Stella Costa Valdevino

Resilience in Individuals who Suffered from Stroke: Integrative Literature Review

ABSTRACT Introduction: stroke represents a serious public health problem, causing several disabilities. During the process of rehabilitation, family members and health professionals should encourage behaviors that promote resilience. Objectives: to analyze the main data about stroke and resilience available in national and international literature, and to verify if this component is being assessed/worked during the post-stroke process of rehabilitation of the individuals. Method: Portal of Journals of CAPES, BVS, SciELO and BDENF were used as databases, and the descriptors were ‘stroke’ and ‘psychological resilience’, in Portuguese and English. 42 articles were identified, from 2003 until 2015. After inclusion and exclusion criteria, a sample of 7 studies was obtained. Results: there was some difficulty in integrating the data, since articles about resilience with the aforementioned individuals are scarce. Most of the studies addressed other Psychology themes, which are also considered indispensable for the success of rehabilitation. Conclusion: the necessity for more studies regarding the topic resilience in individuals with stroke effects was noticed.

Risk Management: Element of Safety Strategy in Public and Private Hospitals

Objectives : To analyze public and private institutions that use risk management; investigate the strategies that these hospitals adopt for patient and professional safety and identify the positive and negative aspects that imply the risk management in the hospitals surveyed. Method : A descriptive study, quanti-qualitative, developed in four hospitals in the public and private network of Joao Pessoa - PB. The sample was represented by eight professionals responsible for risk management in the participating institutions. Data were collected from February to March 2016. The data were collected and analyzed using simple descriptive statistics. Results : It was observed that public hospitals have adopted a strategy of use of Personal Protective Equipment (PPE), professional development courses participations and the development of actions of epidemiological surveillance; and that private hospitals are limited to the PPE use and information about biosecurity procedures for patients and professionals. Conclusion : The institutions surveyed still do not follow the risk management standards as security strategic element, that discourages and emotionally wearing out health professionals. It is recommended the implementation of continuing education actions focused on risk management to improve the level of knowledge among professionals who serve in the public and in private sector.

Evaluation of Balance and Walk and their Relationship to the Occurrence of Falls in Elderly

Introduction: falls are a geriatric syndrome, and among the risk factors there are the balance and walking problems, becoming necessary the evaluation of these parameters for targeting care to prevent falls. Objective: evaluating the balance and the walk as predictors of the risk of falls in the elderly. Methods: a cross-sectional, exploratory and quantitative study conducted with 130 elderly. There were evaluated the balance and the walking through the Tinetti Scale and the data were analyzed using statistical software. The study was approved by the Ethics Committee under the advice number 963.157. Results: 60% of the sample presented an average risk for falls, and the average test of balance and walking was lower among older people with a history of falls. Conclusion: it is recommended that nurses perform multidimensional geriatric assessment in order to detect changes and minimize the risk of falls in the elderly.