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ORIGINAL ARTICLE08-07-2023
Factors associated with the time to treat breast cancer in the pandemic period: an observational study
- Denise Montenegro da Silva
, - Régia Christina Moura Barbosa Castro ,
- Ana Fátima Carvalho Fernandes ,
- Erilaine de Freitas Corpes ,
- Cristina Poliana Rolim Saraiva dos Santos , [ … ],
- Andrea Bezerra Rodrigues
Abstract
ORIGINAL ARTICLEFactors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76:e20220428
DOI 10.1590/0034-7167-2022-0428
- Denise Montenegro da Silva ,
- Régia Christina Moura Barbosa Castro ,
- Ana Fátima Carvalho Fernandes ,
- Erilaine de Freitas Corpes ,
- Cristina Poliana Rolim Saraiva dos Santos ,
- Andrea Bezerra Rodrigues
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with the time to surgical treatment for breast cancer in patients seen at a reference mastology outpatient clinic in the State of Ceará.
Methods:
analytical, longitudinal study with medical charts from the Mastology Outpatient Clinic of Assis Chateaubriand Maternity School. We used 140 medical charts of breast cancer patients with surgeries performed during the pandemic.
Results:
the study evidenced associations between schooling and shorter time to treatment in patients who underwent biopsy before the first outpatient visit (p = 0.026; OR: 0.16; CI = 0.03-0.85); in the group who had the biopsy performed by the outpatient clinic, was associated the type of tumor (p = 0.019) and neoadjuvant therapy (p = 0.000).
Conclusions:
the lesser educational level, tumor type, and use of neoadjuvant therapy were factors associated with the time to treatment during the pandemic period.
- Denise Montenegro da Silva
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ORIGINAL ARTICLE08-07-2023
Nursing students’ knowledge and attitude in relation to COVID-19 prevention behavior
- Vhania Dhominica Bani ,
- Pinka Kinanthi Gusti ,
- Marlita Enjel Rawul ,
- Martina Pakpahan ,
- Ester Silitonga
Abstract
ORIGINAL ARTICLENursing students’ knowledge and attitude in relation to COVID-19 prevention behavior
Revista Brasileira de Enfermagem. 2023;76:e20220588
DOI 10.1590/0034-7167-2022-0588
- Vhania Dhominica Bani ,
- Pinka Kinanthi Gusti ,
- Marlita Enjel Rawul ,
- Martina Pakpahan ,
- Ester Silitonga
Views0See moreABSTRACT
Objectives:
to determine the correlation between nursing students’ level of knowledge and attitudes toward COVID-19 prevention behavior.
Methods:
a cross-sectional study was carried out at the Private University in Indonesia. Accidental sampling was used to select 188 third-year bachelor’s nursing students as respondents. Data collection was conducted through an online questionnaire (Cronbach’s Alpha 0.799-0.959) consisting of 27 questions. The data were analyzed descriptively and inferentially.
Results:
as many as 49.5 % of respondents had high knowledge, 98.4 % had a positive attitude, and 89.9 % had positive behavior in preventing COVID-19 transmission. The Chi-square test revealed that knowledge has no correlation with COVID-19 prevention behavior (p-value 0.864), but attitude did (p-value 0.027).
Conclusions:
nursing students’ attitudes are related to behavior in preventing COVID-19. Nursing students are expected to maintain positive attitudes and behaviors toward COVID-19 prevention as future health workers at the forefront of health services.
- Vhania Dhominica Bani
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08-07-2023
Conhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19
- Vhania Dhominica Bani ,
- Pinka Kinanthi Gusti ,
- Marlita Enjel Rawul ,
- Martina Pakpahan ,
- Ester Silitonga
Abstract
Conhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220588
DOI 10.1590/0034-7167-2022-0588
- Vhania Dhominica Bani ,
- Pinka Kinanthi Gusti ,
- Marlita Enjel Rawul ,
- Martina Pakpahan ,
- Ester Silitonga
Views0See moreRESUMEN
Objetivos:
determinar la correlación entre el nivel de conocimiento y las actitudes de los estudiantes de enfermería en relación a la conducta de prevención de la COVID-19.
Métodos:
estudio transversal realizado en una Universidad Privada de Indonesia. Se utilizó un muestreo accidental para seleccionar a 188 estudiantes de tercer año de enfermería como encuestados. La recolección de datos se realizó mediante un cuestionario en línea que consta de 27 preguntas (alfa de Cronbach 0.799-0.959). Los datos fueron analizados de forma descriptiva e inferencial.
