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REVIEW01-01-2018
Conceptual definitions of indicators for the nursing outcome “Knowledge: Fall Prevention”
Revista Brasileira de Enfermagem. 2018;71(2):431-439
Abstract
REVIEWConceptual definitions of indicators for the nursing outcome “Knowledge: Fall Prevention”
Revista Brasileira de Enfermagem. 2018;71(2):431-439
DOI 10.1590/0034-7167-2016-0686
Views0See moreABSTRACT
Objective:
to construct conceptual definitions for indicators of nursing outcome Knowledge: Fall Prevention, selected for evaluation of hospitalized patients with the nursing diagnosis Risk for falls.
Method:
integrative literature review performed in the LILACS, MEDLINE and Web of Science databases, comprising articles published in English, Spanish and Portuguese languages from 2005 to 2015.
Results:
the final sample of the study was composed of 17 articles. The conceptualizations were constructed for 14 indicators of nursing outcome Knowledge: Fall Prevention focused on hospitalized patients.
Conclusion:
the theoretical support of the Nursing Outcomes Classification (NOC), through the process of constructing the conceptual definitions of the indicators of its results, allows nurses to accurately implement this classification in clinical practice and to evaluate the effectiveness of their interventions through the change of the patients’ status over time.
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REVIEW01-01-2018
Integrative literature review: sleep patterns in infants attending nurseries
Revista Brasileira de Enfermagem. 2018;71(2):424-430
Abstract
REVIEWIntegrative literature review: sleep patterns in infants attending nurseries
Revista Brasileira de Enfermagem. 2018;71(2):424-430
DOI 10.1590/0034-7167-2016-0480
Views0See moreABSTRACT
Objective:
To identify evidence available in the literature about sleep patterns of infants attending nurseries.
Method:
An integrative review of studies published in Portuguese, English or Spanish available in full text on LILACS, CINAHL, and PubMed databases. The following descriptors sono, lactente and creches or berçários (in Portuguese) and sleep, infant and childcare or nurseries were used for LILACS, CINAHL and Pubmed, respectively. Nine studies were selected and analyzed.
Results:
The main component explored in the studies about sleep pattern is the sleep position of the infants, due to its association with sudden infant death syndrome. The results pointed to the need to promote and develop written guidelines regarding behavioral practices to reduce the risk of this phenomenon.
Conclusion:
Evidence has identified sleep issues, mainly regarding the sleep position of the infant and the environment where the infant sleeps, showing that it is critical to set routines and interventions to improve the quality of sleep care of infants attending nurseries.
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REVIEW01-01-2018
The nurses’ work process in different countries: an integrative review
Revista Brasileira de Enfermagem. 2018;71(2):413-423
Abstract
REVIEWThe nurses’ work process in different countries: an integrative review
Revista Brasileira de Enfermagem. 2018;71(2):413-423
DOI 10.1590/0034-7167-2016-0468
Views0See moreABSTRACT
Objective:
To analyze the characteristics of nurses’ work process in different countries.
Method:
We have used the integrative review method and selected 84 publications (articles, theses and dissertations) in national and foreign thesis banks and databases. We analyzed the evidence based on dialectical materialism.
Results:
The rejection of managerial tasks hides the singularity of nurses’ work, due to the failure to understand the inseparable nature of managerial and healthcare tasks, given that it is what provides the expertise to coordinate the nursing work process and guide the healthcare work processes. The social and technical division is present in the work process in all countries studied, albeit in different ways. The nurse’s position in the healthcare work process is subordinated to that of the physician.
Conclusion:
The characteristics are similar. The rejection of the dual nature of the work by nurses themselves due to alienation results in the non-recognition of their own work.
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Validation and reliability of the scale Self-efficacy and their child’s level of asthma control
Revista Brasileira de Enfermagem. 2018;71(2):406-412
Abstract
Validation and reliability of the scale Self-efficacy and their child’s level of asthma control
Revista Brasileira de Enfermagem. 2018;71(2):406-412
DOI 10.1590/0034-7167-2016-0528
Views0See moreABSTRACT
Objective:
To evaluate the psychometric properties in terms of validity and reliability of the scale Self-efficacy and their child’s level of asthma control: Brazilian version.
