Pflege: neue Gesundheitspublikationen – Seite 124

25.08.2026journal-article

Nursing Edição Brasileira

Anestesia para Cirurgia Cardíaca Congênita: Proteção Miocárdica e Cerebral

Karolina Fernandes Pasuch, Lavínia Bargas Rega Fischer

O manejo anestésico na cirurgia cardíaca congênita impõe desafios singulares à equipe perioperatória, dada a complexidade anatômica e a vulnerabilidade do paciente neonatal e pediátrico a lesões isquêmicas. O objetivo desta revisão sistemática de literatura foi analisar as principais evidências científicas brasileiras sobre as estratégias anestésicas empregadas para a proteção miocárdica e cerebral durante essas intervenções, com foco no uso da circulação extracorpórea (CEC). Realizou-se uma busca sistemática nas b …

25.08.2026journal-article

Nursing Reports

How the Camel’s Back Breaks: A Scoping Review of Cumulative Occupational Distress and the Conceptual Absence of Micro-Trauma in Nursing

Megan Dale, Maude Chapman, Caryn West

Background/Objectives: Nursing involves repeated exposure to emotionally, morally, and psychologically distressing experiences, yet the mechanisms through which low-intensity occupational stressors accumulate and contribute to psychological harm remain conceptually unclear. This scoping review examined how the nursing literature conceptualises the cumulative effects of repeated occupationally distressing experiences and identified the conceptual gap created by the absence of a unifying term such as micro-trauma. Me …

25.08.2026journal-article

Nursing Edição Brasileira

Bloqueio do Canal dos Adutores Vs. Bloqueio do Nervo Femoral em Artroplastia de Joelho

João Gabriel Freire da Cunha Bastos, Natália Matsumoto Brichi da Silva, Tamilis de Azevedo Neves

A artroplastia total de joelho (ATJ) é um procedimento ortopédico de grande porte associado a dor pós-operatória de forte intensidade, cuja reabilitação precoce é diretamente influenciada pela qualidade da analgesia e pela preservação da força motora. O objetivo desta revisão sistemática foi comparar a eficácia analgésica e a preservação da força do músculo quadríceps entre o bloqueio do canal dos adutores (BCA) e o bloqueio do nervo femoral (BNF) no período pós-operatório de ATJ. Realizou-se uma busca sistemática …

25.08.2026journal-article

Borneo Nursing Journal (BNJ)

Hubungan Tingkat Kecemasan Dengan Kualitas Tidur Pada Pasien Ansietas Di Poli Jiwa RSUD Prof. Dr. Aloei Saboe

Dolly Maspodi, Ani Retni, Nur Uyuun I. Biahimo

Kecemasan merupakan gangguan psikologis. Individu yang mengalami kecemasan cenderungmengalami kesulitan tidur. Kondisi tersebut dapat berdampak pada aktivitas sehari-hari dankualitas hidup pasien. Penelitian ini bertujuan untuk mengetahui hubungan tingkat kecemasandengan kualitas tidur pada pasien ansietas di Poli Jiwa RSUD Prof. Dr. Aloei Saboe KotaGorontalo. Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan crosssectional. Jumlah sampel sebanyak 93 responden yang dipilih menggunakan teknik …

25.08.2026journal-article

Journal of the American Association of Nurse Practitioners

Educational strategies for preparing nurse practitioners for rural practice

Joyce Knestrick, Melody R. Wilkinson

ABSTRACT Rural communities experience health care workforce shortages, poorer health outcomes, and significant barriers related to health care access, transportation, behavioral health services, and other social drivers of health. Nurse practitioners (NPs) are well positioned to address these disparities; however, traditional NP education often emphasizes urban and suburban practice environments, leaving graduates underprepared for the realities of rural practice. Preparing NPs to serve rural populations requires c …

25.08.2026journal-article

Journal of Trauma Nursing

Frailty Assessment Practices Among Members of the Society of Trauma Nurses: An Exploratory Survey

Heather X. Rhodes-Lyons, Gina Brandl, Hilary L.S. Hawkins, Jenna Chatham, Maria Thurston

