Articles - Revista Brasileira de Enfermagem

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11-25-2022

Populações vulnerabilizadas no contexto da pandemia e crises sanitárias
Revista Brasileira de Enfermagem. 2022;75:e75Suppl201

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Populações vulnerabilizadas no contexto da pandemia e crises sanitárias
Revista Brasileira de Enfermagem. 2022;75:e75Suppl201
DOI 10.1590/0034-7167.202275Suppl201pt
Renan Sallazar Ferreira Pereira ,
Giselle Lima de Freitas ,
Fernando Rodrigues Peixoto Quaresma
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As condições e os modos de vida da população determinam o processo de saúde e adoecimento de forma diferenciada entre os diversos grupos populacionais. As desigualdades na saúde vêm adquirindo relevância ainda maior na produção de diferentes perfis de doença, em função de recentes e surpreendentes acontecimentos mundiais, como divergências étnico-raciais, religiosas, territoriais, identidade de […]
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11-25-2022

Reflexões sobre a ciência em enfermagem gerontológica: possibilidades para o seu caminhar
Revista Brasileira de Enfermagem. 2022;75:e75Suppl401

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Reflexões sobre a ciência em enfermagem gerontológica: possibilidades para o seu caminhar
Revista Brasileira de Enfermagem. 2022;75:e75Suppl401
DOI 10.1590/0034-7167.202275Suppl401pt
Alisson Fernandes Bolina ,
Darlene Mara dos Santos Tavares ,
Mayssa da Conceição Araújo
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O conhecimento científico em enfermagem gerontológica brasileiro tem seus primórdios há mais de 50 anos, especificamente em meados de 1970, alinhados ao movimento mundial de reconhecimento da complexidade do envelhecimento populacional e dos seus desafios na esfera social, cultural, política e de saúde pública. Desde então, a produção científica nesse campo guarda relação com a […]
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11-19-2022

Advanced Practice Nursing: Canadian Perspectives and Global Relevance
- Vanessa Wright ,
- Freida S. Chavez
Revista Brasileira de Enfermagem. 2022;75(1):e750101

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Advanced Practice Nursing: Canadian Perspectives and Global Relevance
Revista Brasileira de Enfermagem. 2022;75(1):e750101
DOI 10.1590/0034-7167.2022750101
Vanessa Wright ,
Freida S. Chavez
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In this editorial, Advanced Practice Nursing (APN) will be explored as a practice model that could be implemented to strengthen health care systems globally. Canadian perspectives and the evolution of APN in Canada will be used as an example to identify potential opportunities for the conceptualization and implementation of advanced practice nursing that is both […]
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11-19-2022

Enfermagem de Prática Avançada: Perspectivas Canadenses e Relevância Global
- Vanessa Wright ,
- Freida S. Chavez
Revista Brasileira de Enfermagem. 2022;75(1):e750101

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Enfermagem de Prática Avançada: Perspectivas Canadenses e Relevância Global
Revista Brasileira de Enfermagem. 2022;75(1):e750101
DOI 10.1590/0034-7167.2022750101
Vanessa Wright ,
Freida S. Chavez
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Neste editorial, a Enfermagem de Prática Avançada (EPA) será explorada como um modelo de prática que pode ser implementado para fortalecer os sistemas de saúde globalmente. As perspectivas canadenses e a evolução da EPA no Canadá serão usadas como um exemplo para identificar oportunidades potenciais para a conceituação e implementação da EPA que seja abrangente […]
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ORIGINAL ARTICLE11-19-2022

Factors associated with the perception of fear of COVID-19 in university students
Revista Brasileira de Enfermagem. 2022;75:e20210448

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Factors associated with the perception of fear of COVID-19 in university students
Revista Brasileira de Enfermagem. 2022;75:e20210448
DOI 10.1590/0034-7167-2021-0448
Camille Francine Modena ,
Moisés Kogien ,
Samira Reschetti Marcon ,
Lauro Miranda Demenech ,
Frantielen Castor dos Santos Nascimento ,
Marcos Vítor Naves Carrijo
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ABSTRACT

Objective:

to analyze the factors associated with the perception of fear of COVID-19 in Brazilian university students.

Methods:

this is an online, cross-sectional analytical study conducted at a Brazilian public university with 1,437 undergraduate students between September and November 2020. The Fear of COVID-19 Scale was used to measure the main construct. Data analysis was performed using Mann-Whitney U test, Cohen’s r test and multiple linear regression analysis.

