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[PMID]:29186633
[Au] Autor:Yu YT; Hsieh WS; Hsu CH; Lin YJ; Lin CH; Hsieh S; Lu L; Cherng RJ; Chang YJ; Fan PC; Yao NJ; Chen WJ; Jeng SF
[Ad] Endereço:School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
[Ti] Título:Family-centered Care Improved Neonatal Medical and Neurobehavioral Outcomes in Preterm Infants: Randomized Controlled Trial.
[So] Source:Phys Ther;97(12):1158-1168, 2017 Dec 01.
[Is] ISSN:1538-6724
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Family-centered care for preterm infants in Western societies has yielded short- to medium-term benefits. However, the intervention effects have rarely been validated in Eastern societies. Objective: The aim of this study was to examine whether a family-centered intervention program (FCIP) could improve the short-term medical and neurobehavioral outcomes in preterm infants with very low birth weight (VLBW; a birth weight of <1,500 g) in Taiwan over the outcomes seen with a usual care program (UCP). Design: This was a multicenter, single-blind, randomized controlled trial study. Setting: Three medical centers in northern and southern Taiwan were the locations for the study. Participants: The participants were 251 VLBW preterm infants without severe perinatal complications. Intervention: The infants were randomly assigned to receive the FCIP or the UCP during hospitalization. Measurements: Infant morbidities, feeding, growth, and neurobehavioral performance were evaluated during the neonatal period. Parental adherence to interventions was measured in the FCIP group. Results: The FCIP promoted earlier full enteral feeding (ß = -1.1 weeks; 95% CI = -1.9 to -0.2 weeks) and hospital discharge (ß = -0.6 week; 95% CI = -1.1 to -0.1 weeks), greater weight gain (ß = 3.3 g/d; 95% CI = 0.1 to 6.6 g/d), and better neurobehavioral performance than the UCP (ß = 1.2 points; 95% CI = 0.2 to 2.3 points). Furthermore, a higher degree of parental motivation in interventions, goal attainment, and comprehensiveness of home activities was significantly associated with greater effects in infants' neurobehavioral performance and weight gain (r = .20-.31; all Ps < .05). Limitations: The findings may not be generalized to preterm infants with severe perinatal diseases and parents with a low level of interest in interventions. Conclusions: Family-centered care facilitated short-term medical and neurobehavioral outcomes in VLBW preterm infants in Taiwan; the effects were likely achieved through parental adherence to interventions. The designated strategies may be considered in a future launch of family-centered care in Taiwan.
[Mh] Termos MeSH primário: Enfermagem Familiar
Doenças do Prematuro/terapia
Terapia Intensiva Neonatal/organização & administração
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Recém-Nascido
Recém-Nascido Prematuro
Recém-Nascido de muito Baixo Peso
Masculino
Método Simples-Cego
Taiwan
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1093/ptj/pzx089


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[PMID]:29351174
[Au] Autor:Reid-Ponte P
[Ad] Endereço:Author Affiliation: Associate Clinical Professor, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts.
[Ti] Título:The Evolving Science of Patient and Family Engagement: An Interview With Dr Karen Drenkard.
[So] Source:J Nurs Adm;48(2):61-62, 2018 Feb.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Patient- and family-centered care is a central tenet of nursing practice. This concept has evolved to include patient partnerships, patient engagement, and patient activation. This column differentiates these concepts and describes the core principles embedded in the overriding intention of ensuring that patients (and their families or significant others) are orchestrators of their health and their care plans. In this interview, Karen Drenkard, PhD, RN, FAAN, NEA-BC, CNO, of the GetWellNetwork, discusses work by the O'Neil Center as a leader in this area.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Enfermagem Familiar/métodos
Pessoal de Saúde/psicologia
Relações Enfermeiro-Paciente
Cuidados de Enfermagem/psicologia
Participação do Paciente
Relações Profissional-Família
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
[Pt] Tipo de publicação:INTERVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000573


