scholarly journals Intervención Enfermera sobre el nivel de conocimientos del paciente en cuidados postquirúrgicos

2017 ◽  
Vol 14 (2) ◽  
pp. 65
Author(s):  
Alejandra Fuentes-Ramírez
Keyword(s):  
Signs And Symptoms ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Nursing Theory ◽  
Post Intervention ◽  
Personalized Education ◽  
Level Of Knowledge ◽  
Verbal Assessment ◽  
Roy's Adaptation Model

RESUMEN:Objetivo: Evaluar una intervención enfermera sobre el nivel de conocimientos de los pacientes sobre los cuidados postquirúrgicos en un hospital de II nivel de complejidad. Materiales y métodos: Proyecto de gestión del cuidado utilizando como referente metodológico el marco lógico adaptado. Se formuló una estructura conceptual-teórico-empírica para la investigación, que artículo los conceptos de Adaptación de Roy, educación de la teoría de la incertidumbre en la enfermedad de Mishel y se formularon los indicadores empíricos a partir de los diagnósticos, clasificación de resultados y las intervenciones enfermeras para dar solución al problema de la práctica. La muestra estuvo conformada por 101 pacientes adultos, con riesgo quirúrgico  I y II,  que fueron intervenidos quirúrgicamente y permanecían hospitalizados. Se aplicaron como instrumentos de recolección de información previo y posterior a la intervención una valoración verbal de  los sentimientos  sobre la cirugía  y  evaluación de conocimientos sobre los cuidados posquirúrgicos. La intervención incluyó educación personalizada, proyección de videos y explicación con folletos. Resultados: el uso de la intervención permitió mejorar los resultados con relación al nivel de conocimientos en actividad, dieta, cuidados de la herida y los signos y síntomas de infección, pasando de un nivel de conocimientos inicial nulo o bajo  (1, 2) a un nivel sustancial o extenso (4 o 5), según la escala de resultados. Conclusión: la intervención educativa es efectiva al mejorar el nivel de conocimientos de los pacientes con relación a los cuidados posquirúrgicos, así como los pacientes le asignan un significado positivo a la cirugía y la describen como una oportunidad. Este estudio resalta el uso de conocimiento disciplinar en la práctica de enfermeríaPALABRAS CLAVE: educación en salud, enfermería, enfermería perioperatoria, teoría de enfermería. NURSING INTERVENTION REGARDING THE LEVEL OF KNOWLEDGE OF THE PATIENT IN POSTSURGICAL CAREABSTRACTObjective: To evaluate a nursing intervention regarding the level of knowledge of the patients in postsurgical care in a hospital of level 2 of complexity. Materials and Methods: Project of care management using as a methodological reference the adapted logical framework, a conceptual -theoretical- empirical structure was formulated for the research that articulated the concepts of Roy’s adaptation model, education of the Mishel uncertainty of illness theory and empirical indicators were formulated from the diagnoses, classification of results, and nursing interventions to resolve the problem of practice. The sample was made of 101 adult patients, with surgical risk I y II that were surgically intervened and remained hospitalized. The instruments applied for the collection of pre and post intervention were a verbal assessment of the feelings about the surgery and an evaluation of knowledge about postsurgical care. The intervention included personalized education, video projections and explanation with brochures. Results: the use of intervention allowed the results to improve with relation to the level of knowledge in activity, diet, care of the wound and the signs and symptoms of infection, going from an initial level of knowledge null or low (1,2) to a substantial or extensive level (4 or 5), according to this scale of results.  Conclusion: the educative intervention is effective for the improvement of knowledge of the patients with relation to the postsurgical care, as well as patients that give a positive significance to the surgery and describe it as an opportunity. This study highlights the use of disciplinary knowledge in the practice of nursing.KEYWORDS: health education, nursing, pre-post-operative nursing, theory of nursing.INTERVENÇÃO DE ENFERMAGEM SOBRE O NÍVEL DE CONHECIMENTOS DO PACIENTE EM CUIDADOS PÓS-CIRÚRGICOSRESUMOObjetivo: Avaliar uma intervenção de enfermagem sobre o nível de conhecimentos dos pacientes sobre os cuidados pós-cirúrgicos num hospital de II nível de complexidade. Materiais e métodos: Projeto de gestão do cuidado utilizando como referente metodológico o marco lógico adaptado. Formulou-se uma estrutura conceptual -teórico-empírica- para a pesquisa que articulou os conceitos de Adaptação de Roy, educação da teoria da incerteza na doença de Mishel e se formularam os indicadores empíricos a partir dos diagnósticos, classificação de resultados e as intervenções de enfermagem para dar solução ao problema da prática. A amostra esteve conformada por 101 pacientes adultos, com risco cirúrgico I e II, que foram operados cirurgicamente e permaneciam hospitalizados. Aplicaram-se como instrumentos de recolecção de informação antes e após à intervenção uma valoração verbal dos sentimentos sobre a cirurgia e avaliação de conhecimentos sobre os cuidados pós-cirúrgicos. A intervenção incluiu educação personalizada, projeção de vídeos e explicação com folhetos. Resultados: o uso da intervenção permitiu melhorar os resultados com relação ao nível de conhecimentos em atividade, dieta, cuidados da ferida e os signos e sintomas da infecção, passando de um nível inicial de conhecimentos nulo ou baixo (1,2) a um nível substancial ou extenso (4 ou 5), segundo a escala de resultados. Conclusão: a intervenção educativa é efetiva ao melhorar o nível de conhecimentos dos pacientes com relação aos cuidados pós-cirúrgicos, assim como os pacientes lhe assignam um significado positivo à cirurgia e a descrevem como uma oportunidade. Este estudo ressalta o uso do conhecimento disciplinar na prática de enfermagem.Palavras-chave: educação em saúde, enfermagem, enfermagem perioperatória, teoria de enfermagem. 

