Objective: To identify risk factors for peripheral intravenous catheter-related phlebitis in adult patients. Method: This is a post hoc analysis of a randomized clinical trial, totaling 1,319 patients. Demographic and clinical variables related to therapy and phlebitis were investigated. For data analysis, frequencies, measures of central tendency and dispersion were calculated, and Pearson’s chi-square test and Fisher’s exact test were used, with logistic regression, ROC curve, and Odds Ratio calculation (95% confidence interval; 5% significance level) being implemented. Results: Of the 1,319 participants, 80 (6.1%) developed phlebitis. The following were associated with the occurrence of phlebitis: reduced mobility (p = 0.015), family history of deep vein thrombosis (p = 0.05), catheterization of veins on the back of the hand (p = 0.012), pain (p < 0.01), Amoxicillin-Potassium Clavulanate (p = 0.015), and Omeprazole Sodium (p = 0.029). Conclusion: Risk factors for phlebitis involved intrinsic and extrinsic factors to the patient, indicating preventive nursing interventions such as promoting patient mobility, not catheterizing veins in the dorsal arch of the hand, cautious infusion of risk drugs, and valuing pain complaints.
Objective: to perform the transcultural adaptation and content validity analysis of the
Johns Hopkins Fall Risk Assessment Tool to assess both fall risk and fall-related
injury risk for hospitalized elderly in Brazil. Method: the transcultural adaptation consisted of translating the scale to Portuguese
(Brazil), back-translating it into its language of origin, establishing a
consensus version, and having an expert committee verify its transcultural
equivalence. Content assessment was conducted by a committee of judges, ending
with the calculation of the items and scales' content validity index. Nurses
tested the tool. Results: the scale's translated version went through two evaluation rounds by the judges,
based on which, the items with unsatisfactory performance were changed. The
content validity index for the items was ≥80.0% and the global index 97.1%. The
experimental application showed the scale is user-friendly. Conclusion: the scale presents valid content for the assessment of fall risk and risk of
fall-related injuries and is easy to use, with the potential to contribute to the
proper identification of risks and the establishment of care actions.
RESUMENObjetivo: conocer las facilidades y dificultades del enfermero en la atención recibida por las familias de niños hospitalizados, según la Teoría del Cuidado Humano Jean Watson. Método: Se utilizó el abordaje cualitativo descriptivo y tres etapas para la recolección de datos: presentación de contenidos teóricos; relación con las familias según la teoría de Watson y entrevistas semiestructuradas con 12 enfermeros de pediatría. Las entrevistas fueron interpretadas según análisis temático inductivo, y fue posible formar tres temas: reconocimiento una referencia para la atención, teniendo en cuenta el contexto institucional y desafíos en la relación con la familia. Resultados: La teoría favorece la reflexión sobre el self, acerca de las instituciones y acerca de la relación con la familia del niño, normalizada por una toma de conciencia de las actitudes hacia el cuidado. Conclusión: En este proceso, es imperativo que el enfermero reconozca los fundamentos teó-ricos y filosóficos de la atención a la familia del niño en el hospital.
DESCRIPTORES
ABSTRACTObjective: To know the facilities and the difficulties of nurses in caring practice of hospitalized children's families in the light of Jean Watson's Theory of Human Caring. Method: It was used the descriptive qualitative approach. The data collection was conducted in three stages: presentation of theoretical content; engagement with families in the light of Watson's theory; and semi�structured interview with 12 pediatric nurses. The interviews were analysed using inductive thematic analysis, being possible to form three themes: Recognizing a framework for care; Considering the institutional context; and Challenges in family's relationship. Results: The theory favored reflections about self, about the institutions and about nurses' relationship with the family of the child, normalized by a consciousness toward caring attitudes. Conclusion: In this process, it is imperative that nurses recognize the philosophical� theoretical foundations of care to attend the child's family in hospital.
DESCRIPTORSChild, hospitalized Nursing care Nursing theory Professional�family relations Family nursing Models, nursing
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