Ana Paula de Oliveira Siqueira

Risk factors for falls in hospitalized adult patients: an integrative review

Objetivo: Identificar os fatores de risco para a ocorrencia de quedas em pacientes adultos hospitalizados. Metodo: Revisao integrativa realizada nas bases de dados LILACS, SciELO, MEDLINE e Web of Science, abrangendo artigos publicados entre 1989 e 2012. Resultados: Setenta e um artigos compuseram a amostra final do estudo. Os fatores de risco para quedas apresentados nesta revisao foram relacionados ao paciente (intrinsecos), ao ambiente hospitalar e ao processo de trabalho dos profissionais da saude, em especial a enfermagem (extrinsecos). Conclusao: A triagem sistematica de fatores de risco para queda foi identificada como fator contribuinte para a reducao desse agravo, auxiliando a nao ocorrencia deste evento que, apesar de ser prevenivel, pode determinar consequencias graves incluindo o obito.OBJECTIVE Identifying risk factors for the occurrence of falls in hospitalized adult patients. METHOD Integrative review carried out in the databases of LILACS, SciELO, MEDLINE and Web of Science, including articles published between 1989 and 2012. RESULTS Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). CONCLUSION The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the non-occurrence of this event that, despite being preventable, can have serious consequences including death.

Clinical applicability of nursing outcomes in the evolution of orthopedic patients with Impaired Physical Mobility

fisica sometidos a reemplazo total de cadera” presentada en la Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil. Apoyo financiero del Fundo de Incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre (FIPE), Brasil, proceso no 11-0601 y del Conselho Nacional de Desenvolvimento Cientifico Tecnologico (CNPq), Brasil, proceso no 479884/2012-9.AIM: to evaluate the clinical applicability of outcomes, according to the Nursing Outcomes Classification (NOC) in the evolution of orthopedic patients with Impaired Physical Mobility METHOD: longitudinal study conducted in 2012 in a university hospital, with 21 patients undergoing Total Hip Arthroplasty, evaluated daily by pairs of trained data collectors. Data were collected using an instrument containing five Nursing Outcomes, 16 clinical indicators and a five point Likert scale, and statistically analyzed. RESULTS: The outcomes Body Positioning: self-initiated, Mobility, Knowledge: prescribed activity, and Fall Prevention Behavior presented significant increases in mean scores when comparing the first and final evaluations (p<0.001) and (p=0.035). CONCLUSION: the use of the NOC outcomes makes it possible to demonstrate the clinical progression of orthopedic patients with Impaired Physical Mobility, as well as its applicability in this context.

Fatores de risco para quedas em pacientes adultos hospitalizados: revisão integrativa

Objetivo: Identificar os fatores de risco para a ocorrencia de quedas em pacientes adultos hospitalizados. Metodo: Revisao integrativa realizada nas bases de dados LILACS, SciELO, MEDLINE e Web of Science, abrangendo artigos publicados entre 1989 e 2012. Resultados: Setenta e um artigos compuseram a amostra final do estudo. Os fatores de risco para quedas apresentados nesta revisao foram relacionados ao paciente (intrinsecos), ao ambiente hospitalar e ao processo de trabalho dos profissionais da saude, em especial a enfermagem (extrinsecos). Conclusao: A triagem sistematica de fatores de risco para queda foi identificada como fator contribuinte para a reducao desse agravo, auxiliando a nao ocorrencia deste evento que, apesar de ser prevenivel, pode determinar consequencias graves incluindo o obito.OBJECTIVE Identifying risk factors for the occurrence of falls in hospitalized adult patients. METHOD Integrative review carried out in the databases of LILACS, SciELO, MEDLINE and Web of Science, including articles published between 1989 and 2012. RESULTS Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). CONCLUSION The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the non-occurrence of this event that, despite being preventable, can have serious consequences including death.

Nursing outcomes for Brazilian pediatric patients hospitalized with deficient diversional activity.

PURPOSE To validate the content of nursing outcomes for pediatric patients hospitalized with a nursing diagnosis of deficient diversional activity. METHODS The nursing outcomes were evaluated by expert nurses from a Brazilian hospital; the nurses used a Likert-type scale. We considered those that had a weighted average of ≥0.80 as valid outcomes. FINDINGS Eight (57.14%) nursing outcomes and 54 (45.38%) indicators were validated. CONCLUSIONS The study suggests that nursing outcomes validated by the experts are pertinent for Brazilian pediatric patients hospitalized and diagnosed with deficient diversional activity. IMPLICATIONS FOR PRACTICE Nursing Outcomes Classification is a viable alternative for the assessment of nursing care outcomes. Further studies should investigate the applicability of these data in clinical practice.Purpose To validate the content of nursing outcomes for pediatric patients hospitalized with a nursing diagnosis of deficient diversional activity. Methods The nursing outcomes were evaluated by expert nurses from a Brazilian hospital; the nurses used a Likert-type scale. We considered those that had a weighted average of ≥0.80 as valid outcomes. Findings Eight (57.14%) nursing outcomes and 54 (45.38%) indicators were validated. Conclusions The study suggests that nursing outcomes validated by the experts are pertinent for Brazilian pediatric patients hospitalized and diagnosed with deficient diversional activity. Implications for Practice Nursing Outcomes Classification is a viable alternative for the assessment of nursing care outcomes. Further studies should investigate the applicability of these data in clinical practice. Objetivos Validar o conteudo (Modelo de Fehring adaptado) dos Resultados de Enfermagem NOC para pacientes pediatricos hospitalizados com o diagnostico de enfermagem Atividade de Recreacao Deficiente. Metodos Os Resultados de Enfermagem foram avaliados por sete enfermeiros experts de um hospital brasileiro, utilizando-se uma escala Likert, validando-se aqueles que atingiram o escore de ≥0,80. Resultados Oito (57,14%) Resultados de Enfermagem e 54 (45,38%) indicadores foram validados. Conclusoes Os Resultados de Enfermagem validados foram considerados importantes pelos experts para pacientes pediatricos brasileiros hospitalizados com este diagnostico. Implicacoes Para A Pratica A NOC consiste em alternativa para avaliar os resultados dos cuidados de enfermagem. Em continuidade ao estudo, sera investigada a aplicabilidade destes dados na pratica clinica.

