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RESEARCH01-01-2018
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
Abstract
RESEARCHThe adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
Views1See moreABSTRACT
Objective:
To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.
Method:
A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.
Results:
Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.
Conclusion:
The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.
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RESEARCH01-01-2018
Assessment of the essential attributes of Primary Health Care for children
Revista Brasileira de Enfermagem. 2018;71:1366-1372
Abstract
RESEARCHAssessment of the essential attributes of Primary Health Care for children
Revista Brasileira de Enfermagem. 2018;71:1366-1372
DOI 10.1590/0034-7167-2017-0569
Views0See moreABSTRACT
Objective:
To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process.
Method:
Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6.
Results:
The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care – Services Available (6.0) and Coordination – System information (7.4). As for the Process, the following results were obtained: First visit – Use (8.6), Longitudinally (6.1), Integrality – Services Provided (6.1) and Coordination – Integration of Care (6.9).
Conclusion:
The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.
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RESEARCH01-01-2018
Sleep and salivary cortisol in preterm neonates: a clinical, randomized, controlled, crossover study
Revista Brasileira de Enfermagem. 2018;71:1358-1365
Abstract
RESEARCHSleep and salivary cortisol in preterm neonates: a clinical, randomized, controlled, crossover study
Revista Brasileira de Enfermagem. 2018;71:1358-1365
DOI 10.1590/0034-7167-2017-0546
Views0See moreABSTRACT
Objective:
Analyze the influence of ear protectors on the baseline levels of salivary cortisol and response and total sleep time of preterm neonates during two periods of environmental management of a neonatal intermediate care unit.
Method:
A clinical, randomized, controlled and crossover study conducted with 12 preterm neonates. The use of ear protectors was randomized in two periods. Sleep evaluation was performed using one Alice 5 Polysomnography System and unstructured observation.
Results:
No significant difference was observed between the baseline levels of salivary cortisol and response in preterm neonates from the control and experimental groups, and no statistical significance was observed between the total sleep time of both groups. No relationship was observed between the baseline levels of cortisol and response and total sleep time.
Conclusion:
Ear protectors in preterm neonates did not influence the salivary cortisol level and total sleep time in the studied periods.
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RESEARCH01-01-2018
Reflections of nurses in search of a theoretical framework for maternity care
Revista Brasileira de Enfermagem. 2018;71:1351-1357
Abstract
RESEARCHReflections of nurses in search of a theoretical framework for maternity care
Revista Brasileira de Enfermagem. 2018;71:1351-1357
DOI 10.1590/0034-7167-2016-0525
Views0See moreABSTRACT
Objective:
To define a theoretical framework to guide the systematization of nursing care in a maternity unit in the South of Brazil.
Method:
This was the preliminary stage of a qualitative methodological study, based on an educational activity and the assumptions of Paulo Freire, involving 15 nurses, between August and November 2015. The aim of data analysis was to identify emerging themes.
Results:
The following themes emerged: knowledge of nurses about nursing theories; barriers to implementing and systematizing nursing care; the importance of a framework to guide practice and; educational activities as opportunities to systematize nursing care.
Conclusion:
The discussion process involved in establishing the theoretical framework enabled reflections about nursing practices, reinforcing the importance of theoretical frameworks to guide work processes and enhance quality of care.
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RESEARCH01-01-2018
Pain in the immediate puerperium: nursing care contribution
Revista Brasileira de Enfermagem. 2018;71:1343-1350
Abstract
RESEARCHPain in the immediate puerperium: nursing care contribution
Revista Brasileira de Enfermagem. 2018;71:1343-1350
DOI 10.1590/0034-7167-2017-0345
Views0See moreABSTRACT
Objective:
to analyze the contribution of clinical nursing care to the mother who has recently given birth with immediate postpartum pain based on the Kolcaba’s Theory of Comfort.
Method:
qualitative study by the research-care method. Three nurses, who provided care for women in the immediate puerperium as caregiver-researchers and 30 postpartum women, were admitted to a public maternity hospital. A semi-structured interview was used for data collection, from which the thematic analysis of the content was carried out.
Results:
nursing care with influences from the biomedical model was observed, but it expresses concern when being cared for. It offers administration of medications, guidelines and non-pharmacological measures for pain relief.
Final considerations:
nursing care based on the Theory of Comfort contributed to pain relief in the immediate puerperium.
