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- ItemA acupuntura enquanto prática complementar na atenção à saúde do trabalhador(Universidade Federal do Espírito Santo, 2015-03-16) Teixeira, Renata Frossard; Figueiredo, Túlio Alberto Martins de; Amorim, Maria Helena Costa; Luciano, Luzimar dos SantosIn 2006, the National Policy of Integrative and Complementary Practices has been published and contributed strongly to the growth of practices until then named “alternatives”, for instance: Homeopathy, Acupuncture, Phytotherapy and others. However, when it comes to workers’ health, the offer of this service within SUS is still scarce, mainly Acupuncture, the object of this study which was divided into the following two productions presented: As a first desiring production, developed a article to create a printed information technology, commonly known as Manual, to provide scientific background information in relation to the practice of acupuncture, as being a therapeutic interventions system of a university hospital in the state of Espirito Santo. As a second production desiring drew up a proposal for intervention through which lists the subsidies necessary to implement a complementary service of nursing care as having acupuncture device in attention to workers' health. The purpose of this study is to provide a contribution to the spread of acupuncture focused on workers' health.
- ItemA cultura de segurança do paciente em um centro cirúrgico(Universidade Federal do Espírito Santo, 2018-12-21) Machado, Laís Rubert; Massaroni, Leila; Portugal, Flávia Batista; Lima, Eliane de Fátima Almeida; Wandekoken, Kallen Dettmannabstract
- ItemA dengue em um município de pequeno porte do Estado do Espírito Santo, Brasil : um olhar sobre as notificações compulsórias(Universidade Federal do Espírito Santo, 2017-12-15) Marques, Carla Adriana; Siqueira, Marluce Mechelli; Portugal, Flávia Batista; Prado, Thiago Nascimento do; Sales, Carolina Maia MartinsIntroduction: Dengue is a viral disease that presents itself as a major public health problem worldwide. In recent years, there has been an increase in the number of reported cases of dengue in the southeastern region of Brazil, especially in Espírito Santo. These suspected or confirmed cases of dengue should be reported in the SINAN Notification Disease Information System. In this way, the data inserted in this system represent an important source of information for epidemiological studies and for the evaluation of the quality of the service. Objectives: To analyze the data quality of the dengue notification sheets informed in SINAN regarding the completeness of the fields; to create a proposal for an online course on the Epidemiological Surveillance of dengue and to prepare an Epidemiological Bulletin of dengue for the municipality of Fundão-ES.
- ItemA Enfermagem e as práticas da atenção à saúde do indígena idoso(Universidade Federal do Espírito Santo, 2016-10-19) Coelho, Liliana Pereira; Massaroni, Leila; Maciel, Paulete Maria Ambrósio; Oliveira, Lavínia Santos de Souza; Olympio, Paula Cristina de Andrade Pires; Resende, Maria Carlota Coelho; Bicudo, Sheila Diniz Silveiraabstract
- ItemA flexibilização das relações de trabalho da enfermagem no Hospital Universitário da Universidade Federal do Espírito Santo (1988-1998)(Universidade Federal do Espírito Santo, 2013-10-25) Alves, Sheila Maria Parreira; Coelho, Maria Carlota Rezende; Cruz, César Albenes de Mendonça; Massaroni, Leila; Borges, Luiz Henrique; Maciel, Paulete Maria AmbrósioA study on the flexibilisation of labour relationships in Health, and its consequences on the nursing work in a university hospital between the years of 1988 and 1998. Describing labour in the dynamics of capitalism, it contextualises the flexibilisation of labour relationships and its repercussions on the public service since the 1990 State Reform, concentrating on the university hospitals. The methodology of thematic oral history is adopted, resulting in a social historical study, with the analysis of oral testimonials being used to comprehend the perception by the social body of the nurse staff of a university hospital, of the meaning of the flexibilisation of labour relationships; the conclusion is that this process, embodied mainly by the outsourcing used for replacement of workers, has resulted in disruption and discontinuity of the services held by the hospital, in staff turnover, and in difficulties of administration due to the coexistence within the same organisational environment of different bonds, wages and advantages, causing losses to the institution’s functions of assistance, teaching, and mostly to the workers which are affected by social insecurity and the deterioration of the working conditions. The Brazilian Company for Healthcare Services, which assumes administration of the university hospitals with a new proposal of management, is identified as a still unknown alternative for the institution’s workforce, thus providing motivation for new studies.
