Showing papers in "Revista Latino-americana De Enfermagem in 2011"
TL;DR: O instrumento de coleta de dados se constituiu dos REs, propostos pela NOC, for os dois DEs em estudo, sua definicao e uma escala Likert de cinco pontos, para os peritos pontuarem.
Abstract: Este estudo teve como objetivo validar os Resultados de Enfermagem (RE) da Classificacao dos Resultados de Enfermagem (NOC) para os dois Diagnosticos de Enfermagem (DE) frequentemente identificados em pacientes internados em unidades clinicas, cirurgicas e de terapia intensiva. A validacao de conteudo dos REs foi realizada adaptando-se o modelo de Fehring. A amostra constitui-se de 12 enfermeiros peritos. O instrumento de coleta de dados, na segunda etapa, se constituiu dos REs, propostos pela NOC, para os dois DEs em estudo, sua definicao e uma escala Likert de cinco pontos, para os peritos pontuarem. Os dados foram analisados por estatistica descritiva. Foram, ainda, validados os REs que obtiveram medias iguais ou maiores que 0,80. Risco de infeccao foi o DE mais frequente, sendo validados oito (38,1%) dos 21 REs propostos pela NOC. Deficit no autocuidado: banho/higiene foi o segundo DE mais frequente e cinco (14,28%) dos 35 REs foram validados.
99 citations
TL;DR: Conclui-se that as pessoas that convivem com HIV estao mais otimistas devido aos tratamentos eficazes no controle da doenca.
Abstract: This qualitative descriptive study, guided by the Social Representations Theory, aimed to describe the content of the social representations regarding the Acquired Immunodeficiency Syndrome (AIDS) for seropositive individuals in outpatient monitoring of the public health network and to analyze the interface of the social representations of AIDS with the quotidian of the individuals living with human immunodeficiency virus (HIV), especially in the adherence to treatment process Interviews were conducted with 30 seropositive individuals and the manual content analysis technique was used. From the analysis, six categories emerged that re-translated the quotidian of seropositive people permeated by the stigma, prejudice, struggle for life and the need for the continuous use of antiretrovirals. AIDS was assimilated to chronic diseases such as diabetes, showing a trend of transformation of the social representation of AIDS, substituting the idea of death, with life. It is concluded that people living with HIV are more optimistic due to effective treatments for the control of the disease.
75 citations
TL;DR: Nursing workers are exposed to several workloads in the hospital environment, especially psychic workloads, which starts strain processes that compromise the health and quality of life, signaling the necessity of interventions in this reality.
Abstract: Objective: to identify the work process, the psychic workloads and the strains generated in nursing workers. Method: the study was developed in five Brazilian university hospitals. The sample was composed by 62 nursing workers and the data collection was done by focal group technique, followed by the application of a collective inquire. The data were quantitatively described and systematized according to a thematic analysis. Results: the study population represented 35,37% of the hospital workforce in national setting. The workers mentioned are exposure to several kinds of psychic workload and link them to with others workloads, highlighting the strain processes resulting from this kind of workload, such stress, fatigue, complaints of gastritis and headaches. Conclusions: nursing workers are exposed to several workloads in the hospital environment, especially psychic workloads. This exposure starts strain processes that compromise the health and quality of life, signaling the necessity of interventions in this reality.
73 citations
TL;DR: This study identified stressors for nurses working in intensive care units in Porto (Portugal) using a questionnaire and Nurse Stress Index to identify stressors.
Abstract: This is a descriptive cross-sectional study. The sample consisted of 235 nurses from two intensive care units in Porto (Portugal). The purpose of this study was to identify stressors for nurses working in intensive care units. The data was collected using the following: i) a questionnaire (for socio-demographic variables, physical aspects of work and variables related to the work context; ii) Interpersonal Work Relations Scale; iii) Nurse Stress Index. Nurses in the early phase of their career have higher stress levels (X = 81). An inadequate physical work structure leads to higher stress levels (X = 83). The worse the interpersonal relations are, the higher stress levels nurses feel (Spearman correlation coefficient =-0.331). Nurses who have a bad relationship with their work superiors view the dimension "Support and Organizational Involvement" as a stressor (Student's t test, p<0.001).
