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La trata de personas es un delito federal y un crimen contra los derechos humanos. El Estado ofrece diversas herramientas para asistir y acompañar a sus víctimas, y el sistema de salud puede ser una de las puertas de entrada a estos dispositivos. Este artículo busca visibilizar la temática y ofrecer recomendaciones de abordaje para los profesionales de la salud que asistan a una víctima de trata.

Copyright of Argentinian Journal of Respiratory & Physical Therapy (AJRPT) is the property of Asociacion Civil Cientifica de Difusion y Promocion de la Kinesiologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermería Neonatal is the property of Fundacion para la Salud Materno Infantil (FUNDASAMIN) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción: El síndrome de Guillain-Barré (SGB) es la principal causa de parálisis en niños, y la variante faringo-cérvico-braquial (FCB) es poco común. Esta variante atípica se asocia con secuelas y requiere rehabilitación prolongada. Dado el enfoque predominante durante el tratamiento agudo, este estudio describe la evolución motora, respiratoria y funcional de un niño con SGB, variante FCB, en un centro de neurorrehabilitación durante el período subagudo. Presentación del caso: Un niño de 11 años ingresó con cuadriparesia fláccida y un mayor compromiso en los miembros superiores (MMSS), traqueostomizado y dependiente para las actividades de la vida diaria. Recibió un programa de evaluación y abordaje interdisciplinario intensivo. Logró la decanulación, la marcha y la independencia funcional con adaptaciones, y fue dado de alta luego de 16 semanas. Conclusión: La evolución concuerda con lo reportado en la literatura sobre la presencia de secuelas y los tiempos prolongados de recuperación de la variante FCB. El niño recibió rehabilitación interdisciplinaria intensiva durante 16 semanas y, aún luego de un año, continúa presentando debilidad a nivel distal de los MMSS y fatiga. Estos hallazgos resaltan la importancia de una intervención temprana y una rehabilitación integral en pacientes pediátricos con esta variante particular del SGB.

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: Identificar en la literatura científica el rol de equipo de enfermería en los equipos de respuesta rápida en la atención del paro cardiorrespiratorio, en las diferentes regiones continentales. Metodología: Se realizó una revisión integrativa de la literatura con búsqueda en las bases de datos PubMed, Web of Science, Scopus, Lilacs y CINAHL, utilizando los descriptores: equipo de respuesta rápida, cuidados de enfermería, atención de enfermería, equipo multiprofesional, paro cardíaco y enfermería. Se incluyeron estudios en portugués, inglés y español, publicados entre 2010 y 2020, que describieran el papel de la enfermería en los equipos de respuesta rápida. Resultados: La muestra comprendió 6 artículos y abarcó prácticamente la mitad del continente americano, específicamente en América del Norte. El papel de los enfermeros en los equipos de respuesta rápida incluye dos dimensiones: la asistencial, que abarca la atención directa al paciente crítico hasta la llegada del profesional médico, y la administrativa, relacionada con actividades de educación continua, elaboración de protocolos clínicos y comunicación entre sectores, equipos y gestión de la asistencia. Conclusiones: El equipo de enfermería, en los equipos de respuesta rápida, desarrolla el papel de coordinador de múltiples actividades asistenciales y de gestión para los pacientes hospitalizados con signos de empeoramiento clínico y que necesitan intervención inmediata.

