Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803

    Abstract

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803

    DOI 10.1590/0034-7167.2016690424i

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    ABSTRACT

    Objective:

    to analyze the scientific production on “breast cancer” in the period from 2002 to 2013 and determine the public policies for screening and early diagnosis of breast cancer.

    Method:

    this is an integrative literature review conducted in the databases MEDLINE, LILACS, SciELO and Google Scholar. Inclusion criteria: year and period of publication; availability of the full article; publication in Brazil; and the cross-check of the keywords Breast Cancer, Primary Health Care, Screening Programs, and Early Detection of Cancer.

    Results:

    after analysis, four thematic categories were obtained: breast self-examination, clinical examination of breast, mammography, and factors that hinder the adherence to the screening.

    Conclusion:

    health professionals have deficits of knowledge on the area, indicating the need for other studies on the subject addressed and greater investment in continuing education of professionals.

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    Public actions for control of breast cancer in Brazil: integrative review
  • 01-01-2016

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792

    Abstract

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792

    DOI 10.1590/0034-7167.2016690423i

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    ABSTRACT

    Objective:

    to verify the nursing diagnoses in patients affected by CVAs.

    Method:

    this is an integrative review of the literature. The search was conducted on LILACS, Scielo, Medline, CINAHL, and Scopus databases between February and March 2015, using the following keywords: “Enfermagem”, “Acidente Vascular Cerebral”, “Diagnóstico de Enfermagem”; and “Nursing”, “Stroke”, and “Nursing Diagnosis”.

    Results:

    we found 9 articles published between 2009 and 2015; most of them were Brazilian, cross-sectional, and exploratory, with a level of evidence of 6. The evidence from the publications was classified as: “Evaluation and validation of specific nursing diagnoses for subjects affected by CVAs” and “Application of the nursing process on subjects affected by CVAs”.

    Conclusion:

    we noticed the publications focused on nursing diagnoses related to motor disorders, such as risk of falls and impaired physical mobility. Domains regarding safety/protection (domain 11) and sleep/resting (domain 4) were present in most evaluated publications.

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  • 01-01-2016

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784

    Abstract

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784

    DOI 10.1590/0034-7167.2016690422i

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    ABSTRACT

    Objective:

    To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.

    Method:

    A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.

    Results:

    Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.

    Conclusion:

    Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.

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    Impact of educational interventions in reducing diabetic complications: a systematic review
  • 01-01-2016

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772

    Abstract

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772

    DOI 10.1590/0034-7167.2016690421i

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    ABSTRACT

    Objective:

    to identify scientific evidence about the communication process in Telenursing and analyze them.

    Method:

    integrative review performed in March 2014. The search strategy, structured with the descriptors “telenursing” and “communication”, was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.

    Results:

    ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.

    Conclusion:

    distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.

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    The communication process in Telenursing: integrative review
  • 01-01-2016

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764

    Abstract

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764

    DOI 10.1590/0034-7167.2016690420i

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    ABSTRACT

    Objective:

    to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.

    Method:

    a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.

    Results:

    a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.

    Conclusions:

    health care protocols are required to standardize practice and improve these indicators.

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  • 01-01-2016

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756

    Abstract

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756

    DOI 10.1590/0034-7167.2016690419i

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    ABSTRACT

    Objective:

    to analyze the profile and quality of working life (QWL) of call-center workers.

    Method:

    quantitative research, conducted in one call-center of the city of São José do Rio Preto – SP, using the QVP-35 questionnaire.

    Results:

    profile was composed by: 80.2% women; 66.3% were single, with high school diploma and 6 hours of daily working hours; mean age of 28 years; 92.9% had only one job with mean working experience of 3 years. Positive aspects of QWL: intrinsic motivation, working ability, available resources and social support. Negative aspects of QWL: workload and organizational support.

    Conclusion:

    the data obtained indicate the need for better organization of call-center working processes in the company and suggests other researches in this context.

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  • 01-01-2016

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750

    Abstract

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750

    DOI 10.1590/0034-7167.2016690418i

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    ABSTRACT

    Objective:

    to investigate stressors perceived by patients in the immediate postoperative of cardiac surgery and their association with sociodemographic and clinical characteristics.