63 citations
TL;DR: The Braden cut-off score 13 in the third assessment showed the best predictive performance in critical care patients, and areas under the ROC curves revealed very good accuracy for the cut-offs.
Abstract: This methodological study aimed to evaluate the predictive validity of the Braden scale in critical care patients. The study was conducted in four intensive care units of a general private hospital. After approval of the project by the Hospital Ethics Committee, during six months, adult patients admitted to ICUs with a Braden score <18 and without PU were assessed upon admission and at 48-hours intervals as long as the patient remained at risk or until the development of PU, patients' discharge, death or transfer from the ICU. The cut-off scores of the Braden scale in the first, second and third assessments were 12, 13 and 13, respectively. Sensitivity was 85.7%, 71.4% and 71.4% and specificity was 64.6%, 81.5% and 83.1%, respectively. Areas under the ROC curves revealed very good accuracy for the cut-off scores. The Braden cut-off score 13 in the third assessment showed the best predictive performance in critical care patients.
62 citations
TL;DR: Individuals with depressive symptoms presented lower scores of quality of life than individuals without these symptoms, with statistically significant differences between the means/medians in most domains of the HATQoL.
Abstract: This is a cross-sectional study conducted with 228 people living with HIV/AIDS in a municipality in the State of Sao Paulo during 2007 and 2008. The aims of this study were to investigate the intensity of the depressive symptoms in individuals with HIV/AIDS treated at two referral units in Ribeirao Preto, Brazil, and to compare the quality of life with the different degrees of intensity of the depressive symptoms in these individuals, according to gender. Data were collected through individual interviews, using the Beck Depression Inventory and HIV/AIDS Targeted Quality of Life (HATQoL). A total of 63 (27.6%) patients with symptoms of depression (mild, moderate and severe) were detected. The women presented more severe symptoms of intensity of depression than men. Individuals with depressive symptoms presented lower scores of quality of life than individuals without these symptoms, with statistically significant differences between the means/medians in most domains of the HATQoL. Healthcare professionals should offer integral care for people with HIV/AIDS, emphasizing the depressive symptoms.
61 citations
TL;DR: In this article, a dinâmica de a familia de idosos com 80 anos ou más, sob cuidados do familiar cuidador, em domicilio.
Abstract: Este e um estudo descritivo que objetivou conhecer a dinâmica de familia de idosos com 80 anos ou mais, sob cuidados do familiar cuidador, em domicilio. Cuidadores e idosos, registrados na unidade de saude familiar da grande regiao do Porto, compuseram amostra de 107 unidades. Dados colhidos entre 9/2009 e 3/2010, por instrumentos de dinâmica familiar, qualidade de vida e de estilo de vida, resultaram em: aumento de cuidador masculino e de conjuge idoso de seu par dependente e inclusao substancial no elenco de familiares cuidadores: netas(os), sobrinhas(os) e irmas(os). Estilo de vida do cuidador revelou-se regular como tambem a qualidade de vida de ambos: cuidador e idoso, apesar de a dinâmica de familia se mostrar de boa funcionalidade. Limitacoes impedem a generalizacao dos resultados, porem, fornece subsidios relevantes para o desenvolvimento do programa de saude familiar e de enfermagem de familia.
61 citations
TL;DR: It was concluded that nurses' clinical practice is being consolidated, and that collective analysis processes permit learning and the reconstruction of practices.
