Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    Abstract

    ORIGINAL ARTICLE

    Respectful care for postpartum women with sickle cell disease: a netnographic study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230545

    DOI 10.1590/0034-7167-2023-0545

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    ABSTRACT

    Objectives:

    to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.

    Methods:

    netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.

    Results:

    principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.

    Final Considerations:

    it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Respectful care for postpartum women with sickle cell disease: a netnographic study
  • 12-16-2024

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    Abstract

    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain

    Revista Brasileira de Enfermagem. 2024;77(6):e20240050

    DOI 10.1590/0034-7167-2024-0050

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    ABSTRACT

    Objectives:

    to develop a digital technological solution (prototype) for assessing patients with chronic pain.

    Methods:

    this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.

    Results:

    the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.

    Final Considerations:

    the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
  • ORIGINAL ARTICLE12-16-2024

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    Abstract

    ORIGINAL ARTICLE

    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection

    Revista Brasileira de Enfermagem. 2024;77(6):e20240085

    DOI 10.1590/0034-7167-2024-0085

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    ABSTRACT

    Objectives:

    to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.

    Methods:

    a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.

    Results:

    a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).

    Conclusions:

    the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
  • REVIEW12-16-2024

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    Abstract

    REVIEW

    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review

    Revista Brasileira de Enfermagem. 2024;77(6):e20240086

    DOI 10.1590/0034-7167-2024-0086

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    ABSTRACT

    Objectives:

    to summarize the recommendations of guidelines for promoting mental health in the workplace.

    Methods:

    an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.

    Results:

    four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.

    Conclusions:

    the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
  • ORIGINAL ARTICLE12-16-2024

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    Abstract

    ORIGINAL ARTICLE

    Analysis of omission of antimicrobial doses in Intensive Care Units

    Revista Brasileira de Enfermagem. 2024;77(6):e20240102

    DOI 10.1590/0034-7167-2024-0102

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    ABSTRACT

    Objectives:

    to analyze the rate of antimicrobial dose omission in intensive care units.

    Methods:

    cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.

    Results:

    the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).

    Conclusions:

    monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-16-2024

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    Abstract

    ORIGINAL ARTICLE

    Health literacy development of Primary Health Care patients: qualitative research

    Revista Brasileira de Enfermagem. 2024;77(6):e20240154

    DOI 10.1590/0034-7167-2024-0154

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    ABSTRACT

    Objectives:

    to identify the process of health literacy development among primary care patients, relating it to their self-care practices.

    Methods:

    qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.

    Results:

    the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.

    Final Considerations:

    health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health literacy development of Primary Health Care patients: qualitative research
  • ORIGINAL ARTICLE12-16-2024

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    Abstract

    ORIGINAL ARTICLE

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    DOI 10.1590/0034-7167-2023-0183

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    ABSTRACT

    Objectives:

    to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.

    Methods:

    a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.

    Results:

    the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.

    Conclusions:

    the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Bladder ultrasound: evidence of content validity of a checklist for training nurses
  • 12-16-2024

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    Abstract

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    DOI 10.1590/0034-7167-2022-0615

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    RESUMEN

    Objetivos:

    identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.

    Métodos:

    se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.

    Resultados:

    la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.

    Conclusiones:

    los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • ORIGINAL ARTICLE05-21-2021

    Prevalence and factors associated with acute kidney injury in patients in intensive care units

    Revista Brasileira de Enfermagem. 2021;74(2):e20200790

    Abstract

    ORIGINAL ARTICLE

    Prevalence and factors associated with acute kidney injury in patients in intensive care units

    Revista Brasileira de Enfermagem. 2021;74(2):e20200790

    DOI 10.1590/0034-7167-2020-0790

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    ABSTRACT

    Objectives:

    to identify the prevalence and factors associated with the development of acute kidney injury in critically ill patients.

    Methods:

    a cross-sectional study, conducted from June 2018 to August 2019. The Kidney Disease Improving Global Outcomes was used to classify acute kidney injury. A significant value was set at p<0.05.

    Results:

    a total of 212 patients were included, of whom 35.8% evolved into an acute kidney injury. Patients with acute kidney injury had hypertension, higher levels on severity scores and a higher baseline creatinine rate> 1.5 mg/dL, also, when applied logistic regression, were 7 times more likely to develop acute kidney injury, Odds Ratio 7.018. More than half (56.6%) of the patients with acute kidney injury died. Moreover, 26.7% of these patients developed pressure sore.

