Erika Christiane Marocco Duran

Capacidade para o trabalho entre trabalhadores de enfermagem do pronto-socorro de um hospital universitário

In a couple of years, the demographic and epidemiologic transition observed in Brazil will put this country in a worldwide position of prominence in relation to the aged population. Furthermore, the need for economic adaptation and consequent changes in Brazilian social security will result in workers staying in the labor market for a larger period of time, thus influencing their functional ability. This study aimed to evaluate work ability among nursing workers at the Emergency Service of a University Hospital. Study participants were fifty-four workers (40 women and 14 men), whose ages ranged from 23 to 53 years (average age 37.3 years). We used the Work Ability Index (WAI), an instrument developed in Finland, which presented an average value of 42.0. The most mentioned diseases with medical diagnosis were musculoskeletal, cardiovascular, respiratory and neurological. We consider that health promotion at work is one of the fundamental aspects for maintaining work ability.In a couple of years, the demographic and epidemiologic transition observed in Brazil will put this country in a worldwide position of prominence in relation to the aged population. Furthermore, the need for economic adaptation and consequent changes in Brazilian social security will result in workers staying in the labor market for a larger period of time, thus influencing their functional ability. This study aimed to evaluate work ability among nursing workers at the Emergency Service of a University Hospital. Study participants were fifty-four workers (40 women and 14 men), whose ages ranged from 23 to 53 years (average age 37.3 years). We used the Work Ability Index (WAI), an instrument developed in Finland, which presented an average value of 42.0. The most mentioned diseases with medical diagnosis were musculoskeletal, cardiovascular, respiratory and neurological. We consider that health promotion at work is one of the fundamental aspects for maintaining work ability.

Software educativo sobre diabetes mellitus para profissionais de saúde: etapas de elaboração e desenvolvimento

Esta pesquisa tem por objetivo elaborar um software sobre diabetes mellitus para dar subsídios à educação continuada dos profissionais de saúde e suas práticas educativas. O sistema foi desenvolvido utilizando o aplicativo Delphi, que manipula banco de dados, usando palavras-chave para sua abertura e utilizando a linguagem de programação Pascal. O software inclui mecanismos de busca, por meio de palavras-chave, agilizando o processo de consulta da base de dados.

Análise da produção do conhecimento em processo de enfermagem: estudo exploratório-descritivo

Estudo descritivo-exploratorio que objetiva analisar a producao do conhecimento em processo de enfermagem com base nas dissertacoes de mestrado e teses de doutorado defendidas nos programas de pos-graduacao em enfermagem do Brasil, por meio dos relatorios do Centro de Estudos e Pesquisas em Enfermagem (CEPEn) de 1972 a 2007 e diagnosticar as publicacoes em bases de dados indexadas. Encontrou-se 122 dissertacoes de mestrado, com 42 publicacoes, 26 teses de doutorado, com 15 publicacoes. Verificou-se maior publicacao a partir de 2000, sendo a pesquisa qualitativa mais prevalente. A tendencia tematica mais evidenciada foi assistencia de enfermagem, sendo o levantamento e validacao de diagnostico de enfermagem e todas as fases do processo os assuntos mais abordados. Existem lacunas nas publicacoes sobre o tema, sobretudo no levantamento da producao do conhecimento. Pesquisas que analisem esta interface possivelmente podem qualificar a implementacao do processo de enfermagem.This descriptive exploratory study aims to analyze the production of knowledge on the nursing process, based on Masters theses and doctoral dissertations presented in Brazilian graduate programs in Nursing, using the reports of the Nursing Study and Research Center (CEPEn) from 1972 to 2007, and to identify which were published in indexed databases. We found 122 Masters theses, 42 of which were published, and 26 Doctoral dissertations, with 15 publications. From the year 2000 on more publications were found, with a prevalence of qualitative research. The prevalent thematic trend was nursing assistance, with surveys and validation of nursing diagnosis, as well as the other phases of the process, as the most addressed topics. Publications on the theme show gaps, especially in surveying knowledge production. Researches that study this interface may possibly qualify the practice of nursing.

