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REFLECTION01-01-2017
Theory of communicative action: a basis for the development of critical thinking
Revista Brasileira de Enfermagem. 2017;70(6):1343-1346
Abstract
REFLECTIONTheory of communicative action: a basis for the development of critical thinking
Revista Brasileira de Enfermagem. 2017;70(6):1343-1346
DOI 10.1590/0034-7167-2016-0383
Views0See moreABSTRACT
Reflections on some assumptions of the theory of Communicative Action and the development of Critical Thinking in the context of training students in undergraduate nursing courses. The perspective is based on concepts of Jürgen Habermas, as a possibility for the development of critical thinking among the students of these courses. Communication is therefore understood as inherent in the training of nurses in a continuous, dynamic, dialogical process, with interventions that are related to the context of the students and that have meaning for them, in order to contribute to the promotion of Critical Thinking.
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REFLECTION01-01-2017
Bath for dependent patients: theorizing aspects of nursing care in rehabilitation
Revista Brasileira de Enfermagem. 2017;70(6):1337-1342
Abstract
REFLECTIONBath for dependent patients: theorizing aspects of nursing care in rehabilitation
Revista Brasileira de Enfermagem. 2017;70(6):1337-1342
DOI 10.1590/0034-7167-2016-0258
Views0See moreABSTRACT
Objective:
to produce a reflective essay on what has been produced in relation to bath as a procedure related to nursing care and diagnosis for dependent patients undergoing mediate and immediate rehabilitation processes after a traumatic event.
Method:
discursive, reflective study supported by classical content analysis consisting of the following stages: a) reading of the texts in their most comprehensive form; b) emphasizing the relevant elements produced about bathing; c) reflection on texts and what is produced about bathing.
Results:
the texts point out to three categories for nursing practice and reflection: Meaning to patients on the purposes of bathing; Representation for nurses in the work process; Representation for nurses in the management of care and nursing care planning.
Conclusion:
the reflection points out understandings on bathing as a care focused on the autonomy of nursing rehabilitation patients, requiring further investigations.
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REVIEW01-01-2017
Clinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer
Revista Brasileira de Enfermagem. 2017;70(6):1330-1336
Abstract
REVIEWClinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer
Revista Brasileira de Enfermagem. 2017;70(6):1330-1336
DOI 10.1590/0034-7167-2016-0571
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Objective:
To investigate scientific evidence related to the term protection and clinical indicators and etiologic factors for nursing diagnosis Ineffective protection in adolescents with cancer.
Method:
Integrative literature review in the databases of Scopus, Web of Science, National Library of Medicine and National Institutes of Health (PubMed) and Cochrane; by intersection of the descriptors protection and childhood cancer, which resulted in seven articles. These were insufficient for a comprehension of the term protection and aspects related to its impairment, therefore it was necessary to include a further three reference books.
Results:
Five clinical indicators and three etiologic factors associated to Ineffective protection were identified some of which were not cited in NANDA-International.
Conclusions:
There are clinical and etiologic factors important for the identification of ineffective protection in adolescents with cancer.
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REVIEW01-01-2017
Supported self-care for children and adolescents with chronic disease and their families
Revista Brasileira de Enfermagem. 2017;70(6):1318-1329
Abstract
REVIEWSupported self-care for children and adolescents with chronic disease and their families
Revista Brasileira de Enfermagem. 2017;70(6):1318-1329
DOI 10.1590/0034-7167-2016-0553
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Objective:
analyze the scientific production between 2006 and 2015 on strategies for supported self-care by children and adolescents with chronic disease and their families.
Method:
integrative review of the literature conducted July and August 2016 in the databases: BDENF, LILACS, IBECS, ADOLEC, MEDLINE/PubMed and SCIELO. The 27 selected studies were analyzed and categorized into the five pillars of supported self-care: evaluation, counseling, agreement, care and accompaniment.
Results:
only two studies covered all five pillars, evaluation was considered most, but accompaniment was essential for adherence to the therapeutics of the goal plan. There was a prevalence of actions to evaluate the emotional state of the child/adolescent/family and technological interventions to empower the individual in self-care.
Final considerations:
these actions are concentrated in countries with health systems directed to the health needs of people with chronic disease. In Brazil, this is still incipient, since the actions are focused on exacerbation.
