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ORIGINAL ARTICLE07-31-2023
Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
- Paula dos Santos Brito
, - Lívia Maia Pascoal ,
- Mário Vinicius Teles Costa ,
- Lorrany Fontenele Moraes da Silva ,
- Liana Priscilla Lima de Melo , [ … ],
- Floriacy Stabnow Santos
Abstract
ORIGINAL ARTICLEPrimary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
DOI 10.1590/0034-7167-2022-0475
- Paula dos Santos Brito ,
- Lívia Maia Pascoal ,
- Mário Vinicius Teles Costa ,
- Lorrany Fontenele Moraes da Silva ,
- Liana Priscilla Lima de Melo ,
- Marcelino Santos Neto ,
- Francisca Elisângela Teixeira Lima ,
- Floriacy Stabnow Santos
Views0ABSTRACT
Objectives:
to assess the operationalization of Primary Health Care in the COVID-19 pandemic, according to Primary Care Assessment Tool: PCATool-Brasil attributes, from physicians’ and nurses’ perspective.
Methods:
a cross-sectional study, carried out with 99 physicians and nurses from Basic Health Units in a state in northeastern Brazil, with the aid of the adapted instrument PCATool-Brasil.
Results:
Essential Score was classified as high performance (6.6) and General Score as low performance (6.5). First Contact Access, Care Integration, and Community Guidance scores were <6.6. The best performances were attributed to the Longitudinality, Comprehensiveness and Family Guidance services (scores>6.6).
Conclusions:
the attributes of Primary Health Care, in general, showed values above or close to the cut-off point in the assessment. These data can support strategies for local and national managers to strengthen Primary Health Care in the COVID-19 pandemic and future public health emergencies.
Keywords:COVID-19Health Care Evaluation MechanismsHealth PersonnelHealth Services ResearchPrimary Health CareSee more
- Paula dos Santos Brito
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Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
- Mariana Torreglosa Ruiz ,
- Karoline Faria de Oliveira ,
- Nayara Freitas Azevedo ,
- Marina Carvalho Paschoini ,
- Wellington Francisco Rodrigues , [ … ],
- Monika Wernet
Abstract
Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
Revista Brasileira de Enfermagem. 2023;76:e20220173
DOI 10.1590/0034-7167-2022-0173
- Mariana Torreglosa Ruiz ,
- Karoline Faria de Oliveira ,
- Nayara Freitas Azevedo ,
- Marina Carvalho Paschoini ,
- Wellington Francisco Rodrigues ,
- Carlo José Freire de Oliveira ,
- Jacqueline Faria de Oliveira ,
- Luciana Mara Monti Fonseca ,
- Monika Wernet
Views0See moreABSTRACT
Objectives:
to compare exclusive breastfeeding prevalence versus artificial feeding in newborns of mothers with COVID-19.
Methods:
a systematic review of prevalence, according to JBI. Searches in PubMed®, Embase, CINAHL, LILACS and Web of Science™ databases in August 2021. Cross-sectional, longitudinal or cohort studies were selected, without language and time limitations that showed breastfeeding prevalence or that allowed calculation.
Results:
fifteen articles published in 2020 and 2021, cohort (60%) or cross-sectional (40%) were analyzed. The average of exclusive breastfeeding in mothers with COVID-19 was 56.76% (CI=39.90–72.88), and artificial breastfeeding, 43.23% (CI = 30.99 – 55.88), without statistically significant differences.
Conclusions:
despite the recommendations for maintaining breastfeeding, there was a reduction worldwide, when compared to periods prior to the pandemic. With advances in science, these rates have improved, showing the impact of evidence on practices. As limitations, study sources are cited. It is recommended to carry out new studies. PROSPERO registration CRD42021234486.
