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- ItemAcesso aberto (Open Access)Adaptação do modelo de avaliação da qualidade e melhoria do desempenho americano à realidade brasileira(Universidade Federal de São Paulo (UNIFESP), 2017-08-31) Lazarini, Leticia de Fatima [UNIFESP]; Roza, Bartira de Aguiar [UNIFESP]; http://lattes.cnpq.br/9255434835123749; http://lattes.cnpq.br/4237856314712517; Universidade Federal de São Paulo (UNIFESP)Objetivo: Realizar a adaptação cultural para o português brasileiro, instrumento de Avaliação da qualidade e melhoria do desempenho dos Estados Unidos da América à realidade brasileira. Método: Pesquisa metodológica desenvolvida para validar o instrumento que visa medir a qualidade e o desenvolvimento das equipes transplantadoras. O instrumento utilizado para tradução foi o Instrumento Quality assessment and Performance Improvement (QAPI). A planilha QAPI é utilizada para determinar a conformidade dos programas de transplante com a legislação vigente e os regulamentos técnicos da área de transplante. Para a validação deste instrumento foi realizada a proposta de Beaton et al que prevê as seguintes etapas: tradução, síntese, backtranslation, revisão por comitê de especialistas e pré-teste. Para se avaliar as concordâncias entre os cinco juízes das percepções sobre Relevância, Precisão, Clareza, Objetividade, Sequência de Tópicos e aspectos de Equivalência (Semântica, Idiomática, Cultural e Conceitual) foram apresentados os coeficientes Kappa para múltiplos juízes (8). Foram analisadas as concordâncias considerando-se, tal qual para o Índice de Validação de Conteúdo, as respostas “4” e “5” como sendo “importante”. Para todos os testes estatísticos foram adotados um nível de significância de 5%. Resultado: Os resultados da adaptação do instrumento QAPI- Brasil mostram que, no questionário como um todo, houve 97,5% de equivalência semântica e idiomática e 99,1% de equivalência cultural e conceitual. Para os blocos nos quais foram possíveis de se realizar o cálculo do Kappa, as concordâncias mostraram-se pobres. Entretanto, as concordâncias observadas entre os juízes sobre as adequações de semântica, idiomática, cultural e conceitual dos blocos de identificação, parte 1, parte 2 e final, bem como a adequação cultural e conceitual da parte, foram de 100,0%. Para a validação de conteúdo também foi analisada a Relevância, precisão, Clareza, Objetividade de cada questão e a Sequência de Tópicos. Valores de IVC para relevância e sequência de tópicos de pelo menos 0,80 para todos os blocos. De uma forma geral, a clareza apresentou mais blocos com IVC inadequado – apenas a parte 2, parte 5 e final apresentaram valores que variaram de 0,80 a 1,00. Já o Índice de Validação de Conteúdo para Precisão e Objetividade mostraram-se adequados para identificação, parte 2, parte 5 e final. Para o pré-teste 80% dos profissionais elogiaram o questionário e o classificaram como de grande relevância para o Transplante no Brasil. Cerca de 30% dos profissionais classificaram o questionário como muito extenso para ser preenchido mensalmente. Os profissionais de São Paulo - capital e interior, apresentaram maior facilidade em responder o questionário uniformemente e sem dúvidas. Para 20% dos profissionais que responderam o questionário, as questões relacionadas a eventos adversos não foram respondidas, pois o programa não dispunha dos dados. Conclusão: o questionário de Avaliação da qualidade e melhoria do desempenho americano está traduzido, adaptado e seu conteúdo validado à realidade brasileira.
- ItemAcesso aberto (Open Access)Comitês de ética em pesquisa: desafios na submissão e avaliação de projetos científicos(Associação Brasileira de Enfermagem, 2010-02-01) Furukawa, Patrícia De Oliveira [UNIFESP]; Cunha, Isabel Cristina Kowal Olm [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This article aimed at reflecting and discussing about some difficulties in the submission and evaluation of scientific projects to the Research Ethics Committee, from an experience in post-graduation. Among these difficulties, there was a need for submission of a single project to several CEP as demand for part of the health facilities involved, which showed discrepancies with regard to the matter. Another issue, involving the reports, which are still based on biomedical models, which hinder the evaluation of research projects in nursing and other sciences. However, one of the great challenges of CEP is to ensure that researches with human beings are carried out within an ethics framework, without be an obstacle to their development.
