Audit report on Jasper County, Iowa for the year ended June 30, 2006.

Audit report on Jasper County, Iowa for the year ended June 30, 2006.

Audit report on Poweshiek County, Iowa for the year ended June 30, 2006.

Audit report on Poweshiek County, Iowa for the year ended June 30, 2006.

Family health nursing care: weaknesses and strengths in the Unified Health System

OBJECTIVETo analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network.METHODA qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013.RESULTSStrengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems.CONCLUSIONThe nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions.

Implementation methodology of practices based on scientific evidence for assistance in natural delivery: a pilot study

AbstractOBJECTIVEPresenting methodology for transferring knowledge to improve maternal outcomes in natural delivery based on scientific evidence.METHOD: An intervention study conducted in the maternity hospital of Itapecerica da Serra, SP, with 50 puerperal women and 102 medical records from July to November 2014. The PACES tool from Joanna Briggs Institute, consisting of pre-clinical audit (phase 1), implementation of best practice (phase 2) and Follow-up Clinical Audit (phase 3) was used. Data were analyzed by comparing results of phases 1 and 3 with Fisher's exact test and a significance level of 5%.RESULTSThe vertical position was adopted by the majority of puerperal women with statistical difference between phases 1 and 3. A significant increase in bathing/showering, walking and massages for pain relief was found from the medical records. No statistical difference was found in other practices and outcomes. Barriers and difficulties in the implementation of evidence-based practices have been identified. Variables were refined, techniques and data collection instruments were verified, and an intervention proposal was made.CONCLUSIONThe study found possibilities for implementing a methodology of practices based on scientific evidence for assistance in natural delivery.

Audit report on the Hardin County Sanitary Solid Waste Disposal Commission for the year ended June 30, 2006.

Audit report on the Hardin County Sanitary Solid Waste Disposal Commission for the year ended June 30, 2006.

Audit report on the Westory Fire Agency for the year ended June 30, 2006.

Audit report on the Westory Fire Agency for the year ended June 30, 2006.

Audit report on Boone County, Iowa for the year ended June 30, 2006

Audit report on Boone County, Iowa for the year ended June 30, 2006.

Audit report on the City of Red Oak, Iowa for the year ended June 30, 2006

Audit report on the City of Red Oak, Iowa for the year ended June 30, 2006.

Audit report on the City of Elk Run Heights, Iowa for the year ended June 30, 2006

Audit report on the City of Elk Run Heights, Iowa for the year ended June 30, 2006.

Audit report on the Rural Iowa Waste Management Association for the year ended June 30, 2006

Audit report on the Rural Iowa Waste Management Association for the year ended June 30, 2006.

Audit report on the Black Hawk County Criminal Justice Information System for the year ended June 30, 2006

Audit report on the Black Hawk County Criminal Justice Information System for the year ended June 30, 2006

Audit report on the Northeast Iowa Schools Insurance Trust for the year ended June 30, 2006

Audit report on the Northeast Iowa Schools Insurance Trust for the year ended June 30, 2006

Audit report on the City of Denison, Iowa for the year ended June 30, 2006

Audit report on the City of Denison, Iowa for the year ended June 30, 2006

Audit report on the City of Dyersville, Iowa for the year ended June 30, 2006

Audit report on the City of Dyersville, Iowa for the year ended June 30, 2006