Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2018

    Being born at home is natural: care rituals for home birth

    Revista Brasileira de Enfermagem. 2018;71:1247-1256

    Abstract

    RESEARCH

    Being born at home is natural: care rituals for home birth

    Revista Brasileira de Enfermagem. 2018;71:1247-1256

    DOI 10.1590/0034-7167-2017-0541

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    ABSTRACT

    Objective:

    To be aware of the care rituals developed by families when preparing for home birth during the gestational process.

    Method:

    Qualitative and ethnographic research developed with families during the gestational process. We adopted the observation-participation-reflection model, and the analysis was performed according to ethnonursing.

    Results:

    Care rituals are related to the choice of home as a place for childbirth, being characterized as a family’s rite of separation to experience this process. Other care rituals involved the preparation of the family and the eldest child as well as the home, the body, and the mind of the pregnant woman, and the choice of destination of the placenta.

    Final considerations:

    We must understand the birth process beyond the biological perspective, considering women and their family as a whole, within a cultural context with their beliefs and values.

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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.
  • RESEARCH01-01-2018

    Violence against children and adolescents: profile and tendencies resulting from Law 13.010

    Revista Brasileira de Enfermagem. 2018;71:1237-1246

    Abstract

    RESEARCH

    Violence against children and adolescents: profile and tendencies resulting from Law 13.010

    Revista Brasileira de Enfermagem. 2018;71:1237-1246

    DOI 10.1590/0034-7167-2017-0048

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    ABSTRACT

    Objective:

    Describing the profile of reported violence against children and adolescents and draw an essay on the initial effects of Law 13.010 on report patterns.

    Method:

    Analytic study of reported cases on SINAN – Information System on Reportable Harms (from 2013 to 2015) of violence to individuals under 19, in 53 cities of Minas Gerais.

    Results:

    1,481 cases were reported, 49.2% before and 50.8% after Law 13.010 came to force (p = 0.5501). There was a 7% decrease on female reports and a 27.2% in male reports (p = 0.0055). It was noticed a change in report patterns (p = 0.0023), with a 130.7% increase to neglect/abandonment reports and a 33% decrease to sexual abuse report. Higher rates of violence from the parents happens at the 1 to 9-year-old age group (p < 0.0001).

    Conclusion:

    Main victims were women, individuals from 15 to 19 years, with aggression happening within the household; after Law 13.010, changes to patterns of victim and offender profiles and of kind of violence were noticed.

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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.
  • RESEARCH01-01-2018

    Every birth is a story: process of choosing the route of delivery

    Revista Brasileira de Enfermagem. 2018;71:1228-1236

    Abstract

    RESEARCH

    Every birth is a story: process of choosing the route of delivery

    Revista Brasileira de Enfermagem. 2018;71:1228-1236

    DOI 10.1590/0034-7167-2016-0497

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    ABSTRACT

    Objective:

    To analyze the discourses on the choice of the route of delivery from the perspective of women and health professionals in a public network.

    Method:

    The methodological approach is the discourse analysis. The data collection was through interviews and the treatment of the data was based on discourse analysis.

    Results:

    The categories were: 1- Between the preference and the decision there is no choice; 2- The complexity of the choice of the route of delivery; 3- It is necessary to legitimize the choice of the woman.

    Final considerations:

    From the perspective of women in labor the route of delivery is determined by the physician and women are not proactive. The nurses’ performance is timid, although their presence is fundamental for stimulating the physiological delivery and promoting the autonomy of women. It identifies the need for the physician to adopt a welcoming attitude, informing the women about the pros and cons involved in choosing the route of delivery.

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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.
  • RESEARCH01-01-2018

    Family violence against gay and lesbian adolescents and young people: a qualitative study

    Revista Brasileira de Enfermagem. 2018;71:1220-1227

    Abstract

    RESEARCH

    Family violence against gay and lesbian adolescents and young people: a qualitative study

    Revista Brasileira de Enfermagem. 2018;71:1220-1227

    DOI 10.1590/0034-7167-2017-0307

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    ABSTRACT

    Objective:

    To analyze the experiences of gay and lesbian adolescents and young people in the process of revealing sexual orientation to their families.

    Method:

    A qualitative study carried out in a city in the state of São Paulo. Twelve gay and lesbian adolescents and youngsters participated. For the data collection, the semi-structured interview was used and data analysis was performed using the method of interpretation of the senses.

    Results:

    The family reactions in the process of “coming out of the closet” of the participants were violent, with persecution and even expulsion from home, in addition to the repression of expressions of homoerotic experiences, which impacted on their health and quality of life.

    Final considerations:

    The family is an essential component of the support network, but also a space that can generate and reproduce forms of violence in the name of heteronormativity. Health services should develop care practices and care for the family and adolescent and homosexual youth victim of violence.

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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.
  • RESEARCH01-01-2018

    Network to combat violence against rural women: articulation and communication of services

    Revista Brasileira de Enfermagem. 2018;71:1212-1219

    Abstract

    RESEARCH

    Network to combat violence against rural women: articulation and communication of services

    Revista Brasileira de Enfermagem. 2018;71:1212-1219

    DOI 10.1590/0034-7167-2017-0044

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    ABSTRACT

    Objective:

    to identify the constituent services of the network to combat violence against rural women in municipalities in the northwestern region of Rio Grande do Sul and to analyze the articulation and communication of services in search of the resolution of situations of violence.

