Base de dados : MEDLINE
Pesquisa : E05.978 [Categoria DeCS]
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[PMID]:28796738
[Au] Autor:Sakata S; Klein K; Stevenson ARL; Hewett DG
[Ad] Endereço:1 Faculty of Medicine, The University of Queensland, Brisbane, Australia 2 Department of Colon and Rectal Surgery, Royal Brisbane & Women's Hospital, Brisbane, Australia 3 Clinical Trials and Biostatistics Unit, QIMR Berghofer Medical Research Institute, Brisbane, Australia 4 Department of Gastroenterology, Mater Health Services, Brisbane, Australia.
[Ti] Título:Measurement Bias of Polyp Size at Colonoscopy.
[So] Source:Dis Colon Rectum;60(9):987-991, 2017 Sep.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The success of current and proposed strategies to reduce colorectal cancer (CRC) incidence and mortality rates are fundamentally based on measurement accuracy. OBJECTIVE: The aim of this study was to evaluate the densities of colorectal polyps individually measured at colonoscopy and whether measurement bias is a systemic phenomenon among colonoscopists. DESIGN: A population-wide, observational study. SETTING: All hospitals of the government-funded health system in Brisbane, Australia. PATIENTS: Our study investigated measurement bias at colonoscopy through systematic analysis of 8,591 individual polyp measurements recorded from 12,597 colonoscopies. All colonoscopies performed over a 12-month period between December 1, 2014, and November 30, 2015, were included. RESULTS: A total of 12,597 electronic colonoscopy reports were individually reviewed, hospital-by-hospital, and 8,591 individual size measurements from 18,276 detected polyps (47%) were obtained. LIMITATIONS: Our study is limited because the true size of unresected polyps was unknown. We chose not to compare pathologic and histologic sizes as resection specimens sent to pathologists are morphologically different and are measured differently to the pre-resection polyp images seen by endoscopists. CONCLUSIONS: Colonoscopists may be inaccurate in the measurement of polyp size and appear biased towards and against certain size measurements. These findings cast doubt over the validity of international post-polypectomy surveillance guidelines and the safety of optical diagnosis as a potential management paradigm for diminutive colorectal polyps. They also question the historical accuracy of polyp size data and risk estimates upon which these strategies were based.
[Mh] Termos MeSH primário: Pólipos do Colo/diagnóstico
Neoplasias Colorretais
Precisão da Medição Dimensional
[Mh] Termos MeSH secundário: Austrália
Competência Clínica
Colonoscopia/educação
Colonoscopia/métodos
Colonoscopia/normas
Neoplasias Colorretais/patologia
Neoplasias Colorretais/prevenção & controle
Feminino
Seres Humanos
Masculino
Meia-Idade
Determinação de Necessidades de Cuidados de Saúde
Garantia da Qualidade dos Cuidados de Saúde
Melhoria de Qualidade
Medição de Risco
Carga Tumoral
Pesos e Medidas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000859


  2 / 2357 MEDLINE  
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[PMID]:28720913
[Au] Autor:Bilger R; Chereson R; Salama NN
[Ad] Endereço:St. Louis College of Pharmacy, St. Louis, Missouri.
[Ti] Título:Should Torsion Balance Technique Continue to be Taught to Pharmacy Students?
[So] Source:Am J Pharm Educ;81(5):85, 2017 Jun.
[Is] ISSN:1553-6467
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To determine the types of balances used in compounding pharmacies: torsion or digital. A survey was mailed to the pharmacist-in-charge at 698 pharmacies, representing 47% of the pharmacies in Missouri as of July 2013. The pharmacies were randomly selected and stratified by region into eight regions to ensure a representative sample. Information was gathered regarding the type and use of balances and pharmacists' perspectives on the need to teach torsion balance technique to pharmacy students. The response rate for the survey was 53.3%. Out of the total responses received, those pharmacies having a torsion balance, digital balance or both were 46.8%, 27.4% and 11.8%, respectively. About 68.3% of respondents compound prescriptions. The study showed that 52% of compounding pharmacies use torsion balances in their practice. Of those with a balance in their pharmacy, 65.6% favored continuation of torsion balance instruction. Digital balances have become increasingly popular and have replaced torsion balances in some pharmacies, especially those that compound a significant number of prescriptions. The results of this study indicate that torsion balances remain integral to compounding practice. Therefore, students should continue being taught torsion balance technique at the college.
[Mh] Termos MeSH primário: Composição de Medicamentos/instrumentação
Educação em Farmácia
Farmácias/estatística & dados numéricos
Estudantes de Farmácia
Pesos e Medidas/instrumentação
[Mh] Termos MeSH secundário: Projeto Auxiliado por Computador
Seres Humanos
Missouri
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171030
[Lr] Data última revisão:
171030
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE
[do] DOI:10.5688/ajpe81585


