Base de dados : MEDLINE
Pesquisa : N02.421.539 [Categoria DeCS]
Referências encontradas : 3844 [refinar]
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[PMID]:29236367
[Au] Autor:Gendron F; Bérubé J; Guilbert É; Leboeuf M; Ouellet S; Risi C; Roy G; Steben M; Wagner MS; Martin RC
[Ad] Endereço:Institut national de santé publique du Québec, Québec, Canada.
[Ti] Título:L'ajustement thérapeutique selon le Protocole de contraception du Québec..
[So] Source:Perspect Infirm;14(2):31-34, 2017 Mar-Apr.
[Is] ISSN:1708-1890
[Cp] País de publicação:Canada
[La] Idioma:fre
[Mh] Termos MeSH primário: Anticoncepcionais
Dispositivos Anticoncepcionais
[Mh] Termos MeSH secundário: Seres Humanos
Serviços de Enfermagem
Quebeque
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:28449885
[Au] Autor:Bremer P; Challis D; Hallberg IR; Leino-Kilpi H; Saks K; Vellas B; Zwakhalen SMG; Sauerland D; RightTimePlaceCare Consortium
[Ad] Endereço:Witten/Herdecke University, Alfred-Herrhausen-Straße 50, 58448 Witten, Germany. Electronic address: patrick.bremer@uni-wh.de.
[Ti] Título:Informal and formal care: Substitutes or complements in care for people with dementia? Empirical evidence for 8 European countries.
[So] Source:Health Policy;121(6):613-622, 2017 Jun.
[Is] ISSN:1872-6054
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In order to contain public health care spending, European countries attempt to promote informal caregiving. However, such a cost reducing strategy will only be successful if informal caregiving is a substitute for formal health care services. We therefore analyze the effect of informal caregiving for people with dementia on the use of several formal health care services. STUDY DESIGN: The empirical analysis is based on primary data generated by the EU-project 'RightTimePlaceCare' which is conducted in 8 European countries. 1223 people with dementia receiving informal care at home were included in the study. METHODS: Using a regression framework we analyze the relationship between informal care and three different formal health care services: the receipt of professional home care, the number of nurse visits and the number of outpatient visits. RESULTS: The relationship between formal and informal care depends on the specific type of formal care analyzed. For example, a higher amount of informal caregiving goes along with a lower demand for home care services and nurse visits but a higher number of outpatient visits. CONCLUSION: Increased informal caregiving effectively reduces public health care spending by reducing the amount of formal home care services. However, these effects differ between countries.
[Mh] Termos MeSH primário: Demência
Assistência Domiciliar/estatística & dados numéricos
Assistência ao Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Assistência Ambulatorial/estatística & dados numéricos
Europa (Continente)
Feminino
Serviços de Assistência Domiciliar/estatística & dados numéricos
Seres Humanos
Masculino
Serviços de Enfermagem/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171213
[Lr] Data última revisão:
171213
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28376822
[Au] Autor:Covell CL; Primeau MD; Kilpatrick K; St-Pierre I
[Ad] Endereço:Faculty of Nursing, University of Alberta, 5-301, ECHA, 11405-87 Avenue, Edmonton, Alberta, T6G 1C9, Canada. christine.covell@ualberta.ca.
[Ti] Título:Internationally educated nurses in Canada: predictors of workforce integration.
[So] Source:Hum Resour Health;15(1):26, 2017 Apr 04.
