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REFLECTION
Comprehensive health care: dilemmas and challenges in nursing
Revista Brasileira de Enfermagem. 2015;68(2):333-338
01-01-2015
Abstract
REFLECTIONComprehensive health care: dilemmas and challenges in nursing
Revista Brasileira de Enfermagem. 2015;68(2):333-338
01-01-2015DOI 10.1590/0034-7167.2015680221i
Views0See moreABSTRACT
Objective:
this article discusses comprehensive care as a guiding tenet of the Brazilian Unifi ed Health System (SUS), outlining health care practices, especially nursing, and the relationships built by subjects in action by means of different knowledge.
Methods:
this is a theoretical refl ection that aims to propose dimensions of analysis (access to services, reception, links, lines of care, accountability, and responsiveness), with an emphasis on the dilemmas and challenges of nursing. The proposed dimensions analyze the production of care and its political and technical aspects.
Conclusion:
care should be the focus of all health care work, bearing in mind that intervention for technological action of each profession goes beyond the core of isolated knowledge, as is the case of nursing, which is connected to other professional practices, and can peruse other territories that operate through relational technologies, entering into the world of the needs of users and families.
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REVIEW
Gender and violence against women in nursing literature: a review
Revista Brasileira de Enfermagem. 2015;68(2):325-332
01-01-2015
Abstract
REVIEWGender and violence against women in nursing literature: a review
Revista Brasileira de Enfermagem. 2015;68(2):325-332
01-01-2015DOI 10.1590/0034-7167.2015680220i
Views0See moreABSTRACT
Objective:
considering the potential of nursing to expand understanding on this theme, this study aims to learn what is being published on gender and violence against women in the main Brazilian nursing journals.
Method:
an integrative review of online publications between 2000 and 2012 was conducted. Of the 138 articles selected, 25 addressed gender and violence against women as social constructs.
Results:
there was a predominance of qualitative approaches (60%), empirical research (60%), academic (100%), authors who were nurses (96%), spousal violence (32%) and domestic violence (20%). Violence against women in the light of gender was associated in only 32% of the articles.
Conclusion:
there is a need for increased studies in partnership with the public health care service, and to expand discussions on the dynamics of power and resistance, which are the basis of the concept of gender.
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RESEARCH
Nasal colonization in nursing professionals from units specialized in HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(2):320-324
01-01-2015
Abstract
RESEARCHNasal colonization in nursing professionals from units specialized in HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(2):320-324
01-01-2015DOI 10.1590/0034-7167.2015680119i
Views0See moreABSTRACT
Objective:
to investigate the presence of microorganisms in the nostrils of the nursing professionals of a Brazilian teaching hospital.
Method:
cross-sectional study in two inpatient units specialized in HIV/AIDS. Nasal secretion samples of nursing professionals were collected in one month. The samples were processed at the microbiology laboratory of the institution and analyzed using the Statistical Package for the Social Sciences (SPSS) software, version 19.0. Ethical aspects were abided.
Results:
from the 73 members of the nursing staff, samples of nasal secretions were collected from 61 (80.2%). Six types of microorganisms were isolated in 22 (41.0%) positive cultures. It is noteworthy that Staphylococcus aureus accounted for 22.9%, four of them oxacillin-resistant (MRSA).
Conclusion:
Staphylococcus aureus microorganism accounted for the largest prevalence in individuals of this study.
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RESEARCH
Evaluation of nursing students about learning with clinical simulation
Revista Brasileira de Enfermagem. 2015;68(2):311-319
01-01-2015
Abstract
RESEARCHEvaluation of nursing students about learning with clinical simulation
Revista Brasileira de Enfermagem. 2015;68(2):311-319
01-01-2015DOI 10.1590/0034-7167.2015680218i
Views0See moreABSTRACT
Objective:
to describe the contributions of clinical simulation for learning cognitive and procedural attributes through debriefi ng, from the perspective of nursing students.
Method:
descriptive exploratory study. Twenty nursing undergraduate students from a university in the interior of the state of São Paulo participated in this study. Data collection was performed at the debriefi ng stage. Student’s perceptions about the simulation, positive aspects and what they could have done differently were registered. The students’ statements were grouped according to the central themes and the framework of Bardin’s content analysis (2011) and were analyzed using descriptive statistics.
Results:
enhancement of active, critical and refl ective learning (47.5%) was identifi ed due to the closeness to reality in nursing care (20.3%), manifestation of feelings experienced during the simulation (15.3%) and composition of the scenario (15.3%).
