Isabelle Campos de Azevedo

Clinical and epidemiological aspects of cornea transplant patients of a reference hospital

Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found. Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.ABSTRACT Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found. Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.

Strategies used for the promotion of critical thinking in nursing undergraduate education: A systematic review

OBJECTIVE Identifying the strategies used to promote critical thinking (CT) during undergraduate education in nursing courses. DESIGN Systematic review. SOURCE OF DATA Five electronic databases were searched without language, publication time or geographic filters. METHOD A systematic review of the literature. Including experimental studies that considered at least one teaching strategy to promote critical thinking of undergraduate students in Nursing courses. The search for studies occurred in three phases: title and summary review, complete text and implementation of a clinical form of selection according to predetermined criteria. All included studies were assessed for quality through a classification tool for experimental studies. RESULTS Six studies were selected. The results were grouped into three key themes: an evaluation of the quality of the selected studies, characterization of the studies and the strategies used to promote critical thinking. All selected studies were in English, with significant conceptual similarity of Critical Thinking and dominance in choosing the approached theme during strategies in clinical nursing education with an emphasis on the nursing process. CONCLUSIONS The most widely used teaching intervention was Problem-Based Learning. Nursing education mediated by strategies that stimulate CT is considered a positive difference in undergraduate curriculums.

Hematopoietic Stem Cell Transplantation Based on the Transdisciplinary Care

Objetive: discuss the importance of multidisciplinary care for patients undergoing Hematopoietic Stem Cell Transplantation (HSCT) based on the transdisciplinary care. Method: This is a theoretical essay discussing. Results: Each year, about 50 million people are undergoing HSCT worldwide. This therapeutic strategy is used for some oncological, hematological or immunological, malignant and non-malignant inherited or acquired diseases. During the steps after HSCT, patients, and their families experience moments of anxiety, anguish and uncertainty that cause stress and interfere with their daily lives. The multidisciplinary team working in HSCT service provide complex and specialized care since this scenario requires specific knowledge of the area. However, they do not relieve the interweaving of new knowledge for an interdisciplinary practice that meets the patient´s health needs in this delicate moment of his life. From this perspective, health professionals of HSCT service should excel by constantly learning and dynamic interventions and sharing of knowledge in the multidisciplinary team that includes a complex and transdisciplinary care. Conclusion: This essay causes the discussion about care in HSCT based on transdisciplinary care. It should be emphasized the responsibility of each member of the multidisciplinary team for the contribution and strengthening of the patient´s quality of life. In a way, the interdisciplinary care permeates the complexity in an open perspective of approximation of the various areas of knowledge.

Instrumento para avaliar o cuidado de graduandos de enfermagem à pessoa com ferida

OBJECTIVE The aim of this study was to present the process of construction and validation of an instrument for evaluating the care provided to people with wounds, to be used with undergraduate nursing students. METHOD :Methodological study, with quantitative approach, using the Delphi technique in two rounds, the first with 30 judges and the second with 18. The analysis was made with Kappa coefficient ≥0.80, and content validity index greater than >0.80, also using the Wilcoxon test for comparison of the indices between the rounds. RESULTS It was found that of the 20 categories of the instrument, 18 presented better scores in the second Delphi round. Scores were greater in the second round in seven of the ten evaluation categories. CONCLUSION Based on the evaluation by the judges, a version of the instrument was defined with adequate indices of agreement and validity, which will be able to help in evaluating care of people with cutaneous injury given by undergraduate nursing students.OBJETIVO Presentar el proceso de construccion y validacion de un instrumento para evaluar el cuidado a la persona con herida a fin de aplicarlo a los graduandos de enfermeria. Metodo: Investigacion metodologica, cuantitativa, con aplicacion de la tecnica Delphi en dos rondas. La primera con 30 jueces y la segunda con 18. El analisis se hizo mediante el coeficiente Kappa ≥0,80, el indice de validez de contenido >0,80, ademas de la prueba de los rangos con signos de Wilcoxon para comparaciones de los indices entre las rondas. RESULTADOS Se verifico que, de las 20 categorias del instrumento, 18 presentaron mejores puntajes en la fase Delphi 2. En cuanto a los requisitos de evaluacion, se advirtio que los puntajes en la segunda fase fueron mayores en siete de los 10 items. CONCLUSION Desde la evaluacion de los jueces, se definio una version del instrumento con indices de concordancia y validez adecuados, la que podra contribuir con la evaluacion del cuidado de graduandos de enfermeria a la persona con lesion cutanea.

