Enfermagem Brasil

Empirical indicators for nursing consultation to elderly people in situations of violence

Elismar Pedroza Bezerra — 2024-01-28

Objective: To identify empirical indicators related to elderly individuals in situations of violence that can be utilized in nursing consultations. Methods: This is an integrative literature review encompassing 10 studies, with 7 in English and 3 in Portuguese. These studies were sourced from the Web of Science databases, Medline/PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Nursing Databases (BDENF). Results: Several empirical indicators were identified for nursing consultations with elderly individuals in situations of violence. The primary indicators include abrasions, lacerations, fractures, burns, bruises, fear, confusion or apathy, sadness, passivity, isolation, helplessness, unexplained vaginal or anal bleeding, recurring genital infections, and wounds around the breasts. Conclusion: From the perspective of contemplating nursing consultations with the elderly on issues concerning violence, it is clear that knowledge on the subject is essential, which allows nurses to organize care strategies aimed specifically at the situation of violence addressed. This approach is crucial for providing individualized nursing care.

Strategies developed by Brazilian nurses to promote health and quality of life of diabetic patients with foot injuries

Danilo Lima Ceccon — 2024-01-28

Objective: Identify strategies developed by Brazilian nurses to promote quality of life for diabetic patients with foot injuries. Methods: Exploratory study with a qualitative approach where searches were carried out in the Virtual Health Library (VHL), following Bardin's content analysis in which the steps were: 1) pre-analysis, 2) exploration of the material and 3) treatment of results, inference and interpretation. Results: The main strategy developed by Brazilian nurses to promote quality of life for diabetic patients with foot injuries was health education, both for the patient himself and for the nursing team that assists him in care. Conclusion: With health education, the individual and the health team are made aware that prevention is the best way to reduce the number of amputations of members who have an injury due to diabetes complications. This will have a positive impact on the patient's quality of life since it provides him with conditions to exercise self-care consciously with the support of a well-trained and confident assistance team to exercise this function, increasing his self-esteem and favoring his reintegration into society.

The nurse's protagonism in the management of family health units: scenarios and challenges

Edemilson Pichek dos Santos — 2024-01-28

Objective: To analyze the role of nurses in the management of Family Health Units, identify the scenario and the main challenges in this context. Methods: Integrative literature review carried out from November 2021 to April 2022, in the Scielo databases, Virtual Health Library, Portal Periodicals Capes and Lilacs. With the application of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses strategy (PRISMA 2015), and PICO for the elaboration of the guiding question. They were used in 12 articles. Results: Three categories emerged from the analysis: Conceptions and practices of managers of Family Health Units; The role of nurses as managers in health units; Challenges and strategies for the management of Health Units. The predominance of nurses as managers of health units was observed. Skills such as leadership, communication, organization, planning, good relationships, knowledge, creativity and motivation stand out. Training was highlighted as an important tool for qualification as a manager. It is found that the nurses are protagonists of changes and positively influence the family health units. Conclusion: It is concluded that nurses occupy this scenario and can become actors of change, seeking effective resolutions to challenges and innovations in managerial work.

Importance of nursing in the orientation of terminal and concurrent cleaning in the hospital context: an integrative review

Andressa Dias Carvalho Prado — 2024-01-28

Objective: To identify the stages of concurrent and terminal cleaning in hospital areas. Methods: This is an integrative review that used the guiding question: Which is the importance of the terminal and concurrent cleaning steps in hospital areas? Articles published from 2010 to 2019 in English and Portuguese were applied as an inclusion criterion. Those who were unrelated to the study problem were excluded. The search for articles used the PubMed, Bireme and Cochrane Library databases. Results: 14 articles were included in the study that evaluated the importance of Nursing and the hospital infection control committee in guiding the cleaning staff of hospital institutions. Conclusion: It is necessary to substantiate knowledge related to hospital cleaning steps to promote actions, guiding and demonstrating positive results in the reduction, prevention and control of hospital infections.

