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Aug 10, 2019 58 min

All About Nursing (38)

from All About Nursing Hosted by Bold Brave TV

Dr. Shirmer is the Dean of the University of Sao Paolo in Brazil and Dr. Roza is a professor at the same university. They will be discussing the role of nurses in Transplantation and a fellowship-type program for nurses in transplantation.

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All About Nursing (38)

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You're listening to the BBM Global Network with 25 years in broadcast audio and video production. Our passionate team creates content and marketing for the world of Internet Talk Radio. If you've got a passion, come join us at BBMGlobalNetwork.com. The BBM Global Network, your voice is now heard.

Welcome to All About Nursing with your host, Dr. Joyce Bachelor. Executive nurse advisor, Dr. Bachelor, will present the significant role nurses play in providing health care in a multitude of health care settings.

Listen to some of today's key nurses who work and practice in academia settings and talk about the challenges they face in today's modern medical world. So please welcome the host of All About Nursing, Dr. Joyce Bachelor. Good evening.

I'm your host, Dr. Joyce Bachelor on All About Nursing and we're live on the BBM Global Network in Tune and Radio. I'm very excited this evening to have three very distinguished guests with me that are actually all from Brazil. I'd like to just give you a little bit of background on each person before I have them begin to tell their stories.

The first individual I'm going to introduce is Dr. Janine Schreimert. She is a graduate in Nursing and Obstetrics in 1983. She has a Master's Degree in Obstetric Nursing from the Federal University of St.

Paolo in 1989. She has a Doctorate in Maternal and Child Nursing from the Federal University of St. Paolo in 1995. She is currently a full professor at the Department of Nursing and Women's Health.

She's also the Director of the Polista School of Nursing and Editor-in-Chief of Active Polista Nursing magazine, Vice President of the Management Council of the University Hospitals of UNI at the S.P. I'm going to let you explain what that is afterwards. And then a member also of the National Technical Chamber of Transportation, Ethics and Research for the National Transplant System. My second guest is Dr.

Burita D'Acadarosa. She is also a supervisor of the Postgraduate Nursing Program at the University and leader of the Organ and Tissue Donation and Transplantation Study Group. She also serves as the Associate Editor of the Active Polista Journal of Nursing School and as a member of the International Transplant Nursing Society. Back in 2018, she began the coordination of a major project to really look at the communication plan of the surveillance process for the use of organs, tissues, and human cells for transplantation in Brazil with the United Nations Development Program and representatives from the Ministry of Health National Health Surveillance Agency.

And my third guest is Rita, Dr. Rita Simone Lopez, who is a professor in the Department of Clinical and Surgical Nursing and Polista School of Nursing. She also has a PhD in Health Sciences, the Cardiology Area and Federal University and a Master's Degree in Medical and Biological Sciences from the same university, and currently is a coordinator for the Cardiology Program of the Multiprofessional Residence in UNI FSEP. She also has experience in nursing with clinical and surgical cardiac patients.

I think what you're going to be hearing tonight is how nurses really work on very key issues like the organ and tissue and donations and transplants across the world and the kind of coordination that happens between Brazil and the United States. And so welcome to all three of you. And so thank you so much for being on the show this evening. I'd like to start, if we can, with Janine, if you could tell us a little bit about when and how you decided to become a nurse.

My first charge was to submit to you as the time pastor of Lyrid and it's amazing. Thank you so much. So I decided to become a nurse when I was a 15 year old and I was watching them which I show. I don't remember the name, but I made it, made me wonder how beautiful it was to take care of other people.

And I wanted to take care and welcome people who need a patient from kind of health because these I decided to become a nurse. It's so good. It's a privilege. That's wonderful.

And so maybe, you could share a little bit of some of the highlights that you've experienced during your nursing career. Yes, of course. Well, when a differential legislation in Brazil was established in 1997, I was finishing my fellowship abroad in surgical nursing. And I often had one of the organ-precoulament organizations in compounding Brazil.

