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Ethical dilemmas at the end of life: a reflection from the Philosophical Perspective of Luigina Mortari
- Vitória Pessoa Nogueira
, - Marília Alves Furtado ,
- Vera Lúcia Mendes de Paula Pessoa ,
- Viviane Magalhães Pereira
12-04-2023
Abstract
Ethical dilemmas at the end of life: a reflection from the Philosophical Perspective of Luigina Mortari
Revista Brasileira de Enfermagem. 2023;76:e20220759
12-04-2023DOI 10.1590/0034-7167-2022-0759
- Vitória Pessoa Nogueira ,
- Marília Alves Furtado ,
- Vera Lúcia Mendes de Paula Pessoa ,
- Viviane Magalhães Pereira
Views0See moreABSTRACT
Objectives:
to reflect on the ethical dilemmas involved in the care of patients at the end of their lives.
Methods:
this is a theoretical-reflective study based on the ethics of care proposed by Luigina Mortari.
Results:
discussing care involves addressing the ways of being inherent to human existence and understanding the unique characteristics of this condition. Ethical care constitutes an action driven by interest in the other and by the perception of their need. Ethical dilemmas are a part of end-of-life care, making it essential to maintain respectful assistance that considers the patient’s autonomy, using strategies for expressing their wishes, and ensuring continuous clear and empathetic communication among all those involved in providing care.
Final Considerations:
issues related to being, stemming from one’s reality of dependency and vulnerability, contribute to the emergence of ethical dilemmas present in care actions.
- Vitória Pessoa Nogueira
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ORIGINAL ARTICLE
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
12-04-2023
Abstract
ORIGINAL ARTICLEBurnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
Revista Brasileira de Enfermagem. 2023;76:e20220684
12-04-2023DOI 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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ORIGINAL ARTICLE
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro , [ … ],
- Roselia Arminda Rosales-Flores
12-04-2023
Abstract
ORIGINAL ARTICLEWorking conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
12-04-2023DOI 10.1590/0034-7167-2022-0679
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro ,
- Roselia Arminda Rosales-Flores
Views0See moreABSTRACT
Objective:
To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.
Methods:
Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.
Results:
among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).
Conclusions:
The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.
- Ana Paula Nogueira de Magalhães
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ORIGINAL ARTICLE
Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
- Aline de Oliveira Ramalho ,
- Rodrigo Augusto Gonçalves Fonseca ,
- Eliane Mazócoli ,
- Alessandra Marin ,
- Paula Cristina Nogueira
12-04-2023
Abstract
ORIGINAL ARTICLEIncidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220553
12-04-2023DOI 10.1590/0034-7167-2022-0553
- Aline de Oliveira Ramalho ,
- Rodrigo Augusto Gonçalves Fonseca ,
- Eliane Mazócoli ,
- Alessandra Marin ,
- Paula Cristina Nogueira
Views0See moreABSTRACT
Objective:
to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs.
Method:
a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI.
Results:
PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001).
Conclusion:
PI incidence in critically ill patients with COVID-19 was high.
- Aline de Oliveira Ramalho
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ORIGINAL ARTICLE
Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik , [ … ],
- Ika Adelia Susanti
12-04-2023
Abstract
ORIGINAL ARTICLEWork-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?
Revista Brasileira de Enfermagem. 2023;76:e20220586
12-04-2023DOI 10.1590/0034-7167-2022-0586
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik ,
- Arifah Septiane ,
- Idyatul Hasanah ,
- Ika Adelia Susanti
Views0See moreABSTRACT
Objective:
To analyze the contributing factors of work-related stress among nurses in the COVID-19 pandemic.
Methods:
A cross-sectional study was conducted with 101 nurse practitioners from two hospitals in West Java, Indonesia. We distributed an online questionnaire to evaluate work-related stress and the data were analyzed using ordinal logistic regression.
Results:
More than half of the nurses experienced moderate work-related stress. The study revealed that nurses aged over 35 years old had a lower likelihood of experiencing work-related stress (AOR: 0.173; 95%CI: 0.038-0.782). Married nurses had a higher likelihood (AOR: 7.156; 95% CI: 1.456-35.163). Additionally, nurses with low and moderate workloads had a lower likelihood (AOR: 0.003; 95%CI: 0.000-0.051) and (AOR: 0.025; 95%CI: 0.005-0.116), respectively.
