Neonatologists can impede or support parents’ participation in decision-making during medical rounds in neonatal intensive care units

2018 ◽  
Vol 107 (12) ◽  
pp. 2100-2108 ◽  
Author(s):  
Anna Axelin ◽  
Jyri Outinen ◽  
Kirsi Lainema ◽  
Liisa Lehtonen ◽  
Linda S. Franck
2019 ◽  
Vol 82 (20) ◽  
Author(s):  
Aline Cerqueira Santos Santana da Silva ◽  
Érick Igor dos Santos ◽  
Priciana Teixeira Queiroz ◽  
Fernanda Garcia Bezerra Góes

Objetiva-se analisar as evidências científicas acerca do papel do enfermeiro na utilização do cateter central de inserçãoperiférica (PICC) em unidades de terapia intensiva pediátrica e neonatal. Estudo descritivo, baseado em revisão integrativada literatura, norteado pela questão: como a prática clínica do enfermeiro com o cateter central de inserção periféricatem sido abordada em unidades de terapia intensiva pediátrica e neonatal segundo evidências cientificas nacionais einternacionais? As buscas foram realizadas nas bases de dados Literatura Latino-Americana e do Caribe em Ciências daSaúde (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE) e na Scientific Electronic LibraryOnline (SciELO), por meio da associação dos descritores “cateterismo periférico”, “infusões intravenosas”, “neonatologia”,“pediatria” e “terapia intensiva”, no período de outubro a dezembro de 2015. Foram selecionados para a análise crítica 16artigos, os quais foram divididos em três categorias temáticas: 1- competência técnica e legal como pilar de sustentaçãona prática com o PICC, 2- conhecimentos, atitudes e práticas do profissional enfermeiro na inserção, manutenção eretirada do PICC e, 3- tomada de decisão na utilização do PICC. Concluí-se que a utilização do PICC na prática clínicado enfermeiro possui recomendações que requerem capacitação e habilitação profissional para a tomada de decisão, ainserção, a manutenção e a retirada, visando a redução de eventos adversos e a manutenção do bem-estar do paciente.Palavras-chave: Cateterismo Periférico; Infusões Intravenosas; Neonatologia, Pediatria; Terapia Intensiva. ABSTRACTThe aim is to analyze the scientific evidence about the role of the nurse with the peripheral inserted central catheterin pediatric and neonatal intensive care units. Descriptive study, based on an integrative literature review, guided bythe question: how has the clinical practice of the nurse with the peripheral inserted central catheter been approachedin pediatric and neonatal intensive care units according to national and international scientific evidence? Thesearches were carried in the database Latin American and Caribbean Health Sciences (LILACS), Medical LiteratureAnalysis and Retrieval System Online (MEDLINE) e na Scientific Electronic Library Online (SciELO), by means ofthe association of the descriptors "peripheral catheterization", "intravenous infusions", "neonatology", "pediatrics" and"intensive therapy", between October and December 2015. 16 articles were selected for the critical analysis, whichwere divided into three thematic categories: 1- technical and legal expertise as a pillar of support in practice withthe PICC, 2- knowledge, attitudes and practices of nurses in the insertion, maintenance and withdrawal of PICC;3- decision-making in the use of the PICC. It concludes that the use of PICC in the clinical practice of the nurse hasrecommendations that require training and professional qualification for decision making, insertion, maintenanceand withdrawal, aiming at reducing adverse events and maintaining patient well-being.Keywords: Peripheral Catheterization; Intravenous Infusions; Neonatology; Pediatrics; Intensive Therapy.


Author(s):  
Haluk Tanrıverdi ◽  
Orhan Akova ◽  
Nurcan Türkoğlu Latifoğlu

This study aims to demonstrate the relationship between the qualifications of neonatal intensive care units of hospitals (physical conditions, standard applications, employee qualifications and use of personal protective equipment) and work related causes and risks, employee related causes and risks when occupational accidents occur. Accordingly, a survey was prepared and was made among 105 nurses working in 3 public and 3 private hospital's neonatal intensive care units, in the January of 2010. The survey consists of questions about the qualifications of neonatal intensive care units, work related causes and risks, and employee related causes and risks. From the regression analysis conducted, it has been found that confirmed hypotheses in several studies in the literature were not significant in this study. The sub-dimensions in which relationships has been found show that the improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications can reduce the rate of occupational accidents. According to the results of this study management should take care of the organizational factors besides to improvement of the physical environment in workplace, the improvement of the employee qualifications and standard applications.


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