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RESEARCH01-01-2017
Nursing care by telehealth: what is the influence of distance on communication?
Revista Brasileira de Enfermagem. 2017;70(5):928-934
Abstract
RESEARCHNursing care by telehealth: what is the influence of distance on communication?
Revista Brasileira de Enfermagem. 2017;70(5):928-934
DOI 10.1590/0034-7167-2016-0142
Views0See moreABSTRACT
Objective:
Evaluate the perception of nurses regarding interpersonal communication while providing care via telehealth.
Method:
Qualitative research realized with seven nurses working in telehealth in Brazil, the sample was determined by data saturation. A questionnaire with open questions was applied and then content analysis of the dialogues was conducted, focusing on thematic analysis.
Results:
Four categories emerged from the dialogues: Understanding the importance of communication; the interpersonal relationship interfering with communication; Communicating via technology; and Learning the communication process.
Final considerations:
The perception of nurses working in telehealth in Brazil is that technology has facilitated their professional practice; however, in relation to the communication process, they believe it is harder to communicate by telehealth, mainly due to difficulty in perceiving nonverbal signals. To overcome these difficulties, they agreed that interpersonal communication is a skill that must be acquired during their professional training.
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RESEARCH01-01-2017
Neoliberalist influences on nursing hospital work process and organization
Revista Brasileira de Enfermagem. 2017;70(5):912-919
Abstract
RESEARCHNeoliberalist influences on nursing hospital work process and organization
Revista Brasileira de Enfermagem. 2017;70(5):912-919
DOI 10.1590/0034-7167-2016-0092
Views0See moreABSTRACT
Objectives:
To describe and analyze the influence of the neoliberal economic and political model on the nursing hospital work process and organization.
Method:
Qualitative descriptive research, having as its scenery a university hospital. The subjects were 34 nursing workers. The data collection took place from March to July 2013, through semi-structured interview. The data treatment technique used was content analysis, which brought up the following category: working conditions precariousness and its consequences to the hospital work process and organization in the neoliberal context.
Results:
The consequences of neoliberalism on hospital work process and organization were highlighted, being observed physical structure, human resources and material inadequacies that harms the assistance quality. In addition to wage decrease that cause the need of second jobs and work overload.
Final considerations:
There is a significant influence of the neoliberal model on hospital work, resulting on working conditions precariousness.
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RESEARCH01-01-2017
Nursing team’s conceptions about the families of hospitalized children
Revista Brasileira de Enfermagem. 2017;70(5):904-911
Abstract
RESEARCHNursing team’s conceptions about the families of hospitalized children
Revista Brasileira de Enfermagem. 2017;70(5):904-911
DOI 10.1590/0034-7167-2016-0233
Views0See moreABSTRACT
Objectives:
to describe nursing team care and discuss the nursing team’s conception of companion families of hospitalized children. The study was based on the theoretical framework of Collière’s theory of nursing care identity.
Method:
this was a qualitative study with 14 members of a nursing team, conducted through an unstructured group interview. Thematic data analysis was employed.
Results:
habitual and repair care was delegated to families, regardless of the child’s clinical condition.
Final considerations:
the team’s official discourse about the families of hospitalized children, as recommended by the literature, refers to the family’s alterity and participation in care provision, with sights on discharge and defending family participation as beneficial to children. In practice, however, the nursing staff makes concessions about the presence of chaperoning families and delegates care.
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RESEARCH01-01-2017
Innovation in nursing health care practice: expansion of access in primary health care
Revista Brasileira de Enfermagem. 2017;70(5):898-903
Abstract
RESEARCHInnovation in nursing health care practice: expansion of access in primary health care
Revista Brasileira de Enfermagem. 2017;70(5):898-903
DOI 10.1590/0034-7167-2016-0131
Views0ABSTRACT
Objective:
analyze the reorganization of the health care practice of nurses as an innovative strategy for expansion of access in primary care.
Method:
qualitative and quantitative study, which interviewed 32 management and care nurses and collected documentary data from public reports of production of nursing consultations from 2010 to 2014, in a municipality in southern Brazil. Data processing for textual analysis was performed by IRAMUTEQ software; for simple descriptive statistical analysis, the program Excel 2013 was used.
Results:
in the innovative care practice class, associated with awareness of change, related to implementation of the FHS, its challenges and advantages, the following subclasses were identified: reorganization of schedules, nursing consultation, physical restructuring of BHUs, and shared consultation.
