scholarly journals Vivências e autonomia de enfermeiras de uma Unidade de Pronto Atendimento em tempo de pandemia

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Juliana Silveira Bordignon ◽  
Caroline Porcelis Vargas ◽  
Soraia Dornelles Schoeller ◽  
Evangelia Kotzias Atherino Santos
Keyword(s):  
Emergency Care ◽  
Descriptive Study ◽  
Leadership Role ◽  
Nursing Assistants ◽  
Critical Periods ◽  
Emergency Plan ◽  
Technical Aspects ◽  
Frontline Workers ◽  
El Sistema ◽  
The Moment

Objetivo: descrever a experiência de enfrentamento e mudança às demandas de enfermeiras atuantes em uma Unidade de Pronto Atendimento 24 horas que se consolidou como unidade de referência para triagem de pacientes acometidos pela CoViD-19. Método: estudo descritivo, na modalidade relato de experiência, sobre a vivência de enfermeiras assistenciais atuantes em uma UPA 24h. Resultados: as enfermeiras desse relato assumiram na UPA um papel de liderança na equipe, a fim de gerenciar continuamente tanto os aspectos técnicos,quanto a gestão de suprimentos, tendo um plano de emergência para garantir o preparo e a segurança da força de trabalho da Enfermagem. Para tanto, foi necessário a essas profissionais se empoderar do conhecimento, de modo que fosse possível realizar treinamentos e capacitações com suas próprias equipes. Conclusão: a experiência relatada mostra que, mesmo em períodos críticos para o sistema de saúde como o determinado pela pandemia da CoViD-19, é possível realizar mudanças e adaptações necessárias ao momento. Além disso, a crise demonstra que as enfermeiras são mais do que trabalhadores da linha de frente, mas também são aqueles que tomam a frente para que as mudanças efetivamente aconteçam.Descritores: Enfermeiras e Enfermeiros; Emergências; Serviços de Saúde; Coronavirus.EXPERIENCES AND AUTONOMY OF NURSES IN AN EMERGENCY CARE UNIT IN PANDEMIC TIMEObjective: to describe the experience of coping and changing the demands of nurses working in a Emergency Care Unit that has consolidated itself as a reference unit for screening patients affected by COVID-19. Method: a descriptive study, in the experience report modality, about the experience of nursing assistants working in a Emergency Care Unit. Results: the nurses in this report assumed a leadership role in the team at the Emergency Care Unit, in order to continuously manage both technical aspects and supply management, with an emergency plan to ensure the preparation and safety of the nursing workforce. Therefore, it was necessary for these professionals to empower themselves with knowledge, so that it was possible to conduct training and qualifications with their own teams. Conclusion: the reported experience shows that, even in critical periods for the health system as determined by the COVID-19 pandemic, it is possible to make changes and adaptations necessary to the moment. In addition, the crisis demonstrates that nurses are more than frontline workers, but they are also the ones who take the lead to make the changes happen.Descriptors: Nurses; Emergencies; Health Services; Coronavirus. EXPERIENCIAS Y AUTONOMÍA DE ENFERMERÍA EN UNA UNIDAD DE ATENCIÓN DE EMERGENCIA EN TIEMPO PANDÉMICOObjetivo: describir la experiencia de enfrentar y cambiar las demandas de las enfermeras que trabajan en una Unidad de Atención de Emergencia que se ha consolidado como una unidad de referencia para la detección de pacientes afectados por COVID-19. Método: un estudio descriptivo, en forma de informe de experiencia, sobre la experiencia de los auxiliares de enfermería que trabajan en una Unidad de Atención de Emergencia. Resultados: las enfermeras en este informe asumieron un papel de liderazgo en el equipo de la Unidad de Atención de Emergencia, con el fin de gestionar continuamente tanto los aspectos técnicos como la gestión de suministros, con un plan de emergencia para garantizar la preparación y la seguridad de la fuerza laboral de enfermería. Por lo tanto, era necesario que estos profesionales se empoderaran con el conocimiento, de modo que fuera posible realizar capacitaciones y calificaciones con sus propios equipos. Conclusión: la experiencia informada muestra que, incluso en períodos críticos para el sistema de salud según lo determinado por la pandemia da COVID-19, es posible realizar los cambios y adaptaciones necesarios en este momento. Además, la crisis muestra que las enfermeras son más que trabajadores de primera línea, pero también son quienes toman la iniciativa para que los cambios sucedan.Descriptores: Enfermeras y Enfermeros; Urgencias Médicas; Servicios de Salud; Coronavirus.

