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ORIGINAL ARTICLE09-06-2024
Adherence to sepsis protocol in a high-risk maternity reference center
Revista Brasileira de Enfermagem. 2024;77(4):e20230453
Abstract
ORIGINAL ARTICLEAdherence to sepsis protocol in a high-risk maternity reference center
Revista Brasileira de Enfermagem. 2024;77(4):e20230453
DOI 10.1590/0034-7167-2023-0453
Views0See moreABSTRACT
Objective:
To describe the adherence to the sepsis protocol by obstetric nurses in the obstetric triage of a high-risk maternity reference center.
Methods:
This was a quantitative, documental, and retrospective study involving 105 pregnant women treated in obstetric triage under sepsis criteria. Data were collected through electronic medical records using structured forms and were organized into tables employing descriptive statistics. This research adhered to ethical principles concerning human studies.
Results:
Of the checklists for initiating the SEPSIS protocol by obstetric nurses, 105 were identified. Regarding the protocol steps performed, lactate was collected in 97.1% of cases and blood cultures in 98.1%, antibiotic therapy was administered in 94.3%, and hydration was carried out in 51.4% of the cases.
Conclusion:
The initiation of the sepsis protocol for all women meeting the criteria was confirmed. However, the steps were not fully implemented as recommended by the institutional protocol, and the recommended broad-spectrum antibiotic was not administered.
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ORIGINAL ARTICLE09-06-2024
Physical and psychological changes of the COVID-19 infodemic by the older adult population
Revista Brasileira de Enfermagem. 2024;77(4):e20230339
Abstract
ORIGINAL ARTICLEPhysical and psychological changes of the COVID-19 infodemic by the older adult population
Revista Brasileira de Enfermagem. 2024;77(4):e20230339
DOI 10.1590/0034-7167-2023-0339
Views0See moreABSTRACT
Objective:
to analyze the physical and psychological changes of the COVID-19 infodemic for the older adult population of Rio de Janeiro.
Method:
a cross-sectional, web-based survey to find out about access to news and information about COVID-19 among older adult in Rio de Janeiro, between July and December 2020. Univariate analysis and bivariate analysis were carried out using non-parametric statistical methods.
Results:
390 older adults took part, predominantly female (75.1%), aged between 66 and 75 (35.4%), married (51.0%), white (60.3%), owning their own home (81.8%), located in urban areas (91%), with complete or incomplete primary education (31.8%) and retired or pensioners (79.2%). Younger people were significantly affected both physically and psychologically by social networks when compared to television (<0.001).
Conclusion:
Physical and psychological changes from exposure to information about COVID-19 have affected the lives of the older adult, having an impact on this population.
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ORIGINAL ARTICLE09-06-2024
Nursing Process implementation in a gerontogeriatric context: qualitative research
Revista Brasileira de Enfermagem. 2024;77(4):e20230465
Abstract
ORIGINAL ARTICLENursing Process implementation in a gerontogeriatric context: qualitative research
Revista Brasileira de Enfermagem. 2024;77(4):e20230465
DOI 10.1590/0034-7167-2023-0465
Views0See moreABSTRACT
Objective:
to describe Nursing Process implementation in a faith-based senior living community.
Method:
strategic action research with 19 nursing professionals and three managers of a faith-based senior living community. Implementation took place in four phases: diagnosis, planning, implementation and assessment. The data collected through semi-structured interviews and focus groups were subjected to discursive textual analysis.
Results:
the central categories were constructed: Nursing Process in faith-based senior living community: diagnosis of knowledge and application; Nursing Process in faith-based senior living community: implementation; Nursing process in faith-based senior living community: assessment after its implementation.
Conclusion:
Nursing Process implementation made it possible to structure work management/organization, contributing to knowledge, organization and continuity of care for safety and professional support.
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ORIGINAL ARTICLE09-06-2024
Development and content validation of a risk classification instrument
Revista Brasileira de Enfermagem. 2024;77(4):e20230502
Abstract
ORIGINAL ARTICLEDevelopment and content validation of a risk classification instrument
Revista Brasileira de Enfermagem. 2024;77(4):e20230502
DOI 10.1590/0034-7167-2023-0502
Views0See moreABSTRACT
Objective:
Develop and validate the content of an instrument for patient risk classification in emergency services of Primary Health Care.