    Method:

    descriptive-exploratory, qualitative study, carried out through semi-structured interviews with 26 professionals from intersectoral services, as well as managers and/or those responsible for these services. Data were systematized through content analysis.

    Results:

    although the professionals collectively discuss and plan coping actions, difficulties were identified in the approximation between services, related to the definition of flow, knowledge of actions/referrals, fear of seeing and reporting violence, understanding that it is not a question of demand of their field of action, and women’s access to services.

    Final considerations:

    it is evident the need to implement public policies that address the singularities of violence against women in rural settings.

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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.
  • RESEARCH01-01-2018

    Clinical application of the Standard Operating Procedure of Positioning with Premature Infants

    Revista Brasileira de Enfermagem. 2018;71:1205-1211

    Abstract

    RESEARCH

    Clinical application of the Standard Operating Procedure of Positioning with Premature Infants

    Revista Brasileira de Enfermagem. 2018;71:1205-1211

    DOI 10.1590/0034-7167-2016-0674

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    ABSTRACT

    Objective:

    To compare the physiological and behavioral responses of Premature Infant (PREEMIE) positioned by the Unit Routine Decubitus (URD) and the Standard Operating Procedure (SOP).

    Method:

    A quasi-experimental comparative study performed at a Neonatal Intensive Care Unit in Southern Brazil. We evaluated 30 PREEMIEs with gestational age ≤32 weeks, randomly assigned to Unit Routine Decubitus (URD) and Intervention Group (IG), subdivided into Right Lateral Decubitus (RLD), Dorsal Decubitus (DD), Left Lateral Decubitus (LLD) and Ventral Decubitus (VD). It was evaluated before, during and after the procedure: Heart Rate (HR); Respiratory Frequency (RF); Peripheral Oxygen Saturation (SpO2); behavior by the Neonatal Behavioral Assessment Scale (NBAS); by NIPS.

    Results:

    During the intervention, RR (p = 0.023), indexes in NBAS (p = 0.01) and NIPS (p <0.0001) reduced significantly in SOP. HR and SpO2 did not present a significant difference.

    Conclusion:

    Positioning according to the SOP shows benefit in relation to the behavioral and physiological status of PREEMIE.

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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.
    Clinical application of the Standard Operating Procedure of Positioning with Premature Infants
  • 01-01-2018

    Contributions of nursing care to women

    Revista Brasileira de Enfermagem. 2018;71:1203-1204

    Abstract

    Contributions of nursing care to women

    Revista Brasileira de Enfermagem. 2018;71:1203-1204

    DOI 10.1590/0034-7167-201871sup301

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    The situation of women and, particularly, the problems concerning their lives deserve special care by health professionals, society and mass media, in order to change their situation and boost improvements due to the condition where women were inserted decades ago and nowadays.The pregnancy-postpartum circle may be the most dramatic and exciting experience in the life […]
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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.
  • 01-01-2018

    Contribuições do cuidado em enfermagem à mulher

    Revista Brasileira de Enfermagem. 2018;71:1203-1204

    Abstract

    Contribuições do cuidado em enfermagem à mulher

    Revista Brasileira de Enfermagem. 2018;71:1203-1204

    DOI 10.1590/0034-7167-201871sup301

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    A situação da mulher e, particularmente, os problemas que dizem respeito à sua vida vêm merecendo destacada atenção por parte dos profissionais de saúde, da sociedade e dos meios de comunicação, sendo focalizada por eles a necessidade de acelerar mudanças na condição que ela ocupou por décadas e ainda hoje ocupa.O ciclo gravídico-puerperal talvez seja […]
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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.

  • REVIEW06-17-2020

    Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(4):e20190008

    Abstract

    REVIEW

    Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(4):e20190008

    DOI 10.1590/0034-7167-2019-0008

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    ABSTRACT

    Objectives:

    to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses.

    Methods:

    scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way.

    Results:

    a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients.

    Conclusions:

    the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.

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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.
    Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
  • ORIGINAL ARTICLE06-01-2020

    Paulo Freire’s research itinerary: contributions for promoting health in the teaching profession

    Revista Brasileira de Enfermagem. 2020;73(4):e20190164

    Abstract

    ORIGINAL ARTICLE

    Paulo Freire’s research itinerary: contributions for promoting health in the teaching profession

    Revista Brasileira de Enfermagem. 2020;73(4):e20190164

    DOI 10.1590/0034-7167-2019-0164

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    ABSTRACT

    Objectives:

    examine Paulo Freire’s research itinerary as a theoretical-methodological framework and its contributions for promoting health in the teaching profession.

    Methods:

    qualitative participatory action research coordinated with Paulo Freire’s itinerary, carried out in culture circles, from April 18, 2018 to June 26, 2018. It involved the participation of 21 teachers from a federal teaching institution.

