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ORIGINAL ARTICLE09-21-2020
Transition of blind women to motherhood from the perspective of Transitions Theory
Revista Brasileira de Enfermagem. 2020;73:e20190234
Abstract
ORIGINAL ARTICLETransition of blind women to motherhood from the perspective of Transitions Theory
Revista Brasileira de Enfermagem. 2020;73:e20190234
DOI 10.1590/0034-7167-2019-0234
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Objective:
to analyze the transition of blind women to motherhood from the perspective of Transitions Theory.
Method:
a qualitative, descriptive study, which had as participants 11 blind women. An open interview was conducted using the narrative method. Analysis occurred in the light of Transitions Theory, with approval from the Research Ethics Committee with Human Beings.
Results:
the age group was 32 to 63 years, mostly Catholic, with social security benefits. Transition to motherhood mainly evidenced the experience when becoming a mother and feelings related to this new phase of life.
Final considerations:
the women in the study adapted themselves to the maternal role, even with difficulties, developed healthy relationships with their children, overcame their disability and nurtured dreams and desires. They were aware of their role, achieving with mastery a healthy transition. It was evidenced scarcity of nursing therapies.
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REVIEW07-06-2020
Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Revista Brasileira de Enfermagem. 2020;73(5):e20190370
Abstract
REVIEWMiddle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Revista Brasileira de Enfermagem. 2020;73(5):e20190370
DOI 10.1590/0034-7167-2019-0370
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Objectives:
theoretical validation of the concept of low self-efficacy in health as a nursing diagnosis construct.
Methods:
construction of a middle-range theory for validating diagnoses, comprised of five stages: definition of the approach for building the theory; definition of the main concepts; creation of a pictorial diagram; formulation of proposals; establishment of causal relationships and evidence for clinical practice. The main concepts were identified through a literature review and the studies were taken from the LILACS, SCOPUS, CINAHL and PubMed/MEDLINE databases. The final sample was comprised of 92 articles.
Results:
eighteen etiological factors and 16 clinical indicators were identified; characterized as antecedents and manifestations for inferring a diagnosis of low self-efficacy in health.
Conclusions:
the related concepts of the new nursing diagnosis of low self-efficacy in health, to be applied in clinical nursing practice, were identified and defined.
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ORIGINAL ARTICLE06-24-2020
Validation of interventions for risk of impaired skin integrity in adult and aged patients
Revista Brasileira de Enfermagem. 2020;73(4):e20190258
Abstract
ORIGINAL ARTICLEValidation of interventions for risk of impaired skin integrity in adult and aged patients
Revista Brasileira de Enfermagem. 2020;73(4):e20190258
DOI 10.1590/0034-7167-2019-0258
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Objectives:
to validate nursing interventions for the diagnosis Risk for Impaired Skin Integrity in adult and aged hospitalized patients.
Methods:
descriptive, quantitative study, using the content validity of interventions done by 14 specialist nurses.
Results:
the specialist nurses had worked in the area for more than five years. Four (28.5%) used NANDA-I and CIPE®, three (21.4%) used NANDA-I, NIC and CIPE®, three (21.4%) used NANDA-I, NIC, NOC and CIPE® and four (28.5%) were currently working only with CIPE®. The validation analyzed 32 NIC interventions, of which 11 were priority and 21 were suggested. Of the priority interventions, five belonged to the Physiological/Complex domain, five to the Physiological/Basic domain and one to the Safety Domain.
Final Considerations:
nursing interventions are essential for planning and support good practices in teaching, research and care.
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ORIGINAL ARTICLE04-22-2020
Men’s health care: construction and validation of a tool for nursing consultation
Revista Brasileira de Enfermagem. 2020;73(3):e20190013
Abstract
ORIGINAL ARTICLEMen’s health care: construction and validation of a tool for nursing consultation
Revista Brasileira de Enfermagem. 2020;73(3):e20190013
DOI 10.1590/0034-7167-2019-0013
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Objectives:
to elaborate and validate a data collection tool for nursing consultation with men in the context of Primary Health Care.
Method:
a methodological study developed in four stages. The first one consisted in tool elaboration, using databases and the Dorothea Orem’s theoretical model. In the second and third stages, content validation and tool appearance by 23 nurse judges took place. The Concordance Index was used for assessment. In the fourth stage, a pilot test was carried out with 20 men using Primary Health Care.
Results:
of the 145 indicators prepared, organized and submitted to validation process, items with the Concordance Index <0.80 were excluded. The final tool consisted of 156 items. An overall 0.88 Concordance Index calculation was obtained.
