Rita Mônica Borges Studart

Evaluation of Intensivist-Nurses Knowledge Concerning Medication Administration Through Nasogastric and Enteral Tubes

This study evaluates the knowledge of nurses working in intensive care units concerning recommendations for the proper administration of medication through nasogastric and enteral tubes. This exploratory-descriptive study with a quantitative approach was carried out with 49 nurses in an intensive care unit of a tertiary hospital in Fortaleza, CE, Brazil. A total of 36.7% of nurses reported they disregard the dosage forms provided by the pharmacy at the time of administering the medication through tubes. Metal, wood, or a plastic mortar is the method most frequently reported (42.86%) for crushing prescribed solid forms; 32.65% leave the drugs in 20 ml of water until dissolved; 65.3% place the responsibility for choosing the pharmaceutical formulation and its correlation with the tube site, either into the stomach or into the intestine, on the physician. The results indicate there is a gap between specific literature on medication administered through tubes and knowledge of nurses on the subject.O estudo objetivou avaliar o conhecimento do enfermeiro de unidade de terapia intensiva sobre as recomendacoes para a correta administracao de medicamentos, por sondas nasogastrica e nasoenteral. Estudo exploratorio-descritivo, com abordagem quantitativa, realizado com 49 enfermeiros em uma unidade de terapia intensiva de um hospital terciario, localizado na cidade de Fortaleza, no Estado do Ceara, Brasil. Dos enfermeiros, 36,7% relataram nao dar atencao as formas farmaceuticas disponibilizadas pelo setor de farmacia na hora da utilizacao por sonda. O pilao de metal, madeira ou plastico foi o metodo mais referido (42,86%) para triturar as formas solidas prescritas. Sendo que 32,65% costuma deixar os farmacos em 20mL de agua ate dissolver, 65,3% atribuem ao medico a responsabilidade sobre a decisao da formulacao farmaceutica e a correlacao com a localizacao da sonda no trato gastrointestinal. Os achados apontam para diferenca entre a literatura especifica para medicamentos administrados por sonda e o conhecimento de enfermeiros sobre o assunto.

Estresse dos profissionais enfermeiros que atuam na unidade de terapia intensiva

OBJETIVO: Avaliar o estresse no ambiente de trabalho dos profissionais enfermeiros dentro das Unidades de Terapia Intensiva e identificar os agentes estressores associados ao desencadeamento do estresse segundo a Escala Bianchi de Estresse. METODOS: Estudo transversal, desenvolvido com 22 enfermeiros da unidade de terapia intensiva de um hospital publico pediatrico. RESULTADOS: Enfermeiro da UTI, apesar de sua completa e efetiva atuacao frente a instabilidade do estado do paciente, as condicoes externas a essa situacao sao mais estressantes. CONCLUSAO: Os enfermeiros apresentaram maiores indices de estresse nas atividades relacionadas as condicoes de trabalho para o desempenho das atividades e relacionadas a administracao de pessoal.

Avaliação dos fatores interferentes na adesão ao tratamento do cliente portador de pé diabético

Diabetes is a chronic disease that requires adjustments in patients’ daily lives. The aim of the study was to evaluate the treatment adherence of ...

Tecnologia de enfermagem na prevenção da úlcera por pressão em pessoas com lesão medular

Cross-sectional and exploratory-descriptive study, conducted in a public hospital, of reference in trauma, in the period from May to October 2008. The objective was to evaluate the nursing technology using the Waterlow Scale to prevent pressure ulcers in people with spinal cord injury. Sixty patients with spinal cord injury were evaluated using the Waterlow Scale, of which 75% had final score of 28 points, with high risk for developing pressure ulcers. After ten days of hospitalization, 48,3% of those patients had not received any preventive guidelines; 68,3% of them already had pressure ulcers. The use of the Waterlow Scale allows monitoring of assistance, being able to influence clinical outcomes.Cross-sectional and exploratory-descriptive study, conducted in a public hospital, of reference in trauma, in the period from May to October 2008. The objective was to evaluate the nursing technology using the Waterlow Scale to prevent pressure ulcers in people with spinal cord injury. Sixty patients with spinal cord injury were evaluated using the Waterlow Scale, of which 75% had final score of 28 points, with high risk for developing pressure ulcers. After ten days of hospitalization, 48,3% of those patients had not received any preventive guidelines; 68,3% of them already had pressure ulcers. The use of the Waterlow Scale allows monitoring of assistance, being able to influence clinical outcomes.

