Objective:to develop, evaluate and validate a surgical safety checklist for
patients in the pre and postoperative periods in surgical hospitalization units.
Method:methodological research carried out in a large public teaching hospital in the
South of Brazil, with application of the principles of the Safe Surgery Saves
Lives Programme of the World Health Organization. The checklist was applied to 16
nurses of 8 surgical units and submitted for validation by a group of eight
experts using the Delphi method online. Results:the instrument was validated and it was achieved a mean score ≥1, level of
agreement ≥75% and Cronbach’s alpha >0.90. The final version included 97 safety
indicators organized into six categories: identification, preoperative, immediate
postoperative, immediate postoperative, other surgical complications, and hospital
discharge. Conclusion:the Surgical Safety Checklist in the Pre and Postoperative periods is another
strategy to promote patient safety, as it allows the monitoring of predictive
signs and symptoms of surgical complications and the early detection of adverse
events.
Objetivo: analisar a literatura científica acerca das tecnologias e cuidados para posicionamento e reposicionamento do cateter central de inserção periférica (PICC) em neonatos. Método: revisão integrativa, com busca realizada em fevereiro de 2022 em quatro bases de dados. Resultados: incluíram-se 32 estudos que abordam uso de tecnologias para verificação da localização do PICC, procedimentos para seu posicionamento e manobras para reposicionamento. Para posicionamento adequado deve-se atentar para seleção do vaso, mensuração correta do dispositivo e manutenção do bem-estar do recém-nascido. Frente ao mal posicionamento sugere-se a movimentação do membro, flush, tração do cateter, e conduta expectante. A verificação da localização da ponta é rotineira, por meio de radiografia, ultrassonografia ou eletrocardiograma. Conclusão: recomenda-se a adoção de tecnologias não invasivas para o posicionamento e reposicionamento do PICC em neonatos. As evidências apontam para competência profissional na tomada de decisão para o cuidado seguro e de qualidade, e prevenção de eventos adversos.
Objective: To analyze the scales used to measure critical thinking in undergraduate nursing students.Methods: Scoping review guided by Joanna Briggs Institute recommendations. Search carried out in November/2021 in five databases and two libraries. Descriptive data analysis.Results: Final sample had 57 articles. 91% (n = 53) adopted a validated scale to measure critical thinking in nursing students, and 9% (n = 4) combined two of them. California Critical Thinking Disposition Inventory, California Critical Thinking Skills Test, and Health Science Reasoning Test were the most used scales. Studies with beginners prevailed, and there were several contexts and research themes. Simulation and concept mapping were the most evaluated teaching strategies, and 59.6% (n = 34) identified an increase in critical thinking after the intervention.Conclusions: Nursing managers and educators have 17 validated scales available to measure critical thinking, a fundamental element of clinical practice.
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