Articles - Revista Brasileira de Enfermagem

ORIGINAL ARTICLE04-14-2023

Validity study of educational technology on gynecological high dose rate (HDR) brachytherapy
Revista Brasileira de Enfermagem. 2023;76:e20220232

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Abstract
ORIGINAL ARTICLE
Validity study of educational technology on gynecological high dose rate (HDR) brachytherapy
Revista Brasileira de Enfermagem. 2023;76:e20220232
DOI 10.1590/0034-7167-2022-0232
Meiriane Lopes Ximenes ,
Mariana Alves Firmeza ,
Andrea Bezerra Rodrigues ,
Maria Isis Freire de Aguiar ,
Gabriela Lacerda Souza ,
Georgia de Sousa Serpa ,
Patrícia Peres de Oliveira
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ABSTRACT

Objective:

to construct and validate an educational booklet on high dose rate gynecological brachytherapy (HDR) for women with gynecologic cancer.

Methods:

a methodological study, with the construction and validity of a booklet based on the Doak, Doak and Root theoretical-methodological framework. Content and appearance validity was guided by the Delphi technique, by 11 judges, selected using Jasper’s criteria. Afterwards, clinical validity was carried out with the target population.

Results:

the booklet, built from evidence from an integrative review, validated with judges, obtained an overall CVI of 0.98. After clinical validity with 27 women, it presents 24 sheets with illustrations produced by a graphic designer, subdivided into topics: gynecological system anatomy and gynecological cancer epidemiology, gynecological brachytherapy definition, therapeutic steps, approach to side effects and management, and two pages for notes.

Conclusions:

the booklet has validity for use in HDR gynecological brachytherapy treatment.

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EXPERIENCE REPORT04-14-2023

Construction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414

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Abstract
EXPERIENCE REPORT
Construction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
DOI 10.1590/0034-7167-2022-0414
Paula Arquioli Adriani ,
Paula Hino ,
Mônica Taminato ,
Hugo Fernandes
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ABSTRACT

Objective:

to report the construction of an educational technology to promote non-violent communication for health professionals.

Methods:

an experience report on the development of an educational technology on non-violent communication for health professionals, prepared by members of a social university extension project. The Plan-Do-Study-Act cycle was used as a process or product management procedure.

Results:

two complete management method cycles were performed. A mini almanac was generated as a final product, which addressed the main elements of non-violent communication, an example of its use in everyday life, hobbies and interspersed activities.

Conclusion:

educational technology construction (mini almanac) by members of a university extension project was facilitated using the Plan-Do-Study-Act cycle, proving to be a resource for disseminating non-violent communication in health work and promoting a culture of peace.

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ORIGINAL ARTICLE04-14-2023

Artificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
Revista Brasileira de Enfermagem. 2023;76:e20210909

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Abstract
ORIGINAL ARTICLE
Artificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
Revista Brasileira de Enfermagem. 2023;76:e20210909
DOI 10.1590/0034-7167-2021-0909
Casandra Genoveva Rosales Martins Ponce de Leon ,
Leandro Yukio Mano ,
Danielle da Silva Fernandes ,
Rayanne Augusta Parente Paula ,
Guilherme da Costa Brasil ,
Laiane Medeiros Ribeiro
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ABSTRACT

Objective:

to assess nursing students’ emotions undergoing maternal-child clinical simulation.

Methods:

an observational study, carried out between June and July 2019. The Focus Group technique was used, with 28 nursing students, randomly distributed into three groups, with qualitative (Bardin technique) and quantitative data (Artificial Intelligence) analysis, to analyze emotions through facial expressions, tone of voice and description of speeches.

Results:

we defined two categories: “It was not easy, it was very stressful”; and “Very valuable experience”. In Artificial Intelligence, emotional distribution between face, voice and speech revealed a prevalence of negative valence, medium-high degree of passivity, medium power to control the situation and medium-high degree of obstruction in task accomplishment.

Final considerations:

this study revealed an oscillation between positive and negative emotions, and shows to the importance of recognizing them in the teaching-learning process in mother-child simulation.

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ORIGINAL ARTICLE04-07-2023

The use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433

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Abstract
ORIGINAL ARTICLE
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
Lia Leão Ciuffo ,
Tania Vignuda de Souza ,
Thais Mello de Freitas ,
Juliana Rezende Montenegro Medeiros de Moraes ,
Keila Cristina Oliveira dos Santos ,
Roberta de Oliveira Jaime Ferreira Lima dos Santos
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ABSTRACT

Objectives:

to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.

