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ORIGINAL ARTICLE
Nursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
06-17-2020
Resumo
ORIGINAL ARTICLENursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
06-17-2020DOI 10.1590/0034-7167-2019-0095
Visualizações0Ver maisABSTRACT
Objectives:
to report a clinical case of needle phobia which culminated in cardiac arrest and describe the outcome of a care plan based on fear and anxiety diagnoses, using the Roy adaptation model as the framework.
Methods:
case study conducted in a chemotherapy outpatient unit in Rio de Janeiro. Care was guided by the nursing process and the use of instruments to assess the venous network, anxiety and fear.
Results:
the Roy adaptation model enabled proposing nursing interventions that allowed the study subject to adapt to the external and internal stimuli triggered by vasovagal syndrome. The instruments indicated the choice of an adequate semi-implanted venous access device and led to improved levels of anxiety and fear.
Final Considerations:
after carrying out the nursing activities, anxiety was reduced, and the patient achieved greater control over fear.
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ORIGINAL ARTICLE
Content Translation And Validation Of The Pediatric PIV Infiltration Scale Into Brazilian Portuguese
Revista Brasileira de Enfermagem. 2020;73(4):e20190300
06-01-2020
Resumo
ORIGINAL ARTICLEContent Translation And Validation Of The Pediatric PIV Infiltration Scale Into Brazilian Portuguese
Revista Brasileira de Enfermagem. 2020;73(4):e20190300
06-01-2020DOI 10.1590/0034-7167-2019-0300
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Objectives:
to translate, adapt and validate the PIV Infiltration Scale content into Brazilian Portuguese.
Results:
the Pediatric PIV Infiltration Scale has been translated and adapted. Discrepancies were sorted out by consensus. The scale content was validated by nine experts, reaching a global content validity index of 0.95. Pretest was performed by applying the scale to 33 intravenous device insertion sites of 17 newborns and 16 children. The predominant infiltration grades were 2 and 3.
Conclusions:
the Pediatric PIV Infiltration Scale’s translated version achieved equivalence to Brazilian Portuguese and was validated by experts.
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RESEARCH
Use of technologies in intravenous therapy: contributions to a safer practice
Revista Brasileira de Enfermagem. 2017;70(3):595-601
01-01-2017
Resumo
RESEARCHUse of technologies in intravenous therapy: contributions to a safer practice
Revista Brasileira de Enfermagem. 2017;70(3):595-601
01-01-2017DOI 10.1590/0034-7167-2016-0216
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Objectives:
To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) and discuss the difficulties identified under the perspective of patient's safety.
Method:
Descriptive study of qualitative approach with data collected by semi-structured interview and analyzed by the Alceste software.
Results:
The greatest difficulty of cognitive and technical emphasis was the lack of training; and regarding administrative emphasis, the greatest difficulty was the lack of material and human resources. Infusion pumps and their proper use were highlighted as the technological resource that most contributed to patient safety.
Final considerations:
The lack of training is presented as the greatest difficulty of nursing professionals and permeates safety issues of both patient and professional when using the hard technologies in IVT. Training is essential to the development of techniques, considered nursing tools.