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REVIEW
Nursing diagnoses in patients with cerebral vascular accident: an integrative review
Revista Brasileira de Enfermagem. 2016;69(4):785-792
01-01-2016
Abstract
REVIEWNursing diagnoses in patients with cerebral vascular accident: an integrative review
Revista Brasileira de Enfermagem. 2016;69(4):785-792
01-01-2016DOI 10.1590/0034-7167.2016690423i
Views0See moreABSTRACT
Objective:
to verify the nursing diagnoses in patients affected by CVAs.
Method:
this is an integrative review of the literature. The search was conducted on LILACS, Scielo, Medline, CINAHL, and Scopus databases between February and March 2015, using the following keywords: “Enfermagem”, “Acidente Vascular Cerebral”, “Diagnóstico de Enfermagem”; and “Nursing”, “Stroke”, and “Nursing Diagnosis”.
Results:
we found 9 articles published between 2009 and 2015; most of them were Brazilian, cross-sectional, and exploratory, with a level of evidence of 6. The evidence from the publications was classified as: “Evaluation and validation of specific nursing diagnoses for subjects affected by CVAs” and “Application of the nursing process on subjects affected by CVAs”.
Conclusion:
we noticed the publications focused on nursing diagnoses related to motor disorders, such as risk of falls and impaired physical mobility. Domains regarding safety/protection (domain 11) and sleep/resting (domain 4) were present in most evaluated publications.
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REVIEW
Impact of educational interventions in reducing diabetic complications: a systematic review
Revista Brasileira de Enfermagem. 2016;69(4):773-784
01-01-2016
Abstract
REVIEWImpact of educational interventions in reducing diabetic complications: a systematic review
Revista Brasileira de Enfermagem. 2016;69(4):773-784
01-01-2016DOI 10.1590/0034-7167.2016690422i
Views0ABSTRACT
Objective:
To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.
Method:
A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.
Results:
Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.
Conclusion:
Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.
Keywords:Diabetes Mellitus Type 1Diabetes Mellitus Type 2Diabetic ComplicationsEvaluation of the Efficacy-Effectiveness- of InterventionsHealth EducationSee more
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REVIEW
The communication process in Telenursing: integrative review
Revista Brasileira de Enfermagem. 2016;69(4):765-772
01-01-2016
Abstract
REVIEWThe communication process in Telenursing: integrative review
Revista Brasileira de Enfermagem. 2016;69(4):765-772
01-01-2016DOI 10.1590/0034-7167.2016690421i
Views0See moreABSTRACT
Objective:
to identify scientific evidence about the communication process in Telenursing and analyze them.
Method:
integrative review performed in March 2014. The search strategy, structured with the descriptors “telenursing” and “communication”, was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.
Results:
ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.
Conclusion:
distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.
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RESEARCH
Health care for patients with acute coronary syndrome according to quality indicators
Revista Brasileira de Enfermagem. 2016;69(4):757-764
01-01-2016
Abstract
RESEARCHHealth care for patients with acute coronary syndrome according to quality indicators
Revista Brasileira de Enfermagem. 2016;69(4):757-764
01-01-2016DOI 10.1590/0034-7167.2016690420i
Views0ABSTRACT
Objective:
to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.
Method:
a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.
Results:
a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.
Conclusions:
health care protocols are required to standardize practice and improve these indicators.
Keywords:Acute Coronary SyndromeEmergency Medical ServicesHealth Care QualityHealth Care Quality IndicatorsTreatment TimeSee more -
RESEARCH
Quality of working life of call-center workers
Revista Brasileira de Enfermagem. 2016;69(4):751-756
01-01-2016
Abstract
RESEARCHQuality of working life of call-center workers
Revista Brasileira de Enfermagem. 2016;69(4):751-756
01-01-2016DOI 10.1590/0034-7167.2016690419i
Views0See moreABSTRACT
Objective:
to analyze the profile and quality of working life (QWL) of call-center workers.
Method:
quantitative research, conducted in one call-center of the city of São José do Rio Preto – SP, using the QVP-35 questionnaire.
Results:
profile was composed by: 80.2% women; 66.3% were single, with high school diploma and 6 hours of daily working hours; mean age of 28 years; 92.9% had only one job with mean working experience of 3 years. Positive aspects of QWL: intrinsic motivation, working ability, available resources and social support. Negative aspects of QWL: workload and organizational support.
