RESUMO: Este estudo de abordagem qualitativa teve como objetivo identificar as práticas da assistência de enfermagem frente ao trabalho de parto e parto em hospital público e a perspectiva da mulher neste processo. Os dados foram coletados por meio de entrevista semiestruturada a 22 gestantes; verificou-se que a maioria realizou mais de seis consultas pré-natal e apresentou cartão da gestante no momento da internação. Referente às orientações sobre o processo parturitivo as participantes referiram estar adequadamente preparadas; e relataram dor de parto de 10 na Escala Analógica Visual. Foi referido encorajamento a ser ativa no trabalho de parto, escolher o acompanhante, deambular e utilizar as práticas não farmacológicas de controle/alívio da dor como orientações recebidas da equipe de saúde da instituição hospitalar. DESCRITORES: Enfermagem obstétrica; Parto humanizado; Trabalho de parto. NURSING ASSISTANCE AND THE WOMAN'S PERSPECTIVE IN LABOR AND BIRTHABSTRACT: This study, with a qualitative approach, aimed to identify the nursing care practices in regard to labor and birth in a public hospital, and the woman's perspective on this process. The data was collected through semi-structured interviews with 22 pregnant women; it was verified that the majority had more than six pre-natal consultations and presented their pregnancy medical card when they went into hospital for the birth. Referent to the guidance on the birth process, the participants stated that they were adequately prepared; they reported labor pain as 10 on the Visual Analog Scale. They mentioned encouragement to be active in the labor, choosing the companion, walking around, and using non-pharmacological practices for pain control/ relief as guidance received from the health team of the hospital institution. DESCRIPTORS: Obstetric nursing; Humanized childbirth; Labor. ASISTENCIA DE ENFERMERÍA Y LA PERSPECTIVA DE LA MUJER EN EL TRABAJO DE PARTO Y PARTORESUMEN: Este estudio de abordaje cualitativo tuvo como objetivo identificar las prácticas de asistencia de enfermería delante del trabajo de parto y parto en hospital público y la perspectiva de la mujer en este proceso. Los datos fueron obtenidos por medio de entrevista semiestructurada a 22 gestantes; se verificó que la mayoría realizó más de seis consultas prenatal y presentó tarjeta de gestante en el momento de la internación. Acerca de las orientaciones sobre el proceso de parto las participantes afirmaron que estaban preparadas de modo adecuado; ellas relataron dolor de parto de 10 en la Escala Analógica Visual. Fue relatado que se las encorajó a una postura activa en el trabajo de parto, elegir el acompañante, deambular y utilizar las prácticas no farmacológicas de control/alivio del dolor como orientaciones que vinieron del equipo de salud de la institución hospitalar. DESCRIPTORES: Enfermería obstétrica; Parto humanizado; Trabajo de parto.
Introduction: Hospital nurses play a key role in the aftermath of the occurrence of disasters and need specific competencies to work in these situations. From a global perspective, few models exist that focus on disaster nursing. Problem: This study aimed to identify hospital nurses' competencies in disaster situations. Method: A qualitative, descriptive, exploratory study was developed using focus groups as a method of data collection. Three meetings were held from June through September 2012 with nurses who worked at a hospital used as reference for disaster situations in the South of Brazil. Thematic analysis of collected data generated the competencies. For statement standardization, a format consistent with a verb, a noun, and a complement was adopted. Results: The group validated 17 competencies, which were organized according to the phases of emergency management described by the World Health Organization (WHO) and classified in domain areas of management, health care, communication, and education. Conclusions: The competencies identified in this study can contribute to the education and practice of nurses in the hospital ambience, strengthening its capacity to face disaster situations.Marin SM, Witt RR. Hospital nurses' competencies in disaster situations: a qualitative study in the South of Brazil. Prehosp Disaster Med. 2015;30(6):548-552. IntroductionThe growth in the number and intensity of disasters has resulted in human, material, and environmental damage with social and economic consequences. In Brazil, this situation has become worrying. The country detects a great amount of road, traffic, and work accidents, and many other disasters such as floods,
Objective: to identify the main biosafety measures for preventing COVID-19 in healthcare professionals. Methods: this is an integrative literature review, with studies published between January and July 2020, on the MEDLINE/PubMed, Scopus, Embase, Web of Science, LILACS, SciELo, Wiley Online Library, Cochrane CINAHL databases. The selection of studies followed the PRISMA recommendations. Results: among the 2,208 publications identified, 12 studies comprised the sample, which enabled the analysis in four thematic categories: The importance of using recommendations about the use of personal protective equipment; The restructuring of new operational and clinical routines and flows in the practice of services; Monitoring professionals, especially testing; Conducting training. Conclusions: the phenomena involved are innumerable, covering operational management and the training of teams to deal with highly infectious pathogens and disease outbreaks.
To check the adherence to the immunosuppressive treatment of post-renal transplant patients. Method: This is a quantitative, transversal, descriptive-exploratory study performed using 50 patients in the Brazilian state of Santa Catarina. The study involved a semistructured interview based on the "Measurement Test of Adherence to Treatments". Results: It was observed that 76% of the patients were considered to be non-adherent to the immunosuppressive treatment; in 62% of the cases it was unintentional behavior; 2% of the cases mentioned lack of motivation to continue treatment; 44% of the cases ingested from 11 to 15 pills/day. The complications reported were hypertension, diabetes and graft rejection. Discussion: Besides the non-adherence, patients demonstrated understanding and motivation regarding the medication. The excessive umber of drugs ingested on a daily basis influenced the adherence to the treatment. There were two chronic rejections, one of which presented a connection to non-adherence to the immunosuppressive treatment. Conclusion: The number of medications contributed to non-adherence.
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