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ORIGINAL ARTICLE11-29-2022
Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
- Andreia Chaves Farias
, - Evanira Rodrigues Maia ,
- Milena Silva Costa ,
- Maria Rosilene Cândido Moreira ,
- Joseph Dimas de Oliveira , [ … ],
- Antonio Germane Alves Pinto
Abstract
ORIGINAL ARTICLEOutlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
DOI 10.1590/0034-7167-2021-0169
- Andreia Chaves Farias ,
- Evanira Rodrigues Maia ,
- Milena Silva Costa ,
- Maria Rosilene Cândido Moreira ,
- Joseph Dimas de Oliveira ,
- Antonio Germane Alves Pinto
Views0See moreABSTRACT
Objectives:
to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem.
Methods:
qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems.
Results:
the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network.
Final considerations:
the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.
- Andreia Chaves Farias
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ORIGINAL ARTICLE11-29-2022
Undernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
- Herbert Sagbo ,
- Sandhi Maria Barreto ,
- Aline Bárbara Pereira Costa ,
- Larissa Loures Mendes ,
- Nagham Khanafer , [ … ],
- Luana Giatti
Abstract
ORIGINAL ARTICLEUndernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210254
DOI 10.1590/0034-7167-2021-0254
- Herbert Sagbo ,
- Sandhi Maria Barreto ,
- Aline Bárbara Pereira Costa ,
- Larissa Loures Mendes ,
- Nagham Khanafer ,
- Luana Giatti
Views1See moreABSTRACT
Objectives:
to estimate the prevalence of stunting and thinness and sociodemographic, household, family, dietary, and scholar associated factors in schoolchildren living in Lokossa-Benin.
Methods:
a survey conducted in a probabilistic sample (n=615) of primary schoolchildren (8-17 years), from 12/2018 to 01/2019, using structured questionnaire and 24-hour dietary recall. Thinness and stunting were defined as Height-for-age and Body Mass Index-for-age below-2 standard deviations, respectively. Associations were estimated by chi-square test and logistic regression.
Results:
thinness and stunting prevalence was 13.1% (95%CI:9.0-18.7) and 25.5% (95%CI:20.6-31.2), respectively. Odds of thinness were higher among older schoolchildren and those who experienced hunger at school. Odds of stunting increased with age, low diet diversity, experiencing hunger at school, and having school meal five days a week (OR:2.09; 95%CI:1.29-3.36).
Conclusions:
stunting was the most common problem. Older schoolchildren and those with food deprivation or poor diet diversity were the most affected.
- Herbert Sagbo
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ORIGINAL ARTICLE11-29-2022
Factors associated with bronchopulmonary aspiration: a national-based study
- Jaqueline Helena Tanner ,
- Cristina Mara Zamarioli ,
- Magda Machado de Miranda Costa ,
- Heiko Thereza Santana ,
- Ana Clara Ribeiro Bello dos Santos , [ … ],
- Fernanda Raphael Escobar Gimenes
Abstract
ORIGINAL ARTICLEFactors associated with bronchopulmonary aspiration: a national-based study
Revista Brasileira de Enfermagem. 2022;75(3):e20210220
DOI 10.1590/0034-7167-2021-0220
- Jaqueline Helena Tanner ,
- Cristina Mara Zamarioli ,
- Magda Machado de Miranda Costa ,
- Heiko Thereza Santana ,
- Ana Clara Ribeiro Bello dos Santos ,
- Cleide Felicia de Mesquita Ribeiro ,
- Fernanda Raphael Escobar Gimenes
Views0See moreABSTRACT
Objectives:
to determine the prevalence of bronchopulmonary aspiration in the Brazilian scenario, the factors associated with the incident and the variables associated with death.
Methods:
a cross-sectional and analytical study, carried out from analysis of notifications of incidents related to bronchopulmonary aspiration of the Health Surveillance Notification System, from January 2014 to December 2018.
Results:
of the 264,590 notifications, 553 referred to aspiration, whose prevalence rate was 0.21%. There was an association between the event and age, ethnicity, main medical diagnosis, country region, service type, health unit and consequences for patients. Furthermore, four independent predictor variables for death were found: living in the North or South regions, being elderly and receiving healthcare at night.
Conclusions:
the prevalence rate of bronchopulmonary aspiration was small, but with a negative impact on patients.
