Maria José dos Reis

Bio: Maria José dos Reis is an academic researcher from State University of Campinas. The author has contributed to research in topics: Nursing process & Nursing care. The author has an hindex of 9, co-authored 21 publications receiving 344 citations.

Factores de riesgo para incontinencia urinaria en la mujer

Abstract: Se trata de un estudio de repaso bibliografico con objetivo de identificar los principales factores de riesgo o asociados a la incontinencia urinaria (IU) en la mujer. Se utilizo la base de datos MEDLINE e LILACS y pesquisa en bibliotecas de los articulos publicados entre 1983 e 2003. Fueron analizadas treinta y ocho publicaciones en ingles y portugues, las cuales relataron como los principales factores de riesgo: edad, trauma de piso pelvico, factores hereditarios, raza, menopausia, obesidad, enfermedades cronicas, uso de algunos simpaticomimeticos y parasimpaticoliticos, constipacion, tabaco, consumo de cafeina y ejercicios intensos en la region abdominal. La enfermera puede, por medio de la anamnesia, identificar estos factores y realizar intervenciones para la prevencion y tratamiento de la IU, contribuyendo para mejorar la calidad de vida de la mujer incontinente.

Fatores de risco para incontinência urinária na mulher

Abstract: Trata-se de um estudo de revisao bibliografica com o objetivo de identificar os principais fatores de risco ou associados a incontinencia urinaria (IU) na mulher. Utilizou-se a base de dados MEDLINE e LILACS e pesquisa em bibliotecas dos artigos publicados entre 1983 e 2003. Foram analisadas trinta e oito publicacoes em ingles e portugues, as quais relataram como os principais fatores de risco: idade, trauma do assoalho pelvico, fatores hereditarios, raca, menopausa, obesidade, doencas cronicas, uso de alguns simpaticomimeticos e parasimpaticoliticos, constipacao, tabagismo, consumo de cafeina e exercicios intensos na regiao abdominal. A enfermeira pode, por meio de anamnese, identificar estes fatores e realizar intervencoes para a prevencao e tratamento da IU, contribuindo para melhorar a qualidade de vida da mulher incontinente.

Evaluation of the Nursing Process Used at a Brazilian Teaching Hospital

Abstract: PURPOSE. To evaluate how the nursing process has been registered at a Brazilian teaching hospital. METHODS. Descriptive and retrospective study of 68 medical records. FINDINGS. The data collection of history was more frequent on the admission day. The documentation of physical exam was prioritized. Sometimes there were records of nursing interventions but not of nursing diagnoses. CONCLUSIONS. It was found some failures in the record of some steps of the nursing process. Although all steps had been used, they were not carried out consistently. IMPLICATIONS FOR NURSING PRACTICE. Some aspects deserve to be considered to improve the use and registration of all steps of the nursing process as to develop specific protocols, redesign the formulary of data record with careful and equal consideration of all steps, and empower all members of the nursing staff to implement the nursing process more effectively. OBJETIVO. Avaliar como o processo de enfermagem foi registrado em um hospital de ensino Brasileiro. METODOS. Estudo descritivo e retrospectivo de 68 prontuarios. DADOS. A coleta de dados do historico foi mais frequente no primeiro dia de internacao. A documentacao do exame fisico foi priorizada. As vezes havia registro de intervencoes de enfermagem, mas nao de diagnosticos de enfermagem. CONCLUSOES. Foram encontradas falhas no registro de algumas etapas do processo de enfermagem. Embora todos os passos tenham sido usados, nao foram realizados de forma consistente. IMPLICACOES PARA A PRATICA DE ENFERMAGEM. Alguns aspectos devem ser considerados para melhorar o uso e registro de todas as etapas do processo de enfermagem, como desenvolver protocolos especificos, reformular o formulario de registro de dados com uma cuidadosa e igual consideracao de todas as etapas, e capacitar todos os membros da equipe de enfermagem para implementar o processo de enfermagem de forma mais eficaz.

Atendimento à mulher vítima de violência sexual: protocolo de assistência de Enfermagem

Abstract: O Ministerio da Saude preconiza o atendimento integral e humanizado as mulheres vitimas de violencia sexual. Teve-se por objetivo descrever o Protocolo de Enfermagem na Assistencia as Mulheres Vitimas de Violencia Sexual do Centro de Atencao Integral a Saude da Mulher da Universidade Estadual de Campinas, recentemente revisado. Para tanto, seguiram-se as etapas do processo de enfermagem e apos a identificacao dos principais diagnosticos da North American Nursing Diagnosis Association (NANDA) foram determinadas as intervencoes, com base em normas tecnicas nacionais e internacionais. O protocolo atual engloba o atendimento imediato e tardio, o acompanhamento ambulatorial e as acoes relacionadas a interrupcao legal da gravidez decorrente do estupro. O protocolo de enfermagem tem proporcionado a cliente um atendimento integral e humanizado e a enfermeira, maior autonomia na sua area de atuacao, favorecendo o trabalho colaborativo e interativo com a equipe multidisciplinar.

