scholarly journals Nursing diagnoses in patients under palliative care: an integrative Review

2020 ◽  
pp. 1233-1240
Author(s):  
Sofia Mello Morais ◽  
Suellen Andrade Pereira ◽  
Laura Carvalho de Oliveira ◽  
Wellington Marcelo da Silva Carvalho ◽  
Amanda Pedrosa Costa
Keyword(s):  
Palliative Care ◽  
Web Of Science ◽  
Integrative Review ◽  
Nursing Diagnoses

Objetivo: Identificar as evidências científicas disponíveis acerca dos diagnósticos de enfermagem para pacientes em cuidados paliativos (CP), bem como elencar os mais utilizados nessa prática. Método: Revisão integrativa, na qual foram analisados artigos publicados nos últimos dez anos, nas bases de dados: Literatura Latino-Americana e do Caribe de Informação em Ciências da Saúde (Lilacs); Pubmed; Web of Science; Scopus; CINAHL Resultados: A amostra foi composta por 14 estudos, averiguando-se um maior quantitativo de produções no ano de 2016, sendo a NANDA-I o sistema de classificação mais empregado para a formulação do diagnóstico de enfermagem (DE). Dentre os DE mais prevalentes, destacaram-se: ‘Dor’, ‘Ansiedade relacionada à morte’ e ‘Mobilidade física prejudicada’. Conclusão: Embora seja incipiente a produção de estudos acerca da temática, espera-se que este estudo possa contribuir para a tomada de decisão pelo enfermeiro, baseada em evidências, que possa assegurar ao paciente sob CP uma assistência digna, humanizada, sistematizada e de qualidade.

scholarly journals Nursing diagnoses in oncology palliative care: integrative review

2019 ◽  
Vol 18 (3) ◽  
pp. 579-611
Author(s):  
Rosimere Ferreira Santana ◽  
Dayana Medeiros do Amaral Passareles ◽  
Antonia Rios Almeida
Keyword(s):  
Palliative Care ◽  
Clinical Reasoning ◽  
Web Of Science ◽  
Signs And Symptoms ◽  
Integrative Review ◽  
Review Of The Literature ◽  
Patients With Cancer ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

Objetivos: Identificar los diagnósticos de enfermería encontrados en cuidados paliativos oncológicos de acuerdo con la taxonomía de la NANDA-I.Métodos: Se trata de una revisión integrativa de la literatura en seis etapas, la búsqueda ocurrió en las bases: Medline, Scopus, Cinahl, Lilacs, Cochrane, Scielo y Web of Science, delimitado últimos 10 años, con los descriptores: "Diagnóstico de Enfermería", "Cuidados Paliativos en la fase Terminal de la Vida", "Enfermería Oncológica", en el período de Noviembre a Diciembre de 2017, fueron encontrados 120 artículos y seleccionados 10 artículos.Resultados: De acuerdo con la taxonomía de la NANDA-I se encontraron 32 diagnósticos de enfermería, demostrando la variabilidad y multiplicidad de diagnósticos identificados por enfermeros durante el control de signos y síntomas en cuidados paliativos.Conclusión: Al identificar una diversidad de diagnósticos de enfermería ocurridos en pacientes en cuidados paliativos oncológicos, se concluye que se hace necesaria la construcción de un diagnóstico de enfermería de síndrome, para optimizar el raciocinio clínico de los enfermeros en cuidados paliativos.   Objectives: To identify the nursing diagnoses found in oncological palliative care according to the NANDA-I taxonomy. Methods: It is an integrative review of the literature in six stages. The search was carried out at the following bases: Medline, Scopus, Cinahl, Lilacs, Cochrane, Scielo and Web of Science, delimited last ten years, with the descriptors: "Diagnosis of Nursing" "Palliative Care at the Terminal of Life", "Nursing Oncology", from November to December 2017, 120 articles were found and ten articles were selected. Results: According to the NANDA-I taxonomy, 32 nursing diagnoses were found, demonstrating the variability and multiplicity of diagnoses identified by nurses during the control of signs and symptoms in palliative care. Conclusion: When identifying a diversity of nursing diagnoses occurring in patients with cancer palliative care, it is concluded that it is necessary to construct a nursing diagnosis of the syndrome to optimize the clinical reasoning of nurses in palliative care. Objetivos: Identificar os diagnósticos de enfermagem encontrados em cuidados paliativos oncológicos de acordo com a taxonomia da NANDA-I.Métodos: Trata-se de uma revisão integrativa da literatura em seis etapas, a busca ocorreu nas bases: Medline, Scopus, Cinahl, Lilacs, Cochrane, Scielo e Web of Science, delimitado últimos 10 anos, com os descritores: “Diagnostico de Enfermagem”, “Cuidados Paliativos na Terminalidade da Vida”, “Enfermagem Oncológica”, no período de Novembro a Dezembro de 2017, foram encontrados 120 artigos e selecionados 10 artigos.Resultados: De acordo com a taxonomia da NANDA-I foram encontrados 32 diagnósticos de enfermagem, demonstrando a variabilidade e multiplicidade de diagnósticos identificados por enfermeiros durante o controle de sinais e sintomas em cuidados paliativos.Conclusão: Ao identificar uma diversidade de diagnósticos de enfermagem ocorrentes em pacientes em cuidados paliativos oncológicos, conclui-se que se faz necessário a construção de um diagnóstico de enfermagem de síndrome, para otimizar o raciocínio clínico dos enfermeiros em cuidados paliativos.

scholarly journals Palliative care in nursing in the intensive care unit: integrative review / Cuidados paliativos em enfermagem na unidade de terapia intensiva: revisão integrativa / Cuidados paliativos en enfermería en la unidad de cuidados intensivos...