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RESEARCH01-01-2018
Instructional therapeutic toy in the culture care of the child with diabetes type 1
Revista Brasileira de Enfermagem. 2018;71:1334-1342
Abstract
RESEARCHInstructional therapeutic toy in the culture care of the child with diabetes type 1
Revista Brasileira de Enfermagem. 2018;71:1334-1342
DOI 10.1590/0034-7167-2017-0260
Views0See moreABSTRACT
Objective:
To analyze the experience of the child with diabetes type 1 in the care related to the techniques of glycemic monitoring and insulin application by use of instructional therapeutic toy, in accordance with the culture care.
Method:
Qualitative study with premise of the ethnonursing carried out in secondary public service of reference in the treatment of diabetes, in the city Fortaleza, Ceará State, between January and November of 2014, among 26 school-age children. Based on the Observation, Participation, Reflection Enabler, were developed educational activities using instructional therapeutic toy.
Results:
The children expressed doubts regarding the insulin therapy and the glycaemia checking. They also were interested in the orientations mediated by means of the therapeutic toy in the culture care. They asked about the rotation, location and administration of the insulin. Some children asked for the syringes to play and learn how to inject it in the dolls.
Conclusion:
To bring in this activity promoted approximation and effective communication with the child in the educational approach, increasing its ability in the self care.
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RESEARCH01-01-2018
Permanent Education in a neonatal unit from Culture Circles
Revista Brasileira de Enfermagem. 2018;71:1328-1333
Abstract
RESEARCHPermanent Education in a neonatal unit from Culture Circles
Revista Brasileira de Enfermagem. 2018;71:1328-1333
DOI 10.1590/0034-7167-2016-0587
Views0See moreABSTRACT
Objective:
to identify the factors that hinder and facilitate the work of the nursing team in a neonatal unit and to know the demands of Permanent Education described by the nursing team, emerging from the daily care.
Method:
qualitative study that followed the steps recommended by the “Paulo Freire’s Method” carried out with 29 professionals of the nursing team of a neonatal unit of a university hospital. Three Culture Circles were carried out to identify the generating themes.
Results:
The themes generated were organized according to the issues covered in the interviews and during the Culture Circles, with four themes being highlighted: lack of routines; training; improvement of coexistence of the team and improvement of management process.
Final considerations:
The study made it possible to know the factors that hinder and facilitate the routine practice of nursing professionals by identifying the emergent themes of the Culture Circles that favored the critical reflection of the group, generating subsidies for the collective elaboration of the Permanent Education program in neonatal unit.
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RESEARCH01-01-2018
Existential experience of children with cancer under palliative care
Revista Brasileira de Enfermagem. 2018;71:1320-1327
Abstract
RESEARCHExistential experience of children with cancer under palliative care
Revista Brasileira de Enfermagem. 2018;71:1320-1327
DOI 10.1590/0034-7167-2016-0493
Views0See moreABSTRACT
Objective:
To understand the existential experience of children with cancer under Palliative Care from the Humanistic Nursing Theory’s point of view.
Method:
This is a field and qualitative research, in which eleven children participated, supported by the Support Centre for Children with Cancer in Paraíba State. To collect data it was used the Story Drawing Procedure. The data were qualitatively analyzed based on Humanistic Nursing Theory.
Results:
From the analysis of the empirical study’s subject, the following thematic categories have emerged: children experiencing fear, sadness, anguish and insecurity in the face of their diagnosis and children experiencing fear of their family falling apart because of the possibility of dying.
Conclusion:
It is fundamental the participation of nurses in the Palliative Care to the children with cancer in order to strengthen the trust between the children and the professional to have the relationship of dialogue as central axis.
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ORIGINAL ARTICLE08-10-2020
Transformational leadership in nursing practice: challenges and strategies
- Vanêska Brito Ferreira
, - Simone Coelho Amestoy ,
- Gilberto Tadeu Reis da Silva ,
- Letícia de Lima Trindade ,
- Ises Adriana Reis dos Santos , [ … ],
- Patrícia Alves Galhardo Varanda
Abstract
ORIGINAL ARTICLETransformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
DOI 10.1590/0034-7167-2019-0364
- Vanêska Brito Ferreira ,
- Simone Coelho Amestoy ,
- Gilberto Tadeu Reis da Silva ,
- Letícia de Lima Trindade ,
- Ises Adriana Reis dos Santos ,
- Patrícia Alves Galhardo Varanda
Views0INTRODUCTIONLeadership stands out as one of the managerial skills necessary to nurses’ practice, especially in the current scenario of frequent overcrowding and scarcity of beds, material resource deficits and insufficient staffing. The reality of some public health services has weaknesses in serving the population and lacks nurses with the knowledge, skills and attitudes to act […]See more - Vanêska Brito Ferreira
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ORIGINAL ARTICLE10-05-2020
Factors associated with the performance of episiotomy
- Bruna Menezes Aguiar ,
- Thales Philipe Rodrigues da Silva ,
- Samire Lopes Pereira ,
- Ana Maria Magalhães Sousa ,
- Roberta Barbosa Guerra , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEFactors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
DOI 10.1590/0034-7167-2019-0899
- Bruna Menezes Aguiar ,
- Thales Philipe Rodrigues da Silva ,
- Samire Lopes Pereira ,
- Ana Maria Magalhães Sousa ,
- Roberta Barbosa Guerra ,
- Kleyde Ventura de Souza ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the performance of episiotomy.