Conclusion:
The consideration of age, marital status, and workload is essential in effectively addressing work-related stress among nurse practitioners.
- Tita Rohita
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ORIGINAL ARTICLE
Factors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
12-04-2023
Abstract
ORIGINAL ARTICLEFactors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study
Revista Brasileira de Enfermagem. 2023;76:e20220597
12-04-2023DOI 10.1590/0034-7167-2022-0597
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Views0See moreABSTRACT
Objective:
The study aimed to analyze the factors that affect the community’s attitude towards COVID-19 vaccination in Tangerang District.
Methods:
A cross-sectional study was used. Convenience sampling was used to select 400 respondents. Inclusion criteria are living in Tangerang District, aged between 18 and 55, and earning a living. An online questionnaire was used and passed validity and reliability tests. This study received ethical approval.
Results:
Most respondents had a high level of education (48.50%), low income (72.50%), high knowledge (78%), and a positive attitude (76.50%) regarding vaccination against COVID-19. The Chi-square test revealed a correlation between knowledge and attitudes towards COVID-19 vaccination (p=0.001), as well as education levels (p=0.001), but there was no correlation between income and attitudes (p=0.094).
Conclusions:
Health professionals should engage in extensive socialization and face-to-face visits with people with limited access to information to promote a positive attitude and expand the scope of COVID-19 vaccination.
- Chintia Gracelia Amalo
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ORIGINAL ARTICLE
Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
- Pedro Henrique Batista de Freitas ,
- Adriana Lúcia Meireles ,
- Mery Natali Silva Abreu ,
- Bruna Carolina Rafael Barbosa ,
- Waléria de Paula , [ … ],
- Clareci Silva Cardoso
12-04-2023
Abstract
ORIGINAL ARTICLEAssessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230068
12-04-2023DOI 10.1590/0034-7167-2023-0068
- Pedro Henrique Batista de Freitas ,
- Adriana Lúcia Meireles ,
- Mery Natali Silva Abreu ,
- Bruna Carolina Rafael Barbosa ,
- Waléria de Paula ,
- Clareci Silva Cardoso
Views0See moreABSTRACT
Objective:
to evaluate the quality of life (QOL) and the presence of symptoms related to depression, anxiety, and stress among students in the healthcare field, in comparison to the period before the COVID-19 pandemic.
Methods:
A comparative cross-sectional research was conducted at a Brazilian public university. QOL was assessed using the WHOQOL-bref scale, while symptoms of depression, anxiety, and stress were evaluated using the DASS-21 scale. Descriptive and inferential analyses were employed to compare the two time periods.
Results:
A total of 355 students participated in this study. During the pandemic, there were significant increases in severe depression symptoms (15.1% versus 24.8%), moderate anxiety (18.3% versus 29.4%), and moderate stress (40.9% versus 53.8%) observed among the participants. Additionally, a significant reduction in QOL was noted, particularly in the domain of social relationships (65.2 versus 59.6, p-value 0.029).
Conclusion:
The study highlights a deterioration in both the quality of life and the mental health of healthcare students during the COVID-19 pandemic.
- Pedro Henrique Batista de Freitas
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Drug-Resistant Tuberculosis and COVID-19: A Scoping Review on a New Threat to Antimicrobial Resistance
- Beibilene Perlato Melo da Silva ,
- Anelisa Soares de Almeida ,
- Matheus Gabriel de Melo Sérgio ,
- Thamires Carraro Gatto ,
- Vinícius Paglione Carasek , [ … ],
- Mellina Yamamura
12-04-2023
Abstract
Drug-Resistant Tuberculosis and COVID-19: A Scoping Review on a New Threat to Antimicrobial Resistance
Revista Brasileira de Enfermagem. 2023;76:e20220803
12-04-2023DOI 10.1590/0034-7167-2022-0803
- Beibilene Perlato Melo da Silva ,
- Anelisa Soares de Almeida ,
- Matheus Gabriel de Melo Sérgio ,
- Thamires Carraro Gatto ,
- Vinícius Paglione Carasek ,
- Mellina Yamamura
Views0ABSTRACT
Objective:
To assess the impact of COVID-19 on the morbidity and mortality associated with drug-resistant tuberculosis (DR-TB).
