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International Archives of Medicine
Working Groups
Patient Safety Culture In Health Organizations: Scoping Review

Objective: identify and map the forms to evaluate the patient safety culture in health organizations.

Method: scoping review, developed based on the method proposed by the Joanna Briggs Institute. Data collection occurred in June 2016 in 15 international databases. Descriptive statistics was used for data analysis.

Results: the sample consisted of 75 publications. Among the eleven instruments identified to evaluate the safety culture, the Hospital Survey on Patient Safety Culture questionnaire and the Safety Attitudes Questionnaire had the greatest international repercussion, since they were adapted, validated and used in different continents and contexts.

Conclusion: The synthesis of the instruments enabled clarifying their characteristics, and how they can be important tools to support and accompany changes in the safety culture over time.

Descriptors: Patient’s safety; Organizational culture; Nursing;

from International Archives of Medicine

Prevalence Of Burnout Syndrome And Factors Associated With University Teachers

This is a systematic review that sought to identify the prevalence and factors associated with Burnout Syndrome in university teachers. The collection of the studies was done through descriptors in databases, which resulted in the selection of 8 articles. The prevalence for burnout had a small variation, but presented worrying values. The most frequent associated factors were: work overload, accumulation of activities beyond teaching, high employment ties, devaluation of the work performed and low remuneration. Burnout is still little recognized and studied in the category of university teachers, and it is difficult to identify an exact prevalence for this category. However, the associated factors are well defined and should be considered as a starting point for the prevention of the syndrome.

from International Archives of Medicine

Tourniquet: Knowledge Of Emergency Nurses In Face Of Its Risks And Benefits

Introduction: The population has experienced an urban martyrdom in traffic due to the growing number of vehicles, which in many cases have not accompanied the development of their respective cities in the social and structural questions. With this, it became routine situations to encounter the Emergency Mobile Assistance Service (SAMU) addressing accident victims, in which some of them lose their lives on public roads in the face of the need to receive treatment for complications arising from the trauma mechanism in very short time.

Objective: The study evaluated nurses’ knowledge regarding the applicability of the tourniquet, from a risk and benefit perspective.

Method: It is an exploratory type research, with quantitative character and approach, it was performed with 30 (thirty) SAMU nurses, who were informed about the objectives of the same. They were included those who provided direct assistance to the population; Of effective positions or contracted in the service; And those with more than 1 year of service at SAMU. The instrument used for data collection was a questionnaire, previously elaborated, containing objective, subjective and non-inductive questions, which allowed the informant to answer the data pertinent to the study.

Results: The study highlighted the predominance of women among the nurses, aged between 31 and 35 years, specialists, with more than 7 years of training, and with time of operation in Pre-hospital Care between 1 and 3 years. It can be observed that they are aware of the definitive treatment related to the types of hemorrhages, as well as the factors that interfere in their severity. They would be able to carry out a hemorrhage, but they were outdated in relation to the applicability of the tourniquet, reporting being the first-choice method for restraining the hemorrhages.

Conclusion: Therefore, tourniquets can be used safely for up to 120 to 150 minutes, without significant nerve or muscle damage. Its application is considerable in regard to the preservation of life.

Keywords: Prehospital Care. Bleeding. Tourniquet.

from International Archives of Medicine

Epidemiological Profile Of Vascular Encephalic Accident (VEA) Victims Hospitalized In A Regional Hospital Of Paraíba, Brazil

Introduction: Responsible for a high mortality rate and for causing numerous sequels in the general population, stroke arises from a deficiency in cerebral oxygen supply, commonly caused by obstruction of the arteries or extravasation of blood for the tissue. Genetic factors, style and quality of life are factors directly related to the incidence of stroke and its numerous hospitalizations.

Objective: The study aimed to describe the epidemiological profile of hospitalized patients after clinical diagnosis of stroke.

Methodology: This is a retrospective study, with a quantitative approach, carried out through the analysis of 252 medical records of patients hospitalized in the Medical Clinic and in the Mixed Stroke Unit of the Deputado Janduhy Carneiro Regional Hospital, in the municipality of Patos – PB, in the period of January 1 to December 31 2015. All medical records of patients affected by stroke in 2015 were included; internal with clinical diagnosis of stroke; Computed Tomography of Skull; Neurologist’s evaluation; and readable handwriting. Data were collected using a questionnaire with objective questions, including variables related to the objective of study. They were submitted to simple statistical analysis and later, discussed and related to the literature from the reading and the comprehension of the researchers.

Results: It was observed that the affected victim is woman, over 70 years of age, brown, living in an urban area and retired. The most frequent etiology of the stroke is of the ischemic type, being able to notice preexisting diseases in the patients, such as Arterial Hypertension and Heart diseases. 42% of patients were discharged after treatment in less than 15 days (78%). By causing many deaths and disabilities, bringing not only human, but social and financial damage to the health and social security system.

Conclusion: More and more studies are needed to diagnose the causes of stroke, consequences and possible decisions that attenuate this problem.

