scholarly journals Nursing care in the transfusion of blood components to surgical patients in the perioperative period

10.3823/2634 ◽  
2021 ◽  
Vol 14 ◽  
Author(s):  
Amanda Regina da Silva Góis ◽  
Raquel Oliveira Xavier ◽  
Rachel Mola ◽  
Gerlene Grudka Lira ◽  
Brígida Maria Gonçalves de Melo Brandão ◽  
...  

Introduction: blood transfusion consists of the administration of blood components intravenously in clinical or surgical treatments. In the preoperative period, it is performed with the objective of improving tissue oxygenation, as well as promoting hemodynamic and hemostatic balance. Objective: to understand nursing care in the transfusion of blood components to surgical patients in the perioperative period. Method: this is a descriptive and exploratory study with a qualitative approach. Grounded Theory was used, with constant comparative analysis. A total of 18 nurses and 28 nursing technicians from a university hospital took part in the study. Data were collected between October 2019 and February 2020, through a sociodemographic questionnaire and semi-structured interviews. Results: the study resulted in the central category nursing care during transfusion, which gave rise to the categories: caring for before transfusion; caring for during transfusion; and caring for after transfusion, which were discussed according to the standardized nursing methodology. Conclusion: it was understood that nursing care is planned and implemented following an ordering of practices in a logical sequence due to the characteristics of the procedure in the perioperative period. Nurses demand indirect care; in contrast, nursing technicians engage in direct patient care.

2011 ◽  
Vol 5 (7) ◽  
pp. 1684
Author(s):  
Miguir Terezinha Vieccelli Donoso ◽  
Eline Lima Borges ◽  
Camila Patrícia Rennó Carazzato

ABSTRACTObjective: to identify the prevalence, staging, and risk for developing pressure ulcers (PU) of patients hospitalized in a surgical unit. Method: this is a transversal study, carried out with 20 surgical patients hospitalized in a university hospital in Minas Gerais, from both sexes, and older than 18 years. For the analysis the descriptive statistics – with distribution of frequency, minimum and maximum values, mean, standard deviation, and prevalence of PU – was used. The project was approved by the Universidade Federal de Minas Gerais Research Ethics Committee (process ETIC 150/05), Results: the prevalence of PU was 10%, 90% are not at risk for developing PU, two patients with PU presented 2 and 3 ulcers, respectively, classified as belonging to the stages I and II. Conclusion: considering the prevalence of PU, the need of an appropriate and individualized nursing care planning emerges, having as a reference each patient’s risk for developing this kind of ulcer. The need of adopting appropriate nursing practices has been realized, according to each patient’s risk score for developing PU. Descriptors: pressure ulcer; nursing; prevalence. RESUMOObjetivo: identificar a prevalência, o estadiamento e o risco de desenvolvimento de úlceras por pressão (UP) em pacientes internados em uma unidade cirúrgica, Método: estudo transversal, realizado com 20 pacientes cirúrgicos, internados em um hospital universitário de Minas Gerais, de ambos os sexos e com idade superior a 18 anos. Para análise utilizou-se estatística descritiva com a distribuição de freqüência, valores mínimos e máximos, mediana, desvio-padrão e prevalência de UP. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Minas Gerais com parecer ETIC 150/05, Resultados: a prevalência de UP foi de 10%, 90% eram sem risco para formação de UP, dois pacientes com UP apresentaram duas e três úlceras, respectivamente, classificadas em estágio I e II, Conclusão: diante da prevalência de UP, surge a necessidade de uma planificação de cuidados adequados e individualizada, tendo como referência o risco que cada paciente apresenta para o desenvolvimento dessa úlcera. Percebeu-se a necessidade de implementação de cuidados adequados, de acordo com o escore que cada paciente apresente para o desenvolvimento da UP. Descritores: úlcera por pressão; enfermagem; prevalência.RESUMENObjetivo: identificar la prevalencia, estadiamiento y el riesgo de desarrollo de úlceras por presión (UP) en pacientes internados en una unidad quirúrgica. Método: estudio transversal, realizado con 20 pacientes quirúrgicos, internados en un hospital universitario de Minas Gerais, de ambos sexos y con edad superior a 18 años. Para el análisis se utilizó la estadística descriptiva mediante la distribución de frecuencia, valores mínimos y máximos, mediana, desvío-estándar y prevalencia de UP. El proyecto se aprobó por el Comité de Ética en Pesquisa de la Universidad Federal de Minas Gerais con parecer/laudo ETIC 150/05. Resultados: la prevalencia de UP fue de 10%, 90% lo eran sin riesgo para formación de UP, dos pacientes con UP presentaron dos o tres úlceras, respectivamente, clasificadas en estadio I y II. Conclusión: cara a la prevalencia de UP, surge la necesidad de una planificación de cuidados y de forma individualizada, teniendo como referencia el riesgo que cada paciente presenta al desarrollo de esta úlcera. Se detectó la necesidad de implementación de cuidados adecuados, según el marcador que cada paciente presente al desarrollo de la UP. Descriptores: úlcera por presión; enfermería; prevalencia.


