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ORIGINAL ARTICLE04-14-2023
Guide for Systematization of Care and Nursing Process: educational technology for professional practice
- Susana Lamara Pedras Almeida
, - Cândida Caniçali Primo ,
- Márcia Valéria de Souza Almeida ,
- Paula de Souza Silva Freitas ,
- Amália de Fátima Lucena , [ … ],
- Marcos Antônio Gomes Brandão
Abstract
ORIGINAL ARTICLEGuide for Systematization of Care and Nursing Process: educational technology for professional practice
Revista Brasileira de Enfermagem. 2023;76:e20210975
DOI 10.1590/0034-7167-2021-0975
- Susana Lamara Pedras Almeida ,
- Cândida Caniçali Primo ,
- Márcia Valéria de Souza Almeida ,
- Paula de Souza Silva Freitas ,
- Amália de Fátima Lucena ,
- Eliane de Fátima Almeida Lima ,
- Marcos Antônio Gomes Brandão
Views1ABSTRACT
Objective:
to elaborate and validate the content of a digital guide educational technology on Systematization of Nursing Care and Nursing Process.
Methods:
applied research of technological development, developed between 2020 and 2021, in three steps. First, a scoping review was carried out to elaborate the content. In the second step, the content was validated with 46 nurse judges selected for convenience. The minimum criterion of agreement among judges was 80%. The third step consisted of content organization and layout.
Results:
the guide content was elaborated from the Federal Nursing Council legislation, scientific articles and textbooks. Content was considered appropriate, relevant and organized by judges.
Final considerations:
the digital guide is an alternative that can contribute to the NP execution and implementation, supporting the planning and implementation of actions for quality of care.
Keywords:Educational TechnologyNursing ProcessNursing RecordsProfessional PracticeStandardized Nursing TerminologySee more
- Susana Lamara Pedras Almeida
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ORIGINAL ARTICLE04-14-2023
Artificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
- Casandra Genoveva Rosales Martins Ponce de Leon ,
- Leandro Yukio Mano ,
- Danielle da Silva Fernandes ,
- Rayanne Augusta Parente Paula ,
- Guilherme da Costa Brasil , [ … ],
- Laiane Medeiros Ribeiro
Abstract
ORIGINAL ARTICLEArtificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
Revista Brasileira de Enfermagem. 2023;76:e20210909
DOI 10.1590/0034-7167-2021-0909
- Casandra Genoveva Rosales Martins Ponce de Leon ,
- Leandro Yukio Mano ,
- Danielle da Silva Fernandes ,
- Rayanne Augusta Parente Paula ,
- Guilherme da Costa Brasil ,
- Laiane Medeiros Ribeiro
Views0See moreABSTRACT
Objective:
to assess nursing students’ emotions undergoing maternal-child clinical simulation.
Methods:
an observational study, carried out between June and July 2019. The Focus Group technique was used, with 28 nursing students, randomly distributed into three groups, with qualitative (Bardin technique) and quantitative data (Artificial Intelligence) analysis, to analyze emotions through facial expressions, tone of voice and description of speeches.
Results:
we defined two categories: “It was not easy, it was very stressful”; and “Very valuable experience”. In Artificial Intelligence, emotional distribution between face, voice and speech revealed a prevalence of negative valence, medium-high degree of passivity, medium power to control the situation and medium-high degree of obstruction in task accomplishment.
Final considerations:
this study revealed an oscillation between positive and negative emotions, and shows to the importance of recognizing them in the teaching-learning process in mother-child simulation.
- Casandra Genoveva Rosales Martins Ponce de Leon
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REVIEW04-07-2023
Analysis of moral courage and related factors among undergraduate nursing students: a scoping review
- Romario Daniel Jantara ,
- Jamila Geri Tomaschewski Barlem ,
- Adrieli Jantara ,
- Laurelize Pereira Rocha ,
- Sabrina Santos da Rocha , [ … ],
- Danubia Andressa da Silva Stigger
Abstract
REVIEWAnalysis of moral courage and related factors among undergraduate nursing students: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220225
DOI 10.1590/0034-7167-2022-0225
- Romario Daniel Jantara ,
- Jamila Geri Tomaschewski Barlem ,
- Adrieli Jantara ,
- Laurelize Pereira Rocha ,
- Sabrina Santos da Rocha ,
- Danubia Andressa da Silva Stigger
Views0See moreABSTRACT
Objective:
to analyze scientific evidence on moral courage and related factors among nursing undergraduate students.