Resultados:
el 49,5 % de los encuestados tenía conocimientos altos, el 98,4 % tenía una actitud positiva y el 89,9 % tenía un comportamiento positivo en la prevención de la transmisión de la COVID-19. La prueba de Chi-cuadrado reveló que el conocimiento no tiene correlación con el comportamiento de prevención de COVID-19 (valor de p 0,864), pero la actitud sí (valor de p 0,027).
Conclusiones:
las actitudes de los estudiantes de enfermería están relacionadas con el comportamiento en la prevención del COVID-19. Se espera que los estudiantes de enfermería mantengan actitudes y comportamientos positivos hacia la prevención de COVID-19 como futuros profesionales de la salud en la primera línea de los servicios de salud.
- Vhania Dhominica Bani
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08-07-2023
Senso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19
- Fabiane Dolphine Fuentes Penachiotti ,
- Mirian Ueda Yamaguchi ,
- Adi Mana ,
- Shifra Sagy ,
- Rute Grossi-Milani
Abstract
Senso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220468
DOI 10.1590/0034-7167-2022-0468
- Fabiane Dolphine Fuentes Penachiotti ,
- Mirian Ueda Yamaguchi ,
- Adi Mana ,
- Shifra Sagy ,
- Rute Grossi-Milani
Views0See moreRESUMEN
Objetivos:
verificar el papel del sentido de coherencia, sentido de coherencia nacional, apoyo social y confianza en las instituciones como predictores de salud mental en brasileños durante la pandemia de COVID-19.
Métodos:
estudio transversal, realizado de noviembre de 2020 a enero de 2021 mediante cuestionario online. Se utilizaron instrumentos estandarizados. La muestra estuvo compuesta por 1.630 brasileños. En el análisis de datos se realizaron correlación de Pearson y regresión lineal.
Resultados:
el sentido de coherencia fue el único predictor de ansiedad [β= -0,61;p<0,001], explicando el 38% de la variación de sus puntuaciones, mientras que el sentido de coherencia [β=0,52;p<0,001], sentido de coherencia nacional [β= 0,16;p<0,001] y apoyo social [β=0,15;p<0,001] fueron predictores de salud mental positiva y en conjunto explicaron el 51% de su variación.
Conclusiones:
los hallazgos sugieren que sentido de coherencia, sentido de coherencia nacional y el apoyo social representan importantes predictores de salud mental y que el fortalecimiento de estos recursos, podría potencialmente promover la salud mental de los brasileños.
- Fabiane Dolphine Fuentes Penachiotti
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ORIGINAL ARTICLE08-07-2023
Sense of coherence and social support as predictors of mental health during COVID-19 pandemic
- Fabiane Dolphine Fuentes Penachiotti ,
- Mirian Ueda Yamaguchi ,
- Adi Mana ,
- Shifra Sagy ,
- Rute Grossi-Milani
Abstract
ORIGINAL ARTICLESense of coherence and social support as predictors of mental health during COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220468
DOI 10.1590/0034-7167-2022-0468
- Fabiane Dolphine Fuentes Penachiotti ,
- Mirian Ueda Yamaguchi ,
- Adi Mana ,
- Shifra Sagy ,
- Rute Grossi-Milani
Views0See moreABSTRACT
Objectives:
to verify the role of sense of coherence, sense of national coherence, social support and trust in institutions to predict mental health in Brazilians during the COVID-19 pandemic.
Methods:
a cross-sectional study, carried out from November, 2020 to January, 2021 via an online survey. Standardized instruments were used. The sample consisted of 1,630 Brazilians. Pearson’s correlation and linear regression were performed in data analysis.
Results:
sense of coherence was the only predictor of anxiety [β= -0.61; p<0.001], explaining 38% of the variance in its scores, while sense of coherence [β= 0.52; p<0.001], sense of national coherence [β= 0.16; p<0.001], and social support [β= 0.15; p<0.001] predicted positive mental health and together explained 51% of its variance.
Conclusions:
the findings suggest that sense of coherence, sense of national coherence and social support represent important predictors for mental health and that strengthening these resources, could potentially promote Brazilians’ mental health.