Perfil dos pacientes e carga de trabalho de enfermagem na unidade de nefrologia

A doenca renal cronica, frequentemente silenciosa, pode resultar em mudancas consideraveis na vida do individuo, e, dependendo do seu estagio, requer internacoes para tratamento clinico ou cirurgico, o que demanda horas de enfermagem na assistencia. Trata-se de um estudo descritivo, quantitativo que objetivou descrever o perfil dos pacientes internados na unidade de nefrologia e mensurar a carga de trabalho de enfermagem. Para a coleta de dados, foi utilizado o Nursing Activities Score, durante 47 dias consecutivos. Os pacientes foram, em sua maioria, do sexo masculino, adulto jovem, em estagio cronico da doenca e internados para transplante renal. A media da carga foi de 52%, correspondendo a 12,5 horas de assistencia, por paciente, nas 24 horas. Esse perfil se assemelha aos pacientes assistidos na unidade de terapia intensiva, tornando importante para o gerente de enfermagem reavaliar o quadro de pessoal para a assistencia, e outros estudos serao necessarios para reavaliar a carga requerida por esse perfil de pacientes.Chronic kidney failure (CKF), which is frequently silent, can lead to considerable changes in the lives of patients. Depending on the stage, hospitalization and hours of nursing care are required to ensure medical and surgical treatment. The aim of this descriptive and quantitative study is to measure nursing workload at a nephrology unit based on daily application of the Nursing Activities Score (NAS) for 47 consecutive days. Patients were mostly young male adults in the chronic stage of the disease or admitted for kidney transplant. A total of 833 observations were obtained from 62 patients. The resulting NAS workload upon admission was 52%, corresponding to 12.5 hours of care per patient for 24 hours, which is similar to the workload found in intensive care units. This profile allows calculation of nursing work hours required for each patient and is a valuable tool for nursing managers when determining the number of staff members required to ensure assistance. Other studies should be conducted for clinical validation.

Patient profile and nursing workload at the nephrology unit

A doenca renal cronica, frequentemente silenciosa, pode resultar em mudancas consideraveis na vida do individuo, e, dependendo do seu estagio, requer internacoes para tratamento clinico ou cirurgico, o que demanda horas de enfermagem na assistencia. Trata-se de um estudo descritivo, quantitativo que objetivou descrever o perfil dos pacientes internados na unidade de nefrologia e mensurar a carga de trabalho de enfermagem. Para a coleta de dados, foi utilizado o Nursing Activities Score, durante 47 dias consecutivos. Os pacientes foram, em sua maioria, do sexo masculino, adulto jovem, em estagio cronico da doenca e internados para transplante renal. A media da carga foi de 52%, correspondendo a 12,5 horas de assistencia, por paciente, nas 24 horas. Esse perfil se assemelha aos pacientes assistidos na unidade de terapia intensiva, tornando importante para o gerente de enfermagem reavaliar o quadro de pessoal para a assistencia, e outros estudos serao necessarios para reavaliar a carga requerida por esse perfil de pacientes.Chronic kidney failure (CKF), which is frequently silent, can lead to considerable changes in the lives of patients. Depending on the stage, hospitalization and hours of nursing care are required to ensure medical and surgical treatment. The aim of this descriptive and quantitative study is to measure nursing workload at a nephrology unit based on daily application of the Nursing Activities Score (NAS) for 47 consecutive days. Patients were mostly young male adults in the chronic stage of the disease or admitted for kidney transplant. A total of 833 observations were obtained from 62 patients. The resulting NAS workload upon admission was 52%, corresponding to 12.5 hours of care per patient for 24 hours, which is similar to the workload found in intensive care units. This profile allows calculation of nursing work hours required for each patient and is a valuable tool for nursing managers when determining the number of staff members required to ensure assistance. Other studies should be conducted for clinical validation.

Analysis of knowledge production on the nursing process: exploratory-descriptive study

Estudo descritivo-exploratorio que objetiva analisar a producao do conhecimento em processo de enfermagem com base nas dissertacoes de mestrado e teses de doutorado defendidas nos programas de pos-graduacao em enfermagem do Brasil, por meio dos relatorios do Centro de Estudos e Pesquisas em Enfermagem (CEPEn) de 1972 a 2007 e diagnosticar as publicacoes em bases de dados indexadas. Encontrou-se 122 dissertacoes de mestrado, com 42 publicacoes, 26 teses de doutorado, com 15 publicacoes. Verificou-se maior publicacao a partir de 2000, sendo a pesquisa qualitativa mais prevalente. A tendencia tematica mais evidenciada foi assistencia de enfermagem, sendo o levantamento e validacao de diagnostico de enfermagem e todas as fases do processo os assuntos mais abordados. Existem lacunas nas publicacoes sobre o tema, sobretudo no levantamento da producao do conhecimento. Pesquisas que analisem esta interface possivelmente podem qualificar a implementacao do processo de enfermagem.This descriptive exploratory study aims to analyze the production of knowledge on the nursing process, based on Masters theses and doctoral dissertations presented in Brazilian graduate programs in Nursing, using the reports of the Nursing Study and Research Center (CEPEn) from 1972 to 2007, and to identify which were published in indexed databases. We found 122 Masters theses, 42 of which were published, and 26 Doctoral dissertations, with 15 publications. From the year 2000 on more publications were found, with a prevalence of qualitative research. The prevalent thematic trend was nursing assistance, with surveys and validation of nursing diagnosis, as well as the other phases of the process, as the most addressed topics. Publications on the theme show gaps, especially in surveying knowledge production. Researches that study this interface may possibly qualify the practice of nursing.

