Psychoneuroimmunology and oncology nursing: a theoretical study

Author(s):  
Luís Carlos Lopes-Júnior ◽  
Maria Carolina Tuma ◽  
Maria Helena Costa Amorim

ABSTRACT Objective: To discuss the evolution of research in cancer psychoneuroimmunology, the advances in the management of neuropsychological symptom clusters and their interface with mid-range theories, and practical applications in Nursing. Method: This is a theoretical-reflective study anchored in recent literature, as well as in the critical analysis of the authors. Results: This is a promising field of investigation, which emphasizes the complexity and interaction of symptoms, the interrelationships among them, the factors influencing them, and their consequences. Subsidized by mid-range theories in Nursing, such as the Theory of Unpleasant Symptoms and the Theory of Symptom Management, analyses of these interrelationships support Oncology Nursing diagnoses and interventions. Conclusion: An innovative approach is proposed to qualify Oncology Nursing care based on the integration of recent advances in cancer psychoneuroimmunology, Nursing mid-range theories, and practical tools such as health coaching. The approach proposed may strengthen clinical nursing practice in the management of neuropsychological symptom clusters in oncology and shall be integrated into decision-making during cancer treatment, favoring person-centered care.

Author(s):  
Ana Flávia Martinez ◽  
Nayara Tomazi Batista ◽  
Gesiane Cristina Bom ◽  
Cláudia Regina Matiole ◽  
Carmen Silvia Zamboni ◽  
...  

Abstract Objective: To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. Method: Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. Results: The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. Conclusion: The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.


2016 ◽  
Vol 50 (2) ◽  
pp. 272-278 ◽  
Author(s):  
Jorge Wilker Bezerra Clares ◽  
Maria Vilaní Cavalcante Guedes ◽  
Lúcia de Fátima da Silva ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria Célia de Freitas

Abstract OBJECTIVE To develop a subset of nursing diagnoses for the elderly followed in primary health care based on the bank of terms for clinical nursing practice with the elderly, in the International Classification for Nursing Practice (ICNP(r)) version 2013, and on the Model of Nursing Care. METHOD Descriptive study developed in sequential steps of construction and validation of the bank of terms, elaboration of the nursing diagnoses based on the guidelines of the International Council of Nurses and the bank of terms, and categorization of diagnostics according to the Care Model. RESULTS The total of 127 nursing diagnoses were elaborated from 359 validated terms, distributed according to the basic human needs. CONCLUSION It is expected that these diagnoses will form the basis for the planning of nursing care and use of a unified language for documentation of clinical nursing practice with the elderly in primary care.


2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Andréia Cascaes Cruz ◽  
Mavilde da Luz Gonçalves Pedreira

ABSTRACT Objective: To present reflections upon conceptual and pragmatic relationships between the Patient-and Family-Centered Care and patient safety. Method: A discussion about constructs related to the Patient-and Family-Centered Care and patient safety, which shows their interface with pragmatic issues of clinical nursing practice. Results: Considering patients and families as partners and agents promoting safe care is mandatory for the safety culture. Final considerations: Decreasing errors and adverse health care events can be accomplished by understanding manners to incorporate the principles of Patient-and Family-Centered Care into issues related to patient safety.


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110037
Author(s):  
Lalisa Chewaka Gamtessa

Nursing is a respect for dignity and treating every person equally. Qualifying competent and ethical nurses requires the incorporation of a professional code of ethics with clinical nursing practice. However, no study was conducted on the relationship between professional ethics and clinical nursing practice. Therefore this study aimed to determine correlation between professional ethics and pediatrics clinical practice from an achievement perspective. Accordingly, cross-sectional study design was conducted at Mizan-Tepi University using nursing students’ academic achievements at professional ethics and pediatric practice. Collected data were entered into Epi info 7. SPSS version 21.0 was used to calculate spearman’s rho correlation ( rs) and coefficient of determination ( R2) at P  < .05. A total of 316 study participants comprising of 209 (66.14%) male and 107 (33.86%) female nursing students included in the current study. Nursing students’ academic achievements at professional ethics was significantly and positively associated with achievements at pediatrics clinical practice ( rs  = 0.4-0.6), P < .001. Linear regression results revealed 25% to 26.7% coefficient determination for regular students and 18% to 22.9% for summer nursing students. To sum up, there was a significant positive association between achievements of students at professional ethics and pediatrics clinical practice. Therefore increasing students’ academic achievement in professional ethics can further improve their achievements at pediatrics clinical practice. However, academic achievement in professional ethics explained 22.35% of the variability in achievements at pediatric clinical practice. 77.65% of the variability in pediatrics clinical practice was due to other factors that deserve another study.


