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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
Views0See moreABSTRACT
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 ARTICLE05-08-2023
Interactive gerontechnology for fall prevention in the elderly: a descriptive study
Revista Brasileira de Enfermagem. 2023;76(2):e20220739
Abstract
ORIGINAL ARTICLEInteractive gerontechnology for fall prevention in the elderly: a descriptive study
Revista Brasileira de Enfermagem. 2023;76(2):e20220739
DOI 10.1590/0034-7167-2022-0739
Views0See moreABSTRACT
Objectives:
to develop interactive gerontechnology for the prevention of falls in the elderly at home.
Methods:
an exploratory and descriptive study that consisted of gerontechnology development and evaluation by experts and the target audience. For evaluation, researchers used the Agreement Index (AI), considering values greater than 80%.
Results:
the three-dimensional virtual scale model was elaborated through the SketchUp program, with the distribution of rooms and floors, constituting Prototype 1 (P1). Fifty-four judges evaluated the P1, and all presented agreement above the established, with a minimum AI of 88% and a maximum of 100%, producing Prototype 2 (P2). Thirty elderly participants from a philanthropic institution evaluated Prototype 2. On all items, AI ranged from 83% a 100%, resulting in the final version.
Conclusions:
the product of this research reveals itself as an innovative and scientifically based tool aimed at preventing falls in the elderly.
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ORIGINAL ARTICLE05-08-2023
Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
Abstract
ORIGINAL ARTICLETrend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
DOI 10.1590/0034-7167-2022-0351
Views0See moreABSTRACT
Objectives:
to analyze the trend, according to sex, of Ambulatory Care-Sensitive Conditions in the Primary Health Care of the Federal District, from 2009 to 2019.
Methods:
ecological trend study using ACSC hospitalization data available in the Hospitalization System of the Single Health System. The Prais-Winsten method was used to calculate the annual rate variation, expressed in percentages. The dependent variable was the logarithm of the rates, and the independent one, the years in the time series.
Results:
the Federal District registered 2,103,951 general hospitalizations, 16.4% of which were due to Ambulatory Care-Sensitive Conditions. Males had a higher rate of hospitalization in the period, and both sexes showed a stationary trend.
Conclusions:
the time trend of Ambulatory Care- Sensitive Conditions was stationary, but further studies are necessary regarding primary health care coverage.
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05-08-2023
Efectividad del Programa educativo de autorregulación en incrementar conocimientos sobre COVID-19 en militares peruanos
Revista Brasileira de Enfermagem. 2023;76:e20220498
Abstract
Efectividad del Programa educativo de autorregulación en incrementar conocimientos sobre COVID-19 en militares peruanos
Revista Brasileira de Enfermagem. 2023;76:e20220498
DOI 10.1590/0034-7167-2022-0498es
Views0See moreRESUMEN
Objetivo:
Determinar la efectividad del Programa educativo basado en autorregulación del aprendizaje en el nivel de conocimiento sobre COVID-19 en militares.
Métodos:
Estudio preexperimental de diseño pretest y postest con un solo grupo, realizado en 2020. Participaron 179 militares de Puno, Perú. Se desarrollaron dos sesiones expositivo-participativas y un taller demostrativo. Se empleó un cuestionario válido (V de Aiken = 0,69) y confiable (Omega de McDonald = 0,81). Se utilizó el test de Friedman para comparar los resultados en pre y postest.
Resultados:
El nivel de conocimientos sobre COVID-19 y en dos de sus dimensiones cambió de deficiente (pretest) a regular (postest). Sin embargo, en la dimensión medidas preventivas, cambió de deficiente (pretest) a excelente (postest).
Conclusión:
La intervención educativa propuesta fue efectiva al incrementar los conocimientos sobre COVID-19 en militares, principalmente en cuanto a medidas preventivas.
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ORIGINAL ARTICLE05-08-2023
Effectiveness of the self-regulation educational program in increasing knowledge about COVID-19 in Peruvian soldiers
Revista Brasileira de Enfermagem. 2023;76:e20220498
Abstract
ORIGINAL ARTICLEEffectiveness of the self-regulation educational program in increasing knowledge about COVID-19 in Peruvian soldiers
Revista Brasileira de Enfermagem. 2023;76:e20220498
DOI 10.1590/0034-7167-2022-0498
Views0See moreABSTRACT
Objective:
To determine the effectiveness of the educational program based on self-regulation of learning in the level of knowledge about COVID-19 in the soldiers.