Final considerations:
the need to expand access to and valorization of care practice encourages the development of innovative strategies. The protagonism of care needs to be discussed in the various spaces so that each professional carry out the respective role with competence and efficacy.
Keywords:Access to Health ServicesHealth Care Practice ManagementNursingOrganizational InnovationPrimary Health CareSee more -
EDITORIAL01-01-2017
The Nursing work and the construction of a democratic society
Revista Brasileira de Enfermagem. 2017;70(5):896-897
Abstract
EDITORIALThe Nursing work and the construction of a democratic society
Revista Brasileira de Enfermagem. 2017;70(5):896-897
DOI 10.1590/0034-7167.2017700501
Views0In Brazil, the Nursing work is performed by an expressive contingent of workers, which – according to the last survey by the Brazilian Nursing Association – comprised 1,856,683 professionals, mostly women, distributed into three professional categories: Nurses, Nursing Technicians and Nursing Assistants, who work in public and private health care networks. With salaries lower than […]See more -
EDITORIAL01-01-2017
O trabalho em Enfermagem e a construção de uma sociedade democrática
Revista Brasileira de Enfermagem. 2017;70(5):896-897
Abstract
EDITORIALO trabalho em Enfermagem e a construção de uma sociedade democrática
Revista Brasileira de Enfermagem. 2017;70(5):896-897
DOI 10.1590/0034-7167.2017700501
Views0No Brasil, o trabalho em enfermagem é realizado por expressivo contingente de trabalhadores, que, de acordo com o último levantamento realizado pela Associação Brasileira de Enfermagem, somava 1.856.683 profissionais, em sua maioria mulheres, distribuído em três categorias profissionais: Enfermeiros, Técnicos e Auxiliares de Enfermagem que atuam na rede pública e privada de saúde. Com baixos […]See more -
REFLECTION01-01-2017
Transcendence, historicity and temporality of being elderly: nursing reflection-using Heidegger
Revista Brasileira de Enfermagem. 2017;70(4):891-895
Abstract
REFLECTIONTranscendence, historicity and temporality of being elderly: nursing reflection-using Heidegger
Revista Brasileira de Enfermagem. 2017;70(4):891-895
DOI 10.1590/0034-7167-2016-0275
Views0See moreABSTRACT
The objective is to reflect on historicity and temporality as paths for the transcendence of being elderly, based on the phenomenological concepts of Martin Heiddeger. A review of the concepts of transcendence, historicity and temporality was carried out in the work of Martín Heidegger, integrating them in the perspective of nursing for the elderly. The transcendence of the elderly adult is feasible by accessing the temporality of self in the path of its historicity to arrive at the understanding of itself that he has achieved: transcending, which is but a process of the Being itself. Being is time in itself existing in the world, existence given by the encounter of the past (to have been), present and future (becoming), the same encounter that determines the historicity of the Being. The encounter has been consummated and the Being is transcendence, with the understanding of the Being itself as a supreme point.
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REVIEW12-21-2020
Communication between pre-hospital and intra-hospital emergency medical services: literature review
Revista Brasileira de Enfermagem. 2020;73:e20190817
Abstract
REVIEWCommunication between pre-hospital and intra-hospital emergency medical services: literature review
Revista Brasileira de Enfermagem. 2020;73:e20190817
DOI 10.1590/0034-7167-2019-0817
Views1ABSTRACT
Objectives:
to analyze, according to the scientific literature, communication strategies in the transfer of cases between pre-hospital and in-hospital services and their contributions to patient safety.
Methods:
this is a literature review study, that is, one that aims to gather and synthesize research results on the subject in a systematic and orderly manner.
Results:
ten articles were published, published between 2010 and 2018, and two points of discussion emerged: use of mnemonics; and barriers to transferring a case.
Conclusions:
studies point to the need to standardize the case transfer process, as well as integrative training of professionals, regular assessment of the teams involved in emergency medical services and the need for research on the subject.
