Thesis (M. Med. Sc.)--University of Queensland, 2004. / Includes bibliographical references.

Thesis (Ph. D.)--University of Wisconsin--Madison, 1981. / Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 138-151).

Thesis PlanA (M.S.)--University of Wisconsin--Stout, 2009. / Includes bibliographical references.

Made available in DSpace on 2015-12-10T14:22:37Z (GMT). No. of bitstreams: 0 Previous issue date: 2015-02-25. Added 1 bitstream(s) on 2015-12-10T14:28:47Z : No. of bitstreams: 1 000850026.pdf: 1654101 bytes, checksum: 049ca9ff4188a7cab18e355aabfaa3f2 (MD5) / É complexo assistir as pessoas em Unidade de Terapia Intensiva Especializada em Queimados, pois a falta de proteção do maior órgão do corpo, a pele, assim como as lesões inalatórias podem apresentar alterações hemodinâmicas e condições de vulnerabilidade para infecção. O objetivo do estudo é avaliar a carga de trabalho de enfermagem, segundo o Nursing Activities Score (NAS), em uma Unidade de Terapia Intensiva destinada ao tratamento de pacientes com queimaduras; correlacionar a carga de trabalho aos aspectos sociodemográficos, clínicos, gravidade (SAPS 3), superfície corporal queimada (SCQ%), grau de queimadura e desfecho e construir um tutorial para instruir e uniformizar a aplicação do instrumento. Trata-se de estudo exploratório e descritivo, prospectivo, de delineamento quantitativo, realizado na UTI de queimados de um Hospital Estadual de grande porte, localizado no interior de São Paulo. A Unidade é composta por 4 leitos. A população constou de pacientes atendidos na unidade no período de janeiro a junho de 2014. A amostra foi de 33 pacientes, com 447 medições. Obteve-se a aprovação do Comitê de Ética sob o nº CAAE 26679314.2.0000.5411. A carga de trabalho foi avaliada por meio do NAS, prospectivamente, referindo-se às últimas 24 horas. Utilizou-se a Correlação de Pearson, o teste Anova e de Tukey, todos com nível de significância de 5% (p≤0,05). Do total de 33 pacientes prevaleceu o gênero masculino com 61%, brancos 67%, com união consensual estável 54%, primeiro grau completo 71%, grande queimado 55%, com acidentes por álcool e fogo 30%, depressivos 53%, submetidos à intubação e sedados 45%, em uso de medicação vasoativa 45% e com lesão inalatória associada 55%. O mês de maior ocorrência das internações foi fevereiro, com 27%. Em relação ao desfecho, 61% receberam alta para enfermaria. A média NAS foi de 81,94% para os pacientes sobreviventes e 86,16 % para os que foram a... / It is complex to watch people in the Intensive Care Unit Specialized in Burnt, because the lack of the body's largest organ protection, the skin, as well as inhalation injuries may present hemodynamic changes and conditions of vulnerability to infection. The objective of the study is to evaluate the nursing workload, according to the Nursing Activities Score (NAS) in a Intensive Care Unit for the treatment of burned patients; correlate the workload to sociodemographic aspects, clinicals, severity (SAPS 3), burned surface area (BSA%), degree of burn and outcomes and build a Tutorial to instruct and standardize the instrument application. It is an exploratory and descriptive, prospective, quantitative design study, performed in the burn ICU of a large State Hospital, located in e interior city of São Paulo. The unit consists of 4 beds. The population consisted of patients attending the unit from January to June 2014. The sample consisted of 33 patients, with 447 measurements. We obtained the approval of the Ethics Committee under the number CAAE 26679314.2.0000.5411. The workload was assessed by the NAS, prospectively, referring to the last 24 hours. Pearson correlation was used, ANOVA and Tukey tests, all of them with a significance level of 5% (p=0.05). From the total of 33 patients prevailed males with 61%, white 67%, with a stable relationship 54%, 71% with complete primary education, major burn 55%, with accident caused by alcohol and fire 30%, 53% depressed, submitted to intubation and sedated 45% by use of vasoactive medications associated with 45% and 55% with associated inhalation injury. The month of highest incidence of hospitalizations was February with 27%. Regarding the outcome, 61% were discharged to infirmary. The average NAS was 81.94% for the patients who survived and 86.16% for those who died. The hours of nursing in 24 hours was 19.6%. When comparing the nursing hours according to the NAS and COFEN resolution on the ...