Methods:
Pre-experimental study with a pre-test and post-test design with a single group, carried out in 2020. 179 soldiers from Puno, Peru participated. Two expository-participatory sessions and a demonstrative workshop were developed. A valid (Aiken’s V = 0.69) and reliable (McDonald’s Omega = 0.81) questionnaire was used. The Friedman’s test was used to compare the results pre and post-test.
Results:
The level of knowledge about COVID-19 and in two of its dimensions changed from poor (pre-test) to regular (post-test). However, in the preventive measures dimension, it changed from poor (pre-test) to excellent (post-test).
Conclusion:
The proposed educational intervention was effective in increasing knowledge about COVID-19 in the soldiers, mainly in terms of preventive measures.
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ORIGINAL ARTICLE05-08-2023
Validity of a booklet to promote the health of people with diabetes in the face of COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220472
Abstract
ORIGINAL ARTICLEValidity of a booklet to promote the health of people with diabetes in the face of COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220472
DOI 10.1590/0034-7167-2022-0472
Views0See moreABSTRACT
Objectives:
to validate the content and appearance of a booklet to promote the health of people with diabetes mellitus in the face of COVID-19.
Methods:
a methodological study, carried out in a virtual environment with experts who had practical and scientific experience in diabetes mellitus, from November 2021 to February 2022. Data were analyzed using the Content Validity Ratio.
Results:
twenty-seven experts from different states of Brazil and with different academic backgrounds participated in the study. In content validity, reviews were suggested in items in relation to objectives and structure, in appearance validity, adjustments in layout were suggested.
Conclusions:
the results showed that the booklet achieved adequate content and appearance validity rates. Therefore, when adapting to experts’ suggestions, it becomes an accurate tool.
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ORIGINAL ARTICLE05-08-2023
Pleasure and suffering of nursing in COVID-19 hospital units: between disenchantment and formation of meanings
Revista Brasileira de Enfermagem. 2023;76:e20220356
Abstract
ORIGINAL ARTICLEPleasure and suffering of nursing in COVID-19 hospital units: between disenchantment and formation of meanings
Revista Brasileira de Enfermagem. 2023;76:e20220356
DOI 10.1590/0034-7167-2022-0356
Views0See moreABSTRACT
Objective:
to analyze the experiences of pleasure and suffering of nursing workers in COVID-19 hospital units.
Methods:
a multicenter, qualitative study, developed with 35 nursing workers from COVID-19 units in seven hospitals in southern Brazil. Data were produced through semi-structured interviews, submitted to thematic content analysis with the help of NVivo.
Results:
experiences of pleasure were linked to gratification, identification with work content, positive results in care, recognition, integration with the team and personal overcoming. Suffering was revealed in daily life of deaths and losses, feelings of helplessness, team conflicts, institutional demands, professional devaluation. Workers reported disenchantment, but also strengthening the meaning of their work, highlighting frontline impacts on their mental health.
Final considerations:
in the dynamics between pleasure and suffering in nursing work in COVID-19 hospital units, elements point to the risk of psychological illness.
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ORIGINAL ARTICLE04-14-2023
Guide for Systematization of Care and Nursing Process: educational technology for professional practice
Revista Brasileira de Enfermagem. 2023;76:e20210975
Abstract
ORIGINAL ARTICLEGuide for Systematization of Care and Nursing Process: educational technology for professional practice
Revista Brasileira de Enfermagem. 2023;76:e20210975
DOI 10.1590/0034-7167-2021-0975
Views1See moreABSTRACT
Objective:
to elaborate and validate the content of a digital guide educational technology on Systematization of Nursing Care and Nursing Process.
Methods:
applied research of technological development, developed between 2020 and 2021, in three steps. First, a scoping review was carried out to elaborate the content. In the second step, the content was validated with 46 nurse judges selected for convenience. The minimum criterion of agreement among judges was 80%. The third step consisted of content organization and layout.
Results:
the guide content was elaborated from the Federal Nursing Council legislation, scientific articles and textbooks. Content was considered appropriate, relevant and organized by judges.
Final considerations:
the digital guide is an alternative that can contribute to the NP execution and implementation, supporting the planning and implementation of actions for quality of care.
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REVIEW12-21-2020
Strategies and competences of nurses in men’s health care: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190546
Abstract
REVIEWStrategies and competences of nurses in men’s health care: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190546
DOI 10.1590/0034-7167-2019-0546
Views0See moreABSTRACT
Objectives:
to synthesize scientific evidence on nurses’ strategies and competencies in men’s health care.
Methods:
an integrative review carried out in seven databases, with a time frame from 2009 to 2019, using the descriptors “men’s health”, “professional competence”, “nursing”, “nursing care” and “male” in Portuguese and in English.
