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08-26-2022
Repercussions of the labor reform on nursing work in the context of the covid-19 pandemic
- Ithana Queila Borges Pizzani Ferreira
, - Tatiane Araújo dos Santos ,
- Handerson Silva Santos ,
- Nildo Batista Mascarenhas ,
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Abstract
Repercussions of the labor reform on nursing work in the context of the covid-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20220058
DOI 10.1590/0034-7167-2022-0058
- Ithana Queila Borges Pizzani Ferreira ,
- Tatiane Araújo dos Santos ,
- Handerson Silva Santos ,
- Nildo Batista Mascarenhas ,
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Views0See moreABSTRACT
Objective:
To reflect on the repercussions of the Labor Reform on nursing work during the COVID-19 pandemic.
Methods:
This is a reflective study based on the legal aspects of the Labor Reform in dialog with scientific productions pertaining to nursing work.
Results:
With the rise of the COVID-19 pandemic, the flexibilization of labor is being intensified, legally backed up by the Labor Reform. For nursing workers, the repercussions are felt in the work relationship, during the workday, in the salary, in union action, and in job protection.
Final considerations:
It is evident that, after the legislative changes, there’s no certainty that the flexibilization of labor and social security laws will bring favorable results in terms of economic growth, reduction of inequalities, and lower unemployment rates for the nursing workers. Therefore, the political organization of the professional categories is the way to overcome this scenario.
- Ithana Queila Borges Pizzani Ferreira
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REVIEW08-26-2022
Health literacy of adolescents in the COVID-19 pandemic: an integrative review
- Rafaela Aparecida Prata ,
- Tamara Barros Bicudo ,
- Juliana Bastoni da Silva ,
- Marla Andréia Garcia de Avila
Abstract
REVIEWHealth literacy of adolescents in the COVID-19 pandemic: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210956
DOI 10.1590/0034-7167-2021-0956
- Rafaela Aparecida Prata ,
- Tamara Barros Bicudo ,
- Juliana Bastoni da Silva ,
- Marla Andréia Garcia de Avila
Views0See moreABSTRACT
Objective:
to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic.
Method:
an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included.
Results:
of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic.
Final considerations:
the literature has indicated that HL can interfere with adolescents’ decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.
- Rafaela Aparecida Prata
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ORIGINAL ARTICLE08-26-2022
Sickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic
- Artênio José Ísper Garbin ,
- Carolina Carvalho Menez Pinto Nascimento ,
- Fabiana Costa Machado Zacharias ,
- Cléa Adas Saliba Garbin ,
- Suzely Adas Saliba Moimaz , [ … ],
- Nemre Adas Saliba
Abstract
ORIGINAL ARTICLESickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20220028
DOI 10.1590/0034-7167-2022-0028
- Artênio José Ísper Garbin ,
- Carolina Carvalho Menez Pinto Nascimento ,
- Fabiana Costa Machado Zacharias ,
- Cléa Adas Saliba Garbin ,
- Suzely Adas Saliba Moimaz ,
- Nemre Adas Saliba
Views0See moreABSTRACT
Objective:
to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason.
Methods:
a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation.
Results:
of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years.
Conclusions:
there was an impact of the pandemic on absence duration and reason.
- Artênio José Ísper Garbin
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ORIGINAL ARTICLE08-22-2022
Nursing staff’s instrument for change-of-shift reporting – SBAR (Situation-Background-Assessment-Recommendation): validation and application
- Tânia Roberta Limeira Felipe ,
- Wilza Carla Spiri ,
- Carmen Maria Casquel Monti Juliani ,
- Maria Eugênia Guerra Mutro
Abstract
ORIGINAL ARTICLENursing staff’s instrument for change-of-shift reporting – SBAR (Situation-Background-Assessment-Recommendation): validation and application
Revista Brasileira de Enfermagem. 2022;75(6):e20210608
DOI 10.1590/0034-7167-2021-0608
- Tânia Roberta Limeira Felipe ,
- Wilza Carla Spiri ,
- Carmen Maria Casquel Monti Juliani ,
- Maria Eugênia Guerra Mutro
Views0See moreABSTRACT
Objectives:
to validate and apply a change-of-shift instrument using the SBAR (Situation-Background-Assessment-Recommendation) tool.
Methods:
methodological study for the validation of an instrument. It was validated by ten judges from the area of nursing teaching and care and applied in a surgical gastroenterology ward by 11 nursing technicians in February 2019. The analyses considered descriptive statistics.