- Mariana Torreglosa Ruiz
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ORIGINAL ARTICLE07-10-2023
Correlation between symptoms of depression, attitude, and self-care in elderly with type 2 diabetes
- Maria Cristina Lins Oliveira Frazão ,
- Lia Raquel de Carvalho Viana ,
- Gerlania Rodrigues Salviano Ferreira ,
- Cláudia Jeane Lopes Pimenta ,
- Cleane Rosa Ribeiro da Silva , [ … ],
- Kátia Neyla de Freitas Macedo Costa
Abstract
ORIGINAL ARTICLECorrelation between symptoms of depression, attitude, and self-care in elderly with type 2 diabetes
Revista Brasileira de Enfermagem. 2023;76(3):e20220741
DOI 10.1590/0034-7167-2022-0741
- Maria Cristina Lins Oliveira Frazão ,
- Lia Raquel de Carvalho Viana ,
- Gerlania Rodrigues Salviano Ferreira ,
- Cláudia Jeane Lopes Pimenta ,
- Cleane Rosa Ribeiro da Silva ,
- Kaisy Martins de Albuquerque Madruga ,
- Patrícia Serpa de Souza Batista ,
- Kátia Neyla de Freitas Macedo Costa
Views0See moreABSTRACT
Objectives:
to correlate depressive symptoms, attitude, and self-care of elderly people with type 2 diabetes.
Methods:
study developed with 144 elderly people with diabetes; carried out in Family Health Units. A semi-structured instrument was used to obtain data on the sociodemographic profile; the Geriatric Depression Scale (15 items), the Questionário de Atitudes Psicológicas do Diabetes [Psychological Attitudes of Diabetes Questionnaire], and the Diabetes Self-Care Activities Questionnaire (DSCA) were also used.
Results:
it was identified that 24.3% of the participants presented depressive symptoms, and 93.8% presented negative attitudes of coping. A greater adherence to self-care activities related to the practice of medication was observed. In the correlation between the scales, a negative and inversely proportional correspondence was noted between depressive symptomatology and physical activity (p=0.010) and foot care (p=0.006), likewise between attitude and foot care (p=0.009).
Conclusions:
self-care in elderly people with diabetes mellitus is influenced by depressive symptoms and negative coping attitudes.
- Maria Cristina Lins Oliveira Frazão
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ORIGINAL ARTICLE07-10-2023
Metodologia Lean Seis Sigma para melhoria do processo de alta em uma unidade de terapia intensiva
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
Abstract
ORIGINAL ARTICLEMetodologia Lean Seis Sigma para melhoria do processo de alta em uma unidade de terapia intensiva
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
DOI 10.1590/0034-7167-2022-0538
Views0RESUMEN
Objetivos:
describir el proceso de implementación de Lean Six Sigma para mejorar el proceso de alta en una unidad de cuidados intensivos brasileña.
Métodos:
estudio prospectivo siguiendo el método de desarrollo de proyectos denominado DMAIC (Define-Measure-Analyze-Improve-Control). Este método consta de cinco fases, a saber: definición del proyecto, medición del punto de partida y recolección de datos, análisis de resultados, mejora en los procesos y control estadístico.
Resultados:
la aplicación de la metodología Lean Six Sigma fue efectiva para mejorar el proceso de alta de la unidad de cuidados intensivos a la unidad de hospitalización. Esta mejora representó una reducción en el tiempo promedio de alta de 189 a 75 minutos, totalizando una mejora del 61%.
Conclusiones:
este artículo demuestra la efectividad de la aplicación de la metodología Lean Six Sigma para mejorar el flujo de descarga en una unidad crítica, lo que resulta en la reducción de tiempo y desperdicio.
Keywords:Administração em SaúdeFluxo de TrabalhoGestão da QualidadeMelhoria de QualidadeUnidades de Terapia IntensivaSee more -
REVIEW07-10-2023
Lean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
Abstract
REVIEWLean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
DOI 10.1590/0034-7167-2022-0538
Views0ABSTRACT
Objectives:
to describe the Lean Six Sigma implementation process to improve the discharge process in a Brazilian health institution’s ICU.
Methods:
prospective study following the Define-Measure-Analyse-Improve-Control project development method. This method consists of five phases, namely: project definition, measurement of the starting point and data collection, analysis of results, improvement in processes, and statistical control.
Results:
applying Lean Six Sigma methodology following the Define-Measure-Analyse-Improve-Control in the discharge process from the intensive care unit to the inpatient unit was effective in improving processes. This improvement represented a reduction in the mean patient transfer time to the inpatient unit from 189 minutes to 75 minutes, representing a 61% improvement in discharge time.
Conclusions:
this article demonstrates the effectiveness of applying Lean Six Sigma methodology to improve the discharge flow in a critical unit, resulting in time and waste reduction.
