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ORIGINAL ARTICLE
Avoidable deaths in the first 24 hours of life: health care reflexes
Revista Brasileira de Enfermagem. 2022;75(1):e20220027
10-24-2022
Abstract
ORIGINAL ARTICLEAvoidable deaths in the first 24 hours of life: health care reflexes
Revista Brasileira de Enfermagem. 2022;75(1):e20220027
10-24-2022DOI 10.1590/0034-7167-2022-0027
Views0See moreABSTRACT
Objectives:
to analyze the risks of deaths in the first 24 hours of life and their preventable causes.
Methods:
cross-sectional study carried out in Pernambuco, Northeast of Brazil, between 2000-2019, with mortality and live birth data. The avoidability was analyzed through the Brazilian List of Avoidable Causes of Deaths due to Interventions of the Unified Health System. For the statistical analyses, Pearson’s chi-squared test and relative and attributable risks were used.
Results:
13,601 deaths were registered, of which 10,497 (77.19%) were from preventable causes. Of the total, 5,513 (40.53%) were reducible through adequate care for women during pregnancy. The lower the gestational age, birth weight and education level, the higher the relative and attributable risk of death in the first 24 hours of life.
Conclusions:
most of the deaths were considered avoidable and with high relative and attributable risks. These early deaths suggest care failures and the need to reinforce prevention and treatment measures.
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ORIGINAL ARTICLE
Software development for emergency bed management
Revista Brasileira de Enfermagem. 2021;74:e20200055
03-15-2021
Abstract
ORIGINAL ARTICLESoftware development for emergency bed management
Revista Brasileira de Enfermagem. 2021;74:e20200055
03-15-2021DOI 10.1590/0034-7167-2020-0055
Views0ABSTRACT
Objective:
to describe the process of developing a software for emergency bed management.
Methods:
a participatory research based on User-Centered Design in four stages: 1) definition of requirements and structure elaboration; 2) generation of alternatives and prototyping; 3) tests; 4) implementation. Seminars were held with health professionals between May 21, 2018 and May 31, 2019 for the preparation and assessment of software content.
Results:
the software CuidarTech KRONOS was developed for emergency bed management using the kanban methodology.
Final considerations:
this software will assist professionals' and managers' decision-making providing more reliable data to enable the improvement of work processes and the quality of patient care. Developing a bed management software is innovative in the health field, and no articles were found describing this methodology.
Keywords:Emergency Service, HospitalHealth Care Coordination and MonitoringInformation SystemsNursingQuality of Health CareSee more -
ORIGINAL ARTICLE
Vaccination as a scheduled demand: a day in the life of users
Revista Brasileira de Enfermagem. 2020;73(4):e20180451
05-18-2020
Abstract
ORIGINAL ARTICLEVaccination as a scheduled demand: a day in the life of users
Revista Brasileira de Enfermagem. 2020;73(4):e20180451
05-18-2020DOI 10.1590/0034-7167-2018-0451
Views0ABSTRACT
Objectives:
to understand vaccination as a scheduled demand and access to this demand in a day in the life of health services, from the perspective of users.
Methods:
holistic-qualitative multiple case study, based on the Quotidian Comprehensive Sociology, with 74 users from four health microregions of the Extended Western Region of Minas Gerais State.
Results:
scheduling vaccination demand in a day in the life of services is compromised by the fragility in data record, by computerized systems underutilization and by the loss of the immunization tracking card, resulting in missed opportunities of immunization and unnecessary revaccinations. The Primary Health Care team’s non-involvement also compromised access to this action.
Final Considerations:
there is a need for more effort to be dispensed with for the effective use of computerized systems and Permanent Education of professionals in order to take advantage of all the opportunities of orientations and referrals of users to the vaccination room.
Keywords:Health Services AccessibilityHealth Services Needs and DemandInformation SystemsPrimary Health CareVaccinationSee more -
RESEARCH
Early neonatal mortality and risk factors: a case-control study in Paraná State
Revista Brasileira de Enfermagem. 2018;71(5):2527-2534
01-01-2018
Abstract
RESEARCHEarly neonatal mortality and risk factors: a case-control study in Paraná State
Revista Brasileira de Enfermagem. 2018;71(5):2527-2534
01-01-2018DOI 10.1590/0034-7167-2016-0586
Views0See moreABSTRACT
Objective:
to analyze the Early Neonatal Mortality risk factors according to the risk stratification criteria of the Guideline of the Rede Mãe Paranaense Program.
