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RESEARCH01-01-2018
Validation of nursing diagnoses, interventions and outcomes in a pediatric clinic
Revista Brasileira de Enfermagem. 2018;71(1):80-88
Abstract
RESEARCHValidation of nursing diagnoses, interventions and outcomes in a pediatric clinic
Revista Brasileira de Enfermagem. 2018;71(1):80-88
DOI 10.1590/0034-7167-2016-0647
Views0See moreABSTRACT
Objectives:
To elaborate operational definitions for the Nomenclature nursing diagnoses, interventionsand outcomes of the Pediatric Clinic at a University Hospital and carry out a validation of the content and clinical aspects of this Nomenclature.
Method:
Methodological research, developed in two stages: documentary study, for the validation of content of the operational definitions of nursing diagnoses; and secondly applied research, via clinical cases, performed with children from 0 to 5 years.
Results:
The 126 diagnoses were submitted to consensus validation and 55.6% were validated. Six clinical case studies were carried out, using the phases of the nursing process, based on the theory of Basic Human Needs, identifying 24.3% of the validated diagnoses and 54.5% of the nursing interventions listed in the Nomenclature.
Conclusion:
The study showed the effectiveness of using the Nomenclature in the Pediatric Clinic, in order to optimize the care andquality of health services.
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RESEARCH01-01-2018
Cognitive changes in nurses working in intensive care units
Revista Brasileira de Enfermagem. 2018;71(1):73-79
Abstract
RESEARCHCognitive changes in nurses working in intensive care units
Revista Brasileira de Enfermagem. 2018;71(1):73-79
DOI 10.1590/0034-7167-2016-0513
Views0See moreABSTRACT
Objective:
To measure the levels of stress, anxiety, and depression of nurses working in ICUs, relating them to levels of attention before and after 24 hours.
Method:
An observational, quantitative, analytical study with 18 nurses undergoing an inventory of stress, anxiety, and depression, as well as assessment of attention levels and psychomotor functioning.
Results:
Sixty-one percent showed positive for stress. Depression was observed in 33%; and anxiety in 99.9%. A strong correlation between stress and depression (ρ = 0.564 with p <0.05) and anxiety (ρ = 1 with p <0.05) was observed. There was a weak correlation between stress and task execution time in M2 (ρ = 0.055) for TMT A, a fact that did not occur in M0 (ρ = -0.249).
Conclusion:
The study shows that the workload of the nurses working in 24-hour shifts in the ICU is correlated with high levels of stress, decreases in the attention process, and psychomotor decline.
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RESEARCH01-01-2018
Realities and perspectives of adolescent mothers in their first pregnancy
Revista Brasileira de Enfermagem. 2018;71(1):65-72
Abstract
RESEARCHRealities and perspectives of adolescent mothers in their first pregnancy
Revista Brasileira de Enfermagem. 2018;71(1):65-72
DOI 10.1590/0034-7167-2016-0444
Views0See moreABSTRACT
Objective:
to understand the trajectory of adolescents regarding the first pregnancy, contemplating realities and perspectives.
Method:
qualitative study, based on the Schütz theoretical framework, with 30 adolescents assisted in an outpatient clinic for adolescents in Fortaleza, Ceará, Brazil. From the narrative interviews carried out in the first semester of 2013, in the return for the first consultation of the puerperium, the communicative processes were identified, the central ideas and units of meanings expressed in the themes were abstracted: I was dating and became pregnant; realities and perspectives.
Results:
adolescents justified pregnancy through sexual drive and insufficient prevention; they narrated the fear faced, difficulties in motherhood and continuity of studies. The realities coexisted with the prospects of family members and partners helping to educate the child to achieve a different future from what they themselves experienced.
Final considerations:
adolescents experienced motherhood with ambivalent conflicts because they were young mothers, but they wanted to raise and educate their children, even those with minimal living conditions.
