Background: Care transitions are complex and can make patients vulnerable to adverse events. Poor communication among clinicians, patients, and their caregivers is a critical gap during these periods of transition. Technology solutions such as platform-based patient-clinician digital health interventions (DHIs) can provide support and education to patients.
View Article and Find Full Text PDFIntroduction: Adherence to best practices for care of hip fracture patients is fundamental to decreasing morbidity and mortality in older adults. This includes timely transfer from the hospital to rehabilitation soon after their surgical care. Hospitals experience challenges in implementing several best practices.
View Article and Find Full Text PDFObjectives: to analyze the quality of child and adolescent care transitions from hospital to home, considering the presence of chronic disease.
Methods: quantitative, cross-sectional study, carried out from February to September 2019 in two hospitals in the south of Brazil. We used an instrument to characterize participants and the Care Transitions Measure (CTM-15) for the legal tutors of children and adolescents that were discharged from the institutions.
Objective: To analyze the continuity of care for children with chronic conditions from the transition from hospital to home.
Method: Parallel-convergent mixed-methods research, with a cross-sectional study and Grounded Theory. A characterization instrument and the Care Transitons Measure were applied to 201 legal guardians of children with chronic conditions, and semi-structured interviews were conducted with 35 participants (among professionals and guardians).
Context: It is not clear if an oral hygiene protocol to control biofilm applied before cardiac surgery can reduce infection rates.
Objective: We aim to verify the effectiveness of an oral hygiene protocol in reducing postoperative infections when compared to usual practices, in patients admitted to a cardiology unit, prior to cardiac surgery.
Design, Setting And Participants: Randomized, blind, controlled clinical trial, with 107 participants who expected to undergo cardiac surgery, randomized into two groups: Experimental Group (EG) standardized oral hygiene protocol (54) and Control Group (CG), usual practices performed in patients admitted (53).
Objective: This study aimed to identify the factors that exerted an impact on the experiences of hospitalized patients during the COVID-19 pandemic from the quality and safety perspectives.
Method: A scoping review that followed the 5 stages described by Arksey and O'Malley was used. A systematized search of original studies was conducted in 9 databases: PubMed/MEDLINE, BDENF, CINAHL, LILACS, SciELO, Embase, Scopus, Web of Science, and Google Scholar.
Objective: To analyze which factors may be associated with the quality-of-care transition of children with chronic diseases from the hospital to their home.
Method: A cross-sectional, quantitative study, carried out in two hospitals in Southern Brazil, from February to September 2019. Participants included 167 family members of children with chronic disease.
Objective: To investigate the association between tooth loss severity and core and non-core food consumption in the older Brazilian population.
Methods: We analysed data from 20 756 people aged 60 years or older who participated in the 2019 Brazilian National Health Survey. The average consumption days a week of core (8-item) and non-core (4-item) foods were the outcomes, measured using a Food Frequency Questionnaire.
Aim: To understand the management actions for prevention and control of health care-associated infections (HAIs) performed by health professionals.
Background: Prevention of nosocomial infections has evidence-based practice at its essence, but not all institutions are successful in implementing prevention methodology.
Methods: Qualitative research with Grounded Theory methodological framework.
Introduction: Health information and communication technologies, such as Teledentistry, can help expand access to dental health public services making it more effective.
Objective: To analyze the factors that affect the implementation of a Teledentistry system in dental health public services.
Methods: The study follows the Implementation Research methodological framework.
Objective: to analyze the managerial competences of researchers from research groups linked to a Graduate Program in Nursing.
Method: a cross-sectional study with researchers from Nursing research groups, which analyzed the managerial competences by means of a Scale of Managerial Competences in Research Groups containing 50 items related to people management and research results (Factor 1) and resource provisioning and people management (Factor 2), with answers 4 and 5 considered as sufficient dexterity for each competence analyzed. For data analysis, logistic regression was used.
Objective: To review the scientific literature and identify dental plaque control strategies focussed on elderly people that improve plaque indices.
Design: Scoping review (Joanna Briggs protocol).
Data Sources: Individual search strategies developed for six databases.
The study aimed to analyze public governance in the regionalized healthcare network in the state of Santa Catarina, Brazil, and its influence on decision-making in the organization of oral healthcare. This was an exploratory analytical study with a qualitative approach, with the methodology based on Grounded Theory. Thirty in-depth interviews were held with managers from the Regional Inter-Managers Commissions and Bipartite Commissions (CIR and CIB, respectively, in Portuguese), under the State Health Department, representatives from the State Health Councils, and administrators of specialized oral healthcare services, in two sample groups, in addition to non-participant observation in CIB meetings.