Method:
a case-control epidemiological study with secondary data from the Mortality and Live Birth Information System in 2014. The crude analysis was performed by the Odds Ratio association measure, followed by the adjusted analysis, considering risk factors as independent variables, and early neonatal death as dependent variable.
Results:
were considered as maternal risk factors: absence of partner and miscarriages; neonatal: male, low birth weight, prematurity, Apgar less than seven in the fifth minute, presence of congenital anomaly; and care: up to six prenatal appointments.
Conclusion:
an innovative study of risk factors for early neonatal death from the Guideline's perspective, a technological management tool for maternal and child health, in search of its qualification and greater sensitivity.
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RESEARCH
Decline of mortality from cervical cancer
Revista Brasileira de Enfermagem. 2018;71:585-590
01-01-2018
Abstract
RESEARCHDecline of mortality from cervical cancer
Revista Brasileira de Enfermagem. 2018;71:585-590
01-01-2018DOI 10.1590/0034-7167-2016-0530
Views0See moreABSTRACT
Objective:
To describe occurrences of mortality due to cervical cancer in Recife (PE), in northeastern Brazil.
Method:
This was a time-series ecological study using data from the Mortality Information System (SIM) regarding the total number of deaths due to cervical cancer (C53 ICD10) that occurred between 2000 and 2012.
Results:
It was observed that the risk of death due to this form of cancer was higher among women over 60 years of age, those of mixed skin color (53.24%), those who only worked at home (63.16%) and those who did not have a partner (44.32%).
Conclusion:
Additional efforts towards maintaining early detection and health education programs and towards using therapeutic strategies of greater efficiency are needed, given that mortality due to this form of cancer is considered avoidable when diagnosed early.
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RESEARCH
Profile of Brazilian workers victims of occupational accidents with biological fluids
Revista Brasileira de Enfermagem. 2017;70(5):1061-1068
01-01-2017
Abstract
RESEARCHProfile of Brazilian workers victims of occupational accidents with biological fluids
Revista Brasileira de Enfermagem. 2017;70(5):1061-1068
01-01-2017DOI 10.1590/0034-7167-2016-0482
Views0ABSTRACT
Objective:
To characterize the Brazilian workers victims of occupational accidents with biological fluids.
Method:
Epidemiological and descriptive research, in which 284,877 notifications of the Notifiable Diseases Information System were analyzed between 2007 and 2014. We used Stata 13 for data analysis.
Results:
The highest incidence density occurred in females with 0.8 cases per 1,000 workers/year (n = 222,042, 77.9%); in the age group of 20 to 24 years old, with 0.6 cases per 1,000 workers/year (n = 64,221, 23.3%); with some high school and some college, with 0.6 cases per 1,000 workers/year (n = 141,275, 49.6%). We found that these accidents occurred among 23 occupational subgroups. For the most part, the workers had an employment relationship and had issued the Occupational Accident Notification.
Conclusion:
It is necessary to rethink the measures of orientation to workers regarding the risks and relative prophylaxis for these accidents, with the aim of reducing them.
Keywords:Categories of WorkersExposure to Biological AgentsInformation SystemsOccupational AccidentsOccupational Health NursingSee more -
RESEARCH
Mortality from external causes in Pernambuco, 2001-2003 and 2011-2013
Revista Brasileira de Enfermagem. 2015;68(5):855-861
01-01-2015
Abstract
RESEARCHMortality from external causes in Pernambuco, 2001-2003 and 2011-2013
Revista Brasileira de Enfermagem. 2015;68(5):855-861
01-01-2015DOI 10.1590/0034-7167.2015680513i
Views0See moreABSTRACT
Objective:
to describe the mortality from external causes, by Health Regions in Pernambuco, during the periods of2001-2003 and 2011-2013.
Method:
descriptive study with data from the Mortality Information System. For data analysis we used percentage, percentage variation and proportion ratio.
Results:
mortality from external causes reduced in Pernambuco, however, mortality increased in some health regions of the countryside. Increased numbers of deaths from accidents and event of undetermined intent were registered. There was an increase of deaths classified as "other/unspecified" event of undetermined intent.
Conclusion:
there was a change in the spatial distribution of mortality from external causes moving to Pernambuco countryside regions. We found necessity for data classification regarding deaths from external causes and strengthening of the monitoring.