De Enfermagem Research Articles

Adaptation and validation of the instrument positions on the nursing process

estimate the psychometric properties in the adaptation of the instrument Positions on Nursing Diagnosis to assess nursing staff members' attitudes towards the nursing process. methodological study with a non-probabilistic sample of 973 nursing assistants and 632 baccalaureate nurses from 35 hospitals and outpatient clinics affiliated with the São Paulo State Health Secretary. The validity of the 20-items instrument was checked through confirmatory factor analysis, which identified a more generally secondary-level factor, constituted by the three classical attitude factors. Reliability corresponded to 0.954 for the total instrument. the validity and reliability of the instrument Posições sobre o Processo de Enfermagem are appropriate . further research is needed to verify whether the items behave differently according to the respondent's professional category and to verify the instrument's behavior when applied to student samples.

Contaminação por fungos antes e após limpeza e desinfecção de colchões hospitalares

OBJETIVO: Verificar se existe contaminação por fungos antes e após limpeza e desinfecção terminal de colchões hospitalares utilizados por portadores de candidemia. MÉTODOS: Estudo transversal que investigou 25 colchões de diferentes unidades hospitalares e utilizados por pacientes com candidemia, confirmados por hemocultura. Utilizou-se amostragem por conveniência. Após crescimento em Ágar Sabouraud Dextrose as leveduras isoladas foram identificadas pelas características macroscópicas, microscópicas e fisiológicas. RESULTADOS: Totalizou-se 15 (60%) colchões contaminados com Candida spp. Desse total, 10 (66,7%) e cinco (33,3%) corresponderam respectivamente à coleta antes e após a desinfecção dos colchões, sendo que a espécie mais frequentemente isolada foi Candida parapsilosis. CONCLUSÃO: Considerando que a metade dos colchões permaneceram contaminados após o processo de limpeza e desinfecção, pode-se inferir sobre o risco destes atuarem como reservatórios secundários na cadeia de infecção.

Skin rashes, part 1: Skin structure and taking a dermatological history

Practice NursingVol. 24, No. 1 DermotologySkin rashes, part 1: Skin structure and taking a dermatological historyJean WatkinsJean WatkinsSearch for more papers by this authorJean WatkinsPublished Online:29 Sep 2013https://doi.org/10.12968/pnur.2013.24.1.30AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View articleReferences Amirak B (2011) Skin anatomy. http://emedicine.medscape.com/article/1294744-overview (accessed 22 November 2012) Google Scholar Cancer Research UK (2012) Skin cancer risks and causes. http://tinyurl.com/cpamxuq (accessed 22 November 2012) Google Scholar Chiang N, Verbov J (2009) Dermatology: A handbook for medical students and junior doctors. http://tinyurl.com/bpoatm4 (accessed 22 November 2012) Google Scholar Krishna S (2009) Disfigurement: psychological impact and coping. Open Dermatol J 3: 55–7 Google Scholar Kupper T, Fuhlbrigge R (2004) Immune surveillance in the skin: mechanisms and clinical consequences. Nat Rev Immunol 4: 211–22 Crossref, Google Scholar Oakley A (2012a) Sebum. www.dermnetnz.org/acne/sebum.html (accessed 22 November 2012) Google Scholar Oakley A (2012b) Structure of the dermis & subcutis. www.dermnetnz.org/doctors/principles/dermis.html (accessed 22 November 2012) Google Scholar Office of Dietary Supplements (2011) Vitamin D. http://ods.od.nih.gov/factsheets/VitaminDHealthProfessional/ (accessed 23 November 2012) Google Scholar Phillips B (2011) Nail Anatomy. http://emedicine.medscape.com/article/1948841 (accessed 23 November 2012) Google Scholar FiguresReferencesRelatedDetailsCited bySafety of a formulation containing chitosan microparticles with chamomile: blind controlled clinical trial29 November 2018 | Revista Latino-Americana de Enfermagem, Vol. 26, No. 0Skin Cancer: An Overview of Epidemiology and Risk FactorsSeminars in Oncology Nursing, Vol. 29, No. 3Skin rashes, part 2: Distribution and different types of rashes31 August 2014 | Practice Nursing, Vol. 24, No. 3 1 January 2013Volume 24Issue 1ISSN (print): 0964-9271ISSN (online): 2052-2940 Metrics History Accepted 5 November 2012 Published online 29 September 2013 Published in print 1 January 2013 Information© MA Healthcare LimitedKeywordsDermatologydermatological historydifferential diagnosisself-examinationskin structurePDF download

Nursing care provided to blood donors - from the perspective of integral healthcare

