scholarly journals Remoção de órgãos sólidos para transplante: protocolo para a enfermagem

2019 ◽  
Vol 13 ◽  
Author(s):  
Edna Andréa Pereira de Carvalho ◽  
Shirlei Moreira da Costa Faria ◽  
Natália Ribeiro Ramos ◽  
Karla Rona da Silva

Objetivos: elaborar um instrumento na modalidade de protocolo que permita a uniformidade das ações de Enfermagem em remoção de órgãos sólidos para transplantes. Método: trata-se de estudo qualitativo, descritivo, com foco na construção de um instrumento tecnológico do tipo protocolo, respeitando-se as seguintes etapas: revisão integrativa; coleta de dados por meio de entrevistas semiestruturadas; apreciação dos dados por meio da Análise de Conteúdo; elaboração da proposta de protocolo e utilização do Índice de Validade do Conteúdo para a validação.  Resultados esperados: espera-se disponibilizar, para os centros transplantadores, um protocolo que auxilie o enfermeiro na sistematização das ações de Enfermagem em cirurgias de remoção de órgãos para transplantes, contribuindo para a qualidade e segurança da assistência prestada a adultos e crianças submetidos a transplantes. Descritores: Protocolos Clínicos; Cuidados de Enfermagem; Transplante de Órgãos; Aloenxerto; Competência Profissional; Fluxo de Trabalho. ABSTRACT Objectives: to elaborate an instrument in the protocol modality that allows uniformity of Nursing actions in the removal of solid organs for transplants. Method: this is a qualitative, descriptive study, focusing on the construction of a protocol-type technological instrument, respecting the following steps: integrative review; data collection through semi-structured interviews; data appreciation through Content Analysis; elaboration of the protocol proposal and use of the Content Validity Index for validation. Expected results: It is expected to make available to transplantation centers a protocol that assists nurses in the systematization of Nursing actions in transplantation organ removal surgeries, contributing to the quality and safety of care provided to adults and children undergoing transplantation. Descriptors: Clinical Protocols; Nursing Care; Organ Transplantation; Allografts; Professional Competence; Workflow.RESUMEN Objetivos: elaborar un instrumento en la modalidad de protocolo que permita la uniformidad de las acciones de enfermería en la extracción de órganos sólidos para trasplante. Método: se trata de un estudio cualitativo, descriptivo, centrado en la construcción de un instrumento tecnológico de tipo protocolo, respetando los siguientes pasos: revisión integradora; recopilación de datos a través de entrevistas semiestructuradas; apreciación de datos a través del Análisis de Contenido; elaboración de la propuesta de protocolo y uso del índice de validez de contenido para la validación. Resultados esperados: se espera que se ponga a disposición para los centros de trasplante, un protocolo que ayude el enfermero en la sistematización de las acciones de Enfermería en cirugías de extracción de órganos de trasplante, contribuyendo para la calidad y seguridad de la atención prestada en adultos y niños sometidos a trasplantes. Descriptores: Protocolos Clínicos; Atención de Enfermería; Transplante de Órganos; Aloinjertos; Competencia Profesional; Flujo de Trabajo. 

2019 ◽  
Vol 13 (4) ◽  
pp. 1071
Author(s):  
Caroline Salvador ◽  
Emilli Viana ◽  
Patricia Fernanda Dorow ◽  
Rita De Cássia Flôr ◽  
Laurete Medeiros Borges ◽  
...  

