Gelena Lucinéia Gomes da Silva Versa

Estresse ocupacional: avaliação de enfermeiros intensivistas que atuam no período noturno

Descriptive, cross-sectional study, which aimed to evaluate the stress level of nighttime intensive care nurses. The Bianchi Stress Scale was applied to 26 (100%) nurses from five hospitals. In data analysis, the Pearson Chi-square test was used and it was noticed that the stress among nurses in a public (3.36 points) and private facility (3.02 points) was classified at the median level and there was no statistical significance (p = 0.90) forr stress, according to the type of institution. Variables that most contributed to the occurrence of stress were: working conditions (nighttime work closed and critical unit), patient severity, management activities associated with care. It was concluded that the workplace was positively associated with the stress in nurses working at nighttime and that its onset and effects can be minimized through improvements in the structure and organization of the place where the healthcare providers work.Estudo descritivo, transversal, que teve como objetivo avaliar o nivel de estresse de enfermeiros intensivistas do periodo noturno. Aplicou-se a Escala Bianchi de Stress em 26 (100%) enfermeiros de cinco hospitais. Na analise dos dados, utilizou-se o teste Qui-quadrado de Pearson e constatou-se que o estresse entre enfermeiros da instituicao publica (3,36 pontos) e privada (3,02 pontos) se classificou em nivel mediano e que nao houve relevância estatistica (p=0,90) a sua ocorrencia, conforme o tipo de instituicao. Os dominios que mais contribuiram ao acontecimento de estresse foram: condicoes de trabalho (labor noturno, setor critico e fechado), gravidade do paciente e atividades gerenciais associadas a assistencia direta. Concluiu-se que o ambiente laboral se associou positivamente ao estresse em enfermeiros do turno noturno e que o seu aparecimento e efeitos podem ser minimizados por meio de melhorias na estrutura e na organizacao dos locais onde atuam.

Qualidade de vida de idosos cadastrados na estratégia saúde da família de Foz do Iguaçu-PR

Estudio transversal realizado con el objetivo de evaluar la calidad de vida de ancianos inscritos en las Unidades de Salud de la Familia (USF) de Foz do Iguacu - PR. Los datos fueron recolectados en el periodo de octubre de 2009 a marzo de 2010 en la residencia de los ancianos, utilizando el WHOQOL-OLD. La muestra esta constituida de 192 ancianos seleccionados al azar. Los resultados mostraron mejor calidad de vida entre ancianos mas jovenes, blancos, con ocho o mas anos de estudio, que poseen companero, que no viven solos, siguen una religion, ejercen actividad remunerada y no son jubilados. El envejecimiento y la muerte son vistos como hecho natural y el aspecto que mas compromete la calidad de vida de los ancianos es la falta de perspectivas de participacion social en la comunidad. Se concluye que hay una necesidad de que los profesionales de salud se atenten mas para los aspectos que influencian negativamente en la determinacion de la calidad de vida de los ancianos.

Influência do dimensionamento da equipe de enfermagem na qualidade do cuidado ao paciente crítico

The objective of this Integrative Review is to analyze the influence of dimensioning of intensive care nursing staff on the quality of critical adult patient care delivered. Only scientific publications from major electronic databases published in open access journals online during the last decade (January 2000 to January 2010) in English, Portuguese, and Spanish were included. A total of 10 publications were thus obtained, among which three evaluated the incidence of mortality and post-operational accidental extubation, three evaluated the reflections on care resulting from reduced nursing staff; two rated the development of infections; and one estimated the incidence of falls and ventilator-associated pneumonia. These studies indicate the relationship between sub-dimensioning nursing workers and increased infection rates, mortality, falls, ventilator-associated pneumonia, and accidental extubation. DESCRIPTORS: Personnel downsizing. Nursing. Quality of health care. Intensive care units.

Avaliação de cuidados na terapia intravenosa: desafio para a qualidade na enfermagem

