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RESEARCH01-01-2018
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
Abstract
RESEARCHIntroduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
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Objective:
to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.
Method:
a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.
Results:
the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.
Final considerations:
it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.
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RESEARCH01-01-2018
Teaching-learning tendencies and strategies used in the leadership development of nurses
Revista Brasileira de Enfermagem. 2018;71:1531-1539
Abstract
RESEARCHTeaching-learning tendencies and strategies used in the leadership development of nurses
Revista Brasileira de Enfermagem. 2018;71:1531-1539
DOI 10.1590/0034-7167-2017-0455
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Objective:
To identify the tendencies and teaching-learning strategies used for leadership development in the discipline Nursing Administration in higher education institutions in Brazil.
Method:
Non-experimental, type survey, descriptive and exploratory, cross-sectional, with quantitative approach.
Results:
The dialogued lecture strategy was cited as used by 241 (91%) professors, followed by research, by 237 (89%), and discussion or group work, by 221 (83%). Strategies not used were: spiral learning, 166 (63%), and online programs, 151 (57%) professors. The strategy that presents higher tendency of use is that of online courses, 104 (39%).
Conclusion:
among the strategies mentioned, all are aligned with the directions given in the literature for nursing education, but these strategies and methodologies influence the formation of leader nurses differently.
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RESEARCH01-01-2018
Plataforma PEnsinar®: a learning tool for teaching the nursing process
Revista Brasileira de Enfermagem. 2018;71:1522-1530
Abstract
RESEARCHPlataforma PEnsinar®: a learning tool for teaching the nursing process
Revista Brasileira de Enfermagem. 2018;71:1522-1530
DOI 10.1590/0034-7167-2016-0411
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Objective:
to describe the construction and transition phases undertaken in the development of a virtual learning environment named Plataforma PEnsinar® (PEnsinar Platform®). This platform aims at teaching the nursing process and the nursing classifications NANDA International, NIC, NOC and ICNP®.
Method:
this is a methodological and technological development research that used construction and transition phases of the software development process named Rational Unified Process.
Results:
the software was developed in the construction phase. Unit and integration tests of components of interfaces were held. In the transition phase, the complete system was showed to the users. It was completely working considering the applicability and employment, under conditions to be implemented and evaluated.
Conclusion:
the study showed how the construction and transition phases of the Plataforma PEnsinar® were developed. It was based on a proposal that inserts the student as an active agent in the nursing process and the professor as a mediator, providing tools that will contribute to a better learning.
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RESEARCH01-01-2018
Clinical and management skills for hospital nurses: perspective of nursing university students
Revista Brasileira de Enfermagem. 2018;71:1514-1521
Abstract
RESEARCHClinical and management skills for hospital nurses: perspective of nursing university students
Revista Brasileira de Enfermagem. 2018;71:1514-1521
DOI 10.1590/0034-7167-2017-0452
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Objective:
to analyze nursing university students’ perception of the professional skills to act in the hospital setting developed during their academic training, and what strategies are being created for the development of these skills during their performance.
Method:
an exploratory, qualitative study in which 40 nursing university students participated. The data were collected from September to December 2016 and conducted thematic inductive analysis.
Results:
clinical skills were identified that could be learned and previously developed at the undergraduate level; and management skills learned during undergraduate education and developed only in the hospital environment. Strategies for the development of skills were identified, such as individual study and Permanent Education, by the employing institution.
Final considerations:
it was evidenced that college contributed in significant proportions for learning and development of some clinical and management skills in the hospital. Still, despite the identified strategies, managers and training centers need to continuously implement strategies for the development of new skills in nurses.
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RESEARCH01-01-2018
Nursing educational intervention for the identification of Adverse Events in hemodialysis
Revista Brasileira de Enfermagem. 2018;71:1507-1513
Abstract
RESEARCHNursing educational intervention for the identification of Adverse Events in hemodialysis
Revista Brasileira de Enfermagem. 2018;71:1507-1513
DOI 10.1590/0034-7167-2017-0843
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Objective:
To develop an educational program aimed at the qualification of the nursing technicians that makes possible the understanding of Adverse Events (AE), aiming to adapt the data records; to elaborate tools for the records of the AE in hemodialysis patients; and to assess the knowledge before and after the educational program.