Methods:
A comprehensive review of articles published in international databases since December 2019 was conducted. The findings are presented in a narrative format, supplemented with tables, diagrams, and a map created using ArcGIS software.
Results:
Thirty-five studies were selected, highlighting the significant consequences of COVID-19 on TB and DR-TB treatment progress. Four main thematic areas were identified: Clinical and epidemiological aspects of the interaction between COVID-19 and DR-TB; Management of physical resources and the team; Challenges and circumstances; Perspectives and possibilities.
Conclusions:
This study revealed that the COVID-19 pandemic significantly negatively impacted the control of long-standing diseases like TB, particularly in the context of morbidity and mortality related to DR-TB.
Keywords:COVID-19Extensively Drug-Resistant TuberculosisMicrobial Drug ResistanceMultidrug-Resistant TuberculosisTuberculosisSee more
- Beibilene Perlato Melo da Silva
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ORIGINAL ARTICLE
Guide for Systematization of Care and Nursing Process: educational technology for professional practice
- Susana Lamara Pedras Almeida ,
- Cândida Caniçali Primo ,
- Márcia Valéria de Souza Almeida ,
- Paula de Souza Silva Freitas ,
- Amália de Fátima Lucena , [ … ],
- Marcos Antônio Gomes Brandão
04-14-2023
Abstract
ORIGINAL ARTICLEGuide for Systematization of Care and Nursing Process: educational technology for professional practice
Revista Brasileira de Enfermagem. 2023;76:e20210975
04-14-2023DOI 10.1590/0034-7167-2021-0975
- Susana Lamara Pedras Almeida ,
- Cândida Caniçali Primo ,
- Márcia Valéria de Souza Almeida ,
- Paula de Souza Silva Freitas ,
- Amália de Fátima Lucena ,
- Eliane de Fátima Almeida Lima ,
- Marcos Antônio Gomes Brandão
Views1ABSTRACT
Objective:
to elaborate and validate the content of a digital guide educational technology on Systematization of Nursing Care and Nursing Process.
Methods:
applied research of technological development, developed between 2020 and 2021, in three steps. First, a scoping review was carried out to elaborate the content. In the second step, the content was validated with 46 nurse judges selected for convenience. The minimum criterion of agreement among judges was 80%. The third step consisted of content organization and layout.
Results:
the guide content was elaborated from the Federal Nursing Council legislation, scientific articles and textbooks. Content was considered appropriate, relevant and organized by judges.
Final considerations:
the digital guide is an alternative that can contribute to the NP execution and implementation, supporting the planning and implementation of actions for quality of care.
Keywords:Educational TechnologyNursing ProcessNursing RecordsProfessional PracticeStandardized Nursing TerminologySee more
- Susana Lamara Pedras Almeida
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ORIGINAL ARTICLE
Adaptation and validation of an adult patient classification instrument with emphasis on the family dimension
- Ariane Polidoro Dini ,
- Jamilly dos Santos Okabe ,
- Stephanie Ziare Kalvan ,
- Carla Simplicio ,
- Renata Cristina Gasparino
03-27-2023
Abstract
ORIGINAL ARTICLEAdaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
03-27-2023DOI 10.1590/0034-7167-2022-0530
- Ariane Polidoro Dini ,
- Jamilly dos Santos Okabe ,
- Stephanie Ziare Kalvan ,
- Carla Simplicio ,
- Renata Cristina Gasparino
Views1ABSTRACT
Objectives:
to adapt and validate an instrument for classifying adult patients that emphasizes the family support network in the demand for nursing care.
Methods:
methodological study, carried out in three phases: adaptation of an instrument considering the reality of adult patients; content validation with seven experts and assessment of measurement properties (construct validity and internal consistency) with 781 hospitalized patients.
Results:
in content validation, the indicators reached the values established for the Content Validity Index (0.85-1.00). In the confirmatory factor analysis, the 11 indicators were distributed in three domains and presented average variance extracted and factor loading greater than 0.5. Composite reliability was greater than 0.7.
Conclusions:
the present study adapted and made available, with evidence of validity and reliability, an instrument for classifying adult patients that considers the family support network in the demand for nursing care.