BACKGROUND: Frailty is an established determinant of adverse outcomes among injured older adults; however, integration into trauma workflows remains variable and national implementation data are limited. OBJECTIVE: To describe frailty screening practices and perceptions among trauma professionals affiliated with the Society of Trauma Nurses. METHODS: This exploratory, descriptive, cross-sectional survey was conducted from November 12, 2025, to January 12, 2026, among trauma professionals at adult US trauma centers. …

25.08.2026journal-article

Journal of the American Association of Nurse Practitioners

Self-reflections on scholarly writing: Strengths, challenges, and growth as doctor of nursing practice students

Sarah E. Keeney, Matthew R. Evans Chelf

ABSTRACT Background: Writing is integral to nursing education and the nursing profession, but scholarly writing produced by graduate nursing students is often viewed through a deficit lens. Purpose: The purpose of this study was to capture and describe doctor of nursing practice students' perceptions of their writing strengths and challenges, and to learn from reflections on a writing assignment, to inform graduate faculty and their pedagogy, helping them better understand their student population. Methodology: Thi …

25.08.2026journal-article

Nursing Edição Brasileira

Anestesia no Paciente Centenário: Desafios da Fragilidade

Gustavo Tsurusawa Martins, Jully Cristina Vilar Barboza

O aumento expressivo da população de centenários no Brasil impõe novos desafios à prática anestésica, uma vez que a senescência extrema está intimamente associada ao desenvolvimento da síndrome de fragilidade. O objetivo desta revisão sistemática de literatura foi analisar as principais evidências científicas nacionais acerca do manejo anestésico em pacientes centenários, com foco na estratificação de risco, técnicas anestésicas e complicações pós-operatórias decorrentes da fragilidade. Realizou-se uma busca sistem …

25.08.2026journal-article

Advances in Nursing Science

A Unitary Transformative Decision-Making Theory: An International Consensus Approach

Luca Bertocchi, Rita Gengo, Ana Choperena, Chinma Stella Adereti, Suellen Cristina Dias Emidio, Paulo Carlos Garcia, Dorothy Jones

Nursing care decision-making is a complex process historically guided by systematic-positivist and intuitive-humanistic models. However, a unified theory grounded within the Unitary Transformative Paradigm has been lacking. This study introduces the Unitary Transformative Decision-Making (U-TIDE) theory, developed through a 6-phase exaptation heuristic inquiry. U-TIDE integrates 10 core concepts: unitary dialogic engagement, unitary appreciative knowing, voluntary mutual patterning, potential for change, communicat …

25.08.2026journal-article

Nursing Edição Brasileira

Arritmias Intraoperatórias: Diagnóstico e Tratamento Imediato

Débora Cavalini Gabriel, Jerry Eduardo de Almeida de Bairros

As arritmias intraoperatórias constituem eventos críticos prevalentes na prática anestesiológica, variando de alterações benignas a ritmos potencialmente fatais que exigem intervenção imediata. O objetivo desta revisão sistemática de literatura foi analisar as evidências científicas brasileiras sobre as principais estratégias de diagnóstico eletrocardiográfico e manejo terapêutico imediato das arritmias cardíacas no período intraoperatório. Realizou-se uma busca sistemática nas bases de dados SciELO, LILACS e MEDLI …

25.08.2026journal-article

Nursing Edição Brasileira

Anestesia para Cirurgia Oncológica Paliativa

Bruna Daguano Neubern de Mello, Jéssica Pereira Macêdo, Lívia Maria Ferreira da Silva

O manejo anestésico na cirurgia oncológica paliativa representa um campo complexo da anestesiologia contemporânea, cujo foco principal é o alívio de sintomas refratários e a melhoria da qualidade de vida, em detrimento do intuito curativo. O objetivo desta revisão sistemática de literatura foi analisar as evidências científicas brasileiras sobre as principais abordagens anestésicas, desafios perioperatórios e manejo analgésico multimodal em pacientes submetidos a procedimentos cirúrgicos oncológicos de caráter pali …

