scholarly journals Types and frequency of errors in the preparation and administration of drugs

2018 ◽  
Vol 16 (3) ◽  
Author(s):  
Josiane Ribeiro Mendes ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Cássia Regina Vancini-Campanharo ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista
Keyword(s):  
Hand Hygiene ◽  
Descriptive Study ◽  
University Hospital ◽  
Aseptic Technique ◽  
Cross Sectional ◽  
Intravenous Drugs ◽  
Preparation Stage ◽  
The City ◽  
Nursing Aides ◽  
Dosage Formulation

ABSTRACT Objective: To identify compatibility, types and frequency of errors in preparation and administration of intravenous drugs. Methods: A cross-sectional and descriptive study performed at the emergency department of a university hospital in the city of São Paulo (SP). The sample consisted of 303 observations of the preparation and administration of intravenous drugs by nursing aides, nursing technicians and registered nurses, using a systematized script, similar to a checklist. The following variables were collected: errors related to dispensing, omission, schedule, unauthorized administration, dosage, formulation, incompatibility, preparation and administration. Results: In the preparation stage, the following errors were identified: no hand hygiene (70.29%), and no use of aseptic technique (80.85%). Upon administration, no hand hygiene (81.18%), and no use of aseptic technique (84.81%). In 31.35% of observations, there was more than one medication at the same time for the same patient, of which 17.89% were compatible, 56.84% were incompatible and 25.26% were not tested, according to the Micromedex database. Conclusion: In both preparation and administration stages, the most frequent errors were no hand hygiene and no use of aseptic technique, indicating the need to develop and implement education programs focused on patient safety.

scholarly journals Growth of infants assisted in nursing appointments in childcare

2015 ◽  
Vol 36 (1) ◽  
pp. 35-42
Author(s):  
Grazielle Cavalcante de Souza Carneiro ◽  
Lívia Maria Correia de Morais ◽  
Leidiane Francis de Araújo Costa ◽  
Talita Helena Monteiro de Moura ◽  
Marly Javorski ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Quantitative Study ◽  
Medical Records ◽  
Complementary Feeding ◽  
Growth Curves ◽  
University Hospital ◽  
Cross Sectional ◽  
Upward Growth ◽  
The City ◽  
Weight For Age

This study aimed to describe the growth during the introduction of complementary feeding to infants assisted in the nursing appointment in childcare. It is a descriptive, cross-sectional, quantitative study developed through research in 51 medical records of children aged 4-8 months, from September to October 2012 in a university hospital in the city of Recife, PE. Data were analyzed using Epi Info software, version 6.04 and described in simple and relative frequencies. It was found that for 33% of the children. complementary foods were introduced at six months. Of these, 88.2%, 69.2% and 57.1% showed ascending weight-for-age growth curves, and 88.2%, 66.7% and 71.4% ascending length-for-age growth curves at six, seven and eight months respectively. Children with appropriate and timely introduction of complementary feeding showed upward growth curves and adequate nutritional status.

scholarly journals The practice of hand hygiene in the maternities of the public hospitals of Lubumbashi

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Hand Hygiene ◽  
Descriptive Study ◽  
Public Hospitals ◽  
Hand Washing ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
The Public ◽  
Hand Rubbing ◽  
Maternity Hospitals ◽  
The One

Introduction: The objective of this study was to evaluate the practice of hand hygiene in the maternities of the public hospitals of Lubumbashi. Method and techniques: We carried out a cross-sectional descriptive study in which the population consisted on the one hand of the technical rooms of the maternity hospitals and the operating rooms for cesarean sections and on the other hand the nurses responsible for these maternities. The observation technique using an observation guide of the WHO model allowed us to collect the data. Results: Hand hygiene was not properly carried out in the maternity wards of Lubumbashi's public hospitals. Most of the prerequisites before hand washing and hydro-alcoholic hand rubbing were not respected, the prerequisites for surgical hand washing were observed only at 21.4%:e wearing of short-sleeved clothing (43.0%),absence of jewelry (78.6%), short nails without varnish and false nails (50.0%). In the absence of hydroalcoholic solution (SHA) (71.4%) for the friction, they used denatured alcohol (28.6%). The duration of soaping and friction was in an interval between 11 to 20 seconds or 42.9% and that of hygienic hand washing was observed at 28.6%. The duration of surgical and antiseptic hand washing was 21 to 40 seconds to 35.7%. Only 21.4% of the departments surveyed had used the broad-spectrum antiseptic foaming solution, no structure had a sterile disposable brush for hygienic and surgical hand washing, 2/14 departments surveyed had sterile disposable towels, the water used had not undergone bacteriological control and only one service, ie 7.1%, which had non-manually operated bins. Conclusion: Hand hygiene is not properly carried out in maternity hospitals in Lubumbashi's public hospitals, due to a lack of equipment and knowledge on this practice, equipment must be provided and staff trained in hand hygiene.