Keywords:Factor AnalysisFamilyHospital Organization and AdministrationPatient-Centered CareValidation StudiesSee more
- Ariane Polidoro Dini
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ORIGINAL ARTICLE
Self-care of elderly people with diabetes mellitus and the nurse-patient interpersonal relationship
- Gerlania Rodrigues Salviano Ferreira ,
- Lia Raquel de Carvalho Viana ,
- Cláudia Jeane Lopes Pimenta ,
- Cleane Rosa Ribeiro da Silva ,
- Tatiana Ferreira da Costa , [ … ],
- Kátia Neyla de Freitas Macedo Costa
10-01-2022
Abstract
ORIGINAL ARTICLESelf-care of elderly people with diabetes mellitus and the nurse-patient interpersonal relationship
Revista Brasileira de Enfermagem. 2022;75(1):e20201257
10-01-2022DOI 10.1590/0034-7167-2020-1257
- Gerlania Rodrigues Salviano Ferreira ,
- Lia Raquel de Carvalho Viana ,
- Cláudia Jeane Lopes Pimenta ,
- Cleane Rosa Ribeiro da Silva ,
- Tatiana Ferreira da Costa ,
- Jacira dos Santos Oliveira ,
- Kátia Neyla de Freitas Macedo Costa
Views1INTRODUCTIONChronic non-communicable diseases are the main causes of death and health problems in the world, causing about 41 million deaths each year, which corresponds to approximately 71% of all deaths. Among these diseases, diabetes mellitus has stood out due to the increase in its incidence and prevalence().Estimates indicate that 463 million people live with diabetes […]See more - Gerlania Rodrigues Salviano Ferreira
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Evolution of nursing teaching in the use of education technology: a scoping review
- Mayara Lima Barbosa ,
- Lhana Lorena de Melo Atanasio ,
- Suzane Gomes de Medeiros ,
- Cecília Olívia Paraguai de Oliveira Saraiva ,
- Viviane Euzébia Pereira Santos
05-21-2021
Abstract
Evolution of nursing teaching in the use of education technology: a scoping review
Revista Brasileira de Enfermagem. 2021;74:e20200422
05-21-2021DOI 10.1590/0034-7167-2020-0422
- Mayara Lima Barbosa ,
- Lhana Lorena de Melo Atanasio ,
- Suzane Gomes de Medeiros ,
- Cecília Olívia Paraguai de Oliveira Saraiva ,
- Viviane Euzébia Pereira Santos
Views1See moreABSTRACT
Objective:
To identify and map the technological tools of information and communication to support the teaching learning process in Nursing teaching courses.
Methods:
This is a scoping review whose search was carried out in seven databases and in grey literature. After an initial analysis of the selection, 88 texts were read integrally, and 29 made up the final sample.
Results:
Virtual learning environment and object, simulation, hypermedia, and software or cellphone applications were the tools the nursing professors used the most. Studies highlight that the application of technology was important in the teaching-learning process, since it encouraged teaching based on safe care, motivating and developing abilities/competences, supported on significant, effective, flexible, and autonomous learning.
Conclusion:
The contribution of the technology for nursing formation stands out, but it should be highlighted that its employment must be critical, reflective, based on pedagogical theories and developed by trained professors.
- Mayara Lima Barbosa
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EXPERIENCE REPORT
Hypothermia post-cardiopulmonary resuscitation with low inputs: an experience report
- Maria Thereza Bugalho Lazzarini ,
- José Carlos Bonjorno Junior ,
- Márcio Pimentel Fernandes ,
- Ana Lúcia Gargione Galvão de Sant´Anna ,
- Regimar Carla Machado
08-19-2019
Abstract
EXPERIENCE REPORTHypothermia post-cardiopulmonary resuscitation with low inputs: an experience report
Revista Brasileira de Enfermagem. 2019;72(4):1114-1118
08-19-2019DOI 10.1590/0034-7167-2017-0771
- Maria Thereza Bugalho Lazzarini ,
- José Carlos Bonjorno Junior ,
- Márcio Pimentel Fernandes ,
- Ana Lúcia Gargione Galvão de Sant´Anna ,
- Regimar Carla Machado
Views1ABSTRACT
Objective:
to report the experience of conducting directed temperature control of a post-cardiopulmonary resuscitation patient, with reduced and basic inputs available at the institution.
