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

Navegar

Agora exibindo 1 - 20 de 109

A 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 Santos
In 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.
A 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 Dettmann
abstract
A 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 Martins
Introduction: 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.
A 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 Silveira
abstract
A ENFERMAGEM NA REALIZAÇÃO DA TOMOGRAFIA COMPUTADORIZADA
(Universidade Federal do Espírito Santo, 2022-05-24) Faria, Armelinda Pedrini; Massaroni, Leila; https://orcid.org/000000017327887X; http://lattes.cnpq.br/1280356644652701; https://orcid.org/0000000169019824; http://lattes.cnpq.br/; Lima, Eliane de Fatima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Coelho, Maria Carlota de Rezende; https://orcid.org/0000-0002-4556-5107; http://lattes.cnpq.br/8823411473824243
Nursing in radiology is a relatively new field of work, which requires specific skills to provide assistance at different levels of adult and pediatric health care. The adequacy of this work process using management tools is necessary as the team can reformulate it in favor of the quality of care provided to the user. Objectives: To describe the elaboration process of a nursing protocol for patients undergoing computed tomography. Methodology: This is an applied research study of qualitative nature. The study was developed at the Diagnostic Imaging Unit of a university hospital in Southeastern Brazil, with members of the nursing team working in radiology as participants. Data were collected from March to June 2021, through focus groups, discussions using the brainstorming technique and construction of the problem tree to problematize the work process. Data were analyzed using thematic-categorical content analysis. Results: From the analysis of the content of the seminars, two categories emerged: knowledge and checking. The Knowledge category includes knowledge that subsidizes nursing actions for safe and quality care for patients undergoing computed tomography. In the Checking category, precautions that contribute to patient safety during the examination were highlighted, such as: checking the patient's identification, preparation, history of allergies, venous access and the resources needed for the day. The products of this research were the construction of the protocol for nursing care in computed tomography and, as a scientific production, two scientific articles were elaborated.
A 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 Ambrósio
A 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.
Adolescente 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 Oliveira
Sickle 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.
Análise 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 Silveira
This 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.
Ansiedade 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 Barros
Objectives: 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.
Aplicativo 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 Regina
Introduction: 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.
Aplicativo educacional para apoio ao processo de enfermagem na assistência as mulheres em situação de violência sexual
(Universidade Federal do Espírito Santo, 2020-04-01) Alves, Odelle Mourao; Leite, Franciele Marabotti Costa; https://orcid.org/0000000261716972; http://lattes.cnpq.br/7170760158919766; https://orcid.org/; http://lattes.cnpq.br/; Tavares, Fabio Lucio; https://orcid.org/; http://lattes.cnpq.br/; Lima, Eliane de Fatima Almeida; https://orcid.org/; http://lattes.cnpq.br/4640538188376728
Introduction: Sexual violence is considered one of the most severe and cruel expressions of gender violence. This violence extends throughout history until the present days in a pandemic dimension, capable of generating serious consequences to the health
Aplicativo para Gerenciamento da Captação domiciliar do Leite Humano
(Universidade Federal do Espírito Santo, 2020-04-06) Muri, Lucimar Andrade Cardoso; Primo, Candida Canicali; https://orcid.org/0000000151412898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/; http://lattes.cnpq.br/; Silva, Danielle Aparecida da; https://orcid.org/; http://lattes.cnpq.br/; Fioresi, Mirian; https://orcid.org/; http://lattes.cnpq.br/2275021494677338; Lima, Eliane de Fatima Almeida; https://orcid.org/; http://lattes.cnpq.br/4640538188376728; Pontes, Monica Barros de
Introduction: The human milk bank is a specialized service responsible for the promotion, protection and support to breastfeeding through the clinical assistance for women with issues in breastfeeding, the collection of donated human milk, the pasteurizat
Aplicativo 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 Nunes
Introduction: 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.
Atitudes 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 de
Objectives: 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.
Avaliação da qualidade de um serviço especializado na perspectiva do cliente
