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01-01-2016
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
Abstract
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
DOI 10.1590/0034-7167-2015-0145
Views0See moreABSTRACT
Objective:
to identify the severity of patients admitted to an emergency trauma.
Method:
A cross-sectional and retrospective study with 115 trauma patients classified as orange (Manchester System), from June 2013 to July 2014. The data were presented as mean and standard deviation, in addition to the Pearson Chi-square test, One-Way ANOVA and Tukey tests.
Results:
from the sample, 81.7% were male with mean age of 39.46±19.71 years. Higher incidence of major trauma (48.7%) and traumatic brain injury (37.4%). At the end of the outcome and MEWS, most cases that had score 1 to 3 were referred to the operating room and the ICU.
Conclusion:
the start point of MEWS was 2 to 3 points, with significant increase in the severity of the situation of patients seen after 6 hours, and approximately half of the individuals underwent surgery, indicating that the scale is a good predictor of severity.
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01-01-2016
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
Abstract
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
DOI 10.1590/0034-7167-2015-0113
Views0See moreABSTRACT
Objective:
to analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health.
Method:
qualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin.
Results:
the SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service.
Conclusion:
SESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers’ health and safety.
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01-01-2016
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
Abstract
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
DOI 10.1590/0034-7167-2015-0096
Views0See moreABSTRACT
Objective:
to translate and adapt the BPEWS for the Portuguese language, with the purpose of verifying its applicability in the Brazilian context studied.
Method:
methodological study guided by international and nationally accepted recommendations for translation and adaptation of health measurement instruments. Stages of conceptual, item, semantic, operational and pre-test equivalence are described for obtaining the BPEWS Portuguese version to be used in Brazil.
Results:
the BPEWS version translated and adapted for Brazilian Portuguese (BPEWS-Br) identified, in the pilot study, that 26.6% of children were presenting warning signs for clinical deterioration.
Conclusion:
the BPEWS-Br seems to be applicable for the context studied, and its use might help nurses in the recognition and documentation of warning signs for clinical deterioration in hospitalized Brazilian children.
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01-01-2016
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
Abstract
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
DOI 10.1590/0034-7167-2016-0147
Views0See moreABSTRACT
Objective:
to describe the process of adaptation and validation of the Nursing Activities Score to the Portuguese context.
Method:
this was a pilot study of adaptation and validation of the Nursing Activities Score with a sample consisting of 67 patients hospitalized in the intensive care units of three Portuguese hospitals. The construct validity was assessed through factor analysis procedures and the internal consistency of the items was measured through the Cronbach’s alpha coefficient.
Results:
a mean workload value of 63.04% (SD = 14.25; Median = 61.30) was obtained. Psychometric data revealed a Cronbach’s alpha of 0.71 in the total scale, indicating an acceptable accuracy. Confirmatory factor analysis suggested an appropriate adjustment between the model and the data (χ2(199) = 214.5, p = 0.214; CFI = 0.95; RMSA = 0.035).
Conclusion:
in the present study, the Portuguese version of the Nursing Activities Score was found to be a valid instrument, enabling a safe assessment of the workload of nurses.
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01-01-2016
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
Abstract
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
DOI 10.1590/0034-7167-2015-0032
Views0See moreABSTRACT
Objective:
to understand significances attributed by nurses who manage nursing care to the individual affected by cardiovascular disease to relations, interactions and associations of the educational practices in a cardiovascular reference hospital. To elaborate a theoretical explanatory model based on significances attributed in the light of the complex thinking.
Method:
qualitative study, which used Theory Based on Data (TBD) as methodological reference. Twenty-two professionals of nursing participated in the study.
Results:
the results indicate need of professional qualification to ensure the safety of patients, institutional support for the realization of educational practices, attitude of openness and availability of dialogue of the health professionals and other institutional conformations for the workers’ development.
Conclusion:
the study presents a new space for the nurse’s action that can be used to qualify and optimize the nursing practice, as it provides visibility to management and care in health institutions.
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01-01-2016
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
Abstract
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
DOI 10.1590/0034-7167-2015-0114
Views0See moreABSTRACT
Objective:
to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care.
Methods:
exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification.
Results:
five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity.
Conclusion:
the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.