- ItemAdolescente com doença falciforme : conhecimento da doença e adesão ao tratamento(Universidade Federal do Espírito Santo, 2015-09-28) Martins, Gisely Vieira Ramos; Furieri, Lorena Barros; Luciano, Luzimar dos Santos; Bringuente, Maria Edla de OliveiraSickle cell disease (SCD) is a very common genetic disease in Brazil, mainly in brown and black ethnic groups. Every year, more than 300,000 babies are born with severe form of sickle cell disease in the world. In Brazil, about 50 thousand people are carriers of the SCD. Such harm is characterized by genetic changes and the prevalence of hemoglobin S (HbS) rather than hemoglobin A, considered the regular one. Studies show that almost 80% of deaths from this disease occur in subjects under 30 years old. Thus, the aim of this study was to describe the knowledge of adolescents with SCD about the disease and its treatment adherence. It is a descriptive and crosssectional research with qualitative approach. The method consisted in recording twenty individual interviews using a semi-structured form, targeting adolescents with sickle cell disease treated between March and May of 2015 at the hematology ambulatory of a federal public educational and research institution in Vitoria - ES.
- ItemAnálise das atividades laborais de enfermeiros de uma unidade de terapia intensiva neonatal na perspectiva da clínica da atividade(Universidade Federal do Espírito Santo, 2016-07-01) Schmidt, Priscilla Leite Nunes; Luciano, Luzimar dos Santos; Ramos, Maria Cristina; Massaroni, Leila; Bicudo, Sheilla Diniz SilveiraThis dissertation research was conducted with Nurses at the Neonatal Intensive Care Unit (NICU) of the University Hospital Cassiano Antonio Moraes (HUCAM). The purpose was to analyze the work from the activity point of view, analyzing what empowered and what underpowered the work. This is a descriptive case study with a qualitative approach, in which the Clinic of Activity was used as theoretical and methodological framework, as a proposal to promote a professional dialogue to allow that the overcoming of deadlocks could be made by the workers themselves. To carry the analysis of the work out, a photo workshop was done with the Nurses to take the health worker to the analyst place. The photographs produced and chosen by the associated group consisting of six Nurses promoted debates that led the workers to reflect on the work processes develop by them. The activities analyzed in this research that operated as empowering of the nurse's work in NICU were: the insertion of a Peripherally Inserted Central Catheter; carrying out the Nursing logbook annotations; and the organization of a bed. The activities analyzed that were considered underpowering in this work were: the checking of a prescription; the disinfection of equipment and materials; and the monthly schedule of the Nursing team. This research highlights these professional’s modes of work, revealing the sufferings and joys of their daily work. It also provides the expansion of the power to act for each with the development of strategies to face challenging work situations, which shows the product of this study. Besides that, the product is also a proposal for the Nursing coordination of NICU to organize regular team meetings.
