Gislaine Saurin

Structural elements of critical thinking of nurses in emergency care

The objective of this study was to analyze the structural elements of critical thinking (CT) of nurses in the clinical decision-making process. This exploratory, qualitative study was conducted with 20 emergency care nurses in three hospitals in southern Brazil. Data were collected from April to June 2009, and a validated clinical case was applied from which nurses listed health problems, prescribed care and listed the structural elements of CT. Content analysis resulted in categories used to determine priority structural elements of CT, namely theoretical foundations and practical relationship to clinical decision making; technical and scientific knowledge and clinical experience, thought processes and clinical decision making: clinical reasoning and basis for clinical judgments of nurses: patient assessment and ethics. It was concluded that thinking critically is a skill that enables implementation of a secure and effective nursing care process.

Elementos estruturais do pensamento crítico de enfermeiros atuantes em emergências

The objective of this study was to analyze the structural elements of critical thinking (CT) of nurses in the clinical decision-making process. This exploratory, qualitative study was conducted with 20 emergency care nurses in three hospitals in southern Brazil. Data were collected from April to June 2009, and a validated clinical case was applied from which nurses listed health problems, prescribed care and listed the structural elements of CT. Content analysis resulted in categories used to determine priority structural elements of CT, namely theoretical foundations and practical relationship to clinical decision making; technical and scientific knowledge and clinical experience, thought processes and clinical decision making: clinical reasoning and basis for clinical judgments of nurses: patient assessment and ethics. It was concluded that thinking critically is a skill that enables implementation of a secure and effective nursing care process.

Elementos estructurales del pensamiento crítico de enfermeras en emergencias

The objective of this study was to analyze the structural elements of critical thinking (CT) of nurses in the clinical decision-making process. This exploratory, qualitative study was conducted with 20 emergency care nurses in three hospitals in southern Brazil. Data were collected from April to June 2009, and a validated clinical case was applied from which nurses listed health problems, prescribed care and listed the structural elements of CT. Content analysis resulted in categories used to determine priority structural elements of CT, namely theoretical foundations and practical relationship to clinical decision making; technical and scientific knowledge and clinical experience, thought processes and clinical decision making: clinical reasoning and basis for clinical judgments of nurses: patient assessment and ethics. It was concluded that thinking critically is a skill that enables implementation of a secure and effective nursing care process.

[Reliability and validity of the pain assessment tool in confused older adults--IADIC].

A utilizacao de instrumentos que orientem e garanta a avaliacao da dor de forma acurada nos idosos, em especial os confusos, e uma necessidade sentida na pratica de enfermagem. Existe no Brasil, uma lacuna de instrumentos que avaliam dor em idosos confusos. Dentre os instrumentos para avaliacao da dor em idosos confusos esta o Instrumento de Avaliacao de dor em Idosos confusos (IADIC), esta escala foi desenvolvida nos Estados Unidos com o objetivo de avaliar a dor em idosos confusos. Este instrumento e composto por nove constructos agrupados em quatro componentes, onde o somatorio dos constructos com resposta positiva indica a intensidade da dor, em uma escala onde, zero representa nenhuma dor e nove representa a pior dor. Nessa perspectiva realizou-se este estudo metodologico, com objetivo de realizar o pre-teste e validar as propriedades psicometricas do IADIC com pacientes idosos em pos-operatorio imediato. Para a validacao do IADIC foram elegiveis pacientes com idade igual ou superior a 60 anos em pos-operatorio imediato, submetidos a procedimentos eletivos e de urgencia, submetidos a anestesia geral e bloqueio/sedacao, internados na SR-HNSC e diagnosticados como confusos apos aplicacao do Confusion Assessment Method - CAM. Foram excluidos os pacientes com diagnostico medico previo de Doenca de Alzheimer, Acidente Vascular Encefalico e Depressao. Quando analisado a faixa etaria, mostra diferenca estatistica (p=0,004) nos idosos na faixa etaria de 60This is a methodological study, the objective was to conduct the pre-test and validate the psychometric properties of the Pain Assessment Tool in Confused Elderly (IADIC) in the immediate postoperative period. The sample consisted of 104 patients aged 60 years and over in the immediate postoperative perio4 admitted to the recovery room after surgery in a general hospital of Rio Grande do Sul Brasil. Data were collected from April to August 2012. Patients included in the study were diagnosed as confused after application of the Confusion Assessment Method-CAM and possessed age of 71.51 +/- 8.81 years. In the pre-test did not require modifications of the instrument. Upon validation the psychometric properties and internal consistency showed a Cronbachs alpha of 0.88 and reproducibility assessed by the intmraclass coefficient was 0.838. Internal consistency and reproducibility gave IADIC the validity and reliability for use in Brazil.

