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ORIGINAL ARTICLE07-29-2024
Profile of patients in private home care who developed ventilator-associated pneumonia
- Fabiana Schimidt Cezar
, - Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Abstract
ORIGINAL ARTICLEProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
DOI 10.1590/0034-7167-2023-0146
- Fabiana Schimidt Cezar ,
- Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Views0ABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Keywords:ArtificialHealth Systems AgenciesHome Care ServicesIntensive Care UnitsPneumoniaRespirationVentilator-AssociatedSee moreViews0
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
ORIGINAL ARTICLEProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
DOI 10.1590/0034-7167-2023-0146
- Fabiana Schimidt Cezar ,
- Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Views0ABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Keywords:ArtificialHealth Systems AgenciesHome Care ServicesIntensive Care UnitsPneumoniaRespirationVentilator-AssociatedSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 
- Fabiana Schimidt Cezar
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ORIGINAL ARTICLE04-22-2024
Mothers’ perception of the care of newborn in the home environment
- Gina de Souza Castro Hammel ,
- Laura Tais Loureiro Simas ,
- Luiz Fernando Rodrigues Junior ,
- Claudia Zamberlan ,
- Lurdes Lomba , [ ... ],
- Dirce Stein Backes
Abstract
ORIGINAL ARTICLEMothers’ perception of the care of newborn in the home environment
Revista Brasileira de Enfermagem. 2024;77(1):e20230080
DOI 10.1590/0034-7167-2023-0080
- Gina de Souza Castro Hammel ,
- Laura Tais Loureiro Simas ,
- Luiz Fernando Rodrigues Junior ,
- Claudia Zamberlan ,
- Lurdes Lomba ,
- Dirce Stein Backes
Views0See moreABSTRACT
Objectives:
to identify mothers’ perceptions about caring for newborns in the home environment, from the perspective of complexity thinking.
Methods:
qualitative, exploratory and descriptive research, carried out between November/2022 and February/2023. Data were collected through individual interviews with 21 mothers from southern Brazil who cared for newborns at home and analyzed using the thematic analysis technique.
Results:
the four thematic axes resulting from the data analysis: Living amidst order and disorder; embracing singularities; dealing with the certain and the uncertain; support network in the (re)organizing process demonstrate that the mother caring for a newborn in their home environment experiences a distinct and plural adaptive process, which must be welcomed and understood by health professionals who work within the family environment.
Final Considerations:
the care of newborns in a home environment, in the perception of mothers, requires differentiated attention and a formal or informal support network that considers the unique specificities of each woman/mother in the personal, family and social spheres. Therefore, in addition to the social support network, it is important to rethink home intervention approaches.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
ORIGINAL ARTICLEMothers’ perception of the care of newborn in the home environment
Revista Brasileira de Enfermagem. 2024;77(1):e20230080
DOI 10.1590/0034-7167-2023-0080
- Gina de Souza Castro Hammel ,
- Laura Tais Loureiro Simas ,
- Luiz Fernando Rodrigues Junior ,
- Claudia Zamberlan ,
- Lurdes Lomba ,
- Dirce Stein Backes
Views0See moreABSTRACT
Objectives:
to identify mothers’ perceptions about caring for newborns in the home environment, from the perspective of complexity thinking.
Methods:
qualitative, exploratory and descriptive research, carried out between November/2022 and February/2023. Data were collected through individual interviews with 21 mothers from southern Brazil who cared for newborns at home and analyzed using the thematic analysis technique.
Results:
the four thematic axes resulting from the data analysis: Living amidst order and disorder; embracing singularities; dealing with the certain and the uncertain; support network in the (re)organizing process demonstrate that the mother caring for a newborn in their home environment experiences a distinct and plural adaptive process, which must be welcomed and understood by health professionals who work within the family environment.