scholarly journals Good practices for preventing ventilator-associated pneumonia in the emergency department

2019 ◽  
Vol 53 ◽  
Author(s):  
Melissa Lopes Frota ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Luiz Humberto Vieri Piacezzi ◽  
Meiry Fernanda Pinto Okuno ◽  
...  
Keyword(s):  
Emergency Department ◽  
Analytical Study ◽  
Hospitalized Patients ◽  
Quantitative Approach ◽  
University Hospital ◽  
Care Process ◽  
Ventilator Associated Pneumonia ◽  
Cross Sectional ◽  
Good Practices ◽  
The City

ABSTRACT Objective: To evaluate the conformity of the set of good practices for preventing ventilator-associated pneumonia (VAP) in the emergency department of a university hospital. Method: A cross-sectional analytical study with a quantitative approach, conducted in a university hospital in the city of São Paulo. The study sample consisted of opportunities for care observations that comprise the set of good practices for preventing ventilator-associated pneumonia provided to intubated patients hospitalized in the emergency department. Results: A total of 209 observations were performed in 42 patients. Of the hospitalized patients, 23.8% developed VAP, and 52.4% died. Of the five recommended measures for preventing VAP, only two presented compliance above 50%. Conclusion: The care provided to patients is not in line with what is recommended in the literature, which demonstrates the need for periodic renewal of the team’s educational practices and the development of auditing projects to ensure improvements in the care process.

Placebo use in clinical practice by nurses in an Iranian teaching hospital

2011 ◽  
Vol 18 (3) ◽  
pp. 364-373 ◽  
Author(s):  
Nayereh Baghcheghi ◽  
Hamid Reza Koohestani
Keyword(s):  
Clinical Practice ◽  
Teaching Hospital ◽  
Descriptive Study ◽  
Placebo Treatment ◽  
Self Report ◽  
University Hospital ◽  
Cross Sectional ◽  
The Past ◽  
Knowledge And Attitude

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.

Composição Corporal de Adultos Com Síndrome de Down e Excesso de Peso Atendidos em Hospital Universitário

2018 ◽  
Vol 22 (1) ◽  
pp. 47
Author(s):  
Leiliane Cruz Reis ◽  
Livia Maria Machado Nunes ◽  
Maria Edilma Da Silva Bezerra ◽  
Rosilene Reis Della Noce
Keyword(s):  
Body Composition ◽  
Down Syndrome ◽  
Overweight And Obesity ◽  
The Body ◽  
Fat Free Mass ◽  
University Hospital ◽  
Normal Range ◽  
Cross Sectional ◽  
The Mean ◽  
The City

