International Archives of Medicine (E-Journal)
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Factors associated with mortality in a neonatal intensive care unit
Get PDFAims: To describe the factors associated with mortality of newborns hospitalized in a Neonatal Intensive Care Unit in the period from 2012 to 2015.
Methods: This was a descriptive, quantitative study of secondary data, correlated with the causes of death and hospitalization according to classification by ICD-10. The categorical variables were presented in absolute and relative frequencies, with measurements of central tendency and dispersion. Evaluation of the factors associated with neonatal death was made by the logit model of analysis with correction of robust errors by the statistical program Stata 12.0, considering values of p<0.05 and interval of confidence of 95%.
Results: Of the 563 newborns, 58.6% were of the male sex; 89.0% were early newborns, 73.0% were premature. 181 newborns died (32.3%). The main causes of hospitalization were: difficulties during birth, conditions of birth and immaturity (45.0%), pathologies associated with the respiratory system (21.1%), congenital malformations (9.7%). The main causes of death were: septicemia of the NB (40.4%), respiratory discomfort of the NB (22.4%). The significant associations for mortality were the use of ventilatory supports: Mechanical Ventilation (p=0.001), Hallo (p=0.000), CPAP (p=0.000), VNI (p=0.005).
Conclusions: The major risk factors for neonatal mortality were associated with septicemia and use of mechanical ventilation
Occurrence Of Osteomuscular Symptoms In Teachers Of A Higher Education Institution
Get PDFThe objective of this study was to investigate the occurrence of musculoskeletal symptoms in teachers of a Higher Education Institution (HEI) located in João Pessoa – PB. This is a descriptive research with a quantitative approach, held at the Faculties of Nursing and Medicine (FACENE/FAMENE), in the city of João Pessoa-PB. The instrument for data collection consisted of a form with objective questions and divided into two parts, the first with data characterizing the sample and the second with the Nordic Musculoskeletal Symptoms Questionnaire. The data were analyzed quantitatively in percentage numbers and distributed in graphs. The results indicated that 30 teachers accepted to participate in the study with female predominance (67%). The regions most affected in the last 12 months were: dorsal (60%), lumbar (53%), neck, shoulders, wrists and hands (47%). Of the teachers interviewed, 20% reported having had difficulties in routine activities due to discomfort in the cervical region and 27% reported having sought medical or physiotherapeutic care due to neck pain, while 20% due to pain in the shoulders, dorsal, wrist/hands and hip/thighs. As for the occurrence of symptoms in the last week, the regions with the highest frequency of pain were shoulders (40%), neck and dorsal (27%). The significant percentage in the regions cited certifies that they are the regions most burdened in the professors and, therefore, deserve special attention in possible projects of occupational preventive action. This research evidences the necessity of new approaches and deepening on the subject, including the formulation of intervention strategies in the process of sickness of teachers.
Descriptors: Work-Related Musculoskeletal Disorders. University Teachers. Worker's Health
Information and communication technology for obstetric good practices
Get PDFObjective: to investigate the use of information and communication technologies in good obstetrical practices.
Results and Discussion: the studies found have dealt with the use of different information technologies, demonstrating that they are essential to good obstetrical practices because they provide security and greater access to information, as well as provide a more efficient diagnosis and consequently an adequate treatment.
Conclusion: It is essential to use the technologies to achieve good obstetric practices throughout the health team. However, it is still necessary to carry out studies, as well as the creation of software that gives greater security to the welfare practices.
Descriptors: Information Technology; Obstetrics; Software; Professional Practice
Bioethical Principals In The Conduct Of Doctors
Get PDFObjective: The present study aims gather further information towards the practice of medicine, particularly regarding bioethical principles, which are essential for the full and correct medical practice all over the world.
Method: This study is a theoretical essay on the bioethical principles related to the professional activity of medical doctors. Therefore, it was carried out a non-systematic review of the literature, which allows a critical analysis of this issue.
Results: Through considering the theoretical guidelines there is a close relationship between the principle of respect for persons and human dignity itself. Also the results of this study suggest that respect for persons, namely personal autonomy, is steadily protected by means of constitutional and infra-constitutional norms.
Conclusion: For these principles to be effective it is indispensable to have common efforts between the political power and overall society, so that public policies may be implemented to favor patients in the healthcare setting. Also the continuous training of physicians is needed for an adequate application of universal bioethical principles
Scientific Production of Patient’s Electronic Health Record in Online Journals from Brazilian scenario
Get PDFThe study aims to analyse the scientific production about patient’s Electronic Health Record (EHR) available in online journals from 2006 to 2015. This is an integrative review. The search was conducted in the Virtual Health Library and Portal Capes, considering only studies in Portuguese. The sample consisted of 17 articles. It was observed that from 2011 to 2012 is the period with the highest number of publications about the investigated issue. The majority of papers were published in journals in the area of computer science and the most common modality of publication was original article. It was found that scientific productions involving Electronic Health Record discussed about its importance and implementation in health services, as well as perceptions of health professionals about its utilization. The research evidenced the relevance of EHR in health services, emphasizing necessity for improved regulations of ethical and legal issues and creation of legal provision to concede judicial validity in Brazil
Teaching-learning process from service teaching of mental health nursing: experience report
Get PDFObjective: Describe the conceptions of resident nurses about the nurse's role in mental health services.
Method: Descriptive/reflexive study of the experience-report type, carried out from experiences of nurses from the Multiprofessional Residency Program in Mental Health, guided by the theoretical presuppositions of the Brazilian Psychiatric Reform and structured from the Arch of Charles Maguerez.
