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RESEARCH
Peritoneal dialysis: family care for chronic kidney disease patients in home-based treatment
Revista Brasileira de Enfermagem. 2016;69(6):1172-1178
01-01-2016
Abstract
RESEARCHPeritoneal dialysis: family care for chronic kidney disease patients in home-based treatment
Revista Brasileira de Enfermagem. 2016;69(6):1172-1178
01-01-2016DOI 10.1590/0034-7167-2016-0262
Views0See moreABSTRACT
Objective:
to propose a family care model for patients with chronic kidney disease in peritoneal dialysis based on evidence indicated by family members.
Method:
this was a qualitative descriptive study that used the Convergent Care Research method. It was conducted at a state hospital in Rio de Janeiro, including techniques for recording individual interviews and consisted of a group of 19 study participants. Data were analyzed according to the stages proposed by the method, generating a category that used a cultural question as the basis for patient care resulting in a proposal for home-based family care.
Results:
the patient care model proposed includes dialogue and reflection in sharing the knowledge of “professional” and “popular” systems, aiming to improve the patient’s quality of life.
Conclusion:
family members were able to promote care based on cultural preservation, accommodation and repatterning, as proposed by Leininger’s Sunrise Model.
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RESEARCH
Technology for self-care for ostomized women’s sexual and reproductive health
Revista Brasileira de Enfermagem. 2016;69(6):1164-1171
01-01-2016
Abstract
RESEARCHTechnology for self-care for ostomized women’s sexual and reproductive health
Revista Brasileira de Enfermagem. 2016;69(6):1164-1171
01-01-2016DOI 10.1590/0034-7167-2016-0302
Views0See moreABSTRACT
Objective:
to validate the technology of printed booklets on self-care for ostomized women’s sexual and reproductive health.
Method:
a methodological study was performed with a focus on the construction and validity of a printed booklet. The content of this booklet was validated by 11 specialist judges/nurses, according to a Content Validity Index (CVI) equal to or higher than 0.80. Appearance was validated by nine ostomized women, according to an assessment of the difficulty and convenience of the educational material.
Results:
the booklet was validated by specialists, with an overall mean CVI equal to 0.87. Moreover, the target population showed 100% of agreement in terms of the adequacy of organization, writing style, appearance and motivation of this booklet.
Conclusion:
the educational technology in question was validated according to content and appearance, thus representing an adequate, reliable and easily understandable resource to acquire knowledge about self-care for ostomized women’s sexual and reproductive health.
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RESEARCH
Short-course therapy for tuberculosis: a discourse analysis
Revista Brasileira de Enfermagem. 2016;69(6):1154-1163
01-01-2016
Abstract
RESEARCHShort-course therapy for tuberculosis: a discourse analysis
Revista Brasileira de Enfermagem. 2016;69(6):1154-1163
01-01-2016DOI 10.1590/0034-7167-2016-0330
Views0ABSTRACT
Objective:
to analyze the meanings produced by nursing professionals in the directly observed treatment (DOT) for tuberculosis (TB) in the city of São Paulo.
Method:
this is a qualitative study, conducted in March and April 2014 through semi-directed interviews with nine nurses. The empirical material produced was analyzed according to the theoretical and methodological support of the Discourse Analysis of French matrix.
Results:
results have emerged as three discursive blocks: conditions for the production of tuberculosis control practices; production conditions facilitating the treatment of tuberculosis; and production conditions hindering the treatment of tuberculosis.
Conclusion:
these professionals’ words produce different meanings, which suggest that the practices of nursing professionals allow the patient to search for a cure, which is reinforced by incentives of a social nature, but permeated by the vicissitudes that are circumscribed in the ill person’s everyday production conditions.
Keywords:Directly Observed TherapyMedication AdherenceNursing, TeamPublic Health PracticeTuberculosisSee more -
RESEARCH
Aids in the elderly: reasons that lead to late diagnosis
Revista Brasileira de Enfermagem. 2016;69(6):1140-1146
01-01-2016
Abstract
RESEARCHAids in the elderly: reasons that lead to late diagnosis
Revista Brasileira de Enfermagem. 2016;69(6):1140-1146
01-01-2016DOI 10.1590/0034-7167-2016-0370
Views0See moreABSTRACT
Objective:
to investigate elderly living with HIV/Aids and health professionals, what are the reasons that lead to late diagnosis of HIV infection in the elderly.
Method:
prospective, qualitative study, conducted at a specialized outpatient clinic with elderly living with HIV/Aids, diagnosed age over 60 years and in the Family Health Strategy units with nurses and physicians. Data were collected through interviews and verified by content analysis, using the theoretical framework of vulnerability.
Results:
a total of 11 elderly, 11 nurses and 12 physicians participated in the study. Three empirical categories emerged: the late diagnosis of HIV happens against the health service; invisibility of the sexuality of the elderly; and weaknesses in the anti-HIV serology request for the elderly.