Abstract: This study aims to present the re-signification process of the meanings of nurses' clinical practice in primary care from the perspective of extended clinic and permanent education. An intervention research was carried out with the approval of an ethics committee. Nine nurses participated in reflection groups from September to December 2008 in Ribeirao Preto-SP-Brazil. The redefinition process of the meanings proposed by the institutional analysis was mapped. The results point out that the nurses perceive differences in clinical work, by acknowledging the sense of user-centered clinical practice; daily limits and tensions and the need for support from managers and the team to deal with users' problems and situations. They identify the necessity to open space in the schedule to do that. It was concluded that nurses' clinical practice is being consolidated, and that collective analysis processes permit learning and the reconstruction of practices.
61 citations
TL;DR: In this article, an estudio descriptivo comparativo between a protocolo institucional and the protocolo de Manchester for the clasificación de riesgo de pacientes atendidos en primeros auxilios de un hospital publico de Belo Horizonte - MG - Brazil.
Abstract: Este estudio tuvo por objetivo verificar el grado de concordancia entre un protocolo institucional y el protocolo de Manchester para la clasificacion de riesgo de pacientes atendidos en primeros auxilios de un hospital publico de Belo Horizonte - MG - Brasil. Se trata de estudio descriptivo comparativo en el cual 382 fichas fueron evaluadas y, realizada la clasificacion de riesgo utilizando los protocolos mencionados encima, a partir del registro realizado por los enfermeros. Indices kappa ponderado y no ponderado fueron calculados para determinar el grado de concordancia entre los protocolos. Los resultados mostraron que la concordancia entre los protocolos es media, cuando considerados los errores de clasificacion ocurridos entre colores vecinos (kappa=0,48) y buena, cuando considerados los errores de clasificacion ocurridos entre colores extremos (kappa=0,61). Se concluye que el protocolo de Manchester aumento el nivel de prioridad de los pacientes, demostrando ser un protocolo que incluye mas.
58 citations
TL;DR: The results showed that the correlation between the protocols is average when considering that classification errors occurred between neighboring colors (kappa=0.48), and good whenconsidering that classification error occurred between extreme colors (Kappa =0.61).
Abstract: The aim of this study was to assess the level of agreement between an institutional protocol and the Manchester protocol for the risk assessment of patients attended in an emergency room of a public hospital in Belo Horizonte - MG - Brazil. This is a descriptive and comparative study, in which 382 patients' reports were evaluated and the risk was classified, using the institutional protocol and the Manchester protocol. Rates were calculated through weighted and unweighted kappa, in order to determine the level of agreement between the protocols. The results showed that the correlation between the protocols is average when considering that classification errors occurred between neighboring colors (kappa=0.48), and good when considering that classification errors occurred between extreme colors (kappa=0.61). The Manchester protocol increased the patients' level of priority of patients and has been considered more inclusive.
58 citations
TL;DR: Several barriers that interfere in matters of safety and personal protective equipment, such as communication, work overload, physical structure, accessibility of protective equipment and organizational and management aspects are identified.
Abstract: Estudio cualitativo realizado en un hospital universitario con 15 profesionales de enfermeria. Objetivo analizar las razones, actitudes y creencias de los trabajadores de enfermeria referentes a la adhesion a los equipamientos de proteccion individual. Los datos fueron recolectados por medio de grupo focal, analizados por el metodo de interpretacion de sentidos, considerando el referencial del modelo de creencias sobre salud de Rosenstock. De los datos surgieron dos categorias tematicas, Seguridad en el trabajo y Relaciones Interpersonales. Identificamos varias barreras que interfieren en las cuestiones de seguridad y proteccion individual como comunicacion, sobrecarga de trabajo, estructura fisica, accesibilidad a los equipamientos de proteccion y aspectos organizacionales y administrativos. La adhesion a los equipamientos de proteccion es determinada tanto por el contexto experimentado en el ambiente de trabajo, como por valores y creencias individuales; sin embargo, la decision del uso de los equipamientos de proteccion es individual.