In 2000, I started to work at the Albertine Hospital, a big hospital that you had here. So I was able to participate in the implementation of the shared governance and the primary nursing as well as in certification with the joint commission. Very important to me and a good experience. In 2010, I was a professor at the federal university of Sao Paulo.

When I had got my other graduation, my other degree, when I needed to also, when I needed Dr. Linda Waller. She helped her research at one time. We had a good partnership and it started in 2009, a good partnership with the students that have been the program in the US.

And today we will make you an eternal partnership. It's so good for us. And that's wonderful. I think it's going to be very interesting to hear how much work's been done to really assure that there's good standardization of the care that's happening to our trans-flight patients across the different countries.

And so that's very, very exciting. So, Janine, did you want to say a little bit about some kind of highlights from your career that you'd like to share with the audience? Well, the nursing career made me impossible for me to do an academic career by becoming a full professor and general research. How do I participate in the formulation of Brazil policies in the area of the world's healthcare and the ministry of health for seven years in national management?

The nursing experience has always had to pay up the leadership positions at the university as the director of the University Hospital and police nursing schools of the federal government of the public in the basically. That's wonderful. We'll hear a little bit more about that through sure as we continue to have our discussion this evening. And I thank you for pointing out to that Linda, Dr.

Linda Waller, who works at Don here at Presbyterian, has been very instrumental in helping to work with all of you to really look at a fellowship program to assist and make sure that the education is really important. And then make sure that the education and training of nurses is at a high level in both countries. And so that's really very exciting to hear. And so I think we'll talk a bit more about that in just a little bit.

Right now it's time for us to go to a break. So this is all about nursing. I'm Dr. Joyce Bachelor.

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Joyce Spectler, the host of the show. Prior to the first commercial, we were talking a little bit about the work that's going on between the Brazil and the United States when it comes to tissue organ donation and really looking at transplantation to make sure that the care that our patients receive is really top notch. I think it would be great if we could hear a little bit from you, Bertieira, about the major issues that you and your team are addressing. Yes, today we need to be the training of its professional to meet health services, if important for us.

And we need to require a major challenge in our training in nursing schools. We also have difficult in implementing these needs to be ignored in practice, good care in healthcare. Also, we are aware that if it happens, it's not only Brazil, but in our schools. We also try to implement the best of the patient nursing practice in healthcare assistance.

So we talk important to training of professionals, we could be patient and a vision. That's great. And so what are some of the outcomes that you're really interested in trying to make sure that you are achieving as you're doing this work? Well, we'll need the tools that we're taking these that I talked about, about the Arts and Nursing practice to review and improve the healthcare for giving community outcomes.

We have a different system to review in different states, and we have a different need for the molding, for improving the impact of nursing care in the area of organization and its representation. For these parts of the approach, we see Dr. Linda, we can understand this in our documents and the transformational analysis in person. And the first of all, and our type of the organization is concerned with review, this is 1997, and the new family decided on the nation.

They are busy, relatively after dying on the top three now. So if the family decided to donate to the new, new to go, Oregon, several parts of our performance, after and Oregon, so remove it. That's great. I was curious, because I think he's a little bit, but I'm curious if the way that you all are doing transplant organ donation in Brazil is really similar to the US.

Are there differences that you would know between the two? And I don't know, maybe Rita, you could answer that for us? Yes, it's similar. It's similar.

Our law is similar, like donation is consensus, and distribution of organs is the same because it's important of exams about HLA and immunogenetic exam is important. So some kind of heal too much, and we are students go there, be training and discuss with teams about achieving their team, about the outcome, and of course the outcome in transplanting is the outcome is the same in our other world. Then we survive this immortality and the patients that are waiting up, it's the same in review and US in their own world. And the global observer is by working other conditions control these around the world.

So review is the same thing. And so I was just curious to have a good time. I'm sorry. And the leader is the second of the number of absolute numbers in cooperation of US.

So the US has a first-year number in the world, and the third-year is second in number of absolute. And so I was curious, what have you done to be successful in having organs being donated by people in Brazil? I mean, because that's really a huge thing that's needed in order to have a successful transplant program is really having people be donors. What have you been doing to really try to get that to be more accepted within the people you work with?