Keywords:Health Services AdministrationIntensive Care UnitsPatient DischargeTotal Quality ManagementWorkflowSee more
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ORIGINAL ARTICLE07-10-2023
Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases
- Geórgia Silva Marques ,
- Alessandra Maciel Almeida ,
- Isabel Cristina Gomes ,
- Michele Renata Barbosa da Silva ,
- Bruno Almeida Rezende
Abstract
ORIGINAL ARTICLEPrimary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases
Revista Brasileira de Enfermagem. 2023;76(3):e20220486
DOI 10.1590/0034-7167-2022-0486
- Geórgia Silva Marques ,
- Alessandra Maciel Almeida ,
- Isabel Cristina Gomes ,
- Michele Renata Barbosa da Silva ,
- Bruno Almeida Rezende
Views0ABSTRACT
Objectives:
to identify whether implementing a supplementary Primary Health Care (PHC) system makes it possible to reduce care costs for older adults with heart diseases.
Methods:
a retrospective cohort of 223 patients with heart disease aged ≥ 60 years. Data were obtained from medical records and cost databases, assessed for a period of one year before and after PHC implementation. The results were expressed as mean absolute frequencies for number of hospitalizations and as average annual expenses expressed in dollars (US$) in relation to cost data.
Results:
there was a reduction in hospitalization expenses after implementing supplementary PHC (p=0.01) and a decrease in the frequency of hospitalizations for the entire sample (p=0.006). There was a reduction in the frequency of consultations at the Emergency Room among frail older adults (p=0.011).
Conclusions:
there was a reduction in hospitalization costs and frequency of visits to the Emergency Room after supplementary PHC.
Keywords:AgedCardiovascular DiseasesCosts and Cost AnalysisLearning Health SystemPrimary Health CareSee more - Geórgia Silva Marques
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ORIGINAL ARTICLE07-10-2023
Occurrence and preventability of adverse events in hospitals: a retrospective study
- Antônio José de Lima Júnior ,
- Ariane Cristina Barboza Zanetti ,
- Bruna Moreno Dias ,
- Andrea Bernardes ,
- Francielly Marques Gastaldi , [ … ],
- Carmen Silvia Gabriel
Abstract
ORIGINAL ARTICLEOccurrence and preventability of adverse events in hospitals: a retrospective study
Revista Brasileira de Enfermagem. 2023;76(3):e20220025
DOI 10.1590/0034-7167-2022-0025
- Antônio José de Lima Júnior ,
- Ariane Cristina Barboza Zanetti ,
- Bruna Moreno Dias ,
- Andrea Bernardes ,
- Francielly Marques Gastaldi ,
- Carmen Silvia Gabriel
Views0See moreABSTRACT
Objectives:
to analyze the incidence of preventable adverse events related to health care in adult patients admitted to public hospitals in Brazil.
Methods:
observational, analytical, retrospective study based on medical records review.
Results:
medical records from 370 patients were evaluated, 58 of whom had at least one adverse event. The incidence of adverse events corresponded to 15.7%. Adverse events were predominantly related to healthcare-related infection (47.1%) and procedures (24.5%). Regarding the adverse event severity, 13.7% were considered mild, 51.0% moderate, and 35.3% severe. 99% of adverse events were classified as preventable. Patients admitted to the emergency room had a 3.73 times higher risk for adverse events.
Conclusions:
this study’s results indicate a high incidence of avoidable adverse events and highlight the need for interventions in care practice.
- Antônio José de Lima Júnior
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- Paulo Jorge dos Santos-Costa ,
- Margarida Maria da Silva Vieira ,
- João Manuel Garcia Nascimento Graveto
- Paulo Jorge dos Santos-Costa
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ORIGINAL ARTICLE11-22-2024
Temporal trends in neonatal mortality in Pernambuco
- Nayara Francisca Cabral de Sousa ,
- Ana Paula Esmeraldo Lima ,
- Vânia Pinheiro Ramos ,
- Mônica de Avelar Figueiredo Mafra Magalhães ,
- André Luiz Sá de Oliveira , [ … ],
- Luciana Pedrosa Leal
Abstract
ORIGINAL ARTICLETemporal trends in neonatal mortality in Pernambuco
Revista Brasileira de Enfermagem. 2024;77(4):e20230451
DOI 10.1590/0034-7167-2023-0451
- Nayara Francisca Cabral de Sousa ,
- Ana Paula Esmeraldo Lima ,
- Vânia Pinheiro Ramos ,
- Mônica de Avelar Figueiredo Mafra Magalhães ,
- André Luiz Sá de Oliveira ,
- Eliane Rolim de Holanda ,
- Luciana Pedrosa Leal
Views0See moreABSTRACT
Objective:
To verify the temporal trend of neonatal mortality in the health regions of Pernambuco between 2000 and 2020.