Avaliação do conhecimento do enfermeiro de unidade de terapia intensiva sobre administração de medicamentos por sonda nasogástrica e nasoenteral

This study evaluates the knowledge of nurses working in intensive care units concerning recommendations for the proper administration of medication through nasogastric and enteral tubes. This exploratory-descriptive study with a quantitative approach was carried out with 49 nurses in an intensive care unit of a tertiary hospital in Fortaleza, CE, Brazil. A total of 36.7% of nurses reported they disregard the dosage forms provided by the pharmacy at the time of administering the medication through tubes. Metal, wood, or a plastic mortar is the method most frequently reported (42.86%) for crushing prescribed solid forms; 32.65% leave the drugs in 20 ml of water until dissolved; 65.3% place the responsibility for choosing the pharmaceutical formulation and its correlation with the tube site, either into the stomach or into the intestine, on the physician. The results indicate there is a gap between specific literature on medication administered through tubes and knowledge of nurses on the subject.O estudo objetivou avaliar o conhecimento do enfermeiro de unidade de terapia intensiva sobre as recomendacoes para a correta administracao de medicamentos, por sondas nasogastrica e nasoenteral. Estudo exploratorio-descritivo, com abordagem quantitativa, realizado com 49 enfermeiros em uma unidade de terapia intensiva de um hospital terciario, localizado na cidade de Fortaleza, no Estado do Ceara, Brasil. Dos enfermeiros, 36,7% relataram nao dar atencao as formas farmaceuticas disponibilizadas pelo setor de farmacia na hora da utilizacao por sonda. O pilao de metal, madeira ou plastico foi o metodo mais referido (42,86%) para triturar as formas solidas prescritas. Sendo que 32,65% costuma deixar os farmacos em 20mL de agua ate dissolver, 65,3% atribuem ao medico a responsabilidade sobre a decisao da formulacao farmaceutica e a correlacao com a localizacao da sonda no trato gastrointestinal. Os achados apontam para diferenca entre a literatura especifica para medicamentos administrados por sonda e o conhecimento de enfermeiros sobre o assunto.

Influence of spirituality, religion and beliefs in the quality of life of people with spinal cord injury

El objetivo fue evaluar la influencia de la espiritualidad, la religion y las creencias personales de la calidad de vida de las personas con lesion medular. Se trata de un estudio cuantitativo, exploratorio de corte longitudinal. La recoleccion de datos se dio con 49 personas con lesion medular en dos fases: en el hospital y en el hogar, y se llevo a cabo mediante la aplicacion del instrumento de Calidad de Vida - Espiritualidad, Religion y Creencias personales - WHOQOL-SRPB. Los analisis exploratorios se llevaron a cabo mediante el uso de distribuciones de frecuencia univariadas y medidas descriptivas; validacion de consistencia interna y calculos de las dimensiones de las puntuaciones de la escala. Los resultados mostraron que las dimensiones relacionadas con la espiritualidad, la religion y las creencias personales adoptadas por los pacientes como estrategias para la mejora de su calidad de vida en esta investigacion se confirmaron en las puntuaciones mas altas en las areas de WHOQOL SRPB en dos fases; habia diferencias solo en la dimension sentido de la vida y la fuerza espiritual. Se espera que este estudio pueda resaltar la importancia del cuidado espiritual y emocional.