2020 ◽  
Vol 9 ◽  
Author(s):  
Ana Lívia Castelo Branco De Oliveira ◽  
Alana Carolina Rodrigues Bezerra De Amorim ◽  
Rose-Elyne Santana do Nascimento Barreto ◽  
Amadeu Luis De Carvalho Neto
Keyword(s):  
Intensive Care Unit ◽  
Palliative Care ◽  
Intensive Care ◽  
Retrieval System ◽  
Web Of Science ◽  
Medical Literature ◽  
Integrative Review ◽  
Literature Analysis ◽  
Terapia Intensiva ◽  
Online Web

Objetivo: Discutir as evidências na literatura científica sobre a assistência de enfermagem ao paciente em cuidados paliativos na Unidade de Terapia Intensiva. Metodologia: Pesquisa qualitativa, do tipo revisão integrativa da literatura. Foi realizada busca de artigos em português, inglês e espanhol, publicados nos últimos 10 anos. Foram excluídos artigos de revisão, relatos de experiência, manuais, livros, teses e dissertações. Utilizou-se as bases de dados Scopus, Medical Literature Analysis and Retrieval System Online, Web of Science e Literatura Latino-Americana e do Caribe em Ciências da Saúde; com descritores associados por operador booleano. Resultados: A amostra de 12 estudos resultou em três categorias temáticas: Ética na assistência de enfermagem intensiva em cuidados paliativos; Desafios e boas práticas para implantar cuidados paliativos em UTI; e Recursos da enfermagem intensiva para a humanização do cuidado paliativo. A extração dos dados evidenciou os desafios da enfermagem no enfrentamento da morte e a manutenção do equilíbrio psicológico do paciente. Constatou-se que os familiares são agentes importantes neste contexto e devem constituir alvo dos cuidados de enfermagem. Conclusão: Os cuidados paliativos em enfermagem direcionam-se às necessidades psíquicas dos pacientes, bem como devem contemplar a família, de modo qualificado. Descritores: Enfermagem. Cuidados de Enfermagem. Unidades de Terapia intensiva. Cuidados paliativos. 

scholarly journals Knowledge produced on the health of low-income older women: an integrative review

2017 ◽  
Vol 70 (4) ◽  
pp. 875-884 ◽  
Author(s):  
Renata Evangelista Tavares ◽  
Maria Cristina Pinto de Jesus ◽  
Samara Macedo Cordeiro ◽  
Daniel Rodrigues Machado ◽  
Vanessa Augusta Braga ◽  
...  
Keyword(s):  
Social Support ◽  
Social Network ◽  
Older Women ◽  
Social Determinants ◽  
Low Income ◽  
Health Professionals ◽  
Web Of Science ◽  
Integrative Review ◽  
Exclusion Criteria

ABSTRACT Objective: to identify the knowledge produced on the health of low-income older women. Method: an integrative review was conducted in February 2016 on the SCOPUS, CINAHL, MEDLINE, LILACS, EMBASE, WEB OF SCIENCE databases, and in the SciELO journals directory. After the application of inclusion and exclusion criteria, 24 articles were selected. Results: the knowledge produced comprises two main themes: "health in face of economic adversities" and "reciprocity in social support between low-income older women and their social network". Final considerations: health professionals, especially nurses, should be attentive to aspects related to social determinants and the health of low-income older women, highlighting the fact that they are not always the recipients of care.

scholarly journals Patients’ experiences of eHealth in palliative care: an integrative review.

2020 ◽  
Author(s):  
Cecilia Widberg ◽  
Birgitta Wiklund ◽  
Anna Klarare
Keyword(s):  
Palliative Care ◽  
Patient Safety ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Integrative Review ◽  
World Population ◽  
Use Of Resources ◽  
Individualized Care ◽  
Information And Communication ◽  
Health Applications

Abstract Background: With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. E-Health involves the use of information and communication technology to provide care, and also to transmit health information through the Internet and related technologies. E-Health can be an effective way of supporting communication between patient and healthcare providers, but it is unclear to how patients regard information and communication technology (ICT) within palliative careMethods: The aim of this study was to describe patients’ experiences of eHealth in palliative care. An integrative review with a systematic literature search of six databases: Cinahl Complete; MEDLINE with Full Text; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO generated 12 scientific articles. The articles were evaluated, data extracted, analyzed and synthesized, according to the aim.Results: The results are presented in the main theme: E-health applications – promoting communication on patients’ and families’ terms, and three sub- themes: usability and feasibility of eHealth applications; symptom control and individualized care promoted through eHealth applications; and use of eHealth applications increased sense of security and patient safety. Patients described ease of use, usability and feasibility of eHealth applications. Equal and individualized care, security, better symptom management, participation through increased accessibility and increased patient safety were described.Conclusions: E-Health applications promoted equal, individualized care, and may be a tool to promote accessibility and patient participation in palliative care settings. Furthermore, care transparency increased with eHealth communication when patients and families received more information, and experiences were that patient safety and feelings of security also were promoted. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources in palliative care.