Method:
A time-series ecological study was conducted, analyzing the total neonatal mortality rate and its early and late components. For regression analysis, Joinpoint Regression was applied, trends were classified, and annual and average percentage changes were calculated for the period, with a significance level of 95%.
Results:
The average neonatal mortality rate in Pernambuco was 11.5 during the studied period. A decreasing trend in neonatal mortality rate was observed, especially in the early component. The region where the state capital is located showed the fastest decrease across all components.
Conclusion:
The temporal trend of neonatal mortality was decreasing; however, the rate of reduction was not uniform across the health regions of the state, and the implementation of the Mãe Coruja Pernambucana Program did not impact the trend in neonatal mortality.
- Nayara Francisca Cabral de Sousa
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ORIGINAL ARTICLE11-22-2024
Evaluation of a video to promote HIV testing in sexual minorities
- Francisco Javier Báez Hernández ,
- Vianet Nava Navarro ,
- Miguel Angel Zenteno López ,
- Víctor Manuel Blanco Álvarez ,
- Arelia Morales Nieto , [ … ],
- Pedro Trejo Hernández
Abstract
ORIGINAL ARTICLEEvaluation of a video to promote HIV testing in sexual minorities
Revista Brasileira de Enfermagem. 2024;77(4):e20230320
DOI 10.1590/0034-7167-2023-0320
- Francisco Javier Báez Hernández ,
- Vianet Nava Navarro ,
- Miguel Angel Zenteno López ,
- Víctor Manuel Blanco Álvarez ,
- Arelia Morales Nieto ,
- Pedro Trejo Hernández
Views0ABSTRACT
Objective:
To design and evaluate an educational video aimed at promoting HIV testing in gay men from the theoretical perspective of the Nola J. Pender Health Promotion Model.
Methods:
The design comprised five steps: 1.- Literature search; 2.- Formulation of the educational objective; 3.- Drafting of the script and location of the information in the theoretical components; 4.- Production; and 5.- Evaluation by experts and the target population.
Results:
The video “Living Without Fear” was produced, which presents the dilemma faced by gay men before taking a HIV test. The content validity index was 0.85, which indicated that the information was adequate and acceptable for promoting the rapid HIV test.
Final Considerations:
The results contribute to the scientific evidence aimed at promoting healthy behavior. In addition, the video was shown to be an acceptable educational tool.
Keywords:Audiovisual ResourcesHIV TestingInstructional Film and VideoSexual and Gender MinoritiesValidation StudySee more - Francisco Javier Báez Hernández
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ORIGINAL ARTICLE11-22-2024
Development and validity of a mobile application prototype for hospital shift handover
- Luciana Pizolio Garcia Dematte ,
- André Estevam Jaques ,
- Carla Moretti de Souza ,
- Martina Mesquita Tonon ,
- Cátia Millene Dell’Agnolo , [ … ],
- Milton Alejandro Jorquera Malebrán
Abstract
ORIGINAL ARTICLEDevelopment and validity of a mobile application prototype for hospital shift handover
Revista Brasileira de Enfermagem. 2024;77(4):e20230173
DOI 10.1590/0034-7167-2023-0173
- Luciana Pizolio Garcia Dematte ,
- André Estevam Jaques ,
- Carla Moretti de Souza ,
- Martina Mesquita Tonon ,
- Cátia Millene Dell’Agnolo ,
- Cremilde Aparecida Trindade Radovanovic ,
- Adriane Bochi Cândido ,
- Milton Alejandro Jorquera Malebrán
Views0ABSTRACT
Objective:
To develop and validate a mobile application prototype for nursing shift handover in a hospital inpatient unit.
Methods:
A methodological study of technological production, carried out from April 2020 to January 2022, for mobile application construction and validity through the Design Thinking methodology. The study involved the stages of prototype development and validity by experts.
