scholarly journals Brazilian scientific production on nursing care in hip arthroplasty: a sistematic review

2011 ◽  
Vol 5 (2) ◽  
pp. 273
Author(s):  
Marcos Barragan da Silva ◽  
Rosane Teresinha Fontana
Keyword(s):  
Nursing Care ◽  
Hip Arthroplasty ◽  
Hip Prosthesis ◽  
National Level ◽  
Experimental Studies ◽  
Hospital Setting ◽  
Time Frame ◽  
Scientific Production ◽  
Nursing Research ◽  
Revisión Sistemática

ABSTRACTObjective: to analyze the Brazilian scientific production related to nursing care of patients undergoing hip arthroplasty. Methodology: this is about a systematic literature review. It were consulted LILACS, BDENF and MEDLINE databases, using the descriptors Nursing, Prosthetic hip, Nursing. To refine the search, it was used the term "orthopedic patients" It was established the cut time for inclusion in publications from 1998 to 2009. Results: four items were identified that comprised the study sample. Most of the articles analyzed refers to the use of ratings in the practice of nursing research and care. Predominant non-experimental studies, retrospective studies, with analysis of records in the hospital setting. All the designs were descriptive studies and were classified as Level 4 evidence. The nursing research was numerically small cut in the time frame. He pointed out the importance of caution with a view to effective recovery, free from complications from surgery. Conclusion: From this study we can conclude that there are few nursing studies in the field of hip arthroplasty, is fundamental to encouraging scientific production at the national level, thus contributing to the practice of evidence based nursing. Descriptors: nursing; hip prosthesis; nursing care; orthopedic nursing; nursing research.RESUMOObjetivo: analisar a produção científica brasileira relacionada à assistência de enfermagem ao paciente submetido à artroplastia de quadril. Metodologia: trata-se de uma revisão sistemática da literatura, em que foram consultadas as bases de dados LILACS, BDENF e MEDLINE, através dos descritores: Enfermagem, Prótese de quadril, Cuidados de Enfermagem. Para o refinamento da busca, utilizou-se o termo “pacientes ortopédicos”. Foi estabelecido o recorte de tempo para inclusão de publicações de 1998 a 2009. Resultados: foram identificados 4 artigos que compuseram a amostra do estudo. A maioria dos artigos analisados refere-se ao uso das classificações de enfermagem na prática da pesquisa e da assistência. Predominaram os estudos não experimentais, retrospectivos, com análise de prontuários, no cenário hospitalar. Todos os estudos apresentaram os delineamentos descritivos, sendo classificados como nível 4 de evidência. A produção científica de enfermagem foi numericamente pequena no recorte temporal definido. Apontou-se a importância do cuidado com vistas à recuperação eficaz, livre de complicações advindas da cirurgia. Conclusão: a partir deste estudo pode-se concluir que são poucos os estudos de enfermagem na área da artroplastia de quadril, sendo fundamental o incentivo à produção científica em nível nacional, contribuindo assim para a prática de enfermagem baseada em evidências. Descritores: enfermagem; prótese de quadril; cuidados de enfermagem; enfermagem ortopédica; pesquisa em enfermagem.RESUMENObjetivo: analizar la producción científica relacionada con la atención de enfermería de los pacientes sometidos a artroplastia de cadera. Metodología: se realizó una revisión sistemática de la literatura, se consulta a la base de datos LILACS, MEDLINE y BDENF, con los descriptores de Enfermería, Prótesis de cadera, Enfermería. Para refinar la búsqueda, se utilizó el término "pacientes ortopédicos." Hemos establecido el tiempo de corte para la inclusión en las publicaciones de 1998 a 2009. Resultados: se identificaron cuatro elementos que componían la muestra del estudio. La mayoría de los artículos analizados se refiere al uso de las calificaciones en la práctica de la investigación en enfermería y la atención. Predominante no experimental, estudios retrospectivos, con el análisis de los registros en el ámbito hospitalario. Todos los diseños fueron los estudios descriptivos y fueron clasificados como Nivel de evidencia 4. La investigación en enfermería fue numéricamente pequeño corte en el tiempo. Señaló la importancia de la precaución con el fin de la recuperación efectiva, libre de complicaciones de la cirugía. Conclusión: de este estudio podemos concluir que existen pocos estudios de enfermería en el ámbito de la artroplastia de cadera, es fundamental para fomentar la producción científica a nivel nacional, contribuyendo así a la práctica de la enfermería basada en la evidencia. Descriptores: enfermería; prótesis de cadera; atención de enfermería; enfermería ortopédica; investigación en enfermería. 