Method:
Methodological study in which 216 parents/guardians of children with asthma participated. A construct validation (factor analysis and test of hypothesis by comparison of contrasted groups) and an analysis of reliability in terms of homogeneity (Cronbach’s alpha) and stability (test-retest) were carried out.
Results:
Exploratory factor analysis proved suitable for the Brazilian version of the scale (Kaiser-Meyer-Olkim index of 0.879 and Bartlett’s sphericity with p < 0.001). The correlation matrix in factor analysis suggested the removal of item 7 from the scale. Cronbach's alpha of the final scale, with 16 items, was 0.92.
Conclusion:
The Brazilian version of Self-efficacy and their child’s level of asthma control presented psychometric properties that confirmed its validity and reliability.
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Spiritual well-being and hope in the preoperative period of cardiac surgery
Revista Brasileira de Enfermagem. 2018;71(2):398-405
Abstract
Spiritual well-being and hope in the preoperative period of cardiac surgery
Revista Brasileira de Enfermagem. 2018;71(2):398-405
DOI 10.1590/0034-7167-2016-0642
Views0ABSTRACT
Objective:
To characterize relations between spiritual well-being and hope of patients in the preoperative period of cardiac surgery.
Method:
Exploratory cross-sectional study with quantitative approach, performed in the infirmaries of a reference hospital in cardiology. We evaluated 69 patients hospitalized in preoperative period of myocardial revascularization, valve repair or replacement.
Results:
We verified that patients hold relevant scores of hope and welfare in all areas, being the existential well-being significantly lower than the religious one. The average of the spiritual well-being score was below the required to be considered high. There was no significant correlation between welfare and hope.
Conclusion:
Nurses should develop a watchful eye to these issues, be trained in specific protocols of spiritual anamnese and use the real moments of care to strengthen the patients.
Keywords:Cardiac SurgeryMyocardial RevascularizationPreoperative PeriodPsychological AdaptationSpiritualitySee more -
Body consciousness of people with intestinal stomach: A phenomenological study
Revista Brasileira de Enfermagem. 2018;71(2):391-397
Abstract
Body consciousness of people with intestinal stomach: A phenomenological study
Revista Brasileira de Enfermagem. 2018;71(2):391-397
DOI 10.1590/0034-7167-2016-0666
Views0See moreABSTRACT
Objective:
to describe the bodily awareness of people with stomies.
Method:
a descriptive study with a qualitative approach, carried out in the Ostomized Association of the State of Ceará, through semi-structured interviews with ten people with intestinal stomies, according to Merleau-Ponty’s phenomenological thinking.
Results:
two categories of analysis emerged: The body that I have, in which the sensations of deficiency, imperfection and bad odor add to the feeling of strangeness towards one’s own body, affecting the way of being in the world of each deponent; and The body that others perceive, in which the stoma is seen as an embarrassing and complex experience, since it hampers daily activities and conviviality with other people.
Final considerations:
The corporeal consciousness of Being-Stomp-in-the-world requires the movement to reconstruct the senses of the body from the body I have and from that which others perceive.
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Construction and validation of forms: systematization of the care of people under hemodialysis
Revista Brasileira de Enfermagem. 2018;71(2):379-390
Abstract
Construction and validation of forms: systematization of the care of people under hemodialysis
Revista Brasileira de Enfermagem. 2018;71(2):379-390
DOI 10.1590/0034-7167-2015-0130
Views0See moreABSTRACT
Objective:
create and validate forms to subsidize the systematization of nursing care with people on hemodialysis.
Method:
institutional case study to support the systematization of assistance from the construction of forms for data collection, diagnoses, interventions and nursing results, using cross-mapping, Risner’s reasoning, Neuman’s theory, taxonomies of diagnoses, interventions and nursing results with application in clinical practice and validation by focal group with specialist nurses.
Results:
18 people on hemodialysis and 7 nurses participated. Consensus content of form matter with specialist nurses in the area (Crombach 0.86). The papers captured 43 diagnoses, 26 interventions and 78 nursing results depicting human responses in their singularities.