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RESEARCH01-01-2018
Health advocacy by nurses in the Family Health Strategy: barriers and facilitators
Revista Brasileira de Enfermagem. 2018;71(1):57-64
Abstract
RESEARCHHealth advocacy by nurses in the Family Health Strategy: barriers and facilitators
Revista Brasileira de Enfermagem. 2018;71(1):57-64
DOI 10.1590/0034-7167-2016-0119
Views0See moreABSTRACT
Objective:
Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy.
Method:
Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis.
Results:
Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively.
Conclusion:
When nurses, provided with technical, scientific and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered.
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RESEARCH01-01-2018
Cultural adaptation of Quality Of Care Through The Patient’s Eyes -QUOTE-HIV
Revista Brasileira de Enfermagem. 2018;71(1):47-56
Abstract
RESEARCHCultural adaptation of Quality Of Care Through The Patient’s Eyes -QUOTE-HIV
Revista Brasileira de Enfermagem. 2018;71(1):47-56
DOI 10.1590/0034-7167-2016-0113
Views0See moreABSTRACT
Objective:
to translate and adapt Quality of Care Through the Patient’s Eyes – HIV (QUOTE-HIV) for the Brazilian population living with HIV/AIDS.
Method:
a methodological study, which followed the stages of translation, synthesis, back-translation, evaluation by the committee of experts and pre-test for cultural adaptation of the instrument.
Results:
the process of translation and cultural adaptation was considered adequate. Evaluation by the expert committee resulted in semantic, structural and grammatical adequacy of the evaluated items. 30 subjects considered the instrument to be easy to understand and suggested minor adjustments in some items.
Conclusion:
the Brazilian version of QUOTE-HIV has been adapted and validated in relation to its content. However, this is a study that precedes the process of evaluating the psychometric properties of the instrument, the results of which will be presented in a later publication.
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RESEARCH01-01-2018
Knowledge, beliefs, and attitudes of older women in HIV/AIDS prevention
Revista Brasileira de Enfermagem. 2018;71(1):40-46
Abstract
RESEARCHKnowledge, beliefs, and attitudes of older women in HIV/AIDS prevention
Revista Brasileira de Enfermagem. 2018;71(1):40-46
DOI 10.1590/0034-7167-2016-0521
Views0See moreABSTRACT
Objective:
To analyze the knowledge, religious beliefs and the adoption of preventive measures against HIV/AIDS of non-Catholic elderly women.
Method:
A qualitative study, carried out in religious institutions of a municipality in the state of Ceará, Northeast Brazil, with 78 elderly women. Of these, 64 were evangelicals, seven spiritualists and seven Jehovah’s Witnesses. A semi-structured interview script was used followed by thematic content analysis of participants’ responses.
Results:
After analyzing the empirical data, three categories were elaborated: the first presented the knowledge they had about AIDS; the second, highlighted the beliefs attributed to people with HIV/AIDS; and the third, presented the preventive measures to HIV/AIDS adopted by them.
Final considerations:
There were participants with knowledge gaps and failure to use preventive measures against HIV/AIDS. They suggested that religious institutions can be venues for lectures on HIV/AIDS prevention.
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RESEARCH01-01-2018
Mothers’ perspective on violence against children: constructing meanings
Revista Brasileira de Enfermagem. 2018;71(1):34-39
Abstract
RESEARCHMothers’ perspective on violence against children: constructing meanings
Revista Brasileira de Enfermagem. 2018;71(1):34-39
DOI 10.1590/0034-7167-2016-0568
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Objective:
To explore the construct elaborated by the mother on the meaning of violence against the child and to identify, according to the mother’s perspective, which measures are most used for the prevention of this phenomenon.
Method:
This is a qualitative research, with the participation of thirty mothers, in a health service in the city of Ananindeua, in the state of Pará, Brazil. The methodology consisted of the categorical content analysis, which identified three categories: Violence, Threats of violence and Protective measures.
Results:
The research showed that mothers attribute different meanings to violence, but the physical and sexual violence were markedly the most highlighted, and the dialogue was the most used protective measure.
