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ORIGINAL ARTICLE08-26-2024
Factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
- Milena Ricioli Ribeiro
, - Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
Abstract
ORIGINAL ARTICLEFactors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(5):e20230172
DOI 10.1590/0034-7167-2023-0172
- Milena Ricioli Ribeiro ,
- Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
Views0See moreABSTRACT
Objectives:
to evaluate the factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Methods:
this ecological study was conducted using secondary data from Brazilian pregnant women with COVID-19 hospitalized in Intensive Care Units between March 2020 and March 2022. Univariate analysis and logistic regression were employed.
Results:
out of 3,547 pregnant women with COVID-19 hospitalized in Intensive Care Units, 811 died (22.8%). It was found that lack of COVID-19 vaccination (OR: 2.73; 95% CI: 1.83; 4.04), dyspnea (OR: 1.73; 95% CI: 1.17; 2.56), obesity (OR: 1.51; 95% CI: 1.05; 2.17), chronic cardiovascular disease (OR: 1.65; 95% CI: 1.14; 2.38), and non-white race/color (OR: 1.29; 95% CI: 1.00; 1.66) were independently and significantly associated with death.
Conclusions:
it is concluded that vaccination status, presence of comorbidities, and clinical and ethnic-racial characteristics are associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
- Milena Ricioli Ribeiro
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ORIGINAL ARTICLE08-26-2024
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Abstract
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
DOI 10.1590/0034-7167-2023-0293
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Views0See moreABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
- Natasha Dejigov Monteiro da Silva
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ORIGINAL ARTICLE08-26-2024
Leadership styles and personal values of professors at a school of nursing
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Abstract
ORIGINAL ARTICLELeadership styles and personal values of professors at a school of nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20230333
DOI 10.1590/0034-7167-2023-0333
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Views0See moreABSTRACT
Objectives:
to identify professors’ leadership styles and personal values.
Methods:
a quantitative, descriptive-exploratory study. Population was made up of professors in doctoral category 1 at a public university in the state of São Paulo. Data collection took place from June to August 2021. Sociodemographic characterization was extracted, and the Leadership Team Values Assessment was applied. Data were analyzed using measures of central tendency.
Results:
population included 13 professors. The level that represents authentic leadership was the most prevalent. The commitment, positive attitude and trust values stood out. The level portrayed by visionary leadership was the least identified.
Conclusions:
professors’ personal values provide a theoretical basis for guiding and analyzing professors’ leadership styles. Leadership in the educational context must be recognized and studied to promote a more comprehensive and effective approach to developing and improving educational leaders.
- Chennyfer Dobbins Abi Rached
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EDITORIAL08-19-2024
Sexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
EDITORIALSexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0Here is an academic-political editorial that aims to call on the scientific field to reflect on the dangers of decisions regarding the right to abortion under moral rules, since there is no evidence that such a perspective translates into practices of care, protection of childhood and gender equity – elements that are so urgent and […]See more - Ricardo de Mattos Russo Rafael
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ORIGINAL ARTICLE08-19-2024
Bioethical issues in the family health strategy: Considerations for nursing care management
- Ieda Carla Almeida dos Santos de Souza Pastana ,
- Gabriela Arantes Wagner ,
- Geisa Colebrusco de Souza Gonçalves ,
- Mariana Cabral Schveitzer
Abstract
ORIGINAL ARTICLEBioethical issues in the family health strategy: Considerations for nursing care management
Revista Brasileira de Enfermagem. 2024;77:e20220818
DOI 10.1590/0034-7167-2022-0818
- Ieda Carla Almeida dos Santos de Souza Pastana ,
- Gabriela Arantes Wagner ,
- Geisa Colebrusco de Souza Gonçalves ,
- Mariana Cabral Schveitzer
Views0See moreABSTRACT
Objective:
To understand the bioethical issues involved in the care management of nurses working in the Family Health Strategy.
Method:
A qualitative study was conducted through five focus groups with 36 nurses selected in the sample. Thematic content analysis was performed based on the bioethical framework, and the synthesis was presented in a conceptual map.
Results:
Bioethical issues were identified in the nursing care practice, related to both specific bioethical themes and the peculiarities of the work. Additionally, challenges and facilitators that interfere with addressing these issues were identified.
Final considerations:
Understanding the bioethical issues involved in the care management of nurses was possible with the theoretical support of different bioethical perspectives. The identified issues relate to persistent and current themes in the field of bioethics. However, some aspects intrinsic to daily practice are still imperceptible to professionals, contributing to the difficulty of discussing bioethics in this care model.
