Pensar Enfermagem

Data Security and Protection in Nursing

2024-07-31T17:39:56+01:00

Introduction
New technologies supported by digital solutions have been developed in both public and private health systems. In healthcare, these technologies enable surveillance, screening, prevention, treatment, and rehabilitation, among other activities. Given the importance and value of health data, we questioned the validity of collecting personal data (its amount and type), its processing, sharing, and subsequent use for purposes other than those for which it was initially collected. These concerns raise ethical-legal issues and the need to understand the complexity of data security and protection in nursing.

Objectives
To analyze the impact of the legal framework of data security and protection on nursing care practices.

Development
Personal data protection has long been recognized as a fundamental right in Portugal, gaining new significance with the General Data Protection Regulation (GDPR). The GDPR considers health-related data as sensitive personal data, which requires special handling regarding its processing and access by third parties, further supported by the Public Administration Access to Documents Law. Reflecting on the impact of this legal framework on healthcare in Portugal, in conjunction with the Nursing Code of Ethics, formed the premise for this article.

Conclusion
Information systems are crucial globally. Information systems are crucial globally. Data sharing is critical to health information systems’ functioning and essential for delivering care and supporting organizational operations. Data collection, storage, sharing, and use concerns are entirely legitimate in this context. The legal framework for data security and protection affects various health domains, particularly nursing, across its multiple dimensions, including care provision, education, research, and auditing.

TeleNursing in the Prevention and Management of Cardiovascular Risk in Older Adults with Hypertension: a Scoping Review

2024-08-19T19:11:25+01:00

Introduction
The global increase in the older adult population has led to a higher demand for healthcare services, as greater longevity is associated with a rise in the prevalence of chronic conditions like hypertension (HTN). Geographic barriers and current limitations in healthcare services pose significant challenges to access, especially for older adults. Various national and international organizations advocate that telenursing should be widely available to mitigate these challenges by enhancing care delivery, improving proximity to nursing services, and achieving better health outcomes.

Objective
To map the available evidence on the contribution of telenursing to the prevention and management of cardiovascular risk in older adults with HTN.

Methods
Following the Joanna Briggs Institute methodology, we conducted the scoping review and used the PRISMA-ScR checklist as a complementary guide. We searched the databases MEDLINE, CINAHL, Open Access Scientific Repository, and Google Scholar for articles and documents up to May 2023, with no temporal filter.

Results
Seven studies met the inclusion criteria. Six major dimensions characterize the potential of telenursing in older adults with HTN: cardiovascular risk prevention and management, self-management of hypertension, improved quality of life, therapeutic adherence, prevention of clinical inertia, and monitoring of adverse events.

Conclusion
Telenursing contributes to the prevention and management of cardiovascular risk and fosters a partnership relationship with older adults, supporting self-management of their health and promoting self-care.

Assessment instruments to evaluate sexual function and satisfaction of pregnant women in prenatal health care context: scoping review protocol

2023-12-14T00:02:16+00:00

Introduction

Despite the fears and beliefs related to sexual function and satisfaction during pregnancy, the healthy experience of sexuality (which is not reduced to these aspects but encompasses them) is relevant to women. Although quality of life is associated with sexual function and satisfaction, the effect of pregnancy in those dimensions, needs to be further explored in order to prevent problems and respond appropriately to women needs.

Objective

This scoping review aims to map, in the scientific literature, the assessment instruments to evaluate the sexual function and sexual satisfaction of pregnant women in prenatal health care context.

Methods

The Joanna Briggs Institute guidelines are used to conduct this protocol. The key information sources to be searched include several databases, such as MEDLINE, CINAHL, MedicLatina, Pubmed, Web of Science, Google Scholar and Open Access Scientific Repository of Portugal.