[Is] ISSN:1478-4491
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Global trends in migration accompanied with recent changes to the immigrant selection process may have influenced the demographic and human capital characteristics of internationally educated nurses (IENs) in Canada and in turn the assistance required to facilitate their workforce integration. This study aimed to describe the demographic and human capital profile of IENs in Canada, to explore recent changes to the profile, and to identify predictors of IENs' workforce integration. METHODS: A cross-sectional, descriptive, correlational survey design was used. Eligible IENs were immigrants, registered and employed as regulated nurses in Canada. Data were collected in 2014 via online and paper questionnaires. Descriptive statistics were used to examine the data by year of immigration. Logistic regression modeling was employed to identify predictors of IENs' workforce integration measured as passing the licensure exam to acquire professional recertification and securing employment. RESULTS: The sample consisted of 2280 IENs, representative of all Canadian provincial jurisdictions. Since changes to the immigrant selection process in 2002, the IEN population in Canada has become more racially diverse with greater numbers emigrating from developing countries. Recent arrivals (after 2002) had high levels of human capital (knowledge, professional experience, language proficiency). Some, but not all, benefited from the formal and informal assistance available to facilitate their workforce integration. Professional experience and help studying significantly predicted if IENs passed the licensure exam on their first attempt. Bridging program participation and assistance from social networks in Canada were significant predictors if IENs had difficulty securing employment. CONCLUSIONS: Nurses will continue to migrate from a wide variety of countries throughout the world that have dissimilar nursing education and health systems. Thus, IENs are not a homogenous group, and a "one size fits all" model may not be effective for facilitating their professional recertification and employment in the destination country. Canada, as well as other countries, could consider using a case management approach to develop and tailor education and forms of assistance to meet the individual needs of IENs. Using technology to reach IENs who have not yet immigrated or have settled outside of urban centers are other potential strategies that may facilitate their timely entrance into the destination countries' nursing workforce.
[Mh] Termos MeSH primário: Aculturação
Credenciamento
Emigração e Imigração
Emprego
Enfermeiras Internacionais
Serviços de Enfermagem/recursos humanos
Recursos Humanos de Enfermagem/provisão & distribuição
[Mh] Termos MeSH secundário: Adulto
Canadá
Certificação
Competência Clínica
Grupos de Populações Continentais
Estudos Transversais
Países em Desenvolvimento
Educação em Enfermagem
Feminino
Seres Humanos
Linguagem
Licenciamento
Modelos Logísticos
Masculino
Meia-Idade
Apoio Social
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170406
[St] Status:MEDLINE
[do] DOI:10.1186/s12960-017-0201-8


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[PMID]:28148235
[Au] Autor:Zegwaard MI; Aartsen MJ; Grypdonck MH; Cuijpers P
[Ad] Endereço:Altrecht Mental Health Care, Gedachtengang 1, 3705 WH, Zeist, The Netherlands. m.zegwaard@altrecht.nl.
[Ti] Título:Trust: an essential condition in the application of a caregiver support intervention in nursing practice.
[So] Source:BMC Psychiatry;17(1):47, 2017 Feb 02.
[Is] ISSN:1471-244X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The recent policy of deinstitutionalization of health care in Western countries has resulted in a growing number of people - including elderly - with severe mental illness living in the community where they rely on families and others for support in daily living. Caregiving for partners, parents, children, and significant others can be a stressful experience and has been associated with psychosocial problems and poorer physical health. To support caregivers, a new, complex, nurse-led caregiver - centered intervention was developed. The intervention focuses on preventing deterioration in the wellbeing of caregivers. The objective of this study is to obtain a better understanding of the potentials of this new intervention. METHODS: We applied an interpretative qualitative field study at two Dutch mental health care institutes. Thirteen caregivers participated in a one-time semi-structured interview. RESULTS: From the caregivers' perspective, a trusting relationship between caregivers and the mental health nurse is an essential condition for the depth and hence the effectiveness of the caregiver-centered counseling intervention. In this trusting relationship three overlapping and mutually reinforcing phases were identified (1) phase of engagement, (2) recognition of personal needs and (3) hope and optimism. Each phase encompasses key experiences that enhanced trust in that phase. CONCLUSIONS: Collaborative relationships between caregivers and mental health nurses provide a framework in which the mental health nurse can assess and help not only patients but also caregivers to gain insight into their situation and take on new roles and responsibilities in ways that promote their wellbeing.
