Maria José dos Reis

Evaluation of the Nursing Process Used at a Brazilian Teaching Hospital

PURPOSE To evaluate how the nursing process has been registered at a Brazilian teaching hospital. METHODS Descriptive and retrospective study of 68 medical records. FINDINGS The data collection of history was more frequent on the admission day. The documentation of physical exam was prioritized. Sometimes there were records of nursing interventions but not of nursing diagnoses. CONCLUSIONS It was found some failures in the record of some steps of the nursing process. Although all steps had been used, they were not carried out consistently. IMPLICATIONS FOR NURSING PRACTICE Some aspects deserve to be considered to improve the use and registration of all steps of the nursing process as to develop specific protocols, redesign the formulary of data record with careful and equal consideration of all steps, and empower all members of the nursing staff to implement the nursing process more effectively.

Risk factors for urinary incontinence in women

Trata-se de um estudo de revisao bibliografica com o objetivo de identificar os principais fatores de risco ou associados a incontinencia urinaria (IU) na mulher. Utilizou-se a base de dados MEDLINE e LILACS e pesquisa em bibliotecas dos artigos publicados entre 1983 e 2003. Foram analisadas trinta e oito publicacoes em ingles e portugues, as quais relataram como os principais fatores de risco: idade, trauma do assoalho pelvico, fatores hereditarios, raca, menopausa, obesidade, doencas cronicas, uso de alguns simpaticomimeticos e parasimpaticoliticos, constipacao, tabagismo, consumo de cafeina e exercicios intensos na regiao abdominal. A enfermeira pode, por meio de anamnese, identificar estes fatores e realizar intervencoes para a prevencao e tratamento da IU, contribuindo para melhorar a qualidade de vida da mulher incontinente.The goal of this study was to conduct a review of the main papers published between 1983 and 2003 on the main risk factors for urinary incontinence (UI) in women. Thirty-eight publications in English and Portuguese were analyzed using the MEDLINE and LILACS databases as well as through research in libraries. There is evidence that the main risk factors are age, pelvic floor trauma, hereditary factors, race, menopausal status, obesity, chronic diseases, use of some sympathomimetics and parasympatholitics, constipation, smoking, coffee consumption and intense abdominal exercises. Nurses are able to identify these factors through anamnesis and determine interventions for the prevention and treatment of UI, thus contributing to improve incontinent womens quality of life.

Programa educativo em medidas de precaução universais: uma metodologia de abordagem

No Centro de Atencao Integral a Saude da Mulher (CAISM) desenvolveu-se um programa de reciclagem sobre as Medidas de Precaucao Universais (MPU) e divulgou-se, atraves de uma cartilha, essas medidas e os procedimentos em caso de acidente de trabalho. Primeiramente, o funcionario era sensibilizado para a questao do estresse e sua influencia sobre a qualidade de vida e, apos, era realizada a reciclagem promovendo-se a reflexao sobre as consequencias da nao adocao das MPU. Foram respondidos e analisados 286 pre-testes e 242 pos-testes com um indice de acertos significativamente maior nestes ultimos (p<0,01), principalmente quanto ao uso adequado de luvas.An updating program on measures of universal precautions (M.U.P.) was developed at the Center of Whole Care of Womans Health (Centro de Atencao Integral a Saude da Mulher - CAISM). These measures and the procedures in the case of work accident were published in a booklet. First, servants should be aware of the matter of stress and its influence on the quality of life. Then, updating was carried through encouraging the reflection on the consequences of the non-adoption of M.U.P. The answers to 286 pre-tests and 242 post-tests were analyzed and the results showed a significantly higher index of correct answers (p< 0,01), mainly regarding the appropriate use of glove.El Centro de Atencion Integral a la Salud de la Mujer (CAISM) desarrollo un programa de reciclaje sobre Medidas de Precaucion Universales (MPU). Se divulgo por medio de un material educativo (cartilla) las MPU y procedimientos en caso de accidentes de trabajo. En primer lugar se cuestiono al funcionario sobre el stress y su influencia en la calidad de vida, llevando se a cabo el reciclaje en el cual se promovio la reflexion sobre consecuencias cuando las MPU no son adoptadas. Fueron respondidas y analizadas 286 pre-test y 242 pos-test con un indice de acierto significativamente mayor en este ultimo (p < 0,01), principalmente con relacion al uso adecuado de los guantes.An updating program on measures of universal precautions (M.U.P.) was developed at the Center of Whole Care of Womans Health (Centro de Atenção Integral à Saúde da Mulher-CAISM). These measures and the procedures in the case of work accident were published in a booklet. First, servants should be aware of the matter of stress and its influence on the quality of life. Then, updating was carried through encouraging the reflection on the consequences of the non-adoption of M.U.P. The answers to 286 pre-tests and 242 post-tests were analyzed and the results showed a significantly higher index of correct answers (p < 0.01), mainly regarding the appropriate use of glove.