- ItemAcesso aberto (Open Access)Disfunção sexual e fatores associados relatados no período pós-parto(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2014-12-01) Holanda, Juliana Bento de Lima [UNIFESP]; Abuchaim, Erika de Sá Vieira [UNIFESP]; Coca, Kelly Pereira [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Universidade Federal de Alagoas; Universidade Federal de São Paulo (UNIFESP)Objective To estimate the prevalence and factors associated with sexual dysfunction in the postpartum period.Methods Cross-sectional study of 200 postpartum women in their resumption to sexual activity. Data were collected in a private place, through interviews and recorded in forms, containing information regarding sexual life of postpartum women.Results Among the women studied, it was found that 33.5%, 76.0% and 43.5% had sexual dysfunction before pregnancy, during and after delivery, respectively. The types of dysfunction most frequently identified were dyspareunia, vaginismus, dysfunction of desire, orgasmic and arousal. The significantly associated factors were Catholic or protestant religions, vaginal delivery with suture, dyspareunia during pregnancy, vaginismus before pregnancy and working hours over 8 hours/daily.Conclusion The prevalence of sexual dysfunction was high and associated factors were religion, working hours, previous history of dysfunction and type of delivery.
- ItemAcesso aberto (Open Access)Estado nutricional e qualidade da dieta de nutrizes em amamentação exclusiva(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Tavares, Miriam Paulichenco; Devincenzi, Macarena Urrestarazu [UNIFESP]; Sachs, Anita [UNIFESP]; Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]; Maternidade Pro Matre Paulista; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Identifying the nutritional status, dietary intake and diet quality of nursing mothers on exclusive breastfeeding. METHODS: Cross-sectional study carried out with nursing mothers on exclusive breastfeeding from day 28 postpartum. Standardized instruments were used, and body mass index, food consumption and diet quality were evaluated. RESULTS: The nursing mothers were overweight, presented energy consumption below the recommended and adequate percentage of macronutrients, except for protein, which was elevated. The diet was classified as needs improvement according to the Healthy Eating Index (HEI). CONCLUSION: The results show that the overweight associated with a diet of poor quality indicated possible deficiencies of micronutrients.
- ItemAcesso aberto (Open Access)Infecção ou colonização por micro-organismos resistentes: identificação de preditores(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Moraes, Graciana Maria de; Cohrs, Frederico Molina [UNIFESP]; Batista, Ruth Ester Assayag [UNIFESP]; Grinbaum, Renato Satovschi; Instituto de Assistência Médica ao Servidor Público; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: Identifying predictors of infection or colonization with resistant microorganisms. METHODS: A quantitative study of prospective cohort was carried out. A descriptive analysis was performed in order to know the population of the study and a discriminant analysis was performed to identify the predictors. RESULTS: In this study were included 85 patients with infections caused by resistant microorganisms: carbapenem-resistant Pseudomonas aeruginosas (24.7%); carbapenem-resistant Acinetobacter (21.2%); methicillin-resistant Staphylococcus aureus (25.9%), vancomycin-resistant Enterococcus spp (17.6%) and carbapenem-resistant Klebsiella pneumonia (10.6%). The discriminant analysis identified transfers from other hospitals and hospitalization in intensive care unit as predictors for the occurrence of infections by the following groups: S. aureus resistant to methicillin, Acinetobacter resistant to carbapenems and K. pneumoniae resistant to carbapenems. None of the studied variables was discriminant for vancomycin-resistant Enterococcus spp. and carbapenem-resistant P. aeruginosas.
