46 results on '"Echer IC"'
Search Results
2. Perceptions of academics and nursing staff about the extension project: "Walking through the hospital".
- Author
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Rosa YLD, Boni FG, Leite RM, Cunha JRT, and Echer IC
- Subjects
- Humans, Qualitative Research, Hospitals, University, Faculty, Nursing, Nursing Staff, Students, Nursing, Nursing Staff, Hospital
- Abstract
Objective: To know the perception of academics and nursing staff about the extension project "Walking through the hospital"., Method: Qualitative study conducted in a Brazilian university hospital from November/2019 to April/2022 with nursing students and professionals participating in a university extension project. Data were collected using instruments on the Google Forms® platform and submitted to Content Thematic Analysis. The project was approved by the Ethics Committee., Results: Fifteen academics, four nurses and six nursing technicians participated in the study. Four categories emerged from the analysis: "Knowing the hospital environment/dynamics", "Articulation between theory and practice","Bond between academics and health care professionals" and "Work process in the unit"., Final Considerations: The findings highlight the importance of university extension in providing knowledge and experienceof hospital clinical practice, which can contribute to strengthening teaching and academic training in nursing.
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- 2023
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3. Validation of manual to complement the transition of care at discharge from intensive care.
- Author
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Zucchetti M, Severo IM, Echer IC, Borba DDSM, Nectoux CLS, and Azzolin KO
- Subjects
- Adult, Humans, Patient Transfer, Critical Care, Intensive Care Units, Patient Discharge, Body Fluids
- Abstract
Objective: To develop and validate an interprofessional manual for the transfer of care to critically ill adult patients., Method: Methodological study, conducted from January to September 2019. The content of the manual was listed by the multidisciplinary team of an adult Intensive Care Unit, in southern Brazil. In the validation by the professionals, the content validity index (CVI) of the evaluation questions was calculated. Subsequently, a sample of 30 patients/caregivers evaluated the product, and the arithmetic mean of the questions was calculated., Results: The manual addresses important information and care transition guidance for patients and caregivers, from admission to the intensive care to discharge to the inpatient unit. The professionals' CVI ranged from 0.9 to 1. The arithmetic mean of 17 patients and 13 caregivers was 3.8., Final Considerations: The validated manual can be used as a complementary material for health education and qualify the transition of care.
- Published
- 2022
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4. Elaboration and validation of a protocol for the care of patients with COVID-19 in hemodialysis centers.
- Author
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Knebel G, Breitsameter G, Proença MCDC, Breitsameter RMM, Figueiredo CR, and Echer IC
- Subjects
- Brazil, Consensus, Humans, Renal Dialysis, COVID-19 epidemiology, COVID-19 therapy, Nursing Care
- Abstract
Objective: To describe the elaboration and validation of a protocol for the care of suspected patients with Coronavirus Disease-19 (COVID-19) undergoing hemodialysis., Method: A methodological study conducted from March to August 2020 at a hospital in southern Brazil. The study involved situational diagnosis, literature review, protocol elaboration and content validation (scope, clarity and relevance). Ten professionals from the multidisciplinary team with experience in caring for patients with kidney disease and an official Nursing supervisory body participated in the validation. 100% consensus was reached among the experts., Results: The following were elaborated: "Flow of patient care consisting of six stages" and "Management plan for dialysis centers". The validation allowed improving and refining the content, complying with the precepts of health standards, safety and clinical guidelines., Final Considerations: The elaboration and validation of the protocol can standardize and guide the clinical practice, promoting continuity and safety in care, and can be used in other centers.
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- 2022
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5. Effects of an educational intervention with nursing professionals on approaches to hospitalized smokers: a quasi-experimental study.
- Author
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Boni FG, da Rosa YL, Leite RM, Lopes FM, and Echer IC
- Subjects
- Hospitalization, Humans, Patient Discharge, Smoking, Smokers, Smoking Cessation
- Abstract
Objective: to assess the effects of an educational intervention on smoking cessation aimed at the nursing team., Method: this is a quasi-experimental study with 37 nursing professionals from a Brazilian hospital from May/2019 to December/2020. The intervention consisted of training nursing professionals on approaches to hospitalized smokers divided into two steps, the first, online, a prerequisite for the face-to-face/videoconference. The effect of the intervention was assessed through pre- and post-tests completed by participants. Smokers' medical records were also analyzed. For analysis, McNemar's chi-square test was used., Results: there was an increase in the frequency of actions aimed at smoking cessation after the intervention. Significant differences were found in guidelines related to disclosure to family members of their decision to quit smoking and the need for support, encouragement of abstinence after hospital discharge, and information on tobacco cessation and relapse strategies., Conclusion: the educational intervention proved to be innovative and with a great capacity for disseminating knowledge. The post-test showed a positive effect on the frequency of actions aimed at smoking cessation implemented by the nursing team.
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- 2022
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6. Routine workflow in a reference clinical research center in face of COVID-19.
- Author
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Cardoso ASF, Silva SMR, Rabelo-Silva ER, Umpierre D, Sostizzo LDRZ, and Echer IC
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- Humans, Reproducibility of Results, Research Personnel, SARS-CoV-2, COVID-19 epidemiology, COVID-19 prevention & control, Clinical Trials as Topic methods, Pandemics, Practice Guidelines as Topic, Workflow
- Abstract
Objective: To develop and validate the content of workflows for trial participants care in a clinical research center during the Covid-19 pandemic., Method: development study by consensus of experts carried out from March to July 2020 in southern Brazil. The flowcharts were developed following literature and validated by specialists considering comprehensiveness, clarity and pertinence, obtaining a 100% agreement index on each item of the developed instruments. The study was approved by the Ethics Committee of the institution., Results: two flowcharts of care were elaborated and validated: "Flow diagram to conduct protocols with research participant " and "Flow diagram in protocols with research participant with suspected or confirmed COVID-19 infection"; which describes activities to ensure continuity of care., Final Considerations: a routine workflow can promote the continuity and safety of clinical research protocols. It is expected that the adopted flowcharts in this study can guide other institutions with a similar research profile.
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- 2021
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7. Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?
