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Revista de Práticas Avançadas em Enfermagem

Volume 6, Emitir 6 (2022)

Análise

Care and Ethical Standards Compromised by COVID-19 Outbreaks

Khadije Jahangasht, Abbas Shamsalinia and Fatemeh Ghaffari

COVID-19 is an emerging disease that has challenged global health systems. Despite many efforts to manage the crisis, the number of new cases is still high. In Corona Crisis Management, both internationally and in terms of healthcare systems, the focus was on planning during crisis, and due to the lack of pre-crisis planning, healthcare providers systems enter to crisis situation suddenly and unprepared. The lack of biologic crisis maneuvers associated with emerging diseases such as SARS, Ebola, and COVID-19 by related organizations, and the lack of scenarios for how to deal with it, shocked health workers. In the early weeks of the COVID-19 outbreak, the operationalization of the planned actions fails, and the COVID-19 epidemic led to an influx of people with the disease into care units such as Such as emergency departments and outpatient clinics and hospital beds were filled. The increase of positive disease cases and comprehensive care needs, especially in intensive care units in the first weeks of the disease epidemic, led to extreme fatigue of health care providers, lack of personal protective equipment, shortage of manpower and infection of many health care workers to COVID-19. Sudden exposure to critical situations may cause some dimensions of standard care, including standard precautions when caring for patients and compliance with ethical standards by health care providers, especially at the front line was neglected.

Relato de caso

Adequacy of Team based Learning on Quality Affirmation in Clinical Practice among Nursing Students

Peerasak Skulphan*

Background: Assess the information and attitude about team based learning among nursing students, assess quality assurance in clinical practice among nursing understudies, find the association about team based learning on quality assurance in clinical practice among nursing students with chose factors.

Strategy: Quantitative examination approach and descriptive plan was utilized for directing the investigation. Non likelihood helpful sampling technique was received for this examination. 43 samples were nursing students in chose nursing colleges. Segment Data, Multiple decision inquiries on information on team based learning for quality assurance in clinical practice, five point likert scale for disposition of team based learning for quality assurance in clinical practice was utilized for information assortment.

Results: Among the 43 nursing students comparable to information and disposition about team based learning for quality assurance in clinical practice 19 (44.18%) were respectably acknowledged, 16 (37.20%) were exceptionally acknowledged and just 8 (18.60%) were somewhat acknowledged that the team based learning is fundamental for quality assurance in clinical practice. The mean and SD is 13.88 and 4.86 individually. A critical affiliation was discovered information and disposition with chose variable age, gender mechanism of guidance has factual huge at p<0.01.

Conclusion: The discoveries give knowledge for nursing students team based learning has gotten progressively acknowledged as a positive program in educational institutions to improve quality confirmation in clinical practice.

Mini revisão

Professional Autonomy in Nursing Role

Yengkhom Sue*

Autonomy, an unpredictable, multidimensional wonder, is gotten from the Greek words 'autos' and 'nomos', which means self, and to control or hold sway. Autonomy steady with the extent of expert nursing practice will amplify the viability of the medical caretaker. Autonomy isn't a flat out, yet happens in degrees.

Artigo de revisão

The Role of Nurses in Evidence Based Maternity Care

Hjh Nurul Abdullah*

A few strategies have been utilized for improving the nature of maternity and infant care. Practically these techniques have their cause in proof based practice to apply the best proof in clinical consideration. Proof based practice is basically the combination of the best accessible exploration based proof, clinical ability, and patient needs, qualities and inclinations to build up an arrangement of value care. Quality upgrades accordingly require proficient agreement about execution of exploration based clinical proof, and consideration regarding quiet needs, qualities and inclinations. In spite of the fact that proof based practice has been perceived as important for quality consideration in created nations, it has frequently been conceptualized as far as exploration based clinical proof and less consideration has been paid to tolerant necessities and inclinations. Tolerant fulfillment has undoubtedly been perceived as a significant result measure for the nature of human services. Moreover distinguishing understanding needs and necessities has been made a decision about fundamental for both estimating and improving nature of care.

