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EXPERIENCE REPORT01-01-2018
Conversation map: an educational strategy in the care of elderly people with diabetes mellitus
Revista Brasileira de Enfermagem. 2018;71:925-929
Abstract
EXPERIENCE REPORTConversation map: an educational strategy in the care of elderly people with diabetes mellitus
Revista Brasileira de Enfermagem. 2018;71:925-929
DOI 10.1590/0034-7167-2017-0064
Views0See moreABSTRACT
Objective:
To report the experience of using diabetes conversation maps as an educational strategy for diabetic elderly people.
Method:
Experience report, conducted from July to December 2016 in a specialized outpatient clinic for diabetics, in Fortaleza, Ceará, Brazil. A total of 72 users participated, between diabetics and those accompanying them.
Results:
The participants talked about issues that were not addressed in personal consultations, and could see themselves through the stories of others, thus realizing they were not alone and that others also experienced the same difficulties as them. Through empathy and the accounts of others, participants built knowledge and practices for their own daily lives.
Final Considerations:
The conversation map enables professionals to empower patients with diabetes, promoting self-care and ensuring better control over the disease, in order to prevent or delay the onset of related complications.
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EXPERIENCE REPORT01-01-2018
Active methodologies for graduation in nursing: focus on the health care of older adults
Revista Brasileira de Enfermagem. 2018;71:920-924
Abstract
EXPERIENCE REPORTActive methodologies for graduation in nursing: focus on the health care of older adults
Revista Brasileira de Enfermagem. 2018;71:920-924
DOI 10.1590/0034-7167-2017-0150
Views0See moreABSTRACT
Objective:
To describe the experience of the use of simulation as active teaching methodology in the Developmental Psychology discipline and share its impacts on the students’ learning process.
Method:
Based on Active Methodologies, the students in Nursing of Universidade do Oeste Paulista – Presidente Prudente-SP developed simulated visits to older users of the Family Health Strategies.
Results:
In accordance with the 2014 National Curriculum Guidelines and the Brazilian Unified Health System, particularities of the needs of older adults at their homes were problematized.
Final considerations:
Addressing the biopsychosocial needs and integrality associated with the health of older adults in simulated home visits provides a differentiated instrument in the development of skills and competence of future nurses.
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REVIEW01-01-2018
Gerontological contributions to the care of elderly people in long-term care facilities
Revista Brasileira de Enfermagem. 2018;71:912-919
Abstract
REVIEWGerontological contributions to the care of elderly people in long-term care facilities
Revista Brasileira de Enfermagem. 2018;71:912-919
DOI 10.1590/0034-7167-2017-0357
Views0See moreABSTRACT
Objective:
To analyze Brazilian scientific productions from the last 11 years which show the contributions of nursing to elderly people in long-term care facilities.
Method:
This is an integrative literature review. The search took place in the Virtual Health Library (VHL) in the BDENF and LILACS databases and the SCIELO virtual library, between June and October 2016, using the keyword long-term care facility and the descriptors nursing and geriatrics.
Results:
Eleven studies were selected, published 2005 and 2016, with various methodological approaches that enabled discussion of the proposed objective.
Conclusion:
The contributions of nursing to institutionalized elderly people were linked to health promotion measures, as well as simple interventions, such as listening, interacting, offering recreation and helping in psychoaffective relationships. These activities contributed to raising the self-esteem of the individuals.
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REVIEW01-01-2018
Temporal analysis of the functional status of older people in the state of Paraíba, Brazil
Revista Brasileira de Enfermagem. 2018;71:905-911
Abstract
REVIEWTemporal analysis of the functional status of older people in the state of Paraíba, Brazil
Revista Brasileira de Enfermagem. 2018;71:905-911
DOI 10.1590/0034-7167-2017-0130
Views0See moreABSTRACT
Objective:
To verify the profile and the functional status of older people living in the state of Paraíba, Brazil, from a temporal perspective.
Method:
This was a descriptive study with secondary analysis of data from the Health Indicator and Aging Policy Monitoring system (SISAP-Idoso – Sistema de Indicadores de Saúde e Acompanhamento de Políticas do Idoso) between 2000 and 2010.
