Background: Down syndrome is the most common chromosomal abnormality in Sweden. Around 120 to 140 children with Down syndrome are born annually in Sweden. There is a lack of studies that examine how parents of children with Down syndrome experience the interactions with healthcare personnel.   Aim: The aim of this study was to illustrate how parents of children with Down syndrome experienced the encounters with healthcare personnel during the child’s first year, based on a family centered perspective.   Method: A literature study was done using 13 original articles from different countries. They were chosen through Pubmed. These were reviewed and processed into four categories. Joyce Travelbee’s nursing theory, as well as family centered care was used as frame of reference.   Result: A majority of the families in this study described negative experiences of interactions with healthcare personnel. Families experienced that they did not receive adequate emotional support. They lacked information about Down syndrome and the information they received was described as being too negative and unbalanced. Parents also described a lack of contact information to support groups and other institutions in the society. They also experienced that the health care did not notice their children's potential nor had the knowledge about the conditions for people with Down syndrome in the society.   Conclusion: Parents mostly have a negative experience of the health care when theyhave a child with Down syndrome. The healthcare primarily has to see to the new born child, congratulate the parents to a new member of the family before focus on the diagnosis. Thereafter, the health care should give a balanced information in an early stage regarding the family’s and the baby’s needs and provide the family with emotional support. The nurse has an important part to fill from a family centered perspective.

Este estudo é o resultado de minha preocupação, como enfermeira, com as mulheres com câncer e que se encontram no momento fora de possibilidade de recursos para cura. Dessa forma, a trajetória deste estudo voltou-se à compreensão do significado do cuidar pela perspectiva destas mulheres. Com esta proposta, optei por realizar uma pesquisa qualitativa, segundo a abordagem fenomenológica, com base nestas questões norteadoras: - Me fale como eu posso cuidar de você. Como você gostaria de ser cuidada? Das descrições das mulheres emergiram as unificações ontológicas analisadas e interpretadas segundo o referencial de Martin Heidegger. Essas unificações possibilitaram desvelar caminhos para a ação do cuidar no processo de morrer que vão além do conhecimento técnico-científico, pois o cuidar implica também empatia, escuta, paciência, zelo, controle da dor, autonomia. Respaldada pela ótica das mulheres, foi-me permitido alcançar o sentido do ser com câncer no processo de morrer, não como algo acabado, mas como um ser de possibilidades, mesmo diante de uma situação factual que é o convívio com a terminalidade existencial. / The present study is a result of my concern, as a nurse, for women with cancer and without any possibilities of resources for a cure. Therefore, the trajectory of this study was focused on the comprehension of the meaning of taking care through those women’s perspective. For this purpose, I chose to make a qualitative survey in a phenomenological approach, based on the following directive questions: “Tell me how I can take care of you. How would you like to be taken care?”. From the descriptions given by the women, it came up the ontological unifications analyzed and interpreted according to Martin Heidegger’s reference. Such unifications made it possible to reveal ways to the act of taking care in the dying process that go beyond technical-scientific knowledge, because taking care also goes through empathy, the act of listening to somebody, through patience, zeal, pain control and autonomy. Based on those women’s point of view, I was able to reach the sense of a person with cancer in the dying process, not as a finished thing, but as a person with possibilities in spite of facing a situation based on a fact, which is living with the existential end.