- Jaqueline Helena Tanner
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ORIGINAL ARTICLE11-29-2022
Professional burnout of nursing team working to fight the new coronavirus pandemic
- Ana Maria Müller de Magalhães ,
- Denilse Damasceno Trevilato ,
- Daiane Dal Pai ,
- Amanda da Silveira Barbosa ,
- Natascha Monteiro Medeiros , [ … ],
- João Lucas Campos de Oliveira
Abstract
ORIGINAL ARTICLEProfessional burnout of nursing team working to fight the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210498
DOI 10.1590/0034-7167-2021-0498
- Ana Maria Müller de Magalhães ,
- Denilse Damasceno Trevilato ,
- Daiane Dal Pai ,
- Amanda da Silveira Barbosa ,
- Natascha Monteiro Medeiros ,
- Victória Gabech Seeger ,
- João Lucas Campos de Oliveira
Views0See moreABSTRACT
Objective:
to identify burnout and associated factors among nursing workers working in coping with COVID-19.
Methods:
a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests.
Results:
burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified.
Conclusion:
the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.
- Ana Maria Müller de Magalhães
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ORIGINAL ARTICLE11-29-2022
Changes implemented in the work environment of nurses in the COVID-19 pandemic
- José Luís Guedes dos Santos ,
- Fernando Henrique Antunes Menegon ,
- Gustavo Baade de Andrade ,
- Etiane de Oliveira Freitas ,
- Silviamar Camponogara , [ … ],
- Alacoque Lorenzini Erdmann
Abstract
ORIGINAL ARTICLEChanges implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
DOI 10.1590/0034-7167-2020-1381
- José Luís Guedes dos Santos ,
- Fernando Henrique Antunes Menegon ,
- Gustavo Baade de Andrade ,
- Etiane de Oliveira Freitas ,
- Silviamar Camponogara ,
- Alexandre Pazetto Balsanelli ,
- Alacoque Lorenzini Erdmann
Views0See moreABSTRACT
Objective:
to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic.
Methods:
this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ.
Results:
five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.
- José Luís Guedes dos Santos
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EXPERIENCE REPORT11-29-2022
Virtualization of the Brazilian Nursing Week in the COVID-19 pandemic: the novelty and the tangible
- Luiza Mara Correia ,
- Ricardo de Mattos Russo Rafael ,
- Mercedes Neto ,
- Juliana Amaral Prata ,
- Magda Guimarães de Araujo Faria
Abstract
EXPERIENCE REPORTVirtualization of the Brazilian Nursing Week in the COVID-19 pandemic: the novelty and the tangible
Revista Brasileira de Enfermagem. 2022;75:e20201203
DOI 10.1590/0034-7167-2020-1203
- Luiza Mara Correia ,
- Ricardo de Mattos Russo Rafael ,
- Mercedes Neto ,
- Juliana Amaral Prata ,
- Magda Guimarães de Araujo Faria
Views0See moreABSTRACT
Objective:
to report the virtualization experience of the 81st Brazilian Nursing Week of a public university in the state of Rio de Janeiro.
Methods:
an experience report with descriptive approach on the planning and virtual operationalization of a traditional nursing event, which took place in May 2020.
Results:
the event had 543 entries and 39 activities were offered, 3 panels with the presence of international guests, 1 national conference, 3 thematic roundtable discussions, 9 roundtable discussions involving projects and extension leagues, 5 cultural activities and 17 activities in social networks (lives and videos). Final considerations: the virtualization of the 81st Brazilian Nursing Week brought the learning and appropriation of new ways of debating nursing in times of physical isolation, which will contribute to an immediate future in social and work relations as well as to the collaborative construction of knowledge.
- Luiza Mara Correia
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ORIGINAL ARTICLE11-29-2022
Reflections on nursing and COVID-19 in light of health education
- Patricia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Icleia Parente Rodrigues
Abstract
ORIGINAL ARTICLEReflections on nursing and COVID-19 in light of health education
Revista Brasileira de Enfermagem. 2022;75:e20201305
DOI 10.1590/0034-7167-2020-1305
- Patricia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Icleia Parente Rodrigues
Views0See moreABSTRACT
Objective:
To reflect on the nursing and pandemic of COVID-19 considering health education, health promotion, and the Ottawa Charter action areas.