Nursing Care of Women Who Suffered Sexual Violence

The aim of this study was to characterize the nursing care, provided to women who suffered sexual violence, treated at The Womens Hospital-CAISM/UNICAMP. A retrospective, descriptive study performed using 146 nursing care records of women attended from June 2006 to May 2007. The results showed that the majority of attendances occurred during the day period, that there was consistency between the interventions and the nursing diagnoses identified, and that women reported having received guidance in accordance with the protocol of the program. The nursing consultation time was greater at night (p=0.0227) and the women frequently understood the health risks resulting from sexual violence (p=0.0072), the use of antiretrovirals according to their daily activities (p=0.0397) and they were more focused on the purpose of the serology (p=0.0351). We concluded that the care provided was shown to be appropriate and of a better quality in the nightshift period.O objetivo deste estudo foi caracterizar a assistencia de enfermagem prestada pelo enfermeiro as mulheres que sofreram violencia sexual, atendidas no Hospital da Mulher -CAISM/Unicamp. Foi realizado estudo retrospectivo e descritivo com 146 fichas de atendimento de enfermagem a mulheres, entre junho de 2006 a maio de 2007. Os resultados mostraram que a maioria dos atendimentos ocorreu durante o periodo diurno, houve coerencia entre as intervencoes e os diagnosticos de enfermagem identificados, e as mulheres relataram que receberam orientacoes de acordo com o protocolo do programa. O tempo da consulta de enfermagem foi maior no periodo noturno (p=0,0227) e essas mulheres mais frequentemente conheciam os riscos de saude, decorrentes da violencia sexual (p=0,0072), adequaram os horarios do antirretrovirais, de acordo com suas atividades diarias (p=0,0397), e estavam mais orientadas quanto a finalidade das sorologias (p=0,0351). Conclui-se que o atendimento prestado mostrou-se adequado e com melhor qualidade no plantao noturno.

Factores de riesgo para incontinencia urinaria en la mujer

Trata-se de um estudo de revisao bibliografica com o objetivo de identificar os principais fatores de risco ou associados a incontinencia urinaria (IU) na mulher. Utilizou-se a base de dados MEDLINE e LILACS e pesquisa em bibliotecas dos artigos publicados entre 1983 e 2003. Foram analisadas trinta e oito publicacoes em ingles e portugues, as quais relataram como os principais fatores de risco: idade, trauma do assoalho pelvico, fatores hereditarios, raca, menopausa, obesidade, doencas cronicas, uso de alguns simpaticomimeticos e parasimpaticoliticos, constipacao, tabagismo, consumo de cafeina e exercicios intensos na regiao abdominal. A enfermeira pode, por meio de anamnese, identificar estes fatores e realizar intervencoes para a prevencao e tratamento da IU, contribuindo para melhorar a qualidade de vida da mulher incontinente.The goal of this study was to conduct a review of the main papers published between 1983 and 2003 on the main risk factors for urinary incontinence (UI) in women. Thirty-eight publications in English and Portuguese were analyzed using the MEDLINE and LILACS databases as well as through research in libraries. There is evidence that the main risk factors are age, pelvic floor trauma, hereditary factors, race, menopausal status, obesity, chronic diseases, use of some sympathomimetics and parasympatholitics, constipation, smoking, coffee consumption and intense abdominal exercises. Nurses are able to identify these factors through anamnesis and determine interventions for the prevention and treatment of UI, thus contributing to improve incontinent womens quality of life.