Results:
The application for mobile nursing shift handover obtained a usability score of 79 points and a content validity coefficient of 0.7.
Conclusions:
The instrument obtained an excellent assessment according to usability and agreement among experts. However, future studies are needed to implement this technology in order to assess effectiveness, time optimization and failures during communication.
Keywords:Health Information ExchangeHealth TechnologyHospitalizationMobile ApplicationsSoftware ValidationSee more
- Luciana Pizolio Garcia Dematte
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ORIGINAL ARTICLE10-25-2024
Analysis of the vaccination situation against Mpox in people living with HIV/AIDS: an ecological study
- Núbia Vanessa da Silva Tavares ,
- Amuzza Aylla Pereira dos Santos ,
- Mariana Maria Pereira Cintra Farias Carvalho ,
- Kariane Omena Ramos Cavalcante de Melo ,
- Hillary Gabriela dos Santos Oliveira , [ … ],
- José Augustinho Mendes Santos
Abstract
ORIGINAL ARTICLEAnalysis of the vaccination situation against Mpox in people living with HIV/AIDS: an ecological study
Revista Brasileira de Enfermagem. 2024;77(5):e20230234
DOI 10.1590/0034-7167-2023-0234
- Núbia Vanessa da Silva Tavares ,
- Amuzza Aylla Pereira dos Santos ,
- Mariana Maria Pereira Cintra Farias Carvalho ,
- Kariane Omena Ramos Cavalcante de Melo ,
- Hillary Gabriela dos Santos Oliveira ,
- Thaís Honório Lins Bernardo ,
- Selma Sabrina de Albuquerque Calheiros ,
- José Augustinho Mendes Santos
Views0See moreABSTRACT
Objectives:
to analyze the vaccination situation against Mpox in people living with HIV/AIDS in Brazil.
Methods:
an ecological study on the vaccination status against Mpox in people living with HIV/AIDS (PLWHA) in Brazil. The data were collected in April 2023 through information from the Ministry of Health, using the “Microsoft app Power BI,” which is publicly accessible.
Results:
the data analysis revealed that in Brazil, 2,978 doses of the MVA-BN Jynneos Mpox vaccine were administered in PLWHA, resulting in a vaccination coverage of 18.3%, with the southern and southeastern regions showing the lowest and highest vaccination coverage, respectively. Gender-based evaluation showed a higher proportion of vaccinated males.
Conclusions:
we identified low vaccination coverage in all regions of Brazil, highlighting the need for intensified vaccination activities, especially for PLWHA.
- Núbia Vanessa da Silva Tavares
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ORIGINAL ARTICLE10-11-2024
Indigenous women’s experiences about the pregnancy-puerperal cycle
- Lubiane Boer ,
- Francisca Georgina Macedo de Sousa ,
- Rizioléia Marina Pinheiro Pina ,
- Margarita Poblete ,
- Léris Salete Bonfanti Haeffner , [ … ],
- Dirce Stein Backes
Abstract
ORIGINAL ARTICLEIndigenous women’s experiences about the pregnancy-puerperal cycle
Revista Brasileira de Enfermagem. 2024;77:e20230410
DOI 10.1590/0034-7167-2023-0410
- Lubiane Boer ,
- Francisca Georgina Macedo de Sousa ,
- Rizioléia Marina Pinheiro Pina ,
- Margarita Poblete ,
- Léris Salete Bonfanti Haeffner ,
- Dirce Stein Backes
Views0See moreABSTRACT
Objectives:
to understand the experiences of indigenous women regarding the pregnancy-puerperal cycle.
Methods:
qualitative, exploratory and descriptive research, carried out between May and August 2023 with 27 pregnant women from Indigenous Villages in Mato Grosso, Brazil, through open individual interviews. The data was analyzed using Reflexive thematic analysis.
Results:
data analysis resulted in the following themes: Cultivation of labor and birth in its natural and sacred path; Unique practices and beliefs associated with breastfeeding; Evolved or reductive thinking? The participants suggest inviolable practices and beliefs, which must be welcomed, respected and enhanced by indigenous health teams.
Final Considerations:
the experiences of indigenous women regarding the pregnancy-puerperal cycle are unique and motivated by inviolable cultural and religious beliefs, which transcend scientific knowledge, certainties and the linearity of contemporary approaches, normally established as order.