RESUMOObjetivo: identificar os cuidados de Enfermagem Oncológica em Radioterapia. Método: trata-se de um estudo qualitativo, descritivo, realizado em um centro de tratamento oncológico referência com três enfermeiras. Coletaram-se os dados mediante entrevistas semiestruturadas por meio de um roteiro e analisados a partir da técnica de Análise de Conteúdo. Resultados: extraíram-se as expressões-chave e ideias centrais, emergiram três categorias que desenharam a atuação do enfermeiro: a) Equipe multidisciplinar envolvida na radioterapia; b) O processo de trabalho das enfermeiras em radioterapia; e, c) As práticas para amenizar os efeitos colaterais da radioterapia Conclusão: ressaltam-se que os cuidados oncológicos em radioterapia consistem em ações individualizadas que, auxiliam diretamente na prevenção, minimização e/ou tratamento das reações adversas causadas pelo tratamento, articulados promovem melhor qualidade de vida do paciente oncológico. Descritores: Enfermagem Oncológica; Cuidados de Enfermagem; Radioterapia; Enfermagem Radiológica e de Imagem; Cuidados com a Pele; Qualidade de Vida. ABSTRACT Objective: to identify the care of Oncology Nursing in Radiotherapy. Method: this is a qualitative, descriptive study performed at a referral center for cancer treatment with three nurses. The data were collected through semi-structured interviews through a script and analyzed using the Content Analysis technique. Results: key expressions and central ideas were extracted, three categories emerged that designed the nurse's performance: a) Multidisciplinary team involved in radiotherapy; b) The work process of the nurses in radiotherapy; and c) Practices to mitigate the side effects of radiotherapy Conclusion: it is emphasized that oncological care in radiotherapy consists of individualized actions that directly aid in the prevention, minimization and / or treatment of the adverse reactions caused by the treatment, articulations promote better quality of life of cancer patients. Descriptors: Nursing Oncology; Nursing care; Radiotherapy; Radiological and Image Nursing; Skin care; Quality of Life.RESUMEN Objetivo: identificar los cuidados de Enfermería Oncológica en Radioterapia. Método: se trata de un estudio cualitativo, descriptivo, realizado en un centro de tratamiento oncológico referencia con tres enfermeras. Se recolectaron los datos mediante entrevistas semiestructuradas por medio de un guion y analizados a partir de la técnica de Análisis de Contenido. Resultados: se extrajeron las expresiones clave e ideas centrales, surgieron tres categorías que diseñaron la actuación del enfermero: a) Equipo multidisciplinario involucrado en la radioterapia; b) el proceso de trabajo de las enfermeras en radioterapia; y c) las prácticas para amenizar los efectos colaterales de la radioterapia Conclusión: se resalta que los cuidados oncológicos en radioterapia consisten en acciones individualizadas que, auxilian directamente en la prevención, minimización y / o tratamiento de las reacciones adversas causadas por el tratamiento, articulados promueven mejor calidad de vida del paciente oncológico. Descritores: Enfermería Oncológica; Cuidado de Enfermera; Radioterapia; Enfermería Radiológica y de Imágenes; Cuidado de la Piel; Calidad de Vida.


Stroke ◽  
2016 ◽  
Vol 47 (suppl_1) ◽  
Author(s):  
Xichenhui Qiu ◽  
Janet W SIT ◽  
Haixia Feng

Introduction: Among the estimated 22.5 million stroke survivors in China, 78% of them require home care. Previous research has indicated that culture can have a significant impact on caregivers’ perceptions of the caregiving role. There is a dearth of research on stroke caregivers’ perceptions within the Chinese culture. Objective: To explore how Chinese culture influences the perceptions of the caregiving role among stroke caregivers. Methods: In this qualitative descriptive study, 14 stroke caregivers were recruited from a 1800-bed regional hospital in China. Caregivers were on average 58 years old (range 46-74), 78% female, 50% spouse-caregivers and 50% children-caregivers. Caregivers spent on average 14 hours per day (range 5-24) providing care. All were 1st time caregivers who had provided stroke caregiving < 12 months. Individual, semi-structured interviews were conducted. Qualitative content analysis was performed. Strategies to achieve trustworthiness include triangulation of the data in the analysis process, member checking and peer debriefing. Results: Three themes emerged from the interviews. (1) Caregiving is a natural expected part of life. All caregivers accepted caregiving for the sick family member as an expected part of life. This perception is deeply rooted in Chinese culture. (2) Caregiving is a culturally prescribed obligation. Spouse caregivers believe that it is their moral obligation to take care of their sick life partner. Female caregivers emphasized their position and role in the family to take up caregiving for sick relative. (3) Caregiving is an expression of reciprocal love within the immediate family. Tangible caregiving and support during adversity are viewed as expression of reciprocal love among family members. Particularly, the children-caregivers believed in the virtue of filial piety and perceived stroke caregiving as a means of repaying their parents. Conclusions: Our findings highlight an underlying acceptance and devotion of undertaking stroke caregiving within the Chinese culture. Researchers and clinicians that plan to develop an intervention to support Chinese stroke caregivers need to consider integrating these findings.


