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RESEARCH01-01-2018
Portraits on the crack user built by the media
Revista Brasileira de Enfermagem. 2018;71:2237-2242
Abstract
RESEARCHPortraits on the crack user built by the media
Revista Brasileira de Enfermagem. 2018;71:2237-2242
DOI 10.1590/0034-7167-2017-0826
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Objective:
evaluate how the crack user is portrayed by the media.
Method:
qualitative study, using fourth generation evaluation. The data were collected in interviews and field observations in a mental health network service of the Porto Alegre-RS metropolitan area. The participants were 10 users, 11 family members, 08 health service professionals and 07 managers.
Results:
the findings revealed that media relates the crack user profile to violence, crime and disease, which does not correspond to the reality experienced in the health service. This image disregards the different ways of using the drug and the different productions of life of these individuals, increasing social exclusion and stigma.
Final considerations:
The challenge is to build shared, integrated, clear and honest information.
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RESEARCH01-01-2018
From alienation to the nursing clinic: care of patients with psychiatric comorbidity
Revista Brasileira de Enfermagem. 2018;71:2229-2236
Abstract
RESEARCHFrom alienation to the nursing clinic: care of patients with psychiatric comorbidity
Revista Brasileira de Enfermagem. 2018;71:2229-2236
DOI 10.1590/0034-7167-2017-0930
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Objective:
to understand how nurses of mental health care for psychiatric patients with clinical comorbidities.
Method:
qualitative study based on the referential of historical and dialectical materialism. Interviews with nurses were conducted using semi-structured script. Sample determined in snowball. The interviews were recorded and transcribed in full. The data were analyzed through content analysis, including: organization and exhaustive reading of the material, exploration, grouping data into thematic units, processing of results, and interpretation.
Results:
the role of nurses is marked by the dialectic between knowing and not knowing, a movement that revealed two categories: clinic of psychiatric nursing, and alienation and subordination of nurse in the care process.
Final considerations:
the development of the nursing clinic, based on the therapeutic relationship, favors integral care towards the patient, whereas alienation/subordination distances the nurse from care and impairs care.
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RESEARCH01-01-2018
Care actions for family members of users of psychoactive substances: intentions/expectations
Revista Brasileira de Enfermagem. 2018;71:2221-2228
Abstract
RESEARCHCare actions for family members of users of psychoactive substances: intentions/expectations
Revista Brasileira de Enfermagem. 2018;71:2221-2228
DOI 10.1590/0034-7167-2018-0027
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Objective:
to understand the professionals’ intentions and family members’ expectations about care actions developed to the relatives of users of psychoactive substances.
Method:
a social phenomenology approach according to Alfred Schütz, performed in a Psychosocial Care Center for Alcohol and Drugs. Interviews were performed with 13 professionals and 12 family members.
Results:
there is a reciprocity of perspectives between the professionals’ intentions and the relatives’ expectations, described by the effectiveness of the treatment of the user (typical of the action of both). The family members seek for care actions, expecting to improve the user’s treatment.
Final considerations:
the findings provide reflections for professionals about the health care actions and the organization of the service for the family’s mental health.
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RESEARCH01-01-2018
Prevalence of anxiety disorders as a cause of workers’ absence
Revista Brasileira de Enfermagem. 2018;71:2213-2220
Abstract
RESEARCHPrevalence of anxiety disorders as a cause of workers’ absence
Revista Brasileira de Enfermagem. 2018;71:2213-2220
DOI 10.1590/0034-7167-2017-0953
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Objective:
to analyze the prevalence of various anxiety disorders among mental and behavioral disorders as a cause for the leave of absence of workers in the state of Piauí.
Method:
transversal census-based study performed with data from the National Social Security Institute. Four-hundred twelve leaves of absence of workers due to anxiety disorders in the 2015-2016 biennium were included.
Results:
higher prevalence was found for mixed anxiety-depressed disorder (31.2%), followed by other anxious disorders (20.6%) and generalized anxiety (14.1%). Ages from 22 to 45 years old prevailed in the group of individuals with duration of absence greater than or equal to 41 days, with statistically significant difference (p < 0.001). There was no statistically significant association (p = 0.004) between rural activity and increased time of absence.
Conclusion:
the study draws attention to the prevalence of “other anxiety disorders” as the cause of leave of absence, with emphasis on mixed anxiety-depressed disorder.
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RESEARCH01-01-2018
Care for families after suicide loss: nursing academic experience
Revista Brasileira de Enfermagem. 2018;71:2206-2212
Abstract
RESEARCHCare for families after suicide loss: nursing academic experience
Revista Brasileira de Enfermagem. 2018;71:2206-2212
DOI 10.1590/0034-7167-2017-0445
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Objective:
To understand how the nursing academics experience the process of taking care of bereaved families after a suicide loss, to identify the meanings of the experience and to build a theoretical model.
