Made available in DSpace on 2014-06-11T19:24:45Z (GMT). No. of bitstreams: 0 Previous issue date: 2010-02-12Bitstream added on 2014-06-13T20:32:07Z : No. of bitstreams: 1 oliveira_em_me_botfm.pdf: 1097813 bytes, checksum: 3604308ce3ed8e30e36f5950f503b8e1 (MD5) / Secretaria de Saúde do Estado de São Paulo / O estudo parte da inquietação em compreender como os enfermeiros das UTIs entendem seu processo de trabalho. Processo de trabalho é a transformação de um objeto em produto por meio da intervenção do agente que utiliza os instrumentos pertinentes. O processo de trabalho, embora apresente bases organizadas, sua organização depende das relações pessoais e da interação entre trabalho vivo e trabalho morto. O trabalho vivo acontece na realização do trabalho cotidiano, com o desenvolvimento das potencialidades dos indivíduos e sua autonomia para a construção do trabalho e do cuidado mais efetivo. O enfermeiro é o profissional da equipe que encadeia a construção do trabalho vivo em decorrência de sua inserção nos processos de trabalho e seu potencial articulador na equipe. O processo de trabalho utiliza tecnologias. As tecnologias leves definem as relações e estimulam o desenvolvimento das potencialidades do ser humano e sua autonomia no trabalho e no cuidado. As tecnologias leveduras são caracterizadas pelos saberes que compõem o processo de trabalho em saúde, e as tecnologias duras caracterizadas pelos equipamentos, normas que devem apoiar as ações em busca do núcleo do trabalho vivo. O enfermeiro, como profissional que organiza o cuidado, necessita ser capaz de promover transformações efetivas no cuidado que realiza. Em uma Unidade de Terapia Intensiva, são vivenciadas situações extremas entre a vida e a morte, que exigem do enfermeiro desenvolver olhar atento às adversidades e o agir prontamente para atender às diversas demandas. O objetivo do estudo é compreender o significado para o enfermeiro do processo de trabalho na UTI de um hospital universitário do interior de São Paulo. A trajetória metodológica compõe-se do cenário das UTIs adulto, pediátrica e coronariana deste hospital que é de nível... / This study has resulted from the desire to comprehend how intensive care unit (ICU) nurses understand their work process. The work process is the transformation of an object into a product through intervention by an agent using pertinent instruments. Although the work process presents organized bases, its organization depends on personal relations and on interaction between live work and dead work. Live work takes place during the performance of routine work, with the development of individuals’ potentialities and their autonomy for work construction and more effective care. Nurses are the professionals on the team who concatenate the construction of live work as a result of their insertion in the work processes and their articulating potential on the team. The work process uses technology. Soft technologies define relationships and stimulate the development of human beings’ potentialities and their autonomy in work and care provision. Softhard technologies are characterized by the knowledge that composes the work process in health care provision, and hard technologies are characterized by equipment and standards that must support actions in search of the nucleus of live work. Nurses, as professionals who organize care provision, must be capable of promoting effective changes in the care provided. At an ICU, extreme situations between life and death are experienced, and they require that nurses pay a great deal of attention to adversities and that they act promptly to meet various demands. This study aimed at understanding the meaning to nurses of the work process at the ICU of a university hospital in São Paulo state. The methodological trajectory consists of the scenario of the adult, pediatric and coronary ICUs in the abovementioned hospital, which is a tertiary care provision institution with 415 hospitalization and 52 ICU... (Complete abstract click electronic access below)

Improvement of patient care in any hospital depends primarily on the quality of nursing care. Nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a patient. The purpose of this study was to determine to what extent the nursing process could improve the quality of nursing care, and to explore the knowledge limitations of nursing staff in implementing the nursing process, nursing care planning and proper documentation. Quantitative research, making use of an exploratory, descriptive and contextual design was conducted, utilising a structured questionnaire for data collection. Registered nurses (n=120) employed at a Referral Hospital in Tanzania served as the respondents. The findings revealed a lack of knowledge in understanding and applying the concepts of the nursing process, especially in formulating the nursing diagnosis. Recommendations pertaining to a focused in-service training programme, integrating theory and practice, were made to enhance the effective implementation of the nursing process. / Health Studies / M.A. (Health Studies)