Conclusion:
the data obtained indicate the need for better organization of call-center working processes in the company and suggests other researches in this context.
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RESEARCH
Stressors perceived by patients in the immediate postoperative of cardiac surgery
Revista Brasileira de Enfermagem. 2016;69(4):741-750
01-01-2016
Abstract
RESEARCHStressors perceived by patients in the immediate postoperative of cardiac surgery
Revista Brasileira de Enfermagem. 2016;69(4):741-750
01-01-2016DOI 10.1590/0034-7167.2016690418i
Views0See moreABSTRACT
Objective:
to investigate stressors perceived by patients in the immediate postoperative of cardiac surgery and their association with sociodemographic and clinical characteristics.
Method:
a prospective correlational study conducted in a city in São Paulo, between August 2013 and December 2014. A non-probabilistic sample included patients submitted to their first coronary artery bypass graft or mitral valve surgery. The “Environmental Stressor Questionnaire” adapted to Portuguese was used.
Results:
105 patients participated in the study. The item “being thirsty” was evaluated as the most stressful and “the nursing staff member does not introduce himself/herself by the name” as the least stressful. Among sociodemographic and clinical variables (gender, age, type and time of surgery, pain, intubation time, use of psychotropic medications and length of stay in the intensive care unit), only pain presented a significant association with the stressors.
Conclusion:
knowing stressors can help implement practices associated with their reduction, favoring patients’ recovery.
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RESEARCH
Concepts and practices of teaching and exercise of leadership in Nursing
Revista Brasileira de Enfermagem. 2016;69(4):733-740
01-01-2016
Abstract
RESEARCHConcepts and practices of teaching and exercise of leadership in Nursing
Revista Brasileira de Enfermagem. 2016;69(4):733-740
01-01-2016DOI 10.1590/0034-7167.2016690417i
Views0ABSTRACT
Objective:
to identify, describe and analyze characteristics of leadership, head nurses and participants in the teaching-learning process of leadership in Nursing, according to nurse professors who performed studies on this theme and taught such content between 1972 and 1994 in nursing schools of the state of São Paulo, southeastern Brazil.
Methods:
Thematic Oral History was used. A total of four nurse professors were interviewed, whose reports were submitted to content analysis.
Results:
the following aspects were approached in this study: the context in which students developed leadership, the influence of previous experiences on leadership qualification, its attributes, the importance of leadership, the value of teaching it, the possibilities of emancipation of a head nurse, the repercussions of teaching leadership for one’s professional life, the relationships between qualification and job market, the aspects of teaching qualification and students’ characteristics.
Conclusion:
although not essential for nursing qualification, leadership had a symbolic capital.
Keywords:Higher EducationHistory of NursingLeadershipNursing EducationResearch on Nursing ManagementSee more -
RESEARCH
Prevention and monitoring of delirium in older adults: an educational intervention
Revista Brasileira de Enfermagem. 2016;69(4):725-732
01-01-2016
Abstract
RESEARCHPrevention and monitoring of delirium in older adults: an educational intervention
Revista Brasileira de Enfermagem. 2016;69(4):725-732
01-01-2016DOI 10.1590/0034-7167.2016690416i
Views0See moreABSTRACT
Objective:
to conduct an educational intervention with the nursing team members of an intensive care unit (ICU), aiming to increase knowledge and to introduce improvements in their practices regarding prevention and monitoring of delirium in older patients.
Method:
this is an action research, in which workshops were conducted with eleven nurses and a nursing technician from an ICU unit in Salvador, Bahia, Brazil.
Results:
ten problems regarding nursing practices for prevention and monitoring of delirium were identified. Educational, practical, technical, and managerial actions were planned, involving cross-sector connections for planning ways to solve these problems. The groups reported significant changes in the practices, with the implementation of drug-free measures for preventing and managing the situation.
Conclusion:
the educational intervention contributed to improve the nursing practices in the ICU unit studied, and it also favored the development of critical thinking about the problems mentioned, thus enabling permanent review of offered treatments.