  3 / 2357 MEDLINE  
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[PMID]:28688883
[Au] Autor:Getts KM; Quinn EL; Johnson DB; Otten JJ
[Ti] Título:Validity and Interrater Reliability of the Visual Quarter-Waste Method for Assessing Food Waste in Middle School and High School Cafeteria Settings.
[So] Source:J Acad Nutr Diet;117(11):1816-1821, 2017 Nov.
[Is] ISSN:2212-2672
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Measuring food waste (ie, plate waste) in school cafeterias is an important tool to evaluate the effectiveness of school nutrition policies and interventions aimed at increasing consumption of healthier meals. Visual assessment methods are frequently applied in plate waste studies because they are more convenient than weighing. The visual quarter-waste method has become a common tool in studies of school meal waste and consumption, but previous studies of its validity and reliability have used correlation coefficients, which measure association but not necessarily agreement. OBJECTIVE: The aims of this study were to determine, using a statistic measuring interrater agreement, whether the visual quarter-waste method is valid and reliable for assessing food waste in a school cafeteria setting when compared with the gold standard of weighed plate waste. METHODS: To evaluate validity, researchers used the visual quarter-waste method and weighed food waste from 748 trays at four middle schools and five high schools in one school district in Washington State during May 2014. To assess interrater reliability, researcher pairs independently assessed 59 of the same trays using the visual quarter-waste method. Both validity and reliability were assessed using a weighted κ coefficient. RESULTS: For validity, as compared with the measured weight, 45% of foods assessed using the visual quarter-waste method were in almost perfect agreement, 42% of foods were in substantial agreement, 10% were in moderate agreement, and 3% were in slight agreement. For interrater reliability between pairs of visual assessors, 46% of foods were in perfect agreement, 31% were in almost perfect agreement, 15% were in substantial agreement, and 8% were in moderate agreement. CONCLUSIONS: These results suggest that the visual quarter-waste method is a valid and reliable tool for measuring plate waste in school cafeteria settings.
[Mh] Termos MeSH primário: Serviços de Alimentação/estatística & dados numéricos
Alimentos
Avaliação de Programas e Projetos de Saúde/métodos
Instituições Acadêmicas
Resíduos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Criança
Comportamento Alimentar
Preferências Alimentares
Seres Humanos
Almoço
Política Nutricional
Variações Dependentes do Observador
Reprodutibilidade dos Testes
Visão Ocular
Washington
Pesos e Medidas
[Pt] Tipo de publicação:JOURNAL ARTICLE; VALIDATION STUDIES
[Nm] Nome de substância:
0 (Waste Products)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170710
[St] Status:MEDLINE


  4 / 2357 MEDLINE  
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[PMID]:28649737
[Au] Autor:Kleinpell R; Kapu AN
[Ad] Endereço:Center for Clinical Research & Scholarship, Rush University College of Nursing, Rush University Medical Center, Chicago, Illinois.
[Ti] Título:Quality measures for nurse practitioner practice evaluation.
[So] Source:J Am Assoc Nurse Pract;29(8):446-451, 2017 Aug.
[Is] ISSN:2327-6924
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND AND PURPOSE: Evaluating the impact of nurse practitioner (NP) practice has become a priority area of focus for demonstrating outcomes. A number of quality measures are available to enable practice-specific evaluation of NP roles and initiatives. This article reviews sources of quality measures that can be used to facilitate quantifying the outcomes of NP practice as part of an overall evaluation agenda. METHODS: National resources and published literature on NP quality measures were reviewed. CONCLUSIONS: Various resources and toolkits exist to assist NPs in identifying outcomes of practice using quality measures. IMPLICATIONS FOR PRACTICE: The need to demonstrate outcomes of NP practice remains an ongoing priority area regardless of the clinical practice setting. A variety of sources of quality measures exist that can be used to showcase the effect of NP care. The use of quality measures can be effectively integrated into evaluation of NP role and NP-directed initiatives to demonstrate impact, and enhance the conduct of an NP outcomes assessment. The use of organizational, NP-specific, and national-related quality measures can help to showcase how NP care improves the quality, safety, and costs of health care.
[Mh] Termos MeSH primário: Estudos de Avaliação como Assunto
Processo de Enfermagem/normas
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Seres Humanos
Profissionais de Enfermagem/normas
Pesos e Medidas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.1002/2327-6924.12474