Objective: To analyze the operative rationale in the field of nursing care provided to blood donors. Method: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. Results: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. Conclusion: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices. 1 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 2 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 3 Universidade Federal de Niteroi. Niteroi RJ, Brazil. 4 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 5 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. RESEARCH PESQUISA INVESTIGACION O cuidado de enfermagem aos doadores de sangue a perspectiva da integralidade Esc Anna Nery (print)2013 Sep-Dec; 17 (4):661 667 Nereida Lucia Palko dos Santos1, Marluci Andrade Conceicao Stipp2, Ana Lucia Abrahao da Silva3, Marlea Chagas Moreira4, Josete Luzia Leite5 Atencion de enfermeria a los donantes de sangre perspectiva integral de la salud Nursing; Blood Donors; Comprehensive Health Care; Blood Banks.

Jacalin drives macrophage polarization toward an anti-tumor M1-like phenotype

Event Abstract Back to Event Jacalin drives macrophage polarization toward an anti-tumor M1-like phenotype Gabriela Pereira-da-Silva1, 2*, Cláudia D. Polli2, Thais H. Geraldino2, Luciana C. Veronez2, Luciana P. Ruas2 and Maria Cristina Roque-Barreira3 1 Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Enfermagem Materno-Infantil e Saúde Pública, Brazil 2 Programa de Pós-graduação em Imunologia Básica e Aplicada. Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Brazil 3 Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Biologia Celular e Molecular, Brazil Tumor-associated macrophages (TAMs) have an ambiguous and complex role in the carcinogenic process, since these cells can be polarized into different phenotypes by the tumor microenvironment. As the interactions between tumor cells and TAMs involve several players, a better understanding of the function and regulation of TAMs is crucial to drive their differentiation into cells with an anti-tumor phenotype. In this study, we investigated the modulation of macrophage tumoricidal activities by jacalin. The lectin bound to macrophage surface through its carbohydrate recognition domains, and induced cytokine production by these cells. Jacalin stimulation increased the expression of TNF-α, IL-1β and MIP-1α mRNA. As measured by ELISA, higher levels of TNF, IL-6, IL-12, IL-1β and IL-10 were detected in the supernatant from jacalin-stimulated macrophages. Given that pro-inflammatory cytokines were predominantly produced by macrophages in response to stimulation with jacalin, we next investigated whether NF-κB signaling is activated by the lectin. We found that jacalin was able to activate the transcription factor. The results obtained indicate that the lectin polarize macrophages toward the pro-inflammatory, anti-tumor M1-like phenotype. Therefore, we studied the tumoricidal activities of jacalin-stimulated macrophages. Incubation of HT-29 or MCF-7 cells with supernatants from macrophages stimulated with jacalin resulted in a reduction of cell viability, as assessed by MTT assays. Furthermore, flow cytometric analysis showed that the reduction of cell viability was due to apoptosis of tumor cells. Taken together, these results indicate that jacalin, through its ability to exert a pro-inflammatory activity, can direct macrophages to an anti-tumor phenotype. Financial Support: Fundação de Amparo à Pesquisa do Estado de São Paulo – FAPESP.

Intersectoral Action for Promotion of Self Esteem in Women with Breast Cancer-Report of Experience

INTRODUCTION: The intersectoral health is defined as an action in which the health sector and other relevant sectors collaborate to achieve a common goal, through close coordination of the contributions of other sectors. With this perspective, the program Mastology of the Hospital das Clinicas of Universidade Federal de Goias (Federal University of Goias) - UFG, reference service to users of the Unified Health System (Sistema Unico de Saude), together with the Association of Patients with Breast Cancer (Associacao dos Portadores de Cancer de Mama) - APCAM, statewide and nonprofit, develop educational and cultural activities with a monthly average of 25 members, to improve the quality of life. Given the impact of diagnosis and treatment of breast cancer in the life of such patients, in both emotional and social, interfering considerably to low self-esteem, was proposed an intersectoral activity to work this issue with the associated. This report aims to describe an intersectoral action to promote self-esteem of women with breast cancer of APCAM. REPORT: in May 2012 was made an intersectoral action to promote self-esteem for participants APCAM, College of Nursing (Faculdade de Enfermagem) UFG, with the support and partnership of private enterprise, seeing promote a transformation in the visual and emotional aspects of the associated APCAM to raise self-esteem. Participated the event “self esteem” 75 women. They were received by the team, and held the registration for participation and registration of the perception of self-esteem. All have a bag with Kit Self-Esteem. To open the event was organized a lecture on “self esteem” delivered by a carrier of breast cancer, and guaranteed the expression of participants throughout the exhibition theme. Next, to promote relaxation and integration among the participants were offered a cocktail party and held a session of beauty and hairdressing and makeup and photo session group and individual, with permission to record the image. The event was concluded with the holding of a parade of all participants. Overall, it was expressed by participants that the event promoted the importance of identification of self-care with body image to improve self-esteem, as well as the importance of social interaction to promote relaxation and joy. The following statements show that perception, “Wow! I was down [... ] when I got ready I felt a person, nor does it seem that I am “(VN, 40 years), “ I can not even see me naked in the mirror, but now I feel pretty up “(NP, 39 years ) “I came here discouraged, sad with pain, but now I m very happy” (BR, 62 years), “When I was well until now much better [... ] a television artist” (MHB, 59 years). DISCUSSION: Intersectoral action demonstrated collaborate with the evaluative aspect of self- esteem of women with breast cancer, as evidenced by the testimonies of the participants.

