scholarly journals Clinical nursing care to comfort women with acute myocardial infarction

2014 ◽  
Vol 23 (1) ◽  
pp. 56-64 ◽  
Author(s):  
Keila Maria de Azevedo Ponte ◽  
Lúcia de Fátima da Silva ◽  
Antonia Eliana de Araújo Aragão ◽  
Maria Vilani Cavalcante Guedes ◽  
Ivete Palmira Sanson Zagonel
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Data Collection ◽  
Nursing Care ◽  
Participant Observation ◽  
Clinical Care ◽  
Structured Interviews ◽  
Clinical Nursing ◽  
Care Approach ◽  
Heart Hospital

The objective of this article was to describe the contribution of clinical nursing care to the environmental comfort of women with Acute Myocardial Infarction, based on the Comfort Theory and mediated by the research-care approach. Data collection took place from April to June 2011 with nine women admitted with an infarction to the Heart Hospital of Sobral, Ceará, Brazil. Four meetings were held; the first being four starting at the admission to the hospital. The participants were informed about the study objectives and the proposed method, and following care was provided based both on method and theory. Data collection was performed using individual semi-structured interviews, field diary, participant observation and thematic category content analysis. The clinical care implemented in the environmental context aimed at promoting adaptation to the coronary care unit and also providing an enabling environment for comfort and relaxed atmosphere. Clinical care targeted at promoting environmental comfort contributes to the wellbeing of women with infarction.

scholarly journals Analysis of Nursing Care of Acute Myocardial Infarction

2012 ◽  
Vol 1 ◽  
pp. 7
Author(s):  
Xiaoling Zhao
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Retrospective Analysis ◽  
Clinical Improvement ◽  
Nursing Care ◽  
Improvement Rate ◽  
Clinical Nursing ◽  
Hospitalization Time

<p><strong>Objective:</strong> To investigate and improve the clinical nursing care method of acute myocardial infarction. <strong>Methods: </strong>Make a retrospective analysis of the clinical data for 69 cases of acute myocardial infarction from January 2009 to December 2012 in our hospital and summarize the clinical nursing method. <strong>Results:</strong> 63 from 69 patients are improved after being rescued and nursed through the above-mentioned method, and improvement rate was 92.0%. 5 patients were died (all of them were died from the heart failure), which the mortality is 8.0%. Wherein the complicated arrhythmia cases were 24, the complicated cardiogenic shock cases were 12, hospitalization time: 4‒17 days, and the average hospitalization time is 9.2 days.<strong> Conclusion:</strong> The strengthened nursing cooperation of acute myocardial infarction for patients may enhance clinical improvement rate and improve the prognosis.</p>

scholarly journals Knowledge and practices of nursing professionals in caring for ostomates

2020 ◽  
Vol 73 (suppl 5) ◽  
Author(s):  
Angélica Dalmolin ◽  
Nara Marilene Oliveira Girardon-Perlini ◽  
Margrid Beuter ◽  
Eduardo da Silva Gomes ◽  
Juliano Teixeira Moraes ◽  
...  
Keyword(s):  
Data Collection ◽  
Nursing Care ◽  
Participant Observation ◽  
Descriptive Study ◽  
Care Process ◽  
Work Experiences ◽  
Structured Interviews ◽  
Daily Work ◽  
Nursing Professionals ◽  
Intervening Factors

ABSTRACT Objective: to analyze the knowledge and practices of nursing professionals in caring for people with colostomy bag. Method: a qualitative and descriptive study conducted with 21 nursing professionals from a General Surgery Unit. Data collection used triangulation of techniques, based on non-participant observation, analysis of nursing records, and semi-structured interviews. Analysis followed the spiral technique assumptions. Results: it was possible to comprehend the theoretical and scientific knowledge that subsidize practice; identify contradictions related to statement and care in the profession’s daily work and the intervening factors, which can facilitate and/or make the nursing care process difficult. Final Considerations: knowledge and practices of professionals in caring for ostomates occur within work experiences, in which socialization of knowledge makes it possible to expand the perspectives of care.

scholarly journals Diagnósticos de enfermagem em pacientes com infarto agudo do miocárdio

2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Data Collection ◽  
Literature Review ◽  
Nursing Care ◽  
Signs And Symptoms ◽  
Descriptive Study ◽  
Physiological Processes ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.

scholarly journals Diagnósticos de enfermagem em pacientes com infarto agudo do miocárdio

2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza de Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Data Collection ◽  
Literature Review ◽  
Nursing Care ◽  
Signs And Symptoms ◽  
Descriptive Study ◽  
Physiological Processes ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.

scholarly journals Changing relationships: how does patient involvement transform professional identity? An ethnographic study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045520
Author(s):  
Marie-Pierre Codsi ◽  
Philippe Karazivan ◽  
Ghislaine Rouly ◽  
Marie Leclaire ◽  
Antoine Boivin
Keyword(s):  
Quality Improvement ◽  
Data Collection ◽  
Health Professionals ◽  
Clinical Care ◽  
Ethnographic Study ◽  
Structured Interviews ◽  
Administrative Team ◽  
Nurse Clinician ◽  
New Perspective ◽  
Relational Framework