  5 / 2357 MEDLINE  
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[PMID]:28269808
[Au] Autor:Omidvar M; Mazloumi A; Mohammad Fam I; Nirumand F
[Ad] Endereço:Department of Occupational Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
[Ti] Título:Development of a framework for resilience measurement: Suggestion of fuzzy Resilience Grade (RG) and fuzzy Resilience Early Warning Grade (REWG).
[So] Source:Work;56(3):463-474, 2017.
[Is] ISSN:1875-9270
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Resilience engineering (RE) can be an alternative technique to the traditional risk assessment and management techniques, to predict and manage safety conditions of modern socio-technical organizations. While traditional risk management approaches are retrospective and highlight error calculation and computation of malfunction possibilities, resilience engineering seeks ways to improve capacity at all levels of organizations in order to build strong yet flexible processes. OBJECTIVES: Considering the resilience potential measurement as a concern in complex working systems, the aim of this study was to quantify the resilience by the help of fuzzy sets and Multi-Criteria Decision-Making (MCDM) techniques. In this paper, we adopted the fuzzy analytic hierarchy process (FAHP) method to measure resilience in a gas refinery plant. METHODS: A resilience assessment framework containing six indicators, each with its own sub-indicators, was constructed. Then, the fuzzy weights of the indicators and the sub-indicators were derived from pair-wise comparisons conducted by experts. The fuzzy evaluating vectors of the indicators and the sub-indicators computed according to the initial assessment data. Finally, the Comprehensive Resilience Index (CoRI), Resilience Grade (RG), and Resilience Early Warning Grade (REWG) were established. RESULTS: To demonstrate the applicability of the proposed method, an illustrative example in a gas refinery complex (an instance of socio-technical systems) was provided. CoRI of the refinery ranked as "III". In addition, for the six main indicators, RG and REWG ranked as "III" and "NEWZ", respectively, except for C3, in which RG ranked as "II", and REWG ranked as "OEWZ". CONCLUSIONS: The results revealed the engineering practicability and usefulness of the proposed method in resilience evaluation of socio-technical systems.
[Mh] Termos MeSH primário: Psicometria/normas
Resiliência Psicológica/classificação
Medição de Risco/métodos
Pesos e Medidas/instrumentação
[Mh] Termos MeSH secundário: Estudos Transversais
Seres Humanos
Psicometria/instrumentação
Psicometria/métodos
Medição de Risco/normas
Inquéritos e Questionários
Pesos e Medidas/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170309
[St] Status:MEDLINE
[do] DOI:10.3233/WOR-172512


  6 / 2357 MEDLINE  
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[PMID]:28135474
[Au] Autor:Casal CS; Lei A; Young SL; Tuthill EL
[Ad] Endereço:1 Department of Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, NY, USA.
[Ti] Título:A Critical Review of Instruments Measuring Breastfeeding Attitudes, Knowledge, and Social Support.
[So] Source:J Hum Lact;33(1):21-47, 2017 Feb.
[Is] ISSN:1552-5732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Breastfeeding provides beneficial health outcomes for infants and their mothers, and increasing its practice is a national priority in many countries. Despite increasing support to exclusively breastfeed, the prevalence at 6 months remains low. Breastfeeding behavior is influenced by a myriad of determinants, including breastfeeding attitudes, knowledge, and social support. Effective measurement of these determinants is critical to provide optimal support for women throughout the breastfeeding period. However, there are a multitude of available instruments measuring these constructs, which makes identification of an appropriate instrument challenging. Research aim: Our aim was to identify and critically examine the existing instruments measuring breastfeeding attitudes, knowledge, and social support. METHODS: A total of 16 instruments was identified. Each instrument's purpose, theoretical underpinnings, and validity were analyzed. RESULTS: An overview, validation and adaptation for use in other settings was assessed for each instrument. Depth of reporting and validation testing differed greatly between instruments. CONCLUSION: Content, construct, and predictive validity were present for most but not all scales. When selecting and adapting instruments, attention should be paid to domains within the scale, number of items, and adaptation.
[Mh] Termos MeSH primário: Aleitamento Materno/psicologia
Conhecimentos, Atitudes e Prática em Saúde
Psicometria/instrumentação
Apoio Social
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lactente
Recém-Nascido
Psicometria/métodos
Reprodutibilidade dos Testes
Pesos e Medidas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE
[do] DOI:10.1177/0890334416677029