- ItemAnsiedade e estratégias de enfrentamento adotadas pelas mulheres com diagnóstico de câncer de mama em tratamento quimioterápico(Universidade Federal do Espírito Santo, 2015-07-29) Silva, Araceli Vicente da; Amorim, Maria Helena Costa; Zandonade, Eliana; Miotto, Maria Helena Monteiro BarrosObjectives: To identify the trait and state anxiety and psychological coping strategies for patients with breast cancer, and to examine its relationship with sociodemographic and clinical variables, and to correlate the coping strategies adopted with the trait and state anxiety. Methodology: This is a descriptive crosssectional study, developed in the chemotherapy Ylza Bianco outpatient sector of the Hospital Santa Rita, located in Vitória / ES. The sample was randomly taken, and was composed by 307 women with prior breast cancer intravenous chemotherapy, either adjuvant or palliative. Data was collected through interviews, and the Confront Problems Mode Scale (EMEP) and the Anxiety Inventory (A-Trait) and State (State B) – IDATE scales were used. For statistical analysis, the SPSS program, version 19.0, was used. Results: 60.9% of patients were found to have low levels of trait anxiety, and 91.5% low level of the state of anxiety. The coping strategy most used by patients was coping focused on the problem, followed by focus on religion, and the coping strategies focused on social support and emotion were the least used. A significant correlation of trait anxiety and coping strategies focused on the problem (p<0,000); with focus on emotion (p<0,000); state of anxiety with coping focused on the problem (p=0,001 ); and with focus on emotion (p=0,004) was proved. Conclusion: The socio-demographic and clinical variables influence in a direct way in the level of anxiety and choice of coping strategy to be adopted by patients. It was found that the coping strategy chosen by women is directly related to their state and trait anxiety. Providers should know the correlation between coping and anxiety to develop measures to implement and help patients to choose efficient strategies for coping and, as a consequence, reducing the level of anxiety.
- ItemAplicativo educacional para apoiar o ensino do processo de enfermagem na assistência à mulher, à criança e à família em amamentação(Universidade Federal do Espírito Santo, 2018-03-28) Resende, Fabíola Zanetti; Primo, Cândida Caniçali; Leite, Franciele Marabotti Costa; Cubas, Márcia ReginaIntroduction: Nursing care to the woman, the child and the family in the breastfeeding process has a multiplicity of factors that may interfere with the initiation, maintenance and duration of breastfeeding. The development of the nursing process or nursing consultation individualizes the care and makes easier to identify the influencing factors, therefore contributing to reduce premature weaning. The nurse may use a variety of nursing diagnoses and specific nursing interventions to solve the observed problem, showing the importance of the procedures that bring nursing statements representative of clinical practice. This study aimed at aligning the benefits of Computer Information Technologies to Teaching-Learning and Development of the nursing process / nursing appointment. Objective: To reorganize the INCP® subset to assist women, children and families in the breastfeeding process, and to develop an application to support the teaching of the nursing process or the nursing consultation to breastfeeding. Methodology: Methodological study. The subset reorganization was performed in five steps: 1) Cross-mapping between the nursing diagnoses and outcomes of the INCP® subset and the 2015 INCP® version; 2) Content Validation of nursing diagnoses and outcomes with judges; 3) Cross-mapping between the nursing interventions of the INCP® subset and the 2015 INCP® version; 4) Validation of nursing interventions with judges; 5) Structuring the INCP® subset to assist women, children and the family in the process of breastfeeding. The application was developed in four steps: 1) Definition of requirements and elaboration of the conceptual map of the application; 2) Generation of alternatives of implementation and prototyping; 3) Tests; and 4) Implementation. Results: 13 diagnoses / outcomes obtained (validation index of content) VIC greater than or equal to 0.8 (13.3%); 34 from 0.6 to 0.79 (34.7%); 51 less than 0.6 (52%). The terms “Lack of privacy”, “Decision making towards effective breastfeeding”, “Effective mother role performance” and “Improved mother role performance” had no other validated statement that maintained the relationship between nursing diagnoses and outcomes, therefore three statements were added, totaling 50 nursing diagnoses/outcomes. Of the 396 nursing interventions submitted for validation, 350 obtained VIC greater than or equal to 0.80. The application “Cuidartech Amamenta” contains five navigation options: “INCP® Breastfeeding Subset”, which brings the diagnoses, outcomes and interventions; “Case studies”, which contains 10 cases for the exercise of diagnostic reasoning; “About INCP®”, “About INCP® Subsets” and “About Interactive Theory of Breastfeeding”, which shows content about each of these topics; and “Credits”, which has information about the purpose of the application and responsible team. Conclusion: The validation process involved nurses from all regions of Brazil, which shows the representativeness of the statements in clinical practice in maternity ward, Neonatal Intensive Care Unit, Human Milk Bank and primary care. The subset, containing 50 diagnoses, 27 outcomes and 350 nursing interventions, served as the basis for the development of the application “Cuidartech Amamenta”. These two tools present themselves as new technologies in nursing that can provide the development of the nursing process or nursing consultation. The application can be used in teaching-learning as a support to students for diagnosis reasoning and decision-making.
