Elsa Melo

The involvement of parents in the healthcare provided to hospitalzed children

OBJETIVO: analisar respostas de pais e profissionais de saude sobre o envolvimento dos pais no cuidado da crianca hospitalizada. METODO: estudo exploratorio, com analise qualitativa dos dados, fundamentado no quadro conceitual do cuidado em saude em pediatria. RESULTADOS: tres dimensoes do envolvimento foram destacadas: cotidiano dos cuidados com a saude da crianca, perspectivas do envolvimento dos pais e continuidade dos cuidados, com aspectos relacionados a presenca e a participacao dos pais, beneficios a crianca e familia, necessidades de informacao, responsabilizacao, direito a saude, infraestrutura hospitalar, realizacao de cuidados, comunicacao entre pais e servicos de saude, aprendizagem compartilhada e seguimento apos a alta hospitalar. CONCLUSAO: o envolvimento dos pais nos cuidados de saude admite multiplos significados para os pais, enfermeiros e medicos, com desafios para desenvolver com e para os pais estrategias singulares, mobilizando competencias parentais e contribuindo para ampliar autonomia e tomadas de decisao nos cuidados com a saude da crianca.Objective to analyze the answers of parents and health care professionals concerning the involvement of parents in the care provided to hospitalized children. Method exploratory study based on the conceptual framework of pediatric healthcare with qualitative data analysis. Results three dimensions of involvement were highlighted: daily care provided to children, opinions concerning the involvement of parents, and continuity of care with aspects related to the presence and participation of parents, benefits to the child and family, information needs, responsibility, right to healthcare, hospital infrastructure, care delivery, communication between the parents and health services, shared learning, and follow-up after discharge. Conclusion the involvement of parents in the care provided to their children has many meanings for parents, nurses and doctors. Specific strategies need to be developed with and for parents in order to mobilize parental competencies and contribute to increasing their autonomy and decision-making concerning the care provided to children.

Non-technical skills assessment for prelicensure nursing students: An integrative review

BACKGROUND In nursing, non-technical skills are recognized as playing an important role to increase patient safety and successful clinical outcomes (Pearson and McLafferty, 2011). Non-technical skills are cognitive and social resource skills that complement technical skills and contribute to safe and efficient task performance (Flin et al., 2008). In order to effectively provide non-technical skills training, it is essential to have an instrument to measure these skills. METHODOLOGY An online search was conducted. Articles were selected if they referred to and/or described instruments assessing non-technical skills for nurses and/or prelicensure nursing students in educational, clinical and/or simulated settings with validation evidence (inclusion criteria). RESULTS Of the 53 articles located, 26 met the inclusion criteria. Those referred to and/or described 16 instruments with validation evidence developed to assess non-technical skills in multidisciplinary teams including nurses. CONCLUSION Although articles have shown 16 valid and reliable instruments, to our knowledge, no instrument has been published or developed and validated for the assessment of non-technical skills of only nurses in general, relevant for use in high-fidelity simulation-based training for prelicensure nursing students. Therefore, there is a need for the development of such an instrument.

