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REVIEW01-01-2017
Patient with stroke: hospital discharge planning, functionality and quality of life
Revista Brasileira de Enfermagem. 2017;70(2):415-423
Abstract
REVIEWPatient with stroke: hospital discharge planning, functionality and quality of life
Revista Brasileira de Enfermagem. 2017;70(2):415-423
DOI 10.1590/0034-7167-2016-0166
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Objective:
analyze the strategies of hospital discharge planning for these patients, increasing the knowledge related to hospitalhome transition, discharge planning processes and the main impact on the quality of life and functionality.
Method:
integrative literature review using the PICOD criteria, with database research.
Results:
19 articles were obtained, using several approaches and contexts. For quality of life, the factors related to the patient satisfaction with care and the psychoemotional aspects linked with functionality are the most significant.
Conclusion:
during the hospitalization period, a careful hospital discharge planning and comprehensive care to patients and caregivers – in particular the functional and psychoemotional aspects – tend to have an impact on the quality of life of patients.
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RESEARCH01-01-2017
Nursing throughout war times: political propaganda and professional valorization (1942-1945)
Revista Brasileira de Enfermagem. 2017;70(2):407-414
Abstract
RESEARCHNursing throughout war times: political propaganda and professional valorization (1942-1945)
Revista Brasileira de Enfermagem. 2017;70(2):407-414
DOI 10.1590/0034-7167-2016-0440
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Objective:
to discuss the symbolic effects of the publication on written press of institutional rites related to the courses promoted by the Brazilian Federal District’s Schools of Nursing during the Second World War.
Method:
exploratory and documentary study, whose sources were treated by historical method.
Results:
one noticed, in the news reports analyzed, that the Brazilian Estado Novo has used nurses images to divulge within the society the woman’s acting altruistic model in service to the country, through the systematic diffusion by the press of her honorable acting during the war, what assured the amplification of the visibility and acknowledgment of the Nursing profession in that context.
Conclusion:
the diffusion by press of emergency nurses graduations magnified their apparition in public spaces, occasion on which the institutional rite was strategically used to transmit to the society the urgency of the new profession, in order to support the political causes in vigor in the country.
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RESEARCH01-01-2017
Conformity of nurse prescribing to care needs: nurses’ understanding
Revista Brasileira de Enfermagem. 2017;70(2):400-406
Abstract
RESEARCHConformity of nurse prescribing to care needs: nurses’ understanding
Revista Brasileira de Enfermagem. 2017;70(2):400-406
DOI 10.1590/0034-7167-2016-0107
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Objective:
investigate the understanding of nurses on nurse prescribing conformity to the care needs of hospitalized patients and factors associated with that conformity.
Method:
a descriptive study, with a quantitative approach, was conducted at 20 in-patient units of a teaching hospital in the state of São Paulo. The participants (N=139) answered a semi-structured questionnaire.
Results:
For 43 (30.9%) nurses, nurse prescribing is always in line with patients’ care needs. The fields of body care and elimination, skin and mucosa care and investigation and monitoring were the most frequently addressed.
Conclusion:
in the perception of most nurses, nurse prescribing does not conform with patients’ health heeds. The establishment of strategies to improve prescribing quality is recommended, as well as the development of permanent qualification programs and the systematic use of instruments for assessment of patients’ care demands regarding nursing.
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RESEARCH01-01-2017
Religious and spiritual coping in people living with HIV/Aids
Revista Brasileira de Enfermagem. 2017;70(2):392-399
Abstract
RESEARCHReligious and spiritual coping in people living with HIV/Aids
Revista Brasileira de Enfermagem. 2017;70(2):392-399
DOI 10.1590/0034-7167-2015-0170
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Objective:
evaluate the religiosity and the religious/spiritual coping of people living with HIV/Aids.
Method:
descriptive, cross-sectional study with quantitative approach, conducted in a reference HIV/Aids outpatient clinic in a university hospital of Recife-PE, Brazil, from June to November 2015. At total of 52 people living with HIV/Aids (PLWHA) participated in the research, which employed own questionnaire, the Duke University Religion Index (DUREL), and the Religious/Spiritual Coping Scale (RCOPE).
Results:
the sample presented high indices of organizational religiosity (4.23±1.66), non-organizational religiosity (4.63±1.50), and intrinsic religiosity (13.13±2.84). Positive RCOPE was used in high mean scores (3.66±0.88), and negative RCOPE had low use (2.12 ± 0.74). In total, use of RCOPE was high (3.77±0.74), having predominated the positive RCOPE (NegRCOPE/PosRCOPE ratio=0.65±0.46).