Fidedignidade e validade do Instrumento de Avaliação da Dor em Idosos Confusos - IADIC

A utilizacao de instrumentos que orientem e garanta a avaliacao da dor de forma acurada nos idosos, em especial os confusos, e uma necessidade sentida na pratica de enfermagem. Existe no Brasil, uma lacuna de instrumentos que avaliam dor em idosos confusos. Dentre os instrumentos para avaliacao da dor em idosos confusos esta o Instrumento de Avaliacao de dor em Idosos confusos (IADIC), esta escala foi desenvolvida nos Estados Unidos com o objetivo de avaliar a dor em idosos confusos. Este instrumento e composto por nove constructos agrupados em quatro componentes, onde o somatorio dos constructos com resposta positiva indica a intensidade da dor, em uma escala onde, zero representa nenhuma dor e nove representa a pior dor. Nessa perspectiva realizou-se este estudo metodologico, com objetivo de realizar o pre-teste e validar as propriedades psicometricas do IADIC com pacientes idosos em pos-operatorio imediato. Para a validacao do IADIC foram elegiveis pacientes com idade igual ou superior a 60 anos em pos-operatorio imediato, submetidos a procedimentos eletivos e de urgencia, submetidos a anestesia geral e bloqueio/sedacao, internados na SR-HNSC e diagnosticados como confusos apos aplicacao do Confusion Assessment Method - CAM. Foram excluidos os pacientes com diagnostico medico previo de Doenca de Alzheimer, Acidente Vascular Encefalico e Depressao. Quando analisado a faixa etaria, mostra diferenca estatistica (p=0,004) nos idosos na faixa etaria de 60This is a methodological study, the objective was to conduct the pre-test and validate the psychometric properties of the Pain Assessment Tool in Confused Elderly (IADIC) in the immediate postoperative period. The sample consisted of 104 patients aged 60 years and over in the immediate postoperative perio4 admitted to the recovery room after surgery in a general hospital of Rio Grande do Sul Brasil. Data were collected from April to August 2012. Patients included in the study were diagnosed as confused after application of the Confusion Assessment Method-CAM and possessed age of 71.51 +/- 8.81 years. In the pre-test did not require modifications of the instrument. Upon validation the psychometric properties and internal consistency showed a Cronbachs alpha of 0.88 and reproducibility assessed by the intmraclass coefficient was 0.838. Internal consistency and reproducibility gave IADIC the validity and reliability for use in Brazil.

Pretest, la fiabilidad y Validez Instrumento para la Evaluación del Dolor en Ancianos - IADIC

A utilizacao de instrumentos que orientem e garanta a avaliacao da dor de forma acurada nos idosos, em especial os confusos, e uma necessidade sentida na pratica de enfermagem. Existe no Brasil, uma lacuna de instrumentos que avaliam dor em idosos confusos. Dentre os instrumentos para avaliacao da dor em idosos confusos esta o Instrumento de Avaliacao de dor em Idosos confusos (IADIC), esta escala foi desenvolvida nos Estados Unidos com o objetivo de avaliar a dor em idosos confusos. Este instrumento e composto por nove constructos agrupados em quatro componentes, onde o somatorio dos constructos com resposta positiva indica a intensidade da dor, em uma escala onde, zero representa nenhuma dor e nove representa a pior dor. Nessa perspectiva realizou-se este estudo metodologico, com objetivo de realizar o pre-teste e validar as propriedades psicometricas do IADIC com pacientes idosos em pos-operatorio imediato. Para a validacao do IADIC foram elegiveis pacientes com idade igual ou superior a 60 anos em pos-operatorio imediato, submetidos a procedimentos eletivos e de urgencia, submetidos a anestesia geral e bloqueio/sedacao, internados na SR-HNSC e diagnosticados como confusos apos aplicacao do Confusion Assessment Method - CAM. Foram excluidos os pacientes com diagnostico medico previo de Doenca de Alzheimer, Acidente Vascular Encefalico e Depressao. Quando analisado a faixa etaria, mostra diferenca estatistica (p=0,004) nos idosos na faixa etaria de 60This is a methodological study, the objective was to conduct the pre-test and validate the psychometric properties of the Pain Assessment Tool in Confused Elderly (IADIC) in the immediate postoperative period. The sample consisted of 104 patients aged 60 years and over in the immediate postoperative perio4 admitted to the recovery room after surgery in a general hospital of Rio Grande do Sul Brasil. Data were collected from April to August 2012. Patients included in the study were diagnosed as confused after application of the Confusion Assessment Method-CAM and possessed age of 71.51 +/- 8.81 years. In the pre-test did not require modifications of the instrument. Upon validation the psychometric properties and internal consistency showed a Cronbachs alpha of 0.88 and reproducibility assessed by the intmraclass coefficient was 0.838. Internal consistency and reproducibility gave IADIC the validity and reliability for use in Brazil.