Method:
The study included two stages: item generation and content validity. A literature review and retrospective analysis of medical records were conducted to create the instrument items. The Content Validity Ratio (CVR) was used to assess agreement among judges during content validation.
Results:
In the first and second rounds, 75 and 71 judges validated the risk classification instrument, respectively. The minimum adherence score for the latent variable item based on the final number of judges was 0.22 and 0.18; thus, 52 items, divided into three classification categories (red, orange, and yellow), were retained.
Conclusion:
The instrument was considered valid regarding clarity, relevance, pertinence, and agreement regarding the severity indicated in the item.
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REVIEW08-30-2024
Impact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240078
Abstract
REVIEWImpact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240078
DOI 10.1590/0034-7167-2024-0078
Views0See moreABSTRACT
Objectives:
to identify the repercussions of financial toxicity on the lives of adult cancer patients during the COVID-19 pandemic.
Methods:
an integrative review was conducted using the PubMed, Web of Science, Scopus, and Embase databases, as well as the Virtual Health Library portal, in March 2023.
Results:
out of 62 studies found, 13 were included for analysis. The primary repercussions of financial toxicity included difficulties in covering basic expenses such as food, housing, medication, transportation, and internet access; increased anxiety and concerns related to health and financial situations; reduction or absence of income; challenges in obtaining treatment or accessing healthcare services; rising expenses; and telemedicine as a less burdensome alternative.
Conclusions:
the pandemic has exacerbated financial toxicity; therefore, healthcare teams must recognize it as an adverse event of oncological treatment and understand its potential to affect various aspects of patients’ lives.
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ORIGINAL ARTICLE08-30-2024
Risk of smoking cessation treatment dropout: a cohort to help (re)think care
Revista Brasileira de Enfermagem. 2024;77:e20230537
Abstract
ORIGINAL ARTICLERisk of smoking cessation treatment dropout: a cohort to help (re)think care
Revista Brasileira de Enfermagem. 2024;77:e20230537
DOI 10.1590/0034-7167-2023-0537
Views0See moreABSTRACT
Objectives:
to evaluate the relative risk of smoking cessation treatment dropout during its intensive phase.
Methods:
a retrospective and quantitative cohort study was developed from the electronic medical records of individuals who started smoking cessation treatment between 2015 and 2019 at a specialty clinic in a city in the interior of São Paulo, Brazil. The relative risk of dropping out of treatment was calculated using the Poisson regression model.
Results:
it was observed that out of the 396 (100.0%) individuals who started the treatment, 109 (27.5%) abandoned it before the end of the intensive phase. For each one-year increase in age, the risk of dropping out of smoking cessation treatment decreased by an average of 2%.
Conclusions:
the risk of dropping out of smoking cessation treatment is higher among younger individuals. It is necessary to rethink the care offered to younger adults to promote the continuity of treatment.
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08-30-2024
Fatores determinantes para à hesitação vacinal contra a COVID-19 em brasileiros: estudo utilizando modelagem de equações estruturais
Revista Brasileira de Enfermagem. 2024;77:e20240112
Abstract
Fatores determinantes para à hesitação vacinal contra a COVID-19 em brasileiros: estudo utilizando modelagem de equações estruturais
Revista Brasileira de Enfermagem. 2024;77:e20240112
DOI 10.1590/0034-7167-2024-0112
Views0See moreRESUMEN
Objetivos:
investigar los factores que influyen en la vacilación ante la vacuna contra la COVID-19 entre los brasileños.
Métodos:
esta investigación empleó un enfoque observacional y analítico, utilizando una encuesta en línea. La recolección de datos se llevó a cabo en 2020 y el análisis de los datos se realizó utilizando el modelado de ecuaciones estructurales.
