Nadia Antonia Aparecida Poletti

Nurses' performance on hospital discharge: patients' point of view

Objective: To know the hospital discharge process in place and the nurses’ performance in preparing patients for discharge. Methods: A descriptive study using semi-structured interviews was used to collect data from 43 patients of medical-surgical units of a major teaching hospital in the state of Sao Paulo, Brazil. Results: The majority of patients (83.72%) received tailored discharge instructions. However, a great number of patients (72.08%) reported discharge instructions were not given by nurses. Almost a half of patients (48.84%) reported that discharge instructions were given by their physicians. Conclusion: The findings of this study provide insights to improve the educational process of new nurses and their preparation to provide effective discharge instructions. There is also a need to design and implement a hospital discharge process that promotes the participation of interdisciplinary health care providers who are involved in patient clinical care. This discharge process might be an effective way to change health care providers’ attitude toward discharge instructions.

Atuação do enfermeiro na alta hospitalar: reflexões a partir dos relatos de pacientes

Objective: To know the hospital discharge process in place and the nurses’ performance in preparing patients for discharge. Methods: A descriptive study using semi-structured interviews was used to collect data from 43 patients of medical-surgical units of a major teaching hospital in the state of Sao Paulo, Brazil. Results: The majority of patients (83.72%) received tailored discharge instructions. However, a great number of patients (72.08%) reported discharge instructions were not given by nurses. Almost a half of patients (48.84%) reported that discharge instructions were given by their physicians. Conclusion: The findings of this study provide insights to improve the educational process of new nurses and their preparation to provide effective discharge instructions. There is also a need to design and implement a hospital discharge process that promotes the participation of interdisciplinary health care providers who are involved in patient clinical care. This discharge process might be an effective way to change health care providers’ attitude toward discharge instructions.

Elaboração de um instrumento da assistência de enfermagem na unidade de hemodiálise

This study aimed at developing an instrument to record nursing assistance systematization in a hemodialysis unit. For this development, we used the instrument formulated from literature on nursing diagnosis in nephropathic patients. The record instrument has been analyzed according to: layout and process facilitation. The process relied on the Basic Human Needs Theory and the taxonomy of the North American Nursing Diagnosis Association. The instrument has been facilitating the implementation of the nursing process in the hemodialysis unit. It was possible to record the data in a organized and concise fashion and use key information to plan and evaluate the assistance offered.ABSTRACT This study aimed at developing an instrument to record nursing assistance systematization in a hemodialysis unit. For this deve lopment, weused the instrument formulated from literature on nursing diagnosis in nephropathic patients. The record instrument has been analyzedaccording to: layout and process facilitation. The process relied on the Basic Human Needs Theory and the taxonomy of the North AmericanNursing Diagnosis Association. The instrument has been facilitating the implementation of the nursing process in the hemodialysis unit. Itwas possible to record the data in a organized and concise fashion and use key information to plan and evaluate the assistance offered. Keywords : Hemodialysis units, hospital; Renal dialysis/nursing; Nursing care; Nursing diagnosis RESUMO O objetivo deste estudo O relatar a experiŒncia de construcao de um instrumento para registro da sistematizacao da assistŒncia de enfermagemem uma unidade de tratamento dialitico. Para esta construcao, utilizou-se o instrumento formulado com base na literatura sobre diagnosticosde enfermagem em pacientes nefropatas. O instrumento de registr o foi analisado conforme: diagramacao e facilitacao do processo. O processoteve como norteador a teoria das Necessidades Humanas BAEsicas e a taxonomia da North American Nursing Diagnosis Association. Oinstrumento tem facilitado a implantacao do processo de enfermagem na unidade de hemodiAElise. Com o seu uso, foi possivel o registroorganizado e conciso dos dados e uso de informacies importantes para o planejamento e avaliacao da assistŒncia prestada.

Práticas assistenciais para segurança do paciente em unidade de terapia intensiva

Objective To investigate good nursing care practices for patient safety in an intensive care unit.Methods Descriptive study using a checklist with 19 items on hygiene/comfort, patient identification/falls and hospital infection. Four hundred fifty records were analyzed through G test of independence with Williams correction.Results Altogether, good care practices are delivered with an index above 90%, exception for position changing, limb restraints kept clean, and ventilator circuit.Conclusion Good nursing care practices for patient safety were performed differently based on work shifts.