scholarly journals Análise sobre estudos de validação de intervenções de enfermagem

2020 ◽  
Vol 14 ◽  
Author(s):  
Erika Christiane Marocco Duran ◽  
Larissa Costa Figueiredo ◽  
Ráisa Camilo Ferreira
Keyword(s):  
Literature Review ◽  
Nursing Care ◽  
Validation Studies ◽  
Time Frame ◽  
Scientific Production ◽  
Integrative Review ◽  
Nursing Interventions ◽  
Nursing Diagnosis ◽  
Nursing Processes ◽  
Diagnosis Classification

Objetivo: analisar a produção científica sobre a validação de intervenções de enfermagem. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, no recorte temporal de 2007 a 2016, na MEDLINE, CINAHL e Bibliotecas Virtual de Saúde e COCHRANE. Organizaram-se os estudos, categorizando-os e os analisando de modo descritivo. Resultados: encontraram-se 147 artigos e, após a leitura dos resumos e dos textos na íntegra, foram incluídos oito artigos. Conclusão: identificou-se, por meio da revisão integrativa, a produção científica referente à validação de intervenções de enfermagem na literatura, evidenciando um aumento da produção desses estudos, o que contribui para a prática de Enfermagem no Brasil. Descritores: Cuidados de Enfermagem; Estudos de Validação; Processo de Enfermagem; Diagnóstico de Enfermagem; Classificação; Enfermagem.AbstractObjective: to analyze the scientific production on the validation of nursing interventions. Method: this is a bibliographic, descriptive, integrative literature review, in the time frame from 2007 to 2016, in MEDLINE, CINAHL and Virtual Health Libraries and COCHRANE. The studies were organized, categorized, and analyzed in a perspective descriptive. Results: 147 articles were researched and, after reading the abstracts and texts in full, eight articles were included. Conclusion: it was identified, through the integrative review, the scientific production referring to the validation of nursing interventions in the literature, showing an increase in the production of these studies, which contributes to the practice of Nursing in Brazil. Descriptors: Nursing Care; Validation Studies; Nursing Processes; Nursing Diagnosis; Classification; Nursing.ResumenObjetivo: analizar la producción científica sobre la validación de las intervenciones de enfermería. Método: se trata de una revisión bibliográfica, descriptiva, integradora de la literatura, en el período de 2007 a 2016, en MEDLINE, CINAHL y Bibliotecas Virtuales de Salud y COCHRANE. Se organizaron los estudios, categorizándolos y analizándolos de manera descriptiva. Resultados: se encontraron 147 artículos y, después de leer los resúmenes y textos completos, se incluyeron ocho artículos. Conclusión: a través de la revisión integradora, se identificó la producción científica relacionada con la validación de las intervenciones de enfermería en la literatura, mostrando un aumento en la producción de estos estudios, lo que contribuye a la práctica de Enfermería en Brasil. Descriptores: Atención de Enfermería; Estudios de Validación; Proceso de Enfermería; Diagnóstico de Enfermería; Clasificación; Enfermería.

scholarly journals Segurança no cuidado de enfermagem

2018 ◽  
Vol 12 (12) ◽  
pp. 386
Author(s):  
Robson Tostes Amaral ◽  
Ana Lúcia Queiroz Bezerra ◽  
Thaisa Cristina Afonso ◽  
Leyla Gabriela Verner Amaral Brandão ◽  
Cristiane Chagas Teixeira
Keyword(s):  
Adverse Events ◽  
Social Science ◽  
Nursing Care ◽  
National Level ◽  
The United States ◽  
Care Patient ◽  
Care Quality ◽  
Scientific Production ◽  
Patient Care Quality