Methods:
Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.
Results:
Episiotomy was performed in 26.34% of women, and 59.21% knew they had been subjected to it. We observed that younger women, primiparous women, women assisted by a professional other than the obstetric nurse and women who had their babies in a private hospital have an increased chance of being submitted to this procedure.
Conclusion:
Considering the rates of episiotomy, this study highlights the need for the absolute contraindication to indiscriminate performing it.
- Bruna Menezes Aguiar
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ORIGINAL ARTICLE01-27-2020
Factors associated with depressive symptoms in elderly caregivers with chronic pain
- Marielli Terassi ,
- Estefani Serafim Rossetti ,
- Bruna Moretti Luchesi ,
- Karina Gramani-Say ,
- Priscilla Hortense , [ … ],
- Sofia Cristina Iost Pavarini
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
DOI 10.1590/0034-7167-2017-0782
- Marielli Terassi ,
- Estefani Serafim Rossetti ,
- Bruna Moretti Luchesi ,
- Karina Gramani-Say ,
- Priscilla Hortense ,
- Sofia Cristina Iost Pavarini
Views0See moreABSTRACT
Objective:
to identify factors associated with depressive symptoms in elderly caregivers with chronic pain.
Method:
the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression.
Results:
most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use.
Conclusion:
factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.
- Marielli Terassi
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04-14-2021
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
- Vinicius Batista Santos ,
- Daniele Cristina Bosco Aprile ,
- Camila Takáo Lopes ,
- Juliana de Lima Lopes ,
- Mônica Antar Gamba , [ … ],
- Tânia Arena Moreira Domingues
Abstract
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
Revista Brasileira de Enfermagem. 2021;74:e20201185
DOI 10.1590/0034-7167-2020-1185
- Vinicius Batista Santos ,
- Daniele Cristina Bosco Aprile ,
- Camila Takáo Lopes ,
- Juliana de Lima Lopes ,
- Mônica Antar Gamba ,
- Karina Aparecida Lopes da Costa ,
- Tânia Arena Moreira Domingues
Views0See moreABSTRACT
Objective:
to perform the content and face validation of a checklist and a banner on pressure injury prevention in patients in prone position.
Method:
this is a methodological study of content and face validation with 26 nurses with specialization. Professionals assessed the checklist and the banner in relation to clarity, theoretical relevance, practical relevance, relation of the figures to the text and font size. The Content Validity Index was calculated for each item, considering one with a value equal to or greater than 0.8 as valid.
Results:
all the actions described in the checklist and in the banner had a Content Validity Index greater than 0.80, with standardization of verbal time and esthetic adjustments in the banner’s layout, as suggested.
Conclusions:
the checklist and the banner were validated and can be used in clinical practice to facilitate pressure injury preventions in patients in prone position.
- Vinicius Batista Santos
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REVIEW03-09-2020
Singular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
Abstract
REVIEWSingular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
DOI 10.1590/0034-7167-2018-0508
Views0See moreABSTRACT
Objectives:
to analyze the Singular Therapeutic Projects’ characteristics in mental health care used to assist the subject with psychological distress.
Methods:
it is an Integrative Literature Review study conducted in July 2017. The following databases used to collect the data were LILACS, MEDLINE and BDENF. After applying the inclusion and exclusion criteria, 12 articles were selected.
Results:
there was divergence between what was recommended by the Ministry of Health for PTS elaboration with that described in the studies analyzed. Emphasis is placed on the low participation and co-responsibility between team/user in PTS elaboration, excessive referrals to specialized mental health services, fragmentation of knowledge within the multidisciplinary team, and difficulty sharing and discussing information about cases.
