Laís Fumincelli

Comfort, well-being and quality of life: Discussion of the differences and similarities among the concepts

HighlightsThe distinction among the concepts of comfort, well‐being and QoL is often unclear.This ambiguity can lead to redundancies, gaps, and knowledge dispersion.The concepts are not surrogate terms but related concepts sharing common attributes. Aim: To analyze the differences and similarities of the concepts of comfort, well‐being and quality of life (QoL). Methods: Review of concept analysis research on PubMed, Cinahl (full text) and Scielo, using the search terms “Comfort”, “Well‐being”, “Quality of Life” and “Concept Analysis”. Results: Eighteen studies were included. Comfort is a broader holistic concept while well‐being is mainly related to psycho‐spiritual dimensions. QoL reflects the individual perception of satisfaction with life. Conclusions: The concepts are not surrogate terms, but related concepts sharing common attributes. Caution should be taken in further research, particularly as regards the correct use and framing of the concepts.

Intermittent Urinary Catheterization: The Impact of Training on a Low-fidelity Simulator on the Self-confidence of Patients and Caregivers

Purpose: The purpose of this study was to identify how training on a low-fidelity simulator impacts the confidence of caregivers and patients with neurogenic bladder who use clean intermittent urinary catheterization. Design: Quasi-experimental study. Methods: Developed in a rehabilitation center in Brazil including patients who use clean intermittent urinary catheterization and caregivers from September to November 2013. After Ethics approval (Opinion 146/2012) during the nursing consultation, data were collected before and after training on a low-fidelity simulator. Findings: A total of 36 respondents (72.0%) patients and 14 (28.0%) caregivers participated. The self-confidence acquired after training on low-fidelity simulators was significant. Conclusions: In this study sample, low-fidelity simulation was demonstrated to be an effective strategy for the development of self-confidence. Clinical Relevance: Low-fidelity simulation training enables patients and caregivers to increase their self-confidence when performing clean intermittent urinary catheterization and should be used as a training strategy by healthcare professionals.

VALIDATION FOR THE PORTUGUESE LANGUAGE OF THE SIMULATION DESIGN SCALE

Considering the lack of tools to assess the results associated with the use of simulation as a teaching strategy, this study aimed to translate and validate ...Teniendo en cuenta la carencia de herramientas que evaluen los resultados asociados con el uso de la simulacion como estrategia de ensenanza, este estudio metodologico de traduccion y validacion de instrumento tuvo como objetivo traducir y validar para la lengua portuguesa la Simulation Design Scale (Student Version). Despues de completados todos los pasos del proceso de traduccion, el proceso de validacion se llevo a cabo en el contexto de evento acerca del cuidado del paciente critico. Participaron del estudio 103 enfermeros licenciados. La validez y fidelidad de la escala, el patron de correlacion entre las variables, el test de adecuacion de las muestras y el test de esfericidad presentaron resultados satisfactorios. Por no haber conexion entre los agrupamientos establecidos en el analisis factorial exploratorio, se opto por seguir la division establecida por la version original. La escala fue denominada Escala do Design da Simulacao [en Portugues]. Se concluye que la escala posee buenas propiedades psicometricas y potencial apropiado, sin embargo, futuras investigaciones son necesarias para su consolidacion.

Qualidade de vida de pacientes usuários do cateterismo urinário intermitente

ABSTRACT Objectives: measure and compare the quality of life of neurogenic bladder patients using intermittent urinary catheterization who were going through rehabilitation in Brazil and Portugal. Method: multicenter, quantitative, cross-sectional, observational-analytic and correlational study executed in Brazil and Portugal. Two data collection tools were used, being one questionnaire with sociodemographic and clinical data and the World Health Organization Quality of Life-bref. Patients were included who were over 18 years of age, suffering from neurogenic urinary bladder and using intermittent urinary catheterization. Results: in the sample of Brazilian (n = 170) and Portuguese (n = 52) patients, respectively, most patients were single (87-51.2%; 25-48.1%), had finished primary education (47-45.3%; 31-59.6%) and were retired (70-41.2%; 21-40.4%). Spinal cord injury was the main cause of using the urinary catheter in both countries. The Brazilian patients presented higher mean quality of life scores in the psychological domain (68.9) and lower scores in the physical domain (58.9). The Portuguese patients presented higher scores in the psychological domain (68.4) and lower scores in the environment domain (59.4). The execution of intermittent urinary self-catheterization was significant for both countries. Conclusions: in the two countries, these patients’ quality of life can be determined by the improvement in the urinary symptoms, independence, self-confidence, social relationships and access to work activities.Objectives: measure and compare the quality of life of neurogenic bladder patients using intermittent urinary catheterization who were going through rehabilitation in Brazil and Portugal. Method: multicenter, quantitative, cross-sectional, observational-analytic and correlational study executed in Brazil and Portugal. Two data collection tools were used, being one questionnaire with sociodemographic and clinical data and the World Health Organization Quality of Life-bref. Patients were included who were over 18 years of age, suffering from neurogenic urinary bladder and using intermittent urinary catheterization. Results: in the sample of Brazilian (n = 170) and Portuguese (n = 52) patients, respectively, most patients were single (87-51.2%; 25-48.1%), had finished primary education (47-45.3%; 31-59.6%) and were retired (70-41.2%; 21-40.4%). Spinal cord injury was the main cause of using the urinary catheter in both countries. The Brazilian patients presented higher mean quality of life scores in the psychological domain (68.9) and lower scores in the physical domain (58.9). The Portuguese patients presented higher scores in the psychological domain (68.4) and lower scores in the environment domain (59.4). The execution of intermittent urinary self-catheterization was significant for both countries. Conclusions: in the two countries, these patients’ quality of life can be determined by the improvement in the urinary symptoms, independence, self-confidence, social relationships and access to work activities.