Contribution of residence in obstetric nursing to care in Brazil: a literature review

Danielle Castro Janzen — 2024-01-28

Introduction: Obstetric nurses, trained from the residency modality, tend to contribute in a unique way on the obstetric scenario, having competence to act in the fields of sexual, reproductive, maternal and neonatal health, with an emphasis on childbirth and birth, contributing to quality and satisfactory obstetric care to its clientele, reducing damage, complications and unnecessary interventions. Objective: To identify in the literature what changes have occurred in the national obstetric panorama since the implementation of the National Residency Program in Obstetric Nursing in Brazil.
Method: This is an integrative literature review, where the Lilacs, Scielo and BDENF databases were consulted, accessed via the Virtual Health Library (VHL). The controlled descriptors, used in the search strategy, were selected in the DeCs (Health Sciences Descriptors), being "Non-medical internship", "Obstetric nursing", "Nursing education" and "Labor". The chosen time period was from 2013, when the obstetric nursing residency was created, until 2018. Results: Obstetric nurses have been using non-pharmacological methods for pain relief during labor. In most of the results, the insertion of the companion (60%) was found, as was evidenced in most of the results, low-severity perineal trauma and selective episiotomy (80%). Good vitality at birth (Apgar score greater than 7 in the first minute of life) was identified in most studies (60%). It is reported about the upright position of the parturient at the time of delivery in 60% of the studies. Timely clamping of the umbilical cord and skin-to-skin contact were mentioned in only 40% of the studies, while breastfeeding in the first hour of life in only 20% of the studies. Conclusion: The majority of care practices performed by obstetric nursing residents or by nurses graduating from the residency modality are in accordance with the WHO technical recommendations for normal childbirth, however, advances in care are still needed, as practices have been found inadequate obstetric care.

Aromatherapy allied with the prenatal: an integrative review

Danielle Castro Janzen — 2024-01-28

Introduction: Aromatherapy consists of the use of essential oil (EO) as a therapy to provide balance/rehabilitation of an individual. These EO are extremely volatile, therefore, they disperse quickly in the environment, having medicinal properties. In 2006 the Ministry of Health approved its use in the Unified Health System. Its practice is essential for nursing care. Objective: The present study consists of a literature review on how these oils can be used in prenatal care. Methods: Searches were carried out in the Journals of Latin American and Caribbean Health Sciences (LILACS) and in PubMed. Applying inclusion and text with clear methodologies. Results: Common articles (13) and books (02) delve into the attempt to treat more prenatal symptoms, but also attempts to make reservations about the scientific evidence of its use. The EO of Lavanda and Rosa was the most used in the studies. Conclusion: Aromatherapy is an effective therapy, but we need to invest in more studies to increase the level of knowledge and stimulate the training of nursing, its use and class autonomy.

Biomarkers related to upper limb function in stroke patients: a systematic review protocol

Daniela Carrogi-Vianna — 2024-01-28

Objective: to determine which biomarkers have been related to upper limb function functionality in acute, subacute or chronic phases of ischemic or hemorragic stroke. Methods: Systematic review protocol, registered in PROSPERO (CRD42021274244), with an unlimited data search in PubMed, PubMed PMC, Embase, Web of Science, Scopus, Cinahl, and ProQuest. Independent reviewers will evaluate titles, abstracts and full text of articles from these databases to identify potentially elegible studies. Relevant articles will be assessed for risk of bias and quality using the Quality In Prognosis Studies (QUIPS) tool. The review will include primary (original), controlled experimental or observational studies (cross-sectional, case-control or longitudinal studies) with biomarker analyses at different stages of stroke for functionality or recovery prediction. Patients under 18 years of age, diagnosis of transient ischemic attack, and articles that do not explain in detail the criteria for biomarker assessment will be excluded. The quality and risk of bias of the studies will be independently assessed by two researchers. Data synthesis will be performed using narrative summary and quantitative analysis. Random effects meta-analysis models will be employed for comparison between groups based on the outcome variables found.