Ventilação mecânica: evidências para o cuidado de enfermagem

Resumen Evaluar los conocimientos de los enfermeros sobre la ventilación mecánica en unidades de cuidados intensivos (UCI) de un hospital de referencia en Fortaleza (CE). Estudio trasversal, cuantitativo. Muestra constituida por 43 enfermeras, con aplicación de una encuesta. Los datos fueron recolectados entre febrero y marzo de 2011 y transcritos y tabulados en el programa Excel, organizados en tablas, interpretado y justificado sobre la base de la documentación pertinente. Resultados: Mayoría femenina (88,4%); Tiempo en la UCI entre zero y cinco años (48,8%); Mayoría no son expertos en la UCI (79,0%); La evaluación de la ventilación mecánica por volumen no era satisfactoria (65,1%). La participación de los enfermeros es mínima en la definición de los parámetros, extubación, desmame y aspiración. Se concluye que los enfermeros necesitan ampliar su conocimiento sobre la ventilación mecánica y los programas de capacitación en esta área deben ser fomentados por las instituciones que trabajan para cualificar la asistencia en enfermería a estos pacientes. Palabras clave: Enfermería. Ventilación mecánica. Unidad de cuidados intensivos. 1Enfermeira, especialista em Unidade de Terapia Intensiva. For taleza-CE. Brasil. E-mail: yarlinha_cris@hotmail.com; 2Enfermeira, mestre em Enfermagem pela Universidade Federal do Ceará. Professora da Universidade de For taleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: monicastudart@hotmail.com; 3Enfermeiro, especialista em Unidade de Terapia Intensiva. Professor da Universidade de For taleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: italorigo@unifor.br; 4Enfermeira, mestre em Farmacologia pela Universidade Federal do Ceará. For taleza-CE. Brasil. Email: cacacit@yahoo.com.br; 5Enfermeira, doutora em Enfermagem pela Universidade Federal do Ceará. Professora da Universidade de Fortaleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: elizjornet@yahoo.com.br; 6Enfermeira, doutora em Enfermagem pela Universidade Federal do Ceará. Professora da Universidade de For taleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: islene1@hotmail.com PESQUISA RESEARCH INVESTIGACIÓN To assess nurses’ knowledge related to mechanical ventilation in intensive care units (ICUs) of a referral hospital in Fortaleza. This is a Cross-sectional and quantitative study. Sample was made by nurses in ICUs on a total of 43 nurses, with a questionnaire. Data collection was conducted between February and March 2011. The analysis, data were transcribed and tabulated in Excel program, organized in tables, interpreted and justified based on the literature pertinent. Majority female (88.4%), time in the ICU prevailed from zero to five years (48.8%), most of the nurses are not experts in the ICU (79.0%). The evaluation of the cycling of the mechanic ventilation at volume was not satisfactory, 65.1%. It was noted that the participation of nurses is minimal in defining parameters, in participation of extubation, weaning and aspiration. It was concluded that nurses must expand their knowledge and implement nursing care to patients in mechanical ventilation. The training programs on mechanic ventilation for nurses should be encouraged by working institutions in order to qualify the nursing care to patients in need of ventilatory support.Evaluar los conocimientos de los enfermeros sobre la ventilacion mecanica en unidades de cuidados intensivos (UCI) de un hospital de referencia en Fortaleza (CE). Estudio trasversal, cuantitativo. Muestra constituida por 43 enfermeras, con aplicacion de una encuesta. Los datos fueron recolectados entre febrero y marzo de 2011 y transcritos y tabulados en el programa Excel, organizados en tablas, interpretado y justificado sobre la base de la documentacion pertinente. RESULTADOS: Mayoria femenina (88,4%); Tiempo en la UCI entre zero y cinco anos (48,8%); Mayoria no son expertos en la UCI (79,0%); La evaluacion de la ventilacion mecanica por volumen no era satisfactoria (65,1%). La participacion de los enfermeros es minima en la definicion de los parametros, extubacion, desmame y aspiracion. Se concluye que los enfermeros necesitan ampliar su conocimiento sobre la ventilacion mecanica y los programas de capacitacion en esta area deben ser fomentados por las instituciones que trabajan para cualificar la asistencia en enfermeria a estos pacientes.