scholarly journals Feelings and expectations of mothers of preterm babies at discharge

2007 ◽  
Vol 20 (3) ◽  
pp. 333-337 ◽  
Author(s):  
Maria Zuleide da Silva Rabelo ◽  
Edna Maria Camelo Chaves ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Maria do Socorro Mendonça Sherlock
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Descriptive Study ◽  
Preterm Babies ◽  
The Moment

OBJECTIVE: To investigate the feelings and expectations of mothers of preterm babies at discharge. METHODS: This descriptive study used Bardin's framework to collect data among 11 mothers of preterm babies from a Neonatal Intensive Care Unit. Data were collected through interviews from December 2004 to January 2005. RESULTS: Four categories emerged: the moment of the discharge; mothers' knowledge and questions; mothers' preparation and orientation for discharge; and, mothers' desired orientation. CONCLUSION: Although mothers' experienced excitement and happiness at discharge, many reported being anxious and insecure on how to take care of their preterm babies.

Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study

2020 ◽  
Vol 40 (3) ◽  
pp. 151-161
Author(s):  
Mats Holmberg ◽  
Staffan Hammarbäck ◽  
Henrik Andersson
Keyword(s):  
Mental Illness ◽  
Registered Nurses ◽  
Emergency Care ◽  
Descriptive Study ◽  
Main Theme ◽  
Patient Assessment ◽  
Hospital Emergency ◽  
Self Confidence ◽  
Qualitative Descriptive ◽  
Existential Dimension

Patients with mental illness are exposed and experience themselves as not being taken seriously in emergency care. Registered nurses need to assess patients with mental illness from a holistic perspective comprising both a physical and an existential dimension. The aim of the study was to describe registered nurses’ (RNs) experiences of assessing patients with mental illness in emergency care. Twenty-eight RNs in prehospital and in-hospital emergency care were individually interviewed. The interviews were analysed descriptively. The design followed the COREQ-checklist. One main theme ‘A conditional patient assessment’ and two themes; ‘A challenged professional role’ and ‘A limited openness for the patient’, comprising in turn four sub-themes emerged. Although the RNs showed willingness to understand the mental illness aspects of their patients, they were insufficient in their assessments. This implies the importance of developing emergency care RNs’ competence, knowledge and self-confidence in assessments and care of patients with mental illness.

scholarly journals Seasonal variation of spider species composition in Volgograd agglomeration

2020 ◽  
pp. 90-96
Author(s):  
A. S. Hnykin ◽  
E. A. Ivantsova
Keyword(s):  
Species Composition ◽  
Acetic Acid Solution ◽  
Warm Season ◽  
Critical Periods ◽  
Summer Diapause ◽  
Volgograd Region ◽  
Spider Community ◽  
Analysis Application ◽  
The Moment ◽  
Maximum Similarity

The article addresses changes in the species composition of spiders during the warm season. The qualitative and quantitative characteristics of the spider community were analyzed during the most important periods of their activity in the main biotopes of the Volgograd agglomeration. The Cluster Analysis application, based on the Jaccard index, was used. The material was collected using 10 mm Barber soil traps with a fixing liquid (6% acetic acid solution). In total, 235 species of spiders belonging to 26 families were identified, including 195 species belonging to 23 families on the territory of Volgograd. Notably, 155 species were new to the fauna of the Volgograd region. Species Trichoncus villius Tanasevitch et Piterkina was found in the Russian Federation for the first time. The species composition was analyzed during critical periods of spider life: the end of winter diapause, the time before the summer diapause, the termination of summer diapause, and the period of before winter the diapause. In each case a set of traps were exposed for seven days. The spring period was characterized by the maximum number of species, and the maximum similarity in species composition was observed between the moment when spiders leave the winter diapause and the period before the summer diapause. During the warm season, the species composition changed almost completely twice: before the end of the summer diapause and at the end of the warm season, approaching the spring values. These changes were significantly less relevant to near-water biotopes, where environmental conditions were more stable compared to the other studied biotopes.

scholarly journals Mobile emergency care service: the work on display

2014 ◽  
Vol 23 (3) ◽  
pp. 538-546 ◽  
Author(s):  
Isabela Silva Cancio Velloso ◽  
Meiriele Tavares Araújo ◽  
Jéssica Dias Nogueira ◽  
Marília Alves
Keyword(s):  
Emergency Care ◽  
Qualitative Case Study ◽  
Care Service ◽  
Nursing Assistants ◽  
Radio Communication ◽  
Structured Interviews ◽  
The Everyday ◽  
Parallel Network ◽  
Belo Horizonte