Serviço de enfermagem em saúde pública do Hospital de Clínicas de Porto Alegre: 40 anos de história

The Public Health Nursing Service (SESP) of Clinicas Hospital (HCPA) celebrated its 40th anniversary in 2012 and was a pioneer in implementing outpatient nursing consultation. SESP was organized taking into consideration infrastructure to plan nursing care based on the policy in effect and the needs of the community(1). At that time, it was a huge challenge, since there were few models for outpatient nursing care. Therefore, the proposal was to make care dynamic and focused on self-care, modifying the traditional outpatient(1) nursing patterns. Thus, SESP was organized as a Service instead of a unit, specifically to make the creation of Programs(1) possible. It is necessary to recognize the actions of people who occupied strategic positions and established benchmarks. In 1972, the first chief was a professor at the Federal University of Rio Grande Sul Nursing School (EENF/UFRGS), Lea Cecilia Muxfeldt, who, in a pioneering move in conjunction with coordinator, Professor Maria Helena Nery, initiated SESP’s activities. The following nurses were also part of this project: Arlete Spencer Vanzin, in the area of Adult Health Nursing; Baltazar Renosi Lapis, in the area of Psychiatric Nursing; Nilcea Maria Nery Duarte, in the area of Obstetrical Nursing; Lourdes Falavigna Boeira and Walderez Spencer Uebel, both in the area of Puericulture(2) Nursing. During the 70s and 80s, the objectives of SESP were planning, organizing and coordinating HCPA public health programs, including health promotion through self-care geared towards patients and their families; and working as a teaching and research center for public health nursing. Nurses carried out activities related to individual and group care for patients and their families; technical and administrative activities related to continued education; supervision of the nursing team; organization, implementation and assessment of programs, as well as teaching and research activities together with the multidisciplinary and faculty team from EENF/UFRGS(1,2). Since its implementation in 1972, nursing consultation has employed phases of the nursing process, based on the Theory of the Basic Human Needs by Wanda Horta. Its main focus is on individual health(1) needs. It is important to note that SESP’s pioneerism in Brazil was directly related to the implementation of nursing consultation as an independent activity offered by nursing professionals to the community(1,2) systematically and continuously. This initiative influenced the regulation of the Professional Practice Law of 1986, establishing nursing consultation as a private activity of the nurses(3). Adapting to the evolution of the Health System, the programs were expanded and adapted, including the configuration of SESP, which has been modified over the years. The current configuration of the HCPA Nursing Group flowcharts has been in effect since January 2009, with SESP comprised of 15 outpatient zones and the Basic Health Unit (UBS). The team is composed of nurses, nursing technicians and assistants. The professors of EENF/UFRGS and the chief nurses of HCPA(4) unit board oversee the management. Currently, SESP maintains actions targeted at the primary (UBS), secondary and tertiary (outpatient) health-focused levels, integrated to the reference and counter-reference of the Unified Health System (SUS). Care related activities are developed through nursing consultations, educational groups, home visits and specific procedures. These are the Health Programs: Children’s, Women’s, Adult and Elderly, Mental Health and Basic Care. Access to consultations is based on SUS’s principles, referrals by professionals of the institution, and according to the specificity of each program. The quest to qualify care has been occurring, grounded on the scientific method of Systematization of Nursing Care (SAE), with NANDA-I(2) taxonomy as the theoretical benchmark for Nursing Diagnosis (DE). Over the last few years, SESP has been important in the development of undergraduate and graduate education, as well as research, focused on clinical interventions for outpatient care. Considering the interest of the nursing team responsible for this Service and, based on countless research questions that emerge from this practice, the Outpatient Nursing and Basic Care Research Group – GPEAMAB(4) – was created and registered in the directory of the CNPq (National Council for Scientific and Technological Development). The results of these three studies were published in the Revista Gaucha de Enfermagem, one in the current issue and the other two in the subsequent editions. The systemized record of nursing history is relevant in undxerstanding who we are today in this profession and as professionals. Within a political and social context, the collective memory is also formed by routine actions, fostering the construction of a professional identity. SESP’s trajectory is characterized by the constant pursuit for adapting to the public policies in effect and the institutional objectives. The nursing team is motivated and aware of the change process aimed at boosting patient care flow, maintaining the quality characteristic of these 40 years of history.