Conclusion:
the clinical simulation followed by debriefi ng promotes the understanding of the link between action and achievements in learning.
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RESEARCH
Risk assessment of patient falls while taking medications ordered in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(2):305-310
01-01-2015
Abstract
RESEARCHRisk assessment of patient falls while taking medications ordered in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(2):305-310
01-01-2015DOI 10.1590/0034-7167.2015680217i
Views0See moreABSTRACT
Objective:
to stratify prescribed medication in a fall risk scale, identifying subgroups of drugs and inpatient units with higher risk of falls.
Method:
retrospective study on prescription order forms given by medical clinic, surgical clinic, and general intensive care unit. Risk factors under consideration: 1) orthostatic hypotension; 2) arterial hypotension; 3) arterial hypertension; 4) bradycardia; 5) psychomotor agitation; 6) mental confusion; 7) dizziness; 8) drowsiness/sedation; 9) reduced eyesight; 10) seizures; 11) atonia/dystonia/muscle weakness; 12) hypoglycemia; 13) urgent urination and 14) urgent defecation/diarrhea. Risk levels adopted: 0: 0 factor; I: 1-2 factors; II: 3-5 factors; III: 6-9 factors; IV: 10-14 factors.
Results:
3893 drugs were analyzed and stratifi ed in levels: 0 22.7%; I 33.5%; II 28%; III 15.1%; IV 0.7%. Levels III and IV more often refer to drugs for stomach acid disorders, 22.6%, and psycholeptics, 100%.
Conclusion:
knowing the risk factors associated with medication may help prevent and reduce falls, especially when therapeutic regimens cannot be modifi ed.
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RESEARCH
Knowledge and practice of the nurse about leprosy: actions of control and elimination
Revista Brasileira de Enfermagem. 2015;68(2):297-304
01-01-2015
Abstract
RESEARCHKnowledge and practice of the nurse about leprosy: actions of control and elimination
Revista Brasileira de Enfermagem. 2015;68(2):297-304
01-01-2015DOI 10.1590/0034-7167.2015680216i
Views0See moreABSTRACT
Objective:
to assess the knowledge and practice of primary health care nurses about control and elimination actions of leprosy.
Method:
evaluation study with qualitative approach, using the Discourse of the Collective Subject, data were collected through semi-structured interviews conducted with 16 nurses.
Results:
the data collected revealed that health professionals have suffi cient knowledge about the National Policy on Control and Elimination of Leprosy (NPCEL) and that the main actions preconized were applied, however, notifi cation of suspected or confi rmed cases and social reintegration of the patient were not mentioned.
Conclusion:
keeping patients in treatment, overload of work, lack of interdisciplinarity and treatment performed at other locations outside of the community were diffi culties reported by professionals. Nurses know the actions addressed at assistance of leprosy patients, however, the study points to the need for a practice which is more aligned to what advocates NPCEL.
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RESEARCH
Weaknesses of vaccine storage in Primary Healthcare Centers
Revista Brasileira de Enfermagem. 2015;68(2):291-296
01-01-2015
Abstract
RESEARCHWeaknesses of vaccine storage in Primary Healthcare Centers
Revista Brasileira de Enfermagem. 2015;68(2):291-296
01-01-2015DOI 10.1590/0034-7167.2015680215i
Views0See moreABSTRACT
Objective:
assessment through qualitative approach of vaccine storage in Primary Healthcare Centers.
Method:
assessment study of qualitative approach in which 30 interviews were conducted with nurses, nursing technicians or assistants and technical reference in immunization, in 12 vaccine rooms that had 100% of the structural criteria evaluated. Recorded testimonials of the subjects were organized and analyzed using thematic Content Analysis.
Results:
the assessment pointed to absence of knowledge on the parts of nurses and nursing technicians and assistants with respect to the effects of low temperature on vaccines. Barriers were also encountered in relation to the supervision of nurses in the vaccine room activities and in relation to the knowledge needed by workers to care for preservation of vaccines.
Conclusion:
vaccine storage is inadequate and may compromise the quality of the immunobiologicals dispensed to the populace.
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RESEARCH
Symbolic effects capitalized by nurses from the National Institute of Cancer in Brazil (1980 – 1990)
Revista Brasileira de Enfermagem. 2015;68(2):284-290
01-01-2015
Abstract
RESEARCHSymbolic effects capitalized by nurses from the National Institute of Cancer in Brazil (1980 – 1990)
Revista Brasileira de Enfermagem. 2015;68(2):284-290
01-01-2015DOI 10.1590/0034-7167.2015680214i
Views0See moreABSTRACT
Objective:
to describe the strategies of nurses in the National Institute of Cancer to disseminate its scientifi c capital and discuss the symbolic effects capitalized in the fi eld of oncology in the 1980s.