The aim of the present study was to discuss the way visibility constitutes a power device in the everyday practice of the Mobile Emergency Care Service in Belo Horizonte, Minas Gerais, Brazil. A qualitative case study was developed and data were collected through semi-structured interviews with 31 workers of the service (five physicians, 11 nurses, seven nursing assistants and eight ambulance drivers) and submitted to discourse analysis. The analysis of power relations in the service allowed to verify that there is not an only one source from which the power emanates in this organizational structure. Power is exercised through many techniques and their sources are scattered, diffuse, interchangeable and even confusing. Although there is a hierarchical structure formally established, a parallel network to this structure is formed. It was also observed that the visibility generated by radio communication provides constant supervision, which generates tension within the team.

scholarly journals Adolescentes com neoplasia: desenho como expressão de emoções

2019 ◽  
Vol 13 (4) ◽  
pp. 893
Author(s):  
Sandra Lopes Cavalcanti ◽  
Divanise Suruagy Correia
Keyword(s):  
Image Analysis ◽  
Therapeutic Process ◽  
Descriptive Study ◽  
Research Tool ◽  
Qualitative Descriptive ◽  
The Moment ◽  
Constituent Elements

RESUMOObjetivo: identificar significados sobre a neoplasia em desenhos de adolescentes acometidos pela enfermidade. Método: trata-se de um estudo qualitativo, descritivo, com três adolescentes assistidos por uma associação de pais e amigos leucêmicos. Usaram-se o desenho dos adolescentes como instrumento de pesquisa e a teoria de análise semiótica de imagens. Consideraram-se a narrativa do desenho e a figura em si, observando-se: cor, traçado, forma, elementos constitutivos e representação da figura. Resultados: destaca-se que, nos desenhos, predominaram tons de cinzas e pouco colorido, o que demonstra medo e insegurança, sentimentos que são comuns em enfermidades e que traduzem a situação vivenciada pelos adolescentes portadores de doença limitadora com riscos de ser terminal. Revela-se que as figuras humanas aparecem com traços finos e de forma infantil para a idade e, apesar de terem sido estimulados a verbalizar sobre sua doença, poucos falaram e as falas confirmaram os resultados obtidos por meio dos desenhos. Conclusão: mostrou-se, pelo uso do desenho, a percepção da vivência dos adolescentes com câncer, revelando seus sentimentos quanto ao momento vivenciado, podendo ser usado como processo terapêutico auxiliar. Descritores: Neoplasias; Adolescente; Emoções Manifestas; Desenhos; Doença; Psicologia. ABSTRACT Objective: to identify meanings about neoplasia in drawings of adolescents affected by the disease. Method: this is a qualitative, descriptive study with three adolescents assisted by an association of leukemic parents and friends. The design of adolescents was used as a research tool and the theory of semiotic image analysis. The narrative of the drawing and the figure itself were considered, observing: color, stroke, shape, constituent elements and representation of the figure. Results: it is noteworthy that, in the drawings, gray tones predominated and little colored, which shows fear and insecurity, feelings that are common in diseases and that translate the situation experienced by adolescents with limiting disease with risks of being terminal. It is revealed that human figures appear with fine features and childishly for the age, and although they were encouraged to verbalize about their illness, few spoke and the statements confirmed the results obtained through the drawings. Conclusion: the perception of the adolescents' experience with cancer was revealed through the use of the drawing, revealing their feelings about the moment they experienced and could be used as an auxiliary therapeutic process. Descriptors: Neoplasias; Adolescent; Emotions Manifests; Graphics; Disease; Psychology. RESUMEN Objetivo: identificar significados sobre la neoplasia en dibujos de adolescentes acometidos por la enfermedad. Método: se trata de un estudio cualitativo, descriptivo, con tres adolescentes asistidos por una asociación de padres y amigos leucémicos. Se utilizaron el diseño de los adolescentes como instrumento de investigación y la teoría de análisis semiótico de imágenes. Se consideró la narrativa del dibujo y la figura en sí, observándose: color, trazado, forma, elementos constitutivos y representación de la figura. Resultados: se destaca que, en los dibujos, predominaron tonos grises y poco coloreado, lo que demuestra miedo e inseguridad, sentimientos que son comunes en enfermedades y que traducen la situación vivenciada por los adolescentes portadores de enfermedad limitadora con riesgos de ser terminal. Se revela que las figuras humanas aparecen con rasgos finos y de forma infantil para la edad y, a pesar de haber sido estimulados a verbalizar sobre su enfermedad, pocos hablaron y las palabras confirmaron los resultados obtenidos por medio de los dibujos. Conclusión: se mostró, por el uso del dibujo, la percepción de la vivencia de los adolescentes con cáncer, revelando sus sentimientos en cuanto al momento vivenciado, pudiendo ser usado como proceso terapéutico auxiliar. Descritores: Neoplasias; Adolescente; Emoción Expresada; Dibujos; Enfermedad; Psicología.            