Method:
the protocol of this scoping review was registered on Open Science Framework. A search was performed in five databases, according to the method provided by Joanna Briggs Institute Reviewers, the mnemonic strategy Population, Concept and Context, and a specific checklist.
Results:
a total of 2,812 results were identified, but only nine studies were eligible and presented three thematic approaches: Moral courage from the perspective of nursing students; Moral courage and related factors; and The teaching of moral courage in the training of nursing students. The factors related to moral courage include moral distress, moral sensitivity, age, and having a previous degree in the health field.
Final Considerations:
few studies were found with a low evidence level. Most were performed in developed countries, indicating some gaps that need to be addressed in the future.
- Romario Daniel Jantara
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ORIGINAL ARTICLE04-07-2023
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
- Lia Leão Ciuffo ,
- Tania Vignuda de Souza ,
- Thais Mello de Freitas ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Keila Cristina Oliveira dos Santos , [ … ],
- Roberta de Oliveira Jaime Ferreira Lima dos Santos
Abstract
ORIGINAL ARTICLEThe use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
- Lia Leão Ciuffo ,
- Tania Vignuda de Souza ,
- Thais Mello de Freitas ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Keila Cristina Oliveira dos Santos ,
- Roberta de Oliveira Jaime Ferreira Lima dos Santos
Views0See moreABSTRACT
Objectives:
to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.
Methods:
qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.
Results:
the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.
Final Considerations:
although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
- Lia Leão Ciuffo
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ORIGINAL ARTICLE04-07-2023
Implications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
Abstract
ORIGINAL ARTICLEImplications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
DOI 10.1590/0034-7167-2022-0245
Views0See moreABSTRACT
Objectives:
to analyze the work of nurses portrayed in the journalistic media and its impact on the construction of professional nursing identity.
Methods:
this is qualitative, retrospective, descriptive and documentary research, with 51 reports from Folha de São Paulo. Time frame from March to December 2020. Thematic Content Analysis carried out from Claude Dubar’s theoretical perspective. Organization and coding of data performed with the help of ATLAS.ti®.
Results:
three categories emerged: Working conditions in the pandemic – a problem that worsened; Impacts of the pandemic on daily work; Feelings generated by the pandemic.
Conclusions:
despite adversities, such as the precariousness of health institutions, inadequate working conditions for nurses, lack of basic items of individual protection, negative feelings and hopelessness, these professionals used their knowledge, skills and innovations in the act of caring, which contributed to reconstructing their professional identity.
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ORIGINAL ARTICLE04-07-2023
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues , [ … ],
- Lisabelle Mariano Rossato
Abstract
ORIGINAL ARTICLESuicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues ,
- Isadora Trinquinato ,
- Lisabelle Mariano Rossato
Views0See moreABSTRACT
Objectives:
to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.
Methods:
an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.
Results:
eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.
Conclusions:
adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.
- Vanessa Dias Fogaça
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ORIGINAL ARTICLE04-07-2023
Spiritual well-being, symptoms and performance of patients under palliative care
- Bárbara Vitória Mendes ,
- Suzana Cristina Teixeira Donato ,
- Thaina Lúcio da Silva ,
- Ramon Moraes Penha ,
- Paula Jaman-Mewes , [ … ],
- Marina de Góes Salvetti
Abstract
ORIGINAL ARTICLESpiritual well-being, symptoms and performance of patients under palliative care
Revista Brasileira de Enfermagem. 2023;76(2):e20220007
DOI 10.1590/0034-7167-2022-0007
- Bárbara Vitória Mendes ,
- Suzana Cristina Teixeira Donato ,
- Thaina Lúcio da Silva ,
- Ramon Moraes Penha ,
- Paula Jaman-Mewes ,
- Marina de Góes Salvetti
Views0See moreABSTRACT
Objectives:
to assess the relationship between spiritual well-being, symptoms and performance of patients under palliative care.
Methods:
this is a descriptive correlational study, conducted with 135 patients seen in palliative care outpatient clinics. Karnofsky Performance Status Scale, Edmonton Symptom Assessment Scale, Spirituality Scale and Hospital Anxiety and Depression Scale were used. Data were submitted to descriptive statistical analysis and Spearman’s correlation.
Results:
among participants, 68.2% were cancer patients. The most prevalent symptoms were changes in well-being (65.2%), anxiety (63.7%), sadness (63%) and fatigue (63%). Sadness, dyspnea, sleepiness, anxiety and depression presented weak to moderate correlation with spiritual well-being. Symptom overload showed weak negative correlation with performance.