Elaboration of a instrument for nursing care in the hemodialysis unit

This study aimed at developing an instrument to record nursing assistance systematization in a hemodialysis unit. For this development, we used the instrument formulated from literature on nursing diagnosis in nephropathic patients. The record instrument has been analyzed according to: layout and process facilitation. The process relied on the Basic Human Needs Theory and the taxonomy of the North American Nursing Diagnosis Association. The instrument has been facilitating the implementation of the nursing process in the hemodialysis unit. It was possible to record the data in a organized and concise fashion and use key information to plan and evaluate the assistance offered.ABSTRACT This study aimed at developing an instrument to record nursing assistance systematization in a hemodialysis unit. For this deve lopment, weused the instrument formulated from literature on nursing diagnosis in nephropathic patients. The record instrument has been analyzedaccording to: layout and process facilitation. The process relied on the Basic Human Needs Theory and the taxonomy of the North AmericanNursing Diagnosis Association. The instrument has been facilitating the implementation of the nursing process in the hemodialysis unit. Itwas possible to record the data in a organized and concise fashion and use key information to plan and evaluate the assistance offered. Keywords : Hemodialysis units, hospital; Renal dialysis/nursing; Nursing care; Nursing diagnosis RESUMO O objetivo deste estudo O relatar a experiŒncia de construcao de um instrumento para registro da sistematizacao da assistŒncia de enfermagemem uma unidade de tratamento dialitico. Para esta construcao, utilizou-se o instrumento formulado com base na literatura sobre diagnosticosde enfermagem em pacientes nefropatas. O instrumento de registr o foi analisado conforme: diagramacao e facilitacao do processo. O processoteve como norteador a teoria das Necessidades Humanas BAEsicas e a taxonomia da North American Nursing Diagnosis Association. Oinstrumento tem facilitado a implantacao do processo de enfermagem na unidade de hemodiAElise. Com o seu uso, foi possivel o registroorganizado e conciso dos dados e uso de informacies importantes para o planejamento e avaliacao da assistŒncia prestada.

Pacientes vítimas de politrauma com insuficiência renal aguda na unidade de terapia intensiva

Objective: To identify the characteristics of patients with acute renal failure (ARF), polytrauma victims hospitalized in an Intensive Care Unit (ICU). Methods: A retrospective analysis was performed on 357 records of patients with ARF in the period of 2002 to 2003. These patients presented a creatinine index of 1.8 to 4 mg/dl. Of these patients, 10.6% in the ICU were polytrauma victims. Results: Of the 38 (10.6%) patients with ARF and polytrauma victims, 78.9% of were males; 47.3% were aged between 16 and 45 years; 84.3% presented oliguria; 92.1% received no treatment for ARF during hospitalization; 50% remained from one to five days in the ICU; 47.3% had not presented any underlying disease and mortality occurred in 50%. Conclusion: Daily control of the renal function in polytrauma victims is important to prevent ARF complications and consequent mortality.Objective: To identify the characteristics of patients with acute renal failure (ARF), polytrauma victims hospitalized in an Intensive Care Unit (ICU). Methods: A retrospective analysis was performed on 357 records of patients with ARF in the period of 2002 to 2003. These patients presented a creatinine index of 1.8 to 4 mg/dl. Of these patients, 10.6% in the ICU were polytrauma victims. Results: Of the 38 (10.6%) patients with ARF and polytrauma victims, 78.9% of were males; 47.3% were aged between 16 and 45 years; 84.3% presented oliguria; 92.1% received no treatment for ARF during hospitalization; 50% remained from one to five days in the ICU; 47.3% had not presented any underlying disease and mortality occurred in 50%. Conclusion: Daily control of the renal function in polytrauma victims is important to prevent ARF complications and consequent mortality.

Nutritional profile of people with pressure Injuries in home care

Resumo A ingestão nutricional e o estado nutricional correlacionam-se com o desenvolvimento de lesões por pressão (LPP), bem como com a cicatrização destas. Com base em tais primícias, o objetivo deste estudo foi verificar o perfil nutricional de pacientes acamados com LPP. Foram estudados 12 pacientes acompanhados no domicílio por equipes de Saúde da Família de São José do Rio Preto entre julho e agosto de 2012. Os resultados mostraram que 06 pacientes apresentavam LPP estágio II, 05 pacientes, estágio III e, 01 paciente, estágio IV. Pela ANSG, 50% foram considerados em risco nutricional e os outros 50%, com desnutrição. Pelos indicadores antropométricos, 16,7% eram eutróficos, 25%, em risco nutricional e 58,3%, desnutridos. Os pacientes ingeriam 1465,3 ± 459 (DP) calorias/dia e 54,1 + 26,9 (DP) g de proteína/dia. Em relação à ingestão de suplemento nutricionais, apenas 16,66% utilizavam algum tipo. O aporte calórico-proteico pode predizer o desenvolvimento de LPP e dificultar a cicatrização. Pacientes que receberam maior aporte proteico e energético, assim como nutrientes específicos, tenderam a desenvolver menos LPP e a apresentar melhor cicatrização. A desnutrição pode estar associada ao desenvolvimento de LPP mais graves, o que sugere que a avaliação nutricional e a realização das intervenções necessárias servem para auxiliar na prevenção e no tratamento de LPP. Conclui-se que a desnutrição pode ser um fator de risco associado ao desenvolvimento e gravidade da LPP no ambiente domiciliar. Portanto, o acompanhamento nutricional destes pacientes é importante tanto na prevenção quanto no tratamento de LPPs.