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REVIEW01-01-2017
Systemic Arterial Hypertension in people living with HIV/AIDS: integrative review
Revista Brasileira de Enfermagem. 2017;70(6):1309-1317
Abstract
REVIEWSystemic Arterial Hypertension in people living with HIV/AIDS: integrative review
Revista Brasileira de Enfermagem. 2017;70(6):1309-1317
DOI 10.1590/0034-7167-2016-0416
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Objective:
To analyze scientific productions about the relationship between HIV and Systemic Arterial Hypertension (SAH) in people living with HIV/AIDS (PLWHA).
Method:
Integrative literature review in six databases, held in March 2016. “AIDS” and “hypertension” were the keywords used in Portuguese, English and Spanish languages. We found 248 articles and selected 17. The categories formulated were “prevalence of SAH in PLWHA,” “risk factors for SAH in PLWHA” and “adverse events of antiretroviral therapy (ART) that contribute to HAS.”
Results:
There is no consensus whether HIV and ART influence the SAH development, but there are several risk factors for SAH among PLWHA. It was observed that protease inhibitors medicines influence SAH the most.
Conclusion:
Guidelines for SAH prevention must be performed in all individuals, however, in PLWHA, they must focus on characteristic risk factors of this population.
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REVIEW01-01-2017
Managing febrile neutropenia in adult cancer patients: an integrative review of the literature
Revista Brasileira de Enfermagem. 2017;70(6):1301-1308
Abstract
REVIEWManaging febrile neutropenia in adult cancer patients: an integrative review of the literature
Revista Brasileira de Enfermagem. 2017;70(6):1301-1308
DOI 10.1590/0034-7167-2016-0247
Views0See moreABSTRACT
Objective:
To analyze the interventions performed by health professionals with a view to managing chemotherapy-induced febrile neutropenia.
Method:
Integrative literature review, the sample of 12 primary articles was selected from the following databases: LILACS, SciELO, BVS, PubMed, CINAHL and Web of Science.
Results:
There was a prevalence of studies, realized by doctors, focused on pharmacological treatment and on the association of methods for greater diagnostic accuracy of febrile neutropenia. A study was found on pharmaceutical management regarding antibiotic dosing efficacy and a study indicating that nurses could contribute to the identification of elderly patients who would benefit from prophylactic use of growth factor.
Conclusion:
There was a shortage of studies involving the participation of other health professionals, besides the doctors, and a knowledge gap regarding interprofessional practice in the management of interventions specific to their area of specialism, joint interventions and non-pharmacological interventions.
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CASE STUDY01-01-2017
Neonatal appendicitis: a survival case study
Revista Brasileira de Enfermagem. 2017;70(6):1296-1300
Abstract
CASE STUDYNeonatal appendicitis: a survival case study
Revista Brasileira de Enfermagem. 2017;70(6):1296-1300
DOI 10.1590/0034-7167-2016-0610
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Objective:
To report a case of neonatal appendicitis in a children’s hospital in southern Brazil, demonstrating the impact on neonatal survival.
Method:
Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings.
Results:
The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen.
Conclusion:
A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.
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CASE STUDY01-01-2017
Use of virtual reality for treating burned children: case reports
Revista Brasileira de Enfermagem. 2017;70(6):1291-1295
Abstract
CASE STUDYUse of virtual reality for treating burned children: case reports
Revista Brasileira de Enfermagem. 2017;70(6):1291-1295
DOI 10.1590/0034-7167-2016-0575
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Objective:
To report the use of virtual reality (VR) in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC) in Southern Brazil.
Method:
Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR, and after the use of VR.
Results:
The use of goggles was easy to apply and well-accepted by the children, and also had a relevant effect reducing pain.
Conclusion:
VR can become an important nonpharmacological method for treating pain in burned children.
