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ORIGINAL ARTICLE08-07-2023
King’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
Abstract
ORIGINAL ARTICLEKing’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
DOI 10.1590/0034-7167-2022-0379
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Objectives:
to assess the evidence of reliability and convergent construct validity of the King’s Parkinson’s Disease Pain Questionnaire.
Methods:
psychometric study of 75 older adults with Parkinson’s disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach’s alpha test and stability using the intraclass correlation coefficient. Scores of the King’s Parkinson’s Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity.
Results:
the mean Cronbach’s alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales.
Conclusions:
the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.
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ORIGINAL ARTICLE08-07-2023
Systematization of Nursing Care: how did the concept mature?
Revista Brasileira de Enfermagem. 2023;76(3):e20220464
Abstract
ORIGINAL ARTICLESystematization of Nursing Care: how did the concept mature?
Revista Brasileira de Enfermagem. 2023;76(3):e20220464
DOI 10.1590/0034-7167-2022-0464
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Objectives:
to analyze the Systematization of Nursing Care conceptual maturation from the perspective of pragmatic utility.
Methods:
a concept analysis study. The stages were: select the concept; elaborate analytical questions; comprehensively review the literature; and determine concept structural components. Sixty-one documents were analyzed after a search carried out until October 2019.
Results:
four temporal periods of contextual changes have occurred since the emergence of ideas of a systematization in the 1960s. This first lasted until 1990. It was followed by those from 1990 to 2002, from 2002 to 2009 and from 2009 onwards. Partial conceptual maturity was identified, operationalization over the years, based on multiple definitions, and, currently, a concept of Systematization of Nursing Care with managerial and organizational attributes.
Conclusions:
the concept of Systematization of Nursing Care is partially mature, presents multiple definitions, being operationalized in uncertain connections with other concepts.
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ORIGINAL ARTICLE08-07-2023
“Educational Material on HIV”: validity of health educational technology for people living with HIV
Revista Brasileira de Enfermagem. 2023;76(3):e20220549
Abstract
ORIGINAL ARTICLE“Educational Material on HIV”: validity of health educational technology for people living with HIV
Revista Brasileira de Enfermagem. 2023;76(3):e20220549
DOI 10.1590/0034-7167-2022-0549
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Objectives:
to validate the educational technology “Educational Material on HIV” (INPI – BR 10 2020 003765 0).
Methods:
a methodological study with 39 expert judges in HIV/AIDS, using a 5-point Likert scale for assessment. Data were tabulated, processed and analyzed through descriptive analysis. Cronbach’s alpha and McDonald’s omega tests were performed to analyze internal consistency, and the Intraclass Correlation Coefficient, for reliability. Agreement was established by a Level Content Validity Index greater than 0.90.
Results:
the assessment instrument showed high internal consistency (Cronbach’s alpha of 0.89; McDonald’s omega of 0.91) with reliable values. Based on the Intraclass Correlation Coefficient, judges’ answers showed acceptable reliability, mean score 0.89 (p<0.001). Agreement among judges was greater than 0.90 in the three assessed dimensions (objectives, presentation and relevance).
Conclusions:
the technology was considered a qualified and adequate tool by the judges regarding its objectives, presentation and relevance.
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ORIGINAL ARTICLE08-07-2023
Content validity of the Post-Stroke Guidance and Follow-up Booklet
Revista Brasileira de Enfermagem. 2023;76(3):e20220532
Abstract
ORIGINAL ARTICLEContent validity of the Post-Stroke Guidance and Follow-up Booklet
Revista Brasileira de Enfermagem. 2023;76(3):e20220532
DOI 10.1590/0034-7167-2022-0532
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Objectives:
to provide sources of content validity evidence for the Post-Stroke Guidance and Follow-up Booklet.
Methods:
a quantitative-qualitative approach, using two Delphi method and content analysis rounds. The Educational Content Validation Instrument in Health was sent to 53 independent judges. A Content Validity Index above 0.90 was considered.
Results:
of the 14 nurses who participated, 64.3% have experience with stroke care, 35.7% with primary care and 64.3% with educational material production. In content analysis, judges’ suggestions were stratified into four categories: material conformation, objectivity, accuracy and perception. Spelling changes were made to the images, addition of functionality scale, adequacy of technical terms and language. The Content Validity Index in the second round showed a concordance of 0.97.
