Background: Despite the changes over the last decade in nursing care, some concerns about the care practice in the process of dying remain. Objective: To analyze the focus documented by nurses during the dying process within the hospital context and to identify the differences in records relating to the focus valued in the different clinical areas. Methodology: As part of a larger research project called Living Death: the challenge of the nursing profession, this quantitative, descriptive, and retrospective documentary study was performed based on the analysis of 36,281 nursing actions documented by 1,270 nurses. Results: Of the 36,281 actions recorded, most of the documentation is related to Function (56.5%), followed by Person (43.5%), which shows an apparent disregard for the transitions experienced by patients within the context of death and the processes of dying. Conclusion: It is increasingly important to decentralize the attention of a practice that is predominantly focused on the biomedical component, in favor of care focusing on the experiences facing the imminence and inevitability of death.
Background: Despite the changes over the last decade in nursing care, some concerns about the care practice in the process of dying remain. Objective: To analyze the focus documented by nurses during the dying process within the hospital context and to identify the differences in records relating to the focus valued in the different clinical areas. Methodology: As part of a larger research project called Living Death: the challenge of the nursing profession, this quantitative, descriptive, and retrospective documentary study was performed based on the analysis of 36,281 nursing actions documented by 1,270 nurses. Results: Of the 36,281 actions recorded, most of the documentation is related to Function (56.5%), followed by Person (43.5%), which shows an apparent disregard for the transitions experienced by patients within the context of death and the processes of dying. Conclusion: It is increasingly important to decentralize the attention of a practice that is predominantly focused on the biomedical component, in favor of care focusing on the experiences facing the imminence and inevitability of death.
RESUMOIntrodução: Não sendo as doenças cardiovasculares exclusivas do homem nem da mulher, importa conhecer que diferenças existem entre os géneros, uma vez que é um facto que as características físicas e psicossociais que os distinguem, podem influenciar os vários domínios da sua saúde, nomeadamente a saúde cardiovascular. Objetivos: Identificar diferenças de género numa amostra de pessoas com doença cardíaca. Métodos: Estudo quantitativo, transversal, que utiliza a análise descritiva e multivariada de dados com recurso à regressão logística. Conclusões: Os enfermeiros devem consciencializar-se de que as diferenças de género entre o homem e a mulher os fazem diferir no seu risco cardiovascular. Por tal, devem estar sensibilizados para a necessidade de identificar os fatores que o podem influenciar e definir e implementar intervenções capazes de reduzir esse risco para cada género. Palavras-chave: Género e Saúde; Doenças Cardiovasculares; Fatores de Risco ABSTRACTIntroduction: Cardiovascular diseases are not unique to either men or women, so that it is important to know what differences exist between the sexes, since it is a fact that the physical and psychosocial problems that distinguish them can influence the various areas of their health, particularly cardiovascular health. Objectives: To identify gender differences in a sample of people with heart disease. Methods: A quantitative, cross-sectional study with descriptive and multivariate data analysis using logistic regression. Conclusions: Nurses should be aware that gender differences between men and women make mean they differ in terms of cardiovascular risk. For this reason, they should be aware of the need to identify the factors that can influence the risk and define and implement interventions that reduce this risk for each gender.
RESUMOIntrodução: A qualidade dos cuidados é atualmente um foco de atenção de todos os profissionais de saúde, nomeadamente dos enfermeiros. A evidência tem vindo a demonstrar que a implementação de processos supervisivos entre pares é promotora do desenvolvimento de competências profissionais, permitindo aos enfermeiros exercer uma prática profissional adequada e criticoreflexiva, o que consequentemente terá repercussões positivas na qualidade dos cuidados de enfermagem. Decorrente das alterações demográficas, tecnológicas e científicas, a informação integra na atualidade o discurso dos profissionais de saúde. Desenvolvimento: a informação é uma ferramenta essencial na orientação dos cuidados de enfermagem, pelo que importa averiguar qual a informação que sustenta a tomada de decisão dos enfermeiros. Esta indagação auxilia também a identificação das necessidades de formação destes profissionais, visando o desenvolvimento pessoal e de competências profissionais. Com a presente revisão narrativa pretende-se refletir sobre a pertinência da implementação de processos supervisivo de pares em enfermagem, bem como do suporte que a informação constitui para a identificação de áreas do conhecimento necessárias à transformação das práticas. Conclusões: Como limitação na concretização deste artigo, evidenciamos a pouca bibliografia disponível principalmente no que respeita à evidência acerca da utilização da informação enquanto suporte à SC de pares em enfermagem, o que nos faz acreditar ser necessário o desenvolvimento de investigação que combine estas duas áreas.Palavras-chave: supervisão clínica; cuidados de enfermagem; informação em saúde; qualidade da assistência à saúde; competência profissional. ABStrACtIntroduction: Quality of care is currently a focus of attention for all health professionals including nurses. Evidence has shown that implementing a supervisory process between peers, promotes the development of professional skills, allowing nurses to provide an appropriate professional and critical-reflexive practice, which in turn, will have positive impact on the quality of nursing care. Resulting from the demographic, technological and scientific changes today information integrates the discourse of health professionals. Development: It is a fact that information is an essential tool in guiding nursing care and it is important to find out what information will be the basis for nurses' decision-making. This question also helps to identify of these professionals' training needs, in order to enhance personal development and professional skills and consequently to improve the quality of nursing care. With this narrative review, we intend to reflect on the relevance of implementing a peer supervision process in nursing, as well as, the support that information provides to identify areas of knowledge that need to be addressed with a view to transforming practices. Conclusions: It is worth noting that the dearth of literature available regarding evidence about the use of information, especially with respect to its sup...
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