'It's much worse than dying': the experiences of female victims of sexual violence

Abstract: AIMS AND OBJECTIVES: To describe the experiences of women who have suffered sexual violence and the impact and importance of that violence on their lives. BACKGROUND: Sexual violence against women is a serious problem worldwide. Studies need to investigate how women reorganise their lives after experiencing sexual violence. DESIGN: A qualitative design was used to explore women's experiences. METHODS: This study analysed semistructured interviews of 11 women who had experienced a sexual assault. The interviews were performed at a specialised walk-in clinic at a university hospital in the interior of Sao Paulo State, Brazil. A thematic analysis of the content led to the identification of the following themes: (1) impact and meaning of the violence; (2) feelings; (3) overcoming the violence and (4) expectations for the future. RESULTS: Sexual violence had a devastating impact on the lives of these women. The women's postviolence experiences caused feelings of guilt, impotence, fragility and immobility. These experiences also instilled a belief that they may have 'provoked' the violence. Nevertheless, the women showed resilience, investing all of their energy in returning their lives to pre-violence conditions. Family, friends and other important people, as well as the care that the women received from health services, were cited as factors that sustained this attitude of resilience. CONCLUSIONS: Providing appropriate care to female victims of sexual assault requires not only treating the physical damage caused by the violence but also evaluating the particularities of the experience's emotional impact on each woman and the psychosocial repercussions of the experience. RELEVANCE TO CLINICAL PRACTICE: Health professionals should follow up with women during their recovery period.© 2016 John Wiley & Sons Ltd. Language: en

Printed educational materials: effects on professional practice and healthcare outcomes

Abstract: Background Printed educational materials are widely used passive dissemination strategies to improve the quality of clinical practice and patient outcomes. Traditionally they are presented in paper formats such as monographs, publication in peer-reviewed journals and clinical guidelines. Objectives To assess the effect of printed educational materials on the practice of healthcare professionals and patient health outcomes. To explore the influence of some of the characteristics of the printed educational materials (e.g. source, content, format) on their effect on professional practice and patient outcomes. Search methods For this update, search strategies were rewritten and substantially changed from those published in the original review in order to refocus the search from published material to printed material and to expand terminology describing printed materials. Given the significant changes, all databases were searched from start date to June 2011. We searched: MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), HealthStar, CINAHL, ERIC, CAB Abstracts, Global Health, and the EPOC Register. Selection criteria We included randomised controlled trials (RCTs), quasi-randomised trials, controlled before and after studies (CBAs) and interrupted time series (ITS) analyses that evaluated the impact of printed educational materials (PEMs) on healthcare professionals' practice or patient outcomes, or both. We included three types of comparisons: (1) PEM versus no intervention, (2) PEM versus single intervention, (3) multifaceted intervention where PEM is included versus multifaceted intervention without PEM. There was no language restriction. Any objective measure of professional practice (e.g. number of tests ordered, prescriptions for a particular drug), or patient health outcomes (e.g. blood pressure) were included. Data collection and analysis Two review authors undertook data extraction independently, and any disagreement was resolved by discussion among the review authors. For analyses, the included studies were grouped according to study design, type of outcome (professional practice or patient outcome, continuous or dichotomous) and type of comparison. For controlled trials, we reported the median effect size for each outcome within each study, the median effect size across outcomes for each study and the median of these effect sizes across studies. Where the data were available, we re-analysed the ITS studies and reported median differences in slope and in level for each outcome, across outcomes for each study, and then across studies. We categorised each PEM according to potential effects modifiers related to the source of the PEMs, the channel used for their delivery, their content, and their format. Main results The review includes 45 studies: 14 RCTs and 31 ITS studies. Almost all the included studies (44/45) compared the effectiveness of PEM to no intervention. One single study compared paper-based PEM to the same document delivered on CD-ROM. Based on seven RCTs and 54 outcomes, the median absolute risk difference in categorical practice outcomes was 0.02 when PEMs were compared to no intervention (range from 0 to +0.11). Based on three RCTs and eight outcomes, the median improvement in standardised mean difference for continuous profession practice outcomes was 0.13 when PEMs were compared to no intervention (range from -0.16 to +0.36). Only two RCTs and two ITS studies reported patient outcomes. In addition, we re-analysed 54 outcomes from 25 ITS studies, using time series regression and observed statistically significant improvement in level or in slope in 27 outcomes. From the ITS studies, we calculated improvements in professional practice outcomes across studies after PEM dissemination (standardised median change in level = 1.69). From the data gathered, we could not comment on which PEM characteristic influenced their effectiveness. Authors' conclusions The results of this review suggest that when used alone and compared to no intervention, PEMs may have a small beneficial effect on professional practice outcomes. There is insufficient information to reliably estimate the effect of PEMs on patient outcomes, and clinical significance of the observed effect sizes is not known. The effectiveness of PEMs compared to other interventions, or of PEMs as part of a multifaceted intervention, is uncertain.