- Ieda Carla Almeida dos Santos de Souza Pastana
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ORIGINAL ARTICLE08-19-2024
The use of individual tracking programs in public health: a bioethics dilemma
- Ricardo Jardim Neiva ,
- João Felício Rodrigues Neto ,
- Ana Paula Oliveira Nascimento Alves ,
- Patrícia de Sousa Fernandes Queiroz ,
- Leila das Graças Siqueira , [ … ],
- Renê Ferreira da Silva-Júnior
Abstract
ORIGINAL ARTICLEThe use of individual tracking programs in public health: a bioethics dilemma
Revista Brasileira de Enfermagem. 2024;77:e20230041
DOI 10.1590/0034-7167-2023-0041
- Ricardo Jardim Neiva ,
- João Felício Rodrigues Neto ,
- Ana Paula Oliveira Nascimento Alves ,
- Patrícia de Sousa Fernandes Queiroz ,
- Leila das Graças Siqueira ,
- Clara Cynthia Melo e Lima ,
- Francisca Souza Santos Dias ,
- Renê Ferreira da Silva-Júnior
Views0See moreABSTRACT
Objective:
to understand the bioethical perspectives on mobile tracking device use.
Methods:
theoretical study based on action research, carried out with eight graduate students from a public university. A focus group was used, with a thematic content analysis methodology with a codebook structure, approved by the Research Ethics Committee.
Results:
from the analysis, there was a concern about using devices after the pandemic ended. Using or not the device, rights inherent to humans, legislation and effectiveness of methods deepen interpretations, moving participants from a personalistic conception of the topic to a vision focused on professional implications about the methods.
Final considerations:
the debate on the impact of using technological devices on health, especially those that imply restriction of rights that refer to individuals’ private life, involves a discussion of a professional nature, in addition to requirement for clear rules on the topic.
- Ricardo Jardim Neiva
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08-19-2024
Abuso sexual, aborto y salud pública en Brasil: cuando el juicio moral acentúa las inequidades
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
Abuso sexual, aborto y salud pública en Brasil: cuando el juicio moral acentúa las inequidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401es
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0He aquí un editorial académico-político que pretende convocar al campo científico a reflexionar sobre los peligros de decisiones sobre el derecho al aborto bajo reglas morales, ya que no hay evidencia de que tal perspectiva se traduzca en prácticas de cuidado, protección infantil y equidad de género, elementos tan urgentes y necesarios para la enfermería. […]See more - Ricardo de Mattos Russo Rafael
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08-19-2024
Abuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
Abuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401pt
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0Eis aqui um editorial acadêmico-político que tem como objetivo convocar o campo científico a refletir sobre os perigos das decisões relativas ao direito ao aborto sob réguas morais, uma vez que não há evidências de que tal perspectiva se traduza em práticas de cuidado, proteção à infância e equidade de gênero – elementos tão urgentes […]See more - Ricardo de Mattos Russo Rafael
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ORIGINAL ARTICLE12-04-2023
Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
- Ademir Jones Antunes Dorneles ,
- Graziele de Lima Dalmolin ,
- Edison Luiz Devos Barlem ,
- Rosemary Silva da Silveira ,
- Rafaela Andolhe , [ … ],
- Valdecir Zavarese da Costa
Abstract
ORIGINAL ARTICLEBurnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
Revista Brasileira de Enfermagem. 2023;76:e20220684
DOI 10.1590/0034-7167-2022-0684
- Ademir Jones Antunes Dorneles ,
- Graziele de Lima Dalmolin ,
- Edison Luiz Devos Barlem ,
- Rosemary Silva da Silveira ,
- Rafaela Andolhe ,
- Silviamar Camponogara ,
- Tânia Solange Bosi de Souza Magnago ,
- Valdecir Zavarese da Costa
Views0See moreABSTRACT
Objectives:
to analyze the association between burnout and the perception of the ethical climate in nursing professionals in the covid-19 Intensive Care Unit and the relationship with the organization of work from the perspective of managers of these units.
Methods:
mixed method study conducted in three university hospitals in southern Brazil from December 2021 to March 2022. A cross-sectional study was developed with 110 nursing professionals, followed by an exploratory-descriptive study through semi-structured interviews with six managers. Descriptive and analytical statistics and discursive textual analysis were used.
Results:
the prevalence of burnout was 10% and the perception of negative ethical climate was 24.5%. The association between burnout and ethical climate revealed overload and fatigue during working hours, related to tension, fear, and stress that emerged from the consequences of the organization and relations of work in the covid-19 Intensive Care Unit.
