scholarly journals Práticas seguras do/no cuidado de enfermagem no contexto hospitalar: é preciso pensar sobre isso e aquilo

2010 ◽  
Vol 1 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Mara Ambrosina De Oliveira Vargas ◽  
Anna Maria Hecker Luz
Keyword(s):  
Health Care ◽  
Quality Indicators ◽  
Nursing Care ◽  
Safety Management ◽  
De Se ◽  
The Impact ◽  
Reflective Essay ◽  
Safe Practices

O ensaio reflexivo aborda as práticas seguras, do/no cuidado de enfermagem, no contexto hospitalar. Para tanto, analisa como o cuidar na enfermagem é ressignificado nas diferentes propositivas técnicas e políticas para a almejada ampliação das práticas seguras. Finaliza evocando a necessidade da enfermagem de se capacitar cientificamente e de comprometer-se eticamente com ações sistêmicas de avaliação e prevenção, tentando viabilizar a redução de desfechos indesejados e analisar, criteriosamente, o impacto sobre a qualidade do cuidado.Descritores: Gerenciamento de segurança; Certificação; Acreditação; Indicadores de qualidade em assistência à saúde; Contenção de riscos biológicos.Safe practices of and in the nursing care within the hospital context: one needs to think on this and thatThis reflective essay approaches safe practices of and in the nursing care within the hospital context. For such purpose, it analyzes how the nursing care receives a new meaning among the different technical and political proposals for the expected broadening of safe practices.It ends up by evoking the nursing need of qualifying itself scientifically and of committing itself ethically with systemic actions of evaluation and prevention in the attempt of making feasible the reduction of undesirable outcomes and of analyzing with criteria the impact on the care quality.Descriptors: Safety management; Certification; Accreditation; Quality indicators health care; Containment of biohazards.Prácticas seguras de la y en la atención de enfermería en el contexto hospitalario: hay que pensar acerca de eso y aquelloEl ensayo reflexivo aborda las prácticas seguras de la y en la atención de enfermería en el contexto hospitalario. Para tanto, analiza como el cuidar en la enfermería recibe un nuevo significado en las diferentes propuestas técnicas y políticas para la deseada ampliación de las prácticas seguras.Finaliza evocando la necesidad de la enfermería de capacitarse científicamente y de comprometerse éticamente con acciones sistémicas de evaluación y prevención, intentando viabilizar la reducción de resultados no deseados y analizar con criterios el impacto sobre la calidad de la atención.Descriptores: Administración de la seguridad; Certificado de necesidades; Acreditación; Indicadores de calidad de la atención de salud; Contenciónde riesgos biológicos.

Self-Stigma and Veteran Culture

2016 ◽  
Vol 28 (5) ◽  
pp. 438-444 ◽  
Author(s):  
Shari Harding
Keyword(s):  
Health Care ◽  
Cultural Values ◽  
Nursing Care ◽  
Operation Iraqi Freedom ◽  
Cultural Factors ◽  
Operation Enduring Freedom ◽  
Assessment Model ◽  
Community Settings ◽  
The Impact ◽  
Iraqi Freedom

Self-stigma is a salient concept in mental health care. Consequences of self-stigma include increased morbidity and decreased engagement with the health care system. Cultural factors may affect self-stigma and its consequences. This article utilizes the Giger and Davidhizar transcultural assessment model to explore veteran culture and self-stigma. Veterans have their own cultural values that can affect nursing care. Operation Iraqi Freedom and Operation Enduring Freedom veterans are seeking care in community settings more often than within the VA system; therefore, all nurses should be aware of the cultural needs of veterans including the impact of self-stigma.

Caring Presence: A Case Study

2000 ◽  
Vol 4 (2) ◽  
pp. 33-39 ◽  
Author(s):  
Joan Engebretson
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Nursing Care ◽  
Undergraduate Student ◽  
Clinical Rotation ◽  
Care Environment ◽  
Excellent Method ◽  
The Impact ◽  
Pedagogical Discussion

Caring presence, especially the use of silence, is a difficult concept to teach. The use of case study or story is an excellent method to teach this aspect of nursing care. This case, describing an event in a clinical rotation of an undergraduate student, has served as an exemplar for other students. A pedagogical discussion of caring presence as a nursing dynamic and the impact on the patient, nurse, and the environment of care is presented. This story also serves to illuminate the values of the culture of the health care system and the impact that the action of one nurse can have on the care environment.

