Vanessa Emille Carvalho de Sousa FreireNew Horizons Ltda
Vanessa Emille Carvalho de Sousa Freire
PhD
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Introduction
Vanessa Sousa, PhD, RN, é Proprietária da empresa New Horizons LTDA. Dra. Sousa concluiu estudos de Graduação, Mestrado e Doutorado na Universidade Federal do Ceará, Brasil, e foi bolsista de Pós-Doutorado do CNPq na University of Illinois at Chicago, Estados Unidos. Possui expertise em taxonomias de enfermagem, acurácia e validação de diagnósticos de enfermagem e tecnologia na área da Enfermagem.
Additional affiliations
October 2015 - November 2015
Publications
Publications (96)
Apresentação minstrada na X Semana Universitária da UNILAB, Redenção, Ceará, Brasil. Tema: Da Pesquisa à Publicação: Estratégias para Sucesso em Publicação Científica.
Apresentação ministra no dia 18/10/2024, como parte das atividades do Grupo de Pesquisa e Extensão Tecnologias para o Cuidado de Enfermagem no Cenário das Doenças Crônicas, Universidade da Integração Internacional da Lusofonia Afro-Brasileira, Ceará, Brasil.
Apresentação ministrada em 04 de Outubro de 2024, como parte das atividades do Grupo de Pesquisa e Extensão Tecnologias para o Cuidado de Enfermagem no cenário das doenças crônicas, UNILAB, Ceará.
In primary care, those involved in the care process are exposed to situations that can compromise their safety and listening to them can contribute to the glimpse of new possibilities for optimizing the care provided. The study aimed to verify the perception of health professionals, patients and managers about the potential and obstacles in primary...
Objectives:
to create a software application for nursing education on child development assessment.
Methods:
this is a methodological applied research developed in three stages: analysis, design, and development. Product quality characteristics from the ISO/IEC 25010 standards were adopted. The programming language used was JavaScript. The educa...
Apresentação ministrada na Oficina de docentes da UFF, em 22/09/2021.
Aim: To identify errors in drug prescriptions and its causes in a primary healthcare center. Method: Cross-sectional study carried out in a primary healthcare center in northeastern Brazil. A total of 707 drug prescriptions were analyzed using an instrument with pre-established criteria, according to the country's legal provisions regarding drug pr...
Dicas sobre Redação científica e como melhorar a visibilidade dos seus artigos. Palestra ministrada à convite da Universidade Federal Fluminense e da Online Brazilian Journal of Nursing.
Objective:
to assess the safety atmosphere in primary health care and to analyze the possible causes of the identified problems.
Method:
action research carried out in 2017, in a municipality in the Northeast of Brazil, divided into three moments: approaching the field, application of the Safety Attitudes Questionary and discussion with health wor...
The ubiquity of EHRs in healthcare means that small EHR inefficiencies can have a major impact on clinician workload. We conducted a sequential explanatory mixed methods study to: 1) identify EHR-associated workload and usability effects for clinicians following an EHR change over time, 2) determine workload and usability differences for providers...
Objective
To analyze the relevance of clinical indicators and the clarity and precision of conceptual and operational definitions of the diagnosis Impaired gas exchange.
Methods
Content analysis, by 39 nurse judges, divided into the phases of conceptual definition of the phenomenon of interest, construction of the structure of the phenomenon of in...
The subject of Patient Safety has gained prominence in recent decades, but the errors that allow patients to occur. One way to mitigate this problem is to invest in the permanent education of working professionals and undergraduate students. Therefore, the objective of the study is to report the experience of conducting a training course on quality...
Objetivo: relatar a experiência da implementação de uma horta comunitária, em uma Instituição de Longa Permanência para Idosos, no intuito de promover um ambiente ecossocial acolhedor e uma atividade lúdica para o bem-estar de idosos. Método: trata-se de relato de experiência sobre a implementação de uma horta comunitária em uma Instituição de Long...
Mobile health (mHealth) holds considerable promise as a way to give people greater control of their health information, privacy, and sharing in the context of HIV research and clinical services. The purpose of this study was to determine the feasibility of an mHealth research application from the perspective of three stakeholder groups involved in...
Objective:
To build a script for nursing history aimed at standardizing the nursing consultation to people with tuberculosis and subsidize an adequate record and the completeness of the nursing process.
