Lilian Denise Mai

A vivência de mães de bebês com malformação

Resumen The objective of the present study was to discover and understand the experience of mothers faced with the diagnosis and bir th of babies with malformation. It was a descriptive-exploratory qualitative research study, performed with seven mothers in Maringá-PR, Brazil. Data were collected in April 2009 through previously scheduled semi-structured interviews, and analyzed using content analysis. The data showed that the different moments of the pregnancy-puerperium cycle involve various facts and emotions, which are never theless interconnected, including confirmation of malformation (usually during pregnancy), confirmed diagnosis at birth, and life with the baby after bir th. It is concluded that the discovery and confirmation of malformation leads to crisis and denial of expectations in the mother and all family members, resulting in changes in their way of life. However, the mother gradually overcomes and learns ways to cope with the problem and prejudices associated with malformation.El presente estudio tuvo como objetivo conocer y comprender la vivencia de madres delante del diagnostico y nacimiento de bebes con mala formacion. Se trata de una investigacion descriptiva y exploratoria, de naturaleza cualitativa, desarrollada en Maringa (PR), con siete madres. Los datos fueron recogidos en abril de 2009, por medio de entrevista seme estructurada y analizados mediante el analisis de contenido. Los datos mostraron que los diferentes momentos del ciclo, del embarazo al nacimiento, presentan hechos y emociones distintos, pero, completamente interconectados, destacandose momentos como la constatacion de la mala formacion, generalmente durante el embarazo, su confirmacion al nacimiento y la vivencia con el bebe despues del nacimiento. Se concluye que la descubierta y confirmacion de la mala formacion produce crisis y negacion de las expectativas en la madre y en todos los miembros de la familia, desencadenando cambios en su modo de vivir, pero a los pocos la madre demuestra superacion y aprende maneras para enfrentar el problema y los prejuicios relacionados a la mala formacion.

Lista de verificação de segurança cirúrgica: Considerações a partir da micropolítica institucional

Objetivo: Realizar uma analise reflexiva sobre aspectos da micropolitica institucional que possam influenciar o uso da lista de verificacao de seguranca cirurgica pelos servicos de saude. Metodos: Trata-se de um artigo de reflexao, fundamentado nas evidencias cientificas disponiveis sobre a tematica lista de verificacao de seguranca cirurgica, disponiveis na base de dados PubMed. Resultados: Existem aspectos da micropolitica institucional que precisam ser considerados no processo de implantacao da lista de verificacao de seguranca cirurgica, a saber: gestao dos servicos de saude, planejamento, processo educativo, auditoria, feedback aos envolvidos, situacoes especiais do processo de trabalho, alem da subjetividade dos profissionais de saude. Conclusao: Reconhecer fatores da micropolitica institucional que exercem influencia no uso da lista de verificacao pode contribuir para a criacao de mecanismos que garantam o sucesso da implantacao da lista em prol da seguranca do paciente.Objective: To reflexive analysis on aspects of institutional micro that can influence the use of surgical safety checklist for health services. Methods: It is an article of reflection, based on scientific evidence available on the subject surgical safety checklist, available in the PubMed database. Results: There are aspects of the institutional micro that need to be considered in the implementation process of the surgical safety checklist, namely: management of health, planning, education process, audit, feedback to those involved, special situations of the labor process, beyond the subjectivity of health professionals. Conclusion: Recognize factors of institutional micro influencing the use of the checklist can contribute to the creation of mechanisms to ensure the successful implementation of the list for the safety of the patient.

PRÁTICA DA PROFILAXIA ANTIMICROBIANA CIRÚRGICA COMO FATOR DE SEGURANÇA DO PACIENTE

Objective: To identify the practice of surgical antimicrobial prophylaxis adopted by professionals working in the operating room. Method: A descriptive study with a quantitative approach was conducted in 30 surgical center professionals located in the Northwest of Parana, Brazil. Data collection occurred in 2012 by direct observation. For analysis, we used descriptive statistics. Results: It was found that, in 81 (81%) surgeries, clean, potentially contaminated, and contaminated, surgical antibiotic prophylaxis was performed. However, in most of them (54/66.6%), the antibiotic was administered within 1 hour before the surgical incision. In addition, in six (18.1%) potentially contaminated surgery and one (33%) contaminated, where its use was necessary, the antimicrobial was not used. Conclusion: It was evident that this practice violates the current recommendations, which affects their effectiveness in preventing surgical site infection and compromises patient safety.

