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Dissertations / Theses on the topic 'Nursing care plans'

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Published: 4 June 2021
Last updated: 30 July 2024

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1

McCarthy, Marcia. "Nurses attitudes and nursing care plans /." Staten Island, N.Y. : [s.n.], 1991. http://library.wagner.edu/theses/nursing/1991/thesis_nur_1991_mccar_nurse.pdf.

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2

Page, Christen G. "Perception and Use of Communication Care Plans by Certified Nursing Assistants in Nursing Homes: The Role of Professional Support." UKnowledge, 2015. http://uknowledge.uky.edu/rehabsci_etds/28.

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The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs. The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care plans are communication plans with the addition of autobiographical information. Twenty residents and ten CNAs from two nursing homes participated in the study. Once CCPs were created, CNA participants in one facility received support each day. Following two weeks, CNAs participated in a semi-structured interview. Interviews were transcribed and analyzed using open, axial and selective coding. Findings revealed a core category, meeting resident’s needs through professional support and communication, which describes the progressive process these CNAs underwent to effectively communicate with residents in nursing homes using CCPs. Evolution of this process occurred as CNA participants became familiar with residents. An underlying component facilitating this familiarity was support during CCP implementation. Initially, these CNAs had negative views about nursing home care because they were unsure how to communicate with residents and received little support from higher levels of nursing authority. Over time and with application of CCPs, CNAs became familiar with residents and their communication behaviors. Application of specific communication strategies on CCPs required ongoing support from the investigator/speech-language pathologist which was evident by the comments between CNA participants from each facility. Participants from both facilities reported positive experiences during application of the autobiographical information on the CCPs. This personal information coupled with increased knowledge about resident’s specific communication abilities fostered the formation of a relationship between residents and CNAs. In summary, support during application of CCPs supplements CNAs’ abilities to meet residents’ needs.
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3

Park, Hye Jin. "NANDA-I, NOC, and NIC linkages in nursing care plans for hospitalized patients with congestive heart failure." Diss., University of Iowa, 2010. https://ir.uiowa.edu/etd/570.

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The purpose of the study was to identify NANDA-I, NOC, and NIC linkages based on a clinical reasoning model to capture accurate nursing care plans for patients with Congestive Heart Failure. A retrospective descriptive design was used to address the research questions. Data were obtained from the records of patients discharged for one year with the medical diagnoses of CHF (DRG 127) from an Iowa community hospital. A total of 272 inpatient records were analyzed to describe the frequency and percentage of NANDA-I diagnosis, NIC interventions, and NOC outcomes for patients with CHF. The top ten NANDA-I diagnoses associated with NOC outcomes and NIC interventions were identified. The results were compared with published NNN linkages. Knowledge Deficit (NANDA- I) -Knowledge: Treatment Regimen (NOC)-Teaching Procedure/Treatment (NIC) (N=94) and Cardiac Output Alteration (NANDA-I) - Cardiac Pump Effectiveness (NOC)-Cardiac Care (NIC) (N=83) were the top two NNN linkages for CHF. In addition, using means, SD, and t-tests, the effectiveness of NIC interventions was examined by comparing admission and discharge NOC scores. The top ten NOC outcomes scores showed significant differences between mean score on admission and discharge (p value < .0001). All of top ten NOC-NIC linkages showed significant results in terms of effectiveness (p value
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Farr, Shirley Marie. "A developmental care program in the Neonatal Intensive Care Unit at Arrowhead Regional Medical Center." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2741.

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5

Wilson, Anne. "Self-employed nurse entrepreneurs expanding the realm of nursing practice: a journey of discovery." Title page, contents and abstract only, 2003. http://thesis.library.adelaide.edu.au/public/adt-SUA20030711.100333.

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6

Mtsha, Aaron. "Documentation of nursing care current practices and perceptions of nurses in a teaching hospital in Saudi Arabia." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/4040.

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Thesis (MCur (Nursing Science))--University of Stellenbosch, 2009.
ENGLISH ABSTRACT: Nursing documentation is the written evidence of nursing practice and reflects the accountability of nurses to patients. Accurate documentation is an important prerequisite for individual and safe nursing care. It is a severe threat for the individuality and safety of patient care if important aspects of nursing care remain undocumented. Nursing staff cannot rely on information that is not documented. Every patient is important and unique hence every patient’s care is individualised and different according to his/her needs. This is why important aspects of his/her care need to be documented. Ultimately, the documentation practices reflect the values of the nursing personnel (Isola, Muurinen and Voutilainen, 2004:79-80). The goal of this study was to investigate documentation of nursing care with reference to current practices and perceptions of nurses in a teaching hospital in Saudi Arabia Specific objectives of the study were:  to identify whether the hospital policies are being carried out  to identify whether the procedures regarding current documentation are being carried out and  to explore the perceptions of the nurses regarding the current documentation practices. Research Methodology For the purpose of this study, a non-experimental descriptive design with a quantitative approach was used. The study was carried out at King Faisal Specialist Hospital in Jeddah in Saudi Arabia. The total population of 90 registered nurses were used in this study. Questionnaires were distributed to the participants and they were answered with no identities written on the questionnaires. After the questionnaires were completed, it was posted in a box and was collected by the researcher. The questions are straightforward, easily understood, unambiguous, non-leading, objectively set and aimed at obtaining views, experiences and perceptions of documentation of nursing care. . Involvement of participants was voluntary and non-coercive. Data analysis were carried out with the support of a statistician, expressed in tables, frequencies and statistical associations were done between various variables based on a 95% confidence interval. The study revealed that:  Hospital policies are being carried out N=76 (95%)  Procedures pertaining to documentation of nursing care are being carried out N=67(83,7%).  Nurses N=45(56,3%) indicated that paper documentation included a lot of paperwork.  The Cerner (computer system) is regarded as the best system ever used for documentation of nursing care N=44(55%)  The Mycare system (medication ordering system) is regarded as the most reliable, user-friendly system and nurses are happy with it N=68(85%) Recommendations are:  Nurses still need to be taught about the hospital policies  Nurses should be taught the correct procedure on documenting the patient data  Nurse clinicians and managers should check the Cerner for compliance with regard to documentation of physical assessment when conducting audits  Use of paper for nursing documentation should be minimized by shifting some of the nursing documentation procedures from paperwork to electronic version  Continuous updating, in-service training and monitoring to keep nurses abreast with the dynamic nature of computer usage  Reviewing of the system, troubleshooting and suggestions from users need to be attended to on a continuous basis  It is recommended that a backup system (generator) is in place to ensure continuity of documentation.
AFRIKAANSE OPSOMMING: Die dokumentering van verpleegsorg is die skriftelike bewys van die verpleegpraktyk en weerspieël die toerekenbaarheid van verpleegsters teenoor pasiënte. Noukeurige dokumentering is ’n belangrike voorvereiste vir individuele en veilige verpleegsorg. Dit is ’n ernstige bedreiging vir die individualiteit en veiligheid van pasiënte-sorg, indien belangrike aspekte van verpleegsorg nie gedokumenteer word nie. ’n Mens kan nie inligting vertrou wat nie gedokumenteer is nie. Die versorging van elke pasiënt is belangrik en uniek. Dit is waarom belangrike aspekte aangaande haar/sy versorging gedokumenteer behoort te word. Uiteindelik weerspieël die dokumenteringspraktyke, die waardes van die verpleegpersoneel (Isola, Muurinen en Voutilainen, 2004: 79-80). Die doel van die studie was om dokumentasie van verpleegsorg met verwysing na huidige praktyke en persepsies van verpleegkundiges in ‘n opleidingshospitaal in Saudi Arabia te ondersopek. Spesifieke doelwitte was  om vas te stel of die hospitaal se beleidsrigtings toegepas word  om vas te stel of die prosedure t.o.v die huidige dokumentering uitgevoer is  en’n ondersoek na die persepsies van verpleegsters aangaande die huidige dokumenteringspraktyke Vir die doel van hierdie studie is ’n nie-eksperimentele beskrywingsontwerp met ’n kwantitatiewe benadering gevolg. Hierdie studie was in King Faisal Specialist Hospital in Jeddah, in Saudia Arabia gedoen. ’n Totale bevolking van 90 geregistreerde verpleegsters was betrokke. Vraelyste was versprei na die deelnemers en is naamloos beantwoord, sonder dat hulle identiteite op die vraelys aangebring is. Na voltooiing van die vraelyste, is dit in ’n houer geplaas en deur die navorser afgehaal. Die vrae is direk, eenvoudig, maklik verstaanbaar, ondubbelsinnig, nie-afleibaar, objektief opgestel en is daarop gemik om gesigspunte, ervaringe en persepsies oor dokumentering van verpleegsters te verkry. Betrokkenheid van deelnemers was vrywillig en nie afdwingbaar nie. Data is getabuleer en in histogramme en frekwensies voorgestel. Deur die Chi-square- toets te gebruik, is statisties betekenisvolle assosiasies tussen veranderlikes bepaal. Bevindinge sluit die volgende in:  Die hospitaalbeleid word toegepas N= 76(95%)  Prosedure t.o.v. dokumentering aangaande verpleegsorg word uitgedra N=67(83,7%)  Verpleegsters het aangedui dat dokumentering op papier, baie papierwerk behels N=45(56,3%)  Die Cerner (rekenaarstelsel) word beskou as die beste stelsel ooit in gebruik vir die dokumentering van verpleegsorg N==44(55%)  Die Mycare stelsel (medisyne bestellingstelsel) word beskou as betroubaar en gebruikersvriendelik, en een waarmee verpleegsters gelukkig is N=68(85%). Aanbevelings is gemaak, gebaseer op die volgende bevindinge:  Dit is steeds nodig dat verpleegsters die hospitaal se beleidsrigtinge geleer moet word  Verpleegsters moet die korrekte prosedure aangaande die dokumentering van die pasiënt se data geleer word  Verpleegklinici en bestuurders moet die Cerner nagaan ter voldoening van die dokumentering van fisiese waardebepalinge tydens ouditeringe  Die gebruik van papier vir verpleegdokumentering behoort afgeskaal te word deur van die praktyk van papierwerk na elektroniese dokumentering te skuif  Voortdurende bywerking van data, indiensopleiding en monitering van verpleegsters om hulle op die hoogte te hou van die dinamiese aard van rekenaargebruik  Hersiening van die stelsel, foutspeurdery en voorstelle van gebruikers moet op ’n voortdurende basis aandag geniet.
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7

Maxfield, Melissa D. "Hematology/Oncology Unit Champions Promote Care Plans for CLABSI Prevention." Mount St. Joseph University Dept. of Nursing / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=msjdn1619082600353203.

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8

Jansson, Inger. "Planerad processorienterad omvårdnad - nytta och implementering." Doctoral thesis, Högskolan i Halmstad, Centrum för forskning om välfärd, hälsa och idrott (CVHI), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-5612.

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To ensure the provision of good and safe nursing care in the ward, the nursing needs of each patient should be established and clearly documented in the form of care plans in his/her medical record. There is a lack of scientific evidence of the benefits of this method of working as well as why this part of the nursing process is not always successful. The main aim of this thesis was to describe the assessment and decision-making process pertaining to nursing needs performed by nurses, to evaluate the consequences of planned, process oriented nursing care and to identify the factors and conditions that have had an impact on the implementation of individual care plans (ICP) and standardized care plans (SCP).   In studies I and III, qualitative methods were used. In study I, data collection and analysis were carried out by means of Grounded theory. Study III was conducted by means of directed content analysis and guided by “The Promoting Action on Research Implementation in Health Services framework”. In studies II and IV, quantitative methods were employed.   The benefits of a planned, process oriented method of working involving documentation of care plans have been investigated from the perspective of both the patient and the nurse. Nurses who applied the process oriented method adopted a nursing perspective in the assessment of and decision making pertaining to the patient’s nursing needs, which was not the case with nurses who did not work in this way and who instead exhibited a more medical approach (I). Patients cared for in wards where care plans were documented reported being more involved and that the care was more tailored to their individual needs compared to those not cared for in this manner (II). Leadership that prioritises the development of nursing care is essential for the implementation and continued use of ICPs and SCPs. Another important factor was the presence of internal facilitators in the ward in the form of nurses with a clear mandate to work with these issues. The nurses reported that they did not discuss scientific evidence as a basis for performing planned process oriented nursing care and that they did not listen to patient experiences to any great extent (III, IV).   The conclusion is that structured, process oriented nursing care based on written care plans probably promotes the nursing perspective and enables patient participation. Leadership as well as facilitators with a clear role and mandate are important factors in the implementation of this method of working and scientific evidence is of less importance.
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9

Sloat, Daniel Lewis. "Indirect collaborative evolution for the facilitation of group intelligence in nursing care plan development." Diss., Online access via UMI:, 2009.

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Thesis (Ph. D.)--State University of New York at Binghamton, Thomas J. Watson School of Engineering and Applied Science, Department of Systems Science and Industrical Engineering, 2009.
Includes bibliographical references.
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10

Molopo, Fundiswa Olivia. "The readiness of professional Nurses in the Khayelitsha health sub-district to render mental health care services as stipulated in the Healthcare 2010 plans for the Western Cape." Thesis, University of the Western Cape, 2008. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_8256_1260526133.

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The study aims to assess the readiness of professional nurses in Khayelitsha health sub district to render mental health care services as stipulated in the Healthcare 2010 Plans for the western Cape. The Main objectives are to assess the readiness of professional nurses in the Khayelitsha health sub district to render mental health care services after de institutionalisation of mentally ill persons in terms of skills and resources, as well as to explore feelings and perceptions of professional nurses regarding the Healthcare 2010 plans for the Western Cape with refernce to mental health.

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Duarte, Anette. "Standardvårdplaner – till vilken nytta?" Thesis, Halmstad University, School of Social and Health Sciences (HOS), 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-5836.

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Standardvårdplaner är vanligt förekommande inom hälso- och sjukvård och är under ständig utveckling. Standardvårdplaner är i olika grad evidensbaserade och framtagna med skiftande kvalitet. Standardvårdplaner används som ett hjälpmedel för effektivisering och kvalitetshöjning av vården för en specifik patientgrupp och är en på förhand formulerad vårdplan. Behov av ytterligare forskning efterfrågas om standardvårdplaner faktiskt minskar mängden dubbeldokumentation, leder till ökad tidsvinst och ökad vårdkvalitet. Syftet med föreliggande litteraturstudie var att göra en beskrivning av de effekter som användande av standardvårdplaner leder till. I litteraturstudien bearbetades 10 vetenskapliga artiklar som grund för resultatredovisningen. Resultatet visar att standardvårdplaner kan höja vårdkvaliteten, minska mängden dubbeldokumentation och leda till att tid frigörs till patientnära arbete. Det finns emellertid studier som visar på det motsatta. Standardvårdplanen kan ses som ett verktyg som underlättar en jämlik, högkvalitativ vård till alla patienter oavsett vem som vårdar. Utveckling av standardvårdplaner i vården bör ske på ett strukturerat och vetenskapligt sätt och tid till detta bör prioriteras. Litteraturstudien redovisar motstridiga resultat vilket indikerar behovet av fortsatt forskning av vilka effekter standardvårdplaner har för vården, både sett ur patientperspektiv, personalperspektiv samt ur ett organisatoriskt perspektiv.


Standardized care plans are commonly used in health care and are under constant development. Standardized care plans are to varying degrees evidence-based and designed with varying quality. Standardized care plans are used as a tool for improving the quality of care and are seen as a pre-formulated treatment plan. Research is needed into whether standardized care plans reduce the amount of redundant documentation, save time and increase quality of care. The aim of this literature study was to describe the situation regarding effects of using standardized care plans. In this study 10 scientific articles were analyzed. Results show that standardized care plans can improve quality of care, reduce redundant documentation and decrease time spent on documentation. However, there are studies that demonstrate the opposite. Standardized care plans can be seen as a tool for providing high-quality basic care for all patients. Scientific evidence should be used for development of standardized care plans and therefore priority should be given to making resources for this work available. There is a need for further research to validate the effects of standardized care plans as the results from this literature study are ambiguous. It would also be interesting to compare the views from patients, staff and management on the effects of using standardized care plans.