Final considerations:
the validated forms fill a gap by enabling the capture of human responses from people on hemodialysis and by subsidizing the planning of nursing care on a scientific basis.
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Perception of nursing workers humanization under intensive therapy
Revista Brasileira de Enfermagem. 2018;71(2):372-378
Abstract
Perception of nursing workers humanization under intensive therapy
Revista Brasileira de Enfermagem. 2018;71(2):372-378
DOI 10.1590/0034-7167-2016-0485
Views0ABSTRACT
Objective:
understand the perception of nursing workers working in the Intensive Care Unit (ICU) regarding humanization in the work environment.
Method:
we used the reference of phenomenology, structure of the phenomenon. Participated 25 nursing professionals working in an adult ICU of a university hospital, through focused interviews, answering the guiding question: What do you understand by humanization of the working conditions of the nursing team working in the ICU?
Results:
the analysis revealed the themes: humanization in the ICU; working condition in the ICU; management of people in the ICU and management process in the ICU.
Final considerations:
humanization is necessary through the change of the work environment and the managerial process, privileging the participatory management model as a way to transform theory into practice and value the worker.
Keywords:Health PersonnelHumanization of CareIntensive Care UnitParticipative ManagementQualitative ResearchSee more
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ORIGINAL ARTICLE10-07-2024
Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)
- Ailla Gabrielli Costa Silva
, - Lenira Maria Wanderley Santos de Almeida ,
- Regina Maria dos Santos ,
- Danielly Santos dos Anjos Cardoso
Abstract
ORIGINAL ARTICLEConsequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)
Revista Brasileira de Enfermagem. 2024;77(5):e20230375
DOI 10.1590/0034-7167-2023-0375
- Ailla Gabrielli Costa Silva ,
- Lenira Maria Wanderley Santos de Almeida ,
- Regina Maria dos Santos ,
- Danielly Santos dos Anjos Cardoso
Views0See moreABSTRACT
Objectives:
to analyze the legislation issued during the COVID-19 pandemic for nursing education and immediate consequences.
Methods:
documentary research, whose source was the legislation issued for nursing education during the COVID-19 pandemic. Thirty-two documents were analyzed and submitted to a collection instrument.
Results:
contradictions and consequences for nursing education following the guidelines and law of guidelines and bases were revealed. The consequences of the law affected the quality of teaching, equal access, exemption from minimum school days and course abbreviation. Regarding the guidelines, there was a lack of conditions for developing skills, in addition to the attempt to update them. Concerning internships, acting during the pandemic put students at risk, and their abbreviation prevented them from consolidating knowledge and skills.
Final Considerations:
remote teaching did not guarantee the quality and equality of teaching, weakened the development of skills, not taking into account nursing’s educational needs.
- Ailla Gabrielli Costa Silva
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ORIGINAL ARTICLE09-30-2024
Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being
- Danton Matheus de Souza ,
- Letícia Sangali ,
- Fernanda Marçal Ferreira ,
- Samia Ahmad Ghandour ,
- Isabelle Cristina Nogueira da Silva , [ … ],
- Lisabelle Mariano Rossato
Abstract
ORIGINAL ARTICLEGiving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being
Revista Brasileira de Enfermagem. 2024;77:e20240012
DOI 10.1590/0034-7167-2024-0012
- Danton Matheus de Souza ,
- Letícia Sangali ,
- Fernanda Marçal Ferreira ,
- Samia Ahmad Ghandour ,
- Isabelle Cristina Nogueira da Silva ,
- Lisabelle Mariano Rossato
Views0See moreABSTRACT
Objectives:
to understand maternal perceptions of maternal and child well-being based on Shantala massage and discuss its association with the third Sustainable Development Goal.
Methods:
a descriptive-exploratory study in the light of Symbolic Interactionism. Eight women, mothers of infants, participated in five online meetings to teach Shantala massage, collected in focus groups, between November and December 2021. The data was subjected to thematic content analysis and lexical analysis with IRAMUTEQ®.