scholarly journals Non-verbal communication: aspects observed during nursing consultations with blind patients

2007 ◽  
Vol 11 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Cristiana Brasil de Almeida Rebouças ◽  
Lorita Marlena Freitag Pagliuca ◽  
Paulo César de Almeida
Keyword(s):  
Descriptive Study ◽  
Verbal Communication ◽  
Hand Movements ◽  
Communication Studies ◽  
Reference Framework ◽  
Patient Interaction ◽  
The Moment ◽  
Diabetes Patients ◽  
Blind Patients

Exploratory-descriptive study on non-verbal communication among nurses and blind patients during nursing consultations to diabetes patients, based on Hall's theoretical reference framework. Data were collected by recording the consultations. The recordings were analyzed every fifteen seconds, totaling 1,131 non-verbal communication moments. The analysis shows intimate distance (91.0%) and seated position (98.3%); no contact occurred in 83.3% of the interactions. Emblematic gestures were present, including hand movements (67.4%); looks deviated from the interlocutor (52.8%), and centered on the interlocutor (44.4%). In all recordings, considerable interference occurred at the moment of nurse-patient interaction. Nurses need to know about and deepen non-verbal communication studies and adequate its use to the type of patients attended during the consultations.

scholarly journals La refonte permanente des lois du Québec : implications et modalités

2005 ◽  
Vol 18 (2-3) ◽  
pp. 213-232
Author(s):  
Denis Le May
Keyword(s):  
Present Situation ◽  
Point Of View ◽  
Technical Aspects ◽  
The Third ◽  
Official Gazette ◽  
The People ◽  
The Law ◽  
The Moment

The purpose of this paper is to examine the implication and details of the consolidation of the statutes of the Province of Quebec which is now under way. Unlike earlier consolidations, this one will be permanent and brought up to date annually, and as he approaches his subject, the author describes what must be understood by keeping up to date and who should be responsible for the task. Next, he discusses the technical aspects which ought to be considered in the process of keeping the consolidation up to date, among which are the moment and methods to inserting new texts, the numbering of sections, and the vehicle for the publication of amending legislation. In the third part of his paper, the author describes what important changes would have to be made to the present situation, should the proposed system be adopted. These changes are both documentary (a new presentation of the Quebec official Gazette is advocated) and legislative (new duties of the Quebec Official Printer are stressed). Finally there is established a link between the permanent consolidation and a policy for non-official consolidations. The author concludes with the expression of a point of view on the access of the people to the law.

Turning the Tide

2021 ◽  
pp. 63-80
Author(s):  
Elizabeth H. Bradley ◽  
Lauren A. Taylor
Keyword(s):  
United States ◽  
Global Health ◽  
Bush Administration ◽  
The United States ◽  
Leadership Role ◽  
Health It ◽  
Emergency Plan ◽  
National Interests ◽  
The Social ◽  
Hiv Aids

This chapter describes the principles of grand strategy as applied to global health and public health. It analyzes President George W. Bush's program, called the President's Emergency Plan for AIDS Relief (known as PEPFAR). Developed largely in secret and placed outside the traditional USAID bureaucracy, the PEPFAR program pole vaulted the United States into a leadership role in global health. The chapter then highlights how the use of grand strategic principles resulted in a highly successful, if still limited, global health intervention. The Bush Administration articulated explicit goals, or ends, and connected those to the larger ecology of national interests related to demonstrating American morality, and protecting the United States from the threat of pandemic HIV/AIDS. However, PEPFAR as a strategy was incomplete. It failed to address critical root causes of the spread of HIV/AIDS—the social and economic conditions in which such pathogens emerge and spread.

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