Estudo multicentrico, prospectivo, descritivo-exploratorio, realizado em hospitais de ensino publicos (A e B), que objetivou avaliar cinco indicadores de qualidade de enfermagem relacionados a terapia intravenosa periferica. Utilizou-se o Instrumento de Registro de Busca Ativa em 1.307 observacoes dos seguintes indicadores: identificacao e validade do acesso venoso periferico; de equipos; e dos frascos de soro. Determinou-se o Indice de Positividade (IP) para Qualidade da Assistencia (QA): Desejavel (100% IP); Adequada (90-99%); Segura (80-89%); Limitrofe (71-79%); Sofrivel ( < 70%). A QA apresentou-se Segura apenas para os indicadores identificacao e validade de equipos e dos frascos de soro da instituicao B. Os demais indicadores, em ambas as instituicoes, alcancaram QA Sofrivel ou Limitrofe. Considerando que nenhum dos indicadores avaliados obteve QA Adequada nem Desejavel, conclui-se que o processo de cuidado para com a terapia intravenosa, principalmente na instituicao B, necessita de maior atencao por parte das liderancas e respectivas equipes.Resumen Multicenter, prospective, descriptive and exploratory study, conducted in public teaching hospitals (A and B), which aimed to evaluate five nursing quality indicators related to peripheral intravenous therapy. It was used the Instrumento de Registro de Busca Ativa in 1307 observations of the following indicators: identification and validity of the peripheral venous access; from equipments and from serum bottles. It was determined the Positivity Index (PI) for Quality of Care (QC): Desirable (100% PI) Adequate (90-99%), Safe (80-89%), Borderline (71-79%), Low (< 70%). The QC is presented Safe only for the indicators identification and validity of equipments and of serum bottles, from the institution B. The other indicators, at both institutions, reached Low or Borderline QC. Considering that none of the indicators evaluated reached Adequate QC, nor Desirable, it was concluded that the process of care for intravenous therapy, especially at institution B, requires more attention from leaders and their teams.

Avaliação da qualidade das prescrições de enfermagem em hospitais de ensino público

A multicenter, cross-sectional study took place from December 2009 to June 2010 and aimed to assess the quality of Nursing Prescription (NP) in two public teaching hospitals. The sample consisted of 1,307 NP and data were processed using the G-test and chi-square. The determination of the quality of NP was based on the classification indices reported in literature. Among the results, 1,083 (82.8%) correct and appropriate NP, 154 (11.8%) inadequate NP and 52 (3.9%) incomplete NP were found. In 18 (1.37%) patient charts, the NP was nonexistent. There was statistic signficance (alpha < 0.05) for incomplete and absent NP between the two hospitals (0.00), as well as inappropriate NP between age groups (0.03). It was concluded that, in the hospitals under study, the NP needs to be improved both in terms of quantity and quality.Estudo multicentrico, transversal, realizado entre dezembro de 2009 e junho de 2010, que teve como objetivo avaliar a qualidade das Prescricoes de Enfermagem (PE) em dois hospitais de ensino publico. A amostra se constituiu de 1.307 PE, e os dados foram tratados por meio dos testes G e Qui-quadrado. A determinacao da qualidade das PE se baseou nos Indices de Classificacao abordados na literatura. Dentre os resultados foram obtidas 1.083 (82,8%) PE corretas e adequadas, 154 (11,8%) inadequadas e 52 (3,9%) incompletas. Em 18 (1,37%) prontuarios, as PE eram inexistentes. Houve significância estatistica (α<0,05) para PE incompletas e ausentes entre os dois hospitais (0,00), assim como PE inadequadas entre as faixas etarias (0,03). Conclui-se que, nos hospitais investigados, a PE necessita ser melhorada, seja em termos de quantidade como de qualidade.

Acolhimento com classificação de risco: avaliação de serviços hospitalares de emergência

Objective:Current paper evaluates admittance of risk-classified cases in two hospital emergency services.Methods:The exploratory, descriptive and quantitative research was undertaken between March and May 2013, with 47 nursing professionals at two hospital emergency units in the state of Parana, Brazil, who answered the questionnaire.Results:Acceptance of Risk-classified Cases was reported hazardous at the two units; the lowest rates refer to issues on the place the accompanying person would stay and to discussions on the flowchart. The best assessment occurred in the attendance of less serious cases.Conclusion:The hazardous assessment at the two health units was mainly due to the non-compliance with certain basic principles of its guidelines of the Acceptance of Risk-classified Cases.Objective: Current paper evaluates admittance of risk-classified cases in two hospital emergency services. Methods: The exploratory, descriptive and quantitative research was undertaken between March and May 2013, with 47 nursing professionals at two hospital emergency units in the state of Parana, Brazil, who answered the questionnaire. Results: Acceptance of Risk-classified Cases was reported hazardous at the two units; the lowest rates refer to issues on the place the accompanying person would stay and to discussions on the flowchart. The best assessment occurred in the attendance of less serious cases. Conclusion: The hazardous assessment at the two health units was mainly due to the non-compliance with certain basic principles of its guidelines of the Acceptance of Risk-classified Cases.