Human milk bank as a strategy for the nursing care to the newborn

2011 ◽  
Vol 6 (1) ◽  
pp. 188
Author(s):  
Quezia Cristina da Silva Simões Lessa ◽  
Fernanda Almenara Silva Dos Santos ◽  
Inês Maria Diniz Da Horta ◽  
Rita de Cássia Ramos Medeiros
Keyword(s):  
Human Milk ◽  
Breast Feeding ◽  
Nursing Care ◽  
Rio De Janeiro ◽  
Observational Research ◽  
Milk Bank ◽  
De Se ◽  
Human Milk Bank ◽  
The Impact ◽  
De Medicina

ABSTRACTObjective: to evaluate the impact of the human milk bank (HMB) on the nursing care to the newborn and her/his family and highlight the importance of this strategy for the nurse's work. Method: this is an observational research with a qualitative approach, consisting in the experience lived by university students from the undergraduate Nursing course during their 5th semester and the experience of nursing professionals, accomplished through the practice of performing educative activities in the HMB of a university hospital, in 2010, in Rio de Janeiro, Brazil. The research was approved by the Research Ethics Committee of Faculdade de Medicina/Hospital Universitario Antonio Pedro (CEP CMM/HUAP), under the Protocol 129/08. The experiences lived were reported in a field diary and posteriorly analyzed. Results: It was observed that anxiety, along with maternal  fears, collaborate to increase the difficulty in the process of breast feeding (BF). This fact reflects the unqualified prenatal care, the importance of the education process for preventing complications in the BF during the puerperium, and the importance of having a quiet and adequate environment for these practices, which is HMB. Besides, one can notice that the work of HMB with regard to these women provides an increase in the quality of life of the mother, the baby, and the whole community around them. Conclusion: one stresses the need for creating systematic nursing actions that contribute to a better treatment offered to these women, considering the impact that the nursing actions in HMB have on them. Descriptors: nursing care; breast feeding; infant, newborn.RESUMOObjetivo: avaliar o impacto do banco de leite humano (BLH) no cuidado de enfermagem ao neonato e seus familiares e destacar a importância dessa estratégia para o trabalho do enfermeiro. Metodologia:  trata-se de pesquisa observacional com abordagem qualitativa, consistindo na experiência vivenciada por acadêmicas do curso de graduação em Enfermagem durante o 5º período e na experiência de profissionais de enfermagem, concretizada na prática com a realização de atividades educativas no BLH de um hospital universitário, em 2010, no Rio de Janeiro. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa da Faculdade de Medicina/Hospital Universitário Antônio Pedro (CEP CMM/HUAP), sob o Protocolo n. 129/08. As experiências vivenciadas foram relatadas num diário de campo e posteriormente analisadas. Resultados: observou-se que a ansiedade, unida aos medos maternos, colaboram para o aumento da dificuldade no processo de aleitamento materno (AM). Tal fato reflete o atendimento pré-natal desqualificado, a importância do processo de educação para prevenção de complicações no AM durante o puerpério e a importância de se ter um ambiente tranquilo e adequado para essas práticas, que é o BLH. Além disso, pode-se notar que a atuação do BLH em relação a essas mulheres proporciona o aumento da qualidade de vida da mãe, do bebê e de toda comunidade ao redor destes. Conclusão: ressalta-se a necessidade de criar ações sistematizadas de enfermagem que contribuam para um melhor atendimento oferecido a essas mulheres, dado o impacto que as ações de enfermagem no BLH geram sobre estas. Descritores: cuidado de enfermagem; aleitamento materno; recém-nascidoRESUMENObjetivo: evaluar el impacto del banco de leche humana (BLH) en la atención de enfermería al neonato y sus familiares y resaltar la importancia de esa estrategia para el trabajo del enfermero. Método: esta es una investigación observacional con abordaje cualitativo, consistiendo en la experiencia vivida por académicas del curso de graduación en Enfermería durante el 5º periodo y en la experiencia de profesionales de enfermería, concretizada en la práctica con la realización de actividades educativas en el BLH de un hospital universitario, en 2010, en Rio de Janeiro, Brasil. La investigación fue aprobada por el Comité de Ética en Investigación de la Faculdade de Medicina/Hospital Universitário Antônio Pedro (CEP CMM/HUAP), bajo el Protocolo 129/08. Las experiencias vividas fueron relatadas en un diario de campo y analizadas posteriormente. Resultados: se observó que la ansiedad, junto con los miedos maternos, colaboran con el aumento  de la dificultad en el proceso de lactancia materna (LM). Ese facto refleja la atención prenatal descalificada, la importancia del proceso de educación para prevención de complicaciones en el LM durante el puerperio y la importancia de se tener un ambiente tranquilo y adecuado para esas prácticas, que es el BLH. Además, es posible notar que la actuación del BLH con relación a esas mujeres proporciona el aumento de la calidad de vida de la madre, del bebé y de toda la comunidad en torno de ellos. Conclusión:  resaltase la necesidad de crear acciones sistematizadas de enfermería que contribuyan para un mejor atendimiento ofrecido a esas mujeres, dado el impacto que las acciones de enfermería en el BLH generan sobre estas. Descriptores: atención de enfermería; lactancia materna; recién nacido.