Final Considerations:
the care of newborns in a home environment, in the perception of mothers, requires differentiated attention and a formal or informal support network that considers the unique specificities of each woman/mother in the personal, family and social spheres. Therefore, in addition to the social support network, it is important to rethink home intervention approaches.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Gina de Souza Castro Hammel
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ORIGINAL ARTICLE09-19-2022
Health professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
Abstract
ORIGINAL ARTICLEHealth professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
DOI 10.1590/0034-7167-2021-0684
Views0See moreABSTRACT
Objectives:
to analyze the modes of subjectification of health professionals towards end of life and death in a home care service.
Methods:
this is qualitative research carried out in a home care service at a teaching hospital in southern Brazil, with 12 health professionals. Participant observation and semi-structured interviews were used for data collection, from April to September 2018. Data were analyzed based on Foucault’s concept of power and subjectivation.
Results:
professionals are sensitized by moral, spiritual and palliative care discourses, as well as experiences that constitute them subjects who modify their ways of life and professional practice based on the relation with death.
Final Considerations:
the discursive network of palliative care is internalized by professionals, who carry out their practices with behaviors aimed at promoting “a good death”.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
ORIGINAL ARTICLEHealth professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
DOI 10.1590/0034-7167-2021-0684
Views0See moreABSTRACT
Objectives:
to analyze the modes of subjectification of health professionals towards end of life and death in a home care service.
Methods:
this is qualitative research carried out in a home care service at a teaching hospital in southern Brazil, with 12 health professionals. Participant observation and semi-structured interviews were used for data collection, from April to September 2018. Data were analyzed based on Foucault’s concept of power and subjectivation.
Results:
professionals are sensitized by moral, spiritual and palliative care discourses, as well as experiences that constitute them subjects who modify their ways of life and professional practice based on the relation with death.
Final Considerations:
the discursive network of palliative care is internalized by professionals, who carry out their practices with behaviors aimed at promoting “a good death”.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
ORIGINAL ARTICLE04-16-2021
Practices used by a home care team: implications for caregivers
Revista Brasileira de Enfermagem. 2021;74(2):e20190794
Abstract
ORIGINAL ARTICLEPractices used by a home care team: implications for caregivers
Revista Brasileira de Enfermagem. 2021;74(2):e20190794
DOI 10.1590/0034-7167-2019-0794
Views0See moreABSTRACT
Objectives:
to analyze the practices of a home care team and their implications for caregivers’ performance.
Methods:
qualitative study with data obtained from observation of 21 users, 30 caregivers and 6 professionals from the home health care service in a municipality in Minas Gerais, from February to June 2018. The material was analyzed from the perspective of discourse analysis according to Michel Foucault.
Results:
team interference upon caregivers is exercised by disciplinary practices and prescriptive, authoritative and surveilling behaviors. The team’s knowledge-power relationship determines caregivers’ acceptance through convincing or through difficulty of understanding assigned orientations. Educational practices would enable caregivers to be constituted as active, participative, empowered and reflective subjects.
Final Considerations:
team practices interfere with caregivers’ ways of acting and being and they have implications in objectification and subjectification processes.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
ORIGINAL ARTICLEPractices used by a home care team: implications for caregivers
Revista Brasileira de Enfermagem. 2021;74(2):e20190794
DOI 10.1590/0034-7167-2019-0794
Views0See moreABSTRACT
Objectives:
to analyze the practices of a home care team and their implications for caregivers’ performance.
Methods:
qualitative study with data obtained from observation of 21 users, 30 caregivers and 6 professionals from the home health care service in a municipality in Minas Gerais, from February to June 2018. The material was analyzed from the perspective of discourse analysis according to Michel Foucault.
Results:
team interference upon caregivers is exercised by disciplinary practices and prescriptive, authoritative and surveilling behaviors. The team’s knowledge-power relationship determines caregivers’ acceptance through convincing or through difficulty of understanding assigned orientations. Educational practices would enable caregivers to be constituted as active, participative, empowered and reflective subjects.
