Objective: Was to analyze the concept of advanced practice nursing and elucidate the essential elements: attributes, antecedents and consequences. Methods: The methodological reference for the study was the Walker and Avant (2011) concept analysis model, structured by an integrative review of the literature conducted in May and June, 2017. The Scopus, PubMed, CINAHL, Web of Science, Science Direct, Cochrane and Lilacs databases were searched for studies that addressed the term and that were published in Portuguese, English or Spanish. Results: The sample consisted of 33 studies conducted in eight countries and dated from 2000 to 2016, with 56% published in the fi ve-year period of 2011-2016. Eight attributes were identifi ed: Educational preparation at the master's or doctoral level, and specialization in clinical area; Evidence-based practice; Ability to exercise judgement and critical thinking; High level of autonomy; Advanced and comprehensive assessment; Leadership; Capacity for diagnosis, management and administration; and Teaching other nurses. The antecedents and consequences were identifi ed, and a defi nition of the concept was constructed. Conclusion: Considering that the idea of advanced nursing is expanding worldwide, especially in Latin America, other studies related to Advanced Nursing Practice are recommended. An in-depth understanding of the implementation practice issues in Brazil is necessary, to aide in determining the forthcoming APN concept for the country. This study contributes to that understanding by defi ning the concept of APN, including its antecedents, attributes, and consequences. ResumoObjetivo: Analisar o conceito de Prática Avançada de Enfermagem e elucidar os elementos-chave: atributos, antecedentes e consequências. Métodos: O referencial metodológico para o estudo foi o modelo de análise conceitual de Walker e Avant (2011), estruturado mediante uma revisão integrativa da literatura conduzida nos meses de maio e junho de 2017. A busca foi realizada nas bases de dados Scopus, PubMed, CINAHL, Web of Science, Science Direct, Cochrane e Lilacs, considerando estudos que trataram do termo e que foram publicados em português, inglês ou espanhol. Resultados: A amostra foi composta por 33 estudos conduzidos em oito países entre os anos 2000 e 2016, sendo 56% publicado no quinquênio 2011-2016. Foram identifi cados oito atributos: Preparação educacional em nível de mestrado ou doutorado, e especialização em área clínica; Prática baseada em evidências; Habilidade de desenvolver raciocínio clínico e pensamento crítico; Alto nível de autonomia; Avaliação avançada e ampla; Liderança; Capacidades diagnóstica, gerencial e administrativa; Promoção do ensino às outras enfermeiras. Foram identifi cados os antecedentes e consequências e foi desenvolvida uma defi nição do conceito. Conclusão: Diante da expansão da ideia de enfermagem avançada pelo mundo, particularmente na América Latina, recomendam-se outros estudos relacionados à Prática Avançada de Enfermagem. É necessária uma compreensão aprofunda...
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.
Aim: characterize the sociodemographic and clinical profile of patients with the diagnosis of dry eye risk nursing in intensive care unit. Methods: this is a cross-sectional study carried out at the intensive care unit of a university hospital located in the northeastern region of Brazil between January and July 2016. Results: it was observed that 51% of the patients were male, the mean age was 59.5 years, and 65.6% had a partner. Regarding the reasons for hospitalization, 53.1% were in the postoperative period and 46.9% were clinical patients; 49% were on invasive mechanical ventilation. Conclusion: to know the characteristics of patients with the diagnosis of dry-eye risk nursing in an intensive care unit becomes important in order to direct care for the prevention and early detection of the problem in order to reduce ocular complications
Objective: The objective is to correlate the nursing diagnoses of the domain Safety/Protection of NANDA-I in critically ill patients with sociodemographic and clinical data. Method: A cross-sectional study with 86 individuals was conducted, from October 2013 to May 2014 in the Intensive Care Unit of a university hospital in northeastern Brazil, through a formal interview and physical examination. Results: It was possible to identify a total of 20 significant statistical associations, and 15 were clinically justified by the literature, namely: risk for aspiration and reason for admission; impaired dentition and age; risk for peripheral neurovascular dysfunction and sex and comorbidity; skin integrity and comorbidity; risk for impaired skin integrity and gender and reason for admission; impaired tissue integrity and gender and reason for admission; risk for perioperative positioning injury and reason for admission; risk for thermal injury and age and comorbidity; delayed surgical recovery and reason for admission; risk for poisoning and years of schooling; and risk for imbalanced body temperature and age. Conclusions: By understanding the relationship between customers' answers and the sociodemographic and clinical profile, positive health outcomes can be achieved in particular in the prevention of risks facing vulnerability characteristics, providing greater safety and protection for the critical customer.
Introduction: Hematopoietic Stem Cell Transplantation (HSCT) is a treatment modality for oncology and hematological diseases genetically inherited or acquired. The morbidities and mortalities related to HSCT are evident in its different phases, such as the Graft Versus Host Disease especially on dry eye syndrome, one of the most complication of chronic phase, characterized as a multifactorial disease of the ocular surface. Several treatments may be directed to the dry eye and the consequences caused by it during the HSCT post-period.Objective: To reveal the treatments for dry eye in patients after HSCT period.Method: This is a literature integrative review performed by the SCOPUS databases, National Library of Medicine (PubMed); Web of Science and Cumulative Index to Nursing and Allied Heath Literature (CINAHL). Results:Of the 1,551 articles identified, there were 21 in the final sample. Regarding the treatments addressed, the most often used was found the cyclosporine 0.05%, followed by allogeneic and autologous drops. Conclusion:There was no consensus identified as the best type of treatment for these patients. However, it is known that depend mainly on clinical features of chronic graft-versus-host eye on the post-transplantation situation.
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