Keywords:AmbulanceCommunicationEmergency Medical ServicesReviewTransfer of Responsibility by the PatientSee more -
ORIGINAL ARTICLE12-21-2020
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
Abstract
ORIGINAL ARTICLEDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
DOI 10.1590/0034-7167-2019-0559
Views1ABSTRACT
Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
Keywords:Educational TechnologyHealth EducationMethodological Research in NursingTechnological DevelopmentValidation StudiesSee more -
REVIEW09-21-2020
Middle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
Abstract
REVIEWMiddle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
DOI 10.1590/0034-7167-2019-0334
Views1See moreABSTRACT
Objective:
To stablish a middle range theory for the understanding of the causal mechanisms and clinical consequentes of the nursing diagnosis Excess Fluid Volume (00026) among pregnant women.
Method:
The Middle Range Theory was constructed in five stages: defining of construction approach, establishing main concepts, elaborating propositions, developing a pictorial diagram, and establishing the causal relationships and evidence for practice of the Middle Range Theory.
Results:
We identified 14 clinical indicators and 6 causal factors of Excess Fluid Volume. A pictorial diagram was developed and relationships between Excess Fluid Volume elements were established with 6 propositions for them.
Conclusion:
The Middle Range Theory included both physiological and pathological conditions to explain Excess Fluid Volume. This Middle Range Theory might help in the better understanding of interactions between causal factors and clinical indicators of Excess Fluid Volume.
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ORIGINAL ARTICLE07-06-2020
Nurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923
Abstract
ORIGINAL ARTICLENurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923
DOI 10.1590/0034-7167-2018-0923
Views1ABSTRACT
Objectives:
to analyze the nurses’ work process in an Emergency Hospital Service.
Methods:
a qualitative, exploratory and descriptive research conducted with 17 nurses from the emergency service of a high complexity hospital in southern Brazil. Data were collected through interviews, focus group and document analysis. Data analysis followed the thematic content analysis framework.
Results:
four categories emerged: Work environment characteristics; Assistance dimension; Management dimension; Care management.
Final Considerations:
the nurses’ work process in Emergency Hospital Service is characterized by the peculiarities of the setting, with centrality in care and care management aiming at quality care and safety to patients.
Keywords:Emergency NursingEmergency Service, HospitalHealth ManagementNurse's RoleProfessional PracticeSee more -
ORIGINAL ARTICLE03-09-2020
Quality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
DOI 10.1590/0034-7167-2018-0792
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life of nursing professionals who work in a central sterile processing department.
Methods:
a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.
Conclusions:
This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.
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ORIGINAL ARTICLE12-05-2019
Care complexity in hospitalized elderly according to cognitive performance
Revista Brasileira de Enfermagem. 2019;72:134-139
Abstract
ORIGINAL ARTICLECare complexity in hospitalized elderly according to cognitive performance
Revista Brasileira de Enfermagem. 2019;72:134-139
DOI 10.1590/0034-7167-2018-0357
Views1See moreABSTRACT
Objective:
to investigate possible differences in care complexity, functional performance and biopsychosocial and health system aspects among hospitalized elderly with or without cognitive decline.
Method:
quantitative, cross-sectional and analytical study in which was used the INTERMED method and cognitive and functional screening scales. We investigated 384 elderly patients admitted to a medical and surgical clinic of a University Hospital located in São Paulo/SP.
Results:
cognitive decline was present in 40.1% of the sample, most of them were longer-lived elderly individuals with less schooling and income, more dependent in activities of daily living and had greater vulnerability in different domains of INTERMED. After adjustments, the elderly with cognitive decline presented greater vulnerability in the psychological domain.
Conclusion:
the relationship between cognitive decline and psychological vulnerability highlights the need to adopt long-term care based on involvement of the family, health team and different services, thereby maximizing the quality of care.
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ORIGINAL ARTICLE10-21-2019
Nurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem. 2019;72(6):1639-1645
Abstract
ORIGINAL ARTICLENurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem. 2019;72(6):1639-1645
DOI 10.1590/0034-7167-2018-0768
Views1See moreABSTRACT
Objective:
to understand how nurses deal with the elderly’s autonomy at the end of life.
Method:
qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil.
Results:
nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team.
Final considerations:
the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.
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ORIGINAL ARTICLE09-16-2019
Spatial analysis on tuberculosis and the network of primary health care
Revista Brasileira de Enfermagem. 2019;72(5):1197-1202
Abstract
ORIGINAL ARTICLESpatial analysis on tuberculosis and the network of primary health care
Revista Brasileira de Enfermagem. 2019;72(5):1197-1202
DOI 10.1590/0034-7167-2017-0897
Views1See moreABSTRACT
Objective:
to analyze the spatial distribution of new cases of tuberculosis compared to the location of the Primary Healthcare Units that performed the compulsory notification.