Method:
Qualitative study that used symbolic interactionism and grounded theory. Open interviews were held with 16 nursing academics. Data were analyzed according to the constant comparative method.
Results:
The phenomenon seeking his/her own restoration to help the bereaved family to move on is represented by the theoretical model composed by the categories: facing the tragedy in the family, evaluating the caring scenario, mobilizing his/her internal resources, performing the care and reflecting on the repercussions of the experience.
Final considerations:
The process represents efforts undertaken by students in the pursuit of the family’s restoration to provide the best care toward them, through embracement, listening, sensitivity and flexibility, so it creates opportunities for the family to strengthen and plan their future.
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RESEARCH01-01-2018
Nursing care to people admitted in emergency for attempted suicide
Revista Brasileira de Enfermagem. 2018;71:2199-2205
Abstract
RESEARCHNursing care to people admitted in emergency for attempted suicide
Revista Brasileira de Enfermagem. 2018;71:2199-2205
DOI 10.1590/0034-7167-2017-0219
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Objective:
to analyze the nursing care to people admitted in emergency for attempted suicide in the perception of the nursing staff.
Method:
descriptive and exploratory study, of qualitative approach, developed from semi-structured interviews with eight nurses and eight nursing technicians of the emergency service of a University Hospital in south Brazil. Data analysis was performed through content analysis.
Results:
three categories emerged: nursing care to the person who attempted suicide; the adult emergency service as a scenario of mental health practices; and permanent education-related needs in mental health
Final considerations:
initiatives capable to potentialize good practices in mental health care are still incipient and lack encouragement in the health service. There is an urgent need to think about changes in the care culture of the emergency service, especially to ensure the scope of psychosocial care actions.
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RESEARCH01-01-2018
Assessment of the procedures record by professionals of Psychosocial Care Centers
Revista Brasileira de Enfermagem. 2018;71:2191-2198
Abstract
RESEARCHAssessment of the procedures record by professionals of Psychosocial Care Centers
Revista Brasileira de Enfermagem. 2018;71:2191-2198
DOI 10.1590/0034-7167-2017-0821
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Objective:
To verify the use of procedures record tools as data source for monitoring and assessment of Psychosocial Care Centers (CAPS- Centros de Atenção Psicossocial).
Method:
A descriptive, exploratory qualitative study was carried out in seven CAPS in the state of Goiás. A total of 58 professionals participated, and the data collection was from April to May 2016 through focus groups. The data were submitted to the thematic analysis of content with the aid of the ATLAS.ti 6.2 software.
Results:
Three thematic categories emerged from the content analysis: Understanding about the record of Psychosocial Care Centers procedures; Management of the record tools of Psychosocial Care Centers procedures; and Intervening factors for recording Psychosocial Care Centers procedures.
Final considerations:
Investment in the Permanent Education of professionals will be necessary; focusing on the management of the records resulted from the actions developed in the CAPS to qualify the information and the work process of the professionals.
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RESEARCH01-01-2018
Evaluation of families of crack users in relation to support groups
Revista Brasileira de Enfermagem. 2018;71:2184-2190
Abstract
RESEARCHEvaluation of families of crack users in relation to support groups
Revista Brasileira de Enfermagem. 2018;71:2184-2190
DOI 10.1590/0034-7167-2017-0808
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Objective:
to evaluate the perception of the relatives of crack users in relation to the support groups offered to this population in a Psychosocial Care Center for Alcohol and Drugs in the South of Brazil.
Method:
the fourth-generation theoretical framework was used for evaluation, having as methodological device the hermeneutical-dialectic circle. Data collection occurred through 500 hours of observations and interviews with 12 relatives of crack users, and the comparative constant method was used in the analysis, generating the “family group” unit of meaning.
Results:
this group was regarded by the family members as a space for guidance on the management of users in their home environment. They reported the need for a basic structure to conduct the groups, greater duration of the meetings, confidentiality of information and diversity of timetables.
Final considerations:
investment in education and training of nursing professionals focused on group care is suggested to the education institutions.
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ORIGINAL ARTICLE12-05-2019
Nurse care for the hospitalized elderly’s spiritual dimension
Revista Brasileira de Enfermagem. 2019;72:236-242
Abstract
ORIGINAL ARTICLENurse care for the hospitalized elderly’s spiritual dimension
Revista Brasileira de Enfermagem. 2019;72:236-242
DOI 10.1590/0034-7167-2018-0685
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Objective:
to analyze the nurse care for the spiritual hospitalized elderly’s dimension.