Method:
this is qualitative research based on the action research methodology, carried out in the Tuberculosis Control Program, located in Pinheir...
Objetivo: construir um roteiro para histórico de enfermagem, de forma a padronizar a consulta de enfermagem às pessoas com tuberculose e subsidiar adequado registro e a completude do processo de enfermagem. Método: pesquisa qualitativa, fundamentada na metodologia da pesquisa-ação, realizada no Programa de Controle da Tuberculose, situado em Pinhei...
Background: There are evidences in relation to association between sleep disorders and impaired performance in health care workers. The purpose of this review was to examine the association between medical errors in drug administration and sleep problems in nurses and healthcare workers. Method: Systematic review and meta- analysis, using PRISMA ch...
Objective
to analyze the relationship between Burnout Syndrome and perceptions about safety climate among intensive care professionals.
Methods
a cross-sectional study with 51 health professionals from a public hospital in northeastern Brazil. The following instruments were applied: the Maslach Burnout Inventory, the Safety Attitudes Questionnaire...
The aim of this study was to promote an experience report by implementing the nursing consultation directed at adolescents as part of the institutional routine of a Basic Health Unit. This is an experience report through an application project linked to the discipline of Nursing Internship II - Community, belonging to the Undergraduate Nursing Cour...
PURPOSE
To verify the relevance of the clinical indicators, the clarity and precision of the conceptual, and operational definitions for Ineffective breathing pattern (IBP).
METHODS
A content analysis by 39 judges.
FINDINGS
The results showed 28 clinical indicators for IBP. However, only seven were not considered relevant for the diagnosis. These...
Objectives: The aims of this study were (1) to identify attributes for patient safety at a primary healthcare level and (2) to analyze conceptions of patients, professionals, and
managers about how these attributes are being addressed.
Study design: This was a qualitative study.
Methods: Participants were recruited from three primary care settings...
Objective:
to evaluate functional performance and technical quality of user embracement software with pediatric risk classification.
Method:
descriptive exploratory study developed based on the quality requirements set forth in ISO/IEC 25010. The evaluated characteristics were: functional adequacy, reliability, usability, performance efficiency, c...
The purpose of this study was to evaluate the impact of implementing a care bundle for preventing peri-intraventricular hemorrhage (PIVH) in preterm newborns. A longitudinal, quantitative, quasi-experimental study was conducted with preterm newborns from a neonatal unit. The study was divided into 2 stages: the first consisted of a retrospective co...
Objetivo: descrever o perfil sociodemográfico e clínico de mulheres com hanseníase. Método: estudo descritivo com abordagem quantitativa desenvolvido com 170 mulheres sob tratamento para hanseníase. Resultados: observou-se uma predominância de mulheres com idade de 36 a 45 anos (25,3%), com ensino médio completo (35,9%), com renda familiar de um sa...
Objective
To determine associations between respiratory nursing diagnoses and nursing interventions in patients submitted to thoracic or upper abdominal surgery.
Method
Cross sectional quantitative study. Participants were 312 adult patients within the first 48 h after thoracic or upper abdominal surgery. Patients were examined by the research tea...
Purpose:
To analyze the accuracy of the defining characteristics of the nursing diagnosis of sexual dysfunction in women undergoing pharmacological treatment for breast cancer.
Methods:
A cross-sectional accuracy study with statistical analysis.
Findings:
Alteration in sexual satisfaction was the defining characteristic with the highest sensit...
Background:
It is undeniable that diabetes may cause several health complications for the population. Many of these complications are associated with poor glycemic control. Because of this, strategies to handle this problem are of great clinical importance and may contribute to reduce the various complications from diabetes.
Objective:
The aim of...
RESUMOObjetivo: buscou-se avaliar a administração de imunobiológicos em salas de vacina de Unidades Básicas de Saúde da Família de um município do Nordeste brasileiro. Método: trata-se de um estudo quantitativo, investigativo, tipo pesquisa-ação. Coletaram-se os dados por meio da observação sistemática em uma Unidade Básica de Saúde da Família. Uti...
PURPOSE
To evaluate the benefits of NIC interventions in postoperative patients with ineffective airway clearance (00031).
METHODS
Quasi‐experimental study with interrupted time‐series design. A total of 101 patients were evaluated during 4 days based on the nursing outcome Respiratory Status: Airway Patency (0410).