Resultados:
la prevalencia de la vacilación ante la vacuna fue del 27,5% (1182 individuos). Existe una correlación negativa entre la creencia en teorías de conspiración y la influencia social. Entre las diversas creencias asociadas con las intenciones de vacunación, solo las creencias en conspiraciones mostraron un valor predictivo significativo. Así, los resultados sugieren que las creencias personales impactan significativamente la vacilación ante la vacunación y también indican que la confianza en los órganos gubernamentales está inversamente relacionada con la vacilación.
Conclusiones:
la vacilación ante la vacuna emerge como un fenómeno multifacético influenciado por una amplia gama de factores, incluyendo las creencias personales, la confianza en los órganos gubernamentales y los sistemas de salud.
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ORIGINAL ARTICLE08-30-2024
Factors associated with university students’ knowledge about HIV and pre- and post-exposure prophylaxis
Revista Brasileira de Enfermagem. 2024;77:e20240092
Abstract
ORIGINAL ARTICLEFactors associated with university students’ knowledge about HIV and pre- and post-exposure prophylaxis
Revista Brasileira de Enfermagem. 2024;77:e20240092
DOI 10.1590/0034-7167-2024-0092
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with university students’ knowledge about HIV and pre- and post-exposure prophylaxis.
Methods:
a cross-sectional study was conducted with 503 university students from a southern state in Brazil; data were collected using a characterization tool and a questionnaire containing 16 statements about the topic; descriptive measures and Poisson regression models with robust variance were used for analysis.
Results:
the prevalence of adequate knowledge (i.e., scoring more than 12 correct answers) was 27.83%; students older than 24 years, enrolled in health-related courses, who had not engaged in sexual relations in the last quarter, with a history of rapid HIV testing, and who knew or had heard about the prophylaxes showed a higher likelihood of scoring more than 12 correct answers.
Conclusions:
generally, the knowledge of young people about HIV and its prophylaxes was found to be inadequate and influenced by sociodemographic, educational, and behavioral factors.
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ORIGINAL ARTICLE09-19-2022
The experience of trans or transvestite women in accessing public health services
Revista Brasileira de Enfermagem. 2022;75:e20210713
Abstract
ORIGINAL ARTICLEThe experience of trans or transvestite women in accessing public health services
Revista Brasileira de Enfermagem. 2022;75:e20210713
DOI 10.1590/0034-7167-2021-0713
Views0See moreABSTRACT
Objective:
to understand the meanings of being a trans or transvestite woman in the care provided by Unified Health System health professionals.
Methods:
qualitative research, guided by Heidegger’s phenomenology, with 10 trans or transvestitewomen residing and using the Unified Health System in a municipality in Minas Gerais. Fieldwork was carried out by interviews.
Results:
trans or transvestitewomen reproduce the social patterns constructed and accepted by the female, with the search for hormonization being common, and, when it is difficult to obtain a prescription, they resort to self-medication. Social name use and acceptance by health professionals promote recognition. Trans or transvestitewomen experience prejudice on a daily basis, not only by professionals, but also because of the assumption of diagnoses by other users.
Final considerations:
transphobia promotes withdrawal from health services, due to fear, shame, knowledge about professionals’ unpreparedness, triggering illness, social exclusion and violence.
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ORIGINAL ARTICLE07-10-2020
Nursing workload in burn intensive care unit
Revista Brasileira de Enfermagem. 2020;73:e20190446
Abstract
ORIGINAL ARTICLENursing workload in burn intensive care unit
Revista Brasileira de Enfermagem. 2020;73:e20190446
DOI 10.1590/0034-7167-2019-0446
Views0See moreABSTRACT
Objectives:
To measure the nursing workload in the Burn Intensive Care Units and evaluate its association with clinical variables, length of stay, and outcome of hospitalization.
Methods:
Cross-sectional study carried out in a Brazilian public large hospital. The study included 33 patients. The nursing workload was assessed using the Nursing Activities Score (NAS) every 24 hours. We performed 447 Nursing Activities Score assessments. For the statistical analysis, Student’s t-test, ANOVA, and Spearman’s correlation test were used. The considered significant difference was 5% (p ≤ 0.05).
Results:
The Nursing Activities Score mean was 84% (± 4.4), which corresponded to 20.2 hours. There was an association between the nursing workload and the patient’s severity (p <0.010), burned body surface (p = 0.010), and hospitalization outcome (p = 0.020).