Quantitative, qualitative, or mixed studies and secondary studies published in Portuguese, English, Spanish, French, and between 2018 and 2023 will be included. For inclusion criteria will be considered studies referring to instruments to evaluate sexual function and satisfaction of pregnant woman 18 years or over, in prenatal health care context [Population Concept Context framework]. Titles and abstracts of identified citations will be screened independently and assessed for eligibility by two reviewers. Potentially relevant full-text studies and data will be extracted using a data extraction form. The extraction table will show the data mapped in a descriptive way responding to research questions. Selected documents by each reviewer will be uploaded to the Covidence web tool, to optimize the systematic review process and facilitate collaboration between reviewers. For the management of references, the Mendeley software will be used.

Discussion

Mapping the instruments will enable to summarize the valid, reliable, and specific assessment instruments, their possibilities, and limitations. This results, will contribute to improve the access to information about sexual function and satisfaction during pregnancy, to identify women needs, and plan specific health care interventions. The outcomes relevance will help to guide health professionals and researchers to use the most appropriate assessment tools in prenatal health care context.

Systematic review registration

Open Science Framework - registration number: osf.io/csg8t

Family perception of safety in hospital care for the pediatric patient: scoping review

2023-12-19T15:19:45+00:00

Introduction

Patient safety is one of the fundamental pillars of the quality of healthcare. The perception of families of hospitalized children allows for an expanded understanding of the factors contributing to the occurrence of safety incidents, raising awareness among healthcare professionals and organizations for implementing safer practices.

Objective

To map the available scientific evidence regarding the family's perception of the safety of care provided to hospitalized children.

Methods

A scoping review was conducted following the Joanna Briggs Institute recommendations (2020), adhering to the PRISMA-ScR checklist. Searches were performed on the CINAHL and MEDLINE databases (via EBSCOhost), SciELO, Scopus, and RCAAP, using descriptors and free terms in Portuguese, English, Spanish, and French, from 1999 onwards. Two independent reviewers carried out the search, study relevance analysis, data extraction, and synthesis between March and May 2022.

Results

Out of the 1,590 studies obtained, 29 were included as they met the eligibility criteria and addressed the objectives of the scoping review. Families reported various safety incidents, with a higher prevalence related to therapeutic administration. They frequently cited lack of communication as a contributing factor to unsafe care. Family members provided diverse suggestions for promoting safety, emphasizing increased vigilance, attention, and information transmission.

Conclusion

Family members of hospitalized children can identify safety incidents and contributing factors to unsafe care, offering suggestions for improvement. Understanding family members' perceptions and involving them are essential for enhancing the safety of hospitalized children. This scoping review allows healthcare professionals to reconsider their practices and recognize the importance of family involvement in care.

Correction: Nursing care in the prevention of skin tears in the elderly: integrative review of the literature

2024-05-06T21:26:37+01:00

Introduction

Skin tears are considered injuries of traumatic etiology that can result from a variety of mechanical forces, such as shear or friction forces, blunt trauma, falls, improper handling, injury caused by equipment or removal of adherent dressings.

These are acute wounds that have a high probability of becoming complex chronic wounds. They cause pain, increase healthcare costs, reduce quality of life and are a source of stress for the person. They lengthen hospital stay and increase the risk of morbidities. Skin Tears are a growing problem, making it crucial to invest in this topic in order to promote their prevention and proper treatment.

Objective

To identify nursing care and strategies to prevent skin tears in the elderly.

Methods

A bibliographic survey of publications was carried out in the EBSCOhost search engine, which incorporates the CINAHL Complete, MEDLINE Complete and Cochrane Database of Systematic Reviews databases and in the PubMed database, carried out in June 2022. 26 records were returned, five meeting the inclusion criteria. The included studies (n=5) were carried out between 2012 and 2022.

Results

In the sample of articles, it was possible to identify the benefits of twice-daily application of topical products, moisturizing creams and emollients, and the relevance of oral administration for 8 weeks of an oral nutritional supplement in the hydration of the stratum corneum and in the elasticity of the skin, as well as the importance of primary prevention and the promotion of health education in elderly skin care.

Conclusion

Preventive care to avoid skin tears in the elderly focuses on the daily topical application of moisturizing creams and emollients, nutrition (administration of oral nutritional supplements with 10g of collagen peptides) and adequate hydration; to prevent cutaneous traumas by providing a safe environment with adequate devices, and through the promotion of health education.