Bakgrund Under covid-19 pandemin har förutsättningarna för omvårdnad påverkats. Patientsäkerheten är en viktig del av sjuksköterskans arbete där fokus ligger på personcentrerad vård. Om patientsäkerheten har påverkats av covid-19 pandemin kan det betyda att vården står inför en ny utmaning där förändrade rutiner och riktlinjer krävs. Omvårdnad som uteblivit helt eller delvis samt missats kan påverka omvårdnaden och patientsäkerheten kan då riskeras. Missed nursing care (missad omvårdnad) utgör en patientsäkerhetsrisk och kan med denna studie tydliggöra bakomliggande orsaker till missad omvårdnad. Syfte Syftet med studien var att beskriva om patientsäkerheten har påverkats under covid-19 pandemin relaterad till missad omvårdnad. Metod Metoden som valdes var litteraturöversikt, en systematisk sammanställning av befintlig forskning i det valda ämnet. Polit och Beck´s (2021) niostegsmodell användes som verktyg under processen. En litteraturöversikt med integrerad analys där litteratursökningen genomfördes i databaserna PubMed och CINAHL. Både kvantitativa och kvalitativa artiklar, publicerade mellan 2020–2022 inkluderades. Resultat Resultatet byggdes på två huvudkategorier samt sex underkategorier. Kategorier påverkan påarbetsuppgifter, med underkategorierna; fokus på livräddande åtgärder, rollförändringar, och barriärer för att utföra omvårdnaden och upprätthålla patientsäkerheten med underkategorier; underbemanning, kunskapsluckor, skyddsutrustning samt tidsbristens inverkan på patientsäkerheten. Resultatet visade att patientsäkerheten upprätthållits och att det funnits barriärer för att utföra omvårdnad under covid-19 pandemin som lett till missad omvårdnad. Slutsats Resultatet visar att patientsäkerheten har upprätthållits under Covid-19. Sjuksköterskornas arbete med omvårdnad har förändrats då livräddande åtgärder varit i fokus. Rollförändringen har inte påverkat upplevd bristande patientsäkerhet. Sjuksköterskor upplevde att de fick ta rollen som anhörig, och att patienter avled i ensamhet. Missed nursing care berodde på olika barriärer som skyddsutrustning, underbemanning, tidsbrist samt bristen på kunskap om covid-19. / Background During the covid-19 pandemic, the conditions for nursing have been affected. Patient safety is an important part of the nurse's work where the focus is on person-centred care. If patient safety has been affected by the covid-19 pandemic, this may mean that healthcare is facing a new challenge where changed routines and guidelines are required. Nursing that has been completely or partially missed and missed can affect the nursing and patient safety can then be risked. Missed nursing care constitute a patient safety risk and can with this study clarify the underlying causes of missed nursing. Aim The purpose of the study was to describe whether patient safety have been affected during the covid-19 pandemic related to missed nursing care. Method The method chosen was a literature review, a systematic compilation of existing research in the chosen subject. Polit and Beck’s (2021) nine-step model was used as a tool during the process. A literature review with integrated analysis where the literature search was performed in the databases PubMed and CINAHL. Both quantitative and qualitative articles, published between 2020–2022 were included. Result The result was based on two main categories and six subcategories. Categories were modifiedwork tasks with the subcategories; focus on life-saving measures, changes in the work role,and barriers that affected nursing with subcategories; understaffing, knowledge gaps, protective equipment and lack of time. The results showed that patient safety was maintained and that there were barriers to performing care during the covid-19 pandemic that led to missed nursing care.  Conclusion The results show that patient safety has been maintained during Covid-19. The nurses' work with nursing has changed, as life-saving measures have been in focus. The role change has not affected perceived lack of patient safety. Nurses felt that they had to take on the role of relative, and that patients died in solitude. Missed nursing care was due to various barriers such as protective equipment, understaffing, lack of time and the lack of knowledge about covid-19.

Submitted in fulfillment of the requirements of the degree of Master of Technology: Nursing, Durban University of Technology, Durban, South Africa, 2015. / Aim The aim of this study was to evaluate the use of nursing care plans in the management of patient care and to recommend guidelines for improving the quality of planned nursing care at a level 3 hospital in the Umgungundlovu district of KwaZulu-Natal. Method The case study was based on the conceptual model of care planning and employed both quantitative and qualitative research designs. The quantitative phase involved a retrospective audit of charts, using an itemised checklist to determine whether items relating to the phases of the nursing process were in evidence within the charts. The qualitative phase consisted of face-to-face interviews with registered nurses, who were asked about their understanding and use of the nursing process. Data derived were analysed using Nvivo 10 and presented as graphs, tables and written text extracts. Results The results show that the use of the standardised care plans at the study hospital had an impact on the understanding of the importance of the nursing process and the successful implementation of the care plans. Factors that had an impact on this included the registered nurses who failed to nurture the junior nurses, lack of understanding of the care plans and what was expected of the staff, staff attitudes and the heavy workload. Conclusion It was suggested that nurse leaders support the implementation and continued use of individualised care plans in order to improve critical thinking skills of nurses by implementing teaching and in-service programs, employing knowledgeable registered nurses, by developing and enforcing adherence to policies that favour care planning and nursing documentation.