Conclusion:
Burn victims, assisted in the ICU, demanded a high nursing workload, which was influenced by clinical aspects and the hospitalization outcome. These findings point to the need to reconsider the nurse staffing related to this care profile.
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ORIGINAL ARTICLE09-16-2019
ICNP® Diagnoses of People Living with AIDS, and Empirical Indicators
Revista Brasileira de Enfermagem. 2019;72(5):1226-1234
Abstract
ORIGINAL ARTICLEICNP® Diagnoses of People Living with AIDS, and Empirical Indicators
Revista Brasileira de Enfermagem. 2019;72(5):1226-1234
DOI 10.1590/0034-7167-2017-0850
Views0See moreABSTRACT
Objective:
To analyze the association between the empirical indicators and ICNP® nursing diagnoses in people living with AIDS, as well as to identify the predictive indicators for the establishment of these diagnoses.
Method:
A cross-sectional study with 120 people living with AIDS, in a hospital in Northeastern Brazil, conducted from August to September 2015, following the steps: identification and validation of Empirical Indicators; preparation and validation of the ICNP® Nursing Diagnoses; and analysis of the association between the Empirical Indicators and the Nursing Diagnoses resulting from the two previous steps. To analyze the data, we used logistic regression.
Results:
74 Empirical Indicators were identified, being 31 of which were validated. 55 diagnoses were elaborated and 19 were validated, of which 16 were associated with the Empirical Indicators, identifying 31 predictors.
Conclusion:
The diagnoses presented significant associations with the Empirical Indicators. In addition, it was observed that the predictive factors of these diagnoses involved the human responses and complications related to the disease, which should be considered during the care provided by the nurse.
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ORIGINAL ARTICLE07-17-2020
Nursing process implantation in mental health: a convergent-care research
Revista Brasileira de Enfermagem. 2020;73:e20190579
Abstract
ORIGINAL ARTICLENursing process implantation in mental health: a convergent-care research
Revista Brasileira de Enfermagem. 2020;73:e20190579
DOI 10.1590/0034-7167-2019-0579
Views0See moreABSTRACT
Objective:
to understand the perception of nurses and their needs regarding Nursing Process implantation in a long-term psychiatric hospitalization unit.
Method:
a convergent care research, carried out in a psychiatric institute in Rio de Janeiro, with 13 nurses. Data were produced between May/2016 and August/2017, with observation in a field diary, semi-structured interviews and groups. Data were analyzed regarding content, theme and by the software NVivo.
Results:
three thematic categories were developed: Knowledge and practices of participants on Systematization of Nursing Care, Nursing Process and classification system; Convergence points: Nursing Process in practice and research; Challenges of Nursing Process implantation in mental health.
Final considerations:
implantation was perceived by nurses as a way to be constructed: in the stages of Nursing Process, in handling classifications, but mainly in articulation with the Brazilian National Mental Health Policy.
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ORIGINAL ARTICLE09-16-2019
Epidemiological profile of tuberculosis cases with HIV coinfection in Porto Alegre city, Brazil
Revista Brasileira de Enfermagem. 2019;72(5):1211-1218
Abstract
ORIGINAL ARTICLEEpidemiological profile of tuberculosis cases with HIV coinfection in Porto Alegre city, Brazil
Revista Brasileira de Enfermagem. 2019;72(5):1211-1218
DOI 10.1590/0034-7167-2017-0613
Views0See moreABSTRACT
Objective:
To describe and compare the epidemiological profile of cases of tuberculosis and HIV coinfection of the District Administration Health Units of Porto Alegre, Brazil, from 2009 to 2013.
Method:
Retrospective cohort with data from national health information systems. Sociodemographic, clinical and follow-up variables were investigated through association tests.
Results:
2,419 cases of tuberculosis and HIV coinfection were reported, with a mean age of 38 ± 9.91 years, predominantly white and with up to 7 years of study. The comparison between the District Administration Health Units was significant in terms of race/color (p<0.001), gender (p<0.001), schooling (p<0.004), age (p<0.003), place of origin (p<0.001), (p<0.001), alcoholism (p<0.001), indication and performance of Directly Observed Therapy (p<0.001), closure (p<0.001).
