Professional burnout of nursing team working to fight the new coronavirus pandemic

ABSTRACT Objective: to identify burnout and associated factors among nursing workers working in coping with COVID-19. Methods: a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests. Results: burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified. Conclusion: the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.

Nursing professionals’ biosafety in confronting COVID-19

ABSTRACT Objective: To investigate the nursing professionals’ biosecurity in confronting COVID-19. Methods: This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted. Results: considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases. Conclusion: Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.

RISK OF POST STROKE PNEUMONIA DURING HOSPITALIZATION

Introduction: Post-stroke pneumonia is the most a common complication during the first few weeks after a stroke. Thus, a score is needed for the early identification of stroke patients with an increased risk of pneumonia to assist the nursing team in preventing the onset of pneumonia in stroke patients during hospitalization. This study aimed to assess the application of the A2DS2 score to predict pneumonia in acute ischemic stroke patients. Method: This is a diagnostic study that used a cross-sectional method conducted among adult acute ischemic stroke patients. Data analysis was performed to assess the calibration and discrimination performance of the A2DS2 score. Results: A total of 16 respondents were followed up. The incidence of post-stroke pneumonia was observed in 6 patients (37.5%). Conclusion: This scoring proved clinically accurate to predict the incidence of pneumonia in acute ischemic stroke patients.

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.

NURSING TEAM KNOWLEDGE ABOUT PRESSURE INJURIES

Objective: to assess the level of knowledge of the nursing staff of the medical clinic of a university hospital about pressure injuries. Method: descriptive-exploratory study, approved by the Research Ethics Committee. Data were collected through a validated questionnaire. Fifty individuals participated, 35 nursing technicians and 15 nurses. Results: nursing technicians had an average of 83.5% and nurses had an average of 89.9%. A regression model was carried out to verify variables that influence the level of knowledge, and it was identified that having more than 5 years in the profession increases 1.61 times the chance that the professional has adequate knowledge. Conclusion: a weakness in knowledge about pressure injuries was identified. In view of the costs involved in the treatment and complications arising from these injuries, health institutions must implement educational actions about this condition.

THE AUTONOMY OF THE ELDERLY FACING NURSING CARE:

The nursing team should promote adequate assistance to the elderly, prioritizing respect for their autonomy. The objective of this study is to evaluate in the existing literature the actions developed by the nursing performed to demonstrate the autonomy of the elderly. This is a descriptive, bibliographical study of the type integrative review. As a sample of articles in Portuguese, indexed in the portals SciELO, Virtual Health Library (VHL), Latin American and Caribbean Literature in Health Sciences (LILACS) and Google Academic, published between the years of 2012 and 2017. data, the articles will be categorized and inserted into tables or tables. It is hoped to help synthesize the evidence available in the literature on nursing care for the elderly regarding respect for their autonomy, and may help academics, professionals and researchers regarding the knowledge about the proposed theme, aiming for a quality nursing care, respecting autonomy of the elderly.

Use of antidepressants in the clinical nursing team: a prospective transversal observational study

Currently, with the perspective of becoming the second leading cause of disease in the world, depression is seen as a disease of modern society, affecting even health professionals such as nurses, nursing technicians, and nursing assistants. Based on this, this work aims to survey data on the use of antidepressants in the clinical nursing staff – nurses, technicians, and assistants who work at night at the ABHU. A questionnaire was designed to understand the reason for using antidepressants in the clinical nursing staff – nurses, technicians, and assistants. In addition, the questionnaire also aims to confirm hypotheses such as, whether the use of antidepressants by health professionals is related to the length of experience in the area, the use of antidepressants is related to stress, physical and emotional exhaustion, the length of treatment with antidepressants with a perception of improvement, it is related to the time of use, whether there is a relationship between the use of antidepressants and gender and whether the treatment with antidepressants is carried out with monitoring of professionals.

34 The diagnostic and therapeutic pathway of the patient with SCA: Nursing&Tech assistance

Cardiomyopathies to be the first cause of death. The patient who suffers from acute heart disease, after clinical evaluation, is subjected to a diagnostic–therapeutic process that involves several professional figures which include the doctor and the ambulance nurse, the doctor and all the emergency room staff who accept the patient and, if the clinical indication is oriented towards a vascular occlusion disease, the doctor and the technical-nursing team of the haemodynamics service activated in urgency. To diagnose with certainty the presence of vascular disease we make use of diagnostic systems that use ionizing radiation; the haemodynamics team thus finds itself operating not only in urgent conditions but also in dangerous conditions due to the presence of ionizing radiation. Nursing and technical staff need additional skills to be able to take on roles from basic care to emergency electric shock resuscitation. The purpose of this work is to illustrate the phases of the activity that stabilize the treatment in the hemodynamics room from the acute phase to the patient.