Planejamento de enfermagem para a alta hospitalar de pacientes com insuficiência cardíaca: revisão integrativa

O objetivo dessa revisão é identificar as evidências disponíveis na literatura sobre a atuação/participação da enfermagem na elaboração de um plano de alta para pacientes com IC para embasar uma dissertação de mestrado que propõe construir e validar um plano de alta para pacientes com IC, fundamentado na Teoria do Déficit do Autocuidado de Orem e Nursing Interventions Classification (NIC). A questão de pesquisa que norteou a investigação foi: Quais as evidências disponíveis na literatura sobre a atuação/participação da enfermagem na elaboração de um plano de alta para pacientes com IC? A revisão foi realizada no período de junho a agosto de 2020. Com a busca inicial nas bases de dados foi possível identificar 84 artigos primários, sendo 19 na SCOPUS, 15 no PubMed, 15 na LILACS, 12 na EmBase, 12 na BDENF, 06 na CINHAL e 05 na Web of Science. Após a leitura do título e resumo, foi possível excluir 42 estudos, restando apenas 21 para leitura na íntegra. Após essa etapa, 09 artigos restaram na amostra final. Os estudos analisados nesta revisão evidenciam a importância da enfermagem no processo de alta dos pacientes com IC, sendo possível identificar possíveis formas de atuação como: uso de cartão de alerta e fichário pessoal de saúde educativo, educação em saúde sobre a adesão a terapia medicamentosa e não medicamentosa, instigação do envolvimento do paciente e da família como ferramentas fundamentais para diminuir o número de reinternações hospitalares.

Mental health assistance: identification of nursing diagnoses in a community mental health service

ABSTRACT Objective: to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy. Method: this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language. Results: 813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem. Final considerations: mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.

Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis

ABSTRACT Objectives: to evaluate the completeness of nurses’ records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care. Methods: this was a retrospective documental study, with 190 records in Family Health Units of a city in the state of Paraíba. The data were analyzed according to descriptive statistics, Pareto Diagram, and trend analysis. Results: the overall mean incompleteness of records was 53.01% (DP=26.13). Therefore, the results presented very poor completeness classification related to nursing diagnosis (88.9%), nursing assessment (66.8%), data collection (60.5%), while nursing interventions were classified as regular (11.1%). The nursing diagnosis was the only variable with a decreasing trend of non-completeness. Conclusions: incompleteness of nurses’ records in the medical records of users with tuberculosis. Evaluation strategies, permanent and continuing education are indispensable in the quality of nurses’ documentation, directly implying the Systematization of Quality in Nursing Care.

Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period

Objective: To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. Method: Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. Results: The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. Conclusion: The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.

Peaceful End of Life Theory: A Critical Analysis of Its Use to Improve Nursing Practice

BackgroundProvision of empathetic palliative care in agreement with patient’s favorites is an indispensable attitude of healthcare providers. A Peaceful End of Life Theory was designed by Rulandand Moore (1998),to provide theoretical framework for nurses who care for patients at end stage of their life.MethodsChinn and Kramer theory analysis guideline was used to analyse this theory to suggest its improvement.ResultsFive major concepts and sub-concepts are identified.This theory informs the nursing profession on the relieving interventions at the end of life. It provides a guidance to supportively manage terminally ill patients in collaboration with their families.ConclusionThis theory is important to guide nursing practice,research, and education. However, there is a lack of an instrument to measure the desired outcomes, some subconcepts do not cleary specify the nursing interventions, and it lacks the spiritual comfort to the terminally ill patients who believe in eternal life.Rwanda J Med Health Sci 2021;4(3):412-417