Method:
an experience report of directed temperature control in patient (age 15 years), after four hours of cardiopulmonary resuscitation in an Intensive Care Unit of a hospital in São Paulo State countryside in 2016, according to the protocol suggested by the American Heart Association, in 2015. There were applications of cold compresses, plastic bags with crushed ice and rectal temperature control.
Results:
after eight hours, temperature had reached 93.2 ºF. Body cooling was maintained for 24 hours. However, bags with crushed ice were used in the first 6 hours.
Conclusion:
conduct of nurses to obtain the body cooling with reduced and basic inputs was effective during the stay at the Intensive Care Unit.
Keywords:Body Temperature RegulationCardiopulmonary ResuscitationHeart ArrestHypothermia InducedIntensive Care UnitsSee more
- Maria Thereza Bugalho Lazzarini
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ORIGINAL ARTICLE
Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
07-30-2021
Abstract
ORIGINAL ARTICLECurricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
07-30-2021DOI 10.1590/0034-7167-2020-1242
Views1See moreABSTRACT
Objectives:
to discuss the curricular reforms adopted for nursing teaching in Brazil, from 1969 to 2019.
Methods:
historical, qualitative approach using the thematic oral history and document research. 13 interviews were carried out with graduation nursing professors from a federal university in the South of Brazil. The document sources were the political-pedagogical projects of the course and their associated documents. Minayo’s thematic analysis was used.
Results:
nursing curricula delineates the profile of the professional that must be formed and are reviewed in order to be adapted to social and educational changes, showing the scientific and professional potential of the nurse. Curricular reforms consider the quality of nursing formation.
Final Considerations:
the structure of the curriculum and the reforms that took place emerged according to the historical, political, epidemiological and social context demanded from the profession, to attend to the demands of society and to the work market.
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ORIGINAL ARTICLE
Cultural adaptation and validation of an instrument about nursing critical thinking skills
- Jacqueline Faria de Oliveira ,
- Esperanza Zuriguel Perez ,
- Maria Beatriz Guimarães Ferreira ,
- Patricia da Silva Pires ,
- Elizabeth Barichello , [ … ],
- Maria Helena Barbosa
05-28-2021
Abstract
ORIGINAL ARTICLECultural adaptation and validation of an instrument about nursing critical thinking skills
Revista Brasileira de Enfermagem. 2021;74(2):e20200720
05-28-2021DOI 10.1590/0034-7167-2020-0720
- Jacqueline Faria de Oliveira ,
- Esperanza Zuriguel Perez ,
- Maria Beatriz Guimarães Ferreira ,
- Patricia da Silva Pires ,
- Elizabeth Barichello ,
- Maria Helena Barbosa
Views1See moreABSTRACT
Objectives:
to validate the Nursing Critical Thinking in Clinical Practice Questionnaire regarding cultural aspects and metric properties.
Methods:
a methodological research carried out through cross-cultural adaptation, face and content validity, dimensional construct and known groups validity, test-retest reliability and internal consistency. 511 nurses from four hospitals participated in the study, of which 54 participated in retest.
Results:
the instrument validation for Brazilian Portuguese maintained equivalences, according to the original version. The dimensional validity demonstrated adjustment to the tetrafactorial structure of the original version (GFI=0.69). There were statistically significant differences in critical thinking skills between nurses with graduate degrees and who undertook training, reading articles, developing research and working in an institution with a longer time implementation of the Nursing Process. The instrument showed temporal stability (ICC 073-0.84; p<0.001) and adequate internal consistency (α=0.97).
Conclusions:
the instrument proved to be valid and reliable for the studied population.
- Jacqueline Faria de Oliveira
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ORIGINAL ARTICLE
Prevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
- Luciana Regina Ferreira da Mata ,
- Cissa Azevedo ,
- Lívia Cristina de Resende Izidoro ,
- Darkiane Fernandes Ferreira ,
- Fabrícia Eduarda Baia Estevam , [ … ],
- Tânia Couto Machado Chianca
05-28-2021
Abstract
ORIGINAL ARTICLEPrevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
05-28-2021DOI 10.1590/0034-7167-2020-0692
- Luciana Regina Ferreira da Mata ,
- Cissa Azevedo ,
- Lívia Cristina de Resende Izidoro ,
- Darkiane Fernandes Ferreira ,
- Fabrícia Eduarda Baia Estevam ,
- Fabrícia Moreira Amorim Amaral ,
- Tânia Couto Machado Chianca
Views1See moreABSTRACT
Objectives:
to analyze urinary incontinence prevalence and severity in prostatectomized men assessed by three different instruments.