- ItemAcesso aberto (Open Access)Mapeamento cruzado: uma alternativa para a análise de dados em enfermagem(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2005-03-01) Lucena, Amália De Fátima; Barros, Alba Lucia Bottura Leite de [UNIFESP]; Universidade Federal do Rio Grande do Sul; Universidade Federal de São Paulo (UNIFESP)The technological evolution of the information field has been steady along the present days thus making the nursing science to pursue its development in the same area. As such, there is the need to develop the classifications for nursing practice, with standard languages which allow for the communication of its body of knowledge and practice. Reality in Brazil shows that there are very few attempts to use those Classifications, either diagnoses, interventions or outcomes, although there are many nursing records with non-standard language. This article aims at introducing and describing the Cross-mapping method, which provides a mapping of nursing records with non-standardized language into standardized classification systems. The article is also a very brief approach to some existing classifications and it encompasses an example of how to use the Cross-mapping method, its processes and rules, as a helping tool for research development in the field, thus playing its role in the nursing body of knowledge.
- ItemAcesso aberto (Open Access)Metodologia da pesquisa para enfermeiras: práticas educativas em hospital universitário(Universidade Federal de São Paulo (UNIFESP), 2003) Dyniewicz, Ana Maria [UNIFESP]; Gutiérrez, Maria Gaby Rivero de [UNIFESP]; http://lattes.cnpq.br/4595643076722509; http://lattes.cnpq.br/5844935039152905Os objetivos deste estudo foram fomentar e estimular a participacao de enfermeiras assistenciais, de um hospital universitario, em praticas educativas em Metodologia da Pesquisa, por meio de atividades individuais e, em grupo, para o desenvolvimento de competencias em investigacao cientifica. No referencial teorico-metodologico, descritivo e analitico, aparecem detalhadas a aprendizagem de principios por descoberta, descoberta orientada e tutoramento, segundo Gagne, Bruner, Ausubel e Suchman, incluindo estrategias do ensino humanista, segundo Rogers. Os resultados do processo de ensino e aprendizagem em Metodologia da Pesquisa totalizaram 28 producoes cientificas, concluidas e divulgadas pelas enfermeiras que participaram de cursos e orientacoes individuais. As producoes foram, em sua maioria, relatos de experiencia, pesquisas descritivas e exploratorias, nas linhas de pesquisa Processo de cuidar em Saúde e Enfermagem; Politicas e praticas de educacao e Enfermagem, Gerenciamento dos servicos de Saúde e de Enfermagem e Informacao/Comunicacao em Saúde e Enfermagem. As avaliacoes realizadas com as enfermeiras, ao longo das praticas e ao foral do processo, revelaram que houve aquisicao e aplicacao de conhecimentos de Metodologia da Pesquisa, entretanto foram sujeitas a fatores internos e externos, facilitando e dificultando o processo de ensino e aprendizagem em investigacao cientifica na instituicao. Para as analises, dessas avaliacoes, foram utilizados autores que subsidiaram todo o processo, outros da area de Enfermagem e alguns principios da Teoria da Complexidade de Morin. Dentre as principais dificuldades apontadas pelas enfermeiras estao aquelas relacionadas a falta de conhecimento do principio cientifico da pesquisa; as limitacoes nas condicoes administrativas e de trabalho em Enfermagem na instituicao,...(au)
- ItemAcesso aberto (Open Access)Portofólio como estratégia de avaliação de desempenho de integrantes de um grupo de pesquisa(Associação Brasileira de Enfermagem, 2007-02-01) Cunha, Isabel Cristina Kowal Olm [UNIFESP]; Sanna, Maria Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)To evaluate the use of portfolio in a research group 35 examples produced in 2004 to 2005 were analyzed. Comprehensive analysis revealed description of the research projects elaboration, writing of articles, participation in events, seeking for proficiency in English language and comprising of academic credits. The support for registration, content ordering and the examination between proposition and fulfillment varied. Of these last ones, the search for professional and research development were evidenced by the intention in publishing, to make a presentation in scientific congresses and to be admitted in post-graduation programs. Approval of use of this resource for planning and carrier evaluation also was verified. It was concluded that portfolio is an efficient strategy for the development of researchers.