Results:

factors associated with fear of COVID-19 in university students were the variables biological sex, perception of good sleep quality, many days of access to information, not complying with social distancing, reporting sufficient hours of sleep, not having a partner, guidance sexual non-heterosexual, being in the risk group for COVID-19 and tobacco consumption.

Conclusions:

the study findings can contribute to the discussion about the weaknesses that the university population is experiencing in this pandemic period.

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REVIEW11-19-2022

Nursing care for bed bath in patients with COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200704

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Nursing care for bed bath in patients with COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200704
DOI 10.1590/0034-7167-2020-0704
Cristina Tavares de Aguiar Avilar ,
Ítala Maria Araújo Andrade ,
Cawana da Silva do Nascimento ,
Larissa Vanessa Machado Viana ,
Thatiana Lameira Maciel Amaral ,
Patrícia Rezende do Prado
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ABSTRACT

Objective:

to identify the main nursing care procedures for performing bed bath in patients with COVID-19.

Method:

an integrative literature review. Five stages were followed for this research: research question elaboration (identification of the problem), search of studies in literature, study assessment, data analysis, and presentation of review. To search for primary studies, the VHL and SciELO databases were selected.

Results:

initially, 55 publications were found. After reading and analyzing the abstracts, the sample consisted of 15 studies.

Conclusion:

patients with the new coronavirus have specific care to perform a bed bath, oral, intimate and skin hygiene. It is important that professionals use adequate personal protective equipment, perform humanized care, continuously observing patients’ vital signs to avoid occurrence of adverse events, promoting patient safety.

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ORIGINAL ARTICLE11-19-2022

Stigma experienced by men diagnosed with COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20210038

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Stigma experienced by men diagnosed with COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20210038
DOI 10.1590/0034-7167-2021-0038
Anderson Reis de Sousa ,
Sheila Santa Barbara Cerqueira ,
Thiago da Silva Santana ,
Cleuma Sueli Santos Suto ,
Eric Santos Almeida ,
Luana Santana Brito ,
Elena Casado ,
Evanilda Souza de Santana Carvalho
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ABSTRACT

Objective:

to analyze the stigma characteristics perceived in the experience of men who had COVID-19.

Method:

this qualitative study involved men living in Brazil, diagnosed with COVID-19, who answered semi-structured questions in an online form. Data were subjected to thematic and lexical analysis, interpreted in the light of the stigma theory.

Results:

92 men, adults, cisgender, heterosexual, of mixed race/color, belonging to middle class, living in the urban area, with higher education participated. The stigma characteristics evidenced were the occurrence of leave, perception of impolite treatment, use of labels and discrimination by co-workers, family members, neighbors and even healthcare professionals, with consequences for the psycho-emotional dimension.

Final considerations:

discrimination and exclusion derived from stigma surprised men marked by class and gender privileges, little used to being downgraded in interactions when compared to other groups.

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ORIGINAL ARTICLE11-15-2022

Suffering and defense mechanisms: an analysis of the work of Primary Health Care nurses
Revista Brasileira de Enfermagem. 2022;75:e20200419

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Suffering and defense mechanisms: an analysis of the work of Primary Health Care nurses
Revista Brasileira de Enfermagem. 2022;75:e20200419
DOI 10.1590/0034-7167-2020-0419
Grizielle Sandrine de Araujo Rocha ,
Darine Marie Rodrigues da Silva ,
Maria Sandra Andrade ,
Bárbara Bruna Fernandes de Andrade ,
Sílvia Elizabeth Gomes de Medeiros ,
Jael Maria de Aquino
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ABSTRACT

Objective:

To analyze the suffering and coping strategies of nurses working in Primary Health Care considering the psychodynamics of their work.

Methods:

Descriptive study with a qualitative approach, carried out with 11 nurses working in Primary Health Care. Data were collected through semi-structured interviews, systematized, and interpreted using Bardin’s content analysis method applied to recurrent themes.

Results:

The suffering factors related to work in Primary Health Care are difficulties with management, the fragile structure of the health support network, and conflicts with the users. Defensive strategies to minimize these difficulties are the support of hierarchical superiors, the empowerment of the community and users, and communication between team members.

Final considerations:

It is important that there be changes in the organization of this line of work to improve the workers’ health.

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ORIGINAL ARTICLE03-24-2021

Costs of healthcare-associated infections in an Intensive Care Unit
- Michelle Araujo Leal ,
- Ana Amélia de Freitas-Vilela
Revista Brasileira de Enfermagem. 2021;74(1):e20200275

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Michelle Araujo Leal ,
Ana Amélia de Freitas-Vilela
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ABSTRACT

Objectives:

to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.