FINDINGS
Interventions such as...
Objective:
To determine associations between respiratory nursing diagnoses and nursing interventions in patients submitted to thoracic or upper abdominal surgery.
Method:
Cross sectional quantitative study. Participants were 312 adult patients within the first 48 hours after thoracic or upper abdominal surgery. Patients were examined by the rese...
Objetivo: Analisar os fatores associados à coinfecção Tuberculose/HIV e determinar a prevalência máxima e mínima da positividade do teste anti-HIV entre casos de tuberculose no Maranhão, no período de 2001 a 2011. Métodos: Estudo transversal realizado mediante consulta aos dados do Sistema de Informação de Agravos de Notificação. Para identificar a...
Background
Being able to make accurate clinical decisions about actual or potential health problems is crucial to provide a safe and effective care. However, nursing students generally have difficulties identifying nursing diagnoses accurately.
Objective
To compare the diagnostic accuracy within and across the NANDA-I diagnoses domains of junior,...
Objectives:
This research aimed to conduct an investigation of the tools used to assess safety culture in the primary health care.
Study design:
Integrative review of the literature.
Methods:
We conducted a literature search using an instrument that included quantitative assessments of safety culture, using the following databases: CINAHL, Sci...
Purpose:
To establish prognostic indicators of survival for impaired gas exchange (IGE) (00030).
Methods:
Secondary analysis of data from an open prospective cohort developed with a group of 136 children with acute respiratory infection (ARI).
Findings:
On Day 1, IGE (00030) was present in 42.6% of the sample. New cases arose until the last da...
Background
Physician and nurses have worked together for generations; however, their language and training are vastly different; comparing and contrasting their work and their joint impact on patient outcomes is difficult in light of this difference. At the same time, the EHR only includes the physician perspective via the physician-authored discha...
Objective:
To evaluate the accuracy of the defining characteristics of the nursing diagnosis for "fatigue in women with breast cancer under radiotherapy".
Method:
Study of diagnostic accuracy, with cross-sectional design, performed in 130 women with breast cancer under radiation treatment. A data collection instrument was used to evaluate clinic...
Objective:
to evaluate the respiratory status of postoperative adult patients by assessing the nursing outcome Respiratory Status.
Method:
descriptive, cross-sectional study developed with 312 patients. Eighteen NOC indicators were assessed and rated using a Likert-scale questionnaire and definitions. Descriptive and correlative analysis were cond...
RESUMOObjetivo: relatar a experiência da realização de sessões educativas para mães acerca do cuidado ao lactente em sala de espera de consultas de puericultura. Método: estudo qualitativo, descritivo, tipo relato de experiência, em que ocorreram as sessões educativas em uma Unidade de Atenção Primária à Saúde, cuja coleta de dados ocorreu de agost...
Purpose:
To determine the acceptability, usefulness, and ease of use for four nursing clinical decision support interface prototypes.
Methods:
In a simulated hospital environment, 60 registered nurses (48 female; mean age = 33.7 ± 10.8; mean years of experience = 8.1 ± 9.7) participated in a randomized study with four study groups. Measures incl...
Background:
Clinical decision support (CDS) tools-with easily understood and actionable information, at the point of care-are needed to help registered nurses (RNs) make evidence-based decisions. Not clear are the optimal formats of CDS tools. Thorough, preclinical testing is desirable to avoid costly errors associated with premature implementatio...
Background:
The use of e-health can lead to several positive outcomes. However, the potential for e-health to improve healthcare is partially dependent on its ease of use. In order to determine the usability for any technology, rigorously developed and appropriate measures must be chosen.
Objectives:
To identify psychometrically tested questionn...
Purpose:
To critically evaluate 2014 American Academy of Nursing (AAN) call-to-action plan for generating interoperable nursing data.
Data sources:
Healthcare literature.
Data synthesis:
AAN's plan will not generate the nursing data needed to participate in big data science initiatives in the short term because Logical Observation Identifiers...
Objetivo: Analisar evidências científicas sobre a utilização do bisturi elétrico e os cuidados relacionados ao uso desse equipamento. Método: Revisãointegrativa da literatura realizada em abril e maio de 2016 nas bases de dados PubMed (arquivo digital produzido pela National Library of Medicine),Biblioteca Virtual em Saúde (BVS) e Google Acadêmico....