Author(s):  
Nathalia Soares Galvão Alves ◽  
Conceição Senhorinha S. Raio ◽  
Taynara De Melo Costa ◽  
Gustavo Henrique Campos Rodrigues

Compreender os cuidados espirituais na prática de enfermagem e evidenciar a importância da espiritualidade no enfrentamento do paciente oncológico. Revisão integrativa da literatura, levantamento bibliográfico através de busca eletrônica das publicações nacionais inseridas na base de dados da Biblioteca Virtual em Saúde (BVS). Foram utilizadas as bases de dados indexadas LILACS (Literatura Latino-Americana do Caribe em Ciências da Saúde), BDENF (Base de Dados de Enfermagem) e (IBECS) Índice Bibliográfico Español en Ciencias de la Salud, publicadas entre 2015-2020. Os estudos demonstram que a Espiritualidade e a Religiosidade são ferramentas de grande proporção para o enfrentamento do câncer dos pacientes, mas a falta de preparo e a falha na assistência dos profissionais de saúde que atendem esses pacientes implicam em uma assistência ineficiente. A religiosidade e a espiritualidade se mostram fundamentais no decurso do processo saúde-doença para o enfrentamento do câncer.  Pacientes as utilizam como instrumentos para que tenham uma nova perspectiva no processo do adoecimento e do tratamento em si. Enfatiza-se, também, a necessidade de abranger o conhecimento dos profissionais enfermeiros acerca do cuidado espiritual.Descritores: Espiritualidade, Cuidados de Enfermagem, Enfermagem Oncológica. Spiritual care in oncology nursing practice for adult patientsAbstract: To understand spiritual care in nursing practice and to highlight the importance of spirituality in coping with cancer patients. Integrative literature review, using the LILACS (Latin American Caribbean Literature in Health Sciences) databases, BDENF (Nursing Database) and (IBECS) Bibliographic Index Español en Ciencias de la Salud. Spirituality and Religiosity are tools of great proportion for coping with patients' cancer, but the lack of preparation, the failure to assist health professionals who care for these patients implies inefficient assistance. Religiosity and spirituality are fundamental in the course of the health-disease process to face cancer and patients use them as a tool to have a new perspective in the process of illness and treatment itself, it is also emphasized the need to cover the knowledge of nursing professionals about spiritual care.Descriptors: Spirituality, Nursing Care, Oncology Nursing. Cuidado espiritual en la práctica de enfermería oncológica para pacientes adultosResumen: Comprender el cuidado espiritual en la práctica de enfermería y resaltar la importancia de la espiritualidad en el afrontamiento de pacientes con cáncer. Revisión integrativa de la literatura, utilizando las bases de datos LILACS (Literatura del Caribe Latinoamericano en Ciencias de la Salud), BDENF (Base de Datos de Enfermería) e (IBECS) Índice Bibliográfico Español en Ciencias de la Salud. La espiritualidad y la religiosidad son herramientas de gran proporción para el afrontamiento del cáncer de los pacientes, pero la falta de preparación, la falta de asistencia a los profesionales de la salud que atienden a estos pacientes implica una asistencia ineficiente. La religiosidad y la espiritualidad son fundamentales en el transcurso del proceso salud-enfermedad con una nueva perspectiva sobre el proceso de la enfermedad y el tratamiento en sí, también enfatizá-la la necesidad de abarcar el conocimiento de enfermeras profesionales sobre el cuidado espiritual.Descriptores: Espiritualidad, Cuidados de Enfermería, Enfermería Oncológica.


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