Assistance to women victims of sexual violence: a nursing care protocol

The Ministry of Health recommends integral and humanized assistance to women victims of sexual violence. This study was aimed at describing the Nursing Protocol in the Attention to Women Victims of Sexual Violence at the Center for Integral Attention to Womens Health of the State University of Campinas (Unicamp), which has recently been revised. To do so, the phases of the nursing process were followed, and after the identification of the main nursing diagnoses of the North American Nursing Diagnosis Association (NANDA) the nursing interventions were determined, based on international and national guidelines care for sexual violence. The current protocol encompasses both immediate and late care, outpatient follow-up and actions regarding legal interruption of pregnancy resulting from rape. The nursing protocol has been providing integral and humanized assistance to women and, for nurses, more autonomy in their area and the possibility of participative and collaborative work with multidisciplinary teams.O Ministerio da Saude preconiza o atendimento integral e humanizado as mulheres vitimas de violencia sexual. Teve-se por objetivo descrever o Protocolo de Enfermagem na Assistencia as Mulheres Vitimas de Violencia Sexual do Centro de Atencao Integral a Saude da Mulher da Universidade Estadual de Campinas, recentemente revisado. Para tanto, seguiram-se as etapas do processo de enfermagem e apos a identificacao dos principais diagnosticos da North American Nursing Diagnosis Association (NANDA) foram determinadas as intervencoes, com base em normas tecnicas nacionais e internacionais. O protocolo atual engloba o atendimento imediato e tardio, o acompanhamento ambulatorial e as acoes relacionadas a interrupcao legal da gravidez decorrente do estupro. O protocolo de enfermagem tem proporcionado a cliente um atendimento integral e humanizado e a enfermeira, maior autonomia na sua area de atuacao, favorecendo o trabalho colaborativo e interativo com a equipe multidisciplinar.

Atendimento de enfermagem às mulheres que sofrem violência sexual

The aim of this study was to characterize the nursing care, provided to women who suffered sexual violence, treated at The Womens Hospital-CAISM/UNICAMP. A retrospective, descriptive study performed using 146 nursing care records of women attended from June 2006 to May 2007. The results showed that the majority of attendances occurred during the day period, that there was consistency between the interventions and the nursing diagnoses identified, and that women reported having received guidance in accordance with the protocol of the program. The nursing consultation time was greater at night (p=0.0227) and the women frequently understood the health risks resulting from sexual violence (p=0.0072), the use of antiretrovirals according to their daily activities (p=0.0397) and they were more focused on the purpose of the serology (p=0.0351). We concluded that the care provided was shown to be appropriate and of a better quality in the nightshift period.O objetivo deste estudo foi caracterizar a assistencia de enfermagem prestada pelo enfermeiro as mulheres que sofreram violencia sexual, atendidas no Hospital da Mulher -CAISM/Unicamp. Foi realizado estudo retrospectivo e descritivo com 146 fichas de atendimento de enfermagem a mulheres, entre junho de 2006 a maio de 2007. Os resultados mostraram que a maioria dos atendimentos ocorreu durante o periodo diurno, houve coerencia entre as intervencoes e os diagnosticos de enfermagem identificados, e as mulheres relataram que receberam orientacoes de acordo com o protocolo do programa. O tempo da consulta de enfermagem foi maior no periodo noturno (p=0,0227) e essas mulheres mais frequentemente conheciam os riscos de saude, decorrentes da violencia sexual (p=0,0072), adequaram os horarios do antirretrovirais, de acordo com suas atividades diarias (p=0,0397), e estavam mais orientadas quanto a finalidade das sorologias (p=0,0351). Conclui-se que o atendimento prestado mostrou-se adequado e com melhor qualidade no plantao noturno.