Copyright of Salud Uninorte is the property of Fundacion Universidad del Norte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: analizar el alcance de los indicadores de desempeño del Programa Previne Brasil de Atención Primaria a la Salud. Método: para ello, se realizó un estudio observacional, descriptivo, con abordaje cuantitativo, utilizando datos secundarios, referentes a los años 2020 y 2021, en las cinco regiones brasileñas (Norte, Nordeste, Sur, Sudeste y Centro Oeste), disponibles en el Sistema de Información de la Atención Primaria de Salud. Se utilizaron estadísticas descriptivas, frecuencias relativas y medidas de tendencia central y modelación semiparamétrica considerando un intervalo de confianza del 5%. Resultados: hubo evidencia de evolución en las tasas de los indicadores de desempeño en la mayoría de las regiones brasileñas en 2021, en comparación con 2020, sin embargo, las Regiones Norte y Centro Oeste presentaron tasas incipientes o negativas, en comparación con la Región Sudeste. A pesar de la evolución en las tasas de los indicadores, pocos estados lograron alcanzar las metas establecidas por el Ministerio de Salud para las acciones estratégicas de atención prenatal y salud de la mujer, mientras que ningún estado logró la meta en la acción estratégica de enfermedades crónicas. Conclusión: se considera importante acompañar la evolución de los indicadores actuales, previendo su calificación para que puedan evaluar el seguimiento y la atención primaria en salud, así como garantizar la consecución de las metas asegurando la financiación de las acciones de atención primaria.

Introducción: gracias a la nueva herramienta de tratamiento con la terapia de reemplazo enzimático en la enfermedad de Pompe, se ha reducido la mortalidad a corto plazo. Contenidos: esta herramienta permite a los pacientes mantener la independencia funcional y la adaptación de las habilidades motrices para su participación en varios aspectos de la vida diaria. Conclusiones: el abordaje de estos pacientes debe ser multidisciplinario, para dar un manejo integral a la condición clínica de cada individuo, y procurar el tratamiento de los sistemas físicos y emocionales que se pueden ver alterados con el curso de la enfermedad: osteomuscular, cardiovascular y respiratorio, deglución, lenguaje, nutrición y psicológico, incluidos los cuidados paliativos y el manejo del dolor.

Copyright of Revista Bioetica is the property of Conselho Federal de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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Copyright of Revista de la ALAD is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Bioetica is the property of Conselho Federal de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introducción. En este artículo se presenta una reflexión sobre la necesidad de tener una visión holística en la problemática de la prematurez, para que los equipos del área de salud puedan tener una comprensión de la multiplicidad de factores presentes en el parto prematuro, y sus consecuencias para el menor, la madre, los familiares y el personal de salud involucrado. Tema de reflexión. El tema se sustenta en dos investigaciones realizadas con las madres, los padres y los niños beneficiarios del Programa Madre Canguro en un hospital del Estado, en dos momentos, 2012 y 2014, con algunos de los autores del presente artículo. Conclusiones. Además de la revisión de la literatura científica relacionada con el tema y la problemática, se concluye que, bajo una mirada holística, se comprende de manera integral la problemática y se propicia una mejor comunicación con los padres; con el equipo de la atención en salud, se logra un manejo transdisciplinario, superando los objetos de estudios aislados. Se da así un abordaje integrador y significativo en la cotidianidad de cada actor, desde la piel, con el Programa Madre Canguro, hasta la racionalidad de la ciencia. Introduction. This article presents a reflection on the need for a holistic view of the problem of premature births, so that healthcare teams can understand the multiplicity of factors present in premature births, and its consequences for the minor, the mother, the family members, and the healthcare staff involved. Topic of reflection. The topic is based on two investigations carried out with mothers, fathers, and children’s beneficiaries of the Mother Kangaroo Program in a State hospital, at two moments, 2012 and 2014, with some of the authors of this article. Conclusions. In addition to the review of the scientific literature related to the topic and the problem, it is concluded that, under a holistic view, the problem is understood in a comprehensive way and better communication with the parents is encouraged. With the healthcare team, cross-disciplinary handling is achieved, overcoming the objects of isolated studies. As such, there is an integrative and significant approach in the daily life of each actor, from the skin, with the Mother Kangaroo Program, to the rationality of science. Introdução. Este artigo apresenta uma reflexão sobre a necessidade de se ter uma visão holística da problemática da prematuridade, para que as equipes da área da saúde possam ter uma compreensão da multiplicidade de fatores presentes no parto prematuro, e suas consequências para a criança, a mãe, os familiares e o pessoal de saúde envolvido. Tópico de reflexão. O tema é baseado em duas pesquisas realizadas com mães, pais e filhos beneficiários do Programa Mãe Canguru em um hospital estadual, em dois momentos, 2012 e 2014, com alguns dos autores deste artigo. Conclusões. Além da revisão da literatura científica relacionada ao tópico e ao problema, conclui-se que, sob uma visão holística, o problema é plenamente compreendido e incentiva-se uma melhor comunicação com os pais; com a equipe de saúde, consegue-se uma gestão transdisciplinar, superando os objetos de estudos isolados. Isto proporciona uma abordagem integradora e significativa no cotidiano de cada ator, desde a pele, com o Programa Mãe Canguru, até a racionalidade da ciência.