Questionnaire development involves rigorous testing to ensure reliability and validity. Due to time and cost constraints of developing new questionnaires, researchers often adapt existing questionnaires to better fit the purpose of their study. However, the effect of such adaptations is unclear. We conducted cognitive interviews as a method to eval...
Background
Surgical recovery can be defined as the days required to initiate activities that maintain life, health, and well‐being.
Aim
The main study objective was to compare the effectiveness of telephone versus conventional follow‐up in postsurgical older adult patients.
Methods
This is a quasi‐experimental study with random sampling. Postsurg...
Purpose:
The aim of this study was to analyze the accuracy of the defining characteristics of ineffective breathing pattern (IBP) in postoperative cardiac patients.
Methods:
A diagnostic accuracy study was performed with 98 patients. Measures of sensitivity, specificity, predictive values, likelihood ratios, diagnostic odds ratio, and area under...
Objective:
To report on the state of the science of clinical decision support (CDS) for hospital bedside nurses.
Materials and methods:
We performed an integrative review of qualitative and quantitative peer-reviewed original research studies using a structured search of PubMed, Embase, Cumulative Index to Nursing and Applied Health Literature (...
Purpose:
To design and test educational software to improve nursing students' diagnostic reasoning through NANDA-I-based clinical scenarios.
Methods:
A mixed method approach was used and included content validation by a panel of 13 experts and prototype testing by a sample of 56 students.
Findings:
Experts' suggestions included writing adjustm...
Aim:
The aim of this study is to analyze the accuracy of the defining characteristics of ineffective airway clearance (IAC) in patients after thoracic and upper abdominal surgery.
Background:
Although numerous studies have described the most prevalent respiratory NANDA-I diagnoses, only few investigates the precision of nursing assessments.
Met...
Background
Student nurses often have difficulties with diagnostic inferences. To achieve high accuracy nursing diagnoses, effective learning strategies are required.
Objective
To describe the construction and evaluation of new educational software called Wise Nurse, which was developed to increase the capacity of student nurses to identify nursing...
Our long-term goal was to ensure nurse clinical decision support works as intended before full deployment in clinical practice. As part of a broader effort, this pilot project explored factors influencing acceptance/nonacceptance of eight clinical decision support suggestions displayed in an electronic health record-based nursing plan of care softw...
Purpose
To perform a clinical validation of the defining characteristics of Impaired Memory (IM) in elderly patients at a long-term care institution.
Methods
A sample of 123 elderly patients was evaluated with a questionnaire designed to identify IM according to the NANDA-I taxonomy. Accuracy measures were calculated for the total sample and for ma...
The objective of this study is to determine the degree of similarities between the clinical terms used by physicians and nurses in their documentation.
The purpose of this study was to identify the key clinical indicators of ineffective breathing pattern among paediatric patients.
When nurses perform clinical reasoning, certain characteristics represent the clinical indicators necessary to confirm the presence of a particular diagnosis. Some quantitative studies have reported the prevalence of ine...
PurposeTo analyze the accuracy of the defining characteristics of impaired gas exchange (IGE).Methods
Cross-sectional study carried out in 93 cardiac postoperative adult patients. The 19 NANDA-I defining characteristics related to IGE were evaluated.FindingsTen defining characteristics were found in the sample. The best accuracy values, including s...
Objective:
Assessing the accuracy of the defining characteristics (DC) of the nursing diagnosis Sedentary Lifestyle (SL) in people with hypertension.
Method:
A cross-sectional study carried out in a referral center in the outpatient care of people with hypertension and diabetes, with a sample of 285 individuals. The form used in the study was de...
AimTo report quantitative evidence for the accuracy of the defining characteristics of ineffective airway clearance in different settings and populations.Background
Defining characteristics are tests used by nurses to clinically indicate the presence or absence of a particular nursing diagnosis. A few studies have reported the accuracy of certain d...
Introduction:
Nursing diagnoses share some common defining characteristics.
Objective:
To identify key defining characteristics for the nursing diagnosis "Impaired gas exchange".
Method:
Systematic review with meta-analysis of three studies in samples with different clinical profiles. The relevance and quality of the studies were assessed acco...
