SPIRITUALITY IN THE PERSPECTIVE OF THE PROFESSIONALS OF PEDIATRIC ONCOLOGY IN RESPECT OF PALLIATIVE CARE
Introduction: Spirituality in the context of illness is used as a coping mechanism by patients, family members and health professionals; allowing the creation of meanings and assisting in the subjectivation of individuals from contents transcendent to life. Objectives: Understand how spirituality is expressed as a coping mechanism in the face of the routine of health professionals working in the pediatric oncology context in the care setting palliative. Methodology: Qualitative study performed in a hospital-school in the city of Recife, a reference in the pediatric oncology treatment. Data collection was performed with 12 health professionals between August and October 2017. Data were collected through sociodemographic questionnaires and individual semi-structured interviews, recorded in audio and subsequently submitted to the Content Analysis technique. Results and Discussion: Spirituality was the coping mechanism most reported by health professionals. Participants meant working in pediatric oncology from the will of God, as chosen people for that mission, relating to the understanding of having a purpose for it. Regarding the practice of the profession before the patients in the process of treatment and palliation, spirituality is understood as the way to deal with the innumerable losses and deaths in the hospital setting. Conclusions/considerations: The presence of spirituality promotes quality of life and helps professionals to make the environment less difficult and endowed with transcendental meanings, showing that they also need the means to give meaning to the suffering present in their daily work.
Objective: In order to provide an effective method for the comprehensive and scientific evaluation of respiratory rehabilitation nursing, a nursing quality evaluation index system for respiratory rehabilitation was constructed. Methods: Based on the theory of structure-process-outcome three-dimensional quality model, indexes and weights of respiratory rehabilitation nursing quality evaluation at all levels were determined by using literature review, semi-structured interviews, Delphi method, and Analytic Hierarchy Process. Results: The response rates of the two rounds consultation were 100% and 93% respectively, and the authority coefficients of experts are 0.872 and 0.922. The coordination coefficients of expert opinions were 0.583, 0.498, 0.407 for the first, second and third-level respectively. The significance test value P was less than 0.01. The final indicator system is constructed with 3 first-level indicators, 9 second-level indicators, and 46 third-level indicators. Conclusion: The constructed respiratory rehabilitation nursing quality evaluation index system is not only reliable, scientific, comprehensive, and but also with outstanding specialty characteristics. It provides an effective strategy to improve respiratory rehabilitation nursing quality.
Malaria is an infectious disease that spread by the female Anopheles mosquito. The degree of malaria case in Indonesia, particularly in Papua shows that malaria is still the highest disease which even kills the patient. Patient’s knowledge and attitude are two factors of obstacles for malaria elimination program which one of the SDGs goal. The purpose of this research was to identify the correlation between patient knowledge and attitude with adherence level of malaria treatment in one of the private hospital in Papua. This research used the quantitative approach with the Cross Sectional design. The samples were 169 respondents determined by purposive sampling. The data collection had been used by questionnaire. The data analysis used Kendal’s Tau B formula. The univariate analysis result showed 63,9% of the respondent’s knowledge were in a low level, 71,8 % respondent’s had a negative attitude and 55,3% of the respondents were not obedient to their malaria medical treatment. The bivariate analysis showed, there was a significant relationship between the knowledge and adherence level of patients to malaria treatment (P value 0,000; α
SUPPORT NETWORK FOR FAMILIES WITH MENTAL DISORDERS IN PRIMARY HEALTH CARE: AN INTEGRATIVE LITERATURE REVIEW
Introduction: With the Psychiatric Reform and the closure of some psychiatric hospitals, many patients who had been living in an asylum regime for a long time return to family life. The family then assumes a peculiar role in the monitoring and social reintegration of the mentally ill outside the hospital units. For this, it is necessary that health services in primary care are trained to provide adequate support to these families. Objective: to verify the support practices developed by primary health care focused on the family of the person with mental disorders. Methods: Integrative literature review of the last 10 years (2008-2018) using the database of the Virtual Health Library (VHL). Results: The study sample was composed of 11 articles. In the analyzed articles, it was identified that families still face difficulties in dealing with the person with mental disorders, requiring the support of the replacement network services in this process. Conclusion: It is necessary to invest more in these replacement services and better prepare their professionals so that they know how to deal with the family of the mental health patient.
NURSE’S PERSPECTIVE ON THE RECEPTION AND COPING WITH MENTAL DISORDERS: AN INTEGRATIVE LITERATURE REVIEW
INTRODUCTION: The inclusion of Mental Health in primary care refers to actions in the Family Health Program (PSF), currently called Family Health Strategy (FHS), which has been consolidated as a strategy for reorganizing the health care system in Brazil. Its work is based on promotion, prevention and health education, working in a multidisciplinary and integrated approach to the community (2). OBJECTIVE: To identify what is the perspective that nurses have on welcoming and coping with mental disorders according to the literature. METHODOLOGY: This is a study that uses the integrative literature review as its method, which aims to contribute to the knowledge of Nursing in the area of Mental Health. RESULTS: A total of 7 articles were found, 3 of which were listed to compose this study. LILACS and BDENF were used as the basis for this study, as they were more feasible, as well as Brazilian technical-scientific references in nursing that include renowned journals in the health area. CONCLUSION: However, it can be identified that the nurse has a very important role in the care of these people with mental disorders who are treated in Primary Health Care. He also highlighted that there are still many professionals in their practices, which are based on welcoming, humanizing and dispensing medication. In addition, it is necessary for nurses to work together with the other professionals in order to exchange information in order to improve the patient.
