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ORIGINAL ARTICLE
Reconfiguration of palliative oncological nursing care: nursing contributions
Revista Brasileira de Enfermagem. 2020;73(6):e20190384
08-10-2020
Abstract
ORIGINAL ARTICLEReconfiguration of palliative oncological nursing care: nursing contributions
Revista Brasileira de Enfermagem. 2020;73(6):e20190384
08-10-2020DOI 10.1590/0034-7167-2019-0384
Views0ABSTRACT
Objective:
to analyze the strategies implemented by nurses to reconfigure palliative oncological care due to the hospital accreditation process in Hospital do Câncer IV (Hospital of Cancer IV).
Method:
qualitative research of historical-social approach, whose direct sources in use were written documents and four spoken accounts.
Results:
implemented strategies were: creation of the Nursing Division; nursing staff management; consolidation of Continuing Education sector; creation of Internal Nursing Bylaws through development of norms and routines; meetings; discussion of clinical cases; training and classes; creation of Núcleo de Assistência de Enfermagem (Nursing Assistance Core); creation of a tumoral and ostomy wound-dressing ambulatory; and organization of the 5th Vital Sign Forum.
Final considerations:
nurses, supported by an alliance with the institution directors, implemented effective strategies and reached significant advancement. As they took part in this endeavor, they became legitimate spokespeople of an authorized discourse in the field of oncological nursing care in Brazil.
Keywords:History of NursingHospital AccreditationOncological NursingPalliative CareQuality ManagementSee more -
ORIGINAL ARTICLE
Nursing outcomes for pain assessment of patients undergoing palliative care
Revista Brasileira de Enfermagem. 2019;72(1):64-72
01-01-2019
Abstract
ORIGINAL ARTICLENursing outcomes for pain assessment of patients undergoing palliative care
Revista Brasileira de Enfermagem. 2019;72(1):64-72
01-01-2019DOI 10.1590/0034-7167-2018-0307
Views0ABSTRACT
Objective:
To select outcomes and indicators of the Nursing Outcomes Classification (NOC), in order to assess patients with cancer under palliative care with Acute and Chronic Pain Nursing Diagnoses; and to construct the conceptual and operational definitions of the indicators.
Method:
Expert opinion study and literature review. The sample consisted of 13 experts. The data collection was in own tool applied in face-to-face meeting and by e-mail. In the analysis of the data, it was considered between 75% and 100% of agreement.
Results:
Eight outcomes and 19 indicators were selected. The results with higher scores were Pain Level, Pain Control and Client Satisfaction: Pain Management. For all indicators selected, conceptual and operational definitions were constructed.
Conclusion:
The selection of results and priority indicators for the assessment of pain in palliative care, as well as the construction of its definitions, will support clinical practice.
Keywords:Acute PainChronic PainEvaluation of Results (Health Care)Oncological NursingPalliative CareSee more