TL;DR: In this paper, a revision integradora de la literatura en las bases de datos LILACS, MEDLINE, BDENF, and Biblioteca Cochrane, totalizando 17 publications categorizadas en Satisfaccion en el Trabajo, Insatisfaccion in el trabajo and Factores Asociados, concluyó que the satisfaccion is determinada by una red compleja de factores, pudiendo variar conforme el grupo estudiado.
Abstract: La satisfaccion en el trabajo consiste en un sentimiento de bienestar resultante de la interaccion de varios aspectos ocupacionales, pudiendo influenciar la relacion del trabajador con la organizacion, clientes y familia. Es importante para la calidad de la asistencia de enfermeria realizar una reflexion profunda sobre este tema, por eso se objetivo en este estudio analizar las evidencias cientificas referentes a la satisfaccion en el trabajo del equipo de enfermeria brasileno. Se trato de una revision integradora de la literatura en las bases de datos LILACS, MEDLINE, BDENF y Biblioteca Cochrane, totalizando 17 publicaciones categorizadas en: Satisfaccion en el Trabajo, Insatisfaccion en el Trabajo y Factores Asociados. Se concluyo que la satisfaccion en el trabajo es determinada por una red compleja de factores, pudiendo variar conforme el grupo estudiado. Investigaciones adicionales, especialmente con niveles de evidencias III, en diferentes campos de actuacion de la enfermeria, abarcando todo el Brasil, son necesarias para subsidiar la implantacion de mejorias ocupacionales.
TL;DR: This study aimed to identify risk factors associated with surgical site infections in orthopedic surgical patients at a public hospital in Minas Gerais, Brazil between 2005 and 2007 and identify the association between surgical site infection and these risk factors.
Abstract: This study aimed to identify risk factors associated with surgical site infections in orthopedic surgical patients at a public hospital in Minas Gerais, Brazil, between 2005 and 2007. A historical cohort of 3,543 patients submitted to orthopedic surgical procedures. A descriptive analysis was conducted and surgical site infection incidence rates were estimated. To verify the association between infection and risk factors, the Chi-square Test was used. The strength of association of the event with the independent variables was estimated using Relative Risk, with a 95% confidence interval and p<0.05. The incidence of surgical site infection was 1.8%. Potential surgical wound contamination, clinical conditions, time and type of surgical procedure were statistically associated with infection. Identifying the association between surgical site infection and these risk factors is important and contributes to nurses' clinical practice.
TL;DR: To reconstruct Perroca's patient classification instrument, a group of experts comprising ten nurses appraised the instrument, using the Delphi technique, and assessed the content validity of the new version.
Abstract: The purpose of this study was to reconstruct Perroca's patient classification instrument; and to assess the content validity of the new version. A group of experts comprising ten nurses appraised the instrument, using the Delphi technique. Data collection took place from March 2008 to February 2009 by means of structured questionnaires sent by electronic mail. The new version contained nine nursing care areas. Agreement levels on the instrument structure amounted to > 90%, and ranged between 80 and 96% in the nursing care areas. The refinement of classification instruments is of great importance to generate valid and reliable data, supporting management decision making on nursing care planning as well as nursing workload measurement.
TL;DR: The prevalence of depression in nursing staff working in Intensive Care Units of hospitals from a city in Northwestern São Paulo State - Brazil is significant and more attention should be paid to this problem workers at these units face.
Abstract: This study aimed to estimate the prevalence of depression in nursing staff working in Intensive Care Units of hospitals from a city in Northwestern Sao Paulo State - Brazil, examining its association with participants' socio-demographic characteristics. The Beck Depression Inventory was applied to a sample of 67 nursing workers from three general hospitals, showing an 28.4% prevalence of depression. The analysis based on the multiple model showed a significant association between depression and marital status (OR=1.52), night work (OR=1.46) and double shifts (OR=2.11). Also, there were significant percentages of workers who reported discouragement, sadness and hopelessness. In conclusion, the prevalence of depression is significant and more attention should be paid to this problem workers at these units face. Further studies are needed in the attempt to broaden knowledge on the subject, which can support strategies to guarantee attention to ICU nursing workers' physical and mental health needs.