THE INFLUENCE OF RELAXATION TECHNIQUE ON THE LEVEL OF ANXIETY IN PRE-CIRCUMCISION SURGERY

Background: Anxiety in children who will undergo circumcision is recognized as part of the trauma experienced by children due to actions that are considered dangerous for themselves. Excessive anxiety in pre circumcision can be prevented through one of the techniques of deep breathing relaxation. Objectives: The purpose of this study was to determine the effect of relaxation techniques on anxiety in patients with pre-circumcision surgery at the Circumcised House Sarirogo, Sidoarjo. Design: The population target was all of the patient for the circumcision in the Circumcised House of Sarirogo, Sidoarjo as many as 28 respondents. The technique sampling in this study used Consecutive Sampling technique. The sample size obtained 22 respondents. The independent variable in this study is relaxation techniques and the dependent variable is the anxiety of pre-circumcision patients. Data were taken using a questionnaire about anxiety given to respondents before and after relaxation techniques were carried out on 1–15 September 2020. This study used Wilcoxon Statistic Test and this research design used a pre-experimental one group pretest-posttest design. Results: The results showed as many as 7 respondents (31.8%) experienced severe anxiety levels before the relaxation technique was applied, while after being given relaxation techniques, the respondent's anxiety level decreased to 3 respondents (13.6%o). Based on statistical analysis result, it found that relaxation technique affects to the level of anxiety positively (p-value = .000). Conclusion: Relaxation techniques in nursing interventions are to divert or distance the client's attention to something that is being faced. While the benefits of this technique, that is, so that someone who receives this technique feels more comfortable, relaxed, and feels in a pleasant position.

Penerapan Terapi Spiritual Pada Pasien Resiko Perilaku Kekerasan

The risk of violent behavior is the behavior of a person with a mental disorder who shows aggressive behavior that can endanger himself and others both physically and physchologically. Ine of the nursing interventions for patients at risk of violent behavior is spiritual therapy. The therapy in this case study means saying dhikr and listening murrotal surah ar-rahman. This study aims to increase the ability in controlling and decreasing the symptoms on patients with violent behavior risks. The result showed there is a enhancement the ability in controlling and reduction of shymptoms after applying the therapy on two respondens. This therapy has effectively worked in enhancement the ability in controlling and reducting the shymptoms on the patient with the risks stated above. Thus, nurse suggested giving motivation and increasing the therapy both in quality and quantity.Keywords: the risk of violent behavior, murrotal and dhikr spiritual therapy AbstrakResiko perilaku kekerasan merupakan perilaku seseorang dengan gangguan kejiwaan yang menunjukkan perilaku agresif yang dapat membahayakan dirinya sendiri maupun orang lain baik secara fisik maupun psikologis. Salah satu intervensi keperawatan pada pasien resiko perilaku kekerasan yaitu terapi spiritual. Bentuk terapi spiritual dalam karya tulis ini yaitu dzikir dan mendengarkan murotal surat ar-rahman. Karya tulis ini bertujuan untuk meningkatkan kemampuan mengontrol dan menurunkan tanda dan gejala pada pasien resiko perilaku kekerasan. Metode yang digunakan adalah studi kasus. Hasil studi kasus menunjukan bahwa ada penurunan tanda dan gejala setelah diberikan terapi spiritual pada kedua responden. Terapi spiritual berupa murotal dan zikir efektif dalam meningkatkan kemampuan mengontrol resiko perilaku kekerasan dan menurunkan tanda dan gejala pada pasien resiko perilaku kekerasan. Diharapkan perawat dapat memberikan motivasi serta meningkatkan pelaksanaan terapi spiritual baik secara kualitas maupun kuantitas.Kata kunci: resiko perilaku kekerasan, terapi spiritual murotal dan zikir

The Use of the Nursing Interventions Classification in Identifying the Workload of a Nursing Team in a Pediatric Oncology Center

The activities/interventions performed by the nursing team and the time required for their performance have become a widely discussed topic due to their impact on the quality of patient safety and staff working conditions. Nursing Interventions Classification (NIC) was used as a more accurate indicator as it identified activities/interventions. This study analyzed the workload distribution of nursing team in a pediatric oncology center.