[Mh] Termos MeSH primário: Cuidadores/psicologia
Aconselhamento/métodos
Serviços de Enfermagem
Confiança/psicologia
[Mh] Termos MeSH secundário: Idoso
Serviços Comunitários de Saúde Mental
Feminino
Seres Humanos
Masculino
Meia-Idade
Enfermeiras e Enfermeiros
Papel Profissional
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170707
[Lr] Data última revisão:
170707
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170203
[St] Status:MEDLINE
[do] DOI:10.1186/s12888-017-1209-2


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[PMID]:27468707
[Au] Autor:Murtaugh CM; Deb P; Zhu C; Peng TR; Barrón Y; Shah S; Moore SM; Bowles KH; Kalman J; Feldman PH; Siu AL
[Ad] Endereço:VNSNY Center for Home Care Policy and Research, 1250 Broadway, 7th Floor, New York, 10001, NY.
[Ti] Título:Reducing Readmissions among Heart Failure Patients Discharged to Home Health Care: Effectiveness of Early and Intensive Nursing Services and Early Physician Follow-Up.
[So] Source:Health Serv Res;52(4):1445-1472, 2017 Aug.
[Is] ISSN:1475-6773
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To compare the effectiveness of two "treatments"-early, intensive home health nursing and physician follow-up within a week-versus less intense and later postacute care in reducing readmissions among heart failure (HF) patients discharged to home health care. DATA SOURCES: National Medicare administrative, claims, and patient assessment data. STUDY DESIGN: Patients with a full week of potential exposure to the treatments were followed for 30 days to determine exposure status, 30-day all-cause hospital readmission, other health care use, and mortality. An extension of instrumental variables methods for nonlinear statistical models corrects for nonrandom selection of patients into treatment categories. Our instruments are the index hospital's rate of early aftercare for non-HF patients and hospital discharge day of the week. DATA EXTRACTION METHODS: All hospitalizations for a HF principal diagnosis with discharge to home health care between July 2009 and June 2010 were identified from source files. PRINCIPAL FINDINGS: Neither treatment by itself has a statistically significant effect on hospital readmission. In combination, however, they reduce the probability of readmission by roughly 8 percentage points (p < .001; confidence interval = -12.3, -4.1). Results are robust to changes in implementation of the nonlinear IV estimator, sample, outcome measure, and length of follow-up. CONCLUSIONS: Our results call for closer coordination between home health and medical providers in the clinical management of HF patients immediately after hospital discharge.
[Mh] Termos MeSH primário: Insuficiência Cardíaca/terapia
Serviços de Assistência Domiciliar
Serviços de Enfermagem
Alta do Paciente
Readmissão do Paciente/tendências
Padrões de Prática Médica
Cuidado Transicional
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Qualidade da Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170811
[Lr] Data última revisão:
170811
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160730
[St] Status:MEDLINE
[do] DOI:10.1111/1475-6773.12537


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[PMID]:27885910
[Au] Autor:Johnston B; Coole C; Jay Narayanasamy M
[Ad] Endereço:Florence Nightingale Foundation Professor of Clinical Nursing Practice Research, School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow.
[Ti] Título:An end-of-life care nurse service for people with COPD and heart failure: stakeholders' experiences.
[So] Source:Int J Palliat Nurs;22(11):549-559, 2016 Nov 02.