TL;DR: Los cuidadores presentaron sobrecarga de cuidado y aspectos of CV comprometidos y posiblemente necesitan de intervenciones that promuevan el bienestar fisico, el social and el emocional, para disminuir the sobreCarga y mejorar the CV, and asi consecuentemente mejORar the asistencia.
Abstract: Introduction: Cancer is a disease of high incidence among children and the patients need a caregiver during the treatment. Aim: to evaluate: the burden of care and quality of life (QOL) of caregivers of children/adolescents with cancer during chemotherapy treatment and relate them to each other and to the socio-demographic data and the presence and degree of signs of depression, Method: It is a cross-sectional study, with 32 caregivers. Socio-demographic, care burden (Caregiver Burden Scale) and QOL data (SF-36) were collected. Results: 87.5% of the caregivers were mothers, total score of burden 1.92±0.09 and most compromised score of the SF-36: emotional aspects (59.3), vitality (60.0), pain (60.9). There was a significant correlation between burden and mental health and vitality. Conclusion: Caregivers presented care burden and compromised aspects of QOL and possibly need interventions that will promote social and emotional wellbeing to reduce the burden, improve the quality of life QOL and consequently deliver better care.
TL;DR: It was concluded that strategies to prevent the occurrence of accidents with biological material should include joint activities between workers and service management and should be directed at improving work conditions and organization.
Abstract: This retrospective and descriptive study with a quantitative design aimed to evaluate occupational accidents with exposure to biological material, as well as the profile of workers, based on reporting forms sent to the Regional Reference Center of Occupational Health in Florianopolis/SC. Data collection was carried out through a survey of 118 reporting forms in 2007. Data were analyzed electronically. The occurrence of accidents was predominantly among nursing technicians, women and the mean age was 34.5 years. 73% of accidents involved percutaneous exposure, 78% had blood and fluid with blood, 44.91% resulted from invasive procedures. It was concluded that strategies to prevent the occurrence of accidents with biological material should include joint activities between workers and service management and should be directed at improving work conditions and organization.
TL;DR: The conclusion is that the profile and competencies of most of the nurse managers were compatible with the expectations of their superiors, who collaborate in the selection of candidates for the nurse manager position and evaluate their professional performance.
Abstract: This descriptive study identified the profile and competencies of nurse managers of accredited hospitals from the their perspective and that of their hierarchical superiors. It was conducted in 14 hospitals certified by the National Organization of Accreditation and the Joint Commission International in Sao Paulo, SP, Brazil. Data were collected through two questionnaires that were applied to 24 professionals. The nurse managers' profiles showed that 69.2% came from private colleges, all with more than 10 years experience since graduation and 92.3% had attended a post-degree program in health management. The nurse managers' most frequent competencies according to their superiors were: leadership, focus on patients, and teamwork. The conclusion is that the profile and competencies of most of the nurse managers were compatible with the expectations of their superiors, who collaborate in the selection of candidates for the nurse manager position and evaluate their professional performance.
TL;DR: The family ties of crack cocaine users cared for in a psychiatric emergency department in southern Brazil are characterized, taking into consideration that families have an essential role in the initiation and continuity of drug use.
Abstract: This study characterizes the family ties of crack cocaine users cared for in a psychiatric emergency department in southern Brazil. It is a qualitative study with a series of cases carried out in the city of Maringa, PR, Brazil from April to June 2010. Data were collected through semi-structured interviews, analyzed using content analysis, and organized into two categories: family ties as facilitators in the use of crack cocaine and other drugs; and fragmented family ties of crack users. Loss of relational bonds with family and social milieu was observed among the ten studied users in addition to the presence of drugs and violence in the family sphere. Further studies addressing the use of crack and its interface with the family are encouraged, taking into consideration that families have an essential role in the initiation and continuity of drug use.