    Results:

    the method that was used promoted dialogue and reflection among the participants, enabling a health promotion intervention. It facilitated self-knowledge and reflection, resulting in significant changes in the participants, in a process in pursuit that seeks transformations.

    Final Considerations:

    Paulo Freire’s research itinerary was opportune, as a possibility for promoting health, mainly in terms of providing a framework that assists in the practical construction of knowledge and encourages participants to examine their reality in the pursuit of enhanced quality of life.

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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 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.
  • 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 ARTICLE06-08-2020

    Understanding the dramatic therapeutic play session: a contribution to pediatric nursing

    Revista Brasileira de Enfermagem. 2020;73(4):e20180812

    Abstract

    ORIGINAL ARTICLE

    Understanding the dramatic therapeutic play session: a contribution to pediatric nursing

    Revista Brasileira de Enfermagem. 2020;73(4):e20180812

    DOI 10.1590/0034-7167-2018-0812

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    ABSTRACT

    Objectives:

    to understand how the dramatic therapeutic play session occurs within the care of hospitalized children.

    Methods:

    qualitative multiple case study, using theoretical references, such as symbolic interactionism and Vygotsky’s theory of symbolic play. Twenty play sessions performed with six children from 3 to 10 years old were analyzed, each corresponding to one case.

    Results:

    these sessions demonstrated that a dramatic therapeutic play session is a process of four interdependent and complementary steps: bonding, exploring, dramatizing, and play cessation. They also revealed the imaginary situations externalized by the child, the importance of the exploration step for which they manage the imaginary situation and catharsis, and how her higher psychological faculties are articulated during this process.

    Final Considerations:

    the results contribute to the understanding of the conduct and analysis of the dramatic therapeutic play session, reinforcing the importance of its use in pediatric nursing care practice.

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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.
    Understanding the dramatic therapeutic play session: a contribution to pediatric nursing
  • 04-14-2021

    Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times

    Revista Brasileira de Enfermagem. 2021;74:e20200863

    Abstract

    Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times

    Revista Brasileira de Enfermagem. 2021;74:e20200863

    DOI 10.1590/0034-7167-2020-0863

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    ABSTRACT

    Objectives:

    to analyze how the nurse-midwives of maternity wards that were fields of practice for an improvement course in obstetrics have reorganized care in the context of labor and birth amidst the COVID-19 pandemic.

    Methods:

    this is a descriptive, exploratory and qualitative study carried out with nine nurse-midwives who are preceptors and collaborators in maternity wards that were fields of practice for an improvement course, between February and April 2020, through a semi-structured interview through WhatsApp®. Content analysis was used to treat the information.

    Results:

    the pandemic brought the need to reorganize work, with a focus on service training and maintenance of good practices in labor and birth, whose movement was intensely experienced, interfering in nurse-midwives’ mental health.

    Conclusion:

    nurse-midwives have faced the pandemic with concerns about maintaining safe care, focused on practices based on updated scientific evidence.

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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 ARTICLE12-16-2023

    School Nursing Guide for student health promotion: construction and validity

    Revista Brasileira de Enfermagem. 2023;76(1):e20220260

    Abstract

    ORIGINAL ARTICLE

    School Nursing Guide for student health promotion: construction and validity

    Revista Brasileira de Enfermagem. 2023;76(1):e20220260

    DOI 10.1590/0034-7167-2022-0260

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    ABSTRACT

    Objectives:

    to describe the process of construction and validity of a School Nursing Guide for student health promotion.

    Methods:

    a methodological study, carried out from February to December 2021, composed of Convergent Care Research based on Pender’s Health Promotion Model. Based on the literature and dialogue with 11 nurses in the seven online focus groups, actions were constructed. Subsequently, 24 judges assessed content and appearance.

    Results:

    the guide proposes strategies for developing school nursing practices focusing on health promotion. The Appearance Validity Index ranged from 0.63 to 1.0, and the total was 0.84. The Content Validity Index ranged from 0.95 to 1.0, and the total was 0.997.

    Conclusions:

    the guide incorporated the needs of young people recognized by professionals, and the assessment phase confirms its validity, and can be used in the context of practice with young people.

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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.
    School Nursing Guide for student health promotion: construction and validity
  • REFLECTION09-07-2020

    Training and work process in Multiprofessional Residency in Health as innovative strategy

    Revista Brasileira de Enfermagem. 2020;73(6):e20190635

    Abstract

    REFLECTION

    Training and work process in Multiprofessional Residency in Health as innovative strategy

    Revista Brasileira de Enfermagem. 2020;73(6):e20190635

    DOI 10.1590/0034-7167-2019-0635

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    ABSTRACT

    Objectives: To

    reflect about education in health and work process on three programs of multiprofessional residency in Florianópolis/SC.

    Method:

    Reflexive study about Multiprofessional Residency Health Programs of Florianópolis.

    Results:

    Multiprofessional Residency characterizes training health professionals through service education. Developing these professionals’ specialization with assignments that promote professional exercise and magnifies multiprofessional work at the same time, for excellency in unabridged healthcare.

    Final Considerations:

    Multiprofessional Residency Programs make interdisciplinary education, sharing knowledge between residents and other professionals stimulating development of innovation skills.

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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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