scholarly journals KNOWLEDGE AND ADHERENCE OF THE NURSE TO STANDARD PRECAUTIONS IN CRITICAL UNITS

2019 ◽  
Vol 28 ◽  
Author(s):  
Luise Brunelli Gonçalves de Faria ◽  
Carla Targino Bruno dos Santos ◽  
Andréa Mathes Faustino ◽  
Lizete Malagoni de Almeida Cavalcante Oliveira ◽  
Keila Cristianne Trindade da Cruz
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Occupational Accidents ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Distrito Federal ◽  
Critical Patients ◽  
Structured Questionnaire

ABSTRACT Objective: to identify the knowledge and adherence of nurses to the standard precautions in critical care units. Method: descriptive and cross-sectional study, with a quantitative approach, with the population of nurses from a university hospital in the Distrito Federal, Brazil. For data collection, three instruments were used. A semi-structured questionnaire with identification and occupational data of nurses, the questionnaire to evaluate knowledge to standard precautions and the Questionnaire of adherence to standard precautions. Descriptive analysis was used with absolute and relative frequency values. Results: the population was composed of 40 participating nurses, 75% were female, with an average age of 32.5 years, ranging from 24 to 50 years. Professionals with five or more years of training (67.5%) predominated, 25 (62.5%) had only one job and had experience in the area of critical patient care for more than three years. Although with a high percentage of accuracy, with regard to the moments that required hand hygiene, this frequency was 97.5%. Gloves are always used for intramuscular or subcutaneous injection by 67.5% of professionals, but 17.5% still consider it unnecessary to wear disposable caps and surgical shoe covers. The use of sharps, handling and reporting of occupational accidents were not performed as expected. Conclusion: gaps were identified in relation to the knowledge and adherence of nurses in units that provide care to critical patients of a university hospital with regard to standard precautions.

scholarly journals Acesso à insulinoterapia de usuários com diagnóstico de Diabetes Mellitus acompanhados em ambulatório especializado

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Mariana da Conceição Santana Lima ◽  
Paulo Henrique Fernandes Santos ◽  
Keila Cristianne Trindade Da Cruz ◽  
Lucas Cardoso Dos Santos ◽  
Valéria Bertonha Machado ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Comprehensive Health Care ◽  
Cross Sectional ◽  
The Public ◽  
Comprehensive Health ◽  
Distrito Federal ◽  
Structured Questionnaire

Objetivo: Caracterizar o perfil e o acesso à insulinoterapia dos usuários com diagnóstico de Diabetes Melittus atendidos no Ambulatório de Endocrinologia de um hospital universitário do Distrito Federal. Método: Estudo transversal, realizado de abril a maio de 2019. A amostra constituiu-se de 60 participantes com 18 anos ou mais. Foi aplicado questionário estruturado e os dados descritivos analisados pelo software PSPP. Resultados: Verificou-se que a maioria (86,7%) são mulheres, que os participantes obtêm insulina (93,3%), antidiabéticos orais (50,0%) e insumos (93,3%) no serviço público, e que metade desses participantes os adquirem na unidade de saúde. Ainda metade (53,3%) relatou ter interrompido o tratamento devido à falta desses medicamentos. Conclusão: O estudo evidenciou as fragilidades no acesso às redes de saúde do Distrito Federal em decorrência da falta de investimentos na Atenção Básica e da cultura hegemônica, sendo urgente o investimento nas redes de cuidado à luz das políticas de acesso.Descritores: Acesso aos Serviços de Saúde; Diabetes mellitus; Níveis de Atenção à Saúde; Assistência Integral à Saúde. Objective: To characterize the profile and access to insulin therapy of users with diabetes mellitus treated in the Endocrinology Outpatient Clinic in an university hospital of Distrito Federal. Method: Cross-sectional study, performed from April to May 2019. The sample consisted of 60 participants with 18 years or more. A structured questionnaire was applied and the descriptive data analyzed by the PSPP software. Results: It was found that the majority (86.7%) were women, that participants obtain insulin (93.3%), oral antidiabetics (50.0%) and inputs (93.3%) in the public service, and that half of these participants acquire it at the health unit. Half (53.3%) reported having interrupted the treatment due to the lack of these medications. Conclusion: The study showed the weaknesses in access to networks of health of Distrito Federal due to the lack of investment in primary health care and the hegemonic culture, being urgent the investment in care networks of care in the light of the access policies.Descriptors:  Health Services Accessibility; Diabetes Mellitus; Health Care Levels; Comprehensive Health Care. Objetivo: caracterizar el perfil y el acceso a la terapia con insulina de los usuarios diagnosticados con Diabetes Melittus atendidos en la Clínica Ambulatoria de Endocrinología de un hospital universitario en el Distrito Federal. Método: estudio transversal, realizado de abril a mayo de 2019. La muestra consistió en 60 participantes de 18 años o más. Se aplicó un cuestionario estructurado y los datos descriptivos fueron analizados por el software PSPP. Resultados: se encontró que la mayoría (86.7%) son mujeres, los participantes reciben insulina (93.3%), antidiabéticos orales (50.0%) e insumos (93.3%) en el servicio público, y la mitad de estos participantes los adquieren en el centro de salud. Todavía la mitad (53.3%) informó suspender el tratamiento debido a la falta de estos medicamentos. Conclusión: El estudio mostró las debilidades en el acceso a las redes de salud en el Distrito Federal debido a la falta de inversiones en atención primaria y cultura hegemónica, siendo urgente invertir en redes de atención a la luz de las políticas de acceso.Palabras clave: Accesibilidad a los Servicios de Salud; Diabetes Mellitus; Niveles de Atención de Salud; Atención Integral de Salud.

