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Referências encontradas : 85 [refinar]
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[PMID]:28458027
[Au] Autor:Herta J; Koren J; Fürbass F; Zöchmeister A; Hartmann M; Hosmann A; Baumgartner C; Gruber A
[Ad] Endereço:Department of Neurosurgery, Medical University of Vienna, Vienna, Austria. Electronic address: johannes.herta@meduniwien.ac.at.
[Ti] Título:Applicability of NeuroTrend as a bedside monitor in the neuro ICU.
[So] Source:Clin Neurophysiol;128(6):1000-1007, 2017 06.
[Is] ISSN:1872-8952
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess whether ICU caregivers can correctly read and interpret continuous EEG (cEEG) data displayed with the computer algorithm NeuroTrend (NT) with the main attention on seizure detection and determination of sedation depth. METHODS: 120 screenshots of NT (480h of cEEG) were rated by 18 briefly trained nurses and biomedical analysts. Multirater agreements (MRA) as well as interrater agreements (IRA) compared to an expert opinion (EXO) were calculated for items such as pattern type, pattern location, interruption of recording, seizure suspicion, consistency of frequency, seizure tendency and level of sedation. RESULTS: MRA as well as IRA were almost perfect (80-100%) for interruption of recording, spike-and-waves, rhythmic delta activity and burst suppression. A substantial agreement (60-80%) was found for electrographic seizure patterns, periodic discharges and seizure suspicion. Except for pattern localization (70.83-92.26%), items requiring a precondition and especially those who needed interpretation like consistency of frequency (47.47-79.15%) or level of sedation (41.10%) showed lower agreements. CONCLUSIONS: The present study demonstrates that NT might be a useful bedside monitor in cases of subclinical seizures. Determination of correct sedation depth by ICU caregivers requires a more detailed training. SIGNIFICANCE: Computer algorithms may reduce the workload of cEEG analysis in ICU patients.
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Eletroencefalografia/instrumentação
Monitorização Neurofisiológica/instrumentação
Sistemas Automatizados de Assistência Junto ao Leito
Convulsões/diagnóstico
Software
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Eletroencefalografia/métodos
Seres Humanos
Unidades de Terapia Intensiva
Meia-Idade
Monitorização Neurofisiológica/métodos
Enfermeiras Especialistas/psicologia
Enfermeiras Especialistas/normas
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:29183059
[Au] Autor:Ryskina KL; Polsky D; Werner RM
[Ad] Endereço:Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia.
[Ti] Título:Physicians and Advanced Practitioners Specializing in Nursing Home Care, 2012-2015.
[So] Source:JAMA;318(20):2040-2042, 2017 11 28.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermeiras Especialistas/provisão & distribuição
Casas de Saúde/recursos humanos
Médicos/provisão & distribuição
[Mh] Termos MeSH secundário: Ocupação de Leitos/estatística & dados numéricos
Modelos Lineares
Enfermeiras Especialistas/tendências
Enfermeiras e Enfermeiros/provisão & distribuição
Casas de Saúde/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.13378


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[PMID]:28953621
[Au] Autor:Xing J; Sun Y; Jie Y; Yuan Z; Liu W
[Ad] Endereço:aDepartment of Critical Care Medicine, The Affiliated Hospital of Qingdao University bQingdao Development Zone No.1 Middle School cSchool of Nursing, Qingdao University, Qingdao, China.
[Ti] Título:Perceptions, attitudes, and current practices regards delirium in China: A survey of 917 critical care nurses and physicians in China.
[So] Source:Medicine (Baltimore);96(39):e8028, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study is to assess the knowledge, attitudes, and managements regarding delirium of intensive care nurses and physicans, and to assess the perceived barriers related to intensive care unit (ICU) delirium monitoring in China. A descriptive survey was distributed to 1156 critical care nurses and physicians from 74 tertiary and secondary hospitals across Shandong province, China. The overall response rate was 86.18% (n = 917). The majority of respondents (88%) believed that deirium was associated with prolonged mechanical ventilation, and 79.72% thought delirium was associated with prolonged length of hospitalization. Only 14.17% of respondents believed that delirium was common in the ICU setting. Only 25.62% of the respondents reported routine screening of ICU delirium, and only 15.81% utilized Confusion Assessment Method for Intensive Care Unit screening tools. "Lack of appropriate screening tools" and "time restraints" were the most common perceived barriers. 45.4% of the participants had never received any education on ICU delirium. In conclusion, most nurses and physicians consider ICU delirium to be a serious problem, but lack knowledge on delirium and monitor this condition poorly. The survey infers a disconnection between the perceived significance and current monitoring of ICU delirium. There is a critical unmet need for in-service education on ICU delirium for physicians and nurses in China.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Enfermagem de Cuidados Críticos
Delírio/diagnóstico
Delírio/terapia
Enfermeiras Especialistas/psicologia
Médicos/psicologia
Padrões de Prática Médica
[Mh] Termos MeSH secundário: Adolescente
Adulto
China
Feminino
Seres Humanos
Masculino
Meia-Idade
Percepção
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008028


