Fabiana Gonçalves de Oliveira Azevedo Matos

Construção de instrumento para avaliar a acurácia diagnóstica

Diagnosticos acurados sao importantes para a escolha adequada de intervencoes. Neste artigo relata-se pesquisa metodologica de desenvolvimento de instrumento para estimar a acuracia de diagnosticos de enfermagem a partir de dados escritos da avaliacao de paciente. Elaborou-se a definicao de acuracia e a construcao dos itens que compoem o instrumento, submetendo-os a validacao de conteudo e teste piloto. O instrumento foi denominado Escala de Acuracia de Diagnostico de Enfermagem - EADE e foi composto por 4 itens: Presenca de pistas; Relevância da pista; Especificidade da pista e Coerencia da pista. As respostas de 12 enfermeiros especialistas a aplicacao da EADE aos diagnosticos de 5 casos escritos permitiram identificar valores para cada item e estimar a validade e confiabilidade da EADE.

Development of an instrument to evaluate diagnosis accuracy

Diagnosticos acurados sao importantes para a escolha adequada de intervencoes. Neste artigo relata-se pesquisa metodologica de desenvolvimento de instrumento para estimar a acuracia de diagnosticos de enfermagem a partir de dados escritos da avaliacao de paciente. Elaborou-se a definicao de acuracia e a construcao dos itens que compoem o instrumento, submetendo-os a validacao de conteudo e teste piloto. O instrumento foi denominado Escala de Acuracia de Diagnostico de Enfermagem - EADE e foi composto por 4 itens: Presenca de pistas; Relevância da pista; Especificidade da pista e Coerencia da pista. As respostas de 12 enfermeiros especialistas a aplicacao da EADE aos diagnosticos de 5 casos escritos permitiram identificar valores para cada item e estimar a validade e confiabilidade da EADE.

Eficácia de três métodos de degermação das mãos utilizando gluconato de clorexidina degermante (GCH 2

The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.

The efficacy of three hand asepsis techniques using chlorhexidine gluconate (CHG 2

The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.

Evaluation of pain and accuracy diagnostic in hospitalized children.

PURPOSE:  Acute pain occurs in over 50% of hospitalized children. The accuracy of this diagnosis has been underexplored in the literature, as has the role of training to implement pain assessment. This study analyzed the accuracy of acute pain diagnoses after the implementation of a systematic evaluation of pain (study intervention). METHOD:  The sample was divided into: pre- and postintervention. The Nursing Diagnosis Accuracy Scale, which scores accuracy as null, low, moderate, or high, was used. RESULTS:  In the postimplementation, acute pain was diagnosed more often. However, accuracy only improved in the moderate category. CONCLUSION:  Diagnosis of acute pain increased in the postimplementation period, but accuracy did not. IMPLICATIONS:  The development of strategies for improvement of diagnostic accuracy is warranted.PURPOSE Acute pain occurs in over 50% of hospitalized children. The accuracy of this diagnosis has been underexplored in the literature, as has the role of training to implement pain assessment. This study analyzed the accuracy of acute pain diagnoses after the implementation of a systematic evaluation of pain (study intervention). METHOD The sample was divided into: pre- and postintervention. The Nursing Diagnosis Accuracy Scale, which scores accuracy as null, low, moderate, or high, was used. RESULTS In the postimplementation, acute pain was diagnosed more often. However, accuracy only improved in the moderate category. CONCLUSION Diagnosis of acute pain increased in the postimplementation period, but accuracy did not. IMPLICATIONS The development of strategies for improvement of diagnostic accuracy is warranted.

Eficacia de tres métodos de desinfección de las manos utilizando gluconato de clorhexidina antiséptica (GHC 2

The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.The scrubbing of hands and forearms using antiseptic agents has been the standard pre-operative procedure to prevent surgical site infection. With the introduction of antiseptic agents, the need to use brushes for pre-operative disinfection has been questioned and it has been recommended that the procedure be abandoned due to the injuries it may cause to the skin. With the purpose to provide the foundations for the efficacy of pre-operative asepsis without using brushes or sponges, the objective of this study was to evaluate three methods of pre-operative asepsis using an antimicrobial agent containing chlorhexidine gluconate - CHG 2%; hand-scrubbing with brush (HSB), hand-scrubbing with sponge (HSS), and hand-rubbing with the antiseptic agent (HRA) only. A comparative crossover study was carried with 29 healthcare providers. Antimicrobial efficacy was measured using the glove-juice method before and after each tested method. Statistical analyses showed there were no significant differences regarding the number of colony-forming units when comparing HRA, HSB, and HSS techniques (p=0.148), which theoretically disregards the need to continue using brushes or sponges for hand asepsis.

Construcción de instrumento para evaluar la exactitud diagnóstica

Diagnosticos acurados sao importantes para a escolha adequada de intervencoes. Neste artigo relata-se pesquisa metodologica de desenvolvimento de instrumento para estimar a acuracia de diagnosticos de enfermagem a partir de dados escritos da avaliacao de paciente. Elaborou-se a definicao de acuracia e a construcao dos itens que compoem o instrumento, submetendo-os a validacao de conteudo e teste piloto. O instrumento foi denominado Escala de Acuracia de Diagnostico de Enfermagem - EADE e foi composto por 4 itens: Presenca de pistas; Relevância da pista; Especificidade da pista e Coerencia da pista. As respostas de 12 enfermeiros especialistas a aplicacao da EADE aos diagnosticos de 5 casos escritos permitiram identificar valores para cada item e estimar a validade e confiabilidade da EADE.