Conclusion:
Socioeconomic and treatment variables influence the occurrence of coinfection in different areas of Porto Alegre, reinforcing that the sum of different factors explains the indicators of the disease.
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ORIGINAL ARTICLE06-10-2022
Effects of the economic recession on suicide mortality in Brazil: interrupted time series analysis
Revista Brasileira de Enfermagem. 2022;75:e20210778
Abstract
ORIGINAL ARTICLEEffects of the economic recession on suicide mortality in Brazil: interrupted time series analysis
Revista Brasileira de Enfermagem. 2022;75:e20210778
DOI 10.1590/0034-7167-2021-0778
Views0See moreABSTRACT
Objectives:
to analyze trends in suicide rates in Brazil in the period before and after the start of the economic recession.
Methods:
interrupted time series research using national suicide data recorded in the period between 2012 and 2017 with socioeconomic subgroups analyses. Quasi-Poisson regression model was employed to analyze trends in seasonally adjusted data.
Results:
there was an abrupt increase in the risk of suicide after economic recession in the population with less education (12.5%; RR = 1.125; 95%CI: 1.027; 1.232) and in the South Region (17.7%; 1.044; 1.328). After an abrupt reduction, there was a progressive increase in risk for the black and brown population and for those with higher education. In most other population strata, there was a progressive increase in the risk of suicide.
Conclusions:
the Brazilian economic recession caused different effects on suicide rates, considering social strata, which requires health strategies and policies that are sensitive to the most vulnerable populations.
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09-16-2019
The impact of the diagnosis of tuberculosis through its social representations
Revista Brasileira de Enfermagem. 2019;72(5):1189-1196
Abstract
The impact of the diagnosis of tuberculosis through its social representations
Revista Brasileira de Enfermagem. 2019;72(5):1189-1196
DOI 10.1590/0034-7167-2017-0881
Views0See moreABSTRACT
Objective:
To identify people’s way of acting after the diagnosis of tuberculosis, through their social representations about the disease.
Method:
Qualitative and descriptive study based on the Theory of Social Representations, in which 23 patients of a school health center in Belém, PA, Brazil, participated. The software ALCESTE was used to generate a class concerning the impact of the diagnosis in people’s lives.
Results:
The dimension of a new reality caused by the diagnosis of tuberculosis is linked with the image of dirt, (process of objectification) communicable/mortal disease that exclude, causing sorrow, despair and revolt (dimension of the affections), reverberating in the patients’ actions (dimension of action).
Final considerations:
global knowledge about tuberculosis, linking the knowledge of everyday life with the reified universe, pointing the multidimensionality of the phenomenon. The conclusion is that investing in the deconstruction of archaic beliefs about the tuberculosis that kills, replacing it with the curable tuberculosis, is necessary.
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ORIGINAL ARTICLE08-16-2021
Factors associated with the homicides of women who are victims of violence
Revista Brasileira de Enfermagem. 2021;74(5):e20200630
Abstract
ORIGINAL ARTICLEFactors associated with the homicides of women who are victims of violence
Revista Brasileira de Enfermagem. 2021;74(5):e20200630
DOI 10.1590/0034-7167-2020-0630
Views0See moreABSTRACT
Objectives:
to identify factors associated with homicides in women who had prior notification of violence in the state of Pernambuco, 2011 to 2016.
Methods:
a transversal, quantitative and observational study, guided by the STROBE tool, with data of homicides of women obtained from the Mortality Information System; and of violence against women, from the Grievance Notification Information System. The logistic regression model was used to verify the factors associated with the homicides.
Results:
there were 32,308 cases of violence against women and 1,162 homicides. The chances of homicide were higher for women: victims of physical violence (2.39 times more), aggression by object of court (2.32 times more), aggression by firearm (6 times more), and when there was a recurrence of violence (3.82 times more).
Conclusions:
association of physical violence, agression by object of court, aggression by firearm, recurrence of violence with homicides of women in the state of Pernambuco was found.
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