Conclusions:
symptom intensification was correlated with worsening in spiritual well-being perception. The reduction in performance was related to increased number of symptoms, especially depression and anxiety.
- Bárbara Vitória Mendes
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ORIGINAL ARTICLE03-27-2023
Adaptation and validation of an adult patient classification instrument with emphasis on the family dimension
- Ariane Polidoro Dini ,
- Jamilly dos Santos Okabe ,
- Stephanie Ziare Kalvan ,
- Carla Simplicio ,
- Renata Cristina Gasparino
Abstract
ORIGINAL ARTICLEAdaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
DOI 10.1590/0034-7167-2022-0530
- Ariane Polidoro Dini ,
- Jamilly dos Santos Okabe ,
- Stephanie Ziare Kalvan ,
- Carla Simplicio ,
- Renata Cristina Gasparino
Views1ABSTRACT
Objectives:
to adapt and validate an instrument for classifying adult patients that emphasizes the family support network in the demand for nursing care.
Methods:
methodological study, carried out in three phases: adaptation of an instrument considering the reality of adult patients; content validation with seven experts and assessment of measurement properties (construct validity and internal consistency) with 781 hospitalized patients.
Results:
in content validation, the indicators reached the values established for the Content Validity Index (0.85-1.00). In the confirmatory factor analysis, the 11 indicators were distributed in three domains and presented average variance extracted and factor loading greater than 0.5. Composite reliability was greater than 0.7.
Conclusions:
the present study adapted and made available, with evidence of validity and reliability, an instrument for classifying adult patients that considers the family support network in the demand for nursing care.
Keywords:Factor AnalysisFamilyHospital Organization and AdministrationPatient-Centered CareValidation StudiesSee more
- Ariane Polidoro Dini
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ORIGINAL ARTICLE09-20-2024
Predictor variables effect on the development of Burnout Syndrome in higher education professor
- Italo Everton Bezerra Barbosa ,
- Aristéia Nunes Sampaio ,
- Cristiane Pereira de Souza ,
- Breno de Souza Mota ,
- Carla Roberta Monteiro Miura , [ … ],
- Angélica Gonçalves Silva Belasco
Abstract
ORIGINAL ARTICLEPredictor variables effect on the development of Burnout Syndrome in higher education professor
Revista Brasileira de Enfermagem. 2024;77(4):e20240132
DOI 10.1590/0034-7167-2024-0132
- Italo Everton Bezerra Barbosa ,
- Aristéia Nunes Sampaio ,
- Cristiane Pereira de Souza ,
- Breno de Souza Mota ,
- Carla Roberta Monteiro Miura ,
- Cassiane Dezoti da Fonseca ,
- Angélica Gonçalves Silva Belasco
Views0See moreABSTRACT
Objectives:
to correlate the development of Burnout Syndrome in higher education professors with the following variables: sociodemographic, economic, work, sleep pattern, level of anxiety and quality of life.
Methods:
observational, analytical, cross-sectional study with a quantitative approach. Data collection took place from August to November 2022, with 140 professors from a private higher education institution in the Western Brazilian Amazon.
Results:
professors who carried out activities outside institutional hours and who had sleep duration < 5 hours, presented lower scores in the personal fulfillment dimension of burnout, with (p=0.002) and (p=0.001), respectively. The higher the scores for the physical (p=0.001), psychological (p=0.000) and social relationships (p=0.002) domains of quality of life, the lower the personal fulfillment scores for the syndrome.
Conclusions:
through linear regression, it was evidenced that several variables explain the development of burnout. Institutional and governmental actions can minimize the negative influence of these variables.
- Italo Everton Bezerra Barbosa
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ORIGINAL ARTICLE09-20-2024
Construction and enhancement of a prototype for a medical-hospital equipment for hypodermoclysis: a qualitative study
- Thayna Silva de Assis Barros ,
- Eduardo José Ferreira Santos ,
- Pedro Miguel dos Santos Dinis Parreira ,
- Juliana Faria Campos ,
- Inês Franco de Almeida , [ … ],
- Marcelle Miranda da Silva
Abstract
ORIGINAL ARTICLEConstruction and enhancement of a prototype for a medical-hospital equipment for hypodermoclysis: a qualitative study
Revista Brasileira de Enfermagem. 2024;77(4):e20240059
DOI 10.1590/0034-7167-2024-0059
- Thayna Silva de Assis Barros ,
- Eduardo José Ferreira Santos ,
- Pedro Miguel dos Santos Dinis Parreira ,
- Juliana Faria Campos ,
- Inês Franco de Almeida ,
- Rafael Alves Bernardes ,
- Marcelle Miranda da Silva
Views0See moreABSTRACT
Objectives:
to construct a Subcutaneous Hydration Device semi-functional prototype and gather initial information to improve this prototype design and realize its acceptance potential.
