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01-01-2018
The quality of education in times of new National Curriculum Parameters
Revista Brasileira de Enfermagem. 2018;71:1485-1486
Abstract
The quality of education in times of new National Curriculum Parameters
Revista Brasileira de Enfermagem. 2018;71:1485-1486
DOI 10.1590/0034-7167-201871sup401
Views0The semantic impossibility of delimiting accurately the term “quality” challenges us. When one thinks of quality, it is common to ask questions related to the processes themselves or to the results achieved with emphasis on the satisfaction of those who participated in such processes. Thus, “quality” refers to the skills to carry out successful processes […]See more -
01-01-2018
A qualidade da educação em tempos de novas Diretrizes Curriculares Nacionais
Revista Brasileira de Enfermagem. 2018;71:1485-1486
Abstract
A qualidade da educação em tempos de novas Diretrizes Curriculares Nacionais
Revista Brasileira de Enfermagem. 2018;71:1485-1486
DOI 10.1590/0034-7167-201871sup401
Views0A impossibilidade semântica de se delimitar e demarcar com precisão o termo “qualidade” nos desafia. Quando se pensa em qualidade, é comum surgir indagações ligadas aos processos em si ou aos resultados alcançados com ênfase à satisfação de quem participou de tais processos. Assim, “qualidade” remete a competências para realizar processos com êxito e gerar […]See more -
EXPERIENCE REPORT01-01-2018
Caring for the future: decrease in infant mortality in Maranhão State
Revista Brasileira de Enfermagem. 2018;71:1479-1484
Abstract
EXPERIENCE REPORTCaring for the future: decrease in infant mortality in Maranhão State
Revista Brasileira de Enfermagem. 2018;71:1479-1484
DOI 10.1590/0034-7167-2017-0245
Views0See moreABSTRACT
Objective:
To report on the experience and care provided by the “Caring for the future” program to decrease infant mortality in 17 municipalities of Maranhão, in a proposal work of the Secretariat of Basic Care, in partnership with the Non-Governmental Organization called Centro Popular de Cultura e Desenvolvimento (Popular Center for Culture and Development/PCCD) from 2009 to 2015.
Method:
Experience Report of community care that made it possible to create and strengthen solidary relationships among community members.
Results:
The program decreased infant mortality rate and created in the supported communities a platform of health support, uniting information and care in Primary Care. The program trained 34 “Guardian Angels” and 170 “Supportive Caregivers”, mapped seven thousand “luminous spots” and trained more than 7,000 caregivers in health. It served 17 municipalities, 27,191 pregnant women, 291,266 families.
Final considerations:
The program was a catalyst for actions: it unveiled hidden resources in the community, awakened collective responsibility, offered training and built solidary relationships.
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EXPERIENCE REPORT01-01-2018
Application program to prepare child/family for venipuncture: experience report
Revista Brasileira de Enfermagem. 2018;71:1474-1478
Abstract
EXPERIENCE REPORTApplication program to prepare child/family for venipuncture: experience report
Revista Brasileira de Enfermagem. 2018;71:1474-1478
DOI 10.1590/0034-7167-2017-0386
Views0See moreABSTRACT
Objective:
To report the experience of development of an application program to prepare child and family for venipuncture.
Method:
Experience report on an application program developed in the professional nursing master’s degree program in partnership with engineering undergraduate students.
Results:
The application program allows the child to understand the venipuncture procedure in a ludic and interactive manner. Its development occurred in three stages: identification of client’s needs, definition of components, and prototype elaboration.
Final considerations:
The application program, besides being directed to care and education of children and families, is able to meet the nurses’ needs to prepare them for venipuncture. Moreover, it is worth mentioning the importance of multidisciplinary approach for the concretion of similar projects.