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[PMID]:28756750
[Au] Autor:Robinson J; Gott M; Gardiner C; Ingleton C
[Ad] Endereço:School of Nursing, University of Auckland, Auckland, New Zealand, Auckland District Health Board, Auckland, New Zealand.
[Ti] Título:Specialist palliative care nursing and the philosophy of palliative care: a critical discussion.
[So] Source:Int J Palliat Nurs;23(7):352-358, 2017 Jul 02.
[Is] ISSN:1357-6321
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Nursing is the largest regulated health professional workforce providing palliative care across a range of clinical settings. Historically, palliative care nursing has been informed by a strong philosophy of care which is soundly articulated in palliative care policy, research and practice. Indeed, palliative care is now considered to be an integral component of nursing practice regardless of the specialty or clinical setting. However, there has been a change in the way palliative care is provided. Upstreaming and mainstreaming of palliative care and the dominance of a biomedical model with increasing medicalisation and specialisation are key factors in the evolution of contemporary palliative care and are likely to impact on nursing practice. Using a critical reflection of the authors own experiences and supported by literature and theory from seminal texts and contemporary academic, policy and clinical literature, this discussion paper will explore the influence of philosophy on nursing knowledge and theory in the context of an evolving model of palliative care.
[Mh] Termos MeSH primário: Enfermagem de Cuidados Paliativos na Terminalidade da Vida
Teoria de Enfermagem
Filosofia em Enfermagem
[Mh] Termos MeSH secundário: Política de Saúde
Seres Humanos
Modelos de Enfermagem
Enfermeiras Especialistas
Papel do Profissional de Enfermagem
Especialização
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[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:170801
[St] Status:MEDLINE
[do] DOI:10.12968/ijpn.2017.23.7.352


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[PMID]:28686048
[Au] Autor:Anderson L
[Ad] Endereço:Nutrition Nurse Specialist, Nutrition and Dietetics Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust.
[Ti] Título:Nutrition teams: what are they and why do we need them?
[So] Source:Br J Community Nurs;22(Sup7):S8-S10, 2017 Jul 01.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Gastroenterologistas
Enfermeiras Especialistas
Apoio Nutricional
Nutricionistas
Equipe de Assistência ao Paciente/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Medicina Estatal
Reino Unido
[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:170708
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.Sup7.S8


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[PMID]:28658162
[Au] Autor:Lin JX; Chen XW; Chen ZH; Huang XY; Yang JJ; Xing YF; Yin LH; Li X; Wu XY
[Ad] Endereço:aDepartment of Medical Oncology and Guangdong Key Laboratory of Liver Disease Research, the Third Affiliated Hospital of Sun Yat-sen University bDepartment of Nephrology, the Third Affiliated Hospital of Guangzhou Medical University cDepartment of Nephrology, First Affiliated Hospital of Jinan University, Guangzhou, People's Republic of China.
[Ti] Título:A multidisciplinary team approach for nutritional interventions conducted by specialist nurses in patients with advanced colorectal cancer undergoing chemotherapy: A clinical trial.
[So] Source:Medicine (Baltimore);96(26):e7373, 2017 Jun.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND & AIMS: Nutritional interventions for malnutrition in cancer patients can be helpful. However, concise intervention recommendations remain controversial. Thus, the aim of this study was to report on a nutrition intervention conducted by a multidisciplinary team of specialist nurses and to explore the effect of nutritional intervention on cancer patients. METHODS: This prospective clinical trial study enrolled 110 colorectal cancer patients undergoing chemotherapy. The patients were evaluated upon admission using the 2002 Nutritional Risk Screening system (NRS-2002). The patients were randomly divided into intervention and control groups including 55 patients each. Patients in the control group were administered a normal diet, while those in the intervention group received individual recipes developed by a team of professional nurses, clinical doctors, dietitian, family caregivers, and the patients themselves. Patient weight and serum albumin and prealbumin levels were compared between the 2 groups at different time points. RESULTS: There was a significant difference in patient weight and serum albumin and prealbumin levels before and after nutrition intervention in the intervention group (P < .05). In the control group, weight did not change during ordinary diet guidance. Serum albumin level was slightly improved after 12 cycles of chemotherapy, similar to the prealbumin results. There were statistically significant differences in serum albumin and prealbumin levels between the intervention and control groups after nutrition intervention (P < .05). However, there was no statistically significant difference in weight between the groups after nutrition intervention (P > .05). CONCLUSION: A multidisciplinary team approach for nutrition intervention conducted by specialist nurses improved prealbumin levels in colorectal cancer patients undergoing chemotherapy, with no weight change.
[Mh] Termos MeSH primário: Neoplasias Colorretais/dietoterapia
Neoplasias Colorretais/tratamento farmacológico
Enfermeiras Especialistas
Equipe de Assistência ao Paciente
[Mh] Termos MeSH secundário: Biomarcadores Tumorais/sangue
Peso Corporal
Cuidadores
Neoplasias Colorretais/sangue
Terapia Combinada
Feminino
Seres Humanos
Masculino
Meia-Idade
Estado Nutricional
Nutricionistas
Educação de Pacientes como Assunto
Albumina Sérica/análise
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Biomarkers, Tumor); 0 (Serum Albumin)
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170718
[Lr] Data última revisão:
170718
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170629
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007373