- Lubiane Boer
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REVIEW10-07-2024
Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
Revista Brasileira de Enfermagem. 2024;77(5):e20240162
Abstract
REVIEWRisk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
Revista Brasileira de Enfermagem. 2024;77(5):e20240162
DOI 10.1590/0034-7167-2024-0162
Views0See moreABSTRACT
Objectives:
to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.
Methods:
an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.
Results:
from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient’s vein; skin elasticity; unsuccessful insertion.
Conclusions:
it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.
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ORIGINAL ARTICLE10-07-2024
Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study
- Vanessa Ferraz Leite ,
- Moisés Kogien ,
- Margani Cadore Weis Maia ,
- Marina Nolli Bittencourt ,
- Larissa de Almeida Rézio , [ … ],
- Samira Reschetti Marcon
Abstract
ORIGINAL ARTICLEIndicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(5):e20230499
DOI 10.1590/0034-7167-2023-0499
- Vanessa Ferraz Leite ,
- Moisés Kogien ,
- Margani Cadore Weis Maia ,
- Marina Nolli Bittencourt ,
- Larissa de Almeida Rézio ,
- Samira Reschetti Marcon
Views0See moreABSTRACT
Objectives:
to assess the association between indicators of emotional distress and dispositional mindfulness in health students at a Brazilian federal public university.
Methods:
a cross-sectional study, developed with university students in the health area of a public institution from May to June 2022. In the analysis, multiple linear regression was used using SPSS software.
Results:
the sample was mostly female, ≤ 22 years old, non-white, studying the first semesters, with a higher prevalence for the medicine course. Students presented moderate dispositional mindfulness scores. It was observed that the variables of stress, depression and current suicide risk were associated with the capacity for mindfulness.
Conclusions:
knowing the indicators of emotional distress that are related to the potential of mindfulness can contribute as a situational diagnosis to better design strategies that promote the improvement of emotional indicators of health students.
- Vanessa Ferraz Leite
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ORIGINAL ARTICLE10-07-2024
Development and validation of a mobile application prototype for postoperative cardiac surgery
- Gabriele Cardoso Gonçalves Alves ,
- Fabiola Leticia Damascena Amador ,
- Vagner Rogério dos Santos ,
- Rita Simone Lopes Moreira
Abstract
ORIGINAL ARTICLEDevelopment and validation of a mobile application prototype for postoperative cardiac surgery
Revista Brasileira de Enfermagem. 2024;77(5):e20230491
DOI 10.1590/0034-7167-2023-0491
- Gabriele Cardoso Gonçalves Alves ,
- Fabiola Leticia Damascena Amador ,
- Vagner Rogério dos Santos ,
- Rita Simone Lopes Moreira
Views0See moreABSTRACT
Objectives:
to develop and validate the content, appearance, and semantics of a prototype application for monitoring patients in the postoperative period of cardiac surgery.
Methods:
this is a technological development study based on Contextualized Instructional Design. The content and appearance evaluation was conducted by a committee of specialists, and semantic validation was carried out by patients from a cardiac surgery outpatient clinic.
Results:
the application prototype consisted of 43 screens, validated by 17 health specialists, with content validity ratio and appearance validity index results of 0.86 and 0.99, respectively. For semantic validation, 10 patients participated in data collection, with a total content validity index of 0.978.
Conclusions:
the prototype of the “VivaCor PósOp” application demonstrated evidence of content, appearance, and semantic validity, with the potential to stimulate self-care in patients in the postoperative period of cardiac surgery.
- Gabriele Cardoso Gonçalves Alves
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EDITORIAL01-01-2015
A Pesquisa em Enfermagem e os novos rumos a partir do SENPE
Revista Brasileira de Enfermagem. 2015;68(4):571-572
Abstract
EDITORIALA Pesquisa em Enfermagem e os novos rumos a partir do SENPE
Revista Brasileira de Enfermagem. 2015;68(4):571-572
DOI 10.1590/0034-7167.2015680401i
Views0Após quase meio século do início da pesquisa em Enfermagem no Brasil, ainda há necessidade de investimentos para considerá-la consolidada. Os seminários nacionais que discutem a investigação nesta área demonstram esta afirmação ao longo de 17 eventos, por seus resultados e participação da categoria de pesquisadores e prestadores de serviço.O 18º Seminário Nacional de Pesquisa […]See more -
REFLECTION01-01-2015
Comprehensive health care: dilemmas and challenges in nursing
Revista Brasileira de Enfermagem. 2015;68(2):333-338
Abstract
REFLECTIONComprehensive health care: dilemmas and challenges in nursing
Revista Brasileira de Enfermagem. 2015;68(2):333-338
DOI 10.1590/0034-7167.2015680221i
Views0See moreABSTRACT
Objective:
this article discusses comprehensive care as a guiding tenet of the Brazilian Unifi ed Health System (SUS), outlining health care practices, especially nursing, and the relationships built by subjects in action by means of different knowledge.
