Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    Nurses’ performance on indigenous and African-Brazilian health care practices

    Revista Brasileira de Enfermagem. 2016;69(5):840-846

    Abstract

    Nurses’ performance on indigenous and African-Brazilian health care practices

    Revista Brasileira de Enfermagem. 2016;69(5):840-846

    DOI 10.1590/0034-7167.2016690504

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    ABSTRACT

    Objective:

    to analyze the performance of nurses from the Estratégia Saúde da Família (Family Health Strategy) on health care practices rooted in African and Indigenous cultures.

    Methods:

    Thematic Oral History was used and interviews were conducted with seven participants, who worked with Primary Health Care in Northeastern Brazil. The analysis was based on Leininger’s Theory of Cultural Care and the intercultural concept of human rights, among others.

    Results:

    nurses are unaware of the religious and historical context of the ethnic groups cared for and do not appreciate their self-care practices in areas with a predominance of African and indigenous cultures. These practices coexist with the hegemonic biomedical model.

    Conclusion:

    the debate on cultural competence in the context of professional qualification and exercise is required, aiming to promote the nursing work in the perspective of diversity and comprehensiveness of health care.

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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.
  • 01-01-2016

    Accessibility assessment of assistive technology for the hearing impaired

    Revista Brasileira de Enfermagem. 2016;69(5):833-839

    Abstract

    Accessibility assessment of assistive technology for the hearing impaired

    Revista Brasileira de Enfermagem. 2016;69(5):833-839

    DOI 10.1590/0034-7167.2016690503

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    ABSTRACT

    Objective:

    to assess the automatic accessibility of assistive technology in online courses for the hearing impaired.

    Method:

    evaluation study guided by the Assessment and Maintenance step proposed in the Model of Development of Digital Educational Material. The software Assessor and Simulator for the Accessibility of Sites (ASES) was used to analyze the online course “Education on Sexual and Reproductive Health: the use of condoms” according to the accessibility standards of national and international websites.

    Results:

    an error report generated by the program identified, in each didactic module, one error and two warnings related to two international principles and six warnings involved with six national recommendations. The warnings relevant to hearing-impaired people were corrected, and the course was considered accessible by automatic assessment.

    Conclusion:

    we concluded that the pages of the course were considered, by the software used, appropriate to the standards of web accessibility.

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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.
  • 01-01-2016

    Functional disability: health conditions and physical activity practice in older adults

    Revista Brasileira de Enfermagem. 2016;69(5):825-832

    Abstract

    Functional disability: health conditions and physical activity practice in older adults

    Revista Brasileira de Enfermagem. 2016;69(5):825-832

    DOI 10.1590/0034-7167.2016690502

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    ABSTRACT

    Objective:

    to verify the prevalence of functional disability among older adults and how it can affect their health conditions and the regular practice of physical activities.

    Method:

    this is a household and cross-sectional study conducted with older adults of both sexes. We verified the variables associated with functional disability by Poisson’s regression.

    Results:

    around 420 older adults participated in this study (68.1% of them being women). We observed a statistically significant association between functional disability, the number of chronic diseases, self-assessed health conditions, and the practice of physical activities; the latter only being found among men. Older adults who reported presenting four or more chronic diseases, self-assessed their health conditions as poor, and were not used to practice physical activities, showing high prevalence of functional disability.

    Conclusion:

    considering the changeable character of these variables, we recommend that prevention actions be taken, mainly at primary level, to delay the emergence of disability.

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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.
  • 01-01-2016

    Organizational culture of a psychiatric hospital and resilience of nursing workers

    Revista Brasileira de Enfermagem. 2016;69(5):817-824

    Abstract

    Organizational culture of a psychiatric hospital and resilience of nursing workers

    Revista Brasileira de Enfermagem. 2016;69(5):817-824

    DOI 10.1590/0034-7167.2016690501

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    ABSTRACT

    Objective:

    to analyze the organizational culture of a psychiatric hospital and identify the capacity of resilience of nursing workers.

    Method:

    quantitative research. For data collection, were used the Brazilian Instrument for Evaluation of Organizational Culture (IBACO – Instrumento Brasileiro para Avaliação da Cultura Organizacional) and the Resilience Scale (RS).