Final Considerations:
team practices interfere with caregivers’ ways of acting and being and they have implications in objectification and subjectification processes.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
ORIGINAL ARTICLE02-22-2021
ICNP® nursing diagnostics for people in-home care
- Ingryd Nathany Mendes Sousa ,
- Daniel Vinícius Alves Silva ,
- Júlia Rocha do Carmo ,
- Joanilva Ribeiro Lopes ,
- Nuno Damácio de Carvalho Félix , [ ... ],
- Diego Dias de Araújo
Abstract
ORIGINAL ARTICLEICNP® nursing diagnostics for people in-home care
Revista Brasileira de Enfermagem. 2021;74(1):e20190807
DOI 10.1590/0034-7167-2019-0807
- Ingryd Nathany Mendes Sousa ,
- Daniel Vinícius Alves Silva ,
- Júlia Rocha do Carmo ,
- Joanilva Ribeiro Lopes ,
- Nuno Damácio de Carvalho Félix ,
- Fabíola Afonso Fagundes Pereira ,
- Diego Dias de Araújo
Views0See moreABSTRACT
Objectives:
to identify ICNP® nursing diagnoses in people attended in a home care program.
Methods:
cross-sectional study with 131 patients of Home Health Care in a northern municipality of Minas Gerais, Brazil, applied a questionnaire based on Basic Human Needs. It was performed the identification and validation by consensus of specialists with support in Risner's diagnostic reasoning, of the nursing diagnoses of ICNP®, version 2019.
Results:
from 77 nursing diagnoses, most are inserted in the psychobiological needs (n = 66) and refer to the domains Nutrition; Hydration and electrolytic regulation; Cutaneous-mucous integrity; Locomotion, body mechanics and mobility; Body care; and Learning, Sociability, Recreation, and leisure. From total, forty are negative, followed by positive formulations (n = 15), clinical findings (n = 15) and risk (n = 7).
Conclusions:
a profile of the nursing phenomena common to home care is presented, which can be used by nurses in clinical practice, teaching, research, and management.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
ORIGINAL ARTICLEICNP® nursing diagnostics for people in-home care
Revista Brasileira de Enfermagem. 2021;74(1):e20190807
DOI 10.1590/0034-7167-2019-0807
- Ingryd Nathany Mendes Sousa ,
- Daniel Vinícius Alves Silva ,
- Júlia Rocha do Carmo ,
- Joanilva Ribeiro Lopes ,
- Nuno Damácio de Carvalho Félix ,
- Fabíola Afonso Fagundes Pereira ,
- Diego Dias de Araújo
Views0See moreABSTRACT
Objectives:
to identify ICNP® nursing diagnoses in people attended in a home care program.
Methods:
cross-sectional study with 131 patients of Home Health Care in a northern municipality of Minas Gerais, Brazil, applied a questionnaire based on Basic Human Needs. It was performed the identification and validation by consensus of specialists with support in Risner's diagnostic reasoning, of the nursing diagnoses of ICNP®, version 2019.
Results:
from 77 nursing diagnoses, most are inserted in the psychobiological needs (n = 66) and refer to the domains Nutrition; Hydration and electrolytic regulation; Cutaneous-mucous integrity; Locomotion, body mechanics and mobility; Body care; and Learning, Sociability, Recreation, and leisure. From total, forty are negative, followed by positive formulations (n = 15), clinical findings (n = 15) and risk (n = 7).
Conclusions:
a profile of the nursing phenomena common to home care is presented, which can be used by nurses in clinical practice, teaching, research, and management.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Ingryd Nathany Mendes Sousa
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REFLECTION06-29-2020
Recommendations in covid-19 times: a view for home care
Revista Brasileira de Enfermagem. 2020;73:e20200310
Abstract
REFLECTIONRecommendations in covid-19 times: a view for home care
Revista Brasileira de Enfermagem. 2020;73:e20200310
DOI 10.1590/0034-7167-2020-0310
Views0See moreABSTRACT
Objective:
To suggest recommendations for the practice of Home Nursing in the context of COVID-19.