    Method:

    a prospective correlational study conducted in a city in São Paulo, between August 2013 and December 2014. A non-probabilistic sample included patients submitted to their first coronary artery bypass graft or mitral valve surgery. The “Environmental Stressor Questionnaire” adapted to Portuguese was used.

    Results:

    105 patients participated in the study. The item “being thirsty” was evaluated as the most stressful and “the nursing staff member does not introduce himself/herself by the name” as the least stressful. Among sociodemographic and clinical variables (gender, age, type and time of surgery, pain, intubation time, use of psychotropic medications and length of stay in the intensive care unit), only pain presented a significant association with the stressors.

    Conclusion:

    knowing stressors can help implement practices associated with their reduction, favoring patients’ recovery.

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  • 01-01-2016

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740

    Abstract

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740

    DOI 10.1590/0034-7167.2016690417i

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    ABSTRACT

    Objective:

    to identify, describe and analyze characteristics of leadership, head nurses and participants in the teaching-learning process of leadership in Nursing, according to nurse professors who performed studies on this theme and taught such content between 1972 and 1994 in nursing schools of the state of São Paulo, southeastern Brazil.

    Methods:

    Thematic Oral History was used. A total of four nurse professors were interviewed, whose reports were submitted to content analysis.

    Results:

    the following aspects were approached in this study: the context in which students developed leadership, the influence of previous experiences on leadership qualification, its attributes, the importance of leadership, the value of teaching it, the possibilities of emancipation of a head nurse, the repercussions of teaching leadership for one’s professional life, the relationships between qualification and job market, the aspects of teaching qualification and students’ characteristics.

    Conclusion:

    although not essential for nursing qualification, leadership had a symbolic capital.

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  • 01-01-2016

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971

    Abstract

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971

    DOI 10.1590/0034-7167-2015-0102

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    ABSTRACT

    Objective:

    to analyze the aspects that potentialize groups in Primary Health Care according to their coordinators and participants.

    Method:

    This is a descriptive study with a qualitative approach, conducted with a health promotion group affiliated with a Family Health Unit. The data were collected by means of focus groups with participants and community workers who were submitted to thematic content analysis.

    Results:

    the analysis gave rise to three thematic categories: The group is our medicine; Healthy living and learning; and Priceless leadership.

    Conclusion:

    the leads identified during the study were as follows: group organization involves investment in motivation and leadership by the coordinators; production of grouping and cohesion is a result of participants and coordinators meeting together, interspersed with dialog, things said and left unsaid that the subjects expressed in the group dynamic; the sense of belonging guarantees their placement in the group based on the recognition of their knowledge and affective, social and health needs.

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    Leads for potentializing groups in Primary Health Care
  • 01-01-2016

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963

    Abstract

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963

    DOI 10.1590/0034-7167-2016-0045

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    ABSTRACT

    Objective:

    the objective of this study was to understand the meaning of the harmful use of crack by people undergoing addiction treatment.

    Method:

    qualitative approach of social research on strategic modality was used. Field observation, preparation of field diary and focus groups, and data analysis through the method of interpreting meaning were carried out.

    Results:

    the results contributed to the construction of three thematic categories: “The discovery of crack and other drugs” that describes the experimentation with crack and other drugs; “The pain of the pleasure”, key category that describes the moments after crack experimentation and that, many times, turns into addiction, which leads the person into a cycle of short periods of attempts at abstinence, relapse, and relentless consumption; and “Return to normal life”.

    Conclusion:

    treating people with crack addiction must be carried out in ways that narrow the distance between these people and their families, society and health care.

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  • 01-01-2016

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955

    Abstract

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955

    DOI 10.1590/0034-7167-2016-0408

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    ABSTRACT

    Objective:

    to analyze the intimate partner violence in adolescence from the perspective of gender and generation.

    Method:

    Quantitative, descriptive, and exploratory research. 111 adolescents participated in this study, with ages from 15 to 19 years old.

    Results:

    We found that 91% of participants have perpetrated and 90.1% have undergone at least one of the natures of violence. The intimate partner violence in adolescence constitutes a form of gender violence, and gender constructions have determined the suffered and perpetrated aggressions, possibly also determining the naturalization and legitimization of such aggressions. The inequality of power between generations may determine greater vulnerability of youngsters to the phenomenon.