Methods:
this is a theoretical refl ection that aims to propose dimensions of analysis (access to services, reception, links, lines of care, accountability, and responsiveness), with an emphasis on the dilemmas and challenges of nursing. The proposed dimensions analyze the production of care and its political and technical aspects.
Conclusion:
care should be the focus of all health care work, bearing in mind that intervention for technological action of each profession goes beyond the core of isolated knowledge, as is the case of nursing, which is connected to other professional practices, and can peruse other territories that operate through relational technologies, entering into the world of the needs of users and families.
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REVIEW01-01-2015
Gender and violence against women in nursing literature: a review
Revista Brasileira de Enfermagem. 2015;68(2):325-332
Abstract
REVIEWGender and violence against women in nursing literature: a review
Revista Brasileira de Enfermagem. 2015;68(2):325-332
DOI 10.1590/0034-7167.2015680220i
Views0See moreABSTRACT
Objective:
considering the potential of nursing to expand understanding on this theme, this study aims to learn what is being published on gender and violence against women in the main Brazilian nursing journals.
Method:
an integrative review of online publications between 2000 and 2012 was conducted. Of the 138 articles selected, 25 addressed gender and violence against women as social constructs.
Results:
there was a predominance of qualitative approaches (60%), empirical research (60%), academic (100%), authors who were nurses (96%), spousal violence (32%) and domestic violence (20%). Violence against women in the light of gender was associated in only 32% of the articles.
Conclusion:
there is a need for increased studies in partnership with the public health care service, and to expand discussions on the dynamics of power and resistance, which are the basis of the concept of gender.
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RESEARCH01-01-2015
Nasal colonization in nursing professionals from units specialized in HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(2):320-324
Abstract
RESEARCHNasal colonization in nursing professionals from units specialized in HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(2):320-324
DOI 10.1590/0034-7167.2015680119i
Views0See moreABSTRACT
Objective:
to investigate the presence of microorganisms in the nostrils of the nursing professionals of a Brazilian teaching hospital.
Method:
cross-sectional study in two inpatient units specialized in HIV/AIDS. Nasal secretion samples of nursing professionals were collected in one month. The samples were processed at the microbiology laboratory of the institution and analyzed using the Statistical Package for the Social Sciences (SPSS) software, version 19.0. Ethical aspects were abided.
Results:
from the 73 members of the nursing staff, samples of nasal secretions were collected from 61 (80.2%). Six types of microorganisms were isolated in 22 (41.0%) positive cultures. It is noteworthy that Staphylococcus aureus accounted for 22.9%, four of them oxacillin-resistant (MRSA).
Conclusion:
Staphylococcus aureus microorganism accounted for the largest prevalence in individuals of this study.
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RESEARCH01-01-2015
Evaluation of nursing students about learning with clinical simulation
Revista Brasileira de Enfermagem. 2015;68(2):311-319
Abstract
RESEARCHEvaluation of nursing students about learning with clinical simulation
Revista Brasileira de Enfermagem. 2015;68(2):311-319
DOI 10.1590/0034-7167.2015680218i
Views0See moreABSTRACT
Objective:
to describe the contributions of clinical simulation for learning cognitive and procedural attributes through debriefi ng, from the perspective of nursing students.
Method:
descriptive exploratory study. Twenty nursing undergraduate students from a university in the interior of the state of São Paulo participated in this study. Data collection was performed at the debriefi ng stage. Student’s perceptions about the simulation, positive aspects and what they could have done differently were registered. The students’ statements were grouped according to the central themes and the framework of Bardin’s content analysis (2011) and were analyzed using descriptive statistics.