Conclusions:
the booklet presented satisfactory content validity sources of evidence.
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ORIGINAL ARTICLE08-07-2023
Undergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces
Revista Brasileira de Enfermagem. 2023;76(3):e20220219
Abstract
ORIGINAL ARTICLEUndergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces
Revista Brasileira de Enfermagem. 2023;76(3):e20220219
DOI 10.1590/0034-7167-2022-0219
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Objectives:
to analyze the knowledge and experience of undergraduate nursing students regarding infusion therapy and peripheral vascular access.
Methods:
descriptive, cross-sectional, analytical study with 123 undergraduate nursing students who answered a semi-structured instrument.
Results:
the majority were women, with a median age of 51 years old; 87% considered the teaching received insufficient to perform in clinical practice. The mean overall knowledge score was 78.1 (SD± 8.97). The themes catheter flushing and lock (38.1%), catheter selection (34.2%), infusion equipment (30.9%) and insertion site (30.9%) presented a significant number of errors.
Conclusions:
practical classes and execution of procedures in health services were predictors for a better knowledge about infusion therapy and vascular access by undergraduate nursing students.
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REVIEW08-07-2023
Early diagnosis of HIV/aids infection: concept analysis
Revista Brasileira de Enfermagem. 2023;76(3):e20220565
Abstract
REVIEWEarly diagnosis of HIV/aids infection: concept analysis
Revista Brasileira de Enfermagem. 2023;76(3):e20220565
DOI 10.1590/0034-7167-2022-0565
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Objectives:
to analyze the concept of “early diagnosis of HIV/Aids infection” in light of Walker and Avant’s conceptual analysis model.
Methods:
concept analysis study based on the framework proposed by Walker and Avant, instrumented by a scoping review conducted in April 2022, following the recommendations of the Joanna Briggs Institute and checklist Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The search was made in eight data sources, obtaining sixteen articles.
Results:
the study found homosexual intercourses, early examination, anti-HIV antibodies, CD4 count, and sexually transmitted infection as the main attributes of the concept. As antecedents: information, risky behavior, unprotected sexual relations, prevention, and access to the service. As main consequences: antiretroviral treatment, seroconversion, transmission, and consultations.
Final Considerations:
the study approached the circumstantial situations of the theme, its attributes, antecedents, and consequences, qualifying the work process based on knowledge of nursing practice.
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REVIEW08-07-2023
Instruments for assessing foot self-care of people with diabetes: a scoping review
Revista Brasileira de Enfermagem. 2023;76(3):e20220555
Abstract
REVIEWInstruments for assessing foot self-care of people with diabetes: a scoping review
Revista Brasileira de Enfermagem. 2023;76(3):e20220555
DOI 10.1590/0034-7167-2022-0555
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Objectives:
to map, in the world literature, instruments for assessing foot self-care of people with diabetes.
Methods:
a scoping review in Scopus by Elsevier, MEDLINE via PubMed, LILACS, SciELO databases and gray literature, using the controlled words diabetic foot, self care, questionnaire. Search was carried out in February and March 2021, according to JBI recommendations and PRISMA-ScR extension.
Results:
fifteen studies made up the review, 14 articles and one thesis, published between 2000 and 2020. 16 instruments were identified: five with an emphasis on general self-care and 11 on foot self-care. Inspection, hygiene, washing and drying between the toes, lotion application and use of proper shoes and socks were the main self-care measures presented.
Final Considerations:
foot self-care is assessed by knowledge, social support and frequency with which measures are being put into practice, encouraging professional practice.
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ORIGINAL ARTICLE08-07-2023
Workload assessment: cross-cultural adaptation, content validity and instrument reliability
Revista Brasileira de Enfermagem. 2023;76(3):e20220556
Abstract
ORIGINAL ARTICLEWorkload assessment: cross-cultural adaptation, content validity and instrument reliability
Revista Brasileira de Enfermagem. 2023;76(3):e20220556
DOI 10.1590/0034-7167-2022-0556
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Objectives:
to adapt, validate the content and assess the reliability of the instrument National Aeronautics and Space Administration – Task Load Index, translated into Brazilian Portuguese.
Methods:
a methodological study, divided into five steps: translation; synthesis; back-translation; assessment of the Portuguese version by an expert committee; pre-test and content validity of the final version by health professionals working in inpatient units. The Content Validity Index (CVI) (minimum 0.80) and Cronbach’s alpha (minimum 0.70) were calculated.