Conclusion:
it is evident the importance of encouraging religious activity and RCOPE strategies, seen in the past as inappropriate interventions in clinical practice.
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RESEARCH01-01-2017
Satisfaction and dissatisfaction in the work of recyclable solid waste segregators: convergent-care research
Revista Brasileira de Enfermagem. 2017;70(2):384-391
Abstract
RESEARCHSatisfaction and dissatisfaction in the work of recyclable solid waste segregators: convergent-care research
Revista Brasileira de Enfermagem. 2017;70(2):384-391
DOI 10.1590/0034-7167-2016-0325
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Objectives:
describe elements that promote satisfaction and dissatisfaction in the work of recyclable solid waste segregators and conduct a nursing action focused on these elements.
Method:
qualitative research, convergent-care, conducted with members of the cooperative. Data production occurred during 2015 through participation observation, semi-structured interviews, and a convergence group. Analysis comprised the phases Apprehension, Synthesis, Theorization, and Transference.
Results:
four categories emerged. They showed satisfaction and dissatisfaction related to identification with tasks and work content, material and personal gains obtained from solid waste segregation, prejudice, lack of appreciation, and difficulties in interpersonal relationships. This last item, due to its importance, received a nursing action.
Conclusion:
the study contributed to the advancement of knowledge and the association of possibilities between the research performance and nursing care for workers.
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RESEARCH01-01-2017
The game as strategy for approach to sexuality with adolescents: theoretical-methodological reflections
Revista Brasileira de Enfermagem. 2017;70(2):376-383
Abstract
RESEARCHThe game as strategy for approach to sexuality with adolescents: theoretical-methodological reflections
Revista Brasileira de Enfermagem. 2017;70(2):376-383
DOI 10.1590/0034-7167-2016-0043
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Objective:
To describe the Papo Reto [Straight Talk] game and reflect on its theoretical-methodological basis.
Method:
Analytical study on the process of elaboration of the Papo Reto online game, destined to adolescents aged 15-18 years, with access to the Game between 2014 and 2015.
Results:
the interactions of 60 adolescents from Belo Horizonte and São Paulo constituted examples of the potentialities of the Game to favor the approach to sexuality with adolescents through simulation of reality, invention and interaction. Based on those potentialities, four thinking categories were discussed: the game as pedagogic device; the game as simulation of realities; the game as device for inventive learning; and the game empowering the interaction.
Conclusion:
By permitting that the adolescents take risks on new ways, the Game allows them to become creative and active in the production of senses, in the creation of their discourses and in the ways of thinking, feeling and acting in the sexuality field.
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RESEARCH01-01-2017
Tuberculosis among prison staff in Rio Grande do Sul
Revista Brasileira de Enfermagem. 2017;70(2):370-375
Abstract
RESEARCHTuberculosis among prison staff in Rio Grande do Sul
Revista Brasileira de Enfermagem. 2017;70(2):370-375
DOI 10.1590/0034-7167-2016-0012
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Objective:
to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS).
Method:
cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred.
Results:
among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified.
Conclusion:
prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.
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RESEARCH01-01-2017
Portable bathtub: technology for bed bath in bedridden patients
Revista Brasileira de Enfermagem. 2017;70(2):364-369
Abstract
RESEARCHPortable bathtub: technology for bed bath in bedridden patients
Revista Brasileira de Enfermagem. 2017;70(2):364-369
DOI 10.1590/0034-7167-2016-0178
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Objective:
determine the benefits of the Portable Bathtub as technology for bed bath in bedridden patients.
Method:
qualitative research of exploratory-descriptive character, whose data were collected by means of 30 interviews with patients, family members and professionals directly involved in bed bath, carried out with Portable Bathtub, in bedridden patients of a medical clinic, from July to December 2015.
Results:
from the data encoded by thematic content analysis resulted two categories: Portable Bathtub: from morphine to the patient’s rekindled eyes; From mechanized practice to unique, transforming care.
Conclusion:
we concluded that the Portable Bathtub constitutes enhancing technology, as it enables clinical improvement of the patient’s general condition and transcends traditional mechanized practices by the reach of advanced nursing care practices.
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ORIGINAL ARTICLE08-18-2021
Mapping of advanced practice nursing actions in the Family Health Strategy
Revista Brasileira de Enfermagem. 2021;74:e20210228
Abstract
ORIGINAL ARTICLEMapping of advanced practice nursing actions in the Family Health Strategy
Revista Brasileira de Enfermagem. 2021;74:e20210228
DOI 10.1590/0034-7167-2021-0228
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Objectives:
to map advanced practice nursing actions implemented in the Family Health Strategy context.