Small Bowel Obstruction

2010 ◽  
Vol 21 (2) ◽  
pp. 187-194
Author(s):  
Colleen Trevino
Keyword(s):  
Small Bowel ◽  
Physical Examination ◽  
Surgical Intervention ◽  
Signs And Symptoms ◽  
Bowel Ischemia ◽  
Key Factors ◽  
The Past ◽  
Factors Influencing ◽  
Imaging Response

Strategies for the management of small bowel obstructions have changed significantly over the years. Nonoperative medical management has become the mainstay of treatment of many small bowel obstructions. However, the key to the management of small bowel obstructions is identifying those patients who need surgical intervention. Identification of those at risk for bowel ischemia and bowel death is an art as much as it is a science. Using the current literature and the past knowledge regarding small bowel obstructions, the clinician must carefully identify the signs and symptoms that suggest the need for operative intervention. Classification of the obstruction, history and physical examination, imaging, response to decompression and resuscitation, and resolution or progression of symptoms are the key factors influencing the management of small bowel obstructions.

Impact of targeted bundles to reduce the nebulization time gap from prescription to administration among red triaged patients in emergency department: An quality improvement initiative

2021 ◽  
Author(s):  
Seema Sachdeva seema sachdeva ◽  
Akshay Kumar Akshay Kumar ◽  
Parveen Aggarwal Parveen Aggarwal
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Fish Bone ◽  
Quality Improvement Initiative ◽  
Care Hospital ◽  
Analysis Model ◽  
Post Intervention ◽  
Targeted Interventions ◽  
Administration Time

Abstract BackgroundSevere exacerbation of asthma are potentially life-threatening and therefore require prompt care and frequent management. Important elements of early treatment includes recognition of early signs and symptoms of breathing difficulty and timely prescription and administration of therapeutic agents. A subsequent delay in receiving nebulization during an acute exacerbation of asthma can leads to cardiac arrest and even death. AimTo reduce the gap in administration of nebulization from its prescription time among red triaged patients by 50% from its baseline. Setting and designThis interventional study was conducted among red triaged patients in emergency department of tertiary care hospital, India . Material and MethodsBaseline information was collected during first 4 weeks to find gap in administration of nebulization from its prescription time. Fish bone analysis and process map were laid down to analyse the situation. The intervention using targeted bundles was done via 3 PDSA (PDSA1: indenting the nebulizers, PDSA 2: training of doctors and nurses, PDSA 3; introducing equipment checklist) to reduce the gap . A run chart using time series analysis model was used to compare the pre and post intervention nebulization gap. ResultsTotal 74 patients (30 in pre- intervention, 44 in post intervention) admitted in red triaged area were observed for nebulization gap from prescription to administration. Median time for nebulization gap before intervention was 46.5 minutes which reduced to 15 minutes in post intervention phase. ConclusionThis bundles of targeted interventions was successful to reduce the nebulization gap. Key words: nebulization gap, prescription time, administration time

scholarly journals Use of the nursing intervention classification for identifying the workload of a nursing team in a surgical center