2019 ◽  
Vol 13 ◽  
Author(s):  
Geicielle Karine de Paula ◽  
Fernanda Garcia Bezerra Góes ◽  
Aline Cerqueira Santos Santana da Silva ◽  
Juliana Rezende Montenegro Medeiros de Moraes ◽  
Liliane Faria da Silva ◽  
...  

RESUMOObjetivo: analisar o uso de estratégias lúdicas no cuidado à criança hospitalizada na perspectiva da equipe de Enfermagem. Método: trata-se de um estudo qualitativo, descritivo, no setor da Pediatria de um hospital municipal, por meio de entrevistas semiestruturadas com 15 profissionais de enfermagem, cujos dados foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: entende-se que as estratégias lúdicas são compreendidas majoritariamente como uma forma de entreter/distrair as crianças hospitalizadas. Utilizam-se materiais hospitalares, brincadeiras, desenhos, conversa/amizade, vestimentas diferenciadas e contação de histórias, especialmente, durante os cuidados procedimentais. Identificam-se, contudo, fatores limitantes do uso dessas estratégias lúdicas no cuidado à criança, como a escassez de recursos/materiais/investimentos, o medo das crianças em relação aos profissionais e aos procedimentos, a falta de tempo e a presença dos familiares. Conclusão: avalia-se que os fatores limitantes precisam ser superados para a garantia do atendimento integral às crianças hospitalizadas, considerando que o brincar é um direito garantido legalmente, além de contribuir para a recuperação mais prazerosa e para o pleno desenvolvimento infantil. Descritores: Saúde da Criança; Criança Hospitalizada; Enfermagem; Enfermagem Pediátrica; Jogos e Brinquedos; Cuidado de Enfermagem. ABSTRACT Objective: to analyze the use of play strategies in hospitalized child care from the perspective of the Nursing team. Method: this is a qualitative, descriptive study in the pediatrics sector of a municipal hospital, through semi-structured interviews with 15 nursing professionals, whose data were submitted to the Content Analysis technique in the Thematic Analysis modality. Results: it is understood that play strategies are understood mainly as a way to entertain/distract hospitalized children. Hospital materials, games, drawings, conversation/friendship, differentiated clothing and storytelling are used, especially during procedural care. However, there are limitations to the use of these play strategies in child care, such as scarce resources/materials/investments, children's fear of professionals and procedures, lack of time and the presence of family members. Conclusion: it is estimated that the limiting factors need to be overcome to guarantee the integral care of hospitalized children, considering that playing is a legally guaranteed right, as well as contributing to a more pleasant recovery and to the full development of children. Descriptors: Child Health; Hospitalized Child; Nursing; Pediatric Nursing; Games and Toys; Nursing Care. RESUMEN Objetivo: analizar el uso de estrategias lúdicas en el cuidado al niño hospitalizado en la perspectiva del equipo de Enfermería. Método: se trata de un estudio cualitativo, descriptivo, en el sector de la Pediatría de un hospital municipal, por medio de entrevistas semiestructuradas con 15 profesionales de enfermería, cuyos datos fueron sometidos a la técnica de Análisis de Contenido, en la modalidad Análisis Temático. Resultados: se entiende que las estrategias lúdicas son comprendidas mayoritariamente como una forma de entretene/distraer a los niños hospitalizados. Se utilizan materiales hospitalarios, juegos, dibujos, conversación/amistad, vestimentas diferenciadas y cuenta de historias, especialmente, durante los cuidados procedimentales. Se identifican, sin embargo, factores limitantes del uso de esas estrategias lúdicas en el cuidado al niño, como la escasez de recursos / materiales / inversiones, el miedo de los niños hacia los profesionales y los procedimientos, la falta de tiempo y la presencia de los familiares. Conclusión: se evalúa que los factores limitantes necesitan ser superados para la garantía de la atención integral a los niños hospitalizados, considerando que el jugar es un derecho garantizado legalmente, además de contribuir para la recuperación más placentera y para el pleno desarrollo infantil. Descriptores: Salud del Niño; Niño Hospitalizado; Enfermería; Enfermería Pediátrica; Juego e Implementos de Juego; Atención de Enfermería. 


BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Gunilla Borglin ◽  
Miia Eriksson ◽  
Madeleine Rosén ◽  
Malin Axelsson

Abstract Objective This study aimed to describe registered nurses’ (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units. Background One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs’ experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing. Design A qualitative descriptive study. Method Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis. Results Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke. Conclusions The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs’ knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.