- Author
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Osmarin VM, Bavaresco T, Hirakata VN, Lucena AF, and Echer IC
- Subjects
- Chronic Disease, Humans, Lasers, Prospective Studies, Wound Healing, Varicose Ulcer therapy
- Abstract
Objectives: to evaluate the effects of venous ulcer healing in patients after six months of conventional treatment and adjuvant low-power laser therapy., Methods: prospective cohort study nested in a randomized clinical trial with 38 patients, allocated into an intervention group (conventional treatment and adjuvant laser therapy) and a control group (conventional treatment). Patients were followed up as outpatients, sociodemographic and clinical variables were collected, and indicators of the outcomes Wound healing: secondary intention (1103) and Tissue integrity: skin and mucous membranes(1101) of the Nursing Outcomes Classification. Generalized estimating equations, Kaplan-Meier tests, and robust Poisson regression were used in the analysis., Results: the clinical indicators Decreased wound size and Scar formation showed a statistically significant difference in the intervention group, higher number of healed wounds, lower rate, longer time to relapse., Conclusions: laser therapy adjuvant to conventional treatment returned better results in healing and lower recurrence rates after six months of intervention.
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- 2021
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8. Blended learning in permanent education of nursing professionals on smoking cessation.
- Author
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Boni FG, Silva LDBD, Grigolo JI, Boaz SK, Cogo ALP, and Echer IC
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- Curriculum, Educational Status, Humans, Learning, Smoking Cessation
- Abstract
Objective: To develop and validate the content of an educational intervention on smoking cessation for Nursing professionals using a Blended Learning approach., Method: A development and validation study by consensus of experts of the "Smoking Cessation" course for Nursing professionals on approaches to the smoking patient carried out in 2018. For refinement and validation of the final content, a convenience sample was made up of 12 professionals with expertise in the subject natter and an 80% consensus among the participants was considered., Results: The construction of the course involved the choice of subjects, production, and content validation. As a teaching strategy, Blended Learning was used, which has an interactive online stage and a face-to-face meeting to discuss concepts and exchange experiences., Conclusion: The course using a Blended Learning method proved to be innovative, low-cost, and with great capacity for disseminating knowledge, being an important ally to permanent education in health.
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- 2021
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9. Use of the Nursing Outcomes Classification - NOC to assess the knowledge of patients with venous ulcer.
- Author
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Osmarin VM, Boni FG, Bavaresco T, Lucena AF, and Echer IC
- Subjects
- Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Health Knowledge, Attitudes, Practice, Standardized Nursing Terminology, Varicose Ulcer therapy
- Abstract
Objective: To evaluate the knowledge of patients with venous ulcers (VU) on their chronic disease, treatment, and prevention of complications, according to the Nursing Outcomes Classification-NOC., Methods: This is a cross-sectional study conducted between 2017 and 2018 in a Brazilian hospital. The sample consisted of 38 patients with VU attended in outpatient nursing consultations. The study analyzed sociodemographic, clinical and nine indexes from the Knowledge: Chronic Disease Management (1847) of the NOC, assessed using a five-point Likert scale, analyzed using descriptive statistics., Results: The mean of the result Knowledge: Chronic Disease Management (1847) was 3.56±1.42. The clinical index Procedures involved in treatment regimen had the highest mean 4.18±0.21, followed by Pain management strategies with 3.92±0.27. In the association between knowledge and healing, the best scores were in patients with at least one healed VU., Conclusion: The knowledge of the patients was moderate and it was necessary to promote educational actions according to individual demands.
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- 2019
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10. Evaluation of Patients in a Smoking Cessation Support Group Using the Nursing Outcomes Classification.
- Author
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Monteiro Mantovani V, Rodríguez Acelas AL, Klockner Boaz S, Cañon-Montañez W, Lucena AF, and Echer IC
- Subjects
- Female, Humans, Male, Middle Aged, Prospective Studies, Substance Withdrawal Syndrome, Outcome Assessment, Health Care, Self-Help Groups, Smoking Cessation
- Abstract
Purpose: To evaluate patients in a smoking cessation support group using the Nursing Outcomes Classification (NOC)., Methods: Prospective observational cohort study conducted with 21 patients participating in a smoking cessation support group. Data were collected using an instrument consisting of 2 NOC outcomes and 20 indicators, applied during each of the six support group meetings., Findings: The two NOC outcomes, Smoking Cessation Behavior (1625) and Substance Withdrawal Severity (2108), showed statistically significant differences over time in many of their indicators., Conclusions: The NOC outcomes demonstrated the clinical evolution and behavioral improvement of patients during the smoking cessation process., Implications for Nursing Practice: The findings highlight important elements of the evaluation of behavioral change and severity of withdrawal symptoms., (© 2018 NANDA International, Inc.)
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- 2019
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11. Elaboration and validation of a drug administration checklist for patients in research protocols.
- Author
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Cardoso ASF, Muller S, Echer IC, Rabelo-Silva ER, Boni FG, and Ribeiro AS
- Subjects
- Administration, Intravenous, Brazil, Consensus, Drug-Related Side Effects and Adverse Reactions prevention & control, Hospitals, University, Humans, Injections, Subcutaneous, Medication Errors prevention & control, Medication Systems, Hospital organization & administration, Nursing Staff, Hospital, Patient Identification Systems, Patient Safety, Personal Protective Equipment, Checklist, Pharmaceutical Preparations administration & dosage, Research Subjects
- Abstract
Objective: To describe the elaboration and validation of a checklist as a strategy for safe drug administration., Method: It is a Validation study by consensus of experts conducted from January to June 2018, in a Clinical Research Center of a university hospital. The checklist was validated by three nurses, two nursing technicians, a pharmacist, two nurse teachers and one medical teacher, all with extensive experience in drug administration and in clinical research. For the final version of the checklist, a consensus of 100% was considered., Results: A guide was prepared consisting of six items to be checked by the care team before, during and after administration of Clinical Research drugs., Conclusion: The validation of the checklist provided guiding elements for the prevention of behaviors that could lead to the risk of adverse events and also allowed the care teams to seek safe strategies of care in drug administration.
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- 2019
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12. Effective communication on temporary transfers of inpatient care.