Introducción: Los problemas relacionados con la seguridad del paciente en el contexto prehospitalario son poco explorados, pero esenciales, dada la vulnerabilidad a incidentes. Objetivo: analizar el clima de seguridad del paciente desde la perspectiva del equipo multidisciplinario que actúa en la Atención Prehospitalaria Móvil (APS). Materiales y Métodos: estudio transversal, realizado en una Atención Prehospitalaria Móvil. La recolección de datos se realizó a través de Seguridad actitudes Cuestionario (SAQ), con muestreo por conveniencia y tasa de participación del 94,3% de los profesionales elegibles. Para el análisis de los datos se utilizó estadística descriptiva y la prueba de Mann-Whitney. Resultados: Entre los 151 profesionales participantes, predominaron los del sexo masculino (54,6%), auxiliares y técnicos de enfermería (42,0%), con 10 o más años de actuación (61,0%), en la atención de adultos y pediátrica (93,4%). El SAQ Total tuvo una mediana de 70, indicando una percepción negativa de los participantes sobre la seguridad del paciente en la APH. Los dominios con percepción negativa fueron: Clima de Seguridad, Reconocimiento del Estrés, Percepción de la Gestión y Condiciones de Trabajo; mientras que los dominios Clima de Trabajo en Equipo y Satisfacción Laboral mostraron una percepción positiva. En el análisis comparativo entre profesionales, se observaron diferencias entre algunas categorías para los dominios de Satisfacción en el Trabajo, Reconocimiento del Estrés y Condiciones de Trabajo. Conclusiones: Este estudio presenta las peculiaridades de los servicios médicos de emergencia y la necesidad de sensibilizar a los profesionales y gestores sobre la seguridad del paciente, con el fin de comprender mejor el escenario actual y las posibilidades de reducción de eventos adversos para mejorar la atención ofrecida. Como citar este artículo: João, Virgilio Malundo; Dias, Bruna Moreno; Oliveira, Marília Pilotto de; Laus, Ana Maria; Bernardes, Andrea; Gabriel, Carmen Silvia. Cultura de Segurança do Paciente no Serviço Médico de Urgência: estudo transversal. Revista Cuidarte. 2023;14(1):e2531. http://dx.doi.org/10.15649/cuidarte.2531

Objective: to investigate the understanding of the professionals of the nursing team of a hospital in the interior of Mato Grosso about the role of the psychologist in the hospital environment. Method: descriptive-exploratory study with a qualitative approach. The sample was composed by convenience by nursing professionals from a medium-sized hospital in the south of Mato Grosso. Data were collected through semistructured interviews between June and July 2020, being transcribed and analyzed according to the theoretical precepts of Bardin's content analysis. Results: from the narratives of 24 nursing professionals, two thematic categories emerged, the place and function of the psychologist as a team member; needs and requests for psychological assistance. Conclusion: the participants understand the work of the psychologist focused on what they consider compromising nursing care or satisfactory clinical evolution for hospital discharge. This may be interfering with the request or limitation of psychological assistance, as hospital psychology routinely performs more care after the identification of demands by other professionals who are effectively in direct and prolonged contact with the patient and family. [ABSTRACT FROM AUTHOR]