Method:
An educational intervention was conducted through a classroom and online course on how to recognize and record AE in hemodialysis. The effectiveness of the program was assessed through the gain of knowledge measured through online record of the AE in fictitious problem cases before and after the course.
Result:
Sixteen nursing technicians participated in the study. In the initial test, the mean score was 3.7 ± 0.3 points and in the final assessment was 4.2 ± 0.3 points (p=0.0002).
Conclusion:
It was possible to verify that the educational intervention contributed to increase the knowledge of the participants and that the training of these can be achieved with classroom and online learning courses.
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RESEARCH01-01-2018
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
Abstract
RESEARCHNursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
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Objective:
to analyze the contribution of the laboratory of nursing to the critical education of nurses.
Method:
qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.
Results:
it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.
Final considerations:
the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.
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RESEARCH01-01-2018
Students’ knowledge of metabolic syndrome after educational intervention
Revista Brasileira de Enfermagem. 2018;71:1493-1499
Abstract
RESEARCHStudents’ knowledge of metabolic syndrome after educational intervention
Revista Brasileira de Enfermagem. 2018;71:1493-1499
DOI 10.1590/0034-7167-2017-0342
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Objective:
To analyze the knowledge of children and adolescents about risk factors for metabolic syndrome (MS) before and after educational interventions.
Method:
A quasi-experimental, comparative, prospective and intervention study conducted in 2015 and 2016 with 43 students in the city of Picos (state of Piauí-PI). Five health education meetings were held. For the knowledge analysis, was applied a questionnaire at three different moments.
Results:
Participants’ mean age was 12.6 years (± 2.1), of which 60.5% were female. The ‘More than good’ level of knowledge went from 20.9% to 55.8% after interventions. When evaluated late, students maintained a higher level of knowledge compared to before the interventions. Most said they were able to change their lifestyle after educational meetings.
Conclusion:
The educational intervention promoted increase of knowledge and stimulated changes in attitudes related to risk factors associated with MS.
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RESEARCH01-01-2018
Work engagement among participants of residency and professional development programs in nursing
Revista Brasileira de Enfermagem. 2018;71:1487-1492
Abstract
RESEARCHWork engagement among participants of residency and professional development programs in nursing
Revista Brasileira de Enfermagem. 2018;71:1487-1492
DOI 10.1590/0034-7167-2017-0278
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Objective:
to assess the levels of engagement at work of nurses enrolled in multi-professional residency and professional development programs in health care of a Brazilian public institution.
Method:
a cross-sectional study with 36 professionals. The data were collected in September 2013, with use of the Utrecht Work Engagement Scale (UWES), composed of seventeen self-evaluation items with the dimensions vigor, dedication and absorption, as well as an overall score.
Results:
the levels of engagement ranged from 3.8 to 4.3, and the standard deviations, between 1.1 and 1.3. Nurses showed average levels on vigor (3.8) and absorption (3.9) dimensions, and high levels on dedication (4,3) and engagement (4.0).
Conclusion:
the professionals presented good levels of energy, resilience, enthusiasm and involvement with the work. They are satisfied with the activity and are dedicated to it, which promotes the acquisition of skills and competences along the in-service training, ensuring a future professional practice of quality.
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ORIGINAL ARTICLE01-30-2023
Adverse dermatoneurological events and impacts on daily activities of patients with gastrointestinal neoplasms undergoing chemotherapy
Revista Brasileira de Enfermagem. 2023;76(1):e20220161
Abstract
ORIGINAL ARTICLEAdverse dermatoneurological events and impacts on daily activities of patients with gastrointestinal neoplasms undergoing chemotherapy
Revista Brasileira de Enfermagem. 2023;76(1):e20220161
DOI 10.1590/0034-7167-2022-0161
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Objective:
to associate the presence and grading of adverse dermatoneurological events (peripheral neuropathy and hand-foot syndrome) and the interference in the activities of daily living of patients with gastrointestinal neoplasms undergoing systemic antineoplastic treatment.