Physical disability/physical handicap is an affection that is manifested by either temporary or permanent problems in motor diathesis of children. Physically disabled children may suffer from physical disability either from their birth or may acquire physical disability in the course of their lives. These problems may act in a negative manner on children perception and feeling and the same holds good for their near relatives. Problems come into existence in parent-physically handicapped child interrelation. The nursing model of Ms. Kathryn Barnard focuses on mutual interaction between parents and their children. In her model Ms. Kathryn Barnard points out the importance of the aforementioned parent-physically handicapped child interrelationship. On the basis of evaluation of the parent-child interactions based on three main factors: a child, mother, environment, a general child development is determined. The parent-child interaction affects a child development, child{\crq}s health, growth and development of a child. The aim of nursing care is to assist in finding a proper way of parent- physically disabled child interaction so that the nursing care may act on general development of a child in a positive manner. In this diploma work the following goal has been set: to find out and identify the most important problems existing in the parent-physically disabled child relation, and to evaluate possibilities of nursing care in solving problems arising at the parent-physically disabled child interaction. For the purpose of meeting these goals the following research questions has been established: What are the most important problems in the parent-physically handicapped child interaction? How can nursing care help in the parent-physically handicapped child interaction? What is the proper procedure for the nursing care of a physically disabled child and his/her close relatives? After carrying out research examinations the answers to the above-specified questions are as follows: 1. The most important problems lying in the parent-physically disabled child interaction are as follows: parent to reconcile himself/herself with his/her child's diagnosis, more frequent occurrence of stress situations, excessive emotional ties of the physically handicapped child with his/her nursing personnel. 2. The nurse can help by means of nursing process in an active manner solve the above-specified problems in interrelation between parent-physically handicapped children. On the basis of information having been gained by the study of professional literature and pieces of information obtained from the answers of the parents of physically disabled children a nursing documentation has been made in accordance with the Kathryn Barnard interaction model as well as nursing care standard of physically handicapped children. By finishing it both the third and fourth aims have been accomplished. Nurses providing care for physically disabled children have used the nursing documentation and it has proved useful and nursing personnel declared it satisfactory. The nursing documentation and the standard should help nurses in providing quality nursing care of physically handicapped children.

An abortion, be it induced or spontaneous, can be a traumatic experience in the life of a woman and her family. Women can use abortion as a method of family planning or to end an unwanted pregnancy. On the contrary there are women who wish to have children of their own, but experience spontaneous abortion or recurrent abortion. When women go through an abortion they may experience different dimensions of side effects and symptoms. The women may experience physical symptoms such as blood loss, pain and sepsis as well as psychological symptoms such as despair, depression and grief. Studies indicate that women who have abortions do not receive the care that they require and are in need of high quality care. There is a need for a systematic synthesis of the best available evidence regarding interventions for nursing practitioners. This can be used to inform practice. This research study aim to critically review and synthesise best available evidence regarding the best nursing practices for women who have an abortion. This was done by conducting a thorough step-by-step systematic review with the following objectives: to critically review available research evidence on abortion care and to synthesise best practices for abortion care provided by nurses. This study can provide nursing practitioners with the necessary information about the best available evidence regarding abortion care provided by nurses. The information can be used to increase and improve the nursing practitioner’s knowledge and to promote and enhance future questions and research. Through the step-by-step use of the systematic review after a thorough search and screening of potentially relevant studies on nurses providing abortion care according to the inclusion and exclusion criteria, the critical appraisal and data extraction of nine final relevant studies could be used for data analysis and synthesis. Conclusion statements were drawn and later combined and synthesised, graded and evaluated to provide the current best available evidence. The research was evaluated, limitations identified and recommendations made for nursing practice, nursing education and nursing research. The overall conclusion that can be drawn is there is not enough sufficient evidence to demonstrate that abortion care such as contraceptive counselling and/or psychological follow-up care provided by nurses and/or midwives before and after an induced or spontaneous abortion is sufficient and effective in reducing recurrent abortions, reducing despair, depression and grief and improving psychological consequences and increasing contraceptive usage. More research must be done on abortion nursing care. / MCur, North-West University, Potchefstroom Campus, 2014