RESUMOObjetivo: descrever a produção científica sobre segurança no cuidado de enfermagem quanto às falhas com potencial para a ocorrência de eventos adversos. Método: trata-se de um estudo bibliométrico em artigos publicados entre 2012 e 2016, com coleta de dados na LILACS, IBECS, MEDLINE e BDENF. Utilizou-se o programa Statistical Package for Social Science for Windows (SPSS) 22.0, calculadas as frequências simples e relativa, e os resultados se apresentam em tabelas. Resultados: constituiu-se a amostra de 98 publicações. Verificou-se que 43,9% eram artigos provenientes dos Estados Unidos da América; 85,7% publicações na língua inglesa; 70,4% artigos originais com a temática mais frequente sobre medicação e produção científica, sendo maior e contínua nos primeiros 4 anos. Conclusão: constatou-se que a autoria dos estudos foi predominantemente internacional, indicando a necessidade do desenvolvimento de pesquisas sobre o tema com o intuito de mostrar evidências para a implantação de melhorias para a prevenção de eventos adversos e contribuir para a segurança na assistência de Enfermagem em nível nacional. Descritores: Segurança do Paciente; Erros Médicos; Cuidados de Enfermagem; Assistência ao Paciente; Qualidade da Assistência à Saúde; Enfermagem.ABSTRACT Objective: To describe the scientific production on safety in nursing care regarding failures with potential for the occurrence of adverse events. Method: It is a bibliometric study in articles published between 2012 and 2016, with data collection in LILACS, IBECS, MEDLINE, and BDENF. We used the program Statistical Package for Social Science for Windows (SPSS) 22.0, calculated simple and relative frequencies, and the results are presented in tables. Results: The sample consisted of 98 publications. It was found that 43.9% were articles from the United States of America; 85.7% publications in English; 70.4% original articles with the thematic more often on medication and scientific production, being greater and continuous in the first 4 years. Conclusion: We found that the authorship of the studies was predominantly international, indicating the need for the development of researches about the theme with the intention of showing evidence for the implementation of improvements for the prevention of adverse events and contribute to safety in nursing care at national level. Descriptors: Patient Safety; Medical Mistakes; Nursing Care;   Patient Care; Quality of Health Care; Nursing.RESUMEN Objetivo: describir la producción científica acerca de la seguridad en los cuidados de enfermería ante fallas con potencial para la ocurrencia de eventos adversos. Método: este es un estudio bibliométrico en artículos publicados entre 2012 y 2016, con la recopilación de datos en LILACS, IBECS, MEDLINE y BDENF. Hemos utilizado el programa Paquete Estadístico para Ciencias Sociales para Windows (SPSS) 22.0; calculan frecuencias simples y relativas, y los resultados se presentan en tablas. Resultados: la muestra estuvo constituida por 98 publicaciones. Se encontró que el 43,9% eran artículos procedentes de los Estados Unidos de América; el 85,7% de las publicaciones en inglés; 70,4% artículos originales con la temática más frecuentemente acerca de la medicación y la producción científica, siendo mayor y contínua en los primeros 4 años. Conclusión: hemos encontrado que la autoría de los estudios era predominantemente internacional, indicando la necesidad para el desarrollo de investigaciones acerca del tema con la intención de mostrar evidencia para la implementación de mejoras para la prevención de eventos adversos y contribuir a la seguridad de los cuidados de enfermería a nivel nacional. Descriptores: Seguridad del Paciente; Errores Médicos; Atención de Enfermería; Atención al Paciente; Calidad de la Atención de Salud; Enfermería.