Results:
two categories emerged, 1) Maternal perceptions of Shantala massage and its promotion of child well-being and 2) Maternal perceptions of Shantala massage and its impact on their well-being, interconnected with subcategories.
Final Considerations:
Shantala massage promoted mutual impacts on maternal and child well-being, working together to achieve the third Sustainable Development Goal.
- Danton Matheus de Souza
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ORIGINAL ARTICLE09-30-2024
Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment
- Karine de Castro Bezerra ,
- Maria Luziene de Sousa Gomes ,
- Roger Rodrigues da Silva ,
- Dayana Maia Saboia ,
- José Ananias Vasconcelos Neto , [ … ],
- Mônica Oliveira Batista Oriá
Abstract
ORIGINAL ARTICLEEducational video for adherence to vaginal pessary in pelvic organ prolapse treatment
Revista Brasileira de Enfermagem. 2024;77:e20230515
DOI 10.1590/0034-7167-2023-0515
- Karine de Castro Bezerra ,
- Maria Luziene de Sousa Gomes ,
- Roger Rodrigues da Silva ,
- Dayana Maia Saboia ,
- José Ananias Vasconcelos Neto ,
- Camila Moreira Teixeira Vasconcelos ,
- Mônica Oliveira Batista Oriá
Views0ABSTRACT
Objectives:
to construct and assess an educational video to promote the adherence of women with pelvic organ prolapse to vaginal pessary use.
Methods:
this is a methodological study, with a longitudinal design and quantitative analysis. The pre-production (synopsis, argument, script, storyboard), production and post-production stages were covered. Content and technical assessments were carried out by judges from the health and communication areas, respectively, and appearance assessment by the target audience.
Results:
the video was the first to be developed on the topic on the national scene, considered assessed from the point of view of appearance and content, presenting an overall Content Validity Index of 0.99 and a level of agreement among judges of 91.1% to 100%. Assessment by the target audience reached a percentage of 96% to 100%.
Conclusions:
the educational video is an instrument capable of promoting adherence to pessary in women indicated for this therapeutic approach.
Keywords:Health CommunicationInstructional Film and VideoPelvic Organ ProlapsePessariesTreatment Adherence and ComplianceSee more
- Karine de Castro Bezerra
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EXPERIENCE REPORT09-30-2024
Health promotion of long-haul truck drivers and their families
Revista Brasileira de Enfermagem. 2024;77:e20230511
Abstract
EXPERIENCE REPORTHealth promotion of long-haul truck drivers and their families
Revista Brasileira de Enfermagem. 2024;77:e20230511
DOI 10.1590/0034-7167-2023-0511
Views0ABSTRACT
Objectives:
to describe the development of a Health Information and Communication Technology for the health care of long-haul truck drivers and their families.
Methods:
this is a description of the development of an Information and Communication Technology, developed from March to September 2023, following the systematization of the experience in five steps: 1) starting point, 2) initial questions, 3) recovery of the lived process, 4) background reflection, and 5) arrival points.
Results:
the technology called “Work-Family Balance,” electronically available, presents resources for the health care of long-haul truck drivers. It is anchored in studies on the health of long-haul truck drivers, notes from the International Labor Organization, the Strategic Action Plan for Confronting Chronic Diseases and Non-Communicable Diseases in Brazil, 2021-2030, and the Declaration by the International Association of Family Nursing.
Final Considerations:
the theoretical improvement of nursing can potentially improve the health care of long-haul truck drivers, prevent Chronic Non-Communicable Diseases, and promote work-life balance to achieve the goals of Agenda 2030.
