Evaluation of the nursing assistance to patients with sequels of ischemic stroke

2011 ◽  
Vol 5 (4) ◽  
pp. 974
Author(s):  
Marcos Helton Morais Benigno ◽  
Daniela Doulavince Amador ◽  
Ankilma Nascimento Andrade ◽  
Fátima Sonally de Sousa Gondim
Keyword(s):  
Ischemic Stroke ◽  
Health Knowledge ◽  
Good Practice ◽  
Descriptive Study ◽  
Skin Integrity ◽  
Care Health ◽  
Practice Knowledge ◽  
Nursing Professionals ◽  
Santa Maria ◽  
Health Knowledge Attitudes Practice

ABSTRACTObjective: to evaluate the care given by nurses to patients with sequels of isquemic stroke and investigate their knowledge about that pathology. Method: this is about an exploratory and descriptive study, with quantitative approach. Twelve nurses participated in the study and answered a questionnaire on May, 2010; then, the data was analyzed and presented in charts and pictures. The study was approved by the Ethic Committee of Santa Maria College, protocol 44402/2010. Results: all of the nurses who participated in the research considered that avoiding the appearance of multiple complications is the main assistance from nurses to patients with sequels of ischemic stroke. Regarding the self care, 66,7%  of the nurses said they estimulate the stablishment of realistic targets to patients. Regarding the preservation of the skin integrity, the decubitus change every two hours was an unanimous answer. Most nurses answered that, in order to deal with the patient’s sexual disfunction, they carry out education in health and calm him/her down. Conclusion: most nurses perform the nursing assistance correctly and satisfactorily. It is necessary to stimulate the attainment of a good practice by the nursing professionals and the restructuring of the services towards suitable conditions necessary for this fundamental and necessary practice to happen effectively. Descriptors: stroke; nursing care; health knowledge, attitudes, practice; knowledge; clinical competence.RESUMOObjetivo: avaliar os cuidados prestados pelos enfermeiros aos pacientes com sequelas de acidente vascular encefálico isquêmico e investigar o conhecimento dos mesmos em relação a esta patologia. Método: estudo exploratório e descritivo, com abordagem quantitativa. Participaram do estudo 12 enfermeiros que responderam a um questionário aplicado no mês de maio de 2010; em seguida, os dados foram analisados e apresentados em tabelas e figuras. Estudo aprovado pelo Comitê de Ética da Faculdade Santa Maria, protocolo 44402/2010. Resultados: todos os enfermeiros participantes da pesquisa consideram que evitar o aparecimento de múltiplas complicações é a principal assistência de enfermagem para pacientes com sequelas de AVEI. Quanto ao autocuidado, 66,7% dos enfermeiros responderam que estimulam metas realistas para os pacientes. Para preservação da integridade da pele, a mudança de decúbito a cada 2 horas foi resposta unânime. A maioria dos enfermeiros respondeu que, para lidar com a disfunção sexual do paciente, realizam educação em saúde e o tranquilizam. Conclusão: a maioria dos enfermeiros faz a assistência de enfermagem de modo correto e satisfatório. Deve-se estimular a consecução de uma boa prática pelos profissionais de enfermagem e a reestruturação dos serviços em direção às condições adequadas para que essa assistência tão fundamental e necessária ocorra de modo eficaz. Descritores: acidente cerebral vascular; cuidados de enfermagem; conhecimentos, atitudes e práticas em saúde; competência clínica.RESUMENObjetivo: evaluar los cuidados prestados por los enfermeros a los pacientes con secuelas de accidente vascular encefálico isquémico e investigar el conocimiento de los mismos en relación a esta patología. Método: estudio exploratorio y descriptivo, de abordaje cuantitativo. Participaron del estudio 12 enfermeros que respondieron a un cuestionario aplicado en mayo de 2010; en seguida, los datos fueron analizados y presentados como cuadros y figuras. Estudio aprobado por el Comité de Ética de la Facultad Santa María, protocolo 44402/2010. Resultados: los enfermeros participantes de la investigación consideran que evitar el aparecimiento de múltiples complicaciones es la principal asistencia de enfermería para pacientes con secuelas de accidente vascular encefálico isquémico. Cuanto al auto cuidado, el 66,7% de los enfermeros respondieron que estimulan metas realistas para los pacientes. Para la preservación de la integridad de la piel, el cambio de decúbito a cada dos horas fue respuesta unánime. La mayoría de los enfermeros respondió que para lidiar con la disfunción sexual del paciente, ellos realizan educación en salud y lo tranquilizan. Conclusión: la mayoría de los enfermeros hace una asistencia de enfermería de modo correcto y satisfactorio. Se debe estimular la consecución de una buena práctica por los profesionales de enfermería y la reestructuración de los servicios para las condiciones adecuadas a esas prácticas, tan fundamentales y necesarias. Descriptores: accidente cerebrovascular; atención de enfermería; conocimientos, actitudes y práctica en salud; conocimiento; competencia clínica.