Methods:

a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.

Results:

a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).

Conclusions:

hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ORIGINAL ARTICLE03-24-2021

Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
DOI 10.1590/0034-7167-2020-0392
Maria de Nazaré de Souza Ribeiro ,
Fátima Helena do Espírito Santo ,
Bruna da Silva Simões ,
Cleisiane Xavier Diniz ,
Helen Cristine Albuquerque Bezerra ,
Luiz dos Santos
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ABSTRACT

Objectives:

to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process.

Methods:

qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis.

Results:

the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity.

Conclusions:

the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.

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ORIGINAL ARTICLE06-11-2021

Work at the surgical center: risks of the pathogenic suffering of the nursing team
- Rosane Lima de Araujo ,
- Cecília Helena Glanzner
Revista Brasileira de Enfermagem. 2021;74(2):e20190803

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Work at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
DOI 10.1590/0034-7167-2019-0803
Rosane Lima de Araujo ,
Cecília Helena Glanzner
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ABSTRACT

Objectives:

to assess the risks of pathogenic suffering related to the experience of nursing workers in the operating room of a university hospital.

Methods:

cross-sectional, quantitative study, carried out from 11/2017 to 01/2018 in a university hospital in the South of Brazil. The sample was composed by 159 nursing workers of the units of a surgical center, that answered to the Scale of Evaluation of Pathogenic Suffering at Work. Data was submitted to statistical analysis.

Results:

the workers present low risk of pathogenic suffering related to the experiences at work, being the results of its factors: Uselessness (1.47±0.761) – low risk; Indignity (2.372±1.035) – medium risk; and Disqualification (1.74±0.903) – low risk.

Conclusions:

the evaluation of Pathogenic Suffering at Work Scale was positive, predominating low risk for pathogenic suffering of surgical center workers related to professional experiences, because they feel useful, valued and are not indignant about their work, feelings that reflect on the quality of care provided.

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ORIGINAL ARTICLE05-21-2021

Music in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Music in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
DOI 10.1590/0034-7167-2019-0838
Mariana Scheidegger dos Santos ,
Filipe de Moraes Thomaz ,
Rafael Tavares Jomar ,
Angela Maria Mendes Abreu ,
Gunnar Glauco De Cunto Carelli Taets
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ABSTRACT

Objectives:

to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.

Methods:

quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.

Results:

the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.

Conclusions:

the use of music diminishes the stress and the distress of cancer patients.

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ORIGINAL ARTICLE05-21-2021

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
DOI 10.1590/0034-7167-2020-0089
Tatiane Henrique ,
Fábio Luiz Banhara ,
Natiele Favarão da Silva ,
Francely Tineli Farinha ,
Maila Meryellen Ferreira Garcia Manso ,
Armando dos Santos Trettene
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ABSTRACT

Objectives:

to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.

Methods:

cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.

Results:

48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).

Conclusions:

the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.

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ORIGINAL ARTICLE05-28-2021

The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
DOI 10.1590/0034-7167-2020-0116
Jair da Silva Melo ,
Noélle de Oliveira Freitas ,
Maíra Rosa Apostolico
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ABSTRACT

Objective:

To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.

Methods:

This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.

Results:

168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.

Final considerations:

Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ORIGINAL ARTICLE05-28-2021

Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
Camila Brito Borguezam ,
Caroline Tolentino Sanches ,
Silvia Paulino Ribeiro Albaneser ,
Uiara Rodrigues de Oliveira Moraes ,
Cintia Magalhães Carvalho Grion ,
Gilselena Kerbauy
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ABSTRACT

Objectives:

to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.

Methods:

an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi Info^TM.

Results:

the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).

Conclusions:

this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.

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ORIGINAL ARTICLE06-16-2021

The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
- Emanuelle Caires Dias Araújo Nunes ,
- Regina Szylit
Revista Brasileira de Enfermagem. 2021;74(2):e20200364

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
DOI 10.1590/0034-7167-2020-0364
Emanuelle Caires Dias Araújo Nunes ,
Regina Szylit
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ABSTRACT

Objectives:

to know the meaning of contemporary nursing from the experience of intensive care nurses.

Methods:

qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential.

Results:

the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills – besides the scientific ones, such as empathy, creativity, spirituality and compassion.

Final Considerations:

the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.

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