Methods:
a cross-sectional study was conducted with 152 men. The pad test, pad used, and International Consultation on Incontinence Questionnaire – Short Form (self-report) were considered. Data were analyzed using Spearman’s correlation, Kappa index, considering a significance level of 0.05.
Results:
urinary incontinence prevalence was 41.4%, 46.7% and 80.3% according to pad used, pad test and self-report. Positive correlations and moderate to poor agreement were found between the instruments. As for severity, most participants had mild incontinence. The largest number of cases of mild and severe incontinence was identified by self-report.
Conclusions:
the self-report showed higher values for prevalence of mild and severe severity levels. Through the identified differences, we propose that the objective assessment (pad used and pad test) be associated with individuals’ perception (self-report) to better estimate prevalence and severity.
- Luciana Regina Ferreira da Mata
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ORIGINAL ARTICLE
Music in the relief of stress and distress in cancer patients
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
05-21-2021
Abstract
ORIGINAL ARTICLEMusic in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
05-21-2021DOI 10.1590/0034-7167-2019-0838
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Views0See moreABSTRACT
Objectives:
to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.
Methods:
quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.
Results:
the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.
Conclusions:
the use of music diminishes the stress and the distress of cancer patients.
- Mariana Scheidegger dos Santos
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ORIGINAL ARTICLE
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
03-24-2021
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
03-24-2021DOI 10.1590/0034-7167-2020-0275
Views0See moreABSTRACT
Objectives:
to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.
Methods:
a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.
Results:
a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).
Conclusions:
hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
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ORIGINAL ARTICLE
Factors associated with depressive symptoms in older adults in context of social vulnerability
- Letícia Souza Didoné ,
- Isabela Thaís Machado de Jesus ,
- Ariene Angelini Santos-Orlandi ,
- Sofia Cristina Iost Pavarini ,
- Fabiana de Souza Orlandi , [ … ],
- Marisa Silvana Zazzetta
06-01-2020
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in older adults in context of social vulnerability
Revista Brasileira de Enfermagem. 2020;73:e20190107
06-01-2020DOI 10.1590/0034-7167-2019-0107
- Letícia Souza Didoné ,
- Isabela Thaís Machado de Jesus ,
- Ariene Angelini Santos-Orlandi ,
- Sofia Cristina Iost Pavarini ,
- Fabiana de Souza Orlandi ,
- Letícia Pimenta Costa-Guarisco ,
- Aline Cristina Martins Gratão ,
- Karina Gramany-Say ,
- Marcia Regina Cominetti ,
- Grace Angélica de Oliveira Gomes ,
- Marisa Silvana Zazzetta
Views0See moreABSTRACT
Objective:
To identify factors associated with depressive symptoms in the elderly inserted in a context of high social vulnerability.
Methods:
A cross-sectional study was carried out with 302 elderly people enrolled in Primary Care. We used a sociodemographic questionnaire, Geriatric Depression Scale, Mini Nutritional Assessment, Shor-form-6D Quality of Life Questionnaire and Medical Outcome Study Scale. For data analysis, a logistic regression was performed considering two groups, with and without depressive symptoms.
Results:
A good perception of the quality of life (OR: 0.21) and receiving emotional support (OR: 0.98) were presented as protective factors for depression, have risks of malnutrition (OR: 4.87), belong to the female sex OR: 1.88) and living alone (OR: 2.34), indicated a predictor factor for depression.
Conclusion:
Quality of life and social support were identified as protective factors for depressive symptoms while being at risk of malnutrition, living alone, reporting pain and being female are predictors.