2017 ◽  
Vol 25 ◽  
pp. e14203
Author(s):  
Larissa Lages Ferrer de Oliveira ◽  
Maria Cristina Soares Figueiredo Trezza ◽  
Géssyca Cavalcante de Melo ◽  
Amuzza Aylla Pereira dos Santos ◽  
Maria Elisângela Torres de Lima Sanches ◽  
...  

Objetivo: analisar as vivências de conforto e desconforto da mulher durante o trabalho de parto e parto. Método: estudo descritivo qualitativo realizado em três maternidades de Maceió-AL com 40 puérperas de julho a setembro de 2014 através de entrevista semiestruturada, tendo como referencial teórico a Teoria do Conforto de Katharine Kolcaba. Resultados: apesar do crescimento da humanização do parto, muitas mulheres estão aquém dessa realidade, sendo pouco ouvidas sobre o que lhe traria conforto ou desconforto no momento do seu parto. O nascimento do filho, a assistência dos profissionais, o acompanhante, a dor, a episiorrafia e o aumento das dores devido ao uso do “soro” estão entre as principais vivências de conforto e desconforto relatadas. Conclusão: conforto e/ou desconforto podem influenciar a satisfação da mulher durante o seu parto, requerendo por parte da equipe de saúde um olhar humanizado para efetivação do cuidado. . ABSTRACTObjective: to analyze the experiences of comfort and discomfort of women during labor and childbirth. Method: a qualitative descriptive study carried out in three maternity hospitals in Maceió-AL with 40 puerperal women, from July to September 2014, through semi-structured interviews, based on the theoretical framework of Katharine Kolcaba’s Theory of Comfort. Results: despite the increase in the humanization of childbirth, many women cannot live this reality, being little heard about what would bring comfort or discomfort to them at the time of their childbirth. The childbirth, the assistance, the companion, the pain, the episiotomy and the increase of pain due to the use of oxytocin are among the main experiences of comfort and discomfort reported. Conclusion: comfort and / or discomfort can influence the woman’s satisfaction during childbirth, requiring the health team a humanized look for effective care. RESUMENObjetivo: analizar las vivencias de comodidad y incomodidad de la mujer durante el trabajo de parto y parto. Método: estudio descriptivo cualitativo realizado en tres maternidades de Maceió-AL con 40 puérperas de julio a septiembre de 2014 a través de entrevista semiestructurada, teniendo como referencial teórico la Teoría del Confort de Katharine Kolcaba. Resultados: a pesar del crecimiento de la humanización del parto, muchas mujeres no viven esa realidad, siendo poco oídas sobre lo que le traería comodidad o incomodidad en el momento de su parto. El nacimiento del hijo, la asistencia de los profesionales, el acompañante, el dolor, la episiorrafia y el aumento de los dolores debido al uso del oxytocin, están entre las principales vivencias de copmodidad e incomodidad relatadas. Conclusión: comodidad y/o incomodidad pueden influenciar la satisfacción de la mujer durante su parto, requiriendo por parte del equipo de salud una mirada humanizada para la efectividad del cuidado. DOI: http://dx.doi.org/10.12957/reuerj.2017.14203


2019 ◽  
Vol 13 ◽  
Author(s):  
Leticia Werner Rêgo ◽  
Gisele Martins ◽  
Cristiane Feitosa Salviano