An abortion, be it induced or spontaneous, can be a traumatic experience in the life of a woman and her family. Women can use abortion as a method of family planning or to end an unwanted pregnancy. On the contrary there are women who wish to have children of their own, but experience spontaneous abortion or recurrent abortion. When women go through an abortion they may experience different dimensions of side effects and symptoms. The women may experience physical symptoms such as blood loss, pain and sepsis as well as psychological symptoms such as despair, depression and grief. Studies indicate that women who have abortions do not receive the care that they require and are in need of high quality care. There is a need for a systematic synthesis of the best available evidence regarding interventions for nursing practitioners. This can be used to inform practice. This research study aim to critically review and synthesise best available evidence regarding the best nursing practices for women who have an abortion. This was done by conducting a thorough step-by-step systematic review with the following objectives: to critically review available research evidence on abortion care and to synthesise best practices for abortion care provided by nurses. This study can provide nursing practitioners with the necessary information about the best available evidence regarding abortion care provided by nurses. The information can be used to increase and improve the nursing practitioner’s knowledge and to promote and enhance future questions and research. Through the step-by-step use of the systematic review after a thorough search and screening of potentially relevant studies on nurses providing abortion care according to the inclusion and exclusion criteria, the critical appraisal and data extraction of nine final relevant studies could be used for data analysis and synthesis. Conclusion statements were drawn and later combined and synthesised, graded and evaluated to provide the current best available evidence. The research was evaluated, limitations identified and recommendations made for nursing practice, nursing education and nursing research. The overall conclusion that can be drawn is there is not enough sufficient evidence to demonstrate that abortion care such as contraceptive counselling and/or psychological follow-up care provided by nurses and/or midwives before and after an induced or spontaneous abortion is sufficient and effective in reducing recurrent abortions, reducing despair, depression and grief and improving psychological consequences and increasing contraceptive usage. More research must be done on abortion nursing care. / MCur, North-West University, Potchefstroom Campus, 2014

The concept of a missing nursing care in a nursing practice is a phenomenon that could endanger patients' safety in all cultures. This global deficit of a superior and comprehensive nursing care occurs in various departments of healthcare facilities. The theoretical part of this thesis deals with problematic aspects of the concept of a missing nursing care based on theoretical findings. Furthemore it summarises strategies used for ensuring that quality, safety and kompetence in a nursing care is met in relation to latest findings and the legislation. The research part presents outcomes of a conducted qualitative survey research focusing on nurses working in an Intensive Care Unit where a nursing care is directed towards the population of adult patients. Research Metodology: The data collection in the study is based on a semi-structured interview conducted on an actively working group of nine Intensive Care Unit nurses. Aim of the Study: The main objective of the thesis is to describe and analyse problematic aspects of the concept of a missing nursing care in an Intensive Care Unit, as well as to identify factors that affect occurrence of the given concept limited to the nursing staff in the Intensive Care Units. Research Results: The study analyses six categories in total, of which five categories...