Keywords:Family HealthInformation TechnologyNoncommunicable DiseasesSustainable DevelopmentWork-Life BalanceSee more
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Política Nacional de Cuidados Paliativos: reflexões a partir da Agenda 2030 para o Desenvolvimento Sustentável
Revista Brasileira de Enfermagem. 2024;77(6):e770601
Abstract
Política Nacional de Cuidados Paliativos: reflexões a partir da Agenda 2030 para o Desenvolvimento Sustentável
Revista Brasileira de Enfermagem. 2024;77(6):e770601
DOI 10.1590/0034-7167.2024770601pt
Views1A Agenda 2030 para o Desenvolvimento Sustentável, um plano de ação para as pessoas, para o planeta e para a prosperidade, é um plano de ação global adotado por representantes de todos os 193 Estados-Membros das Nações Unidas, reunidos na sede das Nações Unidas, em Nova York, de 25 a 27 de setembro de 2015. […]See more -
Brazilian National Palliative Care Policy: reflections based on the 2030 Agenda for Sustainable Development
Revista Brasileira de Enfermagem. 2024;77(6):e770601
Abstract
Brazilian National Palliative Care Policy: reflections based on the 2030 Agenda for Sustainable Development
Revista Brasileira de Enfermagem. 2024;77(6):e770601
DOI 10.1590/0034-7167.2024770601
Views0The 2030 Agenda for Sustainable Development, an action plan for people, planet and prosperity, is a global action plan adopted by representatives of all 193 United Nations Member States, meeting at United Nations Headquarters, in New York, from September 25 to 27, 2015. By achieving 17 sustainable objectives, the Agenda aims to promote sustainable development […]See more -
ORIGINAL ARTICLE09-20-2024
Middle-range theory for nursing for care in the context of cardiovascular risk
Revista Brasileira de Enfermagem. 2024;77(4):e20240190
Abstract
ORIGINAL ARTICLEMiddle-range theory for nursing for care in the context of cardiovascular risk
Revista Brasileira de Enfermagem. 2024;77(4):e20240190
DOI 10.1590/0034-7167-2024-0190
Views0ABSTRACT
Objectives:
to develop a middle-range nursing theory for care in the context of cardiovascular risk.
Methods:
a theoretical development study, through induction through research and ICNP® practice standards, carried out in six stages: concept analysis; ICNP® terminological subset structuring; theory contextualization and purpose; proposition construction; modeling; and assumption construction.
Results:
the Theory of Care in the Context of Cardiovascular Risk has a middle-range scope, describing care, prescribing actions to promote health and reduce cardiovascular risk. Thirteen propositions were constructed in three categories (nursing metaparadigm, central and factorial concepts), two models and 16 assumptions.
Final Considerations:
the theory contributes to the construction of knowledge arising from the nursing process for care in the context of cardiovascular risk, generating propositions, assumptions and modeling, which will enable theoretical testing.
Keywords:Concept FormationHeart Disease Risk FactorsNursing TheoriesStandardized Nursing TerminologyTheoretical ModelsSee more
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ORIGINAL ARTICLE09-20-2024
Content validity of guidance on self-care in the post-operative period for breast cancer
- Cristina Poliana Rolim Saraiva dos Santos ,
- Natália Frota Goyanna ,
- Erilaine de Freitas Corpes ,
- Romel Jonathan Velasco Yanez ,
- José Jeová Mourão Netto , [ … ],
- Ana Fátima Carvalho Fernandes
Abstract
ORIGINAL ARTICLEContent validity of guidance on self-care in the post-operative period for breast cancer
Revista Brasileira de Enfermagem. 2024;77(4):e20240188
DOI 10.1590/0034-7167-2024-0188
- Cristina Poliana Rolim Saraiva dos Santos ,
- Natália Frota Goyanna ,
- Erilaine de Freitas Corpes ,
- Romel Jonathan Velasco Yanez ,
- José Jeová Mourão Netto ,
- Régia Christina Moura Barbosa ,
- Ana Fátima Carvalho Fernandes
Views0See moreABSTRACT
Objectives:
to validate the content of a guidance guide on self-care in the postoperative period of breast surgery for breast cancer.
Methods:
a methodological study with content validity, carried out with 15 expert nurses and physiotherapists, between May and July 2022. Recruitment took place from the Lattes Platform, using snowball sampling. The level of relevance and representativeness for each item was verified using the Content Validity Index (CVI). It was considered valid when CVI was equal to or greater than 78% (0.78).