Evaluation of care in intravenous therapy: a challenge for quality in nursing

Estudo multicentrico, prospectivo, descritivo-exploratorio, realizado em hospitais de ensino publicos (A e B), que objetivou avaliar cinco indicadores de qualidade de enfermagem relacionados a terapia intravenosa periferica. Utilizou-se o Instrumento de Registro de Busca Ativa em 1.307 observacoes dos seguintes indicadores: identificacao e validade do acesso venoso periferico; de equipos; e dos frascos de soro. Determinou-se o Indice de Positividade (IP) para Qualidade da Assistencia (QA): Desejavel (100% IP); Adequada (90-99%); Segura (80-89%); Limitrofe (71-79%); Sofrivel ( < 70%). A QA apresentou-se Segura apenas para os indicadores identificacao e validade de equipos e dos frascos de soro da instituicao B. Os demais indicadores, em ambas as instituicoes, alcancaram QA Sofrivel ou Limitrofe. Considerando que nenhum dos indicadores avaliados obteve QA Adequada nem Desejavel, conclui-se que o processo de cuidado para com a terapia intravenosa, principalmente na instituicao B, necessita de maior atencao por parte das liderancas e respectivas equipes.Resumen Multicenter, prospective, descriptive and exploratory study, conducted in public teaching hospitals (A and B), which aimed to evaluate five nursing quality indicators related to peripheral intravenous therapy. It was used the Instrumento de Registro de Busca Ativa in 1307 observations of the following indicators: identification and validity of the peripheral venous access; from equipments and from serum bottles. It was determined the Positivity Index (PI) for Quality of Care (QC): Desirable (100% PI) Adequate (90-99%), Safe (80-89%), Borderline (71-79%), Low (< 70%). The QC is presented Safe only for the indicators identification and validity of equipments and of serum bottles, from the institution B. The other indicators, at both institutions, reached Low or Borderline QC. Considering that none of the indicators evaluated reached Adequate QC, nor Desirable, it was concluded that the process of care for intravenous therapy, especially at institution B, requires more attention from leaders and their teams.

Quality of life for elderly registered in the family health strategy (fhs) of Foz do Iguaçu-PR

Estudio transversal realizado con el objetivo de evaluar la calidad de vida de ancianos inscritos en las Unidades de Salud de la Familia (USF) de Foz do Iguacu - PR. Los datos fueron recolectados en el periodo de octubre de 2009 a marzo de 2010 en la residencia de los ancianos, utilizando el WHOQOL-OLD. La muestra esta constituida de 192 ancianos seleccionados al azar. Los resultados mostraron mejor calidad de vida entre ancianos mas jovenes, blancos, con ocho o mas anos de estudio, que poseen companero, que no viven solos, siguen una religion, ejercen actividad remunerada y no son jubilados. El envejecimiento y la muerte son vistos como hecho natural y el aspecto que mas compromete la calidad de vida de los ancianos es la falta de perspectivas de participacion social en la comunidad. Se concluye que hay una necesidad de que los profesionales de salud se atenten mas para los aspectos que influencian negativamente en la determinacion de la calidad de vida de los ancianos.

Influence of dimensioning the nursing staff on the quality of care of the critical patient

The objective of this Integrative Review is to analyze the influence of dimensioning of intensive care nursing staff on the quality of critical adult patient care delivered. Only scientific publications from major electronic databases published in open access journals online during the last decade (January 2000 to January 2010) in English, Portuguese, and Spanish were included. A total of 10 publications were thus obtained, among which three evaluated the incidence of mortality and post-operational accidental extubation, three evaluated the reflections on care resulting from reduced nursing staff; two rated the development of infections; and one estimated the incidence of falls and ventilator-associated pneumonia. These studies indicate the relationship between sub-dimensioning nursing workers and increased infection rates, mortality, falls, ventilator-associated pneumonia, and accidental extubation. DESCRIPTORS: Personnel downsizing. Nursing. Quality of health care. Intensive care units.

Acogida con Clasificación de Riesgo: Evaluación de Servicios Hospitalarios de Emergencia

Objective:Current paper evaluates admittance of risk-classified cases in two hospital emergency services.Methods:The exploratory, descriptive and quantitative research was undertaken between March and May 2013, with 47 nursing professionals at two hospital emergency units in the state of Parana, Brazil, who answered the questionnaire.Results:Acceptance of Risk-classified Cases was reported hazardous at the two units; the lowest rates refer to issues on the place the accompanying person would stay and to discussions on the flowchart. The best assessment occurred in the attendance of less serious cases.Conclusion:The hazardous assessment at the two health units was mainly due to the non-compliance with certain basic principles of its guidelines of the Acceptance of Risk-classified Cases.Objective: Current paper evaluates admittance of risk-classified cases in two hospital emergency services. Methods: The exploratory, descriptive and quantitative research was undertaken between March and May 2013, with 47 nursing professionals at two hospital emergency units in the state of Parana, Brazil, who answered the questionnaire. Results: Acceptance of Risk-classified Cases was reported hazardous at the two units; the lowest rates refer to issues on the place the accompanying person would stay and to discussions on the flowchart. The best assessment occurred in the attendance of less serious cases. Conclusion: The hazardous assessment at the two health units was mainly due to the non-compliance with certain basic principles of its guidelines of the Acceptance of Risk-classified Cases.