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ORIGINAL ARTICLE10-06-2023
Perception of graduates about the education of Nursing Technicians
Revista Brasileira de Enfermagem. 2023;76(5):e20220325
Abstract
ORIGINAL ARTICLEPerception of graduates about the education of Nursing Technicians
Revista Brasileira de Enfermagem. 2023;76(5):e20220325
DOI 10.1590/0034-7167-2022-0325
Views0See moreABSTRACT
Objectives:
to interpret the perception of graduates from the nursing technician program on the learning process developed during their education.
Methods:
a qualitative study was conducted from March to September 2021, based on interviews with 20 graduates from a nursing technician program at a school in the Midwest of São Paulo, using thematic analysis and the NVivo tool.
Results:
the following themes were identified: traditional teaching methods, active learning strategies, valuing proactivity and experiences in professional practice.
Final Considerations:
according to the graduates, the teaching process is essentially based on traditional methods, although there are initiatives to implement active strategies and recognition of the importance of advancing student proactivity and practical experience.
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ORIGINAL ARTICLE10-06-2023
Nursing, history, and orthopedics in manuals (1875-1928)
Revista Brasileira de Enfermagem. 2023;76(5):e20220567
Abstract
ORIGINAL ARTICLENursing, history, and orthopedics in manuals (1875-1928)
Revista Brasileira de Enfermagem. 2023;76(5):e20220567
DOI 10.1590/0034-7167-2022-0567
Views0See moreABSTRACT
Objectives:
to discuss the content of manuals, with emphasis on orthopedics, in support of the development of nursing care culture.
Methods:
cultural-historical method articulated with document analysis technique. The sources were nursing manuals – Portuguese, French, English, and Spanish – from 1875 to 1928.
Results:
this study pointed to 12 works – 6 authored by physicians, 2 by nurses, 3 institutional, and 1 by a Sister of Charity – that presented, in a transversal way, the professionalization process initiated in Europe. The manuals addressed first aid care and immobilization methods, from the simplest, such as improvised splints, to the application of plaster casts.
Conclusions:
the nurses’ work, even in a limited capacity, showed that they were able to observe warning signs so that doctors could act, with some exceptions.
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10-06-2023
Evidências do cuidado centrado no paciente no contexto da prática profissional de saúde brasileira
Revista Brasileira de Enfermagem. 2023;76(5):e20220448
Abstract
Evidências do cuidado centrado no paciente no contexto da prática profissional de saúde brasileira
Revista Brasileira de Enfermagem. 2023;76(5):e20220448
DOI 10.1590/0034-7167-2022-0448
Views0See moreRESUMEN
Objetivos:
analizar las actitudes centradas en el paciente en el cuidado y compartir prácticas de profesionales de enfermería, logopedia, odontología y medicina.
Métodos:
se utilizó una investigación transversal con 411 profesionales, y como medida de resultado se aplicó el instrumento Patient-Practitioner Orientation Scale.
Resultados:
los médicos presentaron puntuaciones medias más altas, lo que refleja una orientación centrada en el paciente, control compartido y enfoque en la persona, con diferencia estadística para todos los dominios (p<0,02). Los odontólogos fueron los profesionales que presentaron puntajes más bajos, especialmente en el dominio compartir, con diferencia estadística en relación a los enfermeros, logopedas y médicos (p<0,05).
Conclusiones:
finalmente, las actitudes de los profesionales de las áreas de salud estudiadas indicaron preferencia autorreferida por la centralidad en los pacientes. En este contexto, el cuidado centrado en el paciente puede ser un recurso importante en el cuidado de la salud cuando se apuesta por la superación del objeto hombre.
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ORIGINAL ARTICLE10-06-2023
Learning strategies of undergraduate nursing students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76(5):e20220764
Abstract
ORIGINAL ARTICLELearning strategies of undergraduate nursing students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76(5):e20220764
DOI 10.1590/0034-7167-2022-0764
Views0See moreABSTRACT
Objectives:
to analyze the learning strategies used by nursing students from a public university, in remote teaching, during the COVID-19 pandemic.