- Author
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Hemesath MP, Kovalski A, Echer IC, Lucena AF, and Rosa NGD
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- Forms and Records Control, Hospital Records, Hospital Units, Humans, Inpatients, Patient Care Team, Patient Safety, Patient Transfer organization & administration, Transportation of Patients, Interdisciplinary Communication, Patient Transfer standards
- Abstract
Objective: To describe the implementation of a standardized process of effective communication for the temporary transfer of inpatient care., Method: Experience report of the implantation of a process of temporary transfer of care between professionals of the hospital wards and areas of diagnostic-therapeutic procedures of a university hospital in the south of Brazil. The process began in 2015 involving adult wards and radiology, being expanded to other areas of the hospital in 2017. The construction of the form was done through meetings and training with the professionals involved in order to contemplate the specificities of care., Result: The elaborated form contemplates relevant aspects about the patient, subsidizing the professionals during the transitions of the care, transportation and accomplishment of procedures., Final Considerations: Its implementation added security and strengthened the process of effective and structured communication among nursing professionals.
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- 2019
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13. Effective communication for the safe care of patients with ventricular assist device implantation.
- Author
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Lemos DMP, Barcellos RA, Borba DDSM, Caballero LG, Goldraich LA, and Echer IC
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- Ambulatory Care, Brazil, Caregivers education, Female, Health Personnel education, Heart Failure nursing, Heart Failure psychology, Heart Failure therapy, Hospitals, University, House Calls, Humans, Interprofessional Relations, Male, Middle Aged, Patient Discharge, Patient Education as Topic, Patient-Centered Care, Professional-Family Relations, Professional-Patient Relations, Quality of Life, Heart-Assist Devices, Interdisciplinary Communication
- Abstract
Objective: To report the role of multiprofessional teams in the effective communication and safe care of patients with left ventricular assist device., Methods: This is an experience report about the use of effective communication for patients with ventricular assist device in a university hospital in southern Brazil. Care based on individualized action and centered on the patients started in 2017., Results: At the institution, the multiprofessional teams attended training sessions and care protocols were established. The patients and caregivers attended systematic educational sessions and home visits were made to arrange patient discharge and urgency plans. Also, the hospital teams located near the patients' homes received basic training., Conclusion: Effective communication between multiprofessional teams, patients, and their families when planning care plays a pivotal role in the early identification of possible complications and their prevention, resulting in a greater survival rate and a better quality of life.
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- 2019
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14. Validation of parameters to fill in the Perroca's patient classification system.
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Macedo ABT, Riboldi CO, Silva KSD, Mergen T, Echer IC, and Souza SBC
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- Hospitals, University, Humans, Monitoring, Physiologic methods, Consensus, Nursing Assessment, Nursing Care organization & administration
- Abstract
Objective: To propose parameters to qualify the filling of the Patient Classification System proposed by Perroca., Method: Validation study by consensus held in 2014, in a university hospital. The sample included 10 specialist nurses, four teachers and a computer science professional, all knowledgeable in the Classification System. The information was collected and analyzed through meetings registration, where strategies were discussed to enable the systematic application of the instrument in the institution. For the construction, it was considered a consensus of 100% among the experts., Results: The computerized parameter guide was elaborated with a description of what to evaluate in each item of the Perroca's instrument, standardizing the filling by the nurses., Conclusions: The parameter guide made it possible to minimize the subjectivity of the evaluators when applying the classification instrument, provided guiding elements to fill it in and qualified the nursing care benchmarking.
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- 2018
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15. Nursing Outcomes for the Evaluation of Patients During Smoking Cessation.
- Author
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Monteiro Mantovani V, Rodríguez Acelas AL, Lucena AF, de Abreu Almeida M, Paz da Silva Heldt E, Klockner Boaz S, and Echer IC
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- Humans, Substance Withdrawal Syndrome, Nursing Assessment, Smoking Cessation
- Abstract
Objectives: To select outcomes of the Nursing Outcomes Classification (NOC) and develop operational definitions for their indicators in order to evaluate patients during smoking cessation., Methods: A consensus study among experts, involving eight nurses. A 100% consensus was required to select the outcomes. Operational definitions were developed based on the literature., Results: Two outcomes were selected, Smoking Cessation Behavior (1625)-with nine indicators, and Substance Withdrawal Severity (2108)-with 11 indicators, for which we developed operational definitions., Conclusions: Consensus allowed the selection of NOC outcomes and indicators, which will allow us to evaluate patients during smoking cessation using a standardized classification., Implications for Nursing Practice: A standardized classification provides a more qualified evaluation of patients during smoking cessation., (© 2016 NANDA International, Inc.)
- Published
- 2017
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16. Cross Mapping Between the Priority Nursing Care for Stroke Patients Treated With Thrombolytic Therapy and the Nursing Interventions Classification (NIC).
- Author
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Nonnenmacher CL, Ávila CW, Mantovani VM, de Oliveira Vargas MA, Echer IC, and de Fátima Lucena A
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- Humans, Interviews as Topic, Nursing Staff, Hospital psychology, Stroke drug therapy, Stroke nursing, Thrombolytic Therapy
- Abstract
Objective: To verify the correspondence between the priority nursing care for stroke patients treated with thrombolytic therapy and the Nursing Interventions Classification (NIC)., Methods: A cross-mapping study with a semi-structured interview was conducted with 11 expert nurses who described priority nursing care in clinical practice, and mapped it to the NIC., Results: Eleven nursing care priorities cited by the nurses were mapped to eight NICs, including Thrombolytic Therapy Management (4270)., Conclusions: There was correspondence between all priority nursing care interventions for stroke patients treated with thrombolytic therapy and the NIC., Implications for Nursing Practice: The nursing care cited by the nurses was corroborated by the NIC, providing evidence for the clinical practice., Objetivo: Verificar a correspondência entre os cuidados de enfermagem prioritários a pacientes com acidente vascular encefálico tratados com terapia trombolítica e a Classificação das Intervenções de Enfermagem (NIC). MÉTODOS: Estudo de mapeamento cruzado com uma entrevista semi-estruturada aplicada a 11 enfermeiros especialistas que descreveram os cuidados de enfermagem prioritários na prática clínica, e mapeados para a NIC., Resultados: Onze cuidados de enfermagem prioritários foram citados pelos enfermeiros e mapeados em oito intervenções de enfermagem NIC, incluindo a Thrombolytic Therapy Management (4270). CONCLUSÕES: Houve correspondência entre todos os cuidados de enfermagem prioritários para pacientes com acidente vascular encefálico tratados com a terapia trombolítica e as intervençães de enfermagem NIC. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Os cuidados de enfermagem citados pelos enfermeiros foram corroborados pela NIC, produzindo evidências para a prática clínica., (© 2016 NANDA International, Inc.)