    Conclusion:

    The historical and social construction of masculinity and femininity and the power inequalities set by these constructions converge with the power inequality between generations. Thus, gender and generation are determinants of intimate partner violence in adolescence, as well as of the vulnerability of adolescents to this phenomenon.

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  • 01-01-2016

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945

    Abstract

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945

    DOI 10.1590/0034-7167-2015-0116

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    ABSTRACT

    Objective:

    to analyze the concept “hospitalization anxiety in children”, identifying its antecedents, attributes, and consequences, with the objective of clarifying its meaning.

    Method:

    we used a conceptual analysis model, whose objective is to clarify the meaning of terms.

    Results:

    we identified the concept antecedents and its attributes, classified as biological and psychological needs, which are essential characteristics of “hospitalization anxiety in children”. This process consequences have also been identified. We proceeded to the analysis of the characteristics with emphasis on the impacts of the hospitalization process on the child and on the family.

    Conclusion:

    based on the conceptual analysis of the phenomenon, it was possible to identify the antecedents, attributes, and consequences of Hospitalization Anxiety in children. We recommend the continuation of the study validating the essential characteristics presently identified as a way to join knowledge gathered and professional practice.

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    Hospitalization anxiety in children: conceptual analysis
  • 01-01-2016

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939

    Abstract

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939

    DOI 10.1590/0034-7167-2015-0064

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    ABSTRACT

    Objective:

    to investigate the association between the domains of health-related quality of life of family caregivers and sociodemographic characteristics of individuals with stroke sequelae.

    Method:

    descriptive, cross-sectional, quantitative research, conducted with 136 family caregivers of individuals with stroke sequelae by means of home interviews from April to June 2013.

    Results:

    we found that caregivers of individuals aged under 65 years, married, with 10 to 12 years of formal education, presented higher scores, respectively, in the domains ‘Social aspects’, ‘Emotional aspects’, and ‘Mental health’. However, caregivers of patients with higher degree of disability obtained lower score in the ‘Mental Health’ domain.

    Conclusion:

    the results foster reflection on the need of including the family caregivers of individuals with stroke sequelae in the planning of care provided by health professionals.

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  • 01-01-2016

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932

    Abstract

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932

    DOI 10.1590/0034-7167-2015-0121

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    ABSTRACT

    Objective:

    to verify whether comatose patients feel pain during the bed bath nursing procedure.

    Method:

    nineteen patients aged 61 ± 17.39 years participated in the study. A quantitative analysis was conducted on the P substance (PS) in the saliva collected before and during a bed bath, using the ELISA method. Program Graph Pad Prisma 6 was used to analyze the data. The verification of normality was made through the Shapiro Wilk test, which determined the choice for the Wilcoxon nonparametric test.

    Results:

    the study showed a statistically significant increase (∆= 5.62%, p<0.001) in the PS level of the patients studied during the nursing procedure.

    Conclusion:

    when caring for comatose patients during a bed bath, professionals cause or add painful stimuli; therefore, they feel pain.

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    A quasi-experimental nursing study on pain in comatose patients
  • 01-01-2016

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926

    Abstract

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926

    DOI 10.1590/0034-7167-2015-0151

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    ABSTRACT

    Objectives:

    to describe the development and validation process of a scale to measure the nurses’ perception of the activities that contribute to nursing care quality.

    Method:

    methodological study based on a literature review, the opinion of experts and the experience of study investigators. An instrument was designed containing six dimensions and 25 items, applied as a questionnaire to 775 nurses from a hospital in northern Portugal, from May to July 2014. The instrument validation used an exploratory factor analysis and an internal consistency assessment of each factor/dimension.

    Results:

    the factor analysis indicated the need to adjust the original composition of the scale, which then received one more dimension, totaling seven dimensions and the same 25 items, and presented a high internal consistency (Cronbach’s alpha of 0.940).

    Conclusion:

    the final version of the scale presents adequate psychometric properties, with potential use in future studies.

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  • 01-01-2016

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919

    Abstract

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919

    DOI 10.1590/0034-7167-2015-0085

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    ABSTRACT

    Objective:

    to understand the influence of network and social support in the care of a child with type 1 diabetes.

    Method:

    qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model.

    Results:

    the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes.

    Conclusion:

    the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

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