Angélica Olivetto de Almeida

Theoretical knowledge of nurses working in non-hospital urgent and emergency care units concerning cardiopulmonary arrest and resuscitation

Non-Hospital Urgent and Emergency Care Units were created to deliver care to patients in chronic or acute situations and to coordinate the flow of urgent care. This descriptive study analyzed the theoretical knowledge of nurses working in these units concerning cardiopulmonary arrest and resuscitation. A questionnaire was applied to 73 nurses from 16 units in seven cities in the region of Campinas, SP, Brazil. The respondents displayed some gaps in their knowledge such as how to detect Cardiopulmonary Arrest (CPA), the ability to list the sequence of basic life support, and how to determine the appropriate compression to ventilation ratio (>60%). They also did not know: the immediate procedures to take after CPA detection (>70%); the rhythm pattern present in a CPA (>80%); and they only partially identified (100%) the medication used in cardiopulmonary resuscitation. The average score on a scale from zero to ten was 5.2 (± 1.4). The nurses presented partial knowledge of the guidelines available in the literature.As unidades nao hospitalares de atendimento a urgencia e emergencia foram criadas para atender pacientes com quadros agudos ou cronicos agudizados e ordenar os fluxos de urgencia. O objetivo deste estudo foi analisar o conhecimento teorico dos enfermeiros dessas unidades, sobre parada cardiorrespiratoria e ressuscitacao cardiopulmonar. Este e um estudo descritivo, cujos dados foram obtidos pela aplicacao de questionario a 73 enfermeiros de 16 unidades, de sete municipios da Regiao Metropolitana de Campinas. Observou-se que os entrevistados apresentaram lacunas de conhecimento sobre como detectar a parada cardiorrespiratoria, a sequencia do suporte basico de vida e a relacao ventilacao/compressao (>;60%); desconhecem as condutas imediatas apos deteccao (>;70%) e os padroes de ritmos presentes na parada cardiaca (>;80%) e que identificaram parcialmente (100%) os farmacos utilizados na ressuscitacao cardiopulmonar. A nota media foi 5,2 (±1,4), em uma escala de zero a dez. Conclui-se que os enfermeiros apresentaram conhecimento parcial das diretrizes disponiveis na literatura.

TRANSLATION AND ADAPTATION OF THE BATES-JENSEN WOUND ASSESSMENT TOOL FOR THE BRAZILIAN CULTURE

Methodological study aimed at translating and adapting The Bates-Jensen Wound Assessment Tool for the Brazilian culture, through five stages: translation, synthesis, back translation, review by an expert panel, and, testing of the translated version. The Portuguese version was evaluated by 28 nurses who tested the understanding and practicality of the items. The expert panel evaluated the equivalence between the original and translated versions, resulting in concordance lower than 80% for seven items of the General Guidelines, which were modified. In the instrument, 13 items obtained a concordance rate exceeding 80%, except for Wound Status Continuum, which achieved 40%. Testing the translated version indicated good practicality. The Bates-Jensen Wound Assessment Tool is available in Brazil for research and use in clinical practice. Reliability and validity testing should be considered in future studies. DESCRIPTORS: Translation. Nursing, methodology research. Wound healing. Nursing assessment.

TRADUÇÃO E ADAPTAÇÃO DO BATES-JENSEN WOUND ASSESSMENT TOOL PARA CULTURA BRASILEIRA

Methodological study aimed at translating and adapting The Bates-Jensen Wound Assessment Tool for the Brazilian culture, through five stages: translation, synthesis, back translation, review by an expert panel, and, testing of the translated version. The Portuguese version was evaluated by 28 nurses who tested the understanding and practicality of the items. The expert panel evaluated the equivalence between the original and translated versions, resulting in concordance lower than 80% for seven items of the General Guidelines, which were modified. In the instrument, 13 items obtained a concordance rate exceeding 80%, except for Wound Status Continuum, which achieved 40%. Testing the translated version indicated good practicality. The Bates-Jensen Wound Assessment Tool is available in Brazil for research and use in clinical practice. Reliability and validity testing should be considered in future studies. DESCRIPTORS: Translation. Nursing, methodology research. Wound healing. Nursing assessment.

TRADUCCIÓN Y ADAPTACIÓN DE LA BATES-JENSEN WOUND ASSESSMENT TOOL PARA LA CULTURA BRASILEÑA

Methodological study aimed at translating and adapting The Bates-Jensen Wound Assessment Tool for the Brazilian culture, through five stages: translation, synthesis, back translation, review by an expert panel, and, testing of the translated version. The Portuguese version was evaluated by 28 nurses who tested the understanding and practicality of the items. The expert panel evaluated the equivalence between the original and translated versions, resulting in concordance lower than 80% for seven items of the General Guidelines, which were modified. In the instrument, 13 items obtained a concordance rate exceeding 80%, except for Wound Status Continuum, which achieved 40%. Testing the translated version indicated good practicality. The Bates-Jensen Wound Assessment Tool is available in Brazil for research and use in clinical practice. Reliability and validity testing should be considered in future studies. DESCRIPTORS: Translation. Nursing, methodology research. Wound healing. Nursing assessment.