Yes, because we need to do this quite an essential thing, which is important now for us. We have a number, we have almost a think that the clinical insertion is the same in our university, either the biggest paper of transplanting. We have seven transplants per day and almost a 1,000 per year, and it's so it's a big thing. I think in nowadays you need to admit that there is urgent for us in the professor of course, development and improvement, the process of quality and safety in Brazil.

For these, the partnership that we can need and another research, but quickly the others, it's very important. Because she has been in your own, she did in your own. So maybe Rita, you can answer the question on how are you helping to have people understand the importance of becoming or having their loved ones be organ donors when it's appropriate to ask? Oh, well, you don't have a list for this.

You just, the conversation, that means we can interview with the family after a brain death, and after we interview for the vision of a family, family besides doing these monitors about the donation or the automation. It's very difficult, of course, because it's a difficult monitor because the family lost the relatives, but it's necessary. So, you get the information, contact donations, then I need you. Yes, I was curious too, and we can talk about this in a little bit because certainly the number of organ donations that you have really does influences you are describing the number of transplants you can do.

We'll talk about that a little bit right in a few minutes. Right now, we're coming to you live from the Be A Mingleable Network and tune in radio. This is all about nursing and doctor Joyce Bachelore, and we'll continue this conversation when we come back. If you seek a courageous advocate, prepare to champion your rights with consumer service agencies that support aging populations, Carol Ann Hamilton is the one for you.

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Joyce Bachelor at All About Nursing and we're live on the VBM Global Network and Tune In Radio. Before the break, we were talking about the great work that's going on in Brazil around organ donation and transplant and the work that they've been doing to really assure that they have a high quality program and the outcomes that they track sounds to be very similar to what we do in the future. And I think it might be a great time to transition to you all talking a little bit more about the fellowship program that you all are involved with that I know that you're doing with New York Presbyterian Hospital. So maybe Rita, you can tell us how that's working.

Yes, well, about the fellowship program. We have the opportunity to have a project in our donation and transportation. We do need to be because of the military improvement quality and safety, all things that I talk about. So we started the fellowship program in our universe in some follow in 2010.

So we have a program in 19-inch technology, cardiology, intensive care of all those who are clinical and surgical, respiratory, obstetric nursing, medical, physics, gut-weight pathology, neurologic oncology, and mental health and health, and so on. So in our program, like you read today, we have five new professions in transportation and elementary programs. We have nursing, physiotherapy, technology, and industry. So this program is doing two years program and we have a competitive program for 10 students for one position available.

And how long is the fellowship program that you've been working on? Since 2010. And what actually they have all three. No, it's going to say, and when someone's in the fellowship program, how long are they actually in that fellowship program?

We have been here for two years, two years in the program. And we have the example for selection, reaching and practical exam. And these two years on the program is outworked over 5,000 hours doing two years now. Then we have six hours per week.

It means 48 hours doing the chiropractic and two hours in telling. And finally, they have a staff doing the program. And it means excluding education, training with the scholarship. And I think it's great that you were describing that you've made this interdisciplinary, which I think is very, very important to having all of those different special tests getting trained in your program.

And I would imagine you did that very intentionally because transplant really does require everybody working together from all the different disciplines. Is that an accurate statement? Yes. They have a training in therapy.

If you have me together, they walk in together like one nursing, one physiotherapy, one psychology, one pharmacy, and one industry. And they go together and they go together, go to the cardiologic, cardiologic, to get it for this good about moving to the preliminary care. You think it's important for the world part of the eating. So before these, they received high scholarships.

For months. Now, where does that scholarship money come from? Is that something that your organization has set up to really support people doing this? Sorry.

Yes. It is just that they receive before, they're getting in the strings and our whole stuff. But they go to the center of transplanting to, they go to the other host of excellence in cardiology or our team or key teachers. But even transplanting, they do this.

That's wonderful. Go ahead. Take that again. Oh, sorry.

This is a training, I think, because six hours, the reaches, the goal for that. But it's very important and the overpassive health is for development, a good practice and the good practice and the modern development. The good, the absolute echo in these are the organization and the organization. So do you have a pretty rigorous process to select the people that you sent to the fellowship?

