The continuity of hospital nursing care for Primary Health Care in Spain
Conclusion: Nurses in Spain perform care continuity for Primary Health Care, in which their activities encompass the availability of resources and experience in managing the care of complex patients and their families.RESUMEN Objetivo: Conocer el perfil y las actividades realizadas por la Enfermera Hospitalaria de Enlace para la continuidad del cuidado en la atenci ón primaria de salud en España. Método: Investigación del tipo exploratoria, de abordaje cualitativo, desarrollada en cinco Hospitales Universitarios en Madrid y tres en Barcelona, con Enfermeras Hospitalarias de Enlace que actúan en los Hospitales en ...
Source: Revista da Escola de Enfermagem da USP - July 5, 2019 Category: Nursing Source Type: research

Intensivist nurse performance in the collaborative model of continuous hemodialysis: links with patient safety
Conclusion: There are weaknesses in the participation by intensive care nurses in this continuous hemodialysis model which require elaboration of defensive barriers for the safety of the system.RESUMEN Objetivo: Describir la actuaci ón del enfermero de la Unidad de Cuidados Intensivos en el manejo de la hemodiálisis continua en el ámbito del modelo colaborativo, analizándola en cuanto a los nexos con la seguridad del paciente. Método: Investigación exploratoria descriptiva, cualitativa, basada en el modelo de seguridad de Reason, llevada a cabo en la Unidad de Cuidados Intensivos de hospital especializado, con enf...
Source: Revista da Escola de Enfermagem da USP - July 5, 2019 Category: Nursing Source Type: research

Epidemiological profile of healthcare-associated infections caused by Carbapenemase-producing Enterobacteriaceae
Conclusion: The resistance genes spread rapidly, limiting the antimicrobial options for treating infectious diseases. The epidemiological profile of Healthcare-Associated Infections found in this study can be prevented by prevention and infection control programs.RESUMEN Objetivo: Inventariar el perfil epidemiol ógico de las Infecciones relacionadas con la Asistencia Sanitaria causadas por Enterobacterias que transfieren el gen Klebsiella pneumoniae Carbapenemasa (blaKPC) en el entorno hospitalario. Método: Estudio descriptivo, llevado a cabo en un hospital de Belo Horizonte, MG, Brasil, que incluyó a todos los paci...
Source: Revista da Escola de Enfermagem da USP - July 5, 2019 Category: Nursing Source Type: research

International Interinstitutional PhD Program in Nursing: a successful experience between Brazil and Chile
(Source: Revista da Escola de Enfermagem da USP)
Source: Revista da Escola de Enfermagem da USP - July 5, 2019 Category: Nursing Source Type: research

Good practices for preventing ventilator-associated pneumonia in the emergency department
Conclusion: The care provided to patients is not in line with what is recommended in the literature, which demonstrates the need for periodic renewal of the team ’ s educational practices and the development of auditing projects to ensure improvements in the care process.RESUMEN Objetivo: Evaluar la conformidad del conjunto de buenas pr ácticas para prevención de neumonía asociada con la ventilación mecánica en el servicio de urgencias y emergencia de un hospital universitario. Método: Estudio transversal, analítico y de abordaje cuantitativo, realizado en un hospital universitario de São Paulo. La muestra del...
Source: Revista da Escola de Enfermagem da USP - June 13, 2019 Category: Nursing Source Type: research

Factors associated with mechanical restraint in the hospital environment: a cross-sectional study
Conclusion: This study estimated a high mechanical restraint prevalence in the hospital environment and determined factors associated with the risk of a patient being restrained. A medical restraint evaluation team is recommended for an in-depth analysis of indication and therapy.RESUMEN Objetivo: Estimar la prevalencia de contenci ón mecánica en el entorno hospitalario y los factores asociados con su realización. Método: Estudio transversal, observacional, con pacientes provenientes de un hospital público, de los sectores de clínica médica, clínica quirúrgica y unidad de cuidados intensivos, analizados de mo...
Source: Revista da Escola de Enfermagem da USP - June 13, 2019 Category: Nursing Source Type: research

Subsample analysis of the Vascular Complications Risk Score at two public referral centers for interventional cardiology
Conclusion: This subanalysis confirms the ability of the Vascular Complications Risk core to predict low risk of vascular complications in patients with a score< 3.RESUMO Objetivo: Avaliar o desempenho do Escore de Risco para Complica ções Vasculares em duas instituições públicas de referência para cardiologia intervencionista. Método: Análise de subamostras do Escore de Risco para Complicações Vasculares, que foi desenvolvida e validada nos laboratórios de cateterização de três instituições de referência em ca rdiologia (duas públicas, uma particular) com um valor de corte de<3 para nenhum ris...
Source: Revista da Escola de Enfermagem da USP - June 13, 2019 Category: Nursing Source Type: research

Nursing diagnoses for institutionalized elderly people based on Henderson’s theory
Conclusion: The diagnostic statements portray situations of vulnerability to the health of institutionalized elderly that are influenced by biological, psychological, social and cultural factors and require a systematized, individualized and resolutive care for this public.RESUMEN Objetivo: Plantear enunciados de diagn ósticos de enfermería para ancianos institucionalizados. Método: Estudio descriptivo, llevado a cabo con ancianos de un Institución de Larga Estancia, mediante aplicación de formularios que subsidiaron la anamnesis y el examen físico, además de la búsqueda en las fichas. Los enunciados de diagnÃ...
Source: Revista da Escola de Enfermagem da USP - June 4, 2019 Category: Nursing Source Type: research