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Hennessy, Angie Catharina. "Facilitation of developmental care for high-risk neonates an intervention study /." Thesis, University of Pretoria, 2006. http://upetd.up.ac.za/thesis/available/etd-01182007-173053.

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13

Peters, Candice Marie. "A comparison of the levels of patient staffing ratios and staffing mix to the number of patient falls in an acute care setting." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1314.

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14

Papanikolaou, Panagiotis G. O. "Exploratory study of using the discrete choice experiment technique in nursing : an application to ascertain the views of community nurses when dealing with alternative pressure ulcer preventive treatments (care plans) for elderly at risk." Thesis, Cardiff University, 2007. http://orca.cf.ac.uk/54595/.

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One of the first activities in preventing pressure ulcers is the early identification of individuals who are susceptible to developing them. If a person is identified as susceptible or 'at risk', it is the health care professional's duty to ensure that preventive measures are implemented. The earliest phases of pressure ulcer development may show no outward visible signs of damage. Therefore it is important that individuals' at risk* are given an immediate prevention plan.
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Pérez, Giménez Gemma. "Impacto de un programa de gestión de casos a pacientes crónicos complejos." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/457349.

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Las enfermedades crónicas constituyen un importante problema de salud en todo el mundo, debido especialmente al envejecimiento de la población que conduce inevitablemente al aumento de personas con enfermedades crónicas. Estas afecciones, son la principal causa de mortalidad en todo el mundo, produciendo limitaciones importantes en la calidad de vida y el estado funcional de las personas que las padecen. Además, muchas de las personas enfermas crónicas se hallan en una situación de complejidad, es decir que, entre otras características, padecen diversas patologías al mismo tiempo, con una alta probabilidad de estar mal controladas, realizan una alta utilización de los servicios de urgencias y consumen un elevado número de fármacos. Ante esta situación el sistema de salud requiere una transformación. La gestión de casos de enfermería puede constituir una forma de atención eficaz. Esta tesis pretende desvelar si la gestión de casos, dirigido a pacientes crónicos complejos y centrada en la atención enfermera, puede ofrecer una atención adecuada a las necesidades de las personas con enfermedad crónica contribuyendo, además, a la sostenibilidad del sistema sanitario. Para ello se han planteado como objetivos principales: comparar la frecuentación hospitalaria en un grupo de pacientes con pluripatología del Hospital General de Granollers, entre el año anterior a ser incluidos en el programa de gestión de casos del paciente crónico complejo de medicina interna y al finalizar el primer año de su inclusión y describir y analizar, desde la perspectiva del paciente, las vivencias e implicaciones que representa padecer una enfermedad crónica avanzada y compleja. La metodología utilizada ha sido cuantitativa, con un diseño preexperimental, para medir la frecuentación hospitalaria, y cualitativa, desde la perspectiva fenomenológica interpretativa, para profundizar en la experiencia de la cronicidad. Los sujetos de estudio han sido todos los pacientes crónicos que han sido incluidos en el programa de gestión de casos al paciente crónico complejo de Medicina Interna del Hospital General de Granollers, desde su inicio hasta el momento de iniciar la investigación (2009-2013). Las variables de estudio han sido sociodemográficas, conocimientos de la enfermedad y habilidades de cuidado y frecuentación hospitalaria, además de la percepción de los pacientes respecto a su experiencia en relación al padecimiento de una patología crónica y en cómo los dispositivos sanitarios inciden sobre su calidad de vida. Los resultados han puesto de manifiesto que la frecuentación hospitalaria de los enfermos estudiados ha disminuido significativamente después de ingresar en el programa de gestión de casos y que los pacientes manifiestan que desde que son atendidos por este modelo sienten que son los protagonistas de su proceso de salud-enfermedad, ha mejorado su calidad de vida y su capacidad de autoeficacia. A la luz de estos resultados y dado que este es un estudio exploratorio, se ve conveniente continuar en la investigación sobre la efectividad y la eficiencia de programas de enfermería de gestión de casos con diseños más potentes.
Chronic diseases have become an important health problem worldwide, basically due to the fact that the population is aging and therefore there is a clear increase in the number of people suffering from chronic diseases. These health conditions represent the main cause of mortality all over the world, and produce important limitations in the quality and functional state of patients’ lives. Moreover, many of the chronic patients age in a complex situation, e.g. suffer from a diversity of pathologies at the same time and with a high probability of being incorrectly controlled. All these patients very frequently utilize the emergency services in hospitals and take a large number of drugs. Facing this situation, the health system requires a transformation. And the nursing management of cases could establish an effective way of attention. This thesis intends to reveal whether the management of nursing cases, targeted on complex and chronicle patients and focusing on nursing attention, could offer proper attention to the needs of those people with chronicle diseases and also contributing additionally to the sustainability of the health system. In order to achieve so, the main objectives have been defined: firstly to compare the hospital frequentation in a group of multipathologycal patients in Hospital General in Granollers, from the previous year of being included in the program of managing such cases, to the end of the first year after their inclusion. Furthermore, and considering patients’ point of view, to describe and analyse the experiences and implications of those suffering from a developed and complex chronicle disease. The methodology used has been quantitative, with a pre-experimental design, in order to measure not only the hospital frequentation but also qualitative, from an interpretative and phenomenological perspective, to deepen into the experience of the chronicity. The study subjects have all been chronicle patients who were included in the program to manage cases of chronicle complex patients in Internal Medicine of the Hospital General in Granollers (2009-2013). The study variables have been sociodemographic, disease knowledge, care skills and hospital frequentation; additionally, it was considered the patients’ perception regarding their experiences in suffering a chronicle pathology and how the health mechanisms influenced in their quality of life. Results show that hospital frequentation in the study patients has significantly decreased after patients had been included in the disease management program. These patients also state that since they are being treated with this model, they feel they are the main characters in their health-disease process, and that their quality of life and capacity of auto-efficacy have improved. In front of these results and as this is an exploratory study, it is recommendable that the investigation of the efficiency and effectiveness of nursing programs to manage cases should be continued and reinforced with more powerful designs.
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Pinto, Cristiano Jose Mendes. "Crenças dos enfermeiros sobre a realização do estudo hemodinamico por meio do cateter de arteria pulmonar." [s.n.], 2004. http://repositorio.unicamp.br/jspui/handle/REPOSIP/311804.

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Orientadores: Roberta Cunha Rodrigues Colombo, Maria Cecilia Jayme Bueno Gallani
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
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Resumo: Este estudo teve como objetivo identificar, a partir da Teoria do Comportamento Planejado (TPB), os fatores que contribuem para a formação da intenção comportamental do enfermeiro para realizar o estudo hemodinâmico por meio do cateter de artéria pulmonar (CAP). Os dados foram obtidos por meio de entrevista semi-estruturada junto a 23 enfermeiros de Unidades de Terapia Intensiva de dois hospitais públicos e um privado do município de Campinas-SP. A natureza exploratória deste estudo com o emprego de questões abertas permitiu uma análise de caráter qualitativo dos dados coletados, que foram apresentados de acordo com as Unidades Temáticas Centrais: Crenças de Atitude, Normativas, de Controle e Gerais. A análise das entrevistas evidenciou que entre as Crenças de Atitude destacam-se as crenças afetivas negativas e positivas em relação ao comportamento e aquelas relativas às vantagens e desvantagens da realização do estudo hemodinâmico. Na unidade Crenças Normativas, foram evidenciados os referentes sociais positivos para a execução do comportamento: médico, enfermeiro, paciente, bem como os fatores estimuladores do comportamento: "responsabilidade do enfermeiro no cuidado do paciente" e "interesse na recuperação do paciente"; como referentes negativos: equipe médica e serviços de educação continuada, e, como fatores que desestimulam: "déficit de conhecimento", "dificuldades para execução do procedimento" e "pequena utilização dos dados do estudo hemodinâmico pela equipe médica". Dentre as Crenças de Controle, destacaram-se os fatores facilitadores e/ou dificultadores: material, equipamento, número de profissionais, conhecimento, tempo, sobrecarga de atividades, equipe de enfermagem e médica. Os dados obtidos subsidiarão a construção de uma escala psicométrica para a compreensão e predição do comportamento em estudo
Abstract: The purpose of this study was to identify, by means of the Theory of Planned Behavior (TPB), the elements leading to the development of nurses' behavioral intention when performing a hemodynamic study in patients through pulmonary artery catheter (PAC). Data were obtained by using semi-structured interviews made with 23 Intensive Care Unit nurses from two public and one private hospitais in the city of Campinas, São Paulo state, Brazil. The exploratory nature of this study allowed a qualitative sort of analysis of the data collected, which were then presented according to the following Central Theme-based Units: Attitude, Normative, Control and General Beliefs. The analysis of the interviews highlighted that, conceming the Attitude Beliefs, there are positive and negative aftective beliefs regarded to both behavior and to the advantages and disadvantages in carrying out the hemodynamic study. As to the Normative Beliefs Unit it is possible to emphasize some positive social references present in the behavioral response such as the physicians, nurses and patients, as well as some elements proved to stimulate behavior: nurses' responsibility towards the patients' care and interest in the patients' recovery; among the negative references are: the medical staft and continuing education services; regarding the non-stimulating elements we can mention: knowledge deficit, difficulties in carrying out the procedures and low use of the hemodynamic study data by the medical staft. The Control Beliefs displayed some elements which can either facilitate and I or make the behavior difticult: material, equipment, number of professional people, knowledge, time, tasks overload, nurse and medical staft. The data obtained will enable the creation of a psychometric scale which will be used to understand and predict the behavior presently studied.
Mestrado
Enfermagem e Trabalho
Mestre em Enfermagem
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17

Obeda, Tabatha Lee. "Evaluation of the Effectiveness of an Established Glycemic Monitoring Program in a High School Setting for Adolescents With Type I and Type II Diabetes Mellitus." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5764.

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Adolescents with Type I and Type II diabetes need to monitor blood glucose and food intake, administer insulin, and participate in activities including physical education during school hours to maintain glycemic control. Glycemic management programs (GMPs) exist for the improvement of diabetes management during school hours. The purpose of this project was to evaluate a GMP in a school system in a rural area in the Southeastern United States. The goal was to determine if the existing GMP met objectives and to make recommendations for continuation, revision, or discontinuation of the GMP. The logic model provided the basic framework for the evaluation of the GMP by using a graphic flowchart depicting health outcomes prior to and after the implementation of the program. The review consisted of approximately 2,100 students from 9th to 12th grade, and out of those students there were 77 participants from 2010 and 89 participants from 2015 with diagnosis of diabetes. A t-test outcome evaluation found the updated GMP was associated with the lowering of hemoglobin A1c readings. Mean A1c in 2009 was 8.6% (180 - 190 mg/dl), with the mean decreasing to 7.2% (150 mg/d) in 2015. Changes in the program led to 1-to-1 care management based on children's individual needs and parental involvement. Findings show that the GMP improved glycemic management by empowering and individualizing care. This project contributes to positive social change by contributing to data from the Diabetes Prevention Program Research Group study showing that prevention of onset of Type II diabetes mellitus in adults and adolescents is successful through early detection of prediabetes in childhood.
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18

Pavlů, Dominik. "Business Plan - Private Nursing Facilities." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2016. http://www.nusl.cz/ntk/nusl-255786.

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19

Lynch, Dorine A. "Basic Quality Care Blood Pressure Teaching Plan." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7821.

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Hypertension (HTN) is a leading risk factor for cardiovascular disease complications, disability, and mortality. Delayed detection of HTN increases the risk of the patient developing heart disease, renal failure, and stroke, which are among the leading causes of death in the US. Educating healthcare providers is, therefore, necessary to ensure accuracy when measuring blood pressure (BP) to improve the likelihood of early detection and commencement of treatment. The BP teaching project involved the development of an evidence-based teaching program to educate nurses at an East Coast Veterans' Administration Center on the guidelines of measuring BP. The practice-focused question addressed whether the literature would support a continuing education program in BP measurement to improve the nurses' knowledge and skills necessary to promote patients' quality of life related to HTN. The evidence-based literature supported education and provided the information used to develop the teaching modules. The frameworks guiding the project included practice modules grounded in quality improvement and, more specifically, the plan, do, study, and act cycles. The findings indicated a highly significant increase in nurses' knowledge of BP measurement after the educational session (p< 0.001). The implications for positive social change included improving the health outcomes of veterans and promoting HTN management in the East Coast VA primary care centers.
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20

Yon, Lauren T. "Integrating mobility into the plan of care in the intensive care unit." Honors in the Major Thesis, University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1341.

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This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucf.edu/Systems/DigitalInitiatives/DigitalCollections/InternetDistributionConsentAgreementForm.pdf You may also contact the project coordinator, Kerri Bottorff, at kerri.bottorff@ucf.edu for more information.
Bachelors
Nursing
Nursing
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21

Pelton, Derrick Kyle. "Evidence-Based Plan for Promoting Physical Activity Among Deaf Adults in Primary Care." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/311571.

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Objectives. The purpose of this practice inquiry (PI) was to develop an evidence based plan for promoting physical activity among Deaf adults in a primary care setting. The aims of this PI were to 1) review research about the relationship between physical activity and health 2) review research about use of pedometers to motivate increased walking and 3) describe baseline physical activity among Deaf adults using pedometer step counts based on a secondary analysis of an existing data set. Design. The secondary analysis of an existing data set analyzed demographic data and pedometer data (steps/day). Participants received standardized instructions about using the pedometer in-person, in American Sign Language (ASL) and also received a DVD with the instructions in ASL for review at home. The review of literature and secondary analysis were used to propose an evidenced-based plan to increase physical activity in Deaf adults in the primary care setting. Sample: Eighty-seven participants met inclusion criteria for this secondary analysis: 1) at least 45 years of age, 2) self-identified as a member of the Deaf community, 3) fluent in ASL, 4) no existing diagnosis of coronary artery disease, and 5) at least one risk factor for cardiovascular disease: overweight/obese, sedentary, diabetes, hypertension, hyperlipidemia. Results: Results support the value of physical activity for health promotion and risk reduction, and supported use of pedometers to encourage increased walking. The secondary analysis of data from 87 Deaf adults showed that their average steps/day were 5,667, which fall short of the 2008 Physical Activity Guidelines for Americans. Men tended to walk more than women, though the difference did not reach statistical significance. There was an inverse correlation between age and steps/day (r=.280, p=.007) consistent with a low active lifestyle. Conclusion. There is considerable support for providing pedometers to at-risk Deaf adults in primary care, with both group and individual instructions in ASL and follow-up to monitor increases in average steps/day as an effective strategy for increasing physical activity. This would not be a stand-alone intervention, but part of an overall risk assessment and evidenced based plan to increase physical activity in Deaf adults.
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Almgren, Sofia, and Jenny Kjällman. "Är akutmottagningen en plats att dö på? : Sjuksköterskors erfarenheter av att vårda patienter i ett sent palliativt skede på en akutmottagning – en litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6686.

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Bakgrund: Palliativ vård bygger på ett förhållningssätt med syfte att lindra lidande och öka livskvaliteten under den sista tiden i livet. Sjuksköterskans uppgift i den palliativa vården är att utifrån en personcentrerad vård skapa förutsättningar för en god död. Trots att det finns möjlighet för vård i hemmet eller på palliativ vårdenhet händer det att patienter i ett sent palliativt skede ändå söker sig till akutmottagningen. Syfte: Att beskriva sjuksköterskors erfarenheter av att vårda patienter i ett sent palliativt skede, på akutmottagning. Metod: En litteraturöversikt har gjorts för att besvara syftet. Elva vetenskapliga orginalartiklar har inkluderats och dessa har granskats, analyserats tematiserats för att urskilja likheter och skillnader. Resultat: Två huvudteman och sex underteman identifierades. Det första huvudtemat var Sjuksköterskans erfarenheter av faktorer som utgör hinder för god palliativ vård, med tillhörande underteman vårdmiljön som ett hinder, avsaknad av nödvändiga resurser, kurativ mentalitet och anhöriga som ett hinder för god palliativ vård. Det andra huvudtemat var sjuksköterskans erfarenheter av faktorer som främjar en god palliativ vård, med tillhörande underteman en underlättande vårdmiljö och resursers betydelse för god palliativ vård. Diskussion: Diskussionen framhäver vårdkulturens betydelse för den palliativa vården på en akutmottagning. Författarna diskuterar tre fenomen, resurser, kurativ mentalitet och akutmottagningens utformning i relation till Katie Erikssons caritativa vårdteori.
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Stevenson, Patricia. "Education Plan to Empower Wound Care Nurses for Evidence-Based Practice." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6131.