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[PMID]:29280600
[Au] Autor:Smith J
[Ti] Título:PARENTAL PRESENCE DURING INDUCTION OF ANAESTHESIA -- AN EVIDENCE BASED PRACTICE REVIEW.
[So] Source:Aust Nurs Midwifery J;24(10):40, 2017 05.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Parental presence during the induction of anaesthesia remains a controversial issue related to family centered care which is highlighted through discrepancies in observational studies, beliefs and current practices.
[Mh] Termos MeSH primário: Anestesia Geral
Anestesiologistas
Atitude do Pessoal de Saúde
Pais
[Mh] Termos MeSH secundário: Prática Clínica Baseada em Evidências
Enfermagem Familiar
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE


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[PMID]:28771284
[Au] Autor:DeBrew J
[Ti] Título:Who Will Help My Son?: A Family's Journey with Dyslexia.
[So] Source:J Psychosoc Nurs Ment Health Serv;55(8):27-30, 2017 Aug 01.
[Is] ISSN:0279-3695
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:It may seem unusual for a nurse to intervene and assist a child with a learning disability, but a mental health nurse who knows the warning signs of dyslexia is able to help families who are going through a difficult time. The current article details the author's experience regarding her son's dyslexia diagnosis. For her family, a nurse was a valuable resource. The impact the struggle had not only on her son, but also her family, and the changes brought about by getting a diagnosis and treatment, demonstrate the impact that nurses can have when family-focused care is provided. [Journal of Psychosocial Nursing and Mental Health Services, 55(8), 27-30.].
[Mh] Termos MeSH primário: Dislexia/diagnóstico
Dislexia/terapia
Família/psicologia
[Mh] Termos MeSH secundário: Criança
Dislexia/psicologia
Enfermagem Familiar/métodos
Seres Humanos
Núcleo Familiar
Enfermagem Psiquiátrica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170804
[St] Status:MEDLINE
[do] DOI:10.3928/02793695-20170718-04


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[PMID]:28688550
[Au] Autor:Hartnick C; Diercks G; De Guzman V; Hartnick E; Van Cleave J; Callans K
[Ad] Endereço:Massachusetts Eye and Ear, Boston, MA, United States; Massachusetts General Hospital for Children, Boston, MA, United States. Electronic address: Christopher_hartnick@meei.harvard.edu.
[Ti] Título:A quality study of family-centered care coordination to improve care for children undergoing tracheostomy and the quality of life for their caregivers.
[So] Source:Int J Pediatr Otorhinolaryngol;99:107-110, 2017 Aug.
[Is] ISSN:1872-8464
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:IMPORTANCE: Approximately 4000 U.S. children undergo tracheostomy yearly [1], and these surgeries often result in hospital re-admissions that have definite cost and caregiver burdens due to complications that are avoidable with proper training and support. OBJECTIVE: To assess the impact of a Family-Centered Care Coordination (FCCC) program on the quality of care received by children undergoing tracheostomy and their caregivers. DESIGN: Caregivers of children undergoing tracheostomies from January 2012 to January 2013 and then a different set of caregivers of children undergoing tracheostomies from January 2015 to January 2016 completed both the Pediatric Tracheostomy Health Status Instrument (PTHSI) 1 month after discharge and the Medical Complications Associated with Pediatric Tracheostomy (MCAT) questionnaire 6 months after initial tracheostomy. To assess complication rates, these same sets of caregivers were asked to complete the MCAT and only those who provided complete medical data for all 6 months were included for comparative analysis. SETTING: The PTHSI and MCAT were administered at Massachusetts Eye and Ear in a hospital setting. PARTICIPANTS: Ten caregivers of children undergoing tracheostomies completed the PTHSI before FCCC program implementation and12 caregivers then completed the PTHSI after FCCC implementation. For each of the 2 groups, 5 caregivers provided complete data on the MCAT questionnaires. EXPOSURES: FCCC is a collection of programs, policies, and tools designed to ensure safe transition home for children undergoing tracheostomies, reduce re-admission rates, and minimize "caregiver burden". MAIN OUTCOMES AND MEASURES: The PTHSI is a validated caregiver quality of life instrument that was supplemented by the MCAT which records post-discharge medical issues following tracheostomy that relate specifically to the tracheotomy placement. RESULTS: The time to first follow-up appointment decreased from 6.4 weeks (SD = 1.52) to 6 days (SD = 0.18) with FCCC implementation. The total MCAT scores decreased from 15.2 (SD = 1.1) to 1.3 (SD = 1.3) (Wilcoxon sum rank test: P < 0.016) whereas neither PTHSI scores (P = 0.32) nor the specific caregiver burden domain (P = 0.18) demonstrated a significant change. CONCLUSIONS: and Relevance: By reducing the time to first follow-up after tracheostomy and by optimizing caregiver tracheostomy tube care and teaching, children's quality of care and caregiver burden can be significantly improved.
[Mh] Termos MeSH primário: Cuidadores/educação
Enfermagem Familiar/métodos
Qualidade de Vida
Traqueostomia/métodos
[Mh] Termos MeSH secundário: Adaptação Psicológica
Cuidadores/psicologia
Criança
Pré-Escolar
Feminino
Nível de Saúde
Seres Humanos
Masculino
Pesquisa Qualitativa
Qualidade da Assistência à Saúde
Inquéritos e Questionários
Traqueostomia/efeitos adversos
Traqueostomia/educação
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170710
[St] Status:MEDLINE