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- 2017
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17. Factors associated with smoking initiation among school-aged adolescents.
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Teixeira CC, Guimarães LSP, and Echer IC
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- Adolescent, Brazil epidemiology, Cross-Sectional Studies, Ethnicity, Family Health, Female, Health Education, Humans, Income, Male, Prevalence, Risk Factors, Sex Factors, Single-Parent Family, Smoking epidemiology, Smoking Prevention, Substance-Related Disorders epidemiology, Tobacco Use Disorder epidemiology, Tobacco Use Disorder psychology, Adolescent Behavior, Smoking psychology
- Abstract
Objective: To identify factors associated with smoking initiation in adolescent secondary school students., Method: This is a cross-sectional study conducted in 2014 with 864 adolescents at a secondary school in southern Brazil. Data were collected using an instrument with sociodemographic questions, application of the Fagerström Nicotine Dependence Scale, and Beck Depression Inventory, and analysed using descriptive statistics, Fisher's Exact test, Chi-square test, Mann-Whitney's test, and the Poisson Regression test., Results: Fifty-four of the adolescents started smoking, of which 35 continued smoking and exhibited high nicotine dependence. Smoking was associated with brown skin (p = 0.020), single-parent household (p = 0.006), a fair family relationship (p = 0.003), and drug users in the family (p = 0.04). A significantly higher prevalence ratio was detected for boys (p = 0.038), higher family income (p> 0.001), living with one family member (p> 0.001), and a fair family relationship (p> 0.001)., Conclusions: We identified factors associated with smoking initiation, revealing the importance of supporting health education strategies to change this reality.
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- 2017
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18. Analysis of managerial and healthcare indicators after nursing personnel upsizing.
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Quadros DV, Magalhães AM, Mantovani VM, Rosa DS, and Echer IC
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- Humans, Retrospective Studies, Hospital Administration, Nursing Staff, Hospital organization & administration, Quality Indicators, Health Care
- Abstract
Objective: analyze healthcare and managerial indicators after nursing personnel upsizing., Method: a retrospective, descriptive study was conducted using data from computer systems of a university hospital in southern Brazil. Healthcare and managerial indicators related to the first half of 2013 and 2014 were statistically analyzed., Results: increases of 40.0% in the number of nurses and 16.0% in the number of nursing technicians led to reductions of 12.0% in the number of sickness absences, 21.8% in positive balance for compensatory time off, 92.0% in paid overtime. Reductions of 75.0% in pressure ulcer rates, 10.5% in the number of falls and 50.0% in infections due to indwelling catheter use were also observed., Conclusion: nursing staff upsizing caused a positive impact on managerial and healthcare indicators and helped qualify care and improve work conditions for the nursing team.
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- 2016
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19. Clinical profile, nursing diagnoses and nursing care for postoperative bariatric surgery patients.
- Author
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Steyer NH, Oliveira MC, Gouvêa MR, Echer IC, and Lucena Ade F
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- Adult, Age Factors, Comorbidity, Cross-Sectional Studies, Female, Humans, Infection Control, Male, Malnutrition nursing, Malnutrition prevention & control, Middle Aged, Mobility Limitation, Nursing Diagnosis, Pain, Postoperative nursing, Patient Positioning nursing, Retrospective Studies, Surgical Wound nursing, Vital Signs, Bariatric Surgery nursing, Nursing Care methods, Postoperative Care nursing
- Abstract
Objective To analyze the clinical profile, nursing diagnoses, and nursing care established for postoperative bariatric surgery patients. Method Cross-sectional study carried out in a hospital in southern Brazil with a sample of 143 patients. Data were collected retrospectively from electronic medical records between 2011 and 2012 and analyzed statistically. Results We found a predominance of adult female patients (84%) with class III obesity (59.4%) and hypertension (72%). Thirty-five nursing diagnoses were reported, among which the most frequent were: Acute Pain (99.3%), Risk for perioperative positioning injury (98.6%), and Impaired tissue integrity (93%). The most frequently prescribed nursing care were: to use protection mechanisms in the surgical patient positioning, to record pain as 5th vital sign, and to take vital signs. There was an association between age and comorbidities. Conclusion The nursing diagnoses supported the nursing care prescription, which enables the qualification of nursing assistance.
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- 2016
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20. [The challenge of tobacco control at a university hospital].
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Cruz NF, Mantovani VM, Von Poser Maciel S, Boaz SK, Knorst MM, and Echer IC
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- Retrospective Studies, Hospitals, University, Smoke-Free Policy
- Abstract
Objective: To identify the actions taken by the Commission of Tobacco Control (CTC) to control smoking in the hospital environment., Methods: Descriptive and exploratory retrospective documentary research conducted at a university hospital in southern Brazil, in 2014. The content of the minutes of CTC meetings was used to create a database, and the rounds reports were descriptively analyzed. We sought to identify the most relevant actions from 2005 to 2014., Results: The CTC implemented the Tobacco-Free Environment programme restricted cigarette smoking to designated areas and subsequently deactivated these areas. The only remaining outdoor smoking area in 2014 was deactivated., Conclusion: CTC actions have contributed to tobacco control in the hospital environment. This study will hopefully serve as a model to encourage other institutions to implement similar actions.
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- 2015
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21. Prevalence and factors associated with smoking among tobacco growers in southern Brazil.