Pessoas com Síndrome de Down podem, frequentemente, apresentar doença cardíaca congênita, hipotireoidismo, distúrbios gastrointestinais e tendência ao sobrepeso e obesidade, comprometendo gravemente a saúde. O objetivo deste trabalho foi descrever a composição corporal de adultos com Síndrome de Down - SD e excesso de peso, atendidos em um Hospital Universitário. Trata-se de um estudo transversal e descritivo realizado na cidade de Belém do Pará, no ano de 2017, onde os participantes com SD, foram avaliados para determinação da composição corporal com a utilização do aparelho de bioimpedância elétrica InBody230. Foram avaliados 13 indivíduos de ambos os sexos com idades variando entre 20 e 40 anos. A média de peso dos indivíduos do sexo masculino e feminino foi de 71,8 kg e 69,2 kg respectivamente, a média de Índice de Massa Corporal - IMC foi de 31,27 kg/m² para os homens e 34,08 kg/m² para as mulheres, classificada em obesidade. A maioria dos indivíduos apresenta Massa Muscular Esquelética - MME e Massa Livre de Gordura - MLG dentro da faixa de normalidade, porém os valores de Massa de Gordura (MG), assim como a Relação Cintura Quadril - RCQ de todos os indivíduos estão elevados. O acompanhamento individualizado da composição corporal, por meio da bioimpedância elétrica, mostrou ser um instrumento eficaz para avaliação do estado nutricional dessa população.Palavras-chave: Síndrome de Down. Composição Corporal. Bioimpedância Elétrica.AbstractPeople with Down Syndrome can often have congenital heart disease, hypothyroidism, gastrointestinal disorders, and tendency to overweight and obesity severely compromising health. The objective of this study was to describe the body composition in adults with Down Syndrome and overweight treated in a University Hospital. This is a cross-sectional and descriptive study carried out in the city of Belém do Pará in 2017, where the participants with DS, were evaluated to determine the body composition with the use of InBody 230 electric bioimpedance device. Eight individuals of both sexes with ages varying between 20 and 40 years were evaluated. The mean weight of the male and female subjects was 71.8 kg and 69.2 kg respectively, the mean Body Mass Index (BMI) was 31.27 kg / m² for men and 34.08 kg / m² for women, classified as obesity. The majority of individuals had a Skeletal Muscle Mass (MME) and Fat Free Mass (MLG) within the normal range, but the values of Mass of Fat (MG), as well as the Hip Waist Ratio (WHR) of all individuals are high. The individualized monitoring of body composition through electric bioimpedance proved to be an effective tool for assessing the nutritional status of this population.Keywords: Down Syndrome. Body composition. Electric impedance.

scholarly journals Hand hygiene knowledge, perception and practice of healthcare workers in a Turkish university hospital intensive care unit

2019 ◽  
Vol 13 (08) ◽  
pp. 744-747 ◽  
Author(s):  
Uluhan Sili ◽  
Pinar Ay ◽  
Huseyin Bilgin ◽  
Seyhan Hidiroglu ◽  
Volkan Korten
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Healthcare Workers ◽  
Compliance Rate ◽  
Cross Sectional Study ◽  
University Hospital ◽  
World Health ◽  
Training Methods ◽  
Cross Sectional

Introduction: While improvement of hand hygiene (HH) compliance is considered as the best approach to reduce healthcare-associated infections, the instructional interventions in HH among healthcare workers of intensive care unit (ICU) of our hospital was not successful enough. The following study was conducted to evaluate HH knowledge, perception, practice and effectiveness of the trainings among healthcare workers of ICU in our hospital. Methodology: A cross-sectional study was conducted in the ICU containing 8 medical and 16 surgical beds with 284 filled questionnaires about HH knowledge and 1187 observed opportunities for HH compliance. Results: Overall observed HH compliance rate was 40.6%; lowest compliance was 21.7% for “before clean/aseptic procedure” indication and highest compliance was 68.6% for “after touching a patient” indication. Although > 90% healthcare workers correctly identified the World Health Organization’s five indications for HH, 82 – 85% failed to recognize non-indications, i.e. when it was not necessary to perform HH. Our study showed that 15.1% of healthcare workers neither received nor felt the need for HH training. Conclusions: Despite regular HH trainings, healthcare workers could not differentiate when HH was not required which suggested failure to understand HH rationale. This may explain poor HH compliance rates. A systematic study is needed in order to find out the reasons behind of this noncompliance and improve HH training methods for educating healthcare workers.

scholarly journals Pleasure and suffering among hospital nurses

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Cláudia Jeane Lopes Pimenta ◽  
Thaíse Alves Bezerra ◽  
Kaisy Pereira Martins ◽  
Tatiana Ferreira da Costa ◽  
Lia Raquel de Carvalho Viana ◽  
...  
Keyword(s):  
Quantitative Study ◽  
Work Practice ◽  
University Hospital ◽  
Hospital Nurses ◽  
Work Characteristics ◽  
Critical Levels ◽  
Cross Sectional ◽  
Practice Characteristics ◽  
Sociodemographic Data ◽  
The City