scholarly journals Access to electronic health knowledge in five countries in Africa: a descriptive study

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Helen Smith ◽  
Hasifa Bukirwa ◽  
Oscar Mukasa ◽  
Paul Snell ◽  
Sylvester Adeh-Nsoh ◽  
...  
Keyword(s):  
Health Knowledge ◽  
Descriptive Study ◽  
Electronic Health

Depression and ischemic stroke: Descriptive study about 50 patients

2021 ◽  
Vol 429 ◽  
pp. 119713
Author(s):  
Syrine Brahim ◽  
Walid Bouali ◽  
Mohamed Kacem ◽  
Rim Ben Soussia ◽  
Samia Younes ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Descriptive Study

scholarly journals MORAL SUFFERING IN ASSISTANCE TO CHILDBIRTH: SITUATIONS PRESENT IN THE WORK OF NURSES OF OBSTETRIC CENTERS AND MATERNITIES

2019 ◽  
Vol 28 ◽  
Author(s):  
Heitor Silva Biondi ◽  
Edison Luiz Devos Barlem ◽  
Eliana Cardia de Pinho ◽  
Diogo Henrique Tavares ◽  
Nalú Pereira da Costa Kerber ◽  
...  
Keyword(s):  
Moral Distress ◽  
Descriptive Study ◽  
Structured Interview ◽  
Moral Values ◽  
Southern Brazil ◽  
Violent Behaviors ◽  
Maternity Hospitals ◽  
Relations Of Power ◽  
Nursing Professionals ◽  
Safe Childbirth

ABSTRACT Objective: to know the situations found in the work of nurses working in maternity hospitals and obstetric centers that can lead to moral suffering. Method: qualitative, exploratory and descriptive study, developed with 14 nurses working in bstetric centers and maternities of two hospitals in southern Brazil. Data were collected from October 2015 to January 2016, through a semi-structured interview, analyzed based on Content Analysis. Results: there was an occurrence of moral distress related to the activities that supplanted nurses’ execution capacity, leading them to prioritize administrative and managerial activities, for which they are charged by the institutions, failing to participate directly in the care, an aspect enhanced by the quantitative nursing professionals. Asymmetric relations of power and conflicting interactions compose an atmosphere of toleration for the autonomy of the nurses, preventing them from acting in harmony with their knowledge and moral values. The fruitless attempts to change the dehumanizing context through advocacy and the visualization of disrespectful, interventionist and violent behaviors against women, generate moral suffering. Conclusion: the plurality of nurse actions, reduced autonomy, disrespect for their practice and the visualization of dehumanizing behaviors generate moral suffering. It is important to seek alternatives so that nurses may act and advocate in line with their moral knowledge and values, in an autonomous and empowered way, aiming to provide a dignified and safe childbirth assistance, and an environment that respects the woman and her autonomy.

scholarly journals Estratégias lúdicas no cuidado de enfermagem à criança hospitalizada

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 ◽  
...  
Keyword(s):  
Child Care ◽  
Descriptive Study ◽  
Limiting Factors ◽  
Hospitalized Children ◽  
Structured Interviews ◽  
Scarce Resources ◽  
Full Development ◽  
Analysis Technique ◽  
Qualitative Descriptive ◽  
Nursing Professionals

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. 