Assistência ao paciente submetido à artroplastia total de quadril: o saber da enfermagem traumato-ortopédica

2009 ◽  
Vol 3 (4) ◽  
pp. 1134
Author(s):  
Isabel Cristina Vital ◽  
Lys Eiras Cameron
Keyword(s):  
Patient Care ◽  
Nursing Care ◽  
Hip Arthroplasty ◽  
Care Patient ◽  
Scientific Production ◽  
The Troubles ◽  
Virtual Libraries ◽  
The Cross

Objective: to achieve a mapping of national and international scientific productions about nursing care to patients that were submitted or will be submitted to hip arthroplasty. Methods: this is an exploratory and transverse study that sought to characterize the cross scientific production on the nursing care in hip arthroplasty and the articles were searched on LILACS, MEDLINE, Pubmed, SciELO and BDENF Virtual Libraries in the period of 1976-2008 and were founded 239 publications, the most ever published in international journals. Results: from these, we selected 23 articles, which had full access whether they were in Portuguese or English and was observed that   there is a shortage in national scientific productions about this thematic in nursing area and a necessity of more researches. Conclusion: the analysis showed it’s necessary that more studies must be done to attend the clients’ necessities and the nurses that work on the Orthopaedic nursing area must discuss and go further in the treatment to be institutionalized pre, trans and pos surgical hip arthroplasty for a good attendance to the clients, reduce the troubles and costs. Descriptors: orthopedic nursing; nursing care; patient care; hip arthroplasty.

Plasma Prekallikrein Activity in Patients with Total Hip Arthroplasty

1987 ◽  
Vol 58 (04) ◽  
pp. 1040-1042
Author(s):  
J J M L Hoffmann ◽  
J H J P M Kortmann
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Prosthesis ◽  
Contact System ◽  
Factor Xii ◽  
Total Hip ◽  
Activity Factor ◽  
Patient Groups ◽  
Kallikrein Activity

SummaryThe behaviour of the contact system was studied in 40 patients with total hip arthroplasty, by measuring plasma prekallikrein, spontaneous kallikrein activity and factor XII. In the literature it had been shown that patients with complications from this operation had decreased prekallikrein and increased kallikrein activity (M. Nakahara. Acta orthop scand 1982; 53: 591-6). In the present study, comprising patients with and without pain and proven loosening of the hip prosthesis, these findings could only partially be confirmed. Patients with a loosened prosthesis had significantly lower prekallikrein (mean 0.78 ± 0.28 U/ml; p <0.01) than patients without problems, but no detectable kallikrein activity in plasma. Patients with pain but no loosening had normal prekallikrein (1.04 ±0 0.26 U/ml) and also no demonstrable kallikrein activity. Factor XII was normal in all patient groups. It is concluded that decreased prekallikrein is limited to patients with a loosened hip prosthesis, with or without pain.

scholarly journals Cost analysis of staged versus simultaneous bilateral total knee and hip arthroplasty using a propensity score matching

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e041147
Author(s):  
Ji-Fei Hou ◽  
Chuan Hu ◽  
Yun Zhang ◽  
Li-Qi Tian ◽  
Yan-Zheng Liu ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Nursing Care ◽  
Hip Arthroplasty ◽  
Medical Costs ◽  
Complication Rates ◽  
Propensity Score Matching Analysis ◽  
Total Knee ◽  
The Difference

BackgroundTotal joint arthroplasty (TJA), including total knee arthroplasty (TKA) and total hip arthroplasty (THA), is required for many patients. This study aimed to evaluate the medical costs, length of stay (LOS), blood transfusion and in-hospital complications in patients undergoing simultaneous and staged TJA.MethodsAll patients who underwent primary bilateral TJA from 2013 to 2018 in our institute were included. The propensity score matching analysis was performed between simultaneous and staged TJA patients. The difference in medical costs, LOS, blood transfusion and in-hospital complications was compared between simultaneous and staged groups.ResultsExcept for materials fees and general therapy fees, medical costs (bed fees, general therapy fees, nursing care fees, check-up and laboratory test fees, surgical fees and drug fees) were significantly lower in the simultaneous TKA, THA and TJA group. The total average medical costs in simultaneous and staged TKA groups were $15 385 and $16 729 (p<0.001), respectively; THA groups were $14 503 and $16 142 (p=0.016), respectively; TJA groups were $15 389 and $16 830 (p<0.001), respectively. The highest and lowest costs were materials fees and nursing care fees. No significant differences were found for five common comorbidities and postoperative complications between the two subgroups. The simultaneous groups had a shorter LOS and the differences from the staged group for TKA, THA and the TJA group were 8, 6 and 8 days, respectively. The incidence of blood transfusion is higher for simultaneous groups and the difference from the staged group for TKA, THA and TJA is 32.69%, 18% and 29.3%, respectively.ConclusionsOur results indicate that simultaneous TKA and THA with a shorter LOS would cost fewer (costs incurred during hospitalisation) than staged TKA and THA. Complication rates were not affected by the choice for staged or simultaneous arthroplasty, but the incidence of blood transfusion was higher in the simultaneous groups.

