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Objective: To identify in the literature the defining characteristics and related factors of the nursing diagnosis "ineffective breathing pattern". Method: Integrative review with the steps: problem identification, literature search, evaluation and analysis of data and presentation of results. Results: Twenty articles and two dissertations were included. In children, the most prevalent related factor was bronchial secretion, followed by hyperventilation. The main defining characteristics were dyspnea, tachypnea, cough, use of accessory muscles to breathe, orthopnea and adventitious breath sounds. Bronchial secretion, cough and adventitious breath sounds are not included in the NANDA-International (NANDA-I). For adults and older adults, the related factors were fatigue, pain and obesity and the defining characteristics were dyspnea, orthopnea and tachypnea. Conclusion: This diagnosis manifests differently according to the patients’ age group. It was observed that some defining characteristics and related factors are not included in the NANDA-I. Their inclusion can improve this nursing diagnosis.

RESUMO:Objetivo: construir e validar o conteúdo de um instrumento para registro da assistência de Enfermagem Perioperatória para um Hospital de Clínicas, visando a atender as exigências da Organização Mundial da Saúde propostas no 2.º Desafio Global e reafirmadas no Manual Cirurgias Seguras Salvam Vidas do Ministério da Saúde Brasileiro. Método: trata-se de um relato de experiência. A construção do instrumento fundamentou-se na Teoria das Necessidades Humanas Básicas e na revisão bibliográfica sobre o tema. Para a validação de conteúdo, foram realizadas aulas expositivas para treinamento da Equipe de Enfermagem. Resultados: o instrumento foi analisado como satisfatório pelas avaliadoras por ser de fácil interpretação e preenchimento. Conclusão: ressalta-se a importância da parceria entre a academia e o serviço de saúde. Sugere-se que o desenvolvimento de instrumentos com esta finalidade seja realizado em conjunto, no intuito de auxiliar os profissionais nos campos de estágio, envolver alunos estagiários e valorizar a assistência de Enfermagem. PALAVRAS-CHAVE:Enfermagem perioperatória. Diagnósticos de enfermagem. Segurança.ABSTRACT: Objective: The purpose of this study is to develop and validate an instrument of perioperative nursing for a university hospital aiming to meet the requirements proposed at the 2nd Global Challenge of the World Health Organization (WHO) and reiterated in the "Safe Surgeries Save Lives" Manual from the Brazilian Ministry of Health. Method: It is an experience report of descriptive approach. The construction of the instrument was based on the Basic Human Needs Theory and on literature review. Training lectures were conducted with the nursing staff to validate the instrument contents. Results: The instrument was assessed as satisfactory by evaluators because it can be easily filled in. Conclusion: We realized how important the partnership between the academy and the health service is. We suggest that more studies such as this one be undertaken in order to assist the field of training, engage trainee students, and enable the recovery of our profession.KEYWORDS: Perioperative nursing. Nursing diagnosis. Safety. RESUMEN:Objetivo: construir y validar el contenido de un instrumento para registro de la asistencia de enfermería perioperatoria en un Hospital de Clínicas, con el objetivo de atender las exigencias de la Organización Mundial de Salud, propuestas en el 2º Desafío Global y reafirmadas en el Manual "Cirugías Seguras Salvan Vidas" del Ministerio de Salud. Método: se trata de un relato de experiencia. La construcción del instrumento se fundamentó en la teoría de las Necesidades Humanas Básicas y en la revisión bibliográfica sobre el tema. Para la validación del contenido se realizaron clases expositivas, con el fin de entrenar al equipo de enfermería. Resultados: el instrumento fue evaluado como satisfactorio al ser de fácil interpretación y cumplimentación. Conclusión: se resalta la importancia de que haya colaboración entre el mundo académico y el servicio de salud. Se sugiere que el ...

Objetive:to identify risk factors for death in patients who have suffered non-infectious adverse events. Method:a retrospective cohort study with patients who had non-infectious Adverse Events (AE) in an Intensive Care Unit. The Kaplan Meier method was used to estimate the conditional probability of death (log-rank test 95%) and the risk factors associated with death through the Cox regression. Results:patients over 50 years old presented a risk 1.57 times higher for death; individuals affected by infection/sepsis presented almost 3 times the risk. Patients with a Simplified Acute Physiology Score III (SAPS3) greater than 60 points had four times higher risk for death, while those with a Charlson scale greater than 1 point had approximately two times higher risk. The variable number of adverse events was shown as a protection factor reducing the risk of death by up to 78%.Conclusion:patients who had suffered an adverse event and who were more than 50 years of age, with infection/sepsis, greater severity, i.e., SAPS 3>30 and Charlson>1, presented higher risk of death. However, the greater number of AEs did not contributed to the increased risk of death.

Resumo Este estudo objetivou analisar a associação entre multimorbidade e depressão e qualidade de vida em idosos da Estratégia de Saúde da Família (ESF), por meio de estudo transversal com cadastrados na ESF de Senador Guiomard, Acre. Utilizou-se a Escala de Depressão Geriátrica (EDG-15) e o Questionário de Qualidade de Vida (WHOQOL-Bref). As diferenças das variáveis descritivas por idosos com e sem multimorbidade foram estimadas pelo teste qui-quadrado de Pearson e as associações entre multimorbidade e depressão e qualidade de vida foram estimadas com técnica de regressão logística. Observou-se que idosos com depressão representaram 27% da amostra, sendo essa doença em maior proporção entre os com multimorbidade em comparação àqueles sem. Os idosos com multimorbidade tiveram duas vezes mais chance de apresentar depressão. Similarmente, os indivíduos com multimorbidade tiveram maior chance de pior qualidade de vida total e nos domínios físico, psicológicos, social (todos com p ≤ 0,010), exceto no domínio ambiental (p = 0,493). Assim, a multimorbidade em idosos está associada à presença de depressão e pior qualidade de vida, impondo à ESF o desafio de garantir a essa população viver a senescência sem sofrimento e redução da qualidade de vida.