Methods:
A theoretical-reflexive study on health education and health promotion concepts and the areas of action presented in the Ottawa Charter.
Results:
Educational actions are present in the contexts of epidemics and pandemics, as well as in the work of nurses, who need to be increasingly based on dialogue and individual and collective empowerment to enable users to adopt healthy and preventive behaviors – in this case, concerning COVID19. However, this professional needs effective and efficient public policy actions and measures based on scientific assumptions of health promotion. Final considerations: The actions of health education need to be increasingly valued because knowledge can be considered the first “vaccine” to combat any pandemic.
- Patricia Neyva da Costa Pinheiro
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ORIGINAL ARTICLE11-26-2022
Factors associated with suicide ideation of healthcare university students
- Girliani Silva de Sousa ,
- Barbara Moreira Duarte Ramos ,
- Luis Antônio Batista Tonaco ,
- Amanda Márcia dos Santos Reinaldo ,
- Maria Odete Pereira , [ … ],
- Nadja Cristiane Lappann Botti
Abstract
ORIGINAL ARTICLEFactors associated with suicide ideation of healthcare university students
Revista Brasileira de Enfermagem. 2022;75:e20200982
DOI 10.1590/0034-7167-2020-0982
- Girliani Silva de Sousa ,
- Barbara Moreira Duarte Ramos ,
- Luis Antônio Batista Tonaco ,
- Amanda Márcia dos Santos Reinaldo ,
- Maria Odete Pereira ,
- Nadja Cristiane Lappann Botti
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with suicidal ideation in students from healthcare graduation courses.
Methods:
quantitative, cross-sectional study, with 251 students from the courses of radiology, speech-language therapy, medicine, nutrition, health service management, and nursing, from a federal higher education institution in the Southeast of Brazil. Data were collected from August to October 2019, using an electronic questionnaire.
Results:
the prevalence of suicidal ideation among participants was 26.33%. In the final logistic regression model, only depressive symptoms were associated with suicidal ideation. Having symptoms of depression increased the chances of suicidal ideation 2.6 times.
Conclusion:
the high prevalence of suicidal ideation and its associated factors constitutes a situational diagnosis that demands the elaboration of public and institutional policies, focused on the promotion and attention to the mental health of the students.
- Girliani Silva de Sousa
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ORIGINAL ARTICLE07-15-2020
Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes
- Cristine Vieira do Bonfim ,
- Amanda Priscila de Santana Cabral Silva ,
- Conceição Maria de Oliveira ,
- Mirella Bezerra Rodrigues Vilela ,
- Neison Cabral Ferreira Freire
Abstract
ORIGINAL ARTICLESpatial analysis of inequalities in fetal and infant mortality due to avoidable causes
Revista Brasileira de Enfermagem. 2020;73:e20190088
DOI 10.1590/0034-7167-2019-0088
- Cristine Vieira do Bonfim ,
- Amanda Priscila de Santana Cabral Silva ,
- Conceição Maria de Oliveira ,
- Mirella Bezerra Rodrigues Vilela ,
- Neison Cabral Ferreira Freire
Views0See moreABSTRACT
Objectives:
to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence.
Methods:
avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index.
Results:
out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%.
Conclusions:
in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.
- Cristine Vieira do Bonfim
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05-21-2021
Men’s mental health in the COVID-19 pandemic: is there a mobilization of masculinities?
- Anderson Reis de Sousa ,
- Gilson Vieira Alves ,
- Aline Macêdo Queiroz ,
- Raíssa Millena Silva Florêncio ,
- Wanderson Carneiro Moreira , [ … ],
- Murilo Fernandes Rezende
Abstract
Men’s mental health in the COVID-19 pandemic: is there a mobilization of masculinities?
Revista Brasileira de Enfermagem. 2021;74:e20200915
DOI 10.1590/0034-7167-2020-0915
- Anderson Reis de Sousa ,
- Gilson Vieira Alves ,
- Aline Macêdo Queiroz ,
- Raíssa Millena Silva Florêncio ,
- Wanderson Carneiro Moreira ,
- Maria do Perpétuo Socorro de Sousa Nóbrega ,
- Elizabeth Teixeira ,
- Murilo Fernandes Rezende
Views0See moreABSTRACT
Objective:
to understand how the COVID-19 pandemic mobilizes masculinities in relation to mental health.
