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Pesquisa : M01.526.485.650.655 [Categoria DeCS]
Referências encontradas : 357 [refinar]
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[PMID]:28467209
[Au] Autor:Mager DR; Iannino-Renz R
[Ad] Endereço:a Egan School of Nursing , Fairfield University , Fairfield , Connecticut.
[Ti] Título:Use of Sedative-Hypnotic Drugs Among Older Adults.
[So] Source:J Community Health Nurs;34(2):63-68, 2017 Apr-Jun.
[Is] ISSN:1532-7655
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to reduce numbers of concurrently ordered sedative-hypnotic drugs for older adults in long-term (N = 220) and home-care (N = 357) settings. All active records were reviewed and numbers of sedative-hypnotics per patient were documented. Upon record review completion, educational sessions focused on dangers posed by use of multiple sedative-hypnotics were presented to nurses. One month posteducation, researchers reviewed the same records to evaluate changes. Matched pair t-tests suggested significant decreases in sedative-hypnotic use in long term, but not in the home care setting. Education in this area is critical within and across community settings.
[Mh] Termos MeSH primário: Serviços de Assistência Domiciliar/estatística & dados numéricos
Hipnóticos e Sedativos/uso terapêutico
Assistência de Longa Duração/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Instituição de Longa Permanência para Idosos/estatística & dados numéricos
Seres Humanos
Hipnóticos e Sedativos/efeitos adversos
Enfermeiras de Saúde Comunitária/educação
Enfermeiras de Saúde Comunitária/estatística & dados numéricos
Casas de Saúde/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Hypnotics and Sedatives)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1080/07370016.2017.1304144


  2 / 357 MEDLINE  
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[PMID]:28686104
[Au] Autor:Bliss J
[Ad] Endereço:Queen's Nurse; Chair Association of District Nurse Educators; Senior Lecturer, Florence Nightingale Faculty of Nursing and Midwifery, King's College, London.
[Ti] Título:Chelsea, Pimlico and Belgravia District Nursing Association 1930-1939: A case study.
[So] Source:Br J Community Nurs;22(7):324-330, 2017 Jul 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The case study explores how the expansion of the health services during the interwar period impacted upon the status of district nursing and examines how being a voluntary service shaped district nursing associations. A range of primary sources were used; the Association Annual Reports, the Medical Officer for Health Annual Reports for the Borough of Chelsea, the Ministry of Health records, the archives of the Queen's Nursing Institute (QNI) and the Borough of Chelsea Council Minutes. The Medical Officer for Health Reports and the Council minutes identify efforts to improve environmental factors that impacted upon health. These primary sources briefly note the contribution of the Association suggesting that it was integral to the health care provision but considered a constant. The impact of changes to the 1932 Sunday Entertainments Act provide an interesting juxtaposition between the acknowledged value of district nursing and the constant struggle to fundraise in order to provide home nursing. Throughout the 1930s the Association experienced staff shortages and challenges regarding recruitment. The complexities of payment for municipal health services following the 1929 Local Government Act contributed to the staffing challenges. The move to a block grant in 1938 provided increased stability with regards to income. The case study identifies a contradiction regarding the esteem and value placed upon district nursing associations providing home nursing and the constant challenge of resources. District nursing services face similar challenges and this is the 130 anniversary of the Queen's Nursing Institute.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/história
Sociedades de Enfermagem/história
[Mh] Termos MeSH secundário: Financiamento Governamental/história
História do Século XX
Serviços de Assistência Domiciliar/história
Seres Humanos
Londres
Enfermeiras de Saúde Comunitária/história
Enfermeiras de Saúde Comunitária/provisão & distribuição
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.7.324


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[PMID]:28672013
[Au] Autor:Doi L; Jepson R; Hardie S
[Ad] Endereço:Scottish Collaboration for Public Health Research and Policy, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, United Kingdom.
[Ti] Título:Realist evaluation of an enhanced health visiting programme.
[So] Source:PLoS One;12(7):e0180569, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The health visitors' role in many countries is changing. In Scotland, the role has undergone substantial changes through the introduction of an enhanced health visiting programme, which includes increased, structured home visits. This evaluation was conducted within NHS Ayrshire and Arran, one of the 14 Scottish Health Boards. Our aim was to understand and explain how, and why, the programme could contribute to improving health and wellbeing outcomes for children and families. METHODS: We used a realist evaluation approach, conducted in three phases. In phase one, eight managerial staff involved in developing and implementing the programme provided data, which were used to develop initial programme theories. In phase two, the programme theories were tested using qualitative data from 25 health visitors and 22 parents. The programme theories were refined through analyses and interpretation of data in phase three. RESULTS: The home visiting context provided by the programme interacted with the mechanisms of the programme and produced outcomes such as early identification of health and wellbeing issues amongst families who needed more support, leading to referral and engagement with sources of additional help. The home visits facilitated development of parent-health visitor relationships, and parents considered health visitors as their first point of contact on children's wellbeing and developmental-related issues. Moreover, the programme provided more clarity to health visitors' role, which in turn enhanced partnership working. However, there were aspects of the programme that may require further development. For instance, both parents and health visitors were concerned about the wide gaps between some home visits. CONCLUSIONS: The enhanced health visiting programme increased opportunities for monitoring and early identification of health and wellbeing concerns. It created structures for a more efficient partnership working and ensured that the needs of children and families were supported. These benefits need to be evaluated further in an effectiveness study.
[Mh] Termos MeSH primário: Enfermeiras de Saúde Comunitária
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Masculino
Escócia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180569