Conclusion:
It is essential to strengthen public policies through effective interventions, seeking solutions to address this phenomenon in all segments of society.
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RESEARCH01-01-2018
Adolescent health promotion based on community-centered arts education
Revista Brasileira de Enfermagem. 2018;71(1):26-33
Abstract
RESEARCHAdolescent health promotion based on community-centered arts education
Revista Brasileira de Enfermagem. 2018;71(1):26-33
DOI 10.1590/0034-7167-2016-0078
Views0See moreABSTRACT
Objective:
To evaluate the contribution of arts education to health promotion of adolescents in situations of urban social vulnerability.
Method:
Participatory evaluative research, with a qualitative approach, using as a reference the theoretical constructs of Paulo Freire’s Conscientization and the Empowerment Evaluation as a method of collecting with adolescents and teachers of an arts education program in the field of the Family Health Strategy.
Results:
Participants constructed a collective mission that represented the concept of adolescent health promotion. Arts education activities were prioritized and ranked with a mission focus, and over a three-month period, the program implemented health goals through art. In the reevaluation, the group presented a broad look at the implementation of activities and self-determination for change.
Final considerations:
Arts education is a potential space for nurses to act in the conscientization and empowerment of adolescent health in Primary Health Care.
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ORIGINAL ARTICLE01-10-2024
Nursing students and the internet: a reflection of digital ethics
- Ana Carolina Barboza Brandão
, - Ingrid Bemfica Ramos ,
- Anna Carolina Caetano Griesang de Oliveira ,
- Sabrina da Costa Machado Duarte ,
- Joyce Martins Arimatea Branco Tavares , [ … ],
- Priscilla Valladares Broca
Abstract
ORIGINAL ARTICLENursing students and the internet: a reflection of digital ethics
Revista Brasileira de Enfermagem. 2024;77:e20230459
DOI 10.1590/0034-7167-2023-0459
- Ana Carolina Barboza Brandão ,
- Ingrid Bemfica Ramos ,
- Anna Carolina Caetano Griesang de Oliveira ,
- Sabrina da Costa Machado Duarte ,
- Joyce Martins Arimatea Branco Tavares ,
- Priscilla Valladares Broca
Views0See moreABSTRACT
Objectives:
to identify how first-year nursing students use cyberspace and propose an orientation guide with criteria guiding the use of cyberspace.
Methods:
qualitative and descriptive research, carried out with 24 nursing students from a federal public institution in Rio de Janeiro. Data collection was carried out through semi-structured interviews. Data analysis occurred using IRAMUTEQ®. The research was approved by the institution’s Research Ethics Committee.
Results:
students use cyberspace to communicate, study, find “cool things”, share photos and memories. Furthermore, they are concerned about hate speech, intolerance and fake news. The good and bad sides and the types of technologies most used were also portrayed.
Final considerations:
the moral and ethical values of physical coexistence, together with awareness of individual responsibility, are the pillars for using cyberspace. The guide comes as an awareness tool.
- Ana Carolina Barboza Brandão
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ORIGINAL ARTICLE01-10-2024
Maternity behind and beyond bars: analysis from the perspective of protection bioethics
Revista Brasileira de Enfermagem. 2024;77:e20220576
Abstract
ORIGINAL ARTICLEMaternity behind and beyond bars: analysis from the perspective of protection bioethics
Revista Brasileira de Enfermagem. 2024;77:e20220576
DOI 10.1590/0034-7167-2022-0576
Views0See moreABSTRACT
Objective:
to analyze how motherhood is expressed in female prison units from the perspective of Bioethics of Protection.
Method:
qualitative research with an ethnographic approach, developed in two women’s prison units. Participantes were: six mothers deprived of liberty, 15 health professionals, and nine prison officers. For data collection, semi-structured interviews and descriptive observation were used. Data analysis was based on the Content Analysis technique, thematic category.
Results:
three categories emerged: women and children violated behind bars (inequities); mothers and children in prison exacerbating imbalances, tensions and conflicts; and limits and references for resocialization.