Method:
a qualitative study, based on Jean Watson’s Theory of Human Caring. The study included 17 nurses working in a geriatric center in Salvador City, Bahia State, Brazil. The collection of testimonies occurred between January and April of 2018, through an interview.
Results:
spiritual care were dialogue, encouragement and respect for religious activities, embracement, empathy. One of the obstacles to providing this care was the lack of preparation in accessing the elderly’s spiritual dimension.
Final considerations:
spirituality is a dimension of human and holistic nursing care. Caring for the spirit contributes to foster transpersonal care. The difficulty may be in the lack of nurses’ preparation. It is necessary that they cultivate and live their own spirituality, transmitting the understanding in each care relationship.
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REVIEW12-13-2019
Interfaces of vulnerability dimensions in violence against children
Revista Brasileira de Enfermagem. 2019;72:343-347
Abstract
REVIEWInterfaces of vulnerability dimensions in violence against children
Revista Brasileira de Enfermagem. 2019;72:343-347
DOI 10.1590/0034-7167-2018-0463
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Objective:
present and discuss the potential use of the concept of vulnerability for the development of practices to address violence against children.
Method:
this is a theoretical study that presents the characteristics of the phenomenon of violence against children, to which the concept of vulnerability is applied.
Results:
proposal of a framework for the analysis of violence against children in the perspective of vulnerability, creating individual and collective dimensions. Violence against children, when analyzed in the perspective of this concept, broadens the understanding of this phenomenon, as it exposes aspects and conditions from outside the family that are co-responsible for the occurrence of this phenomenon.
Conclusion:
developing studies to identify the vulnerability of children to violence is essential for the development of practices to address this issue.
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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
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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 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
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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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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
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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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ORIGINAL ARTICLE10-21-2019
Permanent education for good practices in the prevention of pressure injury: almost-experiment
Revista Brasileira de Enfermagem. 2019;72(6):1646-1652
Abstract
ORIGINAL ARTICLEPermanent education for good practices in the prevention of pressure injury: almost-experiment
Revista Brasileira de Enfermagem. 2019;72(6):1646-1652
DOI 10.1590/0034-7167-2018-0778
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Objective:
To verify the effectiveness of the educational intervention through the evaluation of nurses’ knowledge about prevention of pressure injury.
Method:
A quasi-experimental study with a single group, carried out with 95 nurses from a teaching hospital in the interior of Minas Gerais, in August and September 2017. As a teaching strategy, the active methodology and hybrid teaching were used, based on the reference of the Method of the Arch of Charles Maguerez. Data were collected from a validated instrument, called the Pieper Knowledge Test, and analyzed by descriptive statistics and Student’s t-test with significance level of p <0.001.
Results:
The mean number of correct answers obtained by the nurses was 78.8% in the pre-test and 88.8% in the post-test, and the difference was statistically significant (p <0.001).
Conclusion:
The educational intervention developed was effective, since it contributed to the improvement of nurses’ knowledge.
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ORIGINAL ARTICLE06-17-2020
Cardiovascular risk factors: differences between ethnic groups
Revista Brasileira de Enfermagem. 2020;73(4):e20180918
Abstract
ORIGINAL ARTICLECardiovascular risk factors: differences between ethnic groups
Revista Brasileira de Enfermagem. 2020;73(4):e20180918
DOI 10.1590/0034-7167-2018-0918
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Objectives:
to compare the metabolic, anthropometric, tobacco and alcohol consumption indicators considered as risk factors for cardiovascular diseases, as well as the demographic and socioeconomic characteristics between indigenous from Rio Negro, Sateré-Mawé, mixed-race/black and white people living in the city of Manaus.
Methods:
a cross-sectional observational study guided by the STROBE tool. There was a sample of 191 adults of both sexes. Anthropometric measurements, blood pressure and biochemical analyzes were performed. Statistical test was applied to cross color/race/ethnicity variable with the investigated variables.
Results:
indigenous had better metabolic and anthropometric indicators related to cardiovascular diseases than mixed-race/black and white, as well as Sateré-Mawé in relation to Rionegrinos (from Rio Negro).
Conclusions:
the main differences were obesity, dyslipidemia, pre-systemic arterial hypertension/systemic arterial hypertension, and increased circumferences, with a worse situation for mixed-race/black people. The findings indicate differences in risk factors between race/color and ethnicity groups evaluated.
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ORIGINAL ARTICLE02-10-2020
Nursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
Abstract
ORIGINAL ARTICLENursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
DOI 10.1590/0034-7167-2018-0175
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Objective:
To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS).
Method:
A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis.
Results:
Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication.
Conclusion:
Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.
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