Results:
Over the analyzed period, there was a growth of older women, people older than 85 years, residents of urban areas, older people who live alone and who are not responsible for the household. There was also a decrease of illiterate older people, with monthly income of up to one minimum wage and in poverty situations. Concerning the functional status, the proportion of older people who reported any permanent mental, motor, visual or hearing disabilities has increased.
Conclusion:
We suggest that the assistance must be directed towards environmental variables that can influence the functional state, such as illiteracy, low income and disabilities that contribute to the weakening of older people and must be overcome.
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REVIEW01-01-2018
Time use by family caregivers of elderly with dementia: an integrative review
Revista Brasileira de Enfermagem. 2018;71:893-904
Abstract
REVIEWTime use by family caregivers of elderly with dementia: an integrative review
Revista Brasileira de Enfermagem. 2018;71:893-904
DOI 10.1590/0034-7167-2017-0268
Views0See moreABSTRACT
Objective:
To describe the development of measures used between 1993 and 2016 to evaluate time use by family caregivers of elderly with dementia and to find out the patterns of time use identified in the literature.
Method:
An integrative review of articles was performed, indexed by the following terms: time use management, family caregiver and elderly.
Results:
A total of 17 articles were found, of which seven were methodological. Among these seven articles, five were psychometric. The most frequently used measures were self-reporting (matrices, questionnaires and inventories), validated through objective measures of occurrence and duration. Longitudinal, prospective, clinical and correlational studies showed that care time covaries with the receptors’ dependence and that the caregivers’ subjective well-being is more affected by the time restriction to free choice activities than the burden resulting from obligatory activities.
Final considerations:
Valid self-reporting measures are widely used nowadays and they are considered to be effective to assess the objective and subjective costs of health care for dementia.
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REVIEW01-01-2018
Integrative review of literature: nursing care to aged people with HIV
Revista Brasileira de Enfermagem. 2018;71:884-892
Abstract
REVIEWIntegrative review of literature: nursing care to aged people with HIV
Revista Brasileira de Enfermagem. 2018;71:884-892
DOI 10.1590/0034-7167-2017-0264
Views0See moreABSTRACT
Objective:
To identify evidences in scientific Brazilian literature on nursing care to aged people with HIV.
Method:
Integrative review of literature from databases: Latin American and Caribbean Literature on Health Sciences (LILACS), Scientific Eletronic Library Online (SciELO), Cochrane and the Nursing Database (BDENF). The applied inclusion criteria were publications that were fully available from 2001 to 2015 and answered to the guiding question of this study.
Results:
We included 13 studies; and the categories that allowed a better presentation of the scientific evidence on nursing care to aged people with HIV carrier were: Epidemiological profile, perceptions and experiences of aged people with HIV and nursing care to aged people with HIV.
Conclusion:
The studies address nursing care from a clinic that follows NANDA diagnoses of strong individualizing approach and low consideration of social aspects.
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01-01-2018
Profile of the body mass index and associated factors in active elderlies
Revista Brasileira de Enfermagem. 2018;71:876-883
Abstract
Profile of the body mass index and associated factors in active elderlies
Revista Brasileira de Enfermagem. 2018;71:876-883
DOI 10.1590/0034-7167-2016-0683
Views0See moreABSTRACT
Objective :
Identifying the profile of Body Mass Index and associated factors in active elderlies.
Method:
This is an analytical type of research with cross-sectional design and quantitative approach, with sample represented by 105 elderly people. The research instrument consisted of Cognitive assessment, Sociodemographic data, Health conditions and Motor performance evaluation. The data were analyzed by using descriptive analysis and binary logistic regression.
Results:
The elderlies without partners have 7.753 times the chance of presenting excess weight when compared to those with partners. Having an income higher than a minimum wage represents 6.014 times the chance of being overweight. Not having health problems amounts to 0.015 times the chance of being overweight. In the motorperformance, not presenting limitation of balance represents 6.785 times the possibility of being affected by excess weight.