Because it sounds like it's quite an investment that you're making. I was just curious how you make that decision. Yes. Yes.

They need to help before a good decision, which is important, of course. For these, we have a discipline, a theoretical discipline. So we have a methodology, we have a bio-esque, an adjective, a statistical, and all of these, all disciplines for advanced, for resources, and of course. They have given us the final program that we want to research to.

So we just want to make. That's great. As I was listening to you, I was thinking, well, you're spending a lot of time and money with them. And you want to make sure that when they finish this, they come back to your country and really work for you.

Have you had issues with people deciding that maybe they don't want to come back to Brazil? They'd like to stay in the U.S. or do you have something that helps to have people understand the importance of actually coming back to do the work that you all need done? Yes.

Okay. Thank you. Thank you. Yes, it's so difficult, but we have an important investment in review in our included professional.

So, isn't it just a pleasure, professional? Thank you so much. Thank you. So we are coming to you live from the BV Global Network and to an in-radio.

This is all about nursing show. I'm Dr. Joyce Batchler, the host of the show, and we'll be right back. Author, radio show host, and coach John M.

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You are listening to all about Nursing Life with the BVN Global Network and TuneIn Radio. I'm Dr. Joyce Batchelor, the host of the show. To my break, we were talking about the incredible fellowship that's been set up between the New York Presbyterian University and Brazil to really make sure that they have a multi-disciplinary team that's getting trained that can come back and really be able to provide high quality care.

I think that we were chatting a little bit about how to make sure that people come back and actually stay with you because we're all competing for the same talent that's out there sometimes. It's a huge investment that you make if it's a two-year fellowship. So thank you for sharing that. As we were just talking about that, I think what was making me really curious is if you could talk a bit about what are you in the nursing schools in general doing in Brazil to really, address the healthcare system issues that you are facing in your country?

And maybe Jean, you can start off with that. Thanks. Well, Joyce, but you are the hope to help system that serves the 100-line million, happens as a cultural outside hospital and outpatient care network. And emergency is a critical to maintaining the system with technology and therapy technologies that have made health care special days in the country.

We encourage that have not enough nurses to better much safe and high-tech care practice. Our school is participating worldwide nursing out campaign. Awesome. The biggest challenge is to incorporate new technology technologies in an equated number of teachers to provide hands-on things, especially in hostel and outpatient clinics that have concerns with its difficulties.

And training, and training for us, especially in primary health care because a challenge is for us. So you have the same kind of challenges with access to care being readily available to the people in your country that we have in the US, I would imagine. Is that accurate? Yes.

Yes. The nursing now campaign is important for nursing to work. Yes. I was actually at the nursing now USA meeting in North Carolina, Chapel Hill last week, and it was very exciting to hear about the kind of work that's going on across the world to really look at 20, 20 being the year of the nurse and really trying to look at how nurses can help improve access to care and so many issues because we have so many nurses in the world.

That was pretty exciting to hear about. I was curious because one of the things that we talked about as well is having an adequate pipeline of nurses coming up through the ranks. And I was just curious if you are experiencing a nursing shortage or have challenges with your keeping your own nurses in your country because there's certainly a lot of opportunity for nurses to travel. Can you say what about that?

How you're doing? Yes. I was wondering, Joy, you said, Rita, thank you so much for the opportunity to show the little piece about the nursing group. I think that we have a lot of challenges, but the truth is the great and very strong professional is a great challenge that we have because the different way in the U.S.

in review, we need to improve our career and the people in the population even recognize the nurse like a great professional force to change the health systems, health and numbers. And our great challenge is to educate the population that the nurse is possible to change our perspective here in Brazil. It's a different like in the U.S. because you are still the nurses trained professional, but I think that we have a good and a big step that we need to achieve for the same way that the U.S.