Results:
ten articles were selected, in which it was demonstrated that nursing professionals develop their professional practices with regard to men’s health care, in convergence with the general skills of the profession. The most used are health care; decision-making; Communication; administration; management; continuing education and leadership, consecutively.
Final Considerations:
professionals’ efforts to strengthen health actions, aimed at male needs, in accordance with the general skills of the profession and the principles and guidelines of the Brazilian National Policy for Comprehensive Care to Men’s Health.
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ORIGINAL ARTICLE09-16-2019
Social representations of HIV/AIDS by older people and the interface with prevention
Revista Brasileira de Enfermagem. 2019;72(5):1129-1136
Abstract
ORIGINAL ARTICLESocial representations of HIV/AIDS by older people and the interface with prevention
Revista Brasileira de Enfermagem. 2019;72(5):1129-1136
DOI 10.1590/0034-7167-2017-0748
Views0See moreABSTRACT
Objective:
To apprehend the social representations elaborated by older people about HIV/AIDS and to understand how they relate to the prevention of HIV infection.
Method:
Descriptive and qualitative research based on the Theory of Social Representations with 42 older people assisted at primary care. Data were produced through in-depth interviews with a semi-structured instrument, processed in the IRaMuTeQ software, and analyzed by means of the descending hierarchical classification.
Results:
Five classes emerged: “HIV/AIDS: a problem of young people”; “Quality of life improvement for people living with HIV/AIDS”; “Vulnerability to HIV/AIDS among heterosexual women in a stable union”; “HIV/AIDS Information Network: process of creation and transformation of social representations” and “Prevention versus stigma”.
Final considerations:
The social representations that older people have about HIV/AIDS influence the adoption of preventive measures negatively because stigma is present and HIV/AIDS is attributed to young men, and to men who have sex with other men.
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ORIGINAL ARTICLE09-21-2020
Autonomy in the reproductive health of quilombolas women and associated factors
Revista Brasileira de Enfermagem. 2020;73:e20190786
Abstract
ORIGINAL ARTICLEAutonomy in the reproductive health of quilombolas women and associated factors
Revista Brasileira de Enfermagem. 2020;73:e20190786
DOI 10.1590/0034-7167-2019-0786
Views0See moreABSTRACT
Objective:
Identify the level of reproductive autonomy of quilombola women and associate it with sociodemographic characteristics and aspects of sexual and reproductive health.
Methods:
Cross-sectional census study carried out in quilombola communities in a municipality in Bahia. Data was collected through questionnaires from the National Health Survey and the Reproductive Autonomy Scale, applied to quilombola women who agreed to participate. Descriptive statistics procedures were used and associations were made between reproductive autonomy scores and sociodemographic and reproductive characteristics.
Results:
The average total score for reproductive autonomy was 2.06. An association was found between the “decision-making” score and marital status. The score for “total reproductive autonomy” was associated with the use of contraceptive method.
Conclusion:
The reality of the study participants converges with the literature regarding the interference of sociodemographic and reproductive factors in the reproductive autonomy of black women.
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ORIGINAL ARTICLE08-19-2019
Psychosocial risks related to the nurse in the psychiatric hospital and management strategies
Revista Brasileira de Enfermagem. 2019;72(4):834-840
Abstract
ORIGINAL ARTICLEPsychosocial risks related to the nurse in the psychiatric hospital and management strategies
Revista Brasileira de Enfermagem. 2019;72(4):834-840
DOI 10.1590/0034-7167-2017-0311
Views0See moreABSTRACT
Objective:
To characterize the presence of psychosocial risks related to the work of the nurse in a psychiatric hospital and the strategies for managing these risks.
Methods:
Qualitative, in which 25 nurses from a psychiatric hospital participated using semi-structured interviews from November 2014 to January 2015. Data analysis was performed using the thematic method.
Results:
The results showed psychosocial risks related to the work of psychiatric nurses, such as: insufficient academic training; lack of preparation and maintenance of equipment; poor relationship with colleagues; shortage of human resources and lack of capacity building; conflict between the demands of the home and work, as well as strategies for managing psychosocial risks such as family, cinema, music, reading, among others.
Final considerations:
This study should provoke the reflection of managers and future nurses regarding the working conditions in a psychiatric hospital and possible psychosocial risks to which they are exposed.
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EXPERIENCE REPORT07-01-2020
Generating meaningful conversation: World Café in strategic interprofessional planning in Continuing Education
Revista Brasileira de Enfermagem. 2020;73(5):e20190279
Abstract
EXPERIENCE REPORTGenerating meaningful conversation: World Café in strategic interprofessional planning in Continuing Education
Revista Brasileira de Enfermagem. 2020;73(5):e20190279
DOI 10.1590/0034-7167-2019-0279
Views0See moreABSTRACT
Objectives:
to present the particularities of the World Café, identifying the main aspects that characterize a planning strategy for a constructive, interactive, and participative dialogue of the individuals, aiming at collaborative and innovative learning.