Results:
in the first round, in the agreement analysis of the translated version, three items did not reach the minimum CVI value. It was decided to remove the statement. The instrument title and items “performance” and “effort” were changed. There was consensus and approval of the final version in the pre-test step.
Conclusions:
the NASA Task Load Index instrument, adapted to Brazilian Portuguese, presents reliability and content validity evidence.
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REVIEW06-10-2022
Self-inflicted violence and suicide in people living with HIV/AIDS: a systematic review
Revista Brasileira de Enfermagem. 2022;75:e20210768
Abstract
REVIEWSelf-inflicted violence and suicide in people living with HIV/AIDS: a systematic review
Revista Brasileira de Enfermagem. 2022;75:e20210768
DOI 10.1590/0034-7167-2021-0768
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Objectives:
to analyze intellectual productions on self-inflicted violence and suicide in people living with HIV/AIDS.
Methods:
a systematic review, carried out between March and April 2021, in the PubMed®/MEDLINE®, Web of Science and LILACS databases, subsidized in the Strengthening the Reporting of Observational Studies in Epidemiology. The period outlined was from 2011 to 2020.
Results:
a total of 199 studies were identified, and 16 composed the final sample, grouped into the categories: Sociodemographic characteristics of victims of self-inflicted violence/suicide and their intervening factors (pointing to young adults, especially homosexuals, with low social support and a history of mental illness or substance abuse as usual victims); Successful measures for suicide prevention/control in people living with HIV/AIDS (suggesting more frequent psychosocial and clinical follow-up of those starting antiretroviral and immunocompromised treatment).
Conclusions:
biopsychosocial follow-up, analysis of sociodemographic profile and intervening factors should be frequent in this population for disease prevention/control.
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ORIGINAL ARTICLE09-05-2022
Screening for common mental disorder in elderly residents in the countryside: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75:e20210875
Abstract
ORIGINAL ARTICLEScreening for common mental disorder in elderly residents in the countryside: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75:e20210875
DOI 10.1590/0034-7167-2021-0875
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Objective:
To estimate the prevalence of common mental disorders and their associated factors in the elderly in a municipality in the countryside of the Brazilian Midwest.
Methods:
Quantitative, observational, cross-sectional approach research, conducted with 218 elderly people.
Results:
The prevalence of the common mental disorder among the elderly was 25.1%; in the univariate analysis, it was higher in females (35.4%), in the age group of 80 years or older (46.1%), brown skin color (30.2%), widowed (42.6%), illiterate (47.6%), and retired (27.6%). In the multiple analysis, the variables female gender (p<0.006), age 80 years or older (p<0.036), dissatisfaction with life (p<0.009), lack of social interaction (p=0.017), and dysfunctional family (p=0.021) remained associated with CMD.
Conclusion:
The results revealed are helpful and contribute to the reinforcement of the need for mental health care in this population extract so growing worldwide.
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ORIGINAL ARTICLE06-03-2022
Association between falls in older adults and prevention group
Revista Brasileira de Enfermagem. 2022;75:e20200207
Abstract
ORIGINAL ARTICLEAssociation between falls in older adults and prevention group
Revista Brasileira de Enfermagem. 2022;75:e20200207
DOI 10.1590/0034-7167-2020-0207
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Objectives:
to assess the effectiveness of guidelines on fall prevention in a group of older adults in Primary Health Care.
Methods:
a cross-sectional study, carried out with older adults selected by a simple random sample (274; N=1,234). Data covered sociodemographic and socioeconomic variables, marital status, health conditions, factors associated with falls and participation in the prevention group. Student’s t test was used, and dichotomous variables were used by the chi-square test. The project met ethical requirements.
Results:
sample with female profile (61.7%), married, with low education, mean age of 71.69 years. The factors associated with falls identified were female sex, medicalization and participation in the prevention group. There was no protective association between participation in a fall prevention group in older adults and a decrease in the number of falls.
Conclusions:
based on evidence, a personalized intervention during the nursing visit is suggested as a strategy to prevent falls.
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ORIGINAL ARTICLE03-07-2022
Predictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75:e20201292
Abstract
ORIGINAL ARTICLEPredictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75:e20201292
DOI 10.1590/0034-7167-2020-1292
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Objective:
to identify the prevalence and predictors of frailty in older people in Primary Health Care.
