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Your search keyword '"Kusahara, Denise Miyuki"' showing total 6 results
Start Over Author "Kusahara, Denise Miyuki" Topic pediatric nursing
6 results on '"Kusahara, Denise Miyuki"'

1. [The experiences of intensive care nurses in the assessment and intervention of pain relief in children].

Author

dos Santos MZ, Kusahara DM, and Pedreira Mda L

Subjects
Adult, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Surveys and Questionnaires, Critical Care, Nursing Diagnosis, Pain Management nursing, Pediatric Nursing
Abstract

Descriptive survey of daily practical experiences of pediatric nurses in the assessment and intervention to pain relief in children, during nursing care provided in pediatric and neonatal intensive care units, and the influence of the infrastructure of care and system organization. The sample was made up of 109 nurses. The principal results indicated that the majority of the nurses considered the academic training obtained as insufficient to support this aspect of nursing care; that they had not received local training in evaluating pain or in relief interventions; that the staff ratio is inadequate and as well as the availability of institutional guidelines to improve the quality of analgesia. It was concluded that nurses value the assessment and intervention to pain relief in children, but describe aspects which compromise practice: lack of collaborative practice, lack of processes definition, lack of formal and continuing education and lack of infrastructure. These aspects compromise the implementation of scientific evidences capable of improving practical aspects of analgesia in children under intensive care.

Published
2012
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2. Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children

Author

Santos, Luciano Marques dos, Nunes, Katharinne de Jesus, Silva, Cleonara Sousa Gomes e, Kusahara, Denise Miyuki, Rodrigues, Elisa da Conceição, and Avelar, Ariane Ferreira Machado

Subjects
Hospitalized Child, Adverse Effects, Intravenous Infusions, Extravasamento de Materiais Terapêuticos e Diagnósticos, Efectos Adversos, Criança Hospitalizada, Niño Hospitalizado, Cateterismo Periférico, Efeitos Adversos, Pediatric Nursing, Enfermagem Pediátrica, Extravasación de Materiales Terapéuticos y Diagnósticos, Enfermería Pediátrica, Infusões Intravenosas, Peripheral Catheterizations, Infusiones Intravenosas, Extravasation of Diagnostic and Therapeutic Materials
Abstract

Objetivo: desarrollar y validar el contenido y la apariencia de un algoritmo para el tratamiento de la infiltración y extravasación de medicamentos no quimioterápicos y soluciones administrados a niños. Método: estudio metodológico de formulación y validación de tecnología. Para la elaboración del algoritmo, se realizó una revisión de la literatura para enumerar la evidencia científica sobre el tratamiento de la infiltración y extravasación. La validación de contenido y apariencia se dio con 14 especialistas en enfermería pediátrica, utilizando la técnica Delphi, adoptando como Índice de Validación de Contenido deseable valores iguales o superiores a 0,80. Resultados: el algoritmo fue validado en la tercera evaluación por los jueces, alcanzando un Índice de Validación de Contenido Global de 0,99, compuesto por la percepción de la existencia de la complicación; interrupción de la infusión de terapia intravenosa; verificación de signos y síntomas; medición del edema; aplicación de escala de evaluación de infiltración y extravasación y conducta según las características del líquido administrado y el tipo de complicación. Conclusión: el algoritmo ha sido validado y puede ser utilizado de forma práctica y objetiva por los profesionales de la salud, con el fin de promover la seguridad en la atención de los niños hospitalizados, en lo que respecta a la reducción de los daños causados por infiltración y extravasación. Objetivo: elaborar e validar o conteúdo e a aparência de um algoritmo para tratamento de infiltração e extravasamento de medicamentos não quimioterápicos e soluções administradas em crianças. Método: estudo metodológico do tipo elaboração e validação de tecnologia. Para elaboração do algoritmo, realizou-se revisão bibliográfica para elencar as evidências científicas sobre o tratamento de infiltração e extravasamento. A validação do conteúdo e aparência ocorreu com 14 especialistas em enfermagem pediátrica, a partir da técnica Delphi, adotando-se como Índice de Validação de Conteúdo desejável os valores iguais ou superiores a 0,80. Resultados: o algoritmo foi validado na terceira avaliação pelos juízes, atingindo Índice de Validação de Conteúdo Global de 0,99, sendo composto por percepção da ocorrência da complicação; descontinuação da infusão da terapia intravenosa; verificação dos sinais e sintomas; mensuração do edema; aplicação de escala de avaliação de infiltração e extravasamento e condutas a serem utilizadas mediante a característica do fluido administrado e tipo de complicação. Conclusão: o algoritmo foi validado e pode ser usado de maneira prática e objetiva pelos profissionais de saúde, com o intuito de promover a segurança no cuidado da criança hospitalizada, no que tange à redução de danos provocados pela infiltração e extravasamento. Objective: to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to children. Method: a methodological study of the technology formulation and validation type. To elaborate the algorithm, a bibliographic review was carried out to list the scientific evidence on the treatment of infiltration and extravasation. Content and appearance validation was in charge of 14 specialists in pediatric nursing, using the Delphi technique, adopting a value equal to or greater than 0.80 as Content Validation Index. Results: the algorithm was validated in the third evaluation by the judges, reaching a Global Content Validation Index of 0.99, being composed by the perception of the occurrence of the complication; discontinuation of intravenous therapy infusion; verification of signs and symptoms; measurement of edema; application of an infiltration and extravasation assessment scale and conduits to be used according to the characteristics of the fluid administered and the type of complication. Conclusion: the algorithm was validated and can be used in a practical and objective way by health professionals, in order to promote safety in the care of hospitalized children, with regard to reducing harms caused by infiltration and extravasation. Descriptors