Artigo de Pesquisa

Investigating the Perceptions of Patients and Nurses for the Nursing Care Provided and Received in a Hospital Setting

Aouant Nasim*, Dafogianni Chrysoula

Background: The disease may arise complex emotional, psychological, and spiritual issues, both for patients and for nurses, in which the multifaceted therapeutic
approach is part of the nurse/therapist care as it is the essential pillar of nursing science.
Aim: The purpose of this study was to investigate the nurses' and patients' perceptions of nursing care provided and received in a Hospital.
Methodology: The sample of this study consists of two hundred and ten (210) patients and one hundred and ninety-six (196) nurses. Two questionnaires were
used to collect the data. The nurses were given a questionnaire tailored to what they developed in their survey Cossette et al. (2006); the patients were given the
corresponding questionnaire with the same questions, adjusted in their perspective. The Questionnaire includes questions about the demographic characteristics
of each sample and statements concerning the care, service, and tasks of the Nurses for patients. The statistical analysis was conducted with the program SPSS
20.0.
Results: As evidenced by the replies given and the obtained results, nurses consider the care they provide is at a very satisfactory level. However, patients appear
to be moderate in their views with the overall of nursing care satisfaction.
Discussion: The analysis results appear differences between the nurse's perception of the care provided and the perceived patient satisfaction with this care.
Patients appear moderately satisfied, considering that nurses meet the specifications to a large extent in the therapeutic process and the technical procedures
of medical machines. Considering nurses need improvement in interaction, as shown by the answered of the satisfaction questions about the nurses and the
services provided.
These results are consistent with the relevant bibliography; researchers in the field have identified the need to improve personal contact, interaction, and
communication between nurses and patients, as well as their contribution to perceived care.
Conclusions: As the overall experience of care provided by nurses to the patient is a multifactorial process, it is imperative to consider all factors influencing
patient satisfaction with the care provided.
Proposals: More prominence needs to be presented on issues as nurses/patients communicate and enough information given to the patient and family as well as
the updating educational and personal development of nurses.

Artigo de Pesquisa

Assessment of Knowledge, Attitude and Practices on Use of Emergency Contraception among Women Seeking Post Abortion Care in Mbarara District

Mugumya Cleophus*, Tumwebaze Mathias, Atukunda Gershom, Otiam Emmanuel Otala, Ninyikiriza Jackline and Kafuko Joshua

Background: Unplanned and unwanted pregnancies carry a higher risk of morbidity and mortality, often due to unsafe abortion. Many of these unplanned pregnancies can be avoided using emergency contraception. Literature reveals that there is existence of knowledge, attitude and practice gaps on emergency contraception in the world including Uganda. Therefore the objective of this study was to assess knowledge, attitude and practices of women seeking post abortion care on use of emergency contraception.

Method: A cross sectional study was conducted among 235 women seeking post abortion care in 6 health units in Mbarara district. Women seeking post abortion care were purposively selected participants. Questionnaires were used to collect the data. Data processing and analysing was done using Statistical Package for Social Sciences (SPSS) version 20.

Results: Less the half of the respondents 94 (40%) were knowledgeable of emergency contraception and age and marital status were significantly influencing knowledge (or 1.43 C.I 0.589 3.491) and (1.10; C.I 0.365 3.322) respectively. The majority 174 (74.0%) had positive attitude toward emergency contraceptives knowledgeable of emergency contraception significantly influenced this [OR=2.48, 95% CI (1.340, 4.570)]. Only 20 (8.5%) had ever used ECs. It was found out that knowledgeable women were 3.1 times more likely to use emergency contraceptives than their counterparts with low knowledge about emergency contraception.

Conclusion: The study indicated low level of knowledge; very low level of practice and majority showed positive attitude towards emergency contraceptives.

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