Violência sexual: estudo descritivo sobre as vítimas e o atendimento em um serviço universitário de referência no Estado de São Paulo, Brasil

Abstract: A violencia sexual e problema de saude publica global e acoes tem sido implementadas para estimular estudos no tema, a fim de propor intervencoes de prevencao e atendimento adequado. Este trabalho objetivou caracterizar a populacao de mulheres que sofreram violencia sexual, e descrever as caracteristicas da agressao e do atendimento dispensado em um servico universitario de referencia. Estudo quantitativo e retrospectivo com atendimentos por violencia sexual de junho de 2006 a dezembro de 2010. Avaliadas 687 mulheres, a maioria branca, solteira, sem filhos, com idade media de 23,7 anos, escolaridade entre fundamental e media, empregadas, com religiao e pratica religiosa. Um quarto sem relacao sexual anterior. Violencia sexual principalmente a noite, na rua, por agressor desconhecido e unico, via vaginal e com intimidacao. A maioria contou para outras pessoas e se sentiu apoiada. Atendimento precoce para quase 90% das mulheres, instaurando medidas profilaticas. Ocorreu aumento da procura precoce ao longo do periodo. Conhecer melhor as caracteristicas da populacao e do evento pode auxiliar a estruturacao e qualificacao de modelos de atendimento.

Prevalence of urinary incontinence in female athletes: a systematic review with meta-analysis

Abstract: Urinary incontinence (UI) is any involuntary loss of urine. In female athletes, physical exercise may be a risk factor for UI because of increased intra-abdominal pressure generated during high-impact exercises, which overloads the pelvic organs, predisposing them to UI. This is a systematic review of the prevalence of UI in female athletes in different sports. A search for articles was carried out in the PEDro, Scopus, Cinahl, PubMed, LILACS, SciELO, Science Direct, Web of Science, Embase, and Cochrane databases as well as a manual search of the references of studies already published on the subject with the keywords “athlete,” “urinary incontinence,” and “women” in Portuguese and English. Only articles published from 2000 to 2016 were included. Observational studies assessing the prevalence of UI in female athletes were selected. Methodological quality was assessed using the Downs and Black scale, and the data collected from the studies were analyzed through meta-analysis. Eight studies met the eligibility criteria. Meta-analysis showed a 36% prevalence of UI in female athletes in different sports, and compared with sedentary women, the athletes had a 177% higher risk of presenting with UI. There is a higher prevalence of UI in female athletes compared with sedentary women. There have been reports of UI in different sports.

Prevalence of urinary incontinence and associated factors in nursing home residents.

Abstract: Aims To determine the prevalence of urinary incontinence (UI) and associated factors in the institutionalized elderly. Methods A cross-sectional study is presented herein, conducted between October and December 2013, in 10 nursing homes in the city of Natal (Northeast Brazil). Individuals over the age of 60, who reside in institutions, were included. Hospitalized individuals and those at end of life were excluded. Data collection included sociodemographic information, UI characterization, as well as variables related to the institution itself and to health conditions (comorbidities, medication, pelvic floor surgery, Barthel Index for functional capacity, and Pfeiffer test for cognitive status). UI was verified through the Minimum Data Set (MDS) version 3.0, which was also used to assess urinary devices and UI toileting programs. The Chi-square test (or Fisher's exact test), the linear Chi-square test, and logistic regression were utilized to model associations. Results The final sample consisted of 321 elderly, mostly females, with a mean age of 81.5 years. The prevalence of UI was 58.88% (CI 95%: 53.42–64.13) and the final model revealed a statistically significant association between UI and white race, physical inactivity, stroke, mobility impairment, and cognitive decline. The most frequent UI type was functional UI and toileting programs (prompted voiding) were only applied to approximately 8% of residents. Conclusions It is concluded that UI is a health issue that affects more than half of the institutionalized elderly, and is associated with white race, physical inactivity, stroke, and other geriatric syndromes such as immobility and cognitive disability. Neurourol. Urodynam. © 2014 Wiley Periodicals, Inc.

Challenges associated with the implementation of the nursing process: A systematic review

Abstract: Background: Nursing process is a scientific approach in the provision of qualified nursing cares. However, in practice, the implementation of this process is faced with numerous challenges. With the knowledge of the challenges associated with the implementation of the nursing process, the nursing processes can be developed appropriately. Due to the lack of comprehensive information on this subject, the current study was carried out to assess the key challenges associated with the implementation of the nursing process. Materials and Methods: To achieve and review related studies on this field, databases of Iran medix, SID, Magiran, PUBMED, Google scholar, and Proquest were assessed using the main keywords of nursing process and nursing process systematic review. The articles were retrieved in three steps including searching by keywords, review of the proceedings based on inclusion criteria, and final retrieval and assessment of available full texts. Results: Systematic assessment of the articles showed different challenges in implementation of the nursing process. Intangible understanding of the concept of nursing process, different views of the process, lack of knowledge and awareness among nurses related to the execution of process, supports of managing systems, and problems related to recording the nursing process were the main challenges that were extracted from review of literature. Conclusions: On systematically reviewing the literature, intangible understanding of the concept of nursing process has been identified as the main challenge in nursing process. To achieve the best strategy to minimize the challenge, in addition to preparing facilitators for implementation of nursing process, intangible understanding of the concept of nursing process, different views of the process, and forming teams of experts in nursing education are recommended for internalizing the nursing process among nurses.