Methods:
a cross-sectional study developed with nursing students who attended remote teaching classes. The sample was obtained by convenience and data were collected online, with 112 participants. Student and Mann-Whitney tests were performed for data analysis.
Results:
the most frequently used learning strategies were self-regulatory and cognitive. There was moderate use of interpersonal help-seeking and emotional control strategies. Male students, with a private study environment and good internet connection, used emotional control strategies more frequently.
Conclusions:
self-regulatory and cognitive learning strategies, appropriate for higher education, were frequently used by nursing students, which is an important tool for adapting these students to the university context.
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ORIGINAL ARTICLE10-06-2023
Patient-centered care – evidence in the context of professional health practice
Revista Brasileira de Enfermagem. 2023;76(5):e20220448
Abstract
ORIGINAL ARTICLEPatient-centered care – evidence in the context of professional health practice
Revista Brasileira de Enfermagem. 2023;76(5):e20220448
DOI 10.1590/0034-7167-2022-0448
Views0ABSTRACT
Objectives:
to analyze patient-centered attitudes in care and sharing practices of nursing, speech therapy, dentistry and medicine professionals.
Methods:
cross-sectional research was used with 411 professionals, and the Patient-Practitioner Orientation Scale instrument was applied as a measure of outcome.
Results:
physicians presented higher mean scores, reflecting a patient-centered orientation, shared control, and focus on the person, with statistical difference for all domains (p<0.02). Dentists were the professionals who presented lower scores, especially in the sharing domain, with statistical difference in relation to nurses, speech therapists, and physicians (p<0.05).
Conclusions:
finally, the attitudes of professionals in the health areas studied indicated self-reported preference for centrality in patients. In this context, patient-centered care can be an important resource in health care when committed to overcoming the object man.
Keywords:Health Care ProfessionalHealth PersonnelPatient-Centered CarePerson Centered CareProfessional PracticeSee more -
10-06-2023
Advanced Practice Nursing: “Training” Pillar in Supporting the Proposal in Brazil
Revista Brasileira de Enfermagem. 2023;76(5):e20230118
Abstract
Advanced Practice Nursing: “Training” Pillar in Supporting the Proposal in Brazil
Revista Brasileira de Enfermagem. 2023;76(5):e20230118
DOI 10.1590/0034-7167-2023-0118
Views0See moreABSTRACT
Objectives:
to present the pillars that support what has been called Advanced Practice Nursing and discuss the necessary training for its implementation.
Methods:
elements contained in assessment documents for graduate programs proposals, reports of presentations by international professors in countries and selected scientific publications were gathered to compose the argument.
Results:
practice/competency (adds broad and in-depth knowledge about health processes and scientific evidence, clinical reasoning and clinical skills for therapeutic indications); 3) professional regulation (corresponding legislation and monitoring); and 4) funding (broad training and professional practice policy).
Final Considerations:
the agenda for implementing Advanced Practice Nursing in Brazil involves joining efforts to identify stakeholders for a work to legitimize their importance in the country’s health and education overview.
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REVIEW10-06-2023
Nursing theories in the care of stroke patients: a scoping review
Revista Brasileira de Enfermagem. 2023;76(5):e20220791
Abstract
REVIEWNursing theories in the care of stroke patients: a scoping review
Revista Brasileira de Enfermagem. 2023;76(5):e20220791
DOI 10.1590/0034-7167-2022-0791
Views0See moreABSTRACT
Objectives:
to map and synthesize nursing theories and conceptual frameworks that have been applied in the practice of nursing care for stroke patients in hospital settings.
Methods:
a scoping review was conducted in October 2022 using the MEDLINE (accessed via PubMed), CINAHL, Scielo, and Web of Science databases, following The Joanna Briggs Institute guidelines.
Results:
nine studies incorporated six nursing theories and three conceptual frameworks, which were employed to enhance stroke patient care. The objective of these theories and conceptual frameworks was to facilitate the identification of the patient’s psychobiological, psychosocial, and psychospiritual needs, elucidate the nurse’s role and expand their perspective on rehabilitation, and acknowledge the survivor’s process of transition.