2015 ◽  
Vol 23 (5) ◽  
pp. 781-788 ◽  
Author(s):  
João Francisco Possari ◽  
Raquel Rapone Gaidzinski ◽  
Antônio Fernandes Costa Lima ◽  
Fernanda Maria Togeiro Fugulin ◽  
Tracy Heather Herdman
Keyword(s):  
Surgical Care ◽  
Work Load ◽  
Nursing Intervention ◽  
Cross Sectional Study ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Staffing Levels ◽  
Nursing Team ◽  
Nursing Staffing ◽  
Nursing Professionals

Objective: to analyze the distribution of nursing professionals' workloads, according to the Nursing Intervention Classification (NIC), during the transoperative period at a surgical center specializing in oncology.Methods: this was an observational and descriptive cross-sectional study. The sample consisted of 11 nurses, 25 nursing technicians who performed a variety of roles within the operating room, 16 nursing technicians who worked with the surgical instrumentation and two nursing technicians from patient reception who worked in the surgical center during the transoperative period. An instrument was developed to collect data and the interventions were validated according to NIC taxonomy.Results: a total of 266 activities were identified and mapped into 49 nursing interventions, seven domains and 20 classes of the NIC. The most representative domains were Physiological-Complex (61.68%) and Health System (22.12%), while the most frequent interventions were Surgical Care (30.62%) and Documentation (11.47%), respectively. The productivity of the nursing team reached 95.34%.Conclusions: use of the Nursing Intervention Classification contributes towards the discussion regarding adequate, professional nursing staffing levels, because it shows the distribution of the work load.

scholarly journals Impact of educational intervention regarding anaemia and its preventive measures among pregnant women: an interventional study

2017 ◽  
Vol 6 (12) ◽  
pp. 5317 ◽  
Author(s):  
Pankajkumar B. Nimbalkar ◽  
Jaldhara N. Patel ◽  
Nilesh Thakor ◽  
Mansi Patni
Keyword(s):  
Pregnant Women ◽  
Preventive Measures ◽  
Signs And Symptoms ◽  
Contributory Factor ◽  
Interventional Study ◽  
Post Intervention ◽  
Medical College ◽  
Maternal Morbidity And Mortality ◽  
Before And After ◽  
Baseline Knowledge

Background: Iron deficiency anaemia (IDA) is the most common nutritional deficiency in pregnancy and major contributory factor to maternal morbidity and mortality. Objective of present study was to assess knowledge of pregnant women regarding anaemia and its preventive measures before and after educational interventional training.Methods: The present study was an interventional study undertaken in purposively selected pregnant women attending the out patient Department of Obstetrics and Gynecology Department of GMERS Medical College, Gandhinagar During the month of October 2017. Total 100 pregnant women were included after written informed consent. Baseline knowledge of pregnant women regarding anaemia and its preventive measures was assessed by pre-designed, pre-tested and semi structured questionnaire. Single educational interventional training for 45 minutes was given to selected pregnant women. Post– intervention knowledge of pregnant women for the same was assessed after training. Thus, collected data was analyzed /using Epi info 7.Results: Baseline knowledge of the pregnant women regarding causes, signs and symptoms of anemia and dietary sources of iron was 21%, 23% and 40% respectively which was significantly increased to 64%, 66% and 72% respectively after the intervention. Baseline knowledge of the pregnant women regarding factors which inhibit and increase iron absorption was 25% and 4% respectively which was significantly increased to 55% and 41 % respectively after the intervention. Baseline knowledge of the pregnant women regarding treatment of anaemia was 30% which was significantly increased to 79 % after the intervention.Conclusions: There was significant improvement in the knowledge regarding anaemia and its preventive measures among pregnant women after our single educational session.