Conclusions:
the final tool presented content validity for data collection with men in Primary Health Care.
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REVIEW03-30-2020
Nursing care in mental health based on the TIDAL MODEL: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180177
Abstract
REVIEWNursing care in mental health based on the TIDAL MODEL: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180177
DOI 10.1590/0034-7167-2018-0177
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Objectives:
to identify the applicability of the Phil Barker’s Tidal Model in mental health nursing care.
Methods:
an integrative literature review carried out by LILACS, MEDLINE, Scopus and Web of Science. Data were collected from December 2017 to March 2018. After selecting the studies, the sample totaled 24 articles.
Results:
the articles are in English (91.7%), were published in nursing journals (87.5%), are reflective and/or theoretical (50%) and have level of evidence VII (79.2%). The model brings contributions to nursing science, enabling person-centered care, with an emphasis on interdisciplinary work, nurses’ protagonism and the empowerment of subjects in mental suffering.
Final considerations:
the use of the Tidal Model enables changes in nurses practice working in the context of mental health. Its application by nurses who work in mental health services in Brazil is recommended.
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ORIGINAL ARTICLE02-17-2020
Family fortresses in Zika Congenital Syndrome according to Betty Neuman
Revista Brasileira de Enfermagem. 2020;73(2):e20180578
Abstract
ORIGINAL ARTICLEFamily fortresses in Zika Congenital Syndrome according to Betty Neuman
Revista Brasileira de Enfermagem. 2020;73(2):e20180578
DOI 10.1590/0034-7167-2018-0578
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Objectives:
to identify elements that contribute to strengthen the family system of children with Zika virus congenital syndrome according to Betty Neuman’s theory.
Methods:
qualitative research, carried out in the outpatient service of a public hospital in the city of Recife, Brazil, with 13 mothers, by semi-structured interviews. The IRAMUTEQ software was used for data analysis and the interpretation was carried out according to Betty Neuman’s Systems Model Theory.
Results:
the dendrogram originated five categories, which we named: Family Routine, Health Service Assistance, Changes in Lifestyle, Support Network, and Social Repercussions of Care for the the Family Context.
Final considerations:
nursing actions based on Betty Neuman’s theory provide subsidies for the recognition of elements that strengthen the defense lines of the family system. These resources can be explored, aiming to maintaining the well-being and balance in the context of the family system.
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Development of middle-range theories in nursing
Revista Brasileira de Enfermagem. 2020;73(1):e20170893
Abstract
Development of middle-range theories in nursing
Revista Brasileira de Enfermagem. 2020;73(1):e20170893
DOI 10.1590/0034-7167-2017-0893
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Objective:
To identify in the literature how Middle-Range Theories (MRT) are being developed in Nursing.
Method:
Integrative review on the databases Lilacs (Latin American and Caribbean Literature in Health Sciences), Scopus, Cinahl (Cumulative Index to Nursing and Allied Health Literature), Web of Science and PubMed portal, using the keywords middle range theory and nursing, as well its Portuguese correspondents (Lilacs), and the Boolean operator AND. The sample included 25 articles.
Results:
All articles presented concepts related to MRT. Most developed a synthesis picture. Some theories have formulated specific propositions, hypotheses, and names. Only 16 articles cited the methodological framework, while 22 used theories or models for theoretical foundation and 11 carried out literature reviews.
Final considerations:
The development of MRT included the presentation of fundamental concepts, synthesis, propositions, hypotheses and specific name. The MRT is recognized as a way of developing knowledge to guide the nursing practice.
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ORIGINAL ARTICLE12-13-2019
Self-care deficits in women with leg ulcers and sickle cell disease
Revista Brasileira de Enfermagem. 2019;72:72-78
Abstract
ORIGINAL ARTICLESelf-care deficits in women with leg ulcers and sickle cell disease
Revista Brasileira de Enfermagem. 2019;72:72-78
DOI 10.1590/0034-7167-2018-0005
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Objective:
to identify self-care deficits in women with leg ulcers and sickle cell disease.
Method:
a qualitative, descriptive, exploratory approach with 14 women. The collection was performed from December 2015 to January 2016, while the analysis was supported by Orem’s Self-Care Deficit Theory.
Results:
self-care requirements are not fully met. The following were identified as universal: balance between loneliness and social interaction, rest and proper nutrition; development: inability to perform work, abrupt changes in the environment due to hospitalization, educational deprivation and dropout; health deviations: ulcer recurrences, pain, changes in skin appearance and gait changes.
Conclusion:
nursing care for women with leg ulcers and sickle cell disease requires planned actions for comprehensive care.