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Identification of the severity and use of interventions in neonates with perinatal asphyxia 围产期窒息新生儿严重程度的鉴定和干预措施的使用
Northeast Network Nursing Journal Pub Date : 2018-10-04 DOI: 10.15253/3310
J. L. Carneiro, Igor Cordeiro Mendes, Priscila Pereira de Souza Gomes, Edgla Graciela Ferreira Moreira de Brito, Cristiana Brasil de Almeida Rebouças, A. Damasceno
{"title":"Identification of the severity and use of interventions in neonates with perinatal asphyxia","authors":"J. L. Carneiro, Igor Cordeiro Mendes, Priscila Pereira de Souza Gomes, Edgla Graciela Ferreira Moreira de Brito, Cristiana Brasil de Almeida Rebouças, A. Damasceno","doi":"10.15253/3310","DOIUrl":"https://doi.org/10.15253/3310","url":null,"abstract":"Objetivo: identificar a gravidade e o uso de intervencoes em recem-nascidos com asfixia perinatal. Metodos: estudo documental, realizado com 48 prontuarios de recem-nascidos com asfixia perinatal em Unidade de Terapia Intensiva Neonatal, baseado no sistema de escore para intervencao terapeutica neonatal. Dados analisados por meio de estatistica descritiva e inferencial. Resultados: os recem-nascidos avaliados apresentaram complicacoes como infeccao neonatal presumida (63,2%), insuficiencia respiratoria (59,1%), sepse (38,7%) e convulsao (39,7%). Durante a internacao, 35,4% foram a obito. As intervencoes mais utilizadas foram transporte e sinais vitais (100,0%), ambiente termorregulado (97,9%), ventilacao mecânica invasiva (91,6%), antibioticos (77,0%), intubacao (75,0%), flebotomia (72,9%) e cateter venoso central (68,7%). Conclusao: a media de pontuacao do escore Neonatal Therapeutic Intervention Scoring System foi de 19,9, sendo verificadas medias estatisticamente diferentes entre as categorias das variaveis Duracao da internacao, Desfecho clinico e Escolaridade da mae.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125409101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Drug interactions resulting from scheduling and errors in the preparation of antibacterials 抗菌剂制备过程中的时间安排和错误导致的药物相互作用
Northeast Network Nursing Journal Pub Date : 2018-10-04 DOI: 10.15253/3322
Francisco Gilberto Fernandes Pereira, G. A. Melo, N. M. G. Neto, R. E. Carvalho, E. D. Néri, J. A. Caetano
{"title":"Drug interactions resulting from scheduling and errors in the preparation of antibacterials","authors":"Francisco Gilberto Fernandes Pereira, G. A. Melo, N. M. G. Neto, R. E. Carvalho, E. D. Néri, J. A. Caetano","doi":"10.15253/3322","DOIUrl":"https://doi.org/10.15253/3322","url":null,"abstract":"Objetivo: identificar as interacoes medicamentosas induzidas pelo aprazamento e os erros no preparo de antibacterianos administrados. Metodos: estudo observacional e transversal, realizado em clinicas medicas de hospital da rede sentinela. A coleta de dados ocorreu por meio da observacao das prescricoes e do preparo de 265 doses de antibacterianos com a utilizacao de um check-list. Resultados: prevaleceu a administracao da Piperaciclina e Tazobactan, com 51 doses. O aprazamento de horario dos antibacterianos com outro medicamento ocorreu prevalentemente no periodo matutino, destacando-se interacoes com anticoagulantes injetaveis e entre antimicrobianos de classes diferentes, e se associou com a nao disponibilizacao no setor de orientacoes impressas acerca dos cuidados com a administracao do medicamento (p=0,003). O principal erro encontrado foi o de dose (32,5%). Conclusao: o aprazamento de antibacterianos em setor de clinica medica pode potencializar possiveis interacoes medicamentosas e os erros de dose sao identificados na administracao dos medicamentos.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132481273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Risk factors for death in patients with sepsis in an intensive care unit 重症监护病房脓毒症患者死亡的危险因素
Northeast Network Nursing Journal Pub Date : 2018-04-10 DOI: 10.15253/3231
P. Prado, Natasha Varjão Volpáti, Fernanda Raphael Escobar Gimenes, Elisabeth Atila, L. Maggi, Thatiana Lameira Maciel Amaral