Results:
the judges analyzed the instrument with a content validity index of 91.7% and made suggestions, which led to the second version of the instrument. The participants reported that the predominant modality of shift handover is oral, in the nursing room, lasting six to ten minutes. Most pay attention during shift change, mention that delays and early departures interfere in the activity and believe that the instrument provides the necessary information and is viable.
Conclusions:
the instrument built was validated, and its application proved relevant, as it was considered necessary and feasible.
- Tânia Roberta Limeira Felipe
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ORIGINAL ARTICLE08-22-2022
Women who live in mining on the French-Brazilian border: daily challenges
- Lise Maria Carvalho Mendes ,
- Flávia Gomes-Sponholz ,
- Juliana Cristina dos Santos Monteiro ,
- Ana Karina Bezerra Pinheiro ,
- Nayara Gonçalves Barbosa
Abstract
ORIGINAL ARTICLEWomen who live in mining on the French-Brazilian border: daily challenges
Revista Brasileira de Enfermagem. 2022;75(6):e20210688
DOI 10.1590/0034-7167-2021-0688
- Lise Maria Carvalho Mendes ,
- Flávia Gomes-Sponholz ,
- Juliana Cristina dos Santos Monteiro ,
- Ana Karina Bezerra Pinheiro ,
- Nayara Gonçalves Barbosa
Views0See moreABSTRACT
Objectives:
to describe the daily life of Brazilian women who work in mining.
Methods:
a descriptive, qualitative study, with analysis based on the theory of Symbolic Interactionism. Non-participant observations, field diary writing, sociodemographic form, non-directive interviews, recorded and transcribed in full, were carried out with 19 women who work in mining areas on the French-Brazilian Amazon border.
Results:
two categories emerged: Life trajectories: women’s work in mining; Woman, mother and prospector: the multiple facets of gender inequality on the Amazon border.
Final Considerations:
assessing the daily experiences of women in the Amazonian mines allowed identifying their health needs, evidencing the need to direct and implement public and social policies and health practices for comprehensive care of these women’s health.
- Lise Maria Carvalho Mendes
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ORIGINAL ARTICLE08-22-2022
Knowledge scale of Nursing students about sexuality of people with spinal cord injury
- Luana Cristina Hencklein ,
- Daniel Gonçalves Campos ,
- Juliany Lino Gomes Silva ,
- Ruana Luiz Ferreira da Silva ,
- Gabriela Salim Spagnol , [ … ],
- Ana Railka de Souza Oliveira-Kumakura
Abstract
ORIGINAL ARTICLEKnowledge scale of Nursing students about sexuality of people with spinal cord injury
Revista Brasileira de Enfermagem. 2022;75(6):e20210288
DOI 10.1590/0034-7167-2021-0288
- Luana Cristina Hencklein ,
- Daniel Gonçalves Campos ,
- Juliany Lino Gomes Silva ,
- Ruana Luiz Ferreira da Silva ,
- Gabriela Salim Spagnol ,
- Clara Froes de Oliveira Sanfelice ,
- Ana Railka de Souza Oliveira-Kumakura
Views0See moreABSTRACT
Objectives:
to build, validate and verify the reliability of the Scale of knowledge about sexuality of people with spinal cord injury for nursing students.
Methods:
a methodological study, following the steps: 1) Construction based on literature review; 2) Validation of the content with calculation of the Content Validity Index and the Modified Kappa Coefficient; 3) Pre-test with Nursing students; and 4) Measurement of reliability by internal consistency (Cronbach’s alpha).
Results:
the first version of the instrument presented 13 items. After validation, the items received values above 0.80 and 0.76 for the Content Validity Index and Modified Kappa Coefficient, and it was suggested to separate three items to contemplate gender-specific aspects. After pre-testing, it was recommended that the writing of two items be revised. The final scale, with 16 items, showed Cronbach’s alpha equal to 0.93.
Conclusions:
the constructed scale presented valid content and proved to be reliable for application with nursing students.
- Luana Cristina Hencklein
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ORIGINAL ARTICLE08-22-2022
Temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019
Revista Brasileira de Enfermagem. 2022;75(6):e20220046
Abstract
ORIGINAL ARTICLETemporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019
Revista Brasileira de Enfermagem. 2022;75(6):e20220046
DOI 10.1590/0034-7167-2022-0046
Views0See moreABSTRACT
Objectives:
to analyze the temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, between 2007 and 2019, according to sociodemographic and professional characteristics.
