Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    Abstract

    ORIGINAL ARTICLE

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    DOI 10.1590/0034-7167-2023-0129

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    ABSTRACT

    Objectives:

    to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.

    Methods:

    this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.

    Results:

    limitations in physical infrastructure and management of care, along with the women’s limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.

    Final Considerations:

    childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.

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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.
  • 12-16-2024

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    Abstract

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    DOI 10.1590/0034-7167-2024-0217es

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    RESUMEN

    Objetivos:

    analizar la relación entre religión y experiencia profesional con la inteligencia espiritual en enfermeros.

    Métodos:

    estudio transversal y analítico realizado en 2021, participaron 544 profesionales de enfermería que laboraban en establecimiento de salud de Perú durante la pandemia por COVID-19. Para el análisis de los datos se emplearon el análisis de regresión múltiple y correlación de Pearson.

    Resultados:

    en los enfermeros predominó un nivel de inteligencia espiritual saludable (42,8%). Quienes no profesaban una religión tenían mayor probabilidad de tener menor puntaje de inteligencia espiritual (escala global y dimensiones); sin embargo, los enfermeros expertos tuvieron mayor probabilidad de tener mayor inteligencia espiritual (escala global y dimensiones) que los enfermeros novatos (p<0,05).

    Conclusiones:

    la inteligencia espiritual en los enfermeros fue predicha por la religión y la experiencia profesional. Este hallazgo sugiere que la inteligencia espiritual en enfermería se consolida mediante prácticas religiosas y durante el ejercicio profesional.

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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.
  • 12-16-2024

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    Abstract

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    DOI 10.1590/0034-7167-2022-0615

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    RESUMEN

    Objetivos:

    identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.

    Métodos:

    se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.

    Resultados:

    la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.

    Conclusiones:

    los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.

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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 ARTICLE12-16-2024

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    Abstract

    ORIGINAL ARTICLE

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    DOI 10.1590/0034-7167-2023-0183

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    ABSTRACT

    Objectives:

    to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.

    Methods:

    a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.

    Results:

    the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.

    Conclusions:

    the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.

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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.
    Bladder ultrasound: evidence of content validity of a checklist for training nurses
  • ORIGINAL ARTICLE12-16-2024

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    Abstract

    ORIGINAL ARTICLE

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    DOI 10.1590/0034-7167-2023-0186

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    ABSTRACT

    Objectives:

    to understand the nursing team’s perception in relation to the care provided to pregnant women with mental disorders admitted to a psychiatric hospital unit.

    Methods:

    Convergent Care Research carried out between August and December 2021, through semi-structured interviews with 25 nursing professionals from a Psychiatric Unit from a reference Hospital in Southern Brazil.

    Results:

    the organized and analyzed data resulted in two thematic categories: Technical, generic and impersonal care; and From impersonality to the singularity of nursing care. Ensuring unique care for pregnant women with mental disorders means giving them a meaning of existence and providing care from a multidimensional and continuous perspective.

    Final Considerations:

    nursing care for pregnant women in psychiatric hospitalization requires continuous professional qualification, interactive technologies and support for the nursing process, in addition to promoting singular and multidimensional 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.
  • ORIGINAL ARTICLE12-16-2024

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    Abstract

    ORIGINAL ARTICLE

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    DOI 10.1590/0034-7167-2023-0315

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    ABSTRACT

    Objectives:

    to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.

    Methods:

    a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.

    Results:

    the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.

    Conclusions:

    the study results indicate a relationship between these constructs, with implications for the quality and the safety of 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.
    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
  • ORIGINAL ARTICLE12-16-2024

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    Abstract

    ORIGINAL ARTICLE

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    DOI 10.1590/0034-7167-2023-0304

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    ABSTRACT

    Objectives:

    to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.

    Methods:

    a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.

    Results:

    a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).

    Conclusions:

    a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.

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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.
    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
  • ORIGINAL ARTICLE12-16-2024

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    Abstract

    ORIGINAL ARTICLE

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    DOI 10.1590/0034-7167-2023-0237

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    RESUMO

    Objetivos:

    verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.

    Métodos:

    estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.

    Resultados:

    participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).

    Conclusões:

    prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.

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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 ARTICLE04-15-2022

    Application of empathy map on educational actions carried out by nursing professionals

    Revista Brasileira de Enfermagem. 2022;75(4):e20210478

    Abstract

    ORIGINAL ARTICLE

    Application of empathy map on educational actions carried out by nursing professionals

    Revista Brasileira de Enfermagem. 2022;75(4):e20210478

    DOI 10.1590/0034-7167-2021-0478

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    ABSTRACT

    Objective:

    to apply an empathy map to assess nursing professionals’ needs, desires, frustrations and aspirations regarding educational actions.