  7 / 2357 MEDLINE  
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[PMID]:28122819
[Au] Autor:Srivastava N; Kay RR; Kabla AJ
[Ad] Endereço:Department of Engineering, University of Cambridge, Cambridge CB2 1PZ, United Kingdom.
[Ti] Título:Method to study cell migration under uniaxial compression.
[So] Source:Mol Biol Cell;28(6):809-816, 2017 Mar 15.
[Is] ISSN:1939-4586
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The chemical, physical, and mechanical properties of the extracellular environment have a strong effect on cell migration. Aspects such as pore size or stiffness of the matrix influence the selection of the mechanism used by cells to propel themselves, including by pseudopods or blebbing. How a cell perceives its environment and how such a cue triggers a change in behavior are largely unknown, but mechanics is likely to be involved. Because mechanical conditions are often controlled by modifying the composition of the environment, separating chemical and physical contributions is difficult and requires multiple controls. Here we propose a simple method to impose a mechanical compression on individual cells without altering the composition of the matrix. Live imaging during compression provides accurate information about the cell's morphology and migratory phenotype. Using as a model, we observe that a compression of the order of 500 Pa flattens the cells under gel by up to 50%. This uniaxial compression directly triggers a transition in the mode of migration from primarily pseudopodial to bleb driven in <30 s. This novel device is therefore capable of influencing cell migration in real time and offers a convenient approach with which to systematically study mechanotransduction in confined environments.
[Mh] Termos MeSH primário: Mecanotransdução Celular/fisiologia
Suporte de Carga/fisiologia
Pesos e Medidas/instrumentação
[Mh] Termos MeSH secundário: Movimento Celular/fisiologia
Dictyostelium/fisiologia
Matriz Extracelular
Pseudópodes
Estresse Mecânico
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170127
[St] Status:MEDLINE
[do] DOI:10.1091/mbc.E16-08-0575


  8 / 2357 MEDLINE  
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[PMID]:27828876
[Au] Autor:de Almeida SM; Kamat R; Cherner M; Umlauf A; Ribeiro CE; de Pereira AP; Franklin D; Heaton RK; Ellis RJ
[Ad] Endereço:*Department of Virology Laboratory, Hospital de Clinicas, at Institution, Universidade Federal do Paraná, Curitiba; †Instituto de Pesquisa Pelé Pequeno Príncipe; Hospital Pequeno Príncipe; Department of Psychology, Department of Infectious Diseases; and ‡Department of Psychiatry and Department of Neurosciences, HIV Neurobehavioral Research Program and University of California San Diego.
[Ti] Título:Improving Detection of HIV-Associated Cognitive Impairment: Comparison of the International HIV Dementia Scale and a Brief Screening Battery.
[So] Source:J Acquir Immune Defic Syndr;74(3):332-338, 2017 03 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The International HIV Dementia Scale (IHDS) was developed to screen for HIV-associated dementia, but it has been used more generally for HIV-associated neurocognitive disorder (HAND). This study sought to examine the accuracy of the IHDS in a cohort of Brazilian HIV-infected individuals and compare its performance to an alternative screening battery for detecting HAND. METHODS: A total of 108 participants (including 60 HIV-infected persons) completed the IHDS and a gold standard neuropsychological (NP) battery of 17 tests. As alternative screening method, all possible 3-test combinations from the NP battery were examined and a superiority index (a marker of specificity and sensitivity) was calculated. RESULTS: Sensitivity and specificity to HAND using the standard IHDS cutpoint of 10 were 36% and 75%, respectively. The best balance between sensitivity and specificity was accomplished with a modified cutpoint of 11.5, which yielded sensitivity of 72% and specificity of 58%. The top two most sensitive test combinations, compared with the gold standard NP battery, were Trail Making Test A, Wechsler Adult Intelligence Scale III Digit Symbol and Hopkins Verbal Learning Test-Revised Total Recall (sensitivity 91%, specificity 96%), and Digit Symbol, Brief Visuospatial Memory Test-Revised Total Recall and Grooved Pegboard Test-dominant hand (sensitivity 94%, specificity 91%). CONCLUSIONS: Both test combinations can be administered in less than 10 minutes and were more accurate than the IHDS in classifying HIV+ participants as NP impaired or unimpaired. These data suggest that demographically corrected T-scores from commonly used NP measures with modest time and material demands can improve identification of patients with HAND who may benefit from a more extensive NP examination.
[Mh] Termos MeSH primário: Complexo AIDS Demência/diagnóstico
Infecções por HIV/complicações
Programas de Rastreamento/métodos
Testes Neuropsicológicos
[Mh] Termos MeSH secundário: Adulto
Brasil
Feminino
Seres Humanos
Masculino
Meia-Idade
Sensibilidade e Especificidade
Fatores de Tempo
Pesos e Medidas
[Pt] Tipo de publicação:COMPARATIVE STUDY; EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001224