Aspectos clínicos y epidemiológicos de pacientes trasplantados con córneas en un servicio de referencia

Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found. Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.ABSTRACT Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found. Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.

Aspectos clínicos e epidemiológicos dos pacientes transplantados com córneas em um serviço de referência

Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found. Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.ABSTRACT Objective: clinically characterizing cornea transplant patients and their distribution according to indicated and post-operative conditions of cornea transplantation, as well as estimating the average waiting time. Method: a cross-sectional, descriptive and analytical study performed for all cornea transplants performed at a reference service (n=258). Data were analyzed using Statistical Package for the Social Sciences, version 20.0. Results: the main indicator for cornea transplant was keratoconus. The mean waiting time for the transplant was approximately 5 months and 3 weeks for elective transplants and 9 days for urgent cases. An association between the type of corneal disorder with gender, age, previous surgery, eye classification, glaucoma and anterior graft failure were found. Conclusion: keratoconus was the main indicator for cornea transplant. Factors such as age, previous corneal graft failure (retransplantation), glaucoma, cases of surgeries prior to cornea transplant (especially cataract surgery) may be related to the onset corneal endothelium disorders.

Research with children: reading of Emmanuel Lévinas and the otherness

E recente a preocupacao em delimitar a pesquisa com criancas e, mais importante, o quanto e indispensavel pensa-la sob uma perspectiva etica. Com vistas a ampliacao dessa discussao, objetivou-se oferecer uma forma de abordagem etica que se acredita ser essencial para o desenvolvimento de pesquisas com criancas a partir do pensamento do filosofo Emmanuel Levinas. Com base na alteridade de Levinas, concluiu-se que para realizacao de pesquisa com criancas torna-se necessario se abrir para o mundo infantil, totalmente diverso e autonomo. Perceber essa necessidade e perceber a imprescindibilidade da alteridade como pressuposto etico das relacoes humanas, no caso, entre o pesquisador e a crianca. Somente assim, a autonomia, o respeito e a participacao ativa da crianca estarao assegurados como um direito que possui nao apenas por ser participante de pesquisa, mas tambem como ser humano, com as particularidades que devem ser consideradas efetivamente.Es reciente la preocupacion por delimitar la investigacion con ninos y, lo que es mas importante, lo indispensable que resulta pensarla desde una perspectiva etica. Tendiendo a una ampliacion de esta discusion, se tuvo como objetivo ofrecer una forma de abordaje etico que se considera es esencial para el desarrollo de investigaciones con ninos a partir del pensamiento del filosofo Emmanuel Levinas. En base a la alteridad de Levinas, se concluyo que para la realizacion de la investigacion con ninos se hace necesario abrirse al mundo infantil, totalmente diverso y autonomo. Percibir esa necesidad es percibir la imprescindibilidad de la alteridad como un presupuesto etico de las relaciones humanas, en este caso, entre el investigador y el nino. Solo asi, la autonomia, el respeto y la participacion activa del nino estaran asegurados como un derecho que posee no solo por ser un participante de la investigacion, sino tambien por ser un ser humano con las particularidades que deben ser consideradas efectivamente