Methods:
qualitative study conducted with 400 men, in a virtual environment, in all regions of Brazil. The data were analyzed by the Discourse of the Collective Subject and based on Symbolic Interactionism.
Results:
the mobilization of masculinities emerged from men towards the recognition of weaknesses and psycho-emotional vulnerabilities, with narratives that reveal the expression of feelings, pain, discomfort and psychological suffering, and showed themselves to be sensitive and engaged in performing practices, including autonomous ones, of health care mental.
Final considerations:
the pandemic mobilizes masculinities as men print meanings and senses, in their interaction and interpretation of mental health, and is a marker for the nursing clinic conduct.
- Anderson Reis de Sousa
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ORIGINAL ARTICLE03-24-2021
Health promotion actions in the School Health Program in Ceará: nursing contributions
- Adna de Araújo Silva ,
- Fabiane do Amaral Gubert ,
- Valter Cordeiro Barbosa Filho ,
- Roberto Wagner Júnior Freire de Freitas ,
- Anya Pimentel Gomes Fernandes Vieira-Meyer , [ … ],
- Lidiane Nogueira Rebouças
Abstract
ORIGINAL ARTICLEHealth promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
DOI 10.1590/0034-7167-2019-0769
- Adna de Araújo Silva ,
- Fabiane do Amaral Gubert ,
- Valter Cordeiro Barbosa Filho ,
- Roberto Wagner Júnior Freire de Freitas ,
- Anya Pimentel Gomes Fernandes Vieira-Meyer ,
- Maria Talyta Mota Pinheiro ,
- Lidiane Nogueira Rebouças
Views1See moreABSTRACT
Objectives:
to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program.
Methods:
a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools.
Results:
the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools.
Conclusions:
health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.
- Adna de Araújo Silva
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REVIEW03-19-2021
Influence of burnout syndrome on the quality of life of nursing professionals: quantitative study
- Emelly Kerolayne do Amaral Ribeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo-Monteiro ,
- Bárbara Maria Lopes da Silva Brandão ,
- Jéssyka Chaves da Silva , [ … ],
- Rafaella Queiroga Souto
Abstract
REVIEWInfluence of burnout syndrome on the quality of life of nursing professionals: quantitative study
Revista Brasileira de Enfermagem. 2021;74:e20200298
DOI 10.1590/0034-7167-2020-0298
- Emelly Kerolayne do Amaral Ribeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo-Monteiro ,
- Bárbara Maria Lopes da Silva Brandão ,
- Jéssyka Chaves da Silva ,
- Rafaella Queiroga Souto
Views1See moreABSTRACT
Objective:
To estimate the prevalence and factors associated with the burnout syndrome and quality of life among nursing professionals.
Methods:
Cross-sectional, analytical study, developed with 83 professionals in emergency care units in the city of Campina Grande-PB. A questionnaire was used to characterize the sample, the Maslach Burnout Inventory scale and the SF-36. Data was analyzed using descriptive and inferential statistics.
Results:
Most professionals showed low professional effectiveness (78.3; n=65), average depersonalization (53.0%; n=44) and average emotional exhaustion (55.4%; n=46). There was a statistical difference between the scores of the syndrome and the pain (p=0.03), vitality (p=0.04) and social aspect (p=0.03); significant correlation between the syndrome and vitality (p<0.001), mental health (p=0.01) and general quality of life (p=0.04).
Conclusion:
The burnout syndrome has an influence on the outcome of quality of life of nursing professionals, being more prevalent among professionals with older age, high income and among nurses.
- Emelly Kerolayne do Amaral Ribeiro
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ORIGINAL ARTICLE05-03-2021
Medical device-related pressure injury prevention in critically ill patients: nursing care
- Sabrina Guterres da Silva Galetto ,
- Eliane Regina Pereira do Nascimento ,
- Patrícia Madalena Vieira Hermida ,
- Josefine Busanello ,
- Luciana Bihain Hagemann de Malfussi , [ … ],
- Daniele Delacanal Lazzari
Abstract
ORIGINAL ARTICLEMedical device-related pressure injury prevention in critically ill patients: nursing care
Revista Brasileira de Enfermagem. 2021;74(2):e20200062
DOI 10.1590/0034-7167-2020-0062
- Sabrina Guterres da Silva Galetto ,
- Eliane Regina Pereira do Nascimento ,
- Patrícia Madalena Vieira Hermida ,
- Josefine Busanello ,
- Luciana Bihain Hagemann de Malfussi ,
- Daniele Delacanal Lazzari
Views0See moreABSTRACT
Objectives:
to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients.