{"title":"Risk factors for death in patients with sepsis in an intensive care unit","authors":"P. Prado, Natasha Varjão Volpáti, Fernanda Raphael Escobar Gimenes, Elisabeth Atila, L. Maggi, Thatiana Lameira Maciel Amaral","doi":"10.15253/3231","DOIUrl":"https://doi.org/10.15253/3231","url":null,"abstract":"Objective: to determine the main risk factors for death in patients with sepsis in an intensive care unit. Methods: it is a retrospective cohort study, wich included 126 patient chorts lhat had clinical and clinical and laboratory diagnosis of sepsis were considered eligible. The conditional probability of death was calculated through the Kaplan-Meier method and the risk of death was estimated by the hazard ratio, using a Cox regression model with p<0.050. Results: a total of 124 patients were included in the study. The main focus of infection was the respiratory system. Regarding the outcome, 40.3% patients with sepsis, 73.9% with severe sepsis and 69.2% with septic shock died. Patients with abdominal sepsis and using vasopressors were at higher risk of death. Conclusion: septic patients with abdominal source of infection and using vasopressor agents had a higher risk of dying, while patients who were tracheostomized had a better chance of living.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127670847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Nursing leadership and quality of care in a hospital setting: mixed methods research 医院护理领导与护理质量:混合方法研究
Northeast Network Nursing Journal Pub Date : 2018-04-10 DOI: 10.15253/3289
José Luís Guedes dos Santos, Shara Bianca De Pin, Maria Elena Echevarría Guanilo, A. P. Balsanelli, A. Erdmann, Ratchneewan Ross
{"title":"Nursing leadership and quality of care in a hospital setting: mixed methods research","authors":"José Luís Guedes dos Santos, Shara Bianca De Pin, Maria Elena Echevarría Guanilo, A. P. Balsanelli, A. Erdmann, Ratchneewan Ross","doi":"10.15253/3289","DOIUrl":"https://doi.org/10.15253/3289","url":null,"abstract":"Objective: to examine and describe the relationship between nursing leadership and the quality of care in the hospital environment. Methods: this concurrent convergent mixed methods study incorporated cross-sectional correlational design and grounded theory. Data were collected among staff nurses at a hospital. Quantitative data were collected using the Brazilian Nursing Work Index-Revised/Leadership subscale with 105 nurses and analyzed by descriptive and inferential statistics. Qualitative data were collected through intensive interviews with 64 participants and analyzed by Charmaz’s method. Subsequently, results from both arms were integrated to generate mixed methods findings. Results: better nursing leadership resulted in better quality of care. Qualitative results supported quantitative results and showed that effective nursing leadership yielded quality of care through different processes: collaborating with nursing staff, encouraging patient advocacy, and enhancing care through research. Conclusion: through mixed methods, the findings can be generalized with a deeper understanding about the phenomenon. Implications are also discussed.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134408479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Perceptions and attitudes of children experiencing obesity 儿童肥胖的认知和态度
Northeast Network Nursing Journal Pub Date : 2018-03-26 DOI: 10.15253/3261
Fernanda Borges, M. S. Barreto, Pâmela Falbo Dos Reis, Cláudia Silveira Vieira, S. Marcon
{"title":"Perceptions and attitudes of children experiencing obesity","authors":"Fernanda Borges, M. S. Barreto, Pâmela Falbo Dos Reis, Cláudia Silveira Vieira, S. Marcon","doi":"10.15253/3261","DOIUrl":"https://doi.org/10.15253/3261","url":null,"abstract":"Objective:  to learn how obese children perceive and experience the condition of obesity in everyday life.  Methods:  qualitative research carried out with 14 children aged six to ten years. Data were collected through open interviews and subjected to content analysis under the thematic modality.  Results:  three categories emerged: Body self-perception of obese children - showing the dissatisfaction with physical shape; Recognizing the effects of obesity - portraying the difficulties experienced and how much excess weight interferes in daily life; and Seeking alternatives to lose weight – describing the initiatives (not always correct) of the children and their families for weight reduction.  Conclusion:  children see themselves as overweight and this condition interferes with their daily lives, the practice of physical activities, social relations and mental health, when there is bullying at school or at home.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121930647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Views on nursing education in Portugal 对葡萄牙护理教育的看法