Quality Of General Life In The Medicine Course Students

Objective: To evaluate the general quality of life in medical students. Method: This is a cross-sectional observational study of 320 students from the Federal University of Mato Grosso do Sul, located in Campo Grande, Brazil, who answered the WHOQOL-BREF quality of life assessment instrument. Results: The medical students evaluated having a good general quality of life and good satisfaction with their health. According to the domains, the psychological domain was smaller than the social relationships and environment domains. The students had a difference in the values of the WHOQOL-BREF scores only between the psychological and the environment domains and lower values in the men, in the physical and psychological domains. During the years of the course, there was a difference between the domains only for the 3rd grade of the course, with lower scores for the psychological domain. In each domain, the values of the WHOQOL-BREF scores were higher in the second grade compared to the 5th grade in the social relationships domain, and in the environmental domain. The 1st grade had lower values than the 6th grade. Conclusion: Medical students have a positive characterization of the quality of life, although it is less in the psychological domain, by the frequency of negative feelings not enjoying life or concentrating in a satisfactory way. Female students are more fragile in the psychological and physical domain than male students. Keywords: Quality of life; Medical students; Medical Education.

ALFARO-LEFREVE, Rosalinda. E-Study Guide for: Applying Nursing Process: A Tool for Critical Thinking. Cram101 Textbook Reviews, 2014. 66p.

A obra apresenta um tema de grande interesse a todos que compõem a enfermagem, uma vez que estimula o desenvolvimento do processo de Enfermagem desde o ensino até a prática assistencial. Dessa forma, é objetivo dessa resenha realizar uma análise crítica do Guia enquanto ferramenta para promoção do pensamento crítico desenvolvida por um processo de leitura exaustiva do tema, principalmente por meio de outras obras da autora. Lançado em 2014 pela editora Cram101 Textbook Reviews, o E-Study Guide for: Applying Nursing Process: A tool for Critical Thinking é um guia de estudo eletrônico, disponível apenas no idioma inglês no formato e-book, que descreve termos conhecidos pelos profissionais da área de enfermagem de uma forma didática, além de oferecer testes práticos ao final de cada capítulo. A autora é presidente do Teaching Smart/Learning Easy, em Stuart, Flórida/Estados Unidos da América, uma empresa de consulta e seminários sobre a promoção do pensamento crítico. A obra em questão obteve destaque por facilitar o entendimento de conteúdos difíceis e no auxilio a estudantes, enfermeiros, professores e gestores no desenvolvimento do pensamento crítico, crescimento profissional e processo de enfermagem. O guia de estudo eletrônico está apresentado sob a forma de seis capítulos que contemplam as cinco etapas do processo de Enfermagem (PE), conforme modelo adotado pela autora 1. Nursing Process Overview; 2. Assessment; 3. Diagnosis; 4. Planning; 5. Implementation; 6. Evaluation. No decorrer dos seis capítulos, a autora define diversos termos com o intuito de trazer para os seus leitores um roteiro que subsidie a prática profissional instrumentalizada

Nursing Diagnosis of Mothers and Roomed-In Newborns

Objetivo: To identify the more frequent nursing diagnoses (ND) among mothers and newborns (NB) in a rooming-in accommodation, according to the taxonomy of the North American Nursing Diagnosis Association (NANDA) 2015-2017. Method: This is a quantitative, cross-sectional, descriptive study in a Rooming-in Maternity of a University Hospital located in the Midwest region of Brazil, in the period from July to October 2013. Results: The sample consisted of 101 mothers and their 102 newborn babies. There were 20 NDs identified among the mothers and nine ND among the newborns. The most common ND among the mothers were the risk of infection (96%), impaired tissue integrity (96%), impaired comfort (84%) and willingness to improved breastfeeding (66%); among the newborns ND there were the risk of infection (100%) and the risk of imbalance of body temperature (100%). Conclusion: A The identification of ND is essential for the work of nurses in rooming-in hospitals. It is expected that the results obtained in this research can contribute to the effectiveness of the NP in similar situations.