Method:
this is a longitudinal, prospective study, using instruments to assess hand-foot syndrome and peripheral neuropathy.
Results:
there were 36 patients: 66.7% diagnosed with colon cancer and 83.2% on combination therapy. From cycle 5 onwards, all of them had hand-foot syndrome, with a majority of grade 1, unrelated to interference in activities of daily living. Regarding peripheral neuropathy, there was a moderate to strong correlation from cycle 1 of treatment.
Conclusion:
peripheral neuropathy negatively affects activities of daily living. The monitoring of dermatoneurological events by oncology nurses contributes to the clinical practice of nursing and subsidizes the development of advanced practice in the country.
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ORIGINAL ARTICLE12-16-2023
Elderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District
Revista Brasileira de Enfermagem. 2023;76(1):e20220170
Abstract
ORIGINAL ARTICLEElderly Mortality due to Ambulatory Care Sensitive Conditions and Primary Health Care Coverage in the Federal District
Revista Brasileira de Enfermagem. 2023;76(1):e20220170
DOI 10.1590/0034-7167-2022-0170
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Objectives:
To describe the mortality coefficients of elderly due to primary care sensitive conditions, from 2008 to 2018, and determine its association with the coverage of the Primary Health Care (Family Health Strategy and Basic Care models) in the Federal District.
Methods:
Ecological time series of mortality in Federal District elderly, from 2008 to 2018. The Poisson regression model was applied, considering as significant those with p<0.05, with a CI of 95%.
Results:
There were 70,503 deaths. There was a decrease in the risk of death of elders due to cardiovascular diseases and diabetes. Higher primary care coverage decreased the chance of death by sensitive conditions, both in Basic Care (OR: 0.994, CI: 0.990-0.998) and in the Family Health Strategy (OR: 0.997, CI: 0.995-0.999).
Conclusions:
Primary Care coverage was associated with a lower chance of death of the elderly due to Ambulatory Care Sensitive Conditions, especially in Basic Care.
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ORIGINAL ARTICLE11-28-2023
Syphilis in pregnancy and congenital syphilis: women’s experiences from the perspective of symbolic interactionism
Revista Brasileira de Enfermagem. 2023;76(1):e20220210
Abstract
ORIGINAL ARTICLESyphilis in pregnancy and congenital syphilis: women’s experiences from the perspective of symbolic interactionism
Revista Brasileira de Enfermagem. 2023;76(1):e20220210
DOI 10.1590/0034-7167-2022-0210
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Objectives:
to understand the meanings attributed by women to the diagnosis and treatment of syphilis and congenital syphilis, and to outpatient follow-up of their children.
Methods:
this is a qualitative study conducted with 30 mothers of children with congenital syphilis using audio-recorded semi-structured interviews, which were submitted to inductive thematic analysis. Symbolic interactionism was the theoretical framework considered in this study.
Results:
two themes were identified, showing the maternal diagnosis involved shock, guilt, and fear of social exclusion, in addition to frustration due to failure to prevent vertical transmission. Moreover, the painful clinical procedures for the child’s treatment enhanced maternal guilt, and the symbolic process of re-signification of the disease/treatment took place with the child’s healing.
Final Considerations:
understanding the intersubjective aspects involved in this experience helps nurses rethink their care practice and contributes to their critical role in the context of syphilis.
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ORIGINAL ARTICLE11-28-2023
Brazilian undergraduate nursing students’ critical thinking need to be increased: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(1):e20220315
Abstract
ORIGINAL ARTICLEBrazilian undergraduate nursing students’ critical thinking need to be increased: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(1):e20220315
DOI 10.1590/0034-7167-2022-0315
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Objectives:
to map Brazilian undergraduate nursing students’ critical thinking level and investigate the correlation between selected sociodemographic data and critical thinking domains.
Methods:
in this descriptive cross-sectional study, participants’ (N=89) critical thinking was assessed using the Health Science Reasoning Test. Correlation between critical thinking domains and sociodemographic data was assessed using the Pearson correlation coefficient.