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ORIGINAL ARTICLE08-26-2022
Sickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic
- Artênio José Ísper Garbin
, - Carolina Carvalho Menez Pinto Nascimento ,
- Fabiana Costa Machado Zacharias ,
- Cléa Adas Saliba Garbin ,
- Suzely Adas Saliba Moimaz , [ … ],
- Nemre Adas Saliba
Abstract
ORIGINAL ARTICLESickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20220028
DOI 10.1590/0034-7167-2022-0028
- Artênio José Ísper Garbin ,
- Carolina Carvalho Menez Pinto Nascimento ,
- Fabiana Costa Machado Zacharias ,
- Cléa Adas Saliba Garbin ,
- Suzely Adas Saliba Moimaz ,
- Nemre Adas Saliba
Views0See moreABSTRACT
Objective:
to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason.
Methods:
a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation.
Results:
of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years.
Conclusions:
there was an impact of the pandemic on absence duration and reason.
- Artênio José Ísper Garbin
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ORIGINAL ARTICLE04-22-2020
Indicators of effectiveness of nursing care in the dimension of patient safety
- Leila Soares Seiffert ,
- Lillian Daisy Gonçalves Wolff ,
- Maria Manuela Frederico Ferreira ,
- Elaine Drehmer de Almeida Cruz ,
- Alexandra Lunardon Silvestre
Abstract
ORIGINAL ARTICLEIndicators of effectiveness of nursing care in the dimension of patient safety
Revista Brasileira de Enfermagem. 2020;73(3):e20180833
DOI 10.1590/0034-7167-2018-0833
- Leila Soares Seiffert ,
- Lillian Daisy Gonçalves Wolff ,
- Maria Manuela Frederico Ferreira ,
- Elaine Drehmer de Almeida Cruz ,
- Alexandra Lunardon Silvestre
Views0See moreABSTRACT
Objectives:
to validate nursing care effectiveness indicators of patient safety dimension.
Methods:
quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. For validation, the minimum agreement criterion was 70%.
Results:
Cronbach’s alpha (0.942) evidenced the high internal consistency among the attributes. The indicators fall with damage, hip fracture, and postoperative hip fracture, incidents related to equipment, incidents due to failures in patient identification, and pressure injury were validated in all attributes, and those of medication error and hand Hygiene were not validated.
Conclusions:
the validated indicators allow assessment of the effectiveness of hospital nursing care. Unavailability of data is an obstacle to monitoring patient safety.
- Leila Soares Seiffert
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ORIGINAL ARTICLE06-04-2021
Health care network (dis)articulation in late and moderate prematurity
- Leonardo Bigolin Jantsch ,
- Thauana Ferreira Alves ,
- Andrea Moreira Arrué ,
- Beatriz Rosana Gonçalves de Oliveira Toso ,
- Eliane Tatsch Neves
Abstract
ORIGINAL ARTICLEHealth care network (dis)articulation in late and moderate prematurity
Revista Brasileira de Enfermagem. 2021;74(5):e20200524
DOI 10.1590/0034-7167-2020-0524
- Leonardo Bigolin Jantsch ,
- Thauana Ferreira Alves ,
- Andrea Moreira Arrué ,
- Beatriz Rosana Gonçalves de Oliveira Toso ,
- Eliane Tatsch Neves
Views0See moreABSTRACT
Objective:
to analyze the Health Care Network (dis)articulation of late and moderate premature infants in the first year of life.
Method:
a qualitative study with semi-structured interview, which addressed the care network constitution in a municipality in southern Brazil. Fifteen mothers of infants participated. Thematic content analysis and flowchart were used to describe networks and services.
Results:
first contact in Primary Health Care is a decisive factor for the recognition and articulation of neonates/infants in the network and enables resolution, especially in childcare demands. Secondary and hospital care services support isolated acute events or chronic conditions, without articulation between levels of care and in a uniprofessional way.
Final considerations:
attention to health conditions is organized and structured in a uniprofessional, fragmented and disjointed way, which makes it impossible to form a Health Care Network premature infants’ perspective.