Introduction. Nursing diagnoses share some common defining characteristics. Objective. To identify key defining characteristics for the nursing diagnosis “Impaired gas exchange". Method. Systematic review with meta-analysis of three studies in samples with different clinical profiles. The relevance and quality of the studies were assessed according...
Abstract The main objectives of this study were to investigate the prevalence of the nursing diagnosis caregiver role strain (CRS) in caregivers of patients with stroke and to identify the accuracy of this diagnosis's clinical indicators. A total of 42 stroke patient caregivers who provided in-home care services in a city in north-eastern Brazil. T...
Abstract The main objectives of this study were to investigate the prevalence of the nursing diagnosis Caregiver Role Strain in caregivers of patients with stroke and to identify the accuracy of this diagnosis's clinical indicators. A total of 42 stroke-patient caregivers who provided in-home care services in a city in northeastern Brazil. The sens...
This quantitative,cross-sectional study examined the accuracy of indicators for the nursing diagnosis of sexual dysfunction in pregnant women. A questionnaire based on the North American Nursing Diagnosis Association’s defining characteristics and the Female Sexual Function Index was applied from July to September 2009. The sample comprised 52 wome...
To investigate the accuracy of defining characteristics of Situational low self-esteem we developed a cross-sectional study, with 52 pregnant women assisted in a family centre. The NANDA-I taxonomy was used as well as the Rosenberg´s scale. The diagnosis was present in 32.7% of the sample and all characteristics presented statistical significance,...
Para investigar la acurácia de características definidoras del diagnostico Baja autoestima situacional, desarrollamos un estudio transversal, con 52 gestantes atendidas en un centro familiar. La taxonomía NANDA-I y la escala de Rosenberg fueron utilizadas. El diagnostico estaba presente en 32.7% de las mujeres y todas las características fueron est...
The objective of the study was to evaluate the available productions in literature about scales to measure the overload of caregivers of patients with stroke. It was carried out a bibliographical revision in three databases: LILACS, CINAHL and SCOPUS. In 23 works, 24 different scales were identified, and the most cited were: the Caregiver Strain In...
O objetivo do estudo foi avaliar as escalas disponíveis na literatura para medir a sobrecarga de cuidadores de pacientes acometidos por acidente vascular encefálico. Realizou-se uma revisão bibliográfica nas três bases de dados: LILACS, CINAHL e SCOPUS. Selecionaram-se 23 trabalhos e identificaram-se 24 diferentes escalas. Destas, as mais citadas f...
To determine the baseline prevalence and incidence rates of Impaired Gas Exchange (IGE), Ineffective Airway Clearance (IAC) and Ineffective Breathing Pattern (IBP) in children with acute respiratory infection.
A prospective open cohort study was conducted in two public hospitals specialized in child care in the months from January to June of 2011....
Objective
To determine the baseline prevalence and incidence rates of Impaired Gas Exchange (IGE), Ineffective Airway Clearance (IAC) and Ineffective Breathing Pattern (IBP) in children with acute respiratory infection.MethodA prospective open cohort study was conducted in two public hospitals specialized in child care in the months from January to...
Alcoholic beverages are widely consumed, but immoderate consumption is prejudicial. This cross-sectional study aimed to determine the prevalence of alcohol consumption among Pharmacy students at Maranhão Federal University, São Luís. Two questionnaires were applied between May and June of 2011, the first based on a World Health Organization model a...
BACKGROUND: The accuracy of an indicator determines the direct relationship between a defining characteristic and the presence or absence of a specific nursing diagnosis. AIMS: To analyse the accuracy of the clinical indicators of ineffective airway clearance in patients during the postoperative period of cardiac surgery. METHODS: A total of 98 pat...
El diagnóstico de enfermería Cambio de gases perjudicado muestra una fuerte relación con el funcionamiento cardiaco y respiratorio, pero su identificación muchas veces es realizada sin evidencias científicas. Estudio transversal con el objetivo de investigar y comparar el comprometimiento de indicadores del diagnóstico de enfermería citado anterior...
Estudo transversal e descritivo com o objetivo de determinar a prevalência do consumo de álcool entre acadêmicos de Educação Física de uma universidade pública de São Luís - MA. A amostra probabilística foi constituída por 80 estudantes. Identificou-se o seguinte perfil: 44 homens e 36 mulheres, com idade predominante na faixa etária entre 18 e 21...