Results:
the overall results showed a moderate level of participants’ critical thinking (mean = 70.7; standard deviation 5.7). A poor performance was identified in 5 of the 8 critical thinking domains. A significant positive correlation was found between education period and critical thinking (p<.001).
Conclusions:
poor level in students critical thinking domains may lead to negative consequences for their learning outcomes. Further studies should be carried out to confirm our results, in addition to investigation of teaching methods that encourage and ensure the development of students’ critical thinking skills during nursing education.
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ORIGINAL ARTICLE02-06-2023
Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal
Revista Brasileira de Enfermagem. 2023;76(2):e20210244
Abstract
ORIGINAL ARTICLETeaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal
Revista Brasileira de Enfermagem. 2023;76(2):e20210244
DOI 10.1590/0034-7167-2021-0244
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Objective:
To evaluate a proposal for teaching entrepreneurship in an undergraduate Nursing course that uses active methodologies and activities based on the theory of meaningful learning.
Methods:
Interventional, prospective study, with a quantitative perspective, with a total of 102 participating students, carried out from July 2017 to December 2019 at a public university in the state of Sao Paulo. Statistical analysis were performed by non-parametric Chi-square or Fisher’s exact tests, with differences considered statistically significant if p < 0.05.
Results:
Improvements were observed in almost all items evaluated, revealing that meaningful learning became more effective with the use of active teaching methodologies. Most students need adaptation and effort to be put into these methods.
Conclusions:
The proposal offers pedagogical content adaptation, specifically for nursing students. New research should expand teaching-learning techniques for the development of future nurses, preparing them adequately for the job market.
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ORIGINAL ARTICLE03-06-2023
Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors
Revista Brasileira de Enfermagem. 2023;76(2):e20210755
Abstract
ORIGINAL ARTICLEMedication reconciliation in pediatrics: a validation of instruments to prevent medication errors
Revista Brasileira de Enfermagem. 2023;76(2):e20210755
DOI 10.1590/0034-7167-2021-0755
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Objectives:
to develop and validate the content of two instruments for promoting medication reconciliation for the transition of care of hospitalized children.
Methods:
methodological study, conducted in five stages: scope review for conceptual structure; elaboration of the initial version; content validation with five specialists using the Delphi technique; reassessment; and construction of the final version of the instruments. A content validity index of at least 0.80 was adopted.
Results:
three rounds of evaluation were carried out to reach the validity index of the proposed contents, whereas a new analysis of 50% of the 20 items of the instrument aimed at families, and 28.5% of the 21 items aimed at professionals was necessary. The instrument aimed at families reached an index of 0.93, and the instrument for professionals, 0.90.
Conclusions:
the proposed instruments were validated. It is now possible to proceed with practical implementation studies to identify their influence on safety during medication reconciliation at transition of care.
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ORIGINAL ARTICLE05-08-2023
Precarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
Abstract
ORIGINAL ARTICLEPrecarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
DOI 10.1590/0034-7167-2022-0120
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Objectives:
to analyze the implications of precarious work for the organization of work and for the health of nursing professionals in a surgical center.
Methods:
qualitative, descriptive study in which the interview technique was applied on 30 nursing professionals from a surgical center in a university hospital located in the Southeast region of Brazil. The project was approved by the research ethics committee. Thematic content analysis was applied in the categorization of speeches.
Results:
precarious work in the surgical center negatively affects the organization of work due to staff turnover, loss of skilled talent, and the need for continuous training of temporary workers. It also affects the quality of care, leading to risks to patient safety and workers’ health.Final Considerations: it is important to make work conditions less precarious in order to minimize staff turnover and promote the quality of the service offered and the health of the worker.
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ORIGINAL ARTICLE04-07-2023
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
Abstract
ORIGINAL ARTICLESuicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
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Objectives:
to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.
Methods:
an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.
Results:
eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.
Conclusions:
adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.
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ORIGINAL ARTICLE12-21-2020
Construction and validation of a mobile application for development of nursing history and diagnosis
Revista Brasileira de Enfermagem. 2020;73:e20190674
Abstract
ORIGINAL ARTICLEConstruction and validation of a mobile application for development of nursing history and diagnosis
Revista Brasileira de Enfermagem. 2020;73:e20190674
DOI 10.1590/0034-7167-2019-0674
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Objectives:
to describe the construction and validation process for a mobile application for development of the nursing history and diagnosis.