Published
2021

3. Hemolysis markers of blood administered in non-valved peripherally inserted central catheter*

Author

Mendes, Maria Teresa de Melo, Jacinto, Amanda Karina de Lima, Kusahara, Denise Miyuki, Peterlini, Maria Angélica Sorgini, Pedreira, Mavilde da Luz Gonçalves, and Avelar, Ariane Ferreira Machado

Subjects
Transfusión sanguínea, Catheters, Transfusão de sangue, Dispositivos de acceso vascular, Blood transfusion, Enfermería pediátrica, Hemólisis, Hemolysis, Dispositivos de acesso vascular, Hemólise, Pediatric nursing, Vascular access devices, Cateteres, Enfermagem pediátrica, Catéteres
Abstract

Resumo Objetivo: Identificar as variações nos níveis de marcadores de hemólise em CH administrados por CCIP segundo o calibre do cateter. Método: Estudo experimental realizado em laboratório com condições de temperatura e umidade controladas. A amostra teve 36 alíquotas de sangue de 10 bolsas de hemácias com tipo de sangue A+; infusão de gravidade foi utilizada em seis CCIP de 3Fr (French) e seis de 4Fr, totalizando 12 experimentos divididos em três tempos: basal, fluxo livre e fluxo controlado. Analisou-se grau de hemólise, valores totais e livres de hemoglobina, desidrogenase láctica e potássio. Resultados: Houve aumento da média de hemoglobina livre (p=0,01) e grau de hemólise (p=0,01) após infusão de fluxo livre, com média de elevação de 0,04 de potássio (p

Published
2019

4. Use of safety strategies to identify children for drug administration.

Author

de Souza, Sabrina, Rocha, Patrícia Kuerten, de Almeida Cabral, Patrícia Fernanda, and Kusahara, Denise Miyuki

Subjects
MEDICATION error prevention, ACADEMIC medical centers, CHI-squared test, CHILDREN'S hospitals, CONFIDENCE intervals, DRUG delivery systems, DRUG administration, DOSAGE forms of drugs, DRUG labeling, DRUG storage, EMPLOYEES, EXPERIENCE, GENETIC techniques, HOSPITAL pharmacies, IDENTIFICATION, INJECTIONS, RESEARCH methodology, MEDICAL records, MEDICAL prescriptions, NURSING practice, SCIENTIFIC observation, ORAL drug administration, PATIENTS, PEDIATRIC nursing, PERSONNEL management, RESEARCH, RESEARCH funding, PATIENTS' rights, QUANTITATIVE research, CROSS-sectional method, DATA analysis software, DESCRIPTIVE statistics, HOSPITAL nursing staff, CHILDREN
Abstract

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2014
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5. Oral care and oropharyngeal and tracheal colonization by Gram-negative pathogens in children.