Yes, I was really impressed by meeting some people that are doing a lot of international work and one organization that was actually helping to provide free content to faculty in some of the countries to really help them elevate up the level of knowledge and training that would be happening in their schools. So it sounds like it's pretty exciting as a way to start trying to move the work faster across the world and help to improve the health of the people that we take care of because we have a lot of challenges, as you all know, that accurate for you guys too. Yeah. Yes, we have working together all of the world to the best way that we have achieved this result.

Professor Janine said that we need to train professors and nurses with technology. We think that technology is like a social media app log for education population, education professionals too, is I think that the best way that you can achieve what we have a goal. So here in Brazil, we are definitely in my program, the problem that I know, coordinator in cardiology, like as the same as NUS, we'll do the first call of death in a card to backflarts these and we need to train the professionals and engage the local age of our other card of ours, that's like this for decrease this number here in Brazil, like a new one. I was curious how what does it look like now in terms of our nurses while respected as the pay for any decent for nurses in Brazil.

I really, I don't know. I was kind of curious to ask you that. Maybe we could do that in just a couple of minutes, we're like, because it's time for us to do a break. So this is all about nursing.

I'm your host, Dr. Joyce Bachelor. We're live on the P.B. Global Network in Tune and Radio, and it's time for us to take a short break.

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Joyce Bachelor, the host of the show. And just prior to the break we were talking about the work that's going on in Brazil in terms of really looking at having the nursing schools, being able to have curriculum that's being delivered at a high level and making sure that the training that happens is really going to be good, that there's a lot of opportunity to improve the health care of the people that nurses serve which of course is why people go into this profession. I was asking a little bit before we went on the break because I really don't know in terms of how nurses make pretty decent money in Brazil if that's a challenge because I know that there's opportunities, especially when people are experienced, to be able to travel and we've had a lot of nurses moving around internationally that causes some other challenges to all of us. I was just curious if you could say a little bit about that because I know everybody seems to be talking about staffing and the nursing shortage and what do we do with our pipeline and how do we keep them at the bedside and all of that.

So maybe you could share a little bit more about that. Maybe that'd be for you Rita. Hi. So I don't know if you know that in Brazil around 8% of the population is around 200 million persons enjoy the technical service here in Brazil.

So our school is a retreat for government for anyone paid for 30 or for the medical service. For us it's a challenge to maintain the people with the best outcomes because we have a lot of population and public health. So we have this system is unique and the role of this system is very important. It's a very strange and around this patient can enjoy the public health system for all the things.

And very in the territory a system, not only in a primary care but in the primary care like the project surgery is for people, patients, my current friends, so it's very important to be safe for us that our family health system is very strange in the treatment like around the home college patients. So all the patients for us is like an honor. We have a decision because we can offer the patients with a bad outcome and a bad quality. Of course, it's not the one because we want the wonderful service.

But sometimes because the money because our body is not possible to give for the faces what we want. So we think that we claim the nerves for this system is very important for Brazil. Primary care in Brazil is very, very important for us. But we need more professional for this.

We need to improve this number because we think the presentation and the promotion of health is the best way that we can change the numbers. Also the pre-solved main causes for best-name Brazil. And you were talking a little bit about how technology could also be helping get that care out to people and make it more convenient and easier. I know that that's something that everybody seems to be trying to work on and all these different apps that people are developing and devices you can wear that monitor things.

I was curious if that's also something that you all are keeping up on to try to really look at how to impact in other ways besides having just more people. Can you say a little bit about that? Do you want to talk to us a little bit more about our primary care? Yeah, I mean if you're using technology or if there's other ways to address primary care because it sounds like you've got a lot of people that you need to reach.

We know that technology is the best way that we can achieve the patient. We are out-patients necessary because we can see the care after the presentation. We have a development about the APP for the patient with a heart failure, with a patient's post-operative trajectory because we want to maintain the same weight of the night's patient. Even the patient is not going to ask ourselves.

We can't with this technology monitoring, monitoring, monitoring, to improve the health monitoring, improve the healthcare for the patient. We think that technology could be the best way to do this collaboration. We have here in our group, we have a research about the family and the patient's sensory care, and we think that the patient's sensory care, he puts the patient in his sensory care, he's the best in the best that we can do. So technology can help support for this.