Method:
this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.
Results:
the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).
Conclusions:
the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.
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ORIGINAL ARTICLE04-15-2022
Validation of Questionnaire to Assess the Impact of Dementia on the Family
Revista Brasileira de Enfermagem. 2022;75:e20210232
Abstract
ORIGINAL ARTICLEValidation of Questionnaire to Assess the Impact of Dementia on the Family
Revista Brasileira de Enfermagem. 2022;75:e20210232
DOI 10.1590/0034-7167-2021-0232
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Objective:
To validate a questionnaire to assess the impact of dementia on one of the household members.
Methods:
Methodological study. The instrument was designed based on literature review, expert opinion, and researchers’ experience and then applied to a non-probability convenience sample consisting of 262 family members who live daily with a person with dementia. The construct validity was studied by exploratory factor analysis, principal components method, with varimax rotation of the items.
Results:
An instrument with 30 items was obtained, distributed in four dimensions: “Emotional dimension,” “Economic dimension,” “Family relations dimension,” and “Support-seeking dimension.” Factor analysis revealed a total explained variance of 54.96% and a total Cronbach’s alpha of .899.
Conclusions:
The instrument presents high internal consistency, grouped into four dimensions, all closely related to the family’s adaptation to the onset of dementia in one of its members.
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ORIGINAL ARTICLE03-07-2022
Is self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
Abstract
ORIGINAL ARTICLEIs self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
DOI 10.1590/0034-7167-2021-0388
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Objective:
To analyze the association between self-esteem and quality of life in the elderly.
Methods:
Cross-sectional web survey developed with 519 elderly people. Participants filled out three data collection instruments developed on the Google Forms platform and widely disseminated through all of Brazil. Fisher’s exact test, Mann-Whitney, Pearson correlation, and linear regression with 95% confidence interval were used.
Results:
Self-esteem was associated with all quality-of-life facets: sensory skills [β= 1.307; p<0.001]; autonomy [β= 2.101; p<0.001]; past, present, and future activities [β= 2.486; p<0.001]; social presence [β= 2.547; p<0.001]; death and dying [β= 2.175; p<0.001]; and intimacy [β=2.378; p<0.001].
Conclusion:
There is a positive and statistically significant association between self-esteem and quality of life in the elderly. We therefore suggest the development of local policies capable of raising this age groups’ self-esteem and reaffirming aging as a new possibility for discoveries and pleasure.
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EXPERIENCE REPORT10-24-2022
Nursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
Abstract
EXPERIENCE REPORTNursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
DOI 10.1590/0034-7167-2021-0913
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Objectives:
to describe the strategy of applying the nursing process guided by Pender’s Health Promotion Model to elderly women susceptible to falls with a view to promoting a self-efficacy behavior for fall prevention.
Methods:
application of the nursing process to eleven elderly women who had already experienced falls, living in a neighborhood in the outskirts of Belem, state of Pará, which involved interviews to obtain their nursing history and group meetings using the focus group technique to develop the other phases of the nursing process: nursing diagnosis, nursing interventions, and nursing assessment.
Results:
despite the risk factors for falls, the intervention model adopted in this study allowed elderly women to enhance their self-efficacy.
Final Considerations:
the model proved to be suitable for the participation of elderly women in actions to build fall prevention behaviors, with a view to healthier lifestyles.
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ORIGINAL ARTICLE10-24-2022
Factors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
Abstract
ORIGINAL ARTICLEFactors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
DOI 10.1590/0034-7167-2021-0927
Views1See moreABSTRACT
Objectives:
to analyze the personal and work-related burden factors associated with physical and emotional symptoms of informal caregivers of the elderly.
Methods:
cross-sectional study conducted with 121 informal caregivers and 121 seniors who received care, assessed individually for the risk of: physical overload, musculoskeletal symptoms, Self-Reporting Questionnaire, effort perception, and Katz index.
Results:
a greater perception of effort raises up to 3.3 times the chances of presenting symptoms of pain in the spine region (p=0.01), and lower functional capacity of the elderly increases up to 1.3 times the chances of presenting pain symptoms in the spine region (p=0.02). The symptoms of emotional overload were associated with the caregiver’s low income (p=0.02).
