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- Religiosity index and quality of life in the search for better blood pressure controlPublication . Guerra, Grazia Maria; Oliveira, Jefferson Carlos de; Fistarol, Isabela Ribeiro Braga; Vieira, Margarida; Deodato, Sérgio; Tsunemi, Miriam Harume; Bortolotto, Luiz AparecidoSystemic arterial hypertension (SAH) is a chronic non-communicable disease, and currently the relationships between religiosity, physical and mental health have been investigated. The objective of this study was to verify the association of the religiosity index through the DUREL scale with the best control of blood pressure (SBP ≤ 120 and DBP ≤ 80) and quality of life in hypertensive patients. A prospective longitudinal study was conducted with 56 hypertensive patients, who were followed up for 120 days and underwent a 20-day interval nursing visit, in which a counseling program was developed. The instrument for quality of life, the DUREL Religiosity Scale, was applied and Ambulatory Blood Pressure Monitor (ABPM) was performed at the beginning and end of the study. The study involved 30 women (55.6%) and 26 men (44.4%), mean age of 53.9 ± 10 years, mean BMI of 30.3±5 kg/m2, waist circumference (WC)=99.7±5cm; PAS=153.6±28mmHg; DBP=91.6±17mmHg and Heart Rate (HR)=69±13bpm. Regarding BP control (SBP ≤ 120 and DBP ≤ 80), at the end of 120 days, it was observed that only 4 (7.14%) patients controlled their BP by the clinic’s measurement and 25 patients by the measurement of the ABPM, those being 7 (12.5%) in the wake period and 18 (32.1%) in the sleep period. However, there was no association with the Index of Religiosity and quality of life when compared to the control variable of blood pressure. Given the data, it was determined that the religiosity index was not sensitive enough to identify patients with a better control of BP after 120 days of follow-up.
- Elements and strategies for ethical decision-making in nursingPublication . Nora, Carlise Rigon Dalla; Deodato, Sérgio; Vieira, Margarida; Zoboli, ElmaThis study aimed to identify the elements and strategies that facilitate the ethical decision-making of nurses faced with ethical problems, from publications on the theme. An integrative literature review was carried out. Data collection was performed between the months of April and May 2014, in the databases: SciELO, CINAHL, LILACS and MEDLINE. Original, theoretical and case study articles, with a health team that included nurses, published in Portuguese, English and Spanish were included. A total of 19 studies were selected, the analysis of which resulted in three categories: external factors of ethical decision-making in nursing, individual factors of ethical decision-making in nursing and facilitating strategies of ethical decision-making in nursing. It was concluded that nurses need to use strategies that develop sensitivity, ability and ethical competence, in order to make prudent ethical decisions, contributing to the quality of health care.
- Nursing Activities Score by assistance sites in intensive care unitsPublication . Cyrino, Claudia Maria Silva; Dell’Acqua, Magda Cristina Queiroz; Castro, Meire Cristina Novelli e; Oliveira, Elaine Machado de; Deodato, Sérgio; Almeida, Priscila Masquetto Vieira deObjective: To compare the Nursing Activities Score (NAS) between the Assistance Sites in an Intensive Care Unit. Method: Descriptive, retrospective study, carried out in the Intensive Care Unit of a teaching hospital. The patients were organized in Assistance Sites according to their clinical characteristics and the nursing team's composition was organized in accordance with the Nursing Activities Score (NAS). The confidence interval was set at p < 0.05. Results: the majority were male surgical patients with a mean age of 56.8 years. The postoperative care Site presented the greatest patient turnover. The overall average NAS was 71.7%. There was a difference in the nursing workload between the different Assistance Sites. The shorter length of stay and the nonsurvivors contributed to increasing the workload in the ICU. Conclusion: Comparing the NAS in the different Sites made it possible to organize the work process of the nursing team according to each group, contributing to patient safety.
- Mobile pre-hospital care in Portugal and Brazil: an integrative reviewPublication . Cyrino, Claudia Maria Silva; Almeida, Priscila Masquetto Vieira de; Dell’Acqua, Magda Cristina Queiroz; Deodato, Sérgio; Michelin, Nathallia Serodio; Castro, Meire Cristina Novelli eObjective: To identify the profile and themes of studies found in the literature about the context of mobile pre-hospital care in Portugal and Brazil. Method: An integrative review of five online databases was conducted in February and March 2017. Full articles in English, Spanish, and Portuguese published between 1981 and 2017 were selected for this review. Results: Of the 54 studies included, nurses were present in 81.50%; 37% were related to the characteristics of care, 22% to professionals, 20% to occupational risks, 17% to management, and 4% to health education. Conclusion: The number of articles with nurses as the main authors reached a peak in 2011. Their topics were mostly related to the analysis of care provided by the services, and the knowledge and performance of professionals working in the area of mobile pre-hospital care.
- Experiences of homeless families in parenthood: a systematic review and synthesis of qualitative evidencePublication . Andrade, Filipa Maria Reinhardt; Figueiredo, Amélia Simões; Capelas, Manuel Luís; Charepe, Zaida; Deodato, SérgioThe objective of this systematic review was to identify the available qualitative data and to develop a framework to address the life experiences of homeless families in parenthood. The research was performed in the PubMed and CINAHL Complete databases, for works published in Portuguese, English, French and Spanish. Studies that included qualitative data, or both qualitative and quantitative data, were considered for this research. A total of 358 articles were obtained, of which 37 were assessed for eligibility, and 26 were rejected. In the end, 11 studies were selected. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was used. These studies were conducted mostly in the United States, in temporary/transitional shelters for nuclear or single-parent families (led by women) in a homeless situation. In this context, the area which arose as the more relevant one was mental health, followed by the social studies. Two types of dimensions emerged from the results: mediating dimensions (which include the categories “Insecurity”, “Lack of Privacy”, “Isolation”, “Stigma” and “Disempowerment”) that are responsible for difficulties related to education, and behavioural changes in both the parents and the children; and supporting dimensions (which include the categories “Context as a Facilitator”, “Relationship with Others” and “Parents’ and children’s Self”) that lead to motivation, as well as the acquisition of strategies by the parents, to resolve parenting issues. This research helps expand nursing knowledge and presents a synthesis of the life experiences of homeless families in parenthood. Nursing can respond to the vulnerable population, due to its predominant role in promoting their health.