Theo Duarte da Costa

Cuidar-curar transpessoal e os protocolos de enfermagem: “cuidado com a vida”

Doi: 10.5902/2179769213188 Aim: to carry out a theoretical essay about the philosophical interface of Watson’s transpersonal caring-healing and the products of the “healing architecture” provided by nursing protocols. Method: theoretical essay guided by the research question: which is the philosophical interface of Watson’s transpersonal caring-healing and the products of the “healing architecture” provided by nursing protocols? Results: we performed a reflexive analysis of seven studies, which enabled to weave philosophical considerations of two axes: transpersonal caring-healing and nursing protocols, and “from the text to the borders”: (de) construct nursing practices based on nursing protocols. Final considerations: we hope to expand the philosophical discussions about the theme, as well as encourage the use of nursing protocols as a paradigmatic transformation tool of nursing care.

Análise de vídeos do youtube sobre eventos adversos em saúde

This was an exploratory study with a quantitative approach carried out on the YouTube video sharing website. It aimed at analyzing videos from YouTube about adverse health events identifying the existence of relationships to patient safety. The search of videos was performed in December of 2013, on the YouTube website by combining “patient safety and adverse events”. Thirteen videos were analyzed according to the indicators: duration; author; date of posting; total views; category; approach; focus; health professionals cited; type of adverse health event approached; causes; consequences; prevention strategies; and relationships with patient safety. Despite the incipient number of videos being elucidated, considering the actual relevance of the subject, they highlighted the relationship between patient safety and adverse health event, focusing on prevention strategies.This was an exploratory study with a quantitative approach carried out on the YouTube video sharing website. It aimed at analyzing videos from YouTube about adverse health events identifying the existence of relationships to patient safety. The search of videos was performed in December of 2013, on the YouTube website by combining “patient safety and adverse events”. Thirteen videos were analyzed according to the indicators: duration; author; date of posting; total views; category; approach; focus; health professionals cited; type of adverse health event approached; causes; consequences; prevention strategies; and relationships with patient safety. Despite the incipient number of videos being elucidated, considering the actual relevance of the subject, they highlighted the relationship between patient safety and adverse health event, focusing on prevention strategies.

Percepção de profissionais de enfermagem acerca de segurança do paciente em unidades de terapia intensiva

Objetivo: Compreender a percepcao dos profissionais de enfermagem de unidades de terapia intensiva gerais de hospitais publicos acerca da seguranca do paciente. Metodos: Trata-se de estudo de natureza descritiva, com abordagem qualitativa. Participaram 80 profissionais de enfermagem que desenvolviam atividades assistenciais em unidades de terapia intensiva gerais do nordeste do Brasil. Os dados foram obtidos por meio de entrevistas semiestruturadas, no periodo de maio a junho de 2014. O conteudo textual foi submetido a analise textual lexicografica, e a analise dos dados foi realizada a partir de literatura pertinente. Resultados: Quatro classes foram analisadas: necessidades de mudanca; acoes diante do evento adverso; concepcoes sobre cuidado seguro; e acoes que integram o cuidado seguro. Revelou-se que a seguranca do paciente e uma consequencia da cultura adotada pelos profissionais. Conclusoes: Os profissionais compreenderam a seguranca do paciente como um conjunto de estrategias que minimiza os riscos de eventos adversos. Palavras-chave: Seguranca do paciente. Cuidados criticos. Enfermagem.Objective To understand the perception of nursing professionals in public hospital intensive therapy units regarding patient safety. Methods This is a descriptive study with a qualitative approach. Eighty nursing professionals who developed welfare activities in general intensive care units in Northeastern Brazil participated. Data were collected through semi-structured interviews, from May to June 2014. The textual content was submitted to the lexicographical textual analysis, and data analysis was based on the literature. Results Four classes were analyzed: need for change; actions before an adverse event; concepts of safe care; and actions that integrate safe care. It was revealed that patient safety is a consequence of the culture adopted by professionals. Conclusions Professionals understand patient safety as a set of strategies that minimize the risk of adverse events.

Atividade lúdica como ferramenta para o cuidado de enfermagem às crianças hospitalizadas

Objetiva-se sintetizar o conhecimento produzido sobre as atividades ludicas do enfermeiro como ferramenta para o cuidado de enfermagema criancas hospitalizadas. Trata-se de uma revisao integrativa realizada nas bases de dados online Scopus, Pubmed, Cumulative Index to Nursingand Allied Health Literature (CINAHL), Cochrane e Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS). Entre os 13 estudosanalisados, o metodo mais empregado foi o ensaio clinico randomizado (46%). O boneco terapeutico foi o tipo de atividade ludica mais utilizada (46%),seguido das atividades com brinquedos (30%). Quanto aos beneficios da atividade ludica para a crianca, observaram-se a reducao de sentimentosnegativos, reducao das queixas de dor, nausea, ansiedade e sentimentos depressivos, bem como a melhora no processo de comunicacao entre aequipe de enfermagem e a crianca. Percebeu-se uma producao ainda incipiente sobre as atividades ludicas utilizadas por enfermeiros no contextoda internacao infantil. Ressalta-se que os beneficios estao intimamente ligados ao tipo de atividade que e utilizada. Contudo, faz-se necessaria maisenfase nessas influencias para que os enfermeiros tomem conhecimento de como organizar melhor seu processo de trabalho.(AU) The study aims at synthesizing existing knowledge about play as a tool in nursing care for hospitalized children. It is an integrative review carriedout at Scopus, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane and Latin American and Caribbean HealthSciences (LILACS) databases. Among the thirteen reviewed studies, 46% used randomised clinical trial; doll therapy was most commonly used (46%),followed by toys (30%). As for the benefits of play for children, we observed improvement in negative symptoms such as pain, nausea, anxiety anddepression, as well as in the relationship between the nursing staff and the child. Results showed that scientific production on the theme is incipient.The researchers stress that health benefits are closely related to the type of activity carried out; however, it is necessary to emphasize that nursesshould be aware of the benefits of this type of therapy to better organize their working process.(AU) El objetivo del presente trabajo fue resumir el conocimiento producido sobre las actividades ludicas del enfermero como herramienta para atendera ninos hospitalizados. Se trata de una revision integradora realizada en las bases de datos on line Scopus, PubMed, Cumulative Index to Nursingand Allied Health Literature (CINAHL), Cochrane y Literatura Latinoamericana y del Caribe (LILACS). Entre los trece estudios revisados el metodomas empleado fue el ensayo clinico aleatorizado (46%). La muneca terapeutica fue el tipo de actividad ludica mas utilizada (46%), seguido de lasactividades con juguetes (30%). En cuanto a los beneficios de las actividades ludicas para los ninos, hubo disminucion de sentimientos negativos, dequejas de dolor, nauseas, ansiedad y sentimientos de depresion, asi como mejora en el proceso de comunicacion entre el personal de enfermeria ylos ninos. Se observo una produccion incipiente de actividades recreativas utilizadas por las enfermeras en el contexto de la hospitalizacion infantil.Se realza que los beneficios estan estrechamente vinculados al tipo de actividad empleada. Sin embargo, debe enfatizarse la influencia de estasactividades en los ninos para que los enfermeros la conozcan y organicen mejor su proceso de trabajo.(AU)