Tânia Alteniza Leandro

Knowledge and practice of the nurse about leprosy: actions of control and elimination

OBJECTIVE to assess the knowledge and practice of primary health care nurses about control and elimination actions of leprosy. METHOD evaluation study with qualitative approach, using the Discourse of the Collective Subject, data were collected through semi-structured interviews conducted with 16 nurses. RESULTS the data collected revealed that health professionals have sufficient knowledge about the National Policy on Control and Elimination of Leprosy (NPCEL) and that the main actions preconized were applied, however, notification of suspected or confirmed cases and social reintegration of the patient were not mentioned. CONCLUSION keeping patients in treatment, overload of work, lack of interdisciplinarity and treatment performed at other locations outside of the community were difficulties reported by professionals. Nurses know the actions addressed at assistance of leprosy patients, however, the study points to the need for a practice which is more aligned to what advocates NPCEL.

Indicadores clínicos do diagnóstico de enfermagem: Proteção ineficaz em adolescentes com câncer

OBJECTIVE To investigate scientific evidence related to the term protection and clinical indicators and etiologic factors for nursing diagnosis Ineffective protection in adolescents with cancer. METHOD Integrative literature review in the databases of Scopus, Web of Science, National Library of Medicine and National Institutes of Health (PubMed) and Cochrane; by intersection of the descriptors protection and childhood cancer, which resulted in seven articles. These were insufficient for a comprehension of the term protection and aspects related to its impairment, therefore it was necessary to include a further three reference books. RESULTS Five clinical indicators and three etiologic factors associated to Ineffective protection were identified some of which were not cited in NANDA-International. CONCLUSIONS There are clinical and etiologic factors important for the identification of ineffective protection in adolescents with cancer.

Conhecimento e prática dos enfermeiros sobre hanseníase: ações de controle e eliminação

OBJECTIVE to assess the knowledge and practice of primary health care nurses about control and elimination actions of leprosy. METHOD evaluation study with qualitative approach, using the Discourse of the Collective Subject, data were collected through semi-structured interviews conducted with 16 nurses. RESULTS the data collected revealed that health professionals have sufficient knowledge about the National Policy on Control and Elimination of Leprosy (NPCEL) and that the main actions preconized were applied, however, notification of suspected or confirmed cases and social reintegration of the patient were not mentioned. CONCLUSION keeping patients in treatment, overload of work, lack of interdisciplinarity and treatment performed at other locations outside of the community were difficulties reported by professionals. Nurses know the actions addressed at assistance of leprosy patients, however, the study points to the need for a practice which is more aligned to what advocates NPCEL.

Classification tree to screen for the nursing diagnosis Ineffective airway clearance

OBJECTIVE to identify the defining characteristics of Ineffective airway clearance with better predictive power using classification trees. METHOD the predictive power of the defining characteristics of Ineffective airway clearance was evaluated based on classification trees generated from the data of 249 children with acute respiratory infection. RESULTS Ineffective cough and adventitious breath sounds were identified as the main defining characteristics when screening for Ineffective airway clearance in accordance with trees based on three different computational algorithms. CONCLUSION Ineffective coughing and adventitious breath sounds had better predictive capacity for Ineffective airway clearance in the sample.

Impaired comfort in children and adolescents with cancer

OBJECTIVE To determine the strength of the association between the clinical indicators of Impaired Comfort and the evaluation sector in the hospital, age group and sex of patients with cancer. METHOD Cross-sectional study, conducted in a childrens hospital, with 192 children and adolescents. For the collection, we used an instrument developed for the study. RESULTS The majority of the sample was male, with mean age of 11 years. The indicators most evidenced among the hospitalized patients were Crying, Report of lack of satisfaction with the situation, Report of feeling cold, and Report of feeling uncomfortable. Crying and Fear were more prevalent in children compared with adolescents, and boys were the ones that verbalized the most the Report of lack of satisfaction with the situation. CONCLUSION This study enabled determining the strength of the association of the indicators of Impaired Comfort expressed by children and adolescents with cancer.

Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer

Purpose: To validate the clinical indicators of the nursing diagnosis of Ineffective protection in adolescents with cancer based on diagnostic accuracy measurements. Design and Methods: Measurements of sensitivity and specificity for the indicators were calculated using latent class analysis with random effects in a sample of 127 adolescents between 10 and 19 years of age. Results: The prevalence of diagnosis was estimated at 93.7%. The indicators deficient immunity and weakness showed higher sensitivity values, whereas opportunistic infections, recurrent infections, insomnia, mucosal lesions, and coughing showed high specificity. Conclusions: Seven indicators were clinically validated. Practice Implications: The validation of clinical indicators provides nurses with the knowledge of useful signs and symptoms to identify early spectra of a nursing diagnosis or confirm their presence in a specific population. In clinical practice, this knowledge contributes to an accurate diagnostic inference and the planning of nursing interventions directed to the idiosyncrasies of individuals. Highlights:The study clinically validates the indicators of nursing diagnosis Ineffective protection in adolescents with cancer.Seven clinical indicators presented better measures of accuracy, according to a latent class analysis with random effects.Some differences were observed in measures of accuracy in latent class models adjusted for specifics groups.

Conocimiento y práctica de enfermeros acerca de hanseniasis: acciones de control y eliminación

OBJECTIVE to assess the knowledge and practice of primary health care nurses about control and elimination actions of leprosy. METHOD evaluation study with qualitative approach, using the Discourse of the Collective Subject, data were collected through semi-structured interviews conducted with 16 nurses. RESULTS the data collected revealed that health professionals have sufficient knowledge about the National Policy on Control and Elimination of Leprosy (NPCEL) and that the main actions preconized were applied, however, notification of suspected or confirmed cases and social reintegration of the patient were not mentioned. CONCLUSION keeping patients in treatment, overload of work, lack of interdisciplinarity and treatment performed at other locations outside of the community were difficulties reported by professionals. Nurses know the actions addressed at assistance of leprosy patients, however, the study points to the need for a practice which is more aligned to what advocates NPCEL.