Conhecimento teórico dos enfermeiros sobre parada e ressuscitação cardiopulmonar, em unidades não hospitalares de atendimento à urgência e emergência

Non-Hospital Urgent and Emergency Care Units were created to deliver care to patients in chronic or acute situations and to coordinate the flow of urgent care. This descriptive study analyzed the theoretical knowledge of nurses working in these units concerning cardiopulmonary arrest and resuscitation. A questionnaire was applied to 73 nurses from 16 units in seven cities in the region of Campinas, SP, Brazil. The respondents displayed some gaps in their knowledge such as how to detect Cardiopulmonary Arrest (CPA), the ability to list the sequence of basic life support, and how to determine the appropriate compression to ventilation ratio (>60%). They also did not know: the immediate procedures to take after CPA detection (>70%); the rhythm pattern present in a CPA (>80%); and they only partially identified (100%) the medication used in cardiopulmonary resuscitation. The average score on a scale from zero to ten was 5.2 (± 1.4). The nurses presented partial knowledge of the guidelines available in the literature.As unidades nao hospitalares de atendimento a urgencia e emergencia foram criadas para atender pacientes com quadros agudos ou cronicos agudizados e ordenar os fluxos de urgencia. O objetivo deste estudo foi analisar o conhecimento teorico dos enfermeiros dessas unidades, sobre parada cardiorrespiratoria e ressuscitacao cardiopulmonar. Este e um estudo descritivo, cujos dados foram obtidos pela aplicacao de questionario a 73 enfermeiros de 16 unidades, de sete municipios da Regiao Metropolitana de Campinas. Observou-se que os entrevistados apresentaram lacunas de conhecimento sobre como detectar a parada cardiorrespiratoria, a sequencia do suporte basico de vida e a relacao ventilacao/compressao (>;60%); desconhecem as condutas imediatas apos deteccao (>;70%) e os padroes de ritmos presentes na parada cardiaca (>;80%) e que identificaram parcialmente (100%) os farmacos utilizados na ressuscitacao cardiopulmonar. A nota media foi 5,2 (±1,4), em uma escala de zero a dez. Conclui-se que os enfermeiros apresentaram conhecimento parcial das diretrizes disponiveis na literatura.

Conocimiento teórico de los enfermeros sobre parada cardiorrespiratoria y resucitación cardiopulmonar en unidades no hospitalarias de atención de urgencia y emergencia

Non-Hospital Urgent and Emergency Care Units were created to deliver care to patients in chronic or acute situations and to coordinate the flow of urgent care. This descriptive study analyzed the theoretical knowledge of nurses working in these units concerning cardiopulmonary arrest and resuscitation. A questionnaire was applied to 73 nurses from 16 units in seven cities in the region of Campinas, SP, Brazil. The respondents displayed some gaps in their knowledge such as how to detect Cardiopulmonary Arrest (CPA), the ability to list the sequence of basic life support, and how to determine the appropriate compression to ventilation ratio (>60%). They also did not know: the immediate procedures to take after CPA detection (>70%); the rhythm pattern present in a CPA (>80%); and they only partially identified (100%) the medication used in cardiopulmonary resuscitation. The average score on a scale from zero to ten was 5.2 (± 1.4). The nurses presented partial knowledge of the guidelines available in the literature.As unidades nao hospitalares de atendimento a urgencia e emergencia foram criadas para atender pacientes com quadros agudos ou cronicos agudizados e ordenar os fluxos de urgencia. O objetivo deste estudo foi analisar o conhecimento teorico dos enfermeiros dessas unidades, sobre parada cardiorrespiratoria e ressuscitacao cardiopulmonar. Este e um estudo descritivo, cujos dados foram obtidos pela aplicacao de questionario a 73 enfermeiros de 16 unidades, de sete municipios da Regiao Metropolitana de Campinas. Observou-se que os entrevistados apresentaram lacunas de conhecimento sobre como detectar a parada cardiorrespiratoria, a sequencia do suporte basico de vida e a relacao ventilacao/compressao (>;60%); desconhecem as condutas imediatas apos deteccao (>;70%) e os padroes de ritmos presentes na parada cardiaca (>;80%) e que identificaram parcialmente (100%) os farmacos utilizados na ressuscitacao cardiopulmonar. A nota media foi 5,2 (±1,4), em uma escala de zero a dez. Conclui-se que os enfermeiros apresentaram conhecimento parcial das diretrizes disponiveis na literatura.