Methods:
methodological study conducted in 2018 in three stages: content creation, based on the Basic Human Needs categories and nursing diagnoses; content assessment by nine nursing judges, with calculation of the content validity index; and construction of the application, which included definition of the requirements, a conceptual map, implementation and prototyping options, tests and implementation.
Results:
the application was organized by sections: Grouped Basic Human Needs, Cranial pair tests, Clinical assessment scales and Additional tests. Two section were adjusted according to the judges’ suggestions.
Final Considerations:
it is the first application produced in Brazil based on the Basic Human Need categories, which enables quick access to information, concepts and typical nomenclatures of semiology, recording of clinical data and definition of nursing diagnoses.
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ORIGINAL ARTICLE10-21-2019
Caring ability, burden, stress and coping of family caregivers of people in cancer treatment
Revista Brasileira de Enfermagem. 2019;72(6):1541-1546
Abstract
ORIGINAL ARTICLECaring ability, burden, stress and coping of family caregivers of people in cancer treatment
Revista Brasileira de Enfermagem. 2019;72(6):1541-1546
DOI 10.1590/0034-7167-2018-0605
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Objective:
To analyze the association between the caring ability and the burden, stress and coping of family caregivers of people in cancer treatment.
Method:
A cross-sectional study with 132 family caregivers. The following instruments were applied: a characterization instrument, the Caring Ability Inventory, the Zarit Burden Interview, the Perceived Stress Scale, and the Brief COPE. The Spearman Correlation was used with significance ≤5%.
Results:
There were significant and positive correlations between total caring ability and: burden – interpersonal relationship (p=0.03); stress (p=0.02) and maladaptive coping (p=0.00); and inversely proportional correlations with problem-focused coping (p=0.03). The courage had inversely proportional correlation with: self-efficacy (p=0.03), interpersonal relationship (p=0.00), stress (p=0.04) and maladaptive coping (p=0.00). The knowledge had significant and positive correlation with problem-focused coping (p=0.00), adaptive coping (p=0.01), and inverse correlation with stress (p=0.02).
Conclusion:
The level of caring ability correlates with levels of stress and burden, and with the type of coping strategy used by family caregivers.
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ORIGINAL ARTICLE10-21-2019
“Waiting for a miracle”: Spirituality/Religiosity in coping with sickle cell disease
Revista Brasileira de Enfermagem. 2019;72(6):1554-1561
Abstract
ORIGINAL ARTICLE“Waiting for a miracle”: Spirituality/Religiosity in coping with sickle cell disease
Revista Brasileira de Enfermagem. 2019;72(6):1554-1561
DOI 10.1590/0034-7167-2018-0635
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Objective:
To understand spirituality/religiosity as experienced by people with sickle cell disease, and its influence on coping with the disease.
Method:
A qualitative, descriptive, and exploratory study conducted in the State of Bahia. Twenty-nine respondents participated in semi-structured interviews. Content analysis was used to analyze the empirical material.
Results:
Individuals with sickle cell disease experience spirituality/religiosity motivated by their hope for a miracle, and fear of death; among their rites are: reading religious materials, individual and group prayer, and attendance at worship services. The effects on their health include: comfort by means of coping by comparing two evils, anxiety relief, social support, and lifestyle changes; however, spirituality/religiosity may be impaired.
Final considerations:
This study demonstrates the need to qualify health professionals to address spiritual issues of these individuals during illness, with the aims of diagnosing suffering and anguish, and providing care, comfort and strengthening of the spiritual bonds of these individuals.
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ORIGINAL ARTICLE02-10-2020
Depression among nursing students and its association with academic life
Revista Brasileira de Enfermagem. 2020;73(1):e20180173
Abstract
ORIGINAL ARTICLEDepression among nursing students and its association with academic life
Revista Brasileira de Enfermagem. 2020;73(1):e20180173
DOI 10.1590/0034-7167-2018-0173
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Objective:
To measure the levels of depression among Nursing students from a public institution of higher education and the association with aspects of academic life.
