Background & Aim: The importance of breastfeeding and its exclusivity in the first six months of a child’s life is worldwide recognized. Despite that adherence to exclusive breastfeeding is far from international standards. Therefore, updating evidence on this topic is essential to demonstrate to parents and health professionals the benefits of exclusive breastfeeding, demystifying ideas, and promoting adherence. Methods & Materials: An integrative review was conducted with a search in Medline, SciELO, and CINHAL databases, with the descriptors “breastfeeding", "breast", "feeding", "breastfeeding", "exclusive" and "benefits”, combined with the Boolean operator "AND" and “OR”, for studies published between 2014 and 2019. Of the 221 studies identified, eight were included for review. Results: Short-term and long-term benefits of exclusive breastfeeding for children were identified such as healthier eating habits, reduced length of hospital stay, favorable weight increase, lower body mass index, lower adiposity, lower total cholesterol values, better cognitive and behavioral development, as well as stability of metabolic levels in children with metabolic disorders. Conclusion: There are benefits for exclusive breastfeeding that must be explained to parents. Nurses must incorporate the best available evidence into their practice to enable parents to realize the impact of the choice of exclusive breastfeeding on the child's health, increasing their adherence.
Descriptive, exploratory and qualitative study, carried out through the Delphi Technique, with a sample of 32 obstetrics specialist nurses working in 3 hospitals and 9 primary health care centers in the district of Oporto, Northern Portugal. The purposes of this work were: 1. to identify a group of nurses' ideas and consensual conceptions about Childbirth Preparation; 2. to know which information sources are consensually more used by nurses; 3. to know how they accept Childbirth Preparation programs as a way for pregnant women to have an active delivery. Results revealed that Childbirth Preparation is, according to the participants, an educational moment toward health, involving technical, educational, relational and informative procedures of great importance to pregnant women and nurses. This involves the period from the start of pregnancy to the puerperium, as a means of changing wrong behaviors with a view to achieving an expected goal of health gains for pregnant women and their family.
Dysphagia is frequent after stroke, and it increases the risk of respiratory infection, dehydration and malnutrition, resulting in worse outcomes. Different clinical guidelines present recommendations for the assessment and management of dysphagia in stroke patients in a scattered way. These best practice recommendations address seven clinical questions on the assessment and management of dysphagia in stroke patients, gathering the best-updated evidence. A systematic literature review using the PICO strategy was performed. The recommendations draft was then appraised by a multidisciplinary panel of experts (nutritionists, physiatrists, speech-language pathologists and rehabilitation nurses) in a total of 3 Delphi rounds. A minimum of 80% consensus was established, and the final version offers a total of 21 recommendations for use in clinical practice for stroke patients. These clinical recommendations are an overview of the most recent evidence combined with experts’ consensus and translated into clinically relevant statements. In implementing recommendations at the local level, health professionals should identify facilitators and barriers to evidence-based practice within their contexts and determine the best strategies to address local needs. Where the change is needed, initial and continuing training on all recommendations is essential and relevant.
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