Enfermagem - Mestrado Profissional

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17580

Programa de Pós-Graduação em Enfermagem

Centro: CCS
Telefone: (27) 3335 7280
URL do programa: http://www.enfermagem.vitoria.ufes.br/pt-br/pos-graduacao/PENF

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Agora exibindo 1 - 4 de 4

Consulta de enfermagem à pessoa vivendo com HIV/AIDS : uma proposta de instrumento para coleta de dados
(Universidade Federal do Espírito Santo, 2021-11-25) Araujo, Clarissa Eudoxio da Silva de; Prado, Thiago Nascimento Do; https://orcid.org/0000000181326288; http://lattes.cnpq.br/6388559394015871; https://orcid.org/0000-0002-0739-5960; http://lattes.cnpq.br/4439677091406408; Vieira, Anne Caroline Barbosa Cerqueira; https://orcid.org/0000-0003-2464-6423; http://lattes.cnpq.br/4055120283760991; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Maciel, Paulete Maria Ambrosio; https://orcid.org/0000-0002-2141-7732; http://lattes.cnpq.br/7171160815622678
Introduction: The introduction of technological advances in the treatment of HIV/AIDS has contributed to an increase in the survival of people living with HIV. However, the change in the profile of the disease to a chronic condition brought several new challenges to be faced, such as the impact of antiretroviral therapy and the development of comorbidities, which can hinder adherence to treatment. In this sense, instrumentalizing nursing care focused on the specific needs of persons living with HIV/AIDS contributes to improving the quality of care provided, and may bring benefits to the professional, to the patients and to the institution. Objectives: To develop and validate the content of an instrument for the nursing consultation with people living with HIV/AIDS, based on Wanda Aguiar Horta's Theory of Basic Human Needs. Methodology: This is a methodological study that was developed in three stages. First stage: a) identification of empirical indicators of basic human needs of the person living with HIV/AIDS through an integrative literature review, and b) construction of the initial instrument of the study containing the empirical indicators according to the levels of Basic Human Needs, as presented by Horta. Second stage: content validation by nurses working in the care of persons living with HIV/AIDS. Third stage: construction of the data collection instrument for the nursing consultation with the person living with HIV/AIDS, including the indexes validated by the nursing judges. Results: 158 empirical indexes were identified and, after the validation of the initial instrument by the judges, 126 indexes reached the weighted average ≥0.80, being 72 (57.14%) of the psychobiological needs, 52 (41.27%) of the psychosocial needs and 2 (1.59%) of the psychospiritual needs. Thus, the final version of the data collection instrument for the nursing consultation with the person living with HIV/AIDS was created, structured according to Wanda Horta's Theory of Basic Human Needs. Product: A data collection instrument for the nursing consultation with the person living with HIV/AIDS. Conclusion: The data collection instrument for the nursing consultation with the person living with HIV/AIDS enables the identification of the altered needs of these patients, according to the levels of need described by Wanda Horta, grounding the nurse's clinical practice and favoring the adequate planning of the nursing assistance. The instrument will be adopted to the clinical practice of nurses working in the reference centre for sexually transmitted infections in the municipality of Vitória
Efeitos da auriculoterapia nos níveis de ansiedade e nos sinais e sintomas de estresse e depressão em gestantes atendidas em pré-natal de baixo risco
(Universidade Federal do Espírito Santo, 2016-12-20) Silva, Hercules Luz da; Almeida, Márcia Valéria de Souza; Amorim, Maria Helena Costa; Leite, Franciéle Marabotti Costa; Luciano, Luzimar dos Santos
Objectives: To evaluate the effects of auriculotherapy on the levels of anxiety, stress and signs and symptoms of depression in low-risk prenatal pregnant women with sociodemographic, clinical-obstetric variables; Elaborate an educational technology in the form of a Comic Book: Auriculotherapy in Prenatal; Elaborate an educational technology in the form of a Folder: Auriculotherapy or Auricular Acupuncture. Method: A randomized controlled clinical study with a sample of 50 pregnant women, divided into control and experimental groups, attended at a low risk prenatal outpatient clinic. To collect the data, we used the interview technique with form registration, Trait-State of Anxiety Inventory (IDATE), List of Signs and Symptoms of Stress (LSS / VAS) and Edinburgh's Puerperal Depression Scale (EPDS). The variables were tested using chi-square and Fisher's exact test. The comparison between groups of anxiety, stress and depression levels was performed using Student's t-test for independent and paired samples.
Protocolo para aleitamento materno do recém-nascido prematuro e de baixo peso
(Universidade Federal do Espírito Santo, 2023-08-24) Cunha, Camila Medeiros Cruvinel; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Primo, Cândida Caniçali; https://orcid.org/0000000151412898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/0000-0003-1520-886X; http://lattes.cnpq.br/2192198903103844; Galvão, Dulce Maria Pereira Garcia ; https://orcid.org/0000-0002-2496-2162; Pontes, Mônica Barros de; https://orcid.org/0000-0003-3629-236X; http://lattes.cnpq.br/2027806297684753; Fonseca, Luciana Mara Monti; https://orcid.org/0000-0002-5831-8789; http://lattes.cnpq.br/2405356819478086; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767