Informed consent and nurses’ roles

2014 ◽  
Vol 21 (6) ◽  
pp. 684-694 ◽  
Author(s):  
Astrid P Susilo ◽  
Jan van Dalen ◽  
Michelene N Chenault ◽  
Albert Scherpbier
Keyword(s):  
Factor Analysis ◽  
Informed Consent ◽  
Interprofessional Education ◽  
Interprofessional Collaboration ◽  
National Level ◽  
Hospital Setting ◽  
Informed Consent Process ◽  
Consent Process ◽  
Nurses And Physicians ◽  
Three Factor

Background: In Southeast Asia, the process of obtaining informed consent is influenced by both culture and policy at the hospital and national level. Both physicians and nurses play vital roles in this process, but physicians influence the roles of nurses. Objectives: Since the physicians and nurses often have different perspectives, it is important to investigate their views about the informed consent process and nurses’ roles therein and whether there is a difference between ideal and experienced practice (reality), and whether this differs across hospitals. Methods: A questionnaire was developed and a survey was conducted among physicians and nurses. Using exploratory factor analysis a three factor structure was determined: ‘nurses’ roles’, ‘barriers in informed consent’, and ‘adequacy of information’. Non-parametric tests were applied to compare nurses and physicians, and hospital setting. Participants and research context: Responses were obtained from 129 physicians and 616 nurses from two Indonesian hospitals. Those hospitals differ in ownership, location, and size. Ethical consideration: The study was reviewed by the hospital ethical committee. Participation was voluntary and confidentiality was ensured by keeping the responses anonymous. Findings: Physicians and nurses differ significantly on all three factors. The scores reflecting disparity between ideal and reality regarding nurses’ roles varied across professions, while barriers in informed consent differed between hospitals. Discussion: The differences between ideal and reality indicated that improvement in the informed consent process and nurses’ roles therein is called for. Varying views between physicians and nurses on nurses’ roles may hinder collaboration. The differences between hospital settings showed interventions may have to be customized for different settings. Conclusion: Views on nurses’ roles vary across professions. Views on barriers in informed consent vary across hospitals. Therefore interprofessional education is needed to promote interprofessional collaboration and intervention to improve informed consent practice should be tailored to the hospital context.

scholarly journals Scientific production of nurse clinicians mediated by a research advisory group

2006 ◽  
Vol 14 (3) ◽  
pp. 330-335 ◽  
Author(s):  
Maria Helena Dantas de Menezes Guariente ◽  
Marcia Maria Fontão Zago
Keyword(s):  
Professional Development ◽  
Public School ◽  
Nursing Students ◽  
Human Resources ◽  
Doctoral Program ◽  
Scientific Production ◽  
Advisory Group ◽  
Nursing Research ◽  
Research Projects ◽  
Nurse Clinicians

This study reports on the activities developed within the Nursing Research Nucleus (NUPE) of a public school hospital and the scientific production of nurses during the period from 1999 to 2002. For this purpose, data regarding the preparation of professionals and scientific production during this period were obtained from the primary document sources of NUPE and the Human Resources Advisory Group. Nurses elaborated, alone or in collaboration with nursing students and teachers, 129 research projects, and 151 scientific studies were presented on the occasion of different events, 6 of which received a prize. Sixty-three scientific studies were submitted for publication and 36 were published. During this period, all nurses concluded a specialization course and some of them enrolled for a master's or doctoral program. In conclusion, NUPE boosted the scientific production of the institution, with repercussions on nurses' personal and professional development.