Trata-se de um estudo quase-experimental que teve como propósito avaliar o efeito da música como terapia complementar sobre variáveis de expressão do estresse em pacientes renais crônicos, durante o tratamento hemodialítico. Como objetivos específicos o estudo buscou comparar as variáveis fisiológicas (cortisol salivar, frequência cardíaca, pressão arterial, frequência respiratória e temperatura cutânea) e escores de ansiedade mensurados pela forma estado do Inventário de Ansiedade Traço - Estado (IDATE), em dois momentos (dia 1: observação da linha de base; dia 2: observação antes e após intervenção). Outros objetivos complementares foram: a avaliação de presença de ritmo circadiano do cortisol, a correspondência entre o cortisol salivar e plasmático e a avaliação da aceitação da intervenção. A variável de manipulação foi a audição da seleção musical de preferência dos sujeitos por 30 minutos. O estudo foi realizado em dois momentos distintos: no primeiro houve a determinação do perfil das variáveis de interesse em um procedimento padrão de hemodiálise, sem intervenção; no segundo momento foi observado o efeito de uma intervenção musical no perfil das variáveis de interesse, em um procedimento padrão de hemodiálise. Participaram do estudo 55 pessoas, 52,7% do sexo masculino, com idade média de 49,6 anos (DP=15,7 anos), com média de tempo de tratamento de 47,9 meses (DP= 47,5 meses), a maioria em primeiro tratamento de substituição renal (83,6%). Não houve diferença entre as médias de concentração do cortisol salivar dos sujeitos do estudo nos dois momentos (dias 1 e 2) e nas duas fases do dia de intervenção (antes e após intervenção), nos três turnos de HD. O primeiro e segundo turnos de HD apresentaram curva gráfica do cortisol com subida acentuada ao final da hemodiálise, enquanto no terceiro turno a curva apresentou-se em discreto declínio do início até o término da sessão de HD. Apesar de a maioria dos sujeitos ter apresentado baixo nível de ansiedade, em todas as fases do estudo, verificou-se diferença significativa (p<0,001) entre as médias de ansiedade nas fases pré e pós intervenção. Não se observou diferença estatística para as variáveis frequência cardíaca, frequência respiratória, temperatura e pressão arterial sistólica entre os momentos pré e pós intervenção. A pressão arterial diastólica apresentou diferença entre as médias dos momentos pré e pós intervenção (p=0,0006). Foi verificado presença de correlação entre o cortisol plasmático e o cortisol salivar (r = 0,722 e p < 0,0001), além disso, observou-se presença de ritmo circadiano do cortisol em 85,4% dos participantes do estudo. Os participantes mostraram boa aceitação da intervenção com música. Conclui-se que nas variáveis sinais vitais e cortisol não se observou diferença com a intervenção empregada, entretanto, pelos escores do IDATE, foi evidenciado um efeito redutor da ansiedade por meio da música, nos três turnos de HD, o que reforça o uso desta intervenção / The objective in this quasi-experimental study was to assess the effect of music as complementary therapy on stress expression variables in chronic renal patients during hemodialysis treatment. As specific objectives, the study aimed to compare the physiological variables (salivary cortisol, cardiac frequency, arterial pressure, respiratory frequency and cutaneous temperature) and anxiety scores measured using the State-Trait Anxiety Inventory (STAI) at two moments (day 1: observation of baseline; day 2: observation before and after the intervention). Other complementary objectives were: evaluation of the presence of circadian rhythm of cortisol, correspondence between salivary and plasmatic cortisol and assessment of the acceptance of the intervention. The manipulation variable was the hearing of the music selection the subjects preferred during 30 minutes. The study was undertaken at two distinct moments: first, the profile of the variables of interest was determined in a standard hemodialysis procedure, without intervention; second, the effect of a music intervention on the profile of the variables of interest was observed in a standard hemodialysis procedure. Fifty-five persons participated in the study, 52.7% male, with a mean age of 49.6 years (SD=15.7 years), with a mean length of treatment of 47.9 months (SD=47.5 months), mostly undergoing the first renal replacement treatment (83.6%). No difference was found between the mean concentration levels of the study subjects\' salivary cortisol at the two moments (days 1 and 2) and in the two phases of the intervention day (before and after the intervention), in the three HD shifts. The first and second HD shifts showed a graphic cortisol curve with a steep rise at the end of the hemodialysis while, in the third shift, the curve showed a slight decline from the start until the end of the HD session. Although most subjects showed low anxiety levels in all study phases, a significant difference was observed (p<0.001) between the mean anxiety levels in the pre and post-intervention phases. No statistical difference was observed for the variables: cardiac frequency, respiratory frequency, temperature and systolic blood pressure between pre and post-intervention. The diastolic blood pressure showed a difference between the mean levels at pre and post-intervention (p=0.0006). The presence of correlation between plasmatic and salivary cortisol was verified (r = 0.722 and p < 0.0001). In addition, the presence of a circadian rhythm of cortisol was observed in 85.4% of the study participants. The participants showed good acceptance of the music intervention. In conclusion, in the variables vital signs and cortisol, no difference was observed as a result of the intervention employed, but the STAI scores evidenced that music reduces anxiety, in the three HD shifts, which reinforces the use of this intervention