[Is] ISSN:1357-6321
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: End-of-life care (EOLC) has historically been associated with cancer care. However, demographic changes indicate that future provision must also cater for other long term conditions (LTC). An EOLC-LTC service, delivered by palliative care nurses, is currently being piloted in one area in the East Midlands with patients with cardiac and respiratory disease. In order to inform future commissioning, it is important to gain the views and experiences of those involved with the service. AIMS: This study aimed to explore patients, and their partners, views and experiences of the EOLC-LTC service. METHODS: Semi-structured interviews were used as part of a case study design, involving six cases. Each case consisted of the patient, their nominated family member/carer and key healthcare professionals involved in their care as identified by the patient. This paper reports on the findings from the interviews conducted with the six patients and their family member/carers. Data were analysed thematically. RESULTS: From the interviews, the following themes were identified: experiences managing a long term cardio-respiratory condition, the nurse service, building a close/therapeutic relationship and fragmentation and integration. CONCLUSIONS: This study has shown that the EOLC-LTC service is welcomed and highly regarded by patients and their family members/carers. Further studies are required to explore the views and experiences of other key stakeholders and to evaluate how well the pilot operates within the wider care pathway.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Atitude Frente à Saúde
Insuficiência Cardíaca/enfermagem
Enfermagem de Cuidados Paliativos na Terminalidade da Vida
Serviços de Enfermagem
Doença Pulmonar Obstrutiva Crônica/enfermagem
Assistência Terminal
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Inglaterra
Feminino
Clínicos Gerais
Seres Humanos
Masculino
Meia-Idade
Relações Enfermeiro-Paciente
Enfermeiras e Enfermeiros
Enfermeiras de Saúde Comunitária
Projetos Piloto
Pesquisa Qualitativa
Cônjuges
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161126
[St] Status:MEDLINE


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[PMID]:27834530
[Au] Autor:Peate I
[Ad] Endereço:Editor in Chief, British Journal of Nursing.
[Ti] Título:Building bridges in health care.
[So] Source:Br J Nurs;25(20):1093, 2016 Nov 10.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/organização & administração
Assistência à Saúde
Política de Saúde
Serviços de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Serviços de Saúde Comunitária/recursos humanos
Seres Humanos
Serviços de Enfermagem/recursos humanos
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170214
[Lr] Data última revisão:
170214
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161112
[St] Status:MEDLINE


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[PMID]:27611093
[Au] Autor:Zimmermann T; Puschmann E; van den Bussche H; Wiese B; Ernst A; Porzelt S; Daubmann A; Scherer M
[Ad] Endereço:Department of General Practice / Primary Care, Center for Psychosocial Medicine, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg, Germany. Electronic address: t.zimmermann@uke.de.
[Ti] Título:Collaborative nurse-led self-management support for primary care patients with anxiety, depressive or somatic symptoms: Cluster-randomised controlled trial (findings of the SMADS study).
[So] Source:Int J Nurs Stud;63:101-111, 2016 Nov.
[Is] ISSN:1873-491X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Collaborative, nurse-led care is a well-established model of ambulatory care in many healthcare systems. Nurses play a key role in managing patients' conditions as well as in enhancing symptom- and self-management skills. OBJECTIVE: The SMADS trial evaluated the effectiveness of a primary care-based, nurse-led, complex intervention to promote self-management in patients with anxiety, depressive or somatic symptoms. Change in self-efficacy 12 months post baseline was used as the primary outcome. DESIGN: The SMADS trial set up a two-arm, cluster randomised controlled trial in the city of Hamburg, a large metropolitan area in the North West of Germany. SETTING: We randomly allocated participating primary care practices to either the intervention group (IG), implementing a nurse-led collaborative care model, or to the control group (CG), where patients with the above psychosomatic symptoms received routine treatment. PARTICIPANTS: Patients from 18 to 65 years of age, regularly consulting a participating primary care practice, scoring≥5 on the anxiety, depressive or somatic symptom scales of the Patient Health Questionnaire (PHQ-D), German version. METHODS: A mixed model regression approach was used to analyse the outcome data. Analyses were based on the intention-to-treat population: All enrolled patients were analysed at their follow-up. Additionally, we reported results as effect sizes. The robustness of the results was investigated by performing an observed cases analysis. RESULTS: 325 participants (IG N=134, CG N=191) from ten practices in each study arm consented to take part and completed a baseline assessment. The mean group difference (ITT-LOCF, IG vs. CG) in self-efficacy at the post baseline follow-up (median 406days) was 1.65 points (95% CI 0.50-2.8) in favour of IG (p=0.004). This amounts to a small Cohen's d effect size of 0.33. An observed cases analysis (168 participants, IG=56, CG=105) resulted in a mean difference of 3.13 (95% CI 1.07-5.18, p=0.003) between the groups, amounting to a moderate effect size of d=0.51. CONCLUSION: A complex, nurse-led intervention, implemented as a collaborative care model, increased perceived self-efficacy in patients with symptoms of anxiety, depression or somatisation compare to control patients. For the first time in the German healthcare system, the SMADS trial validated the belief that a nurse can successfully complement the work of a general practitioner - particularly in supporting self-management of patients with psychosomatic symptoms and their psychosocial needs.
