scholarly journals Decision making by health professionals during COVID-19: an integrative review

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Camila Oliveira Valente ◽  
Fernanda Rios da Silva ◽  
Fernanda Carneiro Mussi ◽  
Maria Ribeiro Lacerda ◽  
Kátia Santana Freitas ◽  
...  

ABSTRACT Objective: To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic. Methods: Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated. Results: During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria. Final considerations: Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.

Author(s):  
Natália Michelato Silva ◽  
Manoel Antônio dos Santos ◽  
Sara Rodrigues Rosado ◽  
Cristina Maria Galvão ◽  
Helena Megumi Sonobe

ABSTRACT Objective: to analyze evidences of psychological aspects of patients with intestinal stoma. Method: integrative review with search of primary studies in the PsycINFO, PubMed, CINAHL and WOS databases and in the SciELO periodicals portal. Inclusion criteria were: primary studies published in a ten-year period, in Portuguese, Spanish or English, available in full length and addressing the theme of the review. Results: after analytical reading, 27 primary studies were selected and results pointed out the need to approach patients before surgery to prevent the complications, anxieties and fears generated by the stoma. The national and international scientific production on the experience of stomized patients in the perioperative moments is scarce. Conclusion: it is recomendable that health professionals invest in research on interventions aimed at the main psychological demands of stomized patients in the perioperative period, respecting their autonomy on the decisions to be made regarding their health/illness state and treatments.


MUSAS ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
María del Carmen Martín-Bellido ◽  
Juan Diego González-Sanz

Introduction The concept of female empowerment is often used in nursing by midwifes, since it has become a key topic and discussion for said profession. Accordingly, it is used in perinatal health hand in hand with ideas such as humanized childbirth and the prevention of violence. Objectives The aim of this study is to analyze the scientific production on female empowerment and perinatal health. Methodology A bibliometric study of the scientific production published in the journals Birth, Women and Birth and Midwifery was carried out. The analysis was realized through the classification and categorization of the data. Moreover, the categories were specified, encoded and conceptually defined. Results and Discussion 341 articles were identified, and 44 were selected because of their relevance. However, only 13 matched the inclusion criteria. Given that selected articles have different aims and analyze the notion of empowerment differently, it was only possible to discuss the topic through their classification and categorization. Accordingly, the most relevant aspects concerning the sense of female empowerment arising out of the interaction between patients and midwifes are: feeling that health professionals listen to what you have to say; accepting pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and the role communication as key element for empowerment. Conclusions Female empowerment in the perinatal period is an understudied discussed topic in the journals analyzed in this article. That is the reason why there is not a univocal definition of the term. It could be argued that female empowerment is much dependent on aspects such as confidence between patients and midwife, the feeling of being listened by health professionals; the acceptance of pain; the physical and psychological support of close people or professionals; personalized care; health professionals’ empathy and closeness; privacy; and a fluid communication.


10.3823/2424 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Lidiane Nascimento Rodrigues ◽  
Wandra Camila Penaforte da Silva ◽  
Maria Odete Marçal Sampaio ◽  
Fernanda Maria Carvalho Fontenele ◽  
Daniela Sousa de Oliveira ◽  
...  

Objective: To analyze national and international scientific production on nursing care for children with gastrostomy. Method: Integrative review conducted in the databases Latin American and Caribbean Health Sciences (LILACS), Scientific Electronic Library Online (SCIELO),Medical Literature Analysis and Retrieval System Online (MEDLINE) and Cumulative Index to Nursing and Allied Health Literature (CINAHL) without temporal delimitation of publications. The following Health Sciences Descriptors (DeCS) and Medical Subject Headings (MeSH) were used: gastrostomia/gastrostomy/cuidado da criança/children care/enfermagem/nursing. Twenty references were found in LILACS, four in SciELO, 116 in MEDLINE and 167 in CINAHL. The studies found in the LILACS and SciELO did not meet the inclusion criteria. Three articles were selected from MEDLINE and 02 from CINAHL; thus, 05 articles composed the sample of the study. Results: We observed that gastrostomy brought about satisfaction to caregivers despite post-surgery complications. Improvements brought about by the use of the device and reduction of complications related to feeding difficulties, weight gain, decreased vomiting, abdominal distention and fatigue of the patient throughout the day were mentioned. It was also noted that caregivers in the studies felt fear and insecurity at decision-making on the insertion of gastrostomy, showing that the information for the care of these patients was a common concern among them. Conclusion: The study allows us to conclude that the care provided by nurses to children with gastrostomy and family contributes to increase knowledge, thus facilitating decision-making during the management of the device. The use of educational technologies are to be highlighted as a strategy for promoting care during hospitalization and preparing parents to take care of the gastrostomy after hospital discharge.  