    Results:

    participants reported the existence of centralization of power and devaluation of workers, despite recognizing the existence of collaboration at work and practices for improving interpersonal relations. In relation to the capacity of resilience, 50% of workers showed high level, and 42.9% a medium level of resilience. The correlation tests revealed negative values between the IBACO and RS domains, indicating that the lower the appreciation of individuals in the institution, the greater their capacity of resilience.

    Conclusion:

    the organizational values reflect the work organization model in the institution that devalues the workers’ needs and requires greater capacity of resilience.

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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.
  • 01-01-2016

    Fazendo nossa pesquisa em enfermagem ser relevante

    Revista Brasileira de Enfermagem. 2016;69(5):813-814

    Abstract

    Fazendo nossa pesquisa em enfermagem ser relevante

    Revista Brasileira de Enfermagem. 2016;69(5):813-814

    DOI 10.1590/0034-7167-2015-0156

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    Enfermeiros em todo o mundo estão cada vez mais expostos a metodologias de pesquisa novas e interessantes. Ao mesmo tempo, sentem uma pressão considerável para assegurar que os estudos a que se propõem são suficientemente rigorosos metodologicamente para passar pelo crivo de avaliação para fomento ou publicação. Nesse contexto, é cada vez mais importante lembrarmos […]
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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.
  • 01-01-2016

    Making our nursing research matter

    Revista Brasileira de Enfermagem. 2016;69(5):813-814

    Abstract

    Making our nursing research matter

    Revista Brasileira de Enfermagem. 2016;69(5):813-814

    DOI 10.1590/0034-7167-2015-0156

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    Nurses worldwide are being increasingly exposed to new and interesting research methodologies. At the same time, they are feeling considerable pressure to ensure that the studies they propose are sufficiently methodologically rigorous to pass the scrutiny of review for funding or publication. In this context, it is increasingly important to remind ourselves that methodological rigor […]
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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.
  • REVIEW01-01-2016

    The Spiritism as therapy in the health care in the epilepsy

    Revista Brasileira de Enfermagem. 2016;69(4):804-810

    Abstract

    REVIEW

    The Spiritism as therapy in the health care in the epilepsy

    Revista Brasileira de Enfermagem. 2016;69(4):804-810

    DOI 10.1590/0034-7167.2016690425i

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    ABSTRACT

    Objective:

    to present a brief history of Spiritism, the vision of epilepsy by Spiritism, and the potential of spirituality and religiosity care as complementary and coadjutants treatments in epilepsy.

    Method:

    this is a brief review about the impact of faith, spirituality, and religiosity, particularly the Spiritism philosophy as complementary treatment to neurological disorders (particularly focusing on epilepsy) and mental health. We conduct a review of published articles (about religion/spirituality and epilepsy) in the Pubmed and SciELO databases.

    Conclusion:

    the exercise of spirituality and religiosity can be a positive coping strategy to support the traditional therapy of patients with epilepsy and other neurological disorders. However, it is necessary to demystify myths and beliefs about the epilepsy and improve knowledge about this important health dimension among professionals, patients, and caregivers to explore their full treatment and supportive potential.

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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.
  • 01-01-2016

    O Espiritismo como terapia no cuidado em saúde na epilepsia

    Revista Brasileira de Enfermagem. 2016;69(4):804-810

    Abstract

    O Espiritismo como terapia no cuidado em saúde na epilepsia

    Revista Brasileira de Enfermagem. 2016;69(4):804-810

    DOI 10.1590/0034-7167.2016690425i

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    RESUMEN

    Objetivo:

    presentar una breve historia del Espiritismo, la visión de la epilepsia por el Espiritismo, y el potencial de la espiritualidade y religiosidad como tratamientos complementarios y coadyuvantes de la epilepsia.

    Método:

    esta es una breve revisión del impacto de la fe, la espiritualidad y religiosidad, en particular la filosofía espiritual como tratamiento complementario de los trastornos neurológicos (centrada especialmente en la epilepsia) y la salud mental. Para esto, se realizó una revisión de la religiosidad/espiritualidad y la epilepsia en la base de datos PubMed y SciELO.