Final Considerations:
this mapping exercise identified major nursing theories, middle-range theories, and conceptual frameworks applied to the care of stroke patients.
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ORIGINAL ARTICLE10-06-2023
Quality of health care in Primary Care: perspective of people with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2023;76(5):e20230008
Abstract
ORIGINAL ARTICLEQuality of health care in Primary Care: perspective of people with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2023;76(5):e20230008
DOI 10.1590/0034-7167-2023-0008
Views0See moreABSTRACT
Objectives:
to identify how people with diabetes assess the care offered by Primary Care teams.
Methods:
a cross-sectional study based on structured interviews with the application of the Patient Assessment of Chronic Illness instrument to people with Type 2 Diabetes Mellitus. Data were submitted to statistical analysis.
Results:
451 individuals participated in the study, more than half aged 60 years or older (64.0%); 63.9% had been diagnosed for more than five years; and 23.9% used insulin. The average score obtained was 2.5, which indicated little involvement in self-care and low support for the care of the chronic condition by the Family Health Strategy team, and was higher among women and people with a partner.
Conclusions:
people with diabetes consider that they do not receive individualized treatment, with dialogue and discussion for setting goals, and that they are not prepared for self-managing their health condition.
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ORIGINAL ARTICLE07-08-2020
Nurses’ practice in quilombola communities: an interface between cultural and political competence
Revista Brasileira de Enfermagem. 2020;73(5):e20190433
Abstract
ORIGINAL ARTICLENurses’ practice in quilombola communities: an interface between cultural and political competence
Revista Brasileira de Enfermagem. 2020;73(5):e20190433
DOI 10.1590/0034-7167-2019-0433
Views1See moreABSTRACT
Objectives:
to understand Family Health Strategy nurses’ practices in the context of quilombola communities with an interface for cultural and political competences.
Methods:
a single integrated, qualitative case study carried out on seven Family Health Strategies located in the Metropolitan Region of Belo Horizonte, state of Minas Gerais. Seven nurses and 59 quilombolas participated. Data were collected through individual interviews with nurses, collective interviews with quilombolas and observation. For analysis, the thematic content analysis was adopted.
Results:
the results revealed structural and territorial problems, which are configured as barriers for professional-user encounter as well as for professional practice performance.
Final Considerations:
it is necessary that Family Health Strategy nurses, based on political and cultural competences, create strategies that minimize the difficulties found in the implementation of health actions directed to quilombolas. Such strategies anchored in inclusive public policies.
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ORIGINAL ARTICLE07-08-2020
No to distance education! Production of meaning of discourses of nursing representative entities
Revista Brasileira de Enfermagem. 2020;73(5):e20190465
Abstract
ORIGINAL ARTICLENo to distance education! Production of meaning of discourses of nursing representative entities
Revista Brasileira de Enfermagem. 2020;73(5):e20190465
DOI 10.1590/0034-7167-2019-0465
Views0See moreABSTRACT
Objectives:
to analyze the processes of production of meanings, based on the positions of Brazilian nursing representative entities, on distance education, considering the implications for nursing as a discipline, profession and work.
Methods:
this documentary research was carried out in sources from the Federal Nursing Council and Associação Brasileira de Enfermagem, from 2015 to 2018. Data were examined from discourse analysis, using paraphrase and polysemy as analytical devices.
Results:
they were organized based on the effects of meanings produced and affiliated to two analytical categories: “Forms of mobilization and operating entities” and “Basis and justifications for the positions”.
Final Considerations:
the discourses signal concern about the future training of new professionals. Resistance, participation, visibility, broad and emphatic debate on the topic are shown as strategies for coping and defending a training process less captured by neoliberal logic, and more relational and committed to the quality of health care.
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ORIGINAL ARTICLE07-13-2020
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
Abstract
ORIGINAL ARTICLECulture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
DOI 10.1590/0034-7167-2019-0576
Views0See moreABSTRACT
Objectives:
to assess the patient safety culture of the health team working in three maternity hospitals.