Method:
Reflective study, originated from readings associated with the theme, available in current guidelines from the Pan American Health Organization, World Health Organization and the Ministry of Health.
Results:
Recommendations were developed from current scientific evidence for prevention of infections, control of epidemics and pandemics in the Brazilian home scenario.
Final considerations:
the reflections achieved contribute to guiding actions for better assistance to the patient, family caregivers and the community in the perspective of safe home care with COVID-19, and it is characterized as an introductory discussion on the theme, encouraging new studies to be carried out from the unfolding of the current scenario.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
REFLECTIONRecommendations in covid-19 times: a view for home care
Revista Brasileira de Enfermagem. 2020;73:e20200310
DOI 10.1590/0034-7167-2020-0310
Views0See moreABSTRACT
Objective:
To suggest recommendations for the practice of Home Nursing in the context of COVID-19.
Method:
Reflective study, originated from readings associated with the theme, available in current guidelines from the Pan American Health Organization, World Health Organization and the Ministry of Health.
Results:
Recommendations were developed from current scientific evidence for prevention of infections, control of epidemics and pandemics in the Brazilian home scenario.
Final considerations:
the reflections achieved contribute to guiding actions for better assistance to the patient, family caregivers and the community in the perspective of safe home care with COVID-19, and it is characterized as an introductory discussion on the theme, encouraging new studies to be carried out from the unfolding of the current scenario.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
ORIGINAL ARTICLE12-05-2019
Relationship between elderly stroke patient caregivers scale and nursing diagnoses
- Fernanda Laís Fengler Dal Pizzol ,
- Laura Fonseca Vieira ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Karina de Oliveira Azzolin ,
- Lisiane Manganelli Girardi Paskulin , [ ... ],
- Amália de Fátima Lucena
Abstract
ORIGINAL ARTICLERelationship between elderly stroke patient caregivers scale and nursing diagnoses
Revista Brasileira de Enfermagem. 2019;72:251-258
DOI 10.1590/0034-7167-2018-0787
- Fernanda Laís Fengler Dal Pizzol ,
- Laura Fonseca Vieira ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Karina de Oliveira Azzolin ,
- Lisiane Manganelli Girardi Paskulin ,
- Gail Low ,
- Ninon Girardon da Rosa ,
- Amália de Fátima Lucena
Views0See moreABSTRACT
Objective:
To describe relationships between the ECPICID-AVC scale factors and the NANDA-I domains, classes, and Nursing Diagnoses (NDs).
Method:
Cross-mapping study between the NANDA-I taxonomy and ECPICID-AVC scale was constructed based on the eight ECPICID-AVC scale factors and the 13 NANDA-I domains. A descriptive analysis was performed to present the mapped elements.
Results:
Areas of similarity and intersection were found between the eight ECPICID-AVC factors and nine NANDA-I domains, 19 classes, and 72 NDs. All scale factors were mapped with the Domain 1/Health Promotion, Class 2/Health Management and the ND “Frail elderly syndrome”.
Final considerations:
The ECPICID-AVC scale factors were mapped with nine domains, their classes and diagnoses. This study demonstrates the importance of identifying nursing diagnoses and their relationship with factors that evaluate caregiving capacity. The ECPICID-AVC can help nurses generate nursing diagnoses regarding the caregiver’s needs and their capacities related to care to focus such needs.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
ORIGINAL ARTICLERelationship between elderly stroke patient caregivers scale and nursing diagnoses
Revista Brasileira de Enfermagem. 2019;72:251-258
DOI 10.1590/0034-7167-2018-0787
- Fernanda Laís Fengler Dal Pizzol ,
- Laura Fonseca Vieira ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Karina de Oliveira Azzolin ,
- Lisiane Manganelli Girardi Paskulin ,
- Gail Low ,
- Ninon Girardon da Rosa ,
- Amália de Fátima Lucena
Views0See moreABSTRACT
Objective:
To describe relationships between the ECPICID-AVC scale factors and the NANDA-I domains, classes, and Nursing Diagnoses (NDs).