Caracterização da comunicação no aconselhamento em amamentação

http://dx.doi.org/10.5216/ree.v14i2.12748O objetivo deste trabalho foi caracterizar a comunicação no processo de aconselhamento em amamentação. Trata-se de estudo descritivo-exploratório com análise de dados qualitativos a partir de entrevistas semiestuturadas, realizado em uma maternidade pública com dezenove discentes e três profissionais de enfermagem que realizavam aconselhamento em amamentação. Os dados foram analisados baseando-se na técnica de análise de conteúdo e modalidade temática, gerando quatro categorias: Aconselhamento, Comunicação, Comunicação verbal e não verbal no aconselhamento em Amamentação; Barreiras na comunicação durante o aconselhamento em Amamentação; Fatores facilitadores da comunicação durante o aconselhamento em Amamentação. Os dados mostraram que a qualidade da comunicação no aconselhamento é fundamental para garantir maior adesão ao aleitamento materno exclusivo e que sua adequação à cultura local é primordial para sucesso. O estudo permite afirmar que o desenvolvimento da competência em comunicação interpessoal é essencial para garantir adesão das mulheres na efetivação da promoção do aleitamento materno.

Can Biosecurity Be Embedded into the Culture of the Life Sciences?

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and ScienceVol. 10, No. 2 CommentaryCan Biosecurity Be Embedded into the Culture of the Life Sciences?Laura H. KahnLaura H. KahnSearch for more papers by this authorPublished Online:12 Jun 2012https://doi.org/10.1089/bsp.2012.0023AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetailsCited byMotivating Proactive Biorisk Management Daniel Greene, Megan J. Palmer, and David A. Relman7 February 2023 | Health Security, Vol. 21, No. 1Representações sociais da Enfermagem sobre biossegurança: saúde ocupacional e o cuidar prevencionistaRevista Brasileira de Enfermagem, Vol. 69, No. 5Assessing and Managing the Risks of Potential Pandemic Pathogen ResearchmBio, Vol. 6, No. 4Biorisk Management Training4 May 2015Why has Not There been More Research of Concern?22 July 2014 | Frontiers in Public Health, Vol. 2Biological Warfare: From History to Current Affairs15 January 2014 Volume 10Issue 2Jun 2012 InformationCopyright 2012, Mary Ann Liebert, Inc.To cite this article:Laura H. Kahn.Can Biosecurity Be Embedded into the Culture of the Life Sciences?.Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science.Jun 2012.241-246.http://doi.org/10.1089/bsp.2012.0023Published in Volume: 10 Issue 2: June 12, 2012Online Ahead of Print:June 4, 2012PDF download

Atitudes dos enfermeiros face à família: validação da escala Families' Importance in Nursing Care - Nurses Attitudes

As atitudes que os enfermeiros adotam em relação à família condicionam o processo de cuidar. Nosso propósito com este estudo foi nesse sentido: dispor de um instrumento que nos permitisse conhecer esta variável. Assim, nossa proposta foi efetuar a adaptação transcultural e avaliar as propriedades psicométricas da versão portuguesa do instrumento Families' Importance in Nursing Care - Nurses Attitudes (FINC-NA), que visa avaliar as atitudes dos enfermeiros acerca da importância de envolver a família nos cuidados de enfermagem. Foi seguido o método preconizado pela literatura. A amostra foi constituída por 136 enfermeiros dos Cuidados de Saúde Primários. Os resultados obtidos nos testes de confiabilidade revelam uma boa consistência interna para o total dos itens (Alpha de Cronbach = 0,87). O estudo psicométrico permite-nos afirmar que a versão em português da FINC-NA, que denominamos A importância das famílias nos cuidados de enfermagem - atitudes dos enfermeiros (IFCE-AE), é um instrumento fidedigno e válido.