Produção científica sobre eliminações urinárias em periódicos de enfermagem brasileiros

OBJECTIVE: To assess the scientific literature on urinary elimination in nursing journals published in Brazil. METHODS: An integrative literature review was used to review the databases MEDLINE, LILACS and Web of Science. The authors used 30 descriptors to search for articles published between the years 1999 to 2009, resulting in a total of 18 articles that met criteria and which were published by nurses. The papers were analyzed using a data collection instrument to identify journal name, year of publication, type of study, subject matter, and level of evidence. RESULTS: Eighteen studies were classified as Level of Evidence IV; urinary incontinence was the most frequent theme in the articles analyzed. CONCLUSION: While the clinical practice of nurses was integrated into articles addressing changes in urinary elimination, we found that this topic was narrowly defined, studies used lower level research designs, and it was noted that few authors published on the topic. All of these findings indicate the importance of greater investment in nursing research in this area of nursing knowledge and practiceOBJETIVO: Verificar la produccion cientifica sobre eliminaciones urinarias difundidas en periodicos de enfermeria brasilenos. METODOS: Estudio realizado por medio de revision integrativa de la literatura, contemplando las bases de datos MEDLINE, LILACS y Web of Science, utilizando 30 descriptores para busqueda de articulos publicados entre 1999 al 2009; asi, fueron seleccionados 18 articulos, disponibles integramente, producidos por enfermeros. Los manuscritos fueron analizados teniendo como base un instrumento de recoleccion de datos discriminandose el nombre del periodico, ano de publicacion, tipo del estudio, asunto abordado y nivel de evidencias. RESULTADOS: Los 18 estudios fueron clasificados con nivel de evidencia IV y la incontinencia urinaria fue el tema mas frecuente en los articulos analizados. CONCLUSION: A pesar que las alteraciones en las eliminaciones urinarias integren la practica clinica del enfermero, en los articulos seleccionados, el tema fue limitado a un ambito restringido de asuntos, con bajo nivel de delineamiento, procedentes de la produccion de un reducido numero de autores, indicando la importancia de una mayor inversion en investigaciones en esa area

Scientific literature on urinary elimination in Brazilian nursing journals

OBJECTIVE: To assess the scientific literature on urinary elimination in nursing journals published in Brazil. METHODS: An integrative literature review was used to review the databases MEDLINE, LILACS and Web of Science. The authors used 30 descriptors to search for articles published between the years 1999 to 2009, resulting in a total of 18 articles that met criteria and which were published by nurses. The papers were analyzed using a data collection instrument to identify journal name, year of publication, type of study, subject matter, and level of evidence. RESULTS: Eighteen studies were classified as Level of Evidence IV; urinary incontinence was the most frequent theme in the articles analyzed. CONCLUSION: While the clinical practice of nurses was integrated into articles addressing changes in urinary elimination, we found that this topic was narrowly defined, studies used lower level research designs, and it was noted that few authors published on the topic. All of these findings indicate the importance of greater investment in nursing research in this area of nursing knowledge and practiceOBJETIVO: Verificar la produccion cientifica sobre eliminaciones urinarias difundidas en periodicos de enfermeria brasilenos. METODOS: Estudio realizado por medio de revision integrativa de la literatura, contemplando las bases de datos MEDLINE, LILACS y Web of Science, utilizando 30 descriptores para busqueda de articulos publicados entre 1999 al 2009; asi, fueron seleccionados 18 articulos, disponibles integramente, producidos por enfermeros. Los manuscritos fueron analizados teniendo como base un instrumento de recoleccion de datos discriminandose el nombre del periodico, ano de publicacion, tipo del estudio, asunto abordado y nivel de evidencias. RESULTADOS: Los 18 estudios fueron clasificados con nivel de evidencia IV y la incontinencia urinaria fue el tema mas frecuente en los articulos analizados. CONCLUSION: A pesar que las alteraciones en las eliminaciones urinarias integren la practica clinica del enfermero, en los articulos seleccionados, el tema fue limitado a un ambito restringido de asuntos, con bajo nivel de delineamiento, procedentes de la produccion de un reducido numero de autores, indicando la importancia de una mayor inversion en investigaciones en esa area

Qualidade e segurança do cuidado de enfermagem ao paciente usuário de cateterismo urinário intermitente