Northeast Network Nursing Journal Pub Date : 2018-03-26 DOI: 10.15253/3313
Olga Ribeiro, M. Martins, A. L. Carvalho, Luísa Santos, Maria de Fátima Rocha Viana
{"title":"Views on nursing education in Portugal","authors":"Olga Ribeiro, M. Martins, A. L. Carvalho, Luísa Santos, Maria de Fátima Rocha Viana","doi":"10.15253/3313","DOIUrl":"https://doi.org/10.15253/3313","url":null,"abstract":"Objective: to understand nurses’ perception of hospital care about nursing education. Methods: a qualitative study was carried out in 19 hospital institutions, with 56 nurses. For the data collection, the semi-structured interview was used and, in the analysis, the Atlas.ti® software. Results: these aspects emerged as units of analysis: positive and negative aspects of nursing teaching in a theoretical context; and positive and negative aspects of nursing teaching in a practical context. The perception of nurses about nursing education is essentially related to the existence of much diversified training processes. Conclusion: despite the evolution of nursing as a discipline and profession, nurses recognize that many of the weaknesses in nursing education are based on the differences between nursing schools, and the need for a closer approximation of theory to practice is evident, among other strategies, the follow-up of the students during the internships by the teachers of the School.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129352632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Near miss maternal: influencing factors and guidelines for reducing maternal morbidity and mortality 近错过产妇:降低产妇发病率和死亡率的影响因素和指南
Northeast Network Nursing Journal Pub Date : 2018-03-26 DOI: 10.15253/3182
Alana Santos Monte, Igor Cordeiro Mendes, M. O. B. Oriá, Francisco Herlânio Costa Carvalho, Helen Brown, A. Damasceno
{"title":"Near miss maternal: influencing factors and guidelines for reducing maternal morbidity and mortality","authors":"Alana Santos Monte, Igor Cordeiro Mendes, M. O. B. Oriá, Francisco Herlânio Costa Carvalho, Helen Brown, A. Damasceno","doi":"10.15253/3182","DOIUrl":"https://doi.org/10.15253/3182","url":null,"abstract":"Objetivo: analisar as evidencias cientificas acerca dos fatores que influenciam os casos de near miss materno e possiveis direcionamentos para reducao da morbidade e mortalidade materna. Metodos: revisao integrativa com 2.895 artigos encontrados e 17 selecionados. Resultados: os fatores que influenciam nos casos de near miss foram: atrasos nos cuidados obstetricos; despreparo da equipe de saude; condicoes precarias dos servicos; disponibilidade limitada de derivados de sangue; e deficiencia no pre-natal, no uso de Praticas Baseadas em Evidencias e nas auditorias. Como principais direcionamentos para minimizar esses eventos, evidenciaram-se: fortalecer a rede de referencia e contrarreferencia; realizar capacitacao profissional; melhorar a cobertura do pre-natal; e investir na infraestrutura, na gestao de processos e em auditorias clinicas. Conclusao: os fatores que influenciam os casos de near miss materno englobam desde o atraso nos cuidados ate a nao realizacao do pre-natal, cuja melhoria na gestao constitui o principal direcionamento.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124131531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Stress levels of newborns´ parents in Neonatal Intensive Care Unit 新生儿重症监护病房新生儿父母的压力水平
Northeast Network Nursing Journal Pub Date : 2018-03-26 DOI: 10.15253/3254
Mariléia Stübe, Marina Brites Calegaro da Rosa, C. Pretto, Cibele Thomé da Cruz, P. Morin, E. Stumm