Frailty syndrome in the elderly in elderly with chronic diseases in Primary Care
Conclusion: The nursing diagnosis Frailty Syndrome in the Elderly allows a multidimensional view of the elderly. Since one factor can cause health problems in several health fields, nurses must intervene early, plan and implement actions in the short and long term.RESUMEN Objetivo: Evaluar el diagn óstico enfermero Síndrome del Anciano Frágil en personas mayores con enfermedades crónicas de un centro regional de salud del Distrito Federal. Método: Estudio cuantitativo, descriptivo y transversal, llevado a cabo con ancianos que presentaban hipertensión arterial y/o diabetes mellitus ate ndidos en Unidades Básicas ...
Source: Revista da Escola de Enfermagem da USP - June 4, 2019 Category: Nursing Source Type: research

Nursing workload: influence of indirect care interventions
Conclusion: Nurses in different practice scenarios perceive that indirect care interventions influence the workload in a differentiated way, with emphasis on the demands related to the monitoring and qualification of employees.RESUMEN Objetivo: Evaluar la percepci ón de enfermeros acerca del grado de interferencia de intervenciones de cuidados indirectos sobre la carga laboral del equipo y verificar la asociación entre dichas intervenciones y las variables profesionales e institucionales. Método: Investigación survey por vía correo electrónico, conduc ida con enfermeros clínicos, gerentes de unidades y de servici...
Source: Revista da Escola de Enfermagem da USP - June 4, 2019 Category: Nursing Source Type: research

Engagement of multi-professional residents in health
Conclusion: Professionals presented good levels of engagement in spite of dissatisfactions with the program. The results showed a good relationship between professionals and preceptors and supervisors, which reinforces that support and recognition of professional performance are important for strengthening the engagement, especially at the beginning of the career.RESUMEN Objetivo: Evaluar los niveles de engagement (compromiso) de residentes multiprofesionales en salud de un centro de ense ñanza superior del noroeste del Estado de São Paulo. Método: Estudio censal transversal, que utilizó la Utrecht Work Engagement...
Source: Revista da Escola de Enfermagem da USP - June 4, 2019 Category: Nursing Source Type: research

Comparison of stress in freshman and senior nursing students
Conclusion: High levels of stress were observed in students taking the last year. There is a need for broader research that includes other years of the course, an institutional reflection on stress factors and the adoption of an institutional policy that favors a better confrontation of stress factors.RESUMEN Objetivo: Comparar el nivel de estr és de universitarios de enfermería de primer año y egresos de la carrera. Método: Estudio transversal, desarrollado en una universidad pública federal, del Estado de Bahía, con estudiantes que respondieron a cuestionarios acerca de variables sociodemográficas, vida acadé...
Source: Revista da Escola de Enfermagem da USP - June 4, 2019 Category: Nursing Source Type: research

Realistic health care simulation scenario: what is relevant for its design?
ABSTRACT We sought to describe the stages of scenario development with emphasis on the most relevant aspects according to the literature and guidelines of The International Nursing Association for Clinical Simulation and Learning and Best Evidence Medical Education, which are discussed and exemplified on the basis of our professional experience. The following stages were described and commented on for scenario design: planning, objectives, simulation structure and format, case description and perception of realism, pre-debriefing, debriefing, evaluation, materials and resources, and pilot test. A scenario design based on g...
Source: Revista da Escola de Enfermagem da USP - May 30, 2019 Category: Nursing Source Type: research

Hypertension is the underlying cause of death assessed at the autopsy of individuals
Conclusion: The prevalence of hypertension was high, and it was the second most common underlying cause of death. The gold standard for the definition of cause of death, the autopsy, shows important results, which confirmed the relevance of hypertension as a public health problem.RESUMEN Objetivo: Analizar la hipertensi ón y su relación con las causas de muerte identificadas por la autopsia. Método: Estudio transversal, que analizó a 356 participantes del Biobanco para Estudios en el Envejecimiento, con edad mayor a 50 años, autopsiados en el Servicio de Verificación de Defunciones entre los años 2004 y 20 14. ...
Source: Revista da Escola de Enfermagem da USP - May 30, 2019 Category: Nursing Source Type: research

Dimensioning of nursing staff in outpatient chemotherapy: application of the Workload Indicators of Staffing Need
Conclusion: The similarity between the staff required according to the method studied and the current staff showed that the Workload Indicators of Staffing Need has great potential and applicability for dimensioning nursing professionals safely.RESUMEN Objetivo: Aplicar el m étodo elaborado por la Organización Mundial de la Salud, denominado Workload Indicators of Staffing Need, a fin de dimensionar al equipo de enfermería para el cuidado a pacientes oncológicos en Ambulatorio de Quimioterapia. Método: Se trata de una investigación de campo observacional y docum ental, con abordaje cuantitativo y muestra intenci...
Source: Revista da Escola de Enfermagem da USP - May 30, 2019 Category: Nursing Source Type: research