Results:
from the initial total of 37 items, two were excluded, as they had insufficient practical relevance and theoretical relevance, and another five items which, although presenting a CVI lower than the established cut-off, were suggested to be rewritten and grouped with other similar items.
Conclusions:
thirty items were considered valid and demonstrated important and significant characteristics, constituting suitable material for application in clinical practice.
- Cristina Poliana Rolim Saraiva dos Santos
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ORIGINAL ARTICLE12-13-2024
Nurses’ experience regarding patient safety in mobile pre-hospital care
- Eduardo Dias Filipe ,
- Roberto Chrispim Modesto ,
- Hercules de Oliveira Carmo ,
- Haviley Oliveira Martins ,
- Maristela Santini Martins
Abstract
ORIGINAL ARTICLENurses’ experience regarding patient safety in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77(5):e20230529
DOI 10.1590/0034-7167-2023-0529
- Eduardo Dias Filipe ,
- Roberto Chrispim Modesto ,
- Hercules de Oliveira Carmo ,
- Haviley Oliveira Martins ,
- Maristela Santini Martins
Views0See moreABSTRACT
Objectives:
to understand nurses’ experience regarding patient safety in mobile pre-hospital care.
Method:
a qualitative, exploratory and descriptive study, conducted with nurses active in mobile pre-hospital care services. Semi-structured interviews were conducted, audio-graved and submitted to Bardin’s content analysis.
Results:
from four thematic categories established, nurses reported the care and management skills necessary to work in this service. They demonstrated a commitment to ensuring safe care for patients, staff and spectators. They highlighted the actions taken to prevent and mitigate incidents. However, they based their experiences on practice protocols and individual actions, expressing the need to improve knowledge about patient safety.
Final Considerations:
mobile pre-hospital care nurses’ experience in relation to patient safety was limited, suggesting the need for training on the subject, alignment of work processes and implementation of strategies, aiming to guarantee safe care.
- Eduardo Dias Filipe
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ORIGINAL ARTICLE12-13-2024
Repercussions of the pandemic on tuberculosis control actions from the perspective of health professionals
- Sabrina da Silva de Souza ,
- Roxana Isabel Cardozo Gonzales ,
- Hellen Cristina Sthal ,
- Daiane Cardoso da Silva ,
- Marcela Flavia Lopes Barbosa , [ … ],
- Tatiana Conceição
Abstract
ORIGINAL ARTICLERepercussions of the pandemic on tuberculosis control actions from the perspective of health professionals
Revista Brasileira de Enfermagem. 2024;77(5):e20230477
DOI 10.1590/0034-7167-2023-0477
- Sabrina da Silva de Souza ,
- Roxana Isabel Cardozo Gonzales ,
- Hellen Cristina Sthal ,
- Daiane Cardoso da Silva ,
- Marcela Flavia Lopes Barbosa ,
- Tatiana Conceição
Views0See moreABSTRACT
Objectives:
to analyze the repercussions of the COVID-19 pandemic on tuberculosis control actions from the perspective of primary health care professionals.
Methods:
this descriptive study with a qualitative approach was conducted from November 2022 to April 2023, using semi-structured interviews with 11 key informant professionals from primary health care units in a Brazilian capital. Data were organized using Atlas.ti 22.0 software and subjected to thematic-categorical content analysis.
Results:
the pandemic scenario caused alterations in the work process, necessitating abrupt adaptations, and led to detrimental impacts on the health of professionals and tuberculosis control actions, which were reduced or discontinued.
Final Considerations:
there was evident unpreparedness and a lack of resources from various governmental levels and health services to handle the public health emergency situation without severe harm to the provision of essential services.
- Sabrina da Silva de Souza
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Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
- Nádile Juliane Costa de Castro ,
- Ezequiel Sakew Wai Wai ,
- Fernanda Teixeira Paes ,
- Nyvia Cristina dos Santos Lima
Abstract
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
Revista Brasileira de Enfermagem. 2024;77(5):e20230430
DOI 10.1590/0034-7167-2023-0430
- Nádile Juliane Costa de Castro ,
- Ezequiel Sakew Wai Wai ,
- Fernanda Teixeira Paes ,
- Nyvia Cristina dos Santos Lima
Views0See moreABSTRACT
Objectives:
to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health.