TL;DR: In this paper, an estudo retrospectivo, documental e descritivo was presented, with the goal of identifying eventos adversos a medicamentos, ocorridos no processo administracao de medicamento, and classifying them.
Abstract: Trata-se de estudo retrospectivo, documental e descritivo que teve como objetivo identificar os eventos adversos a medicamentos, ocorridos no processo administracao de medicamentos, e classificar os erros de medicacao. Este estudo foi desenvolvido na unidade de clinica medica de um hospital geral de Goias, Brasil. Foram analisados os livros utilizados pela equipe de enfermagem, no periodo de 2002 a 2007, para registros de passagem de plantao. Identificaram-se 230 erros de medicacao, sendo a maioria no preparo e administracao de medicamentos (64,3%). Os erros de medicacao foram de omissao (50,9%), de dose (16,5%), de horario (13,5%) e de tecnica de administracao (12,2%), sendo mais frequentes com antineoplasicos e imunomoduladores (24,3%) e anti-infecciosos (20,9%). Constatou-se que 37,4% dos medicamentos eram potencialmente perigosos. Considerando os erros de medicacao detectados, e importante promover cultura de seguranca no hospital.
TL;DR: The conclusion is that knowledge concerning the social, demographic, and health profiles of these individuals favors the implementation of actions specific to this age group by health providers, and helps managers to develop health indicators.
Abstract: This is a sectional epidemiological study including a household survey. It describes the socio-demographic and health conditions of elderly individuals residing in Guarapuava, PR, Brazil. The study's sample consisted of 359 elderly individuals enrolled in primary health care units in the city. Interviews were conducted from January to April 2010 using sections I and II of the Brazil Old Age Schedule questionnaire. The results revealed that most interviewees were women (64.3%), health self-perception was considered 'good' by 54.6%, and the most prevalent diseases were hypertension (34.9%), diabetes mellitus (12,4%) and arthritis/arthrosis (12.2%). Most elderly individuals use dental prostheses (74.4%) and 56.5% wear glasses or contact lenses. The conclusion is that knowledge concerning the social, demographic, and health profiles of these individuals favors the implementation of actions specific to this age group by health providers, and helps managers to develop health indicators.
TL;DR: It was concluded that job satisfaction is determined by a complex network of factors and may vary depending on the group studied, and additional research is necessary to support the implementation of occupational improvements.
Abstract: Job satisfaction consists of a feeling of wellbeing, resulting from the interaction of several occupational aspects, and may influence the worker's relationship with the organization, clients and family. Hence, it becomes important for the quality of nursing care to reflect on this topic in depth. Therefore, this study aimed to examine the scientific evidence related to job satisfaction in Brazilian nursing. An integrative literature review was carried out in the databases LILACS, MEDLINE, BDENF and Cochrane Library, totaling 17 publications, categorized in: Job Satisfaction, Job Dissatisfaction and Associated Factors. It was concluded that job satisfaction is determined by a complex network of factors and may vary depending on the group studied. Additional research, particularly of evidence level III in different nursing fields, covering all of Brazil, is necessary to support the implementation of occupational improvements.
TL;DR: No statistical differences were found between the religious practices of nursing professors and students, though a marked difference was found in their clinical practices and opinions concerning spirituality and its inclusion in the program's curriculum.
Abstract: This study compares the knowledge and attitudes of nursing professors and students concerning the interface between spirituality, religiosity and health. A cross-sectional study was conducted with 30 nursing professors and 118 students. The results reveal that more than 95% of the participants had some religious affiliation, 96% believed that spirituality considerably influences patients' health, and 77% wished to address this subject. However, only 36% felt prepared for it and most believed that the university did not provide the necessary information. No statistical differences were found between the religious practices of nursing professors and students, though a marked difference was found in their clinical practices and opinions concerning spirituality and its inclusion in the program's curriculum. The most common barriers to addressing such a subject were: fear of imposing one's own beliefs, lack of time, and fear of offending patients.