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Non-healing wounds can claim thousands of lives and costs billions of dollars each year, and nurse-led wound clinics are becoming necessary to fill a gap in care for patients with wounds. Even among certified wound nurses using evidence-based clinical protocols, key considerations of care are being missed. Therefore, this project was focused on developing and validating a new biofilm education module for certified or certification eligible wound care nurses. The aim of the module was to boost clinical assessment knowledge and improve patient outcomes. Benners skill acquisition model informed the development of this project. The design of the project also included a panel of expert wound care nurses using a 5-point Likert questionnaire to provide feedback on the biofilm education module, including evaluating the content, context, relevance, and use in the practice setting. Descriptive analysis provided evidence to inform the revision of the education module. Results of the Likert questionnaire ranged in mean score from 4.6 to 5.0, indicating there was strong agreement among the panel members that the education module met the objectives. The completed education module has been presented to the organization leadership for future implementation. This project supports positive social change by improving nurses' preparation to provide early clinical assessment, intervention, and definitive biofilm eradication treatments, ultimately improving patient outcomes.
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Lögdal, Hanna, and Moa Malmberg. "Omvårdnadsdiagnoser, omvårdnadsåtgärder och dokumentationen hos patienter med hjärtsvikt." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-253017.

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Bakgrund: Studier visar på att användandet av omvårdnadsdiagnoser har flera fördelar för sjuksköterskans omvårdnadsarbete. De främjar patientens delaktighet i vården samt uppmärksammar sjuksköterskan på patientens omvårdnadsbehov. Andra studier visar på att standardvårdplaner upplevs effektivisera sjuksköterskans omvårdnadsdokumentation och bidra till en likvärdig och god kvalité på vården. Dock kan de anses vara oflexibla och därför behöva kompletteras med en individuell vårdplan.  Syfte: Syftet var att undersöka i vilken utsträckning omvårdnadsdiagnoser och -åtgärder dokumenterades och utfördes. Vidare undersöktes vilken typ av vårdplan som användes och om det gick att se någon skillnad mellan avdelningarna avseende omvårdnadsdokumentationen. Metod: Det utfördes en retrospektiv journalgranskningsstudie med innehållsanalys och kvantitativ analys, även en statistisk analys Mann-Whitney U test användes. Studien utfördes på två medicinska avdelningar och undersökningsgruppen var patienter med hjärtsvikt. Resultat: Totalt ingick 43 patientjournaler i studien. Det förekom omvårdnadsdiagnoser endast i ringa utsträckning. Det identifierades 259 omvårdnadsproblem som indelades i 34 olika kategorier. Det identifierades 193 omvårdnadsåtgärder, de delades in i 28 olika kategorier. På avdelning 1 var majoriteten av SVP-er kopplade till undersökningar/ingrepp, på avdelning 2 gällde majoriteten hjärtövervakning och utskrivningsplanering. Individuella vårdplaner förekom endast i ringa utsträckning. Det fanns en signifikant skillnad mellan avdelningarna gällande antalet utförda omvårdnadsåtgärder/journal och förekomsten av individuella vårdplaner. Slutsats: Omvårdnadsdokumentationen var bristfällig. Avdelningarna skulle behöva göra en översyn och utveckla arbetet med journalföringen. Flera och mer djupgående studier behöver genomföras inom området.
Background: The use ofnursing diagnoseshas severalbenefits fornursing care. Previous studies showthat they promotepatientparticipationin the nursing careand increase nurses’ awareness ofthe patient'scare needs.Other studies showthatstandardized care plansare perceived as promoting theefficiency ofnursingdocumentation andcontribute to anequitable andquality of the nursing care.However,by some nurses they are considered inflexible, andtherefore they have to be supplementedwith an individualcare plan. Aim: The aim of this study was to examine to what extent nursing diagnoses and interventions were documented and executed. Furthermore there was an examination as to what kind of standardized care plan was used and whether it was possible to see any differences between the departments regarding nursing documentation. Method: A retrospective medical record study with content analysis and quantitative analysis was conducted, even a statistical analysis, Mann-Whitney U test, was used. The studywas conducted ontwo medicalwards andthe study groupconsisted of patients with heart failure. Results: In total,43patient records were included in the study.Nursing diagnoses appearedonlyto a negligible extent. 259nursing problems were identified and divided into34different categories and 193nursing interventions were identified and partitioned into28 differentcategories.Onsection 1, the majority of the standardized care plansconcernedtreatments/interventions. The majority of standardized care plans onsection 2 concerned cardiac monitoringand dischargeplanning.Individualcare plansappeared only to a smallextent.There was asignificant difference between the departments regardingthe number of executednursing interventions per recordand the occurrence ofindividual care plans. Conclusion: The nursing documentation was inadequate. It would be advisable for the departments to conduct a reviewand developthe work ofthe nursing documentation. A greater number of studies, with additional depth, would have to be conducted.
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25

Konovalova, Anastasia, and Linnéa Lissel. "Sjuksköterskors uppfattning om dokumentation och dess påverkan på omvårdnadsarbetet." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-192120.

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SAMMANFATTNING Syfte: Syftet med detta arbete var att undersöka sjuksköterskors uppfattning om omvårdnadsdokumentation och dess påverkan på omvårdnadsarbetet. Metod: Kvalitativ intervjustudie med innehållsanalys enligt Lundman och Hällgren Graneheim (2008). Bekvämlighetsurval med fem sjuksköterskor från olika avdelningar på ett Universitetssjukhus i Mellansverige. Resultat: Sjuksköterskor i denna studie uppfattade att dokumentationen tar tid, det är mycket som ska dokumenteras och att kvalitén varierade. De uppfattade också att information kunde gå förlorad på grund av att många skrev på flera olika ställen. Dokumentationen upplevdes ibland som inkonsekvent eftersom sjuksköterskorna inte dokumenterade exakt lika. De belyste också att systemet var rörigt och ologiskt. Dokumentationen upplevdes ge vägledning. Det är viktigt att samarbeta mellan olika professioner samt att dokumentationen följs upp av den som tar efter. Sjuksköterskorna prioriterade det medicinska framför omvårdnaden och arbetsbördan gjorde det svårt att hinna dokumentera. Dokumentationen synliggjorde omvårdnaden samt att den kunde användas för att utvärdera vården. Slutsats: Sjuksköterskor uppfattade dokumentation som problematisk och tidsödande. Samtidigt tyckte de att det fanns vinster med dokumentation då det gav patientsäkerhet och kunde användas för att utvärdera vården. Mer arbete behövs för att nå konsensus i hur dokumentation på avdelning skall se ut. Det behövs mer forskning kring hur dokumentation påverkar omvårdnadsarbetet.
ABSTRACT Aim: The aim of this study was to investigate nurses’ perception of nursing documentation and its impact on nursing. Method: Qualitative interview study with content analysis according to Lundman and Hällgren Graneheim (2008). Convenience sample of five nurses from different wards of a University hospital in central Sweden. Result: Nurses in this study perceived the documentation as time consuming, there is a lot to be documented and that the quality varied. They also observed that the information could be lost due to many writing in several different places. The documentation is sometimes perceived as inconsistent because nurses did not document exactly alike. They also highlighted that the system was messy and illogical. Documentation was perceived as giving guidance. It is important to cooperate between different professions and that the documentation is followed up by the next person. The nurses prioritized the medical instead of nursing care and workload made ​​it difficult to find time to document. Documentation made​​ nursing care visible and it could be used to evaluate healthcare. Conclusion: Nurses perceived documentation as problematic and time consuming. They also thought there were gains of documentation when it gave patient safety and could be used to evaluate care. More work is needed to reach consensus in the documentation should be carried out. More research is required on how documentation affects nursing.
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26

Tseng, Hui-Chen. "Use of standardized nursing terminologies in electronic health records for oncology care: the impact of NANDA-I, NOC, and NIC." Diss., University of Iowa, 2012. https://ir.uiowa.edu/etd/1409.

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The purpose of this study was to identify the characteristics of cancer patients and the most frequently chosen nursing diagnoses, outcomes and interventions chosen for care plans from a large Midwestern acute care hospital. In addition the patients' outcome change scores and length of stay from the four oncology specialty units are investigated. Donabedian's structure-process-outcome model is the framework for this study. This is a descriptive retrospective study. The sample included a total of 2,237 patients admitted on four oncology units from June 1 to December 31, 2010. Data were retrieved from medical records, the nursing documentation system, and the tumor registry center. Demographics showed that 63% of the inpatients were female, 89% were white, 53 % were married and 26% were retired. Most patients returned home (82%); and 2% died in the hospital. Descriptive analysis identified that the most common nursing diagnoses for oncology inpatients were Acute Pain (78%), Risk for Infection (31%), and Nausea (26%). Each cancer patient had approximately 3.1 nursing diagnoses (SD=2.5), 6.3 nursing interventions (SD=5.1), and 3.7 nursing outcomes (SD=2.9). Characteristics of the patients were not found to be related to LOS (M=3.7) or outcome change scores for Pain Level among the patients with Acute Pain. Specifically, 88% of patients retained or improved outcome change scores. The most common linkage of NANDA-I, NOC, and NIC (NNN), a set of standardized nursing terminologies used in the study that represents nursing diagnoses, nursing-sensitive patient outcomes and nursing interventions, prospectively, was Acute Pain--Pain Level--Pain Management. Pain was the dominant concept in the nursing care provided to oncology patients. Risk for Infection was the most frequent nursing diagnosis in the Adult Leukemia and Bone Transplant Unit. Patients with both Acute Pain and Risk for Infection may differ among units; while the traditional study strategies rarely demonstrate this finding. Identifying the pattern of core diagnoses, interventions, and outcomes for oncology nurses can direct nursing care in clinical practice and provide direction for future research tot targets areas of high impact and guide education and evaluation of nurse competencies.
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Johnson, Amy Lyn. "Development of a Business Plan and Care Model to Implement a Fast Track Area in a Rural Emergency Department." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/565901.

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The purpose of this Doctor of Nursing Practice (DNP) final project is to develop a business plan and care model for implementing a fast track area (FTA) in a rural emergency department (ED). The short term goal for this project is to create a business plan and the long term goals are to create a new care model to decrease wait times and lengths of stay, as well as increasing patient satisfaction in a rural emergency department. This project will provide background knowledge pertaining to ED overcrowding, identification of key stakeholders and justification for a fast track area with definitions of pertinent terminology used throughout the project. This business plan will incorporate data collection and results from Platte County Memorial Hospital in Wheatland, Wyoming. Limitations to and proposals for future research will be addressed at the end of the project.
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Sandqvist, Stefan, and Marita Sandqvist. "Samordnad Individuell Plan (SIP) : Sjuksköterksans erfarenheter i primärvård och kommun." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-40062.

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Bakgrund: Hälso- och sjukvården har stora utmaningar när det gäller både personella- och ekonomiska resurser. Nya arbetssätt krävs med högre grad av samverkan mellan vårdgivare. Samordnad individuell plan (SIP) är reglerat i lag och syftar till att skapa en delaktig och trygg individ samt främja samverkan. Sjuksköterskan sammankallar till SIP och är en naturlig part i teamet med ansvar för omvårdnaden.                                              Syfte: Var att undersöka erfarenheter av samordnad individuell plan (SIP), hos sjuksköterskor på vårdcentral och i hemsjukvård   Metod: Studien har en kvalitativ design med induktiv ansats. Två fokusgruppsintervjuer genomfördes med sjuksköterskor från primärvård och kommun. En manifest innehållsanalys resulterade i tre kategorier; personcentrering, samverkan och patientnytta.   Resultat: I resultatet framkom tre kategorier; personcentrering, samverkan och patientnytta.   Slutsats: Sjuksköterskan behöver vara lyhörd för individens behov av anpassad information gällande SIP, så att individens delaktighet främjas. Att sjuksköterskan på vårdcentralen är fast vårdkontakt med ansvar för att sammankalla, leda och dokumentera SIP har varit en framgångsfaktor. Men det finns utmaning i framtagande av individuell plan så att SIP blir det personcentrerade verktyg individen behöver för att vara delaktig och trygg.
Background: Healthcare has major challenges in terms of both personal and financial resources. New ways of working are required with greater cooperation between healthcare providers. Coordinated Individual Plan (CIP) is regulated by law and aims to create a participant and safe individual as well as promote collaboration. The nurse convenes CIP and is a natural party in the Nursing Team.   Purpose: Was to study experiences of coordinated individual plan (CIP), in nurses at the health center and in home care   Method: The study has a qualitative design with inductive approach. Two focus group interviews were conducted with nurses from primary care and municipalities. A manifest content analysis resulted in three categories; personal centering, collaboration and patient benefit.   Result: The result was three categories; personal centering, collaboration and patient benefit.   Conclusion: The Nurse needs to be responsive to the individual's need for custom information regarding CIP, so that the individual's participation is promoted. Nursing at the health center is a permanent care contact with responsibility for gathering, leading and documenting CIP has been a success factor. However, there is a challenge in developing individual plans so that CIP becomes the person-centered tool the individual needs to be part and safe.
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Meneses, Lenilma Bento de Araújo. "Mapeamento cruzado de intervenções de enfermagem para adultos e idosos hospitalizados com diagnóstico de risco de integridade da pele prejudicada." Universidade Federal da Paraíba, 2016. http://tede.biblioteca.ufpb.br:8080/handle/tede/9548.