scholarly journals PRODUÇÃO CIENTÍFICA: AVALIAÇÃO, FERRAMENTAS E INDICADORES DE QUALIDADE

PontodeAcesso ◽  
2017 ◽  
Vol 11 (2) ◽  
pp. 3
Author(s):  
Lívia Renata Santos ◽  
Denise Maria Rover da Silva Rabelo
Keyword(s):  
Literature Review ◽  
Quality Indicators ◽  
Scientific Production ◽  
Scientific Journals ◽  
International Level ◽  
Scientific Publications ◽  
De Se ◽  
On Line ◽  
The Impact

Resumo: O presente artigo retrata através de uma revisão bibliográfica as fragilidades das publicações científicas nos dias atuais, bem como o impacto das publicações brasileiras a nível mundial. Tem como objetivo identificar os indicadores de qualidade que as entidades recomendam às publicações científicas em âmbito nacional e internacional como: Qualis, ISI, SciELO, agências de fomento e autores da literatura. O trabalho também ressalta a importância de se avaliar os periódicos científicos on-line como forma de manutenção da qualidade, e recomenda um formulário de avaliação para o mesmo. Palavras-chave: Fragilidades de publicações científicas. Indicadores de qualidade. Avaliação de periódicos científicos on-line. SCIENTIFIC PRODUCTION: TOOLS AND QUALITY INDICATORS Abstract: This article shows through a literature review the weaknesses of scientific publications today, and the impact of Brazilian publications worldwide. Aims to identify the quality’s indicators that authorities recommend to scientific publications in national and international level as Qualis, ISI, SciELO, fomentation agencies and literature’s authors. The work also observes the importance of on-line scientific journals evaluating with the quality of maintenance of way and recommend an evaluation form for it. Keywords: Weaknesses of scientific publications. Quality indicators. Scientific on-line journal evaluation.

scholarly journals MODEL OF SAFETY MANAGEMENT SYSTEM OF LAND RECULTIVATION OF PLACES OF AMMUNITION DISPOSAL AND DESTRUCTION

2021 ◽  
pp. 64-69
Author(s):  
Yurij Didovets ◽  
Volodymyr Koloskov ◽  
Hanna Koloskova ◽  
Abdulbaqi Jinadu
Keyword(s):  
Quality Indicators ◽  
Environmental Quality ◽  
Management System ◽  
Safety Management ◽  
Land Reclamation ◽  
Environmental Safety ◽  
Safety Criterion ◽  
Safety Management System ◽  
The Impact ◽  
Explosion Risk

An analysis of the impact of explosion hazards on the level of environmental safety of disposal and destruction of ammunition. An analysis of existing technologies of land reclamation that can be used for places of disposal and destruction of ammunition, and identified opportunities and limitations of their use. For the first time, a simulation model of the safety management system for land reclamation and ammunition destruction was created. During the development of the model, it is proposed to consider the parameters of the site of disposal and destruction of ammunition, which determine the parameters of explosion risk, and environmental quality indicators, as responses to the influence of factors of operation of the site of disposal and destruction of ammunition. Safety criteria are determined using a regulatory approach in three areas: current factors, explosion risk parameters and environmental quality indicators. The integrated safety criterion is defined as the highest value of all individual safety criteria.

scholarly journals Indicadores de qualidade aplicados na assistência de enfermagem em cuidados paliativos: Revisão integrativa da literatura.