- ItemAcesso aberto (Open Access)Produção científica publicada pelas enfermeiras de hospitais públicos e privados do município de São Paulo(Universidade de São Paulo, Escola de Enfermagem, 1998-04-01) Salzano, Sonia Della Torre; Stefanelli, Maguida Costa; Adami, Nilce Piva [UNIFESP]; Jorge, Ana Lúcia Silva; Castro, Rosa Aparecida Pimenta De [UNIFESP]; Silva, Isília Aparecida; Universidade de São Paulo (USP); Universidade Federal de Santa Catarina; Universidade Federal de São Paulo (UNIFESP); Instituto Dante Pazzanese de São PauloThis study shows the nurse's scientific publication from seven public and six private hospitals in São Paulo city, from january/1989 to june/1995. From a total of 486 papers identified, 242 were published as abstracts, 124 in annals, 92 in nationals and internationals journals, 21 as book chapters and 7 as books in nursing. The facilities and difficulties in publishing nursing scientific production were also discussed.
- ItemAcesso aberto (Open Access)Profile of an intensive care nurse in different regions of Brazil(Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem, 2014-03-01) Viana, Renata Andrea Pietro Pereira [UNIFESP]; Vargas, Mara Ambrosina De Oliveira; Carmagnani, Maria Isabel Sampaio [UNIFESP]; Tanaka, Luiza Hiromi [UNIFESP]; Luz, Kely Regina Da; Schmitt, Pablo Henrique; Universidade Federal de São Paulo (UNIFESP); Federal University of Santa Catarina; UFSC; School of Management and Health SciencesThe aim of this quantitative study was to identify the socio-demographic and academic profile of intensive care registered nurses and participants of the events organized by the Department of Nursing of the Brazilian Association of Intensive Care Medicine. Data were collected by means of 400 questionnaires applied between January and July of 2010, however only 324 questionnaires were returned and 295 questionnaires were considered for the analysis. Data were analyzed with descriptive statistics resources with absolute relative frequency and simple mean, presented in tables. Results show the predominance of women, with specific graduate degrees. The skills and values highlighted include technical and scientific knowledge, and leadership. These professionals seek work in intensive care because of the high technological complexity. The study emphasized the existence of the professional profile required to work in the intensive care unit. The qualification of these professionals must prioritize the mastering of the technological language and the comprehensive and safe care.
- ItemAcesso aberto (Open Access)Qualidade de vida de pacientes com acidente vascular cerebral em reabilitação(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Rangel, Edja Solange Souza; Belasco, Angélica Gonçalves Silva [UNIFESP]; Diccini, Solange [UNIFESP]; Universidade Estadual de Ciências da Saúde de Alagoas; Universidade Federal de São Paulo (UNIFESP)OBJECTIVES: To evaluate and correlate quality of life and depression of patients in rehabilitation after stoke. METHODS: A transversal study conducted in two rehabilitation services with patients after stroke. Information collected included sociodemographic data, the Medical Outcome Study Short-form 36 - item Health Survey, the Stroke Specific Quality of Life Scale, the Barthel Index and the Beck Depression Inventory. RESULTS: The sample consisted of 139 patients, with a mean age of 59.4 years; 59% were male. The general and specific quality of life scores were compromised. According to the Barthel Index, 49.6% of the patients presented moderate to severe dependency, and 49.7% had depressive symptoms according to the Beck Depression Index; there was no positive correlation between these data and general and specific quality of life. CONCLUSION: General and specific quality of life of patients in rehabilitation, after stroke, presented compromised domains.
- ItemAcesso aberto (Open Access)Repercussões do ruído na unidade de terapia intensiva neonatal(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2013-01-01) Grecco, Gabriela Menossi [UNIFESP]; Tsunemi, Miriam Harumi; Balieiro, Maria Magda Ferreira Gomes [UNIFESP]; Kakehashi, Tereza Yoshiko [UNIFESP]; Pinheiro, Eliana Moreira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Hospital das Clínicas de São Paulo Instituto de RadiologiaOBJECTIVE: To identify repercussion of noise in the neonatal intensive care unit on mothers, newborns and on interactions of neonates with healthcare professional from the mothers' perspective. METHODS: This descriptive cross-sectional study was carried out in the neonatal intensive care unit. The study population was composed by 95 mothers. Data were collected using formularies. The statistical analysis was descriptive. RESULTS: Mothers' perception of noise in the unit caused repercussion on neonates such as agitation, cry, irritability among other. Mothers' also reported to have headache, agitation and tendency to cry, which led them to touch less and speak softly with their babies. CONCLUSION: Repercussions of noise perceived by mothers on themselves and on babies' behavior and physical changes were associated with difficulties of mothers to keep attention and to interact with healthcare professionals.