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01-01-2018
Perfil do índice de massa corporal e fatores associados em idosos ativos
Revista Brasileira de Enfermagem. 2018;71:876-883
Abstract
Perfil do índice de massa corporal e fatores associados em idosos ativos
Revista Brasileira de Enfermagem. 2018;71:876-883
DOI 10.1590/0034-7167-2016-0683
Views0See moreRESUMEN
Objetivo:
Identificar el perfil del índice de masa corporal y factores asociados en adultos mayores activo. Es un tipo de análisis de la investigación con diseño transversal y un enfoque cuantitativo con una muestra de 105 personas de edad avanzada.
Método:
El instrumento de investigación consistió en: la evaluación cognitiva, datos sociodemográficos, condiciones de salud y la evaluación del rendimiento del motor. Los datos fueron analizados mediante el análisis descriptivo y regresión logística binaria.
Resultados:
La persona de edad avanzada que no tiene compañero tiene 7.753 veces más probabilidades de tener exceso de peso en comparación con el viejo. Tener un ingreso mayor que el salario mínimo es 6.014 veces más probabilidades de tener sobrepeso. No tiene problemas de salud asciende a 0.015 veces la probabilidad de tener sobrepeso. El rendimiento del motor no presenta saldo de la limitación es 6.785 veces más propensos a ser afectados por el exceso de peso.
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ORIGINAL ARTICLE10-21-2019
Child and adolescent violence: oral story of women who attempted suicide
- Cíntia Mesquita Correia
, - Nadirlene Pereira Gomes ,
- Normélia Maria Freire Diniz ,
- Isabela Carolyne Sena de Andrade ,
- Cátia Maria Costa Romano , [ … ],
- Gilmara Ribeiro Santos Rodrigues
Abstract
ORIGINAL ARTICLEChild and adolescent violence: oral story of women who attempted suicide
Revista Brasileira de Enfermagem. 2019;72(6):1450-1456
DOI 10.1590/0034-7167-2017-0814
- Cíntia Mesquita Correia ,
- Nadirlene Pereira Gomes ,
- Normélia Maria Freire Diniz ,
- Isabela Carolyne Sena de Andrade ,
- Cátia Maria Costa Romano ,
- Gilmara Ribeiro Santos Rodrigues
Views0See moreABSTRACT
Objective:
To unveil expressions of intrafamily violence experienced in childhood and/or adolescence by women who attempted suicide.
Method:
This is a study with a qualitative approach based on Oral Story. Participants were ten women with a history of suicide attempt, who experienced intrafamily violence in childhood and/or adolescence. The research was carried out at the Center for the Study and Prevention of Suicide, linked to a Toxicological Information Center in the city of Salvador, Bahia, Brazil.
Results:
From the orality of women, the study allowed the emergence of the following representative categories of intrafamily abuse experienced in childhood and/or adolescence: psychological violence, rejection, neglect, physical violence and sexual violence.
Final considerations:
The study alerts to intrafamily violence as an aggravation related to suicidal behavior, offering elements that help in the identification of their expressions, which will raise awareness to suicidal behavior and consequently suicide prevention.
- Cíntia Mesquita Correia
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ORIGINAL ARTICLE07-08-2020
Cognition and quality of life relationship among the elderly community: a cross-sectional study
- Barbara Maria Lopes da Silva Brandão ,
- Alice Maria Barbosa da Silva ,
- Rafaella Queiroga Souto ,
- Fabia Alexandra Pottes Alves ,
- Gleicy Karine Nascimento de Araújo , [ … ],
- Hulda Vale de Araújo
Abstract
ORIGINAL ARTICLECognition and quality of life relationship among the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190030
DOI 10.1590/0034-7167-2019-0030
- Barbara Maria Lopes da Silva Brandão ,
- Alice Maria Barbosa da Silva ,
- Rafaella Queiroga Souto ,
- Fabia Alexandra Pottes Alves ,
- Gleicy Karine Nascimento de Araújo ,
- Viviane Cristina Fonseca da Silva Jardim ,
- Hulda Vale de Araújo
Views0See moreABSTRACT
Objective:
to assess cognitive functions and their association with quality of life among elderly people enrolled in a Family Health Unit (FHU) of Primary Health Care in Recife-PE.
