Viviane Saraiva de Almeida

Assistance flowchart for pain management in a Neonatal Intensive Care Unit

OBJECTIVE To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain. METHOD This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain. RESULTS Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart. FINAL CONSIDERATIONS The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

Importance of physiotherapy/nursing multidisciplinary integration about update newborn position in the neonatal intensive care unit

Introduction The high-risk newborns may require long periods of hospitalization until they reach clinical stability for hospital discharge. Avoiding babies to be in only one body position may be an effective way to cause respiratory and neuro-psycho-motor benefits, comfort and preventing pressure ulcers.Objectives This study investigated the impact of physiotherapy/nursing integration in update on body positioning of the newborn in the Neonatal Intensive Care Unit.Methods A questionnaire was administered to nurses and nursing technicians of the neonatal unit of Maternity School of UFRJ and nurses of the Advanced Course in Neonatal Nursing from the same institution. Two classes were taught by the physical therapist of the sector and the questions answered before and after these lessons. It was also a brief characterization of professional participants of the study. We used the Students t test to compare the correct answers before (PRE) and after (POST) the classes, considering p < 0.05.Results There was a significant increase in the degree of knowledge of nurses and nursing technicians when compared the responses before (nurses: 68.8%; technicians: 70.1%) and after classes (nurses: 78.4 %; technicians: 88.9%). The nurses were less than five years of graduated (45%) and little time of professional experience in neonatology (60%). Forty-seven percent of technicians had less than five years of training and 82% had less than 10 years of experience.Conclusion The use of training by the nursing staff was significant, showing the importance of multidisciplinary approach and the integration of knowledge in the search for a humanized and effective care.

Nursing care systematization in maternal and child service care: an action research

Aim: To implement the systematization of nursing care (SNC) in the Maternity School of the Federal University of Rio de Janeiro. Method: This is an action research. The theory chosen was that of Basic Human Needs as proposed by Wanda Horta. The ICNP® was selected as the single classification system for the terminology with regard to diagnoses, expected outcomes and nursing interventions. Data collection will be carried out in accordance with the implementation of the SNC in each sector of the institution, consisting of the following steps: documentary research based on documents produced by the nursing staff and on the nursing diagnoses of the patients; field research through systematic observation of the team work processes; and seminars. In order to analyze the data obtained in the survey of nursing problems, the terms extracted from the medical charts will be analyzed and classified according to the model of nursing diagnoses contained in ICNP® 2.0 .

The quality of nursing records at a maternity hospital: a descriptive study

Aim: To identify non-conformities related to nursing records; to present proposals for team training with regard to the quality of nursing records. Method: This is a descriptive study using a quantitative approach. The study uses data from medical records to be collected from November 2015 to June 2016. An instrument was developed to collect data and the notes described will be compared to expected annotation standards. The collected variables will be analyzed using descriptive statistics. Expected Results: Acknowledging the importance of nursing records and how it affects nursing staff .

Medication errors and medication teams: a descriptive study

Aim: to identify medication errors in medical prescriptions in a neonatal intensive care unit (NICU); to compare the occurrence of medication errors in medical prescriptions, before and after the deployment of a medication team in an NICU. Methods: This is an observational, descriptive, retrospective cohort study, in which a quantitative approach was used. This study will be operationalized through documentary research with regard to medical records. We will use medical records of the period between May 2010 and April 2011 and from June 2011 to May 2012. The data collection will take place from September to November 2013. The research scenario will be the neonatal intensive care unit of a university hospital in the public health network of the state of Rio de Janeiro. Expected results: A matrix of analysis to configure the interaction between the medication team and the occurrence of medication errors in terms of drug prescription.

The work process of a medication team at the neonatal intensive care unit

Objectives: to describe the work process of the medication team from the Neonatal Intensive Care Unit and to validate the practice of the medication team from the Neonatal Intensive Care Unit. Methods: this is a descriptive study by using the research-action method, determined by the following steps: literature survey for grounding the study; exploratory stage; research theme, group meetings, data collection, action plan and external disclosure. The research setting will be the Neonatal Intensive Care Unit from the Hospital Universitário Pedro Ernesto (HUPE-UERJ). The research subjects will be all nurses assigned at that sector, who compose the work staff of the medication team. The project was approved by the Ethics Research Committee, under CAAE no 10209312500005259. Expected results: we hope to see an unveiling of the practice of medication team, by validating its work process. Descriptors: Patient Safety, Medication Systems; Medications; Neonatal Intensive Care.