TL;DR: In this paper, an estudo epidemiologico seccional com inquerito domiciliar, with the goal of descrever as caracteristicas sociodemograficas e as condicoes of saude de idosos do municipio de Guarapuava, PR, Brazil, was presented.
Abstract: Trata-se de estudo epidemiologico seccional com inquerito domiciliar, com o objetivo de descrever as caracteristicas sociodemograficas e as condicoes de saude de idosos do municipio de Guarapuava, PR, Brasil. A amostra do estudo foi composta por 359 idosos inscritos nas UBSs do municipio. As entrevistas foram realizadas de janeiro a abril de 2010, utilizando-se a secao I e II do questionario Brazil Old Age Schedule - BOAS. Os resultados demonstraram que o sexo feminino foi prevalente (64,3%), a autopercepcao de saude foi boa para 54,6% dos idosos, as doencas mais relatadas foram hipertensao (34,9%), diabetes mellitus (12,4%) e artrite/artrose (12,2%). A maioria dos idosos utiliza protese dentaria (74,4%), 56,5% oculos ou lente de contato. Conclui-se que o conhecimento do perfil sociodemografico e de saude desses idosos favorece a implantacao de acoes especificas para essa faixa etaria pelos profissionais de saude que trabalham nesse municipio, alem de auxiliar os gestores para formular indicadores de saude.
TL;DR: In this article, the authors identify the proceso de trabajo, las cargas psiquicas, and desgastes generated by trabajadores de enfermeria.
Abstract: El objetivo de este estudio fue identificar el proceso de trabajo, las cargas psiquicas y los desgastes generados en trabajadores de enfermeria. Se trata de un estudio desarrollado en cinco hospitales universitarios brasilenos. La muestra fue compuesta por 62 trabajadores de enfermeria; la recoleccion fue realizada por medio de la tecnica de grupo focal, seguida de la aplicacion de encuesta colectiva. Los datos fueron descritos numericamente y sistematizados segun analisis tematico. La poblacion de estudio represento 35,37% de la fuerza de trabajo hospitalario en el escenario nacional. Los trabajadores refirieron exposicion a diversos tipos de cargas psiquicas y las relacionaron con otras cargas de trabajo, destacando los desgastes provenientes de este tipo de carga, como estres, fatiga, gastritis y cefalea. Los trabajadores de enfermeria estan expuestos a las diversas cargas de trabajo en el ambiente hospitalario, especialmente a las cargas psiquicas. Esta exposicion desencadena procesos de desgaste que comprometen la salud y calidad de vida, senalando la necesidad de realizar intervenciones en esta realidad.
TL;DR: The elderly individuals who reported having sleep problems in general, taking longer to fall asleep and sleeping poorly at night had lower scores on the Interpersonal Support Evaluation Scale than the elderly who denied such problems.
Abstract: This study identifies relationships among the quality of perceived social support and sleep problems and napping habits in community-dwelling elderly. This study is part of a larger multicenter project entitled "Frailty in Brazilian Elderly Individuals", conducted in 17 Brazilian cities. A total of 498 elderly individuals capable of participating in interviews and free of cognitive deficits or functional impairment were found. The following instruments were used in data collection: Questionnaire addressing socio-demographic data; Interpersonal Support Evaluation Scale; questions concerning sleep patterns (Nottingham Health Profile); questions related to napping habits (Minnesota Leisure Activity Questionnaire). Descriptive statistics and the Mann-Whitney test were used for data analysis. The elderly individuals who reported having sleep problems in general, taking longer to fall asleep and sleeping poorly at night had lower scores on the Interpersonal Support Evaluation Scale than the elderly who denied such problems. Strategies to improve the quality of social support could also help reduce sleep problems.
TL;DR: The study aimed to evaluate the relationship between occupational stress and the work capacity index of 368 nurses of a Hospital Group and found no correlation between stress and work capacity.