Method:
historical social studies, with primary sources consisting of written documents and oral reports, and as secondary sources, articles and books on the subject, based on the French sociologist Pierre Bourdieu’s concepts of scientifi c capital and habitus.
Results:
it revealed the effective performance of nurses in this Institute on policies of cancer prevention and control and strategies used in the teaching of oncology nursing at the undergraduate level. In conclusion, nursing stands out in this context, through the dissemination of its scientifi c knowledge, as a participant in the construction of a scientifi c fi eld of oncology nursing in Brazil, highlighting the occupation of important social areas.
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ORIGINAL ARTICLE
Quality of life in the climacteric of nurses working in primary care
- Geyslane Pereira Melo de Albuquerque
, - Fátima Maria da Silva Abrão ,
- Ana Maria de Almeida ,
- Débora Larissa Rufino Alves ,
- Priscyla de Oliveira Nascimento Andrade , [ … ],
- Aurélio Molina da Costa
12-13-2019
Abstract
ORIGINAL ARTICLEQuality of life in the climacteric of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72:154-161
12-13-2019DOI 10.1590/0034-7167-2018-0306
- Geyslane Pereira Melo de Albuquerque ,
- Fátima Maria da Silva Abrão ,
- Ana Maria de Almeida ,
- Débora Larissa Rufino Alves ,
- Priscyla de Oliveira Nascimento Andrade ,
- Aurélio Molina da Costa
Views0See moreABSTRACT
Objective:
to evaluate the quality of life of primary care nurses in the climacteric.
Method:
A cross-sectional descriptive-analytic study, performed with 98 female nurses, aged 40-65 years, using the WHOQOL-Bref questionnaire.
Results:
the worst level of quality of life was observed for professionals aged 50-59 years, non-white, specialists, divorced or widowed, with children, a lower income, with another employment relationship, a weekly workload of more than 40 hours, who consumed alcoholic beverages weekly, with chronic disease, in continuous use of medications, sedentary, who did not menstruate and did not receive hormonal treatment, and who went through menopause between the ages of 43-47 years.
Conclusion:
Although the variables “physical activity” and “age” have a statistically significant association with quality of life, other variables seem to interfere in these professionals’ lives, indicating the need for a more critical and deep reflection on these relations.
- Geyslane Pereira Melo de Albuquerque
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ORIGINAL ARTICLE
Incontinence associated dermatitis in elderly people admitted to a university hospital
- Clóris Regina Blanski Grden ,
- Alessandra Rodrigues Martins ,
- Luciane Patrícia Andreani Cabral ,
- Péricles Martim Reche ,
- Guilherme Arcaro , [ … ],
- Danielle Bordin
09-21-2020
Abstract
ORIGINAL ARTICLEIncontinence associated dermatitis in elderly people admitted to a university hospital
Revista Brasileira de Enfermagem. 2020;73:e20190374
09-21-2020DOI 10.1590/0034-7167-2019-0374
- Clóris Regina Blanski Grden ,
- Alessandra Rodrigues Martins ,
- Luciane Patrícia Andreani Cabral ,
- Péricles Martim Reche ,
- Guilherme Arcaro ,
- Daniele Brasil ,
- Danielle Bordin
Views0See moreABSTRACT
Objective:
To identify the frequency and factors associated to incontinence associated dermatitis in elderly people.
Methods:
Cross-sectional study with 202 elderly patients admitted to a university hospital between September 2017 and January 2018. Data collection included: cognitive screening, sociodemographic and clinical questionnaire. It was performed exploratory and descriptive analysis, where prevalence and ratios (PR) were calculated.
Results:
Prevalence of injury was 9.4%, age range 70-79 years (13.5%), African American (21.4%), hospitalization period ≥ 21 days (44.4%), in use of nasogastric tube (33.3%), medical device (11.3%), restricted mobility (18.5%). It was associated with hospitalization period, use of nasogastric tube, restricted mobility, medical devices, and cognition.
Conclusion:
It was confirmed an average frequency of incontinence associated dermatitis in elderly patients and association to factors such as hospitalization period, immobility, cognition, use of nasogastric tube and devices. It must be highlighted the importance of prevention measures, early detection, assessment and monitoring of this type of injury.