Objective: To explore the demand of long-term care in China. Methods: First, based on the data collected from multiple channels, the number of disabled elderly in China and the long-term care demand were predicted by the macro simulation demand model and markovdo state transition model. The second is to compare and analyze the implementation plan of the long-term care insurance system in China’s pilot areas, discuss the existing problems, and put forward Suggestions. Results: From 2020 to 2050, the number of disabled elders in China will rise from 33813 700 to 60 535 700, and the total long-term care costs will rise from 6.73 billion yuan to 29.12 billion yuan. Conclusion: In the future, China should build a multi-level long-term care guarantee system, actively explore the long-term care insurance system, and improve the long-term care service supply system.
Oral mucositis is a sequel of cytoreductive treatment induced by radiotherapy and / or chemotherapy, with signs and symptoms ranging from pain, swelling and burning sensation, to ulcerations in the oral mucosa. The nursing staff should be able to offer therapies that give the patient better quality of life, once because the professionals develops closer contact with the patient and family. To analyze the scientific evidences about nursing assistant in the management of oral mucositis in oncology patients. Integrative Review in databases LILACS, Scopus, SciELO, LILACS and BDENF with complete articles published in the last 10 years, in Portuguese, English and Spanish. It was demonstrated that nurses can provide treatments such as oral hygiene, administration of analgesics, cryotherapy, treatment of xerostomia, chlorhexidine rinses, sodium bicarbonate and other substances that promotes pain control in patients with consequent increase of quality of life. The impact of nurses’ actions in improving the patient, control of oral mucositis, as well as studies that generate strong evidence for the development and / or enhancement of new nursing care are aspects to consider this issue.
This study aims to determine the effect of health services on coping mechanisms of families with schizophrenia. The sample consisted of 260 family carers of individuals with schizophrenia in Ponorogo, East Java, Indonesia. Caregivers of families completed filling in the service factor questionnaire and coping mechanism questionnaire. Research on improving health services for coping mechanisms in family members of individuals with schizophrenia will help design interventions to improve coping mechanisms.
Oncology Care Project with Inter and Multiprofessional Approach: Actions to Minimize Collateral Effects and Suffering, Caused By the Treatment of Chemotherapy
Objective: To report multi and interprofessional experience during extension actions aimed at minimizing the side effects and suffering caused by the treat-ment of chemotherapy. Methods: This is a descriptive study of the type of expe-rience report of the university extension project that focuses on the use of light technologies to cope with routine situations of care practice in an oncology sec-tor. Results: The side effects caused by antineoplastic drugs are part of the day-to-day treatment of cancer patients. Some side effects were listed with patients, such as dry mouth, diarrhea, nausea and vomiting, alopecia, constipation and mouth with metallic or bitter taste from the antineoplastic. Through ingestion of healthy foods like fruits, vegetables, greens and cereals properly listed these unwanted effects can be minimized. Other actions such as music therapy help to alleviate suffering because it causes happiness and satisfaction. Conclu-sion: Health education is an important strategy to share knowledge, especially in the area of relieving suffering through complementary guidelines and thera-pies. Music is a therapeutic and playful instrument and influences the emotions and well-being of individuals. In addition, the actions of the Oncology Care pro-ject strengthen us as a human being and professional in formation.
Staff Nurses Synergistic Attitude Towards Institutional Vision, Mission and Goals Using Bloom’s Taxonomy: An Input to Operations Planning
Equally important with having a goal and direction in an institution like a hospital is how the people in this institution work together to achieve this. This “togetherness” is aptly expressed in the concept of synergy. This operationalizes what Collins (2001) meant with “right people in the right bus” (Collins, 2001). Synergy is defined as “the interaction of elements that when combined produce a total effect that is greater than the sum of the individual elements” (Retrieved from www.dictionary.reference. com/ browse/synergy on February 27, 2018). To achieve this synergy among all stakeholders of educational institutions, there should be a common ground, in which they align themselves with the institutional vision and mission. Whatever the context, the point is the same: If an organization wants to move forward, it needs to develop and understand an agreed on purpose, in educational institutions—the vision, mission, goals and core values. Having strong vision and mission statements can help stakeholders in school reach such a common understanding (Gabriel and Farmer, 2009). This study aims to produce an output that could help in operations planning in the clinical setting. This output determines the extent of synergy among staff nurses with institutional purpose as reflected in their understanding of the institution’s vision, mission, goals, and core values in the order of thinking skills of the Bloom’s taxonomy. Through this descriptive, comparative, correlational research, this purpose may be achieved.