Methods:
this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used.
Results:
six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible.
Final Considerations:
nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.
- Sabrina Guterres da Silva Galetto
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ORIGINAL ARTICLE10-01-2022
Factors associated with presenteeism in nursing workers
- Bruno da Silva Santos ,
- Fernanda Ludmilla Rossi Rocha ,
- Juliano Bortolini ,
- Fábio de Souza Terra ,
- Marília Duarte Valim
Abstract
ORIGINAL ARTICLEFactors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
DOI 10.1590/0034-7167-2020-1290
- Bruno da Silva Santos ,
- Fernanda Ludmilla Rossi Rocha ,
- Juliano Bortolini ,
- Fábio de Souza Terra ,
- Marília Duarte Valim
Views0See moreABSTRACT
Objective:
to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms.
Methods:
this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%.
Results:
presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace – Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8.
Conclusions:
the study confirms a high rate of presenteeism among nursing workers.
- Bruno da Silva Santos
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EXPERIENCE REPORT06-07-2019
Humanitude in the humanization of elderly care: experience reports in a health service
- Rosa Cândida Carvalho Pereira de Melo ,
- Paulo Jorge Costa ,
- Liliana Vanessa Lúcio Henriques ,
- Luiza Hiromi Tanaka ,
- Paulo Joaquim Pina Queirós , [ … ],
- João Pärtel Araújo
Abstract
EXPERIENCE REPORTHumanitude in the humanization of elderly care: experience reports in a health service
Revista Brasileira de Enfermagem. 2019;72(3):825-829
DOI 10.1590/0034-7167-2017-0363
- Rosa Cândida Carvalho Pereira de Melo ,
- Paulo Jorge Costa ,
- Liliana Vanessa Lúcio Henriques ,
- Luiza Hiromi Tanaka ,
- Paulo Joaquim Pina Queirós ,
- João Pärtel Araújo
Views0See moreABSTRACT
Objective:
To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly.
Methodology:
This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations.
Results:
The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care.
Conclusion:
The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.
- Rosa Cândida Carvalho Pereira de Melo
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ORIGINAL ARTICLE08-19-2019
Factors related to impaired comfort in chronic kidney disease patients on hemodialysis
- Geórgia Alcântara Alencar Melo ,
- Letícia Lima Aguiar ,
- Renan Alves Silva ,
- Glauberto da Silva Quirino ,
- Ana Karina Bezerra Pinheiro , [ … ],
- Joselany Áfio Caetano
Abstract
ORIGINAL ARTICLEFactors related to impaired comfort in chronic kidney disease patients on hemodialysis
Revista Brasileira de Enfermagem. 2019;72(4):889-895
DOI 10.1590/0034-7167-2018-0120
- Geórgia Alcântara Alencar Melo ,
- Letícia Lima Aguiar ,
- Renan Alves Silva ,
- Glauberto da Silva Quirino ,
- Ana Karina Bezerra Pinheiro ,
- Joselany Áfio Caetano
Views0See moreABSTRACT
Objective:
to analyze the factors related to the impaired comfort of chronic kidney diseases (CKD) patients on hemodialysis.
Method:
this is a cross-sectional study with 80 patients undergoing hemodialysis in a renal replacement therapy unit through interviews using two instruments, one for clinical and sociodemographic characteristics and the General Comfort Questionnaire, during the hemodialysis session. Mann-Whitney tests and the logistic regression model were used for data analysis.
Results:
the study found that being younger (p=0.045); being married (p=0.05); and absence of impaired physical mobility (p=0.007) were contributing factors for greater comfort in CKD patients on hemodialysis. Thus, when establishing the odds ratio, it was possible to observe that being 55 years of age or older, being single and having impaired physical mobility represents a 45.7% chance of developing this diagnosis.
Conclusions:
sociodemographic and clinical variables contribute to the study outcome, demanding attention during the planning of nursing interventions.
- Geórgia Alcântara Alencar Melo
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