Methods:
cross-sectional exploratory study carried out with Family Health Strategy nurses. Data obtained in the mapping were compared to the characteristics that define advanced practice nurses and are adopted internationally by using a checklist based on the International Council of Nurses Guidelines.
Results:
the mapping allowed to identify advanced practice nursing actions, such as advanced assessment, judgement, decision-making, and diagnostic reasoning skills and authority to diagnose and prescribe medications, diagnostic testing, and therapeutic treatments. However, evidence found in the educational preparation domain indicated evident fragility, expressed as the low percentage of nurses credentialed with a professional master’s degree.
Conclusions:
the present study showed that nurses in the Family Health Strategy carry out advanced practice nursing actions without the professional master’s degree recommended for credentialing, with pertinent legislation, which requires initiatives to be taken by nursing leaders to overcome this deficiency.
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REVIEW07-09-2021
Nursing care for patients in post-transplantation of hematopoietic stem cells: an integrative review
Revista Brasileira de Enfermagem. 2021;74(3):e20200097
Abstract
REVIEWNursing care for patients in post-transplantation of hematopoietic stem cells: an integrative review
Revista Brasileira de Enfermagem. 2021;74(3):e20200097
DOI 10.1590/0034-7167-2020-0097
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Objectives:
to analyze the available evidence on the nursing care provided to patients after hematopoietic stem cell transplantation.
Methods:
integrative review with the search for primary studies in four databases and a virtual health library. A broad search strategy was used, including research published in English, Brazilian Portuguese, or Spanish, between 2008 and 2018, totaling a sample of 42 studies.
Results:
the studies were grouped into three categories: multiple nursing care (n=19), first-line care (n=18), and self-management of care (n=5).
Conclusions:
nursing care is critical, comprising patients’ physical, psychological and social aspects. It occurs in hospital and home contexts, mainly involving technical actions and health guidance. The evidence identified provide subsidies for decision-making; however, most studies are of the non-experimental type, indicating the need for conducting intervention research.
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09-16-2019
Nursing practices centered on individuals with tuberculosis: an interface with democracy
Revista Brasileira de Enfermagem. 2019;72(5):1219-1225
Abstract
Nursing practices centered on individuals with tuberculosis: an interface with democracy
Revista Brasileira de Enfermagem. 2019;72(5):1219-1225
DOI 10.1590/0034-7167-2017-0380
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Objective:
To analyze whether user-centered nursing practices in TB DOT are being carried out and are contributing to democracy.
Method:
A cross-sectional, exploratory, descriptive study with 123 nurses in three capital cities with high incidence of TB (Manaus-AM, João Pessoa-PB, Porto Alegre-RS) in Brazil. Data were collected from January to June 2014. Descriptive and multiple correspondence analyzes were used.
Results:
It was identified that the most user-centered care actions had scores below 50%, considered unfavorable to the exercise of democracy. In the analysis of the general user-centered practice score per municipality, Manaus and João Pessoa presented unfavorable results, and the municipality of Porto Alegre was partially favorable.
Conclusion:
The three municipalities need to advance in the implementation of user-centered practices in DOT, because their health system still has difficulties and challenges to overcome.
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ORIGINAL ARTICLE10-21-2022
Self-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
Abstract
ORIGINAL ARTICLESelf-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
DOI 10.1590/0034-7167-2021-0933
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Objectives:
to analyze self-care deficit among older men in the COVID-19 pandemic in Brazil and to discuss the implications for nursing practice.
Methods:
web survey, multicentric, qualitative. A total of 120 older men participated, applying a form from April to June 2020 and April to August 2021. Reflective Thematic Analysis, interpreted by Orem’s Self-Care Deficit Theory, was used.
Results:
temporally, the self-care of older men was manifested in the self-care requirements – affective bonds, self-care for development – meditation and self-care with health deviations – remote consultations. Fully, partially compensatory, educational/support systems mobilized self-care.
Final Considerations:
as care managers, nurses can strengthen the support network for older men by activating professionals from the multidisciplinary team, family members, caregivers and the community to promote self-care and correct health deviations in times of crisis.
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ORIGINAL ARTICLE07-18-2022
Nursing in Primary Health Care: association between leadership, psychological capital, and burnout implications
Revista Brasileira de Enfermagem. 2022;75:e20210942
Abstract
ORIGINAL ARTICLENursing in Primary Health Care: association between leadership, psychological capital, and burnout implications
Revista Brasileira de Enfermagem. 2022;75:e20210942
DOI 10.1590/0034-7167-2021-0942
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Objectives:
to verify the association between authentic leadership and burnout syndrome in Primary Health Care nursing professionals and analyze the relationship between positive psychological capital and burnout syndrome in subordinate nursing professionals.
