BACKGROUND AND OBJECTIVES: A major complaint of cancer patients is pain. In Brazil, it is estimated that 62 to 90% of cancer patients have some type of pain; however in Brazil pain is still inadequately controlled and managed for cancer patients, being that 24.5 to 46.6% have their pain inadequately managed. This study aimed at identifying in the Brazilian literature the status of nursing assistance and knowledge about cancer pain to deepen knowledge about nursing care practices for painful cancer patients. CONTENTS: This is an exploratory study by means of integrative literature review. National studies in Portuguese language and fully available in LILACS, Scielo and BDENF databases, published between 2002 and 2012 were used, achieving a final sample of 24 articles, which were grouped in 3 thematic axes portraying difficulties faced by nurses to assist painful cancer patients, going from poor knowledge to the scarce number of professionals, in addition to the scarcity of studies addressing the theme. CONCLUSION: Results of our study have contributed to the scientific background of the nursing team, giving them support for the acquisition of pain management skills, especially with regard to its adequate measurement, major aspects of intervention and predominant stumbling-blocks for pain management.
A avaliação clínica diária realizada pelos enfermeiros mantém atualizada a situação de cada paciente. Para dinamizar esta assistência, o enfermeiro utiliza tecnologias assistenciais, que muitas vezes não atende às necessidades do profissional e do paciente. Diante disto, este estudo teve como objetivo elaborar e obter consenso sobre uma tecnologia assistencial para avaliação clínica de enfermagem no período pós-operatório. Trata-se de uma pesquisa descritiva e metodológica com abordagem quantitativa, utilizando também o processo de consenso. Para testar sua validade participaram deste estudo 9 juízes-especialistas e 15 enfermeiros como público-alvo. Na avaliação dos juízes-especialistas, a tecnologia assistencial foi considerada como parcialmente adequada, sendo necessária à reformulação da mesma. Após esta etapa, foi realizada a análise do público-alvo, que julgou a tecnologia assistencial reformulada como adequada para a sua finalidade. Concluiu-se que a tecnologia assistencial elaborada e condensada neste estudo auxilia os enfermeiros a executarem de maneira dinâmica e eficaz esta assistência de enfermagem. 76 Elaboração e consenso de uma tecnologia assistencial para avaliação clínica de enfermagem no período pós-operatórioThe daily clinical evaluation performed by nurses keeps each patient's situation updated. To streamline this assistance, the nurse uses assistive technologies, which sometimes do not meet the professional's and the patient's needs. Thus, this study aimed to develop and obtain consensus on an assistive technology for nursing clinical assessment in the postoperative period. It is a descriptive and methodological research with quantitative approach, also using the consensus process. To test its validity nine judges-specialists and 15 nurses participated in this study as the target audience.According to the judges-experts evaluation, assistive technology was partially adequate, but it needed some reformulation. After this stage, the analysis from the target audience was performedwho considered the reformulated assistive technology appropriate for its purpose. It was concluded that the assistive technology, elaborated and consensed in this study, helps nurses to implement a dynamic and effective nursing care.KeywOrds: Technology. Nursing care. Physical examination. Quality management. Safety management. IntroduçãoA sistematização da assistência de enfermagem (SAE) é entendida como um instrumento metodológico que possibilita ao enfermeiro identificar, compreender, descrever, explicar e/ou predizer como a clientela responde aos problemas de saúde ou aos processos vitais, determinando que aspectos dessas respostas exijam uma intervenção profissional de enfermagem 1 . A SAE é constituída por cinco etapas: investigação, diagnóstico de enfermagem, planejamento, implementação e avaliação, priorizando a assistência individualizada, fundamentadas em teorias de enfermagem 2 . Na primeira etapa da SAE, investigação, está inserida a fase de coleta de dados, sendo que este trabalho consiste nas informações r...
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