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Cargnin MC, Echer IC, Ottobelli C, Cezar-Vaz MR, and Mantovani VM
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- Adult, Brazil epidemiology, Cross-Sectional Studies, Humans, Male, Middle Aged, Prevalence, Risk Factors, Agriculture, Smoking epidemiology, Nicotiana
- Abstract
Objective: identify the prevalence and factors associated with smoking in tobacco growers., Method: descriptive, cross-sectional research. Data collection occurred in 2012 through household survey and interviews, including application of a structured instrument and scale Fargeström., Results: there were 100 growers included, average age of 46,9 ± 10,8 years; 90(90%) married; 72(72%) white, average family composition 3,7±1,1 people; median number of children 3(1-3), and the average study time 6±2,5. The prevalence of smoking among tobacco growers was 17%, which had less education (p=0.010) and fewer people in the household (p=0.049)., Conclusion: the prevalence of smoking among tobacco growers was higher than the national average, but the nicotine dependence was low, which can facilitate the smoking cessation process. Highlights the need to implement a program to control smoking among tobacco growers.
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- 2015
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22. [Profile and motivation for smoking cessation in surgical inpatients].
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Corrêa AP and Echer IC
- Subjects
- Cross-Sectional Studies, Female, Humans, Inpatients, Male, Middle Aged, Motivation, Smoking Cessation psychology, Surgical Procedures, Operative
- Abstract
The aim of this cross-sectional study was to describe the profile of smokers hospitalized for surgery, and investigate their motivation to quit. The sample consisted of 100 patients recruited from a university hospital in southern Brazil. Data were collected between February and May 2013, and analyzed using descriptive statistics. The sample was predominantly male (n=58; 58%) and had a mean age of 54.5±13.8 years. Seventy-nine (79%) of the participants were white, 38(38%) were married and 67(67%) had primary education only. Patients started smoking at a mean age of 17±6.6 years, smoked approximately 20(10 to 28.7) cigarettes/day and had been smoking for a mean of 37.4±14.4 years. Ninety-one (91%) patients wanted to stop smoking, 57(57%) were in the preparation phase, 36(36%) had low nicotine dependence and 35(35%) had been encouraged to quit. We concluded that, although hospitalization is a good moment to address smoking cessation, health care professionals do not enact effective and systematic interventions in this regard.
- Published
- 2015
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23. Activities of the healthcare team for women who smoke during pregnancy and the puerperium.
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Teixeira Cde C, Lucena Ade F, and Echer IC
- Subjects
- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Pregnancy, Surveys and Questionnaires, Patient Care Team, Postpartum Period, Smoking Cessation, Smoking Prevention
- Abstract
Objective: to identify activities developed by the healthcare team for pregnant and postpartum women who smoke., Method: cross-sectional study with a sample of 135 healthcare team members who assist pregnant and postpartum women in a university hospital located in southern Brazil. The data was collected using questionnaires and analyzed using the Statistical Package for Social Sciences software., Results: 76 (56.3%) staff members reported that they always addressed smoking cessation; however, the approach occurred in only two periods of the hospitalization and/or prenatal consultations, not including family members. In regard to the effectiveness of their actions, the health team assessed it as fair or poor, and mentioned the need for updating knowledge regarding this issue., Conclusions: the health team did not perform the approach as recommended by the tobacco control guidelines, requiring training to offer a qualified and efficient intervention.
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- 2014
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24. Nursing diagnoses among kidney transplant recipients: evidence from clinical practice.
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Ferreira SA, Echer IC, and Lucena Ade F
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- Adult, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Kidney Transplantation adverse effects, Nursing Diagnosis
- Abstract
Purpose: Identify the nursing diagnoses applied to kidney transplant recipients at a Brazilian hospital., Methods: Cross-sectional study with a study sample of 165 patients who underwent transplant from January 2007 through January 2009., Conclusions: Six nursing diagnoses were most prevalent among kidney transplant recipients in the postoperative period: risk for infection, impaired urinary elimination, ineffective protection, bathing self-care deficit, impaired tissue integrity, and acute pain., Implications for Nursing Practice: Provide information on the priority health needs of these patients and reinforced the importance of the proper development of the nursing care plan., (© 2013 NANDA International, Inc.)
- Published
- 2014
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25. [Complications during the hospitalization of kidney transplant recipients].
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Corrêa AP, Brahm MM, Teixeira Cde C, Ferreira SA, Manfro RC, Lucena Ade F, and Echer IC
- Subjects
- Adult, Brazil, Catheter-Related Infections epidemiology, Catheterization, Central Venous adverse effects, Catheterization, Central Venous statistics & numerical data, Cohort Studies, Female, Hospitals, University statistics & numerical data, Humans, Length of Stay statistics & numerical data, Male, Middle Aged, Reoperation statistics & numerical data, Smoking epidemiology, Socioeconomic Factors, Tissue Donors statistics & numerical data, Urinary Catheterization adverse effects, Urinary Catheterization statistics & numerical data, Graft Rejection epidemiology, Infections epidemiology, Inpatients statistics & numerical data, Kidney Transplantation, Postoperative Complications epidemiology
- Abstract
The objective of the study was to identify the complications in patients that have received a renal transplant. A Historical cohort performed in a university hospital from January/2007 through January/2009 with a sample of 179 patients; data collected retrospectively from the medical history of patients and submitted to statistical analyses. Mean age of patients was 43 (SD=13.7) years, 114 (63.7%) men, 95 (65.1%) non smokers and 118(66.93%) received the graft from a deceased donor. The main complications were rejection 68 (32.1%) and infection 62 (29.2%). There was statistical significance between rejection and median days of hospital stay (p < 0.001); days of use of central venous catheter (p = 0.010) and smoking status (p = 0.008); infection and central venous catheter (p = 0.029); median days of hospital stay (p < 0.001) and time of use of urinary catheter (p = 0.009). It was concluded that it is important to reduce the days of hospital stay and permanence of catheters, which may be considered in the planning of nursing care.
- Published
- 2013
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26. Prevalence of smoking among employees of a university hospital.