The integration of nursing professionals in the face of humanized care in the neonatal intensive care unit

Ana Lara Silva de Oliveira — 2024-01-28

Introduction: The Intensive Care Units (ICU) are complex environments, with apparatus of equipment and materials, intended to maintain the care of patients in serious condition. Objective: To obtain a more judicious understanding of the subject that contemplates an original evaluation of the evidence of the available data before the perspective of the professional of nursing in the NICU’s. Methods: A narrative review of the literature was carried out in order to obtain a synthesis of the various types of systematic reviews, as well as their characteristics and functions in the context of nursing, which aimed to explore publications of researchers and health professionals, in the face of humanized care in the Neonatal ICU. Results: This study aims to demonstrate the repercussion to humanized care in a Neonatal ICU, in the context of health and society, the evolution in neonatal care provided numerous potentialities. On the other hand, worrying issues arise, such as the quality of service and patient safety in this innovative, complex and critical scenario of hospital care. Conclusion: Because of what was mentioned can be said that the role of the nursing professional is of paramount importance, because it is from the nursing care that it is possible to obtain a better method of care in a more humanized way to the patient, since it is the nursing team that spends most of the time with the newborn.

The nurse facing the human immunodeficiency virus in the elderly in primary care: integrative review

Sara Cristina Santos Ferreira — 2024-01-28

Objective: To describe, based on the literature, the role of nurses in relation to Human Immunodeficiency Virus (HIV) cases in elderly people in Primary Health Care (PHC). Methods: Integrative review (IR) research in the databases Latin American and Caribbean Literature on Health Sciences (Lilacs), Nursing Database (BDENF), accessed through the Virtual Health Library (BVS) website, in addition to Public Medline (PUBMED). The search was carried out with Descriptors in Health Sciences (DeCS) and Medical Subject Headings (MEsH), including articles in Portuguese and English, in the period 2017-2021 and the analysis of results was of the integrated convergent type and to generate contributions for the assistance, supported by the International Classification for Nursing Practice (CIPE). Results: 08 articles were selected, 75% (N=6) were from the Lilacs database and 25% (N=2) were from the Pubmed database. In addition, 05 (five) articles were included through analysis of references, sampling 13 had 11 with level of evidence VI and 02 with level IV. Prejudices about sexuality contribute to the lack of approach, not carrying out rapid tests and diagnoses by health professionals. Conclusion: Health education and prevention of HIV in PHC are neglected. As attributes, the IR brings the nursing diagnoses: cultural belief, age discrimination, taboo, sexual behavior, stigma, fear and screening.

The professional role, appreciation and social recognition of nurses in Primary Health Care Units: an integrative review

Rutela Sanca — 2024-01-28

Objective: To identify the scientific production on the professional role of nurses in Primary Health Care units regarding their appreciation and social recognition. Methods: Integrative literature review carried out on the Medline, Lilacs, Web of Science and EMBASE databases between November and December 2021. Results: 14 articles made up the final sample of this review. The data was examined in two thematic categories: the role of nurses in Primary Health Care; the appreciation and social recognition of nurses (positive and negative aspects). Conclusion: The roles played by nurses indicate their fragile autonomy. With regard to valorization, nurses need to engage in defending their rights, acting on behalf of the profession and their identities.

Family functionality of elderly people with systemic arterial hypertension: integrative review

Ana Helia de Lima Sardinha — 2024-01-28

Objective: To analyze the evidence available in the literature about the family functionality of elderly people with systemic arterial hypertension. Methods: This is an integrative review, carried out between January 2023 and May 2023. Data collection was performed by searching for articles in the Lilacs, BDENF, Medline and Scielo databases using the descriptors and their combinations: “Elder” “hypertension”, “Family relations” and “Intergenerational relations”, selecting articles that met the inclusion and exclusion criteria. Results: The articles that were included in this research are cross-sectional studies, predominantly qualitative studies, produced nationally and which have in their content the effects of a good family function for the treatment of hypertension, elderly perceptions of the care that the family give to them and the professional relations as a determinant point to the elderly health. Conclusion: The research results allow the visualization of family dysfunction effects in the context of systemic arterial hypertension, being a great risk factor for the adherence of the elderly to their correctly treatment.