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[PMID]:28640734
[Au] Autor:Newton H
[Ad] Endereço:Consultant Nurse Tissue Viability Honoury Clinical Fellow Plymouth University, Non Medical Prescribing Lead.
[Ti] Título:Cost-effective wound management: a survey of 1717 nurses.
[So] Source:Br J Nurs;26(12 Suppl):S44-S49, 2017 Jun 22.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Delivering high-quality wound care requires a mix of knowledge and skills, which nurses aim to update by attending educational events such as conferences and study days. This article describes the data obtained from 30 educational study days, which took place across England, Scotland and Wales. It will explore nurses' knowledge in relation to the cost-effectiveness and clinical efficacy of current wound care practices, based on the answers of 1717 delegates that attended the events. It will also outline the results in relation to reducing expenditure on wound dressings and the importance of performing an accurate wound assessment.
[Mh] Termos MeSH primário: Bandagens/economia
Enfermeiras de Saúde Comunitária
Padrões de Prática em Enfermagem
Ferimentos e Lesões/enfermagem
[Mh] Termos MeSH secundário: Competência Clínica
Análise Custo-Benefício
Gerenciamento Clínico
Inglaterra
Gastos em Saúde
Seres Humanos
Enfermeiras e Enfermeiros
Avaliação em Enfermagem
Qualidade da Assistência à Saúde
Escócia
Higiene da Pele
Medicina Estatal
Inquéritos e Questionários
Resultado do Tratamento
País de Gales
Ferimentos e Lesões/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170829
[Lr] Data última revisão:
170829
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.12.S44


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[PMID]:28570136
[Au] Autor:Mahoney K
[Ad] Endereço:Clinical Nurse Specialist, Wound Healing Cardiff and Vale University Health Board and Clinical Operational and Procurement Lead, Welsh Wound Innovation Centre.
[Ti] Título:More wounds, less time to treat them: 1717 nurses discuss the challenges in wound care in a series of study days.
[So] Source:Br J Community Nurs;22(Sup6):S33-S38, 2017 Jun 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermeiras de Saúde Comunitária
Casas de Saúde
Carga de Trabalho
Ferimentos e Lesões/enfermagem
[Mh] Termos MeSH secundário: Atitude do Pessoal de Saúde
Bandagens
Exsudatos e Transudatos
Seres Humanos
Enfermeiras e Enfermeiros
Avaliação em Enfermagem
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:170602
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.Sup6.S33


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[PMID]:28541999
[Au] Autor:Robb JP
[Ad] Endereço:Jonathan Peter Robb works as a district nurse for the National Health Service in London. Contact author: jonathan.robb@gmx.com. Reflections is coordinated by Madeleine Mysko, MA, RN: mmysko@comcast.net. Illustration by Janet Hamlin.
[Ti] Título:Verification.
[So] Source:Am J Nurs;117(6):72, 2017 Jun.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A visiting nurse finds himself cast as a player in a universal drama.
[Mh] Termos MeSH primário: Morte
Enfermeiras de Saúde Comunitária/psicologia
Assistência Terminal/psicologia
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170606
[Lr] Data última revisão:
170606
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000520263.18448.55