View Article and Find Full Text PDFThere are inequities in the provision of oral health care, and a large proportion of the population face challenges in accessing public dental health care options. Teledentistry (TD), a new branch of telemedicine dedicated to dentistry, is a potential approach that can be used to overcome these challenges. Therefore, the purpose of this integrative review was to collect information regarding the inclusion of the application of TD tools in the public dental health services.
View Article and Find Full Text PDFObjective: To understand how care management in prenatal care in a Care Center in Angola happens.
Method: A qualitative study, which used the Constructivist Grounded Theory (GT) as a methodological framework. The theoretical sample consisted of 22 participants, including nursing professionals, pregnant women and nursing students from Huambo, Angola.
Objective: This study aimed to qualitatively analyse undergraduate geriatric dentistry (GD) teaching characteristics identified by geriatric dentistry teachers and senior students in five South American countries.
Background: GD involves the knowledge and skills required to provide oral health care for older people.
Methods: Exploratory-descriptive research with a qualitative approach developed in the undergraduate context of public universities in Chile, Argentina, Brazil, Colombia and Peru.
Objective: To understand the meanings of care to brain dead potential organ donors for nurses, and construct a theoretical model.
Method: Qualitative study based on the Grounded Theory approach. Data were collected through open interviews with 12 nurses, distributed in three sample groups in a university hospital in northeastern Brazil, from December 2010 to June 2011.
The aim of this study was to develop a theoretical model to describe the role that the dentist plays in Brazilian hospital settings. This qualitative study was based on the grounded theory research method. Participants were a total of 27 individuals in three groups: dentists and general practice and oral and maxillofacial surgery residents; faculty; and other health professionals who interacted with dental patients in the hospital setting during the 2012-13 year.
View Article and Find Full Text PDFPoor description of oral lesions jeopardize the prioritization of appointments in Oral Medicine. The present study investigated whether the use of support tools changes the quality of descriptions focusing on health care prioritization. Two oral lesions (A and B) were described by 64 dental students and 48 dentists using three methods: (a) without support tools (free); (b) using the oral examination form from the Specialties Manual in Oral Health/Brazilian Ministry of Health (SMOH form); and (c) using the OralDESC guideline.
View Article and Find Full Text PDFObjective: To conduct a systematic review of the literature on valid and reliable multidimensional instruments to assess home health needs of older persons.
Design: Systematic review.
Data Source: Electronic databases, PubMed/Medline, Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature, Scientific Electronic Library Online and the Latin American and Caribbean Health Sciences Information.
: The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, based on the foundations of governance as an analytical tool through identification of the dimensions actors, norms, nodal points, and processes. Secondary data were collected from the minutes of CIB meetings held from January 2011 to December 2015.
View Article and Find Full Text PDFHome care, one of the services provided by the health system, requires health practitioners who are capable of understanding its specificities. This study aimed to build a substantive theory that describes experiences of home care teaching and learning during undergraduate degree courses in nursing, pharmacy, medicine, nutrition, dentistry and occupational therapy. A qualitative analysis was performed using the grounded theory approach based on the results of 63 semistructured interviews conducted with final year students, professors who taught subjects related to home care, and recent graduates working with home care, all participants in the above courses.
View Article and Find Full Text PDFExergames are active video games that monitor body movement and are being used as an alternative to increase the level of physical activity of people from different age groups. This qualitative study investigated the perceptions of the elderly regarding exergaming. The focus group (FG) was conducted after 12 weeks of performing a program ofexergaming-based exercise (50 min, 3 days/week) using electronic games that simulate sports activities (Xbox 360 Kinect Sportstm).
View Article and Find Full Text PDFAim: To describe the oral health-related quality of life (OHR-QoL) in patients with stomatological diseases.
Methods: All new patients seen in the Stomatology Clinic, from August 2008 to July 2009 were selected. OHR-QoL was measured using OHIP-14, in face-to-face interviews.
This study aims to analyze the oral health care network in Santa Catarina State, Brazil, in municipalities with 100,000 inhabitants or more, focusing on the identification and integration of the network's essential elements. Primary data were obtained through a structured questionnaire applied to oral health care administrators. Secondary data were collected from official databases and provided by the Municipal and State Health Departments.
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