Cross-cultural adaptation of the Quality of Life Index Spinal Cord Injury - Version III

OBJETIVO Traducir y adaptar culturalmente a la lengua portuguesa el Ferrans and Powers Quality of Life Index Spinal Cord Injury - Version III y caracterizar la muestra en cuanto a los aspectos sociodemograficos y clinicos. METODO Estudio metodologico con vistas a la adaptacion transcultural, siguiendo las etapas propias de ese metodo: traduccion inicial, sintesis de la traduccion, traduccion de vuelta a la lengua original (back-translation), revision por un comite de jueces y pre prueba de la version final. Se llevo a cabo una pre prueba con 30 pacientes con lesion medular. RESULTADOS Se logro indice con 74 puntos, divididos en dos partes (satisfaccion/importancia). Los criterios de equivalencia semantica fueron evaluados como traduccion muy adecuada, superior al 87%, vocabulario y gramatica superior al 86%, idiomatica superior al 74%, experimental superior al 78% y conceptual superior al 70%. CONCLUSION Despues de adaptado transculturalmente, el instrumento se mostro adecuado semantica, idiomatica, experimental y conceptualmente, ademas de facilitar la evaluacion de la calidad de vida de personas con lesion medular.OBJECTIVE To translate and culturally adapt to Portuguese the Ferrans and Powers Quality of Life Index Spinal Cord Injury - Version III and characterize the sample in relation to sociodemographic and clinical aspects. METHOD A methodological study with view to cross-cultural adaptation, following the particular steps of this method: initial translation, translation synthesis, back-translation (translation back to the original language), review by a committee of judges and pretest of the final version. The pretest was carried out with 30 patients with spinal cord injury. RESULTS An index of 74 items divided into two parts (satisfaction/importance) was obtained. The criteria of semantic equivalence were evaluated as very adequate translation, higher than 87%, and vocabulary and were grammar higher than 86%. Idiomatic equivalence was higher than 74%, experimental greater than 78% and conceptual was greater than 70%. CONCLUSION After cross-cultural adaptation, the instrument proved semantic, idiomatic, experimental and conceptual adequacy, in addition to helping the evaluation of the quality of life of people with spinal cord injury.