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[PMID]:28494330
[Au] Autor:Donetto S; Malone M; Sayer L; Robert G
[Ad] Endereço:Florence Nightingale Faculty of Nursing & Midwifery, King's College London, United Kingdom. Electronic address: sara.donetto@kcl.ac.uk.
[Ti] Título:New models to support the professional education of health visitors: A qualitative study of the role of space and place in creating 'community of learning hubs'.
[So] Source:Nurse Educ Today;54:69-76, 2017 Jul.
[Is] ISSN:1532-2793
[Cp] País de publicação:Scotland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In response to a policy-driven workforce expansion in England new models of preparing health visitors for practice have been implemented. 'Community of Learning hubs' (COLHs) are one such model, involving different possible approaches to student support in clinical practice placements (for example, 'long arm mentoring' or 'action learning set' sessions). Such models present opportunities for studying the possible effects of spatiality on the learning experiences of students and newly qualified health visitors, and on team relationships more broadly. OBJECTIVES: To explore a 'community of learning hub' model in health visitor education and reflect on the role of space and place in the learning experience and professional identity development of student health visitors. DESIGN: Qualitative research conducted during first year of implementation. SETTINGS: Three 'community of learning hub' projects based in two NHS community Trusts in London during the period 2013-2015. PARTICIPANTS: Managers and leads (n=7), practice teachers and mentors (n=6) and newly qualified and student health visitors (n=16). METHODS: Semi-structured, audio-recorded interviews analysed thematically. RESULTS: Participants had differing views as to what constituted a 'hub' in their projects. Two themes emerged around the spaces that shape the learning experience of student and newly qualified health visitors. Firstly, a generalised need for a 'quiet place' which allows pause for reflection but also for sharing experiences and relieving common anxieties. Secondly, the role of physical arrangements in open-plan spaces to promote access to support from more experienced practitioners. CONCLUSIONS: Attention to spatiality can shed light on important aspects of teaching and learning practices, and on the professional identities these practices shape and support. New configurations of time and space as part of educational initiatives can surface new insights into existing practices and learning models.
[Mh] Termos MeSH primário: Educação Profissionalizante
Aprendizagem
Mentores
Enfermeiras de Saúde Comunitária/educação
[Mh] Termos MeSH secundário: Seres Humanos
Entrevistas como Assunto
Londres
Modelos Educacionais
Pesquisa Qualitativa
Apoio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE


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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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[PMID]:28379096
[Au] Autor:Webb R
[Ad] Endereço:Editor Journal of Wound Care.
[Ti] Título:The message is not getting through.
[So] Source:J Wound Care;26(4):157, 2017 Apr 02.
[Is] ISSN:0969-0700
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Pé Diabético/enfermagem
[Mh] Termos MeSH secundário: Distinções e Prêmios
Educação em Enfermagem
Seres Humanos
Enfermeiras de Saúde Comunitária
Educação de Pacientes como Assunto
Qualidade da Assistência à Saúde
Reino Unido
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170615
[Lr] Data última revisão:
170615
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.12968/jowc.2017.26.4.157


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[PMID]:28369736
[Au] Autor:Scheepmans K; Dierckx de Casterlé B; Paquay L; Van Gansbeke H; Milisen K
[Ad] Endereço:Nursing Department, Wit-Gele Kruis van Vlaanderen, Brussels, Belgium.
[Ti] Título:Restraint Use in Older Adults Receiving Home Care.
[So] Source:J Am Geriatr Soc;65(8):1769-1776, 2017 Aug.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine the prevalence, types, frequency, and duration of restraint use in older adults receiving home nursing care and to determine factors involved in the decision-making process for restraint use and application. DESIGN: Cross-sectional survey of restraint use in older adults receiving home care completed by primary care nurses. SETTING: Homes of older adults receiving care from a home nursing organization in Belgium. PARTICIPANTS: Randomized sample of older adults receiving home care (N = 6,397; mean age 80.6; 66.8% female). MEASUREMENTS: For each participant, nurses completed an investigator-constructed and -validated questionnaire collecting information demographic, clinical, and behavioral characteristics and aspects of restraint use. A broad definition of restraint was used that includes a range of restrictive actions. RESULTS: Restraints were used in 24.7% of the participants, mostly on a daily basis (85%) and often for a long period (54.5%, 24 h/d). The most common reason for restraint use was safety (50.2%). Other reasons were that the individual wanted to remain at home longer, which necessitated the use of restraints (18.2%) and to provide respite for the informal caregiver (8.6%). The latter played an important role in the decision and application process. The physician was less involved in the process. In 64.5% of cases, there was no evaluation after restraint use was initiated. CONCLUSION: Use of restraints is common in older adults receiving home care nursing in Belgium. These results contribute to a better understanding of the complexity of use of restraints in home care, a situation that may be even more complex than in nursing homes and acute hospital settings.
[Mh] Termos MeSH primário: Serviços de Assistência Domiciliar
Enfermeiras de Saúde Comunitária/psicologia
Restrição Física/utilização
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Bélgica
Cuidadores
Estudos Transversais
Feminino
Seres Humanos
Masculino
Segurança do Paciente
Prevalência
Restrição Física/psicologia
Inquéritos e Questionários
[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
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.14880



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