- ItemAplicativo sobre processo de enfermagem em uma unidade de terapia intensiva neonatal(Universidade Federal do Espírito Santo, 2018-03-26) Araujo, Jhonathan Lucas; Primo, Cândida Caniçali; Lima, Eliane de Fátima Almeida; Nascimento, Luciana de Cássia NunesIntroduction: The nursing process is the recommended instrument for the operationalization of nursing care. In a Neonatal Intensive Care Unit (NICU), it is still performed in a fragmented way and does not use a taxonomy to substantiate it. Objective: To develop an application to perform the nursing process in the care of the newborn. Methodology: This is a qualitative, two-step study. In the first, the participative methodology of action research, provided a survey of the obstacles to the accomplishment of the nursing process. To solve the problems, four seminars were held to elaborate and validate instruments for acessment, diagnostic and nursing interventions considering the theoretical reference of the Basic Human Needs (NHB) of Wanda Horta and the taxonomy of the International Classification for Nursing Practice. The seminars took place between the months of January and March of 2017, the talks were recorded and transcribed for later content analysis. In the second stage, an application was developed and validated to operationalize the execution and registration of the nursing process, considering the norms for software engineering. The application was elaborated from March 2017 to February 2018. The evaluation and validation was performed in February 2018 by a technical team and eleven nurses from the NICU of a university hospital in the southeast of Brazil. Results: Instruments for the nursing process were elaborated and validated, which were the basis for the elaboration of the application, also validated by the nurses. Products: An instrument for the acessment and nursing diagnosis and another for nursing interventions were developed. The acessment instrument was elaborated in three pages, containing each NHB relative to the first stage of the nursing process for the neonatal patient. Psychobiological NHB followed the psychosocial ones. The psychospiritual NHB was not contemplated. The content of the acessment includes the evaluation of clinical indicators, devices and other relevant information. The nursing diagnoses were inserted in the same instrument, related to the acessment and the clinical indicators. The instrument for nursing interventions proposes 160 separate actions for each of the 36 proposed diagnoses, subsidizing the nurses' planning. The "CuidarTech Neo" mobile application was also developed to support the execution and registration of the nursing process. This, crosses data from the acessment with nursing diagnoses, assisting the nurse in the clinical judgment and diagnostic decision. In addition, it provides storage of collected data for later reference or change. It also associates with other interfaces and working devices, enabling the printing of historical data, diagnosis and nursing interventions, or storage in electronic medical records. Conclusion: The nursing process is a daily tool of nursing care. Technologies that make it more effective and efficient are necessary, aimed at improving the quality and assertiveness of nursing care. An application that operationalizes the nursing process may be able to make nursing care safer, faster and more scientific.