- Clóris Regina Blanski Grden
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ORIGINAL ARTICLE
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo , [ … ],
- Gilberto de Lima Guimarães
07-13-2020
Abstract
ORIGINAL ARTICLECulture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
07-13-2020DOI 10.1590/0034-7167-2019-0576
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo ,
- Gilberto de Lima Guimarães
Views0ABSTRACT
Objectives:
to assess the patient safety culture of the health team working in three maternity hospitals.
Methods:
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
Results:
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
Conclusions:
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
Keywords:Cross-Sectional StudiesHospital Gynecology and Obstetrics UnitOrganizational CulturePatient Care TeamPatient SafetySee more - Juliana Maria Almeida do Carmo
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ORIGINAL ARTICLE
Diabetes mellitus type 2: factors related to adherence to self-care
- Raquel de Aguiar Portela ,
- José Rodrigo Santos Silva ,
- Flávia Baluz Bezerra de Farias Nunes ,
- Maria Lúcia Holanda Lopes ,
- Rosângela Fernandes Lucena Batista , [ … ],
- Andréa Cristina Oliveira Silva
02-25-2022
Abstract
ORIGINAL ARTICLEDiabetes mellitus type 2: factors related to adherence to self-care
Revista Brasileira de Enfermagem. 2022;75(4):e20210260
02-25-2022DOI 10.1590/0034-7167-2021-0260
- Raquel de Aguiar Portela ,
- José Rodrigo Santos Silva ,
- Flávia Baluz Bezerra de Farias Nunes ,
- Maria Lúcia Holanda Lopes ,
- Rosângela Fernandes Lucena Batista ,
- Andréa Cristina Oliveira Silva
Views0See moreABSTRACT
Objectives:
to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2.
Methods:
quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão.
Results:
the adherence to self-care was greater when it comes to medications (Md=7.0) and foot care (Md= 6.0), but lower in regard to blood sugar testing (Md=1.0), exercise (Md=2,0), and diet (general) (Md=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities.
Conclusions:
identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.
- Raquel de Aguiar Portela
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ORIGINAL ARTICLE
Frailty, depression, and quality of life: a study with elderly caregivers
- Letícia Alves de Melo ,
- Isabela Thaís Machado de Jesus ,
- Fabiana de Souza Orlandi ,
- Grace Angélica de Oliveira Gomes ,
- Marisa Silvana Zazzetta , [ … ],
- Ariene Angelini dos Santos-Orlandi
09-21-2020
Abstract
ORIGINAL ARTICLEFrailty, depression, and quality of life: a study with elderly caregivers
Revista Brasileira de Enfermagem. 2020;73:e20180947
09-21-2020DOI 10.1590/0034-7167-2018-0947
- Letícia Alves de Melo ,
- Isabela Thaís Machado de Jesus ,
- Fabiana de Souza Orlandi ,
- Grace Angélica de Oliveira Gomes ,
- Marisa Silvana Zazzetta ,
- Tábatta Renata Pereira de Brito ,
- Ariene Angelini dos Santos-Orlandi
Views0See moreABSTRACT
Objective:
to analyze the relationship between frailty, depressive symptoms, and quality of life of elderly caregivers of other elderly living in high social vulnerability.
Methods:
a descriptive, correlational and cross-sectional study conducted with 40 elderly caregivers. A questionnaire to characterize elderly caregivers, the Fried frailty phenotype, the Geriatric Depression Scale (to screen depressive symptoms) and the Short-Form 6 Dimension (to assess quality of life) were used. For data analysis, Student’s t-test, ANOVA, Pearson’s χ2 and Fisher’s exact test were used.
Results:
most were pre-frail (52.5%) and had no evidence of depressive symptoms (57.5%). They presented, on average, a score of 0.76 (±0.1) in relation to quality of life. Statistical significance was observed between the average scores of quality of life with depressive symptoms (p=0.012) and frailty level (p=0.004).
Conclusion:
frail elderly caregivers with depressive symptoms had a worse perception of quality of life.