Methods:
a qualitative, descriptive and exploratory study, which used focus group, following the Technology Acceptance Model. The group was held at the Escola Superior de Enfermagem de Coimbra, Portugal, in December 2022, composed of nine participants from six different disciplinary areas, and followed thematic analysis.
Results:
four topics emerged associated with the device components: elastomeric infusion pump; needle/access device; clamp; administration set. From these topics, topics were triggered that highlighted: characteristics about the target population; ease of use and accessories; patient comfort and safety; and device application context.
Final Considerations:
the Subcutaneous Hydration Device semi-functional prototype is viable and interesting for the clinic. The results support its improvement and direct future investments for experimental studies.
- Thayna Silva de Assis Barros
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REVIEW09-20-2024
Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study
- Rosane Barreto Cardoso ,
- Marcos Antônio Gomes Brandão ,
- Jéssica Cristina Sobrinho da Silva Cavalcante ,
- Rafael Oliveira Pitta Lopes ,
- Kênia Rocha Leite Zaccaro , [ … ],
- Cândida Caniçali Primo
Abstract
REVIEWBrazilian nursing specific situation, middle and micro-range theories: a bibliometric study
Revista Brasileira de Enfermagem. 2024;77(4):e20230520
DOI 10.1590/0034-7167-2023-0520
- Rosane Barreto Cardoso ,
- Marcos Antônio Gomes Brandão ,
- Jéssica Cristina Sobrinho da Silva Cavalcante ,
- Rafael Oliveira Pitta Lopes ,
- Kênia Rocha Leite Zaccaro ,
- Cândida Caniçali Primo
Views0See moreABSTRACT
Objectives:
to map the nursing theories developed in stricto sensu graduate programs in nursing in Brazil.
Methods:
a bibliometric study, carried out on the Coordination for the Improvement of Higher Education Personnel Theses and Dissertations Portal in October 2023. The controlled descriptors “Nursing Theory” and “Nursing Models” and the uncontrolled descriptors “Theories” and “Middle-Range Theory” were used. Selected studies were cataloged for analysis, which was conducted by the study authors, who have a doctoral degree and expertise in research on nursing theories.
Results:
thirty-nine nursing theories were mapped, with a predominance of middle-range theories (79.5%), focusing on nursing diagnostic concepts and use of the theoretical-methodology strategy of theoretical-causal validity.
Conclusions:
the study identified nursing theories developed in Brazil, recognizing trends, development strategies, theorized objects of disciplinary interest and investments necessary for practical application in Brazilian contexts.
- Rosane Barreto Cardoso
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ORIGINAL ARTICLE09-20-2024
Cross-cultural adaptation and validation of the Healthy Work Environment Assessment Tool in Brazilian culture
- Renata Cristina Gasparino ,
- Sharlla Milênia Nogueira da Silva ,
- Letícia Bianchini de Barros Minatogawa ,
- Olga Maria Pimenta Lopes Ribeiro ,
- Andrea Bernardes
Abstract
ORIGINAL ARTICLECross-cultural adaptation and validation of the Healthy Work Environment Assessment Tool in Brazilian culture
Revista Brasileira de Enfermagem. 2024;77(4):e20230505
DOI 10.1590/0034-7167-2023-0505
- Renata Cristina Gasparino ,
- Sharlla Milênia Nogueira da Silva ,
- Letícia Bianchini de Barros Minatogawa ,
- Olga Maria Pimenta Lopes Ribeiro ,
- Andrea Bernardes
Views0ABSTRACT
Objectives:
to adapt and validate the content of the Healthy Work Environment Assessment Tool for Brazilian culture, and evaluate the practical aspects of its application.
Methods:
methodological study that followed six stages: translation; synthesis; back translation; content validation by a group of experts, pre-testing and approval of the process by the author of the original instrument.
Results:
the first three stages were carried out by contracted companies. In the committee, two items and the title of a subscale were evaluated in a second round, when consensus was reached among experts. In the pre-test, more than 93% of professionals agreed that the tool was easy to understand. The average completion time was 8.53 minutes. The American Association of Critical-Care Nurses authorized publication of the results.