  9 / 2357 MEDLINE  
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[PMID]:27633345
[Au] Autor:Jung JY; Kwak YH; Kim DK; Suh D; Chang I; Yoon C; Lee JC; Kim HC; Choi JY; Ahn H
[Ad] Endereço:Department of Emergency Medicine, Seoul National University Bundang Hospital, Seong-Nam, Korea.
[Ti] Título:An assessment of the accuracy of a novel weight estimation device for children.
[So] Source:Emerg Med J;34(3):163-169, 2017 Mar.
[Is] ISSN:1472-0213
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We sought to validate the accuracy and assess the efficacy of a newly developed electronic weight estimation device (ie, the rolling tape) for paediatric weight estimation. METHODS: We enrolled a convenience sample of children aged <17 years presenting to our emergency department who volunteered to participate in the study. The children's heights and weights were measured, and three researchers estimated these values using the rolling tape and Broselow tape at 5 min intervals. The weight estimates of researcher 1, researcher 2 and the Broselow tape were compared with measured values, and mean percentage error (MPE), root mean square error (RMSE) and percentage of estimates within 10% of the actual measured values were calculated. For 30 randomly selected subjects, we compared the time interval from the start of the measurement to the time that orders for epinephrine, defibrillation dose and instrument size could be given in a simulated arrest scenario. RESULTS: We enrolled 906 children (median age 4.0 years). For researcher 1, researcher 2 and the Broselow tape, MPE values were 0.11% (RMSE 2.61 kg), 1.41% (RMSE, 2.61 kg) and 1.72% (RMSE 5.41 kg), respectively, and the percentages of children with predictions within 10% of their actual weight were 75.1%, 75.7% and 60.6%, respectively. In the 30 simulated cases, the mean time for measurement to ordering was significantly shorter (25.8 s vs 35.5 s, p<0.001) for the rolling tape compared with the Broselow tape method. CONCLUSIONS: The rolling tape is a good weight estimation tool for children compared with other methods. The rolling tape method significantly decreased the time from weight estimation to orders for essential drug dose, instrument size and defibrillation dose for resuscitation.
[Mh] Termos MeSH primário: Antropometria/métodos
Peso Corporal
Pesos e Medidas/instrumentação
Pesos e Medidas/normas
[Mh] Termos MeSH secundário: Adolescente
Antropometria/instrumentação
Criança
Pré-Escolar
Serviço Hospitalar de Emergência/organização & administração
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Pediatria/métodos
República da Coreia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160917
[St] Status:MEDLINE
[do] DOI:10.1136/emermed-2016-205817


  10 / 2357 MEDLINE  
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[PMID]:27567305
[Au] Autor:White BL; Zomorodi M
[Ad] Endereço:The University of North Carolina at Chapel Hill School of Nursing Carrington Hall, CB #7460, Chapel Hill, NC 27599-7460, United States. Electronic address: Brittany.white@unchealth.unc.edu.
[Ti] Título:Perceived and actual noise levels in critical care units.
[So] Source:Intensive Crit Care Nurs;38:18-23, 2017 Feb.
[Is] ISSN:1532-4036
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To compare the noise levels perceived by critical care nurses in the Intensive Care Unit (ICU) to actual noise levels in the ICU. METHODS: Following a pilot study (n=18) and revision of the survey tool, a random sample of nurses were surveyed twice in a 3-day period (n=108). Nurses perception of noise was compared to the actual sound pressure level using descriptive statistics. MAJOR RESULTS: Nurses perceived the ICUs to be noisier than the actual values. The ICU was louder than the recommended noise level for resotrative sleep. This finding raises the question of how we can assist nurses to reduce what they perceive to be a loud environment. APPLICATION: Future work is needed to develop interventions specifically for nurses to raise awareness of noise in the ICU and to provide them with skills to assist in noise reduction.
[Mh] Termos MeSH primário: Ruído
Enfermeiras e Enfermeiros/psicologia
Percepção
[Mh] Termos MeSH secundário: Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Projetos Piloto
Inquéritos e Questionários
Pesos e Medidas/instrumentação
Pesos e Medidas/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160828
[St] Status:MEDLINE



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