- Fabiane Dolphine Fuentes Penachiotti
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ORIGINAL ARTICLE07-31-2023
Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
- Paula dos Santos Brito ,
- Lívia Maia Pascoal ,
- Mário Vinicius Teles Costa ,
- Lorrany Fontenele Moraes da Silva ,
- Liana Priscilla Lima de Melo , [ … ],
- Floriacy Stabnow Santos
Abstract
ORIGINAL ARTICLEPrimary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
DOI 10.1590/0034-7167-2022-0475
- Paula dos Santos Brito ,
- Lívia Maia Pascoal ,
- Mário Vinicius Teles Costa ,
- Lorrany Fontenele Moraes da Silva ,
- Liana Priscilla Lima de Melo ,
- Marcelino Santos Neto ,
- Francisca Elisângela Teixeira Lima ,
- Floriacy Stabnow Santos
Views0See moreABSTRACT
Objectives:
to assess the operationalization of Primary Health Care in the COVID-19 pandemic, according to Primary Care Assessment Tool: PCATool-Brasil attributes, from physicians’ and nurses’ perspective.
Methods:
a cross-sectional study, carried out with 99 physicians and nurses from Basic Health Units in a state in northeastern Brazil, with the aid of the adapted instrument PCATool-Brasil.
Results:
Essential Score was classified as high performance (6.6) and General Score as low performance (6.5). First Contact Access, Care Integration, and Community Guidance scores were <6.6. The best performances were attributed to the Longitudinality, Comprehensiveness and Family Guidance services (scores>6.6).
Conclusions:
the attributes of Primary Health Care, in general, showed values above or close to the cut-off point in the assessment. These data can support strategies for local and national managers to strengthen Primary Health Care in the COVID-19 pandemic and future public health emergencies.
- Paula dos Santos Brito
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07-31-2023
Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
- Mariana Torreglosa Ruiz ,
- Karoline Faria de Oliveira ,
- Nayara Freitas Azevedo ,
- Marina Carvalho Paschoini ,
- Wellington Francisco Rodrigues , [ … ],
- Monika Wernet
Abstract
Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
Revista Brasileira de Enfermagem. 2023;76:e20220173
DOI 10.1590/0034-7167-2022-0173
- Mariana Torreglosa Ruiz ,
- Karoline Faria de Oliveira ,
- Nayara Freitas Azevedo ,
- Marina Carvalho Paschoini ,
- Wellington Francisco Rodrigues ,
- Carlo José Freire de Oliveira ,
- Jacqueline Faria de Oliveira ,
- Luciana Mara Monti Fonseca ,
- Monika Wernet
Views0See moreABSTRACT
Objectives:
to compare exclusive breastfeeding prevalence versus artificial feeding in newborns of mothers with COVID-19.
Methods:
a systematic review of prevalence, according to JBI. Searches in PubMed®, Embase, CINAHL, LILACS and Web of Science™ databases in August 2021. Cross-sectional, longitudinal or cohort studies were selected, without language and time limitations that showed breastfeeding prevalence or that allowed calculation.
Results:
fifteen articles published in 2020 and 2021, cohort (60%) or cross-sectional (40%) were analyzed. The average of exclusive breastfeeding in mothers with COVID-19 was 56.76% (CI=39.90–72.88), and artificial breastfeeding, 43.23% (CI = 30.99 – 55.88), without statistically significant differences.
Conclusions:
despite the recommendations for maintaining breastfeeding, there was a reduction worldwide, when compared to periods prior to the pandemic. With advances in science, these rates have improved, showing the impact of evidence on practices. As limitations, study sources are cited. It is recommended to carry out new studies. PROSPERO registration CRD42021234486.
- Mariana Torreglosa Ruiz
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ORIGINAL ARTICLE07-31-2023
Sociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital
- Evelyn Klein dos Santos ,
- Fernando Riegel ,
- Jhonatan Tyson Barros Azevedo ,
- Maria da Graça Oliveira Crossetti ,
- Margarita Ana Rubin Unicovsky , [ … ],
- Andrea Aparecida Gonçalves Nes
Abstract
ORIGINAL ARTICLESociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital
Revista Brasileira de Enfermagem. 2023;76:e20220730
DOI 10.1590/0034-7167-2022-0730
- Evelyn Klein dos Santos ,
- Fernando Riegel ,
- Jhonatan Tyson Barros Azevedo ,
- Maria da Graça Oliveira Crossetti ,
- Margarita Ana Rubin Unicovsky ,
- Jussara Gue Martini ,
- Paula Bresolin ,
- Andrea Aparecida Gonçalves Nes
Views0See moreABSTRACT
Objectives:
to analyze the sociodemographic profile, diagnoses and nursing care of post-COVID-19 patients admitted to a university hospital in southern Brazil.