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Introduction: With the Nursing Process arise Ratings Systems of Nursing Practice, starting with the nursing diagnosis classification, then classification of nursing interventions and Classification of Nursing Outcomes, constituting a comprehensive standardized language system of nursing practice. Objective: To analyze from the cross mapping, nursing interventions / activities, described by nursing students for the diagnosis Integrity Risk of Skin adults Impaired and hospitalized elderly, correlating them to the Nursing Interventions Classification, according to NANDA- link I / NIC, 2007 - 2008; Identify nursing interventions / activities described by nursing students for the diagnosis Integrity Risk of Skin impaired adults and elderly hospitalized; conduct cross-mapping of nursing interventions / activities, described by nursing students for the Health Risk diagnosis Impaired skin of adults and elderly hospitalized, comparing them to the classification; validate the content of nursing interventions / activities, described by nursing students to diagnose Integrity Risk of Skin Impaired of hospitalized adults and elderly, by specialist nurses. Method: a descriptive study, quantitative approach, used cross mapping. Held at the Federal University of Paraiba, with 25 nursing students and 14 nurses. Attended Resolution 466/2012. Data collection took place in three phases, the analysis based on descriptive statistics. The thesis is in articles format. Results: Mapped up with the Classification of Nursing Interventions, 32 interventions and 78 nursing activities in the fields: Physiologic complex, basic, behavioral and physiological safety. Interventions mapped 24 are in connection 8 and beyond. Conclusions: validated to 11 nursing interventions as a priority and 21 as suggested. It was identified focus on priority interventions, except for "Care bed rest," he said to the activities of "facilitating self-care", it is concluded that it is important to strengthen the teaching of this subject in nursing education.
Introducción: Con el proceso de enfermería surgen los usuarios de sistemas de la práctica de enfermería, a partir de la clasificación de diagnósticos de enfermería, a continuación, la clasificación de las intervenciones de enfermería y clasificación de resultados de enfermería, lo que constituye un sistema de lenguaje normalizado integral de la práctica de enfermería. Objetivo: Analizar la asignación de cruz, las intervenciones de enfermería / actividades, descrito por los estudiantes de enfermería para el diagnóstico Riesgo de Integridad de la piel perjudicada adultos y ancianos hospitalizados y correlacionarlos con la Clasificación de Intervenciones de Enfermería, de acuerdo con Nanda-enlace E / NIC, 2007 - 2008; Identificar las intervenciones de enfermería / actividades descritas por los estudiantes de enfermería para el diagnóstico Riesgo de Integridad de la piel perjudicada adultos y ancianos hospitalizados; llevar a cabo a través del mapeo de enfermería intervenciones / actividades, descrito por los estudiantes de enfermería para el diagnóstico de riesgos de salud de la piel perjudicada de adultos y ancianos hospitalizados, comparándolas con la clasificación; validar el contenido de las intervenciones de enfermería / actividades, descritas por los estudiantes de enfermería para el diagnóstico de la Integridad de la piel perjudicada Riesgo de adultos y ancianos hospitalizados, por enfermeras especializadas. Método: Estudio descriptivo, enfoque cuantitativo, utilizó la cartografía cruz. Celebrado en la Universidad Federal de Paraíba, con 25 estudiantes de enfermería y 14 enfermeros. Asistido a la Resolución 466/2012. La recolección de datos se llevó a cabo en tres fases, el análisis basado en la estadística descriptiva. La tesis está en formato de artículos. Resultados: correlacionados con la Clasificación de Intervenciones de enfermería, 32 intervenciones y actividades de enfermería 78 en los campos: complejo fisiológico, básicas, de comportamiento y de seguridad fisiológica. Las intervenciones son mapeados 24 en conexión 8 y más allá. Conclusiones: validados para 11 intervenciones de enfermería como una prioridad y 21 como se sugiere. Fue identificado el foco en las intervenciones prioritarias, a excepción de "reposo en cama Care", dijo a las actividades de "facilitar el autocuidado", se concluye que es importante fortalecer la enseñanza de esta materia en la educación de enfermería.
Introdução: Com o Processo de Enfermagem, surgem Sistemas de Classificações da Prática de Enfermagem, iniciando-se pela Classificação de Diagnósticos de Enfermagem e, depois, Classificação das Intervenções de Enfermagem e Classificação dos Resultados de Enfermagem, o que se constitui um sistema abrangente de linguagem padronizada da prática de enfermagem. Objetivo: Analisar, por meio do mapeamento cruzado, intervenções/atividades de enfermagem, descritas por graduandos do Curso de Enfermagem, para o diagnóstico Risco de integridade da pele prejudicada de adultos e idosos hospitalizados, e correlacioná-las com as da Nursing Interventions Classification, conforme a ligação NANDA-I/NIC, 2007 – 2008; Identificar intervenções/atividades de enfermagem descritas por graduandos de Enfermagem, para o diagnóstico Risco de integridade da pele prejudicada de adultos e idosos hospitalizados; Fazer mapeamento cruzado das intervenções/atividades de enfermagem descritas por graduandos de Enfermagem para o diagnóstico Risco de integridade da pele prejudicada de adultos e idosos hospitalizados e compará-las com as da classificação; Validar o conteúdo das intervenções/atividades de enfermagem descritas por graduandos de Enfermagem para o diagnóstico risco de integridade da pele prejudicada de adultos e idosos hospitalizados por enfermeiros especialistas. Método: Estudo descritivo, de abordagem quantitativa, em que se utilizou o mapeamento cruzado, e realizado na Universidade Federal da Paraíba, com 25 estudantes de Enfermagem e 14 enfermeiras. Atendeu à Resolução 466/2012. A coleta de dados ocorreu em três etapas, e a análise foi feita com base na estatística descritiva. A tese encontra-se em formato de artigos. Resultados: Mapearam-se, com a Classificação das Intervenções de Enfermagem, 32 intervenções e 78 atividades de enfermagem nos domínios: Fisiológico complexo, fisiológico básico, comportamental e de Segurança. Das intervenções mapeadas, 24 estão na ligação, e oito, fora dela. Conclusões: Validaram-se 11 intervenções de enfermagem, como prioritárias, e 21, como sugeridas. Houve concentração nas intervenções prioritárias, com exceção de “Cuidados com o repouso no leito”, e destacaram-se as atividades de “Facilitação do autocuidado”. Conclui-se que é importante reforçar o ensino desse tema na formação em Enfermagem.
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Necke, Shelly L. "The development of a viable business plan| Implementation of the geriatric resource nurse model and acute care unit for the elderly in a community-based hospital." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1586875.

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The aging population coupled with the complexity of the older adult patient has presented a significant challenge for the healthcare industry. The literature has shown that the elderly are the major consumers of healthcare expenditures in the United States. Caring for this population in the realm of healthcare reform will require new strategies to improve the health status of the older adult patient. The objective of this study was to complete a comprehensive literature review of geriatric care models and create a business plan applying the Nurses Improving Care for Healthsystem Elders (NICHE) program.

NICHE is a national nurse-driven geriatric program that provides the necessary resources and tools to assist healthcare organizations in enacting system-level changes, which will impact the care of the older adult patient.

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Castellà, Creus Mònica. "Proceso de individualización del Plan de Cuidados Estandarizado en unidades de hospitalización de agudos." Doctoral thesis, Universitat de Barcelona, 2020. http://hdl.handle.net/10803/670252.

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ANTECEDENTES: El proceso enfermero es el método de trabajo sistematizado que posibilita que las enfermeras sigan el razonamiento de la metodología científica. Consta de cinco fases: valoración, diagnóstico, planificación, ejecución y evaluación. Una de las aportaciones del proceso enfermero es que los cuidados deben individualizarse a las necesidades del paciente y familia. Individualizar significa que la enfermera formula diagnósticos y planifica los cuidados necesarios a partir de la valoración realizada al paciente y familia y evalúa los resultados conseguidos. Así, los cuidados son orientados hacia un modelo centrado en el paciente y la familia. Para facilitar la implantación y el registro de las etapas de diagnóstico, planificación y evaluación del proceso enfermero se aconseja el empleo de planes de cuidados estandarizados. Sin embargo, el elemento fundamental de trabajar con planes de cuidados estandarizados es el proceso de individualización que deben realizar las enfermeras. OBJETIVO: Comprender el proceso de individualización del plan de cuidados estandarizado realizado por las enfermeras a los pacientes hospitalizados en unidades de agudos. METODOLOGÍA: Estudio de método mixto y multicéntrico, con aplicación del método de la Teoría Fundamentada, según el enfoque de Strauss y Corbin. Empleo de muestreo teórico de máxima variación. Se incluyeron participantes hasta llegar a la saturación teórica de los datos. La recogida de datos consistió en: entrevistas individuales en profundidad, observación participante, análisis de documentos, un grupo focal y el uso del Cuestionario del pensamiento crítico enfermero en la práctica clínica (N-CT-4 Practice) y del Cuestionario de evaluación de competencias para enfermeras asistenciales en el ámbito hospitalario (COM-VA). Los datos de las entrevistas, observación participante, análisis de documentos y del grupo focal se analizaron siguiendo el método de comparación constante de la Teoría Fundamentada de Strauss y Corbin (codificación abierta, axial y selectiva). Con los resultados de los cuestionarios se realizó un análisis cualitativo que consistió en una triangulación entre el grado de pensamiento crítico, el nivel de expertía y el registro del proceso de individualización realizado por las enfermeras. Se cumplieron los preceptos éticos y se consideraron los criterios de rigor. RESULTADOS: Participaron 39 enfermeras entre las entrevistas y el grupo focal. Se realizaron 65 horas de observación participante y se analizó la individualización de 74 planes de cuidados estandarizados. Los cuestionarios (N-CT-4 Practice) y (COM-VA) fueron cumplimentados por 23 enfermeras participantes en las entrevistas. En referencia al proceso de individualización y al análisis de sus etapas surgieron tres categorías temáticas: Razonamiento clínico, Procedimiento instrumental y Dimensiones y componentes de la persona consideradas en la individualización. Se identificaron los elementos limitadores y facilitadores del proceso de individualización que fueron categorizados en tres categorías temáticas relacionadas con aspectos organizacionales, profesionales e individuales. Entre otros, se identificaron como elementos limitadores: rutinas adquiridas en las unidades, tradición del registro narrativo, déficit de conocimientos e interés escaso para individualizar. Como elementos facilitadores se identificaron, entre otros: realización de sesiones clínicas de cuidados, uso de planes de cuidados estandarizados y de la terminología ATIC, expertía de la enfermera y predisposición para individualizar. En cuanto al sentido que otorgan las enfermeras al proceso de individualización del plan de cuidados estandarizado, las enfermeras le atribuyen una significación condicionada por el contexto organizativo en el que desarrollan su ejercicio profesional y también, una significación relacionada a la prestación de cuidados como representación de la experiencia vivida. Además emergieron sentimientos negativos, ambiguos y positivos de las enfermeras hacia este proceso. Finalmente, las relaciones entre el registro del proceso de individualización del plan de cuidados estandarizado, el grado de pensamiento crítico y el nivel de expertía clínica de las enfermeras revelan que la mayoría de enfermeras se encuentran en un grado medio de pensamiento crítico y niveles de expertía medio y medio-alto. Las enfermeras competentes con pensamiento crítico medio se reparten entre una baja coherencia negativa y una alta coherencia positiva, según si la individualización del plan de cuidados es congruente al estado de salud y cuidados que precisa el paciente. La mayoría de enfermeras proficientes presentan un pensamiento crítico medio y una alta coherencia doblemente positiva por ser apropiado el registro de la individualización. Solo una participante de este estudio presenta una muy alta coherencia positiva por ser experta, con un pensamiento crítico de nivel alto y un adecuado registro de la individualización. CONCLUSIONES: Las enfermeras siguen un método sistemático para realizar la individualización del plan de cuidados estandarizado. Esta individualización está influenciada por diversos elementos que la dificultan o facilitan, contribuyendo en un sentido u otro, a la congruencia del resultado de la individualización. Al proceso de individualización se le otorga un significado relacionado con el contexto organizativo y otro vinculado a la prestación de cuidados. Niveles altos de pensamiento crítico y de expertía sugieren una influencia positiva en la congruencia de la individualización del plan de cuidados estandarizado.
BACKGROUND: Nursing Process is the systematized work method that allows nurses to follow the reasoning of scientific methodology. It is structured into five phases: assessing, diagnosing, planning, implementing, and evaluating. One of the contributions of the Nursing Process is that the care must be individualized according to the patient and their family’s needs. Individualizing means that the nurse formulates diagnoses and plans the necessary care based on the assessment performed on the patient and their family, and evaluates the results obtained. Thus, the care is oriented towards a model centered on the patient and the family. To facilitate the implementation and recording of the diagnoses, planning and evaluation stages of the Nursing Process, it is advisable to use standardized care plans. However, the fundamental element of working with standardized care plans is the individualization process that nurses must perform. AIM: To understand the individualization process of the standardized care plan used by nurses in acute hospital units. METHOD: A mixed methods and multicentric study was conducted within the framework of Strauss and Corbin’s Grounded Theory. Use of theoretical sampling with maximum variation. Participants were included until the point of theoretical saturation of data was reached. Data collection consist of: individual in-depth interviews, participant observation, document analysis, a focus group and use of the Nursing Critical Thinking in Clinical Practice Questionnaire (N-CT-4 Practice) and the Competency assessment questionnaire for nurses in the hospital setting (COM-VA). Data of interviews, participant observation, document analysis and the focus group were analyzed following the constant comparison method of Strauss and Corbin's Grounded Theory (open, axial and selective coding). With the results of the questionnaires, a qualitative analysis was carried out, which consisted in a triangulation between the degree of critical thinking, the level of expertise and the record of the individualization process carried out by the nurses. Ethical precepts were fulfilled and rigorous criteria were considered. RESULTS: A total of 39 nurses participated in the study. The participant observation lasting for a total of 65 hours and the individualization of 74 standardized care plans were analyzed. The questionnaires (N-CT-4 Practice) and (COM-VA) were conducted by 23 nurses participating in the interviews. In reference to the individualization process and the analysis of its stages, three thematic categories emerged: clinical reasoning, instrumental procedure, and dimensions and components of the person considered in the individualization. Barriers and facilitators elements of the individualization process were identified and categorized into three thematic categories related to the organization, professional and individual aspects. Among others, were identified as barriers: routines acquired in the wards, the tradition of narrative records, lack of knowledge and limited interest in individualization. The identified facilitators included holding clinical care sessions, use of standardized care plans and ATIC terminology, the nurse’s expertise and willingness to individualize. Regarding the meaning given by nurses to the individualization process, the results reveal that nurses attribute to the standardized care plan individualization process a significance conditioned by the organizational context in which they develop their professional practice and a significance related to the delivery of care as a representation of the lived experience. In addition, negative, ambiguous and positive nurses' feelings towards this process emerged. Finally, the relationships between the record of the standardized care plan individualization process, critical thinking degree and clinical expertise level of nurses reveal that the majority of them are in an intermediate level of critical thinking and medium and medium-high level for expertise. Competent nurses with medium critical thinking are divided between low negative coherence and high positive coherence, depending on whether the care plan individualization is consistent with the health condition and care required by the patient. The majority of proficient nurses present a medium critical thinking and a highly doubly positive coherence because the record of individualization is appropriate. Only one participant in this study has a very high positive coherence for being an expert, with a high critical thinking level and an adequate record of individualization. CONCLUSIONS: Nurses follow a systematic method to perform standardized care plan individualization. This individualization is influenced by various elements that hinder or facilitate it, contributing in one way or another, to the congruence of individualization result. The individualization process is given a meaning related to the organizational context and another specific to the delivery of care. High levels of critical thinking and expertise suggest a positive influence on the congruence of standardized care plans individualization.
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Lopes, Guilherme dos Santos. "PLANO SISTEMATIZADO DE INTERVENÇÕES DE ENFERMAGEM PARA UNIDADES INTENSIVAS PEDIÁTRICAS À LUZ DA TEORIA DAS NECESSIDADES HUMANAS BÁSICAS." Centro Universitário Franciscano, 2017. http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/646.