Autonomia e vulnerabilidade do enfermeiro na prática da Sistematização da Assistência de Enfermagem

O estudo objetivou reconhecer a autonomia e a vulnerabilidade do enfermeiro no processo de implantação e implementação da Sistematização da Assistência de Enfermagem (SAE), através de revisão bibliográfica integrativa, mediante análise de conteúdo. Dentre os artigos pesquisados, selecionaram-se 40 em conformidade com o foco, publicados entre 1998 e 2008. Os resultados apresentaram duas categorias de significados principais: Benéficos Associados à Prática da SAE (ao paciente, para a profissão e para a instituição) e Fatores Determinantes para a Implantação/Implementação da SAE (competência do enfermeiro, formação e ensino, registro-instrumentos, infra-estrutura e compartilhamento-construção coletivos). Na integração de ambas, destacou-se a autonomia no agir com liberdade e responsabilidade, na tomada de decisão com base científica e na conquista do valor de seu trabalho social, bem como a vulnerabilidade expressa pelas relações interpessoais, no desgaste gerado pelo estresse profissional e no risco inerente à assistência.

Three Criteria for Ecological Fallacy

In a large cohort study published in Environmental Health Perspectives, Brenner et al. (2011) confirmed previous results on I-131 exposure and thyroid cancer among a Ukranian population. According to the authors, one motivation to study this association was based on evidence from ecological studies (Jacob et al. 1999) with two methodological limitations: use of grouped doses and poor control of confounding. With these new findings, evidence from ecological, case–control, and cohort studies are consistent; thus, an interesting question is whether there was an ecological fallacy. Although ecological studies are important to epidemiology (especially in environmental and social epidemiology), public health practitioners seem afraid of ecological studies. It is a common practice to assume the presence of ecological fallacy (Robinson 1950) and low-level validity when analyzing an ecological study. Most epidemiologists prefer an exclusive individualistic approach, although the importance of a multilevel causal approach is widely recognized (Diez-Roux 2002). In this sense, some authors suggest that it is as important to recognize the presence of ecological fallacy as to recognize psychologistic or individualistic fallacy (Subramanian et al. 2009) (Figure 1). Figure 1 Levels of analysys in epidemiologic studies and potential fallacies during casual inference. Thus, it is necessary to have clear guidelines on when there is or not an ecological fallacy. In this sense, I propose three criteria for the identification of ecological fallacy; all three of these should be present to confirm its existence: Results must be obtained with ecological (population) data. Data must be inferred to individuals. One use of ecological studies is to explore individual-level association when individual data are not available. When the focus of the study was contextual or based on population effects and there is no inference to individuals, ecological fallacy is not possible. When only the first two criteria are present—which is insufficient to affirm ecological fallacy—it is appropriate to acknowledge that there is a possible relationship and that further study is required. Results obtained with individual data are contradictory. Only when empirical data are available is it possible to confirm that an ecological fallacy is present.

Dados bibliométricos da Revista de Enfermagem Referência

The objective of this article is to present in brief form the development of the Revista de Enfermagem Referencia from 1998 to 2011, based on ...