- ItemAtitudes do enfermeiro frente ao processo de enfermagem(Universidade Federal do Espírito Santo, 2015-12-14) Silva, Cristiane Rodrigues; Lima, Eliane Fátima Almeida; Fioresi, Mirian; Furieri, Lorena Barros; Oliveira, Elizabete Regina Araújo deObjectives: To analyze the Nurse’s position on the Nursing Process (NP) at a University Hospital. Method: This is an analytical transversal study. The sample was composed of 141 Nurses. The data collection was done using the Positions on Nursing Process (PNP) tool. The total PNP score could vary between 20 and 140. The score on the different items of the PNP were interpreted as: most unfavorable (mean score ≤4.5); favorable (mean score 4.6-5.4); and strongly favorable (mean score ≤5.5). Statistical analysis: Descriptive statistics and associations, conducted by Pearson's chi-square test. P <0.05 was considered significant. Results: The general scores varied between 73 and 138. The PNP total mean score was 113.29 (SD=15.33). The Nurses perceive the NP as significant, valuable, positive, intelligent, valid, meaningful, relevant, rewarding, convenient, acceptable, good, and important; hence showing attitudes that are strongly favorable to the NP. The score obtained in the analysis of the items that incorporate the adjectives: clear, agreeable, strong, comfortable, realist, and enabling presented scores between 4.6 and 5.4; hence, these have classified the Nurses’ position on these attributes as favorable to the NP. Only the analysis of the items that include the adjectives difficult and routine rendered a mean score of ≤4.5, showing attitudes that are more unfavorable to the NP. Still, presenting no satisfaction with the career, satisfaction with the work station and having previous knowledge of the Nursing diagnoses are variables related to the attitudes that are favorable to the NP. Conclusion: This study allows us to conclude that the Nurses at the studied institution have favorable attitudes on the NP. The variables related to the favorable attitudes are: presenting satisfaction with the career, satisfaction with the work station and having previous knowledge of the Nursing diagnosis.
- ItemAvaliação de risco e de fatores preditores para desenvolvimento de úlcera por pressão em pacientes críticos(Universidade Federal do Espírito Santo, 2013-11-25) Borghardt, Andressa Tomazini; Prado, Thiago Nascimento do; Bringuente, Maria Edla de Oliveira; Araújo, Thiago Moura de; Rogenski, Noemi Marisa Brunet; Castro, Denise Silveira deIntroduction: Pressure ulcers in critically ill patients have been constituted as a serious management and care, creating major challenges to nursing. Objectives: Estimate the incidence of pressure ulcers in critically ill patients, identify factors associated with its development and. evaluate the accuracy of risk assessment scales of Braden and Waterlow Method: This is a cohort study conducted from March to June 2013, with 77 patients admitted to the intensive care units, which consisted of an initial assessment of variables associated with intrinsic and extrinsic factors, among which: the metabolic profile of patients, daily application of risk assessment scales (Braden and Waterlow) on admission and every 48 hours, and assessment and classification of ulcers into categories Results: The incidence was found to be 22 %, 17 patients developed 32 pressure ulcers, predominantly located in the sacral region (47%) and in class I (72%). Regarding the metabolic profile, the bearer of ulcer, showed albumin, transferrin and low lymphocyte count. In bivariate analysis the variables found were: hospitalization for longer than 10 days (71%), type of surgical hospitalization (53%), congestive heart failure (24%), norepinephrine (29%) and high risk Scale Braden. Braden and Waterlow Scale, presented, respectively, high sensibility (41% and 71%) and low specificity (21% and 47%) in the three assessments. The cutoff scores found in the first, second and third evaluation were 12, 12 and 11 for the Braden Scale and 16, 15 and 14 for the Waterlow scale. Conclusion: The study showed a high incidence of pressure ulcers, identified associated factors with it and evaluated the Braden Scale to be a good screening tool and the Waterlow a better predictive power tool and emphasizing the importance of the systematization of nursing actions and the use of appropriate technology in the prevention of injury.
