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  • ORIGINAL ARTICLE12-16-2024

    Construction and validation of an educational game on biosafety in the central sterile supply department

    Revista Brasileira de Enfermagem. 2024;77(6):e20230478

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of an educational game on biosafety in the central sterile supply department

    Revista Brasileira de Enfermagem. 2024;77(6):e20230478

    DOI 10.1590/0034-7167-2023-0478

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    ABSTRACT

    Objectives:

    to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.

    Methods:

    the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.

    Results:

    the study resulted in the construction of a board game named by the authors as “My Health First.”

    Conclusions:

    the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.

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    Construction and validation of an educational game on biosafety in the central sterile supply department
  • ORIGINAL ARTICLE12-16-2024

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    Abstract

    ORIGINAL ARTICLE

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    DOI 10.1590/0034-7167-2024-0154

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    ABSTRACT

    Objectives:

    to identify the process of health literacy development among primary care patients, relating it to their self-care practices.

    Methods:

    qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.

    Results:

    the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.

    Final Considerations:

    health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.

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    Health literacy development of Primary Health Care patients: qualitative research
  • ORIGINAL ARTICLE12-16-2024

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    Abstract

    ORIGINAL ARTICLE

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    DOI 10.1590/0034-7167-2024-0102

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    ABSTRACT

    Objectives:

    to analyze the rate of antimicrobial dose omission in intensive care units.

    Methods:

    cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.

    Results:

    the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).

    Conclusions:

    monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.

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  • REVIEW12-16-2024

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    Abstract

    REVIEW

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    DOI 10.1590/0034-7167-2024-0086

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    ABSTRACT

    Objectives:

    to summarize the recommendations of guidelines for promoting mental health in the workplace.

    Methods:

    an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.

    Results:

    four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.

    Conclusions:

    the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.

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    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
  • ORIGINAL ARTICLE12-16-2024

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    Abstract

    ORIGINAL ARTICLE

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    DOI 10.1590/0034-7167-2024-0085

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    ABSTRACT

    Objectives:

    to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.

    Methods:

    a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.

    Results:

    a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).

    Conclusions:

    the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.

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    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
  • 12-16-2024

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    Abstract

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    DOI 10.1590/0034-7167-2024-0050

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    ABSTRACT

    Objectives:

    to develop a digital technological solution (prototype) for assessing patients with chronic pain.

    Methods:

    this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.

    Results:

    the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.

    Final Considerations:

    the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.

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    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
  • ORIGINAL ARTICLE12-16-2024

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    Abstract

    ORIGINAL ARTICLE

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    DOI 10.1590/0034-7167-2023-0545

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    ABSTRACT

    Objectives:

    to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.

    Methods:

    netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.

    Results:

    principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.

    Final Considerations:

    it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.

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    Respectful care for postpartum women with sickle cell disease: a netnographic study
  • REVIEW12-16-2024

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    Abstract

    REVIEW

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    DOI 10.1590/0034-7167-2023-0343

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    ABSTRACT

    Objectives:

    to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.

    Methods:

    systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.

    Results:

    initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.

    Conclusions:

    we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.

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    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
  • ORIGINAL ARTICLE07-13-2020

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    Abstract

    ORIGINAL ARTICLE

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    DOI 10.1590/0034-7167-2020-0434

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    ABSTRACT

    Objective:

    to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

    Methods:

    a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

    Results:

    there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

    Conclusion:

    we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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  • REFLECTION04-22-2020

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    Abstract

    REFLECTION

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    DOI 10.1590/0034-7167-2019-0250

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    ABSTRACT

    Objective:

    to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

    Method:

    It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

    Results:

    historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

    Final considerations:

    The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

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    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
  • REFLECTION10-26-2020

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    Abstract

    REFLECTION

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    DOI 10.1590/0034-7167-2020-0683

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    ABSTRACT

    Objective:

    To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

    Methods:

    Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

    Results:

    Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

    Final considerations:

    The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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  • ORIGINAL ARTICLE11-13-2020

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    DOI 10.1590/0034-7167-2020-0673

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    ABSTRACT

    Objective:

    To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

    Methods:

    Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

    Results:

    In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

    Conclusion:

    Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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  • ORIGINAL ARTICLE06-27-2019

    Validation of a booklet on self-care with the diabetic foot

    Revista Brasileira de Enfermagem. 2019;72(3):780-787

    Abstract

    ORIGINAL ARTICLE

    Validation of a booklet on self-care with the diabetic foot

    Revista Brasileira de Enfermagem. 2019;72(3):780-787

    DOI 10.1590/0034-7167-2017-0900

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    ABSTRACT

    Objective:

    to describe the validation of the booklet on self-care with the feet of people with diabetes.

    Method:

    methodological study, focusing on the validation of a printed booklet. The content and appearance of the booklet was validated by 23 judges divided into three groups: 11 content and appearance, seven technicians and five of the area of design and marketing. The appearance was validated by 30 people with type 2 Diabetes Mellitus.

    Results:

    the judges in the nursing area allowed the validation of material with a Content Validity Index (CVI) of 0.99, judges in the area of design and marketing with Suitability Assessment of Materials (SAM) of 99.2% and the target audience with concordance index of 99.4%.

    Conclusion:

    the educational booklet proved to be valid and reliable educational material to be used in order to promote compliance with self-care with the feet of people with Diabetes Mellitus.

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    Validation of a booklet on self-care with the diabetic foot
  • ORIGINAL ARTICLE08-10-2020

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    Abstract

    ORIGINAL ARTICLE

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    DOI 10.1590/0034-7167-2019-0413

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    ABSTRACT

    Objective:

    To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

    Methods:

    A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

    Results:

    The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

    Conclusion:

    The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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  • ORIGINAL ARTICLE02-27-2020

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    Abstract

    ORIGINAL ARTICLE

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    DOI 10.1590/0034-7167-2018-0287

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    ABSTRACT

    Objectives:

    to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

    Methods:

    this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

    Results:

    prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

    Conclusions:

    fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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  • REVIEW03-24-2021

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    Abstract

    REVIEW

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    DOI 10.1590/0034-7167-2020-0130

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    ABSTRACT

    Objectives:

    to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

    Methods:

    integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

    Results:

    among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

    Final Considerations:

    the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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