Assessing patients before and after a liver transplant

Practice NursingVol. 22, No. 5 Clinical Chronic DiseaseAssessing patients before and after a liver transplantMichelle ClaytonMichelle ClaytonSearch for more papers by this authorMichelle ClaytonPublished Online:29 Sep 2013https://doi.org/10.12968/pnur.2011.22.5.236AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View articleReferencesBritish Association of Dermatologists (2010) Information about skin cancer for patients with an organ transplant. http://tiny.cc/4v0s0 (accessed 12 April 2011) Google ScholarDepartment of Health (2007) Immunisation Against Infectious Disease: ‘The Green Book’. http://tiny.cc/79n9z (accessed 12 April 2011) Google ScholarDepartment of Health (2008) Organs for Transplant: A Report from the Organ Donation Taskforce. The Stationery Office, London Google ScholarHamlin S, Leaper J (2009) Nutrition in Liver Disease. In: Sargent S, ed Liver Diseases: An Essential Guide for Nurses and Health Care Professionals. Wiley–Blackwell, London Crossref, Google ScholarHoulston C, O’Neal H (2009) Hepatic encephalopathy. In: Sargent S, ed Liver Diseases: An Essential Guide for Nurses and Health Care Professionals Wiley–Blackwell, London Crossref, Google ScholarHumar A, Matas A (2001) Immunosuppression: Use in Transplantation. Encyclopedia of Life Sciences,.John Wiley andSons Ltd Crossref, Google ScholarJoint Formulary Committee (2011) British National Formulary 61. March. Pharmaceutical Press Google ScholarKamath P, Wiesner R, Malinchoc Met al. (2001) A model to predict survival in patients with end-stage liver disease. Hepatology 33: 464–70 Crossref, Google ScholarKrige J, Beckingham I (2001) ABC of diseases of liver, pancreas, and biliary system. Portal hypertension–2. Ascites, encephalopathy, and other conditions. BMJ 322(7283): 416–41 Crossref, Google ScholarLiver Advisory Group (2005) UK Liver Transplant Group Recommendations for Liver Transplant Assessment in the Context of Alcohol-related Liver Disease. http://tiny.cc/bfjz3 (accessed 6 April 2011) Google ScholarLiver Advisory Group (2007) UK Liver Transplant Group Recommendations for Liver Transplant Assessment in the Context of Illicit Drug Use. http://tiny.cc/x5mhj (accessed 6 April 2011) Google ScholarMarchetti P (2005) New–onset diabetes after liver transplantation: from pathogenesis to management. Liver Transpl 11(6): 612–20 Crossref, Google ScholarMoore K, Aithal G (2006) Guidelines on the management of ascites in cirrhosis. Gut 55(Suppl 6): vi1–12 Crossref, Google ScholarMurphy C, Counter C (2009) Potential Donor Audit. Summary Report for the 24-month period 1 April 2007–31 March 2009. http://tiny.cc/y13qj (accessed 12 April 2011) Google ScholarNeuberger J, Gimson A, Davies Met al. (2008) Selection of patients for liver transplantation and allocation of donated livers in the UK. Gut 57(2): 252–7 Crossref, Google ScholarNHS Blood and Transplant (2011a) Activity report 2009–10 Section 9 Survival rates following transplantation. http://www.organdonation.nhs.uk/ukt/statistics/transplant_activity_report/transplant_activity_report.jsp (accessed 11th April 2011) Google ScholarNHS Blood and Transplant (2011b) Liver Activity 2010–2011. (in press Google ScholarNHS Blood and Transplant (2011c) Liver transplant list and new registration in the UK. 1 April 2010–31 March 2011. (in press) Google ScholarNHS Blood and Transplant (2011d) Median waiting time to liver transplant in the UK 1 April 2007–31 March 2010. (in press) Google ScholarRossetto A, Bitetto D, Bresadola Vet al. (2010) Cardiovascular risk factors and immunosuppressive regimen after liver transplantation. Transplantation Proc 42(7): 2576–8 Crossref, Google ScholarSargent S (2009) Liver Diseases: An Essential Guide for Nurses and Healthcare Professionals. Wiley-Blackwell, Oxford Crossref, Google ScholarWatt KDS, Charlton MR (2010) Metabolic syndrome and liver transplantation: A review and guide to management. J Hepatol 53(1): 199–206 Crossref, Google ScholarWatt KDS, Pedersen RA, Kremers WK, Heimbach JK, Charlton MR (2010) Evolution of causes and risk factors for mortality post-liver transplant: Results of the NIDDK long-term follow-up study. American Journal of Transplantation 10(6): 1420–7 Crossref, Google Scholar FiguresReferencesRelatedDetailsCited byA systems-based approach to patient care after liver transplantationJournal of the American Academy of Physician Assistants, Vol. 31, No. 1Caracterização sociodemográfica e clínica de candidatos a transplante de fígadoActa Paulista de Enfermagem, Vol. 29, No. 2 1 May 2011Volume 22Issue 5ISSN (print): 0964-9271ISSN (online): 2052-2940 Metrics History Received 12 April 2011 Accepted 16 April 2011 Published online 29 September 2013 Published in print 1 May 2011 Information© MA Healthcare LimitedKeywordsliver transplantationassesmmentimmunosuppressive drugsAcknowledgmentsFigure 1 is reproduced with permission of Wiley-Blackwell.PDF download

Crianças com necessidades especiais de saúde: tendências das pesquisas em enfermagem

Pesquisa bibliográfica desenvolvida no Banco de Teses e Dissertações da Associação Brasileira de Enfermagem entre 2001 e 2008 utilizando as palavras enfermagem pediátrica e família. Objetivou-se identificar e analisar as pesquisas de enfermagem que abordam a temática do cuidado de crianças com doença crônica e/ou incapacitante no domicílio. Foram encontrados 311 resumos e após aplicar os critérios de inclusão e exclusão foram selecionadas 36 produções que foram submetidas à análise descritiva e a análise de conteúdo temática. Constatou-se que a tendência dos estudos está voltada para a família da criança doente, a doença e a hospitalização. Porém, identificaram-se lacunas no que tange ao preparo destas famílias para dar continuidade ao tratamento e aos cuidados no domicílio. Recomenda-se comprometimento e capacitação constante dos profissionais para assistir as crianças dependentes de tecnologia e seus familiares.