Objective: to assess patient safety culture (PSC) from the perspective of the multidisciplinary team working at a general hospital. Method: this a cross-sectional study with a quantitative approach, based on the application of the Brazilian electronic version of the Hospital Survey on Patient Safety Culture from the Agency for Healthcare Research and Quality. Data collection took place in August 2022 through Equestionário de PSC. Results: a total of 236 nursing professionals, doctors and multidisciplinary teams responded to the questionnaire. Of the 12 PSC dimensions assessed, seven stood out with percentages between 63.3% and 95%, considered strong, one with 50% positivity, indicating a growing dimension, and four with lower percentages, with 50% of positive answers identified as weak areas. Conclusion: it was possible to assess PSC in the hospital environment and perceive the strong, weak and growing dimensions. Progressing in this practice is challenging for teams looking for a reliable organization. [ABSTRACT FROM AUTHOR]

Objective: to identify the dreams of workers about how the future of work in the Psychosocial Care Network (RAPS - Rede de Atenção Psicossocial) could be. Method: appreciative, qualitative research, with a participatory approach, guided by the Discovery, Dream, Planning and Destination Cycle, articulated to the theoretical framework of Paulo Freire. Thirteen RAPS workers from Santa Maria, Rio Grande do Sul, Brazil participated. Data were produced from December 2019 to July 2020, with semi-structured interviews and recorded discussion groups. Data analysis was performed through coding, categorization and identification of themes. Results: workers dream of a network with sufficient human and structural resources; care flow defined collectively; approach to management; work in the territory; committed workers, appreciation and attention to their mental health. Conclusion: dreams converged with what is already advocated in public policies, but require an organized and committed collective that fights for change. [ABSTRACT FROM AUTHOR]

Objective: to apprehend the perceptions of health professionals working in the Intensive Care Unit on palliative care in the care of patients with Covid-19. Method: descriptive-exploratory study, qualitative, conducted with professionals who worked in an Intensive Care Unit of a public hospital. The collection took place in 2021, through semi-structured interviews. The data were organized and analyzed using the IRAMUTEQ® software, considering the reference of Content Analysis. Results: 10 professionals participated. Three categories emerged from the speeches: There is still a lack of knowledge: barrier to the implementation of palliative care; Palliative care is not a death decree!: expanded perception of the concept; It helps maintain the dignity of the person: palliative care in the context of the Covid-19 pandemic. Final considerations: in the context of the pandemic, professionals felt insecurity and unprepared to implement palliative care, especially due to incipient knowledge, although they understood it as an important tool to maintain human dignity. [ABSTRACT FROM AUTHOR]

Objective: To understand healthcare professionals' perception of best practices in maternal and child health. Materials and methods: This qualitative exploratory-descriptive study was conducted between December 2020 and March 2021. The study corpus consisted of 23 healthcare professionals from southern Brazil. Data were collected using a semi-structured script and coded based on Minayo's thematic content analysis proposed. Results: Data analysis enabled the delimitation of two thematic categories: "best practices in maternal and child health: from idealization to accomplishment" and "strategies to qualify the maternal and child healthcare network." Conclusions: Healthcare professionals recognize the relevance of best practices in maternal and child health, although this process must be expanded and consolidated. Continuing education, hospitality, ambiance, improved access, and the professional-user connection stand out among the qualifying strategies. [ABSTRACT FROM AUTHOR]

Introduction: Problems related to patient safety in the pre-hospital context are little explored, but essential, given the vulnerability to incidents. Objective: To analyze the patient safety climate from the perspective of the multidisciplinary team that works in Mobile Pre-Hospital Care (PHC). Materials and Methods: Cross-sectional study, conducted in a Mobile Pre-Hospital Care. Data collection was performed through Safety attitudes Questionnaire (SAQ), with convenience sampling and participation rate of 94.3% of eligible professionals. Descriptive statistics and the Mann-Whitney test were used for data analysis. Results: Among the 151 participating professionals, males predominated (54.6%), nursing assistants and technicians (42.0%), working for 10 or more years (61.0%), in adult and pediatric care (93.4%). The SAQ Total had a median of 70, indicating a negative perception of the participants about patient safety in the APH. The domains with a negative perception were: Safety Climate, Stress Recognition, Management Perception and Working Conditions; while the Teamwork Climate and Job Satisfaction domains showed a positive perception. In the comparative analysis among professionals, differences were observed between some categories for the domains of Job Satisfaction, Stress Recognition and Working Conditions. Conclusions: This study presents the peculiarities of emergency medical services and the need to sensitize professionals and managers about patient safety, with a view to better understanding the current scenario and possibilities of reducing adverse events to improve the care offered. [ABSTRACT FROM AUTHOR]