Methods:
analysis of time series of accidents due to percutaneous exposure that occurred in health workers. Sociodemographic and professional variables, accident profile, post-accident behavior and accident incidence rates were evaluated. The Prais Winsten regression was used for trend analysis and calculation of the annual percentage change, with a significance level of 5%.
Results:
761 occupational accidents were recorded. There was a downward trend in the rate of percutaneous injuries among female workers (-0.012%; p=0.009), who had secondary education (-0.011%; p=0.035) and among all health professional categories (-0.010%; p =0.019). There was an increasing trend (0.018%; p= 0.050) among workers with ≥ 61 months of professional experience.
Conclusions:
the analysis showed a decreasing incidence of percutaneous accidents, which can be explained by multiple factors.
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ORIGINAL ARTICLE08-20-2022
Religious/spiritual experiences, quality of life and satisfaction with life of hospitalized octogenarians
- Meiry Fernanda Pinto Okuno ,
- Karina Aparecida Lopes da Costa ,
- Dulce Aparecida Barbosa ,
- Angélica Gonçalves Silva Belasco
Abstract
ORIGINAL ARTICLEReligious/spiritual experiences, quality of life and satisfaction with life of hospitalized octogenarians
Revista Brasileira de Enfermagem. 2022;75(1):e20201099
DOI 10.1590/0034-7167-2020-1099
- Meiry Fernanda Pinto Okuno ,
- Karina Aparecida Lopes da Costa ,
- Dulce Aparecida Barbosa ,
- Angélica Gonçalves Silva Belasco
Views0See moreABSTRACT
Objectives:
to assess quality of life (QoL) and satisfaction with life (SWL) indices and verify whether the frequency of religious and spiritual experiences is associated with QoL and SWL in hospitalized octogenarians.
Method:
this is a cross-sectional study, with 128 octogenarians. World Health Organization QoL instruments and Scales applied: Daily Spiritual Experience (DSES) and Satisfaction With Life (SWLS).
Results:
more committed domains related to QoL and SWL: autonomy and physical capacity. The higher the score in DSES, the higher the scores in the psychological domains and past, present, and future QoL activities. The higher the score in DSES, the higher the score in the social involvement aspect.
Conclusion:
the results of this study showed that the higher frequency of religious and spiritual experiences of hospitalized elderly people was associated with better QoL and SWL. It is emphasized that religious and spiritual experiences should be explored in the hospital therapeutic context.
- Meiry Fernanda Pinto Okuno
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ORIGINAL ARTICLE05-15-2020
Stress and quality of sleep in undergraduate nursing students
- Kézia Katiane Medeiros da Silva ,
- Milva Maria Figueiredo de Martino ,
- Clarissa Maria Bandeira Bezerra ,
- Ângela Monic Lima de Souza ,
- Danila Maria da Silva , [ … ],
- Jacqueline Targino Nunes
Abstract
ORIGINAL ARTICLEStress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
DOI 10.1590/0034-7167-2018-0227
- Kézia Katiane Medeiros da Silva ,
- Milva Maria Figueiredo de Martino ,
- Clarissa Maria Bandeira Bezerra ,
- Ângela Monic Lima de Souza ,
- Danila Maria da Silva ,
- Jacqueline Targino Nunes
Views0See moreABSTRACT
Objective:
to analyze the level of stress and sleep quality in nursing students according to terms of the nursing program.
Method:
descriptive and cross-sectional research developed in a higher education institution in Northeastern Brazil on 167 students. We used data collection, sociodemographic information, and a scale for assessing stress and sleep quality in nursing students.
Results:
we identified a statistically significant difference between domains of the stress scale and the terms of the undergraduate program, and between the quality of sleep and such terms such as as in the fourth and sixth semesters.
Conclusion:
different stress scores show that the semester which concerns students the most is the fifth. Quality of sleep was deemed good for the first, third, fifth, seventh, and eighth semesters; and poor for the fourth and sixth terms.
- Kézia Katiane Medeiros da Silva
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ORIGINAL ARTICLE09-21-2020
Clinical judgment and diagnostic reasoning of nursing students in clinical simulation
- Janaina Gomes Perbone Nunes ,
- José Joaquim Penedos Amendoeira ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Kathie Lasater ,
- Sheila Coelho Ramalho Vasconcelos Morais , [ … ],
- Emilia Campos de Carvalho
Abstract
ORIGINAL ARTICLEClinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
DOI 10.1590/0034-7167-2018-0878
- Janaina Gomes Perbone Nunes ,
- José Joaquim Penedos Amendoeira ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Kathie Lasater ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Emilia Campos de Carvalho
Views0See moreABSTRACT
Objectives:
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation.