This is a cross-sectional study that aims to determine the prevalence of alcohol consumption among physical education students of a public university of São Luís-MA. The sample consisted of 80 students. It was identified the following profile: 44 men and 36 women, aged between 18 and 21 years, most Catholics and having family income between $ 1,440...
Objective: to study uterine cervical cancer among women in prison. Method: an exploratory-descriptive and quantitative study conducted at a women's penitentiary in São Luís, Maranhão. The sample was composed of 38 women. A questionnaire was applied and, subsequently, a Papanicolau´s test was performed. The study was approved by the Committee of Eth...
Os universitários compõem um dos principais grupos consumidores de bebidas alcoólicas no Brasil. O objetivo
desse estudo foi investigar os hábitos alcoólicos de acadêmicos de Direito de uma universidade pública de São
Luís-MA. Trata-se de um estudo epidemiológico descritivo cuja coleta de dados foi realizada entre janeiro e junho
de 2011, com a apl...
Objective: to identify factors associated with vulnerability to STDs in HIV - positive women, over 50 years of age. Method: a cross-sectional survey with a quantitative approach was used. Data were obtained through an interview addressed towards HIV-positive women enrolled in a specialized service during a period from July to September 2010. Data w...
This case report study aims to describe the experience of using nursing taxonomies in association to Orem´s theory during nursing care of a high risk pregnant. The study was developed in a clinical unit at a reference maternity in Fortaleza, in 2009. We used interview techniques, physical examination, observation and also registered information thr...
A mobilidade física é umas das principais variáveis preditoras do risco de quedas e sua avaliação contínua é imprescindível. Esta pode ser realizada por instrumentos tecnológicos como escalas e testes, que subsidiam as ações de profissionais como, por exemplo, o enfermeiro. Objetivou-se analisar os instrumentos que avaliam a mobilidade e que foram...
Objective: to investigate the prevalence of risk factors for diabetes mellitus type 2 among nursing students. Method: a cross-sectional study was developed in the first semester of 2009 with 99 nursing students, of both sexes, in a nursing college of Fortaleza/Ceará. Data were collected with a formulary regarding sociodemographic factors, anthropom...
Objective: to investigate the prevalence of overweight and obesity in teachers of a university of Fortaleza. Method: this is about a cross-sectional study with 67 teachers of both sexes. Data collection occurred in the second half of 2009 through a formulary containing anthropometric measures. The statistical analyses were presented in tables. The...
The reduction and prevention of falling risk are associated with health promotion by the creation of favorable environments, one of the five goals of the Ottawa Charter. This study used Nursing Outcomes Classification indicators to examine strategies to prevent falling in patients who had suffered strokes. A cross-sectional descriptive study was ca...
Trata-se de um relato de experiência, cujo objetivo foi descrever a experiência da utilização de taxonomias de enfermagem em associação aos fundamentos teóricos de Orem na assistência a uma gestante de alto risco. O estudo de caso foi aplicado em uma unidade clínica de uma maternidade de referência de Fortaleza-CE, em 2009. Técnicas de entrevista,...
The pathophysiology of congestive heart failure (CHF) reflects in imbalances in ventilation-perfusion injury that can directly affect patient survival. The nursing staff can monitor and prevent this problem with the use of nursing classifications, however, research that addresses the use of these instruments are lacking. This cross-sectional, descr...
OBJETIVO: Investigar el perfeccionamiento de las características definidoras del diagnóstico Control familiar ineficaz del régimen terapéutico. MÉTODOS: Estudio transversal, realizado con 68 diabéticos atendidos en un Centro de Salud de la familia. Se calcularon las medidas de sensibilidad, especificidad y valores predictivos de las características...
The pathophysiology of congestive heart failure (CHF) reflects in imbalances in ventilation-perfusion injury that can directly affect patient survival. The nursing staff can monitor and prevent this problem with the use of nursing classifications, however, research that addresses the use of these instruments are lacking. This cross sectional, descr...
Objective: evaluating habits related to the practice of physical activity of students from a public school in Fortaleza-Ceará city, Brazil. Methodology: this is about a cross-sectional and descriptive study accomplished with a hundred students from a public school in Fortaleza/Ceará. It has been registered social-demographic and anthropometric data...