2020 ◽  
Vol 10 (7) ◽  
Author(s):  
Fabiana Resplande de Paula Da Costa ◽  
Maria Liz Cunha De Oliveira

Objetivo: Conhecer e analisar a produção científica sobre diagnósticos de enfermagem em lesão por pressão e seus estágios. Método: Revisão integrativa realizada entre julho de 2018 a junho de 2019. A questão norteadora foi “quais os diagnósticos de enfermagem dados à lesão por pressão e seus vários estágios?”. Os critérios de inclusão foram artigos publicados entre 2011 e 2019, nas bases de dados SCIELO, BVS, LILACS e PUBMED, CAPES, MEDLINE e GOOGLE ACADÊMICO em língua portuguesa, disponíveis na íntegra. Os critérios de exclusão foram estudos duplicados e que não atendessem à questão do estudo. Resultados: A busca resultou em 460 artigos e com a aplicação dos critérios de inclusão e exclusão foram selecionados 9 estudos. Os diagnósticos encontrados referem-se apenas ao risco de lesão ainda no NANDA 2015/2017. Conclusão: Não foi observado um diagnóstico de enfermagem específico para os estágios da lesão por pressão.Descritores: Lesão por pressão, Diagnóstico de enfermagem, Terminologia internacional NANDA. EnfermagemNURSING DIAGNOSES RELATED TO PRESSURE INJURYObjective: To know and analyze the scientific production on nursing diagnoses in pressure lesions and their stages. Method: Integrative review performed between July 2017 and July 2019. The guiding question was “which nursing diagnoses given to pressure injury and its various stages?”. The inclusion criteria were articles published between 2011 and 2019, in the databases SCIELO, VHL, LILACS and PUBMED, CAPES, MEDLINE, in Portuguese language, available in full. Exclusion criteria were duplicate studies that did not address the study question. Results: The search resulted in 460 articles and with the application of the inclusion and exclusion criteria, nine studies were selected. The diagnoses found refer only to the risk of injury still in the NANDA 2015/2017. Conclusion: A specific nursing diagnosis was not observed for the stages of the pressure lesion.Descriptors: Pressure injury, Nursing diagnosis, NANDA international terminology.DIAGNÓSTICOS DE ENFERMERÍA RELACIONADOS CON LA LESIÓN POR PRESIÓNObjetivo: Conocer y analizar la producción científica sobre diagnósticos de enfermería en lesión por presión y sus etapas. Método: Revisión integrativa realizada entre julio de 2017 a julio de 2019. La cuestión orientadora fue “cuáles los diagnósticos de enfermería dados a la lesión por presión y sus varias etapas?”. Los criterios de inclusión fueron publicados entre 2011 y 2019 en las bases de datos SciELO, BVS y PUBMED, capas, MEDLINE, en portugués, disponibles en su totalidad. Los criterios de exclusión fueron estudios duplicados y que no respondían a la cuestión del estudio. Resultados: La búsqueda resultó en 460 artículos y con la aplicación de los criterios de inclusión y exclusión se seleccionaron siete estudios. Los diagnósticos encontrados sólo se refieren al riesgo de lesión en el NANDA 2015/2017. Conclusión: No se observó un diagnóstico de enfermería específico para las etapas de la lesión por presión.Descriptores: Lesión por presión, Diagnóstico de enfermería, Terminología internacional NANDA


2010 ◽  
Vol 4 (2) ◽  
pp. 577
Author(s):  
Bruno Ribeiro de Rezende Mergulhão ◽  
Ednaldo Cavalcante de Araújo ◽  
Eliane Maria Ribeiro de Vasconcelos ◽  
Simone Maria Muniz da Silva Bezerra