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EXPERIENCE REPORT01-01-2018
Applicability of Orem: training of caregiver of infant with Robin Sequence
Revista Brasileira de Enfermagem. 2018;71:1469-1473
Abstract
EXPERIENCE REPORTApplicability of Orem: training of caregiver of infant with Robin Sequence
Revista Brasileira de Enfermagem. 2018;71:1469-1473
DOI 10.1590/0034-7167-2016-0562
Views0See moreABSTRACT
Objective:
to report the nurses’ experience in relation to the training of caregivers of infants with Isolated Robin Sequence (IRS) for maintaining care after hospital discharge from the perspective of Self-Care Theoretical Framework.
Method:
the following categories were considered in this experience report: self-care action, self-care capacity, therapeutic self-care demand, self-care deficit, and nursing system. The nursing system was wholly compensatory and supportive-educative.
Results:
caregivers’ training by nurses results in the acquisition of technical skills and specific knowledge related to the infant’s positioning in elevated ventral decubitus, nasopharyngeal intubation, feeding-facilitating techniques and care with the feeding tube.
Final considerations:
the continuity of home care is guaranteed from caregivers’ training for the therapeutic demand.
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REVIEW01-01-2018
The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review
Revista Brasileira de Enfermagem. 2018;71:1460-1468
Abstract
REVIEWThe effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review
Revista Brasileira de Enfermagem. 2018;71:1460-1468
DOI 10.1590/0034-7167-2017-0338
Views0See moreABSTRACT
Objective:
to assess the effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review.
Method:
systematic review of randomized controlled studies conducted in the MEDLINE, Cochrane, Scopus and the Virtual Library on Health (Biblioteca Virtual em Saúde, BVS) databases.
Results:
six articles were included in this review. All studies used the Pelvic Floor Muscle Training as the main procedure to prevent urinary incontinence. The results pointed to a positive and effective intervention in the post-partum period.
Conclusion:
there is evidence that programs of exercise of the pelvic floor musculature performed both in the immediate and late post-partum result in a significant increase in muscle strength and contribute to prevent urinary incontinence.
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REVIEW01-01-2018
Effects of different hormonal contraceptives in women’s blood pressure values
Revista Brasileira de Enfermagem. 2018;71:1453-1459
Abstract
REVIEWEffects of different hormonal contraceptives in women’s blood pressure values
Revista Brasileira de Enfermagem. 2018;71:1453-1459
DOI 10.1590/0034-7167-2017-0317
Views0See moreABSTRACT
Objective:
To identify evidence in the literature of the relationship between the use of different hormonal contraceptive methods and alterations in women’s blood pressure values.
Method:
This is an integrative literature review, consisting of ten scientific articles published in PubMed and BVS, between 2012 and 2016, selected by keywords, available fully and free of charge, in English, Portuguese, or Spanish.
Results:
The articles showed that exogenous estrogen helps in the activation of the renin-angiotensin-aldosterone system causing hypertensive effects even in small doses; and that combined use with drospirenone reduces these effects. Routes of administration without passage through the liver and use of isolated progestin showed promising results in reducing the effects on blood pressure.
Conclusion:
There is evidence in the literature of pressure alterations associated with different hormonal contraceptives and that personal history of morbidities are to be considered in an attempt to reduce the effects on the cardiovascular system.
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RESEARCH01-01-2018
Accuracy of the defining characteristics of the nursing diagnosis for fatigue in women under radiotherapy
Revista Brasileira de Enfermagem. 2018;71:1445-1452
Abstract
RESEARCHAccuracy of the defining characteristics of the nursing diagnosis for fatigue in women under radiotherapy
Revista Brasileira de Enfermagem. 2018;71:1445-1452
DOI 10.1590/0034-7167-2017-0549
Views0See moreABSTRACT
Objective:
To evaluate the accuracy of the defining characteristics of the nursing diagnosis for “fatigue in women with breast cancer under radiotherapy”.
Method:
Study of diagnostic accuracy, with cross-sectional design, performed in 130 women with breast cancer under radiation treatment. A data collection instrument was used to evaluate clinical socio-demographics and to investigate the presence or absence of defining characteristics for fatigue. The latent class analysis model was applied to assess accuracy measurements of the characteristics identified.