- ItemAcesso aberto (Open Access)Teses produzidas nos programas de Pós-Graduação em Enfermagem de 1983 a 2001(Universidade de São Paulo, Escola de Enfermagem, 2005-12-01) Erdmann, Alacoque Loorenzini; Silva, Isília Aparecida; Rodrigues, Rosalina Aparecida Partezani; Fernandes, Josicélia Dumêt; Vianna, Lucila Amaral Carneiro [UNIFESP]; Lopes, Marta Júlia Marques; Santos, Rosangela Da Silva; Araújo, Thelma Leite De; Universidade Federal de Santa Catarina Departamento de Enfermagem; Universidade de São Paulo (USP); Universidade Federal da Bahia Departamento de Enfermagem; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio Grande do Sul Escola de Enfermagem; Universidade Federal do Rio de Janeiro escola de Enfermagem Anna Nery; Universidade Federal do Ceará Departamento de EnfermagemThis study describes the relationship between nursing doctoral dissertations and research lines defined by the Brazilian Nursing field in three areas: professional, care and organizational. It isa descriptive-exploratory research, based on reports of Graduate Programs evaluated by Capes and on The Informative Guide of Nursing Research and Researchers CEPEn/ABEn, from 1983 to 2001, totalling 448 abstracts. The care field includes the greatest production, followed by the organizational and professional areas. The studies disclose tendency towards the qualitative approach revealing possibilities for a more profound knowledge about reality or a more through understanding of social phenomena related to nursing practice. On the other hand, studies on interventions in professional practice and technological development are still under construction.
- ItemAcesso aberto (Open Access)A trajetória da produção científica do Curso de Especialização em Gerenciamento de Serviços de Enfermagem da UNIFESP(Associação Brasileira de Enfermagem, 2008-06-01) Lima, Camila Kelly Gomes De [UNIFESP]; Sanna, Maria Cristina [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This article describes the scientific production trajectory of the Post-Graduate Program in Nursing Services Mangement at São Paulo Federal University based on the analysis of monographies produced by the students over the last 10 years. The study aimed at identifying subjects and objectives and to delineate research lines of these studies, 113 monographs were analyzed. The verification of the simple and relative frequency of the studied variables and the thematic classification according to the theoretical referential on this subject showed that at the beginning the studies did not considered the area of course extent but gradually they began to reach it with emphasis inHuman Resources , which was accelerated with the establishment of a research group with the focus in the sub-specialtynursing management .
- ItemAcesso aberto (Open Access)Use of safety strategies to identify children for drug administration(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2014-01-01) Souza, Sabrina De; Rocha, Patrícia Kuerten; Cabral, Patrícia Fernanda De Almeida; Kusahara, Denise Miyuki; Universidade Federal de Santa Catarina; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE:To understand the use of safety strategies in child identification for drug administration.METHODS:In this cross-sectional study at a pediatric unit, drugs were distributed in a centralized and unique manner. We conducted 373 observations of the process for preparing and distributing drugs carried out by 25 nursing professionals.RESULTS:The pharmacy had distributed 198 (53.1%) medicines without identifying the drugs' label, which, while in storage, was identified with the child's first name handwritten on adhesive tape. At the time of drug preparation, the professional transcribed the drug's name as described in the prescription to the drug label for 173 (90.6%) observations of injectable drug preparation and 161 (88.5%) observations of preparation of oral drugs. Information regarding the five rights of medication administration and preparation, such as the full name of the child, appeared on 10.7% of drug labels.CONCLUSION:No safety strategies to identify children during drug administration were found, nor were any standards for data identification observed.