ABSTRACTObjective: to identify health risk factors for the nurses’ workers at the Surgical Center, from Clinics Hospital, of the Federal University of Pernambuco/SCCH/FUP, related to the condition work and ergonomics. Method: this is about an exploratory and descriptive study, from quantitative approach. Population was performed of nurses’ workers, after meeting some inclusion criteria. To collect the data was used a questionnaire, from August to September 2009, after approval of the research project by the Ethics Research of the FUP (protocol number 132/09). Data analysis was performed using Epi-Info version 3.3.2. Results: were presented on the simple distribution of frequencies, in tables. Results: it was observed that there was a predominance of females (79.1%), and a shortage of auxiliary material identified as the main cause of dissatisfaction among employees, 72.1% said they do not use correct posture while handling patients; 97.7% said there was no place to rest and 100% did not do gymnastics in the workplace. Conclusion: factors or agents of chemical, physical, biological and ergonomic were considered the main cause of unsafe situations and of danger to which health professionals are exposed. Descriptors: health workers; working conditions; nurses' aides;  nursing; nursing staff; risks; risk factors.RESUMOObjetivo: identificar os fatores de riscos à saúde dos profissionais de enfermagem do Centro Cirúrgico, do Hospital das Clínicas, da Universidade Federal de Pernambuco/CCHC/UFPE, relacionados com a condição de trabalho e a ergonomia. Método: trata-se de um estudo descritivo e exploratório, de abordagem quantitativa. A população foi composta por profissionais de enfermagem, após atendimento de critérios de inclusão. A coleta de dados foi realizada entre agosto e setembro de 2009, utilizando-se de questionário, após aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa da UFPE (número de protocolo 132/09). A análise dos dados foi realizada utilizando-se do programa Epi-Info versão 3.3.2, cuja apresentação dos resultados, a partir da distribuição das frequências simples, foi em tabelas. Resultados: foi observado que houve predomínio do sexo feminino (79,1%), sendo o déficit de material auxiliar apontado como a principal causa de insatisfação por parte dos funcionários, 72,1% afirmaram não fazer o uso correto da postura durante a manipulação de pacientes; 97,7% afirmaram que não havia local para repouso e, 100% não realizam ginástica laboral no ambiente de trabalho. Conclusão: os fatores ou agentes de riscos químicos, físicos, biológicos e ergonômicos foram considerados os principais responsáveis pelas situações insalubres e de periculosidade a qual os profissionais de saúde encontram-se expostos. Descritores: saúde do trabalhador, condições de trabalho, auxiliares de enfermagem;  enfermagem, equipe de enfermagem, riscos; fatores de risco.RESUMENObjetivo: identificar factores de riesgo para la salud de los trabajadores de enfermería del Centro Quirúrgico en el Hospital das Clínicas de la Universidade Federal de Pernambuco/CQHC/UFPE, en relación a la condición de trabajo y la ergonomía. Método: este es un estudio descriptivo, con enfoque cuantitativo. La población estuvo formada por personal de enfermería, después de reunirse con criterios de inclusións. Para recoger los datos se utilizo, un cuestionario con 43 preguntas sobre los riesgos ergonômicos, entre agosto y septiembre de 2009, después de la aprobación del proyecto de investigación del Centro de Investigación em Ética de la UUFPE (número de registro 132/09). Análisis de los datos se realizó con Epi-Info versión 3.3.2, la presentación de los resultados de la simple distribución de frecuencias, estaba en tablas. Resultados: se observó que existía un predominio del sexo femenino (79,1%), y la escasez de material auxiliar identificado como la principal causa de insatisfacción entre los empleados, el 72,1% dijo que no utiliza una postura correcta durante la manipulación de los pacientes , 97,7% dijo que no había lugar para el descanso y el 100% no hacer gimnasia en el lugar de trabajo. Conclusión: los factores o agentes químicos, físicos, biológicos y ergonómicos, se considera la principal causa de situaciones de riesgo y de peligro a que están expuestos los profesionales de la salud. Descriptores: trabajadores de la salud; condiciones de trabajo; auxiliares de enfermería;  enfermería; personal de enfermería; riesgos; factores de riesgo. 


2016 ◽  
Vol 50 (2) ◽  
pp. 317-323 ◽  
Author(s):  
Maria Amélia Leite Ferreira ◽  
Alexandra Manuela Nogueira de Andrade Pereira ◽  
José Carlos Amado Martins ◽  
Maria do Céu Barbieri-Figueiredo

Abstract Objective To identify the academic scientific production on palliative care in master dissertations and PhD theses carried out by nurses in Portugal. Method A descriptive retrospective study of bibliometric type with search for the abstracts available in repositories of higher education institutions in the period 2000-2014. Results Of the 1814 papers identified, 249 met the inclusion criteria (ten doctoral theses and 239 master dissertations). The most representative methodological approach was quantitative (31.35%) and the most studied area was family/informal caregiver (20.69%). The most studied target population were the students/health professionals (38.51%). Conclusion The academic scientific production in this area has been growing in spite of the need for continued investment in order to fill the identified gaps.