Conclusions:
there was an association between burnout and ethical climate and elements of the work organization.
- Ademir Jones Antunes Dorneles
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ERRATUM02-26-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(1):e20160061
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(1):e20160061
DOI 10.1590/0034-7167.20247701e03
Views2In the article “Nurses in the labor market: professional insertion, competencies and skills”, with DOI number: , published in Revista Brasileira de Enfermagem, 2017;70(6):1220-6, on page 1225:Include before REFERENCES:[…]See more -
ERRATUM06-14-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e06
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e06
DOI 10.1590/0034-7167.20247702e06
Views2In the article “Is there scientific relevance to the plot of films and documentaries about eating disorders?”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(1):e20220547, page 7:Where it read:[…]See more -
ORIGINAL ARTICLE07-29-2024
Educational technology for multidisciplinary training for managing waiting lists for elective patients
- Rosa Ladi Lisbôa ,
- Kaihara de Freitas Furtado ,
- Vitória Silva da Rosa ,
- Caroline Schacker Evangelista ,
- Adriana Aparecida Paz
Abstract
ORIGINAL ARTICLEEducational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
DOI 10.1590/0034-7167-2023-0299
- Rosa Ladi Lisbôa ,
- Kaihara de Freitas Furtado ,
- Vitória Silva da Rosa ,
- Caroline Schacker Evangelista ,
- Adriana Aparecida Paz
Views1See moreABSTRACT
Objectives:
to construct and assess an educational technology for managing patient waiting lists for multidisciplinary training.
Methods:
study supported by Instructional Design – ADDIE model, whose stages of construction of educational technology were developed in the form of a multi-professional training course. Its respective content assessment was carried out by a committee of experts from 2021 to 2022. The analysis occurred based on the proportion of content adequacy with 95% Confidence Interval.
Results:
seventeen products were created as educational technology learning objects: five storyboards; four videos; three comic books; two pedagogical action plans; a mind map; and a YouTube® playlist. Nine experts assessed content adequacy, which reached 0.89.
Conclusions:
this educational technology contributes to the performance of professionals who manage waiting lists by reducing inequalities, alleviating differences, in addition to promoting equity in care and good health for patients in the Brazilian Health System.
- Rosa Ladi Lisbôa
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REVIEW11-22-2024
Spirituality and religiosity in children, adolescents and their families in a vulnerable context: a scoping review
- Marcela Teixeira de Souza ,
- Layane Cristina Araújo ,
- Alexandre Ernesto Silva ,
- Liana Amorim Corrêa Trotte ,
- Elaine Cristina Rodrigues Gesteira
Abstract
REVIEWSpirituality and religiosity in children, adolescents and their families in a vulnerable context: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230425
DOI 10.1590/0034-7167-2023-0425
- Marcela Teixeira de Souza ,
- Layane Cristina Araújo ,
- Alexandre Ernesto Silva ,
- Liana Amorim Corrêa Trotte ,
- Elaine Cristina Rodrigues Gesteira
Views1See moreABSTRACT
Objective:
to map evidence in the literature on the spirituality and religiosity of children, adolescents and their families in social vulnerability.
Methods:
this is a scoping review based on the JBI methodology, with the search without delimiting the time period, in English, Portuguese and Spanish, in the Virtual Health Library, PubMed, Embase, Cochrane Library, Scopus and Web of Science databases.
Results:
twenty-two studies were identified. The most studied population were adolescents, followed by children and their families. Regarding the setting, the context of vulnerability related to the low socioeconomic level experienced by these populations was highlighted. Furthermore, spirituality and religiosity were considered important for coping, social support, purpose and strength.
Conclusion:
there is an influence of spirituality and religiosity in the lives of children, adolescents and families, being a protective factor and a source of comfort, playing essential tools for living in context.
- Marcela Teixeira de Souza
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ORIGINAL ARTICLE12-13-2024
Stress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
Abstract
ORIGINAL ARTICLEStress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
DOI 10.1590/0034-7167-2023-0542
Views1See moreABSTRACT
Objectives:
to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.
Methods:
this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.
Results:
nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.
Conclusions:
exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.
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ORIGINAL ARTICLE01-13-2024
Knowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
Abstract
ORIGINAL ARTICLEKnowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
DOI 10.1590/0034-7167-2023-0424
Views2See moreABSTRACT
Objectives:
to investigate the knowledge, attitudes, and practices of nurses regarding blood culture collection.