Methods:
this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric – Brazilian Version and the Diagnostic Thinking Inventory.
Results:
clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the “noticing” aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047).
Conclusions:
the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
- Janaina Gomes Perbone Nunes
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ORIGINAL ARTICLE12-05-2019
Quality of life of institutionalized aged with and without symptoms of depression
- Gerson Scherrer Júnior ,
- Meiry Fernanda Pinto Okuno ,
- Leticia Meazzini de Oliveira ,
- Dulce Aparecida Barbosa ,
- Angélica Castilho Alonso , [ … ],
- Angélica Gonçalves Silva Belasco
Abstract
ORIGINAL ARTICLEQuality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
DOI 10.1590/0034-7167-2018-0316
- Gerson Scherrer Júnior ,
- Meiry Fernanda Pinto Okuno ,
- Leticia Meazzini de Oliveira ,
- Dulce Aparecida Barbosa ,
- Angélica Castilho Alonso ,
- Dayana Souza Fram ,
- Angélica Gonçalves Silva Belasco
Views0See moreABSTRACT
Objective:
compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores.
Method:
cross-sectional study conducted with 101 institutionalized aged. Multiple linear regression was used for data analysis.
Results:
symptoms of depression changed negatively the QOL in the domains: autonomy; present, past and future activities; social participation; intimacy and total score. Dependent aged presented lower QOL for the performance of ADL in the domains: autonomy; social participation and total score; dancing without limitation of movement; liking the residential and not presenting symptoms of depression were the variables that positively influenced the QOL of the aged.
Conclusion:
social and psychological support, good living conditions and stimulating assistance can improve the QOL of institutionalized elderlies.
- Gerson Scherrer Júnior
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ORIGINAL ARTICLE07-08-2020
Spirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
- Raniele Araújo de Freitas ,
- Tânia Maria de Oliva Menezes ,
- Lucivalda Barbosa Santos ,
- Halanna Carneiro Guimarães Bastos Moura ,
- Marta Gabriele Santos Sales , [ … ],
- Fabiana Araújo Moreira
Abstract
ORIGINAL ARTICLESpirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
Revista Brasileira de Enfermagem. 2020;73:e20190034
DOI 10.1590/0034-7167-2019-0034
- Raniele Araújo de Freitas ,
- Tânia Maria de Oliva Menezes ,
- Lucivalda Barbosa Santos ,
- Halanna Carneiro Guimarães Bastos Moura ,
- Marta Gabriele Santos Sales ,
- Fabiana Araújo Moreira
Views0See moreABSTRACT
Objective:
to understand spirituality and religiosity in the experience of suffering, guilt, and death of the elderly with cancer.
Method:
qualitative research based on Viktor Frankl’s Existential Analysis. Twenty phenomenological interviews were conducted with people over 60 years old undergoing chemotherapy treatment at an oncology unit of a hospital in the city of Salvador, Bahia State, Brazil, between August and October 2018.
Results:
the following categories emerged: Experiences spirituality and religiosity in the face of the tragic triad and existential emptiness; Uses spirituality/religiosity as resilience strategies. After apprehension of ontic aspects, it was possible the ontological understanding of spirituality and religiosity in the face of suffering, guilt, and death experienced in the elderly with cancer’s daily life.
Final considerations:
spirituality and religiosity were understood as coping strategies used in the unstable experience of the elderly with cancer, providing comfort and resilience.
- Raniele Araújo de Freitas
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ORIGINAL ARTICLE02-10-2020
Mental health profile of the elderly community: a cross-sectional study
- Renata Cavalcanti Cordeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo ,
- Neyce de Matos Nascimento ,
- Rafaella Queiroga Souto , [ … ],
- Jeane da Silva Rocha Santos
Abstract
ORIGINAL ARTICLEMental health profile of the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(1):e20180191
DOI 10.1590/0034-7167-2018-0191
- Renata Cavalcanti Cordeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo ,
- Neyce de Matos Nascimento ,
- Rafaella Queiroga Souto ,
- Albanita Gomes da Costa de Ceballos ,
- Fabia Alexandra Pottes Alves ,
- Jeane da Silva Rocha Santos
Views0See moreABSTRACT
Objective:
to describe the mental health profile of the elderly registered in a Family Health Unit in the city of Recife, Pernambuco State.
Method:
it was a descriptive quantitative study, conducted with 159 elderly through the scales Geriatric Depression, Resilience, Social Support, Life Satisfaction, and Positive and Negative Affects, Mini-Mental State Examination, Stressful Events Inventory and Brazil Old Age Shedule.