2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Maria Aparecida Baggio ◽  
Alacoque Lorenzini Erdmann

This study's objective was to understand how nursing and health professionals experience and signify the relationships in the care "of us" process, using Grounded Theory as its method. A total of 25 nursing and health workers from a university hospital, distributed into four sample groups, participated in the study. Data were collected through semi-structured interviews in March-July 2011. The contextualization of the institution and management form the context. The movements of human relations/interactions and the professionals' health are causal conditions, while the advance of technology and decline of human care and social life are intervenient conditions. The processed human relations/interactions of care are the strategies that cause the care "of us" to take place in the procedural circularity of care and being-cared-for. The professionals construct the care "of us" in their practice, understood as relational and procedural, in the movements and fluctuations of processes of human interactions.


2020 ◽  
Vol 37 (10) ◽  
pp. 844-852
Author(s):  
Monica C. Fliedner ◽  
Monika Hagemann ◽  
Steffen Eychmüller ◽  
Cynthia King ◽  
Christa Lohrmann ◽  
...  

Background: Nurses’ end of life (EoL) care focuses on direct (eg, physical) and indirect (e,g, coordination) care. Little is known about how much time nurses actually devote to these activities and if activities change due to support by specialized palliative care (SPC) in hospitalized patients. Aims: (1) Comparing care time for EoL patients receiving SPC to usual palliative care (UPC);(2) Comparing time spent for direct/indirect care in the SPC group before and after SPC. Methods: Retrospective observational study; nursing care time for EoL patients based on tacs® data using nonparametric and parametric tests. The Swiss data method tacs measures (in)direct nursing care time for monitoring and cost analyses. Results: Analysis of tacs® data (UPC, n = 642; SPC, n = 104) during hospitalization before death in 2015. Overall, SPC patients had higher tacs® than UPC patients by 40 direct (95% confidence interval [CI]: 5.7-75, P = .023) and 14 indirect tacs® (95% CI: 6.0-23, P < .001). No difference for tacs® by day, as SPC patients were treated for a longer time (mean number of days 7.2 vs 16, P < .001).Subanalysis for SPC patients showed increased direct care time on the day of and after SPC ( P < .001), whereas indirect care time increased only on the day of SPC. Conclusions: This study gives insight into nurses’ time for (in)direct care activities with/without SPC before death. The higher (in)direct nursing care time in SPC patients compared to UPC may reflect higher complexity. Consensus-based measurements to monitor nurses’ care activities may be helpful for benchmarking or reimbursement analysis.


2013 ◽  
Vol 21 (3) ◽  
pp. 719-725 ◽  
Author(s):  
Cleci de Fátima Enderle ◽  
Nalú Pereira da Costa Kerber ◽  
Valéria Lerch Lunardi ◽  
Camila Magroski Goulart Nobre ◽  
Luiza Mattos ◽  
...  