Conclusion:
there are health professionals who see the elderly as asexual, causing the diagnosis of HIV to happen in the secondary and tertiary service instead of primary care.
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RESEARCH
Storytelling: a care technology in continuing education for active ageing
Revista Brasileira de Enfermagem. 2016;69(6):1132-1139
01-01-2016
Abstract
RESEARCHStorytelling: a care technology in continuing education for active ageing
Revista Brasileira de Enfermagem. 2016;69(6):1132-1139
01-01-2016DOI 10.1590/0034-7167-2016-0390
Views0See moreABSTRACT
Objective:
assessing relevance and effectiveness of care/educational technology in the form of “storytelling” as a strategy in the cultivation of active ageing (AA) for elderly users of a Basic Health Unit (BHU), from the Amazon region.
Method:
convergent care research (CCR) held in a BHU in Belém, state of Pará, with eight elderly ladies for testing this technology. An active ageing assessment questionnaire and WHOQOL-BREF – quality of life assessment were applied. After training with a view to continuing education, elderly ladies told stories for an audience that addressed the question: “What did you learn from it for your life?”
Results:
tThe popular stories elicited reactions from which the following categories emerged: solidarity; respect for the other; imagination, dreams, hopes and culture of the Amazonian. This practice had a positive result, producing changes in the quality of life of the elderly, particularly in the psychological domain.
Conclusion:
“storytelling” proved to be an innovative technology, a relevant and effective resource in health education, especially for active ageing.
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RESEARCH
Nurse care practices in the Family Health Strategy
Revista Brasileira de Enfermagem. 2016;69(6):1124-1131
01-01-2016
Abstract
RESEARCHNurse care practices in the Family Health Strategy
Revista Brasileira de Enfermagem. 2016;69(6):1124-1131
01-01-2016DOI 10.1590/0034-7167-2016-0273
Views0See moreABSTRACT
Objective:
to analyze the practices of care of nurses working in teams of the family health strategy, from the perspective of users.
Method:
qualitative research conducted with 34 registered users in seven family health units of a municipality of Bahia from June to December 2014. The results were organized by the technique of content analysis.
Results:
users showed satisfaction with the nurse care due to listening, warmth and resolution of their health needs, despite the emphasis on procedures and programs targeted to populational groups. The dissatisfaction stems from the authoritarian, prescriptive and inflexible attitude in the nurse care. It was also emphasized that the home visits are directed to the bedridden and more restricted to preventive actions. Educational activities occur during the nursing consultation and in the health unit.
Conclusion:
there is urgent need of redefining the care as a structuring axis of the nurse practice.
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RESEARCH
Interdisciplinary care praxis in groups of people living with fibromyalgia
Revista Brasileira de Enfermagem. 2016;69(6):1115-1123
01-01-2016
Abstract
RESEARCHInterdisciplinary care praxis in groups of people living with fibromyalgia
Revista Brasileira de Enfermagem. 2016;69(6):1115-1123
01-01-2016DOI 10.1590/0034-7167-2016-0279
Views0See moreABSTRACT
Objectives:
to analyze the integrated community therapy model for the empowerment of people living with fibromyalgia and discuss the impact of this interdisciplinary intervention in the health-disease process and self-care.
Method:
a participatory-approach qualitative study, developed in 2015 with 11 participants at the Laboratory of Physiology Applied to Physical Education of the Rio de Janeiro State University, RJ. Data production comprised World Café, participant observation and semi-structured interview. The analysis was performed according to Bardin, through data triangulation in dialogue with the relevant literature.
Results:
the integrated community therapy group is a driving force in building and expanding knowledge about fibromyalgia and in self-care empowerment.
Conclusion:
this group strategy proved to be an interdisciplinary praxis tool that enables the development of solidary care networks. Thus, shared knowledge was generated, transformed into a listening and reflection environment to manage personal and family obstacles.
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RESEARCH
Determining impacts and factors in ventilator-associated pneumonia bundle
Revista Brasileira de Enfermagem. 2016;69(6):1108-1114
01-01-2016
Abstract
RESEARCHDetermining impacts and factors in ventilator-associated pneumonia bundle
Revista Brasileira de Enfermagem. 2016;69(6):1108-1114
01-01-2016DOI 10.1590/0034-7167-2016-0253
Views0See moreABSTRACT
Objective:
Assessing the determining impacts and factors in ventilator-associated pneumonia (VAP) bundle.
Method:
descriptive retrospective longitudinal study, with quantitative approach, held at a public teaching hospital. Collection held between May 2014 and April 2015. Patients of the ICU with VAP participated in the research. For organizing data, the Microsoft Excel 2010 program was used. A critical analysis between the data collected and infection rates was performed. The survey was approved under no. 566,136.