ABSTRACT Objectives: to associate pleasure and suffering indicators with aspects related to nursing work in hospitals. Methods: This is a cross-sectional quantitative study conducted with 152 nurses from a university hospital in the city of João Pessoa, Paraíba State, Brazil. Data were collected through interviews, using a tool to obtain sociodemographic data, work characteristics and the Pleasure and Suffering Indicators at Work Scale. Results: pleasure living and its domains were rated as satisfactory, while suffering factors and their domains were critically assessed. Statistically significant associations were observed among pleasure and suffering indicators, and some characteristics of nurses' work. Conclusions: it was evidenced that nurses had critical levels of suffering at work associated with their work practice characteristics.

scholarly journals Adiposidad corporal y niveles de actividad física en adolescentes (Body adiposity and levels of physical activity in adolescents)

Retos ◽  
2019 ◽  
pp. 205-209
Author(s):  
Marco Antonio Cossio-Bolaños ◽  
Ruben Vidal-Espinoza ◽  
Marcelo Pino-Valenzuela ◽  
Cristian Luarte-Rocha ◽  
Margot Rivera-Portugal ◽  
...  
Keyword(s):  
Physical Activity ◽  
Positive Relationship ◽  
Descriptive Study ◽  
Abdominal Adiposity ◽  
Cross Sectional ◽  
Body Adiposity ◽  
Control And Prevention ◽  
High Level ◽  
The City ◽  
Selection Of

Los objetivos del estudio son comparar los niveles de adiposidad corporal expresado por medio de Índice de Masa Corporal IMC y circunferencia de la cintura CC con la referencia americana del Centro para el Control y la Prevención de Enfermedades CDC-2012 y analizar si estos niveles de adiposidad corporal difieren entre los adolescentes, según categorías de actividad física AF. Se efectuó un estudio descriptivo transversal en 765 adolescentes (432 hombres y 333 mujeres). La selección de la muestra fue no-probabilística (cuotas). El rango de edad oscila de 10.0 a 18,9 años. Se evaluó el peso, la estatura, CC y se calculó el IMC. Se aplicó un cuestionario de AF. No hubo diferencias significativas de IMC y CC con la referencia del CDC-2012 en adolescentes de ambos sexos (p<0.05). Se observó prevalencia de bajo nivel AF (5,3% para hombres y 14,7% para mujeres), en moderada AF (47.7% en hombres y 63,4% mujeres) y con un elevada AF (47,0% en hombres y 21,9% en mujeres). Se observó relación positiva entre los IMC y CC en las tres categorías (bajo nivel: r= 0,94 hombres y r= 0,87 mujeres, moderado nivel: r= 0,87 hombres y r= 0,86 mujeres y elevado nivel de AF: r= 0,85 hombres y r= 0,63 mujeres). Los adolescentes estudiados reflejan similares patrones de adiposidad corporal que la referencia del CDC-2012. Además, los clasificados con elevada AF, reflejaron menor adiposidad abdominal que las demás categorías de AF.Abstract. The objectives of the study were to compare body adiposity levels expressed by means of Body Mass Index (BMI) and waist circumference (WC) with the American reference of the Center for Disease Control and Prevention (CDC-2012); and to analyze whether these body adiposity levels differ among adolescents by physical activity categories. A cross-sectional descriptive study was carried out with 765 adolescents (432 boys and 333 girls). The selection of the sample was non-probabilistic (quotas). We included 4 schools from the city of Talca, Chile. The age interval ranged from 10.0 to 18.9 years old. Weight, height, and WC were evaluated, and BMI was calculated. A PA questionnaire was applied. There were no significant differences in BMI and WC with the reference of CDC-2012 in adolescents of both genders (p <0.05). Prevalence of low PA level was observed (5.3% for boys, and 14.7% for girls), as well as moderate PA level (47.7% in boys, and 63.4% girls) and high PA level (47,0% in boys, and 21.9% in girls). Positive relationship was found between the indicators of body adiposity (BMI and WC) in the three categories (low level: r = 0.94 boy, and r = 0.87 girls; moderate level: r = 0.87 boys, and r = 0.86 girls; and high level of PA: r = 0.85 boys, and r = 0.63 girls). The adolescents in this study reflect similar patterns of corporal adiposity as in the CDC-2012 for both genders. In addition, schoolchildren classified with high level of PA reflected lower abdominal adiposity than those in the other PA categories.

