REVISÃO Archives - Revista Brasileira de Enfermagem

  • REVISÃO

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952
    01-01-2015

    Abstract

    REVISÃO

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952
    01-01-2015

    DOI 10.1590/0034-7167.2015680525i

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    ABSTRACT

    Objective:

    to identify the available evidence in the literature on Total Quality Management in nursing administration.

    Method:

    integrative literature review of full text articles in Portuguese, English and Spanish, published between 2000 and 2011 in the LILACS, MEDLINE, SciELO and PubMed databases.

    Results:

    the sample comprises 24 periodical articles grouped by the following thematic categories: Theoretical assumptions; Practical application and Quality indicators. Despite the criticism of models derived from classic administration theories, experiences of success with the deployment of TQM have already marked the health and nursing setting in Brazil.

    Conclusion:

    Total Quality Management in managing of nursing care has being fully used in some health institutions, while others have adopted several of its principles. Two of the twenty four articles are intervention studies, which characterizes the necessity for clinical research in this area.

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    Total Quality Management and hospital nursing: an integrative literature review
  • REVISÃO

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960
    01-01-2015

    Abstract

    REVISÃO

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960
    01-01-2015

    DOI 10.1590/0034-7167.2015680526i

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    ABSTRACT

    Objective:

    analyze the concept of delayed surgical recovery.

    Method:

    the Rodgers' concept analysis provided the procedural mechanisms to guide the study, and an integrative review was performed to achieve the second activity of the model adopted. The PubMed, CINAHL, EMBASE and LILACS databases were selected to search for primary studies.

    Results:

    sixty-six primary studies were included and served as basis to construct the use and meaning of delayed surgical recovery concept. In the analysis, six attributes were outlined, which are interrelated and underpin the research concept definition. Preliminary experience was identified as the antecedent. The consequences of the concept are expressed through clinical manifestations, re-interventions, dependence on care and reduced quality of life.

    Conclusion:

    the definition of the concept was constructed, and the antecedents and consequents were identified. The use and meaning of the delayed surgical recovery concept point to the use of the qualifier 'impaired' instead of 'delayed'.

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    Delayed surgical recovery: a concept analysis
  • REVISÃO

    Concept of family insufficiency in the aged: critical literature analysis

    Revista Brasileira de Enfermagem. 2015;68(6):1176-1185
    01-01-2015

    Abstract

    REVISÃO

    Concept of family insufficiency in the aged: critical literature analysis

    Revista Brasileira de Enfermagem. 2015;68(6):1176-1185
    01-01-2015

    DOI 10.1590/0034-7167.2015680625i

    Views0

    ABSTRACT

    Objective:

    to identify the attributes of the "family insufficiency" concept of the aged in the literature.

    Method:

    critical literature analysis.

    Results:

    family insufficiency is characterized as a complex process of psychosocial interaction, founded mainly on low social support of the aged and impaired family ties. Its antecedents are found in contemporary transformations within the family system, intergenerational conflicts, impaired family relationships and social vulnerability of the family. The consequences of family insufficiency include social vulnerability of the aged, decline of psychological and functional health, lower quality of life and unsuccessful aging. An original theoretical proposal was elaborated for the concept of family insufficiency in the elderly, with the identification of its attributes, antecedents and consequences.

    Conclusion:

    the findings of this study constitute a theoretical advancement in the Family Insufficiency Syndrome in elderly people and provide data for future field research in developing the concept.

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