Methods:
a retrospective cohort study. The sample consisted of 1,467 medical records, from January 2020 to January 2021.
Results:
from the analyzed medical records, the most prevalent profiles, respectively, included: males (52.9%); white (81.1%); with Impaired Physiological Balance Syndrome* Nursing Diagnosis (77.3%); nursing care implementing aerosol precautions (94.5%); implementing droplet precautions (93.4%); checking vital signs (91.9%); applying standard disinfectant to equipment and surfaces (89.6%).
Conclusions:
the analysis of the sociodemographic profile, diagnoses and nursing care of patients in this study may contribute to implementing the Nursing Process in the coronavirus pandemic context.
- Evelyn Klein dos Santos
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RESEARCH01-01-2018
Self-care of men with priapism and sickle cell disease
Revista Brasileira de Enfermagem. 2018;71(5):2418-2424
Abstract
RESEARCHSelf-care of men with priapism and sickle cell disease
Revista Brasileira de Enfermagem. 2018;71(5):2418-2424
DOI 10.1590/0034-7167-2017-0464
Views0See moreABSTRACT
Objective:
To identify self-care demands of men with sickle cell disease and priapism and describe self-care measures in light of Orem’s Self-Care Theory.
Method:
This is a descriptive exploratory study with qualitative approach conducted with nine men with a history of sickle cell disease and priapism. Data were analyzed using Orem’s Self-Care Theory.
Results:
Some demands were identified: from universal self-care – difficulty in social interaction and solitude, changes in self-image, self-esteem and sexual activity; from development – the experience with priapism and little knowledge about the pathophysiology of the disease; regarding health deviations – pain crises.
Conclusion:
Orem’s theory allowed to identify self-care demands, which are essential for the nursing care provided for men with priapism. Nursing has an essential role in the measures for the different demands presented.
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ORIGINAL ARTICLE10-09-2023
Compliance with central venous catheter infection prevention practices after intervention with simulation
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha , [ … ],
- Bruna Figueiredo Manzo
Abstract
ORIGINAL ARTICLECompliance with central venous catheter infection prevention practices after intervention with simulation
Revista Brasileira de Enfermagem. 2023;76(4):e20220574
DOI 10.1590/0034-7167-2022-0574
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha ,
- Delma Aurélia da Silva Simão ,
- Bruna Figueiredo Manzo
Views0See moreABSTRACT
Objectives:
to assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit.
Methods:
a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted.
Results:
after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique.
Conclusions:
the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.
- Thayane Gusmão Pires de Oliveira
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EXPERIENCE REPORT10-09-2023
Focus group in the development of concepts for a Nursing model: experience report
Revista Brasileira de Enfermagem. 2023;76(4):e20220689
Abstract
EXPERIENCE REPORTFocus group in the development of concepts for a Nursing model: experience report
Revista Brasileira de Enfermagem. 2023;76(4):e20220689
DOI 10.1590/0034-7167-2022-0689
Views0See moreABSTRACT
Objective:
To communicate the experience of developing concepts for the construction of a care model through focus groups.
Methods:
An experience report on the development of concepts through remote focus groups with members of a research group from a public university in southern Brazil.
Results:
Focus groups were developed in which homogeneity and heterogeneity criteria were observed among participants. In addition to the concepts of the nursing metaparadigm, the concepts of care and family-centered care were developed, relevant to the nursing care model in question.
Final considerations:
Despite the challenges of conducting remote focus groups, they were suitable for the collective construction of concepts for a nursing care model, allowing the interaction of participants from different locations.
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ORIGINAL ARTICLE10-09-2023
Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life
Revista Brasileira de Enfermagem. 2023;76(4):e20220780
Abstract
ORIGINAL ARTICLEIndependent and combined effects of lifestyle behaviors on adolescent health-related quality of life
Revista Brasileira de Enfermagem. 2023;76(4):e20220780
DOI 10.1590/0034-7167-2022-0780
Views0See moreABSTRACT
Objective:
To investigate the independent and combined effects of lifestyle behaviors, including physical activity, sedentary behavior, sleep duration and food intake, in the health-related quality of life (HRQoL) of Brazilian adolescents.
Methods:
Cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire was applied with structured questions to collect lifestyle behaviors data. Perception of the HRQoL was identified using the Kidscreen-27. The study used covariance analysis and linear regression models for statistical analysis.