Mechanic ventilation: evidence for nursing care

Resumen Evaluar los conocimientos de los enfermeros sobre la ventilación mecánica en unidades de cuidados intensivos (UCI) de un hospital de referencia en Fortaleza (CE). Estudio trasversal, cuantitativo. Muestra constituida por 43 enfermeras, con aplicación de una encuesta. Los datos fueron recolectados entre febrero y marzo de 2011 y transcritos y tabulados en el programa Excel, organizados en tablas, interpretado y justificado sobre la base de la documentación pertinente. Resultados: Mayoría femenina (88,4%); Tiempo en la UCI entre zero y cinco años (48,8%); Mayoría no son expertos en la UCI (79,0%); La evaluación de la ventilación mecánica por volumen no era satisfactoria (65,1%). La participación de los enfermeros es mínima en la definición de los parámetros, extubación, desmame y aspiración. Se concluye que los enfermeros necesitan ampliar su conocimiento sobre la ventilación mecánica y los programas de capacitación en esta área deben ser fomentados por las instituciones que trabajan para cualificar la asistencia en enfermería a estos pacientes. Palabras clave: Enfermería. Ventilación mecánica. Unidad de cuidados intensivos. 1Enfermeira, especialista em Unidade de Terapia Intensiva. For taleza-CE. Brasil. E-mail: yarlinha_cris@hotmail.com; 2Enfermeira, mestre em Enfermagem pela Universidade Federal do Ceará. Professora da Universidade de For taleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: monicastudart@hotmail.com; 3Enfermeiro, especialista em Unidade de Terapia Intensiva. Professor da Universidade de For taleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: italorigo@unifor.br; 4Enfermeira, mestre em Farmacologia pela Universidade Federal do Ceará. For taleza-CE. Brasil. Email: cacacit@yahoo.com.br; 5Enfermeira, doutora em Enfermagem pela Universidade Federal do Ceará. Professora da Universidade de Fortaleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: elizjornet@yahoo.com.br; 6Enfermeira, doutora em Enfermagem pela Universidade Federal do Ceará. Professora da Universidade de For taleza. Centro de Ciências da Saúde. For taleza-CE. Brasil. E-mail: islene1@hotmail.com PESQUISA RESEARCH INVESTIGACIÓN To assess nurses’ knowledge related to mechanical ventilation in intensive care units (ICUs) of a referral hospital in Fortaleza. This is a Cross-sectional and quantitative study. Sample was made by nurses in ICUs on a total of 43 nurses, with a questionnaire. Data collection was conducted between February and March 2011. The analysis, data were transcribed and tabulated in Excel program, organized in tables, interpreted and justified based on the literature pertinent. Majority female (88.4%), time in the ICU prevailed from zero to five years (48.8%), most of the nurses are not experts in the ICU (79.0%). The evaluation of the cycling of the mechanic ventilation at volume was not satisfactory, 65.1%. It was noted that the participation of nurses is minimal in defining parameters, in participation of extubation, weaning and aspiration. It was concluded that nurses must expand their knowledge and implement nursing care to patients in mechanical ventilation. The training programs on mechanic ventilation for nurses should be encouraged by working institutions in order to qualify the nursing care to patients in need of ventilatory support.Evaluar los conocimientos de los enfermeros sobre la ventilacion mecanica en unidades de cuidados intensivos (UCI) de un hospital de referencia en Fortaleza (CE). Estudio trasversal, cuantitativo. Muestra constituida por 43 enfermeras, con aplicacion de una encuesta. Los datos fueron recolectados entre febrero y marzo de 2011 y transcritos y tabulados en el programa Excel, organizados en tablas, interpretado y justificado sobre la base de la documentacion pertinente. RESULTADOS: Mayoria femenina (88,4%); Tiempo en la UCI entre zero y cinco anos (48,8%); Mayoria no son expertos en la UCI (79,0%); La evaluacion de la ventilacion mecanica por volumen no era satisfactoria (65,1%). La participacion de los enfermeros es minima en la definicion de los parametros, extubacion, desmame y aspiracion. Se concluye que los enfermeros necesitan ampliar su conocimiento sobre la ventilacion mecanica y los programas de capacitacion en esta area deben ser fomentados por las instituciones que trabajan para cualificar la asistencia en enfermeria a estos pacientes.

Nursing technology in the prevention of pressure ulcer in people with spinal cord injury

Cross-sectional and exploratory-descriptive study, conducted in a public hospital, of reference in trauma, in the period from May to October 2008. The objective was to evaluate the nursing technology using the Waterlow Scale to prevent pressure ulcers in people with spinal cord injury. Sixty patients with spinal cord injury were evaluated using the Waterlow Scale, of which 75% had final score of 28 points, with high risk for developing pressure ulcers. After ten days of hospitalization, 48,3% of those patients had not received any preventive guidelines; 68,3% of them already had pressure ulcers. The use of the Waterlow Scale allows monitoring of assistance, being able to influence clinical outcomes.Cross-sectional and exploratory-descriptive study, conducted in a public hospital, of reference in trauma, in the period from May to October 2008. The objective was to evaluate the nursing technology using the Waterlow Scale to prevent pressure ulcers in people with spinal cord injury. Sixty patients with spinal cord injury were evaluated using the Waterlow Scale, of which 75% had final score of 28 points, with high risk for developing pressure ulcers. After ten days of hospitalization, 48,3% of those patients had not received any preventive guidelines; 68,3% of them already had pressure ulcers. The use of the Waterlow Scale allows monitoring of assistance, being able to influence clinical outcomes.