Conclusions:
the adaptation of the tool to Brazilian culture was completed following the adopted framework. In addition to the evidence of content validity, the tool appears promising for managerial use.
Keywords:Cross-Cultural ComparisonHealth Facility EnvironmentTranslatingValidation StudyWorking ConditionsSee more - Renata Cristina Gasparino
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ORIGINAL ARTICLE09-20-2024
Construction and validation of a checklist for the management of totally implanted catheters in children
- Giselle Vieira de Souza ,
- Isabella Pavarine de Souza ,
- Maria Paula Custodio Silva ,
- Silmara Elaine Malaguti Toffano ,
- Divanice Contim
Abstract
ORIGINAL ARTICLEConstruction and validation of a checklist for the management of totally implanted catheters in children
Revista Brasileira de Enfermagem. 2024;77(4):e20230447
DOI 10.1590/0034-7167-2023-0447
- Giselle Vieira de Souza ,
- Isabella Pavarine de Souza ,
- Maria Paula Custodio Silva ,
- Silmara Elaine Malaguti Toffano ,
- Divanice Contim
Views0See moreABSTRACT
Objectives:
to construct and validate the content of a checklist for the management of totally implanted catheters in hospitalized children and adolescents.
Methods:
methodological research conducted from October 2021 to December 2022 in two stages: development of the instrument with care guidelines and content validation of the checklist. The instrument, containing 23 items presented in Likert format, was evaluated online by specialists in two rounds. The Content Validity Index was applied, considering indices above 0.8 as valid.
Results:
the final checklist included four domains and 22 checklist items, validated with a Content Validity Index of 0.98. The overall evaluation of the instrument presented a global score of 9.9.
Conclusions:
the validation and application of instruments that standardize procedures, in addition to supporting professionals, promote autonomy and quality of care for children and adolescents using this device.
- Giselle Vieira de Souza
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ORIGINAL ARTICLE09-20-2024
Transgender people’s knowledge about the adverse effects of cross-hormonization: challenges for nursing
- Andréa Felizardo Ahmad ,
- Adriana Lemos ,
- Cláudia Regina Ribeiro ,
- Luciane Marques de Araujo ,
- Vanessa de Almeida Ferreira Corrêa , [ … ],
- Beatriz Rodrigues Silva Selles Dantas
Abstract
ORIGINAL ARTICLETransgender people’s knowledge about the adverse effects of cross-hormonization: challenges for nursing
Revista Brasileira de Enfermagem. 2024;77(4):e20230346
DOI 10.1590/0034-7167-2023-0346
- Andréa Felizardo Ahmad ,
- Adriana Lemos ,
- Cláudia Regina Ribeiro ,
- Luciane Marques de Araujo ,
- Vanessa de Almeida Ferreira Corrêa ,
- Janaína Pinto Janini ,
- Rosâne Mello ,
- Beatriz Rodrigues Silva Selles Dantas
Views0See moreABSTRACT
Objectives:
to identify trans women’s and men’s knowledge about the adverse effects of cross-hormonization and understand the repercussions of hormonization practices on trans women’s and men’s health.
Methods:
exploratory, descriptive, qualitative research, developed with 41 participants, from July 2019 to February 2020, in a trans health outpatient clinic. Thematic-categorical content analysis was used.
Results:
from the analysis, the categories emerged: Knowledge about the adverse effects of cross-hormonization; and Cross-hormonization practices and their meaning.
Final Considerations:
nursing practices, based on the identification of knowledge about adverse effects and the understanding of cross-hormonization practices in trans women’s and men’s health, can result in more inclusive care.
- Andréa Felizardo Ahmad
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ORIGINAL ARTICLE09-20-2024
Sociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic
- Andressa Silva Torres dos Santos ,
- Ana Cristina de Oliveira e Silva ,
- Fernanda Maria Vieira Pereira-Ávila ,
- Hemílio Fernandes Campos Coêlho ,
- Laelson Rochelle Milanês Sousa , [ … ],
- Elucir Gir
Abstract
ORIGINAL ARTICLESociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77(4):e20230301
DOI 10.1590/0034-7167-2023-0301
- Andressa Silva Torres dos Santos ,
- Ana Cristina de Oliveira e Silva ,
- Fernanda Maria Vieira Pereira-Ávila ,
- Hemílio Fernandes Campos Coêlho ,
- Laelson Rochelle Milanês Sousa ,
- Renata Karina Reis ,
- Elucir Gir
Views0See moreABSTRACT
Objectives:
to assess the socio-cognitive factors determining adherence to standard precautions by nursing professionals in care practice during the COVID-19 pandemic in Brazil.