The delivery process of the intravenous (IV) medication, one of the activities of greater responsibility of the nursing team, has a high incidence in child care in urgent and emergency situation. This process is considered highly complex and when not planned, controlled and monitored through indicators is exposed to unpredictable results affecting the quality of care. The objective was to evaluate the nursing practice in drug administration in child trough IV. Exploratory, descriptive, observational, quantitative study. It was developed in the urgency and emergency department in a pediatric referral hospital of the municipal sphere of Fortaleza. The study population consisted of 69 nurses whom participated in the drug administration via IV process that was in work schedules during the study period in the investigated unit. The sample of professionals was composed by 36 licensed practice nurses and 2 nurses. For the number of observations, it was considered the calculation for finite population with a total of 327 observations of intravenous medication delivery process. Interviews were carried out for data collection with the nursing staff and systematic observation of drug delivery process in children via IV. For data collection interviews were performed with the nursing staff and systematic observation by IV drug delivery process in children, considering seven stages, namely: medical prescription reading, hand hygiene, preparation of material and medication , guidance on the procedure, puncture technique and administration of the drug. Such steps have the total 47 shares. The data was stored in a database produced on the Windows Excel 2010 and analyzed according to the literature. The study was approved by the Ethics Committee under CAAE protocol 34651314.7.0000.5054. It was found that in 15% of the observations nursing professionals did not understand the prescription due to illegible handwriting professional. In 78.0% of the time there was no hand hygiene. It was found that all professionals used personal protective equipment (cap and mask), but none used gloves. Among the 327 observations included: peripheral intravenous device most commonly used was the scalp 21 (63.3%); selection of dorsal hand veins arc (83.9%); success on the first attempt of venipuncture (82.6%); explains the procedure for child and /or guardian (5.5%); calms the child (82.6%); performs antisepsis of the skin at the site to be punctured with a swab with 70% alcohol (100%); awaits antiseptic evaporation to then continue the procedure (45.6%); proper disposal of the materials used during the procedure (89.3%); checks the prescription immediately after drug administration (86.8%). It was found unsatisfactory performance in 23 actions by IV drug administration process. Therefore, we suggest the development of training for nursing professionals about medication delivery process. / O processo de administraÃÃo de medicamento por via intravenosa (IV), uma das atividades mais importante da equipe de Enfermagem, possui alta incidÃncia na assistÃncia à crianÃa em situaÃÃo de urgÃncia e emergÃncia. Tal processo à considerado de alta complexidade e, quando nÃo planejado, controlado e monitorado por meio de indicadores, fica exposto à imprevisibilidade de seus resultados, interferindo na qualidade da assistÃncia. Objetivou-se avaliar a prÃtica de enfermagem no processo de administraÃÃo de medicamento por via IV na crianÃa. Trata-se de um estudo exploratÃrio, descritivo, observacional, de natureza quantitativa, desenvolvido no setor de urgÃncia e emergÃncia de um hospital pediÃtrico de referÃncia da esfera municipal de Fortaleza-CE. A populaÃÃo do estudo foi constituÃda por 69 profissionais de enfermagem que participaram do processo de administraÃÃo de medicamento pela via IV e que estavam nas escalas de trabalho durante o perÃodo do estudo na unidade investigada. A amostra dos profissionais foi composta por 36 tÃcnicos de enfermagem e 2 enfermeiros. Para o nÃmero de observaÃÃes, considerou-se o cÃlculo para populaÃÃo finita, com um total de 327 observaÃÃes do processo de administraÃÃo de medicamento por via IV. Para a coleta de dados realizou-se entrevista com a equipe de enfermagem e observaÃÃo sistemÃtica do processo de administraÃÃo de medicamento por via IV na crianÃa, considerando sete etapas, quais sejam: leitura da prescriÃÃo mÃdica, higienizaÃÃo das mÃos, preparo do material e medicaÃÃo, orientaÃÃo acerca do procedimento, tÃcnica de punÃÃo e administraÃÃo do medicamento. Tais etapas possuem ao total 47 aÃÃes. Os dados foram armazenados em um banco de dados produzidos no Excel do Windows 2010, analisados estatisticamente e de acordo com a literatura pertinente. O estudo foi aprovado pelo Comità de Ãtica sob parecer N0 805.953. Constatou-se que em 15% das observaÃÃes o profissional de enfermagem nÃo compreendeu a prescriÃÃo mÃdica devido à letra ilegÃvel