Keywords: Vascular Encephalic Accident. Hospitalization. Prognosis.

from International Archives of Medicine

The Scientific production about the Human Caring Theory: a bibliometric study

The Human Caring Theory supports and guides the nursing care with a view to a holistic and transpersonal care, bringing attention love, ethics and spirituality as an essential component of care. Therefore, this study aimed to analyze Bibliometric indicators of scientific literature concerning the Human Caring Theory disseminated in journals online, with an emphasis on characterization of publications. It is a Bibliometric study in a quantitative approach. The sample was made up of 55 articles published from 1995 to 2015. The data obtained showed that the national journals are published on Human Caring Theory, with predominance of original articles published between the years 2010 and 2011. It is concluded that the publications about the subject investigated quantitative feature listless, considering the period researched. It is suggested to conduct new studies to broaden and deepen the knowledge. 

Key words: Nursing; Nursing Theory; Nursing Care; Bibliometrics; Comprehensive Health Care.

from International Archives of Medicine

Epidemiological Profile Of Children With External Ventricular Drainage

Objective: tracing the epidemiological profile, focused on infectious aspects, of children undergoing insertion of external ventricular drainage valve for the treatment of hydrocephalus.

Method: A retrospective, documentary and descriptive study of clinical and epidemiological approach with a quantitative analysis of the findings. The sample consisted of 53 children in a pediatric hospital of reference in the state of Paraiba in the period July 2009 to December 2014. For data analysis, non-parametric tests were used, and the chi-square test and Fisher test performed according to the statement.

Results: Among the 53 children who participated in our study, 49.1% (26) died. According to the causes found on the death certificate, 69.2% of the causes of death described relation to infection.

Conclusion: the high rates of CNS infections and other acquired infections, resulting in the deaths of children who underwent insertion of EVD valve, they are the result of a set of facts involving the care of a multidisciplinary team. The high incidence presented in the shunt study showed that changes and system remaining in the patient to a risk factor for infection.

from International Archives of Medicine

Scientific Production of Patient’s Electronic Health Record in Online Journals from Brazilian scenario

The study aims to analyse the scientific production about patient’s Electronic Health Record (EHR) available in online journals from 2006 to 2015. This is an integrative review. The search was conducted in the Virtual Health Library and Portal Capes, considering only studies in Portuguese. The sample consisted of 17 articles. It was observed that from 2011 to 2012 is the period with the highest number of publications about the investigated issue. The majority of papers were published in journals in the area of computer science and the most common modality of publication was original article. It was found that scientific productions involving Electronic Health Record discussed about its importance and implementation in health services, as well as perceptions of health professionals about its utilization. The research evidenced the relevance of EHR in health services, emphasizing necessity for improved regulations of ethical and legal issues and creation of legal provision to concede judicial validity in Brazil.

from International Archives of Medicine

Circadian rhythm of body temperature and chronotype in night shift students and workers

This is a descriptive and exploratory study aiming to analyze the circardian rhythm of oral temperature and classify chronotypes in two groups (56 students and 34 nursing workers). The Horne&Ostberg questionnaire (1976) and digital thermometers were used. The average age of nursing workers was 34.4 years old; and of students was 26.2 years old. Working time showed significant difference (p<0,0001). Morning students showed cosinor parameters: mesor = 36,4609, amplitude = 0,2335 and acrophase =14,4658, with p-value = 0,0009; evening students showed mesor = 36,4215, amplitude= 0,2263 and acrophase= 14.3009, with p-value < 0,0001. Morning shift nursing workers presented: mesor = 36,2196, amplitude = 0,4007 and acrophase =15,0746, with p-value<0,0001. Indifferent chronotype was prevalent for the population of nursing professionals and the evening type for students. The findings showed circadian rhythm. 

from International Archives of Medicine

The Importance Of Early Nephrology Referral Of Patients With Chronic Kidney Disease

Late referral of patients with chronic kidney disease (CKD) to the Nephrologist is associated with higher mortality. We have evaluated the impact of early referral to Nephrologist in a specialized health care service in Fortaleza, Ceará, Brazil. A total of 98 patients were analyzed. Mean age was 60.9±5 years, and the majority of them were female (56.1%). The majority of patients was in stage III of CKD (43.8%), followed by stage II (24.4%). In the re-evaluation, after 6 months of follow-up, 37.9% of patients had renal function improvement and were classified in a new CKD stage. Early Nephrologist referral seems to be adequate and can be associated with lower incidence of complications, need of dialysis and mortality.

from International Archives of Medicine

Buschke-Lowenstein Tumor

Giant Condyloma acuminatum (GCA) , or Buschke-Lowenstein tumor (BLT), is a slow-growing, locally destructive, rare tumor that may occur in the anogenital region and it is related to human papillomavirus (HPV), which was first described by Buschke – Lowenstein in 1925. After consulting the databases of Latin American and Caribbean Literature (LILACS) and International Literature in Health Sciences and Biomedical (PubMed), without temporal delimitation or study design, using the MeSH terms “vulvar neoplasms,” “giant condyloma of Buschke and Lowenstein”, “condylomata acuminate”, we found 24 articles. After exclusion of the articles that did not address the BLT, it remained ten cases reported in the literature. We reported a case of BLT that clashes with the profile described in the literature. Consent was obtained from the patient for publication of the case and images.

from International Archives of Medicine