Envolvimento dos pais nos cuidados de saúde de crianças hospitalizadas

OBJETIVO: analisar respostas de pais e profissionais de saude sobre o envolvimento dos pais no cuidado da crianca hospitalizada. METODO: estudo exploratorio, com analise qualitativa dos dados, fundamentado no quadro conceitual do cuidado em saude em pediatria. RESULTADOS: tres dimensoes do envolvimento foram destacadas: cotidiano dos cuidados com a saude da crianca, perspectivas do envolvimento dos pais e continuidade dos cuidados, com aspectos relacionados a presenca e a participacao dos pais, beneficios a crianca e familia, necessidades de informacao, responsabilizacao, direito a saude, infraestrutura hospitalar, realizacao de cuidados, comunicacao entre pais e servicos de saude, aprendizagem compartilhada e seguimento apos a alta hospitalar. CONCLUSAO: o envolvimento dos pais nos cuidados de saude admite multiplos significados para os pais, enfermeiros e medicos, com desafios para desenvolver com e para os pais estrategias singulares, mobilizando competencias parentais e contribuindo para ampliar autonomia e tomadas de decisao nos cuidados com a saude da crianca.Objective to analyze the answers of parents and health care professionals concerning the involvement of parents in the care provided to hospitalized children. Method exploratory study based on the conceptual framework of pediatric healthcare with qualitative data analysis. Results three dimensions of involvement were highlighted: daily care provided to children, opinions concerning the involvement of parents, and continuity of care with aspects related to the presence and participation of parents, benefits to the child and family, information needs, responsibility, right to healthcare, hospital infrastructure, care delivery, communication between the parents and health services, shared learning, and follow-up after discharge. Conclusion the involvement of parents in the care provided to their children has many meanings for parents, nurses and doctors. Specific strategies need to be developed with and for parents in order to mobilize parental competencies and contribute to increasing their autonomy and decision-making concerning the care provided to children.

The Influence of Presurgical Factors on the Rehabilitation Outcome of Patients Following Hip Arthroplasty

PURPOSE The aims of this study were to evaluate the relationship between sociodemographic information, anthropometric values, clinical and presurgery factors, and length of stay (LOS) in older adult patients undergoing total hip arthroplasty (THA) and to predict which factors can delay the start of the rehabilitation program and increase the corresponding LOS. METHODS A prospective cohort study was conducted in an orthopedic inpatient unit with 40 patients undergoing THA. FINDINGS The Morse Fall Scale scores and pain intensity scores delayed the commencement of the rehabilitation program. Gender and social support were important determinants of LOS and rehabilitation outcome following THA. The weight of the lower limb without osteoarthritis followed by pain intensity and overweight patients also influenced LOS. CONCLUSIONS/CLINICAL RELEVANCE Functional outcomes after THA are variable, and the rehabilitation process is an important factor to regain their normal level of physical functioning. This factor can have an impact in the discharge of patients, in resource allocation and in health care of older adult patients.

Participación de los padres en los cuidados de la salud de niños hospitalizados

OBJETIVO: analisar respostas de pais e profissionais de saude sobre o envolvimento dos pais no cuidado da crianca hospitalizada. METODO: estudo exploratorio, com analise qualitativa dos dados, fundamentado no quadro conceitual do cuidado em saude em pediatria. RESULTADOS: tres dimensoes do envolvimento foram destacadas: cotidiano dos cuidados com a saude da crianca, perspectivas do envolvimento dos pais e continuidade dos cuidados, com aspectos relacionados a presenca e a participacao dos pais, beneficios a crianca e familia, necessidades de informacao, responsabilizacao, direito a saude, infraestrutura hospitalar, realizacao de cuidados, comunicacao entre pais e servicos de saude, aprendizagem compartilhada e seguimento apos a alta hospitalar. CONCLUSAO: o envolvimento dos pais nos cuidados de saude admite multiplos significados para os pais, enfermeiros e medicos, com desafios para desenvolver com e para os pais estrategias singulares, mobilizando competencias parentais e contribuindo para ampliar autonomia e tomadas de decisao nos cuidados com a saude da crianca.Objective to analyze the answers of parents and health care professionals concerning the involvement of parents in the care provided to hospitalized children. Method exploratory study based on the conceptual framework of pediatric healthcare with qualitative data analysis. Results three dimensions of involvement were highlighted: daily care provided to children, opinions concerning the involvement of parents, and continuity of care with aspects related to the presence and participation of parents, benefits to the child and family, information needs, responsibility, right to healthcare, hospital infrastructure, care delivery, communication between the parents and health services, shared learning, and follow-up after discharge. Conclusion the involvement of parents in the care provided to their children has many meanings for parents, nurses and doctors. Specific strategies need to be developed with and for parents in order to mobilize parental competencies and contribute to increasing their autonomy and decision-making concerning the care provided to children.