- Author
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Echer IC, Corrêa AP, Lucena Ade F, Ferreira SA, and Knorst MM
- Subjects
- Adult, Cross-Sectional Studies, Female, Hospitals, University, Humans, Male, Middle Aged, Prevalence, Personnel, Hospital, Smoking epidemiology
- Abstract
This cross-sectional study aimed to identify the prevalence of smoking among employees of a university hospital in Southern Brazil. Data collection happened in 2008, during the periodic health exam, using a questionnaire, according to the smoking status of the employees. The sample consisted of 1,475 subjects, in which 979 (66.4%) were non-smokers, 295 (20%) former smokers and 201 (13.6%) smokers. Smoking was more prevalent among employees with lower education levels and among professionals in administrative positions. Among smokers, low dependence was identified, as well as desire and high degree of motivation to stop smoking, with health concerns as the main reason. Thus, taking into account the motivation of smokers to stop smoking, this is an appropriate time for health education and specific support to employees in the process of smoking cessation.
- Published
- 2011
- Full Text
- View/download PDF
27. [Patients with gastric cancer submitted to gastrectomy: an integrative review].
- Author
-
Mello BS, Lucena Ade F, Echer IC, and Luzia Mde F
- Subjects
- Humans, Gastrectomy, Stomach Neoplasms surgery
- Abstract
This study aims to analyze the scientific production about patients with gastric cancer submitted to gastrectomy and describe important aspects of nursing guidelines for these patients. An integrative review was carried out using Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) and Medical Literature Analysis and Retrieval System Online (MEDLINE) databases; twenty two articles were analyzed. Retrospective cross-sectional studies were the most frequent. The scientific production of nursing is numerically small in relation to the medical area. The results show that approaches related to pre and post-operative in gastrectomy for gastric cancer resection subsidize the knowledge of issues essential for nurses to promote efficient intervention for the recovery of such patients. There is still the need for further research on the practice of nursing in the guidelines of this kind of surgery.
- Published
- 2010
- Full Text
- View/download PDF
28. Nursing interventions in the clinical practice of an intensive care unit.
- Author
-
de Fátima Lucena A, de Gutiérrez MG, Echer IC, and de Barros AL
- Subjects
- Adult, Cross-Sectional Studies, Data Interpretation, Statistical, Female, Homeostasis, Hospitals, University, Humans, Hyperglycemia therapy, Male, Nutritional Support, Retrospective Studies, Self Care, Skin Care, Hospital Information Systems, Intensive Care Units, Nursing Diagnosis, Nursing Process classification
- Abstract
This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes 'respiratory management' and 'self-care facilitation'. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body's physical and homeostatic functioning.
- Published
- 2010
- Full Text
- View/download PDF
29. Factors associated with smoking in pregnancy.
- Author
-
da Motta Gde C, Echer IC, and Lucena Ade F
- Subjects
- Adolescent, Brazil, Child, Cross-Sectional Studies, Education, Female, Humans, Infant, Newborn, Male, Prevalence, Sampling Studies, Sexual Partners, Smoking adverse effects, Smoking Prevention, Surveys and Questionnaires, Young Adult, Pregnancy, Prenatal Care, Smoking epidemiology, Smoking Cessation
- Abstract
The aim of this cross-sectional study was to identify factors related to smoking during pregnancy. The sample included 267 puerperae hospitalized in the maternity unit of a university hospital in Porto Alegre/RS. The data were collected through a self-applied instrument and statistically analyzed. The majority of the puerperae (51.3%) were between 18 and 25 years old, 55.4% were nonsmokers, 25.5% were smokers, 19.1% had recently ceased smoking (in abstinence). The nonsmokers had more consultations than the smokers and the abstinent smokers (p=0.025). The number of women who had more than one child was higher among smokers than among nonsmokers and abstinent smokers (p=0.002). Women were more likely to stop smoking before pregnancy when they had a partner who was a nonsmoker (p=0.007). Several factors influence smoking and smoking cessation and these are important in prenatal interventions aimed at pregnant women and their partners.
- Published
- 2010
- Full Text
- View/download PDF
30. [Changing in process that involves rest scales of nursing assistant].
- Author
-
Keretzky KB, Vargas AS, do Nascimento ME, Echer IC, and Kruse MH
- Subjects
- Nursing Assistants organization & administration, Nursing Staff, Hospital organization & administration, Rest
- Abstract
Describe the implantation of a new process of management of the nursing assistant rest scale of a hospitalization unit of a universitarian hospital. It is presented the reality before the proposal, when the rests were distributed along the week; the reasons that took to the proposition of the new method and the working of the new scale, with rests in weekends and holidays. Among the benefits already seen include: bigger number of professionals working during the days of bigger work flow; more time of leisure of the workers with their families; bigger personal integration and professional of the group; scales organized for a year, which allows the employee plan his vacation, rests and studies; and bigger satisfaction with the work, with the new scale being considered a professional conquest.
- Published
- 2009
- Full Text
- View/download PDF
31. [Central vascular catheter infection in adult patients from a center of intensive therapy].
- Author
-
Netto SM, Echer IC, Kuplich NM, Kuchenbecker R, and Kessler F
- Subjects
- Female, Humans, Male, Middle Aged, Retrospective Studies, Catheter-Related Infections epidemiology, Catheter-Related Infections etiology, Catheterization, Central Venous adverse effects, Intensive Care Units
- Abstract
This is a Retrospective Descriptive study that describes the profile of adult patients, down in an intensive therapy center of a University hospital in Porto Alegre, Rio Grande do Sul, Brazil, that presented infections of central vascular catheter in the year of 2007. There were 43 infections related to catheter with 37 Patients. Of these, 54% male age 58, 6 years old average. Hypothermia was the infectious sign, met in 33 of 37 patients. Infection in another site happened in 86,5% of the cases. The infection rate associated to the catheter was 3,6 per 1.000 catheters a day. The average time between insertion of the catheter and infection 11,8 days. Five patients presented sepsis associated to the catheter 24 received treatment to the infection associated to the catheter 21 died during internment, 12 for septicemia. The high happening of infection in another site and the high death rate show the need of searching efficient strategies to prevent these events.
- Published
- 2009
32. [The contribution of social restrictions to smoking cessation].