Methods:
a cross-sectional study was conducted in five Brazilian public hospitals with 112 nurses. Data were collected using an adapted questionnaire and analyzed through descriptive and inferential statistics.
Results:
nurses who did not consider themselves capable of collecting blood cultures had a 72% lower chance of performing the collection at the recommended site and an 83% lower chance of using the same needle for blood inoculation into the vials. Nurses working in the emergency department had a 75% lower chance of knowing the international benchmark for blood culture contamination rates, and those with less than 5 years in the position decreased their chance of accuracy in this matter by 79%.
Conclusions:
there are gaps in the knowledge, attitudes, and practices of nurses regarding blood culture collection. Standardization of the technique, periodic education, supervision and guidance of the collection team, and process auditing are recommended coping strategies.
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ORIGINAL ARTICLE01-10-2024
Inventory of ethical problems in mobile pre-hospital care
- Simone da Silva Oliveira ,
- Mariana Oliveira Antunes Ferraz ,
- Darci de Oliveira Santa Rosa ,
- Kátia Santana Freitas ,
- Elaine de Oliveira Souza , [ … ],
- Marisa Aparecida Amaro Malvestio
Abstract
ORIGINAL ARTICLEInventory of ethical problems in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77:e20230539
DOI 10.1590/0034-7167-2023-0539
- Simone da Silva Oliveira ,
- Mariana Oliveira Antunes Ferraz ,
- Darci de Oliveira Santa Rosa ,
- Kátia Santana Freitas ,
- Elaine de Oliveira Souza ,
- Deisy Vital dos Santos ,
- Marisa Aparecida Amaro Malvestio
Views1See moreABSTRACT
Objective:
to construct and validate the content of an inventory of ethical problems experienced by nurses in mobile pre-hospital care.
Method:
a psychometric approach study, developed with the following stages: (1) instrument construction through a theoretical matrix based on deliberative bioethics, scoping review and online qualitative research; (2) content validity by judges; (3) pre-testing with Mobile Emergency Care Service nurses in various Brazilian states. For content validity analysis, the Content Validity Ratio was calculated (CVR>0.45 for judges and CVR>0.35 for the target population).
Results:
the instrument had 44 items, distributed across four dimensions.
Final considerations:
the constructed instrument presented sources of evidence of content validity, providing good psychometric measurements and constituting a useful tool for nurses’ practice in the pre-hospital setting.
- Simone da Silva Oliveira
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ORIGINAL ARTICLE05-18-2020
Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network
- Daiane Trentin ,
- Mara Ambrosina de Oliveira Vargas ,
- Sandra Maria Cezar Leal ,
- Caroline Porcelis Vargas ,
- Micheli Leal Ferreira , [ … ],
- Franciele Budziareck das Neves
Abstract
ORIGINAL ARTICLEWomen in situations of sexual violence: potentialities and weaknesses of the intersectoral network
Revista Brasileira de Enfermagem. 2020;73(4):e20190856
DOI 10.1590/0034-7167-2018-0856
- Daiane Trentin ,
- Mara Ambrosina de Oliveira Vargas ,
- Sandra Maria Cezar Leal ,
- Caroline Porcelis Vargas ,
- Micheli Leal Ferreira ,
- Franciele Budziareck das Neves
Views0See moreABSTRACT
Objectives:
to identify potentialities and weaknesses of the intersectoral network for women in situations of sexual violence, from the perspective of Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights.
Methods:
qualitative study conducted with multidisciplinary team members who work in intersectoral care services for women subject to sexual violence. It was held in a municipality in southern Brazil. An intentional sample, totaling 30 professionals. Semi-structured interview was used from January to April 2016. Interviews were analyzed by Thematic Analysis.
Results:
two categories emerged: potentialities and weaknesses related to the intersectoral network. Potentialities confirm the importance of the articulated intersectoral network; weaknesses such as lack of organized flow and disarticulation of services result in women revictimization and care fragmentation.
Final Considerations:
it is necessary to articulate services and qualify professionals. The Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights foster discussions that contribute to how to organize and sustain the intersectoral network.
- Daiane Trentin
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REVIEW07-17-2020
Approaches to workload in psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2020;73:e20190620
Abstract
REVIEWApproaches to workload in psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2020;73:e20190620
DOI 10.1590/0034-7167-2019-0620
Views0See moreABSTRACT
Objective:
to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge
Methods:
integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included.
Results:
the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies.