Results:
Fatigue diagnosis was present in 21.9% of the women. The characteristic which showed the highest sensitivity was “Impaired capacity in maintaining the usual level of physical activity”, while “Impaired capacity in maintaining usual routines” and “Lack of interest about the surrounding environment” presented greater specificity.
Conclusion:
Accurate diagnostics allow devising an action plan directed to the patients’ real needs.
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REVIEW03-07-2022
Gender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
Abstract
REVIEWGender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
DOI 10.1590/0034-7167-2021-0173
Views0See moreABSTRACT
Objectives:
to identify scientific evidence on gender violence perpetrated against trans women.
Methods:
integrative review, carried out in June 2020, without time frame, in the Scopus, MEDLINE, Embase, CINAHL, WoS, PsycInfo and LILACS databases. The controlled descriptors of DeCS, MeSH and their entry terms were used: “Transgender People”, “Transgender”, “Gender Identity”, “Transsexuality”, “Gender Violence”, “Aggression”, “Sexual Offenses”, “Rape”, “Violence”, “Domestic Violence”. The presentation and synthesis of the results were presented in the PRISMA-2009 flowchart.
Results:
the final sample, consisting of 16 articles, identified different types of violence (sexual, physical, verbal, psychological and financial), perpetrated by family members, strangers, police officers, intimate partners, health professionals, acquaintances, or friends.
Conclusions:
trans women suffer violence and social exclusion that result from stigma and discrimination due to gender identity and result in unrestricted damage to physical health.
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ORIGINAL ARTICLE07-01-2020
Quality of life and osteomuscular symptoms in workers of primary health care
Revista Brasileira de Enfermagem. 2020;73(5):e20190054
Abstract
ORIGINAL ARTICLEQuality of life and osteomuscular symptoms in workers of primary health care
Revista Brasileira de Enfermagem. 2020;73(5):e20190054
DOI 10.1590/0034-7167-2019-0054
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life and musculoskeletal symptoms in primary care workers.
Methods:
descriptive, correlational and cross-sectional study with 85 workers using the WHOQOL-Bref and Nordic Osteomuscular Symptoms Questionnaire.
Results:
lower quality of life for the Environment domain and higher for Social Relationships. Workers reported pain in lower back, neck, shoulders, wrists/hands/fingers and knees. Neck pain influenced Physical (p=0.015) and Psychological (p=0.030) domains; shoulder pain (p=0.004) and dorsal region (p=0.013) influenced the Physical domain; pain in knees influenced Physical (p=0.000) and Environment (p=0.032) domains; pain in the ankles/feet influenced Physical (p=0.000), Psychological (p=0.032) and Environment (p=0.007) domains; pain in the dorsal region influenced the Physical domain (p=0.013).
Conclusions:
workers evaluated their quality of life as good or very good and reported to be satisfied or very satisfied with their health. They also reported pains in lower back, neck, shoulders, wrists/hands/fingers and knees. Pain has influenced the quality of life.
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ORIGINAL ARTICLE10-01-2022
Factors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
Abstract
ORIGINAL ARTICLEFactors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
DOI 10.1590/0034-7167-2020-1290
Views0See moreABSTRACT
Objective:
to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms.
Methods:
this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%.
Results:
presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace – Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8.
Conclusions:
the study confirms a high rate of presenteeism among nursing workers.
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EXPERIENCE REPORT04-03-2020
Use of webQDA software on qualitative nursing research: an experience report
Revista Brasileira de Enfermagem. 2020;73(3):e20180411
Abstract
EXPERIENCE REPORTUse of webQDA software on qualitative nursing research: an experience report
Revista Brasileira de Enfermagem. 2020;73(3):e20180411
DOI 10.1590/0034-7167-2018-0411
Views0See moreABSTRACT
Objectives:
to report the user experience of the webQDA software in the support of qualitative data analysis about health literacy of older adults.
Methods:
quasi-experimental research developed from January 2014 to January 2015, with 118 older adults, all of whom were interviewed to assess the level of health literacy. Interviews were carried out before and after four educational interventions, according to Freire’s method named Culture Circle. The interviews were transcribed and entered in the software, which highlighted the analytical categories.