Introduction: The presence of physical, psychosocial, and spiritual signs and symptoms should be identified and managed through the palliative care that health care teams and professionals provide. Objective: To identify the palliative care needs of people with heart failure, their caregivers, and the multidisciplinary team of a heart failure unit. Materials and Methods: A mixed-method study with a sequential transformative design (DITRAS, for its acronym in Spanish) was conducted. It began with a quantitative phase in which the Edmonton Symptom Assessment Scale (ESAS), the Therapy-Spiritual Well-Being Scale (FACIT-Sp-12), and the Barthel Index were used. The qualitative phase was conducted with three focus groups involving seven patients, eight caregivers, and twelve health professionals from the multidisciplinary team. Elizabeth Lenz's Theory of Unpleasant Symptoms was used as a guideline for this study. Results: Physiological (edema, fatigue, and dyspnea) and psychological (attitude towards life and enjoyment of hobbies) palliative care needs and situational factors (caregiver dependence and support networks) were identified and could be understood through Lenz's theory. Conclusions: Palliative care needs in patients with heart failure are presented under a framework of symptoms that patients, caregivers, and the health care team perceive. Comprehensive approaches are required to improve symptom experience. [ABSTRACT FROM AUTHOR]

Chronic renal disease (CRD) is an important public health problem. There is no a national renal health program in Peru. There is evidence that the multidisciplinary model of care in patients with CRD delays progression and reduces all-cause mortality. Although there is no agreement on certain topics, such as at which glomerular filtration rate should the multidisciplinary team work, it is clear that outcomes are improved. Human and financial resources are needed to implement this approach. [ABSTRACT FROM AUTHOR]

Copyright of Cultura del Cuidado Enfermería is the property of Revista Cultura del Cuidado Enfermeria and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saberes Plurais is the property of Saberes Plurais and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Gaucha de Enfermagem is the property of Revista Gaucha de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: at the end of life, the patient with cancer conditions presents various physical, emotional and spiritual symptoms. Palliative medicine allows a continuous and comprehensive treatment for the diagnosis and control of symptoms. Objective: to describe the incidence of symptoms according to the location of the initial tumor and its transition in the last stage of the disease. Method: a descriptive, longitudinal, prospective study of 100 terminally ill patients treated at the Institute of Oncology and Radiobiology was carried out between September 2017 and September 2019. The medical history record with two evaluations was taken as a source, using Edmonton Symptom Rating Scale, modified. A questionnaire was developed using the in-depth interview technique to collect information on symptoms. With the information, a database was made in Microsoft Excel 16.0 and they were processed using the SPSS-PC statistical package in version 19.0.1 for Windows, which made it possible to make tables and graphs. Results: the incidence of nine symptoms is described, the main ones: pain, fatigue, loss of appetite, anxiety and depression, independent of the anatomical structure affected by the primary tumor. A higher incidence of pain was found in general (78 %). During the final stage, the most frequent symptoms were: fatigue, anxiety, loss of appetite and dyspnea. Conclusion: the symptoms in terminal patients with cancer diseases are multiple and variable, sometimes closely related to the natural history of their disease. Symptomatic diagnosis and control requires recognizing needs and generating collective strategies to minimize suffering.