Current state: The Congregation of Sisters of Mercy of St. Charles Borromeo is the largest congregation of nuns in the Czech Republic. Its charism living mercy in contemplation is still valid. Religious sisters mainly care for sick people, the aged and the needy people, as they were serving them in the beginning of their history. The topic of this paper 'Education and care of nurses Congregation of the Sisters of Mercy of St. Charles Borromeo operating in the Czech Republic' is original and has not yet been treated to such extent and with this focus. Some works have been written and published, but they cover our topic only partially. This study is a compilation of information, enriched with memories of those sisters who remember the early days. The aim of the thesis: The first aim of this thesis is to map education and care of nurses of The Congregation of Sisters of Mercy of St. Charles Borromeo in the Czech Republic in its historical development with emphasis on health care and social facilities. The second aim is to compare education, care and status of religious sisters in the health-care team in each historical period. Methodology: In this thesis qualitative research was employed. There were two procedures of data collection used: exploration of written documents and narrative interviews. The research file for narrative interviews consists of ten persons. All respondents are women, members of The Congregation of Sisters of Mercy of St. Charles Borromeo, who attained appropriate education for the profession of a nurse and carried out this job in a hospital. Respondents were segmented into three groups according to respective historical periods. The first historical period starts with the arrival of religious sisters from France to Prague in 1837 and finishes in 1948. The second historical period follows up the previous one and ends in 1989. The third historical period spans the time from 1989 till the present. The total number of recorded and assessed interviews is ten. Narrative interview were recorded on a voice recorder and consequently transcribed into the written form and further processed. To analyze the text we used open coding, performed by the paper-and-pencil tests. Findings were interpreted using 'card sorting' technique. Results: Education and care of nurses of Congregation of the Sisters of Mercy of St. Charles Borromeo have always met the requirements of concrete times. Specific aspects of care for the sick and the needy was also influenced by other factors. Among others the development od medical science and political situation of individual historical periods. The care of Sisters of Mercy of St. Charles Borromeo has always been based on their dedication and the vow of mercy. Conclusion: This is a compact work, describing education and care of nurses of Congregation of the Sisters of Mercy of St. Charles Borromeo in contexts of different historical periods and in broader connection with the history of nursing care.

Acompanhado de 1 CD-Rom / Orientador: Wilza Carla Spiri / Banca: Magda Cristina Queiroz Dell'Acqua / Banca: Sueli Fátima Sampaio / Resumo: O estudo parte da inquietação em compreender como os enfermeiros das UTIs entendem seu processo de trabalho. Processo de trabalho é a transformação de um objeto em produto por meio da intervenção do agente que utiliza os instrumentos pertinentes. O processo de trabalho, embora apresente bases organizadas, sua organização depende das relações pessoais e da interação entre trabalho vivo e trabalho morto. O trabalho vivo acontece na realização do trabalho cotidiano, com o desenvolvimento das potencialidades dos indivíduos e sua autonomia para a construção do trabalho e do cuidado mais efetivo. O enfermeiro é o profissional da equipe que encadeia a construção do trabalho vivo em decorrência de sua inserção nos processos de trabalho e seu potencial articulador na equipe. O processo de trabalho utiliza tecnologias. As tecnologias leves definem as relações e estimulam o desenvolvimento das potencialidades do ser humano e sua autonomia no trabalho e no cuidado. As tecnologias leveduras são caracterizadas pelos saberes que compõem o processo de trabalho em saúde, e as tecnologias duras caracterizadas pelos equipamentos, normas que devem apoiar as ações em busca do núcleo do trabalho vivo. O enfermeiro, como profissional que organiza o cuidado, necessita ser capaz de promover transformações efetivas no cuidado que realiza. Em uma Unidade de Terapia Intensiva, são vivenciadas situações extremas entre a vida e a morte, que exigem do enfermeiro desenvolver olhar atento às adversidades e o agir prontamente para atender às diversas demandas. O objetivo do estudo é compreender o significado para o enfermeiro do processo de trabalho na UTI de um hospital universitário do interior de São Paulo. A trajetória metodológica compõe-se do cenário das UTIs adulto, pediátrica e coronariana deste hospital que é de nível... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: This study has resulted from the desire to comprehend how intensive care unit (ICU) nurses understand their work process. The work process is the transformation of an object into a product through intervention by an agent using pertinent instruments. Although the work process presents organized bases, its organization depends on personal relations and on interaction between live work and dead work. Live work takes place during the performance of routine work, with the development of individuals' potentialities and their autonomy for work construction and more effective care. Nurses are the professionals on the team who concatenate the construction of live work as a result of their insertion in the work processes and their articulating potential on the team. The work process uses technology. Soft technologies define relationships and stimulate the development of human beings' potentialities and their autonomy in work and care provision. Softhard technologies are characterized by the knowledge that composes the work process in health care provision, and hard technologies are characterized by equipment and standards that must support actions in search of the nucleus of live work. Nurses, as professionals who organize care provision, must be capable of promoting effective changes in the care provided. At an ICU, extreme situations between life and death are experienced, and they require that nurses pay a great deal of attention to adversities and that they act promptly to meet various demands. This study aimed at understanding the meaning to nurses of the work process at the ICU of a university hospital in São Paulo state. The methodological trajectory consists of the scenario of the adult, pediatric and coronary ICUs in the abovementioned hospital, which is a tertiary care provision institution with 415 hospitalization and 52 ICU... (Complete abstract click electronic access below) / Mestre