Methods:
theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil.
Results:
this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health.
Final Considerations:
indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.
- Nádile Juliane Costa de Castro
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ORIGINAL ARTICLE12-13-2024
Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
- Manuela Beatriz Velho ,
- Luciana Santos Pimentel ,
- Fernanda Amâncio Soares da Silva ,
- Alberto Trapani Junior ,
- Thayná Ventura , [ … ],
- Roxana Knobel
Abstract
ORIGINAL ARTICLEInterobserver agreement in Reception and Risk Stratification in Obstetrics implementation
Revista Brasileira de Enfermagem. 2024;77(5):e20230361
DOI 10.1590/0034-7167-2023-0361
- Manuela Beatriz Velho ,
- Luciana Santos Pimentel ,
- Fernanda Amâncio Soares da Silva ,
- Alberto Trapani Junior ,
- Thayná Ventura ,
- Adaiana Fátima Almeida ,
- Roberta Costa ,
- Roxana Knobel
Views0See moreABSTRACT
Objectives:
to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.
Methods:
a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.
Results:
around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).
Conclusions:
most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.
- Manuela Beatriz Velho
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ORIGINAL ARTICLE12-13-2024
Adaptation and implementation of a Nursing care protocol for children in the Amazon Region
- Aline Lara de Carvalho ,
- Ezequiel Kleber Carpes Menezes ,
- Deisi Cristine Forlin Benedet ,
- Juliane Dias Aldrighi ,
- Hérica de Lara Cardoso , [ … ],
- Marilene Loewen Wall
Abstract
ORIGINAL ARTICLEAdaptation and implementation of a Nursing care protocol for children in the Amazon Region
Revista Brasileira de Enfermagem. 2024;77(5):e20230245
DOI 10.1590/0034-7167-2023-0245
- Aline Lara de Carvalho ,
- Ezequiel Kleber Carpes Menezes ,
- Deisi Cristine Forlin Benedet ,
- Juliane Dias Aldrighi ,
- Hérica de Lara Cardoso ,
- Marcus Vinicius da Rocha Santos da Silva ,
- Tatiane Herreira Trigueiro ,
- Marilene Loewen Wall
Views0See moreABSTRACT
Objectives:
to describe the process of implementing an adapted protocol for pediatric nursing care in a health unit located in a municipality in the Amazon Region.
Methods:
methodological research conducted in a basic health unit with four family health teams in the state of Rondônia, involving seven nursing professionals. Data collection occurred between October 2020 and April 2022, following the research phases: situational diagnosis, exploratory phase, protocol definition, implementation, and evaluation.
Results:
the outcome was the adaptation and implementation of a nursing care protocol for children.
Final Considerations:
the adaptation and implementation process can be an effective approach to improving care, strengthening nursing as a profession with a solid foundation in scientific and clinical evidence. This facilitates early problem identification and appropriate guidance, leading to better health outcomes for children.
- Aline Lara de Carvalho
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ORIGINAL ARTICLE12-13-2024
Nurses’ experiences in caring for people with mental health problems hospitalized due to clinical comorbidities
- Gabriella Paulão Previato Piton ,
- Aldair Weber ,
- Ana Paula Rigon Francischetti Garcia ,
- Vanessa Pellegrino Toledo
Abstract
ORIGINAL ARTICLENurses’ experiences in caring for people with mental health problems hospitalized due to clinical comorbidities
Revista Brasileira de Enfermagem. 2024;77(5):e20230136
DOI 10.1590/0034-7167-2023-0136
- Gabriella Paulão Previato Piton ,
- Aldair Weber ,
- Ana Paula Rigon Francischetti Garcia ,
- Vanessa Pellegrino Toledo
Views0See moreABSTRACT
Objectives:
to understand nurses’ experiences in caring for people with mental health problems hospitalized due to clinical comorbidities in non-psychiatric Inpatient Units.
Methods:
qualitative study, guided by Alfred Schutz’s social phenomenology. Sixteen phenomenological interviews were conducted. The content was analyzed and discussed based on the literature, through the composition of three categories of analysis.