do profissional. Em 78,0% das observaÃÃes nÃo houve a higienizaÃÃo das mÃos. Identificou-se que todos os profissionais utilizaram equipamento de proteÃÃo individual (gorro e mÃscara), entretanto nenhum utilizou luvas. Dentre as 327 observaÃÃes destacaram-se como dispositivo intravenoso perifÃrico mais utilizado o scalp n 21 (63,3%); escolha das veias do arco dorsal da mÃo (83,9%); Ãxito na primeira tentativa da punÃÃo venosa (82,6%); orientaÃÃo sobre o procedimento para crianÃa e/ou responsÃvel (5,5%); acalma a crianÃa (82,6%); realizaÃÃo de antissepsia da pele no local a ser puncionado com algodÃo embebido com Ãlcool a 70% (100%); aguarda a evaporaÃÃo do antissÃptico para em seguida dar prosseguimento ao procedimento (45,6%); descarte adequado dos materiais utilizados durante o procedimento (89,3%); checou a prescriÃÃo imediatamente apÃs a administraÃÃo do medicamento (86,8%). Concluiu-se desempenho insatisfatÃrio em 23 aÃÃes do processo de administraÃÃo de medicamento por via IV. Portanto, sugere-se o desenvolvimento de capacitaÃÃo para os profissionais de enfermagem acerca do processo de administraÃÃo de medicamento.

O presente estudo teve como objetivos conhecer os conflitos éticos relativos a pacientes terminais identificados por enfermeiros das clinicas médica, cirúrgica e pronto socorro adulto de um hospital público e geral; compreender como os enfermeiros tomam as decisões frente a conflitos éticos referentes a esses pacientes e conhecer o que é levado em consideração, pelos enfermeiros, para a tomada de decisão frente a conflitos éticos relacionados a pacientes terminais. Foi feito um estudo exploratório, descritivo e de abordagem qualitativa. Para análise dos dados foi utilizada a análise de conteúdo proposta por Bardin. Foram entrevistados dez enfermeiros de um hospital público e geral do Município de São Paulo. Após a análise, emergiram três categorias e quinze sub-categorias: Categoria 1- A vivência dos enfermeiros em relação ao paciente terminal. Subcategorias: Cuidados como condição essencial para assistência aos pacientes terminais; Postura da família frente ao paciente terminal; Conseqüências da vivência profissional com pacientes terminais; e Postura profissional frente aos pacientes terminais. Categoria 2- Fatores geradores de conflitos éticos em relação ao paciente terminal. Subcategorias: Obstinação terapêutica; Situações administrativas; A quebra do sigilo e desrespeito à privacidade do paciente terminal; Despreparo profissional; e Falta de autonomia do enfermeiro. Categoria 3- Fatores considerados para a tomada de decisão em relação aos conflitos éticos frente ao paciente terminal. Subcategorias: Os aspectos ético-legais; O uso do conhecimento científico; A participação das equipes multiprofissional e de enfermagem; O respeito à autonomia do paciente e da família; A importância do esclarecimento de pacientes e familiares; e A multifatorialidade concorrendo para a tomada de decisão. O estudo evidenciou que os conflitos éticos relativos aos pacientes terminais, vivenciados pelos enfermeiros, emergem de seu cotidiano e são decorrentes de diversos fatores relacionados à assistência, ao gerenciamento e à capacitação dos profissionais. Foi evidenciado, ainda, que os enfermeiros apontam fatores que devem ser levados em consideração no processo de tomada de decisão, mas revelam sua pouca participação nesse processo frente aos conflitos éticos relativos a pacientes terminais. / The present study aims to identify and understand the ethical conflicts related to terminal patients experienced by nurses and are what considered for decision making to cope with these conflicts. The methodology adopted was the qualitative strand, using the content analysis proposed by Bardin. Ten nurses were interviewed in a general hospital in Sao Paulo. After the analysis emerged three categories and fifteen sub-categories: Category 1 - The experience of nurses in relation to the patient terminal. Subcategories: care as an essential condition for assistance to terminally ill patients; Posture family towards the patient terminal; Consequences of professional experience with terminal patients, and professional attitude to patients facing terminal. Category 2 - Factors generators to ethical conflicts in respect to the terminal patient. Subcategory: Therapeutic futility; Situations administrative on generating of conflict; The breaking secrecy and privacy disrespect of the patient terminal; A lack of professional preparation; and lack of autonomy of nurses. Category 3 - Factors considered in the decision-making in relation to the conflicts ethic facing the terminally ill patient. Subcategories: ethical and legal aspects; The use of scientific knowledge; The participation of multidisciplinary teams and nursing staff; The Respect for patient autonomy and family; The importance of clarifying patients and families, and, The multifactorial competing to decision-making. The study showed that ethical conflicts related to the patients, experienced by nurses, emerge from their everyday and are caused by several factors related to assistance, to management and capacitation professional. It was evidenced, also, that the nurses point to factors that must be taken account in decision-making process, but they reveal their little participation in this process front to the ethical conflicts related to terminally ill patients.