- ItemAvaliação do diagnóstico de enfermagem : amamentação ineficaz(Universidade Federal do Espírito Santo, 2015-04-10) Alvarenga, Sandra Cristina de; Primo, Cândida Caniçali; Castro, Denise Silveira de; Brandão, Marcos Antônio Gomes; Leite, Franciele Marabotti Costa; Zandonade, ElianaThis study has the aim of describing the characteristics that define the Nursing diagnosis “ineffective breastfeeding” and the factors related to it; to examine the association between the socio-demographic, clinical and obstetric profile of the recently given birth mothers with the diagnosis in study. This is a descriptive study of the transversal type. The study was developed at the Maternity of a University Hospital. Seventy-three mother-baby binomials were hospitalized in the joint accommodation system, in the period from July to August, 2014. For data collection, an instrument was developed based on the defining characteristics of the “ineffective breastfeeding” diagnosis, and the factors related to it, and also patient's sociodemographic, clinical and obstetric data. The data was analyzed by the statistics package SPSS version 19.0 for Windows®. Results: The inefficient breastfeeding diagnosis was present in 58.9% of the binomials. The recently given birth mothers were 27 years old in mean, didn't have a partner (63%), had more than eight years of schooling (71,2%), were employed (52,1%), did pre-natal visits (97,3%), and were multiparous (64,4%). As for the newborns, 58,9% were female, to term (90,4%), didn't breastfeed in the first hour after birth (87,7%). The mother's schooling was the only socio-demographic variable that had a meaningful association to the “ineffective breastfeeding” diagnosis. The defining characteristics with meaningful association to the “ineffective breastfeeding” diagnosis were: breast suction discontinuity; insufficient breast emptying; perceived inadequate milk supply; breast feeder resistance in apprehending the areola-nipple region with the mouth; absence of observable signs of ocitocin liberation; and breast feeder cries when put on breast. The related factors were: unsatisfactory suction reflex of the breast feeder, and mother anxiety. Conclusion: The study is relevant for the improvement of the components of the “ineffective breastfeeding” diagnosis, as helping Nurses in the clinical practice, hence it will contribute to the planning of Nursing actions at the joint accommodation, and for the mother-son binomial, and also in partially reducing the gap that presently exists in the literature about Nursing diagnosis on breastfeeding
- ItemAvaliação do tempo de internação em cirurgia cardíaca : uma contribuição para a regulação de leitos hospitalares(Universidade Federal do Espírito Santo, 2018-02-26) Reis, Morgana Maria Rampe; Primo, Cândida Caniçali; Lima, Eliane de Fátima Almeida; Leite, Franciéle Marabotti Costa; Silva, Rita Inês Casagrande daIntroduction: The average hospitalization time is an important indicator for the assessment of hospital efficiency, efficacy, and effectiveness, being a basis for healthcare planning and management. Among the non-transmissible chronic diseases, cardiovascular diseases are the main causes of hospitalization, and they generate the greater cost for this component of the national healthcare system. Objectives: To describe the socio-demographic and clinical profile of patients submitted to heart surgery; To verify the hospitalization average time distribution according to the socio-demographic and clinical characteristics; To examine the association between the average hospitalization time and the socio-demographic and clinical variables of patients submitted to heart surgery; To elaborate an pre-surgical checklist for the hospitalization of the heart surgery patient. Method: This is a transversal and retrospective epidemiological study done from the analysis of the secondary data of individuals who have been submitted to heart surgery at a university hospital in the South-East region of Brazil. Data was collected from the heart surgery patient’s records in the heart surgery staff records, the surgical center records, and the University Hospitals Management App in the period from May to September 2017. Results: 200 records of patients submitted to heart surgery between August 2015 and April 2017 were analyzed. The greater part of these were of male gender, older than 60 years, and brown. The most prevalent co-morbidities were high blood pressure, dyslipidemia, and diabetes mellitus. The total average hospitalization time was 23 days. A higher median average hospitalization time was that for patients with over 60 years old, male, with previous co-morbidities, especially chronic kidney failure, as well as tobacco smoking, clinical procedure at hospitalization, having been previously hospitalized at the Intensive Care Unit, and surgical suspension. Besides that, the most prolonged hospitalization was the one for individuals who presented post-surgical complications, such as neurological events, cardiac arrhythmias, acute kidney failure, lung complications, and hospital infection (p<0,05). Product: A preoperative checklist was developed for the hospitalization of the heart surgery patient that was implemented at the institution. Conclusion: The study was important to know the profile of patients who underwent heart surgery in the institution and in contributing to the intensification of health educational and prevention actions, giving support to strategies for the adherence to treatment and the control of complications. In addition, the association of clinical and sociodemographic variables with hospitalization time made it possible to identify patients who remained in bed longer, contributing to the elaboration of protocols, institutional flows, adequacy of work processes and ensuring greater bed rotation and better access to this type of surgery.