Transporte aéreo de pacientes: análise do conhecimento científico

This bibliographic research aimed to characterize scientific production on air patient transport in indexed databases. Eighty-three references were found, 76 in Medline, between 1997 and 2009, and four in Lilacs, between 1999 and 2007. More publications were found in 2001 and qualitative studies were the most prevalent. The most evident thematic tendency in Lilacs was education and research, against air transport nursing in Medline. The lack of regulation on nurses tasks on board is highlighted, as well as the importance of including contents on aerospace nursing in undergraduate and graduate courses. Many gaps remain in knowledge production about the theme. Research analyzing this interface qualifies aerospace nursing care.Investigacion bibliografica con objeto de caracterizar la produccion cientifica acerca del transporte aereo de pacientes en bases de datos indexadas. Fueron encontradas 83 referencias, 76 en Medline, entre 1997 y 2009, y cuatro en Lilacs, de 1999 a 2007. Fue verificada mayor publicacion en 2001, con mayor prevalencia de la investigacion cualitativa. La tendencia tematica mas evidenciada en Lilacs fue educacion e investigacion. En Medline fue cuidado de enfermeria en el transporte aereo. Se destaca escasa reglamentacion respecto a las atribuciones del enfermero de bordo y la importancia de la inclusion del contenido de enfermeria aeroespacial en los cursos de pregrado y postgrado. Todavia existen muchas lagunas en la produccion de conocimiento sobre el tema. Investigaciones que analicen esta interfaz cualifican el cuidado de enfermeria aeroespacial.

Educational software about diabetes mellitus to health professionals: elaboration and development stages

Esta pesquisa tem por objetivo elaborar um software sobre diabetes mellitus para dar subsídios à educação continuada dos profissionais de saúde e suas práticas educativas. O sistema foi desenvolvido utilizando o aplicativo Delphi, que manipula banco de dados, usando palavras-chave para sua abertura e utilizando a linguagem de programação Pascal. O software inclui mecanismos de busca, por meio de palavras-chave, agilizando o processo de consulta da base de dados.

Subconjunto terminológico da CIPE® para assistência à mulher e à criança em processo de amamentação

Objetivo: Descrever o processo de elaboracao de um subconjunto terminologico da Classificacao Internacional para a Pratica de Enfermagem para assistencia a mulher e a crianca em processo de amamentacao. Metodo: Estudo metodologico desenvolvido em seis etapas seguindo as diretrizes recomendadas pelo Conselho Internacional de Enfermeiras(os). Resultado: Foram elaborados 74 diagnosticos/resultados e 213 intervencoes de enfermagem, classificados de acordo com o modelo teorico utilizado, a “Teoria Interativa de Amamentacao”. Conclusao: Acredita-se que o subconjunto podera orientar de forma segura e sistematica os enfermeiros que trabalham na area materno-infantil, favorecendo a execucao do Processo de Enfermagem e promovendo a qualidade da assistencia, centrada na mulher, na crianca e na familia que estao vivenciando o processo de amamentacao. Palavras-chave: Amamentacao. Diagnostico de enfermagem. Classificacao. Processo de enfermagem. Teoria de enfermagem. Terminologia.OBJECTIVE To describe the development of a terminology subset of the International Classification for Nursing Practice for care of women and children in process of breastfeeding. METHOD Methodological study developed in six stages according to the guidelines recommended by the International Council of Nurses. RESULTS Seventy-four nursing diagnoses/outcomes and 213 nursing interventions were performed and classified according to the theoretical model Interactive Theory of Breastfeeding. CONCLUSION The subset is expected to safely and systematically steer nurses that work in this area, promoting the implementation of the nursing process and quality of care, focusing on women, children and families that are experiencing the breastfeeding process.

Atitudes dos enfermeiros de centro cirúrgico diante da sistematização da assistência de enfermagem perioperatória

Introduction: The Perioperative Nursing Care Systematization (PNCS) is a valuable instrument for patient’s care in a full, continuous, safe and humanized manner by the nursing team, which is comprised of five phases: nursing preoperative visit, planning, implementation, evaluation and reformulation of the care to be planned. Objective: To describe the nurses’ actions regarding PNCS in a surgery center (SC) from a hospital in the countryside of Sao Paulo. Methods: Cross-sectional and descriptive study. Results: We observed little knowledge and contact of the nurses with the PNCS; the actions of the nurses regarding it obtained a score of 89.55; most of the adjectives scored ≥5.5; the higher the time worked in the institution, the higher the contact with the PNCS. Conclusion: The implementation of the PNCS is notable and a challenge for surgery nurses, even if it is a tool to make nursing care individualized and effective; therefore, minimizing postoperative risks and complications.