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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
Quality of life, depressive and minor psychiatrics symptoms in nursing students
- Jéssica Morgana Gediel Pinheiro ,
- Andreia Barcellos Teixeira Macedo ,
- Liliana Antoniolli ,
- Thayane Martins Dornelles ,
- Juliana Petri Tavares , [ … ],
- Sonia Beatriz Cocaro de Souza
07-10-2020
Abstract
ORIGINAL ARTICLEQuality of life, depressive and minor psychiatrics symptoms in nursing students
Revista Brasileira de Enfermagem. 2020;73:e20190134
07-10-2020DOI 10.1590/0034-7167-2019-0134
- Jéssica Morgana Gediel Pinheiro ,
- Andreia Barcellos Teixeira Macedo ,
- Liliana Antoniolli ,
- Thayane Martins Dornelles ,
- Juliana Petri Tavares ,
- Sonia Beatriz Cocaro de Souza
Views0See moreABSTRACT
Objective:
To assess quality of life, prevalence of depressive and minor psychiatric symptoms in Nursing students.
Methods:
Cross-sectional study, conducted from March to April 2018, at a federal university. Sample composed of 242 Nursing students, from the 1st to the 8th semester. Data was collected using the quality of life instruments, Beck Depression Inventory and Self-Report Questionnaire. A significance level of 0.05 was considered.
Results:
The mean age was 22.9 ± 5.1 years. It was found that 25% of the students had severe depressive symptoms and 54% of the students had minor psychiatric disorders, with a higher prevalence in the first semesters. An inverse relationship was observed between the frequency of depressive symptoms and quality of life scores (p = 0.05).
Conclusion:
Nursing students showed a high prevalence of depressive symptoms, indicating the importance of implementing actions to promote and prevent mental health.
- Jéssica Morgana Gediel Pinheiro
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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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ORIGINAL ARTICLE
Frailty in the elderly: screening possibilities in Primary Health Care
- Edmar Geraldo Ribeiro ,
- Isabel Yovana Quispe Mendoza ,
- Marco Túlio Gualberto Cintra ,
- Maria Aparecida Camargos Bicalho ,
- Gilberto de Lima Guimarães , [ … ],
- Edgar Nunes de Moraes
10-01-2022
Abstract
ORIGINAL ARTICLEFrailty in the elderly: screening possibilities in Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(2):e20200973
10-01-2022DOI 10.1590/0034-7167-2020-0973
- Edmar Geraldo Ribeiro ,
- Isabel Yovana Quispe Mendoza ,
- Marco Túlio Gualberto Cintra ,
- Maria Aparecida Camargos Bicalho ,
- Gilberto de Lima Guimarães ,
- Edgar Nunes de Moraes
Views0See moreABSTRACT
Objectives:
to evaluate two instruments for screening frailty in the elderly in Primary Health Care.
Methods:
this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation.
Results:
the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments.
Conclusions:
when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.
- Edmar Geraldo Ribeiro
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ORIGINAL ARTICLE
Social network of children with cronic disease: knowledge and practice of nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180371
02-17-2020
Abstract
ORIGINAL ARTICLESocial network of children with cronic disease: knowledge and practice of nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180371
02-17-2020DOI 10.1590/0034-7167-2018-0371
Views0See moreABSTRACT
Objectives:
To identify the knowledge and practice of primary care nurses about the social network approach for families of children with chronic diseases.
Methods:
Qualitative research, conducted by means of interviews with 23 family health nurses, from one municipality in Paraíba and one in Rio de Janeiro, from June to July of 2017. The data were interpreted using thematic analysis.
Results:
Social network meant institutional support offered by services outside the unit, and socioeconomic problems involved the family context. In practice, nurses find it difficult to provide comprehensive care and establish ties with families. When referring to other professionals, a weakness in the counter-referral to the family health unit is found.
Final considerations:
Some gaps were found regarding the knowledge and practice of nurses regarding the social network approach, which requires professional training to strengthen social relationships and the necessary support for families of children with chronic diseases.
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ORIGINAL ARTICLE
Inclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
10-21-2019
Abstract
ORIGINAL ARTICLEInclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
10-21-2019DOI 10.1590/0034-7167-2018-0806
Views0See moreABSTRACT
Objective:
To analyze the strategies, challenges and possibilities of the articulation between mental health and primary health care from the perspective of health managers.
Method:
Exploratory, qualitative research carried out with 28 managers of mental health and primary care. The data were collected through semi-structured interviews between July and November 2013 and submitted to thematic content analysis.
Results:
The inclusion of mental health actions in primary care made it possible, in the view of managers, to increase users’ access to the care they need. This care strategy allows the extension of care practices in the territory, with matrix support as the main tool for the implementation of this care strategy.
Final considerations:
The articulation between primary care and mental health is a powerful device for psychosocial care, but it demands a new conformation of the Psychosocial Care Centers (Caps) and primary care services.