- ItemAvaliação dos pés de pessoas com Diabetes Mellitus : o uso de um aplicativo móvel(Universidade Federal do Espírito Santo, 2017-07-17) Vescovi, Selma de Jesus Bof; Bicudo, Sheilla Diniz Silveira; Sant’ Anna, Hugo Cristo; Bringuente, Maria Edla de Oliveira; Primo, Cândida Caniçali; Rohr, Roseane VargasIntroduction: Diabetes Mellitus is a serious public health problem responsible for several chronic complications, among them the diabetic foot which consequences lead to amputations of the lower limbs that can result in death, reduced quality of life, and generate great socioeconomic impact . The nurse, as a professional in direct contact with the person with diabetes, is essential to the development of actions for risk prevention, clinical monitoring, disease control and complications. Objective: To describe the development and validation of a mobile application on the assessment and risk assessment of people´s feet with Diabetes Mellitus. Methodology: Methodological study carried out in four stages: 1) Definition of requirements and elaboration of the conceptual model; 2) Generation of alternatives of implementation and prototyping; 3) Tests; And 4) Implementation. Considering the specificity of knowledge in technologies required to achieve the desired product, all stages of the study were developed at the Federal University of Espírito Santo (UFES) in a partnership between the Postgraduate Nursing Program (PPGENF), CuidarTech extension project (Laboratory of Nursing Technologies) and the Laboratory and Observatory of Ontologies Project (LOOP), linked to the Department of Industrial Design. The general method of application development was guided by the ABNT ISO / TR 16982: 2014 standard. In the first moment to elaborate the textual part of each screen , published guidelines in Europe and the Americas were used. Development and prototyping options were generated by using the Intel XDK software.
- ItemConhecimento da equipe de enfermagem antes e após capacitação em semiotécnica dos sinais vitais(Universidade Federal do Espírito Santo, 2017-07-24) Barcellos, Luciana Nascimento; Fioresi, Mirian; Furieri, Lorena Barros; Lopes, Andressa Bolsoni; Batista, Karla de Melo; Romero, Walckiria Garciaabstract
- ItemConhecimento e autocuidado em mulheres com diabetes mellitus gestacional(Universidade Federal do Espírito Santo, 2013-12-06) Nascimento, Soneide Pereira do; Bicudo, Sheilla Diniz Silveira; Zanetti, Maria Lúcia; Castro, Denise Silveira de; Alves, Rosana; Amorim, Maria Helena CostaIntroduction: Early diagnosis and gestational diabetes treatment aim to reduce maternal and fetal morbidity and mortality. Knowledge of the therapeutic measures enables achieving normoglycemia, reducing the incidence of complications. Objectives: To evaluate the knowledge of the health condition and self-care actions in women with gestational diabetes followed at Hospital Universitario Cassiano Antonio de Moraes in Vitória - ES. Methodology: Exploratory and descriptive study, conducted with women who met the inclusion criteria: 18 years and recording of gestational diabetes in the medical record health. We used forms containing demographic and clinical data and script with two open questions. The interviews were recorded and deleted after transcription. The analysis is based on the Collective Subject Discourse technique. Results: Participants were 36 women of mixed race mixed predominance and age between 29-39 years old, married, housewife, education level between complete and incomplete secondary education and family income one to less than three minimum wages. From the discourses related to knowledge about gestational diabetes were obtained eight categories: inadequate diet, GDM background, the newborn´s complication, mother´s gestational effects, altered glucose, medication need, DMG lack and remain with DM. Five categories emerged on the question of self-care: changing diet, monitoring glucose´s blood, medication and coping with diabetes and myths related to glucose´s blood control. The interviewees showed that they have gaps in relation to knowledge about gestational diabetes, but recognize the complications for mother and child, reported difficulty following the diet plan proposed, but it still tried to adopt it, despite resistance to change lifestyle habits. Final Thoughts: It is necessary to implement educational strategies and tools to support self-care in this specific population. The results of this study provided the elaboration of an educational booklet targeted to customers accompanied on the research scenario.