Methods:
a quantitative, descriptive, cross-sectional study in which elderly aged 60 years and over were studied.
Results:
76.7% of the elderly were women and the age group was less than or equal to 70 years. 68.6% had cognitive impairment, and in the quality of life assessment it was found that the social participation facet had the highest mean score among the elderly (14.25), while the lowest was observed in the sensory functioning facet (9.10). There was an association between cognitive decline and quality of life.
Conclusion:
most of the elderly had good quality of life rates, but low cognitive level. Using screening tools allows early detection of health problems, guiding the nursing staff in the construction of preventive measures.
- Barbara Maria Lopes da Silva Brandão
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ORIGINAL ARTICLE03-30-2020
Meanings assigned by families about children’s chronic disease diagnosis
Revista Brasileira de Enfermagem. 2020;73(2):e20180742
Abstract
ORIGINAL ARTICLEMeanings assigned by families about children’s chronic disease diagnosis
Revista Brasileira de Enfermagem. 2020;73(2):e20180742
DOI 10.1590/0034-7167-2018-0742
Views0See moreABSTRACT
Objectives:
to understand the meanings assigned by family caregivers about children’s chronic disease diagnosis.
Methods:
qualitative study, which used as theoretical framework the Symbolic Interactionism, and methodological, the Grounded Theory. It was held in a pediatric unit in Southern Brazil, in 2016, through interviews submitted to open and axial analysis, with the participation of 20 family caregivers of hospitalized children.
Results:
relatives, interacting with the nursing/health staff, perceive children’s disease at birth. They are diagnosed with chronic disease by the physician and deny it. Subsequently, they accept and seek information on care.
Conclusions:
the results pointed out the stages that relatives experience by assigning meanings to about children’s chronic disease diagnosis. These meanings provide subsidies for nurses’ actions, which need to be aware of children’s and family’s needs in order to offer comprehensive and humanized care.
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ORIGINAL ARTICLE04-03-2020
Nurse as an integrator in healthcare management of children with chronic condition
- Deborah Dinorah de Sá Mororó ,
- Rejane Maria Paiva de Menezes ,
- Ana Angélica Rêgo de Queiroz ,
- Carlos Jordão de Assis Silva ,
- Wanesca Caroline Pereira
Abstract
ORIGINAL ARTICLENurse as an integrator in healthcare management of children with chronic condition
Revista Brasileira de Enfermagem. 2020;73(3):e20180453
DOI 10.1590/0034-7167-2018-0453
- Deborah Dinorah de Sá Mororó ,
- Rejane Maria Paiva de Menezes ,
- Ana Angélica Rêgo de Queiroz ,
- Carlos Jordão de Assis Silva ,
- Wanesca Caroline Pereira
Views0See moreABSTRACT
Objectives:
to understand the practice of the nurse in healthcare management of children with chronic condition in the hospital setting.
Methods:
analytical study of qualitative approach with theoretical and methodological reference of institutional ethnography. Developed in the pediatric unit of a university hospital, in a municipality in Northeastern Brazil. Data collections techniques were: participant observation, documentary analysis and semi-structured interview. Participants of the study totaled twenty professionals, including nurses, social workers, psychologists, pharmacists, nutritionists, physiotherapists, and doctors. For data analysis, it was used the Bardin’s Content Analysis with interface of the Atlas.ti software.
Results:
categories of analysis were “Nurse as mediator of healthcare management”; “Nursing process as a mechanism of healthcare management”.
Final
considerations: the nurse proved to be essential for healthcare management of the child with chronic condition, acting as mediator of the relationship between the doctor, the members of the health team, the user and their family.
- Deborah Dinorah de Sá Mororó
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ORIGINAL ARTICLE09-18-2020
Nursing recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes
- Rosimere Ferreira Santana ,
- Marcos Barragan da Silva ,
- Daniela Aparecida da Silva Rebouças Marcos ,
- Cristiane dos Santos Rosa ,
- Willi Wetzel Junior , [ … ],
- Romulo Delvalle
Abstract
ORIGINAL ARTICLENursing recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes
Revista Brasileira de Enfermagem. 2020;73:e20200260
DOI 10.1590/0034-7167-2020-0260
- Rosimere Ferreira Santana ,
- Marcos Barragan da Silva ,
- Daniela Aparecida da Silva Rebouças Marcos ,
- Cristiane dos Santos Rosa ,
- Willi Wetzel Junior ,
- Romulo Delvalle
Views0See moreABSTRACT
Objective:
to develop a protocol of recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes.