Results:
females, young and literate elderly predominated. Most were satisfied with life, 52.2% without depressive symptoms, 68.6% without cognitive impairment, 67.9% high resilience and 95.8% high social support, but 62% of elderly with depressive symptoms showed cognitive deficit. Negative correlation was identified between depression and cognitive impairment, resilience, social support and life satisfaction.
Conclusion:
assessment of these indicators identifies triggers of psychological distress, assisting the nursing staff in the development of preventive and care actions.
- Renata Cavalcanti Cordeiro
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EXPERIENCE REPORT10-26-2020
Collaborative practices from health care teams to face the covid-19 pandemic
- Adriano da Costa Belarmino ,
- Maria Eunice Nogueira Galeno Rodrigues ,
- Saiwori de Jesus Silva Bezerra dos Anjos ,
- Antonio Rodrigues Ferreira Júnior
Abstract
EXPERIENCE REPORTCollaborative practices from health care teams to face the covid-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200470
DOI 10.1590/0034-7167-2020-0470
- Adriano da Costa Belarmino ,
- Maria Eunice Nogueira Galeno Rodrigues ,
- Saiwori de Jesus Silva Bezerra dos Anjos ,
- Antonio Rodrigues Ferreira Júnior
Views0See moreABSTRACT
Objective:
To report the experience of collaborative practices facing the COVID-19 pandemic.
Methods:
This is a report about the experience of collaborative practices conducted by health care teams in emergency service in the Emergency Care Units facing of COVID-19 pandemic in the city of Fortaleza, State of Ceará, in the first semester of 2020.
Results:
Collaborative actions, cooperation and effective communication among nursing and medical team contribute to the management of mild and complex cases of COVID-19, as well as qualify them in suitable and necessary care and confrontation measures.
Final considerations:
The report shows the need for collaborative practices to minimize negative effects on the population in the face of the new coronavirus pandemic.
- Adriano da Costa Belarmino
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ORIGINAL ARTICLE11-25-2020
Family experiences in discovering Autism Spectrum Disorder: implications for family nursing
- Tassia de Arruda Bonfim ,
- Bianca Cristina Ciccone Giacon-Arruda ,
- Catchia Hermes-Uliana ,
- Sueli Aparecida Frari Galera ,
- Maria Angélica Marcheti
Abstract
ORIGINAL ARTICLEFamily experiences in discovering Autism Spectrum Disorder: implications for family nursing
Revista Brasileira de Enfermagem. 2020;73:e20190489
DOI 10.1590/0034-7167-2019-0489
- Tassia de Arruda Bonfim ,
- Bianca Cristina Ciccone Giacon-Arruda ,
- Catchia Hermes-Uliana ,
- Sueli Aparecida Frari Galera ,
- Maria Angélica Marcheti
Views0See moreabstract
Objectives:
to describe the family’s experience in the process of discovering the diagnosis and initiation of treatment of children with Autism Spectrum Disorder.
Methods:
this qualitative and descriptive study interviewed nine relatives of eight children on autism spectrum. They were inserted in health services, public education, and Association of Parents and Friends of The Exceptional of cities in the countryside of the Center-West. Data were collected through open interviews from July to September 2017. Data was submitted to thematic analysis.
Results:
at the beginning, the family was difficult to perceive the first atypical signs presented by the children. Families experience situations of vulnerability, since support networks are insufficient. The school played a significant role in recognizing unexpected behaviors.
Final Considerations:
support, offered by nurses, health professionals, school and social support devices, is important to family and children in this trajectory.
- Tassia de Arruda Bonfim
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ORIGINAL ARTICLE10-21-2019
Nurses defending the autonomy of the elderly at the end of life
- Rafael Barroso Gaspar ,
- Marcelle Miranda da Silva ,
- Karen Gisela Moraes Zepeda ,
- Ítalo Rodolfo Silva
Abstract
ORIGINAL ARTICLENurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem. 2019;72(6):1639-1645
DOI 10.1590/0034-7167-2018-0768
- Rafael Barroso Gaspar ,
- Marcelle Miranda da Silva ,
- Karen Gisela Moraes Zepeda ,
- Ítalo Rodolfo Silva
Views1See moreABSTRACT
Objective:
to understand how nurses deal with the elderly’s autonomy at the end of life.
Method:
qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil.
Results:
nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team.
Final considerations:
the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.
- Rafael Barroso Gaspar
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