D.Cur. / Like in many countries, Namibia is experiencing social and economic health care problems related to care provision at state health facilities. The Namibian State has acknowledged that it can no more afford to provide care for all the sick people alone, especially at its health facilities. It is now calling upon the society to take up the responsibility of caring for their sick people at home. Although this call is genuine and necessary, one cannot help to always wonder about the expectations of stakeholders involved in home care provision in rural Namibia. The purpose of the study was to develop and describe a model for capacity building to facilitate quality home care in rural Namibia. To achieve this the following specific objectives were formulated: 1) to explore and describe the expectations of the stakeholders involved in home care situation in rural Northern Namibia; 2) to assess the status of available resources in relation to quality home care; 3) to analyse the concept capacity as a management process and conceptualise the whole study into existing theoretical frameworks to facilitate home care in rural Namibia and 4) to develop and describe practical guidelines for the implementation of the model. A qualitative case study design was used to carry out the study. Explorative, descriptive, theory generative and inductive strategies were utilised. Face to face interviews were conducted with thirty stakeholders in home care using an interview guide. Purposive and Snowballing/networking sampling were used to identify the stakeholders involved with home care. Observations were also made with regard to the status of the resources, its availability and accessibility to the stakeholders. From the empirical phase, various expectations were expressed related to resources, namely, physical structures, knowledgeable human resources, financial and logistics, information, safe water supply, transport and communication means, support systems and mechanisms at home and community levels, food and nutrition. It was clear that resources were lacking as well as the support systems for home care.

Magister Curationis - MCur / Academic hospitals do recognise that all patients have basic human needs. Nurses have been obliged to pay attention to conditions that destabilise patient's health. An academic hospital in the Western Cape is dedicated to living up to its vision to deliver excellent nursing services, which include the fulfilment of the basic needs of patients who are making use of surgical emergency department. Emergency surgical departments should be created in a manner that provides safety and comfort to patients. Patient satisfaction is influenced by the manner in which their expectations about the successful addressing of their basic needs are met. At the moment, the extent of meeting these basic needs during the delivery of nursing care in the surgical emergency department of the academic hospital is unclear. The purpose of this study was to explore and describe the perceptions of patients about the fulfilment of their basic needs during nursing care in a surgical emergency department at an academic hospital in the Western Cape. The study was conducted according to a quantitative non-experimental descriptive survey design. A convenience sampling method was used to select patients (n = 150) after they were discharged from a surgical emergency department. A self-administered questionnaire was compiled within the framework of Alderfer's theory, with closed and a few open questions, that was for distribution to respondents. Descriptive statistics were extracted. The responses to items were indicated on a continuum starting at 1 (never) to 7 (always) on a 5-point Likert scale. Respondents signed informed consent before they completed the instrument in a private room that took around 30 minutes. In this study, validity and reliability were maintained during the research process, and ethical principles were adhered to. Descriptive data was presented through mean values and standard deviations and a factor analysis performed. The findings were presented according to six factors that indicated that the responses varied on the basic existence, relatedness and growth needs of patients in a surgical emergency unit. From the findings, recommendation was described for the operational nursing managers in the surgical emergency department to take action during addressing patients' basic needs in the delivery of nursing care. It can be concluded that patients perceive that many of their basic needs are not being met while receiving surgical emergency care.

