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Evaluation of nursing assistence systematization in a university hospital
No full textEste estudo descritivo teve por objetivo avaliar a Sistematizacao da Assistencia de Enfermagem - SAE, em unidades de internacao: Cardiologia, Doencas Infecto-Parasitarias no Adulto e Neurocirurgia, em um hospital universitario. Os objetivos especificos foram: caracterizar essas unidades de internacao; verificar quais as fases da SAE implementadas; descrever os diaqnosticos de enfermagem encontrados nas unidades; relacionar os diagnosticos com o modelo conceitual utilizado; descrever as prescricoes de enfermagem segundo as unidades; verificar a determinacao de prescricoes de enfermagem para os diagnosticos estabelecidos; descrever os registros de identificacao dos membros da equipe de enfermagem apos as fases da SAE; e identificar a atitude dos enfermeiros frente a SAE. O modelo conceitual foi baseado nos referenciais de Horta (1970), Orem (1995) e conceito epidemiologico de risco (Almeida, Rouquayrol, 1992), o qual foi elaborado para a implementacao da SAE no hospital campo de estudo. Os dados foram obtidos atraves da analise retrospectiva de 135 prontuarios, 45 em cada uma das unidades acima referidas, e de resposta das enfermeiras a escala do Diferencial Semantico de Osgood (Pereira, 1976). Os resultados obtidos indicaram que existe numero adequado de membros da equipe de enfermagem em relacao ao numero de leitos. As fases da SAE implementadas nos 45 prontuarios de cada unidade sao: Cardiologia: historico u 31 (68,9 por cento), diagnostico u 38 (84,4 por cento), prescricoes u 43 (95,6 por cento), evolucao u 28 (62,2 por cento), anotacao u 45 (100,0 por cento). Doencas Infecto-Parasitarias no Adulto: historico u 1 (2,2 por cento), diagnostico u 36 (80,0 por cento), prescricoes u 37 (82,2 por cento), evolucao u 2 (4,4 por cento), anotacao u 43 (95,6 por cento). Neurocirurgia: historico u 45 (100,0 por cento), diagnostico u 45 (100,0 por cento), prescricoes u 43 (95,6 por cento), evolucao u 39 (86,6 por cento), anotacao u 45 (100,0 por cento). Os diagnosticos de enfermagem considerados mis frequentes (50 por cento e mais) nas unidades foram: Cardiologia u risco para infeccao u 39 (86,7 por cento), intolerancia a atividade u 36 (80,0 por cento), risco para sangramento na perfusao tissular cardiaca u 34 (75,5 por cento), risco para sangramento: uso de anticoagulante u27 (57,8 por cento), risco para debito cardiaco diminuido u 26 (57,8 por cento)a(au)This descriptive study was carried out in a general teaching hospital, São Paulo, Brazil, and had as general objective to evaluate the Sistematized Nursing Assistance (SNA), in three hospital units: Cardiology, Adulto Infections Diseases and Neurosurgery. The specific objectives were: to characterize these hospital units; verify the steps of the nursing process implemented; describe the nursingdiagnoses found in the units; relate the diagnoses to the hospital conceptual model; describe the nursing prescriptions; verify the determination of prescriptions to the stated nursing diagnoses; describe the written identification of members of nursing team after the realized phases of the nursing process; identify the perception of the nursing team members on the SNA. The conceptual model was developed based in Horta’s (1970) and Orem’s (1995) nursing models and the Epidemiological risk concept (Almeida, Rouquairol, 1992). The data were colected retrospectively from 135 patient records, being 45 from each one of the units studied; the perception of the nursing team members was obtained by the Osgood’s Semantic Differential Scale (Pereira, 1976). The results obtained showed an adequate number of nursing team members related to the bed number in the units. Regarding the steps of the nursing process that were implemente in the units, the findings were: Cardiology: assessment – 31 (68,9%), diagnosis – 38 (84,4%), prescription – 43 (95,6%), evaluation – 28 (62,2%), evolution notes – 45 (100,0%); Adult Infections Diseases: assessment – 1 (2,2%), diagnosis – 36 (80,0%), prescriptions – 37 (82,2%), evaluation – 39 (86,6%), evolution notes – 2 (4,4%); Neurosurgery: assessment – 45 (100,0%), diagnosis – 45 (100,0%), prescriptions – 43 (95,6%), evaluation – 39 (86,6%), evolution notes – 45 (100,0%). The considered more frequent (50,0% and more) nursing diagnosis in the units were: Cardioloy – risk for infection – 39 (86,7%), impaired physical mobility – 36 (80,0%), risk for alterd tissue perfusion: Cardiac – 34 (75,5%), risk for bleeding: use of anticoagulant drugs – 27 (57,8%), risk for decreased cardiac