scholarly journals Pain in emergency units: correlation with risk classification categories

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Wandressa Letícia Viveiros ◽  
Meiry Fernanda Pinto Okuno ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Gabriella Novelli Oliveira ◽  
...  
Keyword(s):  
Signs And Symptoms ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
Risk Classification ◽  
Moderate Intensity ◽  
Ratio Test ◽  
Intense Pain ◽  
Cross Sectional ◽  
Mild Pain

ABSTRACT Objectives: to correlate risk classification categories with the level of pain of patients in an emergency service. Method: cross-sectional study carried out in the Risk Classification of 611 patients. The variables studied were: age, gender, comorbidities, complaint duration, medical specialty, signs and symptoms, outcome, color attributed in the risk classification of and degree of pain. We used Analysis of Variance, a Chi-Square test and a Likelihood Ratio test. Results: the average age was 42.1 years (17.8); 59.9% were women; the green (58.9%) and yellow (22.7%) risk classification prevailed and hypertension (18.3%) was the most common Comorbidity. The most frequent pain intensity was moderate (25.9%). In the red category, patients presented a higher percentage of absence of pain; in the blue, mild pain; and in the green, yellow and orange categories, there was a greater percentage of intense pain (p < 0.0001). Conclusion: among the patients who presented pain, the majority reported moderate intensity. Regarding risk categories, most patients in the red category did not report pain. Those who were classified as green, yellow and orange, reported mostly intense pain. On the other hand, patients in the blue category reported predominantly mild pain.

scholarly journals Contributions of the nursing intervention in primary healthcare for the promotion of breastfeeding

2011 ◽  
Vol 19 (2) ◽  
pp. 429-436 ◽  
Author(s):  
Luís Carlos Carvalho da Graça ◽  
Maria do Céu Barbiéri Figueiredo ◽  
Maria Teresa Caetano Carreira Conceição
Keyword(s):  
Longitudinal Study ◽  
Primary Healthcare ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Sharp Decline ◽  
Quasi Experimental ◽  
The Mean ◽  
Almost All ◽  
Duration Of Breastfeeding ◽  
Individual Consultation

This study aimed to analyze the contributions of the Primary Healthcare nursing interventions, with primiparae in the promotion of breastfeeding. This is a quasi-experimental, longitudinal study, with a sample consisting of 151 primiparae, who had less than 28 weeks of pregnancy, with the child living for at least six months after the birth, performed between 15 October 2007 and 29 February 2008. Almost all the women initiated breastfeeding, with a sharp decline verified in the prevalence at six months. The mean duration of breastfeeding was 123.8±68.9 days. The intervention that began in the prepartum and continued into the postpartum period, using various strategies (individual consultation, preparation courses for parenting/childbirth, and domicile visits) and intervention contexts (health services and domicile) had significant effects on the duration of breastfeeding, which was not verified in the prevalence.

Laryngeal Clefts

1979 ◽  
Vol 88 (6) ◽  
pp. 837-845 ◽  
Author(s):  
Timothy A. Lim ◽  
Suzanne S. Spanier ◽  
Robert I. Kohut
Keyword(s):  
Literature Review ◽  
Surgical Repair ◽  
Signs And Symptoms ◽  
Endoscopic Examination ◽  
Definitive Diagnosis ◽  
Serial Sectioning ◽  
Posterior Cricoarytenoid ◽  
Histopathologic Findings

The histopathologic findings in a case of laryngeal cleft studied by serial sectioning, and a literature review of this clinical entity are presented. The primary micropathologic findings include a cleft deformity of the posterior cricoid lamina, and alterations in muscle differentiation involving the interarytenoid and posterior cricoarytenoid muscles. Possible embryogenic mechanisms are discussed. The clinical picture is characterized by signs and symptoms of aspiration with airway obstruction, and definitive diagnosis is achieved by endoscopic examination. Treatment consists of surgical repair, although some patients with type 1 laryngeal clefts may be managed on a conservative trial. The need for uniform classification of laryngeal clefts in future reporting is emphasized.