Correlation between intestinal microbiota and neurological disorders

Clara de Almeida e Araujo Leite — 2024-01-28

The intestinal microbiota, composed of a diversity of microorganisms, plays a crucial role in digestion, nutrient absorption, and the overall health of the host. Its composition varies based on individual factors such as diet, age, genetics, and environment. Despite the understanding of the intestines' influence on hormone production like serotonin, the effects of microbiota alterations on the nervous system remain poorly elucidated. This article explores recent scientific findings on this gut-brain axis, emphasizing various studies that investigated the effects of intestinal microbiota on behavior and the central nervous system.

Use of lidocaine in headache due to occipital neuralgia

Leandro Correa Tavares Tavares — 2024-01-28

To analyze the use of lidocaine in occipital neuralgia headache.Articles were selected from the National Library of Medicine (PubMed), Latin American and Caribbean Health Sciences (LILACS), and Scientific Electronic Library Online (SciELO).Intravenous lidocaine infusions are considered for refractory chronic migraine. Topical lidocaine is used for various pains, safe and effective for conditions like post-herpetic neuralgia. Dosing needs careful monitoring to avoid side effects. Lidocaine at 10% can prolong efficacy in major occipital nerve blocks. Lidocaine patches might not be effective for acute or post-operative headaches. Multimodal treatments, including lidocaine infusions, are used for migraines, but long-term evidence is limited. Topical lidocaine is effective for post-herpetic neuralgia, while peripheral nerve blocks are options for intractable head or face pain. Studies reveal the complexity of lidocaine use in pain management, with varied approaches including intravenous, topical formulations, and specific nerve blocks. Each method has pros and cons, leading to diverse observed effectiveness. These results emphasize the ongoing need for research to understand lidocaine's mechanisms and its optimal application in occipital neuralgia headache management, highlighting the importance of personalized treatment based on the patient's specific condition.

Oppositional Defiant Disorder: a literature review

Ana Larissa Gama Pacheco Corrêa — 2024-01-28

Introduction: Oppositional Defiant Disorder (ODD) is characterized by antisocial behaviors, such as disobedience, hostility, aggressiveness and rebelliousness. The disorder is first perceived in the first years of life, when the child shows difficulty in following rules and recognizing their mistakes. ODD’s occurrence is multifactorial, being related to biological, psychological and social factors. In summary, this article aims to conduct a literature review on Oppositional Defiant Disorder. The data used in this study were collected through recearch in websites, scientific articles from PubMed, SciELO and APA Psycnet platforms.

Management of the nurse in the maintenance of the potential donor of organs in the intensive care unit: an integrative review

Michele Ribeiro da Silva Guedes — 2024-03-19

The importance of nurses acting appropriately when dealing with brain-dead patients is crucial to making transplants viable and increasing the number of transplants. Timely assistance to the patient, based on rigorous technical and scientific knowledge, will determine the success or failure of the donation. This study aims to conduct an integrative literature review by searching the BVS, Medline, Lilacs and BDENF databases, from August to December 2022. Inclusion criteria: full text studies published in Portuguese and English. Excluded: gray literature texts. Descriptors used: tissue and organ procurement, brain death, nursing. Management of the potential donor is part of the organ donation process and is essential for making organs viable for transplantation. Nursing professionals need to be aware of the physiological changes that occur in brain-dead patients in order to adapt to possible changes. The scenario of organ donation and transplantation still has a long way to go and requires trained professionals to work in the various parts of the process, with patient management being one of the most important parts of the process to achieve transplant success efficiently and thus promote quality grafts for recipients.

Outline of epidemiological surveillance actions in a prisonal environment: tuberculosis in focus

Mariana Boulitreau Siqueira Campos Barros — 2024-01-28

Objective: To understand the perception of managers, health professionals and re-educated about epidemiological surveillance actions for tuberculosis control in a prison in the state of Pernambuco. Methods: Descriptive, cross-sectional study, with a qualitative approach, with data collected through semi-structured interviews and analyzed by the Collective Subject Discourse with the help of DSCsoft Software, using the Lefèvre F and Lefèvre method. Results: Eleven central ideas and discourses were found among them: prison as an ally in the diagnosis and the supervision of the therapeutic plan, jail situation, directly observed treatment, flaws in the prison system and teamwork. Conclusion: The interviewees’ perspectives were related to the treatment, educational efforts and diagnostic tests, contrasting the barriers associated with the state of liberty deprivation.