output – 26 (57,8%). Adult Infection Diseases: risk for infection – 32 (71,1%); Neurosurgery: risk for infection – 43 (95,5%), risk for injury – 26 (57,8%). The numerical relationship of the nursing diagnoses to the conceptual model component was: Horta – 312; Orem – 105; epidemiological concept of risk – 203. The amount of the prescriptions identified in the three units was 1005. The frequency of nursing prescriptions to diagnoses stablished in the 45 patients records in each unit was: Cardiology – 43 (95,6%); Adult Infections Deseases – 37 (82,2%); Neurosurgery – 43 (95,6%). The written identification of the nursingteam members in the patients records, was: name, function and COREN: 121; name and COREN: 40; name and function: 43; only name: 125. The nursing team members perception on the SNA according to the Differential Semantic factors was: Evaluation: good – 13 (50,0%), necessary – 19 (73,1%), useful – 15 (57,7%), agreable – 14 (53,8%), interesting – 20 (76,9%). Activity factor: active – 11 (42,3%), truly – 12 (46,2%), perfect – 14 (53,8%), easy – 10 (38,5%), calm – 13 (50,0%). Potency factor: total – 14 (53,8%), big – 14 (53,8%), very much – 16 (11,5%), strong – 16 (61,5%), deep – 17 (65,5%). Sugestions were made for revision of the conceptual model, for modifications of the nursing process registration forms used in the units, and the need for periodical formal evaluation of the Sistematized Nursing Assistance. We consider that the study findings represent a contribution by the identification of the work that has been done and for showing aspects that need to be improved.BV UNIFESP: Teses e dissertaçõe
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
Aspectos Éticos e Bioéticos da Assistência de Enfermagem no Transplante de Órgãos e Tecidos do Doador Cadáver
Get PDFO termo transplante de órgãos foi utilizado pela primeira vez por John Hunter em 1978. A partir da década de50 foram realizados várias séries de transplante renais em humanos, porém nenhuma droga foi utilizada para prevenir a rejeição. No Brasil, o professor Euclides de Jesus Zerbini realizou, em São Paulo, o primeiro transplante de coração, amparado no critério de morte encefálica do doador, porém não existia legislação sobre o tema. Entende-se que o legislador é estimulado pela evolução da ciência, que oferece aos juristas situações carentes de definição legal, e disso o primeiro transplante de coração culminou na elaboração deum suporte legal para a realização de futuros transplantes. Para assegurar os direitos dos doadores e transplantados foi criada a Lei n.9.434, de 4 fevereiro de 1997, que discorre sobre a disposição gratuita de tecidos, órgãos e partes do corpo humano, para fins de transplante e tratamento. Essa lei alterada pela Lei n.10.211/2001, que traz relevantes modificações para o ordenamento jurídico. Os critérios diagnósticos de morte encefálica no Brasil são baseados na constatação clínica de coma aperceptivo e ausência de reflexos ou movimentos supra espinais, sendo excluídas situações de causa reversíveis. Tal achado deve ser respaldado por um exame complementar que demonstre ausência de atividade elétrica. Essa pesquisa teve como objetivo de descrever os aspectos éticos e bioéticos da assistência de enfermagem no transplante de órgãos e tecidos do doador cadáver
Conhecimento dos Discentes de um Curso de Graduação em Enfermagem sobre o Testamento Vital
Get PDFO avanço da Medicina e a sobrevivência dos pacientes com doenças graves consideradas anteriormente irrecuperáveis, resultou no prolongamento do processo de morrer do paciente e, consequentemente o sofrimento adicional para o paciente e seus familiares. O desenvolvimento de novos métodos diagnósticos, tratamentos altamente sofisticados e a introdução de novas drogas propiciaram métodos e esquemas terapêuticos de alta complexidade aos pacientes, prolongando-lhes a existência, mas algumas vezes com alto custo de sofrimento humano.Considerando esses aspectos, surgem as Diretivas Antecipadas de Vontade (DAV), que têm recebido diferenciadas denominações, entre elas: testamento biológico, testamento vital, diretrizes antecipadas de tratamento, declaração antecipada de vontade, declaração antecipada de tratamento, declaração prévia de vontade do paciente terminal. Algumas dessas expressões são transpostas ou traduzem termos utilizados em legislações ou contextos estrangeiros, como é o caso de living will e advance directives, nos Estados Unidos da América (EUA), testamento biológico, na Itália, vontades antecipadas, na Espanha
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
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