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[PMID]:29394485
[Au] Autor:Boles J
[Ti] Título:Non-Pharmacological Strategies for Addressing Infant Pain.
[So] Source:Pediatr Nurs;43(2):98-100, 2017 Mar-Apr.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Avaliação em Enfermagem
Manejo da Dor/enfermagem
Medição da Dor/enfermagem
Enfermagem Pediátrica
[Mh] Termos MeSH secundário: Seres Humanos
Lactente
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


  2 / 28488 MEDLINE  
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[PMID]:29394483
[Au] Autor:McCaa R
[Ti] Título:Nurse Perceptions of Pain in Pediatric Traumatic Brain Injury: A Pilot Study.
[So] Source:Pediatr Nurs;43(2):92-5, 2017 Mar-Apr.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pain assessment in the pediatric population is challenging because of age, developmental stage, and patient cooperation. Cognitive impairment, impaired communication, and physical disability that may accompany traumatic brain injury (TBI) further complicate pain assessments. A pilot descriptive qualitative research study was conducted to investigate nurse perceptions of pain in pediatric patients diagnosed with TBI. Specifically, this study sought to answer the following questions: a) Is pain accurately assessed in this population? b) Is pain adequately treated in this population? and c) What obstacles exist, if any, to the assessment and treatment of pain? A convenience sample of three registered nurses employed in a pediatric neurosurgery setting participated in this study. Each nurse participated in one individual, semi-structured, face-to-face interview lasting approximately 30 minutes. Interviews were transcribed verbatim and analyzed for common themes. Common themes identified across all interviews were a) challenging assessments; b) limited, although effective, treatments; and c) communication as an area of opportunity for improvement. Implications for practice and policy include a need for more sensitive pain assessment tools to improve the objectivity and accuracy of pain assessment, clarification of care priorities and organization of care from clinical and management perspectives, and additional research in alternative pain treatments for this population. Findings from this study will guide the development of a larger, more comprehensive study, with the aim of improving practice and policy in pain management for this population.
[Mh] Termos MeSH primário: Lesões Encefálicas Traumáticas/enfermagem
Avaliação em Enfermagem
Manejo da Dor/enfermagem
Medição da Dor/enfermagem
Enfermagem Pediátrica
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Projetos Piloto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


  3 / 28488 MEDLINE  
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[PMID]:29394479
[Au] Autor:Margonary H; Hannan MS; Schlenk EA
[Ti] Título:Quality Improvement Initiative on Pain Knowledge, Assessment, and Documentation Skills of Pediatric Nurses.
[So] Source:Pediatr Nurs;43(2):65-70, 2017 Mar-Apr.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Pain treatment begins with a nurse's assessment, which relies on effective assessment skills. Hospital settings have implemented pain assessment education, but there is limited evidence in pediatric transitional care settings. The purpose of this quality improvement (QI) initiative was to develop, implement, and evaluate an evidence-based pain education session with 20 nurses in a pediatric specialty hospital that provides transitional care. Specific aims were to assess nurses' knowledge and attitudes of pain, and evaluate assessment skills based on nurses' documentation. A prospective pre-post design with three assessments (baseline, post-intervention, and one-month follow-up) was used. The Shriner's Pediatric Nurses' Knowledge and Attitudes Regarding Pain questionnaire and an electronic health record review were completed at each assessment. There was significant improvement in nurses' knowledge and attitudes of pain after the education session (F[2,6] = 50.281, p < 0.0001) from baseline to post-intervention (p < 0.0001), which was maintained at follow-up (p = 0.009). Pain assessment frequency by nurses significantly increased from 43.1% at baseline to 64.8% at post-intervention, and 67.7% at follow-up (χ²[2] = 20.55, p < 0.0001). Developmentally appropriate pain scale usage increased significantly, from 13.1% at baseline to 77.4% at post-intervention, and 81.8% at follow-up (χ²[2] = 169.19, p < 0.0001). Nursing interventions for pain increased significantly, from 33.3% at baseline to 84.0% at post-intervention, and stabilized at 80.0% at follow-up (χ²[2] = 8.91, p = 0.012). Frequency of pain reassessments did not show a statistically significant change, decreasing from 77.8% at baseline to 44.0% at post-intervention and 40.0% at follow-up (χ²[2]= 3.538, p = 0.171). Nurses' pain knowledge and documentation of assessment skills were improved in this QI initiative.
[Mh] Termos MeSH primário: Educação Continuada em Enfermagem
Avaliação em Enfermagem/métodos
Manejo da Dor/enfermagem
Medição da Dor/métodos
Enfermagem Pediátrica/educação
Melhoria de Qualidade
[Mh] Termos MeSH secundário: Adulto
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE


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[PMID]:29240658
[Au] Autor:Poitras ME; Chouinard MC; Gallagher F; Fortin M
[Ad] Endereço:Marie-Eve Poitras, RN, PhD, is Assistant Professor, and Maud-Christine Chouinard, RN, PhD, is Full Professor, Université du Québec à Chicoutimi, Canada. Frances Gallagher, RN, PhD, is Associate Professor, and Martin Fortin, MD, MSc, is Full Professor, Université de Sherbrooke, Canada.
[Ti] Título:Nursing Activities for Patients With Chronic Disease in Primary Care Settings: A Practice Analysis.
[So] Source:Nurs Res;67(1):35-42, 2018 Jan/Feb.
[Is] ISSN:1538-9847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Nurses in primary care organizations play a central role for patients with chronic disease. Lack of clarity in role description may be associated with underutilization of nurse competencies that could benefit the growing population of patients with chronic disease. OBJECTIVE: The purpose of the research was to describe nursing activities in primary care settings with patients with chronic disease. METHODS: A Web-based survey was sent to nurses practicing in Family Medicine Groups in the Canadian Province of Québec. Participants rated the frequency with which they carried out nursing activities in five domains: (a) global assessment, (b) care and case management, (c) health promotion, (d) nurse-physician collaboration, and (e) planning services for patients with chronic disease. Findings were summarized with descriptive statistics (means, standard deviations, and ranges). RESULTS: The survey was completed by 266 of the 322 nurses who received the survey (82.6%). Activities in the health promotion and global assessment of the patient domains were carried out most frequently. Planning services for patients with chronic disease were least frequently performed. DISCUSSION: This study provides a broad description of nursing activities with patients with chronic disease in primary care. The findings provide a baseline for clinicians and researchers to document and improve nursing activities for optimal practice for patients with chronic disease.
[Mh] Termos MeSH primário: Doença Crônica/enfermagem
Competência Clínica
Papel do Profissional de Enfermagem
Relações Enfermeiro-Paciente
Enfermagem de Atenção Primária/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Avaliação em Enfermagem
Pesquisa Qualitativa
Qualidade da Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1097/NNR.0000000000000253


  5 / 28488 MEDLINE  
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[PMID]:29179850
[Au] Autor:Young G
[Ad] Endereço:c/o La revue de l'infirmière, 65 rue Camille-Desmoulins, 92442, Issy-les-Moulineaux Cedex, France. Electronic address: ghislainecy@icloud.com.
[Ti] Título:A nurse-led review of a child with asthma.
[So] Source:Rev Infirm;66(236):45-46, 2017 Dec.
[Is] ISSN:1293-8505
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Eliza is a practice nurse working in a large general practice in England. She is a trained nurse with additional qualifications in chronic disease management, and is also a registered prescriber. This means she can initiate or repeat medical prescriptions. Today Eliza is reviewing her asthma patients.
[Mh] Termos MeSH primário: Asma/enfermagem
Avaliação em Enfermagem
[Mh] Termos MeSH secundário: Antiasmáticos/uso terapêutico
Asma/tratamento farmacológico
Criança
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Asthmatic Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29194247
[Au] Autor:Trail Ross ME; Otto DA; Stewart Helton A
[Ad] Endereço:About the Authors Mary Ellen Trail Ross, DrPH, MSN, RN, GCNS-BC, is an associate professor of clinical nursing, The University of Texas Health Science Center at Houston School of Nursing, Houston. Dorothy A. Otto, EdD, MSN, RN, ANEF, is an associate professor, emerita, The University of Texas Health Science Center at Houston School of Nursing. Anne Stewart Helton, MS, RN, is adjunct clinical faculty, The University of Texas Health Science Center at Houston School of Nursing. The authors acknowledge Dr. Elda Ramirez for contributing the case scenarios. For more information, contact Dr. Ross at Mary.E.Ross@uth.tmc.edu.
[Ti] Título:Benefits of Simulation and Role-Playing to Teach Performance of Functional Assessments.
[So] Source:Nurs Educ Perspect;38(1):47-48, 2017 Jan/Feb.
[Is] ISSN:1536-5026
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The use of simulation is an innovative teaching strategy that has proven to be valuable in nursing education. This article describes the benefits of a simulation lab involving faculty role-play to teach baccalaureate nursing students how to properly assess the functional status of older adults. Details about the simulation lab, which involved functional assessments of two elderly community-dwelling residents, are presented, along with student and faculty evaluations of this teaching modality.
[Mh] Termos MeSH primário: Bacharelado em Enfermagem/métodos
Avaliação Geriátrica/métodos
Avaliação em Enfermagem/métodos
Simulação de Paciente
Desempenho de Papéis
Treinamento por Simulação/métodos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Competência Clínica
Seres Humanos
Avaliação de Programas e Projetos de Saúde
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1097/01.NEP.0000000000000095