Final Considerations:
the Bioethics of Protection proposal appears as a valid tool for the analytical direction of the process of confronting issues in the scope of public health in prison units, considering vulnerable groups and aiming at equity and human dignity.
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ORIGINAL ARTICLE01-10-2024
Self-harm in the two years of greatest restrictions during the covid-19 pandemic: a cross-sectional study
- Odilon Vieira Santos ,
- Letícia Aparecida Machado Lisboa da Silva ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- José Ramón Martínez-Riera , [ … ],
- Hugo Fernandes
Abstract
ORIGINAL ARTICLESelf-harm in the two years of greatest restrictions during the covid-19 pandemic: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77:e20240289
DOI 10.1590/0034-7167-2024-0289
- Odilon Vieira Santos ,
- Letícia Aparecida Machado Lisboa da Silva ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- José Ramón Martínez-Riera ,
- Hugo Fernandes
Views0See moreABSTRACT
Objective:
to analyze occurrence of self-harm, sociodemographic profile of victims and referrals in the first 24 months of the COVID-19 pandemic in São Paulo.
Method:
cross-sectional study carried out by the Notifiable Diseases Information System with data on self-harm in São Paulo. The period outlined was March 2020 to February 2022. R (4.0.2) software and chi-square test were used.
Results:
there were 15,946 incidents. Victims were young, white, single, heterosexual women. There was high incidence of people with previous mental disorders more than once and without clear motivation. The method used was poisoning/intoxication. There was a considerable number of referrals to the health network, although not totalitarian.
Conclusion:
the years of greater insecurity in relation to the pandemic have given rise to self-harm cases with peculiar characteristics. Agile health policies must be applied in atypical conditions, such as pandemics, especially for adolescents/young people with previous mental disorders.
- Odilon Vieira Santos
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EXPERIENCE REPORT01-10-2024
Sustainability in Higher Education: Experience report on achieving Sustainable Development Goals
- Laura Mafalda Carvalho Lopes ,
- Rosalina Matias-Correia ,
- Rosa Carla Gomes da Silva ,
- Natália de Jesus Barbosa Machado ,
- Ana Paula dos Santos Jesus Marques França
Abstract
EXPERIENCE REPORTSustainability in Higher Education: Experience report on achieving Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20240118
DOI 10.1590/0034-7167-2024-0118
- Laura Mafalda Carvalho Lopes ,
- Rosalina Matias-Correia ,
- Rosa Carla Gomes da Silva ,
- Natália de Jesus Barbosa Machado ,
- Ana Paula dos Santos Jesus Marques França
Views0See moreABSTRACT
Objective:
Describe the activities aimed at achieving the Sustainable Development Goals (SDGs), implemented by a polytechnic higher education institution, in the northern region of Portugal.
Methods:
This is an experience report from a Higher Education Institution, which characterizes the contribution to the SDGs, within the scope of teaching, research, campus and leadership.
Results:
In total, 1247 activities were mapped, with a preponderance in the “people” dimension (685 activities), with SDG 3 being the most prominent. Scientific articles contribute significantly to the SDGs, with a notable discrepancy between automatic (Scopus) and manual classifications, indicating a tendency to underestimate the impact of nursing studies.
Conclusion:
The results demonstrate the significant contribution of this institution to the SDGs, with a special focus on health and education. This contribution reflects the mission of the institution, which involves training competent and socially conscious health professionals, but simultaneously the need for greater awareness and training of the teaching staff.
- Laura Mafalda Carvalho Lopes
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REVIEW01-10-2024
Health of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
Abstract
REVIEWHealth of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
DOI 10.1590/0034-7167-2024-0106
Views0See moreABSTRACT
Objective:
to map the literature on quilombola children’s health and its relationship with the Sustainable Development Goals.
Method:
a scoping review, which followed the JBI protocol and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Searches were conducted in the LILACS, BDENF, Web of Science, Scopus, MEDLINE databases and Google Scholar platform. The research protocol was registered in the Open Science Framework.