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Rafaela Silva Santos ◽  
Fabia Maria Lima ◽  
Joicy Costa Hora ◽  
Deuzany Bezerra Leão
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Quality Indicators ◽  
Nursing Care ◽  
Quality Indicator ◽  
Hospice Care ◽  
Care Quality ◽  
Care Nurse ◽  
Nurse Care ◽  
Care Nursing

Objetivo: Identificar na literatura indicadora de qualidade na assistência de enfermagem em cuidados paliativos. Método: Revisão integrativa da literatura em três bases de dados, com os descritores Nursing, palliative, indicator, palliative care, nurse care, quality indicator, cuidados paliativos, cuidado de enfermagem, tratamento paliativo, palliative assistence, indicadores de qualidade, hospice care, cuidados de conforto, atencíon de enfermería, health care, indicadores de calidad, com amostra final de 7 artigos. Resultados:  Dentre os artigos encontrados foi evidenciado um foco no direcionamento dos indicadores para os cuidados multiprofissional, porém, a maioria dos indicadores encontrados se aplicavam aos cuidados de enfermagem e se dividiram nos aspectos físico, psicológico, social e espiritual. Conclusão: foi encontrada uma pequena quantidade de referências nas bases de dados em relação aos indicadores em cuidados paliativos necessitando de mais estudos voltados para essa área.DESCRITORES: Cuidado de enfermagem; Cuidado paliativo; indicadores de qualidade. Objective: To identify in the literature quality indicators in nursing care in palliative care. Method: Integrative literature review in three databases with the keywords Nursing, palliative, indicator, palliative care, nurse care, quality indicator, palliative care, nursing care, palliative care, palliative assistance, quality indicators, hospice care, comfort care, nursing care, health care, quality indicators, with final sample of 7 articles. Results: Among the articles found there was a focus on the direction of indicators for multiprofessional care, however, most of the indicators found applied to nursing care and were divided into physical, psychological, social and spiritual aspects. Conclusion: A small number of references were found in the databases regarding the indicators in palliative care requiring further studies in this area.DESCRIPTORS: Nursing care; Palliative care; quality indicators. Objetivo: identificar en la literatura indicadores de calidad en cuidados de enfermería en cuidados paliativos. Método: Revisión integral de la literatura en tres bases de datos con las palabras clave Enfermería, paliativos, indicadores, cuidados paliativos, cuidados de enfermería, indicadores de calidad, cuidados paliativos, cuidados de enfermería, cuidados paliativos, asistencia paliativa, indicadores de calidad, cuidados paliativos, atención de confort, atención de enfermería, atención de salud, indicadores de calidad, con muestra final de 7 artículos. Resultados: Entre los artículos encontrados se enfocó la dirección de los indicadores para la atención multiprofesional, sin embargo, la mayoría de los indicadores encontrados se aplicaron a la atención de enfermería y se dividieron en aspectos físicos, psicológicos, sociales y espirituales. Conclusión: se encontró un pequeño número de referencias en las bases de datos con respecto a los indicadores en cuidados paliativos que requieren más estudios en esta área.DESCRIPTORES: Atención de enfermería; Cuidados paliativos; indicadores de calidad. 

scholarly journals Defining Quality Indicators for Best-Practice Management of Inflammatory Bowel Disease in Canada

2014 ◽  
Vol 28 (5) ◽  
pp. 275-285 ◽  
Author(s):  
Geoffrey C Nguyen ◽  
Shane M Devlin ◽  
Waqqas Afif ◽  
Brian Bressler ◽  
Steven E Gruchy ◽  
...  
Keyword(s):  
Health Care ◽  
Inflammatory Bowel Disease ◽  
Quality Indicators ◽  
Bowel Disease ◽  
Best Practice ◽  
Group Discussion ◽  
Published Data ◽  
Inflammatory Bowel ◽  
The Impact