Conclusions:
the perception of effort, dependence of the elderly, caregiver’s age, and symptoms of emotional overload are involved with caregivers’ symptoms of physical overload, and low income, with emotional overload.
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ORIGINAL ARTICLE12-13-2019
Early stimulation in the development of children with microcephaly: maternal perception
Revista Brasileira de Enfermagem. 2019;72:139-146
Abstract
ORIGINAL ARTICLEEarly stimulation in the development of children with microcephaly: maternal perception
Revista Brasileira de Enfermagem. 2019;72:139-146
DOI 10.1590/0034-7167-2018-0272
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Objective:
To know the maternal perception about early stimulation and its repercussion in the development of the child with microcephaly associated with zika virus.
Method:
A qualitative study was carried out from June to August 2017 with five mothers of children diagnosed with microcephaly associated with zika virus. The data were collected through individual interviews with semi-structured script and evaluated by the content analysis, in its thematic modality.
Results:
Mothers recognized the benefits and the advances in the development of the child after the beginning of the early stimulation. It is noteworthy that the difficulty of transportation was the main reason for the lack of attendance at consultations, and that the short time of stimulation was the main weakness of the service.
Final considerations:
The recognition of maternal perception and the difficulties and weaknesses of the service can contribute to the elaboration of public policies and the planning of holistic care for children with microcephaly and their families.
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ORIGINAL ARTICLE05-21-2021
Oncology teaching in undergraduate nursing at public institutions courses in Brazil
Revista Brasileira de Enfermagem. 2021;74(2):e20200851
Abstract
ORIGINAL ARTICLEOncology teaching in undergraduate nursing at public institutions courses in Brazil
Revista Brasileira de Enfermagem. 2021;74(2):e20200851
DOI 10.1590/0034-7167-2020-0851
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Objectives:
to identify the occurrence of oncology teaching in undergraduate nursing curricula.
Methods:
descriptive study, which data was obtained from curriculum and from Pedagogical Course Projects available on the websites from Brazilian public institutions, between June and July 2020.
Results:
143 undergraduate nursing courses were identified. From them, 132 nursing courses (corresponding to 89 education institutions) had available the curriculum and/or Pedagogical Course Projects. Only 7 (5.3%) of them had oncology as a mandatory subject, 4 of them in the Midwest Region. Only 35 (26.5%) had elective subject in Oncology, most of them in the Northeast (45.7%).
Conclusions:
on third of nursing courses at public institutions has Oncology subject in the curriculum, which is few considering the high incidence and mortality from cancer in the country. The findings contribute for discussions, in curricular accommodation, on the relevance of oncology teaching in nursing curricula.
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ORIGINAL ARTICLE12-13-2019
Nurses’ experiences in the care of high-risk newborns: a phenomenological study
Revista Brasileira de Enfermagem. 2019;72:111-117
Abstract
ORIGINAL ARTICLENurses’ experiences in the care of high-risk newborns: a phenomenological study
Revista Brasileira de Enfermagem. 2019;72:111-117
DOI 10.1590/0034-7167-2018-0221
Views0See moreABSTRACT
Objective:
To describe nurses’ experience in the care of high-risk newborns.
Method:
This is a descriptive study with a qualitative approach, based on Merleau-Ponty’s phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty.
Results:
Three categories emerged: “experienced body of the nurse practitioner on the high-risk newborn”; “experienced world of the nurse practitioner on the high-risk newborn”; and “time spent by the nurse practitioner with the high-risk newborn”.
Final considerations:
The study allowed us to describe, through the participants’ speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.
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REVIEW06-18-2021
Microbiological profile of leg ulcer infections: review study
Revista Brasileira de Enfermagem. 2021;74(3):e20190763
Abstract
REVIEWMicrobiological profile of leg ulcer infections: review study
Revista Brasileira de Enfermagem. 2021;74(3):e20190763
DOI 10.1590/0034-7167-2019-0763
Views0See moreABSTRACT
Objectives:
to analyze the microbiological profile of leg ulcers of patients treated at outpatient clinics and hospitals regarding the type of microorganism, microbiological selection of antibiotics, and techniques for the collection of culture material.
Methods:
literature review performed on LILACS, IBECS, MEDLINE, and CINAHL databases, resulting in a descriptive analysis of 27 studies.