Methods:
an analytical cross-sectional study, carried out with 9,039 nursing professionals in Brazil, using an electronic form containing participant sociodemographic, training and work variables, and the Brazilian version of the Standard Precautions Questionnaire. Descriptive and inferential statistics were used using the statistical software R.
Results:
participants recognize standard precautions as effective measures to reduce infections and report intention to perform them. Training regarding standard precautions was evidenced as a facilitator of adherence (4.72; SD: 0.73), and problems related to materials (3.78; SD: 1.45) were a hindrance.
Conclusions:
among the determining factors, facilitating organization presented the highest score, followed by intention to perform. Facilitating and hindering factor identification makes it possible to develop intervention strategies to strengthen patient safety and reduce occupational risks among professionals.
- Andressa Silva Torres dos Santos
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ORIGINAL ARTICLE09-20-2024
Middle-range theory of the existential dimension of being-in-the-world of chronic kidney disease: Grounded Theory
- Carolina Giordani da Silva ,
- Maria da Graça Oliveira Crossetti ,
- Maravilla Giménez Fernández ,
- Janaína dos Santos Prates
Abstract
ORIGINAL ARTICLEMiddle-range theory of the existential dimension of being-in-the-world of chronic kidney disease: Grounded Theory
Revista Brasileira de Enfermagem. 2024;77(4):e20230152
DOI 10.1590/0034-7167-2023-0152
- Carolina Giordani da Silva ,
- Maria da Graça Oliveira Crossetti ,
- Maravilla Giménez Fernández ,
- Janaína dos Santos Prates
Views0See moreABSTRACT
Objectives:
to develop a middle-range theory of the existential dimension of being-in-the-world of chronic kidney disease in the light of humanistic nursing theory.
Methods:
exploratory-descriptive, qualitative, Grounded Theory study, whose guiding question was: what theoretical relationships can be established between clinical practice carried out in the context of renal replacement therapies and the concepts of humanistic nursing theory? Data were collected through semi-structured interviews with nursing staff and chronic kidney disease patients.
Results:
a theory was developed that describes and explains the existential dimension of being-in-the-world of chronic kidney disease, identifying the qualitative evidence present in this context.
Final Considerations:
the theory contributes to clinical nursing practice qualification in nephrology, consolidating nursing as an art and science, because it arises from care practice and research, in addition to rescuing what differentiates it within the health disciplines, which is care par excellence.
- Carolina Giordani da Silva
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Qualitative methodology: considerations and singularities regarding the implementation of person-centered interventions
Revista Brasileira de Enfermagem. 2024;77(3):e770301
Abstract
Qualitative methodology: considerations and singularities regarding the implementation of person-centered interventions
Revista Brasileira de Enfermagem. 2024;77(3):e770301
DOI 10.1590/0034-7167.2024770301
Views0Qualitative health research allows for an in-depth understanding of how a person experiences different health transitions, their relationship with healthcare professionals and their passage through different clinical practice environments. At the same time, it has the potential to support professionals’ clinical decision-making and to empower citizens in their autonomy and responsibility for the health-disease process, […]See more -
REVIEW05-13-2024
Lean methodology: contributions to improving work processes in health and nursing
- Fernanda Novaes Moreno Brancalion ,
- Lara Gonçalves de Souza ,
- Simone Berger ,
- Antônio Fernandes Costa Lima
Abstract
REVIEWLean methodology: contributions to improving work processes in health and nursing
Revista Brasileira de Enfermagem. 2024;77(2):e20230322
DOI 10.1590/0034-7167-2023-0322
- Fernanda Novaes Moreno Brancalion ,
- Lara Gonçalves de Souza ,
- Simone Berger ,
- Antônio Fernandes Costa Lima
Views0ABSTRACT
Objective:
to investigate the contributions of applying the Lean methodology to improve work processes in health and nursing and its impact on associated financial aspects.
Method:
an integrative review, carried out in six databases, whose sample of ten (100.0%) studies was analyzed and summarized descriptively.
Results:
the outcomes obtained were stratified into: benefits/barriers to Lean Healthcare implementation; economic aspects involving Lean Healthcare implementation; and process improvements through Lean Healthcare implementation. The majority of studies (60.0%) were carried out in university hospitals, contexts that need to continually improve the quality of services provided, generally with scarce and limited resources, which support the viability of maintaining the teaching, research and extension tripod.