Results:
the systems of sources, interpretative encoding and questioning of the data available in the software allowed the construction of three categories for the literacy levels and four categories for their dimensions.
Final considerations:
We concluded that the webQDA software enables the structured encoding of qualitative materials, ensuring faster and effective management of data with systematization and analytical transparency.
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03-03-2021
Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis
Revista Brasileira de Enfermagem. 2021;74(1):e20200065
Abstract
Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis
Revista Brasileira de Enfermagem. 2021;74(1):e20200065
DOI 10.1590/0034-7167-2020-0065
Views1See moreABSTRACT
Objectives:
to analyze the perioperative thirst concept for the development of a new diagnostic structure according to NANDA International.
Methods:
a concept analysis study based on the framework proposed by Walker and Avant, instrumentalized through an integrative literature review based on SCOPUS, CINAHL, PUBMED, LILACS, and WOS. The elaboration of the diagnostic structure followed NANDA International guidelines.
Results:
41 studies were analyzed revealing that perioperative thirst is prevalent and intense, having visceral and behavioral attributes as the core of the concept. Antecedents indicate that surgical patients are vulnerable to thirst; and consequents 16 signs and symptoms were organized and model cases were developed. A diagnostic structure has been developed for perioperative thirst.
Final Considerations:
concept analysis allowed language standardization that describes thirsty patients, helping the identification, planning of actions and communication of perioperative nursing care.
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ORIGINAL ARTICLE02-25-2022
Factors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
Abstract
ORIGINAL ARTICLEFactors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
DOI 10.1590/0034-7167-2021-0263
Views0See moreABSTRACT
Objective:
to determine the factors associated with stress, anxiety and depression, concomitantly, in nursing professionals who work in the hospital context.
Methods:
a quantitative and cross-sectional study with 353 nursing professionals from a hospital. A sociodemographic questionnaire and the Depression, Anxiety and Stress Scale-21 were used. Data were subjected to descriptive statistical analysis, difference and correlation tests.
Results:
the main factors associated with stress, anxiety and depression, concomitantly, were being female, compromised family and social support, lack of autonomy at work, hostile relationship with colleagues, lack of professional recognition and satisfaction, feeling of being overwhelmed and insecurity.
Conclusions:
demographic, physiological, social and work factors impact the levels of stress, anxiety and depression in nursing professionals. The adoption of coping strategies for modifiable factors should be considered, in order to provide better quality of life for these professionals.
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ORIGINAL ARTICLE09-06-2022
Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults
Revista Brasileira de Enfermagem. 2022;75(1):e20201320
Abstract
ORIGINAL ARTICLEEvaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults
Revista Brasileira de Enfermagem. 2022;75(1):e20201320
DOI 10.1590/0034-7167-2020-1320
Views0See moreABSTRACT
Objective:
To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version.
Methods:
The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach’s alpha and McDonald’s omega).
Results:
The eHealth Literacy Scale – Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%.
Conclusions:
The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.
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ORIGINAL ARTICLE03-07-2022
Women’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
Abstract
ORIGINAL ARTICLEWomen’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
DOI 10.1590/0034-7167-2021-0215
Views0See moreABSTRACT
Objectives:
to understand women’s perception regarding the care received during labor and birth.
Methods:
this is a descriptive-exploratory, qualitative study carried out with 54 postpartum women from hospitals in the Metropolitan Region II of the state of Rio de Janeiro, from January to December 2018, using semi-structured interviews submitted to content analysis.
Results:
puerperal women’s perceptions about the childbirth care they received indicated the use of interventions, such as pressure maneuvers on the uterine fundus during the expulsion period – Kristeller maneuver, episiotomy and repeated vaginal examination and without consent. The use of institutional routines, such as zero diet, horizontal birth and disrespect.
Final Considerations:
despite the encouragement of public humanization policies, the technocratic model is still present in obstetric care during childbirth. The humanization of obstetric care requires changes in attitudes and care paradigms, in order to guarantee respect and the right to quality care.
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