Results:
35.7% of the studies occurred in an outpatient care scenario; and 64.2% in hospitals. There was a predominance of swab (100%) in outpatient care and biopsy (55.5%) in the hospital. Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus were more common at both levels of assistance. Methicillin-resistant Staphylococcus aureus was isolated in both.
Conclusions:
the microbiological profile of infections was similar, with the presence of resistant bacteria in both environments. This fact causes concern and raises the need for research to elucidate it. The studies did not compare the effectiveness between biopsy and swab.
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ORIGINAL ARTICLE09-21-2020
Health literacy for caregivers of elders with alzheimer’s disease
Revista Brasileira de Enfermagem. 2020;73:e20190608
Abstract
ORIGINAL ARTICLEHealth literacy for caregivers of elders with alzheimer’s disease
Revista Brasileira de Enfermagem. 2020;73:e20190608
DOI 10.1590/0034-7167-2019-0608
Views1See moreABSTRACT
Objective:
To identify the level of health literacy in informal caregivers of elders with Alzheimer’s disease.
Methods:
Descriptive study with a quantitative and qualitative approach, with health literacy as a theoretical framework. Research carried out with 42 informal caregivers of elders with Alzheimer’s from a geriatrics outpatient clinic, using a questionnaire with sociodemographic data and the Health Literacy instrument.
Results:
The functional and conceptual levels were more prevalent, with regards to elders with Alzheimer’s, than the empowering level. Caregivers searched, evaluated, and used health information and expressed abilities to use and judge the information received.
Final considerations:
The predominance of categories in the cognitive level of learning indicates the need to strengthen the empowering level of these caregivers. Health literacy made it possible to reveal the demands of informal caregivers of elders with Alzheimer’s, evaluating their individual ability to offer this type of assistance. It is also a tool capable of reaching better health results.
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REVIEW12-05-2019
Drug-Related Problems in the transitional care of the elderly from hospital to home
Revista Brasileira de Enfermagem. 2019;72:345-353
Abstract
REVIEWDrug-Related Problems in the transitional care of the elderly from hospital to home
Revista Brasileira de Enfermagem. 2019;72:345-353
DOI 10.1590/0034-7167-2018-0848
Views0See moreABSTRACT
Objective:
To identify the knowledge produced on Medication-Related Problems in the transitional care of the elderly from hospital to home.
Method:
Integrative review of the literature data, organized in six stages: guiding question; establishment of inclusion and exclusion criteria; extraction of data; analyze; interpretation of results; and presentation of the review. Articles were considered among 2002 and 2017, in Portuguese, English, and Spanish, in the databases LILACS, MEDLINE, CINAHL and EMBASE.
Results:
10 studies were selected and analyzed. They were categorized by subject and identified in three themes: Medication Discrepancy and Reconciliation (40%); Adhesion to Medication (30%); and Adverse Drug Events (30%).
Final considerations:
Drug-Related Problems in the transitional care of the elderly from hospital to home, were presented as a relevant theme for nursing, involving complex issues related to care. Drug reconciliation was evidenced as a coherent and effective strategy in home care transitions for the elderly.
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REVIEW07-09-2021
Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
Abstract
REVIEWBreast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
Views1See moreABSTRACT
Objectives:
to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.
Methods:
this is a systematic review following the Cochrane Collaboration recommendations.
Results:
among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.
Conclusions:
Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.
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REFLECTION06-18-2021
Training and practice of nurses in Primary Care management: perspectives of Schön’s Theory
Revista Brasileira de Enfermagem. 2021;74(3):e20200461
Abstract
REFLECTIONTraining and practice of nurses in Primary Care management: perspectives of Schön’s Theory
Revista Brasileira de Enfermagem. 2021;74(3):e20200461
DOI 10.1590/0034-7167-2020-0461
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Objectives:
to analyze the process of permanent professional training of Primary Health Care nurse managers from the perspective of reflective practice theory, built by Donald Schön.
Methods:
this is a theoretical-reflective study.
Results:
the findings apply to nurse managers’ practice to deal with the dilemmas that present themselves in the professional routine according to their knowledge, skills and attitudes, anchored in the reflection-in-action movement, which unites the process of permanent and practical training reflective, favoring the development of skills relevant to management.
Final Considerations:
nursing health managers, during their ongoing training process, can develop skills to act effectively in Primary Care, reflecting in practice and on practice, deciding on the need to remain in training to address the issues arising from that same practice.
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