25.08.2026journal-article

The Nurse Practitioner

Assessing comorbidities and predicting risk

Judith A. Vessey, Tania D. Strout, Rachel L. Difazio

ABSTRACT Today's clinical environments are rife with tools designed to comprehensively account for medical complexity and comorbidities while predicting risk for a host of adverse health-related outcomes. Therefore, it is imperative that advanced practice registered nurses (APRNs) understand the structure and function of these tools, their similarities and differences, their limitations, and strategies for appropriate incorporation into practice. This article offers a practical overview for APRNs, emphasizing clini …

25.08.2026journal-article

Nursing Edição Brasileira

Anestesia no Paciente Hepatopata Grave e Transplante Hepático

Arthur Kramer Neto, Luisa Veras Cordeiro da Cunha

O manejo anestésico do paciente hepatopata grave submetido ao transplante hepático representa um dos maiores desafios da anestesiologia contemporânea, devido às profundas alterações fisiopatológicas multissistêmicas que caracterizam a insuficiência hepática terminal. O objetivo desta revisão sistemática de literatura foi analisar as principais evidências científicas brasileiras sobre as estratégias perioperatórias na anestesia para transplante de fígado, com foco na otimização hemodinâmica, manejo da coagulopatia e …

25.08.2026journal-article

Western Journal of Nursing Research

Simulation-Based Strategies Co-Designed With Young Adults for Sickle Cell Disease Self-Management

Dora L. Clayton-Jones, Sylvia Pena, Kristin Haglund, Joan P. Totka, Abir K. Bekhet, Lee Za Ong, Janet Lucas, Edward Jenkins, Anne M. Costello, James Griffin, Grainne Kilroy Ferlmann, Betty S. Pace

Background: Young adults living with sickle cell disease (SCD) face complex self-management challenges during care-seeking. Developmentally appropriate, experiential interventions remain limited. Interventions to prepare young adults for emotionally charged real-world situations such as emergency department encounters, peer communication, and independent decision-making are needed. Purpose: To describe the co-design of a simulation-based self-management intervention for young adults living with SCD and conduct eval …

25.08.2026journal-article

Journal of Infusion Nursing

The Clinical and Economic Value of ClearGuard HD in the Inpatient Setting for Hemodialysis Catheter Management

Max Holder, Jason Battle, Jamie Kelly

Objective: This study was the first to assess inpatient use of ClearGuard TM HD antimicrobial barrier caps for the reduction of hemodialysis catheter-related central line–associated bloodstream infections (CLABSI) compared to the use of Tego™️ needlefree connectors with Curos™️ caps. Methods: Retrospective observational data were used to evaluate the effect of ClearGuard on the CLABSI rate and standardized infection ratio (SIR) compared to the baseline rate and ratio. Financial analysis was conducted to measure ret …

25.08.2026journal-article

Journal of Infusion Nursing

Patient Self-Monitoring of Peripheral Intravenous Catheters Using the Visual Infusion Phlebitis Score: A Pilot Study

Soon Yeng Soo Hoo, Joan Uy, Anne McDade, Julie Ji Yeon Hyun, Karla Aguiba, Michelle Waite, Niantao Deng, David Brieger

Objective: This study aimed to evaluate patients’ knowledge of using the Visual Infusion Phlebitis (VIP) score for self-monitoring of peripheral intravenous catheters (PIVCs) during hospitalization. Methods: A descriptive comparative pilot study was conducted on 64 inpatients aged ≥18 years by using a structured Patient Knowledge Evaluation Questionnaire (PKEQ) on days 1, 2, and 3 of hospitalization. Patients received education on using the VIP score after admission. Patient knowledge levels, phlebitis scores, and …

25.08.2026journal-article

Nursing in Critical Care

Reliability and Validity of the Chinese Version of the Ventilator‐Associated Pneumonia Prevention Knowledge and Attitudes Scale: A Short Research Report