- Letícia Souza Didoné
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Sociodemographic and health profile of TB/HIV co-infection in Brazil: a systematic review
- Shyrlaine Honda Bastos ,
- Mônica Taminato ,
- Hugo Fernandes ,
- Tânia Maria Ribeiro Monteiro de Figueiredo ,
- Lúcia Yasuko Izumi Nichiata , [ … ],
- Paula Hino
09-16-2019
Abstract
Sociodemographic and health profile of TB/HIV co-infection in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2019;72(5):1389-1396
09-16-2019DOI 10.1590/0034-7167-2018-0285
- Shyrlaine Honda Bastos ,
- Mônica Taminato ,
- Hugo Fernandes ,
- Tânia Maria Ribeiro Monteiro de Figueiredo ,
- Lúcia Yasuko Izumi Nichiata ,
- Paula Hino
Views0ABSTRACT
Objective:
to ascertain the epidemiological profile of TB/HIV co-infection in Brazilian scenarios.
Method:
this is a systematic review conducted via electronic search in databases PubMed, EMBASE, LILACS and SciELO, having as inclusion criterion articles based on the Brazilian scenario of TB/HIV co-infection.
Results:
of the total 174 studies, 15 were selected, revealing the epidemiological profile of the co-infection in different scenarios: male, economically active age, low education level, brown/black ethnicity, low income, heterosexual, pulmonary clinical form, alcoholism and Directly Observed Therapy.
Conclusion:
the sociodemographic and epidemiological profile of people with TB/HIV co-infection has an expected occurrence pattern, which corroborates articles found in the literature, either at national level or by grouping the studies according to region or state.
Keywords:Acquired Immunodeficiency SyndromeCo-infectionCommunity Health NursingPublic HealthTuberculosisSee more
- Shyrlaine Honda Bastos
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ORIGINAL ARTICLE
Gerontotechnology for fall prevention of the elderly with Parkinson
- Juliana Martins Ferreira ,
- Karina Silveira de Almeida Hammerschmidt ,
- Josiane Steil Siewert ,
- Angela Maria Alvarez ,
- Melissa Orlandi Honório Locks , [ … ],
- Ivonete Teresinha Schülter Buss Heidemann
12-05-2019
Abstract
ORIGINAL ARTICLEGerontotechnology for fall prevention of the elderly with Parkinson
Revista Brasileira de Enfermagem. 2019;72:243-250
12-05-2019DOI 10.1590/0034-7167-2018-0704
- Juliana Martins Ferreira ,
- Karina Silveira de Almeida Hammerschmidt ,
- Josiane Steil Siewert ,
- Angela Maria Alvarez ,
- Melissa Orlandi Honório Locks ,
- Ivonete Teresinha Schülter Buss Heidemann
Views0See moreABSTRACT
Objective:
to develop the gerontological nursing care process among the elderly with Parkinson’s disease, aiming at the promotion of health through the creation of gerontotechnologies for fall prevention.
Method:
Convergent Care Research was used as a methodological route. Data were collected from February to October 2017, with the participation of nine elderly people with Parkinson’s disease. An educational booklet, a memory game called “não cai istepô”, a memory game called “caiu de maduro” were developed through clinical evaluation through scales, recorded semi-structured interview and workshops.
Results:
the application of gerontotechnology resulted from the elderly in self-care, empowerment and knowledge through play, revealing interest in behavior change, independence and learning, as well as serving as a facilitator of care.
Conclusion:
the gerontotechnologies presented as a playful and innovative instrument for the nursing gerontological care process.
- Juliana Martins Ferreira
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ORIGINAL ARTICLE
Self-confidence in the care of critically ill patients: before and after a simulated intervention
- Rodrigo Guimarães dos Santos Almeida ,
- Alessandra Mazzo ,
- José Carlos Amado Martins ,
- Beatriz Maria Jorge ,
- Valtuir Duarte de Souza Júnior , [ … ],
- Isabel Amélia Costa Mendes
10-21-2019
Abstract
ORIGINAL ARTICLESelf-confidence in the care of critically ill patients: before and after a simulated intervention
Revista Brasileira de Enfermagem. 2019;72(6):1618-1623
10-21-2019DOI 10.1590/0034-7167-2018-0758
- Rodrigo Guimarães dos Santos Almeida ,
- Alessandra Mazzo ,
- José Carlos Amado Martins ,
- Beatriz Maria Jorge ,
- Valtuir Duarte de Souza Júnior ,
- Isabel Amélia Costa Mendes
Views0See moreABSTRACT
Objective:
To evaluate the self-confidence of nurses in the care of critically ill patients, before and after a simulated intervention.
