GILCERIA TOCHIKA SHIMODA
Projetos de Pesquisa
Unidades Organizacionais
2 resultados
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- Effectiveness of photobiomodulation therapy for nipple pain or nipple trauma in lactating women: a systematic review protocol(2021) CIRICO, Michelli Oliveira Vani; SHIMODA, Gilceria Tochika; SILVA, Isilia Aparecida; SOUSA, Marcelo Victor Pires de; CASTRO, Renata de; MCARTHUR, AlexaObjective: The objective of this protocol is to evaluate the effectiveness of photobiomodulation therapy for the treatment of nipple pain or nipple trauma in women during the breastfeeding period. Introduction: One approach that has been reported on the management of nipple pain or nipple trauma in lactating women is the use photobiomodulation therapy to heal the injury or to decrease pain intensity. However, studies have achieved different results, due to variations in the treatment protocol, such as the source of light used, the application mode, the irradiation, or the light dose parameters, leading to varying outcomes. Inclusion criteria: This review will consider studies that evaluate photobiomodulation therapy for the treatment of nipple pain or nipple trauma in lactating women in the postpartum period that compare the intervention to standard care, placebo, or other type of treatment. The following outcomes will be considered: intensity of nipple pain, healing of nipple trauma, exclusive breastfeeding rate, quality of life, and satisfaction of the women with treatment. There will be no publication time limit, and studies published in any language will be considered for inclusion. Methods: This review will be conducted in accordance with JBI methodology for systematic reviews of effectiveness. The search strategy will search both published and unpublished studies, and the process of study selection, critical appraisal, data extraction, and data synthesis will be performed in accordance to the JBI approach. Systematic review registration number: PROSPERO CRD42019147401
- Central line bundle maintenance among adults in a university hospital intensive care unit in São Paulo, Brazil: A best practice implementation project(2018) SICHIERI, K.; IIDA, L. I. S.; MENEZES, I. R. D. S. C. De; GARCIA, P. Carlos; SANTOS, T. R.; PERES, E.; SHIMODA, G. T.; MAIA, F. De Oliveira Motta; SECOLI, S. R.; PüSCHEL, V. A. De AraújoObjectives: This implementation project aimed to identify the current practice in regards to central venous catheters (CVCs) maintenance to improve knowledge amongst nursing staff and to assess increased compliance with evidence-based best practice. Introduction: Central venous catheters are considered an important therapeutic resource for the administration of fluids, drugs, blood, collection of blood samples and hemodynamic monitoring. Despite the benefits, catheter use is associated with complications such as primary infection of the catheter-related bloodstream. Methods: This project utilized the audit and feedback model using the Joanna Briggs Institute Practical Application of Clinical Evidence System. Nine of 10 criteria were audited through direct observation of nursing professionals or patient records in relation to CVC maintenance, and one criterion involved direct questioning of nursing staff. Baseline and follow-up audits were conducted in a 12-bed adult intensive care unit in a university hospital. Results: The baseline audit revealed deficits between current practice and best practice in some criteria. Barriers to implementation of CVC maintenance best practice criteria were identified, and the strategies were implemented. The post-implementation (follow-up) audit showed improvement in compliance to best practice guidelines in all of the audit criteria, except in one criterion: the use of sterile gloves or surgical tweezers during the execution of the dressing. Conclusions: Best practice in CVC care was achieved in the hospital, strengthening and guiding nursing care, as well as highlighting the importance of nursing records throughout the care process. However, this project highlighted the need to improve compliance through follow-up audits and periodic training to support best practice. © 2018 THE JOANNA BRIGGS INSTITUTE.