Barriers to nurses performing physical assessments in rehabilitation care units: An observational study.

To describe the perceived barriers to nurses performing physical assessments of patients in rehabilitation wards. Secondarily, to investigate how sociodemographic and professional characteristics influence the use and frequency of physical assessments by nurses and their perceptions of barriers to their practice. A multicentre, cross-sectional, observational study. Data were collected from September to November 2020 among nurses working with inpatients in eight rehabilitation care institutions in French-speaking Switzerland. Instruments included the Barriers to Nurses' use of Physical Assessment Scale. Almost half of the 112 nurses who responded reported performing physical assessments regularly. The predominant perceived barriers to performing physical assessments were 'specialty area', 'lack of nursing role models' and 'lack of time and interruptions'. Greater clinical nursing experience in rehabilitation wards and more senior nurse specialist positions were associated with significantly lower use of physical assessment procedures by nurses. The present study revealed heterogeneity in the use of physical assessment by nurses practicing in rehabilitation units and highlighted their perceived barriers to this. Most nurses working in rehabilitation care units did not routinely perform physical assessments as part of their daily clinical practice. These results should raise stakeholders' awareness of this fact. Effective interventions to increase the use of physical assessments in nursing practice are to be recommended, including continuing education or hiring enough highly qualified nurses as role models in wards. This will promote quality of care and patient safety in rehabilitation care units. There was no patient or public involvement in the present study

Methods for Caries Prevention in Children Reported by Dentists from a Brazilian Community

Objective: To describe the dental practice patterns related to caries prevention in children aged 6-18 years and associated factors. Material and Methods: Dentists (n=162) from Araraquara, Brazil, completed two paper questionnaires: (1) one about characteristics of their practice and their patient population; and (2) a translated version of the “Assessment of Caries Diagnosis and Caries Treatment” Questionnaire from the National Dental Practice-Based Research Network. Regression analyses were used for data analysis (p<0.05). Results: Dentists reported using in-office fluoride (IOF) and dental sealants (DS) in 74.2% and 45.1% of their pediatric patients, respectively. Regression analysis showed that female dentists (p=0.035 for DS; p=0.044 for IOF; p=0.011 for non-prescription fluoride rinse), those with advanced degrees (p=0.032 for prescription of fluoride), those who graduated from a private dental school (p=0.018 for chlorhexidine rinse), those who provided caries prevention regimens (p<0.001 for DS; p=0.004 for IOF; p=0.013 for non-prescription fluoride rinse), those with a greater percentage of patients interested in a caries prevention regimen (p=0.007 for non-prescription fluoride rinse), those working in a private practice model (p=0.047 for prescription of fluoride) were more likely to recommend some type of preventive methods to their pediatric patients. Conclusion: Dentists reported recommending IOF to most of their pediatric patients. Certain dentists’, practices’, and patients’ characteristics were associated to some caries prevention regimens recommended by dentists

Clones de seringueira selecionados para cultivo no estado de Goiás e no Distrito Federal.

O estado de Goiás e o Distrito Federal apresentam áreas com diferentes condições de clima e solo favoráveis ao cultivo da seringueira [Hevea brasiliensis (Wild. ex Adr. de Juss.) Müell. Arg.], que representa uma opção para diversificação do agronegócio regional. A heveicultura em Goiás ultrapassa 20 mil hectares, distribuídos em 71 municípios, e está concentrada (48%) nos municípios de Barro Alto, Goianésia, Vila Propício e Santa Rita do Novo Destino, estando a maioria dos plantios ainda em fase de crescimento e formação (Reis et al., 2017). No ano de 2018, o estado de Goiás foi o terceiro maior produtor nacional de borracha natural com a produção de 20.796 t de látex coagulado, colhida em 7.465 ha, equivalente a 2,8 t ha-1 de coágulo ou 1,7 t ha-1 de borracha seca. Essa produtividade é superior à média nacional estimada em 1,9 t ha-1 de coágulo que equivale a aproximadamente 1,1 t ha-1 de borracha seca (IBGE, 2018).bitstream/item/219538/1/P-Comunicado-Tecnico-Clones-de-seringueira-....pd