Method:
ecological study conducted in Belém, Pará, with 5,294 new cases of tuberculosis notified to Sistema de Informação de Agravos de Notificação for the period from 2010 to 2014. The cases were georeferenced using the software applications ArcGis 10.2 and TerraView 4.2.2. The techniques of Kernel density and global Moran geostatistics were used.
Results:
the incidence of tuberculosis cases did not vary significantly between the years studied, however there was a variation in incidence between neighborhoods. Health units that exhibited higher number of notifications can suffer great influence of migration from nearby neighborhoods.
Conclusion:
the spatial dynamics of tuberculosis associated with health services allows to know the areas with increased risk of tuberculosis and the density of notifications of health units.
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Socioeconomic factors related to leprosy: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72(5):1405-1415
Abstract
Socioeconomic factors related to leprosy: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72(5):1405-1415
DOI 10.1590/0034-7167-2017-0651
Views0See moreABSTRACT
Objective:
To investigate in the literature the relation of socioeconomic factors in the incidence of the disease and other outcomes related to leprosy.
Method:
Integrative review conducted in Lilacs, Medline, Scopus databases and SciELO online library with studies from 2000 to 2016.
Results:
32 studies were included. Only studies that analyzed statistical associations of socioeconomic factors and outcomes related to leprosy were selected.
Conclusion:
Leprosy is greatly affected by the social context in which the patient is inserted, the chances of exposure to illness are the result of a set of not only individual aspects, but also of contexts or collective conditions. It is imperative for Nursing, as an essential part of the multiprofessional team entrusted with the care and surveillance of the disease, to recognize these factors to predict unfavorable outcomes and to develop new practices capable of reducing inequities.
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ORIGINAL ARTICLE06-27-2019
Literacy in health and self-care in people with type 2 diabetes mellitus
Revista Brasileira de Enfermagem. 2019;72(3):700-706
Abstract
ORIGINAL ARTICLELiteracy in health and self-care in people with type 2 diabetes mellitus
Revista Brasileira de Enfermagem. 2019;72(3):700-706
DOI 10.1590/0034-7167-2018-0291
Views0See moreABSTRACT
Objective:
To evaluate the effect of educational intervention in the adherence to self-care activities and functional health literacy and numeracy in people with type 2 diabetes mellitus.
Methods:
This was a quasi-experimental study conducted in two units of the Brazilian Family Health Strategy, involving people with diabetes. Educational interventions occurred in three meetings, weekly, lasting 60 minutes on average. Data were collected using the Questionário de Autocuidado com o Diabetes, before and after the interventions.
Results:
55 people participated in the study. After the interventions, the greatest difference for a better adherence to self-care was the item “inspecting the inside of the shoes before putting them on”, with 3.29 days in the week delta at analytical level. The worst was “taking insulin shots as recommended”, with 0.00 days a week delta at basic level.
Conclusion:
Educational interventions had a positive effect on adherence to self-care and functional literacy in health.
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EDITORIAL08-19-2019
Qualitative research in health: a reflective approach
Revista Brasileira de Enfermagem. 2019;72(4):830-831
Abstract
EDITORIALQualitative research in health: a reflective approach
Revista Brasileira de Enfermagem. 2019;72(4):830-831
DOI 10.1590/0034-7167.2019-720401
Views0Qualitative research makes possible the development of health knowledge, because it works with complex phenomena whose totality, besides depth, depends on the intensity. For Minayo, the objective of the qualitative research is to make explicit data, indicators, verified trends and/or construct theoretical models applicable to practice. Therefore, its purpose is to study history, representations, relationships, […]See more -
REFLECTION07-01-2020
How to translate scientific knowledge into practice? Concepts, models and application
Revista Brasileira de Enfermagem. 2020;73(5):e20190179
Abstract
REFLECTIONHow to translate scientific knowledge into practice? Concepts, models and application
Revista Brasileira de Enfermagem. 2020;73(5):e20190179
DOI 10.1590/0034-7167-2019-0179
Views0See moreABSTRACT
Objectives:
to present the concept of Knowledge Translation and Exchange as it has been used in the international literature and in Canada, particularly. Next, to describe a renowned conceptual model to guide its implementation, entitled Knowledge-to-Action Cycle.