Author

Kusahara, Denise Miyuki, Friedlander, Lais Tambelli, Peterlini, Maria Angélica Sorgini, and Pedreira, Mavilde Luz Gonçalves

Subjects
*CHLORHEXIDINE, *ANALYSIS of variance, *CHI-squared test, *STATISTICAL correlation, *FISHER exact test, *FLUIDS, *GRAM-negative bacteria, *LENGTH of stay in hospitals, *HOST-bacteria relationships, *INTENSIVE care nursing, *INTENSIVE care units, *LONGITUDINAL method, *EVALUATION of medical care, *MICROBIAL sensitivity tests, *ORAL hygiene, *PATIENTS, *PEDIATRIC nursing, *PEDIATRICS, *PHARYNX, *PLACEBOS, *PNEUMONIA, *STATISTICAL sampling, *TRACHEA, *MECHANICAL ventilators, *RANDOMIZED controlled trials, *BLIND experiment, *CHILDREN, *THERAPEUTICS
Abstract

Background: Critical care nursing interventions to oral care can reduce microorganisms in the oropharynx available for translocation. Objectives: To analyse the effect of 0·12% chlorhexidine digluconate on the colonization of oropharyngeal and tracheal secretions by Gram-negative pathogens in mechanically ventilated children. Methods: A randomized, controlled and double-blinded study was performed in the paediatric intensive care unit (PICU) of a Brazilian university hospital. Exclusion criteria included child age under 28 days, pneumonia diagnosis at admission, use of tracheostomy, PICU length of stay (LOS) less than 48 h and refusal to participate. Children were randomly allocated to the interventional group (IG), in which oral care with chlorhexidine was administered, or to the placebo group (PG), which received oral care without antiseptic use. The data were analysed through Pearson's χ2 test, Fisher's exact and ANOVA tests with significance levels set at 0·05. Results: The demographic characteristics of the 74 children were not statistically different between groups. No between-group differences in oropharyx colonization by Gram-negative pathogens were identified ( p = 0·316). Pathogens were isolated in the tracheal secretions of two (10·0%) children in the PG and four (19·0%) children in the IG ( p = 0·355). Conclusion: The use of chlorhexidine did not significantly influence the colonization of oropharyngeal and tracheal secretions by Gram-negative pathogens of the studied sample. Relevance to clinical practice: This study demonstrated no influence of a specific antiseptic agent on colonization profile of mechanically ventilated children in PICU. Further research in this field is necessary to promote evidence-based nursing practice on oral care of critically ill children. [ABSTRACT FROM AUTHOR]

Published
2012
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6. Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children.

Author

dos Santos, Luciano Marques, de Jesus Nunes, Katharinne, Gomes Silva, Cleonara Sousa, Kusahara, Denise Miyuki, Rodrigues, Elisa da Conceição, and Machado Avelar, Ariane Ferreira

Subjects
*INTRAVENOUS catheterization, *RESEARCH, *INTRAVENOUS therapy, *RESEARCH methodology, *PEDIATRIC nurses, *EXTRAVASATION, *ALGORITHMS, *DELPHI method, *EDEMA, *NURSING assessment, *HOSPITAL care of children, *PATIENT safety, *SYMPTOMS, *CHILDREN
Abstract

Objective: to elaborate and validate the content and appearance of an algorithm for treating infiltration and extravasation of non-chemotherapy drugs and solutions administered to children. Method: a methodological study of the technology formulation and validation type. To elaborate the algorithm, a bibliographic review was carried out to list the scientific evidence on the treatment of infiltration and extravasation. Content and appearance validation was in charge of 14 specialists in pediatric nursing, using the Delphi technique, adopting a value equal to or greater than 0.80 as Content Validation Index. Results: the algorithm was validated in the third evaluation by the judges, reaching a Global Content Validation Index of 0.99, being composed by the perception of the occurrence of the complication; discontinuation of intravenous therapy infusion; verification of signs and symptoms; measurement of edema; application of an infiltration and extravasation assessment scale and conduits to be used according to the characteristics of the fluid administered and the type of complication. Conclusion: the algorithm was validated and can be used in a practical and objective way by health professionals, in order to promote safety in the care of hospitalized children, with regard to reducing harms caused by infiltration and extravasation. [ABSTRACT FROM AUTHOR]

Published
2021
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