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Introduction: The systematization of nursing assistance (SAE), from specific knowledge and critical reflection on the organization, management and philosophy of nursing, constitutes an instrument of fundamental importance to the management, optimization and qualification of nursing care. Although nurses have already science and the perceived need of the implementation of SAE, as recommended by Resolution COFEN 358/2009, the methodological process and the choice of an appropriate theoretical framework also constitutes challenge for most professionals. Based on this rationale, this study had as Objectives: general: Create and validate a plan systematized nursing interventions to pediatric intensive care units; specific: Knowing the perception of nurses on the systematization of nursing care in pediatric intensive care units, and describe the stages of construction and validation of a plan of nursing interventions to pediatric intensive care units, in view of the Theory of Basic Human Needs Wanda Aguiar Horta. Methodology: To answer the first specific objective was held one exploratory and descriptive, qualitative, between March and July 2017, with 15 nurses working in a pediatric intensive care unit of a medium-sized hospital in the eastern region of the State of Rio Grande do Sul from individual interviews with guiding questions. The second specific objective was met from the methodological research, descriptive, conducted with ten experts in the field, between the months of July and September 2017, in which we used the Psychometric Theory as the validation process measurement technique. The object concordance rate was at least 80% for validation of the material. Results: From the research data organized and coded by content analysis resulted in two thematic areas, namely: SAE: legal and private process Nurse and SAE: from conception to care practice. Methodological research has yielded a return of ten instruments evaluated by experts in the first and second round of the Delphi cycle. In the first round it was suggested pertinent changes in relation to items and nursing interventions. O instrument was considered valid both in content and appearance and can help to support the implementation of the SAE in pediatric intensive care units at local and national level. Final considerations: It follows that the perception of nurses on the systematization of nursing care in pediatric intensive care units does not differ from other units of professional performance. Nurses, in general, have superficial theoretical knowledge on the theoretical and methodological approach of SAE. Their understanding is limited, in part, in compliance with legal requirements and implementation of the stages of diagnosis and nursing interventions. In this sense, the systematic and validated plan interventions will serve to equip the Nurses professionals working in pediatric intensive units and thus contribute to the improvement and consolidation of the nursing process in health services. As resultant product of the research process will be available a systematic plan and validated to support nursing interventions in pediatric intensive care units. It is recognized that the problems of care practice must be part of the academic discussions, as well as scientific theories need to contribute to the gradual transformation of practices. Integrating and strengthening these realities will result in addition best care practices in commitment to the consolidation of nursing science. It should be noted, finally, the need for further studies in the area, to expand clinical interventions and enable new theoretical insights into the relevance of the systematization of nursing care in different areas of nurse's performance.
Introdução: A Sistematização da Assistência de Enfermagem (SAE), a partir de conhecimento específico e de reflexão crítica acerca da organização, da gestão e da filosofia do trabalho de enfermagem, se constitui em um instrumento de fundamental importância para o gerenciamento, a otimização e a qualificação da assistência de Enfermagem. Embora os Enfermeiros já tenham ciência e a percepção da necessidade da implementação da SAE, conforme preconizado pela Resolução COFEN 358/2009, o processo metodológico, assim como a escolha de um referencial teórico apropriado, ainda, se constitui em desafio para a maioria dos profissionais. Com base nesta justificativa, o presente estudo teve como Objetivos: geral: Criar e validar um plano sistematizado de intervenções de enfermagem para unidades intensivas pediátricas; específicos: Conhecer a percepção de Enfermeiros sobre a Sistematização da Assistência de Enfermagem em unidades intensivas pediátricas, e, Descrever as etapas de construção e de validação de um plano de intervenções de enfermagem para unidades intensivas pediátricas, na perspectiva da Teoria das Necessidades Humanas Básicas de Wanda de Aguiar Horta. Metodologia: Para atender o primeiro objetivo específico foi realizada uma pesquisa exploratório-descritiva, de caráter qualitativo, entre março e julho de 2017, com 15 enfermeiros que atuam em uma unidade intensiva pediátrica de um hospital de médio porte da região leste do Estado do Rio Grande do Sul, a partir de entrevistas individuais com questões norteadoras. O segundo objetivo específico foi atendido a partir da pesquisa metodológica, de caráter descritivo, realizada com dez especialistas da área, entre os meses de julho e setembro de 2017, na qual utilizou-se a Teoria da Psicometria como técnica de medida do processo de validação. O índice de concordância considerado foi de, no mínimo, 80% para a validação do material. Resultados: Dos dados de pesquisa organizados e codificados pela análise de conteúdo resultaram dois eixos temáticos, quais sejam: SAE: processo legal e privativo do Enfermeiro e SAE: da concepção à prática assistencial. Da pesquisa metodológica se obteve-se um retorno de dez instrumentos avaliados por especialistas na primeira e na segunda rodada do Ciclo de Delphi. Na primeira rodada foram sugeridas mudanças pertinentes em relação aos itens e às intervenções de enfermagem. O instrumento foi considerado válido tanto em conteúdo quanto em aparência e poderá contribuir para subsidiar a implementação da SAE em unidades intensivas pediátricas em âmbito local e nacional. Considerações finais: Conclui-se, que a percepção dos Enfermeiros sobre a Sistematização da Assistência de Enfermagem em unidades intensivas pediátricas não se difere das demais unidades de atuação profissional. Os Enfermeiros, de modo geral, possuem conhecimento teórico superficial sobre a proposta teórico-metodológica da SAE. A sua compreensão limita-se, em parte, no cumprimento dos preceitos legais e na execução das etapas do diagnóstico e das intervenções de enfermagem. Nessa direção, o plano sistematizado e validado de intervenções servirá para instrumentalizar os profissionais Enfermeiros que atuam em unidades intensivas pediátricas e, assim, contribuir para a qualificação e a consolidação do processo de enfermagem nos serviços de saúde. Como produto resultante do processo de investigação será disponibilizado um plano sistematizado e validado para subsidiar as intervenções de enfermagem em unidades intensivas pediátricas. Reconhece-se que os problemas da prática assistencial precisam fazer parte das discussões acadêmicas, assim como as teorias científicas precisam contribuir para a transformação gradativa das práticas. A integração e o fortalecimento destas realidades resultarão em melhores práticas de cuidado, além de compromisso com a consolidação da ciência de enfermagem. Salienta-se, por fim, a necessidade da realização de novos estudos na área, no sentido de ampliar as intervenções clínicas e possibilitar novas compreensões teóricas sobre a relevância da Sistematização da Assistência de Enfermagem nos diferentes espaços de atuação do Enfermeiro.
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Araújo, Lina Paula da Conceição Borges Araújo. "Plano de cuidados de enfermagem ao doente renal crónico em hemodiálise/família no SANE: uma realidade possível." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2013. http://hdl.handle.net/10400.26/4553.

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Trabalho de Projecto apresentado para cumprimento dos requisitos necessários à obtenção do grau de Mestre em Enfermagem Médico – Cirúrgica
Este relatório surge no âmbito do 2º Curso de Mestrado em Enfermagem Médico – Cirúrgica da Escola Superior de Saúde do Instituto Politécnico de Setúbal (ESS/IPS), no ano lectivo 2011-2012 e a sua elaboração e discussão pública visam a obtenção do grau de Mestre em Enfermagem Médico – Cirúrgica. Explicita o projecto de intervenção que realizámos entre 12 de Janeiro e 22 de Maio de 2011, sob o título genérico: “Plano de Cuidados de Enfermagem ao Doente Renal Crónico em Hemodiálise / Família no SANE: Uma realidade possível. Consiste numa acção de desenvolvimento que visa melhorar as competências e eficácia, de um grupo de profissionais de enfermagem, no atendimento às pessoas em programa regular de Hemodiálise e famílias, através de uma nova visão: A globalidade e a planificação dos cuidados em unidades de hemodiálise. Estas pessoas e suas famílias vivem uma complexa situação de saúde que se enquadra no âmbito da doença crónica. A aceitação da doença, a adaptabilidade e a adesão ao regime terapêutico são por isso problemas de saúde complexos que se inserem na área de intervenção do especialista em enfermagem em pessoa em situação crítica, explicando-se a escolha do projecto neste contexto académico. Contribuir para a segurança e qualidade dos cuidados de enfermagem nesta Unidade de Hemodiálise / Sector de Ambulatório de Nefrologia (SANE) é o nosso objectivo geral. O relatório constitui-se por capítulos que revelam a arquitectura do projecto e uma análise reflexiva das aprendizagens realizadas neste percurso académico, comparando-as com o perfil de competências do enfermeiro especialista em enfermagem em pessoa em situação crítica e do mestre em enfermagem médico-cirúrgica. Destacamos a receptividade da equipa com uma adesão actual de 78% para um objectivo inicial de 50% (Dezembro 2011).
Abstract: This report is due the 2nd Master’s degree in Medical - Surgical Nursing at the Health Sciences School, Polytechnic Institute of Setúbal (ESS / IPS), in the academic year 2011- 2012 and its preparation and public discussion aims at obtaining a Master's degree in Medical – Surgical Nursing. It explains the intervention that developed between the 12th January and the 22nd May 2011, with the generic title “Plan for Nursing Care to Chronic Renal Patients undergoing Haemodialysis / Families at SANE: A possible reality” (“Plano de Cuidados de Enfermagem ao Doente Renal Crónico em Hemodiálise / Família no SANE: Uma realidade possível”). It consists of a development action aiming to improve the competences and efficiency of a group of nursing practitioners in caring for persons undergoing a regular haemodialysis program and their families, by means of a fresh outlook: holistic and care planning in haemodialysis units. These people and their families experience a complex health situation comprised within the scope of chronic diseases. The acceptance of the disease, adaptability and the adherence to a therapeutic regimen are complex health issues included in the field of intervention of nurses specialized in critical care, the reason behind this project being explained within this academic framework. To contribute to the safety and quality of nursing care at Hemodialysis unit / sector Clinic of Nephrology (SANE) is our general objective. The report consists of several chapters which disclose the architecture of the project and a reflective analysis of the knowledge acquired during the course, comparing it against the common and specific skills of the master specialist nurse. We would highlight the receptiveness of the team, with an adherence at the present time of approximately 78% easily beating the goal of 50% back in December 2011
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Bonnel, Galadriel. "L'évolution des infirmières de la pratique avancée et leur rôle dans le système de santé français : perspective internationale." Thesis, Aix-Marseille, 2012. http://www.theses.fr/2012AIXM5060.

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Objectifs: Etudier l'évolution de l'introduction du rôle de l'IPA et proposer des recommandations pour les études ultérieures.Méthodes: Une revue de la littérature française et internationale concernant l'IPA. Participation à un groupe de travail national concernant l'avancement de ce rôle et les réformes éducationnelles. Une étude rétrospective comparant la prise en charge de patients hypoglycémiques en milieu pré-hospitalier par infirmiers et physiciens. Un questionnaire étudiant les perceptions des premiers étudiants en cursus IPA.Résultats: Différents niveaux de transferts de compétence et de collaboration médecin/infirmière existent déjà en France. Dans l'étude rétrospective, la qualité de soin des infirmières a été similaire à celle des médecins. Dans l'étude sur l'IPA, la majorité des étudiants a indiqué que les autres infirmières et docteurs ne sont pas au courant du rôle de l'IPA, et que des barrières bloquent son développement.Conclusions: La création du rôle d'IPA et le développement de la formation des infirmières en France peuvent répondre aux défis de santé publique, telle l'incidence croissante des maladies chroniques et la pénurie de médecins. Les recommandations suivantes furent proposées pour le développement du rôle de l'IPA : définir et faire reconnaître le rôle de la pratique infirmière avancée et ses compétences, promouvoir le rôle plus largement dans les disciplines médicales, soutenir les efforts de communication entre l'état et les professionnels de santé, développer des programmes au niveau master et doctorat, et promouvoir des travaux de recherche infirmiers et interdisciplinaires
Background: In the context of public health challenges and health care reforms in France, the evolving advanced practice nurse (APN) role may be a solution. Objectives: To study the introduction of the ANP role and provide evidence-based recommendations for future research.Methods: A review of the international and French APN literature was performed. Participation in a national task force concerned advancement of the role and education reforms. In a retrospective study, nurses and physicians were compared in the pre-hospital management of hypoglycemic patients. Finally, a survey was administered to the first French APN Master's students to identify their perceptions of the APN role.Results: Variables levels of skill transfer and doctor-nurse collaboration currently exist in France. In the retrospective study, the pre-hospital quality of care of nurses was comparable to that of doctors. In the APN student survey, the majority indicated that other nurses and doctors were not aware of the APN role, and that barriers exist in role development. Conclusions: Creation of the APN role and advancement of nursing education in France can respond to public health challenges including the rising incidence of chronic diseases and an impending physician shortage. The following recommendations were proposed for APN role development: to define and recognize the advanced practice nurse role and related competencies, promote the role in a wider range of medical disciplines, facilitate clear communication between government and health care professionals, develop nursing Master's and Doctorate programs, and promote nursing and interdisciplinary research
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Pereira, Mabel Maria Marques. "? beira do leito : sentimentos de pacientes durante a passagem de plant?o em Unidade de Terapia Intensiva." Universidade Federal do Rio Grande do Norte, 2011. http://repositorio.ufrn.br:8080/jspui/handle/123456789/14733.

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This study aims to understand the feelings of patients admitted to the Intensive Care Unit (ICU) that experienced a change of shift at the bedside. The change of shift is one of the routines used by nursing in their work process and of great significance for the patient; therefore, deserves careful analysis in seeking to perfect themselves for the improvement of nursing care. It is a descriptive research, with a qualitative approach. The collection of information was performed using semi-structured interview, in August and September of 2011, after authorization from the Ethics Committee of the Federal University of Rio Grande do Norte, as opinion 290/2011. The analysis, based on interviews of patients, took the humanization as the thread of investigation backed by authors who deal on the subject and the theory of the gift of Marcel Mauss that sits on drug give-receive-return. The results indicate that the change of shift at the bedside but has not configured, the content of the speech of patients interviewed, as a moment that has generated fear and anxiety, could be deduced by the expression of silence, tears and other signs during interviews, how hard it is to live this experience. Nevertheless, despite this apparent tranquility, revealed uncertainty and apprehension face the speech of professional, during the visit at the bedside, particularly when referring to their health and their neighbors. On the other hand, the indifference to the participation of the patient at the time of the visit, expressing an attitude of merely technical nature, dehumanizes the act of taking care, the essence of nursing. And, for all the patients that we understand, about the visit to the bedside, as well as the ICU, we can infer that there is suffering for them. However, we understand your feelings and revelations seeking support in the theory of Mauss's gift: the patient receives the gift (care), and imbued with a feeling of gratitude, the rewards in the form of compliments and courtesies. Precisely for this reason, we need to sharpen our sensitivity to deal about the human condition in all its vulnerability.
O presente estudo tem como objetivo compreender os sentimentos de pacientes internados na Unidade de Terapia Intensiva (UTI) que vivenciam uma passagem de plant?o ? beira do leito. A passagem de plant?o constitui uma das rotinas utilizadas pela enfermagem no seu processo de trabalho e de grande significa??o para o paciente; por isso mesmo, merece uma an?lise cuidadosa na busca de seu aperfei?oamento para o aprimoramento da assist?ncia de enfermagem. Trata-se de um estudo descritivo explorat?rio, de natureza qualitativa. A coleta de informa??es foi realizada atrav?s de entrevista semiestruturada, nos meses de agosto e setembro de 2011, ap?s autoriza??o do Comit? de ?tica, da Universidade Federal do Rio Grande do Norte, conforme Parecer 290/2011. A an?lise, pautada nos depoimentos dos pacientes, tomou a humaniza??o como o fio condutor da investiga??o, apoiada em autores que tratam sobre o tema e na teoria da d?diva de Marcel Mauss que se assenta na tr?ade: dar-receber-retribuir. Os resultados apontam que a passagem de plant?o ? beira do leito embora n?o tenha se configurado, pelo teor das falas dos pacientes entrevistados, como um momento que tenha gerado medo e ansiedade, p?de-se depreender pelas express?es de sil?ncio, l?grimas e outras sinaliza??es, durante as entrevistas, o qu?o dif?cil ? vivenciar essa experi?ncia. Mesmo assim, apesar dessa aparente tranquilidade, revelaram incerteza e apreens?o diante das falas dos profissionais, por ocasi?o da visita ? beira do leito, particularmente, quando se referiam ao seu estado de sa?de e de seus vizinhos. Por outro lado, a indiferen?a em rela??o ? participa??o do paciente, no momento da visita, expressando uma atitude de cunho meramente t?cnico, desumaniza a a??o do cuidar, ess?ncia da enfermagem. E, por tudo que apreendemos dos pacientes, acerca da visita ? beira do leito, bem como da pr?pria UTI, podemos inferir que h? sofrimento para eles. No entanto, vamos compreender suas revela??es e sentimentos buscando apoio na teoria da d?diva de Mauss: o paciente recebe o presente (cuidado) e, imbu?do de um sentimento de gratid?o, o retribui em forma de elogios e gentilezas. Justamente por isso, precisamos agu?ar nossa sensibilidade para lidar com a condi??o humana, em toda a sua vulnerabilidade.
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Almeida, Mailma Costa de. "Enfermagem perioperatória e sua inserção nos cursos de graduação." Universidade Federal do Amazonas - Universidade Federal do Pará, 2015. http://tede.ufam.edu.br/handle/tede/5021.