Methods:

qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.

Results:

the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.

Final Considerations:

although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.

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ORIGINAL ARTICLE04-07-2023

Implications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245

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Abstract
ORIGINAL ARTICLE
Implications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
DOI 10.1590/0034-7167-2022-0245
Loiza Broering ,
Maria Itayra Padilha ,
Roberta da Costa ,
Maiara Suelen Mazera
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ABSTRACT

Objectives:

to analyze the work of nurses portrayed in the journalistic media and its impact on the construction of professional nursing identity.

Methods:

this is qualitative, retrospective, descriptive and documentary research, with 51 reports from Folha de São Paulo. Time frame from March to December 2020. Thematic Content Analysis carried out from Claude Dubar’s theoretical perspective. Organization and coding of data performed with the help of ATLAS.ti^®.

Results:

three categories emerged: Working conditions in the pandemic – a problem that worsened; Impacts of the pandemic on daily work; Feelings generated by the pandemic.

Conclusions:

despite adversities, such as the precariousness of health institutions, inadequate working conditions for nurses, lack of basic items of individual protection, negative feelings and hopelessness, these professionals used their knowledge, skills and innovations in the act of caring, which contributed to reconstructing their professional identity.

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ORIGINAL ARTICLE04-07-2023

Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues ,
- Lisabelle Mariano Rossato
Revista Brasileira de Enfermagem. 2023;76(2):e20220137

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Abstract
ORIGINAL ARTICLE
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
Vanessa Dias Fogaça ,
Danton Mateus de Souza ,
Lucía Silva ,
Danila Maria Batista Guedes ,
Flavia Domingues ,
Isadora Trinquinato ,
Lisabelle Mariano Rossato
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ABSTRACT

Objectives:

to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.

Methods:

an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.

Results:

eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.

Conclusions:

adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.

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ORIGINAL ARTICLE04-07-2023

Spiritual well-being, symptoms and performance of patients under palliative care
- Bárbara Vitória Mendes ,
- Suzana Cristina Teixeira Donato ,
- Thaina Lúcio da Silva ,
- Ramon Moraes Penha ,
- Paula Jaman-Mewes ,
- Marina de Góes Salvetti
Revista Brasileira de Enfermagem. 2023;76(2):e20220007

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Abstract
ORIGINAL ARTICLE
Spiritual well-being, symptoms and performance of patients under palliative care
Revista Brasileira de Enfermagem. 2023;76(2):e20220007
DOI 10.1590/0034-7167-2022-0007
Bárbara Vitória Mendes ,
Suzana Cristina Teixeira Donato ,
Thaina Lúcio da Silva ,
Ramon Moraes Penha ,
Paula Jaman-Mewes ,
Marina de Góes Salvetti
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ABSTRACT

Objectives:

to assess the relationship between spiritual well-being, symptoms and performance of patients under palliative care.

Methods:

this is a descriptive correlational study, conducted with 135 patients seen in palliative care outpatient clinics. Karnofsky Performance Status Scale, Edmonton Symptom Assessment Scale, Spirituality Scale and Hospital Anxiety and Depression Scale were used. Data were submitted to descriptive statistical analysis and Spearman’s correlation.

Results:

among participants, 68.2% were cancer patients. The most prevalent symptoms were changes in well-being (65.2%), anxiety (63.7%), sadness (63%) and fatigue (63%). Sadness, dyspnea, sleepiness, anxiety and depression presented weak to moderate correlation with spiritual well-being. Symptom overload showed weak negative correlation with performance.

Conclusions:

symptom intensification was correlated with worsening in spiritual well-being perception. The reduction in performance was related to increased number of symptoms, especially depression and anxiety.

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REVIEW04-07-2023

Analysis of moral courage and related factors among undergraduate nursing students: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220225

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Abstract
REVIEW
Analysis of moral courage and related factors among undergraduate nursing students: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220225
DOI 10.1590/0034-7167-2022-0225
Romario Daniel Jantara ,
Jamila Geri Tomaschewski Barlem ,
Adrieli Jantara ,
Laurelize Pereira Rocha ,
Sabrina Santos da Rocha ,
Danubia Andressa da Silva Stigger
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ABSTRACT

Objective:

to analyze scientific evidence on moral courage and related factors among nursing undergraduate students.

Method:

the protocol of this scoping review was registered on Open Science Framework. A search was performed in five databases, according to the method provided by Joanna Briggs Institute Reviewers, the mnemonic strategy Population, Concept and Context, and a specific checklist.

