Heart disease includes a variety of diseases, conditions, and disorders that affect the heart and blood vessels
1
. Extracorporeal Membrane Oxygenation (ECMO) is a short-term Ventricular Assist ...Device (VAD), indicated in cardiogenic shock and respiratory failure, when surgical or conventional therapeutic measures are not successful, and the most used in the case of heart failure is venoarterial ECMO
2
,
3
. The aim of this study is to understand the ECMO technique in adult patients with cardiac disease, as well as the associated Nursing Interventions.
This study is an Integrative Literature Review by the PICOD method. Available articles were searched in the Biblioteca do Conhecimento Online (B-On) and EBSCOhost databases, published between 2014 and 2019. The inclusion criteria were ECMO, person with cardiac disease and successfully nursing interventions. Of the total of twenty-seven articles, 14 were excluded by title, six by the abstract and four by full reading. Three articles were included in the corpus of the study.
The articles included allowed to identify three main ideas: in the first article, a specific nursing care protocol was developed for patients with VAD
4
; in the second study, VADs can be an intermediary mean for cardiac transplantation
5
; however, in the last study, ECMO may present physical complications and depressive symptoms
2
.
Studies have shown that in patients with unstable cardiac pathology "ECMO is life saving, and should therefore be considered a viable extension for conventional treatment options for critical care"
3
. Although VAD is a reliable alternative to transplantation, when it is not available or when the patient's condition is hemodynamically unstable, heart transplantation remains the first-line treatment
5
. We think that the results of this study can subsidise the exercise of teaching nursing care, allowing students to build structured knowledge, which allows to identify the real needs of the person submitted to ECMO. At the level of clinical practice, it is important to discuss the results of this study within the team, ensuring patient safety and the quality of nursing care based on scientific evidence.
Aim
To describe and to clarify the work of nurses in psychiatric outpatient care using a standardized nursing terminology and to describe the potential benefits and challenges in the use of the ...terminology.
Design
A qualitative study of ethnographically grounded fieldwork in four adult outpatient units located in three major cities in Finland.
Methods
A two‐phase ethnographically oriented study, consisting of observations and focus group interviews in four psychiatric outpatient care units (in January–March 2018). During this process, the identified nursing interventions were mapped into the Nursing Interventions Classification.
Results
We identified 93 different nursing interventions, covering all seven domains. Categories describing potential benefits and challenges were as follows: giving words to nurses’ work and the challenge of overlapping interventions.
Conclusion
Our findings indicate that the Nursing Interventions Classification is a suitable means to describe nursing in the psychiatric outpatient care setting. Our findings support the theory that describing nurses’ work using a nursing terminology can make nursing visible and further empower nurses and help them to structure their work. The lack of other professionals, especially physicians, has led to nurses taking over new tasks officially and unofficially and we suggest that the issue needs to be studied further.
Impact
Nurses’ role in the psychiatric outpatient care has been described as invisible and difficult to describe. Our findings suggest that a nursing terminology can make nursing visible, not only from the perspective of patient health records but is also a way to conceptualize nurses’ work.
目的
使用标准护理术语为精神科门诊病人解释护理服务和探讨使用术语的利弊。
设计
对来自芬兰3 个城市的4位精神科门诊病人进行民族志实地考察量化研究。
方法
研究是两阶段性民族志研究,此研究包括对4位精神科门诊病人典型群体的观察和采访(2018年2月‐3月)。研究过程中,所有护理服务都有护理服务分类术语表示。
结果
研究涵盖了对7个领域的93种护理服务使用术语分类。研究发现使用护理术语的利弊如下:证实护士工作、护理工作重叠。
结论
研究发现在精神科使用术语分类护理工作的方法非常实用。同时此研究也证明使用术语的方法能使护理服务更透明,证明护士工作和帮助其高效安排工作。如果医院缺乏其他专业人士尤其是医生,护士就不得不正式或非正式地划分任务。这一问题值得我们进一步研究。
影响
在此之前,人们认为精神科门诊护士的护理服务不透明,无法描述。此研究证明使用标准护理术语不仅会使护理服务更透明,还能概念化解释护理服务。
Emergencies in oncology are acute exacerbations of the patient's condition that can be fatal and are caused by a tumor process or antitumor treatment. Can affect different organs or organ systems, ...generally are classified as: obstructive syndromes, metabolic disorders, and hematological or immunological disorders. The nurse is an important member of the team involved in the treatment of cancer patients and their interventions can contribute to reducing the rate of mortality and successful treatment of emergencies. As she spends most of her time with the patient, the nurse must be educated to recognize the symptoms and signs of emergencies, in order to provide first aid in time and inform the doctor. Nurse interventions are aimed at performing diagnostic procedures in patients, applying appropriate therapeutic measures, monitoring patients and providing health care.
