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1.
Nurs Open ; 8(5): 2509-2519, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-33503335

RESUMEN

OBJECTIVES: To analyse the factors associated with length of stay (LOS) and death in nasogastric/nasoenteric tube (NG/NET)-fed patients. DESIGN: A cross-sectional multicentre study. METHOD: Data collection took place from October 2017-April 2019, and the sample consisted of 365 participants from seven Brazilian hospitals. Demographic, clinical and therapeutic data were collected from the patients' medical records. Data analysis was performed using bivariate and multivariate tests, considering a significance level of p<.05. RESULTS: Most patients were male, older adults, with high risk of death and highly dependent on nursing care. The LOS was associated with age, patient care complexity and length of NG/NET use. Death was associated with patient age. In the multivariate analysis, patients highly dependent on nursing care, and intensive and semi-intensive care had a greater chance of dying when compared with patients receiving minimal care. Screening for factors affecting LOS and death is important to plan effective nursing care.


Asunto(s)
Nutrición Enteral , Intubación Gastrointestinal , Anciano , Cuidados Críticos , Estudios Transversales , Humanos , Tiempo de Internación , Masculino
2.
Rev Bras Enferm ; 72(3): 809-817, 2019 Jun 07.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31269150

RESUMEN

OBJECTIVE: To analyze the national and international scientific evidence available in the literature on types of judicialization of health lawsuits. METHOD: Integrative review, which selected primary studies in the PubMed, LILACS, Web of Science and Scopus databases, with the. DESCRIPTORS: judicial decisions, health's judicialization, Saúde (in Portuguese), Health, and the keyword: Judicial Action. RESULTS: 30 studies were selected. In Brazil, the majority were legal claims for medicines and the other for medical errors, requests for vaccines, supplies for diabetics, food compounds, surgical procedure, examinations, among others. In international studies, lawsuits were found for medication, benefit coverage and hospitalization for psychiatric treatment. CONCLUSION: It is evident that the most demanded type of lawsuit was access to the medication at an international level. It is still more noticeable the little discussion on this subject, demonstrating that judicialization of medicines can indicate a reality of Brazil.


Asunto(s)
Criminología/métodos , Toma de Decisiones , Rol Judicial/historia , Brasil , Criminología/tendencias , Historia del Siglo XXI , Derechos Humanos , Humanos
3.
Rev. bras. enferm ; 72(3): 809-817, May.-Jun. 2019. tab, graf
Artículo en Inglés | BDENF - Enfermería, LILACS | ID: biblio-1013542

RESUMEN

ABSTRACT Objective: To analyze the national and international scientific evidence available in the literature on types of judicialization of health lawsuits. Method: Integrative review, which selected primary studies in the PubMed, LILACS, Web of Science and Scopus databases, with the Descriptors: judicial decisions, health's judicialization, Saúde (in Portuguese), Health, and the keyword: Judicial Action. Results: 30 studies were selected. In Brazil, the majority were legal claims for medicines and the other for medical errors, requests for vaccines, supplies for diabetics, food compounds, surgical procedure, examinations, among others. In international studies, lawsuits were found for medication, benefit coverage and hospitalization for psychiatric treatment. Conclusion: It is evident that the most demanded type of lawsuit was access to the medication at an international level. It is still more noticeable the little discussion on this subject, demonstrating that judicialization of medicines can indicate a reality of Brazil.


RESUMEN Objetivo: Analizar las evidencias científicas nacionales e internacionales disponibles en la literatura sobre los tipos de acciones de judicialización de la salud. Método: Revisión integrativa, que seleccionó estudios primarios en las bases de datos PubMed, LILACS, Web of Science y Scopus, con los Descriptores: decisiones judiciales, judicialización de la salud, Salud, Health, y la palabra clave: Judicial Action. Resultados: Se seleccionaron 30 estudios, siendo que en Brasil, la mayoría se trataba de demandas judiciales por medicamentos y las demás por acciones por error médico, solicitud por vacunas, insumos para diabéticos, compuestos alimentarios, procedimiento quirúrgico, exámenes, entre otras. En estudios internacionales, se encontraron acciones por medicamentos, cobertura de beneficios e internación para tratamiento psiquiátrico. Conclusión: Se evidencia que el tipo de acción más demandada fue el acceso al medicamento a nivel internacional. Es aún más perceptible la poca discusión sobre esta temática, demostrando que la judicialización de medicamentos puede indicar una realidad característica de Brasil.


RESUMO Objetivo: Analisar as evidências científicas nacionais e internacionais disponíveis na literatura sobre os tipos de ações de judicialização da saúde. Método: Revisão integrativa, que selecionou estudos primários nas bases de dados PubMed, LILACS, Web of Science e Scopus, com os Descritores: decisões judiciais, judicialização da saúde, Saúde, Health, e a palavra-chave: Judicial Action. Resultados: Foram selecionados 30 estudos, sendo que no Brasil, a maioria se tratava de demandas judiciais por medicamentos e as demais por ações por erro médico, solicitação por vacinas, insumos para diabéticos, compostos alimentares, procedimento cirúrgico, exames, entre outras. Em estudos internacionais, foram encontradas ações por medicamentos, cobertura de benefícios e internação para tratamento psiquiátrico. Conclusão: Evidencia-se que o tipo de ação mais demandada foi o acesso ao medicamento a nível internacional. Ainda é mais perceptível a pouca discussão sobre essa temática, demonstrando que a judicialização de medicamentos pode indicar uma realidade característica do Brasil.


Asunto(s)
Humanos , Criminología/métodos , Toma de Decisiones , Rol Judicial/historia , Brasil , Criminología/tendencias , Derechos Humanos
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