Methods:
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
Results:
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
Conclusions:
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
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REVIEW07-13-2020
The quality of life of family health professionals: a systematic review and meta-synthesis
Revista Brasileira de Enfermagem. 2020;73(5):e20190645
Abstract
REVIEWThe quality of life of family health professionals: a systematic review and meta-synthesis
Revista Brasileira de Enfermagem. 2020;73(5):e20190645
DOI 10.1590/0034-7167-2019-0645
Views1See moreABSTRACT
Objectives:
to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals.
Methods:
this systematic review was developed to answer the following PVO question: “Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?” The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies.
Results:
the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects.
Conclusions:
although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.
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LETTER TO THE EDITOR07-01-2020
Letter to the Editor: doubts and considerations about Coronary Syndrome
Revista Brasileira de Enfermagem. 2020;73(5):e2020730502c
Abstract
LETTER TO THE EDITORLetter to the Editor: doubts and considerations about Coronary Syndrome
Revista Brasileira de Enfermagem. 2020;73(5):e2020730502c
DOI 10.1590/0034-7167.2020730502c
Views0Dear Editor,We wrote this letter referring to the article “Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome”() to make some comments, in order to clarify doubts that we were missing from answering. We have already made it clear that our intention is not to question the work of the […]See more -
ORIGINAL ARTICLE08-10-2020
Workers’ Health in Brazil: Accidents recorded by Social Security from 2008 to 2014
Revista Brasileira de Enfermagem. 2020;73(6):e20180892
Abstract
ORIGINAL ARTICLEWorkers’ Health in Brazil: Accidents recorded by Social Security from 2008 to 2014
Revista Brasileira de Enfermagem. 2020;73(6):e20180892
DOI 10.1590/0034-7167-2018-0892
Views0See moreABSTRACT
Objectives:
to analyze the incidence of occupational accidents in Brazil, recorded by Social Security according to the geographic regions, age group, gender and their prevalence according to the causes and branch of economic activity.
Methods:
ecological descriptive study with time series analysis from 2008 to 2014. Data on the beginning and end of the historical series were compared in each ecological unit studied.
Results:
the South and Southeast regions, male, between 20 and 49 years of age presented the highest falls in incidence. 70.87% of the causes occurred in group XIX of ICD-10. The economic activity with the highest prevalence of accidents was the manufacturing industry.
Conclusions:
accidents at work have decreased in Brazil, however, the incidence is still high. Advances need to be made in the recording of accidents and in the prevention and surveillance of workers’ health.
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ORIGINAL ARTICLE08-10-2020
Neonatal near miss in the intensive care unit
Revista Brasileira de Enfermagem. 2020;73(6):e20180931
Abstract
ORIGINAL ARTICLENeonatal near miss in the intensive care unit
Revista Brasileira de Enfermagem. 2020;73(6):e20180931
DOI 10.1590/0034-7167-2018-0931
Views0See moreABSTRACT
Objective:
To analyze near miss cases among newborns hospitalized in the Intensive Care Unit.
Methods:
An observational, cross-sectional, retrospective study using the STROBE guideline. Data were collected from 1,101 records of live births (newborns). Statistical analysis used the Epi-Info program 3.3.2 and Chi-square and Fisher’s exact tests.
Results:
A total of 162 newborns were hospitalized, of which 63 had at least one criterion of near miss. The variables that remained associated with neonatal near miss were weight <1.750 g, gestational age <33 weeks and Apgar at 5 minutes <7, pragmatic criteria to identify cases of neonatal near miss morbidity.
Conclusion:
Prematurity and low birth weight were the factors that contributed most to the near miss outcome among newborns hospitalized in intensive care, a rate two and a half times higher than the number of deaths, according to scientific evidence.
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08-10-2020
Care for the critical patient undergoing point-of-care testing: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20180948
Abstract
Care for the critical patient undergoing point-of-care testing: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20180948
DOI 10.1590/0034-7167-2018-0948
Views0See moreABSTRACT
Objective:
to identify, based on the evidence, point-of-care testing in bedbound in critically ill patients.