Zhiqiang Cheng, Jiaoyun Xia, Yuxuan Zeng, Jing Li, Xueyan Wei, Baozhen Zhang

ABSTRACT Ventilator‐associated pneumonia (VAP) remains a prevalent and costly healthcare‐associated infection in intensive care units (ICUs). This study aimed to translate the Ventilator‐Associated Pneumonia Prevention Knowledge and Attitudes Scale (VAPPKAS), conduct cross‐cultural adaptation and test its psychometric properties. A cross‐sectional survey was performed, enrolling 322 ICU nurses from one tertiary hospital in Jiangxi Province. The Chinese VAPPKAS consists of two dimensions containing 15 items. The Cro …

25.08.2026journal-article

Nursing Edição Brasileira

Bloqueio do Plano Transverso do Abdome (tap Block) em Cesarianas

Márcia Luísa Monteiro Cunha

O bloqueio do plano transverso do abdome (TAP block) tem se consolidado como uma estratégia fundamental na analgesia multimodal pós-operatória em cesarianas, visando a redução do consumo de opioides sistêmicos e a melhora do conforto materno. O objetivo desta revisão sistemática foi avaliar a eficácia analgésica e a segurança desta técnica no cenário obstétrico brasileiro. Realizou-se uma busca bibliográfica em bases de dados como SciELO, LILACS e MEDLINE, selecionando ensaios clínicos e revisões publicados entre 2 …

25.08.2026journal-article

Journal of Clinical Nursing

Nurses' Perceptions of Safety Management for Patients With Dementia in Acute Care Hospitals: A Q‐Methodological Study

Nayeong Kim, Jun‐Ah Song

ABSTRACT Aim To identify the types of nurses' perceptions regarding safety management for patients with dementia in acute care hospitals. Design A Q‐methodological study. Methods Data were collected between 31 July and 30 September 2025. A total of 161 statements were generated through individual in‐depth interviews with eight registered nurses from general wards at a tertiary acute care hospital in South Korea and through a literature review. Subsequently, 34 statements were selected for Q‐sorting and 22 nurses co …

25.08.2026journal-article

Nursing Edição Brasileira

Anestesia Regional em Pacientes Anticoagulados: Diretrizes Atuais

Matheus Castro Ramos

A realização de técnicas de anestesia regional em pacientes sob terapia anticoagulante ou antiplaquetária representa um dos cenários de maior vigilância na prática anestesiológica contemporânea devido ao risco catastrófico de desenvolvimento de hematoma espinal ou perimedular. O objetivo desta revisão sistemática de literatura foi analisar as evidências científicas e as diretrizes vigentes no Brasil acerca dos intervalos de interrupção, segurança e monitorização perioperatória para bloqueios do eixo neuraxial e per …

25.08.2026journal-article

Nursing Edição Brasileira

Biomarcadores Precoces (ngal, Kim-1) para Detecção de Injúria Renal Aguda Pós-anestesia

Bianca Heloísa Giaretton, Melissa Santos Chagas, Samuel de Oliveira Caldeira

A injúria renal aguda (IRA) pós-anestesia e pós-operatória constitui uma complicação grave, associada ao aumento substancial da morbimortalidade e prolongamento da internação hospitalar. O diagnóstico tradicional baseado na dosagem de creatinina sérica e no débito urinário é reconhecidamente tardio, refletindo a perda de função quando o dano tecidual já está consolidado. O objetivo desta revisão sistemática de literatura foi analisar as evidências científicas brasileiras sobre a acurácia diagnóstica e a precocidade …

25.08.2026journal-article

Journal of the American Association of Nurse Practitioners

Debunking the myth: Does precepting really lower nurse practitioner productivity?