Atención de enfermería a mujeres que sufren violencia sexual

The aim of this study was to characterize the nursing care, provided to women who suffered sexual violence, treated at The Womens Hospital-CAISM/UNICAMP. A retrospective, descriptive study performed using 146 nursing care records of women attended from June 2006 to May 2007. The results showed that the majority of attendances occurred during the day period, that there was consistency between the interventions and the nursing diagnoses identified, and that women reported having received guidance in accordance with the protocol of the program. The nursing consultation time was greater at night (p=0.0227) and the women frequently understood the health risks resulting from sexual violence (p=0.0072), the use of antiretrovirals according to their daily activities (p=0.0397) and they were more focused on the purpose of the serology (p=0.0351). We concluded that the care provided was shown to be appropriate and of a better quality in the nightshift period.O objetivo deste estudo foi caracterizar a assistencia de enfermagem prestada pelo enfermeiro as mulheres que sofreram violencia sexual, atendidas no Hospital da Mulher -CAISM/Unicamp. Foi realizado estudo retrospectivo e descritivo com 146 fichas de atendimento de enfermagem a mulheres, entre junho de 2006 a maio de 2007. Os resultados mostraram que a maioria dos atendimentos ocorreu durante o periodo diurno, houve coerencia entre as intervencoes e os diagnosticos de enfermagem identificados, e as mulheres relataram que receberam orientacoes de acordo com o protocolo do programa. O tempo da consulta de enfermagem foi maior no periodo noturno (p=0,0227) e essas mulheres mais frequentemente conheciam os riscos de saude, decorrentes da violencia sexual (p=0,0072), adequaram os horarios do antirretrovirais, de acordo com suas atividades diarias (p=0,0397), e estavam mais orientadas quanto a finalidade das sorologias (p=0,0351). Conclui-se que o atendimento prestado mostrou-se adequado e com melhor qualidade no plantao noturno.

Fatores de risco para incontinência urinária na mulher

Trata-se de um estudo de revisao bibliografica com o objetivo de identificar os principais fatores de risco ou associados a incontinencia urinaria (IU) na mulher. Utilizou-se a base de dados MEDLINE e LILACS e pesquisa em bibliotecas dos artigos publicados entre 1983 e 2003. Foram analisadas trinta e oito publicacoes em ingles e portugues, as quais relataram como os principais fatores de risco: idade, trauma do assoalho pelvico, fatores hereditarios, raca, menopausa, obesidade, doencas cronicas, uso de alguns simpaticomimeticos e parasimpaticoliticos, constipacao, tabagismo, consumo de cafeina e exercicios intensos na regiao abdominal. A enfermeira pode, por meio de anamnese, identificar estes fatores e realizar intervencoes para a prevencao e tratamento da IU, contribuindo para melhorar a qualidade de vida da mulher incontinente.The goal of this study was to conduct a review of the main papers published between 1983 and 2003 on the main risk factors for urinary incontinence (UI) in women. Thirty-eight publications in English and Portuguese were analyzed using the MEDLINE and LILACS databases as well as through research in libraries. There is evidence that the main risk factors are age, pelvic floor trauma, hereditary factors, race, menopausal status, obesity, chronic diseases, use of some sympathomimetics and parasympatholitics, constipation, smoking, coffee consumption and intense abdominal exercises. Nurses are able to identify these factors through anamnesis and determine interventions for the prevention and treatment of UI, thus contributing to improve incontinent womens quality of life.

Atención a la Mujer Víctima de Violencia Sexual: Protocolo de Asistencia de Enfermería

The Ministry of Health recommends integral and humanized assistance to women victims of sexual violence. This study was aimed at describing the Nursing Protocol in the Attention to Women Victims of Sexual Violence at the Center for Integral Attention to Womens Health of the State University of Campinas (Unicamp), which has recently been revised. To do so, the phases of the nursing process were followed, and after the identification of the main nursing diagnoses of the North American Nursing Diagnosis Association (NANDA) the nursing interventions were determined, based on international and national guidelines care for sexual violence. The current protocol encompasses both immediate and late care, outpatient follow-up and actions regarding legal interruption of pregnancy resulting from rape. The nursing protocol has been providing integral and humanized assistance to women and, for nurses, more autonomy in their area and the possibility of participative and collaborative work with multidisciplinary teams.O Ministerio da Saude preconiza o atendimento integral e humanizado as mulheres vitimas de violencia sexual. Teve-se por objetivo descrever o Protocolo de Enfermagem na Assistencia as Mulheres Vitimas de Violencia Sexual do Centro de Atencao Integral a Saude da Mulher da Universidade Estadual de Campinas, recentemente revisado. Para tanto, seguiram-se as etapas do processo de enfermagem e apos a identificacao dos principais diagnosticos da North American Nursing Diagnosis Association (NANDA) foram determinadas as intervencoes, com base em normas tecnicas nacionais e internacionais. O protocolo atual engloba o atendimento imediato e tardio, o acompanhamento ambulatorial e as acoes relacionadas a interrupcao legal da gravidez decorrente do estupro. O protocolo de enfermagem tem proporcionado a cliente um atendimento integral e humanizado e a enfermeira, maior autonomia na sua area de atuacao, favorecendo o trabalho colaborativo e interativo com a equipe multidisciplinar.