scholarly journals Use of a patient classification instrument as a guide to plan nursing discharge

2008 ◽  
Vol 21 (3) ◽  
pp. 393-397 ◽  
Author(s):  
Fernanda Collinetti Pagliarini ◽  
Marcia Galan Perroca

OBJECTIVE: To evaluate the use of a patient classification instrument as a guide to plan nursing discharge. METHODS: Exploratory descriptive study performed in hospitalization units of Medical and Surgical Practice at a teaching hospital in São José do Rio Preto - SP, Brazil. The sample was made up of 50 patients who received discharge guidance from seven clinical nurses and supervisors. The sample collection occurred in two steps after the record of the discharge guidance, performed by nurses with and without the aid of a classification instrument. RESULTS: The findings show that nurses are more likely to comply with care areas in the psychobiological dimension. However, when they use the instrument, the psychosocial dimension is also benefited. CONCLUSION: The use of a patient classification instrument guided the planning of nursing discharge, enabling a more comprehensive and more thorough identification of care areas that require attention.

Author(s):  
Lydia Booher ◽  
Erica Yates ◽  
Stacey Claus ◽  
Kelly Haight ◽  
Christian N. Burchill

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hasan Khalaf ◽  
A. Behbahani ◽  
Aideen Walsh

Abstract Introduction Surgeons must establish and maintain effective relationships with patients and, where appropriate, with their supporters. Before surgery, surgeons should strive to have an honest and sensitive discussion with patients about their options for treatment that leads to informed and deliberate consent. The aim of this study is to compare our consent practice in the vascular department in Royal Stoke Teaching Hospital against consent guideline in the Best surgical practice and to if we are meeting patient satisfaction. Method A prospective study of 30 patients from 21/09/2020 to 21/10/2020. Questionnaire form was designed based on the best surgical practice guideline and was given to the patient to fill. We include patients admitted for elective vascular procedures, wide range ages. The questionnaire Results Most of the of the patient (90%) were consented by the professionals who provide the treatment. 63% of the patients asked for further information in the form pf leaflets or websites. 70% of them request to know the recent guidelines of their procedures. Only 13% of them had a copy of the consent prior to surgery. Recommendations We must provide the patients with further information, Recent guidelines, and a copy of the consent to take home prior to surgery day. This can be achieved by consenting them before the operation day.


2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Andrêssa Batista Possati ◽  
Lisie Alende Prates ◽  
Luiza Cremonese ◽  
Juliane Scarton ◽  
Camila Neumaier Alves ◽  
...  

Abstract Objective: To know the meanings attributed to humanized childbirth by nurses of an obstetric center. Method: A qualitative descriptive study was carried out with nurses from a teaching hospital, located in southern Brazil. An operational proposal was used. The participants were six nurses who worked in the service. Results: The humanization of childbirth was understood as a set of practices and attitudes based on dialogue, empathy and embracement; the provision of guidelines; the appreciation of parturients' singularities; the performance of procedures proven to be beneficial to maternal and child health and continuous professional updating. Conclusion: The humanization of birth is still a challenge in professional practice. The role of women, the respect for their rights and the commitment of health professionals are the foundation of the humanization of childbirth.


Author(s):  
Cassou R. Adjoby ◽  
Soh V. Koffi ◽  
Ibrahima S. Balde ◽  
Denis Effoh ◽  
Eleonore Gbary Lagaud ◽  
...  

Background: The iterative caesarean section, is a caesarean section that is performed on a uterus already healed, therefore for fear of maternal and perinatal risks, is recognized as one of the main causes of the inflation of caesarean section in the world. One in three caesarean sections is performed because of a scar uterus. Objective of this study was to analyse the epidemiological and clinical factors of iterative caesarean sections in the gynecology-obstetrics department at the Teaching Hospital of Cocody (Abidjan).Methods: This was a retrospective and descriptive study conducted from June 1st, 2018 to May 31st, 2019, including 349 iterative caesarean section cases.Results: The first iterative C-section accounted for 16.1% of the C-section indications during the study period. The average age of the patients was 30 years. Nearly half of the patients practiced in the informal sector 47.9%, were uneducated in 38.1% of cases and lived with a partner in 73.1% of cases. The majority of patients in this series 75.1% performed at least 4 ANCs. Patients were followed by prenatal visits in 61% of cases by midwives and in 8.6% of cases had an inter-reproductive space of less than 18 months. This study patients were evacuated in 46.4% of cases. Acute fetal distress was the first indication of first iterative caesarean section with 20.3% of cases. Emergency caesarean sections accounted for 84.4% of the cases in this series. Authors found maternal death 0.3% and 6.7% perinatal mortality.Conclusions: The iterative caesarean section is a caesarean section likely to cause difficulties and complications per- operative. Although in constant improvement the prognosis of the mother-child couple still remains a problem in this context, prenatal monitoring should be the prerogative of obstetrician gynecologists.


2011 ◽  
Vol 18 (3) ◽  
pp. 364-373 ◽  
Author(s):  
Nayereh Baghcheghi ◽  
Hamid Reza Koohestani

The present study was carried out to explore Iranian nurses’ use of placebos in clinical practice and their knowledge and attitude towards its use. A cross-sectional, descriptive study was conducted using self-report questionnaires. All nurses working in a university hospital in Arak (n = 342) were invited to participate in the study. Among 295 respondents, 221 (75%) reported that they had used at least one placebo within the past year and 179 (81%) told patients they were receiving actual medication. The most common reason and symptom for placebo use were after unjustified demand for medication and pain, respectively. Only 60 (20.33%) of the nurses believed that placebos should never be used. Results showed that most nurses in our study had used placebos and probably will continue to use them. Placebo use is viewed as ethically permissible among nurses. Some patients benefit from the placebos, but their use raises ethical questions. The role of placebo treatment, its mechanisms, and its ethics issues should be taught to nurses.


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