Nº 33 Enero 2014 Página 371 Neonatales, su impacto en la morbilidad y mortalidad neonatal, factores asociados con este fenómeno y los mecanismos de prevención son las estrategias para la construcción de un sistema de salud más seguro y de calidad. RESUMO Trata-se de uma revisão integrativa da literatura realizada em bases de dados online, no período entre 2002-2012, com o objetivo de identificar as publicações disponíveis sobre incidência, fatores relacionados, consequências e/ou mecanismos de prevenção dos erros de medicação na Unidade de Tratamento Intensivo Neonatal. Os resultados foram categorizados segundo as temáticas centrais do delineamento da revisão. Conclui-se que o conhecimento aprofundado da magnitude dos erros e eventos adversos à medicamentos na Unidade de Tratamento Intensivo Neonatal, seu impacto na morbimortalidade neonatal, os fatores associados a essa ocorrência e os mecanismos de prevenção são estratégias para a constru
Introduction The high-risk newborns may require long periods of hospitalization until they reach clinical stability for hospital discharge. Avoiding babies to be in only one body position may be an effective way to cause respiratory and neuro-psycho-motor benefits, comfort and preventing pressure ulcers.Objectives This study investigated the impact of physiotherapy/nursing integration in update on body positioning of the newborn in the Neonatal Intensive Care Unit.Methods A questionnaire was administered to nurses and nursing technicians of the neonatal unit of Maternity School of UFRJ and nurses of the Advanced Course in Neonatal Nursing from the same institution. Two classes were taught by the physical therapist of the sector and the questions answered before and after these lessons. It was also a brief characterization of professional participants of the study. We used the Student's t test to compare the correct answers before (PRE) and after (POST) the classes, considering p < 0.05.Results There was a significant increase in the degree of knowledge of nurses and nursing technicians when compared the responses before (nurses: 68.8%; technicians: 70.1%) and after classes (nurses: 78.4 %; technicians: 88.9%). The nurses were less than five years of graduated (45%) and little time of professional experience in neonatology (60%). Forty-seven percent of technicians had less than five years of training and 82% had less than 10 years of experience.Conclusion The use of training by the nursing staff was significant, showing the importance of multidisciplinary approach and the integration of knowledge in the search for a humanized and effective care.
Com o objetivo de identifi car, na literatura científi ca, as melhores intervenções para prevenir o surgimento daslesões por fricção do tipo skin tears no idoso, este estudo adotou um método de revisão integrativa das produçõescientífi cas disponíveis nas bases de dados da Pubmed (Public MEDLINE - Literatura Internacional em Ciências daSaúde) e na Biblioteca Virtual em Saúde (BVS). Resultados: Após a busca, seleção e análise prévia dos artigos, 12foram selecionados para compor a amostra, a maior parte (73,5%) produzidos por enfermeiros, todos publicados eminglês, sendo 50% estadunidenses e nenhum brasileiro. Conclusões: Foram agrupadas quatro esferas de cuidadopara prevenção das lesões do tipo skin tears: manter a homeostase cutânea no processo do envelhecimento; evitaracidentes com a pele no contexto da senilidade; proteger a pele senil do trauma mecânico; sistematizar e educarpara o cuidado com a pele do idoso.Palavras-chave: Lesões; Atenção à Saúde do Idoso; Enfermagem. ABSTRACTIn order to identify the scientifi c literature the best interventions to prevent the onset of lesions friction typeskin tears in the elderly, this study adopted a method of integrative review of the available scientifi c productionin the databases of PubMed (MEDLINE Public - International Literature Health Sciences) and VHL (Virtual HealthLibrary). Results: After the search, selection and analysis of previous articles, 12 were selected for the sample, themajority (73.5%) produced by nurses, all published in English, with 50% and no Brazilian Americans. Conclusions:Four spheres of care for injury prevention type of skin tears were grouped: maintaining skin homeostasis in theaging process; prevent injury to the skin in the context of senility; protect the senile skin mechanical trauma;organize and educate for the skin care of the elderly.Keywords: Injuries; Health care of the elderly; Nursing.
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