And so technology here we use all the strategies, videos, blogs, and these social media for the patient. That's wonderful. And I know that that was actually some of the discussion they had today. There was a meeting where the National Academy of Medicine had an open forum for the future of Nursing 2020-30, and a big piece of what was being discussed are the technology and other ways to try to impact healthcare because we can't afford to just keep adding people, and there's just not enough people.

And so I think it's exciting to hear that that that's what you're also working on in your country as well. Is there anything else you want to say about that or other things you'd like us to know? Otherwise we can hold on that because we're going to be going to break right now anyway. So this is all about Nursing.

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Isn't it time to sell your property today? Learn the My Short Sale Guru way. I'm your host, Dr. Joyce Bachelor in All About Nursing.

We're live on the BBN Global Network and Tune in Radio. We've been hearing a lot of very exciting work that's going on in Brazil to look at how to address the needs of the people in Brazil and learning about how the system works to deliver care there. I think one of the things that you were talking about before the break, that was resonating with what I think we're doing a lot more and doing a better job here in the US as well, is just really looking at patient and family-centered care and how to really engage both the patient and the family and helping to help them understand how to do a better job of taking care of themselves. So maybe you could talk a little bit about that.

What kinds of things are you doing to try to really implement that? Yes, here in review we have a blessing in nursing applications and a lot of society with speciality that can support the nurses here. For the teachers, professors, we have support for government, we have CAG, we have support for students. So I think that we have a good organization for nurses and professors.

We have opportunity to train the nurses and to learn as people become nurses. I think that we need to, I think that we need to, I review the term like nurses. We need to be in fact the person, we need to convince the person that's a good profession. The professionals that can change the word, they think.

This campaign is nursing now. It's very important for us to show that we are, that what we are, that what we want for changing the word. That's awesome. I know that there's a report coming out that's on what we need to be doing for sustainable goals for really improving the health and the world.

And there's a huge role for nurses to play. And so I was curious, because you've mentioned nursing now a couple of times, if you had like one wish of something that could really happen with this initiative, what would that be? Something that you're really thinking that this could really help us with. Nurse, nurse again.

If I have a big wish, I would be nurse again. I think that I can't think in another way to please not on. I'm nurse, truly, I'm nurse. And I leave the day as professionals 24 hours a day, I think so.

And it sounds like what you're saying too, is that there's a lot of pride that nurses should have in the kind of work that they're doing. And have it become something that people really aspire to be calm because of the kinds of differences they can make in people's lives. Sort of on the right track of what you were thinking there. Yeah, yeah.

Yeah, yeah. Yeah. Yeah. Yeah.

Yeah. You know, prior shows, we've had a couple of different guests. And I think that the thing that's been very encouraging is to hear that there's a lot that we have in common. Obviously, if you've been describing this evening between the United States and Brazil and other countries.

And I think it's like 30 million nurses exist in the world. And the desire to have nurses really take up a role that could really help impact access to care and helping people really in their communities with the social determinants of health. And all of that. I think that it would be a very different place for everybody if we could figure out how to do this.

So it's exciting. Is there anything else you would like to say? Because we're just about ready to wrap up that you would like the listeners to know before we end the show this evening. First of all, we would say thank you for listening and showing the little bit about the American Brazil.

And I really want to thank you all for being on the show. And it's been great having you and helping us understand a little bit more about the kind of collaboration going on and the things that you're working on. So you're listening to all about nursing life and the P.M. Global Network and Tune in Radio.

I'm about to Joyce Bachelor, the host of the show and hopefully you'll tune in with us next week. Thank you. You've been listening to All About Nursing with your host, Dr. Joyce Bachelor.

Tune in each week and get a daily dose of nursing and the health care services they provide. And how the nurses are finding innovative ways to address the key health care issues they're facing today. Here on Dr. Joyce Bachelor's All About Nursing.

You've been listening to the BBM Global Network. The ideas, views and opinions of this broadcast are those of the participants of the program and are not necessarily the ideas, views and opinions of the BBM Global Network Company.

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This episode is 58 minutes long.

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This episode was published on August 10, 2019.

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