Results:
eighteen articles out of 2,055 studies were selected as relevant for this study. The articles were grouped into four axes: Access to healthcare services; Nutritional aspects of quilombola children; Health problems of quilombola children; and Care for quilombola children. The relationship between these articles and SDGs 1, 3, 4, 6 and 10 was observed.
Final considerations:
the study provided an extremely important mapping of the theme of quilombola children’s health and themes related to the Sustainable Development Goals.
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ORIGINAL ARTICLE01-10-2024
Social Representations of pregnancy among trans men
- Danilo Martins Roque Pereira ,
- Ednaldo Cavalcante de Araújo ,
- Sheyla Costa de Oliveira ,
- Anderson Reis de Sousa ,
- Mariana Mercês Mesquita Espíndola , [ … ],
- Joecio Cordeiro Cardoso
Abstract
ORIGINAL ARTICLESocial Representations of pregnancy among trans men
Revista Brasileira de Enfermagem. 2024;77:e20240094
DOI 10.1590/0034-7167-2024-0094
- Danilo Martins Roque Pereira ,
- Ednaldo Cavalcante de Araújo ,
- Sheyla Costa de Oliveira ,
- Anderson Reis de Sousa ,
- Mariana Mercês Mesquita Espíndola ,
- Milka Gabrielle de Lira Nóbrega West ,
- Marclineide Nóbrega de Andrade Ramalho ,
- Joecio Cordeiro Cardoso
Views0See moreABSTRACT
Objective:
to understand the meanings and experiences of pregnancy among trans men in light of the Theory of Social Representations.
Methods:
this is a qualitative, descriptive and exploratory study, carried out with trans men selected for convenience and availability. Data production took place from September to October 2021, via the Google Meet® platform, based on interviews with a semi-structured script. Interview lexicographic textual analysis was performed using the Reinert method and instrumented by IRAMUTEQ version 7.0.
Results:
social representations of pregnancy involved a wide field of meanings, in which efforts were articulated to accept opportune and solitary pregnancy, fear of the parturition process and influence of physical and emotional changes.
Final considerations:
the study reinforces the importance of advanced nursing practice in assisting the pregnancy-puerperal cycle, based on the perspective of comprehensive care, equity in access to services and respect for differences.
- Danilo Martins Roque Pereira
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REVIEW01-10-2024
Prevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
- Raphael Sampaio dos Santos ,
- Katerine Moraes dos Santos ,
- Angela Maria Mendes Abreu ,
- Cristiane Cardoso de Paula ,
- Regina Célia Gollner Zeitoune
Abstract
REVIEWPrevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
Revista Brasileira de Enfermagem. 2024;77:e20240052
DOI 10.1590/0034-7167-2024-0052
- Raphael Sampaio dos Santos ,
- Katerine Moraes dos Santos ,
- Angela Maria Mendes Abreu ,
- Cristiane Cardoso de Paula ,
- Regina Célia Gollner Zeitoune
Views1See moreABSTRACT
Objectives:
To identify in the scientific literature the prevalence, diagnostic methods, and exposure variables of latent infection by Mycobacterium tuberculosis in healthcare workers.
Methods:
An integrative review of the scientific literature based on the following review question: What are the available scientific evidence in the literature that address the prevalence of latent infection by Mycobacterium tuberculosis in healthcare workers and its association with possible risk factors among these workers?
Results:
Being a physician or nurse, being older, and being male were generally associated with higher prevalences. The study also showed that interferon-gamma release assays were more commonly used as a diagnostic method compared to skin tests.
Conclusions:
More studies are needed regarding the epidemiology of latent infection by Mycobacterium tuberculosis in the context of healthcare workers, aiming for higher impact actions that contribute to the reduction of tuberculosis worldwide.