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01-01-2016
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
Abstract
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
DOI 10.1590/0034-7167-2015-0131
Views0See moreABSTRACT
Objective:
to conduct the clinical validation of nursing diagnosis “Willingness for improved infant development”.
Method:
a cross-sectional study, conducted in a Centro de Saúde da Família (Family Health Care center), with 45 healthy breastfed infants. The instrument for collecting the data was prepared based on the literature and validated by nurses. It contained the following variables: sociodemographic, gestational, and obstetrical variables; breastfed infant’s nutritional profile; evaluation of the defining characteristics of the proposed nursing diagnosis.
Results:
all the defining characteristics were found to have high sensitivity values (>90%), positive predictive values (>65%), negative predictive values (>66%); however, low specificity values (<32%). In this study, the defining characteristics we found to have estimates (>0.50) within the ROC curve, which provides good sensitivity and specificity.
Conclusion:
this study verified the structural elements of the proposed nursing diagnosis to be relevant in the clinical context, which justifies the need for its being employed with children, taking into account its contribution to improving nursing care.
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01-01-2016
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
Abstract
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
DOI 10.1590/0034-7167-2015-0081
Views0See moreABSTRACT
Objective:
to describe the profile of standardized oral drugs at a hospital unit and assess their adequacy for use via enteral feeding tubes, according to recommendations from the literature.
Method:
descriptive study, with data on drugs collected from the Pharmacy Service Dispensing System. Specific recommendations for the use of these drugs via enteral feeding tubes were found after searches in literary databases, books, manuals, guidelines and package insert collections.
Results:
among the 236 dispensed oral drugs, 86% were in solid form; of those, 32 were “non-crushable”, with the liquid form available at the institution. Twenty-eight drugs with potential interactions with enteral nutrition were identified. Sixty percent of those presented specific recommendations on their administration via enteral feeding tube.
Conclusion:
the joint participation of multidisciplinary nutritional therapy and care teams and the implementation of programs for continuous training are suggested strategies for the prevention of potential problems in the administration of drugs in the hospital setting.
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ORIGINAL ARTICLE10-21-2019
Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents
- Maria Isabelly Fernandes da Costa
, - Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa , [ … ],
- Izaildo Tavares Luna
Abstract
ORIGINAL ARTICLESocial determinants of health and vulnerabilities to sexually transmitted infections in adolescents
Revista Brasileira de Enfermagem. 2019;72(6):1595-1601
DOI 10.1590/0034-7167-2018-0726
- Maria Isabelly Fernandes da Costa ,
- Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa ,
- Izaildo Tavares Luna
Views1See moreABSTRACT
Objective:
To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs).
Method:
Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará.
Results:
212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9).
Conclusion:
The intermediate social determinant “type of housing” influences the vulnerability to STAs.
- Maria Isabelly Fernandes da Costa
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ORIGINAL ARTICLE07-10-2020
Formation of protagonist adolescents to prevent bullying in school contexts
- Waldemar Brandão Neto ,
- Catharina Ohany da Silva ,
- Renata Ribeiro Torres do Amorim ,
- Jael Maria de Aquino ,
- Antonio José de Almeida Filho , [ … ],
- Estela Maria Leite Meirelles Monteiro
Abstract
ORIGINAL ARTICLEFormation of protagonist adolescents to prevent bullying in school contexts
Revista Brasileira de Enfermagem. 2020;73:e20190418
DOI 10.1590/0034-7167-2019-0418
- Waldemar Brandão Neto ,
- Catharina Ohany da Silva ,
- Renata Ribeiro Torres do Amorim ,
- Jael Maria de Aquino ,
- Antonio José de Almeida Filho ,
- Betânia da Mata Ribeiro Gomes ,
- Estela Maria Leite Meirelles Monteiro
Views0See moreABSTRACT
Objective:
to develop a participative strategy of health education in the formative process of protagonist adolescents aimed at preventing school bullying.
Method:
qualitative interventive-participatory research, based on the Community-Based Participatory Research and in the Culture Circles of Paulo Freire. The sample was intentional, with the participation of 12 adolescents who were considered leaders. For data production at the moment of educational intervention, observation techniques were employed with note-taking in a field diary, plus photographic and video records.