    Methods:

    a cross-sectional study, carried out in a hospital institution with 164 nursing professionals, who responded to the empathy map, which clarified their participation in institutional educational actions, which were collected from 2019 to 2020, and analyzed using descriptive statistics.

    Results:

    when using the empathy map, educational actions focused on routines predominated, with the sharing of knowledge; promotion of improvements in care; agreement of commitment with proposed actions; insufficient compliance; little incentive to participate; dispersed guidelines among professionals; increased labor demand; and educational activity during the working day.

    Conclusions:

    the empathy map, applied as an instrument for assessing the institutional educational process, qualified as appropriate educational actions or opportunities to improve significant learning for professional nursing education.

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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 ARTICLE02-10-2020

    Resources, objectives and guidelines in a Psychosocial Care Network structure

    Revista Brasileira de Enfermagem. 2020;73(1):e20170864

    Abstract

    ORIGINAL ARTICLE

    Resources, objectives and guidelines in a Psychosocial Care Network structure

    Revista Brasileira de Enfermagem. 2020;73(1):e20170864

    DOI 10.1590/0034-7167-2017-0864

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    ABSTRACT

    Objective:

    to analyze a Psychosocial Care Network structure, based on the compromise of its resources and meeting objectives and guidelines recommended in Ordinance 3,088/2011.

    Method:

    an empirical, quantitative study with 123 primary care professionals, psychosocial and emergency care, who work at Western Network of the city of São Paulo. Questionnaires and statistical analysis were applied through the Exact Fisher’s test with 5% significance considering p= <0.05.

    Results:

    there is compromise of physical resources in the absence of mental health beds in a general hospital (p=0.047); of technological resources in the lack of discussion forums (p=0.036); of human resources in number of teams (p=0.258); and of financial resources (p=0.159). Psychosocial care is the one that most meets the objectives and guidelines.

    Conclusion:

    there are insufficient physical, technological, human, and financial resources for the work articulated in the three care modalities that are heterogeneous in terms of meeting the objectives and guidelines.

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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 ARTICLE06-01-2020

    Nursing entrepreneur care in social inequity contexts

    Revista Brasileira de Enfermagem. 2020;73(4):e20190014

    Abstract

    ORIGINAL ARTICLE

    Nursing entrepreneur care in social inequity contexts

    Revista Brasileira de Enfermagem. 2020;73(4):e20190014

    DOI 10.1590/0034-7167-2019-0014

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    ABSTRACT

    Objectives:

    to identify emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care.

    Methods:

    qualitative study carried out in two stages: field approach from healthcare interventions in a Recycling Materials Association, and individual interviews conducted between October and December 2018.

    Results:

    the analysis resulted in three thematic categories: Social contribution of recyclable materials collectors; From the assistentialist perception to entrepreneurial Nursing care; Emancipatory strategies of recycling work.

    Final Considerations:

    the emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care are related to the appreciation, recognition and enhancement of social work that has been already performed by these professionals, and to the creation of spaces for the socialization of experiences, expectations and perspectives.

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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 ARTICLE07-22-2022

    Effects of carbohydrate use on preoperative thirst: a randomized clinical trial

    Revista Brasileira de Enfermagem. 2022;75(5):e20210355

    Abstract

    ORIGINAL ARTICLE

    Effects of carbohydrate use on preoperative thirst: a randomized clinical trial

    Revista Brasileira de Enfermagem. 2022;75(5):e20210355

    DOI 10.1590/0034-7167-2021-0355

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    ABSTRACT

    Objectives:

    to evaluate the effectiveness of carbohydrate popsicles, carbohydrate solution, and usual care (fasting) on the intensity and discomfort of preoperative thirst.

    Methods:

    a randomized clinical trial with 60 preoperative patients aged between 18 and 60 years, randomized into three groups: control (fasting), carbohydrate solution (100 ml), and carbohydrate popsicle (100 ml). The outcomes were thirst intensity and discomfort.

    Results:

    there was a difference between groups for final thirst intensity (p = 0.01) and final thirst discomfort (p = 0.001). The effect size for both the Solution Group and the Popsicle Group was robust: 0.99 and 1.14, respectively.