Results:
an increase in the incidence of VAP after implementing the bundle was observed; the prevalent pathogens were gram-negative bacteria. Deaths were equal to or greater than 50%. Changes of professionals and lack of supplies were determining factors.
Conclusion:
in this context, the need for permanent qualification of the team is emphasized, with the purpose of promoting the adherence to the protocol and preventing VAP.
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ORIGINAL ARTICLE
Validation of a clinical simulation setting in the management of postpartum haemorrhage
- Priscyla de Oliveira Nascimento Andrade
, - Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo , [ … ],
- Francisca Marcia Pereira Linhares
06-27-2019
Abstract
ORIGINAL ARTICLEValidation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
06-27-2019DOI 10.1590/0034-7167-2018-0065
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo ,
- Francisca Marcia Pereira Linhares
Views0See moreABSTRACT
Objective:
To construct and validate a clinical simulation setting for postpartum haemorrhage.
Method:
Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.
Results:
Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.
Conclusion:
It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.
- Priscyla de Oliveira Nascimento Andrade
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REVIEW
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
06-01-2020
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
06-01-2020DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Views0ABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
Keywords:African Continental Ancestry GroupHealth of Ethnic MinoritiesHealth PolicyHealth Services AccessibilityPrimary Health CareSee more
- Nelma Nunes da Silva
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ORIGINAL ARTICLE
Occupational stress and engagement in primary health care workers
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
10-21-2019
Abstract
ORIGINAL ARTICLEOccupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
10-21-2019DOI 10.1590/0034-7167-2018-0681
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Views0ABSTRACT
Objective:
To evaluate levels of occupational stress and work engagement among primary health care workers.
Method:
A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).
Results:
Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.
Conclusion:
Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.
Keywords:Family Health StrategyHealth PersonnelOccupational StressPrimary Health CareWork EngagementSee more - Dezolina Franciele Cardin Cordioli
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ORIGINAL ARTICLE
Patient safety culture: perception of nursing professionals in high complexity institutions
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
07-01-2020
Abstract
ORIGINAL ARTICLEPatient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
07-01-2020DOI 10.1590/0034-7167-2019-0174
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Views0See moreABSTRACT
Objectives:
to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.
Methods:
descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).
Results:
four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.
Conclusions:
evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.
- Desirée Zago Sanchis
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REVIEW
Transitional care to caregivers of dependent older people: an integrative literature review
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
11-06-2020
Abstract
REVIEWTransitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
11-06-2020DOI 10.1590/0034-7167-2020-0394
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Views0See moreABSTRACT
Objective:
To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.
Methods:
Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.
Results:
The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.
Final considerations:
The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.
- Bruna Alexandra da Silva Ferreira
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ORIGINAL ARTICLE
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva , [ … ],
- Jaime Alonso Caravaca-Morera
06-27-2019
Abstract
ORIGINAL ARTICLEDebriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
06-27-2019DOI 10.1590/0034-7167-2018-0103
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva ,
- Jaime Alonso Caravaca-Morera
Views0See moreABSTRACT
Objective:
Evaluate the contribution of debriefing after clinical simulations for nursing students.
Method:
Quantitative study, conducted with 35 nursing students who participated in five clinical simulation scenarios with planned debriefings based on the model of the National League Nursing/Jeffries Simulation Theory. After the fifth scenario, students answered the Debriefing Evaluation Scale associated with the Simulation.
Results:
The items evaluated involved the psychosocial, cognitive, and affective values, and within a scale from one to five, the highest mean was found in cognitive value with 4.23 (±0.56) points, then in psychosocial value with 3.77 (±0.53), and finally in affective value with 3.71 (±0.63) points.
Conclusion:
The debriefing conducted after the clinical simulation scenarios was a reflective exercise that contributed to the student integrating multiple knowledges in affective, cognitive and psychosocial values, and thus develop the competencies required.
- Carina Bortolato-Major
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REVIEW
Validation methods of nursing protocols: an integrative review
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
10-19-2020
Abstract
REVIEWValidation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
10-19-2020DOI 10.1590/0034-7167-2020-0050
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Views0See moreABSTRACT
Objective:
to identify scientific production about validation methods of nursing care protocols.
Method:
an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used.
Results:
thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles.
Conclusion:
protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.
- Tainara Wink Vieira
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EXPERIENCE REPORT
Implementation of an Artificial Intelligence Algorithm for sepsis detection
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto , [ … ],
- Carolina Wrobel Bezerra
04-09-2020
Abstract
EXPERIENCE REPORTImplementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
04-09-2020DOI 10.1590/0034-7167-2018-0421
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto ,
- Carolina Wrobel Bezerra
Views0See moreABSTRACT
Objectives:
to present the nurses’ experience with technological tools to support the early identification of sepsis.
Methods:
experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.
Results:
describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.
Final Considerations:
technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.
- Luciana Schleder Gonçalves
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