The establishment and maintenance of breastfeeding in premature and low birth weight newborns are complex, presenting greater challenges than in full-term and healthy newborns, as the breastfeeding process can be interrupted indefinitely. This project aims to address an institutional demand for improvements in breastfeeding assistance for premature infants and is aligned with the research line of organization and evaluation of healthcare systems. Overall Objective: To contribute to the improvement of the quality of breastfeeding management in premature and low birth weight newborns. Specific Objectives: Determine the current compliance with best practice recommendations; Identify barriers and facilitators to improve compliance with best practice recommendations; Implement strategies to address areas of non-compliance; Evaluate changes in compliance with evidence-based practice recommendations after the implementation of strategies. Methodology: Participatory research that used the implementation science framework and the JBI's audit and feedback tools named PACES and GRiP. The study was conducted in a university hospital in southeastern Brazil, with the participation of the multidisciplinary team and managers. The study was organized following the steps: situational diagnosis; protocol development; training; protocol implementation; monitoring and protocol review. Data were analyzed through descriptive statistics and content analysis. Results: Seven audit criteria were listed based on national and international guidelines, WHO and Ministry of Health manuals, and JBI Summaries. These criteria were assessed for compliance with evidence-based best practices. In the baseline audit, three of these criteria were found to be compliant, while the other four were non-compliant. Based on the situational diagnosis and baseline audit, barriers were identified, and eleven strategies were developed with the resources described for their execution. After the training, all the audited criteria showed compliance in the first follow-up audit, and five out of the seven audited criteria were compliant in the second follow-up audit. Products: Protocol for breastfeeding premature and low birth weight newborns. Flowcharts, process mappings, and infographics to guide staff work and parents' involvement in this process. Multidisciplinary and intersectoral training. Final Considerations: This project achieved the goal of improving evidence-based practice among the multidisciplinary team and enabled the development and implementation of the institution's first protocol for breastfeeding assistance to premature and low birth weight newborns, facilitated by the implementation of multifaceted strategies targeted at the identified barriers. The protocol and products are already implemented and generating positive impacts in the institution. This research has the potential to be applied at the regional and national levels as it systematically describes an innovative method with the necessary steps and resources for the implementation of the best scientific evidence. The research influenced changes in practice, but the maintenance of evidence-based care and adherence to the protocol require ongoing education for the neonatal team and other involved sectors to achieve better results.
Tradução do conhecimento em amamentação : protocolo para prática clínica no alojamento conjunto
(Universidade Federal do Espírito Santo, 2024-10-30) Salgueiro, Michele Anne de Oliveira Batista; Freitas, Paula de Souza Silva ; https://orcid.org/0000-0001-9066-3286; http://lattes.cnpq.br/6676352092840927; Primo, Cândida Caniçali ; https://orcid.org/0000-0001-5141-2898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/0000-0003-0258-1913; http://lattes.cnpq.br/6066168606171161; Lima, Eliane de Fátima Almeida ; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Galvão, Dulce Maria Pereira Garcia; https://orcid.org/0000-0002-2496-2162; http://lattes.cnpq.br/; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Paula, Cristiane Cardoso de ; https://orcid.org/0000-0003-4122-5161; http://lattes.cnpq.br/8247264269439154
Introduction: Breastfeeding is a complex, dynamic, and interactive process that depends on several factors that can influence it positively or negatively. This project aims to meet an institutional demand for improvements in breastfeeding care for newborns in rooming-in facilities, and is aligned with the research line on the organization and evaluation of health care systems. Objectives: To describe the knowledge and care practices of health professionals on breastfeeding. To develop a multidisciplinary protocol on breastfeeding. To implement the multidisciplinary care protocol on breastfeeding in the maternity ward. To evaluate changes in compliance with recommendations for evidence-based practices after the implementation of the protocol. Methodology: Participatory research, which used the Knowledge to Action Cycle model to implement a Knowledge Translation project. The study was carried out in a university hospital in Espírito Santo, Brazil, with the participation of the interprofessional team of the rooming-in facility and milk bank. In the knowledge cycle, the existing knowledge was assessed using the self-assessment questionnaire of the Baby-Friendly Hospital Initiative (BFHI); To develop the knowledge tool, a working group was formed with the interprofessional team, and the clinical protocol was developed based on the synthesis of knowledge. In the action cycle, theoretical and practical training was carried out; the protocol was implemented; the barriers and facilitators of the implementation process were assessed; and the impact was assessed through 3 strategies: 1) assessment of care indicators; 2) assessment of the knowledge and skills of health professionals; and 3) self-assessment as recommended in the IHAC self-assessment questionnaire; maintenance of the use of knowledge will be done through continuing education actions and events in Golden August. To analyze the qualitative data, the recordings of the groups were transcribed using an online tool, read exhaustively, and submitted to categorical content analysis. Results: Products: Protocol for breastfeeding premature and low-weight newborns. Flowcharts, process maps, and infographics to guide the work of employees and the role of parents in this process. Multidisciplinary and intersectoral training. Final considerations: This project achieved the objective of improving the evidence-based practice of the multidisciplinary team and enabled the development and implementation of the first protocol for breastfeeding care for newborns cared for in the institution's shared accommodation. The protocol and products have already been implemented and are generating positive impacts in the institution. This research has the potential to be applied at regional and national levels, as it systematically describes an innovative method with the steps and resources necessary for the implementation of the best scientific evidence. The research influenced changes in practice, but maintaining evidence-based care recommended in the protocol requires ongoing education of the neonatal team and other sectors involved to assist in adherence and better results

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