    Conclusions:

    the groups that received the carbohydrate fasting abbreviation showed a reduction in thirst discomfort compared to the control group. The carbohydrate popsicle proved more effective in reducing the intensity of thirst. NCT: 3.209.283

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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.
    Effects of carbohydrate use on preoperative thirst: a randomized clinical trial
  • 06-28-2021

    Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants

    Revista Brasileira de Enfermagem. 2021;74:e20200909

    Abstract

    Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants

    Revista Brasileira de Enfermagem. 2021;74:e20200909

    DOI 10.1590/0034-7167-2020-0909

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    ABSTRACT

    Objective:

    to assess breastfeeding support practices for preterm infants at two Baby-Friendly hospitals in southeastern Brazil, comparing the effect of implementing the guidelines for Baby-Friendly Hospital Initiative for Neonatal wards.

    Methods:

    a quasi-experimental study, pre- and post-intervention with control. Implementation of this initiative in the intervention hospital using Knowledge Translation. Data collection on compliance with the adapted Ten Steps, Three Guiding Principles and the Code before and after the intervention was carried out via interviews with mothers of preterm babies and professionals, unit observation and documentary analysis in the intervention and control hospitals. Intra-intergroup comparison was performed.

    Results:

    increases in global compliance with the Three Principles, Ten Steps, the Code, partial compliance with each Principle and in most Steps was greater in the intervention hospital. Conclusion: this initiative improved practices related to breastfeeding in the intervention hospital, demonstrating the potential to improve care and breastfeeding in neonatal wards.

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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.
    Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants
  • ORIGINAL ARTICLE07-28-2021

    Effects of clown activities on patients eligible for palliative care in primary health care

    Revista Brasileira de Enfermagem. 2021;74(5):e20200431

    Abstract

    ORIGINAL ARTICLE

    Effects of clown activities on patients eligible for palliative care in primary health care

    Revista Brasileira de Enfermagem. 2021;74(5):e20200431

    DOI 10.1590/0034-7167-2020-0431

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    ABSTRACT

    Objective:

    Evaluate the effects of clown activities on quality of life, depression, stress, anxiety, aid, and social support in patients eligible for palliative care (PC) attended in Primary Health Care (PHC).

    Method:

    A quasi-experimental study, with pre-intervention and post-intervention evaluation, carried out with 16 patients eligible for early PC in PHC in a Midwestern city. Patients received 24 visits with home-based clown activities.

    Results:

    The interventions evidenced improved quality of life and social support, with significant results for the Social Activities dimension (p = 0.023). Increased scores for Anxiety (p = 0.007) and Depression (p = 0.023) were also observed.

    Conclusion:

    Clown activities can bring positive results for the quality of life and social support of patients eligible for PC at home. They should be encouraged to interact with family knowledge and enhance humanized care, integral and centered on human relationships in PHC.

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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 ARTICLE06-08-2020

    Nurses’ responsibilities in the aerospace environment

    Revista Brasileira de Enfermagem. 2020;73(4):e20180777

    Abstract

    ORIGINAL ARTICLE

    Nurses’ responsibilities in the aerospace environment

    Revista Brasileira de Enfermagem. 2020;73(4):e20180777

    DOI 10.1590/0034-7167-2018-0777

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    ABSTRACT

    Objectives:

    to characterize the nurses who work in the aerospace environment and to identify their most frequent responsibilities during the pre-flight, flight, and post-flight periods.

    Methods:

    a quantitative, exploratory-descriptive research, conducted using a survey through Google forms®, from January to April of 2018, with 50 nurses from aerospace services in Brazil. Data were analyzed using descriptive statistics.

    Results:

    predominance of male participants (64%), mean age of 37 years, with a mean working time in the aerospace environment of six years, in helicopter (54%), and in the southern region (42%). The main pre-flight, flight, and post-flight activities were, respectively: verification/testing of equipment functionality, nursing care for patients, and replacement of supplies and equipment.

    Conclusions:

    In the aerospace environment, nurses’ work are primarily organizational and victim care actions, during all phases of the flight.

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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.
  • 08-16-2021

    The prevalence of the technocratic model in obstetric care from the perspective of health professionals

    Revista Brasileira de Enfermagem. 2021;74:e20200689

    Abstract

    The prevalence of the technocratic model in obstetric care from the perspective of health professionals

    Revista Brasileira de Enfermagem. 2021;74:e20200689

    DOI 10.1590/0034-7167-2020-0689

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    ABSTRACT

    Objectives:

    to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals.

    Methods:

    Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration.

    Results:

    the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff.

    Final Considerations:

    obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.

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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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