To analyze the factors associated with infection after flap transfer for hand trauma and use them to develop nursing strategies and observe the effects of their application. Eighty-two patients ...admitted to our hospital for flap transfer for hand trauma from January 2020 to May 2020 were selected for the retrospective analysis. Logistic regression analysis was performed to analyze the factors associated with postoperative infections to develop care strategies. Another 88 patients admitted for flap transfer for hand trauma from September 2020 to June 2021 were retrospectively analyzed and divided into the observation (n = 44) and control groups (n = 44) according nursing strategies that they received. The operative time, intraoperative bleeding, incision healing time, first postoperative time to get out of bed on their own and hospital stay were compared between the 2 groups. The patients postoperative adverse effects and flap survival rates were also counted. visual analogue score, total active motion, manual muscle test, Barthel index, self-rating anxiety scale, self-rating depression scale scores were used to assess patients pain, hand function recovery and psychology before and after treatment. Logistic regression analysis manifested that postoperative bed rest time, affected limb immobilization, and pain were independent factors affecting postoperative infection after flap transfer (
P
< .05). After using targeted care strategies, the observation group had dramatically shorter operative time, intraoperative bleeding, incision healing time, time to first postoperative bed release on their own, and hospital stay, less postoperative pain and adverse effects, and higher flap survival rate than the control group (
P
< .05). Total active motion, manual muscle test, and Barthel index were higher in the observation group than in the control group after treatment, while self-rating anxiety scale and self-rating depression scale scores were lower than in the control group (
P
< .05). Finally, total satisfaction was higher in the observation group than in the control group (
P
< .05). Postoperative bedtime, fixation of the affected limb, and pain are independent factors affecting postoperative infection after flap transfer for hand trauma. Implementing infection prevention care strategies based on these factors can effectively improve the safety of flap transfer, reduce the possibility of infection, and shorten the recovery period of patients, which has high clinical application value.
Postoperative delirium is highly prevalent and life-threatening in geriatric patients. This problem is related to negative patient outcomes, decreasing patient satisfaction, and low quality of care. ...Nurses have a vital role in interventions, including risk assessment of delirium, reducing risk, early diagnosis, and treatment process. The aim of this study is to systematically assess and examine the studies conducted on postoperative delirium in geriatric patients and nursing interventions.
A systematic review design was used in this study. In the study, keywords including postoperative delirium, geriatric patient, nursing interventions, nurse, and postoperative period were used to search English and Turkish full-text studies published between December 2011 and February 2022 in Science Direct, PubMed, Web of Science, Scopus, TR Dizin, and Tübitak- ULAKBİM databases. This systematic review covered randomized controlled trials (RCTs) and Experimental – semi-experimental studies; 7027 studies were reached because of the search. Fourteen studies meeting PICOT (P: Population; I: Intervention; C: Comparison; O: Outcome; T: Time) eligibility criteria were included in the study. All the studies had a randomized controlled trial design.
According to the results of the study, it was determined that nursing interventions, which include non-pharmacological interventions, consultation, care protocol, and delirium prevention programs applied to geriatric patients in the postoperative period, decreased the incidence and duration of delirium and increased quality of life. In addition, it was found that patients' quality of life demonstrated a tendency towards improvement while their postoperative complications and length of stay in hospital were considerably reduced.
Nursing interventions play a significant role in postoperative delirium management in geriatric patients. According to the results of this study, institutions and nurse managers must take initiatives toward nursing care for postoperative delirium management in geriatric patients, while nurses' information, practice, and motivations must be increased and supported.
Predictors of parenting stress in parents of children with cancer Çınar, Sevil; Boztepe, Handan; Ay, Ayşe ...
European journal of oncology nursing : the official journal of European Oncology Nursing Society,
October 2021, 2021-10-00, 20211001, Letnik:
54
Journal Article
Recenzirano
In the present study, we investigated the parenting stress experienced by parents of children with cancer and the influencing factors.
This was a cross-sectional and descriptive correlational study ...that consisted of parents of 136 children in the age group of 0–18 years who were followed up for cancer in the outpatient clinics and services of a university hospital in Turkey. Parenting Stress Index, Burden Interview, Multidimensional Scale of Perceived Social Support, Marital Life Satisfaction Scale, and Ways of Coping Questionnaire were used to collect the data.