Results:
we described the use of the model in the context of the municipal primary health care system in southern Brazil for the implementation of pain management strategies during vaccination.
Conclusions:
in this theoretical reflection, we argue that in order to promote health equity and quality of care in the Unified Health System (Brazilian SUS) it is important to translate scientific knowledge to various practice settings and create opportunities for exchange with users of this knowledge, such as health professionals, managers, policy makers, patients, family members and other stakeholders.
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REVIEW04-22-2020
Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers
Revista Brasileira de Enfermagem. 2020;73(3):e20180965
Abstract
REVIEWPolycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers
Revista Brasileira de Enfermagem. 2020;73(3):e20180965
DOI 10.1590/0034-7167-2018-0965
Views0ABSTRACT
Objectives:
to identify the scientific evidence on the development of cardiovascular and respiratory diseases due to workplace contamination by polycyclic aromatic hydrocarbons.
Methods:
integrative literature review. The search for primary articles was held in October 2017 in the Medical Literature Analysis and Retrieval System Online (through Pubmed), Web of Science and Latin American and Caribbean Literature in Health Sciences (LILACS).
Results:
the 16 studies analyzed showed that exposure to polycyclic aromatic hydrocarbons was associated with cardiovascular diseases, such as increased blood pressure, heart rate variation, and ischemic heart disease; and respiratory disorders, such as decreased lung function, chronic obstructive pulmonary disease, asthma, wheeze, coughing, pulmonary wheezing, chest tightness, effort dyspnea, and sore throat.
Conclusions:
polycyclic aromatic hydrocarbons cause deleterious effects on the cardiovascular and respiratory systems through mutations and cellular inflammation, being a risk to exposed individuals.
Keywords:Cardiovascular DiseasesPolycyclic Aromatic HydrocarbonsRespiratory DiseasesVolatile Organic CompoundsWorkersSee more -
ORIGINAL ARTICLE02-17-2020
Occupational stress in nursing professionals of a university hospital
Revista Brasileira de Enfermagem. 2020;73(2):e20180997
Abstract
ORIGINAL ARTICLEOccupational stress in nursing professionals of a university hospital
Revista Brasileira de Enfermagem. 2020;73(2):e20180997
DOI 10.1590/0034-7167-2018-0997
Views0ABSTRACT
Objectives:
To identify the presence of occupational stress in nursing professionals of a university hospital in the inlands of the state of Minas Gerais and examine influence of sociodemographic and occupational characteristics in this disease.
Methods:
Cross-sectional, exploratory and quantitative study with 124 professional nurses from a university hospital in the inlands of the state of Minas Gerais. The adapted and validated Portuguese version of the Job Stress Scale (JSS) was used for the performance of the study.
Results:
Most professionals were women (87.9%) with a mean age of 40.2 years, 80.6% were nursing technicians and 71.8% of the sample had some degree of exposure to occupational stress.
Conclusions:
The occupational stress index was higher than that observed in previous studies. Data obtained in the study point to the need to implement institutional measures for the prevention of occupational stress, especially by strengthening social support at work.
Keywords:Nursing ProfessionalsNursing, TeamOccupational HealthOccupational StressUniversity HospitalSee more -
ORIGINAL ARTICLE07-08-2020
Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke
Revista Brasileira de Enfermagem. 2020;73:e20180894
Abstract
ORIGINAL ARTICLEDevelopment and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke
Revista Brasileira de Enfermagem. 2020;73:e20180894
DOI 10.1590/0034-7167-2018-0894
Views0See moreABSTRACT
Objective:
development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke.
Methods:
a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with multidisciplinary team, analyzed with literature articulation; (3) protocol validation by the Delphi Technique.
Results:
the protocol was structured in the following areas: Disease Guidelines; Emotional Support; Using the Health Care Network; Diet; Airways; Medications; Hygiene; Skin Care; Disposal; Dressing/Undressing; Positioning and Transfer; Fall Prevention. In the pretest, eight experts assessed protocol clarity and content. In validation, there were two rounds by the Delphi Technique. The validated protocol consisted of 12 domains, containing 42 items and 240 care guidelines.
Conclusion:
the protocol qualifies the transition of care after hospital discharge assisting nurses in home care practice.
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