- Leonardo Bigolin Jantsch
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ORIGINAL ARTICLE12-21-2020
Physical violence and verbal abuse against nurses working with risk stratification: characteristics, related factors, and consequences
- Joyce Borges Ceballos ,
- Oleci Pereira Frota ,
- Hevelyn Francielle Soares Souto Nunes ,
- Patricia Lima Ávalos ,
- Camila de Carvalho Krügel , [ … ],
- Elen Ferraz Teston
Abstract
ORIGINAL ARTICLEPhysical violence and verbal abuse against nurses working with risk stratification: characteristics, related factors, and consequences
Revista Brasileira de Enfermagem. 2020;73:e20190882
DOI 10.1590/0034-7167-2019-0882
- Joyce Borges Ceballos ,
- Oleci Pereira Frota ,
- Hevelyn Francielle Soares Souto Nunes ,
- Patricia Lima Ávalos ,
- Camila de Carvalho Krügel ,
- Marcos Antonio Ferreira Júnior ,
- Elen Ferraz Teston
Views0See moreABSTRACT
Objective:
to analyze the characteristics, related factors, and consequences of physical violence and verbal abuse against nurses working with risk stratification.
Methods:
a cross-sectional, descriptive and quantitative study carried out with 80 nurses who work with risk stratification in emergency services. Data were collected using an adapted instrument and analyzed using (uni)bivariate inferential statistics.
Results:
companions were the main perpetrators of verbal abuse (86.1%); and patients inflicted physical violence (100%). Professionals with up to five years of experience are 74% less likely to suffer physical violence (p=0.029). Women suffer 5.83 times more verbal abuse than men (p=0.026). Sadness (15.8%) and fear of the aggressor (15.3%) were the main consequences of verbal abuse; and fear of the aggressor (22.2%) and stress (22.2%) were results of physical violence.
Conclusion:
violence is influenced by institutional, professional and client aspects. Therefore, coping with it requires multidimensional strategies.
- Joyce Borges Ceballos
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ORIGINAL ARTICLE08-19-2019
Functional capacity and social support to people affected by cerebrovascular accident
- Raquel Janyne de Lima ,
- Cláudia Jeane Lopes Pimenta ,
- Maria Cristina Lins de Oliveira Frazão ,
- Gerlania Rodrigues Salviano Ferreira ,
- Tatiana Ferreira da Costa , [ … ],
- Kátia Neyla de Freitas Macedo Costa
Abstract
ORIGINAL ARTICLEFunctional capacity and social support to people affected by cerebrovascular accident
Revista Brasileira de Enfermagem. 2019;72(4):868-873
DOI 10.1590/0034-7167-2017-0854
- Raquel Janyne de Lima ,
- Cláudia Jeane Lopes Pimenta ,
- Maria Cristina Lins de Oliveira Frazão ,
- Gerlania Rodrigues Salviano Ferreira ,
- Tatiana Ferreira da Costa ,
- Lia Raquel de Carvalho Viana ,
- Kaisy Pereira Martins ,
- Kátia Neyla de Freitas Macedo Costa
Views0See moreABSTRACT
Objective:
To investigate the functional capacity and its relationship with the level of social support to people affected by cerebrovascular accident.
Methods:
Cross-sectional and quantitative research, conducted with 108 individuals with sequelae of cerebrovascular accident in João Pessoa/PB. Data were collected through interviews, using a sociodemographic instrument – the Barthel Index and the Social Support Scale.
Results:
We observed the prevalence of functional dependency in 93.5%, and the mild dependency stood out in 40.7%. Medium social support was the most found, with 48.2%. The predominant dimensions of social support were the material dimension, followed by the emotional. There was a significant association (p ≤ 0.05) between very serious dependency and high social support.
Conclusion:
The results found allow us to reflect on the need for involvement of health professionals in strengthening the social support of patients with disabling diseases, such as the cerebrovascular accident.
- Raquel Janyne de Lima
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ORIGINAL ARTICLE08-10-2020
Burden on caregivers of patients with sequelae of cerebrovascular accident
- Tatiana Ferreira da Costa ,
- Cláudia Jeane Lopes Pimenta ,
- Maria Miriam Lima da Nóbrega ,
- Maria das Graças Melo Fernandes ,
- Inácia Sátiro Xavier de França , [ … ],
- Kátia Neyla de Freitas Macedo Costa
Abstract
ORIGINAL ARTICLEBurden on caregivers of patients with sequelae of cerebrovascular accident
Revista Brasileira de Enfermagem. 2020;73(6):e20180868
DOI 10.1590/0034-7167-2018-0868
- Tatiana Ferreira da Costa ,
- Cláudia Jeane Lopes Pimenta ,
- Maria Miriam Lima da Nóbrega ,
- Maria das Graças Melo Fernandes ,
- Inácia Sátiro Xavier de França ,
- Maria de Lourdes de Farias Pontes ,
- Kátia Neyla de Freitas Macedo Costa
Views0See moreABSTRACT
Objectives:
to evaluate the burden and its relationship with the sociodemographic characteristics of caregivers of people with sequelae of stroke.