To constantly work with quality improvement is important to maintain a high standard of care. Tanzania is one of many countries facing challenges within the health sector due to constrained resources. Exploring the nurses’ perspective of working with quality improvement  gives a glimpse of the current situation in the Tanzanian health sector. The purpose of this study is to analyse the nurses’ experiences of working with quality improvement. For this study interviews have been conducted and then analysed through a qualitative content inductive analysis. The result showed the nurses’ experiences of obstacles and possibilities when developing the quality of care. Main categories were lack of economy, resources and staff, feeling empowered and healthy team dynamics among colleagues. During the study the authors encountered several obstacles that limited the study. An ethical approval was required, thus only six participants partook in this study. Lack of economy resulted in the biggest obstacle towards improvement as this limited investing in possible assets. The effects of good collaboration between colleagues are shown in many studies to be beneficial for the working atmosphere, which was also found in this study.

The purpose of the study was to explore and describe nursing learners’ experiences with regard to caring for mothers after stillbirth deliveries at selected public hospitals in Gauteng province. A qualitative approach was used to conduct the study. The population consisted of all the second, third and fourth year learners registered for the Diploma in General Nursing (General, Community, Psychiatry) and Midwifery who had been allocated to the obstetric section of five selected public hospitals in the province. Purposive sampling was used to select participants from nursing learners who had taken care of mothers after stillbirth deliveries. Five focus group interviews and reflective journals were used to collect data. Data was analysed according to Tesch’s method by the researcher and an independent co-coder. The following categories emerged from the findings: experiences of learners when caring for mothers after a stillbirth delivery; interaction with the mother of the stillborn infant; and changing emotions within the same environment. It was recommended that further research be conducted in other public hospitals to determine the needs of learners when caring for mothers after stillbirth deliveries. Extensive research to be conducted regarding emotional and academic support required by learners in order to empower them to care for mothers after stillbirth deliveries. The nursing curriculum to make provision for outcomes on bereavement and grief for nursing staff and learners. / Dissertation (MCur)--University of Pretoria, 2013. / Nursing Science / unrestricted

Orientador: Fernando Gomes Romeiro / Resumo: A alta prevalência de pacientes críticos tem aumentado a demanda pela terapia nutricional para recuperação da saúde. As sondas enterais possibilitam a oferta de nutrientes e a melhora do estado nutricional de pacientes com problemas de deglutição, desde que o sistema digestório mantenha sua capacidade de absorção. A equipe que assiste o paciente com necessidade de receber terapia nutricional por meio de sonda enteral deve ter conhecimento sobre a passagem da sonda e sobre a administração das dietas, com treinamento para prevenir, reconhecer e tratar as possíveis complicações. O objetivo deste estudo foi descrever por meio de análise de questionário as dificuldades encontradas para a passagem e posicionamento de sondas nasoenterais na instituição hospitalar, bem como os eventos adversos relacionados ao procedimento de introdução dessas sondas. A partir desse conhecimento sobre problemas enfrentados, o trabalho teve ainda o objetivo de desenvolver manual padronizado sobre a introdução e o posicionamento da sonda enteral. Trata-se de estudo observacional, analítico e transversal em que o método utilizado foi a aplicação de um questionário preenchido por enfermeiros na instituição hospitalar Irmandade de Misericórdia do Jahu, registrando opiniões e problemas enfrentados durante o processo de introdução e posicionamento da sonda enteral. Os resultados apontaram algumas carências de padronizações e certa resistência na exposição de dúvidas, mesmo por meio do questionário. Assim, co... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The high prevalence of critically ill patients has increased the demand for nutritional therapy aiming the health recovery. Enteral tubes provide nutrients and improve the nutritional status of patients with swallowing problems, as long as the digestive system maintains its absorption capacity. The staff that assists the patient needing nutritional support should have knowledge on the tube placement, being trained about the administration of the diets and being ready to prevent, recognize and treat any complications. The aim of this study was to describe the problems faced by the nursing staff during the placement of nasoenteric tubes in the hospital, also showing the adverse events related to the procedure. From this knowledge, the work also aimed to develop a standardized manual to guide the nasoenteric tube placement. This work was an observational, analytical and cross-sectional study in which a questionnaire was answered by nurses at the Hospital institution of the Jahu's Brotherhood of Misericordia, registering opinions and problems during the placement of nasoenteric tubes. The results pointed to a lack of standardization and some avoidance of mentioning doubts and problems occurred during the procedure, even when fulfilling the questionnaire. Thus, it was concluded that the nursing staff is deeply involved in the enteral nutrition therapy, participating in the nasoenteric tube placement and taking care of the diet infusion through it. After knowing the subjects' answe... (Complete abstract click electronic access below) / Mestre