Association of Iron Deficiency Anemia with Stroke Severity in patients with Acute Ischemic Stroke

2021 ◽  
Vol 15 (11) ◽  
pp. 3004-3006
Author(s):  
Rabia Rathore ◽  
Nasir Farooq Butt ◽  
Adil Iqbal ◽  
Hina Latif ◽  
Mariam Azeem ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Iron Deficiency ◽  
Acute Ischemic Stroke ◽  
Iron Deficiency Anemia ◽  
Descriptive Study ◽  
World Health ◽  
Deficiency Anemia ◽  
P Value ◽  
Stroke Severity ◽  
Cross Sectional

Aim: To study the relationship of Iron Deficiency anemia (IDA) with severity of acute ischemic stroke. Study Design: A cross-sectional descriptive study. Place & Duration of Study: Department of Medicine, Mayo Hospital, Lahore from March 2020 to February 2021 Methods: A descriptive study of cross-sectional type was done on 200 individuals who had acute ischemic stroke (AIS) and were hospitalized at Mayo Hospital Lahore. Consecutive non-probability convenience sampling method was used to gather the data. Severity of stroke was assessed at the time of admission using the National Institute of Health Stroke Scale, (NIHSS) at the same time blood complete examination along with peripheral blood film was done to diagnose anemia in these patients. Iron studies were done to diagnose iron deficiency anemia (IDA). P-value less than 0.05 was taken as significant. Results: About 200individuals presenting with AIS were enrolled in the research work. Anemia according to World Health Organization was seen in 80(40%) and was not present in 120(60%) patients. Among the subjects who had anemia, 16(20%) had a minor AIS, 23(28.75%) had a moderately severe AIS, and 41(51.25%) reported with a severe AIS, according to NIHSS criteria. A notable relationship was found to exist between anemia and stroke severity, (P-value 0.000). Conclusion: Anemia was a commonly found in individuals with acute stroke due to ischemia and had direct relation with severity of stroke. Keywords: Iron deficiency Anemia, severity, ischemic stroke.

scholarly journals Construction of an Operational Protocol for Multiple Victims and Disasters in Southern Brazil

2019 ◽  
Vol 34 (s1) ◽  
pp. s111-s111
Author(s):  
Sandra Mara Marin ◽  
Jean Bender ◽  
Danielle Bezerra Cabral
Keyword(s):  
Emergency Service ◽  
Descriptive Study ◽  
Future Research ◽  
Emergency Unit ◽  
Southern Brazil ◽  
Hospital Emergency ◽  
Scientific Content ◽  
Emergency Units ◽  
South Of Brazil ◽  
Nursing Professionals

Introduction:Unpredictable events, such as disasters, can change the organizational configuration of health facilities. In a situation of multiple victims, this scenario modifies the flow of care to adapt to the reality that is there. In addition, emergency and emergency units provide immediate care to maintain and preserve the lives of these victims, making it a challenge for all health professionals.Aim:To construct an Operational Protocol for nursing care with multiple victims and disasters in a Hospital Emergency and Emergency Service.Methods:We used a descriptive study with a qualitative approach using the Focal Group technique (GF). The participants included nursing staff and residents who work in the emergency and emergency unit in a hospital in the south of Brazil. The topics from the GF discussion were analyzed by the scientific content of Minayo (2013).Results:The operational assistance protocol for multiple victims and disasters was planned with a redistribution of materials, equipment, human resources of the service, and physical restructuring of the service and other units with the construction of a flow chart to meet the proposed demand.Discussion:In the study, we observed the importance of discussing and planning proposals for care with multiple victims. In addition, the interest of the participants was fundamental to the success of this protocol. This protocol serves as an incentive for nursing professionals and academics for future research that evaluates the effectiveness of using nursing competencies to assist multiple victims in emergency and disaster situations.

scholarly journals Productivity of subjectivity and autonomy of nursing professionals in Pediatrics

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 41-48 ◽  
Author(s):  
Juliane Portella Ribeiro ◽  
Giovana Calcagno Gomes ◽  
Marina Soares Mota ◽  
Camila Daiane Silva ◽  
Paulo Roberto Boeira Fuculo Junior
Keyword(s):  
Work Environment ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Nursing Profession ◽  
University Hospitals ◽  
Structured Interviews ◽  
Pediatric Hospitalization ◽  
Nursing Managers ◽  
Nursing Team ◽  
Nursing Professionals