    Conclusión:

    el ejercicio de la espiritualidad y la religiosidad puede ser una estrategia de afrontamiento y tratamiento positivo para apoyar la terapia tradicional de los pacientes con epilepsia y otros trastornos neurológicos. Sin embargo, es necesario desmitificar muchas creencias sobre la epilepsia así como mejorar el conocimiento sobre este importante aspecto de la dimensión de salud entre profesionales, cuidadores y pacientes para explorar su potencial para el tratamiento y el apoyo.

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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.

  • ORIGINAL ARTICLE10-28-2020

    Conflict management strategies used by Portuguese nurse managers

    Revista Brasileira de Enfermagem. 2020;73:e20190336

    Abstract

    ORIGINAL ARTICLE

    Conflict management strategies used by Portuguese nurse managers

    Revista Brasileira de Enfermagem. 2020;73:e20190336

    DOI 10.1590/0034-7167-2019-0336

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    ABSTRACT

    Objectives:

    to analyze the perception and conflict management strategies used by nurses in the management of people in Portuguese health services.

    Methods:

    descriptive, correlational study, carried out in Portuguese health services, with an intentional non-probabilistic sample, totaling 95 nurse managers. A questionnaire and Conflict Management Scale were used, analyzing the variables of managerial activities and conflict management, with the aid of software.

    Results:

    it was identified that 60% of the managers, report having to mediate conflicts daily, and the majority report adopting dialogue in conduct. However, through the Kruskal-Wallis test, it was shown that enforcement strategies in conflict management prevail (p = 0.008), with collaborative ones being more restricted to monthly intervals (p = 0.049).

    Conclusions:

    managers perceive the importance of collaboration in the mediation of conflicts, however, in their daily lives; they tend to maintain imposing behaviors, signaling for a little transformational leadership style.

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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.
    Conflict management strategies used by Portuguese nurse managers
  • ORIGINAL ARTICLE10-01-2022

    Frailty in the elderly: screening possibilities in Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75(2):e20200973

    Abstract

    ORIGINAL ARTICLE

    Frailty in the elderly: screening possibilities in Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75(2):e20200973

    DOI 10.1590/0034-7167-2020-0973

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    ABSTRACT

    Objectives:

    to evaluate two instruments for screening frailty in the elderly in Primary Health Care.

    Methods:

    this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation.

    Results:

    the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments.

    Conclusions:

    when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.

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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.
  • ORIGINAL ARTICLE09-16-2019

    Knowledge of nursing student on the prevention of sexually transmitted infections

    Revista Brasileira de Enfermagem. 2019;72(5):1145-1152

    Abstract

    ORIGINAL ARTICLE

    Knowledge of nursing student on the prevention of sexually transmitted infections

    Revista Brasileira de Enfermagem. 2019;72(5):1145-1152

    DOI 10.1590/0034-7167-2017-0801

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    ABSTRACT

    Objective:

    To identify the knowledge and self-care actions taken by nursing undergraduate students of a Federal University of the South of Brazil, against Sexually Transmitted Infections.

    Method:

    Exploratory qualitative study, conducted 40 interviews with undergraduate students at the beginning and end of the course. The analysis was thematic, resulting in three categories.

    Results:

    Knowledge about the subject is a decisive factor for self-care, and the more knowledge, the greater the prevention. The dissemination of knowledge of students at the end of the course not only influences self-care but also health promotion in the social sphere.

    Final considerations:

    Knowledge is important in self-care and caring for others. The dissemination of knowledge becomes evident according to the complexity of the course. Stable relationships may interfere with the use or disuse of condoms in sexual relationships, a misnomer present in today’s society.