Results:
three categories emerged in the study: Challenges in care faced by nurses; Fragmented care action; and Ideal care. The disarticulation of the clinic was revealed, as described by nurses, showing care as an action far removed from the comprehensiveness of a person. Nurses’ performance is guided predominantly by biomedical reference, disregarding appreciation of subjectivity.
Final Considerations:
it was observed that nurses attribute the responsibility for patient care to factors external to their life-world, when, in fact, these aspects should be components that help them in comprehensive care construction.
- Gabriella Paulão Previato Piton
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REVIEW11-29-2024
Assessment of knowledge in oncology about care for transgender people: a scoping review
- Fernanda Fachetti Xavier de Almeida ,
- Cremilson de Paula Silva ,
- Ricardo Souza Evangelista Sant’Ana ,
- Ruan Nilton Rodrigues Melo
Abstract
REVIEWAssessment of knowledge in oncology about care for transgender people: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20230532
DOI 10.1590/0034-7167-2023-0532
- Fernanda Fachetti Xavier de Almeida ,
- Cremilson de Paula Silva ,
- Ricardo Souza Evangelista Sant’Ana ,
- Ruan Nilton Rodrigues Melo
Views0ABSTRACT
Objective:
to identify evidence available in the literature on instruments and methodologies used to assess healthcare professionals’ knowledge about cancer care for the transgender population.
Methods:
a scoping review was conducted in seven databases, including studies that answered the question: what is the healthcare professionals’ level of knowledge about cancer care for the transgender population?
Results:
forty-one articles were selected that dealt specifically with healthcare professionals’knowledge in relation to care for the LGBTQIAPN+ population, especially the transgender population. Eighteen studies assessed patients’ perceptions of professionals’knowledge, whereas other studies used their own assessment tools, considering the global context of LGBTQIAPN+ health.
Conclusions:
there is no tested and validated instrument that assesses the knowledge about the transgender population’s oncological health, highlighting the need to construct and validate an instrument focused on this population’s needs.
Keywords:Health Services for Transgender PeopleNeoplasmsOncologyProfessional TrainingTransgender PeopleSee more
- Fernanda Fachetti Xavier de Almeida
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ORIGINAL ARTICLE11-29-2024
Sleep quality of vulnerable elderly people: associated factors
- Ariene Angelini dos Santos-Orlandi ,
- Ana Carolina Ottaviani ,
- Elén dos Santos Alves ,
- Tábatta Renata Pereira de Brito ,
- Keika Inouye
Abstract
ORIGINAL ARTICLESleep quality of vulnerable elderly people: associated factors
Revista Brasileira de Enfermagem. 2024;77:e20230283
DOI 10.1590/0034-7167-2023-0283
- Ariene Angelini dos Santos-Orlandi ,
- Ana Carolina Ottaviani ,
- Elén dos Santos Alves ,
- Tábatta Renata Pereira de Brito ,
- Keika Inouye
Views0See moreABSTRACT
Objective:
To identify factors associated with poor sleep quality in elderly dependent individuals in social vulnerability.
Method:
Cross-sectional study with 59 elderly dependent individuals assisted by Family Health Units in São Carlos/SP. The following tools were used: Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, Addenbrooke’s Cognitive Examination Revised, Fried’s Frailty Phenotype, Geriatric Depression Scale (15 items), Perceived Stress Scale, Family APGAR, Social Support Scale from the Medical Outcomes Study, and World Health Organization Quality of Life, abbreviated and “old” versions.
Results:
The majority of participants were women (52.5%), aged 60-74 years (71.1%), and had poor sleep quality (76.2%). Stress (OR=1.12; 95%CI=1.02-1.22) and polypharmacy (OR=7.39; 95%CI=1.22-44.73) increased the chances of poor sleep quality, while physical activity decreased these chances (OR=0.15; 95%CI=0.02-0.79).
Conclusion:
Stress and polypharmacy are associated with poor sleep quality in elderly dependent individuals.
- Ariene Angelini dos Santos-Orlandi
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