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[PMID]:28599738
[Au] Autor:Doyle J; Silber A; Wilber A
[Ti] Título:Bedside Safety Huddles to Manage a Complex Obstetric Case.
[So] Source:Nurs Womens Health;21(3):166-173, 2017 Jun - Jul.
[Is] ISSN:1751-486X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Multidisciplinary communication is essential to safety in health care. Safety huddles offer an opportunity to develop and implement a standardized care plan to improve outcomes. This is especially true for complex obstetric cases. By conducting huddles at the bedside, a health care team can receive useful input from women and their families. This article describes our team's use of safety huddles in the care of a woman with a complex health history and highlights the benefit of performing safety huddles at the bedside to improve team function and optimize outcomes.
[Mh] Termos MeSH primário: Comunicação
Enfermagem Familiar/métodos
Relações Interprofissionais
Equipe de Assistência ao Paciente/normas
Segurança do Paciente/normas
[Mh] Termos MeSH secundário: Adulto
Anti-Hipertensivos/uso terapêutico
Comportamento Cooperativo
Enfermagem Familiar/normas
Feminino
Seres Humanos
Nifedipino/farmacologia
Nifedipino/uso terapêutico
Avaliação de Resultados da Assistência ao Paciente
Gravidez
Complicações na Gravidez/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antihypertensive Agents); I9ZF7L6G2L (Nifedipine)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170611
[St] Status:MEDLINE


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[PMID]:28485242
[Au] Autor:Shields L
[Ad] Endereço:Charles Sturt University, NSW Australia.
[Ti] Título:All is not well with family-centred care.
[So] Source:Nurs Child Young People;29(4):14-15, 2017 May 09.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Family-centred care is in trouble. For 30 years, hospitals and health services around the world have been trying to implement it.
[Mh] Termos MeSH primário: Medicina de Família e Comunidade
[Mh] Termos MeSH secundário: Inglaterra
Saúde da Família
Enfermagem Familiar
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.7748/ncyp.29.4.14.s15


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[PMID]:28485230
[Au] Autor:Honeyman C
[Ad] Endereço:James Cook University Hospital, Middlesbrough, Cleveland, England.
[Ti] Título:Why adolescents need their parents during admission to hospital for elective surgery.
[So] Source:Nurs Child Young People;29(4):32-34, 2017 May 09.
[Is] ISSN:2046-2344
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The literature about adolescence and healthcare tends to focus on the quest for independence and the importance of peer support. This article discusses the continuing importance of parental support during adolescence, especially when young people are admitted to hospital for surgery. It discusses why adolescents who are admitted to hospital for elective surgery will have different needs to young people who are admitted regularly for long-term conditions or those who are admitted due to risk-taking behaviour or mental health problems. It is suggested that elective admissions for surgery in otherwise fit and well young people may create a temporary change in developmental level, resulting in the need for parental support, rather than independence and peer support as recommended in the literature.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Eletivos/psicologia
Hospitalização/tendências
Psicologia do Adolescente/normas
Apoio Social
[Mh] Termos MeSH secundário: Adolescente
Enfermagem Familiar/métodos
Seres Humanos
Pais/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.7748/ncyp.2017.e815