scholarly journals Analysis of occupational accidents with biological material among professionals in pre-hospital services

2013 ◽  
Vol 21 (1) ◽  
pp. 309-315 ◽  
Author(s):  
Adriana Cristina de Oliveira ◽  
Maria Henriqueta Rocha Siqueira Paiva
Keyword(s):  
Biological Material ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Occupational Accidents ◽  
Hospital Services ◽  
Sectional Study ◽  
Intact Skin ◽  
Cross Sectional ◽  
Professional Evaluation ◽  
Structured Questionnaire

OBJECTIVE: To estimate the prevalence of accidents due to biological material exposure, the characteristics and post-accident conduct among professionals of pre-hospital services of the four municipalities of Minas Gerais, Brazil. METHOD: A cross-sectional study, using a structured questionnaire that was developed to enable the calculation of prevalence, descriptive analysis and analytical analysis using logistic regression. The study included 228 professionals; the prevalence of accidents due to biological material exposure was 29.4%, with 49.2% percutaneous, 10.4% mucousal, 6.0% non-intact skin, and 34.4% intact skin. RESULTS: Among the professionals injured, those that stood out were nursing technicians (41.9%) and drivers (28.3%). CONCLUSION: Notification of the occurrence of the accident occurred in 29.8% of the cases. Percutaneous exposure was associated with time of work in the organization (OR=2.51, 95% CI: 1.18 to 5.35, p<0.017). Notification about accidents with biological material should be encouraged, along with professional evaluation/monitoring.

Patients’ perceptions about medical students’ involvement in their health care at a teaching hospital in Jordan: A cross sectional study (Preprint)

2021 ◽  
Author(s):  
Hana Taha ◽  
Jawaher Khaled Al Saqer ◽  
Noora Rashed Al Harbi ◽  
Rand Nidal Younis ◽  
Fatma Dawoud Al Dawoud ◽  
...  
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
Disease Status ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Patient Centered ◽  
Cross Sectional ◽  
Perceptions And Attitudes ◽  
Structured Questionnaire

BACKGROUND Medical students’ involvement in patients’ care varies due to patient’s willingness, as some consider it as an invasion of their privacy and exposure of their disease status. Thus, exploring patients' perceptions and attitudes towards this interaction should be thoroughly investigated. OBJECTIVE To better understand the attitude of Jordanian patients towards the presence of medical students’ during their consultations and provide evidence-based data to improve the training of future doctors. METHODS A cross-sectional study was conducted at the Jordan University Hospital using a structured questionnaire to interview 420 patients from the out-patients’ clinics of the departments; Internal Medicine, Obstetrics and Gynecology, Pediatrics, and Surgery. Descriptive and multivariate data analysis was conducted using SPSS (version 25.0). RESULTS Of the patients interviewed, 94% were aware that they were in a teaching hospital, 92% approved the existence of medical students’ during their consultation and 80% accepted to be observed and examined by medical student in the presence of a senior doctor. Almost 83% of the patients believed that their consent should be obtained first and 58% of them indicated that the students asked for consent prior to interacting with them. Around 64% of the participants indicated that the maximum acceptable number of students during the consultation should not exceed 2-3, 64% had no preferred gender to interact with and 59% had no preferred training year. CONCLUSIONS Patients showed an overall positive stance towards the involvement of medical students’ in their healthcare. The majority were delighted to see medical students’ while some expressed concerns over their privacy due to the large number of students and because some do not ask for their consent. It is essential to apply medical ethics practices together with patient centered approach.