The challenges faced by nurses during prenatal consultations in times of the COVID-19 pandemic

Larissa Carolina Cesar — 2024-01-28

Objective: To understand and report the challenges of care and care for pregnant women during prenatal consultations, in the midst of the COVID-19 pandemic. Methods: This is a qualitative, descriptive and exploratory study. The collaborators were nurses who provide care for pregnant women in prenatal consultations. The data in this work is a collection of questions which was carried out individually first asked about sociographic information and then about prenatal nursing care in this context. Results: In total, 7 nurses were interviewed while a pandemic occurred in prenatal patient care consultations before and during the COVID-19 pandemic. An interpretative analysis of the narratives allowed the elaboration of four: 1- The main changes related to procedures in prenatal care; 2- The fear experienced by nursing professionals in the context; 3- The preparation necessary to face of the new reality; and 4- The main difficulties faced. Conclusion: It is believed that this nursing study can contribute to new pandemic perspectives, routine changes and new pandemic possibility.

The nurse’s preparation in conducting sex education with the adolescent population

Leticia Oliveira Miorin — 2024-01-28

The aims of this study were to identify the nurse’s practice in carrying out sex education with the adolescent public. This is an original, cross-sectional and exploratory quantitative study with nurses who work in the twenty-one Basics Health Units in Santo André, São Paulo, Brazil. The results showed us that in relation to the topics of sex education addressed in the first consultations with adolescents, 100% of the participating nurses deal with Sexually Transmitted Infections; in relation to the guidelines carried out in this first consultation, 100% of the participating nurses follow the line of Sexually Transmitted Infections and their risk of life abbreviation; and, finally, regarding the strategies used in approaching sexuality with this public, 81% of the participating nurses would use individual guidance based on specific needs. We can conclude that professional nurses have a globalized practice and technical skills, but lack specific communication skills for this group.

Analysis of the systematization of nursing care to people with invasive mechanical ventilation

José Italo Monte da Silva — 2024-01-28

Introduction: Invasive Mechanical ventilation is an invasive therapy to address severe respiratory distress that is commonly used in intensive care patients, and nurses are responsible for caring for people on mechanical ventilation. Objective: To analyze the systematization of nursing care for people undergoing invasive mechanical ventilation therapy in an intensive and semi-intensive care unit. Methods: This is an exploratory descriptive study, with a quantitative and qualitative approach. The study was carried out at a University Hospital in the city of Petrolina/PE. The sample consisted of Nurses, and a questionnaire was applied, encompassing: sociodemographic and labor variables, Nursing diagnoses and interventions used in the care of patients on Mechanical ventilation. Quantitative analysis was performed using simple and correlative descriptive statistics; and qualitative analysis using the IRAMUTEQ software. Results: Impaired gas exchange, risk of infection, risk of bronchoaspiration and impaired spontaneous ventilation were described as nursing diagnoses. Among the most prevalent Nursing care, airway aspiration and elevation of the head between 30º and 45º. The lack of in-service training on invasive mechanical ventilation was reported by 56.25% of study participants; and 47% reported that they did not take undergraduate classes on this subject. Conclusion: The main Nursing care provided to the patient on Mechanical ventilation was related to the prevention of infections, airway care and clinical surveillance of the patient and his ventilatory parameters. Among the challenges reported by the nurses, the insufficient graduation training related to the theme and the lack of in-service training stand out.