Diagnostic Classification of Neuropsychiatric Signs and Symptoms in Patients With Dementia

1997 ◽  
Vol 8 (S3) ◽  
pp. 273-279 ◽  
Author(s):  
Eric D. Caine
Keyword(s):  
Human Immunodeficiency Virus ◽  
Clinical Research ◽  
Medical Diagnosis ◽  
Chronic Headache ◽  
Signs And Symptoms ◽  
Diagnostic Classification ◽  
Persistent Diarrhea ◽  
Immunodeficiency Virus ◽  
Irritable Bowel

Establishing a medical diagnosis serves two utilitarian purposes: providing information necessary to initiate treatment and communicating information regarding prognosis. A nosology or diagnostic nomenclature (i.e., a classification of diagnoses) provides further utility by establishing a foundation for clinical research. In his book, Wulff outlined four types of diagnoses: (1) symptomatic or pseudoanatomic diagnoses (e.g., chronic headache, persistent diarrhea, or irritable bowel); (2) syndromes; (3) anatomic diagnoses; and (4) causal diagnoses. By definition, syndromes have no means of being validated by measures external to the constructs themselves. Often, specific syndromes reflect diverse origins, and conversely, specific etiologies may cause multiple syndromes (e.g., syphilis, human immunodeficiency virus, and diabetes).

scholarly journals Towards enhanced emotional interactions with older persons. Findings from a nursing intervention in home health care.

2016 ◽  
Vol 6 (3) ◽  
pp. 191-199
Author(s):  
Charlotte Veenvliet ◽  
Hilde Eide ◽  
Martijn de Lange ◽  
Sandra van Dulmen
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
Older Persons ◽  
Nursing Intervention ◽  
Home Health ◽  
Post Intervention ◽  
Audio Feedback ◽  
Feedback Intervention ◽  
Before And After ◽  
Post Test

Background. Living at home with a physical condition that requires assistance places high emotional burden on older persons that needs to be attended to by nurses. However, nurses in home health care have previously been found to communicate primarily in an instrumental way. This increases the risk that emotional concerns are being overlooked or not responded to in an appropriate way.Aims and Objectives. To enhance emotional interactions with older clients in home health care, an individual feedback intervention was developed for these nurses. The first experiences and results are presented in this paper.Design and Methods. Ten nurses/nurse assistants participated in this exploratory pre-post test study. They were asked to audiotape visits with older persons (65+) before and after an audio-feedback intervention. Older clients’ implicit and explicit expressions of emotional concerns as well as nurses’ responses to these expressions were rated with the Verona Coding Definition of Emotional Sequences (VR-CoDES). The nurses were given feedback based on the audio-recordings and the observations and were asked to reflect on the audio-feedback intervention.Results. The nurses valued the audio-feedback. Overall, 201 cues and 35 concerns were expressed during 58 recorded visits. At post-intervention, 29% of identified cues and concerns were nurse-initiated, at pre-intervention 18.8% (NS). Nurses provided space in 73.7% of their responses. During shorter visits nurses tended to provide less space (p=.06). After the intervention, 20.9% of the cues and concerns were ignored, before the intervention this was 25% (NS).Conclusions. Receiving feedback was taken in very well by the nurses working in home health care and the feedback intervention seems to enhance emotional interactions in home health care with older persons. Although, due to the low power of the study, the differences between pre-and post-intervention measurements were not significant. Studies with larger samples are needed to replicate these findings.

scholarly journals Peer Group: A New Approach of Nursing Intervention

2021 ◽  
Vol 2 (1) ◽  
pp. 12
Author(s):  
Suyanto Suyanto ◽  
Moses Glorino Rumambo Pandin
Keyword(s):  
Peer Group ◽  
Peer Groups ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Group Support ◽  
Group Approach ◽  
New Approach ◽  
The World ◽  
Group A ◽  
The Impact

The development of nursing, especially related to the nursing intervention approach, is running so fast. This can be seen from the use of peer group support in nursing interventions in individual humans. The purpose of this literature is to find the impact of implementing nursing interventions using a peer group support approach. This literature review method uses JBI and Prisma on 120 articles taken from journal databases, namely Scopus, PubMed and ScienceDirect. From the articles analyzed, it was found that the application of peer groups can improve individual abilities both in psychological and behavioral aspects. The application of the peer group approach is able to be one of the approaches in the world of nursing in carrying out nursing actions today.

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