scholarly journals ASSESSMENT OF KNOWLEDGE ABOUT VITAMIN-D DEFICIENCY AMONG UNDERGRADUATE STUDENTS IN PRIVATE SECTOR UNIVERSITY

2015 ◽  
Vol 4 (2) ◽  
pp. 26-31
Author(s):  
Beenish Zafar ◽  
Aysha Zia Qureshi ◽  
Sejaa Zafar
Keyword(s):  
Vitamin D ◽  
Private Sector ◽  
Vitamin D Deficiency ◽  
Undergraduate Students ◽  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Low Mood ◽  
Adults And Children ◽  
Structured Questionnaire

BACKGROUND Vitamin-D commonly known as Ergocalciferol (vitamin D2) & Cholecalciferol (vitamin D3) promotes the absorption and metabolism of calcium. Among children scarcity of vitamin D may cause rickets whereas osteomalacia both in adults and children having relevance with less circulating concentrations of 25OHD that is less than 20 nmol/L. OBJECTIVE To assess knowledge of undergraduate students about vitamin-D deficiency in various private sector universities of Karachi. STUDY DESIGN A cross-sectional study was conducted where structured questionnaire were distributed STUDY SETTINGS & PARTICIPANTS The targeted population was 100 subjects currently enrolled in medical universities. RESULTS According to the descriptive analysis, 100% students were aware of the importance of Vitamin D. However, only 38% of them knew that the deficiency of Vitamin D can cause tiredness, low mood, muscle and bone pain. 64% knew the beneficence of exposure of 10-15% of sunlight. CONCLUSION Students of private medical universities are aware of Vitamin D deficiency and its importance but its implementation is absent. Keywords Osteomalacia, Rickets, Vitamin D Deficiency, Osteoid, Trabecular Bone, Cholecalciferol, Ergocalciferol

scholarly journals Route of birth delivery preferred by mothers and their motivations

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Fernanda Kottwitz ◽  
Helga Geremias Gouveia ◽  
Annelise de Carvalho Gonçalves
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Chi Square Test ◽  
Route Of Delivery ◽  
Type Of Delivery

Abstract Objective: Identify the route of birth delivery preferred by mothers and their motivations. Method: Cross-sectional study with 361 mothers from a university hospital. Data were obtained using a structured questionnaire from February to April 2013. Descriptive analysis was performed and the Chi-square test was used to verify association among the variables. Results: 77.6% of the women preferred vaginal delivery and the reason reported by 81.8% of them was easier recovery postpartum; 20.5% believed they took part in the decision-making concerning the type of delivery; 64.5% believed the type of delivery they experienced did not involve risk for themselves, while 21.9% believed it involved risk for the newborn. Statistical association was found between number of deliveries and type of previous delivery with the preferred route of delivery. Conclusion: Women did not have adequate knowledge regarding the risks and benefits of different types of delivery and for this reason were not empowered to exert their autonomy in regard to this decision.

scholarly journals Husband’s Support for Breastfeeding and Breastfeeding Efficacy of Nepalese Mothers

2019 ◽  
Vol 18 (1) ◽  
pp. 14-20
Author(s):  
Sajama Nepali ◽  
Manodhara Shakya
Keyword(s):  
Self Efficacy ◽  
Descriptive Analysis ◽  
Data Entry ◽  
Cross Sectional Study ◽  
Bivariate Analysis ◽  
Questionnaire Data ◽  
Sectional Study ◽  
Cross Sectional ◽  
Face To Face ◽  
Structured Questionnaire