Method:
Analytical and quantitative study with 203 students from a higher education institution that uses active methodologies. We used Beck’s Depression Inventory and the Likert type scale of academic factors.
Results:
We verified that 19.2% had moderate or severe levels of depression. Higher levels of depression were associated with female gender (p=0.003), working more than 40 hours per week (p=0.047), spending more than 90 minutes to reach academic activities (p=0.043) and with 12 academic factors specific to routines of the studied institution.
Conclusion:
The results contribute to managers’ and professors’ reflection and analysis concerning nursing students’ mental health, in addition to indicating in which aspects there is a need to provide greater support to these students.
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ORIGINAL ARTICLE10-01-2022
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
Abstract
ORIGINAL ARTICLEFactors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
DOI 10.1590/0034-7167-2020-0399
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Objectives:
to assess factors associated with vulnerability and fragility in the elderly.
Methods:
crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index – 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted.
Results:
251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy.
Conclusions:
it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.
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ORIGINAL ARTICLE10-18-2022
Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(2):e20201155
Abstract
ORIGINAL ARTICLEClinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(2):e20201155
DOI 10.1590/0034-7167-2020-1155
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Objectives:
to evaluate students’ knowledge gain after the implementation of clinical simulation in Nursing Fundamentals disciplines.
Methods:
a quasi-experimental intervention was carried out with 60 students, distributed in comparison and intervention groups, who underwent traditional teaching and traditional teaching associated with simulated teaching, respectively. Pre-test and post-test instruments were applied to both groups.
Results:
after analyzing the students’ performance through the applied instruments, both groups had a cognitive evolution along with the taught content, however, when compared, the intervention group obtained a higher knowledge gain than the comparison group (p = 0.016), demonstrating progressive and increasing improvement with the use of the methodology.
Conclusions:
simulated teaching significantly helps students in gaining technical-cognitive knowledge. Therefore, it is recommended to adhere to the use of this methodology for teaching Nursing Fundamentals.
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ORIGINAL ARTICLE06-01-2020
Factors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
Abstract
ORIGINAL ARTICLEFactors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
DOI 10.1590/0034-7167-2018-0913
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Objective:
To analyze the factors associated with occupational stress among nursing workers in health services of medium complexity.
Methods:
Epidemiological, cross-sectional, exploratory study. A randomly selected sample of 126 nursing professionals from medium complexity services in three cities in the state of Bahia (Santo Antônio de Jesus, Feira de Santana and Itabuna) was investigated. Data were collected in 2011 and 2012. The demand-control model proposed by Karasek was used to assess occupational stress. Simultaneous analysis of occupational stressors was performed using Poisson regression with robust variance.
Results:
The prevalence of occupational stress among nursing professionals was 77%. Occupational stress was associated with the professional category of nursing technician (p=0.01).
Conclusion:
The data indicates a concerning situation of exposure to occupational stressors, which requires coping strategies in order to protect the health of the worker.
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ORIGINAL ARTICLE11-26-2022
Factors associated with suicide ideation of healthcare university students
Revista Brasileira de Enfermagem. 2022;75:e20200982
Abstract
ORIGINAL ARTICLEFactors associated with suicide ideation of healthcare university students
Revista Brasileira de Enfermagem. 2022;75:e20200982
DOI 10.1590/0034-7167-2020-0982
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Objectives:
to analyze the factors associated with suicidal ideation in students from healthcare graduation courses.
Methods:
quantitative, cross-sectional study, with 251 students from the courses of radiology, speech-language therapy, medicine, nutrition, health service management, and nursing, from a federal higher education institution in the Southeast of Brazil. Data were collected from August to October 2019, using an electronic questionnaire.
Results:
the prevalence of suicidal ideation among participants was 26.33%. In the final logistic regression model, only depressive symptoms were associated with suicidal ideation. Having symptoms of depression increased the chances of suicidal ideation 2.6 times.
Conclusion:
the high prevalence of suicidal ideation and its associated factors constitutes a situational diagnosis that demands the elaboration of public and institutional policies, focused on the promotion and attention to the mental health of the students.
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