Conclusion:
three (30.0%) studies highlighted the financial aspects associated with Lean methodology application. The others only mentioned the possibility of financial gains through improving processes and reducing waste.
Keywords:Cost Efficiency AnalysisCost SavingsEfficiencyOrganizationalProcess OptimizationTotal Quality ManagementSee more
- Fernanda Novaes Moreno Brancalion
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ORIGINAL ARTICLE05-13-2024
Generalized Resistance Deficits in inmates with hypertension: missing resources that limit health
- Marta Cossetin Costa ,
- Maria de Fátima Mantovani ,
- Fernanda Moura D’Almeida Miranda ,
- Ivonete Teresinha Schülter Buss Heidemann ,
- Aida Maris Peres
Abstract
ORIGINAL ARTICLEGeneralized Resistance Deficits in inmates with hypertension: missing resources that limit health
Revista Brasileira de Enfermagem. 2024;77(2):e20230246
DOI 10.1590/0034-7167-2023-0246
- Marta Cossetin Costa ,
- Maria de Fátima Mantovani ,
- Fernanda Moura D’Almeida Miranda ,
- Ivonete Teresinha Schülter Buss Heidemann ,
- Aida Maris Peres
Views0See moreABSTRACT
Objective:
to understand the Generalized Resistance Deficits of people deprived of liberty with hypertension in a Brazilian prison unit.
Method:
qualitative research, anchored in Salutogenesis, carried out with 38 people with hypertension from a Brazilian prison unit, from February to July 2022, with a semi-structured interview with open-ended questions, whose analysis was thematic, explaining the limitations to health in prison.
Results:
13 Generalized Resistance Deficits were reported, mostly related to the prison environment and, to a lesser extent, to the social group and the individual, respectively. Living in prison for people with hypertension implies living with a high number of Generalized Resistance Deficits, accentuating the movement towards the disease pole.
Final considerations:
knowing Generalized Resistance Deficits allows directing health promotion to support the use of available Generalized Resistance Resources and contributes to the expansion of intersectoral policies.
- Marta Cossetin Costa
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Preditores de nanismo entre crianças de 0 a 24 meses no Sudeste Asiático: Uma revisão do escopo
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
Abstract
Preditores de nanismo entre crianças de 0 a 24 meses no Sudeste Asiático: Uma revisão do escopo
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
DOI 10.1590/0034-7167-2022-0625
Views0See moreRESUMEN
Objetivo:
Identificar indicadores de desnutrición crónica entre niños de 0 a 24 meses en el Sudeste Asiático.
Métodos:
Esta revisión de alcance se centró en artículos con diseño de estudio observacional publicados en inglés, entre los años 2012 y 2023 de cinco bases de datos internacionales. Las principales palabras clave utilizadas fueron: “stunting (Desnutrición crónica)” o “growth disorder (Desorden del crecimiento)”, y “newborn (Recién nacido)”, y “predict (Predecir)”, y “Southeast Asia (Sudeste Asiático)”.
Resultados:
De los 27 artículos seleccionados para el análisis final, se encontraron trece indicadores que influyen en la desnutrición crónica en siete países del Sudeste Asiático. Los trece indicadores incluyen el niño, la madre, el hogar, la alimentación inadequada complementaria, la lactancia materna inadecuada, la atención inadecuada, los alimentos de mala calidad, la seguridad de los alimentos y el agua, la infección, la economía política, la salud y la asistencia sanitaria, el agua, el saneamiento y el medio ambiente, y por último el factor sociocultural.
Conclusión:
Todos estos indicadores pueden provocar desnutrición crónica en niños del Sudeste Asiático. Para poder prevenirlo los prestadores de servicios de salud y otros sectores relacionados, necesitan realizar actividades de promoción y prevención de la salud de acuerdo con los indicadores encontrados en este artículo.
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REVIEW05-13-2024
Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
Abstract
REVIEWStunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
DOI 10.1590/0034-7167-2022-0625
Views0See moreABSTRACT
Objective:
To identify predictors of stunting among children 0-24 months in Southeast Asia.
Methods:
This scoping review focused on articles with observational study design in English published from 2012 to 2023 from five international databases. The primary keyword used were: “stunting” OR “growth disorder” AND “newborn” AND “predict” AND “Southeast Asia”.