    Conclusions:

    the prevalence of kidney injury was high (35.8%). The patients who developed it had a higher severity, mortality, and pressure sore index.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Prevalence and factors associated with acute kidney injury in patients in intensive care units
  • ORIGINAL ARTICLE08-08-2022

    Social and territorial inequalities in the mortality of children and adolescents due to COVID-19 in Brazil

    Revista Brasileira de Enfermagem. 2022;75(6):e20210482

    Abstract

    ORIGINAL ARTICLE

    Social and territorial inequalities in the mortality of children and adolescents due to COVID-19 in Brazil

    Revista Brasileira de Enfermagem. 2022;75(6):e20210482

    DOI 10.1590/0034-7167-2021-0482

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    ABSTRACT

    Objective:

    To analyze the mortality rate of COVID-19 among children and adolescents aged 0 to 14 years.

    Methods:

    Ecological and exploratory study of children’s mortality rate by COVID-19 in Brazil, from February to October 2020. The study used the Severe Acute Respiratory Syndrome database to collect the data and made the analysis using descriptive spatial statistics by age and race/color classification.

    Result:

    The mortality rate due to COVID-19 represented 1.34 deaths per one hundred thousand in the total group evaluated. The age group with the highest frequency and mortality rate was 1 to 4 years of age. There is a higher frequency of deaths in the brown and Indigenous population.

    Conclusion:

    The distribution of deaths due to COVID-19 is unequal in the national territory, and there is a wide variation in the mortality rate by age and race/color groups.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Social and territorial inequalities in the mortality of children and adolescents due to COVID-19 in Brazil
  • ORIGINAL ARTICLE06-09-2021

    Professional practice in caring for maternal grief in the face of stillbirth in two countries

    Revista Brasileira de Enfermagem. 2021;74(3):e20200253

    Abstract

    ORIGINAL ARTICLE

    Professional practice in caring for maternal grief in the face of stillbirth in two countries

    Revista Brasileira de Enfermagem. 2021;74(3):e20200253

    DOI 10.1590/0034-7167-2020-0253

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    ABSTRACT

    Objective:

    to understand professional care for maternal grief in the puerperium of stillbirth.

    Methods:

    a clinical-qualitative study with all the women who had stillbirths living in Maringá (Brazil) and participating in the Center d’Études et de Recherche in Family Intervention at the University of Quebec in Outaouais in Gatineau (Canada). Semi-structured interviews were carried out and the relevant aspects were categorized into themes.

    Results:

    the identified categories were: Assistance received in the puerperium with a focus on grief: hospital and outpatient environment, and Professional support in coping with maternal grief after fetal loss: with contact and memories, without contact and without memories and impossibilities of contact with the baby.

    Final

    considerations: the need for a multidisciplinary support and monitoring network for women who experienced fetal loss was evident. From this study, a routine of care for grief can be implemented in Brazil based on experiences in Canada.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE06-18-2021

    Standard drug consumption: a study with elderly people in Primary Health Care

    Revista Brasileira de Enfermagem. 2021;74(3):e20200729

    Abstract

    ORIGINAL ARTICLE

    Standard drug consumption: a study with elderly people in Primary Health Care

    Revista Brasileira de Enfermagem. 2021;74(3):e20200729

    DOI 10.1590/0034-7167-2020-0729

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    ABSTRACT

    Objective:

    To identify the pattern of medication consumption among the elderly assisted in Primary Health Care.

    Methods:

    Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte.

    Results:

    The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free.

    Conclusion:

    The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Standard drug consumption: a study with elderly people in Primary Health Care
  • REVIEW11-26-2022

    Parental burnout: a scoping review

    Revista Brasileira de Enfermagem. 2022;75:e20210203

    Abstract

    REVIEW

    Parental burnout: a scoping review

    Revista Brasileira de Enfermagem. 2022;75:e20210203

    DOI 10.1590/0034-7167-2021-0203

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    ABSTRACT

    Objective:

    to map available evidence on parental burnout theme.

    Method:

    scoping review as according to the Joanna Briggs Institute. Search in January 2021, in six databases of publications in English, Portuguese or Spanish, without time limits. Data extracted and descriptively analyzed by three independent researchers.

