Rev Lat Am Enferm
-
Comparative Study
Family members' needs at intensive care units: comparative analysis between a public and a private hospital.
This cross-sectional study proposed to analyze the needs of adult ICU patients' family members at a public and a private hospital, regarding their level of importance and satisfaction. Ninety-one family members were interviewed, 47 from the public hospital and 44 from the private one, using the Brazilian adaptation of the Critical Care Family Need Inventory (INEFTI). ⋯ Multiple linear regression analysis allowed us to establish a hierarchy of importance and satisfaction of the family members' needs in each group. The differences observed between the groups suggest that the fulfillment of their needs requires interventions directed at the specificity of each type of hospital.
-
This study aimed to understand how the family of a child with cancer manages the illness and its intercurrences at home, and how it makes the decision of taking the child to an emergency care service. Oral History was used as the methodological strategy and data analysis was based on the "Family Management Style Framework". ⋯ The possible need for emergency care is incorporated into the family routine as a resource to manage the illness whenever it goes beyond the mother's capacity to keep control over the symptoms, which is permeated by suffering, derived from the uncertainties this creates. Helping the mother to develop skills to get stronger and reduce the suffering resulting from the situations that generate uncertainties and insecurities in her daily life with the child with cancer is a challenge.
-
Comparative Study
Cross-cultural adaptation of the Burns Specific Pain Anxiety Scale--BSPAS to be used with Brazilian burned patients.
This study aimed at translating and adapting the Burns Specific Pain Anxiety Scale--BSPAS and the Impact of Event Scale--IES into Portuguese; making available two simple, short and easily applicable instruments and describing the study participants according to their scores on the Visual Analogue Scale and the Trait-State Anxiety Inventory. The cross-cultural adaptation process involved the following steps: translation of the scales; reaching a consensus in Portuguese; evaluation by an expert committee; back-translation; obtaining a consensus in Dutch; comparing the original versions with the consensus in Dutch; semantic analysis and pretest of the Portuguese versions. ⋯ Participants' average pain scores were higher after bathing and wound dressing. Participants' average anxiety scores were low or medium.
-
Stress is clearly present in nursing work. This article presents an exploratory study carried out among emergency unit nurses from hospital institutions, and aimed at determining these professionals' stress level. The sample consisted of 73 emergency unit nurses who work for public and private institutions in the city of São Paulo. ⋯ The results indicated that emergency unit nurses present a medium stress level, and that participants considered E--Work Conditions to perform nursing activities, and F - Activities related to personnel administration, as the most stressful areas. For emergency unit nurses, in spite of the ready and effective action towards the instability of the patient's situation, conditions external to this situation are more stressful than the emergency. Hospitals need to analyze these requisites to allow for decreased stress among emergency nurses.
-
This exploratory study analyzed the medication preparation and administration process in medical-clinical units at four Brazilian hospitals located in the Southeast, Central-West and Northeast, identified problems that can contribute to the occurrence of medication errors and proposed improvement measures. Data were collected through non-participant and direct observation of nursing professionals' activities during one week. The results revealed the following main problems: the environment in Hospital B; preparation errors related to technique and anticipated medication preparation in C and D; technical, communication and patient identification mistakes in Hospital A. Suggestions to achieve greater quality and safety in patient care include the constitution of a multidisciplinary commission to evaluate the system, nursing discussion groups, environmental improvements, permanent courses and training and actual presence of a nurse during the process.