BACKGROUND: There is a paucity of published data regarding the quality of care of inflammatory bowel disease (IBD) in Canada. Clinical quality indicators are quantitative end points used to guide, monitor and improve the quality of patient care. In Canada, where universal health care can vary significantly among provinces, quality indicators can be used to identify potential gaps in the delivery of IBD care and standardize the approach to interprovincial management.METHODS: The Emerging Practice in IBD Collaborative (EPIC) group generated a shortlist of IBD quality indicators based on a comprehensive literature review. An iterative voting process was used to select quality indicators to take forward. In a face-to-face meeting with the EPIC group, available evidence to support each quality indicator was presented by the EPIC member aligned to it, followed by group discussion to agree on the wording of the statements. The selected quality indicators were then ratified in a final vote by all EPIC members.RESULTS: Eleven quality indicators for the management of IBD within the single-payer health care system of Canada were developed. These focus on accurate diagnosis, appropriate and timely management, disease monitoring, and prevention or treatment of complications of IBD or its therapy.CONCLUSIONS: These quality indicators are measurable, reflective of the evidence base and expert opinion, and define a standard of care that is at least a minimum that should be expected for IBD management in Canada. The next steps for the EPIC group involve conducting research to assess current practice across Canada as it pertains to these quality indicators and to measure the impact of each of these indicators on patient outcomes.

scholarly journals The impact of accreditation on health care quality in hospitals

2018 ◽  
Vol 75 (8) ◽  
pp. 803-808 ◽  
Author(s):  
Gordana Markovic-Petrovic ◽  
Mira Vukovic ◽  
Aleksandra Jovic-Vranes
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Mortality Rate ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Average Rate ◽  
Accreditation Process ◽  
Care Quality ◽  
Hospital Days ◽  
The Impact

Background/Aim. Accreditation is considered to be the oldest and most widespread mechanism of independent external evaluation of health care quality and is implemented in over 70 countries worldwide. Despite numerous studies in this field, there is still no solid evidence about its impact on health care quality and patient safety. The goal of this paper was to investigate if the accreditation process has an effect on the difference in values of health care quality indicators. Methods. The study was conducted in two tertiary level health care hospitals, one accredited, the other non-accredited. Values of seven quality indicators in the period before, during and immediately after the completion of accreditation (from 2007?2015), which measure health care quality, patient safety, the efficiency and productivity of the institution, were compared. Results. Of the seven monitored quality indicators, a positive effect of the accreditation process can be attributed to a shorter length of waiting for the first scheduled health check at the institution, shorter length of waiting for the first scheduled surgical check, lower rate of patients with decubitus as well as a decrease of the rate of hospital days per patient with acute myocardial infarction. No effect of accreditation was found on the mortality rate, mortality rate within the first 48 hours of hospitalization, and the average rate of hospital days per patient at the level of the institution. Conclusion. The process of accreditation undoubtedly intensifies activities that contribute to improving health care quality, which results in better health outcomes. Additional research in this field and new evidence about the relationship between accreditation and quality upgrading in health care institutions are required because this could motivate their managers to decide more easily to enter into this process and implement it, despite the additional efforts and financial investments associated with accreditation.

Recruitment and training: the impact of COVID-19 on specialist nursing care

2021 ◽  
Vol 23 (5) ◽  
pp. 1-3
Author(s):  
Katie Morris
Keyword(s):  
Health Care ◽  
Nursing Care ◽  
Care Provider ◽  
Recruitment Process ◽  
Staffing Levels ◽  
The Impact ◽  
And Training

Exemplar Health Care, a specialist nursing care provider, has transformed its recruitment process over the last 12 months to ensure safe staffing levels and continued training during one of the most turbulent and difficult years for the sector. Katie Morris explains.

scholarly journals That Look That Makes You Not Really Want to be There: How Neoliberalism and the War on Drugs Compromise Nursing Care of People Who Use Substances

2019 ◽  
Vol 1 (1) ◽  
pp. 13-27 ◽  
Author(s):  
Kathy Hardill
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Nursing Care ◽  
Health Care Systems ◽  
War On Drugs ◽  
Mitigation Strategies ◽  
Health Care Experiences ◽  
Care Systems ◽  
Global War ◽  
The Impact

Abstract Research conducted in 2016 explored the health care experiences of people who use illicit opioids in small Ontario urban and rural communities. Perspectives of participants who used opioids and of nurse participants were interpreted using Friere’s critical social theory framework to explore sociopolitical, economic and ideological influences. Findings describe pervasive experiences of stigma, discrimination and inappropriate care. Exploration of why such negative experiences with nursing care might be so pervasive led to a consideration of the context of health care systems and in particular of the influences of neoliberalism and the impact of the global War on Drugs. Mitigation strategies to support contextualized nursing practice are outlined. Nurses are called upon to actively resist the pressures of these political forces by advocating for policy change including decriminalization.

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