- Raphael Sampaio dos Santos
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ORIGINAL ARTICLE01-10-2024
Brazil-Portugal Comparison: Education, Health and Social Development in light of the Sustainable Development Goals
- Felipa Rafaela Amadigi ,
- Monica Motta Lino ,
- Rosani Ramos Machado ,
- Ianka Cristina Celuppi ,
- Carla Sílvia Fernandes , [ … ],
- Denise Elvira Pires de Pires
Abstract
ORIGINAL ARTICLEBrazil-Portugal Comparison: Education, Health and Social Development in light of the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20240047
DOI 10.1590/0034-7167-2024-0047
- Felipa Rafaela Amadigi ,
- Monica Motta Lino ,
- Rosani Ramos Machado ,
- Ianka Cristina Celuppi ,
- Carla Sílvia Fernandes ,
- Maria Manuela Martins ,
- Denise Elvira Pires de Pires
Views0See moreABSTRACT
Objective:
to comparatively analyze the health, education and social development systems of Brazil and Portugal, their relationship with the Sustainable Development Goals and the Organization for Economic Cooperation and Development averages.
Method:
exploratory and descriptive qualitative research, through documentary analysis. The indicators address health, education and social development, considering life expectancy, mortality, prevalence of chronic diseases, literacy, educational performance and poverty rates.
Results:
indicate significant differences between countries. Portugal presents better indicators in life expectancy, educational quality and poverty rates, whereas Brazil faces greater challenges in chronic diseases and equity in access to healthcare services.
Final considerations:
the importance of public policies adapted to local realities and the need for a strategic vision for healthcare systems aligned with the Sustainable Development Goals, in addition to the need for continuous investments and integration of digital health for efficient and equitable systems, stand out.
- Felipa Rafaela Amadigi
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01-01-2016
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
Abstract
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
DOI 10.1590/0034-7167-2015-0145
Views0See moreABSTRACT
Objective:
to identify the severity of patients admitted to an emergency trauma.
Method:
A cross-sectional and retrospective study with 115 trauma patients classified as orange (Manchester System), from June 2013 to July 2014. The data were presented as mean and standard deviation, in addition to the Pearson Chi-square test, One-Way ANOVA and Tukey tests.
Results:
from the sample, 81.7% were male with mean age of 39.46±19.71 years. Higher incidence of major trauma (48.7%) and traumatic brain injury (37.4%). At the end of the outcome and MEWS, most cases that had score 1 to 3 were referred to the operating room and the ICU.
Conclusion:
the start point of MEWS was 2 to 3 points, with significant increase in the severity of the situation of patients seen after 6 hours, and approximately half of the individuals underwent surgery, indicating that the scale is a good predictor of severity.
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01-01-2016
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
Abstract
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
DOI 10.1590/0034-7167-2015-0113
Views0See moreABSTRACT
Objective:
to analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health.
Method:
qualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin.
Results:
the SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service.
Conclusion:
SESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers’ health and safety.
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01-01-2016
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
Abstract
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
DOI 10.1590/0034-7167-2015-0096
Views0See moreABSTRACT
Objective:
to translate and adapt the BPEWS for the Portuguese language, with the purpose of verifying its applicability in the Brazilian context studied.
Method:
methodological study guided by international and nationally accepted recommendations for translation and adaptation of health measurement instruments. Stages of conceptual, item, semantic, operational and pre-test equivalence are described for obtaining the BPEWS Portuguese version to be used in Brazil.
Results:
the BPEWS version translated and adapted for Brazilian Portuguese (BPEWS-Br) identified, in the pilot study, that 26.6% of children were presenting warning signs for clinical deterioration.
Conclusion:
the BPEWS-Br seems to be applicable for the context studied, and its use might help nurses in the recognition and documentation of warning signs for clinical deterioration in hospitalized Brazilian children.
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01-01-2016
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
Abstract
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
DOI 10.1590/0034-7167-2016-0147
Views0See moreABSTRACT
Objective:
to describe the process of adaptation and validation of the Nursing Activities Score to the Portuguese context.