Evaluation of mental health care for postpartum women in primary care: an evaluative study

2023-11-12T20:46:17+00:00

Introduction

Pregnancy is a phenomenon laden with emotions in a woman's life, bringing with it numerous hormonal, physical, and psychological changes, culminating in a series of transformations in her body.

Objective

To evaluate the mental health care provided by primary care professionals to women in the postpartum period.

Methods

An evaluative study of implementation analysis with a quantitative and qualitative approach, conducted through a multiple case study. Data collection involved the analysis of medical records and semi-structured interviews with 31 postpartum women and 24 healthcare professionals. In the quantitative analysis, the degree of implementation was assessed (classification: satisfactory, partial, incipient, and critical) determined by the Analysis and Judgment Matrix composed of the dimensions “management” and “execution”, and their respective sub-dimensions. Qualitative analysis occurred through content analysis.

Results

Through quantitative data, an incipient degree was observed in cases 1 and 3, and a critical implementation degree in case 2. In the application criterion of the scale for postpartum depression diagnosis, all cases scored zero. Considering the content of the statements, they can be grouped into two categories: the presence of feelings of abandonment and sadness in postpartum women, and the lack of assistance from healthcare professionals to postpartum women.

Conclusion

It is concluded that women have postpartum health needs related to mental health; however, there is a lack of assistance from primary care professionals.

The preoperative nursing consultation: constraints and suggestions for operationalisation - a qualitative study

2023-12-06T22:34:46+00:00

Introduction
The preoperative nursing consultation can be seen as a privileged moment for transmitting information to the person in a perioperative situation, to better prepare them for surgery and promote their collaboration in perioperative care. As this procedure is not carried out regularly, it is therefore important to carry out research into the reasons why it is not done.

Objective
To learn about the constraints to the operationalisation of the preoperative nursing consultation, through the perception of operating theatre nurses, as well as to identify their suggestions for overcoming the constraints, and to analyse the strategies pointed out by the nurses to prioritise this consultation.

Method
An exploratory, descriptive study of a qualitative nature. Data collection: focus group interview using a semi-structured interview script, supplemented at the end with an individual questionnaire containing socio-professional data and two open questions. Participants: purposive sample - three groups of nurses from three operating theatres in a central hospital in central Portugal. Content analysis was carried out according to Bardin's framework. The study considered ethical principles and scientific integrity.

Results
It was possible to identify the constraints pointed out by the nurses: methodology for operationalisation, still undefined; shortage of available time; late bed allocation; compromised privacy when carrying out the consultation; lack of recognition by hierarchical structures; difficulties in adequate physical space; unpredictable prolongation of intraoperative activities; distant residence of the person in a perioperative situation, and deficient human resources. The following suggestions/strategies were identified to overcome the constraints: allocation of more human resources; appropriate physical space; the need for greater interdisciplinary coordination and to create visibility.

Conclusion
The preoperative nursing consultation is an autonomous procedure that nurses are motivated to make operational, overcoming the constraints they point out and prioritising their suggestions.

Profile of violence perpetrated by adolescents

2024-03-27T21:54:17+00:00

Introduction: Violence is a social problem at home or in the community, affecting children and adolescents in physical, psychological, sexual, neglect and commercial exploitation linked to power relations.

Objective: To describe the profile of violence perpetrated by adolescents.

Method: Cross-sectional, quantitative study carried out between April and June 2019 with 155 adolescents. Data was collected using questionnaires and analyzed using the BioEstat 5.3 program. The study was approved under protocol number 3.203.080.

Results: Most of the participants were female, aged between 14 and 18, heterosexual, single, Catholic and studying in the morning. The aggressors were girls, 51 (57.9%), and physical violence, 34 (65.4%). There was a significant association (p<0.0001) between the following variables: psychological/physical violence and the victim's age between 10 and 19; psychological/physical violence and the school environment.

Conclusion: Violence is present in the daily lives of adolescents, which raises the importance of preventive actions in social spaces, as well as observing risk factors in order to deal with it.