Background: Continuing breastfeeding after three months of the postpartum period has been a challenge to mothers rather than their choice. The engagement of husbands in breastfeeding serves both as physical and mental support to their wives. This study aimed to assess the breastfeeding self-efficacy of mothers, identify their husbands’ support for breastfeeding and examine the association between breastfeeding self-efficacy of mothers and the husbands’ support for breastfeeding. Methods: This descriptive, cross sectional study recruited 110 mothers of infants, visiting Bungmati Health Post for immunization from July 2015 to November 2015. Mothers were interviewed face to face with semi structured questionnaire. Data entry and analysis was carried out using SPSS version 23. Descriptive analysis was performed on the socio-demographic characteristics, delivery characteristics, breastfeeding self-efficacy and husbands’ support scale. Bivariate analysis was used to examine the association between breastfeeding self-efficacy and husbands’ support scale and other outcomes. Results: Majority (94%) of the mothers reported to be confident on the breastfeeding self-efficacy, while 95 percent of their husbands were supportive towards breastfeeding. A significant association was seen between the breastfeeding self-efficacy and the husbands’ support scale (p<0.04). Mothers who received support from husbands were 10 times more likely to report confidence on breastfeeding than those who did not. Conclusions: The results suggested that husbands’ support increases the breastfeeding self-efficacy of mothers. Based on this finding, it is recommended that involvement of husband is crucial for encouraging mother to breastfeed child. Tweetable Abstract: Mothers who received support from their husbands were 10 times significantly more likely to breastfeed.

scholarly journals Intraoral findings in newborns: prevalence and associated factors

2018 ◽  
Vol 17 ◽  
pp. e181344
Author(s):  
Cláudia Lobelli Chandler ◽  
Isabelita Duarte Azevedo ◽  
Manoelito Ferreira Silva Junior ◽  
Johnnatas Mikael Lopes ◽  
Manuel Antonio Gordón-Núñez ◽  
...  
Keyword(s):  
Associated Factors ◽  
Protective Factor ◽  
Systemic Disease ◽  
Descriptive Analysis ◽  
Female Gender ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Dental Lamina ◽  
Mother’S Age

Aim: To investigate the prevalence of intraoral characteristics and associated factors with neonatal and parent variables in a group of Brazilian newborns. Methods: This cross-sectional study with a descriptive and inferential approach, whose data was obtained through clinical examination, interview and the collection of medical record information. The sample was selected from babies up to three days old, of both sexes, and born between January and December 2013 in the Ana Bezerra University Hospital, in the city of Santa Cruz-RN, Brazil. The exposure variables included neonatal (sex, weight, gestational age, type of delivery and Apgar score) and parent (presence of systemic disease(s), drug use and consanguinity between the parents) variables. Descriptive analysis and Poisson regression were performed to estimate the ratio of gross and adjusted prevalence of intraoral findings (Epstein pearls, Bohn’s nodule, dental lamina cyst and ankyloglossia) with the neonatal and parent variables (p<0.05). Results: Of a total of 168 examined newborns, 56.5% (n=95) were male. The most prevalent intraoral feature was the fibrous cord of Magitot, 62.5% (n=105), and the most frequent alteration was Epstein pearls, 44.6% (n=75). Female gender was a factor for Bohn’s nodule (OR=0.90; 95%CI:0.82-0.99), and no tobacco use by the father was a protective factor for Epstein pearls (OR=0.73;95%CI:0.55-0.97). Additionally, lower mother’s age, between 20-34 years  of age (OR=1.58;95%CI:1.07-2.35) and under 19 years of age (OR=1.61; 95%CI:1.03-2.52) increases the chance of having Epstein pearls. Conclusion: There was a high prevalence of alterations in the newborns’ oral cavities and there were associations between neonatal and parent variables.

scholarly journals Skin-to-skin contact and breastfeeding of newborns in a university hospital

2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Paola Melo Campos ◽  
Helga Geremias Gouveia ◽  
Juliana Karine Rodrigues Strada ◽  
Bruna Alibio Moraes
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Patient Records ◽  
Sectional Study ◽  
Cross Sectional ◽  
Monitoring Method ◽  
Skin Contact ◽  
Clinical Conditions ◽  
Skin To Skin