Lista de Verificación de Seguridad Quirúrgica: Consideraciones sobre las políticas institucionales

Objetivo: Realizar uma analise reflexiva sobre aspectos da micropolitica institucional que possam influenciar o uso da lista de verificacao de seguranca cirurgica pelos servicos de saude. Metodos: Trata-se de um artigo de reflexao, fundamentado nas evidencias cientificas disponiveis sobre a tematica lista de verificacao de seguranca cirurgica, disponiveis na base de dados PubMed. Resultados: Existem aspectos da micropolitica institucional que precisam ser considerados no processo de implantacao da lista de verificacao de seguranca cirurgica, a saber: gestao dos servicos de saude, planejamento, processo educativo, auditoria, feedback aos envolvidos, situacoes especiais do processo de trabalho, alem da subjetividade dos profissionais de saude. Conclusao: Reconhecer fatores da micropolitica institucional que exercem influencia no uso da lista de verificacao pode contribuir para a criacao de mecanismos que garantam o sucesso da implantacao da lista em prol da seguranca do paciente.Objective: To reflexive analysis on aspects of institutional micro that can influence the use of surgical safety checklist for health services. Methods: It is an article of reflection, based on scientific evidence available on the subject surgical safety checklist, available in the PubMed database. Results: There are aspects of the institutional micro that need to be considered in the implementation process of the surgical safety checklist, namely: management of health, planning, education process, audit, feedback to those involved, special situations of the labor process, beyond the subjectivity of health professionals. Conclusion: Recognize factors of institutional micro influencing the use of the checklist can contribute to the creation of mechanisms to ensure the successful implementation of the list for the safety of the patient.

Surgical Safety Checklist: considerations on institutional policies

Objetivo: Realizar uma analise reflexiva sobre aspectos da micropolitica institucional que possam influenciar o uso da lista de verificacao de seguranca cirurgica pelos servicos de saude. Metodos: Trata-se de um artigo de reflexao, fundamentado nas evidencias cientificas disponiveis sobre a tematica lista de verificacao de seguranca cirurgica, disponiveis na base de dados PubMed. Resultados: Existem aspectos da micropolitica institucional que precisam ser considerados no processo de implantacao da lista de verificacao de seguranca cirurgica, a saber: gestao dos servicos de saude, planejamento, processo educativo, auditoria, feedback aos envolvidos, situacoes especiais do processo de trabalho, alem da subjetividade dos profissionais de saude. Conclusao: Reconhecer fatores da micropolitica institucional que exercem influencia no uso da lista de verificacao pode contribuir para a criacao de mecanismos que garantam o sucesso da implantacao da lista em prol da seguranca do paciente.Objective: To reflexive analysis on aspects of institutional micro that can influence the use of surgical safety checklist for health services. Methods: It is an article of reflection, based on scientific evidence available on the subject surgical safety checklist, available in the PubMed database. Results: There are aspects of the institutional micro that need to be considered in the implementation process of the surgical safety checklist, namely: management of health, planning, education process, audit, feedback to those involved, special situations of the labor process, beyond the subjectivity of health professionals. Conclusion: Recognize factors of institutional micro influencing the use of the checklist can contribute to the creation of mechanisms to ensure the successful implementation of the list for the safety of the patient.