Objetivo: compreender o impacto social da doença renal crônica em adolescentes submetidos à hemodiálise. Método: trata-se de estudo qualitativo, descritivo, com adolescentes dos 12 aos 18 anos, que realizavam hemodiálise na unidade hospitalar de Terapia Renal Substitutiva, por meio de entrevista semiestruturada. Analisaram-se os dados segundo o método de pesquisa de narrativas e figura. Resultados: identificaram-se três categorias temáticas: Modificações causadas pela hemodiálise que interferem na rotina; Sentimentos do adolescente associados à doença e à hemodiálise; Sentimentos da família associados à doença e à hemodiálise na perspectiva do adolescente. Conclusão: concluiu-se que o adolescente passa por modificações importantes em seu cotidiano, tanto pelas restrições necessárias para o controle da doença quanto pelas alterações fisiológicas. Revela-se, além disso, que sentimentos como tristeza e medo também permeiam o atendimento a este paciente. Descritores: Insuficiência Renal Crônica; Diálise Renal; Rede social; Adolescente; Família.Abstract Objective: to understand the social impact of chronic kidney disease in adolescents undergoing hemodialysis. Method: this is a qualitative, descriptive study with adolescents from 12 to 18 years old, who underwent hemodialysis in the hospital unit of Renal Replacement Therapy, through semi-structured interviews. Data was analyzed according to the narrative and figure research method. Results: three thematic categories were identified: Modifications caused by hemodialysis that interfere in the routine; Adolescent feelings associated with the disease and hemodialysis; Family feelings associated with the disease and hemodialysis from the adolescent's perspective. Conclusion: it was concluded that the adolescent undergoes important changes in their daily life, both due to the restrictions necessary to control the disease and physiological changes. Moreover, feelings such as sadness and fear also permeate the care of this patient. Descriptors: Renal Insufficiency, Chronic; Renal Dialysis; Social Networking; Adolescent; Family. Resumen Objetivo: comprender el impacto social de la enfermedad renal crónica en adolescentes sometidos a hemodiálisis. Método: se trata de un estudio cualitativo y descriptivo con adolescentes de 12 a 18 años que se sometieron a hemodiálisis en la unidad hospitalaria de Terapia de Reemplazo Renal, a través de entrevistas semiestructuradas. Los datos se analizaron de acuerdo con el método de investigación de narrativas y figura. Resultados: se identificaron tres categorías temáticas: modificaciones causadas por hemodiálisis que interfieren en la rutina; Sentimientos adolescentes asociados con la enfermedad y la hemodiálisis; Sentimientos de la familia asociados con la enfermedad y la hemodiálisis desde la perspectiva del adolescente. Conclusión: se concluyó que el adolescente sufre cambios importantes en su vida diaria, tanto por las restricciones necesarias para controlar la enfermedad como por cambios fisiológicos. También se revela que sentimientos como la tristeza y el miedo también impregnan el cuidado de este paciente. Descriptores: Insuficiencia Renal Crónica; Diálisis Renal; Red Social; Adolescente; Familia.


2021 ◽  
Author(s):  
Stephanie Anne Piotrowski

This qualitative descriptive study aimed to present findings from four primary teachers and their perceptions of mindfulness practices with young children. Using open-ended and semi-structured interviews, these teachers in the school system shared their experiences with mindfulness practices in their classrooms. This study, using a thematic analysis, indicated that teachers felt there to be benefits of including mindfulness practices in their classrooms but have found that there are various issues that may hinder successful implementation. Integrating different mindfulness practices in the classroom could allow childhood well-being to be improved though holistic approaches.


2020 ◽  
Vol 30 (12) ◽  
pp. 1876-1887
Author(s):  
Jenny McLeish ◽  
Merryl Harvey ◽  
Maggie Redshaw ◽  
Jane Henderson ◽  
Reem Malouf ◽  
...  

Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.


Author(s):  
Kofi Awuviry-Newton ◽  
Jacob Oppong Nkansah ◽  
Abraham Newton ◽  
Kwamina Abekah-Carter

This study explores older people’s long-term care experiences during the COVID-19 pandemic in Ghana. A qualitative descriptive approach employing semi-structured interviews was used to collect data from 15 older people from Southern Ghana. Analysis of interview data resulted in five interrelated themes: (1) sources and type of long-term care; (2) older people’s satisfaction with the long-term care received; (3) changes in their long-term care; (4) feelings of neglect regarding long-term care; and (5) older people’s resilience in long-term care. The sustainability of long-term care depends on the state’s ability to devise innovative long-term care policies and programmes to promote older people’s and their carers’ well-being.


Author(s):  
Katie A. Chargualaf ◽  
Brenda Elliott ◽  
Barbara Patterson

AbstractAimThe aim of this qualitative descriptive study was to describe the transition from military nurse to nurse faculty.BackgroundThere is a global shortage of qualified nurse faculty. Recruitment of retiring or separating military nurses is a viable solution.MethodsContent and thematic analysis of semi-structured interviews of former military nurses (N=13) was undertaken.ResultsThe transition from military nurse to nurse faculty includes acknowledgment of the reality of academic culture, appreciation of the journey to bridge the gap, and culmination of a new identity. Leadership skills acquired during military service proved instrumental to a successful transition.ConclusionsRecognizing this transition and the strengths these nurses offer provides evidence for focused orientation programs to increase recruitment and retention of these faculty.


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