- Author
-
Echer IC, Luz AM, Lucena Ade F, Motta Gde C, Goldim JR, and Barreto SS
- Subjects
- Adult, Attitude, Brazil, Family Relations, Female, Health Promotion, Humans, Interpersonal Relations, Male, Middle Aged, Motivation, Smoking psychology, Smoking Prevention, Tobacco Use Disorder psychology, Urban Population, Young Adult, Smoking legislation & jurisprudence, Smoking Cessation psychology
- Abstract
This is a qualitative study that analyzed how social restrictions contribute to the cessation of smoking. Sixteen individuals from Porto Alegre, Rio Grande do Sul, Brazil in abstinence for more than six months with a dependence of > or = 5 in the Fagerström scale were interviewed. Content analysis showed that social restrictions to smoking contributed to smoking cessation and were translated into regulations, as well as in the awareness of the interference of smoking in social interactions. Although these restrictions could be uncomfortable for smokers, they had the effect of helping to mobilize and educate them in the smoking cessation process. Faced to the hard task of quitting smoking, we realize the responsibility of health professionals to support and reinforce smokers and nonsmokers on the importance of giving up the habit.
- Published
- 2008
33. Determination and support as successful factors for smoking cessation.
- Author
-
Echer IC and Barreto SS
- Subjects
- Adult, Age of Onset, Antidepressive Agents, Second-Generation therapeutic use, Brazil epidemiology, Bupropion therapeutic use, Catchment Area, Health, Health Behavior, Humans, Smoking epidemiology, Attitude to Health, Smoking Cessation methods, Smoking Prevention, Social Support
- Abstract
This study aimed to analyze determination and support as successful factors for smoking cessation. Qualitative study in which 16 individuals from Porto Alegre, Brazil, who had ceased smoking for more than six months, with score > or = 5 according to Fagerström scale, were interviewed. Information was examined through Content Analysis according to the following steps: pre-analysis, material investigation and result treatment. Smoking cessation was a consequence of a group of factors, with determination (the will to cease smoking and the difficulty to cease smoking) and the received support (occupational; family; social, and spiritual, and through a specific course and support groups) as the focus of this article. The results suggest that the smoker's determination to cease smoking together with the support of society segments and the benefits from that are helpful factors in the smoking cessation process.
- Published
- 2008
- Full Text
- View/download PDF
34. [Factors that contributed to quit smoking].
- Author
-
Echer IC, Menna Barreto SS, and da Motta Gde C
- Subjects
- Adult, Brazil, Humans, Interviews as Topic, Middle Aged, Smoking adverse effects, Smoking legislation & jurisprudence, Smoking Prevention, Time Factors, Health Promotion, Smoking Cessation methods, Smoking Cessation psychology
- Abstract
Sixteen smokers from Porto Alegre, Rio Grando do Sul, Brazil, in abstinence for more than six months were interviewed to investigate the factors that contribute for the success in quitting smoking. Interviews were examined by Content Analysis and seven categories emerged: determination to stop smoking, support received, social restrictions to smoking, benefits related to quitting smoking, information on the problems caused by smoking, elucidating campaigns, and the use of tricks. Results show that the individual's willingness to quit smoking overwhelms other factors, and that the smoker needs a lot of determination, as well as the support of society to be able to overcome the barrier of nicotine dependence.
- Published
- 2007
35. [Group of care orientation for families of patients].
- Author
-
Gracioto A, Gomes CJ, Echer IC, and Lorenzi PD
- Subjects
- Caregivers, Family Health, Health Education
- Abstract
This study describes the experience of an educational program for families of neurological sequel patients to prepare them to provide adequate home care. It presents reflections about the hardship experienced by those families and it also introduces strategies employed to promote health. The patient and the family's participation added to the construction of know ledge which became fundamental to better the quality of life and to the appreciate importance of the nurses'function in teaching-learning in order to guide the family in the process of caring for the patient.
- Published
- 2006
- Full Text
- View/download PDF
36. [The development of handbooks of health care guidelines].
- Author
-
Echer IC
- Subjects
- Manuals as Topic, Practice Guidelines as Topic
- Abstract
This article is an experiment report on the author's development of health care guideline manuals, focusing on a methodological description. These guiding manuals aim to support health care professionals to provide oral teaching to patients and family members, thus enhancing health education.
- Published
- 2005
- Full Text
- View/download PDF
37. [Degree of dependence of patients regarding nursing care at a hospital clinical unit].
- Author
-
Fonseca JP and Echer IC
- Subjects
- Humans, Nursing Care classification, Hospitalization, Nursing Care statistics & numerical data, Patients classification
- Abstract
The study classifies patients hospitalized in a clinical unit according to a scale based on the patients' individual needs of nursing care, by rating them into minimum, intermediary, semi-intensive and intensive through the evaluation of 13 critical indicators. 968 examinations have been carried out, representing 97.8% of assessed beds in a unit with 45 beds in the period from February 19 to March 19, 2002. 68% of the patients required minimum care, 26.7% intermediate care and 26.7% semi-intensive care. This study provides subsidies for the implementation of new researches and inquiries aiming at quantifying nursing human resources.
- Published
- 2003
38. [Nursing students' perceptions during voluntary training].
- Author
-
Echer IC, Lucena Ade F, Kern IL, and Dias DR
- Subjects
- Brazil, Hospitals, University, Humans, Attitude, Education, Nursing, Nursing Staff, Hospital, Students, Nursing
- Abstract
The aim of this study was knowing the perceptions experienced by the Nursing students during a voluntary training. The data collected from 12 participants in a university hospital, during the period from May to July 2002 were analyzed through the content analysis technique, resulting in four categories: the nursing staff, the hospital admission unit, nurses' attitudes that promote the students' growth, and the value of the experience for the academic students. The statements evidenced the significance of this practice for the academic student and allowed a reflection on the aspects that must be improved to make the learning process easier.
- Published
- 2003
39. [Literature review in a scientific work].
- Author
-
Echer IC
- Subjects
- Adult, Databases, Bibliographic, Humans, Nursing Research, Review Literature as Topic, Writing
- Abstract
This article gathers some indispensable informations to ease the structure of literature review in a scentific work. The author has developed its content in phases aiming to show a logical sequency of how we do a scientic work. In this text is discussed the importance of the literature review, the strategies to do it, the search and organization of the bibliography and at last, how to write it.
- Published
- 2001
40. [Perception and feelings of patients in the immediate postoperative period in heart surgery in relationship with the visit].
