[Quality of pre-natal care in Family Health Strategy in Sobral, CE, Brazil]

Face to public policies involving the quality of care for prenatal, the study aims to: assess the quality of prenatal care to the territories in the Family Health Strategy of the city of Sobral in the light of theoretical reference of Avedis Donabedian. This is a descriptive- exploratory study, developed by Family Health Units of Sobral, CE, Brazil. Of the fourteen Centers Health investigated, four were with appropriate indicators for prenatal care. But that although there are inadequacies in the physical structure, there are no impediments in order to provide a quality of care there is a view that the process and results also interfere with the quality of care.

Nursing workload for cancer patients under palliative care

OBJECTIVE

To verify the nursing workload required by cancer patients undergoing palliative care and possible associations between the demographic and clinical characteristics of the patients and the nursing workload.

METHOD

This is a quantitative, cross-sectional, prospective study developed in the Connective Bone Tissue (TOC) clinics of Unit II of the Brazilian National Cancer Institute José Alencar Gomes da Silva with patients undergoing palliative care.

RESULTS

Analysis of 197 measures of the Nursing Activities Score (NAS) revealed a mean score of 43.09% and an association between the performance status of patients undergoing palliative care and the mean NAS scores. The results of the study point to the need to resize the team of the unit.

CONCLUSION

The NAS has proven to be a useful tool in oncologic clinical units for patients undergoing palliative care.

OBJETIVO

Verificar a carga de trabalho de enfermagem requerida por pacientes com câncer sob cuidados paliativos e possíveis associações entre as características demográficas e clínicas dos pacientes e a carga de trabalho de enfermagem.

MÉTODO

Trata-se de um estudo de abordagem quantitativa, transversal, prospectivo, desenvolvido na clínica de Tecido Ósseo Conectivo (TOC) da Unidade II do Instituto Nacional de Câncer José Alencar Gomes da Silva, com pacientes em cuidados paliativos.

RESULTADOS

A análise de 197 medidas do Nursing Activities Score (NAS) revelou um escore médio de 43,09% e uma associação entre a performance status de pacientes em cuidados paliativos com os valores médios do NAS. Os resultados do estudo apontam para a necessidade de redimensionamento da equipe da Unidade.

CONCLUSÃO

O NAS mostrou-se um instrumento passível de utilização em unidades clínicas oncológicas, com pacientes em cuidados paliativos.

Management of coping with the risks of COVID-19 in an onco-hematological outpatient clinic: an experience report

OBJECTIVE

to describe the experience of a private outpatient network for hematology and oncology treatment in the adoption of management tools to face the risk of contamination by SARS-CoV-2.

METHOD

an experience report on the use of a root cause analysis method to identify potential risks of contamination by COVID-19 among patients and employees. Through the risks identified through the Ishikawa Diagram, we built an action plan, linked to the 5W2H tool, for planning and decision-making implemented.

RESULTS

the number of attendances in person and people circulating in the units was reduced, protective distance measures and new protection barriers were fundamental to control the risks of spreading COVID-19 in patients and employees.

FINAL CONSIDERATIONS

the management tools served as a valuable tool in the construction of measures, making the measures in question more clearly and applicable.

[Subset of ICNP® diagnostic concepts for patients with chronic kidney disease]

This is a descriptive study, which aimed to propose a subset of nursing diagnoses for chronic renal failure patients in stage five of the disease, developing them according to the guidelines of the ICNP® and arranging them according to the concepts of Wanda de Aguiar Horta's Theory of Basic Human Needs; and validate the subset of nursing diagnoses proposed, subjecting them to experts for judging its relevance to chronic renal failure patients in stage five of the disease. It was drawn up, in total, a subset of 77 nursing diagnoses, among which 70 (90%) had a Concordance Index ≥ 0.80 among judges, being validated. The subset of nursing diagnoses resulting from the study is quite comprehensive, and one believe in its potential to subsidize a more comprehensive nursing care to the chronic renal patient.

Nursing care with surgical arteriovenous shunt in renal dialysis: a validation study

OBJECTIVES

to validate a care protocol for the monitoring and prevention of arteriovenous fistula complications.

METHODS

a validation methodological study with a quantitative approach, developed in a university hospital in the city of Rio de Janeiro.

RESULTS

scientific evidence was gathered from 20 researches. A care protocol was developed, composed of 15 items and divided into 3 sessions. The protocol was validated by a group of 11 experts, obtaining a content validity index of 0.95.

CONCLUSIONS

the protocol proposes nursing care capable of preventing and monitoring arteriovenous fistula complications, punctured with a traditional technique, taking into account the actions implemented from patients' entry into the machine until the end of therapy.