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[PMID]:28604528
[Au] Autor:Saunders MM; Harris K; Hale DL
[Ad] Endereço:Mitzi M. Saunders, PhD, RN, is a certified adult clinical nurse specialist and associate professor at the University of Detroit Mercy, Detroit, Michigan. She coordinates and teaches in the adult-gerontology clinical nurse specialist program. Karen Harris, MSN, RN, is a certified adult clinical nurse specialist and clinical track nursing instructor at the University of Detroit Mercy. She has experience in medical/surgical, oncology, critical care, high-risk obstetrics, postpartum, and neonatal nursing care. Deborah L. Hale, MSN, RN, is a certified adult clinical nurse specialist. She has experience in nursing education, medical-surgical nursing, home healthcare, and faith community nursing.
[Ti] Título:Clinical Nurse Specialist Perceptions' of Spiritual Care: Nurses Need Support, Care Falls Short.
[So] Source:J Christ Nurs;34(3):176-181, 2017 Jul/Sep.
[Is] ISSN:0743-2550
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The clinical nurse specialist (CNS) is positioned to influence spiritual care at three levels of practice: patient, nurse, and system. This study, the first to explore CNS spiritual care, reports on CNSs' perceptions in providing spiritual care. Four themes were extracted from interview data: 1) Providing direct spiritual support for patients, 2) Nurses need support in providing spiritual care, 3) Using existing resources, and 4) Spiritual care falls short. Not one CNS mentioned barriers to their direct provision of spiritual care. Results support that CNSs can improve spiritual care delivery.
[Mh] Termos MeSH primário: Enfermagem Geriátrica
Enfermeiras Especialistas/psicologia
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital/psicologia
Assistência Religiosa
Apoio Social
Espiritualidade
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Pesquisa Qualitativa
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE
[do] DOI:10.1097/CNJ.0000000000000394


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[PMID]:28570109
[Au] Autor:Knight C; Dening KH
[Ad] Endereço:Consultant Admiral Nurse & Lecturer in Dementia Care, Coventry University.
[Ti] Título:Management of long-term conditions and dementia: The role of the Admiral Nurse.
[So] Source:Br J Community Nurs;22(6):295-302, 2017 Jun 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:As life expectancy increases so people often develop a range of conditions and disabilities in the years before death. Multimorbidity represents the most common 'disease pattern' found among the elderly and is characterised by complex interactions of co-existing diseases where a medical approach focused on a single disease does not suffice. People with dementia who also have other comorbidities do not always have their comorbid conditions managed as those without dementia which often lead to a high number of hospital admissions with longer lengths of stay and greater treatment costs. This case study presents the case management approach taken by Admiral Nursing in managing the complexities where there is comorbidity of a long-term condition and a diagnosis of dementia. By empowering the person and their carer with information and choices and through good case management and communication, people can be supported to live well and avoid inappropriate hospital admissions.
[Mh] Termos MeSH primário: Administração de Caso
Enfermagem em Saúde Comunitária
Doença de Crohn/enfermagem
Demência/enfermagem
Papel do Profissional de Enfermagem
[Mh] Termos MeSH secundário: Idoso
Comorbidade
Feminino
Seres Humanos
Enfermeiras Especialistas
Avaliação em Enfermagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170912
[Lr] Data última revisão:
170912
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.6.295


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[PMID]:28541103
[Au] Autor:Lennard L
[Ti] Título:Finding the jewels in adversity: reflections on a secondment.
[So] Source:Br J Nurs;26(10):554-555, 2017 May 25.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Laura Lennard, on secondment as Children's Diabetes Nurse, Hemel Hempstead Hospital, West Hertfordshire Hospitals NHS Trust, shares what she has learned from the sometimes painful experience of stepping out of her comfort zone and learning the ropes in a new role.
[Mh] Termos MeSH primário: Diabetes Mellitus/enfermagem
Enfermeiras Especialistas/educação
Enfermagem Pediátrica/educação
[Mh] Termos MeSH secundário: Competência Clínica
Seres Humanos
Autoimagem
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170721
[Lr] Data última revisão:
170721
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.10.554


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[PMID]:28493777
[Au] Autor:Marley J
[Ad] Endereço:Lecturer in Nursing and Faculty Subject Partnership Manager, School of Nursing, Ulster University, and Past President of BAUN.
[Ti] Título:Let's face the future together.
[So] Source:Br J Nurs;26(9):S3, 2017 May 11.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermagem em Nefrologia/recursos humanos
Enfermeiras e Enfermeiros/provisão & distribuição
[Mh] Termos MeSH secundário: Seres Humanos
Enfermagem em Nefrologia/tendências
Enfermeiras Clínicas
Enfermeiras Especialistas
Enfermeiras e Enfermeiros/tendências
Enfermeiras de Saúde Comunitária
Recursos Humanos de Enfermagem
Sociedades de Enfermagem
Reino Unido
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170713
[Lr] Data última revisão:
170713
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.9.S3



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