No statistically significant difference was found between the parenting stress mean scores and gender of the parents of children with cancer (t = −0.350; P = 0.727). The results of the present study showed that the economic status (t = −4.16; P = 0.000), parents’ physical (t = 3.606; P = 0.000) and mental health status after the child is diagnosed (t = 5.647; P = 0.000), accompanying mental health problems of the child (t = 2.567; P = 0.011), and diagnosis of children at a young age (t = −2.776; P = 0.006) increased the parenting stress of the parents.
Nursing interventions can reduce parental stress by providing sufficient care and support during the disease process.
•Financial status, parents’ physical and mental health status increased the parenting stress of the parents.•It is important to apply interventions that will reduce parental stress by providing sufficient care for the disease process.•Healthcare professionals should be trained to understand factors affecting parenting stress.
Musculoskeletal injuries and musculoskeletal pain are prevalent among nurses compared to many other occupational groups.
To identify interventions that may be effective at reducing the prevalence and ...impact of musculoskeletal injuries and pain in registered nurses.
Systematic review.
Seven databases were systematically searched, including MEDLINE, CINAHL, EMBASE, PsycInfo, Academic Search Complete, Health Source Nursing, and the Cochrane Database of Systematic Reviews.
Peer-reviewed journal articles reporting interventions designed to reduce the occurrence of musculoskeletal injuries and pain among registered nurses, published between January 2004 and June 2016, were eligible for inclusion. Randomised and non-randomised controlled trials, as well as studies implementing before-after designs were included. Studies investigating interventions in samples predominately comprised of nursing aides or non-nursing personnel were excluded. Relevant articles were collected and critically analysed using the Effective Public Health Practice Project methodology. Two reviewers independently extracted data and performed quality appraisals for each study. A narrative synthesis of study findings was performed.
Twenty studies met criteria for inclusion in the review. Types of interventions reported included: patient lift systems (N = 8), patient handling training (N = 3), multi-component interventions (N = 7), cognitive behavioural therapy (N = 1), and unstable shoes (N = 1). Only two studies received a ‘strong’ quality rating according to quality assessment criteria. One of these found no evidence for the effectiveness of patient handling training; the other found preliminary support for unstable shoes reducing self-reported pain and disability among nurses. Overall, evidence for each intervention type was limited.
There is an absence of high quality published studies investigating interventions to protect nurses from musculoskeletal injuries and pain. Further research (including randomised controlled trials) is needed to identify interventions that may reduce the high rates of injury and pain among nurses.
Aim
To systemically synthesise the evidence on the most effective nursing interventions to prevent pressure injuries among critical care patients.
Background
Although pressure injury (PI) prevention ...is a focus of nursing care in critical care units, hospital‐acquired pressure injuries continue to occur in these settings.
Design
A systematic review of literature guided by the Preferred Reporting Items for Systematic Reviews and Meta‐analyses (PRISMA) and Synthesis without meta‐analysis (SWiM) guidelines.
Methods
Four electronic databases were searched for relevant studies. Included studies were screened and then critically appraised using the appropriate Joanna Briggs Institute appraisal tool. Data were analysed and reported using a narrative synthesis.
Results
The review included 14 studies. Randomised controlled trials, quasi‐experimental, case series and cross‐sectional studies were included. The review identified four broad categories of interventions that are the most effective for preventing pressure injuries: (a) PI prevention bundles, (b) repositioning and the use of surface support, (c) prevention of medical device‐related pressure injuries and (d) access to expertise. All the included studies reported a reduction in pressure injuries following the interventions; however, the strength of the evidence was rated from moderate to very low.
Conclusions
Nurses are well qualified to lead in the prevention of pressure injuries in critical care units. Every critically ill patient requires interventions to prevent pressure injuries, and the prevention of PIs should be considered a complex intervention. Nurses must plan and implement evidence‐based care to prevent all types of pressure injuries, including medical device‐related pressure injuries. Education and training programmes for nurses on PI prevention are important for prevention of pressure injuries.
Relevance to clinical practice
Nursing interventions should consist of evidence‐based ‘bundles’ and be adapted to patients’ needs. To prevent pressure injuries among critically ill patients, nurses must be competent and highly educated and ensure fundamental strategies are routinely implemented to improve mobility and offload pressure.
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