Producción científica de enfermería sobre instrumentos genéricos que evaluan calidad de vida en Brasil entre 1997 y 2007: estudio bibliográfico

Objective is to analyze scientific production published by nurses that used generic instruments of evaluation of quality of life, in Brazilian journals indexed in the Biblioteca Virtual de Saude (BVS), among 1997 and 2007. It is a bibliographic research. The research was realized using the descriptors quality of life and nursing, available in the DECS (Descritores em Ciencias da Saude). They were selected articles that in the methodological trial used quality of life’s generic instruments. Most of studies about this theme were published in Revista Latino-Americana de Enfermagem. The most used instrument was WHOQOL-Bref that is a short instrument and that demands less time to its application. It is observed a publication increase using these instruments since 1997. Populations are varied, meaning that these instruments are generics. Results show that researchers are focused in quality of life’s evaluation, and it shows the worry in knowing life aspects that are more envolved in different populations, and in this form act to contribute for better patients’ quality of life.

Metabolic and infectious pathologies in Brazilian medical literature: a review

This review of original reports on metabolic and infectious diseases that were recently published in Brazilian journals is designed to inform the readership of CLINICS about their content. I conducted a search in PubMed for original research articles (clinical or basic research) recently published (2008-2009) by Brazilian medical and biological periodicals. Papers on metabolic pathologies were retrieved by searching for appropriate keywords such as metabolic syndrome and obesity. Papers on infectious disease were obtained by entering 15 different keywords for the most commonly occurring pathologies. Review articles, editorials, letters to the editor, and case reports were manually excluded. Selected titles were then categorized into appropriate sub-categories. This search produced a total of 123 articles, which filtered down to 72 articles after eliminating editorials, review articles, letters to the Editor and case reports. Reviewed periodicals were Arquivos Brasileiros de Cardiologia, Arquivos Brasileiros de Endocrinologia e Metabologia, Brazilian Journal of Biological and Medical Research, Brazilian Journal of Infectious Diseases, Jornal de Pediatria, Jornal de Pneumologia, Revista da Associação Médica Brasileira, Revista da Escola de Enfermagem da Universidade de São Paulo, and São Paulo Medical Journal. The articles were then briefly summarized.

Pesquisa na enfermagem brasileira: esse é o momento para mudanças?