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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.
  • ORIGINAL ARTICLE03-30-2020

    Meanings assigned by families about children’s chronic disease diagnosis

    Revista Brasileira de Enfermagem. 2020;73(2):e20180742

    Abstract

    ORIGINAL ARTICLE

    Meanings assigned by families about children’s chronic disease diagnosis

    Revista Brasileira de Enfermagem. 2020;73(2):e20180742

    DOI 10.1590/0034-7167-2018-0742

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    ABSTRACT

    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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    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.
    Meanings assigned by families about children’s chronic disease diagnosis
  • 03-09-2020

    Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

    Revista Brasileira de Enfermagem. 2020;73(2):e20180200

    Abstract

    Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

    Revista Brasileira de Enfermagem. 2020;73(2):e20180200

    DOI 10.1590/0034-7167-2018-0200

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    ABSTRACT

    Objectives:

    to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum.

    Methods:

    an Integrative Literature Review with no temporal delineation, whose data collection took place in ten Brazilian and international databases, adding to the total 35 objects of analysis.

    Results:

    a priori categories were adopted, consisting of the psychiatric nursing and mental health teaching in Brazil according to the 1923, 1949, 1962, 1972, 1994 and 2001 nursing curriculum, presented in the light of the dimensions: thought model; places of practice; methods or contents used; and profile or skills of the student.

    Final considerations:

    the study made it possible to observe psychiatric nursing and mental health teaching historical evolution, indicating that teaching transformations involved changes in curriculum, Psychiatric Reform and the way nursing undergraduate courses and schools take these determinants.

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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.
  • 08-19-2019

    Professional education on dementias in Primary Health Care: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1086-1093

    Abstract

    Professional education on dementias in Primary Health Care: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1086-1093

    DOI 10.1590/0034-7167-2018-0652

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    ABSTRACT

    Objective:

    To investigate the most commonly used educational approaches in dementia training for primary health care professionals.

    Method:

    Integrative literature review, conducted between April and June of 2018, in PubMed, LILACS and IBECS databases. The descriptors used were: Training, Health Personnel, Dementia, Primary Health Care for PubMed; and the MeSH terms, Training Programs, Health Personnel, Dementia, and Primary Health Care for LILACS and IBECS.

    Results:

    The sample consisted of 13 articles; eight were published in the last five years (62%); seven articles with a quantitative approach (54%); seven articles produced on the European continent (54%), followed by five published on the North American continent (38%). All journals were from the health area (100%).

    Conclusion:

    Educational strategies were combined and used for education. Significant improvements in knowledge, skills, and attitudes of the teams with regard to professional management of dementias were evidenced.

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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.
    Professional education on dementias in Primary Health Care: an integrative review
  • 05-21-2021

    Quality of life and falls in elderly people: a mixed methods study

    Revista Brasileira de Enfermagem. 2021;74:e20200400

    Abstract

    Quality of life and falls in elderly people: a mixed methods study

    Revista Brasileira de Enfermagem. 2021;74:e20200400

    DOI 10.1590/0034-7167-2020-0400

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    ABSTRACT

    Objective:

    to assess elderly people’s quality of life, understanding the social representations of falls.

    Methods:

    a convergent mixed methods research carried out at homes, with a sample of 134 elderly people. A structured questionnaire was used, covering sociodemographic variables and factors that indicated frailty and risk of falling. For quality of life assessment, Medical Outcomes Study Short-Form 36 and Theory of Social Representations, Abric’s structural approach were used, with data treated by dictionary of equivalent terms, processed in Evoc 2000, converging analytically according to Neuman.

    Results:

    quality of life impairment was identified in terms of physical, emotional and functional capacity. The elements of the possible central nucleus were fall, fear, and bruised-broken-bone.

    Final considerations:

    quality of life impairment can contribute to increase the number of falls, which has been shown to be an event present in elderly people’s lives through evocations. Understanding elderly people’s individual demands allows planning actions.

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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.
    Quality of life and falls in elderly people: a mixed methods study
  • ORIGINAL ARTICLE07-08-2020

    Patient safety: perception of family members of hospitalized children

    Revista Brasileira de Enfermagem. 2020;73(5):e20190525

    Abstract

    ORIGINAL ARTICLE

    Patient safety: perception of family members of hospitalized children

    Revista Brasileira de Enfermagem. 2020;73(5):e20190525

    DOI 10.1590/0034-7167-2019-0525

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    ABSTRACT

    Objectives:

    to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration.

    Methods:

    this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method.

    Results:

    child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members.

    Final Considerations:

    family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.

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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.

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