Juliana Bezerra do Amaral

Prevention and monitoring of delirium in older adults: an educational intervention

OBJECTIVE to conduct an educational intervention with the nursing team members of an intensive care unit (ICU), aiming to increase knowledge and to introduce improvements in their practices regarding prevention and monitoring of delirium in older patients. METHOD this is an action research, in which workshops were conducted with eleven nurses and a nursing technician from an ICU unit in Salvador, Bahia, Brazil. RESULTS ten problems regarding nursing practices for prevention and monitoring of delirium were identified. Educational, practical, technical, and managerial actions were planned, involving cross-sector connections for planning ways to solve these problems. The groups reported significant changes in the practices, with the implementation of drug-free measures for preventing and managing the situation. CONCLUSION the educational intervention contributed to improve the nursing practices in the ICU unit studied, and it also favored the development of critical thinking about the problems mentioned, thus enabling permanent review of offered treatments.

Prevención y monitorización del delirium en personas mayores: intervención educative

OBJECTIVE to conduct an educational intervention with the nursing team members of an intensive care unit (ICU), aiming to increase knowledge and to introduce improvements in their practices regarding prevention and monitoring of delirium in older patients. METHOD this is an action research, in which workshops were conducted with eleven nurses and a nursing technician from an ICU unit in Salvador, Bahia, Brazil. RESULTS ten problems regarding nursing practices for prevention and monitoring of delirium were identified. Educational, practical, technical, and managerial actions were planned, involving cross-sector connections for planning ways to solve these problems. The groups reported significant changes in the practices, with the implementation of drug-free measures for preventing and managing the situation. CONCLUSION the educational intervention contributed to improve the nursing practices in the ICU unit studied, and it also favored the development of critical thinking about the problems mentioned, thus enabling permanent review of offered treatments.

Prevenção e monitorização do delirium no idoso: uma intervenção educativa

OBJECTIVE to conduct an educational intervention with the nursing team members of an intensive care unit (ICU), aiming to increase knowledge and to introduce improvements in their practices regarding prevention and monitoring of delirium in older patients. METHOD this is an action research, in which workshops were conducted with eleven nurses and a nursing technician from an ICU unit in Salvador, Bahia, Brazil. RESULTS ten problems regarding nursing practices for prevention and monitoring of delirium were identified. Educational, practical, technical, and managerial actions were planned, involving cross-sector connections for planning ways to solve these problems. The groups reported significant changes in the practices, with the implementation of drug-free measures for preventing and managing the situation. CONCLUSION the educational intervention contributed to improve the nursing practices in the ICU unit studied, and it also favored the development of critical thinking about the problems mentioned, thus enabling permanent review of offered treatments.

Care to the person in a terminal process in the perception of the nursing students

Objective: to know the experiences of the nursing students regarding the care to the person in a terminal process. Methods: a qualitative study with data collected through semi-structured interviews held with ten nursing students. Results: from the data analysis, two theme categories emerged: Feelings expressed facing the first contact with the patients in a terminal process and care to the patient in a terminal process: dichotomy between theory and practice. When experiencing the care to the person in the dying process, students have shown that the feeling of helplessness was the most striking, among others such as sadness, anguish and insecurity. Conclusion: the practices of care of the nursing team disagree with the academic discussions, denying the discourse that the nurse should be present with the patient, regardless of his clinical condition.