Results:
the pedagogical intervention model raised the opportunity for the adolescents’ active participation, aiming at the development of skills that create pro-social behaviors, empathetic and assertive relations, which are able to face bullying and transform the school environment.
Final considerations:
the use of participative methodologies, in the youth protagonism perspective, has the potential to support educational practices of school nurses in collaboration and leadership of antibullying programs.
- Waldemar Brandão Neto
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REVIEW09-29-2022
Palliative care in Primary Health Care: an integrative literature review
Revista Brasileira de Enfermagem. 2022;75(1):e20201335
Abstract
REVIEWPalliative care in Primary Health Care: an integrative literature review
Revista Brasileira de Enfermagem. 2022;75(1):e20201335
DOI 10.1590/0034-7167-2020-1335
Views0See moreABSTRACT
Objectives:
to analyze scientific evidence on the implementation and performance of palliative care in Primary Health Care.
Methods:
an integrative literature review, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, carried out in the PubMed, SciVerse Scopus and LILACS databases, in December 2020, without a time frame.
Results:
22 original scientific articles were analyzed, 14 classified as evidence level VI. The objective was to understand the experiences and roles of professionals, patients and families on palliative care in Primary Health Care, articles focused on the theme of management and organization of health services and on the importance of educational interventions on the subject.
Final Considerations:
evidence found relating palliative care in Primary Health Care points to the possibility of this care; health teams work closely with the family and their home, but the need to expand this theme is still perceived.
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ORIGINAL ARTICLE12-13-2019
Preconception health behaviors among women with planned pregnancies
Revista Brasileira de Enfermagem. 2019;72:17-24
Abstract
ORIGINAL ARTICLEPreconception health behaviors among women with planned pregnancies
Revista Brasileira de Enfermagem. 2019;72:17-24
DOI 10.1590/0034-7167-2017-0620
Views0See moreABSTRACT
Objective:
To identify determinants of preconception preparation among women with planned pregnancies.
Method:
A cross-sectional study with a probabilistic sample of 264 women between 18 and 49 years of age who had or were undergoing planned pregnancies, and were users of two School Health Centers in the city of São Paulo. Analysis was conducted through univariate and multiple logistic regression of three variable blocks: 1) social and demographic characteristics; 2) sexual and reproductive characteristics; 3) preexisting health conditions.
Results:
Women with higher education, belonging to economic groups A and B, and older women with infertility were more likely to perform preconception training.
Conclusion:
Preconception care has a strong social determination, as women with more favorable social profiles are more likely to perform it. Experience with infertility is also instrumental in the likelihood of preconception care.
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ORIGINAL ARTICLE08-19-2019
Evaluation of nurse’s performance in telemedicine
- Claudinalle Farias Queiroz de Souza ,
- Dulcineide Gonçalo de Oliveira ,
- Alef Diogo da Silva Santana ,
- Letícia Moura Mulatinho ,
- Mirian Domingos Cardoso , [ … ],
- Jael Maria de Aquino
Abstract
ORIGINAL ARTICLEEvaluation of nurse’s performance in telemedicine
Revista Brasileira de Enfermagem. 2019;72(4):933-939
DOI 10.1590/0034-7167-2018-0313
- Claudinalle Farias Queiroz de Souza ,
- Dulcineide Gonçalo de Oliveira ,
- Alef Diogo da Silva Santana ,
- Letícia Moura Mulatinho ,
- Mirian Domingos Cardoso ,
- Emanuela Batista Ferreira e Pereira ,
- Jael Maria de Aquino
Views0See moreABSTRACT
Objective:
Describe the nurse’s role in the Telemedicine Program in Cardiology implanted in Pernambuco, Brazil.
Methods:
Qualitative study, with a target audience of nurses, performed between July and December 2016 at the Emergency Care Units. Data were collected through an online instrument, consisting of open and closed questions, performed with 19 professionals. The data were analyzed through the discourse of the collective subject by QuantiQualisoftware.
Results:
The sample consisted of 19 nurses, mostly female (80%), with a mean age of 30 years old. Two central ideas were constructed: nurses’ knowledge about the Telemedicine Program in Cardiology; and actions developed by nurses. Also, a flow of the program’s assistance was built.
