scholarly journals INTERACTIONS IN THE MANAGEMENT OF NURSING CARE TO HOSPITALIZED CHILDREN WITH CHRONIC CONDITIONS: SHOWING INTERVENING CONDITIONS

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Thiago Privado Silva ◽  
Ítalo Rodolfo Silva ◽  
Joséte Luzia Leite

ABSTRACT The study aimed to understand the intervening conditions in the interactions of nurses in managing the nursing care for hospitalized children with chronic conditions. To do that, it used Complex Thinking and Grounded Theory as theoretical and methodological references, respectively. Eighteen subjects participated in the study, pooled into three sample groups: nurses, nursing technicians, and their families. A semi-structured interview was used for data collection. Data analysis followed three stages of coding: open, axial, and selective. The study considered family members, professional experience, the physical structure of the unit, human and material resources, good mood, job satisfaction, confidence, dialogue, and empathy as conditions that influence nurses' interactions in care management. It found that subjective, cognitive, socio-cultural and institutional conditions influence the interactions of nurses, creating order/disorder in nursing care management.

Author(s):  
Sharon Ogden Burke ◽  
Mark H. Handley-Derry ◽  
Edith A. Costello ◽  
Elizabeth Kauffmann ◽  
Mary C. Dillon

2006 ◽  
Vol 7 (3) ◽  
pp. 115-120 ◽  
Author(s):  
Kimberly Petrovic

Older adults with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and chronic depression constitute a growing population of individuals in need of quality nursing care management. Although the small amounts of research currently available focus on both middle-aged and older adults living with these chronic conditions, this article offers specific suggestions for the nursing care of older adults who have been diagnosed with HIV, have experienced the progression of HIV to AIDS, and who have lived with chronic depression prior to the onset of HIV/AIDS. Given the increasingly significant role that nurses play in the lives of older adults with chronic health conditions, this article aims to provide nurses with a number of interventions associated with 10 nursing diagnoses pertinent to the care of older adults with HIV/AIDS and chronic depression.


2018 ◽  
Vol 12 (8) ◽  
pp. 2154
Author(s):  
Eliana Lessa Cordeiro ◽  
Tânia Maria da Silva ◽  
Liniker Scolfild Rodrigues da Silva ◽  
Renata Valéria Teixeira Pimentel ◽  
Ana Cecilia Fragoso Veloso ◽  
...  

RESUMO Objetivo: analisar as ações de humanização realizadas pelos enfermeiros na assistência ao parto e ao nascimento. Método: estudo quantitativo, de campo, descritivo e exploratório, com 30 enfermeiros que atuam em um Centro Integrado de Saúde, por meio de um questionário. Os dados foram consolidados de maneira descritiva e absoluta e apresentados em tabelas. Resultados: os enfermeiros reconhecem que os programas de humanização trazem benefícios às parturientes, ao recém-nascido e aos seus familiares, no entanto, relatam que 63% das parturientes possuem resistência e, assim, não colaboram com as recomendações e 73% responderam que a falta de conhecimentos e/ou a insensibilidade de alguns profissionais de saúde quanto à importância da humanização do parto levam a uma resistência em realizar uma assistência humanizada de qualidade. Conclusão: os enfermeiros possuem limites na execução das ações humanizadas na assistência ao parto como a estrutura física; acomodações inadequadas; dimensionamento da equipe de enfermagem ineficaz; recursos materiais insuficientes; superlotação; profissionais insensibilizados e resistência da parturiente em colaborar com determinadas situações. Descritores: Parto Humanizado; Humanização; Parto Normal; Cuidados de Enfermagem; Enfermagem Obstétrica; Enfermagem.ABSTRACT Objective: to analyze the humanization actions performed by nurses in the assistance to delivery and childbirth. Method: quantitative, field, descriptive and exploratory study, conducted with 30 nurses who work at the Integrated Health Center. The collection of information occurred through a questionnaire. Data were consolidated descriptively and absolutely and presented in tables. Results: the nurses recognize that humanization programs bring benefits to pregnant women, to newborns and their families. However, the professionals reported that 63% of parturients have resistance and, thus, do not cooperate with the recommendations and 73% of nurses responded that the lack of knowledge and/or the callousness of some health professionals regarding the importance of the humanization of childbirth leads to a resistance in performing a humanized quality. Conclusion: nurses have limits to implement humanized actions in the assistance to childbirth such as physical structure; inadequate accommodation; ineffective nursing team dimensioning; insufficient material resources; overcrowding; desensitized professionals and the parturient’s resistance to collaborate with certain situations. Descriptors: Humanized Delivery; Humanization; Natural Childbirth; Nursing Care; Obstetric Nursing; Nursing.RESUMENObjetivo: analizar la humanización de acciones llevadas a cabo por los enfermeros en la asistencia al parto y nacimiento. Método: estudio cuantitativo, de campo, descriptivo y exploratorio realizado con 30 enfermeros que trabajan en el Centro Integrado de Salud. La recopilación de información ocurrió a través de un cuestionario. Los datos fueron consolidados de manera descriptiva y absoluta y presentados en tablas. Resultados: los enfermeros reconocen que programas de humanización traen beneficios a las mujeres embarazadas, los recién nacidos y sus familias. Sin embargo, informaron que el 63% de parturientas tienen resistencia y, por lo tanto, no cooperen con las recomendaciones y el 73% respondieron que la falta de conocimiento y/o la insensibilidad de algunos profesionales de la salud acerca de la importancia de la humanización del parto conduce a una resistencia en realizar una calidad humanizada. Conclusión: los enfermeros tienen límites sobre la ejecución de las acciones de la asistencia humanizada al parto como la estructura física; insuficiencia de alojamiento; dimensionamiento del equipo de enfermería ineficaz; recursos materiales insuficientes; hacinamiento; profesionales de aturdido y resistencia de la parturienta em la colaboración con determinadas situaciones. Descriptores: Parto Humanizado; Humanización; Parto Normal; Atención Enfermería; Enfermeria Obstétrica; Enfermería.


