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ORIGINAL ARTICLE
Sociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77(4):e20230301
09-20-2024
Resumo
ORIGINAL ARTICLESociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77(4):e20230301
09-20-2024DOI 10.1590/0034-7167-2023-0301
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Objectives:
to assess the socio-cognitive factors determining adherence to standard precautions by nursing professionals in care practice during the COVID-19 pandemic in Brazil.
Methods:
an analytical cross-sectional study, carried out with 9,039 nursing professionals in Brazil, using an electronic form containing participant sociodemographic, training and work variables, and the Brazilian version of the Standard Precautions Questionnaire. Descriptive and inferential statistics were used using the statistical software R.
Results:
participants recognize standard precautions as effective measures to reduce infections and report intention to perform them. Training regarding standard precautions was evidenced as a facilitator of adherence (4.72; SD: 0.73), and problems related to materials (3.78; SD: 1.45) were a hindrance.
Conclusions:
among the determining factors, facilitating organization presented the highest score, followed by intention to perform. Facilitating and hindering factor identification makes it possible to develop intervention strategies to strengthen patient safety and reduce occupational risks among professionals.
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ORIGINAL ARTICLE
Uncertainties experienced by nursing professionals who contracted Covid-19: a priori, everyone is human
Revista Brasileira de Enfermagem. 2024;77(Suppl 1):e20230142
06-28-2024
Resumo
ORIGINAL ARTICLEUncertainties experienced by nursing professionals who contracted Covid-19: a priori, everyone is human
Revista Brasileira de Enfermagem. 2024;77(Suppl 1):e20230142
06-28-2024DOI 10.1590/0034-7167-2023-0142
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Objective:
To analyze the uncertainties experienced by nursing professionals who contracted COVID-19.
Methods:
This qualitative research was conducted with 20 nursing professionals who fell ill from COVID-19. Data collection was carried out through semi-structured interviews; the data were then organized using thematic analysis and discussed in the context of Merle Mishel’s Reconceptualized of Uncertainty in Illness Theory.
Results:
The antecedents of the disease had a strong influence on how nursing professionals who contracted COVID-19 perceived uncertainty. The media coverage of the increasing number of cases, the collapse of the healthcare system, and the high mortality rate contributed to associating the disease with fear and panic.
Final Considerations:
Viewing it from the perspective of the disease’s antecedents, the illness of a nursing professional from COVID-19 underscores that before being professionals, they are human beings just like anyone else, undergoing adversities and facing the possibilities associated with being ill.
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ORIGINAL ARTICLE
Quality of life associated with nursing professionals’ individual resources and work
Revista Brasileira de Enfermagem. 2024;77(3):e20230476
06-17-2024
Resumo
ORIGINAL ARTICLEQuality of life associated with nursing professionals’ individual resources and work
Revista Brasileira de Enfermagem. 2024;77(3):e20230476
06-17-2024DOI 10.1590/0034-7167-2023-0476
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Objectives:
to assess the physical and mental components of nursing professionals’ quality of life and associate them with individual, health and work characteristics.
Methods:
cross-sectional research, with nursing professionals from a university hospital in São Paulo. Own questionnaire and validated instruments were applied.
Results:
the overall quality of life was compromised. The physical component was lower in relation to low family income and among those who perceived greater control/pressure at work, and better for those who practiced physical activity and had support of leader and organization. The mental component was lower in professionals who reported dissatisfaction with work, worse self-rated physical health and were older. Scores for both components reduced due to work-related illnesses, worse work ability and increased daytime sleepiness.
Conclusions:
quality of life was statistically associated with controllable institutional factors and individual resources that, except age, can be promoted.
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ORIGINAL ARTICLE
Pleasure and suffering of nursing in COVID-19 hospital units: between disenchantment and formation of meanings
Revista Brasileira de Enfermagem. 2023;76(Suppl 1):e20220356
05-08-2023
Resumo
ORIGINAL ARTICLEPleasure and suffering of nursing in COVID-19 hospital units: between disenchantment and formation of meanings
Revista Brasileira de Enfermagem. 2023;76(Suppl 1):e20220356
05-08-2023DOI 10.1590/0034-7167-2022-0356
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Objective:
to analyze the experiences of pleasure and suffering of nursing workers in COVID-19 hospital units.
Methods:
a multicenter, qualitative study, developed with 35 nursing workers from COVID-19 units in seven hospitals in southern Brazil. Data were produced through semi-structured interviews, submitted to thematic content analysis with the help of NVivo.
Results:
experiences of pleasure were linked to gratification, identification with work content, positive results in care, recognition, integration with the team and personal overcoming. Suffering was revealed in daily life of deaths and losses, feelings of helplessness, team conflicts, institutional demands, professional devaluation. Workers reported disenchantment, but also strengthening the meaning of their work, highlighting frontline impacts on their mental health.
Final considerations:
in the dynamics between pleasure and suffering in nursing work in COVID-19 hospital units, elements point to the risk of psychological illness.