- Letícia Alves de Melo
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ORIGINAL ARTICLE
Autonomy in the reproductive health of quilombolas women and associated factors
- Elionara Teixeira Boa Sorte Fernandes ,
- Sílvia Lúcia Ferreira ,
- Cláudia Suely Barreto Ferreira ,
- Eliene Almeida Santos
09-21-2020
Abstract
ORIGINAL ARTICLEAutonomy in the reproductive health of quilombolas women and associated factors
Revista Brasileira de Enfermagem. 2020;73:e20190786
09-21-2020DOI 10.1590/0034-7167-2019-0786
- Elionara Teixeira Boa Sorte Fernandes ,
- Sílvia Lúcia Ferreira ,
- Cláudia Suely Barreto Ferreira ,
- Eliene Almeida Santos
Views0ABSTRACT
Objective:
Identify the level of reproductive autonomy of quilombola women and associate it with sociodemographic characteristics and aspects of sexual and reproductive health.
Methods:
Cross-sectional census study carried out in quilombola communities in a municipality in Bahia. Data was collected through questionnaires from the National Health Survey and the Reproductive Autonomy Scale, applied to quilombola women who agreed to participate. Descriptive statistics procedures were used and associations were made between reproductive autonomy scores and sociodemographic and reproductive characteristics.
Results:
The average total score for reproductive autonomy was 2.06. An association was found between the “decision-making” score and marital status. The score for “total reproductive autonomy” was associated with the use of contraceptive method.
Conclusion:
The reality of the study participants converges with the literature regarding the interference of sociodemographic and reproductive factors in the reproductive autonomy of black women.
Keywords:African Continental Ancestry GroupPersonal AutonomyReproductive HealthSocioeconomic FactorsWomenSee more - Elionara Teixeira Boa Sorte Fernandes
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Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
- Milena Laryssa Costa Bicalho ,
- Fernanda Gontijo Araújo ,
- Gisele Nepomuceno de Andrade ,
- Eunice Francisca Martins ,
- Mariana Santos Felisbino-Mendes
06-28-2021
Abstract
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
Revista Brasileira de Enfermagem. 2021;74:e20200884
06-28-2021DOI 10.1590/0034-7167-2020-0884
- Milena Laryssa Costa Bicalho ,
- Fernanda Gontijo Araújo ,
- Gisele Nepomuceno de Andrade ,
- Eunice Francisca Martins ,
- Mariana Santos Felisbino-Mendes
Views0ABSTRACT
Objective:
To analyze the temporal trends in the fertility rate, proportion of antenatal consultations and caesarean sections in Brazilian adolescents aged 15 to 19, between 2000 and 2015. Methods: The fertility rate, proportion of prenatal consultations and proportion of routes of birth were calculated using data from DATASUS. The trend analysis was performed using the Prais-Winsten regression model and the annual percentage change.
Results:
There was a trend of reduction of 3.5% per year in the fertility rate among adolescents (p<0.05), in addition to an increasing trend of 6% per year in the proportion of more than six antenatal consultations (p <0.0001) and an increasing trend of 6.8% per year in the proportion of caesarean sections (p<0.0001).
Conclusion:
Despite the decreasing trend in fertility rates among Brazilian adolescents, they remain high. Also noteworthy is the growing trend for caesarean sections, even with improved access to antenatal care.
Keywords:Birth RateCaesarean SectionDescriptors:Pregnancy in adolescencePrenatal CareTime Serie StudiesSee more
- Milena Laryssa Costa Bicalho
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ORIGINAL ARTICLE
Nursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency
- Paula Krempser ,
- Cristina Arreguy-Sena ,
- Pedro Miguel dos Santos Dinis Parreira ,
- Anabela de Sousa Salgueiro-Oliveira
10-21-2019
Abstract
ORIGINAL ARTICLENursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency
Revista Brasileira de Enfermagem. 2019;72(6):1512-1518
10-21-2019DOI 10.1590/0034-7167-2018-0457
- Paula Krempser ,
- Cristina Arreguy-Sena ,
- Pedro Miguel dos Santos Dinis Parreira ,
- Anabela de Sousa Salgueiro-Oliveira
Views0See moreABSTRACT
Objective:
to create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture process.
Method:
action research with 435 adult participants in an emergency service from 2011 to 2013. Creation of the bundle for prevention of vascular trauma based on scientific evidence, ease of operation, observation and measurement with implantation through an educational intervention of the team of nursing. Effectiveness analyzed by descriptive and inferential statistics using chi-square. Consecutive sample with 95% confidence interval.
Results:
Five stages of the bundle were related to the catheter fixation, permanence and removal process. The incidence of vascular traumas due to vein punctures reduced by 46.41% after implantation of the bundle to prevent vascular trauma associated with emergency peripheral catheterization.
Conclusion:
The bundle in clinical practice reduced vascular traumas by venipuncture.
- Paula Krempser
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