Acessibilidade de crianças com deficiência aos serviços de saúde na atenção primáriaThe accessibility of children with disabilities to primary healthcare services Accesibilidad de niños con deficiencia a servicios de salud en atención primaria
Objective:to verify the extent of impairment of the clinical indicators of the nursing outcome Dry Eye Severity in patients admitted to the Intensive Care Unit.Method:cross-sectional, descriptive study developed with 206 patients. Based on the result listed, six indicators of the Classification of Nursing Results were evaluated with a questionnaire containing clinical variables and the Likert scale of the Classification of Nursing Results with constructed definitions, which varies from more impaired to non-impaired. The data were analyzed using descriptive and inferential statistics.Results:the decrease in lacrimal production and the presence of redness in the conjunctiva were more impaired. The other indicators were more frequent for the absence of impairment: incomplete eyelid closure 81% (167), excessive tearing 95.1%(196), excessive mucous secretion 78.7% (162) and decreased blinking mechanism 50.5% (104). The clinical characteristics of hospitalization for neurological disorders, invasive mechanical ventilation, chemosis, use of sedatives, vasoconstrictors, benzodiazepines, antibiotics and corticosteroids interfered in the impairment of the dry eye severity.Conclusion:the result indicators show that the clinical characteristics of patients in the intensive care unit interfere in the impairment and in the dry eyes severity. According to these results, the importance of assistance directed to the prevention of eye diseases is emphasized.
The presence of the family during cardiorespiratory resuscitation efforts has been reported for more than twenty years and, despite a lack of strong evidence of its benefit, the tendency to not permit this practice has been observed. The aim of this review is to identify studies in the global literature performed about the experiences and opinions of nurses and other health professionals regarding the presence of the family during intra hospital cardiorespiratory arrest. An integrative review according to steps suggested by G among was conducted that enabled the identification of four hundred and one articles, of which fourteen were selected. These are indexed in LILACS, IBECS and MEDLINE databases, using the keywords "family," "cardiorespiratory arrest," "cardiopulmonary resuscitation" and "health professionals". The analyses unit used was the theme and the categorizations were given by: health professionals experiences and opinions relationship aspect regarding the presence of the family during the cardiorespiratory arrest attendance. In 57.1% of the selected studies, the professionals responding experienced a call to cardiopulmonary resuscitation (CPR) with family presence on site. Only two articles (14.2%) reported that professionals were in favor of family presence during CPR, while 57.1% were against this practice; among these were most professionals from Asian countries. It was concluded that the majority of studies are against the presence of the family during cardiorespiratory arrest although there is a trend to implement this practice, the majority of professionals are not supportive, at the same time, they coexist with the practice. Thus, research in every continents that exploring the experiences and attitudes of family members, nurses and other health professionals can broaden the understanding on the subject, as well as provide best health polices practices available for implementation in all attendance services.
The study aims to analyze the knowledge of nursing staff on the recognition of a cerebral cardiopulmonary arrest (CCPA) and about the cerebral cardiopulmonary resuscitation (CCPR). This is a cross-sectional study with quantitative approach developed in a public Hospital located in northeastern Brazil. Data collection occurred through a semi-structured questionnaire with 110 professionals of medium-high level of nursing. Approved by the Research Ethics Committee CAAE: 15504613.2.0000.5537. In relation to the recognition of PCRC, (81.8%) of professionals have identified appropriate form; (80%) answered correctly about the sequence of the CPR; (77.2%)got the compression/ventilation ratio; (61.8%) know about the need prioritizing chest compressions;(51.8%) responded adequately on body posture for realization of the compressions; only (40%) succeeded in their responses when asked about the depth and frequency of compressions. The nursing staff analyzed presented knowledge still disabled on the changes of the guidelines of the American Heart Association of 2010 thus exists the need urgent training that reduce the failures and delays that compromise a quality care.
Impacto da implementação do acolhimento com classificação de risco para o trabalho dos profissionais de uma unidade de pronto atendimento REME
150Impacto da implementação do acolhimento com classificação de risco para o trabalho dos profissionais de uma unidade de pronto atendimento REME • Rev Min Enferm.
RESUMO Objetivo Avaliar na superfície ocular de pacientes adultos internados em unidade de terapia intensiva os fatores clínicos preditores para o ressecamento ocular e para o diagnóstico de enfermagem Risco de ressecamento ocular. Método Estudo transversal, realizado entre janeiro e julho de 2016, com 206 pacientes (412 olhos). A inferência quanto à presença do diagnóstico nos pacientes avaliados foi executada por enfermeiros diagnosticadores. A estatística descritiva e inferencial subsidiou a análise dos dados. Resultados 47,6% dos pacientes apresentaram o Risco de ressecamento ocular, e 52,4% já estavam com o diagnóstico de ressecamento ocular. Foram identificadas diferenças estatísticas entre o diagnóstico de ressecamento ocular no olho direito com a hiperemia, secreção mucosa, edema palpebral e lagoftalmia. Além disso, observaram-se diferenças estatísticas entre a hiperemia e edema palpebral com o ressecamento ocular no olho esquerdo e com o diagnóstico de enfermagem Risco de ressecamento ocular. Conclusão A hiperemia, secreção mucosa, edema palpebral e lagoftalmia são fatores clínicos preditores do diagnóstico de enfermagem de risco e também do ressecamento ocular no ambiente da unidade de terapia intensiva que merecem especial destaque na avaliação preventiva.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.