scholarly journals Profile of hip arthroplasty patients in a teaching hospital

2015 ◽  
Vol 42 (2) ◽  
pp. 106-110
Author(s):  
Vania Regina Goveia ◽  
Isabel Yovana Quispe Mendoza ◽  
Bráulio Roberto Gonçalves Marinho Couto ◽  
Jose Antonio Guimarães Ferreira ◽  
Edson Barreto Paiva ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Femoral Neck Fracture ◽  
Teaching Hospital ◽  
Hip Arthroplasty ◽  
Hip Prosthesis ◽  
Average Length ◽  
Standing Position ◽  
Orthopedic Procedures ◽  
Neck Fracture ◽  
Hip Arthroplasties

OBJECTIVE: to characterize the epidemiological profile of patients undergoing hip replacement, primary or revisional. METHODS: we conducted a retrospective, descriptive study, including hip arthroplasties performed from January 2009 to June 2012 in a Belo Horizonte teaching hospital, Minas Gerais State - MG, Brazil. Data were analyzed using descriptive statistics. RESULTS: orthopedic procedures represented 45% of the operations at the hospital in the period, 1.4% hip arthroplasties. There were 125 hip replacements, 85 total, 27 partial and 13 reviews. Among the patients, 40% were male and 60% were female. Age ranged between 20 and 102 years, mean and median of 73 and 76 years, respectively. The most frequent diagnosis (82%) was femoral neck fracture by low-energy trauma caused by falling form standing position. In 13 revision operations, 12 required removal of the prosthesis. The infectious complication led to revision in 54% of the time, followed by dislocation (15%), peri-prosthetic fracture (15%) and aseptic loosening (15%). The infection etiologic agent was identified in 43% of occasions. The average length of the prosthesis to a revision operation was eight months. CONCLUSION: patients undergoing hip arthroplasty are elderly, with femoral neck fracture caused by falling form standing position, affecting more women. The incidence of hip prosthesis loosening was 10%. The main cause of the infection was loosening. The incidence of revisional hip arthroplasty was 10% and the incidence of hospital mortality in patients undergoing hip arthroplasty was 7.2%.

Prehospital thrombolysis for STEMI where PPCI delays are unavoidable

2020 ◽  
Vol 12 (9) ◽  
pp. 361-366
Author(s):  
David Lashwood
Keyword(s):  
Myocardial Infarction ◽  
Gold Standard ◽  
Hospital Setting ◽  
Coronary Intervention ◽  
Time Frame ◽  
Clinical Findings ◽  
Hospital Funding ◽  
Prehospital Thrombolysis ◽  
The Uk ◽  
Patients Experience

Background: Primary percutaneous coronary intervention (PPCI) is the gold standard for treating patients experiencing ST-elevation acute myocardial infarction (STEMI). More than 30 000 patients experience cardiac arrest out of a hospital setting in the UK every year and may be some distance from a PPCI facility. Aims: To analyse and consider if a better outcome could be achieved for patients if PPCI was an adjunct to thrombolytic therapy, where delays of ≥60 minutes are inevitable or unavoidable. Methods: The current review examined a range of articles, research materials and databases. Results: Some studies suggested the use of prehospital thrombolysis while others compared the effectiveness of drug-eluting stents. While the ‘gold standard’ for the treatment of patients experiencing a myocardial infarction is still PPCI, several factors can delay patients from receiving this treatment at an appropriate facility within the recommended time frame. Conclusion: Patients may not be able to access PPCI within 60, 90 or 120 minutes for reasons including increasing urbanisation, population growth and NHS hospital funding cuts. If the PPCI unit is some distance away, ambulance crews could start thrombolysis treatment and transmit clinical findings to a specialist cardiologist in the PPCI facility, or stop at a local hospital that could provide thrombolysis.

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