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[PMID]:28420745
[Au] Autor:Roué JM; Kuhn P; Lopez Maestro M; Maastrup RA; Mitanchez D; Westrup B; Sizun J
[Ad] Endereço:Department of Neonatal Medicine, CHRU de Brest, Brest, France.
[Ti] Título:Eight principles for patient-centred and family-centred care for newborns in the neonatal intensive care unit.
[So] Source:Arch Dis Child Fetal Neonatal Ed;102(4):F364-F368, 2017 Jul.
[Is] ISSN:1468-2052
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Despite the recent improvements in perinatal medical care leading to an increase in survival rates, adverse neurodevelopmental outcomes occur more frequently in preterm and/or high-risk infants. Medical risk factors for neurodevelopmental delays like male gender or intrauterine growth restriction and family sociocultural characteristics have been identified. Significant data have provided evidence of the detrimental impact of overhelming environmental sensory inputs, such as pain and stress, on the developing human brain and strategies aimed at preventing this impact. These strategies, such as free parental access or sleep protection, could be considered 'principles of care'. Implementation of these principles do not require additional research due to the body of evidence. We review the scientific evidence for these principles here.
[Mh] Termos MeSH primário: Desenvolvimento Infantil/fisiologia
Cuidado do Lactente/métodos
Doenças do Recém-Nascido/terapia
Terapia Intensiva Neonatal/métodos
Relações Pais-Filho
Assistência Centrada no Paciente/métodos
[Mh] Termos MeSH secundário: Enfermagem Familiar/organização & administração
Feminino
Seres Humanos
Recém-Nascido
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1136/archdischild-2016-312180


  10 / 1288 MEDLINE  
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[PMID]:28366520
[Au] Autor:Wetzig K; Mitchell M
[Ad] Endereço:Intensive Care Unit, Princess Alexandra Hospital, 4102, Brisbane, Woolloongabba, Australia. Electronic address: ankwetzig@gmail.com.
[Ti] Título:The needs of families of ICU trauma patients: an integrative review.
[So] Source:Intensive Crit Care Nurs;41:63-70, 2017 Aug.
[Is] ISSN:1532-4036
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The sudden, devastating, nature of traumatic injuries has a profound effect on patients and their families. When family needs are appropriately met in the intensive care units (ICU), families are empowered to support their injured relative (Blom et al., 2013). While the needs of families of general ICU patients have been examined the needs of trauma patients' families are not known and may be unique. AIM: The authors aimed to answer the question: "What are the needs of families of the adult ICU trauma patient?" METHOD: An integrative review methodology was used. RESULTS: Sixteen publications were included from 'traumatic brain injury' and 'burns' trauma subgroups. The themes of 'information'; 'making sense'; 'hope'; 'support'; 'involvement' and 'protection' were identified from the literature. 'Protection' was unique to trauma families, while the other themes concurred with those previously reported for general ICU families. This review was constrained by the lack of focused trauma patients' families' research, and was reliant on traumatic brain injury and burns subgroup studies. How the needs of these subgroups relate to other trauma patients' families is not known, and worthy of further research.
[Mh] Termos MeSH primário: Família/psicologia
Determinação de Necessidades de Cuidados de Saúde
Ferimentos e Lesões/psicologia
[Mh] Termos MeSH secundário: Adulto
Austrália
Enfermagem Familiar/métodos
Enfermagem Familiar/normas
Feminino
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Masculino
Ferimentos e Lesões/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE



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