[Mh] Termos MeSH primário: Ansiedade/terapia
Depressão/terapia
Sintomas Inexplicáveis
Atenção Primária à Saúde
Autocuidado/métodos
Autoeficácia
[Mh] Termos MeSH secundário: Adaptação Psicológica
Adolescente
Adulto
Idoso
Assistência Ambulatorial
Ciências Biocomportamentais
Feminino
Seres Humanos
Colaboração Intersetorial
Masculino
Meia-Idade
Serviços de Enfermagem/utilização
Qualidade de Vida
Análise de Regressão
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170908
[Lr] Data última revisão:
170908
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:160910
[St] Status:MEDLINE


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[PMID]:27344896
[Au] Autor:Goodrich J
[Ti] Título:Designing services in partnership with patients.
[So] Source:Nurs Times;112(18):15-7, 2016 May 4-10.
[Is] ISSN:0954-7762
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A variety of methods are available to encourage health professionals to listen to patients and relatives, but are not routinely used to improve the quality of services. Experience-based co-design enables staff and patients to design services and/or care pathways in partnership. This article explains how the approach works in practice, outlines its benefits and details the resources available to help health professionals use it to improve patients' experiences.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Relações Enfermeiro-Paciente
Serviços de Enfermagem
Participação do Paciente
Desenvolvimento de Programas
[Mh] Termos MeSH secundário: Seres Humanos
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1607
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160628
[St] Status:MEDLINE


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[PMID]:27184703
[Au] Autor:Tsujimura M; Ishigaki K; Yamamoto-Mitani N; Fujita J; Katakura N; Ogata Y; Mochizuki Y; Okamoto Y; Shinohara Y
[Ad] Endereço:Associate Professor, Chiba University Graduate School of Nursing, Japan.
[Ti] Título:Cultural characteristics of nursing practice in Japan.
[So] Source:Int J Nurs Pract;22 Suppl 1:56-64, 2016 Apr.
[Is] ISSN:1440-172X
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The population of Japan has become multi-cultural, and there is more demand for culturally competent nursing care. The purpose of this study was to explore cultural characteristics of nursing practice in Japan focusing on behaviour. We interviewed 25 professionals with experience in or knowledge of nursing practice both in Japan and either the United States, the United Kingdom, Sweden, Thailand or South Korea. Qualitative content analysis has yielded three themes for cultural characteristics of nursing practice in Japan: practice expectations, communication and relationships with patients. Practice expectations for nurses in Japan involved various aspects; nurses conducted a wide range of basic nursing tasks, including bed baths and toileting. They often relied on non-verbal communication to deliver thoughtfulness and perceptiveness. They typically show deference to doctors and colleagues, emphasizing building and maintaining harmony with them. This emphasis on a multifaceted, non-verbal, and harmonious approach seemed characteristic of practice among Japanese nurses.
[Mh] Termos MeSH primário: Comparação Transcultural
Serviços de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Japão
Padrões de Prática em Enfermagem
República da Coreia
Suécia
Tailândia
Reino Unido
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170623
[Lr] Data última revisão:
170623
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160518
[St] Status:MEDLINE
[do] DOI:10.1111/ijn.12440



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