Method:
this was a pilot study of adaptation and validation of the Nursing Activities Score with a sample consisting of 67 patients hospitalized in the intensive care units of three Portuguese hospitals. The construct validity was assessed through factor analysis procedures and the internal consistency of the items was measured through the Cronbach’s alpha coefficient.
Results:
a mean workload value of 63.04% (SD = 14.25; Median = 61.30) was obtained. Psychometric data revealed a Cronbach’s alpha of 0.71 in the total scale, indicating an acceptable accuracy. Confirmatory factor analysis suggested an appropriate adjustment between the model and the data (χ2(199) = 214.5, p = 0.214; CFI = 0.95; RMSA = 0.035).
Conclusion:
in the present study, the Portuguese version of the Nursing Activities Score was found to be a valid instrument, enabling a safe assessment of the workload of nurses.
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01-01-2016
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
Abstract
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
DOI 10.1590/0034-7167-2015-0032
Views0See moreABSTRACT
Objective:
to understand significances attributed by nurses who manage nursing care to the individual affected by cardiovascular disease to relations, interactions and associations of the educational practices in a cardiovascular reference hospital. To elaborate a theoretical explanatory model based on significances attributed in the light of the complex thinking.
Method:
qualitative study, which used Theory Based on Data (TBD) as methodological reference. Twenty-two professionals of nursing participated in the study.
Results:
the results indicate need of professional qualification to ensure the safety of patients, institutional support for the realization of educational practices, attitude of openness and availability of dialogue of the health professionals and other institutional conformations for the workers’ development.
Conclusion:
the study presents a new space for the nurse’s action that can be used to qualify and optimize the nursing practice, as it provides visibility to management and care in health institutions.
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01-01-2016
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
Abstract
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
DOI 10.1590/0034-7167-2015-0114
Views0See moreABSTRACT
Objective:
to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care.
Methods:
exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification.
Results:
five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity.
Conclusion:
the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.
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01-01-2016
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
Abstract
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
DOI 10.1590/0034-7167-2015-0131
Views0See moreABSTRACT
Objective:
to conduct the clinical validation of nursing diagnosis “Willingness for improved infant development”.
Method:
a cross-sectional study, conducted in a Centro de Saúde da Família (Family Health Care center), with 45 healthy breastfed infants. The instrument for collecting the data was prepared based on the literature and validated by nurses. It contained the following variables: sociodemographic, gestational, and obstetrical variables; breastfed infant’s nutritional profile; evaluation of the defining characteristics of the proposed nursing diagnosis.
Results:
all the defining characteristics were found to have high sensitivity values (>90%), positive predictive values (>65%), negative predictive values (>66%); however, low specificity values (<32%). In this study, the defining characteristics we found to have estimates (>0.50) within the ROC curve, which provides good sensitivity and specificity.
Conclusion:
this study verified the structural elements of the proposed nursing diagnosis to be relevant in the clinical context, which justifies the need for its being employed with children, taking into account its contribution to improving nursing care.
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01-01-2016
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
Abstract
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
DOI 10.1590/0034-7167-2015-0081
Views0See moreABSTRACT
Objective:
to describe the profile of standardized oral drugs at a hospital unit and assess their adequacy for use via enteral feeding tubes, according to recommendations from the literature.
Method:
descriptive study, with data on drugs collected from the Pharmacy Service Dispensing System. Specific recommendations for the use of these drugs via enteral feeding tubes were found after searches in literary databases, books, manuals, guidelines and package insert collections.
Results:
among the 236 dispensed oral drugs, 86% were in solid form; of those, 32 were “non-crushable”, with the liquid form available at the institution. Twenty-eight drugs with potential interactions with enteral nutrition were identified. Sixty percent of those presented specific recommendations on their administration via enteral feeding tube.
Conclusion:
the joint participation of multidisciplinary nutritional therapy and care teams and the implementation of programs for continuous training are suggested strategies for the prevention of potential problems in the administration of drugs in the hospital setting.
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