- ItemConhecimento e prática dos enfermeiros sobre o cuidado com feridas(Universidade Federal do Espírito Santo, 2015-06-26) Gonzaga, Gabrielle Begido; Prado, Thiago Nascimento do; Massaroni, Leila; Lima, Eliane de Fátima Almeida; Rogenski, Noemi Marisa Brunetabstract
- ItemConhecimento, atitude e prática sobre o processo de doação de órgãos e tecidos entre profissionais de saúde(Universidade Federal do Espírito Santo, 2018-02-20) Lima, Angela Beatriz de Castro; Furieri, Lorena Barros; Fioresi, Mirian; Fiorin, Bruno Henrique; Sipolatti, Walckiria Garcia RomeroIntroduction: The process of organs and tissues donating requires the involvement of several health professionals. The professionals involved in the Intra-Hospital Organ and Tissue Donation and Transplant Commissions (CIHDOTTs) are dedicated to conducting the donation and orientation process on the maintenance of the potential donor (PD) of organs and tissues, so it is necessary to study how such professionals understand the stages of this process. Objective: To analyze the knowledge, attitude and practice about the process of donation of organs and tissues among professionals working in CIHDOTTs. Methods: This dissertation consists of two interdependent studies: a methodological study for the construction and validation of face and content of a questionnaire about Knowledge, Attitude and Practice; and an analytical study. In the methodological study the population was formed by the judges who participated in the process of validation of the face and content of the questionnaire elaborated. There were 9 judges with at least one year of performance in the Transplant Center of a state in the southeastern region of Brazil.
- ItemConsulta de enfermagem à pessoa com úlcera venosa na atenção básica(Universidade Federal do Espírito Santo, 2019-02-15) Zucolotti, Cilia; Bicudo, Sheilla Diniz Silveira; Prado, Thiago Nascimento do; Rohr, Roseane Vargas; Bringuente, Maria Edla de OliveiraIntroduction: Venous ulcers present an important health issue, for an elevated number of people that suffer from this condition access the healthcare service seeking care for it. The assistance to the person with venous ulcer demands nurse’s planning, strategies, and interventions, with a holistic approach, and which produce an adequate registry. Objectives: To design and validate a Nursing Consultation Instrument for the Person with Venous Ulcer assisted at the Basic Care level, oriented by the Theory of Basic Human Needs of Wanda Aguiar Horta. Methodology: This is a methodological study developed in three stages. Stage 1: a) The identification of the basic human needs variables for the person with venous ulcer found in the integrative review of the literature; b) The design of a research instrument containing the selected variables for each need, disposed in 3 point Likert type scales distributed by 1=never relevant; 2=sometimes relevant, 3=always relevant. State 2: a) Validation by teaching nurses at the Federal University of Espirito Sando, integrated to the subjects of Adult Healthcare, Nursing in Adult Healthcare, Curricular Internship I, and Curricular Internship II, and by assisting nurses acting at the basic healthcare in the Municipality of Vitoria; Stage 3: The realization of the data collection instrument for nursing consultation of the person with venous ulcer containing the indicators validated by the nurses from the empirical variables with relevance level ≥ 0.80. Results: 96 empirical variables distributed in three domains: Identification of the Person, Interview, and Physical Exam; with 81 psycho-biological needs, 15 psycho-social needs, and zero psycho-spiritual needs, which were validated by the group of nurses judges. Product: A Data Collection Instrument for the Nursing Consultation applied to the person with venous ulcer. Conclusion: The data collection instrument in the nursing consultation is shown to be a potential tool for the organization of the nursing assistance in basic care, supporting the clinical analysis and in decision making. There is a perspective of the aggregation of the instrument to the nursing consultation of the person with venous ulcer to the activity of nurses acting in the basic care in the Municipality of Vitoria, and the further inclusion in the Rede Bem Estar program, in the same Municipality, for the use in the electronic healthcare records as a supporting tool for the nursing assistance.
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