Orientador: Magda Cristina Queiroz Dell'Acqua / Banca: Valéria de Castilho Palhares / Banca: Neuza Aparecida de Souza Basso / Resumo: É complexo assistir as pessoas em Unidade de Terapia Intensiva Especializada em Queimados, pois a falta de proteção do maior órgão do corpo, a pele, assim como as lesões inalatórias podem apresentar alterações hemodinâmicas e condições de vulnerabilidade para infecção. O objetivo do estudo é avaliar a carga de trabalho de enfermagem, segundo o Nursing Activities Score (NAS), em uma Unidade de Terapia Intensiva destinada ao tratamento de pacientes com queimaduras; correlacionar a carga de trabalho aos aspectos sociodemográficos, clínicos, gravidade (SAPS 3), superfície corporal queimada (SCQ%), grau de queimadura e desfecho e construir um tutorial para instruir e uniformizar a aplicação do instrumento. Trata-se de estudo exploratório e descritivo, prospectivo, de delineamento quantitativo, realizado na UTI de queimados de um Hospital Estadual de grande porte, localizado no interior de São Paulo. A Unidade é composta por 4 leitos. A população constou de pacientes atendidos na unidade no período de janeiro a junho de 2014. A amostra foi de 33 pacientes, com 447 medições. Obteve-se a aprovação do Comitê de Ética sob o nº CAAE 26679314.2.0000.5411. A carga de trabalho foi avaliada por meio do NAS, prospectivamente, referindo-se às últimas 24 horas. Utilizou-se a Correlação de Pearson, o teste Anova e de Tukey, todos com nível de significância de 5% (p≤0,05). Do total de 33 pacientes prevaleceu o gênero masculino com 61%, brancos 67%, com união consensual estável 54%, primeiro grau completo 71%, grande queimado 55%, com acidentes por álcool e fogo 30%, depressivos 53%, submetidos à intubação e sedados 45%, em uso de medicação vasoativa 45% e com lesão inalatória associada 55%. O mês de maior ocorrência das internações foi fevereiro, com 27%. Em relação ao desfecho, 61% receberam alta para enfermaria. A média NAS foi de 81,94% para os pacientes sobreviventes e 86,16 % para os que foram a... / Abstract: It is complex to watch people in the Intensive Care Unit Specialized in Burnt, because the lack of the body's largest organ protection, the skin, as well as inhalation injuries may present hemodynamic changes and conditions of vulnerability to infection. The objective of the study is to evaluate the nursing workload, according to the Nursing Activities Score (NAS) in a Intensive Care Unit for the treatment of burned patients; correlate the workload to sociodemographic aspects, clinicals, severity (SAPS 3), burned surface area (BSA%), degree of burn and outcomes and build a Tutorial to instruct and standardize the instrument application. It is an exploratory and descriptive, prospective, quantitative design study, performed in the burn ICU of a large State Hospital, located in e interior city of São Paulo. The unit consists of 4 beds. The population consisted of patients attending the unit from January to June 2014. The sample consisted of 33 patients, with 447 measurements. We obtained the approval of the Ethics Committee under the number CAAE 26679314.2.0000.5411. The workload was assessed by the NAS, prospectively, referring to the last 24 hours. Pearson correlation was used, ANOVA and Tukey tests, all of them with a significance level of 5% (p=0.05). From the total of 33 patients prevailed males with 61%, white 67%, with a stable relationship 54%, 71% with complete primary education, major burn 55%, with accident caused by alcohol and fire 30%, 53% depressed, submitted to intubation and sedated 45% by use of vasoactive medications associated with 45% and 55% with associated inhalation injury. The month of highest incidence of hospitalizations was February with 27%. Regarding the outcome, 61% were discharged to infirmary. The average NAS was 81.94% for the patients who survived and 86.16% for those who died. The hours of nursing in 24 hours was 19.6%. When comparing the nursing hours according to the NAS and COFEN resolution on the ... / Mestre

With the decrease in burn mortality following improved burn care facilities and methods, burn survivors are often left with residual physical and psychosocial consequences that they have to cope with requiring adaptation and modification of lifestyle. Burn survivors habitually receive excellent treatment for their wounds while in hospital but may experience challenges due to disruption of care and rehabilitation after discharge. This aim of the study was to explore and describe the lived experiences of burn survivors’ adaptation post hospital discharge. A qualitative, hermeneutic, phenomenological design using an interpretive framework was used. A purposeful sampling was used in the selection of nine participants who were above 18 years and had been admitted to the Limpopo Burn Unit while still undergoing reviews at the Plastic and Reconstructive Surgery Clinic. Data were collected through face-to-face interviews using unstructured open-ended questions. Data were analysed using the Colaizzi’s strategy. Three main themes emerged from the data, along with sub-themes. (a)The burn survival experience involved the person in totality with reference to their internal and external environment. (b)The process of recovery was lengthy and started in hospital and continued post discharge at home. (c) Reclaiming their life and finding new meaning was a process of adaptation. The core of the participants’ needs included the need for the care and rehabilitation of the whole person in terms of their physical and psychosocial aspects, the importance of the survivor’s involvement in his/her care, and the rehabilitation. Health care personnel and family support during this difficult time should be available in order to enable the survivors to cope and adapt effectively and reclaim their lives. / Health Studies / M.A. (Nursing Science)