ABSTRACT Objective: To know the aspects involved in the production of subjectivity and autonomy of nursing professionals working in Pediatric Units. Method: An exploratory and descriptive study, with a qualitative approach, performed with users, professionals and nursing managers, totaling 44 participants. Data collection took place in the pediatric hospitalization units of two University Hospitals through semi-structured interviews, organized and treated by Nvivo 10 software and then submitted to content analysis. Results: The production of subjectivity and autonomy in nursing workers involves both the conditions of the work environment as the relation of the nursing team, the relation of hierarchy and the profile of the professional that works in the Pediatric Unit. Final considerations: The valorization path of the nursing profession emerges, whose knowledge and competence in the area of work contribute to the construction of autonomous subjectivities.

scholarly journals Knowledge and practice of nursing professionals about prophylaxis of ophthalmia neonatorum

2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Fernanda Carla Pereira Duarte ◽  
Fernanda Garcia Bezerra Góes ◽  
Juliana Rezende Montenegro Medeiros de Moraes ◽  
Laura Johanson da Silva ◽  
Liliane Faria da Silva ◽  
...  
Keyword(s):  
Descriptive Study ◽  
Care Practice ◽  
Lake Area ◽  
Structured Interviews ◽  
Ophthalmia Neonatorum ◽  
First Semester ◽  
City Hall ◽  
Knowledge And Practice ◽  
Nursing Professionals

Abstract Objective: To analyze the knowledge and practice of nursing professionals about the prophylaxis of ophthalmia neonatorum. Method: Descriptive study, of qualitative approach, carried out in the first semester of 2018, in a city hall hospital located in the lake area of the Rio de Janeiro's state, through semi-structured interviews with 14 Nursing professionals participating in the care of the newborn, whose data were submitted to the Thematic Analysis. Results: From the three emerging thematic categories, there are gaps in knowledge related to ophthalmia neonatorum, silver nitrate and the instillation procedure of this prophylactic solution, as well as differences in care practice regarding care before, during and after the procedure. Conclusion and implications for practice: The data point to the importance of training the Nursing team in the prophylaxis of ophthalmia neonatorum, the revision of guidelines and procedures aimed at standardizing the procedure, as well as emphasizing the need for adequate follow-up of pregnant women in prenatal care.

scholarly journals Doctors' attitudes and confidence towards providing nutrition care in practice: Comparison of New Zealand medical students, general practice registrars and general practitioners

2015 ◽  
Vol 7 (3) ◽  
pp. 244 ◽  
Author(s):  
Jennifer Crowley ◽  
Lauren Ball ◽  
Dug Yeo Han ◽  
Anne-Thea McGill ◽  
Bruce Arroll ◽  
...  
Keyword(s):  
General Practice ◽  
New Zealand ◽  
Medical Students ◽  
General Practitioners ◽  
Health Knowledge ◽  
Nutrition Therapy ◽  
Routine Care ◽  
Nutrition Care ◽  
Positive Attitudes ◽  
Health Knowledge Attitudes Practice

INTRODUCTION: Improvements in individuals' nutrition behaviour can improve risk factors and outcomes associated with lifestyle-related chronic diseases. AIM: This study describes and compares New Zealand medical students, general practice registrars and general practitioners' (GPs') attitudes towards incorporating nutrition care into practice, and self-perceived skills in providing nutrition care. METHODS: A total of 183 New Zealand medical students, 51 general practice registrars and 57 GPs completed a 60-item questionnaire investigating attitudes towards incorporating nutrition care into practice and self-perceived skills in providing nutrition care. Items were scored using a 5-point Likert scale. Factor analysis was conducted to group questionnaire items and a generalised linear model compared differences between medical students, general practice registrars and GPs. RESULTS: All groups indicated that incorporating nutrition care into practice is important. GPs displayed more positive attitudes than students towards incorporating nutrition in routine care (p<0.0001) and performing nutrition recommendations (p<0.0001). General practice registrars were more positive than students towards performing nutrition recommendations (p=0.004), specified practices (p=0.037), and eliciting behaviour change (p=0.024). All groups displayed moderate confidence towards providing nutrition care. GPs were more confident than students in areas relating to wellness and disease (p<0.0001); macronutrients (p=0.030); micronutrients (p=0.010); and women, infants and children (p<0.0001). DISCUSSION: New Zealand medical students, general practice registrars and GPs have positive attitudes and moderate confidence towards incorporating nutrition care into practice. It is possible that GPs' experience providing nutrition care contributes to greater confidence. Strategies to facilitate medical students developing confidence in providing nutrition care are warranted. KEYWORDS: General practitioner; health knowledge, attitudes, practice; medical education; nutrition therapy

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