Integrative Nursing Research Articles

CARES OF NURSING TO THE PATIENT WITH CLOSED PLEURAL DRAINING SYSTEM

RESUMOOs tubos torácicos são inseridos no espaço pleural a fim de drenar ar ou líquido. Pelo fato de que a pressão pleural é em geral negativa, pelo menos durante uma parte do ciclo respiratório, foi desenvolvido o sistema de drenagem pleural fechado para evitar que o ar atmosférico penetre no espaço pleural, mas ao mesmo tempo permita que o ar e o fluído drenem continuamente para fora do espaço pleural. A drenagem de tórax é um procedimento simples, porém, um grande número de pacientes a ele submetidos, apresenta complicações relacionadas à falhas do sistema, em geral, devido a desconhecimento de alguns dos seus princípios básicos. Com baseado no exposto, este estudo teve como objetivos observar as ações no cuidar dos enfermeiros aos pacientes com drenagem pleural fechada; realizar revisão bibliográfica em literatura específica; citar as complicações mais freqüentes apresentadas pelos pacientes com (DPF); correlacionar as ações do cuidar do enfermeiro aos pacientes com drenagem pleural fechada e com o que preconiza a literatura. Trata-se de um estudo descritivo, bibliográfico, exploratório, quantitativo e observacional onde foi utilizada para coleta de dados a entrevista estruturada a 30 enfermeiros distribuídos na clínica cirúrgica, unidade de terapia intensiva, pneumologia e tisiologia de uma instituição pública referência em pneumologia no estado de Pernambuco. Verificou-se que a maioria dos enfermeiros (93%) não recebeu treinamento em serviço sobre drenagem torácica, não prestando uma assistência de enfermagem integral e conseqüentemente não identificando riscos, podendo aumentar custos hospitalares e a permanência do cliente no hospital.Descritores: Cuidados; Enfermagem; Drenagem pleural fechada. ABSTRACTThe thoracic pipes are inserted in the pleural space in order to drain air or liquid. By the fact of that the pleural pressure is in general negative, at least during a part of the respiratory cycle, the closed system of pleural draining was developed to prevent that atmospheric air penetrates in the pleural space, but at the same time allows that air and the fluid drain continuously for are of the pleural space. The draining of thorax is a simple procedure, however, a great number of patients has been related complications the system imperfections, in general, had the unfamiliarity of some of its basic principles. Based on this fact, this study aim at observing nurses’ taking care actions to the patients with closed pleural draining; to carry through bibliographical review in specific literature; to cite the complications most frequent presented by the patients with closed pleural draining; to correlate the nurses’ taking care actions to the patients with closed pleural draining and with what is presented in the literature. This is a quantitative study where it was used for data collection the observacional technique and the structuralized interview for 30 nurses distributed in the surgical clinic, intensive therapy unit, pneumologic and thisiology of a public institution reference in pneumology at Pernambuco. It was observed that the majority of the nurses (93%) didn’t receive training in service on thoracic draining, not giving an assistance of integral nursing and consequently not identifying risks, being able to increase hospital costs and the permanence of the customer in the hospital.Descriptors: Care; Nursing; Closed pleural draining.RESUMENLos tubos torácicos se insertan en el espacio pleural para drenar el aire o el líquido. Por el hecho que la presión pleural es en general negativa, por lo menos durante una parte del ciclo respiratorio, el sistema cerrado del drenaje pleural fue desarrollado para prevenir que el aire atmosférico penetre en el espacio pleural, pero al mismo tiempo permite que el aire y el fluido drenen continuamente del espacio pleural. El drenaje torácico es un procedimiento simple, sin embargo, una gran cantidad de pacientes con este tratamiento han tenido complicaciones relacionadas con fallas del sistema, en generalmente por el desconocimiento de algunos de sus principios básicos. De acuerdo con lo predicho, este estudio tiene como objetivo observar las acciones en el cuidado de los enfermeros a los pacientes con el drenaje pleural cerrado; realizar revisión bibliográfica en literatura específica; citar las complicaciones más frecuente presentadas por los pacientes con el drenaje pleural cerrado; correlacionar las acciones de cuidado del enfermero a los pacientes con drenaje pleural cerrado con el que presenta la literatura. Es un estudio descriptivo, bibliográfico, exploratorio, cuantitativo y observacional; para la colección de datos fue utilizada la técnica de entrevista estructurada a 30 enfermeros distribuidos en la clínica quirúrgica, unidad de terapia intensiva, neumología y tisiología de una institución de referencia pública en neumología en el estado de Pernambuco. Se observó que la mayoría de los enfermeros (93%) no recibieron el entrenamiento en servicio sobre drenaje torácico, no dando una asistencia de enfermería integral y por lo tanto no identificando riesgos, pudiendo aumentar costes del hospital y la permanencia del cliente en el hospital. Descriptores: Cuidado; Enfermería; Drenaje pleural cerrado.

CARES OF NURSING TO THE PATIENT WITH CLOSED PLEURAL DRAINING SYSTEM

The thoracic pipes are inserted in the pleural space in order to drain air or liquid. By the fact of that the pleural pressure is in general negative, at least during a part of the respiratory cycle, the closed system of pleural draining was developed to prevent that atmospheric air penetrates in the pleural space, but at the same time allows that air and the fluid drain continuously for are of the pleural space. The draining of thorax is a simple procedure, however, a great number of patients has been related complications the system imperfections, in general, had the unfamiliarity of some of its basic principles. Based on this fact, this study aim at observing nurses’ taking care actions to the patients with closed pleural draining; t o carry through bibliographical review in specific literature; to cite the complications most frequent presented by the patients with closed pleural draining; to correlate the nurses’ taking care actions to the patients with closed pleural draining and with what is presented in the literature. This is a quantitative s tudy where it was used for data collection the observacional technique and the structuralized interview for 30 nurses distributed in the surgical clinic, intensive therapy unit, pneumologic and thisiology of a public institution reference in pneumology at Pernambuco. It was observed that the majority of the nurses (93%) didn’t receive training in service on thoracic draining, not giving an assistance of integral nursing and consequently not identifying risks, being able to increase hospital costs and the permanence of the customer in the hospital. Descriptors : Care; Nursing; Closed pleural draining

Dancing Away Dispiritedness

Martha Libster is an associate professor of nursing at East Carolina University, Greenville, NC. She is the author of three books, including Demonstrating Care: The Art of Integrative Nursing (Thomson Delmar Learning, 2000). Contact author: [email protected].

Commentary on integral nursing: an emerging framework for engaging the evolution of the profession

Commentary on integral nursing: an emerging framework for engaging the evolution of the profession

Integral nursing: an emerging framework for engaging the evolution of the profession

These are turbulent times for health care as well as nursing. Nursing needs to consciously evolve to survive and thrive in the 21st century. The authors suggest that nursing has many of the theoretical and conceptual models needed to facilitate this evolution. However, the profession would benefit from the addition of a comprehensive framework that can integrate various aspects of nursing and serve as a device to effectively interface nursing with the rest of the health care system. We believe that the Integral Nursing approach described here is such a framework. In this article, we describe the model and explore benefits of its application for nursing within health care.