{"title":"Stress levels of newborns´ parents in Neonatal Intensive Care Unit","authors":"Mariléia Stübe, Marina Brites Calegaro da Rosa, C. Pretto, Cibele Thomé da Cruz, P. Morin, E. Stumm","doi":"10.15253/3254","DOIUrl":"https://doi.org/10.15253/3254","url":null,"abstract":"Objective:  to evaluate the stress levels of newborns´ parents in the Neonatal Intensive Care Unit.  Methods:  this is a cross-sectional and analytical research with 57 newborn parents. A questionnaire on the sociodemographic data of the newborn and parents and Parental Stress Scale: Neonatal Intensive Care Unit was applied. Frequency analysis, position measurements of the scores, Mann-Whitney test, and Student’s t-test were performed.  Results:  in the domain “Change in the role of the mother/father”, the concentration of responses was higher in the higher scores; in the domain “Sounds and images”, in the concentration of responses was higher in the lowest scores, both in the hospitalization and in the discharge of the intensive care unit.  Conclusion:  parents of infants in the Neonatal Intensive Care Unit presented high levels of stress associated with the “Change in the role of the mother/father” during hospitalization and discharge, and the “Appearance and behavior of the baby” domain at the time of hospitalization.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126116110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Factors associated with acute kidney injury in surgical patients at the intensive care unit 重症监护病房手术患者急性肾损伤的相关因素
Northeast Network Nursing Journal Pub Date : 2018-02-27 DOI: 10.15253/3057
Cariston Rodrigo Benichel, S. Meneguin
{"title":"Factors associated with acute kidney injury in surgical patients at the intensive care unit","authors":"Cariston Rodrigo Benichel, S. Meneguin","doi":"10.15253/3057","DOIUrl":"https://doi.org/10.15253/3057","url":null,"abstract":"Objective:  to analyze factors associated with acute kidney injury in surgical patients at the intensive care unit.  Methods:  case-control study including survey of patient history records and a sample of 246 patients. For the differences of proportions and means, the chi-squared and Student’s t-test were used, respectively. The association between variables was verified by means of univariate and later multivariate analyses with logistic regression. The odds ratio was used as an effect measure and significance was set at 5%.  Results:  the main associated factors were: period of hospitalization, gastrointestinal etiology, mechanical ventilation, sepsis, hypovolemia, arrhythmia, furosemide, vasopressors, simultaneous antibiotics and concomitant occurrence of more than three factors.  Conclusion:  acute kidney injury represented a systemic event, affected patients of advanced age who were hospitalized longer and predisposed to death. It was associated with gastrointestinal etiologies, problems, nephrotoxic drugs and concomitant factors that contribute to increase the risk of its development.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130930827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Breastfeeding self-efficacy and interrelated factors 母乳喂养自我效能感及其相关因素
Northeast Network Nursing Journal Pub Date : 2018-02-15 DOI: 10.15253/3175
Maria das Graças Fernandes Silva, Luciana Barbosa Pereira, Tadeu Nunes Ferreira, Ana Augusta Maciel de Souza
{"title":"Breastfeeding self-efficacy and interrelated factors","authors":"Maria das Graças Fernandes Silva, Luciana Barbosa Pereira, Tadeu Nunes Ferreira, Ana Augusta Maciel de Souza","doi":"10.15253/3175","DOIUrl":"https://doi.org/10.15253/3175","url":null,"abstract":"Objetivo: verificar a apresentacao da autoeficacia materna relacionada a amamentacao entre puerperas. Metodos: pesquisa analitica e transversal com 385 puerperas. Utilizou-se a Escala de Autoeficacia na Amamentacao - Forma Abreviada e questionario autoral com variaveis obstetricas e socioeconomicas. Os dados foram analisados pelo teste t de student no programa Minitab versao Windows 17. Resultados: os fatores com significacao estatistica foram: gestacao planejada (p=0,003), orientacoes recebidas no pre-natal (p=0,003), parto vaginal (p=0,021), succao na primeira hora de vida (p=0,003), renda maior que um salario minimo (p=0,029) e nao uso de drogas ilicitas (p=0,023). Conclusao: as participantes apresentaram escore alto para autoeficacia em amamentar relacionado a planejamento da gravidez, orientacoes recebidas durante o pre-natal, via de parto vaginal, tempo para a primeira succao antes da primeira hora de vida, nao oferecer a crianca outros leites antes da apojadura, conhecimento da mae sobre tempo minimo de aleitamento materno exclusivo e o nao uso de drogas ilicitas.","PeriodicalId":243005,"journal":{"name":"Northeast Network Nursing Journal","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116449682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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