OBJECTIVE: to identify factors which constrain or determine the return to sexual activity in the puerperium. METHOD: exploratory and descriptive study undertaken in a university hospital in the South of Brazil. Fifteen women who had recently given birth, who received a consultation with the nurse in the period August - October 2011, took part in the study. Data was collected after the consultation had finished through semi-structured interviews, in which the women who had recently given birth were asked about the return to sexual activity and the feelings involved in this process. RESULTS: the principal determinant/constraint for return to sexual activity in the post-natal period was the fear of a new pregnancy. Fear of feeling pain, permission from the health professional, shame of their own bodies and changes in libido emerged as constraining and/or determinant factors in the thematic analysis. CONCLUSION: it is considered fundamental for the issue of contraception to be addressed with the woman/couple during the pre-natal consultation, so that there may be opportunities for reflection and dialog prior to the critical time itself.


2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2199-2205
Author(s):  
Mayara Cristine Fontão ◽  
Jeferson Rodrigues ◽  
Monica Motta Lino ◽  
Murielk Motta Lino ◽  
Silvana Silveira Kempfer

ABSTRACT Objective: to analyze the nursing care to people admitted in emergency for attempted suicide in the perception of the nursing staff. Method: descriptive and exploratory study, of qualitative approach, developed from semi-structured interviews with eight nurses and eight nursing technicians of the emergency service of a University Hospital in south Brazil. Data analysis was performed through content analysis. Results: three categories emerged: nursing care to the person who attempted suicide; the adult emergency service as a scenario of mental health practices; and permanent education-related needs in mental health Final considerations: initiatives capable to potentialize good practices in mental health care are still incipient and lack encouragement in the health service. There is an urgent need to think about changes in the care culture of the emergency service, especially to ensure the scope of psychosocial care actions.


2021 ◽  
Vol 3 (2(May-August)) ◽  
pp. e752021
Author(s):  
Allison Roberto Da Silva

Surgical Centers are essential and extremely complex sectors in health institutions, where the teams that compose them must act together so that the main objectives are achieved: that is, the patients' surgeries happen in the best possible way, with the minimization of damages and welcoming patients and their families. The need for a multidisciplinary approach is intensified in surgeries with unique specificities, such as pediatric neurosurgeries, where problems are anticipated and interventions are performed before patients are harmed. The article is an experience report of the activities of the Nurse at the Surgical Center of a Large University Hospital in the interior of the state of São Paulo related to the planning and execution of pediatric neurosurgery procedures. The results include the description of direct and indirect care activities in nursing care planning, the nursing process, the main nursing diagnoses found in pediatric neurosurgery patients.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Margarete Maria de Lima ◽  
Mayara Leal Machado ◽  
Roberta Costa ◽  
Bruna Canever ◽  
Juliana Coelho Pina ◽  
...  

Abstract Objective: To understand how the participation of nursing students with a group of pregnant women and couples contributes to their training and professional practice. Method: Qualitative, descriptive and exploratory study. Data were collected using individual and semi-structured interviews held in 2017 with nursing students holding scholarships for extension work and working with a group of pregnant women and couples, implemented in a university hospital in the south of Brazil. The interviews were recorded and analyzed using Minayo's operational proposal. Results: The analysis revealed the reasons nursing students applied for a position in the extension project; the perceptions they held of the group of pregnant women; and how their experience with this extension project contributed to their academic and professional lives. Conclusion: The extension project positively impacts the lives of students, assisting both with curricular subjects and after graduation.


