Relationship between the implementation of primary nursing model and the reduction of missed nursing care.

AIMS: To evaluate and predict the relationship between the implementation of the primary nursing model and the reduction of missed nursing care. BACKGROUND: Primary nursing can provide hospital leaders and nursing staff with guidance in implementing safe, patient-centred care, with responsibility and accountability during the nursing process. The implementation can be measured in terms of missed nursing care. METHODS: A predictive correlational study was used. The study was conducted in four inpatient units at the University Hospital, Northeast, Brazil. Data were collected from 96 nursing professionals, using the MISSCARE instrument at four and seven months after the implementation of the primary nursing model. RESULTS: Missed nursing care was reduced by 78.5%. Job title and staff satisfaction showed significant associations with decreased missed care (p < .05). CONCLUSION: The predictive effect between efficacy in reducing missed nursing care and reasons and efficiency in the management of nursing care, using the primary nursing model, was verified. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing staff and managers should consider adopting a Primary Nursing Model of care to reduce missed nursing care.

Avaliação da capacidade funcional de idosos por meio do teste de caminhada de seis minutos / La evaluación de la capacidad funcional de los adultos mayores a través de la prueba de caminata de seis minutos / Evaluation of functional capacity of elderly through the test of six-minute walk

Objective: To evaluate the functional capacity of older people engaged in physical activity through the test of six-minute walk test (6MWT). Method: An exploratory study with a quantitative approach, with 40 elderly participants of the Center for Health Care of the Elderly (CASI) of Piripiri (PI). We calculated the distance specified by demographics and the 6MWT was applied to identify the actual distance traveled. Results: The findings showed that the majority of participants were female, with 66 to 70 years old, married, a minimum wage income, low education. Individuals were considered hypertensive and diabetic patients traveled less value than individuals without the disease. There was no statistically significant difference between the average distance and the expected average distance. Conclusion: Older people who practice physical activity showed a level of functional capacity as demonstrated by satisfactory values of the distances traveled in the walk test six minutes...

Objetivo: Avaliar a capacidade funcional de idosos praticantes de atividade física por meio do teste de caminhada de seis minutos (TC6). Método: Estudo exploratório de abordagem quantitativa, com 40 idosos atendidos no Centro de Atenção à Saúde do Idoso (CASI), de Piripiri (PI). Foi calculada a distância prevista por meio de dados antropométricos e foi aplicado o TC6 para identificar a distância real percorrida. Resultados: Os achados apontaram que a maioria dos participantes era do sexo feminino, com 66 a 70anos, casados, renda de um salário mínimo, baixa escolaridade. Os indivíduos considerados hipertensos e diabéticos apresentaram valor percorrido menor do que os indivíduos sem a patologia. Não houve diferença estatisticamente significativa entre a distância média prevista e a distância média percorrida. Conclusão: Os idosos que praticam atividade física apresentaram um nível de capacidade funcional satisfatória conforme mostraram os valores das distâncias percorridas no teste de caminhada de seis minutos...

Objetivo: Evaluar la capacidad funcional de los ancianos practicantes de la actividad física a través de la prueba de caminata de seis minutos (PC6). Método: Un estudio exploratorio con abordaje cuantitativo, con 40 personas que participan en el Centro de Atención al Adulto Mayor (CASI) Salud de los chiles (IP). Distancia predicho por los datos antropométricos se calculó y la PM6M se aplicó para identificar la distancia real recorrida. Resultados: Los resultados indicaron que la mayoría de los participantes eran mujeres, con un 66 a 70 años de edad, casado, un ingreso de salario mínimo, bajo nivel de educación. Los individuos considerados hipertensos y diabéticos viajaron menos valor que las personas sin el trastorno. No hubo diferencia estadísticamente significativa entre la media prevista distancia y la distancia media recorrida. Conclusión: Las personas mayores que practican actividad física mostraron un grado de autonomía funcional satisfactoria como valores mostrados de las distancias recorridas en el test de caminata de seis minutos...