Objetivo: Descrever os riscos e a vulnerabilidade dos pacientes e as intervencoes oriundas do trabalho do enfermeiro junto ao paciente com bexiga neurogenica usuario do cateterismo urinario intermitente. Metodos: Estudo realizado no Centro de Reabilitacao de um hospital universitario do interior do estado de Sao Paulo em duas fases. Fase 1:estudo descritivo com pacientes usuarios de cateterismo urinario intermitente, entre novembro de 2011 a fevereiro de 2013. Fase 2, estudo de caso, com implementacoes de intervencoes de enfermagem com estes pacientes. Resultados: A fase 1 consistiu na coleta de dados de 168 pacientes. Na fase 2, foram inseridas no servico as seguintes praticas: capacitacao de equipe, grupos educativos com pacientes, distribuicao de diarios miccionais, auxilio na obtencao de materiais, treino simulado e telenfermagem. Conclusao: As intervencoes implementadas sao atividades promissoras para alcancar um impacto positivo no tratamento desses pacientes, oferecendo qualidade e seguranca aos cuidados de enfermagem.

Social Determinants of Health in the lives of urinary catheter users

OBJECTIVE To identify the influence of social determinants of health on the life conditions of patients who use intermittent urinary catheters. METHOD This was a descriptive study conducted in a rehabilitation center with 243 neurogenic bladder patients who used clear intermittent urinary catheters. The study was carried out between March 2012 and October 2015, using interviews based on semi-structured instruments, and data analysis using descriptive statistics. RESULTS Most of the patients were men, between 16 and 64 years old, single, with an elementary education level, and a monthly household income of 2 to 3 minimum wages. The results show that the social determinants of health were related to socioeconomic, demographic, and health factors. CONCLUSION The findings indicate a complex relationship between social determinants of health and the life conditions of patients who use clean intermittent urinary catheters, presenting greater vulnerability related to some aspects of health conditions.

Low-fidelity simulation for patients and caregivers in the use of lubricants in clean intermittent catheterization: Use of simulation in intermittent catheterization

Can low-fidelity simulation improve the knowledge and skills of patients undergoing clean intermittent catheterization (CIC) and their caregivers to prevent complications? Patients undergoing CIC are exposed to risks, such as urethral trauma and urinary tract infections. Objective of this paper was to assess the implications of low-fidelity simulations for patients and caregivers in the use of clean intermittent catheterization in the event of urethral trauma and for its prevention. A quasi-experimental study carried out between November 2015 and February 2016 in the rehabilitation centre of a university hospital, with patients undergoing CIC and/or their caregivers. Following the ethical precepts, data collection was performed during nursing consultations by means of interviews, structured observation, and a knowledge test applied before and after the low-fidelity simulation. Patients undergoing CIC and/or caregivers underwent a low-fidelity simulation of CIC with urethral trauma and then they were guided by the researchers following the protocol established in the department. They then underwent another simulation with the same characteristics. Fifty-five patients participated in this study, in which most of them (33 [60·0%]) were men, with an average age of 31·7 years. Bleeding was reported by 19 patients (34·5%), of which 18 were men. The performance of low-fidelity simulations proved to be effective for patients or caregivers in adverse situations, such as bleeding, resistance to the introduction of the catheter and negative urine drainage. The performance of low-fidelity simulation is easily accessible and shows efficiency when used in teaching-learning processes of health education and development of skills and competencies.

Quality of Life of Intermittent Urinary Catheterization Users and Their Caregivers: A Scoping Review

Aims: This study aimed to examine and map the scientific evidences regarding quality of life in neurogenic bladder patients and consequently their caregivers by means of a scoping review. Design: This is a scoping review proposal of the Joanna Briggs Institute. Methods: It was conducted to examine and map the scientific evidences about quality of life (QoL) in neurogenic bladder patients and their caregivers, to identify the meanings attributed to QoL and its relation with intermittent urinary catheterization. The following guiding question was: “What scientific evidence has been produced on the QoL of neurogenic bladder patients using intermittent urinary catheterization and their caregivers?” A total of 2945 research studies were identified using The Cochrane Library, CINAHL, LILACS, Academic Search Premier (via EBSCO platform), PubMed, SCOPUS, the platforms Web of Science, the b‐on and Gray Literature. The keywords established were patient, intermittent urinary catheterization, neurogenic urinary bladder, quality of life and caregiver. Results: From 2,945 studies, 13 studies were selected. Most of the selected studies that analyzed variables related to the patients’ QoL were regarding the urinary catheterization technique, assessment of urinary incontinence, individual perceptions of the procedure and experiences with urinary catheter in childhood and adult life. The meanings attributed to QoL, when compared to adult and child individuals with normal bladder functioning, presented lower QoL scores. Concerning caregivers, the QoL of caregivers of children using intermittent urinary catheterization demonstrated low scores. Linking Evidence to Action: The QoL of patients who use intermittent urinary catheterization can be determined by improvement of urinary symptoms and self‐confidence. Research related to QoL of patients who use urinary catheter indicates the importance of adequate professional support and appropriate health public policies.