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Introduction. Perioperative nursing can be understood as the nursing care provided to patients who will undergo a surgical procedure and it is inserted in the pre, trans and postoperative periods. The perioperative nursing content are contained in undergraduate courses in Nursing curricular activities that address the individual in their life cycle and stages of the training process. Such content become important for the formation of reason in nursing professionals representing the surgical procedures in relation to the clinical status of the country. Objective: To analyze the teaching of perioperative nursing in public higher education institutions of nursing undergraduate courses in the city of Manaus. Methodology: exploratory and descriptive study of qualitative approach, carried out in two public universities in the State of Manaus, Amazonas, with the six subject teachers who teach Perioperative Nursing content. It was used as a technique for the collection of interview data, focuses groups and document analysis. Data instruments were questionnaire script for the focus group and script for analysis of educational plans. Results: Analysis of the data indicates that the teaching of Perioperative Nursing in public higher education institutions of undergraduate courses in Manaus, showed that teachers were mostly female and has the experience both in teaching and in the assistance in Perioperative Nursing. The teaching plans allows a partial view of how is the teaching of Perioperative Nursing since that field contents are divided in four disciplines. It was found that the four of the disciplines, three have theoretical and practical hours and one practice of the discipline of Urban Internship. The syllabus of the Perioperative Nursing content is presented in two disciplines of explicit ways and two implicitly. The goals were presented explicitly in three disciplines. One of the issue of the program content observed that are directed to Perioperative Nursing. It was noted a disagreement between objectives and program content. It was observed between the teaching strategies using interactive methodologies towered over traditional methodologies and teachers felt the need to work more innovative methodologies in perioperative nursing. The teaching resources used by teachers in the course of their teaching activities are presented compatible related to teaching strategies. The references are between 2005-2015 and the period prior to 2004. There was no predominance of publication being nine references 2005-2015 nine previous to 2004. It was found that item the existence of journals, scientific papers, theses and dissertations, and other sites. The views of teachers on the teaching of perioperative nursing potentiated the analysis in as difficulties, weaknesses, expectations and suggestions were expressed. Conclusion. The teaching of perioperative nursing in higher education institutions - public HEI is present in nursing education, however it needs actions that qualify the prospect of meeting the National Curriculum Guidelines - DCNs and health needs of the population. In this perspective we present suggestions for HEIs and for teachers as a contribution of the study performed.
Introdução. A enfermagem perioperatória pode ser entendida como a assistência de enfermagem prestada ao paciente que será submetido a um procedimento cirúrgico e que está inserido nos períodos pré, trans e pós-operatório. Os conteúdos de enfermagem perioperatória estão contidos nos Cursos de Graduação em Enfermagem em atividades curriculares que abordam o indivíduo em seu ciclo vital e em estágios do processo de formação. Esses conteúdos tornam-se importante para a formação dos profissionais de enfermagem em razão do que representam os procedimentos cirúrgicos em relação ao quadro nosológico do país. Objetivo: Analisar o ensino da enfermagem perioperatória nos cursos de graduação de enfermagem de Instituições de Ensino Superior públicas na cidade Manaus. Metodologia: Estudo de caráter exploratório e descritivo de abordagem qualitativa, realizado em duas universidades públicas de Manaus, Estado do Amazonas, tendo como sujeitos seis docentes que ministram conteúdos de Enfermagem Perioperatória. Utilizou-se como técnica para a coleta de dados entrevista, grupo focal e análise de documentos. Os instrumentos de dados foram questionário, roteiro para o grupo focal e roteiro para análise dos planos de ensino. Resultados: A análise dos dados indica que o ensino da Enfermagem Perioperatória nos cursos de graduação de Instituições de Ensino Superior públicas de Manaus, mostrou que os docentes em sua maioria eram do sexo feminino e tem experiência tanto na docência quanto na assistência na Enfermagem Perioperatória. Os planos de ensino permitem uma visão parcial sobre como se dá o ensino da Enfermagem Perioperatória uma vez que os conteúdos desse campo estão diluídos em quatro disciplinas. Verificou-se que das quatro disciplinas três possuem carga horária teórico-prática e uma só prática na disciplina de Estágio Curricular Urbano. As ementas, o conteúdo de Enfermagem Perioperatória está presente em duas disciplinas de maneira explicita e em duas de maneira implícita. Os objetivos estavam presentes explicitamente em três disciplinas. No quesito conteúdo programático observou-se que estão direcionados a Enfermagem Perioperatória. Notou-se um desacordo entre objetivos e conteúdos programático. Observou-se entre as estratégias de ensino o uso de metodologias interativas sobressaíram em relação as metodologias tradicionais e que os docentes sentem a necessidade de trabalhar com metodologias mais inovadora na enfermagem perioperatória. Os recursos de ensino utilizados pelos docentes no decorrer de suas atividades pedagógicas apresentaram-se compatíveis relacionados com as estratégias de ensino. As referências bibliográficas situam-se entre 2005 a 2015 e período anterior a 2004. Não houve predominância de publicação estando nove referências bibliográficas de 2005 a 2015 e nove anterior a 2004. Não se constatou nesse item a existência de periódicos, artigos científicos, teses e dissertações, sites e outros. A opinião dos docentes sobre o ensino da enfermagem perioperatória potencializou a análise na medida que dificuldades, fragilidades, expectativas e sugestões foram expressas. Conclusão. O ensino da enfermagem perioperatória nas Instituições de Ensino superior - IES públicas está presente na formação do enfermeiro, entretanto precisa de ações que qualifiquem na perspectiva de atender as Diretrizes Curriculares Nacionais - DCNs e as necessidades de saúde da população. Nessa perspectiva apresentamos sugestões para as IES e para os docentes como contribuição do estudo realizado
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Calheiros, Christianne Alves Pereira. ""Formação dos auxiliares de enfermagem para cuidar de idosos nos cursos profissionalizantes de Belo Horizonte - MG"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-13102004-150508/.

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O estudo objetivou compreender a formação do auxiliar de enfermagem nos cursos profissionalizantes de Belo Horizonte, Minas Gerais, em 2003, com enfoque no envelhecimento. Realizou-se estudo exploratório descritivo dos projetos pedagógicos, planos de ensino das disciplinas adotadas na formação do auxiliar de enfermagem e entrevistas com coordenadores ou professores dos referidos cursos. Os dados analisados expressam a intencionalidade de promover uma formação emancipatória, inclusiva e cidadã, nos projetos pedagógicos, mais evidenciada nos cursos públicos, sendo que, nos privados, aflora o compromisso de atender às demandas do mercado, havendo pouca visibilidade da temática envelhecimento. Os objetivos e estratégias pedagógicas apresentados nos planos de ensino denotam, porém, abordagem tradicional e reprodutora do currículo mínimo, já modificado pela nova Lei de Diretrizes da Educação Brasileira. Intui-se, então, que o tema envelhecimento, apesar de constar dos projetos pedagógicos, acompanhando as novas diretrizes curriculares, incluindo a referência ao ser humano durante o ciclo vital e flexibilidade do conteúdo de formação, para permitir a inclusão de questões e problemas relevantes da realidade em seu dinamismo e mudanças, não se faz tão presente nos planos de ensino. Esses dados condizem com informações obtidas nas entrevistas, em que a abordagem ao envelhecimento não tem registros formais, revelando-se no currículo oculto a pouca visibilidade desses conhecimentos na formação dos auxiliares de enfermagem. Conclui-se que, apesar da pequena ocorrência do tema nos cursos, os entrevistados revelam a necessidade de inserir o envelhecimento no currículo dos auxiliares de enfermagem, de modo a contribuir na aquisição de habilidades e competências para enfrentar a demanda de idosos nos serviços de saúde. Apresentam-se, ainda, sugestões de conteúdos sobre o envelhecimento, de modo a incentivar iniciativas nos projetos pedagógicos dos referidos cursos, tomando por base os fundamentos do Sistema Único de Saúde – SUS e Projeto de Profissionalização dos Trabalhadores da Área de Enfermagem – PROFAE, voltados à promoção da saúde e prevenção da doença, durante o curso de vida, incluindo a atenção à saúde dos idosos, diante da mudança demográfica com o envelhecimento populacional na sociedade brasileira.
The study had the aim to understand the education of nursing aids of professionalization courses in the city of Belo Horizonte, Minas Gerais State, in 2003, with a focus on aging. It is a descriptive exploratory study of the educational projects, of the teaching plans of the disciplines comprising nursing aid education, and of interviews that were performed with coordinators and teachers of the referred courses. The analyzed data express the intention of promoting an emancipatory, inclusive, and citizenship education in the educational projects. This was more evidenced in public courses, being that in private courses the commitment of answering to the market demand arises; showing, therefore, a small visibility of the theme of aging. The educational goals and strategies presented in the teaching plans denote, however, a traditional and reproductive approach of the minimum curricula, modified by the new Brazilian law of educational guidelines. Therefore, it is observed that the theme of aging is part of educational projects, accompanying the new curricular guidelines, makes reference to human beings during the vital cycle. The flexibility of the educational content allows the inclusion of questions and problems relevant to reality in its dynamism and changes, but is not much present in teaching plans. The theme is brought up in few disciplines, with the minimum of class hours. These data agree with the information obtained in the interviews, in which the approach to aging has no formal record, revealing in the occult curriculum the small visibility of this knowledge in the education of nursing aids. The study concludes that, despite the small visibility of the theme in the courses, the interviewed persons revealed the need to introduce the theme of aging in the curriculum of nursing aids, as a way to contribute to the acquisition of abilities and competencies to deal with the demand of the elderly in health services. The study also presents suggestions of subjects about aging, with the intent to encourage initiatives in educational projects of the referred courses, based on the fundamentals of SUS (Single Health System) and Profae (Project for the Professionalization of Nursing Staff), directed to health promotion and prevention of diseases during life, including the attention to the health of the elderly, in face of the demographic change that accompanies the aging of the population in the Brazilian society.
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Edmonds, Stephanie Westlake. "Examining reproductive life planning practices among Title X clinicians in the Midwest: a mixed-methods study." Diss., University of Iowa, 2017. https://ir.uiowa.edu/etd/5461.

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The purpose of the study was to examine reproductive life planning practices among Title X family planning health care providers and clinical staff. Reproductive life planning is a program priority for Title X clinics, those that receive federal money for providing family planning services to low-income women and men. The goal of reproductive life planning is to decrease unwanted and unintended pregnancies and improve preconception health care however; this practice has not been described. First, a conceptual analysis was conducted to create a definition of reproductive life planning that was consistent with the literature. Reproductive life planning is a process that is centered on reproductive and other life goals and is personalized, collaborative, fluid, and focused on health-promotion. Second, a mixed methods design was used to examine reproductive life planning practices and qualitative interviews were conducted to explore barriers and facilitators to implementing reproductive life planning practices. Data were obtained from health care providers and clinical staff employed at Title X clinics in Illinois, Iowa, Minnesota, Missouri, Nebraska, and North Dakota. A total of 148 clinicians completed a web-based survey which was analyzed to describe which types of patients, the topics covered, and the frequency with which reproductive life planning was discussed during an office visit. Surveys were then examined to identify 20 providers to conduct qualitative interviews with to further explore reproductive life planning practices. The qualitative interviews were also performed to explore the barriers and facilitators clinicians face to practicing reproductive life planning. The results of the web-based questionnaire were examined mainly with medians and frequencies to examine reproductive life planning practices. Qualitative interviews were coded using a content analysis approach to two aims; one to examine how reproductive life planning was using during clinic visits and two, to identify the barriers and facilitators clinicians face when discussing reproductive life planning with patients. Findings from the survey and the interviews suggest that most clinicians are discussing pregnancy intentions with their patients. However, from the interviews, three types of scope of reproductive life planning emerged; those clinicians who screened their patients’ pregnancy intentions, those who planted the seed in the patient’s mind, and those who explored the context of a patient’s life and their goals to contextualize how pregnancy and childbearing would fit into their lives in order to clarify pregnancy intention and move toward the corresponding health behaviors. It is argued that the third group of providers is using reproductive life planning as intended by experts. Finally, barriers to RLP discussions were examined as well as approached providers used to overcome the barriers. In conclusion, many clinicians are practicing reproductive life planning as intended, however many are not. Improved training and protocols are needed to ensure clinicians are providing their patients with the best reproductive life planning discussions. Additionally, systemic structures, like access to quality family planning services, need to be improved to aid clinicians in helping their patient plan their families.
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Badke, Marcio Rossato. "CONHECIMENTO POPULAR SOBRE O USO DE PLANTAS MEDICINAIS E O CUIDADO DE ENFERMAGEM." Universidade Federal de Santa Maria, 2008. http://repositorio.ufsm.br/handle/1/7310.

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This work aims at knowing the conceptions and practices of the inhabitants at the community attended by the Bela União Family Health Unit, located at the city of Santa Maria/ RS, regarding the therapeutic use of medicinal plants on health care. The research has a qualitative approach and its data collecting instrument is composed by a semi-structured interview scheme and by observations. The individuals to be interviewed were selected according built relations network which involved ten individuals. The data examination was made by means of thematic analyses as proposed by Bardin (2008), that allowed to organize the data in such a way to make possible the appearance of thematic categories. While studying the emerging categories we can perceive that most of the popularized knowledge was acquired in the familiar environment, being the woman the one to retain and diffuse this knowledge. It was also observed the use of the home-made tea as a practice used in health maintenance and rehabilitation; it is a very common practice among the participants who besides using it in their day-life also mentioned the intention to cultivate herbs in their own homes. The individuals interviewed demonstrated the desire to acquire new knowledge about this subject despite the fact that most of the medicinal plants used by them have its popularized therapeutic indications similar to those found in the scientific literature. Therefore, we believe that this research has a great importance not only for nurses but also to society, because it points towards the need of an approximation between popular and scientific knowledge and, the production of projects that deal with this topic. Moreover, we suggest that nurses work in the integrality perspective, respecting people differences and social context. To do so, it is necessary to include, in nurse formation as well as in their permanent education, the knowledge of supplementary practices on health care with the use of medicinal pants.
Este trabalho tem como objetivo conhecer os saberes e práticas dos moradores da comunidade assistida pela Unidade de Saúde da Família Bela União, localizada no município de Santa Maria/ RS, no que se refere ao emprego terapêutico de plantas medicinais no cuidado à saude. A pesquisa é qualitativa e apresenta como instrumento de coleta de dados um roteiro de entrevista semi-estruturada e de observação. Os entrevistados foram selecionados de acordo com a rede de relações construída, à qual envolveu dez sujeitos. O exame dos dados foi realizado por meio da análise temática, proposta por Bardin (2008), a qual permitiu organizar os dados de tal maneira que o surgimento de categorias temáticas fosse possível. Ao estudar as categorias emergentes pode-se perceber que a maior parte do conhecimento popular foi adquirido no ambiente familiar, tendo a mulher como a detentora e a principal difusora desse saber. Foi constatado também que o uso do chá caseiro, como prática utilizada para manter ou reabilitar a saúde, é bastante comum entre os partipantes que, além de utilizá-lo no seu cotidiano, mencionam ter vontade de cultivar ervas em sua própria residência. Os entrevistados demostraram vontade de adquirir novos saberes sobre o assunto, apesar de a maioria das plantas medicinais utilizadas por eles terem suas indicações terapêuticas populares semelhantes às encontradas na literatura científica. Portanto, acreditase que a pesquisa tenha grande relevância não só para os enfermeiros, como também para a sociedade, pois aponta para uma necessária aproximação entre o saber popular e científico, bem como para a criação de projetos que trabalhem com essa temática. Além disso, sugere-se que o enfermeiro trabalhe na perspectiva da integralidade, respeitando as diferenças e o contexto social das pessoas. Para isso, torna-se necessário incluir, tanto na formação dos enfermeiros, como na educação permanente desses profissionais, conhecimentos sobre práticas complementares de cuidado com a saúde, como o uso de plantas medicinais.
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Skapur, Amira, and Billeskalns Lovisa Åhlin. "Palliativ vård av personer med mycket svår KOL inom hemsjukvården - En intervjustudie ur sjuksköterskors perspektiv." Thesis, Umeå universitet, Institutionen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-122032.