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[PMID]:29369280
[Au] Autor:Smith DMR; Kautz DD
[Ad] Endereço:Debbie Montgomery R. Smith is an emergency nurse at W. G. (Bill) Hefner VA Medical Center in Salisbury, N.C., and float pool nurse at Wake Forest Baptist Health-Lexington Medical Center in Lexington, N.C. Donald Kautz is retired, Associate Professor Emeritus, in the School of Nursing at the University of North Carolina Greensboro.
[Ti] Título:Protect older adults from polypharmacy hazards.
[So] Source:Nursing;48(2):56-59, 2018 Feb.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Tratamento Farmacológico/enfermagem
Enfermagem Geriátrica
Polimedicação
[Mh] Termos MeSH secundário: Idoso
Comorbidade
Seres Humanos
Adesão à Medicação
Relações Enfermeiro-Paciente
Avaliação em Enfermagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000527602.17216.6d


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[PMID]:29280839
[Au] Autor:Berti-Hearn L; Elliott B
[Ad] Endereço:Linda Berti-Hearn is a CWOCN in the Home Health Division of Virtua Health in Mt. Laurel, N.J. Brenda Elliott is an assistant professor of nursing at Wilson College in Chambersburg, Pa.
[Ti] Título:A closer look at lower extremity peripheral arterial disease.
[So] Source:Nursing;48(1):34-41, 2018 Jan.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Extremidade Inferior/irrigação sanguínea
Doença Arterial Periférica/enfermagem
[Mh] Termos MeSH secundário: Seres Humanos
Avaliação em Enfermagem
Educação de Pacientes como Assunto
Doença Arterial Periférica/epidemiologia
Doença Arterial Periférica/fisiopatologia
Guias de Prática Clínica como Assunto
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000527596.79097.9a


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[PMID]:28470975
[Au] Autor:Lee E
[Ad] Endereço:Division of Nursing/Research Institute of Nursing Science, Hallym University, 1 Hallymdaehak-gil, Chuncheon, Gangwon-do, 24252 Republic of Korea.
[Ti] Título:Longitudinal Outcomes of Home Care in Korea to Manage Pressure Ulcers.
[So] Source:Res Nurs Health;40(3):255-262, 2017 06.
[Is] ISSN:1098-240X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Home care provides preventive, support, and treatment services to economically vulnerable community populations. In this study, we examined the outcomes of a home care program for pressure ulcers (PrUs) in an economically vulnerable group. The 184 participants were admitted with PrUs and received services from a home care agency in South Korea during a study window of 5 years. The changes in PrU staging over time were analyzed in relation to the agency's home care data and the participants' health data. At enrollment, approximately 60% had a single ulcer; 40% had two or more. Most patients' ulcers were at stages 3 or 4, and most patients were bedridden. The maximum odds of reduced ulcer size from one measurement point to the next was estimated at 14.3% for ulcers in stages 1 and 2, 33.4% of those in stage 3, and 25.5% of those in stage 4; more than 10% of ulcers healed completely within a year. PrUs were a serious problem in this community-dwelling economically vulnerable group, and home care played a critical role in providing health care to this population. © 2017 Wiley Periodicals, Inc.
[Mh] Termos MeSH primário: Serviços de Assistência Domiciliar/utilização
Profissionais de Enfermagem/utilização
Avaliação em Enfermagem
Lesão por Pressão/enfermagem
[Mh] Termos MeSH secundário: Idoso
Gerenciamento Clínico
Feminino
Seres Humanos
Vida Independente
Masculino
Lesão por Pressão/classificação
República da Coreia
Estudos Retrospectivos
Resultado do Tratamento
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180217
[Lr] Data última revisão:
180217
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1002/nur.21793


  10 / 28488 MEDLINE  
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[PMID]:29280603
[Au] Autor:Plowman E
[Ti] Título:A2K: A COMPREHENSIVE AND SYSTEMATIC APPROACH TO THE PHYSICAL ASSESSMENT OF POSTOPERATIVE PATIENT.
[So] Source:Aust Nurs Midwifery J;24(10):43, 2017 05.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The physical assessment of postoperative patients is a crucial and potentially lifesaving skill that may be improved with the use of a mnemonic to guide assessment structure.
[Mh] Termos MeSH primário: Avaliação em Enfermagem/métodos
Enfermagem em Pós-Anestésico/métodos
Cuidados Pós-Operatórios
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[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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