Elaboración de un instrumento para la asistencia de enfermería en la unidad de hemodiálisis

This study aimed at developing an instrument to record nursing assistance systematization in a hemodialysis unit. For this development, we used the instrument formulated from literature on nursing diagnosis in nephropathic patients. The record instrument has been analyzed according to: layout and process facilitation. The process relied on the Basic Human Needs Theory and the taxonomy of the North American Nursing Diagnosis Association. The instrument has been facilitating the implementation of the nursing process in the hemodialysis unit. It was possible to record the data in a organized and concise fashion and use key information to plan and evaluate the assistance offered.ABSTRACT This study aimed at developing an instrument to record nursing assistance systematization in a hemodialysis unit. For this deve lopment, weused the instrument formulated from literature on nursing diagnosis in nephropathic patients. The record instrument has been analyzedaccording to: layout and process facilitation. The process relied on the Basic Human Needs Theory and the taxonomy of the North AmericanNursing Diagnosis Association. The instrument has been facilitating the implementation of the nursing process in the hemodialysis unit. Itwas possible to record the data in a organized and concise fashion and use key information to plan and evaluate the assistance offered. Keywords : Hemodialysis units, hospital; Renal dialysis/nursing; Nursing care; Nursing diagnosis RESUMO O objetivo deste estudo O relatar a experiŒncia de construcao de um instrumento para registro da sistematizacao da assistŒncia de enfermagemem uma unidade de tratamento dialitico. Para esta construcao, utilizou-se o instrumento formulado com base na literatura sobre diagnosticosde enfermagem em pacientes nefropatas. O instrumento de registr o foi analisado conforme: diagramacao e facilitacao do processo. O processoteve como norteador a teoria das Necessidades Humanas BAEsicas e a taxonomia da North American Nursing Diagnosis Association. Oinstrumento tem facilitado a implantacao do processo de enfermagem na unidade de hemodiAElise. Com o seu uso, foi possivel o registroorganizado e conciso dos dados e uso de informacies importantes para o planejamento e avaliacao da assistŒncia prestada.

Patient victim of polytrauma with acute renal failure in the intensive care unit

Objective: To identify the characteristics of patients with acute renal failure (ARF), polytrauma victims hospitalized in an Intensive Care Unit (ICU). Methods: A retrospective analysis was performed on 357 records of patients with ARF in the period of 2002 to 2003. These patients presented a creatinine index of 1.8 to 4 mg/dl. Of these patients, 10.6% in the ICU were polytrauma victims. Results: Of the 38 (10.6%) patients with ARF and polytrauma victims, 78.9% of were males; 47.3% were aged between 16 and 45 years; 84.3% presented oliguria; 92.1% received no treatment for ARF during hospitalization; 50% remained from one to five days in the ICU; 47.3% had not presented any underlying disease and mortality occurred in 50%. Conclusion: Daily control of the renal function in polytrauma victims is important to prevent ARF complications and consequent mortality.Objective: To identify the characteristics of patients with acute renal failure (ARF), polytrauma victims hospitalized in an Intensive Care Unit (ICU). Methods: A retrospective analysis was performed on 357 records of patients with ARF in the period of 2002 to 2003. These patients presented a creatinine index of 1.8 to 4 mg/dl. Of these patients, 10.6% in the ICU were polytrauma victims. Results: Of the 38 (10.6%) patients with ARF and polytrauma victims, 78.9% of were males; 47.3% were aged between 16 and 45 years; 84.3% presented oliguria; 92.1% received no treatment for ARF during hospitalization; 50% remained from one to five days in the ICU; 47.3% had not presented any underlying disease and mortality occurred in 50%. Conclusion: Daily control of the renal function in polytrauma victims is important to prevent ARF complications and consequent mortality.

Pacientes víctimas de politrauma con insuficiência renal aguda en la unidad de cuidados intensivos

Objective: To identify the characteristics of patients with acute renal failure (ARF), polytrauma victims hospitalized in an Intensive Care Unit (ICU). Methods: A retrospective analysis was performed on 357 records of patients with ARF in the period of 2002 to 2003. These patients presented a creatinine index of 1.8 to 4 mg/dl. Of these patients, 10.6% in the ICU were polytrauma victims. Results: Of the 38 (10.6%) patients with ARF and polytrauma victims, 78.9% of were males; 47.3% were aged between 16 and 45 years; 84.3% presented oliguria; 92.1% received no treatment for ARF during hospitalization; 50% remained from one to five days in the ICU; 47.3% had not presented any underlying disease and mortality occurred in 50%. Conclusion: Daily control of the renal function in polytrauma victims is important to prevent ARF complications and consequent mortality.Objective: To identify the characteristics of patients with acute renal failure (ARF), polytrauma victims hospitalized in an Intensive Care Unit (ICU). Methods: A retrospective analysis was performed on 357 records of patients with ARF in the period of 2002 to 2003. These patients presented a creatinine index of 1.8 to 4 mg/dl. Of these patients, 10.6% in the ICU were polytrauma victims. Results: Of the 38 (10.6%) patients with ARF and polytrauma victims, 78.9% of were males; 47.3% were aged between 16 and 45 years; 84.3% presented oliguria; 92.1% received no treatment for ARF during hospitalization; 50% remained from one to five days in the ICU; 47.3% had not presented any underlying disease and mortality occurred in 50%. Conclusion: Daily control of the renal function in polytrauma victims is important to prevent ARF complications and consequent mortality.