A theoretical-Reflective study with the objective to reflect on human needs regarding the imbalance of whole blood donors considering adverse reactions to the donation, and the existing nursing diagnoses that best meet the imbalance needs. The following needs were pointed out according to the signs and symptoms of adverse reactions and based on the Theory of Basic Human Needs: skin and tissue integrity, emotional security, pain perception, body mechanics, oxygenation, physical integrity, physical comfort, elimination, neurological, electrolytic and vascular regulation. By observing NANDA International's Definitions and Classifications, adaptations to the existing nursing diagnoses and suggestions for new headings have been proposed. We conclude that some of the needs are interrelated, such as vascular regulation, oxygenation and physical integrity. Thus, more contextualized nursing diagnoses related to the needs of whole blood donors are needed, given the specific nature of the situation generating imbalances such as: ineffective systemic vascular regulation characterized by self-reported dizziness, cutaneous pallor and arterial hypotension related to vasovagal reaction.
, por ser minha orientadora no início de minha vida acadêmica, ensinando-me a gostar de "realizar e consumir" pesquisas. Pela amizade. Pelas vezes em que compartilhou comigo, de meus planos profissionais e particulares. À Roberta de Souza, pela amizade construída durante a elaboração deste trabalho. Ao Instituto Dante Pazzanese de Cardiologia por ser meu local de coleta de dados e à Andréa Cotait, Rika Kobayashi. Especialmente, agradeço minha chefia direta, Eliana Bittar, pelo apoio na construção deste estudo diante da flexibilidade quanto aos turnos de trabalho e escala de férias. Mais uma vez, muito obrigada. Ao amigo Sérgio Henrique Simonetti, pela amizade e apoio durante esta trajetória. Às enfermeiras Keren e Márcia e toda equipe de enfermagem do centro cirúrgico, pelo apoio. Às chefias e equipes de enfermagem das enfermarias do 4º e 5º andares, pela amizade durante cada dia de coleta de dados. Ao Bernardo, pela atenção dispensada e ajuda nos momentos finais de construção deste trabalho. Às enfermeiras Gabriela, Solange, Harriet, Maksuely, Kátia, Vivian, Marina e Natália que também foram residentes na Especialização em Enfermagem Cardiovascular na Modalidade Residência, pelo apoio. À Danielly Mascarenhas e Ellen Heimberg, por compartilharem deste momento comigo, mesmo distantes fisicamente. À Rosemeire e Gilmar A. Esplendori, pelo apoio. Esplendori GF. Diferenças de gênero na percepção do estresse e nas estratégias de coping de pacientes em pré-operatório de revascularização do miocárdio[dissertação].
La enfermedad coronaria se destaca entre las enfermedades cardiovasculares al victimizar pacientes en todo el mundo. En el periodo preoperatorio de cirugía de revascularización miocárdica (CRM), ocurre estrés. Objetivo: averiguar la relación entre estrés percibido con coping y con estresores de pacientes en preoperatorio de CRM. Materiales y método: enfoque cuantitativo y transversal. La muestra se compuso de 105 pacientes coronariopatas internados en hospital cardiológico. Se utilizaron Escala de Estrés Percibido, Inventario de Estrategias de Coping y dos preguntas abiertas cuyas respuestas fueron cuantificadas y categorizadas. Para el análisis de datos, se utilizó regresión lineal multivariada. Resultados: mayor estrés percibido se relacionó con mayor Escape y esquiva (β = 0,416, p < 0,001), mayor Afrontamiento (β = 0,353, p = 0,001), menor Autocontrol (β = –0,226, p = 0,024), Sexo femenino (β = –0,173, p = 0,048) y “Síntomas clínicos” (β = 0,235, p = 0,015). “Búsqueda por ocupar la mente” (β = –0,196, p = 0,047) y “Afrontar la cirugía como instru- mento de mejoría/cura” (β = –0,255, p = 0,009) se relacionaron con menor estrés percibido. Conclusiones: el estrés percibido sufre variabilidad según determinados estresores y coping. Tales relaciones se deben tener en cuenta para la planeación de la asistencia en enfermería con el fin de reducir el estrés preoperatorio de pacientes coronariopatas.
Teaching with a multisensory approach helps students link new information to prior knowledge and understand relationships between concepts. This study aimed to reflect on convergences between the Multisensory Integration Approach Model with the Learning Assimilation Theory and Meaningful Retention with Bloom’s Cognitive Process Domain, and to propose a taxonomic table of lesson planning for teaching Acute Coronary Syndrome, considering the confluence of these references. The three frameworks consider the importance of students’ prior knowledge, the process of abstraction and generalization of knowledge, and the relationship between working and long-term memory. By observing such convergences and the taxonomic table produced, it is observed that teaching topics of interest to nursing undergraduate students, adopting the Multisensory Integration Approach Model as a taxonomic table component (pre-organizing or recall activities to arouse different sensory perceptions aligned with instructional objectives and forms of assessment), in the light of the Learning Assimilation Theory and Meaningful Retention, has the potential to favor the reception and processing of instructional content.
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