Conclusion:
strategies were found for measuring workload and assessing the impact of stressors on nursing teams.
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ORIGINAL ARTICLE06-24-2020
Interprofessional relationships of a patient assistance team in critical care
- Letícia Gabriela de Almeida Noce ,
- Taynara Souza de Oliveira ,
- Larissa Cândida Melo ,
- Kerollyn Fernandes Bernardes Silva ,
- Bibiane Dias Miranda Parreira , [ … ],
- Bethania Ferreira Goulart
Abstract
ORIGINAL ARTICLEInterprofessional relationships of a patient assistance team in critical care
Revista Brasileira de Enfermagem. 2020;73(4):e20190420
DOI 10.1590/0034-7167-2019-0420
- Letícia Gabriela de Almeida Noce ,
- Taynara Souza de Oliveira ,
- Larissa Cândida Melo ,
- Kerollyn Fernandes Bernardes Silva ,
- Bibiane Dias Miranda Parreira ,
- Bethania Ferreira Goulart
Views0See moreABSTRACT
Objectives:
to identify perceptions of teamwork according to the professionals of an Adult Intensive Care Unit.
Methods:
descriptive research with qualitative approach. The methodological framework was thematic content analysis. The theoretical framework of the work process was used to guide the interpretation of the data. Data collection: A semi-structured interview was conducted with 38 professionals in a public teaching hospital in the state of Minas Gerais. Results: three thematic categories emerged from the interviews: Work Organization, which is related to work performed through tasks/routines, with or without coordinated actions; Non-material Work Instruments, which reveal that teamwork is based on communication/collaboration; Insufficient Material Resources, which indicate that lack of material creates conflicts between professionals.
Conclusions:
Teamwork requires effective communication and collaboration, integrated work and appropriate professional training. On the other hand, fragmentation and rigidity at work, poor collaboration/communication and lack of material make teamwork difficult. We emphasize the need to revise the curriculum of health courses, with a view to including and/or improving discussions about teamwork in order to train professionals for a more integrated and perhaps even sympathetic health practice.
- Letícia Gabriela de Almeida Noce
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ORIGINAL ARTICLE04-09-2020
Nursing work and competence in hemotherapy services: an ergological approach
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt , [ … ],
- Gerusa Ribeiro
Abstract
ORIGINAL ARTICLENursing work and competence in hemotherapy services: an ergological approach
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
DOI 10.1590/0034-7167-2018-0775
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt ,
- Gerusa Ribeiro
Views0See moreABSTRACT
Objetives:
to analyze the ingredients of the competence that the nurses use in the performance of their work in hemotherapy.
Methods:
qualitative study with 22 nurses, accomplished through documentary study, observation and semi-structured interview, with resources of Atlas.ti software based on the foundations of Historical Materialism Dialectic and Ergology. Performed Content Analysis.
Results:
the domain of specific knowledge of hemotherapy and the time of experience in the area, allied to the motivation of the worker and the ability to work in a team favor the competent action in the work activities. On the other hand, the lack of adequate work conditions, especially in relation to adequate materials, equipment and structure, impairs the work of the nurse in hemotherapy.
Final Considerations:
experience gained is critical to successful decision making. In addition, adequate working conditions, updating of knowledge and ability in teamwork favor a scenario of safe practices.
- Sonia Rejane de Senna Frantz
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ORIGINAL ARTICLE08-30-2021
Historical aspects in pain management in palliative care in an oncological reference unit
- Carolina Fraga Paiva ,
- Tânia Cristina Franco Santos ,
- Pacita Geovana Gama de Sousa Aperibense ,
- Gizele da Conceição Soares Martins ,
- Lilian Dias Ennes , [ … ],
- Antonio José de Almeida Filho
Abstract
ORIGINAL ARTICLEHistorical aspects in pain management in palliative care in an oncological reference unit
Revista Brasileira de Enfermagem. 2021;74(5):e20200761
DOI 10.1590/0034-7167-2020-0761
- Carolina Fraga Paiva ,
- Tânia Cristina Franco Santos ,
- Pacita Geovana Gama de Sousa Aperibense ,
- Gizele da Conceição Soares Martins ,
- Lilian Dias Ennes ,
- Antonio José de Almeida Filho
Views0See moreABSTRACT
Objective:
Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute.
Methods:
Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme.
Results:
Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain.
Final considerations:
These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.