Results:

a total of 2,812 results were identified, but only nine studies were eligible and presented three thematic approaches: Moral courage from the perspective of nursing students; Moral courage and related factors; and The teaching of moral courage in the training of nursing students. The factors related to moral courage include moral distress, moral sensitivity, age, and having a previous degree in the health field.

Final Considerations:

few studies were found with a low evidence level. Most were performed in developed countries, indicating some gaps that need to be addressed in the future.

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RESEARCH01-01-2018

Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289

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Abstract
RESEARCH
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
DOI 10.1590/0034-7167-2017-0265
Danielle Lemos Querido,
Marialda Moreira Christoffel,
Viviane Saraiva de Almeida,
Ana Paula Vieira dos Santos Esteves,
Marilda Andrade,
Joffre Amim Junior
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ABSTRACT

Objective:

To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.

Method:

This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.

Results:

Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.

Final considerations:

The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

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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

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Abstract
RESEARCH
The 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
Gutembergue Santos de Sousa,
Roberto Nadir Figueira da Silva,
Nathália Giordana Ferreira,
Maria Goreth Silva Ferreira
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ABSTRACT

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

Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403

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Abstract
RESEARCH
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Marcia Regina Cunha,
Maria Clara Padoveze,
Célia Regina Maganha e Melo,
Lucia Yasuko Izumi Nichiata
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ABSTRACT

Objective:

To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.

Method:

Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.

Results:

89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.

Conclusion:

Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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RESEARCH01-01-2018

Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506

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Abstract
RESEARCH
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
Fatima Maria de Melo Brito,
Célia Alves Rozendo,
Priscila de Oliveira Cabral Melo
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ABSTRACT

Objective:

to analyze the contribution of the laboratory of nursing to the critical education of nurses.

Method:

qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.

Results:

it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.

Final considerations:

the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.

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RESEARCH01-01-2018

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547

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Abstract
RESEARCH
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
Maria Aparecida Baggio,
Rosilene Berres,
Bruna Penteado Silva Gregolin,
Solange Aikes
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ABSTRACT

Objective:

to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.

Method:

a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.

Results:

the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.

Final considerations:

it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.

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RESEARCH01-01-2018

Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595

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Abstract
RESEARCH
Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
DOI 10.1590/0034-7167-2017-0886
Michelli Pacheco Sako,
Adriana Maria da Silva Felix,
Julia Yaeko Kawagoe,
Maria Clara Padoveze,
Silvia Alice Ferreira,
Silvia Helena Zem-Mascarenhas,
Stephen Timmons,
Isis Pienta Batista Dias Passos,
Rosely Moralez de Figueiredo
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ABSTRACT

Objective:

To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.

Method:

Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.

Results:

A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.

Conclusion:

The developed tool has been validated and is now available for use in Primary Health Care.

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RESEARCH01-01-2018

Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
Magda Coeli Vitorino Sales Coêlho,
Camila Aparecida Pinheiro Landim Almeida,
Ana Roberta Vilarouca da Silva,
Luana Kelle Batista Moura,
Lucíola Galvão Gondim Corrêa Feitosa,
Laura Barbosa Nunes
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ABSTRACT

Objective:

seize meanings attributed by primary care nurses to training in diabetes education.

Method:

exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.

Results:

nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.

Conclusion:

the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.

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RESEARCH01-01-2018

Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
DOI 10.1590/0034-7167-2017-0754
Inara Mariela da Silva Cavalcante,
Glauteice Freitas Guedes,
Vilanice Alves de Araújo Püschel
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ABSTRACT

Objective:

To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.

Method:

Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.

Results:

The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.

Conclusion:

Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and research.

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ORIGINAL ARTICLE06-27-2019

Validation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631

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Abstract
ORIGINAL ARTICLE
Validation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
DOI 10.1590/0034-7167-2018-0065
Priscyla de Oliveira Nascimento Andrade ,
Sheyla Costa de Oliveira ,
Sheila Coelho Ramalho Vasconcelos Morais ,
Tatiane Gomes Guedes ,
Geyslane Pereira de Melo ,
Francisca Marcia Pereira Linhares
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ABSTRACT

Objective:

To construct and validate a clinical simulation setting for postpartum haemorrhage.

Method:

Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.

Results:

Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.

Conclusion:

It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.

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REVIEW06-01-2020

Access of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Access of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
Nelma Nunes da Silva ,
Veronica Batista Cambraia Favacho ,
Gabriella de Andrade Boska ,
Emerson da Costa Andrade ,
Neuri Pires das Merces ,
Márcia Aparecida Ferreira de Oliveira
Views1
ABSTRACT

Objectives:

demonstrate and discuss how the black population’s access to health services occurs

Methods:

integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.