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Abstrakt: Okontrollerade symptom och upprepade sjukhusinläggningar kännetecknar den sista tiden i livet hos en del patienter med mycket svår KOL. Trots att det finns en växande insikt att tidig integration av palliativ vård förbättrar patientens symtombehandling och livskvalitet, dör majoriteten av patienter med KOL utan tillgång till palliativ vård. Sjuksköterskor i hemsjukvården har en central roll när det gäller att identifiera och hantera patienternas palliativa vårdbehov. Syfte: Syftet med denna studie är att belysa hur sjuksköterskor i hemsjukvården upplever den palliativa vården av patienter med mycket svår KOL. Metod: Kvalitativ studie där 11 semistrukturerade intervjuer bearbetats med kvalitativ innehållsanalys. Resultat: Insamlat datamaterial resulterade i tre kategorier som påvisar förutsättningar för god palliativ vård i hemmet: 1) Personella och organisatoriska resurser i hemsjuk- och primärvården där stora brister i samarbetet med primärvården samt bristande resurserna för god vård i hemmet noteras. 2) Planering och kommunikation där bristande kommunikation med patienten och mellan olika vårdinsatser samt planering kring patientens vård poängteras. 3) Kunskap där ett behov av att utöka kunskapen om KOL och palliativ vård hos alla yrkeskategorier uppmärksammas. Konklusion: Patienter med mycket svår KOL får ofta en god palliativ vård i livets absoluta slutskede. Resultatet visar dock att patientens vård under de sista månaderna i livet ofta upplevs som oklar och diffus, vilket pekar på att palliativ vård behöver integreras tidigare i vården av patienter med mycket svår KOL. I kommunikations- och planeringsprocessen med patienten har sjuksköterskor en samordnande roll som behöver specificeras och utrustas med de erforderliga personella och organisatoriska resurserna, kunskaperna och befogenheterna.
Abstract: Uncontrolled symptoms and repeated hospitalizations characterize the last period of life in some patients with very severe COPD. Although there is a growing recognition that early integration of palliative care improves the treatment of patient's symptoms and quality of life, the majority of patients with COPD dies without access to palliative care. Nurses in home care have a central role in identifying and managing patients' palliative care needs. Aim: The purpose of this study is to examine how nurses in home care and in nursing homes experience palliative care of patients with severe COPD. Method: Qualitative study in which 11 semi-structured interviews processed using qualitative content analysis. Results: Collected data resulted in three categories that indicate conditions for good palliative care in the home: 1) Human and organizational resources in home- and primary care, where serious deficits within primary care and resources for good home care is noted. 2) Planning and communication, where the lack of communication with the patient and between different health care institutions as well as care planning is emphasized. 3) Knowledge, where a need to improve knowledge of COPD and palliative care for all care professions is recognized. Conclusion: The result shows that the patient's care during the last months of life is often perceived as vague and diffuse, suggesting that palliative care needs to be integrated earlier in the care of patients with very severe COPD. In the communication process and care planning with patients, nurses have a coordinating role that needs to be specified and equipped with the requisite human and organizational resources, skills and competences.
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41

Ramot, Andersson Ellinor, and Eva Öhrn. "Den äldre patientens upplevelse av sitt planeringsmöte vid utskrivning från sjukhuset." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-23622.

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Andelen äldre i befolkningen blir fler och fler och med det behövs ökade insatser från vård och omsorg. Om förändrat vårdbehov upptäcks hos en patient i samband med sjukhusvistelse bör ett planeringsmöte bokas inför utskrivningen från sjukhuset. Under planeringsmötet skapas en vårdplan som ska vara individuell och personcentrerad där patientens resurser ska tillvaratas. Syftet med studien var att belysa den äldre patientens upplevelse av sitt planeringsmöte vid utskrivning från sjukhus. En kvalitativ metod genomfördes med en induktiv ansats. Åtta patienter intervjuades. Intervjuerna analyserades genom en kvalitativ innehållsanalys och resulterade i två huvudkategorier: osäkerhet inför planeringsmötet och underläge under planeringsmötet. Resultatet visade att informationen som ges inför mötet ofta upplevs otydlig men det uppskattas att det är en sjuksköterska som ger informationen. Patienterna upplevde även anhörigas närvaro som en trygghet under mötet. Resultatet visar även på att det under mötet framkommer många okända begrepp och att informationen under mötets gång är överväldigande. Tydlig information, individuella förutsättningar och patientens delaktighet är förbättringsområden för en hållbar utveckling inom området.
The proportion of older people in the population is increasing and with this increased health efforts are needed. If a changed need for care is daiscovered in connection with a hospital stay, a discharge meeting can be booked upon discharging from the hospital care. During the discharge meeting, a care plan is created that should be individual and person-centered where the patient's resources are to be utilized. The aim of the study was to illustrate the older patient's experience of their discharging meeting. Eight patients were interviewed using a qualitative method with inductive approach. The interviews were then analyzed through a qualitative content analysis and resulted in two main categories: uncertainty before the discharge meeting and be at a disadvantage during the discharge meeting. The result showed that the information given before the discharge meeting was often unclear but it was appreciated by the patients that it was a nurse who provided the information. The patients also experienced the presence of relatives created the feeling of being safe for the patient during the discharge meeting. The results also show that many unknown concepts emerged during the meeting and that the information during the meeting is overwhelming. Distinct information, individual prerequisite and the patients participation are clear areas of improvement for sustainable development in the area.
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42

CAVALCANTE, Agueda Maria Ruiz Zimmer. "Intervenções de enfermagem para o padrão respiratório ineficaz em idosos." Universidade Federal de Goiás, 2009. http://repositorio.bc.ufg.br/tede/handle/tde/705.

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Upon the multiple ilnesses that aflict the elderly, respiratory problems stand out as cause of hospital admitance and re-admitance, and consequent worsening of funtional capacity. The nursing interventions directed to the human responses in evidence allow clinical improvement, visibility, and quality of nursing assistance to elderly patients with respiratory problems. The goal was to analyse the nursing interventions performed by the nursing staff to the nursing diagnosis ineffective breathing pattern in elderly patients. It is a descriptive study, developed in the internal medicine section of a scholl hospital in Goiânia, done in three stages, from July to December of 2008. The first stage consisted in the search of activities performed by the nursing staff to the ineffective breathing pattern in the elderly. The second consisted in the crossed mapping between the quoted activities and the interventions and activities priorized by the NIC to the ineffective breathing pattern diagnosis. And the third stage consisted in the new collection of data analyse the priorized NIC activities to ineffective breathing pattern in the elderly. If was adapted the descriptive statistic with distribution of the activities in simple frequence. 43 nursing workers took part in the study, after having read andsigned the form of free consent and understanding. Of the participants, 83,7% were women and 16,3% were men; 23,8% were between 36 and 40 years-old; 46,6% refered having completed high school, 11,6% had college education and 18,6% were in college, but not yet graduated; 18,6% had some complementary study after college and 2,3% had master degree; 60,5% were 1 to 5 years in the institution and 74,4% were 1 to 5 years in the same hospital section. From the 62 activities referred and mapped as NIC s interventions and activities, the ones witch presented a frequency higher than 50% were: Positioning (99,9%), Oxygen Therapy (99,8%) e Medication Administrantion (65,8%). Lower than 50%: Airway Manegement (45,0%), Anxiety Reduction (42,9%), Ventilation Assistance (40,8%), Respiratory Monitoring (36,8%), Vital Signs Monitoring (36,2%), Energy Management (31,6%), Emotional Support (27,2%), Pain Management (24,9%) e Surveillance (20,4%). Lower than 20%: Chest Physiotherapy (13,6%), Neurologic Monitoring (9,09%), Intravenous Therapy (6,8%), Airway Suctioning (6,8%), Intravenous Insertion (4,5%), Smoking Cessation Assistance (2,2%), Medication Management (2,2%), Fluid Monitoring (2,2%), Emergency Care (2,2%), Aspiration Precautions (2,2%) e Tube Care: Chest (2,2%).The drug administration activity present accordance as of the necessity of medical prescription; there was no accordance of the activities that are exclusive of the nurse. The activities concerning positioning, drug, administration, oxygen administration, aerosol administration and vital signs monitoring were referred as being frequently perfomed. The concerning monitoring of values of pulmonary function, fisioterapy and the ones that demanded, a physical exam evaluation were referred as not performed, and the main reason was being performed by another professional . The study made it possible to identify: the need to consider the interdisciplinarity in the interventions, the gaps in the assistance provided by the nursing staff, the abilities and skills required from the nurse to the assistance of the elderly patients that present ineffective breathing pattern , with focus a the prevention of disorders and on the integrality of the assistance,
Diante dos múltiplos agravos que acometem os idosos, destacam-se os problemas respiratórios como causa de internação e reinternação e consequente diminuição da capacidade funcional. As intervenções de enfermagem direcionadas às respostas humanas evidenciadas, possibilitam identificar a melhora clínica, tornando visível a qualidade da assistência de enfermagem à clientela idosa com problemas respiratórios. Objetivou-se analisar as intervenções de enfermagem realizadas pela equipe de enfermagem para o diagnóstico de enfermagem padrão respiratório ineficaz em idosos. Trata-se de um estudo descritivo realizado, nos meses de julho a dezembro de 2008, em três etapas, na Clínica Médica de um hospital escola de Goiânia. A primeira etapa consistiu na busca das atividades realizadas pela equipe de enfermagem para o padrão respiratório ineficaz em idosos. A segunda no mapeamento cruzado entre as atividades citadas e as intervenções e atividades prioritárias da NIC preconizadas para o padrão respiratório ineficaz . A terceira consistiu em uma nova coleta de dados para análise das atividades prioritárias da NIC preconizadas para o padrão respiratório ineficaz em idosos. Foi adotada a estatística descritiva com distribuição de frequência simples das atividades. Fizeram parte do estudo, 43 trabalhadores de enfermagem que atenderam os critérios de inclusão e exclusão. Dos participantes, 83,7% eram do sexo feminino e 16,3% masculino; 25,8% tinham entre 36 a 40 anos; 46,6% referiam ter o segundo grau completo, 11,6% tinham concluído e 18,6% estavam em processo de conclusão do terceiro grau; 18,6% eram pós-graduados e 2,3% mestres; 60,5% tinham de 1 a 5 anos de instituição e 74,4%, de 1 a 5 anos de atuação no setor. Das 62 atividades referidas pelos profissionais, foram mapeadas as intervenções e atividades da NIC. Apresentaram frequência maior que 50%: Posicionamento (99,9%), Oxigenoterapia (99,8%) e Administração de medicamentos (65,8%). As intervenções e atividades com frequência menor que 50% foram: Controle de Vias Aéreas (45,0%), Redução da Ansiedade (42,9%), Assistência Ventilatória (40,8%), Monitoração Respiratória (36,8%), Monitoração de Sinais Vitais (36,2%), Controle de Energia (31,6%), Suporte Emocional (27,2%), Controle da Dor (24,9%) e Supervisão (20,4%). Inferior a 20%: Fisioterapia Respiratória (13,6%), Monitoração Neurológica (9,09%), Terapia Endovenosa (6,8%), Aspiração de Vias Aéreas (6,8%), Punção venosa (4,5%), Assistência para parar de fumar (2,2%), Controle de Medicamentos (2,2%), Controle Hídrico (2,2%), Cuidados de Emergência (2,2%), Precauções contra Aspiração (2,2%) e Ventilação mecânica (2,2%). A atividade de administração de medicamentos apresentou concordância entre os profissionais quanto à necessidade da prescrição médica; não foi evidenciada concordância entre as atividades exclusivas do enfermeiro. As de posicionamento, de administração de medicamentos, de administração de oxigênio, de administração de aerossóis e de monitoração de sinais clínicos foram referidas por serem frequentemente realizadas. As atividades de monitoração de valores de função pulmonar, de realização de fisioterapia e aquelas que exigiam a propedêutica do exame físico foram referidas como não realizadas, cujo motivo principal foi ser realizada por outro profissional . O estudo possibilitou identificar: a necessidade de considerar a interdisciplinaridade nas intervenções, as lacunas na assistência prestada pela equipe de enfermagem, as habilidades e competências requeridas pelo enfermeiro para atendimento da clientela idosa que apresenta padrão respiratório ineficaz com foco na prevenção de agravos e na integralidade da assistência.
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43

Janback, Caroline, and Elin Petersson. "Utvärdering av omvårdnadsdokumentation i elektronisk patientjournal på kirurgisk vårdavdelning." Thesis, Uppsala University, Uppsala University, Department of Public Health and Caring Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-104865.

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SAMMANFATTNING

Syfte. Utvärdera omvårdnadsdokumentationens kvalité och omfattning i elektronisk patientjournal på kirurgisk vårdavdelning. Metod. De senaste 60 journalerna från två kirurgiska vårdavdelningar valdes ut genom bekvämt urval. Varje journal lästes och bedömdes av båda författarna. Varje steg i omvårdnadsprocessen utvärderades efter granskningsmall och bedömdes som fullständig, för omfattande eller ofullständig. Resultat. Standardvårdplan användes i alla granskade journaler. Antalet steg i omvårdnadsprocessen som fanns dokumenterade varierade mellan fem och nio. Anamnes, status och effekter av åtgärder fanns beskrivna i majoriteten av journalerna. I samtliga journaler fanns utförda åtgärder dokumenterade. Omvårdnadsepikris fanns i större delen av njurtransplantationsjournalerna, men inte alls i struma/hyperparatyroidism (HPT)-journalerna. Majoriteten av uppdaterade status bedömdes som ofullständiga. Sexton av struma/HPT-journalerna innehöll inte anteckningar i rapportbladet. Av dem som hade rapportbladsanteckningar bedömdes majoriteten vara för omfattande. Samtliga njurtransplantationsjournaler hade för omfattande anteckningar i rapportbladet. Ingen av journalerna hade en individuell vårdplan. Slutsats. Omvårdnadsdokumentationen i den elektroniska patientjournalen bedömdes som ofullständig då det inte gick att få en tydlig bild av patientens omvårdnadsproblem och omvårdnadsbehov. Kvalitén på dokumentationen behöver förbättras. Detta kan ske genom att minska dokumentationen i rapportbladet och istället använda standardvårdplan och uppdaterat status i större omfattning. Fortsatt utbildning och återkoppling krävs för att förbättra dokumentationen.


ABSTRACT

Aim. To evaluate the quality and extent of the nursing documentation in electronic health record on surgical ward. Method. The latest 60 health records from two surgical wards were selected by convenience sample. Both authors read each health record. Every step of the nursing process was evaluated with a nursing documentation audit and was classified as complete, too extensive or incomplete. Results. Standardized care plan was used in all electronic health records. Numbers of steps documented in the nursing process were five to nine. Nursing history, status and outcome were documented in most health records. Done interventions were documented in all health records. Goiter/hyperparathyroidism (HPT)-records had no nursing discharge note, while the kidney transplantation-records had one in almost every health record. Majority of updated statuses were evaluated as incomplete. Sixteen of the goiter/HPT-records had no notes of occasional matters, all kidney transplantation-records had too extensive notes. No individualized care plan was found. Conclusion. The total nursing documentation in the electronic health records were evaluated as incomplete. The quality of documentation needs to be improved. This can be achieved by less documentation of occasional matters, using the standardized care plan, updating status more often and further education and feedback.

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44

Eckerström, Joachim. "Konsten att tillvarata patientens resurser : en intervjustudie." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-1792.

