The Practice of Telehealth by Nurses: An Experience in Primary Healthcare in Brazil

Background: In Brazil, in order to train the Family Health Strategy teams, the Health Ministry implemented the Brazil Telehealth Program to provide health support and permanent health education. In Pernambuco, the Telehealth Center Network of Pernambuco (RedeNUTES) offers telehealth services to 80 municipalities, supporting 154 Family Health Strategy teams. The goal of this article is to present a profile of nurses' participation in the telehealth services developed by RedeNUTES. Subjects and Methods: This article is a descriptive study of the actions taken by nurses in tele-education and in the telesupport environment, covering the period from the beginning of 2009 to the end of 2010. Results: Three-hundred forty-nine Web conferences in tele-education, which included nurses both as lecturers and as members of the audience, were analyzed. The median average number of participants was 50 per course during the 2-year period. The participation in the training courses, among the higher-education professionals, was mainly composed of nurses. In telesupport, nurses participated as teleconsultants, answering questions received by electronic forms and by remote Web conference consultations. The most popular categories found in the requests for second opinion, submitted by nursing professionals, were obstetrics, gynecology, and pediatrics. Conclusions: We conclude that nurses have participated in telehealth services as members of the audience, as lecturers, and as teleconsultants. We also consider that the active participation of nurses could bring benefits to the quality of the telehealth services provided to the community. These practices could help predict how healthcare will look like in the next few years.o TEXTO COMPLETO DESTE ARTIGO, ESTARÁ DISPONÍVEL À PARTIR DE AGOSTO DE 2015.18967968

Quality of life of neurogenic patients: translation and validation of the Portuguese version of Qualiveen

Questionnaires for adequate assessment of the urinary function of neurological patients are not available in Portuguese. The Qualiveen, developed in France for evaluation of general and urinary-related impact on QoL, has been successfully used in neurological patients. To translate the Qualiveen, to adapt it crossculturally, and to validate it for Portuguese. Fifty-one patients with spinal cord injury (SCI), multiple sclerosis (MS), and myelomeningocele (MMC) completed both Qualiveen and the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) twice, at an mean interval of 15.5 days. A reliability study revealed internal consistency (Cronbach's alpha coefficients 0.75-0.90 for all four domains). Test-retest reliability demonstrated moderate to strong stability (intraclass correlation coefficient range from 0.62 to 0.86). Construct validity was assessed using the Qualiveen's scores and ICIQ-SF final score. It was significant for the majority of Qualiveen's score domains compared with the ICIQ-SF final score. The Portuguese version of the Qualiveen was successfully adapted and validated. It can be used for evaluation of general and urinary QoL in neurological patients.411293

Desenvolvimento de um sistema especialista para identificação de diagnósticos de enfermagem relacionados com a eliminação urinária Desarrollo de un sistema especialista para identificación de diagnosticos de enfermería relacionados con la eliminación urinaria Development of an expert system for identification of nursing diagnosis related to urinary elimination

O estudo envolveu a avaliação do sistema ALTURIN.EXP e seu aprimoramento que culminou na construção e avaliação de um novo sistema, denominado ALTURIN.SDD. No presente trabalho são descritas as etapas de avaliação do sistema ALTURIN.EXP e de desenvolvimento do sistema ALTURIN.SDD. O sistema ALTURIN.SDD foi desenvolvido utilizando-se um programa "shell" especialmente construído para este projeto, o Programa para Determinação de Diagnósticos (SDD, Versão 1.0), tendo como alvo plataformas Windows 95/98/Me. Os diagnósticos de enfermagem são aqueles presentes na classificação da NANDA 2001-2002. Esta experiência de desenvolvimento poderá ser aplicada na criação de outros sistemas especialistas.<br>El estudio involucró la evaluación del sistema ALTURIN.EXP y su aprimoramiento que culminó con la construcción y evaluación de un nuevo sistema, denominado ALTURIN.SDD. En el presente trabajo se describen las etapas de evaluación del sistema ALTURIN.EXP y de desarrollo del sistema ALTURIN.SDD. El sistema ALTURIN.SDD fue desarrollado utilizándose un programa "shell" especialmente construido para este proyecto, el Programa para Determinación de Diagnósticos (SDD, Versión 1.0), teniendo como objetivo plataformas Windows 95/98/Me. Los diagnósticos de enfermería son aquellos presentes en la clasificación de la NANDA 2001-2002. Esta experiencia de desarrollo podrá ser aplicada en la creación de otros sistemas especialistas.<br>The study involved an evaluation of the ALTURIN.EXP system and its improvement that culminated in the establishment and evaluation of a new system named ALTURIN.SDD. In the present work the evaluation phases of the ALTURIN.EXP and development of the ALTURIN.SDD systems are described. The ALTURIN.SDD system was developed by utilizing a "shell" program specially built for this project, the Program for Diagnose Determination (SDD, 1.0 Version), which had as a target Windows 95/98/Me platforms. The nursing diagnoses are those present in the NANDA 2001-2002 classification. This development experience shall be applied in the development of other specialized systems