Highlights: La FC suele estar acompañada de otras patologías crónicas que hacen que la persona presente múltiples síntomas asociados que deben ser abordados por profesionales y equipos de cuidado paliativo. Los profesionales de la salud reconocen la importancia del cuidado paliativo y la falta de preparación para abordar las necesidades espirituales, emocionales, sociales, de pacientes y los cuidadores con FC. La teoría de Lenz permite identificar los síntomas fisiológicos, psicológicos y situacionales durante la FC, permitiendo a los equipos de cuidado paliativo establecer estrategias para mejorar la experiencia del síntoma. El abordaje de cuidados paliativos en FC implica una atención integral, buscando una mejor calidad de vida y mejorar la experiencia del síntoma como lo plantea Lenz, durante toda la trayectoria de la experiencia de la enfermedad hasta la muerte del paciente. Introducción: La presencia de signos y síntomas físicos, psicosociales y espirituales, deben ser identificados y controlados por medio de la atención en cuidados paliativos que proveen los equipos y profesionales de la salud. Objetivo: Identificar las necesidades de cuidado paliativo de las personas con falla cardíaca, sus cuidadores y el equipo multidisciplinario de una unidad de falla cardiaca. Materiales y Métodos: Estudio mixto, con diseño transformativo secuencial (DITRAS), que inicio con una fase cuantitativa en la que se aplicaron los instrumentos: Edmonton, Facit-Sp-12 y el índice de Barthel. La segunda fase cualitativa se realizó con 3 grupos focales en los que participaron 7 pacientes, 8 cuidadores y 12 profesionales del equipo multidisciplinario. El estudio tomo como guía orientadora la teoría del manejo de síntomas desagradables de Elizabeth Lenz. Resultados: Se identificaron necesidades de cuidado paliativo desde lo fisiológico: edema, fatiga y disnea; psicológico: actitud frente a la vida y disfrutar de pasatiempos y factores situacionales: como dependencia del cuidador y redes de apoyo, los cuales permitieron su comprensión a partir de la teoría de Lenz. Conclusiones: Las necesidades de cuidado paliativo en pacientes con falla cardiaca, se presentan desde un marco de síntomas que son percibidas por pacientes, cuidadores y el equipo de salud. Se requieren abordajes integrales que mejoren la experiencia del síntoma. Como citar este artículo: Fiscal Idrobo Lucely Marisel, Ospina Muñoz Priscilla, Vargas-Escobar Lina María, Rincon Buenhombre Maria Cilia. Necesidades de cuidado paliativo del paciente con falla cardiaca: un estudio mixto. Revista Cuidarte. 2023;14(1):e2539. http://dx.doi.org/10.15649/cuidarte.2539

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Objective: To identify and map learning needs and educational strategies for adult patients in the preoperative period of myocardial revascularization. Materials and method: Scoping review conducted between March and April 2021 in national and international databases to identify records published in scientific journals and gray literature, without period. Results: The selected sample consisted of 35 records, composed mostly of articles (32; 91.42 %) published from 1990 to 2021. The learning needs of patients before surgery were categorized into cardiovascular system and coronary artery disease; procedures and routines before, during, and after surgery. In addition, several educational strategies implemented in the studies were identified. Conclusions: The learning needs identified can contribute to planning and implementing patient-centered educational strategies before surgery. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Bioetica is the property of Conselho Federal de Medicina and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Saúde Coletiva is the property of MPM Comunicacao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Enfermagem e Atenção à Saúde (REAS) is the property of Revista de Enfermagem e Atencao a Saude - Reas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La Primera Jornada Virtual de Oncología se celebró en el Hospital General Universitario Dr. Gustavo Aldereguía Lima de la provincia Cienfuegos el pasado mes de junio del 2021. Esta actividad se desarrolló durante la conmemoración del 42 aniversario de la fundación de esta importante Institución de salud. En la Jornada se debatieron los resultados de las investigaciones relacionadas con los pacientes con padecimientos oncológicos y su manejo desde una óptica multidisciplinaria, además de analizar aquellos casos de interés para los profesionales de la salud vinculados a esta especialidad. Con la realización de este tipo de evento científico se pretende dotar de los más avanzados conocimientos a los especialistas que están encargados del diagnóstico, tratamiento y seguimiento de los pacientes aquejados de padecimientos oncológicos.