Strengths-Based Care: A Postpartum Plan for a Positive Fourth Trimester Experience

2024-03-13T16:49:46+00:00

Introduction

The fourth trimester, or postpartum period, places the woman (newborn and couple) at the center of family care. In this study, an instrument was developed to enable the postpartum woman or couple to plan and organize the postpartum period, facilitating adaptation during this time, guided by Laurie Gottlieb’s theoretical framework on Strengths-Based Nursing Care.

Objective

The study begins with the research question: What difficulties does the postpartum woman experience? The objectives are to identify the bio-psycho-social needs of the triad in the first 12 weeks postpartum, the strategies of the postpartum woman or couple to overcome perceived difficulties, and the items to be included in the postpartum plan from a maternal perspective.

Methods

A descriptive exploratory study using a mixed-methods approach was conducted with a questionnaire administered to mothers aged 18 to 39. The study garnered 141 responses that met the eligibility criteria from April 14 to May 5, 2023. The data collection instrument was shared via mother groups on social networks (Facebook, Instagram, and WhatsApp). Content analysis was conducted according to Bardin, employing semantic categorization in the treatment of qualitative data and statistical analysis of quantitative data.

Results

The study uncovered the difficulties, the needs of the triad in the first 12 weeks, the strategies or strengths to overcome these difficulties, and the suggested items for the postpartum plan.

Conclusion

The study concludes that the postpartum plan is an innovative concept, as pregnant women or couples often focus on developing the birth plan, frequently overlooking or undervaluing the postpartum plan. However, most participants considered planning to be one of the strengths or strategies for a positive experience in the fourth trimester.

Expressions during World Autism Awareness Week on Twitter

2024-07-22T00:59:09+01:00

Introduction

Autism spectrum disorder (ASD) is a condition that influences communication, social interaction, and behaviors. On social media, we find expressions ranging from information about ASD to personal accounts and discussions on inclusion.

Objective

To analyze the expressions of the Brazilian population on Twitter regarding autism.

Methods

This study is qualitative, descriptive, and based on document analysis. We collected data on the social media platform Twitter between April 3, 2023, and April 10, 2023, in Portuguese, encompassing the hashtags: #diamundialdeconscientizaçãodoautismo (#worldautismawarenessday) and #autistas (#autisticpeople). We analyzed 279 tweets using discursive textual analysis, from which two thematic axes emerged.

Results

The results indicate that the inclusion of people with ASD in cultural, sports, and labor market spaces is seen as crucial for promoting citizenship and social inclusion. However, challenges persist in implementing public policies, especially in education, health, and information dissemination, highlighting the need for a more holistic approach and respect for diversity.

Conclusion

Social media reflects a lack of progress in public policies and legislation to include people with ASD in various aspects of social life, such as education, health, and work, which are necessary to promote full citizenship. Despite advances in public policies, significant challenges remain in implementing these initiatives, requiring greater awareness and respect for this population.

Health Communication: in the Voice of Hospitalized Patients

2024-07-16T18:47:58+01:00

Introduction
Health communication plays a crucial role in the therapeutic process for patients in inpatient units. It is essential developing a strong bond between healthcare professionals, patients, and/or their companions. Poor communication can lead to treatment complications, affecting the patient and the healthcare team.

Objective
To investigate patient's perception of health communication.

Method
This study used a quantitative approach with patients over 18 hospitalized for more than 24 hours in a high-complexity hospital in the northwest region of Paraná, Brazil.

Results
A total of 98 patients participated, 58% of whom were women, with an average age of 66,4 years and 6,6 years of education. The average length of hospital stay was four days. Patients rated communication as satisfactory with the medical team (93,9%) and nursing staff (96,9%), 63,3% understood the reasons for laboratory tests, and 77,6% were questioned about allergic reactions. Areas identified for improvement include scheduled treatment (16,3%), the need for laboratory tests (59,2%), and information about possible medication side effects (31,6%).

Conclusion
Patients’ perceptions of communication were generally positive. However, we identified some weaknesses that could lead to care failures.