Results:
Of the 27 articles selected for the final analysis there are thirteen predictors of stunting in seven Southeast Asia countries. The thirteen predictors include the child, mother, home, inadequate complementary feeding, inadequate breastfeeding, inadequate care, poor quality foods, food and water safety, infection, political economy, health and healthcare, water, sanitation, and environment, and social culture factor.
Conclusion:
All these predictors can lead to stunting in Southeast Asia. To prevent it, health service providers and other related sectors need to carry out health promotion and health prevention according to the predictors found.
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ORIGINAL ARTICLE05-13-2024
Factors associated with Community Health Agents’ knowledge about tuberculosis
- Clery Mariano da Silva Alves ,
- Tauana de Souza Amaral ,
- Fabiana Ribeiro Rezende ,
- Hélio Galdino Júnior ,
- Rafael Alves Guimarães , [ … ],
- Anaclara Ferreira Veiga Tipple
Abstract
ORIGINAL ARTICLEFactors associated with Community Health Agents’ knowledge about tuberculosis
Revista Brasileira de Enfermagem. 2024;77(2):e20220520
DOI 10.1590/0034-7167-2022-0520
- Clery Mariano da Silva Alves ,
- Tauana de Souza Amaral ,
- Fabiana Ribeiro Rezende ,
- Hélio Galdino Júnior ,
- Rafael Alves Guimarães ,
- Dayane de Melo Costa ,
- Anaclara Ferreira Veiga Tipple
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the knowledge of Community Health Agents (ACS) about tuberculosis.
Methods:
A cross-sectional study was conducted with 110 ACS. A questionnaire was used to assess knowledge about pulmonary tuberculosis (component 1) and the work functions of ACS in the National Tuberculosis Control Program (component 2). The level of knowledge, according to the scores converted into a scale of 0 to 100, was classified as: 0-50% (low), 51-75% (medium), and over 75% (high). Multiple regression was used in the analysis of associated factors.
Results:
The global score (average of the scores of components 1 and 2) median knowledge was 68.6%. Overall knowledge about tuberculosis was positively associated with the length of professional experience, having received training on tuberculosis, and access to the tuberculosis guide/handbook.
Conclusions:
Investments in training and capacity-building strategies for ACS will contribute to increasing these professionals’ knowledge, resulting in greater success in tuberculosis control.
- Clery Mariano da Silva Alves
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A influência da internet nas escolhas sobre a saúde e o bem-estar dos idosos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
Abstract
A influência da internet nas escolhas sobre a saúde e o bem-estar dos idosos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
DOI 10.1590/0034-7167-2023-0321
Views0See moreRESUMEN
Objetivos:
describir el perfil de los ancianos que acceden a internet para buscar información de salud e identificar los factores que pueden influir en las decisiones de los ancianos sobre su salud a partir de la información recopilada en línea.
Métodos:
391 ancianos respondieron a un cuestionario online sobre hábitos y satisfacción con la información de salud recogida en internet. El procesamiento de datos implicó regresión logística.
Resultados:
la educación superior reduce en un 44% la probabilidad de que un anciano siga las recomendaciones de salud en los sitios web. Sin embargo, las actividades sociales y la salud autopercibida aumentan la posibilidad de seguir las recomendaciones en un 83% y un 71%, respectivamente. La creencia de que internet promueve hábitos saludables aumenta 29,2 veces la probabilidad de que un anciano siga un consejo.
Consideraciones Finales:
conocer el perfil de los ancianos que utilizan internet puede ayudar a los profesionales a formular políticas públicas y construir buenas plataformas de información sobre salud y bienestar.
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ORIGINAL ARTICLE05-13-2024
The influence of the internet on choices about older adults’ health and well-being
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
Abstract
ORIGINAL ARTICLEThe influence of the internet on choices about older adults’ health and well-being
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
DOI 10.1590/0034-7167-2023-0321
Views0See moreABSTRACT
Objectives:
to describe the profile of older adults who access the internet to search for health information and identify the factors that can influence older adults’ decisions about their health based on information collected online.
Methods:
391 older adults answered an online questionnaire regarding habits and satisfaction with information about health collected on the internet. Data processing involved Logistic Regression.
Results:
higher education reduces by 44% the likelihood of an older adult following the health recommendations on internet sites. However, social activities and self-perceived health increase the possibility of following the recommendations by 83% and 71%, respectively. The belief that the internet promotes healthy habits increases by 29.2 times the probability of an older adult following the advice.
Final Considerations:
knowing the profile of older adults who use the Internet can help professionals formulate public policies and build good information platforms on health and well-being.
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