Method:
A quasi-experimental study was carried out with 103 nurses who participated in a workshop on the care of critically ill patients in the first semester of 2016. A clinical simulation pedagogical instrument was used throughout the event, and self-confidence was assessed by the Portuguese version of the Self-confidence Scale (SCSvp).
Results:
Most participants reported not being prepared to provide first care to critically ill patients, which was carried out during care practice. The participants presented a significant increase in self-confidence after the simulated intervention (p<0.001) in the cardiac, neurological, and respiratory dimensions.
Conclusion:
Simulation has proved to be an effective strategy for the development of individuals’ self-confidence, which contributes to the improvement of skills required for professional practice.
- Rodrigo Guimarães dos Santos Almeida
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ORIGINAL ARTICLE
Effect of first aid training on teams from special education schools
- Jackeline Gonçalves Brito ,
- Inês Pereira de Oliveira ,
- Christine Baccarat de Godoy ,
- Ana Paula dos Santos Jesus Marques França
02-17-2020
Abstract
ORIGINAL ARTICLEEffect of first aid training on teams from special education schools
Revista Brasileira de Enfermagem. 2020;73(2):e20180288
02-17-2020DOI 10.1590/0034-7167-2018-0288
- Jackeline Gonçalves Brito ,
- Inês Pereira de Oliveira ,
- Christine Baccarat de Godoy ,
- Ana Paula dos Santos Jesus Marques França
Views0See moreABSTRACT
Objectives:
Analyze the effect of first aid training on the knowledge of multidisciplinary teams from special education schools, in school accidents.
Methods:
A quasi-experimental, before-and-after study with a single comparison group. Descriptive statistics and McNemar’s test were used to evaluate the effect of the intervention.
Results:
This study had the participation of 162 higher education professionals, predominantly teachers (82.1%), female (97.5%), aged over 40 (69.2%). An increase in correct answers was observed, with statistical significance (≤0.05), especially in proper handling in case of fall with traumatic brain injury, electric shock, and burn due to hot liquid (98.1%, 98.1% and 96.9% of proper response, respectively).
Conclusions:
First aid training for child accidents, through content exhibition, in a dialogical and practical way, proved to be efficient for multidisciplinary teams from special education schools for people with disabilities.
- Jackeline Gonçalves Brito
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ORIGINAL ARTICLE
Permanent education and matrix support in primary health care: family health routine
- Danilo Carvalho Rodrigues ,
- Alice Maria Correia Pequeno ,
- Antonio Germane Alves Pinto ,
- Cleide Carneiro ,
- Maria de Fátima Antero Sousa Machado , [ … ],
- Francisca Diana da Silva Negreiros
08-07-2020
Abstract
ORIGINAL ARTICLEPermanent education and matrix support in primary health care: family health routine
Revista Brasileira de Enfermagem. 2020;73(6):e20190076
08-07-2020DOI 10.1590/0034-7167-2019-0076
- Danilo Carvalho Rodrigues ,
- Alice Maria Correia Pequeno ,
- Antonio Germane Alves Pinto ,
- Cleide Carneiro ,
- Maria de Fátima Antero Sousa Machado ,
- Antonio Germano Magalhães Júnior ,
- Francisca Diana da Silva Negreiros
Views0See moreABSTRACT
Objective:
To analyze the understanding of the professionals working on the Family Health Support by about permanent education and matrix support in the daily routine of primary health care.
Methods:
Descriptive research with a qualitative approach. Data were collected through semi-structured interviews with the participation of 19 professionals from different backgrounds. The results were organized based on Thematic Content Analysis.
Results:
Thematic categories emerged from the analysis: Permanent Health Education: knowledge and daily activities; Matrix support as a premise of Permanent Health Education; The principle of integrality as the foundation of the supporting teams; Conditions of praxis in the promotion of Permanent Health Education.
Final Considerations:
The study evidenced that professionals experience their routines within the service and that the sharing of knowledge to transform the reality of users and the territory is based on matrix support and integrality. However, they face structural difficulties in carrying out actions.
- Danilo Carvalho Rodrigues
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