Methods:
a cross-sectional, exploratory, and quantitative study was conducted with 151 caregivers of people with sequelae of stroke, through home interviews between September and December 2017. Results: there was a general mean of low burden. The items that indicated the worst changes were: “My time for social activities with friends,” “My time for family activities,” “My ability to cope with stress,” and “My physical functioning.” There was an association of burden with the female sex and with caregivers who have been assisting for longer.
Conclusions:
the results allow us to reflect on the need to create a policy aimed at family caregivers to reduce the impact of care delivery.
- Tatiana Ferreira da Costa
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ORIGINAL ARTICLE08-19-2019
Nursing practice in home care: the mediation of care by reflexivity
- Angélica Mônica Andrade ,
- Edna Aparecida Barbosa de Castro ,
- Maria José Menezes Brito ,
- Patrícia Pinto Braga ,
- Kênia Lara Silva
Abstract
ORIGINAL ARTICLENursing practice in home care: the mediation of care by reflexivity
Revista Brasileira de Enfermagem. 2019;72(4):956-963
DOI 10.1590/0034-7167-2018-0431
- Angélica Mônica Andrade ,
- Edna Aparecida Barbosa de Castro ,
- Maria José Menezes Brito ,
- Patrícia Pinto Braga ,
- Kênia Lara Silva
Views0See moreABSTRACT
Objective:
To analyze the practice of nurses in home care, considering the mediation of care by reflexivity.
Method:
Unique, qualitative case study, anchored in the dialectical framework. The participants were 13 nurses who work in home care in Minas Gerais. Data were obtained by participant observation and interview, and submitted to critical discourse analysis.
Results:
Nursing care at home involves the repetitions of everyday actions and a degree of unpredictability. Reflexivity, according to Schön’s theoretical framework, emerges as a component of professional practice that leads to the practice of care as a continuous assessment of work, and also to reflection on the challenges imposed by conflicting situations. Reflexivity also stems from professionals’ search for improvements in their practices.
Final considerations:
We identified the presence of actions and knowledge mobilized by the reflexivity of the nurse in the home care setting. The following were the elements of this reflexive practice: knowing-in-action, reflection-in-action and reflection reflection-in-action.
- Angélica Mônica Andrade
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REVIEW04-22-2022
Health needs of mothers of children with Congenital Zika Syndrome: an integrative review
- Paulo Roberto Lima Falcão do Vale ,
- Pricila Oliveira Araújo ,
- Sarah Senna dos Santos Cardoso ,
- Hudson Santos Junior ,
- Rosely Cabral de Carvalho , [ … ],
- Evanilda Souza de Santana Carvalho
Abstract
REVIEWHealth needs of mothers of children with Congenital Zika Syndrome: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210540
DOI 10.1590/0034-7167-2021-0540
- Paulo Roberto Lima Falcão do Vale ,
- Pricila Oliveira Araújo ,
- Sarah Senna dos Santos Cardoso ,
- Hudson Santos Junior ,
- Rosely Cabral de Carvalho ,
- Evanilda Souza de Santana Carvalho
Views0See moreABSTRACT
Objectives:
to evidence and analyze the health needs of mothers of children with Congenital Zika Syndrome.
Methods:
a total of 44 articles published between October/2015 and March/2021 on PubMed, LILACS, Scopus, Web of Science and Science Direct were included. The RTI bank and CASP score were applied to classify the methodological quality of the studies. Reflective content analysis and Cecílio and Matsumoto’s taxonomy were used for analysis. Visual map was used as a technique for presenting the results.
Results:
mothers need access to social protection, family-centered, multi-professional empathetic monitoring, cultivating bonds and affection by professionals, sharing of care between health network services, strengthening the social support network and fostering coexistence groups between them.
Final Considerations:
intersectoral initiatives must be implemented for better housing conditions, fighting stigma, holding parents accountable and resuming life project.
- Paulo Roberto Lima Falcão do Vale
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