Paloma de Souza Cavalcante Pissinati

Foot ulceration in patients with diabetes: a risk analysis

The study reported in this article aimed to analyse factors associated with the risk of ulceration in the feet of patients with diabetes using a conceptual hierarchic model. It was a cross-sectional study carried out with 1515 people with diabetes mellitus aged 40 years and older. The risk of foot ulceration was of higher significance in male patients with diabetes (adjusted odds ratio (OR)=1.39 (95% confidence interval (CI) 1.11 to 1.73); p=0.020), who did not practise a regular physical activity (adjusted OR=1.58 (95% CI 1.15 to 2.15); p=0.013), with time since diagnosis over 10 years (adjusted OR=1.42 (95% CI 1.10 to 1.86); p=0.011), who used insulin (adjusted OR=1.40 (95% CI 1.09 to 1.84); p=0.012), with retinopathy (adjusted OR=1.84 (95% CI 1.38 to 2.45); p=0.001) and who had had a previous stroke (adjusted OR=1.47 (95% CI 1.09 to 2.04); p=0.018). Mycosis on the nails and the interdigital spaces of the feet was statistically associated with ulceration risk independent of other variables of the model (adjusted OR=2.48 (95%CI 1.70 to 3.63); p=0.001). Finding the factors associated with ulceration contributes to the provision of quality care by nurses.

Costs of reusable and disposable aprons in a public teaching hospital

Objetivo Analizar el costo directo de delantales de tejido reutilizables y de desechables en hospital universitario publico. Metodo Estudio transversal de abordaje cuantitativo, con enfasis en el costo directo de los delantales de tejido reutilizables y desechables, realizado en hospital universitario del norte de Parana. La poblacion de estudio estuvo compuesta de datos secundarios recogidos en informes de los servicios de costo, lavanderia, division de material y provisiones de la institucion, referentes al ano de 2012. Resultados Se identifico un menor costo medio de utilizacion del delantal desechable cuando comparado con el costo del delantal de tejido reutilizable. El costo directo de utilizacion del delantal de tejido fue de R

SATISFAÇÃO PROFISSIONAL DOS TRABALHADORES DE ENFERMAGEM RECÉM- ADMITIDOS EM HOSPITAL PÚBLICO

3,06, siendo las etapas de confeccion y lavado las principales responsables de la elevacion del costo, y el delantal desechable costo R

Doações e transplantes cardíacos no estado do Paraná

0,94. Conclusion Los resultados presentados constituyen herramientas para que los gestores hospitalarios puedan destinar adecuadamente los recursos y gestionar los costos en instituciones hospitalarias.OBJECTIVE To analyze the direct cost of reusable and disposable aprons in a public teaching hospital. METHOD Cross-sectional study of quantitative approach, focusing on the direct cost of reusable and disposable aprons at a teaching hospital in northern Paraná. The study population consisted of secondary data collected in reports of the cost of services, laundry, materials and supplies division of the institution for the year 2012. RESULTS We identified a lower average cost of using disposable apron when compared to the reusable apron. The direct cost of reusable apron was R

Effectiveness in the performance of organ transplants in the State of Paraná, Brazil

3.06, and the steps of preparation and washing were mainly responsible for the high cost, and disposable apron cost was R

Atuação do enfermeiro no desenvolvimento de softwares/ Nurse's activities in the development of software/ Actuación del enfermero en el desarrollo de softwares

0.94. CONCLUSION The results presented are important for hospital managers properly allocate resources and manage costs in hospitals
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Qualidade de vida dos trabalhadores readequados e readaptados de uma universidade estadual pública

4 ABSTRACT This was a descriptive and exploratory study, with a quantitative approach, performed from May to June of 2011 that aimed to verify the work satisfaction of nursing workers newly hired in a public hospital. A total of 133 professionals were submitted to the Index of Work Satisfaction questionnaire. Most were females, married, and 36.6 years old in average. The results highlight that according to nurses, autonomy is the most important factor for work satisfaction, whereas, for nurse technicians, it is the remuneration factor. Both categories agreed that professional status is the least important factor for work satisfaction. Nurses considered remuneration as a satisfying factor, whereas nurse technicians considered job requirements. Interaction was pointed as a criterion with the least perceived satisfaction by both categories. We conclude that freedom in decision- making, development of actions, and financial reward was important for work satisfaction. However, lack of professional social recognition and difficulties in interpersonal relationships lead to dissatisfaction.

Retirement decision-making influenced by family and work relationships

Objetivo: Analisar as doacoes e transplantes cardiacos realizados no estado do Parana. Metodo: Estudo transversal com 3.931 relatorios de obitos por morte encefalica e 8.416 transplantes realizados no estado do Parana, entre 2011 e 2016. As doacoes e transplantes cardiacos foram analisados de forma descritiva, univariada e multipla. Resultados: Dos 2.600 doadores elegiveis, 128 (4,9%) doaram o coracao. A chance de efetivacao da doacao cardiaca foi maior entre os obitos com idade menor que 40 anos (OR:27,913) e do sexo masculino (OR:1,559). Somado aos coracoes advindos de outros estados, realizaram-se 165 (2,0%) transplantes cardiacos, todos financiados pelo Sistema Unico de Saude. Houve um aumento significativo de doacoes e transplantes ao longo dos anos. Conclusao: Os numeros de doacoes e transplantes cardiacos foram baixos no periodo analisado. Torna-se importante que os gestores elaborem acoes para a otimizacao do processo e, consequentemente, a diminuicao do tempo de espera por um coracao. Palavras-chave: Transplante de coracao. Obtencao de tecidos e orgaos. Morte encefalica. Avaliacao em saude.

The effects of organisational culture on nurses' perceptions of their work

Objective: To analyze the effectiveness of organ transplants in the state of Parana, Brazil. Methods: A cross-sectional quantitative study was conducted with data from 2,036 solid organ transplants performed in the state between 2011 and 2015. Three indicators were calculated, per capita transplants, meeting the demands of the population and the demand for transplants, which demonstrated the effectiveness and the disparities in the process. The association between the variables was verified by Pearsons Chi-Square test and Fishers exact test. Results: Most transplants were performed in philanthropic hospitals, male, funded by public funding, and there was an annual increase in the number of transplants per capita and in the productivity of kidney, liver and heart transplantation teams. Although renal transplantation is the most performed in absolute numbers, it served a maximum of 2.2% of its demand. Conclusion: It is necessary to devise strategies to meet the demand for organ transplants, above all, to consolidate the process of donating organs in the state under study.

Efetividade do processo de doação de órgãos para transplantes

A insercao do enfermeiro em projetos de desenvolvimento de softwares ainda constitui um desafio, pois apesar de incorporar os novos recursos em sua pratica, muitos ainda nao reconhecem sua capacidade de contribuir na etapa de criacao da tecnologia. Nao se pretende que este profissional assuma o espaco dos desenvolvedores, mas que trabalhe em conjunto com essas empresas ou equipes tecnicas, de modo a direcionar a criacao para garantir que os recursos planejados sejam contemplados e, sobretudo, que o software possa ser atualizado e aprimorado pelos proprios pesquisadores.