Sleep quality and daytime sleepiness of caregivers of people with Parkinson's and/or Alzheimer's disease

Bruna da Silva Leão — 2024-01-28

Objective: To characterize the quality of sleep and the impacts of daytime sleepiness experienced by family caregivers of elderly people with Parkinson's and/or Alzheimer's disease. Methods: Exploratory and descriptive research with a quantitative approach developed in the city of Macapá, Amapá State, Brazil, with 15 family caregivers of elderly people with Parkinson's and/or Alzheimer's disease. Two instruments were used, the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale. Results: The majority of caregivers classified their quality of sleep as poor and most of them presented in the sum of their Epworth scale answers the result of abnormal sleepiness during their daily lives. In addition, significant correlations were observed between the following variables: Hours of sleep per night and Quality of sleep; Hours of sleep per night and Sleepiness Scale; Difficulty staying awake on a daily basis and Difficulty maintaining enthusiasm on a daily basis; Sleepiness Scale and Quality of sleep. Conclusion: The prevalence of acceptance by female family caregivers who were willing to participate in the research was observed. Moreover, from this study, it is concluded that the evaluated family caregivers have, in their majority, a bad sleep quality pattern, besides presenting abnormal daytime sleepiness, worrying factors for the health and general well-being of this public.

Sociodemographic, environmental, human biology and sleep quality aspects of health workers: cross-sectional study

Kairo Silvestre Meneses Damasceno — 2024-01-28

Objective: To measure sociodemographic, environmental, human biology and sleep quality aspects of Primary Care health professionals during the COVID-19 pandemic. Methods: Cross-sectional, descriptive study, with the application of sociodemographic, work, human biology and Pittsburgh Sleep Quality Index questionnaires to health professionals from Family Health Units in a Sanitary District in the city of Salvador from March to May de 2021. Results: 74.29% of participants had poor sleep quality; 65.71% were overweight and 30.48% reported hypertension. The noise in the work environment was considered high by 58.10% of professionals. Conclusion: Health workers had poor sleep quality levels. Health care for these workers must be prioritized by health managers in order to provide not only well-being, but also the quality of the services offered.

Hospital discharge planning: perception of inpatient unit nurses

Lourdes Helena de Paula da Silva — 2024-01-28

Hospital discharge represents the return of a hospitalized person to their home and should be carried out in a responsible manner, reinforcing autonomy and self-care, in order to ensure continuity of treatment. The present study aimed to understand the perception of inpatient nurses about hospital discharge planning. It is a qualitative study with a phenomenological approach, developed in a virtual environment, with eight nurses working in a hospital inpatient unit, selected by snowball sampling, considering data saturation. Approval was obtained from the Research Ethics Committee. The results showed a predominance of female participants, aged between 30 and 35 years, single, and with a work experience of four to six years. The content of the interviews made it possible to construct two categories of analysis, “Discharge process centered on the medical professional: limited role of nurses” and “Hospital discharge: a process planned by the multidisciplinary team”, which included two subcategories “Discharge planning: safety, quality and continuity of care” and “Valuing the multidisciplinary team in hospital discharge”. It was understood that for nurses, hospital discharge planning occurs in a centralized manner in the physician or in a planned manner together with the multidisciplinary team, depending on the context in which the participants are inserted.

Occupational stress in multidisciplinary health residents: a cross-sectional study

Paula Silva Peixoto — 2024-01-28

Objectives: to estimate the prevalence of occupational stress in multidisciplinary residents; to evaluate the factors associated with occupational stress and to characterize the sociodemographic, occupational and health profile of multidisciplinary residents of a public hospital in Bahia. Method: cross-sectional, descriptive, and analytical study, conducted with 75 multidisciplinary residents in a large public hospital between June and December 2022. Data were collected through a structured questionnaire containing questions related to sociodemographic data, work, lifestyle life and health. To investigate occupational stress, the Stress at Work Scale (WSS) was used. A descriptive and bivariate analysis of the results was performed. Results: The average age of participants was 26.9 years; being 82.7% female; 73.3% reported lifestyle habits considered healthy. When asked about symptoms related to work activity, 48% reported headache, 57.3% back pain and 68% anxiety; 48% of residents had a level of stress considered high. There was evidence of an association between stress and the following variables: year of residence - R2, (PR: 2.45 – 95%CI: 1.34-4.49 – p:0.001); job dissatisfaction (RP: 2.23 – 95%CI: 1.43 – 3.48 - p:0.001); sleep pattern - sleeping a maximum of 5 hours a night (RP: 1.98 - 95%CI: 1.23 – 3.20; p:0.004). Conclusion: the highest percentage of residents had a low/moderate level of stress. Even so, it is important to mention that the percentage of 48% of high level was significant and signals the need for intervention in the field of mental health.