10.3823/2324 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Fernando Henrique De Sousa ◽  
Vitor Engrácia Valenti ◽  
Mariana P. Hamaji ◽  
Carla Ap. P. De Sousa ◽  
David Matthew Garner ◽  
...  

This is an integrative review which aimed to evaluate the use of the SPIKES protocol in Oncology. We selected articles published in Medline and CINAHL databases between 2005-2015, in English, with the descriptors defined by the Medical Subject Headings (MeSH):cancer, neoplasms, plus the uncontrolled descriptor: protocol spikes.  Six articles met the inclusion criteria and were analyzed in full, three thematic categories were established: aspects inherent to the health care professional; Aspects related to the patient and aspects related to the protocol. The main effects of the steps of SPIKES protocol can provide the strengthening of ties between health professionals and patients, and ensure the maintenance and quality of this relationship.  The results indicate an important limiting factor for effective doctor-patient relationship, the little training provided to medical professionals communication of bad news, verified by the difficulty reported in this moment through interviews in the analyzed studies.


2019 ◽  
Vol 72 (5) ◽  
pp. 1370-1377
Author(s):  
Sandy Yasmine Bezerra e Silva ◽  
Erika Simone Galvão Pinto ◽  
Eliabe Rodrigues de Medeiros ◽  
Danielle Gonçalves da Cruz Rebouças ◽  
Alany Carla de Sousa Paiva ◽  
...  

ABSTRACT Objective: Identifying the available evidence in the scientific literature about the strategies used in the evaluations of interventions for the control of tuberculosis. Method: Integrative review with searches in databases Lilacs, CINAHL and PubMed in August 2017. Thirty-three articles were selected and the theoretical referential of health assessment was used for analysis. Results: The prevalent interventions were health programs (60.7%), 69.7% focusing on results and 81.9% having quantitative character (81.9%). Final considerations: The evaluation of interventions for the control of tuberculosis is beneficial for the health services’ users and aids in the decision making of managers and health professionals.


2020 ◽  
Author(s):  
Shuma Gosha Kanfe ◽  
Nebyu Demeke Mengiste ◽  
Mohammedjud Hassen Ahmed ◽  
Gebiso Roba Debele ◽  
Berhanu Fikadie Endehabtu

BACKGROUND Evidence based practice is a key to increase effectiveness and efficiency of quality health services. To achieve this, utilization of health facility data (DHIS2 data) is required which is determined by knowledge and attitudes of health professionals. Thus, this study aimed to assess knowledge and attitudes of health professionals to use DHIS2 data for decision making. OBJECTIVE This study aimed to assess the knowledge, attitudes and its associated factors among health professionals to use DHIS2 data for decision making at South west of Ethiopia 2020 METHODS Cross sectional quantitative study methods was conducted to assess Knowledge and Attitudes of health professionals to use DHIS2 data. A total of 264 participants were approached. SPSS version 22 software was used for data entry and analysis. Descriptive and analytical statistics including Bivariable and Multivariable analyses was done RESULTS Overall 130(49.2%) of the respondents had good knowledge to use DHIS2 data (95% CI: [43, 55.3]), whereas over 149 (56.4%) of the respondents had favorable attitudes towards the use of DHIS2 data for decision making purpose (95% CI: [53.2, 59.8]). Skills [AOR=2.20,95% CI:(1.16, 4.19)], Age [AOR= 1.92, 95% CI: (1.03, 3.59)] ,Resources[AOR=2.56, 95% CI:(1.35,4.86)], Staffing[AOR= 2.85, 95% CI : (1.49, 5.48)] and Experiences[AOR= 4.66, 95% CI: (1.94, 5.78)] were variables associated with knowledge to use DHIS2 data whereas Training [AOR= 5.59, 95% CI: (2.48, 5.42)], Feedback [AOR= 4.08, 95% CI: (1.87, 8.91)], Motivation [AOR=2.87, 95% CI: (1.36, 6.06)] and Health need [AOR=2.32, 95% CI: (1.10-4.92)] were variables associated with attitudes of health professionals to use DHIS2 data CONCLUSIONS In general, about half of the study participants had good knowledge of DHIS2 data utilization whereas more than half of respondents had favorable attitudes. Skills, resources, ages, staffing and experiences were the most determinant factors for the knowledge to use DHIS2 data whereas health need, motivation, feedback and training were determinant factors for attitudes to use DHIS2 data


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