Final considerations:
it is pointed out the need to adapt PTS elaboration, and its respective steps, to the needs of each individual.
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ORIGINAL ARTICLE12-13-2019
Obstetric Nursing in best practices of labor and delivery care
- Thales Philipe Rodrigues da Silva ,
- Érica Dumont-Pena ,
- Ana Maria Magalhães Sousa ,
- Torcata Amorim ,
- Luísa Castanheira Tavares , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEObstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
DOI 10.1590/0034-7167-2018-0561
- Thales Philipe Rodrigues da Silva ,
- Érica Dumont-Pena ,
- Ana Maria Magalhães Sousa ,
- Torcata Amorim ,
- Luísa Castanheira Tavares ,
- Débora Cabral di Pietra Nascimento ,
- Kleyde Ventura de Souza ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objective:
to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals.
Method:
a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition.
Results:
clearly useful practices were used in greater proportions in the hospitals that had Obstetric Nursing working, while clearly harmful practices and those used inappropriately were practiced in smaller proportions in hospitals that had Obstetric Nursing, both with statistical difference.
Conclusion:
institutions with Obstetric Nursing adopt better practices of delivery and birth care, based on scientific evidence, when compared to those that do not act.
- Thales Philipe Rodrigues da Silva
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REVIEW08-20-2021
Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
- Marcela Moreira Nascimento Prieto ,
- Renata Elizabete Pagotti da Fonseca ,
- Silvia Helena Zem-Mascarenhas
Abstract
REVIEWAssessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
DOI 10.1590/0034-7167-2020-1315
- Marcela Moreira Nascimento Prieto ,
- Renata Elizabete Pagotti da Fonseca ,
- Silvia Helena Zem-Mascarenhas
Views0See moreABSTRACT
Objectives:
to describe, from literature, the characteristics of patient safety culture in Brazilian hospitals that applied the Hospital Survey on Patient Safety Culture.
Methods:
this is a scoping review. A search was performed in the databases LILACS, PubMed, SciELO, CINAHL, Web of Science, Scopus and in the CAPES Dissertations and Theses Database in September and October 2020.
Results:
thirty-six studies were identified. Nine studies identified strengthened areas such as: “teamwork within the units”, “expectations of supervisor/boss and actions promoting safety”, “organizational learning”, “support of hospital management for patient safety” and “frequency of report of events”. As a critical area, the dimension “non-punitive response to error” was evidenced in 30 of 36 studies.
Conclusions:
the identification of areas of strength and critical areas of safety culture is relevant to encourage improvement of patient safety problems in an institution.
- Marcela Moreira Nascimento Prieto
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ORIGINAL ARTICLE07-31-2020
Maternal and child health care: adequacy index in public health services
- Flávia Françoso Genovesi ,
- Márcia Aparecida dos Santos Silva Canario ,
- Christine Bacarat de Godoy ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli , [ … ],
- Rosângela Aparecida Pimenta Ferrari
Abstract
ORIGINAL ARTICLEMaternal and child health care: adequacy index in public health services
Revista Brasileira de Enfermagem. 2020;73:e20170757
DOI 10.1590/0034-7167-2017-0757
- Flávia Françoso Genovesi ,
- Márcia Aparecida dos Santos Silva Canario ,
- Christine Bacarat de Godoy ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli ,
- Rosângela Aparecida Pimenta Ferrari
Views0See moreABSTRACT
Objectives:
to analyze the adequacy of maternal and child-care in prenatal care, childbirth and the puerperal period, in the public health service.
Methods:
longitudinal study carried out in a city in Paraná with 357 puerperal women in a public maternity ward, outpatient clinic for immediate puerperal return and home visit 42 days postpartum. Four care domains were grouped (1 – Prenatal, 2 – Maternity, 3 – Immediate puerperal return, 4 – Late puerperal return). Mean, median, standard deviation and coefficient of variance were calculated considering adequate assistance when ≥ 70%; and inadequate, inferior.
Results:
lowest suitability average in Domain 3 (39.37%) and highest for Domain 4 (74.82%); median of 50.00% at 3 and 76.90% at 4. The largest standard deviation, in Domain 3 (25.18%); and high coefficient of variance for 1 and 3.
Conclusions:
in maternal and child follow-up, rates close to adequate in maternity care and higher in late puerperal return, meanwhile prenatal and immediate puerperal return were below the recommended in the health care network.
- Flávia Françoso Genovesi
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