The First Virtual Oncology Conference was held at the Dr. Gustavo Aldereguía Lima University General Hospital in the Cienfuegos province last June 2021. This activity took place during the commemoration of the 42nd founding anniversary of this important health institution. The Seminar discussed the research results related to patients with cancer diseases and their management from a multidisciplinary perspective, in addition to analyzing those cases of interest to health professionals from this specialty. The aim of this scientific event is to provide the most advanced knowledge to the specialists who are in charge of the diagnosis, treatment and monitoring of patients suffering from oncological diseases.

Objective: To validate a Flowchart for Care of Women in Situations of Sexual Violence. Methods: Methodological study of content validation using the Delphi technique. The study sample consisted of 14 intentionally selected judges. The collection instrument was a form and data collection occurred from January to February 2020. Statistical analysis, to verify the agreement was performed through the Content Validity Index and, for the reliability of the agreement of the evaluation, the Kappa index (K) was used. Results: The validated items, in part 1 of the flowchart, presented Kappa of 100% in relevance, agreement 85.71% and clarity 63.74%. The Content Validity Index in relevance and agreement was 100%; and clarity 0.78%. In part 2, kappa was 73.63% in relevance, agreement 85.71% and clarity 100%. The Content Validity Index in relevance, agreement and clarity of 100%. And in part 3, the relevance presented Kappa of 85.71%, 100% agreement and clarity 63.74%. The Content Validity Index in relevance and agreement was 100% and clarity 0.78%. Conclusion: The validation of the Flowchart enables integrality in care through the articulation of intersectoral services and in turn to structure the service network. [ABSTRACT FROM AUTHOR]

Hypertension remains the leading cause of cardiovascular disease globally despite the availability of safe and effective treatments. Unfortunately, many barriers exist to controlling hypertension, including a lack of effective screening and awareness, an inability to access treatment and challenges with its management when it is treated. Addressing these barriers is complex and requires engaging in a systematic and sustained approach across communities over time. This analysis aims to describe the key elements needed to create an effective delivery system for hypertension control. A successful system requires political will and supportive leadership at all levels of an organization, including at the point of care delivery (office or clinic), in the health care system, and at regional, state and national levels. Effective screening and outreach systems are necessary to identify individuals not previously diagnosed with hypertension, and a system for follow up and tracking is needed after people are diagnosed. Implementing simple protocols for treating hypertension can reduce confusion among providers and increase treatment efficiency. Ensuring easy access to safe, effective and affordable medications can increase blood pressure control and potentially decrease health care system costs. Task-sharing among members of the health care team can expand the services that are delivered. Finally, monitoring of and reporting on the performance of the health care team are needed to learn from those who are doing well, disseminate ideas to those in need of improvement and identify individual patients who need outreach or additional care. Successful large-scale hypertension programs in different settings share many of these key elements and serve as examples to improve systems of hypertension care delivery throughout the world. [ABSTRACT FROM AUTHOR]

Objective: to identify the patient safety strategies adopted by the multidisciplinary team in high-risk pregnancy. Method: descriptive, qualitative study conducted with the multidisciplinary team responsible for specialized care for high-risk pregnancy in a city in southern Brazil. The interviews took place in March 2020 and the results were grouped into thematic categories. Results: two themes were highlighted: safety in embracement and flow of care to high-risk pregnant women, represented by the role of primary and secondary care in assistance to pregnant women, early identification of risk factors and/or aggravations to pregnancy and guidelines for the safety of high-risk pregnant women, identifying the need for individualized multiprofessional care to the needs of pregnant women. Conclusion: strategies for the safety of high-risk pregnant women go beyond safety protocols and denote the need to adapt to the context of secondary care. [ABSTRACT FROM AUTHOR]