Demandas assistenciais frente à gestação e o nascimento de bebês com malformação

Objective: to describe on the health care demands both mother / child in the presence of malformations during pregnancy and childbirth. Methods: qualitative research, and exploratory posology described, developed with nine mothers of infants born between November 2008 to February 2009, in Maringa-PR. Data were collected in May 2009, through semi-structured interviews and submitted to content analysis. Results: during pregnancy assistance was based on prenatal care, referrals and advice. During hospitalization care was essential for some, for others it has failed. In the puerperium identified that were not visited by health professionals were only asked to go to the Basic Health Unit (BHU) to carry out vaccination and monitoring of the baby. Conclusion: this study allowed us to understand that the binomial and family are struggling throughout the pregnancy and childbirth, being necessary for the health care team seeks alternatives to minimize them in order to provide a differentiated service and humanized

The experience of mothers of babies with malformation

Resumen The objective of the present study was to discover and understand the experience of mothers faced with the diagnosis and bir th of babies with malformation. It was a descriptive-exploratory qualitative research study, performed with seven mothers in Maringá-PR, Brazil. Data were collected in April 2009 through previously scheduled semi-structured interviews, and analyzed using content analysis. The data showed that the different moments of the pregnancy-puerperium cycle involve various facts and emotions, which are never theless interconnected, including confirmation of malformation (usually during pregnancy), confirmed diagnosis at birth, and life with the baby after bir th. It is concluded that the discovery and confirmation of malformation leads to crisis and denial of expectations in the mother and all family members, resulting in changes in their way of life. However, the mother gradually overcomes and learns ways to cope with the problem and prejudices associated with malformation.El presente estudio tuvo como objetivo conocer y comprender la vivencia de madres delante del diagnostico y nacimiento de bebes con mala formacion. Se trata de una investigacion descriptiva y exploratoria, de naturaleza cualitativa, desarrollada en Maringa (PR), con siete madres. Los datos fueron recogidos en abril de 2009, por medio de entrevista seme estructurada y analizados mediante el analisis de contenido. Los datos mostraron que los diferentes momentos del ciclo, del embarazo al nacimiento, presentan hechos y emociones distintos, pero, completamente interconectados, destacandose momentos como la constatacion de la mala formacion, generalmente durante el embarazo, su confirmacion al nacimiento y la vivencia con el bebe despues del nacimiento. Se concluye que la descubierta y confirmacion de la mala formacion produce crisis y negacion de las expectativas en la madre y en todos los miembros de la familia, desencadenando cambios en su modo de vivir, pero a los pocos la madre demuestra superacion y aprende maneras para enfrentar el problema y los prejuicios relacionados a la mala formacion.

La vivencia de madres de bebés con mala formación

Resumen The objective of the present study was to discover and understand the experience of mothers faced with the diagnosis and bir th of babies with malformation. It was a descriptive-exploratory qualitative research study, performed with seven mothers in Maringá-PR, Brazil. Data were collected in April 2009 through previously scheduled semi-structured interviews, and analyzed using content analysis. The data showed that the different moments of the pregnancy-puerperium cycle involve various facts and emotions, which are never theless interconnected, including confirmation of malformation (usually during pregnancy), confirmed diagnosis at birth, and life with the baby after bir th. It is concluded that the discovery and confirmation of malformation leads to crisis and denial of expectations in the mother and all family members, resulting in changes in their way of life. However, the mother gradually overcomes and learns ways to cope with the problem and prejudices associated with malformation.El presente estudio tuvo como objetivo conocer y comprender la vivencia de madres delante del diagnostico y nacimiento de bebes con mala formacion. Se trata de una investigacion descriptiva y exploratoria, de naturaleza cualitativa, desarrollada en Maringa (PR), con siete madres. Los datos fueron recogidos en abril de 2009, por medio de entrevista seme estructurada y analizados mediante el analisis de contenido. Los datos mostraron que los diferentes momentos del ciclo, del embarazo al nacimiento, presentan hechos y emociones distintos, pero, completamente interconectados, destacandose momentos como la constatacion de la mala formacion, generalmente durante el embarazo, su confirmacion al nacimiento y la vivencia con el bebe despues del nacimiento. Se concluye que la descubierta y confirmacion de la mala formacion produce crisis y negacion de las expectativas en la madre y en todos los miembros de la familia, desencadenando cambios en su modo de vivir, pero a los pocos la madre demuestra superacion y aprende maneras para enfrentar el problema y los prejuicios relacionados a la mala formacion.