Final considerations:
The nurse in Telecardiology performs functions of assistance and continuing education of monitoring and training for patients.
- Claudinalle Farias Queiroz de Souza
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ORIGINAL ARTICLE04-03-2020
Transformational leadership: journal club for emergency and intensive care nurse managers
- Maria Valéria Pereira ,
- Wilza Carla Spiri ,
- Regina Stella Spagnuolo ,
- Carmen Maria Casquel Monti Juliani
Abstract
ORIGINAL ARTICLETransformational leadership: journal club for emergency and intensive care nurse managers
Revista Brasileira de Enfermagem. 2020;73(3):e20180504
DOI 10.1590/0034-7167-2018-0504
- Maria Valéria Pereira ,
- Wilza Carla Spiri ,
- Regina Stella Spagnuolo ,
- Carmen Maria Casquel Monti Juliani
Views0See moreABSTRACT
Objectives:
to understand the meaning of transformational leadership and develop an educational intervention addressing this theme.
Methods:
content analysis and action research for the collective construction of an educational intervention addressing management practices and their association with transformational leadership. The setting was the emergency and intensive care network, and nine nurse managers participated in the research. Data was collected from recorded and individualized interviews, and by using the journal club strategy.
Results:
the unveiled themes were: factors related to the team, to the leadership processes and to the leader. Difficulties in decision-making and planning processes were revealed; the leader needs to work in teams, which in turn should be appropriately sized. The journal club and planning model used provided the praxis of this work.
Final Considerations:
reflection and training for the development of transformational leadership were fundamental to solidify the decision-making processes involved in the managers’ practice.
- Maria Valéria Pereira
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09-16-2019
Clinical and epidemiological features of tuberculosis in children and adolescents
- George Jó Bezerra Sousa ,
- Julio Cesar de Oliveira Silva ,
- Talita Vaz de Queiroz ,
- Lia Guedes Bravo ,
- Gizelly Castelo Branco Brito , [ … ],
- Luciana Kelly Ximenes dos Santos
Abstract
Clinical and epidemiological features of tuberculosis in children and adolescents
Revista Brasileira de Enfermagem. 2019;72(5):1271-1278
DOI 10.1590/0034-7167-2018-0172
- George Jó Bezerra Sousa ,
- Julio Cesar de Oliveira Silva ,
- Talita Vaz de Queiroz ,
- Lia Guedes Bravo ,
- Gizelly Castelo Branco Brito ,
- Aline de Souza Pereira ,
- Maria Lúcia Duarte Pereira ,
- Luciana Kelly Ximenes dos Santos
Views0See moreABSTRACT
Objective:
To analyze the clinical and epidemiological features of tuberculosis in children and adolescents in an infectious diseases reference hospital.
Method:
A documental and retrospective study was carried out with 88 medical files in an infectious diseases reference hospital in the state of Ceará. Data were analyzed by univariate, bivariate and multivariate approaches.
Results:
It was found that, depending on the tuberculosis type, its manifestations may vary. The logistic regression model considered only pulmonary tuberculosis due to a number of observations and included female sex (95% CI: 1.4-16.3), weight loss (95% CI: 1.8-26.3), bacilloscopic screening (95% CI: 1.5-16.6) and sputum collected (95% CI: 1.4-19.4) as possible predictors.
Conclusions:
Children and adolescents present different manifestations of the disease depending on the tuberculosis type that affects them. Knowing the most common features of each condition could enhance early diagnosis and, consequently, result in adequate treatment and care.
- George Jó Bezerra Sousa
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ORIGINAL ARTICLE08-30-2021
Family functionality and burden of family caregivers of users with mental disorders
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva , [ … ],
- Ana Márcia Tenório Souza Cavalcanti
Abstract
ORIGINAL ARTICLEFamily functionality and burden of family caregivers of users with mental disorders
Revista Brasileira de Enfermagem. 2021;74(5):e20201061
DOI 10.1590/0034-7167-2020-1061
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva ,
- Ana Márcia Tenório Souza Cavalcanti
Views0See moreABSTRACT
Objective:
to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders.
Methods:
cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted.
Results:
women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden.
Conclusions:
nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.
- Jaciquely José da Costa Andrade
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