2018 ◽  
Vol 2 (2) ◽  
pp. 85
Author(s):  
Meylona Verawaty Zendrato ◽  
Rr. Tutik Sri Hariyati

ABSTRAKKualitas asuhan keperawatan menjadi elemen kunci mutu pelayanan di rumah sakit. Fenomena yang terjadi di instalasi rawat jalan ialah pemberian asuhan keperawatan yang sangat minim. Tujuan penelitian: mengoptimalkan pengelolaan asuhan keperawatan di instalasi rawat jalan. Metode: Metode yang digunakan studi pilot, identifikasi masalah dengan teknik wawancara terstruktur, observasi, dan pengisian kuesioner kepada 28 perawat. Analisis masalah dilakukan dengan metode fish bone, pemecahan masalah menggunakan metode plan, do, check, action. Hasil: Terjadi peningkatan pengetahuan perawat terhadap proses asuhan keperawatan sebelum (17,80%), sesudah implementasi (82,3%), dan didapati empat faktor yang memengaruhi pemberian asuhan di instalasi rawat jalan, yaitu sumber daya manusia, sistem kerja yang jelas antarbagian, dokumentasi manual di luar keperawatan, dan fasilitas dan sarana yang kurang memadai. Diskusi: pengelolaan asuhan keperawatan membutuhkan dukungan manajemen. Kesimpulan: sebaiknya manajer melakukan perencanaan untuk peningkatan kualitas asuhan keperawatan melalui pengarahan pelayanan kepada visi rumah sakit, peningkatan pendidikan, peningkatan motivasi, dan berkoordinasi dalam pengadaan fasilitas dan sistem layanan guna optimalisasi pengelolaan asuhan keperawatan.Kata kunci: asuhan keperawatan, pengelolaan, rawat jalan.OPTIMIZATION OF NURSING CARE MANAGEMENT AT OUTPATIENT INSTALLATION OF X HOSPITALAbstractThe quality of nursing care is a key element of hospital service quality. A phenomenon that occurs in outpatient care is providing nursing care at the minimum. Objective: To optimize the nursing care management t outpatient installation. Methods: This study employed pilot study, identifying problem using structured interview technique, observation, and filling out questionnaires to 28 nurses. Problems were analyzed using fish bone and solved using plan, do, check, action method. Results: There was an increase in nurses’ knowledge about the process of nursing care before (17.80%) and after the implementation (82.3%), and there were 4 factors that affected the provision of care in outpatient installation, namely human resources, a clear job system between departments, manual documentation beyond nursing, and inadequate facilities and infrastructure. Discussion: Nursing care management requires support from the management. Conclusion: Managers should plan on increasing the quality ofnursing care by directing services to the vision of the hospital, improving education, increasing motivation, and coordinating in the procurement of facilities and service systems in order to optimize the nursing care management.Keywords: nursing care, management, outpatient


2015 ◽  
Vol 19 (4) ◽  
Author(s):  
Elysângela Dittz Duarte ◽  
Kênia Lara Silva ◽  
Tatiana Silva Tavares ◽  
Corina Lemos Jamal Nishimot ◽  
Cynthia Marcia Romano Faria Walty ◽  
...  

2018 ◽  
Vol 71 (4) ◽  
pp. 2005-2013 ◽  
Author(s):  
Roberta Teixeira Prado ◽  
Josete Luzia Leite ◽  
Ítalo Rodolfo Silva ◽  
Laura Johanson da Silva ◽  
Edna Aparecida Barbosa de Castro

ABSTRACT Objective: To exhibit the factors that influence the Nursing care management in the face of death and the process of dying/death of hospitalized adults in the medical-surgical units for hospitalization. Method: The Grounded Theory was applied with the theorical support of the Complex Thinking Theory. Data have been collected through semi-structured interviews from May, 2015 to January, 2016 with three sample groups totaling 41 participants: nurses, assistant nurses and members of multidisciplinary group. Data analysis followed the steps of open coding, axial coding and selective coding. Results: The category “Pointing out the interfaces of care management to patients in process of death/dying and their families” and its respective subcategories show the complex interactions established by the nurse due to the Nursing care management. Final considerations: Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.


2022 ◽  
Vol 75 (suppl 2) ◽  
Author(s):  
Ana Carla Petersen de Oliveira Santos ◽  
Climene Laura de Camargo ◽  
Mara Ambrosina de Oliveira Vargas

ABSTRACT Objectives: to analyze the hospital structure elements that demarcate (in)visibilities of institutional violence in hospitalized children. Methods: this is a descriptive-exploratory qualitative study that used approaches with Foucault’s thinking. Ten companions and 39 healthcare professionals from a university hospital in Salvador, Bahia participated. Data collection took place from November 2018 to June 2019 through semi-structured interviews. The discourse analysis method was used. The study was approved by the Institutional Review Board. Results: institutional violence was understood in the violations and invisibilities of the structure of health services through the problems: in infrastructure (physical structure, lack of human and material resources, scrapping of equipment); administrative and management; pilgrimage. Final Considerations: it is necessary to realize the invisibilities of the infrastructure to act in confronting institutional violence to hospitalized children.


2015 ◽  
Vol 19 (2) ◽  
Author(s):  
Thiago Privado da Silva ◽  
Marcelle Miranda da Silva ◽  
Leila Milman Alcantara ◽  
Ítalo Rodolfo Silva ◽  
Joséte Luzia Leite

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