Results:
Adolescents who reported ≤ 2 hours/day of screen-based sedentary behavior and sleep duration equivalent to 8-10 hours/night presented significantly higher HRQoL. Adolescents who reported joint adherence ≥ 3 healthy lifestyle behaviors demonstrated approximately two [OR=2.12] to three times [OR=3.04] more chance of presenting higher perceptions of HRQoL.
Conclusion:
Although healthy lifestyle behaviors had a positive independent effect on HRQoL, joint adherence to healthy behaviors enhances the cumulative effect.
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ORIGINAL ARTICLE12-04-2023
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro , [ … ],
- Roselia Arminda Rosales-Flores
Abstract
ORIGINAL ARTICLEWorking conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
DOI 10.1590/0034-7167-2022-0679
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro ,
- Roselia Arminda Rosales-Flores
Views0See moreABSTRACT
Objective:
To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.
Methods:
Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.
Results:
among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).
Conclusions:
The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.
- Ana Paula Nogueira de Magalhães
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ORIGINAL ARTICLE05-29-2023
Quality of life from women’s perspective in the exercise of sex work: a study of social representations
- Pablo Luiz Santos Couto ,
- Maria Luisa Pereira Neves ,
- Luiz Carlos Moraes França ,
- Antônio Marcos Tosoli Gomes ,
- Samantha Souza da Costa Pereira , [ … ],
- Sérgio Correia Marques
Abstract
ORIGINAL ARTICLEQuality of life from women’s perspective in the exercise of sex work: a study of social representations
Revista Brasileira de Enfermagem. 2023;76:e20220169
DOI 10.1590/0034-7167-2022-0169
- Pablo Luiz Santos Couto ,
- Maria Luisa Pereira Neves ,
- Luiz Carlos Moraes França ,
- Antônio Marcos Tosoli Gomes ,
- Samantha Souza da Costa Pereira ,
- Alba Benemérita Alves Vilela ,
- Dejeane de Oliveira Silva ,
- Sérgio Correia Marques
Views1See moreABSTRACT
Objectives:
to analyze the social representations elaborated by sex workers from Alto Sertão Produtivo Baiano about quality of life.
Methods:
a qualitative study, based on the Social Representation Theory, carried out in the region of Alto Sertão Produtivo Baiano, with 30 sex workers. Individual in-depth interview was carried out, with speeches organized in a corpus and treated in IRAMUTEQ, enabling lexical analysis for Descending Hierarchical Classification.
Results:
four thematic classes emerged, in which social representations of quality of life pervade: money earned to supply needs; association with healthy living and obtaining health (physical and mental); balance of emotions (although there are some negative sensations such as fear and anxiety); and faith in a deity.
Final Considerations:
the social representations elaborated by sex workers about quality of life are anchored in concepts, subjective and practical, punctuated by the World Health Organization.
- Pablo Luiz Santos Couto
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ORIGINAL ARTICLE12-08-2023
Care for older adults with disabilities in Long Term Care Facility
- Isadora Queiroz Correa Garchet Furtado ,
- Isabela Silva Cancio Velloso ,
- Carolina Salles Galdino ,
- Alexandre de Pádua Carrieri
Abstract
ORIGINAL ARTICLECare for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
DOI 10.1590/0034-7167-2022-0767
- Isadora Queiroz Correa Garchet Furtado ,
- Isabela Silva Cancio Velloso ,
- Carolina Salles Galdino ,
- Alexandre de Pádua Carrieri
Views0See moreABSTRACT
Objective:
to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals’ perspective.
Methods:
this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man.
Results:
from professionals’ perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency.
Final considerations:
caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.
- Isadora Queiroz Correa Garchet Furtado
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ORIGINAL ARTICLE12-08-2023
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
- Carine Teles Sangaleti ,
- Maicon Henrique Lentsck ,
- Dannyele Cristina da Silva ,
- Andrielli Machado ,
- Maria Regiane Trincaus , [ … ],
- Fernanda Marciano Consolim Colombo
Abstract
ORIGINAL ARTICLEPolypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
DOI 10.1590/0034-7167-2022-0785
- Carine Teles Sangaleti ,
- Maicon Henrique Lentsck ,
- Dannyele Cristina da Silva ,
- Andrielli Machado ,
- Maria Regiane Trincaus ,
- Maria Cristina Umpierrez Vieira ,
- Bruno Bordin Pelazza ,
- Fernanda Marciano Consolim Colombo
Views0See moreABSTRACT
Objective:
to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care.
Methods:
a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression.
Results:
polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications.
Conclusions:
polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.
- Carine Teles Sangaleti
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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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