Method:
integrative review, carried out through search in Pubmed, Virtual Health Library, Joanna Briggs Institute, The British Institute of Radiology, Brazilian Radiology, and Google Scholar databases. We used the PICO research strategy and selected articles published from 2013 onwards, which presented information about point-of-care testing.
Results:
the different interventions found in the analysis of the 23 selected articles allowed the thematic grouping of care related to safety in communication, patient identification, care with devices, and the prevention and control of infection, which can be used in point-of-care testing.
Final considerations:
The care described in the evidence provided support for validating a safe care protocol for critically ill patients undergoing imaging studies in bed.
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ORIGINAL ARTICLE07-31-2020
Sexuality and associated risk factors in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20180786
Abstract
ORIGINAL ARTICLESexuality and associated risk factors in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20180786
DOI 10.1590/0034-7167-2018-0786
Views0See moreABSTRACT
Objectives:
to assess the sexual function of pregnant women and the influence of sociodemographic, obstetric, and behavioral factors on sexual dysfunction.
Methods:
cross-sectional study conducted with 141 pregnant women attended by the Single Health System and 120 by one private service, totaling 261 participants. A questionnaire containing sociodemographic, obstetric, and behavioral variables was applied, as well as the Female Sexual Function Index instrument, which was used to assess sexual function. Associations between variables and sexual dysfunction were made using the chi-square test, considering a statistically significant result when p < 0.05.
Results:
among the participants, 32.1% had sexual dysfunction, and the variables “age”, “income” and “type of health service” had an influence on sexual dysfunction. The prevalence of pregnant women was between 21 and 30 years old (p < 0.001), with an income between 1 and 2 minimum wages (p = 0.048) and used the public health system network (p = 0.000).
Conclusions:
the factors associated with sexual dysfunction are “young pregnant women”, “low income” and “attended in the public health service”.
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ORIGINAL ARTICLE06-01-2020
Relationship between functional capacity, performance and symptoms in hospitalized patients with heart failure
Revista Brasileira de Enfermagem. 2020;73(4):e20190123
Abstract
ORIGINAL ARTICLERelationship between functional capacity, performance and symptoms in hospitalized patients with heart failure
Revista Brasileira de Enfermagem. 2020;73(4):e20190123
DOI 10.1590/0034-7167-2019-0123
Views0See moreABSTRACT
Objectives:
to evaluate the prevalence of symptoms in heart failure patients and to investigate the relationship between symptoms, functional capacity and performance.
Methods:
cross-sectional study, developed at a hospital specializing in cardiology. The sample (n=170) consisted of patients with heart failure, assessed by means of a sociodemographic form, New York Heart Association Functional Class, Edmonton Symptom Rating Scale and Karnofsky Physical Performance Scale. Analyzes were performed using Spearman’s Correlation and Pearson’s Chi-Square test.
Results:
dyspnea, fatigue and edema were the main symptoms that led to the search for health services. During hospitalization, the main symptoms were anxiety, sleep disturbance and sadness. Weak negative correlations were observed between functionality, functional class, and symptom overload.
Conclusions:
the prevalence of symptoms was high and changed throughout the hospitalization period. Patients with poorer functional capacity and poorer performance had greater symptom overload.
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ORIGINAL ARTICLE10-01-2022
Continuity of care for children with special healthcare needs during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(2):e20210150
Abstract
ORIGINAL ARTICLEContinuity of care for children with special healthcare needs during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(2):e20210150
DOI 10.1590/0034-7167-2021-0150
Views0See moreABSTRACT
Objective:
To describe the continuity of care for children with special healthcare needs during the COVID-19 pandemic through the perception of their caregivers in the Northeast of Brazil.
Methods:
Qualitative descriptive-exploratory research carried out between June and September 2020, in a municipality in the Northeast of Brazil. Eleven caregivers participated through semi-structured interviews conducted at home. The data were submitted to thematic content analysis.