ObjectivesTo understand identity tensions experienced by health professionals when patient partners join a quality improvement committee.DesignQualitative ethnographic study based on participatory observation.SettingAn interdisciplinary quality improvement committee of a Canadian urban academic family medicine clinic with little previous experience in patient partnership.ParticipantsTwo patient partners, seven health professionals (two family physicians, two residents, one pharmacist, one nurse clinician and one nurse practitioner) and three members of the administrative team.Data collectionData collection included compiled participatory observations, logbook notes and semi-structured interviews, collected between the summer of 2017 to the summer of 2019.Data analysisGhadiri’s identity threats theoretical framework was used to analyse qualitative material and to develop conceptualising categories, using QDA Miner software (V.5.0).ResultsAll professionals with a clinical care role and patient partners (n=9) accepted to participate in the ethnographic study and semi-structured interviews (RR=100%). Transforming the ‘caregiver–patient’ relationship into a ‘colleague–colleague’ relationship generated identity upheavals among professionals. Identity tensions included competing ideals of the ‘good professional’, challenges to the impermeability of the patient and professional categories, the interweaving of symbols associated with one or the other of these identities, and the inner balance between the roles of caregiver and colleague.ConclusionThis research provides a new perspective on understanding how working in partnership with patients transform health professionals’ identity. When they are called to work with patients outside of a simple therapeutic relationship, health professionals may feel tensions between their identity as caregivers and their identity as colleague. This allows us to better understand some underlying tensions elicited by the arrival of different patient engagement initiatives (eg, professionals’ resistance to working with patients, patients’ status and remuneration, professionals’ concerns toward patient ‘representativeness’). Partnership with patients imply the construction of a new relational framework, flexible and dynamic, that takes into account this coexistence of identities.

scholarly journals Use of copeptin for rapid rule-out of acute myocardial infarction

2017 ◽  
Vol 7 (6) ◽  
pp. 570-576 ◽  
Author(s):  
Christian Mueller ◽  
Martin Möckel ◽  
Evangelos Giannitsis ◽  
Kurt Huber ◽  
Johannes Mair ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Diagnostic Accuracy ◽  
Cardiac Troponin ◽  
Clinical Care ◽  
High Sensitivity ◽  
Cardiac Care ◽  
Routine Clinical Care ◽  
Incremental Value ◽  
Rule Out

Copeptin is currently understood as a quantitative marker of endogenous stress. It rises rapidly in multiple acute disorders including acute myocardial infarction. As a single variable, it has only modest diagnostic accuracy for acute myocardial infarction. However, the use of copeptin within a dual-marker strategy together with conventional cardiac troponin increases the diagnostic accuracy and particularly the negative predictive value of cardiac troponin alone for acute myocardial infarction. The rapid rule-out of acute myocardial infarction is the only application in acute cardiac care mature enough to merit consideration for routine clinical care. However, the dual-marker approach seems to provide only very small incremental value when used in combination with sensitive or high-sensitivity cardiac troponin assays. This review aims to update and educate regarding the potential and the procedural details, as well as the caveats and challenges of using copeptin in clinical practice.

scholarly journals Family members' perceptions of nursing care for people with psychiatric symptoms

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e62550
Author(s):  
Aline Malaquias de Oliveira ◽  
Maria de Lourdes Custódio Duarte ◽  
Daniela Giotti da Silva ◽  
Larissa Gomes de Mattos
Keyword(s):  
Qualitative Study ◽  
Nursing Care ◽  
Psychiatric Symptoms ◽  
Family Members ◽  
Structured Interviews ◽  
Hospital Data ◽  
Nursing Service ◽  
Professional Integration ◽  
Clinical Nursing ◽  
Inpatient Units

Objective: to understand family members’ perceptions of nursing care for people with psychiatric symptoms. Methods: qualitative study, with 13 family members, in five clinical inpatient units linked to the clinical nursing service of a general hospital. Data were collected through semi-structured interviews. Results: the challenges perceived by family members were turnover of professionals in the work schedules and difficulty in specialized management. The participants suggested training of the team, greater multi-professional integration, improved management and reduced turnover of professionals during care. Conclusion: family members verbalized difficulties and suggestions to support reflection on the care offered to people with psychiatric symptoms hospitalized in clinical units, in order to improve work practices and qualify care.

scholarly journals Decision-making in an emergency department: A nursing accountability model

2019 ◽  
Vol 27 (2) ◽  
pp. 567-586 ◽  
Author(s):  
Alfonso Rubio-Navarro ◽  
Diego José García-Capilla ◽  
Maria José Torralba-Madrid ◽  
Jane Rutty
Keyword(s):  
Decision Making ◽  
Emergency Department ◽  
Participant Observation ◽  
Ethics Committees ◽  
Healthcare Institution ◽  
Structured Interviews ◽  
Ethical Considerations ◽  
Clinical Nursing ◽  
Ethical Approval ◽  
Acute Patients

Introduction: Nurses who work in an emergency department regularly care for acute patients in a fast-paced environment, being at risk of suffering high levels of burnout. This situation makes them especially vulnerable to be accountable for decisions they did not have time to consider or have been pressured into. Research objective: The objective of this study was to find which factors influence ethical, legal and professional accountability in nursing practice in an emergency department. Research design: Data were analysed, codified and triangulated using qualitative ethnographic content analysis. Participants and research context: This research is set in a large emergency department in the Midlands area of England. Data were collected from 186 nurses using participant observation, 34 semi-structured interviews with nurses and ethical analysis of 54 applicable clinical policies. Ethical considerations: Ethical approval was granted by two research ethics committees and the National Health Service Health Research Authority. Results: The main result was the clinical nursing accountability cycle model, which showed accountability as a subjective concept that flows between the nurse and the healthcare institution. Moreover, the relations among the clinical nursing accountability factors are also analysed to understand which factors affect decision-making. Discussion: The retrospective understanding of the factors that regulate nursing accountability is essential to promote that both the nurse and the healthcare institution take responsibility not only for the direct consequences of their actions but also for the indirect consequences derived from previous decisions. Conclusion: The decision-making process and the accountability linked to it are affected by several factors that represent the holistic nature of both entities, which are organised and interconnected in a complex grid. This pragmatic interpretation of nursing accountability allows the nurse to comprehend how their decisions are affected, while the healthcare institution could act proactively to avoid any problems before they happen.

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