    Results:

    374 articles were identified and 20 were included in the final sample, all published in English, from 2017 onwards. Parental burnout is a complex, multifactorial problem, distinct from burnout cases, depressive symptoms and other mental health alterations. It affects 0.2 to 20% of parents, has validated and suitable instruments for measurement; if not treated, can have consequences on marital life, work relationships, child neglect and violence.

    Conclusions:

    this is a recent theme that needs to be explored, due to the possible impact on children’s and families’ health and on parents’ work processes. Protocol registered in the Open Science Framework ().

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Parental burnout: a scoping review
  • EXPERIENCE REPORT06-09-2021

    Genograma e ecomapa como estratégias lúdicas de ensino de enfermagem na Atenção Primária à Saúde

    Revista Brasileira de Enfermagem. 2021;74(3):e20201106

    Abstract

    EXPERIENCE REPORT

    Genograma e ecomapa como estratégias lúdicas de ensino de enfermagem na Atenção Primária à Saúde

    Revista Brasileira de Enfermagem. 2021;74(3):e20201106

    DOI 10.1590/0034-7167-2020-1106

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    ABSTRACT

    Objectives:

    to report the experience using ludic strategies for the teaching-learning in the elaboration of the genogram and ecomap; and the use of these instruments by Nursing students in the Primary Health Care services.

    Methods:

    an experience report of the discipline Integrity of Care I (Integralidade do Cuidado I), of the Nursing School of Ribeirao Preto. Problems scenarios were created to approach the genogram and ecomap, comprising different family arrangements, represented by pedagogic puppets.

    Results:

    students actively participated, held collective discussions, elaborated genogram, and ecomap, identified the type of family, and the stages of the vital cycle, providing increased dynamics and interactivity. Subsequently, in supervised activities in Primary Health Care services, students elaborated the genogram and ecomap to monitor a family.

    Final Considerations:

    the use of ludic strategies propitiates the teamwork, active interaction of the group, and the creativity. The articulation between theory and practice resulted in a significant learning.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE07-14-2021

    Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

    Revista Brasileira de Enfermagem. 2021;74(3):e20201117

    Abstract

    ORIGINAL ARTICLE

    Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?

    Revista Brasileira de Enfermagem. 2021;74(3):e20201117

    DOI 10.1590/0034-7167-2020-1117

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    ABSTRACT

    Objectives:

    to evaluate the effects of venous ulcer healing in patients after six months of conventional treatment and adjuvant low-power laser therapy.

    Methods:

    prospective cohort study nested in a randomized clinical trial with 38 patients, allocated into an intervention group (conventional treatment and adjuvant laser therapy) and a control group (conventional treatment). Patients were followed up as outpatients, sociodemographic and clinical variables were collected, and indicators of the outcomes Wound healing: secondary intention (1103) and Tissue integrity: skin and mucous membranes(1101) of the Nursing Outcomes Classification. Generalized estimating equations, Kaplan-Meier tests, and robust Poisson regression were used in the analysis.

    Results:

    the clinical indicators Decreased wound size and Scar formation showed a statistically significant difference in the intervention group, higher number of healed wounds, lower rate, longer time to relapse.

    Conclusions:

    laser therapy adjuvant to conventional treatment returned better results in healing and lower recurrence rates after six months of intervention.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Venous ulcer healing treated with conventional therapy and adjuvant laser: is there a difference?
  • REVIEW11-19-2022

    Nursing care for bed bath in patients with COVID-19: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20200704

    Abstract

    REVIEW

    Nursing care for bed bath in patients with COVID-19: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20200704

    DOI 10.1590/0034-7167-2020-0704

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    ABSTRACT

    Objective:

    to identify the main nursing care procedures for performing bed bath in patients with COVID-19.

    Method:

    an integrative literature review. Five stages were followed for this research: research question elaboration (identification of the problem), search of studies in literature, study assessment, data analysis, and presentation of review. To search for primary studies, the VHL and SciELO databases were selected.

    Results:

    initially, 55 publications were found. After reading and analyzing the abstracts, the sample consisted of 15 studies.

    Conclusion:

    patients with the new coronavirus have specific care to perform a bed bath, oral, intimate and skin hygiene. It is important that professionals use adequate personal protective equipment, perform humanized care, continuously observing patients’ vital signs to avoid occurrence of adverse events, promoting patient safety.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing care for bed bath in patients with COVID-19: an integrative review

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