Abstract: The study aimed to evaluate the relationship between occupational stress and the work capacity index of 368 nurses (82.1% of the population) of a Hospital Group. A questionnaire with socio-occupational questions was used as well as two scales: the Job Stress Scale and the Work Capacity Index. The group of nurses was predominantly female (93.2%), worked in care activities (63.9%), had undertaken at least one Postgraduate course (76%) and were satisfied with the unit where they worked (70.5%). Occupational stress was present in 23.6% of the nurses, of these 15.2% presented High Strain work and 8.4% Passive Work. Social Support exercised a significant positive influence on all groups - exposed or not to occupational stress. Regarding the Work Capacity, this was Moderate (28-36 points) for 51.4% of the nurses and Good (37-43 points) for 47.4%. There was no correlation between stress and work capacity.
TL;DR: The objective of this study was to validate the Nursing Outcomes from the nursing Outcomes Classification (NOC) for the two Nursing Diagnoses (ND) most frequent in hospitalized surgical, clinical and critical patients.
Abstract: The objective of this study was to validate the Nursing Outcomes (NO) from the Nursing Outcomes Classification (NOC) for the two Nursing Diagnoses (ND) most frequent in hospitalized surgical, clinical and critical patients. The content validation of the REs was performed adapting the Fehring Model. The sample consisted of 12 expert nurses. The instrument for data collection consisted of the NOs proposed by NOC for the two NDs in the study, its definition and a five-point Likert scale. The data were analyzed using descriptive statistics. The NOs that obtained averages of 0.80 or higher were validated. The ND Risk for Infection was the most frequent, being validated eight (38.1%) of 21 NOs proposed by the NOC. The ND Self-Care Deficit: Bathing/Hygiene was the second most frequent and five (14.28%) out of 35 NOs were validated.
TL;DR: In this paper, a revisao integrativa da literatura was conducted, with the bases of LILACS, MEDLINE, BDENF, and Biblioteca Cochrane.
Abstract: A satisfacao no trabalho consiste em sentimento de bem-estar. resultante da interacao de varios aspectos ocupacionais, podendo influenciar a relacao do trabalhador com a organizacao, clientes e familia. Torna-se importante, para a qualidade da assistencia de enfermagem, reflexao aprofundada sobre esse tema, e, por isso, objetivou-se neste estudo analisar as evidencias cientificas referentes a satisfacao no trabalho da equipe de enfermagem brasileira. Trata-se de revisao integrativa da literatura nas bases de dados LILACS, MEDLINE, BDENF e Biblioteca Cochrane, totalizando 17 publicacoes categorizadas em: satisfacao no trabalho, insatisfacao no trabalho e fatores associados. Conclui-se que a satisfacao no trabalho e determinada por rede complexa de fatores, podendo variar conforme o grupo estudado. Pesquisas adicionais, especialmente com niveis de evidencias III, em diferentes campos de atuacao da enfermagem, abrangendo todo Brasil, sao necessarias para subsidiar a implantacao de melhorias ocupacionais.
TL;DR: The profiles of nursing leaders encountered were the authentic and the authoritative, with the leadership evidenced as an organizational tool that combines communication, interpersonal relationships, planning, the commitment to success and the resolvability of conflicts.
Abstract: This Integrative Literature Review, sought to evidence and discuss the main characteristics of the concept of leadership and of the nurse leader, as well as their contributions to the practice of nursing and health from nursing scientific publications indexed in the database Medical Literature Analysis and Retrieval System Online (MEDLINE) and published between 1998 and 2008. Following the inclusion criteria, a total of 36 studies were selected for analysis, of these 89% (33 articles) were published in foreign journals and 11% (3) published in national journals. The profiles of nursing leaders encountered were the authentic and the authoritative, with the leadership evidenced as an organizational tool that combines communication, interpersonal relationships, planning, the commitment to success and the resolvability of conflicts. Education is presented as fundamental for the formation of leaders, relating directly the valorization of academic titles with the improvement of this competence.