2018 ◽  
Vol 26 (6) ◽  
pp. 1707-1720 ◽  
Author(s):  
Banafsheh Tehranineshat ◽  
Mahnaz Rakhshan ◽  
Camellia Torabizadeh ◽  
Mohammad Fararouei

Background: Compassion is the core of nursing care and the basis of ethical codes. Due to the complex and abstract nature of this concept, there is a need for further investigations to explore the meaning and identify compassionate nursing care. Objectives: The purpose of this study was to identify and describe compassionate nursing care based on the experiences of nurses, patients, and family caregivers. Research design: This was a qualitative exploratory study. Data were analyzed using the conventional content analysis method. Participants and research context: Nurses, hospitalized patients, and family caregivers in different educational hospitals in an urban area of Iran were selected from February 2016 to December 2017 using a purposeful sampling method (n = 34). In-depth and semi-structured interviews, focus group interviews, and field notes were used for data collection. Ethical considerations: The study was approved by the University’s Ethics Committee. The participants were informed about the aim and method of the study, reasons for recording the interviews, confidentiality of data, and voluntary nature of participation in this study. Findings: Data from interviews and filed notes were analyzed and classified into three themes: “effective interaction,” “professionalism,” and “continuous comprehensive care.” Discussion and conclusion: Emerged themes of this study involved holistic care in the current literature on nursing with an emphasis on effective interaction and professionalism. Nurses can understand patients’ and family caregivers’ comprehensive needs through interaction skills. In addition, clinical proficiency, maintaining professional ethics’ standards along with holism, and continuity in care are examples of compassionate care. Education program about compassionate care can enhance the quality of nursing care.


Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Paula Chomem ◽  
Arlete Ana Motter

BACKGROUND: Operating room nursing professionals are exposed to different workload. It is necessary to recognize which situations resulting from their tasks interfere with the health of the professional. OBJECTIVES: We aimed to identify the physical and physiological loads on operating room nurses and their impact on the health as well as trace ergonomic recommendations based on the literature and performed analysis. METHODS: The is an exploratory, observational, descriptive research conducted in the surgical center of a university hospital between August 2017 and July 2018. Nursing staff of both genders who worked as transport professionals or room circulators were included in the study. Data collection in the OR went through stages of Ergonomic Workplace Analysis (EWA), through semi-structured interviews addressing the physical and physiological work issues and a worksheet of data collected from the observations of the practitioners’ actions. RESULTS: The study included 20 nursing workers of both genders with an average of 17.33±12.58 years of work experience. The most reported problematic factors were: lack of material, staff pressure, patient transporting, employment legal status with the institution, and lack of communication among the practitioners. CONCLUSIONS: There was a physical effort during the activity and a high prevalence of workers with pain complaints, which justifies the investigation.


Author(s):  
Ivy van Dijke ◽  
Phillis Lakeman ◽  
Naoual Sabiri ◽  
Hanna Rusticus ◽  
Cecile P. E. Ottenheim ◽  
...  

AbstractPreconception carrier screening offers couples the possibility to receive information about the risk of having a child with a recessive disorder. Since 2016, an expanded carrier screening (ECS) test for 50 severe autosomal recessive disorders has been available at Amsterdam Medical Center, a Dutch university hospital. This mixed-methods study evaluated the experiences of couples that participated in the carrier screening offer, including high-risk participants, as well as participants with a general population risk. All participants received genetic counselling, and pre- (n = 132) and post-test (n = 86) questionnaires and semi-structured interviews (n = 16) were administered. The most important reason to have ECS was to spare a future child a life with a severe disorder (47%). The majority of survey respondents made an informed decision (86%), as assessed by the Multidimensional Measure of Informed Choice. Among the 86 respondents, 27 individual carriers and no new carrier couples were identified. Turn-around time of the test results was considered too long and costs were perceived as too high. Overall, mean levels of anxiety were not clinically elevated. High-risk respondents (n = 89) and pregnant respondents (n = 13) experienced higher levels of anxiety before testing, which decreased after receiving the test result. Although not clinically significant, distress was on average higher for carriers compared to non-carriers (p < 0.0001). All respondents would opt for the test again, and 80.2% would recommend it to others. The results suggest that ECS should ideally be offered before pregnancy, to minimise anxiety. This study could inform current and future implementation initiatives of preconception ECS.


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