- Carolina Fraga Paiva
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06-28-2021
Validation of an instrument for systematizing nursing care in pediatrics
- Thalys Maynnard Costa Ferreira ,
- Josefa Danielma Lopes Ferreira ,
- Carla Lidiane Jácome dos Santos ,
- Kenya de Lima Silva ,
- Jacira dos Santos Oliveira , [ … ],
- Marta Miriam Lopes Costa
Abstract
Validation of an instrument for systematizing nursing care in pediatrics
Revista Brasileira de Enfermagem. 2021;74:e20200222
DOI 10.1590/0034-7167-2020-0222
- Thalys Maynnard Costa Ferreira ,
- Josefa Danielma Lopes Ferreira ,
- Carla Lidiane Jácome dos Santos ,
- Kenya de Lima Silva ,
- Jacira dos Santos Oliveira ,
- Glenda Agra ,
- Marta Miriam Lopes Costa
Views0See moreABSTRACT
Objective:
to verify the validity of indicators’ content referring to the instrument for data collection in children aged 0 to 5 years hospitalized in a pediatric clinic.
Method:
a cross-sectional methodological study was carried out with 11 experts between January and May 2018. For data collection, the steps for validating the instrument’s content were respected. For data analysis, Content Validity Index and Kappa agreement analysis were used.
Results:
after content analysis, a Content Validity Index of 0.94 and Kappa 0.71 was issued according to the experts’ suggestions 81.9%. Therefore, the instrument was suitable for applicability.
Conclusion:
the instrument proved to be valid in terms of content for pediatric care, contributing significantly to improving care for hospitalized children aged 0 to 5 years.
- Thalys Maynnard Costa Ferreira
-
06-11-2021
Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study
- Louise Amália de Moura ,
- Lilian Varanda Pereira ,
- Ruth Minamisava ,
- Natália de Carvalho Borges ,
- Thaila Corrêa Castral , [ … ],
- Layz Alves Ferreira Souza
Abstract
Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study
Revista Brasileira de Enfermagem. 2021;74:e20200151
DOI 10.1590/0034-7167-2020-0151
- Louise Amália de Moura ,
- Lilian Varanda Pereira ,
- Ruth Minamisava ,
- Natália de Carvalho Borges ,
- Thaila Corrêa Castral ,
- Layz Alves Ferreira Souza
Views1See moreABSTRACT
Objectives:
to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge.
Methods:
cohort study with 279 children from both sexes (5-12 years old), indicated for ambulatory surgery in two Brazilian hospitals. Children were assessed at the pre-surgery, immediate postoperative and first postoperative day. Faces Pain Scale-Revised and Yale Preoperative Anxiety Scale Modified were used. Severe postoperative pain was defined as score ≥6. Cox regression analyses were used.
Results:
the incidence of severe postoperative pain was 15.8% (95%CI:10.7%-20.4%) on the first postoperative day. Preoperative anxiety (HR=2.23; p=0.049), severe preoperative pain (HR=2.78; p=0.031) and having undergone two surgical procedures (HR=2.91; p=0.002) were associated with severe postoperative pain.
Conclusions
the incidence of severe postoperative pain self-reported after hospital discharge was high. Anxiety and severe preoperative pain, in addition to performing two surgical procedures at the same time were confirmed as risk factors.
- Louise Amália de Moura
-
REFLECTION09-07-2020
Public health nursing: regulation and public health policies
- Carmen Maria dos Santos Lopes Monteiro da Cunha ,
- Maria Adriana Pereira Henriques ,
- Andreia Cátia Jorge Silva Costa
Abstract
REFLECTIONPublic health nursing: regulation and public health policies
Revista Brasileira de Enfermagem. 2020;73(6):e20190550
DOI 10.1590/0034-7167-2019-0550
- Carmen Maria dos Santos Lopes Monteiro da Cunha ,
- Maria Adriana Pereira Henriques ,
- Andreia Cátia Jorge Silva Costa
Views0See moreABSTRACT
Objective:
To analyze regulation and public policies related to nursing and the specialist nurse in community and public health nursing.
Methods:
Analysis of the legal and normative framework of community and public health nursing in Portugal, as well as current public health policies, regarding the competences and intervention of this nurse, articulated with the attributions of the Public Health Unit.
Results:
The intervention of this nurse deserves a broad reflection, in the sense of maximizing the activities of community and public health, essential for the implementation of public policies and obtaining health gains.
Final considerations:
This nurse has competences foreseen in the regulations and standards for public health interventions, in line with the attributions of the Public Health Unit, of the National Health Service, in which specialties are identified for their performance in the current structure.
- Carmen Maria dos Santos Lopes Monteiro da Cunha
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