Sou uma enfermeira brasileira e tenho trabalhado como professora e pesquisadora nos Estados Unidos da América (EUA) nos últimos nove anos. Minha linha de pesquisa está focada na Saúde Mental e sua relação com a cultura, mais especificamente a depressão entre mães e crianças de origem latina e de baixa renda que vivem em áreas rurais do estado da Flórida. O foco desta pesquisa é consistente com a redução das disparidades em saúde em minorias de baixa renda, uma meta do programa “Healthy People – 2010”(1). Os resultados da minha pesquisa devem contribuir com os dados de Saúde Mental apresentados nos Principais Indicadores de Saúde 2010(1). Em concordância com a abordagem da Pesquisa Ação, a minha pesquisa busca envolver a participação ativa dos membros da comunidade (professores, pessoas ligadas a igrejas, profissionais do departamento de saúde pública e mães da comunidade onde atuamos) em todas as etapas do projeto. Além disso, dois outros pesquisadores também fazem parte do meu grupo de pesquisa; sendo uma psicóloga infantil e uma professora especializada em ensino bilíngue.O processo de transição para a vida nos EUA tem sido desafiador, uma vez que meu coração permanece no Brasil. A tecnologia, entretanto, permite-me o privilégio de manter frequentes contatos e colaboração com colegas brasileiros que trabalham na universidade e na área assistencial. Meu objetivo neste editorial é destacar tópicos atuais de pesquisa que merecem atenção e promover a discussão entre enfermeiros.Obviamente os enfermeiros brasileiros têm enfrentado as complexidades do cuidado à saúde do século XXI e trabalhado na geração de professionais com pensamento mais crítico e na formação de pesquisadores que continuarão nesta trajetória. Um estudo recente sobre a pesquisa da enfermagem Latino-Americana apontou que os enfermeiros brasileiros são os mais produtivos na publicação de artigos em periódicos de enfermagem Latino-Americanos(2). Em 2007, ao participar do Congresso Brasileiro de Enfermagem (CBEn – Brasília), fiquei impressionada ao ver a participação maciça de alunos (graduação e pós graduação) apresentando seus trabalhos. Segundo Mancia et al(3) desde 2001 mais de 50% dos participantes do CEBEn são estudantes. Isto mostra claramente que a cultura da pesquisa está se iniciando precocemente no processo educacional e tem uma sólida fundamentação na enfermagem profissional. Estes são avanços positivos e interessantes.Acredito que a discussão dos três temas seguintes poderá contribuir para o avanço de nossa missão profissional: 1) pesquisa focada no cliente, 2) agenda formal de pesquisa em enfermagem, e 3) estímulo a pesquisas interdisciplinares. Evidências obtidas a partir de pesquisas de intervenções inovadoras, focadas no cliente, podem incrementar substancialmente a contribuição para a prática baseada em evidências. Sequencialmente, pergunto: qual a estratégia atual para a construção de uma agenda formal de pesquisa em enfermagem para as diferentes regiões do Brasil? Tal agenda pode servir como uma ferramenta importante para orientar a pesquisa em enfermagem e sua aplicação, reconhecendo as diferenças sociais, econômicas e culturais em um país nas dimensões do Brasil. Uma agenda formal pode também gerar mudanças positivas no campo político e social da profissão. Finalmente, parece que a maior parte das pesquisas em enfermagem e das publicações no Brasil são produtos de colaboração entre colegas enfermeiros e estudantes de enfermagem, apesar do importante papel da colaboração interdisciplinar como parte de nosso modelo teórico de enfermagem. Minha experiência em pesquisa continua a me ensinar o valor da colaboração interdisciplinar. Ao longo do tempo, entretanto, aprendi que para promover a sustentabilidade dos programas de saúde e a transformação social da comunidade, o trabalho colaborativo com os clientes é de valor inestimável considerando que eles são os verdadeiros agentes de mudança.Como sabemos, as mudanças em qualquer profissão exigem uma profunda discussão, planejamento e ação. Espero que os temas aqui apresentados possam ser úteis para fortalecer este processo. REFERÊNCIAS1. Healthy People 2010 [Internet]. Washington, DC: US Department of Health and Human Services (USA) [cited 05 out 2009]. Available from: http://www.healthypeople.gov.2. Mendoza-Parra S, Paravic-Klijn T, Muñoz-Muñoz AM, Barriga OA, Jiménez- Contreras E. Visibility of Latin American nursing research (1959–2005). J Nurs Scholarsh. 2009;41(1):54–63.3. Mancia JR, Padilha MICS, Ramos FRS, Cordova FP, Amaral NV. Congresso Brasileiro de Enfermagem: sessenta anos de história. Rev Bras Enferm. 2009;62(3):471-9.

Educação Permanente em SBV e SAVC: impacto no conhecimento dos profissionais de enfermagem

The theoretical knowledge and practical skills of the Basic Life Support (BLS) and the Advanced Life Support (ALS) are among the most important determining factors of the cardiopulmonary reanimation success rates.Assess the impact of a permanent training program in BLS and ALS on the knowledge of nursing professionals.Cross-sectional study. Population was made of nursing professionals of a tertiary level hospital. Assessments were carried out before and after training. The critical points of the International Liaison Committee on Resuscitation (ILCOR) analysis were addressed.213 professionals were assessed (76 nurses, 35.7%; 38 assistants, 17.8%; and 99 technicians, 46.7%). Pre-course assessment average grades were statistically different (p<0.001) among assistants (3.25), technicians (3.96) and nurses (4.69). Single professional without kids showed performance significantly superior to married professional with kids (p=0.02 and 0.004 respectively). Pre-training level of knowledge was inversely proportional to the time elapsed since the completion of undergraduate course or technical course. Main deficiencies were related to the initial approach of airways, to post-resuscitation cares and to the external cardiac massage technique. The post-course general average grade was 7.26. Assistants achieved a performance of 131.2%, technicians, of 78.9% and the nurses, of 85%, with no significant statistic difference (p=0.43).The permanent training program in BLS and ALS resulted in important increment in the level of knowledge of nursing professionals.

Nursing journals and medication management: identification and categorization of publications from 1987 to 2008

This study aimed to identify and categorize publications about themes related to medication administration in Brazilian nursing journals between 1987 and 2008. From a survey in the main health databases, we reviewed literature about the theme in six Brazilian journals, classifying the articles into care, teaching, research, technique, medication errors, communication and specific drugs. One hundred eight articles were identified, particularly in the Revista Latino-Americana de Enfermagem and the Revista Brasileira de Enfermagem. The author Cassiani and the category specific drugs stand out as responsible for the largest number of articles published. Efforts need to be added up with a view to a more expressive production of articles on medication administration.