Aim: to describe the process of implementation of the Sistematization of Nursing Assistance (SNA) in a Post Anesthesic Recovering Unit of a general hospital. Methodology: It concerns to an experience report that emerged from the acting as a nurse in the respective unit, allied to the insertion in the Post Graduation lato sensu course in Nursing in a Surgery Center, Anesthesic Recovering and Center of Sterilization material in a private university of the state of Rio Grande do Sul. Results: the implementation of the Sistematization of Nursing Assistance is a process that requires culture change from the old paradigm of practicing Nursing that, sometimes, is reluctant in registrating its actions. In this sense, the nurse performs an important role that goes from the expansion of the scientific knowledge, followed by educational actions directed to the nursing staff, until the implementation, monitoring and evaluation of the quality of the patient assistance, extended to the relatives. Final considerations: during the implementation of the sistematization of the nursing assistance several difficulties emerged from the nurses concerning the execution, knowledge and staff quantity. Besides that, it was evidenced that the use of information technologies can be used as a facilitator factor in the operalization of the daily actions of the nurse and, in this way, contribute to decrease possible errors and to obtain greater reliability to caring. It was evidenced gradual empowerment of the nurses during the implementation of the assistance, and this one, besides contributing to the expansion of quality and safety of the patients, increased their recognition by attended patients. Sistematization of Assistance in Nursing in a Post
RESUMOObjetivo: analisar as evidências sobre práticas tradicionais e complementares implementadas por profissionais da saúde para a melhoria da qualidade de vida e depressão de pacientes renais crônicos em hemodiálise. Método: trata-se de estudo bibliográfico, tipo revisão integrativa, com artigos originais publicados de 2012 a setembro de 2017 nas bases BDENF, LILACS, MEDLINE, Scopus e Web of Science. Analisaram-se 26 artigos a partir de figuras. Resultados: evidenciaram-se qualidade de vida prejudicada pela doença renal e hemodiálise e escores de depressão entre 10,2 e 33,6; implantaram-se, mais frequentemente, atividades do tipo mente-corpo, terapia física e outras práticas para a saúde, além do uso de produtos naturais, respectivamente. Incluíram-se, entre as abordagens mente-corpo, atividades educativas, musicoterapia, terapia psicológica e outras, que reduziram a depressão e melhoraram a qualidade de vida. Conclusão: constatou-se que as práticas tradicionais e complementares compreenderam, principalmente, abordagens mente-corpo, que produtos naturais merecem mais investigações e tais ações podem melhorar a qualidade de vida, os sintomas depressivos e devem ser utilizadas para qualificar o cuidado. Descritores: Terapias Complementares; Insuficiência Renal Crônica; Qualidade de Vida; Depressão; Terapias Mente-Corpo; Exercício. ABSTRACT Objective: to analyze the evidence on traditional and complementary practices implemented by health professionals to improve the quality of life and depression of chronic renal patients on hemodialysis. Method: this is a bibliographical study, type integrative, with original articles published from 2012 to September 2017 in the databases BDENF, LILACS, MEDLINE, Scopus and Web of Science. We analyzed 26 articles from figures. Results: quality of life was impaired by renal disease and hemodialysis and depression scores between 10.2 and 33.6; mind-body activities, physical therapy and other health practices, as well as the use of natural products, were implemented more frequently. Included among mind-body approaches were educational activities, music therapy, psychological therapy and others, which reduced depression and improved quality of life. Conclusion: it was found that traditional and complementary practices mainly understood mind-body approaches, that natural products deserve further investigation and such actions can improve quality of life, depressive symptoms and should be used to qualify care. Descriptors: Complementary Therapies; Chronic Renal Insufficiency; Quality of life; Depression; Mind-Body Therapies; Exercise. RESUMEN Objetivo: analizar las evidencias sobre prácticas tradicionales y complementarias implementadas por profesionales de la salud para mejorar la calidad de vida y depresión de pacientes renales crónicos en hemodiálisis. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, con artículos originales publicados de 2012 a septiembre de 2017 en las bases BDENF, LILACS, MEDLINE, Scopus y Web of Science. Se analizaron 26 artículos a partir de figuras. Resultados: se evidenció calidad de vida perjudicada por la enfermedad renal y hemodiálisis, puntajes de depresión entre 10,2 y 33,6; se implantó más a menudo actividades del tipo mente-cuerpo, terapia física y otras prácticas para la salud, y uso de productos naturales, respectivamente. Se incluyeron entre los abordajes mente-cuerpo actividades educativas, musicoterapia, terapia psicológica y otras, que redujeron depresión y mejoraron calidad de vida. Conclusión: se constató que las prácticas tradicionales y complementarias comprendieron principalmente abordajes mente-cuerpo, que productos naturales merecen más investigaciones y tales acciones pueden mejorar la calidad de vida, síntomas depresivos y ser utilizadas para calificar el cuidado. Descritores: Terapias Complementarias; Insuficiencia Renal Crónica; Calidad de Vida; Depresión; Terapias Mente-cuerpo; Ejercicios.
Aim: To evaluate attitudes about the safety atmosphere of a surgery staff before and after an educational action for the implementation of the safe surgery checklist. Method: Quantitative research of experimental type in the period of December 2016 to November 2017. A questionnaire of Safety Attitudes was applied, Surgical Center version for 101 professionals that work in the surgical center of a general hospital before and after na educational action for the implementation of the safe surgery checklist. The data analysis was done with the use of descriptive statistics. Results: Most of the items belonging to the SAQ/CC obtained increase in averages after the educational action. “Communication in the Surgical Atmosphere” was the most approached domain highlighted in the educational action and presented an increase of the averages in all itens; the item that didn´t obtain a satisfactory score in this domain was “The equipments of the surgical center are adequate”. The most pontuated descriptive measure after the educational action was “The transmission of information among professionals of the surgical center before the realization of a surgical procedure is important for the security of the patient”, with a lower deviant pattern. Conclusion: The educational action developed aiming at the implementation of the safe surgery checklist is importante to qualify the assistance to the patient in the surgical period with safety.
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