Method:
a study of experts’ recommendations using a structured form applied through the Delphi Technique, obtaining 100% agreement among professionals after four rounds of analysis. The population comprised six nurses members of the Scientific Department of Gerontological Nursing of the Brazilian Association of Nursing (Associação Brasileira de Enfermagem)
Results:
the protocol was structured in a nucleus of nursing interventions to face the spread of COVID-19 in Nursing Homes, consisting of 8 actions.
Final considerations:
the protocol can help nurse managers to organize assistance to face the pandemic, which can be adaptable to each reality, making training nurses and health teams easier.
- Rosimere Ferreira Santana
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REVIEW12-21-2020
Skill acquisition of safe medication administration through realistic simulation: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190880
Abstract
REVIEWSkill acquisition of safe medication administration through realistic simulation: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190880
DOI 10.1590/0034-7167-2019-0880
Views0See moreABSTRACT
Objective:
to investigate evidence that indicates the contribution of realistic high, medium or low fidelity simulation to acquire knowledge, skills and attitudes in safe medication administration by nursing students.
Methods:
an integrative review of experimental studies from MEDLINE, LILACS, Web of Science, Scopus and Science Direct. The descriptors “nursing students”, “simulation”, “high fidelity simulation training”, “medication errors” and “pharmacology” were used to identify 14 studies that answered the research question, and were assessed for accuracy methodological level and level of evidence.
Results:
there was a sample of quasi-experimental studies, (level 3 of evidence; 78.6%) and randomized clinical trials (level 2 of evidence; 21.4%), whose expressive majority showed superiority of the simulation strategy over the traditional methodology (71.4%).
Conclusion:
using low and high fidelity simulators, standardized patients and virtual simulation can promote acquisition of essential skills for patient safety.
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ORIGINAL ARTICLE12-07-2020
Sarcopenia screening in elderly in primary health care: nurse knowledge and practices
- Rutielle Ferreira Silva ,
- Maria do Livramento Fortes Figueiredo ,
- Juan José Tirado Darder ,
- Ana Maria Ribeiro dos Santos ,
- Maria Antonieta Rubio Tyrrell
Abstract
ORIGINAL ARTICLESarcopenia screening in elderly in primary health care: nurse knowledge and practices
Revista Brasileira de Enfermagem. 2020;73:e20200421
DOI 10.1590/0034-7167-2020-0421
- Rutielle Ferreira Silva ,
- Maria do Livramento Fortes Figueiredo ,
- Juan José Tirado Darder ,
- Ana Maria Ribeiro dos Santos ,
- Maria Antonieta Rubio Tyrrell
Views0See moreABSTRACT
Objective:
Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly.
Methods:
Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference.
Results:
The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference.
Final Considerations:
The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.
- Rutielle Ferreira Silva
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ORIGINAL ARTICLE10-21-2019
Inclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
Abstract
ORIGINAL ARTICLEInclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
DOI 10.1590/0034-7167-2018-0806
Views0See moreABSTRACT
Objective:
To analyze the strategies, challenges and possibilities of the articulation between mental health and primary health care from the perspective of health managers.
Method:
Exploratory, qualitative research carried out with 28 managers of mental health and primary care. The data were collected through semi-structured interviews between July and November 2013 and submitted to thematic content analysis.
Results:
The inclusion of mental health actions in primary care made it possible, in the view of managers, to increase users’ access to the care they need. This care strategy allows the extension of care practices in the territory, with matrix support as the main tool for the implementation of this care strategy.
Final considerations:
The articulation between primary care and mental health is a powerful device for psychosocial care, but it demands a new conformation of the Psychosocial Care Centers (Caps) and primary care services.
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