FLAVIA DE OLIVEIRA MOTTA MAIA
Projetos de Pesquisa
Unidades Organizacionais
3 resultados
Resultados de Busca
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- Cross-Cultural Adaptation of the Vulnerable Elders Survey-13(VES-13): helping in the identification of vulnerable older people(2012) MAIA, Flavia de Oliveira Motta; DUARTE, Yeda Aparecida de Oliveira; SECOLI, Silvia Regina; SANTOS, Jair Licio Ferreira; LEBRAO, Maria LuciaTo use the VES-13 - a tool for identifying vulnerable older people - cultural adaptation was performed, a process that seeks the equivalence between the original instrument and its version in another culture. The evaluation of semantic, idiomatic, cultural and conceptual equivalence obtained a general average agreement of 78%, 78%, 97.0% and 94.0% respectively. Kappa coefficient was used to verify the agreement in test-retest reliability, where variables were significant. The analysis of internal consistency was measured by using Cronbach's alpha coefficient, where 70% of the phenomenon under study are represented in the VES-13. The VES-13, translated and adapted, is a reliable instrument with respect to stability and internal consistency of their measurements. Its simple structure and easy to use may therefore contribute to the identification of vulnerable older people, thus contributing to the prioritization of monitoring health services.
- Falls prevention strategies for adult inpatients in a university hospital of São Paulo, Brazil: A best practice implementation project(2018) MAIA, F. D. O. M.; CRUZ, D. D. A. L. M. Da; SHIMODA, G. T.; SICHIERI, K.; IIDA, L. I. S.Objectives: The main objective of this project was to reduce the incidence and harm from falls that occur among patients admitted in the acute Internal Medicine Unit and Intensive Care Unit in a public teaching hospital in São Paulo, Brazil. Introduction: Falls are a challenge for health professionals and healthcare services as they may result in high-impact outcomes for patients, such as functional decline, increase in length of hospital stay, increase in the cost of healthcare services, and death. In an attempt to promote safe care the World Health Organization (WHO) launched the World Alliance for Patient Safety in 2004 that encourages the adoption of best practice to reduce adverse events in healthcare services. Methods: The project used the Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI-PACES) and Getting Research into Practice (GRiP) audit tool for promoting change in health practice. A baseline audit was conducted measuring eight best practice criterias, followed by the implementation of target strategies and a followup audit. Results: The results of the baseline audit identified large gaps between current practice and overall compliance with best practice. The GRiP module helped identify strategies related to education programs for patients, families and nursing teams, and a falls risk assessment with an accurate tool to address the gaps in compliance. The follow-up audit cycle was satisfactory as all best practice audit criteria showed an improvement as an aggregated result. Conclusions: The project used the audit and feedback strategy to translate evidence into practice. Some of the measured criteria improved to moderate-high compliance with best practice. The results showed that implementation of evidence-based practice leads to an improvement in falls prevention. Future audits are required to sustain improvements. © 2018 The Joanna Briggs Institute.
- Pain evaluation scales for elderly patients with dementia(2015) CUSTÓDIA, Andressa Caio Eira da; MAIA, Flávia de Oliveira Motta; SILVA, Rita de Cassia Gengo eABSTRACT BACKGROUND AND OBJECTIVES: Elderly people with dementia are impaired in the way they interpret and communicate pain, being important the use of specific tools for accurate diagnosis. This study aimed at summarizing literature data on tools for pain evaluation in hospitalized elderly patients with dementia. CONTENTS: This is a literature review of the following databases: LILACS, Pubmed/Medline, CINAHL, SCOPUS, Cochrane, Web of Science and Joanna-Briggs Institute. Eligibility criteria were established for studies selection. A specific tool was used for critical evaluation. From 383 studies found, 4 were included in this review. Studies have evaluated the performance of 8 observational or self-report scales. CONCLUSION: Our study results suggest that observational and self-report scales may be used to evaluate pain in hospitalized elderly patients with dementia, provided the level of cognitive impairment is observed to select the scale, thus avoiding inadequate evaluations and consequently the undertreatment of pain.