Carolyn Dickens, Cynthia Handrup, Stephanie Curtis, Mia Cajita, Melissa Carlucci

ABSTRACT Background: The 2021 AACN Essentials emphasize the importance of preparing practice-ready nurses at all levels, making access to high-quality clinical experiences a critical component of nurse practitioner (NP) education. However, the national shortage of NP student preceptors is a significant challenge for NP educational programs that can jeopardize the clinical learning environment. One commonly cited barrier to precepting NP students is the belief that precepting reduces productivity. Purpose: The purpo …

25.08.2026journal-article

Nursing in Critical Care

Long‐Term Recovery After Severe Sepsis: A Case Study of Rhabdomyolysis and Suspected Remifentanil Withdrawal During ICU Recovery

Hanyang Su, Guozhu Xie

ABSTRACT Severe sepsis requiring prolonged intensive care and advanced life support may be followed by complex recovery‐phase complications that are difficult to recognise. This case study describes the critical care nursing management and long‐term recovery of a 60‐year‐old woman with severe sepsis who developed rhabdomyolysis during post‐ECMO recovery and suspected remifentanil withdrawal during ventilator weaning. Nursing care focused on continuous assessment, early recognition of complications, renal protection …

25.08.2026journal-article

Nursing Reports

Nurse–Patient Mutuality and Health-Related Quality of Life Among Nurses Caring for People with Chronic Illness: A Multicentre Cross-Sectional Study

Camilla Ripari, Silvia Cilluffo, Barbara Bassola, Rosario Caruso, Stefano Terzoni, Maura Lusignani

Background: Although nurses’ health-related quality of life (HRQoL) is critical for mitigating the growing intention to leave the profession, the association between nurse–patient mutuality and nurses’ HRQoL remains unexplored. Therefore, this study aims to examine the association between nurse–patient mutuality and nurses’ HRQoL. Methods: A cross-sectional, multicentre study was conducted across four tertiary hospitals in Italy. Data were collected from a sample of 726 nurses working in medical and surgical inpati …

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Was ist neu im Gesundheitswesen?

Aktuelle Forschung nach Fachgebiet

Anestesia para Cirurgia Cardíaca Congênita: Proteção Miocárdica e Cerebral

How the Camel’s Back Breaks: A Scoping Review of Cumulative Occupational Distress and the Conceptual Absence of Micro-Trauma in Nursing

Bloqueio do Canal dos Adutores Vs. Bloqueio do Nervo Femoral em Artroplastia de Joelho

Hubungan Tingkat Kecemasan Dengan Kualitas Tidur Pada Pasien Ansietas Di Poli Jiwa RSUD Prof. Dr. Aloei Saboe

Educational strategies for preparing nurse practitioners for rural practice

Frailty Assessment Practices Among Members of the Society of Trauma Nurses: An Exploratory Survey

Self-reflections on scholarly writing: Strengths, challenges, and growth as doctor of nursing practice students

Anestesia no Paciente Centenário: Desafios da Fragilidade

A Unitary Transformative Decision-Making Theory: An International Consensus Approach

Arritmias Intraoperatórias: Diagnóstico e Tratamento Imediato

Anestesia para Cirurgia Oncológica Paliativa

Assessing comorbidities and predicting risk

Anestesia no Paciente Hepatopata Grave e Transplante Hepático

Simulation-Based Strategies Co-Designed With Young Adults for Sickle Cell Disease Self-Management

The Clinical and Economic Value of ClearGuard HD in the Inpatient Setting for Hemodialysis Catheter Management

Patient Self-Monitoring of Peripheral Intravenous Catheters Using the Visual Infusion Phlebitis Score: A Pilot Study

Reliability and Validity of the Chinese Version of the Ventilator‐Associated Pneumonia Prevention Knowledge and Attitudes Scale: A Short Research Report

Bloqueio do Plano Transverso do Abdome (tap Block) em Cesarianas

Nurses' Perceptions of Safety Management for Patients With Dementia in Acute Care Hospitals: A Q‐Methodological Study

Anestesia Regional em Pacientes Anticoagulados: Diretrizes Atuais

Biomarcadores Precoces (ngal, Kim-1) para Detecção de Injúria Renal Aguda Pós-anestesia

Debunking the myth: Does precepting really lower nurse practitioner productivity?

Long‐Term Recovery After Severe Sepsis: A Case Study of Rhabdomyolysis and Suspected Remifentanil Withdrawal During ICU Recovery

Nurse–Patient Mutuality and Health-Related Quality of Life Among Nurses Caring for People with Chronic Illness: A Multicentre Cross-Sectional Study