Results:

studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.

Final Considerations:

several limiting factors compromise the black population’s access to health services, including institutional and structural factors

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ORIGINAL ARTICLE10-21-2019

Occupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Occupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
DOI 10.1590/0034-7167-2018-0681
Dezolina Franciele Cardin Cordioli ,
João Roberto Cordioli Junior ,
Claudia Eli Gazetta ,
Albertina Gomes da Silva ,
Luciano Garcia Lourenção
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ABSTRACT

Objective:

To evaluate levels of occupational stress and work engagement among primary health care workers.

Method:

A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).

Results:

Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.

Conclusion:

Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.

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ORIGINAL ARTICLE07-01-2020

Patient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Patient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
DOI 10.1590/0034-7167-2019-0174
Desirée Zago Sanchis ,
Maria do Carmo Fernandez Lourenço Haddad ,
Edmarlon Girotto ,
Ana Maria Rigo Silva
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ABSTRACT

Objectives:

to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.

Methods:

descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).

Results:

four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.

Conclusions:

evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.

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ORIGINAL ARTICLE06-27-2019

Debriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794

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Abstract
ORIGINAL ARTICLE
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
DOI 10.1590/0034-7167-2018-0103
Carina Bortolato-Major ,
Maria de Fátima Mantovani ,
Jorge Vinícius Cestari Felix ,
Radamés Boostel ,
Ângela Taís Mattei da Silva ,
Jaime Alonso Caravaca-Morera
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ABSTRACT

Objective:

Evaluate the contribution of debriefing after clinical simulations for nursing students.

Method:

Quantitative study, conducted with 35 nursing students who participated in five clinical simulation scenarios with planned debriefings based on the model of the National League Nursing/Jeffries Simulation Theory. After the fifth scenario, students answered the Debriefing Evaluation Scale associated with the Simulation.

Results:

The items evaluated involved the psychosocial, cognitive, and affective values, and within a scale from one to five, the highest mean was found in cognitive value with 4.23 (±0.56) points, then in psychosocial value with 3.77 (±0.53), and finally in affective value with 3.71 (±0.63) points.

Conclusion:

The debriefing conducted after the clinical simulation scenarios was a reflective exercise that contributed to the student integrating multiple knowledges in affective, cognitive and psychosocial values, and thus develop the competencies required.

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REVIEW11-06-2020

Transitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Transitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
Bruna Alexandra da Silva Ferreira ,
Thawanna Jeremias Barbosa Gomes ,
Cristina Rosa Soares Lavareda Baixinho ,
Óscar Manuel Ramos Ferreira
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ABSTRACT

Objective:

To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.

Methods:

Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.

Results:

The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.

Final considerations:

The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.

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REVIEW10-19-2020

Validation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Validation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
Tainara Wink Vieira ,
Victória Tiyoko Moraes Sakamoto ,
Luiza Casais de Moraes ,
Carine Raquel Blatt ,
Rita Catalina Aquino Caregnato
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ABSTRACT

Objective:

to identify scientific production about validation methods of nursing care protocols.

Method:

an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used.

Results:

thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles.

Conclusion:

protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.

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EXPERIENCE REPORT04-09-2020

Implementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421

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Abstract
EXPERIENCE REPORT
Implementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
DOI 10.1590/0034-7167-2018-0421
Luciana Schleder Gonçalves ,
Maria Luiza de Medeiros Amaro ,
Andressa de Lima Miranda Romero ,
Fernanda Karoline Schamne ,
Jacson Luiz Fressatto ,
Carolina Wrobel Bezerra
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ABSTRACT

Objectives:

to present the nurses’ experience with technological tools to support the early identification of sepsis.

Methods:

experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.

Results:

describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.

Final Considerations:

technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.

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Validity study of educational technology on gynecological high dose rate (HDR) brachytherapy

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Construction of educational technology on non-violent communication between health professionals: an experience report

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Artificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation

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Final considerations:

The use of toys by nursing as a therapeutic resource in the care of hospitalized children

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Assistance flowchart for pain management in a Neonatal Intensive Care Unit

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Final considerations:

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Conclusion:

Identification of post-cesarean surgical site infection: nursing consultation

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Method:

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Conclusion:

Nursing laboratory and critical education of nurses: approaches and distances

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Objective:

Method:

Results:

Final considerations:

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

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Results:

Final considerations:

Knowledge about precautions in Primary Health Care: tool validation

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