(Universidade Federal do Espírito Santo, 2022-08-05) Teixeira, Pollyana Pinto Goncalves; Santos, Marcos Vinicius Ferreira dos; https://orcid.org/0000-0001-9788-660X; http://lattes.cnpq.br/3361334188486592; Siqueira, Marluce Mechelli de; https://orcid.org/0000-0002-6706-5015; http://lattes.cnpq.br/5309001654924097; https://orcid.org/0000-0002-3720-4360; http://lattes.cnpq.br/5723181521612275; Carvalho, Maria Tereza Coimbra de; https://orcid.org/; http://lattes.cnpq.br/1707813219702961; Lima, Eliane de Fatima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Fiorin, Bruno Henrique ; https://orcid.org/0000-0002-1629-9233; http://lattes.cnpq.br/9684030018018529; Daher, Donizete Vago; https://orcid.org/0000-0001-6249-0808; http://lattes.cnpq.br/6800822152435035
Introduction: The evaluation of client satisfaction with the service is one of the elements of the quality of a health service. In this way, an evaluation of services seeks to understand the technical performance and the personal relationship with the customer. Objectives: evaluating the quality of a specialized health service from the client's perspective and developing a managerial and educational technology. Methodology: It is an evaluative, cross-sectional study with a quantitative approach, carried out with 100 clients over 18 years of age, in a specialized clinic. The research was made through the following steps: 1st) Measure: application of the semi-structured questionnaire and the Servqual scale to measure the costume’s profile e its relationship with the service, as well as the evaluation of expectations and the perception of service quality; 2nd) Validate, Interpret and describe: descriptive statistics were used (customer and service profile) and analytical statistics (Cronbach's Alpha to validate the perception and expectation sub-items-; Spearman's coefficient for the correlation between the sub-items of the SERVQUAL scale and Wilcoxon-Test to detect the difference between the answers of each item); 3rd) Judge: the quality dimensions that interfere in the process of service improvement for planning the actions and organizational processes of the Clinic; 4th) Intervene: development of products (technical and scientifics). Results: Most clients who participated in the research were female (63.0%), in the adult age group (77.0%) with an average of 46.4 years, in the married category (55.0%), resident in Vitória (44.0%), with a high level of education, being 39.0% with graduation and 36.00% with post-graduation. Regarding the characteristics related to the service, most clients have already used the clinic service twice or more (62.0%), had a healthcare plan (94.0%), were not accompanied (73.0%), sought the service to carry out consultations (78.0%) and chose WhatsApp as the best means of communication to answer the second stage of the questionnaire (57.0%). Concerning customer loyalty, 99.0% would recommend the clinic to friends and family. Products: a managerial technology adapted to the clinic's management software for tracking and monitoring quality indicators and integration with WhatsApp for sending a satisfaction survey; an audiovisual educational technology (informative video) to raise awareness, involvement, and interaction with the multidisciplinary team in the investigated situation; and an article for publication. Conclusions: In the general assessment of service quality (satisfactory), it was identified that the dimensions of quality, tangibility and service had greater satisfaction and the dimensions empathy, trust and safety, less satisfaction. Therefore, our findings indicate the need to prioritize investment in actions aimed at interpersonal (client-team) and intrapersonal (team-team) issues, thus seeking to guarantee the quality of services provided and, consequently, customer satisfaction
Avaliação 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 de
Introduction: 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.
Avaliação 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, Eliana
This 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
Avaliação 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 da
Introduction: 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.
Avaliação 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 Vargas
Introduction: 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.
BIOSSEGURANÇA COMO UMA ESTRATÉGIA DE PREVENÇÃO DO ESTRESSE
(Universidade Federal do Espírito Santo, 2019-08-07) Freitas, Ana Kelly dos Santos; Batista, Karla de Melo; https://orcid.org/0000000195606627; http://lattes.cnpq.br/7477446640175505; https://orcid.org/; http://lattes.cnpq.br/4724348828627476; Luciano, Luzimar dos Santos; https://orcid.org/; http://lattes.cnpq.br/3284014675123309; Portugal, Flavia Batista; https://orcid.org/0000000244252627; http://lattes.cnpq.br/1876697154549534; Silva, Rita Ines Casagrande da; https://orcid.org/; http://lattes.cnpq.br/; Bringuente, Maria Edla de Oliveira; http://lattes.cnpq.br/5786594324498349
Introduction: Accidents with biological material during the workday can incur stress to the worker, impacting on his personal, professional and social life. In this way, biosafety can be an important strategy to prevent this stress, since it involves prev

Navegar

Navegando Enfermagem - Mestrado Profissional por Título

Resultados por página

Opções de Ordenação