Method:
Cross-mapping study between the NANDA-I taxonomy and ECPICID-AVC scale was constructed based on the eight ECPICID-AVC scale factors and the 13 NANDA-I domains. A descriptive analysis was performed to present the mapped elements.
Results:
Areas of similarity and intersection were found between the eight ECPICID-AVC factors and nine NANDA-I domains, 19 classes, and 72 NDs. All scale factors were mapped with the Domain 1/Health Promotion, Class 2/Health Management and the ND “Frail elderly syndrome”.
Final considerations:
The ECPICID-AVC scale factors were mapped with nine domains, their classes and diagnoses. This study demonstrates the importance of identifying nursing diagnoses and their relationship with factors that evaluate caregiving capacity. The ECPICID-AVC can help nurses generate nursing diagnoses regarding the caregiver’s needs and their capacities related to care to focus such needs.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Fernanda Laís Fengler Dal Pizzol
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REVIEW12-05-2019
Assumptions of good practices in home care for the elderly: a systematic review
- Rosalina Aparecida Partezani Rodrigues ,
- Alexandre de Assis Bueno ,
- Francine Golghetto Casemiro ,
- Alan Nogueira da Cunha ,
- Lucas Pelegrini Nogueira de Carvalho , [ ... ],
- Fernanda Laporti Seredynskyj
Abstract
REVIEWAssumptions of good practices in home care for the elderly: a systematic review
Revista Brasileira de Enfermagem. 2019;72:302-310
DOI 10.1590/0034-7167-2018-0445
- Rosalina Aparecida Partezani Rodrigues ,
- Alexandre de Assis Bueno ,
- Francine Golghetto Casemiro ,
- Alan Nogueira da Cunha ,
- Lucas Pelegrini Nogueira de Carvalho ,
- Vanessa Costa Almeida ,
- Nayara Araújo dos Reis ,
- Fernanda Laporti Seredynskyj
Views0See moreABSTRACT
Objective:
To synthesize the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy aging.
Method:
A systematic review, based on the Joanna Briggs Institute’s proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases.
Results:
Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centered on the elderly and the inclusion of the elderly, family and nurses as agents of this care.
Conclusion:
According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganization, so that they are indeed comprehensive and contextualized. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favoring a process of healthy and active aging.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
REVIEWAssumptions of good practices in home care for the elderly: a systematic review
Revista Brasileira de Enfermagem. 2019;72:302-310
DOI 10.1590/0034-7167-2018-0445
- Rosalina Aparecida Partezani Rodrigues ,
- Alexandre de Assis Bueno ,
- Francine Golghetto Casemiro ,
- Alan Nogueira da Cunha ,
- Lucas Pelegrini Nogueira de Carvalho ,
- Vanessa Costa Almeida ,
- Nayara Araújo dos Reis ,
- Fernanda Laporti Seredynskyj
Views0See moreABSTRACT
Objective:
To synthesize the knowledge produced on best nursing practices in long-term care for elderly at home, in order to promote healthy aging.
Method:
A systematic review, based on the Joanna Briggs Institute’s proposal: without restriction of dates; in the English, Portuguese and Spanish languages; conducted in PubMed, CINAHL, LILACS, Embase and Scopus databases.
Results:
Among 453 articles identified, 16 were included in the review: seven qualitative and nine quantitative, published between 1996 and 2015. The synthesis of the data identified as best practices identifies a premise of care centered on the elderly and the inclusion of the elderly, family and nurses as agents of this care.
Conclusion:
According to evidence, good practices in gerontological and nursing home care fundamentally depend on constant planning and reorganization, so that they are indeed comprehensive and contextualized. Thus, providing care will be reasoned by and driven to the elderly, based on their specific and global needs, favoring a process of healthy and active aging.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 
- Rosalina Aparecida Partezani Rodrigues
Home Care Services Archives - Revista Brasileira de Enfermagem