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ORIGINAL ARTICLE
Evaluation of delirium in aged patients assisted at emergency hospital service
- Isabella Cristina Barduchi Ohl ,
- Suzel Regina Ribeiro Chavaglia ,
- Rosali Isabel Barduchi Ohl ,
- Maria Carolina Barbosa Teixeira Lopes ,
- Cássia Regina Vancini Campanharo , [ … ],
- Ruth Ester Assayag Batista
12-05-2019
Abstract
ORIGINAL ARTICLEEvaluation of delirium in aged patients assisted at emergency hospital service
Revista Brasileira de Enfermagem. 2019;72:153-160
12-05-2019DOI 10.1590/0034-7167-2018-0386
- Isabella Cristina Barduchi Ohl ,
- Suzel Regina Ribeiro Chavaglia ,
- Rosali Isabel Barduchi Ohl ,
- Maria Carolina Barbosa Teixeira Lopes ,
- Cássia Regina Vancini Campanharo ,
- Meiry Fernanda Pinto Okuno ,
- Ruth Ester Assayag Batista
Views0See moreABSTRACT
Objective:
identify the occurrence of delirium in aged patients assisted in emergency services and verify its relationship with sociodemographic and clinical variables.
Method:
cross-sectional, prospective study with a quantitative approach. Two hundred aged hospitalized patients participated. The Confusion Assessment Method was used for data collection. For statistical analysis, chi-square tests, likelihood ratio and Fisher’s test were used, with a significance level of 5%.
Results:
male gender and mean age of 71.8 years were predominant. In the first 24 hours of hospitalization, 56 (28%) aged individuals presented delirium. An association of the disease with lack of physical activity, presence of a caregiver, hypertension, dyslipidemia and cerebrovascular diseases was identified.
Conclusion:
Delirium was associated with no physical activity, the need of a caregiver, and the presence of comorbidities. The importance of conducting other studies that may lead to early identification of the condition to prevent its complications is emphasized.
- Isabella Cristina Barduchi Ohl
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ORIGINAL ARTICLE
Conflict management strategies used by Portuguese nurse managers
- Maria Manuela Martins ,
- Leticia de Lima Trindade ,
- Lara Vandresen ,
- Simone Coelho Amestoy ,
- Ana Paula Prata , [ … ],
- Carlos Vilela
10-28-2020
Abstract
ORIGINAL ARTICLEConflict management strategies used by Portuguese nurse managers
Revista Brasileira de Enfermagem. 2020;73:e20190336
10-28-2020DOI 10.1590/0034-7167-2019-0336
- Maria Manuela Martins ,
- Leticia de Lima Trindade ,
- Lara Vandresen ,
- Simone Coelho Amestoy ,
- Ana Paula Prata ,
- Carlos Vilela
Views0See moreABSTRACT
Objectives:
to analyze the perception and conflict management strategies used by nurses in the management of people in Portuguese health services.
Methods:
descriptive, correlational study, carried out in Portuguese health services, with an intentional non-probabilistic sample, totaling 95 nurse managers. A questionnaire and Conflict Management Scale were used, analyzing the variables of managerial activities and conflict management, with the aid of software.
Results:
it was identified that 60% of the managers, report having to mediate conflicts daily, and the majority report adopting dialogue in conduct. However, through the Kruskal-Wallis test, it was shown that enforcement strategies in conflict management prevail (p = 0.008), with collaborative ones being more restricted to monthly intervals (p = 0.049).
Conclusions:
managers perceive the importance of collaboration in the mediation of conflicts, however, in their daily lives; they tend to maintain imposing behaviors, signaling for a little transformational leadership style.
- Maria Manuela Martins
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EDITORIAL
Advanced Practice Nursing in Latin America and the Caribbean: seeking its implementation
Revista Brasileira de Enfermagem. 2021;74:e74suppl601
03-15-2021
Abstract
EDITORIALAdvanced Practice Nursing in Latin America and the Caribbean: seeking its implementation
Revista Brasileira de Enfermagem. 2021;74:e74suppl601
03-15-2021DOI 10.1590/0034-7167.202174suppl601
Views0Healthcare organizations are increasingly complex and specialized, seeking to optimize their quality and safety standards, and be able to meet the growing needs of their users. To face this reality, health professionals need to adapt to respond in time to the demands of the health context. In turn, the World Health Organization (WHO), through the […]See more
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