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Bakgrund: Rapporter och studier belyser utvecklingsbehovet inom hälso- och sjukvården avseende salutogena förhållningssätt. Få systematiska hälsofrämjande arbetsmetoder existerar samt att ett helhetsperspektiv där den enskilde patientens resurser tillgodoses, bör vara centralt. Denna studie avser att skapa ökad kunskap om hur arbetet med patientens resurser ser ut. Syfte: Syftet var att undersöka hur specialistsjuksköterskan i psykiatrisk vård identifierar, värderar och använder sig av resurser hos patienter med psykisk ohälsa. Metod: Kvalitativ design valdes för att ge svar på syftet. Datainsamlingsmetoden var intervju där sex specialistsjuksköterskor inom psykiatrisk vård deltog. Forskningsfrågorna besvarades via frågor av öppen karaktär. Datamaterialet analyserades enligt kvalitativ innehållsanalys, induktiv ansats. Resultat: Informanterna beskrev att patientens resurser identifierades i alliansskapande möten, kartläggande samtal samt motiverande samtal. Vad informanterna värderade som resurser resulterade i kategorierna interna respektive externa resurser. Exempel på betydelsefulla resurser är att ha ett socialt nätverk, att ha insikt över sin situation samt motivation att göra förändringar i sin tillvaro. Att formulera resursdiagnoser och att interagera dem med åtgärderna i omvårdnadsplanen, beskrevs som ett effektivt verktyg för att förvalta patientens resurser. Samtliga informanter upplevde påtagliga förbättringsområden avseende resurshanteringen, till exempel saknades ett gemensamt språk angående hur resurser skall tillvaratas, arbetet upplevdes alltför probleminriktat samt önskades ett processmässigt tankesätt istället för att endast det akuta åtgärdas. Diskussion: Studiens resultat diskuterades gentemot Antonovskys salutogena perspektiv, vilken understryker vikten av att se det friska hos patienten och vilka resurser som bidrar till hälsa. Flera studier lyfter fram att det salutogena perspektivet och begreppet KASAM kan användas i praktiken samt ha betydelse i återhämningsprocessen mot psykisk hälsa.
Background: Studies show a need for development in mental health service for salutogenic approaches. Few systematic health promoting activities exist and a holistic perspective, where the patient’s individual resources are catered, should be the focus. This study intends to provide a better knowledge of how the work with the patient’s resources look like. Aim: The aim of this study was to examine how psychiatric nurses identify, value and use the resources of patients with mental illness. Method: A qualitative design was chosen. The data collection was done by interviews, in which six psychiatric nurses participated. Open-ended questions were used to answer the research questions. Data was analyzed according to qualitative content analysis, using an inductive approach. Results: The participants described that the patient’s resources were identified in sessions where the emphasis was laid on building a therapeutic alliance, information gathering and motivational interviewing. The resources that the participants valued resulted in two categories, internal versus external resources. To have a social network, to have awareness of one’s situation and motivation to change were all examples of meaningful resources according to the participants. To formulate resource diagnosis and to integrate these with the interventions in the care plan were described as effective tools in order to look after the patients’ resources. All participants experienced significant improvements in terms of managing their resources. For instance, there was no agreed understanding of how to utilize resources, the work was perceived as too problem focused and a preference for a more process focused way of thinking was expressed. Discussion: The study’s results were discussed against Antonovsky’s salutogenic         perspective, which emphasises the importance of viewing the healthy aspects in patients as well as the factors that contributes to good health. Many studies highlight that the salutogenic perspective and KASAM can be applied in practice and is useful for the recovery process in mental health.
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Schroeder, Andrea. "Kan äldre bli delaktiga med hjälp av genomförandeplaner? : En kvalitativ studie med utgångspunkt i genomförandeplaner och kontaktmännens perspektiv." Thesis, Linnéuniversitetet, Institutionen för socialt arbete (SA), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-64871.

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Purpose: The purpose of this study is to understand how elderly peoples` right to participate is revealed in care plans and through contact persons in Swedish community nursing homes in order to shed light on and participate in creating knowledge concerning the phenomena participation and care plans.  Method: A qualitative approach was used in this study with semi-structured interviews and document analysis as a base. In order to gain empirical data six contact persons from two different nursing homes in the same community were interviewed and eight care plans examined. Theory: The theoretical points used to understand the empirical data were Foucaults` theory about power and different theoretical phrases related to power as following: Professional power, relatives` power, client power and resource power. Results: The results show that there is a gap between how elderly peoples` wishes concerning care planning are documented in care plans and expressed by contact persons. Elderly peoples´ possibilities to participate in care planning depend on a variety of aspects like their will and ability to communicate, economic situation, relatives` involvement, time, care plans, amount of ordinary staff and staffs` strategies to explore elderly peoples` wishes in order to allow them to participate in establishing their care plan.
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46

Ceolin, Teila. "Conhecimento sobre plantas medicinais entre agricultores de base ecológica da região sul do Rio Grande do Sul." Universidade Federal de Pelotas, 2009. http://repositorio.ufpel.edu.br/handle/ri/1883.

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It is among the family members that spread information about the oral habits and health care, such as the use of medicinal plants. This study aimed to analyze the transmission of knowledge related to medicinal plants among family generations and know the transmission networks of knowledge, involving ecological farmers in Southern Rio Grande do Sul. The study used a qualitative, descriptive and exploratory approach, and was conducted with 8 ecological farming families, totaling 19 respondents residing in the counties of Pelotas, Morro Redondo, Canguçu and Arroio do Padre. Data collection occurred between January and May 2009. Were used as tools a semi-structured interviews, the construction of the genogram and eco-map, observation of plants with photographic record and georeferencing. The data were analyzed and grouped into three themes: an ethnobotanical survey of medicinal plants cited by the interviewees; contextualization of farmers in study and the knowledge about medicinal plants in different family groups. Among those interviewed, 16 were women, highlighting their importance in the transmission of knowledge between family generations. The respondents cited 196 medicinal plants, some native of Rio Grande do Sul State and others exotic, and 7 elixirs. The popular name given to some medicinal plants varied between each family investigated, occurring also assigned the same name for plants of different genera. The family was referred to as the main source in the transmission of knowledge about medicinal plants, followed by women's groups and / or church community, among others. Most subjects reported first completing treatment with medicinal plants, to seek after the formal health service. Plants are used as a practice in health care among farmers who exchange their knowledge among themselves and with other community members. Nursing, in search of comprehensive care, must understand the cultural context in which the individual and his family are inserted, their care practices and the transmission networks of popular knowledge.
É entre os membros da família que se propagam informações oralmente quanto aos hábitos e os cuidados com a saúde, como o uso das plantas medicinais. Esta pesquisa objetivou investigar o conhecimento relacionado as plantas medicinais entre as gerações familiares e conhecer as redes de transmissão adotadas entre os deste conhecimento, dos agricultores de base ecológica da região Sul do Rio Grande do Sul. Consiste em um estudo qualitativo, descritivo e exploratório, o qual foi realizado com 8 famílias de agricultores ecológicos, totalizando 19 entrevistados, residentes nos municípios de Pelotas, Morro Redondo, Canguçu e Arroio do Padre. A coleta de dados ocorreu entre janeiro e maio de 2009. Foram utilizados como instrumentos a entrevista semi-estruturada, a construção de genograma e ecomapa, a observação das plantas com registro fotográfico e o eorreferenciamento. Os dados foram analisados e agrupados em três temáticas: levantamento etnobotânico das plantas medicinais citadas pelos entrevistados; contextualização dos agricultores do estudo e o saber sobre as plantas medicinais nos diferentes grupos familiares. Entre os entrevistados, 16 eram mulheres, destacando a importância destas na transmissão do conhecimento entre as gerações familiares. Foram citadas pelos entrevistados 196 plantas medicinais, entre nativas do Rio Grande do Sul e exóticas do Estado, e 7 elixires. O nome popular atribuído para algumas plantas medicinais variou entre cada família pesquisada, ocorrendo também atribuição do mesmo nome a plantas de gêneros diferentes. A família foi referida como principal fonte na transmissão do conhecimento em relação às plantas medicinais, seguida de grupos de mulheres e/ou igreja da comunidade, entre outros. A maioria dos sujeitos relatou realizar primeiro o tratamento com as plantas medicinais, para após buscar o serviço formal de saúde. As plantas são utilizadas como uma prática no cuidado à saúde, entre os agricultores, os quais trocam seus conhecimentos entre si e com os demais membros da comunidade. A enfermagem, na busca do cuidado integral, deve compreender o contexto cultural no qual o indivíduo e a sua família estão inseridos, suas práticas de cuidado e as redes de transmissão deste saber popular.
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Souza, Andrieli Daiane Zdanski de. "Enfermeiros da atenção primária e Política de Plantas Medicinais e Fitoterápicos." Universidade Federal de Pelotas, 2013. http://repositorio.ufpel.edu.br/handle/ri/1882.

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This research aimed to know the nurses work process of primary health care in relation to National Politics of Medicinal Plants and Phytotherapies. In order to perceive this process, it was used the Guareschi and Kleinman s referential. It consists in a research with qualitative approach, descriptive. There were 21 participants of primary health care from 21 towns of the southern of Rio Grande do Sul. Data collection was obtained through a self-administered questionnaire in a period of June to August of 2013 and analyzed through the Minayo s operative proposal. It was observed the nurses ignorance about the primary health care; however, they evince medicinal plants in the work process. The politics is practicable, when the nurse makes groups, puts into practice the interdisciplinary dialogue, contemplates the user s cultural aspects. Internet keeps itself highlighted as a tool of communication between nurses, what opposes the recommended in continuing education.
Esta pesquisa tem como objetivo conhecer o processo de trabalho dos enfermeiros da atenção primária em relação à Política Nacional de Plantas Medicinais e Fitoterápicos. Com o intuito de compreender esse processo, utilizou-se o referencial de Guareschi e Kleinman. Consiste em uma pesquisa de abordagem qualitativa do tipo descritiva. Os participantes foram 21 enfermeiros da atenção primária de 21 municípios da região Sul do Rio Grande do Sul. Os dados foram obtidos a partir de um questionário autoadministrado, coletados no período de junho a agosto de 2013 e analisados pela proposta operativa de Minayo. Observou-se o desconhecimento da política pelos enfermeiros, no entanto indicam as plantas medicinais no processo de trabalho. A política é viável, quando o enfermeiro faz grupos, coloca em prática o diálogo interdisciplinar, contempla a questão dos aspectos culturais do usuário. A internet predomina como ferramenta de comunicação dos enfermeiros, o que se opõe ao preconizado na educação permanente.
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48

Alves, Sergiane Bisinoto. "O impacto do planejamento estratégico na elaboração e implementação do plano de gerenciamento de resíduos de serviços de saúde na atenção básica." Universidade Federal de Goiás, 2015. http://repositorio.bc.ufg.br/tede/handle/tede/4974.

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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
The waste management is still deficient in many healthcare services. Those healthcare services smaller, as the primary healthcare offices, this problem becomes greater. Also important the destination for healthcare waste management generated by professionals and users in households. Faced with the expansion of the number and specificities of units in primary healthcare of occupational, environmental and social risks represent by healthcare waste generated in these environments, if not correctly managed, interventions in these realities are necessary and urgent. The objective was to evaluate the impact of the implementation of a healthcare waste management plan in primary healthcare unit and to check the approaches adopted by healthcare workers on the management of piercing and cutting waste generated by insulin users at households. This is a comparative and intervention study, pre and post, in a non-hospital unit to emergency care and also in a family healthcare unit, in the period from 2011 to 2014. The intervention performed consisted of: design and implementation of healthcare waste management plan using the situational strategic planning, educational and illustrative activities for users and multimodal permanent education, collective and individualized, for professionals for both healthcare units. A year after the intervention, all waste generated during a week in each healthcare unit were weighed and analyzed about the segregation. The values obtained were compared to those in the pre-intervention phase (Alves, 2010) that made the diagnosis in the same units and used the same methodology for the quantification and segregation analysis of the healthcare waste. The results show that the development and implementation of the waste management plan, using the situational strategic planning reduced healthcare waste generation and the inadequacies found about segregation in both units studied. It was also observed that there isn´t a management plan about management of piercing and cutting waste generated by users in households and that management is not assimilated in professional practice or in institutional procedures. The proposed intervention proved to be easy to apply and to involve all professionals and managers in prepare and implementation of a healthcare waste management plan in primary healthcare unit. The professionals and managers actively participated since the diagnosis of the healthcare waste management situation, discussion of alternatives to solve the problems listed until the decision making, resulting in a collective commitment to implement the healthcare waste management plan of healthcare services.
O manejo de resíduos ainda se mostra deficiente em vários estabelecimentos de saúde. Naqueles de pequeno porte, como as unidades de saúde da atenção básica, essa questão é ainda maior. Importante também destacar a destinação dada aos resíduos de serviços de saúde gerados por profissionais e usuários nos domicílios. Diante da expansão no número e especificidades dos estabelecimentos de saúde da atenção básica, dos riscos ocupacionais, ambientais e sociais representados pelos resíduos gerados nesses ambientes, se não gerenciados adequadamente, intervenções nessas realidades se mostram necessárias e urgentes. Assim, objetivou-se verificar a existência de plano de gerenciamento de resíduos e as condutas adotadas pelos profissionais de saúde da atenção básica sobre o manejo de resíduos perfurocortantes gerados por usuários de insulina nos domicílios e avaliar o impacto da implementação de um plano de gerenciamento de resíduos de serviços de saúde na atenção básica. Trata-se de um estudo comparativo e de intervenção, do tipo antes e após, realizado em uma unidade não hospitalar de atendimento as urgências e emergências e também em uma unidade de atenção básica à saúde da família, no período de 2011 a 2014. A intervenção realizada consistiu em: elaboração e implementação de um plano de gerenciamento de resíduos de serviços de saúde utilizando como ferramenta o planejamento estratégico situacional, atividades educativas e ilustrativas para conscientização dos profissionais e usuários e educação permanente multimodal coletiva e individualizada destinadas aos profissionais das duas unidades. Um ano após a intervenção, todos os resíduos gerados durante uma semana em cada unidade de saúde foram pesados e analisados quanto à segregação. Os valores obtidos foram comparados aos encontrados na etapa pré-intervenção (Alves, 2010), em que foi realizado o mesmo diagnóstico nessas unidades, utilizando metodologia idêntica para quantificação e análise da segregação. Os resultados mostram que a elaboração e implementação do plano de gerenciamento de resíduos, utilizando o planejamento estratégico situacional, reduziram a geração de resíduos e as inadequações encontradas em relação à segregação dos resíduos de serviços de saúde nas duas unidades estudadas. Observou-se também que não há um plano de gerenciamento que contemple o manejo dos resíduos perfurocortantes gerados pelos usuários nos domicílios e que esse manejo, não está assimilado na prática profissional, nem nos procedimentos institucionais. A intervenção proposta mostrou-se de fácil aplicabilidade e possibilitou o envolvimento de todos os profissionais e dos gestores na elaboração e implementação do plano. Os profissionais e gestores participaram ativamente desde o diagnóstico situacional do manejo de resíduos de serviços de saúde, discussão de alternativas para solucionar os problemas elencados até a tomada de decisão, resultando em um comprometimento coletivo para implementação do plano de gerenciamento de resíduos de serviços de saúde.
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49

Mamseri, Redempta Alex. "The nursing process as a means of improving patient care." Diss., 2012. http://hdl.handle.net/10500/8783.

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Improvement of patient care in any hospital depends primarily on the quality of nursing care. Nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a patient. The purpose of this study was to determine to what extent the nursing process could improve the quality of nursing care, and to explore the knowledge limitations of nursing staff in implementing the nursing process, nursing care planning and proper documentation. Quantitative research, making use of an exploratory, descriptive and contextual design was conducted, utilising a structured questionnaire for data collection. Registered nurses (n=120) employed at a Referral Hospital in Tanzania served as the respondents. The findings revealed a lack of knowledge in understanding and applying the concepts of the nursing process, especially in formulating the nursing diagnosis. Recommendations pertaining to a focused in-service training programme, integrating theory and practice, were made to enhance the effective implementation of the nursing process.
Health Studies
MA (Health Studies)
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50

Lipinge, Scholastika Ndatinda. "Capacity building for home care in rural Namibia." Thesis, 2012. http://hdl.handle.net/10210/4533.

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D.Cur.
Like in many countries, Namibia is experiencing social and economic health care problems related to care provision at state health facilities. The Namibian State has acknowledged that it can no more afford to provide care for all the sick people alone, especially at its health facilities. It is now calling upon the society to take up the responsibility of caring for their sick people at home. Although this call is genuine and necessary, one cannot help to always wonder about the expectations of stakeholders involved in home care provision in rural Namibia. The purpose of the study was to develop and describe a model for capacity building to facilitate quality home care in rural Namibia. To achieve this the following specific objectives were formulated: 1) to explore and describe the expectations of the stakeholders involved in home care situation in rural Northern Namibia; 2) to assess the status of available resources in relation to quality home care; 3) to analyse the concept capacity as a management process and conceptualise the whole study into existing theoretical frameworks to facilitate home care in rural Namibia and 4) to develop and describe practical guidelines for the implementation of the model. A qualitative case study design was used to carry out the study. Explorative, descriptive, theory generative and inductive strategies were utilised. Face to face interviews were conducted with thirty stakeholders in home care using an interview guide. Purposive and Snowballing/networking sampling were used to identify the stakeholders involved with home care. Observations were also made with regard to the status of the resources, its availability and accessibility to the stakeholders. From the empirical phase, various expectations were expressed related to resources, namely, physical structures, knowledgeable human resources, financial and logistics, information, safe water supply, transport and communication means, support systems and mechanisms at home and community levels, food and nutrition. It was clear that resources were lacking as well as the support systems for home care.
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