Results:
enhancement of active, critical and refl ective learning (47.5%) was identifi ed due to the closeness to reality in nursing care (20.3%), manifestation of feelings experienced during the simulation (15.3%) and composition of the scenario (15.3%).
Conclusion:
the clinical simulation followed by debriefi ng promotes the understanding of the link between action and achievements in learning.
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RESEARCH01-01-2015
Risk assessment of patient falls while taking medications ordered in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(2):305-310
Abstract
RESEARCHRisk assessment of patient falls while taking medications ordered in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(2):305-310
DOI 10.1590/0034-7167.2015680217i
Views0See moreABSTRACT
Objective:
to stratify prescribed medication in a fall risk scale, identifying subgroups of drugs and inpatient units with higher risk of falls.
Method:
retrospective study on prescription order forms given by medical clinic, surgical clinic, and general intensive care unit. Risk factors under consideration: 1) orthostatic hypotension; 2) arterial hypotension; 3) arterial hypertension; 4) bradycardia; 5) psychomotor agitation; 6) mental confusion; 7) dizziness; 8) drowsiness/sedation; 9) reduced eyesight; 10) seizures; 11) atonia/dystonia/muscle weakness; 12) hypoglycemia; 13) urgent urination and 14) urgent defecation/diarrhea. Risk levels adopted: 0: 0 factor; I: 1-2 factors; II: 3-5 factors; III: 6-9 factors; IV: 10-14 factors.
Results:
3893 drugs were analyzed and stratifi ed in levels: 0 22.7%; I 33.5%; II 28%; III 15.1%; IV 0.7%. Levels III and IV more often refer to drugs for stomach acid disorders, 22.6%, and psycholeptics, 100%.
Conclusion:
knowing the risk factors associated with medication may help prevent and reduce falls, especially when therapeutic regimens cannot be modifi ed.
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RESEARCH01-01-2015
Knowledge and practice of the nurse about leprosy: actions of control and elimination
Revista Brasileira de Enfermagem. 2015;68(2):297-304
Abstract
RESEARCHKnowledge and practice of the nurse about leprosy: actions of control and elimination
Revista Brasileira de Enfermagem. 2015;68(2):297-304
DOI 10.1590/0034-7167.2015680216i
Views0See moreABSTRACT
Objective:
to assess the knowledge and practice of primary health care nurses about control and elimination actions of leprosy.
Method:
evaluation study with qualitative approach, using the Discourse of the Collective Subject, data were collected through semi-structured interviews conducted with 16 nurses.
Results:
the data collected revealed that health professionals have suffi cient knowledge about the National Policy on Control and Elimination of Leprosy (NPCEL) and that the main actions preconized were applied, however, notifi cation of suspected or confi rmed cases and social reintegration of the patient were not mentioned.
Conclusion:
keeping patients in treatment, overload of work, lack of interdisciplinarity and treatment performed at other locations outside of the community were diffi culties reported by professionals. Nurses know the actions addressed at assistance of leprosy patients, however, the study points to the need for a practice which is more aligned to what advocates NPCEL.
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RESEARCH01-01-2015
Weaknesses of vaccine storage in Primary Healthcare Centers
Revista Brasileira de Enfermagem. 2015;68(2):291-296
Abstract
RESEARCHWeaknesses of vaccine storage in Primary Healthcare Centers
Revista Brasileira de Enfermagem. 2015;68(2):291-296
DOI 10.1590/0034-7167.2015680215i
Views0See moreABSTRACT
Objective:
assessment through qualitative approach of vaccine storage in Primary Healthcare Centers.
Method:
assessment study of qualitative approach in which 30 interviews were conducted with nurses, nursing technicians or assistants and technical reference in immunization, in 12 vaccine rooms that had 100% of the structural criteria evaluated. Recorded testimonials of the subjects were organized and analyzed using thematic Content Analysis.
Results:
the assessment pointed to absence of knowledge on the parts of nurses and nursing technicians and assistants with respect to the effects of low temperature on vaccines. Barriers were also encountered in relation to the supervision of nurses in the vaccine room activities and in relation to the knowledge needed by workers to care for preservation of vaccines.
Conclusion:
vaccine storage is inadequate and may compromise the quality of the immunobiologicals dispensed to the populace.
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