scholarly journals Nursing documentation in palliative care: An integrative review

2018 ◽  
Vol 5 (1) ◽  
pp. 3
Author(s):  
Owen Doody ◽  
Maria E Bailey ◽  
Sue Moran ◽  
Kate Stewart
Keyword(s):  
Palliative Care ◽  
Integrative Review ◽  
Nursing Documentation

scholarly journals SENTIMENTOS DE ENFERMEIROS NA ASSISTÊNCIA AO PACIENTE EM CUIDADOS PALIATIVOS: UMA REVISÃO INTEGRATIVA / NURSES FEELINGS IN PATIENT CARE IN PALLIATIVE CARE: AN INTEGRATIVE REVIEW

2020 ◽  
Vol 6 (8) ◽  
pp. 63874-63890
Author(s):  
Ana Paula Ribeiro de Oliveira ◽  
Lívia Pereira Ferreira ◽  
Alexander de Quadros ◽  
Morgana Thais Carollo Fernandes ◽  
Amanda Pereira Ferreira Dellanhese
Keyword(s):  
Palliative Care ◽  
Patient Care ◽  
Integrative Review

scholarly journals Social support and families of children with cancer: an integrative review

2008 ◽  
Vol 16 (3) ◽  
pp. 477-483 ◽  
Author(s):  
Iara Cristina da Silva Pedro ◽  
Cristina Maria Galvão ◽  
Semiramis Melani Melo Rocha ◽  
Lucila Castanheira Nascimento
Keyword(s):  
Social Support ◽  
Nursing Care ◽  
Web Of Science ◽  
Integrative Review ◽  
Support Needs ◽  
Research Development ◽  
Children With Cancer ◽  
Cancer Data ◽  
Methodological Rigor ◽  
Healthy Siblings

This study aimed to search available evidences in literature about social support to families of children with cancer. An integrative review was elaborated and the articles were searched in PUBMED, WEB of SCIENCE, CINAHL, PsycINFO and LILACS, using the key words: social support, cancer, child and family, between 1996 and 2006. Fifteen articles were selected and the analysis of these publications allowed for the identification of three themes: social support and the trajectory of cancer, social support to healthy siblings and social support to fathers and mothers of children with cancer. Data indicated a lack of consensus among researchers about the use of the term social support and that there is a need for greater methodological rigor in the conduction of these studies. Acknowledging the clients' support needs is important to plan nursing care and guide research development, whose results can be used in practice.

Strategies used to establish palliative care in rural low- and middle-income countries: an integrative review

2020 ◽  
Vol 35 (8) ◽  
pp. 1110-1129
Author(s):  
Atsede Aregay ◽  
Margaret O’Connor ◽  
Jill Stow ◽  
Nicola Ayers ◽  
Susan Lee
Keyword(s):  
Palliative Care ◽  
Low Income ◽  
Rural Areas ◽  
Urban Areas ◽  
Care Home ◽  
Sub Saharan Africa ◽  
Integrative Review ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Abstract Globally, 40 million people need palliative care; about 69% are people over 60 years of age. The highest proportion (78%) of adults are from low- and middle-income countries (LMICs), where palliative care still developing and is primarily limited to urban areas. This integrative review describes strategies used by LMICs to establish palliative care in rural areas. A rigorous integrative review methodology was utilized using four electronic databases (Ovid MEDLINE, Ovid Emcare, Embase classic+Embase and CINAHL). The search terms were: ‘palliative care’, ‘hospice care’, ‘end of life care’, ‘home-based care’, ‘volunteer’, ‘rural’, ‘regional’, ‘remote’ and ‘developing countries’ identified by the United Nations (UN) as ‘Africa’, ‘Sub-Saharan Africa’, ‘low-income’ and ‘middle- income countries’. Thirty papers published in English from 1990 to 2019 were included. Papers were appraised for quality and extracted data subjected to analysis using a public health model (policy, drug availability, education and implementation) as a framework to describe strategies for establishing palliative care in rural areas. The methodological quality of the reviewed papers was low, with 7 of the 30 being simple programme descriptions. Despite the inclusion of palliative care in national health policy in some countries, implementation in the community was often reliant on advocacy and financial support from non-government organizations. Networking to coordinate care and medication availability near-patient homes were essential features of implementation. Training, role play, education and mentorship were strategies used to support health providers and volunteers. Home- and community-based palliative care services for rural LMICs communities may best be delivered using a networked service among health professionals, community volunteers, religious leaders and technology.

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