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ORIGINAL ARTICLE
Reiki for promotion of health and sleep quality in hospital nursing professionals
Revista Brasileira de Enfermagem. 2022;75(5):e20210535
08-15-2022
Resumo
ORIGINAL ARTICLEReiki for promotion of health and sleep quality in hospital nursing professionals
Revista Brasileira de Enfermagem. 2022;75(5):e20210535
08-15-2022DOI 10.1590/0034-7167-2021-0535
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Objectives:
to know the repercussions of a Reiki therapy intervention on the sleep quality of nursing professionals working in a general hospital.
Methods:
a qualitative-quantitative study conducted with 16 professionals from the nursing team of a hospital in northwest Paraná, who participated in an intervention consisting of six weekly Reiki sessions. Data collected from September, 2019 to March, 2020 through semi-structured interviews and application of the Pittsburgh Sleep Quality Index before and after the intervention.
Results:
better sleep quality, characterized by a reduction in the time to fall asleep and in nightmares, and an increase in sleeping hours.
Conclusions:
reiki intervention had a positive impact on the sleep quality of participants.
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ORIGINAL ARTICLE
Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
07-22-2022
Resumo
ORIGINAL ARTICLEImplementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
07-22-2022DOI 10.1590/0034-7167-2021-0614
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Objectives:
to describe the operationalization of the steps of a model proposed by the Pan American Health Organization for implementing advanced practice nursing in Primary Health Care services.
Methods:
a methodological study, with a qualitative approach, carried out in a local health system located in southern São Paulo. The first six steps of the model were followed: 1) improve health outcomes; 2) identify stakeholders; 3) determine unmet health needs; 4) identify priorities and goals to introduce advanced nursing practices in primary health care; 5) define advanced practice nursing in primary health care; 6) plan implementation strategies.
Results:
in each step, the objectives, methodological strategies and operationalization were described.
Final Considerations:
the model proved to be effective to support the process of development and implementation of advanced practice nursing in the local system studied.
Palavras-chave: Advanced Practice NursingHealth WorkforceNurse PractitionersNursing StaffPrimary Health CareVer mais -
ORIGINAL ARTICLE
Application of empathy map on educational actions carried out by nursing professionals
Revista Brasileira de Enfermagem. 2022;75(4):e20210478
04-15-2022
Resumo
ORIGINAL ARTICLEApplication of empathy map on educational actions carried out by nursing professionals
Revista Brasileira de Enfermagem. 2022;75(4):e20210478
04-15-2022DOI 10.1590/0034-7167-2021-0478
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Objective:
to apply an empathy map to assess nursing professionals’ needs, desires, frustrations and aspirations regarding educational actions.
Methods:
a cross-sectional study, carried out in a hospital institution with 164 nursing professionals, who responded to the empathy map, which clarified their participation in institutional educational actions, which were collected from 2019 to 2020, and analyzed using descriptive statistics.
Results:
when using the empathy map, educational actions focused on routines predominated, with the sharing of knowledge; promotion of improvements in care; agreement of commitment with proposed actions; insufficient compliance; little incentive to participate; dispersed guidelines among professionals; increased labor demand; and educational activity during the working day.
Conclusions:
the empathy map, applied as an instrument for assessing the institutional educational process, qualified as appropriate educational actions or opportunities to improve significant learning for professional nursing education.
Palavras-chave: Education Department, HospitalEducation, ContinuingEducation, NursingNurse PractitionersNursingVer mais -
ORIGINAL ARTICLE
Organizational climate and nurses’ turnover intention: a mixed method study
Revista Brasileira de Enfermagem. 2022;75(4):e20210792
04-15-2022
Resumo
ORIGINAL ARTICLEOrganizational climate and nurses’ turnover intention: a mixed method study
Revista Brasileira de Enfermagem. 2022;75(4):e20210792
04-15-2022DOI 10.1590/0034-7167-2021-0792
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Objectives:
to describe the organizational climate perceived by nurses of a hospital linked to the Brazilian Hospital Services Company and the reasons for the turnover intention.
Methods:
mixed, concomitant triangulation type. Qualitative data were analyzed according to the discourse of the collective subject, in addition to quantitative data analysis, descriptive analysis, Pearson correlation, and multiple linear regression. Data collection was carried through a semi-structured interview with 116 nurses.
Results:
the study presented the speeches in five categories: Leadership and organization support; Reward; Physical comfort; Control/pressure; and Cohesion among colleagues. It showed that, with increased Reward factor, there is a decrease in turnover intention; and, with decreased Physical comfort, there is an increase in turnover intention.
Conclusions:
there is a dichotomy in the organizational climate perceived by nurses, and personal reasons mainly justify the turnover intention. The reason could be the current processes of institutional reorganization and the hiring of experienced staff.
Palavras-chave: HospitalsNurse PractitionersNursingPersonnel ManagementUniversityWorking EnvironmentVer mais