Article

Clinical methods: Utilization-focused integrative reviews in a nursing service

University of Massachusetts Amherst, Amherst Center, Massachusetts, United States
Applied Nursing Research (Impact Factor: 0.73). 12/1998; 11(4):195-206. DOI: 10.1016/S0897-1897(98)80329-7
Source: PubMed
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    • "Dentre os artigos selecionados, considerando os instrumentos privilegiados, 30% (n = 6) adotaram questionários para coleta dos dados; 25% (n = 5) optaram por relato de experiência das intervenções ou estudo de caso; 25% (n = 5) discorreram sobre elaborações teóricas sobre a temática, dos quais apenas um (5%) referia-se a um estudo de revisão; 15% (n = 3) fizeram uso de entrevistas; e somente um (5%) utilizou técnicas gráficas projetivas como ferramenta de acesso às vivências infantis. Em relação aos níveis de evidência dos estudos (Stetler et al., 1998), predominou o nível 4 (65%, n = 13), que corresponde a pesquisas não experimentais, com caráter descritivo correlacional, qualitativo ou estudos de caso. O baixo nível de evidência da maior parte dos estudos recuperados nesta revisão sugere carência de ensaios clínicos controlados e randomizados, bem como estudos de metanálise, preconizados na prática baseada em evidências. "
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    ABSTRACT: Abstract: Grief is defined as the mourning experience after some loss, which requires the reorganization of family roles and of life projects. The assistance to bereaved families is essential for closure when it comes to the loss of beloved ones as well as for the prevention of impairments concerning emotional health. This integrative review aimed to analyze the scientific literature on specialized psychosocial care provided to grieving families in the area of Pediatric Oncology. Twenty papers published from 2002 to 2013, retrieved from three different databases (BVS, PsycINFO and SciELO) and using the keywords: neoplasms, family, grief and bereavement, have been analysed. The results allowed us to characterize the scenario for care delivery to bereaved families in different contexts. Preventive actions, transition services and post-loss support measures were highlighted. Possibilities to expand psychosocial care models are discussed considering the potential developmental risks for bereaved siblings and for marital relationship jeopardy. Keywords: grief; family; cancer in children; pediatric oncology; death
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    • "Foram alvo de análise, sobretudo, os artigos com nível de evidência II (Levin, 2008; Melnyk & Fineout-Overholt, 2011; Stetler et al., 1998). "

    Full-text · Conference Paper · Jul 2014
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    • "The papers' evidence level was also analyzed. This analysis was based on the proposal by Stetler et al. (1998), which classifies six levels of evidence: level I, studies related to the meta-analysis of multiple controlled studies; level II, individual experimental studies; level III, quasi-experimental studies, including non-randomized clinical trials, single pre and post-test group, besides time or casecontrol series; level IV, non-experimental studies, such as descriptive, correlational and comparative qualitative studies and case studies; level V, program evaluation data and systematically collected data and level VI, expert opinions, experience reports, consensuses, regulations and legislations (Stetler et al., 1998). "
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    ABSTRACT: Providing caregivers with health education through educational technologies enhances safe care; and stimulates the decision process and communication among professionals, caregivers and patients. This article is an integrative review to identify what educational technologies have been used for health education to caregivers. The databases Web of Science, Bireme and Scopus were consulted. The inclusion criteria are as follows: full papers, published between 2001 and 2011, in English, Portuguese or Spanish. The descriptors used are the following: educational technology, health education and caregivers. Thirty-four papers were found, 27 of which were excluded because they did not comply with the inclusion criteria, resulting in a final sample of 7 papers. The results evidenced the use of light and hard technologies in health education for caregivers, aimed at the therapeutic discussion of care as well as telehealth service delivery. Research is needed which uses and assesses the use of hard educational technologies in health education for caregivers.
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