Methods:
a field, descriptive-exploratory, cross-sectional study with a quantitative approach, developed with the nursing team, in Basic Health Units in the city of São Paulo, with the application of the sociodemographic questionnaires, Burnout Characterization Scale [Escala de Caracterização do Burnout], Authentic Leadership Questionnaire and Psychological Capital Questionnaire.
Results:
in leaders’ perception, there was no evidence of significant associations between burnout and authentic leadership scales. There was a significant negative association of the burnout scale dimensions with the leadership dimensions regarding the subordinates. There was evidence of significant negative associations in the burnout scores with the scores of the psychological questionnaire dimensions.
Conclusions:
in nursing, burnout is associated with authentic leadership and psychological capital.
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09-16-2019
Leprosy educational practices with adolescents: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72(5):1397-1404
Abstract
Leprosy educational practices with adolescents: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72(5):1397-1404
DOI 10.1590/0034-7167-2017-0458
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Objectives:
to identify scientific evidence in the literature regarding educational actions on leprosy developed with adolescents.
Method:
an integrative review of the literature, with the following research question: what are the leprosy educational practices currently being developed with adolescents? The search was performed in the following databases: MEDLINE, Scopus, LILACS, CINAHL, BVS Hanseníase and other sources, using “adolescent”; “leprosy”; “health education”; “public health”, and “public health practice” as keywords. Results: the sample was comprised of nine studies. Leprosy educational practices with adolescents verifiably promote change in knowledge when they are based on constructivist methodologies. The nurse is recognized as a professional with potential for developing these educational practices. Final considerations: actions for leprosy education with adolescents do lead to changes in knowledge, but new research is needed to evaluate their effectiveness in further improving this knowledge as well as changing behaviors and practices.
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ORIGINAL ARTICLE03-07-2022
Is self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
Abstract
ORIGINAL ARTICLEIs self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
DOI 10.1590/0034-7167-2021-0388
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Objective:
To analyze the association between self-esteem and quality of life in the elderly.
Methods:
Cross-sectional web survey developed with 519 elderly people. Participants filled out three data collection instruments developed on the Google Forms platform and widely disseminated through all of Brazil. Fisher’s exact test, Mann-Whitney, Pearson correlation, and linear regression with 95% confidence interval were used.
Results:
Self-esteem was associated with all quality-of-life facets: sensory skills [β= 1.307; p<0.001]; autonomy [β= 2.101; p<0.001]; past, present, and future activities [β= 2.486; p<0.001]; social presence [β= 2.547; p<0.001]; death and dying [β= 2.175; p<0.001]; and intimacy [β=2.378; p<0.001].
Conclusion:
There is a positive and statistically significant association between self-esteem and quality of life in the elderly. We therefore suggest the development of local policies capable of raising this age groups’ self-esteem and reaffirming aging as a new possibility for discoveries and pleasure.
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ORIGINAL ARTICLE09-29-2022
Incidence of acute radiodermatitis in women with breast cancer undergoing hypofractionated radiotherapy
Revista Brasileira de Enfermagem. 2022;75(1):e20210118
Abstract
ORIGINAL ARTICLEIncidence of acute radiodermatitis in women with breast cancer undergoing hypofractionated radiotherapy
Revista Brasileira de Enfermagem. 2022;75(1):e20210118
DOI 10.1590/0034-7167-2021-0118
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Objective:
To estimate the incidence and degree of acute radiodermatitis at the end and after the end of treatment in women with breast cancer undergoing hypofractionated radiotherapy.
Methods:
Observational, prospective, and longitudinal study, conducted between March 2019 and January 2020, in a radiotherapy outpatient clinic.
Results:
Thirty-two women participated in the study, among whom, in the last session of hypofractionated radiotherapy, 15 (46.9%) had radiodermatitis, erythema in 13 (40.6%), and wet peeling in 2 (6.3%). In the post-treatment evaluation, 27 (84.4%) had radiodermatitis, erythema in 17 (53.1%), dry peeling in 8 (25%), and wet peeling in 2 (6.3%).
Conclusion:
The general incidence of radiodermatitis after hypofractionated radiotherapy in women with breast cancer was 37.5%, erythema, 12.5%, and dry peeling, 25%. The development of care protocols for the management of radiodermatitis after treatment is of paramount importance.
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