Nurses’ clinical reasoning practices that support safe medication administration: An integrative review of the literature

ABSTRACT Objective: to investigate evidence that indicates the contribution of realistic high, medium or low fidelity simulation to acquire knowledge, skills and attitudes in safe medication administration by nursing students. Methods: an integrative review of experimental studies from MEDLINE, LILACS, Web of Science, Scopus and Science Direct. The descriptors “nursing students”, “simulation”, “high fidelity simulation training”, “medication errors” and “pharmacology” were used to identify 14 studies that answered the research question, and were assessed for accuracy methodological level and level of evidence. Results: there was a sample of quasi-experimental studies, (level 3 of evidence; 78.6%) and randomized clinical trials (level 2 of evidence; 21.4%), whose expressive majority showed superiority of the simulation strategy over the traditional methodology (71.4%). Conclusion: using low and high fidelity simulators, standardized patients and virtual simulation can promote acquisition of essential skills for patient safety.

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Nursing diagnoses in oncology palliative care: integrative review

Enfermería Global ◽

10.6018/eglobal.18.3.345201 ◽

2019 ◽

Vol 18 (3) ◽

pp. 579-611

Author(s):

Rosimere Ferreira Santana ◽

Dayana Medeiros do Amaral Passareles ◽

Antonia Rios Almeida

Keyword(s):

Palliative Care ◽

Clinical Reasoning ◽

Web Of Science ◽

Signs And Symptoms ◽

Integrative Review ◽

Review Of The Literature ◽

Patients With Cancer ◽

Nursing Diagnosis ◽

Nursing Diagnoses

Objetivos: Identificar los diagnósticos de enfermería encontrados en cuidados paliativos oncológicos de acuerdo con la taxonomía de la NANDA-I.Métodos: Se trata de una revisión integrativa de la literatura en seis etapas, la búsqueda ocurrió en las bases: Medline, Scopus, Cinahl, Lilacs, Cochrane, Scielo y Web of Science, delimitado últimos 10 años, con los descriptores: "Diagnóstico de Enfermería", "Cuidados Paliativos en la fase Terminal de la Vida", "Enfermería Oncológica", en el período de Noviembre a Diciembre de 2017, fueron encontrados 120 artículos y seleccionados 10 artículos.Resultados: De acuerdo con la taxonomía de la NANDA-I se encontraron 32 diagnósticos de enfermería, demostrando la variabilidad y multiplicidad de diagnósticos identificados por enfermeros durante el control de signos y síntomas en cuidados paliativos.Conclusión: Al identificar una diversidad de diagnósticos de enfermería ocurridos en pacientes en cuidados paliativos oncológicos, se concluye que se hace necesaria la construcción de un diagnóstico de enfermería de síndrome, para optimizar el raciocinio clínico de los enfermeros en cuidados paliativos. Objectives: To identify the nursing diagnoses found in oncological palliative care according to the NANDA-I taxonomy. Methods: It is an integrative review of the literature in six stages. The search was carried out at the following bases: Medline, Scopus, Cinahl, Lilacs, Cochrane, Scielo and Web of Science, delimited last ten years, with the descriptors: "Diagnosis of Nursing" "Palliative Care at the Terminal of Life", "Nursing Oncology", from November to December 2017, 120 articles were found and ten articles were selected. Results: According to the NANDA-I taxonomy, 32 nursing diagnoses were found, demonstrating the variability and multiplicity of diagnoses identified by nurses during the control of signs and symptoms in palliative care. Conclusion: When identifying a diversity of nursing diagnoses occurring in patients with cancer palliative care, it is concluded that it is necessary to construct a nursing diagnosis of the syndrome to optimize the clinical reasoning of nurses in palliative care. Objetivos: Identificar os diagnósticos de enfermagem encontrados em cuidados paliativos oncológicos de acordo com a taxonomia da NANDA-I.Métodos: Trata-se de uma revisão integrativa da literatura em seis etapas, a busca ocorreu nas bases: Medline, Scopus, Cinahl, Lilacs, Cochrane, Scielo e Web of Science, delimitado últimos 10 anos, com os descritores: “Diagnostico de Enfermagem”, “Cuidados Paliativos na Terminalidade da Vida”, “Enfermagem Oncológica”, no período de Novembro a Dezembro de 2017, foram encontrados 120 artigos e selecionados 10 artigos.Resultados: De acordo com a taxonomia da NANDA-I foram encontrados 32 diagnósticos de enfermagem, demonstrando a variabilidade e multiplicidade de diagnósticos identificados por enfermeiros durante o controle de sinais e sintomas em cuidados paliativos.Conclusão: Ao identificar uma diversidade de diagnósticos de enfermagem ocorrentes em pacientes em cuidados paliativos oncológicos, conclui-se que se faz necessário a construção de um diagnóstico de enfermagem de síndrome, para otimizar o raciocínio clínico dos enfermeiros em cuidados paliativos.

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IMPLANTATION OF THE INVASIVE BLOOD PRESSURE CATHETER: AN INTEGRATIVE REVIEW OF THE LITERATURE

Revista Prevenção de Infecção e Saúde ◽

10.26694/repis.v4i0.7542 ◽

2018 ◽

Vol 4 ◽

Author(s):

Fabiana Rezer ◽

Hélio Penna Guimarães ◽

Grazia Maria Guerra

Keyword(s):

Blood Pressure ◽

Patient Care ◽

Latin American ◽

Scientific Evidence ◽

Caribbean Literature ◽

Health Sciences ◽

Integrative Review ◽

Review Of The Literature ◽

Medical Subject Headings ◽

Invasive Blood Pressure

Objective: to describe scientific evidence on the implementation and control of the device for measuring invasive blood pressure (IBP). Methods: integrative review of the literature, based on Latin American and Caribbean Literature in Health Sciences (LILACS), Scientific Electronic Library Online (SciELO), PubMed, through the Descriptors in Health Sciences (DeCS) and the Medical Subject Headings (MesH): hemodynamic; monitoring; blood pressure; invasive. Articles were selected in English, Portuguese and Spanish, published between 2009 and 2018. The search resulted in a sample of 10 articles. Results: The articles were analyzed and presented in 4 thematic groups according to the information they provided regarding the puncture of the IBP catheter, being: 1- Indications for IBP catheter puncture; 2 -Contraindications and complications resulting from the use of the IBP catheter; 3 -Most indicated puncture sites; 4- Implementation and maintenance of IBP catheter. Conclusion: Further research may contribute to patient care with an IAP device, as well as assisting physicians and nurses in patient care, reducing the risks and potential adverse events of the IAP.

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