ABSTRACT Objective: To determine the prevalence of skin-to-skin contact (STSC) and breastfeeding (BF) stimulation, as well as the reasons for these practices not to be performed; to identify whether women were given information on these practices along the pre-natal monitoring. Method: A cross-sectional study carried out in a university hospital with 586 women. Data collection was from February to September 2016. Data was collected from patient records and from a questionnaire. A descriptive analysis was performed. Results: Immediately after birth, 60.1% of the newborns (NBs) had STSC, and 44.9% were stimulated to suck at the breast. After primary care, 24.1% had STSC, and 69.3% were stimulated to suck at the breast; 47.7% of the newborns did not have STSC due to their unfavorable clinical conditions; 79.2% of the women were not able to inform the reason why BF was not stimulated; 58.5% of the women had pre-natal guidance about STSC, and 90.8% about BF. Conclusion: Both STSC and BF rates could be improved, in view of the benefits provided by these practices.

scholarly journals Evaluation of the level of knowledge and compliance with standart precautions and the safety standard (NR-32) amongst physicians from a public university hospital, Brazil

2013 ◽  
Vol 16 (3) ◽  
pp. 786-797 ◽  
Author(s):  
Ehideé Isabel Gómez La-Rotta ◽  
Clerison Stelvio Garcia ◽  
Felipe Barbosa ◽  
Amanda Ferreira dos Santos ◽  
Gabriela Mazzarolo Marcondes Vieira ◽  
...  
Keyword(s):  
Health Workers ◽  
Cross Sectional Study ◽  
Public University ◽  
University Hospital ◽  
Standard Precautions ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
The Mean ◽  
The Individual ◽  
Mean Compliance

Brazil is the first country in the world to have broad coverage standard (NR-32) focused on protecting health workers exposed to biological risks. This study evaluated the degree of knowledge of the NR-32 Standard and the level of knowledge and compliance with the standard precautions. A cross-sectional study was conducted with 208 randomly selected health professionals; 93 of them were residents and 115 were physicians at a Brazilian Clinical Hospital. To collect information, the participants were interviewed and/or they completed semi-structured questionnaires divided into three domains: knowledge of the standard, knowledge of biosafety, and compliance with standard precautions. Cronbach's alpha was used to assess internal consistency of the scales of knowledge and compliance with values above +0.75 indicating excellent agreement. Multivariate linear regression was used to evaluate the predictors for compliance with NR-32, biosafety, and standard precautions. Mean knowledge of the NR-32 Standard was 2.2 (± 2.02) points (minimum 0 and maximum 7 points). The minimum expected mean was 5.25 points. The mean knowledge of biosafety was 12.31 (± 2.10) points (minimum 4 and maximum16 points). The minimum expected mean was 12.75 points. The mean compliance with standard precautions was 12.79 (± 2.6) points (minimum 6 and maximum 18 points). The minimum expected mean was 13.5 points. The individual means for using gloves, masks and goggles during procedures and for not recapping needles were 2.69, 2.27, 1.20 and 2.14, respectively. The factors associated with knowledge of the NR-32 were: greater knowledge amongst those who studied at a public university and who had knowledge of biosafety. The knowledge of the NR-32 Standard was low, but there was a good level of knowledge of biosafety issues. The compliance with standard precautions was acceptable in general, but was low for some of the evaluated precautions.

scholarly journals Professional nursing practice in critical units: assessment of work environment characteristics

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Luiz Felipe Sales Maurício ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Intensive Care ◽  
Work Environment ◽  
Intensive Care Units ◽  
Organizational Support ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Cross Sectional ◽  
Critical Care Units ◽  
Work Index ◽  
Brazilian Culture

ABSTRACT Objective: assess the autonomy, control over environment, and organizational support of nurses' work process and the relationships between physicians and nurses in critical care units. Method: cross-sectional study conducted with 162 nurses working in the intensive care units and emergency service of a university hospital. The workers' satisfaction with their work environment was assessed using Brazilian Nursing Work Index - Revised, translated and adapted for the Brazilian culture. Results: average age was 31.6 ± 3.9 years; 80.2% were women; 68.5% Caucasians and 71.6% worked in intensive care units. The nurses considered autonomy (2.38 ± 0.64) and their relationship with physicians (2.24 ± 0.62) to be characteristics of the work environment that favored professional practice. Control over environment (2.78 ± 0.62) and organizational support (2.51 ± 0.54), however, were considered to be unfavorable. No statistically significant differences were found between the units based on the scores obtained by the professionals on the Brazilian Nursing Work Index - Revised. Conclusion: autonomy, relationship between physicians and nurses, and organizational support were considered by the units to be characteristics that favored nurses' professional practices. On the other hand, control over environment and organizational support were considered unfavorable.

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