IntroductionHospitalised patients with nasogastric/nasoenteric tube (NGT/NET) are at constant risk of incidents; therefore, healthcare professionals need to routinely monitor risks and adopt strategies for patient safety and quality of care.AimThis study aimed to evaluate the NGT/NET-related incidents in hospitalised patients and associated factors.MethodsThis is a multicentre study, with a prospective cohort design. Data will be collected at the general medical ward of seven Brazilian hospitals in the north, northeast, southeast and south. The sample will consist of 391 patients that require an NGT/NET during hospitalisation. Three different methods will be used to identify the incidents: (1) healthcare professionals and patients/caregivers will be required to report any NGT/NET-related incidents; (2) researchers will visit the wards to get information about the incidents with healthcare professionals and patients/caregivers; (3) the researchers will review the medical records looking for information on the occurrence of any NGT/NET-related incidents. Demographic, clinical and therapeutic details will be obtained from the medical records and will be registered in an electronic data collection tool developed for the purposes of this study. The complexity of patients will be assessed by the Patient Classification System, and the severity of comorbid diseases will be assessed through the Charlson Comorbidity Index.Implication for practiceThe results may encourage the use of evidence effectively to influence the scientific foundation for clinical practice and the development of evidence-based policies that will prevent, manage and eliminate complications caused by NGT/NET-related incidents, and improve the quality and safety of care provided to hospitalised patients.Ethics and disseminationThe study has been approved by the Research Ethics Committee. Detailed information about the study can be provided by the principal investigator. The findings will be reported through academic journals, seminar and conference presentations, social media, print media, the internet and community/stakeholder engagement activities.

Objectives: Identify the occurrence of depressive symptoms in family caregivers of patients with heart failure and the correlation of other variables with depressive symptoms.Design/Method: The literature review was conducted in the Web of Science, Medline, LILACS and PubMed databases in March 2017. Papers published between 2004 and 2016, written in English, Spanish or Portuguese were included. The descriptors used were health, heart failure, depression, caregivers, and family.Results: 26 papers were selected. 6% to 64% reported depressive symptoms. Depressive symptoms were associated with patients' and caregivers' characteristics. In most cases, depressive symptoms were greater among family caregivers than in the general population and were mainly associated with care burden and quality of life. Conclusions:The studies report depressive symptoms in caregivers of patients with heart failure.Objetivos: Identificar a ocorrência de depressão em cuidadores familiares de pacientes com insuficiência cardíaca e a correlação de outras variáveis com a depressão.Método: A busca bibliográfica foi realizada nas bases de dados Web of Science, Medline, LILACS e PubMed, em março de 2017. Artigos publicados entre 2004 e 2016, escritos em inglês, espanhol ou português, utilizando os descritores saúde, insuficiência cardíaca, depressão, cuidadores e familiares foram incluídos.Resultados: Foram selecionados 26 trabalhos. 6% a 64% reportaram sintomas depressivos. Os sintomas depressivos foram associados com as características dos pacientes e cuidadores. Em sua maioria, os sintomas depressivos foram maiores entre os cuidadores familiares que a população em geral e se relacionou principalmente com a sobrecarga do cuidado e a qualidade de vida. Conclusão:Os estudos identificaram sintomas depressivos nos cuidadores de pacientes com insuficiência cardíaca. Palavras-chave: Insuficiência cardíaca. Depressão. Família. Cuidadores. RESUMEN Objetivos: Identificar la ocurrencia de síntomas depressivos en los cuidadores familiares de pacientes con insuficiencia cardíaca y la correlación de otras variables con los síntomas depressivos. Diseño / Método: La búsqueda bibliográfica se realizó en las bases de datos Web of Science, Medline, LILACS y PubMed en marzo de 2017. Se incluyeron artículos publicados entre 2004 y 2016, escritos en inglés, español o portugués, utilizando los descriptores de salud, insuficiencia cardíaca, depresión, cuidadores y familia.Resultados: Se seleccionaron 26 trabajos. De 6% a 64% reportaron síntomas depresivos. Los síntomas depressivos se asociaron a características de pacientes y cuidadores. En la mayoría de los casos, los síntomas depresivos fueron mayores entre los cuidadores familiares que en la población general y se relacionaron principalmente con la carga asistencial y la calidad de vida. Conclusiones:Los estudios identificaron síntomas depresivos en los cuidadores de pacientes con insuficiencia cardiaca.

Objective: construction and validation of a systematization instrument for Nursing Care, characterizing the profile of patients of an intensive care unit in the north of Brazil. Methods: it was a descriptive methodological study that followed a nursing process model in five phases. Results: it was suggested that the instrument be constructed in two formats; one for admission and another for daily assessment. Some items were removed from the instrument according to content validation content by the nurses. Of the 45 patients evaluated, 60.0% were men, 44.0% were married, 40.0% had low education levels, chronic renal failure and cancer. The main nursing diagnoses were risk for infection (100.0%) and impaired physical mobility (97.8%). The main nursing interventions were: handwashing, changing intravenous access, performing aseptic techniques and moving patients every 2 hours. Conclusion: construction and content validation were carried out successfully, promoting instruments capable of providing quality nursing care for patients in intensive care.