Results: In-service teaching provided reflections on the residents' conceptions of nurses' performance in mental health services. The key posts were the insertion in the specific nursing care, the construction of the multiprofessional work process, the recognition of their professional identity. Therapeutic relationship and communication, receptiveness, co-responsibility of care and the construction of links with clients, family and work colleagues for the solution of the problems.
Conclusions: The Arch of Charles Maguerez facilitated the teaching process in service. In addition, it provided the perception of the action-reflection-action movement as essential to understand fundamentals of care practices in nursing and to collaborate to the insertion of the nurse and the process of changes, from the daily services of mental health
Feelings of women accompanying children hospitalized in a Paediatric Intensive Care Unit
Get PDFObjective: Analise feelings of women accompanying children in a paediatric intensive care unit
Materials and Methods: Data were collected from August to October 2015 by the authors from individual interviews recorded with 15 women. The instrument was structured with the identification of qualitative variables, described in absolute and relative frequencies, and a guiding question. The "corpus" of each interview was electronically transcribed, floating readings were held and statements were categorized and analysed according Analise Content.
Results: 14 (93%) are biological mothers; average age 30 years; 11 (73%) have completed primary education; six (46%) have an occupation or a profession. The four themes were inferred: ambivalence of feelings and coping were related to how individuals express and deal with the hospitalized patient’s situation; empathy with the health team and the structural condition of the critical environment can also generate feelings. Nursing diagnoses were formulated from the reported feelings.
Conclusion: It was observed that the feelings identified could be originated by the health-illness hospitalization process as well as the structural components of the critical environment.
Keywords: Paediatric Intensive Care Units; Women; Feelings
Knowledge, Attitude and Practice (KAP) Study about Middle East Respiratory Syndrome Coronavirus (MERS-CoV) among Population in Saudi Arabia
No full textObjectives: Middle East respiratory syndrome Coronavirus (MERS-CoV) is an epidemic in Saudi Arabia. This study aimed to measure the level of knowledge, attitude and practice about Coronavirus, to correlate the sociodemographic characteristics to the level of knowledge, attitude and practice about Coronavirus, and to explore awareness and health behaviors related to the prevention of Coronavirus.
Method: A national adaptive cross-sectional survey conducted on 714 Saudi Arabian population aged from twenty to above sixty years old in period from March to April 2017. A standardized, confidential, Internet questionnaire used for a large randomly selected population in all regions of Saudi Arabia.
Results: Out of 714 participants, women demonstrated a greater level of knowledge of MERS-CoV risk and prevention than men. Social media was the main source for providing information about MERS-CoV with (9.7%) excellent, (72.4%) fair and (17.9%) poor knowledge. Most participants had a good attitude toward privation of camel’s milk and meat if they are source of transmission of MERS-CoV. However, females had better attitude toward the privation of camel’s milk and meat (81.6%, p ≤ 0.001) than males (66.7%). Regarding safety precautions, the data suggested that males were significantly less than females in taking safety precautions and prevention by 0.563 time (OR: 0.563 (0.341-0.94), p≤ 0.05).
Conclusion: Generally, participants have a high level of knowledge, positive attitude, and prevention practice toward MERS-CoV. Furthermore, there was no significant difference in knowledge level in different regions in Saudi Arabia. The females have better attitude toward MERS-CoV than males. The present study highlights the need to create wide-spread awareness about MERS-CoV infection among individuals who do not have access to the internet and social media through posters, television, and dissemination of information by healthcare professionals
Nursing Professional’s Working Load Given To The Elderly At The Intensive Unit Care
No full textThe natural aging process accelerate the appearance and the installation of diseases and symptoms characteristic of the age in which the physical and cognitive aspects are compromised progressively. Increasing the necessity of specialized cares and intensive accompaniment. This study aimed to evaluate through the Nursing Activities Score appliance, the nursing team’s working load, destined to elderly people assisted at intensive unit care and subsidize the personal sizing according to what advocate the legislation. It is about a descriptive and documental study of quantitative approach. It was used as data basis 50 patient records of elderly users admitted at a public intensive unit care from João Pessoa, Paraíba, Brazil. It was determined that 56% (28) of the elderly in his first hospitalization day at the Intensive Unit Care, required a nursing high working load while 44% (42) a nursing low working load.
Through the sum of the Nursing Activities Score average score, we can achieve the total of hours at the nursing assistance necessaries to the elderly patient care during the hospitalization. The average scores obtained by the total score, corresponded to 59.2 ± 7.8, transforming in hours according to the conducted calculus, correspond to 14.47 hours of nursing assistance turned to the elderly people. It is waited that the results can contribute to quantify the expended assistance time and also evidence the real necessity of the people to ensure safe and quality assistance practices to the elderly people.
Descriptors: Workload. Nursing. Aged. Intensive Care Units
Perception Of The Nurse In The Process Of Donation Of Organs And Fabrics For Transplantation
No full textObjective: to know the nurses' perception in the process of organ and tissue donation for transplants.
Methods: qualitative research with data collection performed through a semistructured interview with 16 nurses from a hospital. The data were submitted to Bardin content analysis.
Results: categories emerged after content analysis were as follows: Organ donation process: nurses' experience; Nursing care for potential donors; Family approach; Main difficulties in the donation process.
Conclusion: the research demonstrated the real difficulties of the professionals during the donation process, such as lack of human resources, extensive protocols, and lack of awareness of the society to understand the donation process and the family approach.
Keywords: Transplantation of Organs; Obtaining Tissues and Organs; Nursing care.