Methods:
a World Café method workshop with 24 professionals from the teams that work in basic health units.
Results:
we obtained three analysis categories: Individual Needs, Group Needs, and Institutional Needs, which resulted in the Municipal Plan of Actions on Continuing Health Education.
Conclusions:
we found that the World Café was adequate and relevant for the discussion of key themes, for the practices of teams in Primary Care and the production and organization of data in a collective space.
Final Considerations:
the method can contribute to the construction of knowledge and proximity to the daily reality of interdisciplinary teams, as well as serving as a tool in the preparation of planning in Permanent Education.
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06-28-2021
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
Revista Brasileira de Enfermagem. 2021;74:e20200884
Abstract
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
Revista Brasileira de Enfermagem. 2021;74:e20200884
DOI 10.1590/0034-7167-2020-0884
Views1See moreABSTRACT
Objective:
To analyze the temporal trends in the fertility rate, proportion of antenatal consultations and caesarean sections in Brazilian adolescents aged 15 to 19, between 2000 and 2015. Methods: The fertility rate, proportion of prenatal consultations and proportion of routes of birth were calculated using data from DATASUS. The trend analysis was performed using the Prais-Winsten regression model and the annual percentage change.
Results:
There was a trend of reduction of 3.5% per year in the fertility rate among adolescents (p<0.05), in addition to an increasing trend of 6% per year in the proportion of more than six antenatal consultations (p <0.0001) and an increasing trend of 6.8% per year in the proportion of caesarean sections (p<0.0001).
Conclusion:
Despite the decreasing trend in fertility rates among Brazilian adolescents, they remain high. Also noteworthy is the growing trend for caesarean sections, even with improved access to antenatal care.
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ORIGINAL ARTICLE03-30-2020
Implication of the training ad continuing education process for the interprofessional performance
Revista Brasileira de Enfermagem. 2020;73(2):e20180359
Abstract
ORIGINAL ARTICLEImplication of the training ad continuing education process for the interprofessional performance
Revista Brasileira de Enfermagem. 2020;73(2):e20180359
DOI 10.1590/0034-7167-2018-0359
Views0See moreABSTRACT
Objetives:
to analyze the implication of the training/continuing education process of professionals of the Expanded Nucleus of Family Health and Basic Care (Portuguese acronym: Nasf-AB) for their interprofessional performance.
Methods:
a qualitative case study performed with Nasf-AB teams representative of four macro-regions of health of the state of Santa Catarina. Participation of 43 professionals, who answered collective interviews. The results were later submitted to thematic analysis.
Results:
the training is strongly influenced by the Biomedical Model, which acts as an obstacle to interprofessional performance, given the challenges in the daily routine of Nasf-AB professionals. Continuing education emerges as a potential for the successful collaborative work among teams, and between the teams and Family Health professionals.
Final considerations:
there are important limits in the training of professionals. However, the constant interprofessional development promoted by strategies of continuing education contributes to broaden the support and collaborative practices that qualify services and strengthen Basic Care.
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ORIGINAL ARTICLE05-28-2021
Authentic leadership, nurse satisfaction at work and hospital accreditation: study in a private hospital network
Revista Brasileira de Enfermagem. 2021;74(2):e20200227
Abstract
ORIGINAL ARTICLEAuthentic leadership, nurse satisfaction at work and hospital accreditation: study in a private hospital network
Revista Brasileira de Enfermagem. 2021;74(2):e20200227
DOI 10.1590/0034-7167-2020-0227
Views0See moreABSTRACT
Objectives:
to identify the dominant dimensions of the authentic leadership of nurses in a private hospital network and to verify the association with job satisfaction and accreditation.
Methods:
cross-sectional, analytical study carried out in 11 hospitals with 282 nurses, of which 94 were leaders and 188 were led. Participants answered the Authentic Leardership Questionnaire and the Job Satisfaction Survey.
Results:
there was a significant difference between the assessment of leaders and followers in all dimensions of the Authentic Leardership Questionnaire. Regarding the association of authentic leadership and job satisfaction, a significant positive moderate correlation was found among the employees. In hospitals accredited by the Joint Commission International, leaders were perceived as more transparent by their subordinates.
Conclusions:
there was correlation between authentic leadership and job satisfaction and authentic leadership and the accreditation model among the subordinates.
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