Aplicabilidade clínica dos resultados de enfermagem na evolução de pacientes ortopédicos com mobilidade física prejudicada

fisica sometidos a reemplazo total de cadera” presentada en la Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil. Apoyo financiero del Fundo de Incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre (FIPE), Brasil, proceso no 11-0601 y del Conselho Nacional de Desenvolvimento Cientifico Tecnologico (CNPq), Brasil, proceso no 479884/2012-9.AIM: to evaluate the clinical applicability of outcomes, according to the Nursing Outcomes Classification (NOC) in the evolution of orthopedic patients with Impaired Physical Mobility METHOD: longitudinal study conducted in 2012 in a university hospital, with 21 patients undergoing Total Hip Arthroplasty, evaluated daily by pairs of trained data collectors. Data were collected using an instrument containing five Nursing Outcomes, 16 clinical indicators and a five point Likert scale, and statistically analyzed. RESULTS: The outcomes Body Positioning: self-initiated, Mobility, Knowledge: prescribed activity, and Fall Prevention Behavior presented significant increases in mean scores when comparing the first and final evaluations (p<0.001) and (p=0.035). CONCLUSION: the use of the NOC outcomes makes it possible to demonstrate the clinical progression of orthopedic patients with Impaired Physical Mobility, as well as its applicability in this context.

Aplicabilidad clínica de los resultados de enfermería en la evolución de pacientes ortopédicos con movilidad física perjudicada

fisica sometidos a reemplazo total de cadera” presentada en la Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brasil. Apoyo financiero del Fundo de Incentivo a Pesquisa do Hospital de Clinicas de Porto Alegre (FIPE), Brasil, proceso no 11-0601 y del Conselho Nacional de Desenvolvimento Cientifico Tecnologico (CNPq), Brasil, proceso no 479884/2012-9.AIM: to evaluate the clinical applicability of outcomes, according to the Nursing Outcomes Classification (NOC) in the evolution of orthopedic patients with Impaired Physical Mobility METHOD: longitudinal study conducted in 2012 in a university hospital, with 21 patients undergoing Total Hip Arthroplasty, evaluated daily by pairs of trained data collectors. Data were collected using an instrument containing five Nursing Outcomes, 16 clinical indicators and a five point Likert scale, and statistically analyzed. RESULTS: The outcomes Body Positioning: self-initiated, Mobility, Knowledge: prescribed activity, and Fall Prevention Behavior presented significant increases in mean scores when comparing the first and final evaluations (p<0.001) and (p=0.035). CONCLUSION: the use of the NOC outcomes makes it possible to demonstrate the clinical progression of orthopedic patients with Impaired Physical Mobility, as well as its applicability in this context.

Factores de riesgo de caídas en pacientes adultos hospitalizados: revisión integradora de la literatura

Objetivo: Identificar os fatores de risco para a ocorrencia de quedas em pacientes adultos hospitalizados. Metodo: Revisao integrativa realizada nas bases de dados LILACS, SciELO, MEDLINE e Web of Science, abrangendo artigos publicados entre 1989 e 2012. Resultados: Setenta e um artigos compuseram a amostra final do estudo. Os fatores de risco para quedas apresentados nesta revisao foram relacionados ao paciente (intrinsecos), ao ambiente hospitalar e ao processo de trabalho dos profissionais da saude, em especial a enfermagem (extrinsecos). Conclusao: A triagem sistematica de fatores de risco para queda foi identificada como fator contribuinte para a reducao desse agravo, auxiliando a nao ocorrencia deste evento que, apesar de ser prevenivel, pode determinar consequencias graves incluindo o obito.OBJECTIVE Identifying risk factors for the occurrence of falls in hospitalized adult patients. METHOD Integrative review carried out in the databases of LILACS, SciELO, MEDLINE and Web of Science, including articles published between 1989 and 2012. RESULTS Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). CONCLUSION The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the non-occurrence of this event that, despite being preventable, can have serious consequences including death.