaliação familiar do acontecimento, recursos familiares e coping. Conclusão: A identificação destes fatores é fundamental a práticas clínicas com as famílias enquanto cliente e sistema, promotoras de processos adaptativos dos indivíduos com cancro e suas famílias.
Abstract Background: Cancer is associated with loss and threat to life, so the emotionally charged diagnosis of cancer brings about psychological distress and suffering to individuals and families, influenced by multiple factors conditioning the adaptive processes. Objective: To determine the factors influencing family adaptation to the cancer of a family member. Review method: This scoping review followed the methodology of the Joanna Briggs Institute. It included articles published between 2015 and March 2020 in Portuguese, English, and Spanish. Presentation and interpretation of results: Based on the 13 articles included, this review identified the following factors influencing family adaptation to the cancer of a family member: family assessment of the event, family resources, and coping. Conclusion: Identifying these factors is essential to intervene with the families as clients and systems and promote adaptive processes in patients with cancer and their families.
Resumen Contexto: El cáncer está asociado a la pérdida y a la amenaza de la vida, por lo que su diagnóstico constituye una carga emocional, una tensión y un sufrimiento psicológico para los individuos y las familias, mediados por múltiples factores que condicionan los procesos adaptativos. Objetivo: Conocer qué factores condicionan la adaptación de las familias ante la situación de que uno de sus miembros padezca cáncer. Método de revisión: Se trata de una revisión sistemática exploratoria que sigue la metodología del Joanna Briggs Institute. La búsqueda incluyó artículos publicados entre 2015 y marzo de 2020 en portugués, inglés y español. Presentación e interpretación de los resultados: A partir de los 13 artículos incluidos, se identificaron los siguientes condicionantes de la adaptación de las familias al cáncer de uno de sus miembros: evaluación familiar del acontecimiento, recursos familiares y afrontamiento (coping). Conclusión: La identificación de estos factores es fundamental para las prácticas clínicas con las familias como cliente y sistema, las cuales promueven los procesos adaptativos de los individuos con cáncer y sus familias.
ABSTRACT
It is estimated that over 60,000 different chemicals might be used in industry, agriculture and the home environment. Chemical burns account for only 3% of the total, yet account for approximately 30% of burn deaths. The aim of the study was to identify the latest evidence on treatment of skin burns caused by chemical agents.A scope review was chosen, and articles published between 2013 and 2019 were selected. The research was conducted with the following descriptors: chemical burn and skin burn or skin injury or burn care or treatment burn and therap. CINAHL, MEDLINE, MedicLatina and Cochrane Database were searched. The survey was conducted in January and February 2019. Eleven articles were selected, such as case studies, retrospective and prospective studies. The circumstances in which the burns occurred were workplace accidents, home accidents and personal attacks. The chemical agents used were acid and base type. The burned body area was between 30% and 0.5%. The most severe outcome was three deaths. The first-line treatment approach to the lesion was prolonged lavage or H2O. Continuity of treatment integrates systemic, topical pharmacological measures, pain control, surgical and non-pharmacological therapies.The etiology of skin burns by chemist is multiple. The treatment integrates particularities that distinguish it from other burn types, and an appropriate approach has significant results in survival and recovery of the person with chemical burn
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Subject(s)
Humans , Burns, Chemical/nursing , Wound Closure Techniques/nursing , Wound Infection/prevention & control , Burns, Chemical/etiology , Wound Healing , Anti-Infective Agents, Local/therapeutic useABSTRACT
Introduction and objectives: Evaluating the activities developed in the consultation and determining the associated workload becomes relevant insofar as it influences safety and the quality of care. The purpose of this study was to identify the assistance and non-assistance activities carried out within the scope of the consultation; determine the execution time of the performed activities and set the average time of the consultation. Methodology: An exploratory descrip-tive study of quantitative nature was carried out. 16 primary health care nurses of 3 health units participated in the study. The instrument evaluates three dimensions: sociodemographic characterization of the clients, nursing and non-care nursing activity that integrates the previously defined categories and actions and socio-professional characterization of the nurse. The study was carried out between February and May 2018. Data was processed using SPSS25(R). Results and discussion: 103 nursing consultations were performed. It was identified that the most accompli-shed assistance activities belonged to the evaluation and health education categories. The documented non-care activities were the reception of the patient; infection control procedures and documentation of the provided care. The mean time of consultation was 24 minutes, the maximum time was 76,6 m and the minimum time was 7, 91 m. Conclusion: Identifying what activities were carried out and determining the associated workload allows us to know what work is being done and its implications in the provided care
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Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Diabetes Mellitus/nursing , Nursing Care/methods , Nursing Stations/statistics & numerical data , Nursing, Team/organization & administration , Health Care Surveys/statistics & numerical data , Nursing Evaluation Research/statistics & numerical data , Workload/statistics & numerical data , Epidemiology, DescriptiveABSTRACT
Aim: To know the conceptions that nurses, from Primary Health Care clinical prac-tice, have of Safe Nurse Staffing. Safe Staffing is related to safe, high quality, high complexity care, in a variety of contexts. It is well established that safe nurse staffing and the quality of the practice environment are directly associated with client satisfaction, quality and safety of care, and nursing care-sensitive outcomes2. Methods: A descriptive exploratory study of a qualitative nature was carried out, using a questionnaire with open-ended questions. An intentional sample consisting of twenty five nurses was selected. The technique of content analysis7 was used for data analysis and treatment. Results: Seven categories were identified (and respective subcategories): Safety of Care; Workload; Training and Professional Development; Quality of Care; Client Characteristics; Organizational Environment; Outcomes. These results allow stating that the nurses interviewed conceive the concept of Safe Staffing, on their work context, in accordance with the dimensions described by Aiken and collaborators1,2,3. Conclusion: Nurses' conceptions of Safe Staffing integrate fundamental aspects as-sociated with this concept, and may influence the strategies developed within the scope of clinical governance
Resumen en ingles
