Amanda Barbosa da Silva

Methods for detection of dry eye in critically ill patients: An Integrative Review

Objective: To identify the best evidence for the methods used for the detection of dry eye in patients hospitalized in intensive care unit.Method: This is an integrative review carried out from April to June 2015 in the following databases: Science Direct, SCOPUS, CINAHL, PUBMED, MEDLINE, LILACS, Cochrane and Web of Science. The final sample consisted of 19 articles.Results: The main methods used for the detection of dry eye were: Test of Schirmer, Bengal Rose, fluorescein staining and tear film breakup time.Conclusion: The results showed a variety of methods used, being of great value to managers, health professionals, and patients. Also, it is essential to emphasize that it is necessary to further studies with high levels of evidence so the consensus on the tests used and their measurements can be reached.

Clinical validation of fall prevention behavior in a hospital environment

OBJECTIVE Clinically validate the Nursing Outcome Behavior of falls prevention in hospitalized patients. METHOD This was a cross-sectional study developed at a public university hospital with a sample of 45 patients. The data collection was performed through the evaluation of four nurses, with a double used the instrument with the constitutive and operational definitions of the indicators and magnitudes of the Fall Prevention Behavior Result, while the other pair did not use such definitions. RESULTS When applying the non-parametric analysis of variance by the Friedman test, ten indicators showed statistical differences between the inferences made by the evaluators for each patient. In relation to the intraclass correlation coefficient, confidence interval and p value assigned to each indicator of the scale, most of the indicators were statistically significant. CONCLUSIONS The instrument referring to the Fall Behavior Outcome Behavior was considered valid for the study population.

Fall Prevention Behavior among Hospitalized Elderly Patients

Purpose: This study aimed to check fall prevention behavior among elderly patients admitted to a hospital, by assessing the indicators of a nursing outcome from the “Nursing Outcomes Classification” (NOC).Methods: This is a quantitative, cross-sectional, survey conducted with elderly patients admitted to a university hospital. For collecting data, a validated instrument was applied, consisting of NOC indicators of the nursing outcome mentioned above.Results: The indicator asks for physical assistance to the patient, it was correlated to fall within the last six months, and the indicators agitation control and use of safe actions during transfer were associated with difficulty in walking.Conclusion: Fall prevention behavior by the elderly patient during hospital stay is a co-responsibility of her/his companion and the nursing team. There is a need to train nurses regarding patient safety measures, focusing on preventing falls and encouraging safe behavior among hospitalized elderly patients.

Aleitamento materno: conhecimento de avós adscritas à Estratégia Saúde da Família

Aim: to verify knowledge ascribing grandparents in the Family Health Strategy on breastfeeding. Method: descriptive and exploratory study in a quantitative approach on 34 grandparents linked to a Family Health Unit in the city of Natal, Rio Grande do Norte, Brazil. Data were collected in August and September 2013, using structured form, treated with descriptive statistics and discussed based on the scientific literature about the theme. Results: 50% of grandparents understand that breastfeeding should be exclusive to the sixth month of the childs life, 85.9% recognize the need for the provision of this food by spontaneous demand and 38.3% know that breast milk protects against various diseases. Conclusions: the need to involve grandmothers in health promotion actions to expand their knowledge about breastfeeding to demystify beliefs about it is in evidence