scholarly journals Application of the general message of balanced nutrition during the pandemic coronavirus disease 2019 (COVID-19) in Mataram City

2021 ◽  
Vol 9 (2) ◽  
pp. 151-158
Author(s):  
Luh Putu Prema Wadhani ◽  
Nani Ratnaningsih
Keyword(s):  
Healthy Lifestyle ◽  
Descriptive Study ◽  
Work Status ◽  
Questionnaire Data ◽  
Inclusion Criteria ◽  
Cross Sectional ◽  
Nutrition Guidelines ◽  
Elementary School Education ◽  
The City ◽  
Survey Approach

Background: Coronavirus Disease 2019 (COVID-19) in 2020 became the limelight worldwide, including in Indonesia. Infection caused by this virus can be prevented by social distancing, physical distancing, and a healthy lifestyle. Maintaining nutritional intake by implementing balanced nutrition guidelines is very important to enhance the immune system.Objectives: This study aimed to determine the description of the application of balanced nutrition guidelines during the COVID-19 pandemic in the community in Mataram City.Materials and Methods: This research was a descriptive study with a survey approach, and the data taken were cross-sectional. This research was conducted in May-June 2020 in the community in the Mataram City taken by purposive sampling with inclusion criteria, namely women and men of productive age, domiciled in the city of Mataram, married status, and at least elementary school education. Respondents in this study were 460 respondents who were calculated using the Slovin formula. Data on the application of balanced nutrition guidelines were obtained using a questionnaire. Data from the results of this research were analyzed using descriptive methods.Results: There are as many as >90% of the community has implemented a general message of balanced nutrition in addition to the fifth message. As many as 89.9% of respondents did not apply the fifth general message of balanced nutrition in limiting consumption of sweet, salty, and fatty foods. The majority of applications >50% of general messages of balanced nutrition were applied by respondents aged 21-29 years, female, high education and work status. Conclusions: The application of the general message of balanced nutrition during the epidemic COVID-19 in Mataram City was implemented optimally, but this application was not carried out in the fifth message in limiting consumption of sweet, salty, and fatty foods.

scholarly journals EVALUATE THE DIFFICULTY OF EXTRACTION OF LOWER WISDOM TEETH AT THAI BINH MEDICAL UNIVERSITY HOSPITAL

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Nguyen Thi Sen ◽  
Le Xuan Hung
Keyword(s):  
Normal Level ◽  
Descriptive Study ◽  
University Hospital ◽  
Average Score ◽  
Type Ii ◽  
Cross Sectional ◽  
Lower Jaw ◽  
Wisdom Teeth ◽  
Level Of Difficulty ◽  
Medical University

Objective: Evaluate the difficulty of extraction of lower wisdom teeth according to Parant at ThaiBinh Medical University Hospital.Subjects and methods: Descriptive study through cross-sectional investigation of 143 subjects withlower wisdom teeth surgery at Thai Binh Medical University Hospital from November 2019 to June2020.Results: The percentage of missing wisdom teeth was about 57.34%; stuck (position A2) for 47.55%;Far/horizontal deviation accounted for 37.06%, proximal deviation accounted for 33.57%, there wasno case of inverted lower wisdom teeth; The morphology of lower wisdom teeth has 1 foot or manylegs bunched for 41.96%; density of lower jaw bone is mainly type II (normal) for 86.01%; ligamentlight around the teeth at normal level accounted for the most with 93.71%.Conclusions: The level of difficulty in extraction of lower wisdom teeth has an average score of11.83 ± 2.09.

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