Suspension of imaging exams in cardiology in a teaching hospital

Flávio da Silva Santos — 2024-01-28

Objective: To analyze the suspension of imaging tests in cardiology in a teaching hospital. Methods: Quantitative research, carried out in a teaching hospital in Salvador/BA, Brazil, based on the collection of data on the suspension of imaging tests in the year 2019 in the cardiology graphic methods service. Results: 1,119 exam suspension records were identified and the suspension rate was 7.95%. There was a predominance of suspension among elderly (46.20%), male (52.19%), black (89.90%), with low or no education (57.55%). The echocardiogram was the exam that had the highest percentage of suspension (54.33%) followed by the Doppler of the lower limbs (14.66%). The main causes of suspension were exams requested in duplicate (32.08%); and at the request of the requesting physician (22.79%). Patient absenteeism accounted for 13.32% of suspensions. Conclusion: The highest percentage of suspension was related to administrative procedures, such as prescription duplication and cancellation by the requesting physician. There was no record of suspension due to inadequate preparation of the patient by the nursing team.

Implementation of quick response codes in the laboratory: teaching technologies in human anatomy

Gabrieli Fernandes Travagim — 2024-01-28

Objective: Implement educational technologies for the study of human anatomy in the laboratory of a public university. Methods: Qualitative, descriptive and exploratory action research. In the research phase, the participants answered questions about sociodemographic characterization and about the theme online. In the action phase, strategies for teaching anatomy were sought in the literature through the insertion of technologies, highlighting the use of educational sites and quick response codes. In this way, a website was created free of charge, and quick response codes were prepared and fixed in the parts. Characterization data were submitted to simple descriptive statistics and qualitative data to interpretive analysis. The study followed all ethical precepts in force (Certificate of Presentation of Ethical Appreciation: 56265422.0.0000.9247). Results: 36 students participated in the research, with an average age of 24 years. Participants had anatomy classes in a hybrid way (28%), and 72% (n=26) participated in face-to-face monitoring. Still, 89% used the internet as a way to complement their studies. In this way, the elaborated website has four tabs: presentation, norms, courses and disciplines and systems, the latter is subdivided into the ten main systems studied in systemic anatomy, being accessed through quick response codes attached to the parts. Conclusion: The elements of technological development and innovation present in the research were the construction of the site and the implementation of quick response codes in the anatomy laboratory, as educational technologies for the study, they have easy access and low cost, as well as they do not require materials and equipment expensive.

Pre-partum care and labor in light of the COVID-19 pandemic

Luana Aparecida Rodrigues — 2024-01-28

Introduction: The COVID-19 pandemic has impacted childbirth care, which is responsible for offering protection to the mother-child binomial. Objective: To characterize the assistance provided during pre-delivery and labor and the use of non-pharmacological methods for pain relief during the COVID-19 pandemic. Methods: Multicenter, retrospective, quantitative study, carried out with 72 puerperal women who had children between October and December 2021 at a Maternal-Infant University Hospital of the 3rd Health Regional of Paraná. Data collection took place by telephone, with the application of a structuring questionnaire on prenatal care, pre-delivery, delivery, and birth during the COVID-19 pandemic. Results: The sample consisted mostly of white women (75%), with a mean age of 26 years, with a spouse (90.3%), high school education (35.6%), and an average family income of two minimum wages (28.9%). Preventive measures against COVID-19 were maintained (95.8%), the most prevalent risk stratification was the usual (63.4%), there was food during labor (37.5%), with the presence of the companion (95.8%) and 50% reported having used one or more non-pharmacological methods. The most desired type of delivery was normal (70.8%) and those who used some method evolved to this (64.3%) (p<0.016). Conclusion: The pandemic caused several changes in pre-delivery and labor care due to the adjustments implemented, which affected the care of the mother-child binomial. Assistance should consider the parturient's biopsychosocial aspects, and non-pharmacological methods are important to reduce pain during labor.