- Author
-
Krüger J and Echer IC
- Subjects
- Adult, Aged, Appointments and Schedules, Female, Humans, Male, Middle Aged, Postoperative Period, Cardiac Surgical Procedures psychology, Emotions, Perception, Visitors to Patients
- Abstract
This research intends to know the perceptions and feelings of cardiac post-surgical patients towards visitation, adjustment of visitation times and who's visit is the best. It is a qualitative study with a descriptive and exploratory character. Five adult patients were interviewed on the sixth day after surgery. To analyse the data we used Content Analysis as suggested by Bardin (1977). The results show that the patients consider the family as the main support for their condition. The time of visitation is enough for this critical moment and the family is also the ideal visitor. The difficulties to communicate with the visitor, however, are evident due to their physical and emotional conditions.
- Published
- 2000
41. [Absenteeism as a variable in human resource planning in nursing].
- Author
-
Echer IC, Moura GM, Magalhães AM, and Piovesan R
- Subjects
- Humans, Absenteeism, Nursing Staff, Hospital statistics & numerical data, Staff Development organization & administration
- Abstract
The study of absenteeism in Nursing is an important item that subsizes planning and adjusting human resources, regarding the continuity of nursing labor 24 hours a day in a hospital. Absenteeism is the absence from work at moments workers should be regularly executing their duties. We identified an absenteeism rate and also characterized the kinds of absences from work among nursing personel in surgical wards of a University Hospital. This investigative study had a quantitave, qualitative and retrospective aspect. Data were obtained from January to December of 1998. Results showed 29.63% of absences on that period. This total is composed by 23.28% of predictable absences and 6.35% of non-predictable absences as an index of calculated absenteeism.
- Published
- 1999
42. [Visitors' opinion on the system of patient visits in an intensive care unit].
- Author
-
Echer IC, Onzi MR, da Cruz Ade M, Ben GM, Fernandes TS, and Bruxel VM
- Subjects
- Brazil, Hospitals, University, Humans, Needs Assessment, Professional-Family Relations, Surveys and Questionnaires, Time Factors, Attitude to Health, Family psychology, Intensive Care Units organization & administration, Visitors to Patients psychology
- Abstract
The objective of this study is to identify whether the current system of visits schedule and patient's information at a Clinical and Surgical Intensive Care Unit (ICU) satisfy the patient's visitors. To do it, two hundred questionnaires were distributed, during a month, and one hundred and sixty returned. The results showed that 70% of the visitors are satisfied with the current schedule; 67% come in daily; 66% are satisfied with the time they have for visiting, 54% asked for access in out of the current schedule, 69% are satisfied with staff information about patients; 88% of the visitors are patient's relatives. The most frequent suggestion was to increase the visit time at this ICU.
- Published
- 1999
43. [Students opinion about the administration of adult assistance].
- Author
-
Chaves EH and Echer IC
- Subjects
- Adult, Curriculum, Humans, Nursing Methodology Research, Surveys and Questionnaires, Attitude of Health Personnel, Education, Nursing, Baccalaureate standards, Students, Nursing psychology, Teaching standards
- Abstract
This article describes the student's opinion about the discipline Administration of Adult Nursing Assistance, developed in the 7th term of nursing graduation course in UFRGS Nursing School. The aspects evaluated were: organization, objectives, theoretical framework, subjects relevance, teaching strategies, field of practice learning and supervision. It's a qualitative study, the instrument used is a questionary with open questions, which allows the students write their points of view about the discipline. The population selected was all students of 7th term of course in 1996/1 and 1996/2 (77 students), but only 34 students answered the instrument. The data were analyzed by Bardin (1977) conteud analysis approach.
- Published
- 1997
44. [Nurses' perception of management].
- Author
-
Sette VM, Silva A, Da Costa MC, and Echer IC
- Subjects
- Curriculum, Education, Nursing standards, Humans, Marketing of Health Services, Nursing Methodology Research, Attitude of Health Personnel, Hospital Units organization & administration, Nurse Administrators standards, Nursing Staff, Hospital psychology, Nursing, Supervisory standards
- Abstract
The objective of this investigation is to identify nurses perception about wards management. The collecting of the data was mode through an organized interview with sixteen nurses which works in patients wards in three hospitals of Porto Alegre. The data were examined based on the conteud analysis proposed by Bardin (1977). The results showed five categories: management conception, management characteristics, nurses activities, feelings and nursing graduation and induce us to do some reflexion about the curriculum modification, nurse-teachers improvement and the adjustment between the learning necessity and the work market. In this way is vital that professionals to look for best proficiency.
- Published
- 1997
45. [Systemic arterial hypertension: clinical aspects and aspects of care].
- Author
-
Lucena Ade F, Echer IC, and Lautert L
- Subjects
- Antihypertensive Agents therapeutic use, Emergencies, Health Promotion, Humans, Hypertension classification, Life Style, Severity of Illness Index, Hypertension diagnosis, Hypertension therapy
- Abstract
This article is a literature review about the concepts of systemic arterial hypertension, it's incidence, the diagnostic methods and used treatments. It emphasizing the nurse's role in the patients care, based on the authors' nursing practice at Hospital de Clínicas Porto Alegre. The authors describe measures to prevent and promote health, as well as advanced actions during hypertension crisis and emergency cases.
- Published
- 1996
46. [Postoperative care after heart surgery. Report of experiences].
- Author
-
Echer IC, Cassol EL, and Lucena Ade F
- Subjects
- Cardiac Surgical Procedures psychology, Humans, Nursing Audit, Nursing Diagnosis, Postoperative Care standards, Quality Assurance, Health Care, Cardiac Surgical Procedures nursing, Postoperative Care nursing
- Abstract
The objective of the authors is to describe the nursing care for patients in post-operative cardiac surgery at Hospital de Clínicas de Porto Alegre, emphasizing some important points to be observed for the best qualification and organization of the routines nowadays used. The nursing care is divided in many stages, all of them important, going from the unit organization, the patient admission in a critical moment, until the assistance to the patient discharge. The conclusion is that: it's very important, for an integral assistance to the patient, an adequated organization of the service, a good relation between multiprofessional staff, training staff, and specific staff for this nursing care.
- Published
- 1994
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