Results:
The social isolation period and the suspension of health services affected the continuity of care, configuring the category “Implications of the COVID-19 pandemic for the continuity of care”. Caregivers expressed fear of children contracting the coronavirus, characterizing the category “Fears and uncertainties of the COVID-19 pandemic in view of the vulnerability of children with special healthcare needs”.
Final considerations:
Caregivers’ reports revealed problems in the continuity of care for the studied cohort. Therefore, health care practices must be rethought in times of pandemic.
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ORIGINAL ARTICLE06-16-2021
Social representations of the quality of life of the young people living with HIV
Revista Brasileira de Enfermagem. 2021;74(2):e20200149
Abstract
ORIGINAL ARTICLESocial representations of the quality of life of the young people living with HIV
Revista Brasileira de Enfermagem. 2021;74(2):e20200149
DOI 10.1590/0034-7167-2020-0149
Views0See moreABSTRACT
Objectives:
to analyze the social representations of the quality of life of the young people living with HIV.
Methods:
qualitative survey, based on the Social Representations Theory, with 24 young people living with HIV, monitored in specialized services in Rio de Janeiro, through semi-structured interviews, and the analysis supported by the software IRAMUTEQ.
Results:
multidimensionality of the quality of life was observed unfolding the implications of living with HIV/aids concerning the familiar and social support network, time of diagnosis, healthcare services, antiretroviral therapy, and prejudice expressions.
Final Considerations:
a conceptual synthesis of quality of life is observed when it is associated with healthy lifestyle habits, interpersonal relationships, and health services and professional practices.
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ORIGINAL ARTICLE12-08-2023
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
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
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.
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ORIGINAL ARTICLE02-10-2020
Healthcare professionals’ perception of mental health in primary care
Revista Brasileira de Enfermagem. 2020;73(1):e20180201
Abstract
ORIGINAL ARTICLEHealthcare professionals’ perception of mental health in primary care
Revista Brasileira de Enfermagem. 2020;73(1):e20180201
DOI 10.1590/0034-7167-2018-02011
Views0See moreABSTRACT
Objective:
To characterize the mental health care provided in Primary Care from the perception of health professionals in the cities to the 5th Regional Health Center of the state of Paraná.
Method:
An exploratory qualitative research. Participants were 121 health professionals working in primary care in the 20 cities of 5th Regional Health Center of the state of Parana. Twenty-two focus groups were recorded, transcribed and analyzed by content analysis.
Results:
Five thematic categories emerged, of which two were analyzed in this study: actions that professionals consider to be mental health actions; mental health actions developed by Primary Care professionals.
Final Considerations:
Despite of the indications of inclusion of mental health actions in Primary Care, this relationship is still occasional and unplanned. Policies that foster this interaction from a psychosocial perspective are needed.
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ORIGINAL ARTICLE08-30-2021
Historical aspects in pain management in palliative care in an oncological reference unit
Revista Brasileira de Enfermagem. 2021;74(5):e20200761
Abstract
ORIGINAL ARTICLEHistorical aspects in pain management in palliative care in an oncological reference unit
Revista Brasileira de Enfermagem. 2021;74(5):e20200761
DOI 10.1590/0034-7167-2020-0761
Views0See moreABSTRACT
Objective:
Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute.
Methods:
Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme.
Results:
Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain.
Final considerations:
These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.
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REVIEW12-21-2020
Contrast-Induced Nephropathy in patients submitted to percutaneous coronary intervention: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200190
Abstract
REVIEWContrast-Induced Nephropathy in patients submitted to percutaneous coronary intervention: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200190
DOI 10.1590/0034-7167-2020-0190
Views0See moreABSTRACT
Objective:
to demonstrate scientific evidence on incidence and factors associated with contrast-induced nephropathy in patients undergoing percutaneous coronary intervention.
Methods:
an integrative review carried out in the VHL, PubMed, VHL Regional Portal and SciELO databases, of articles published between 2014 and 2019.
Results:
the sample consisted of five original articles, two cohorts, two control cases and a clinical trial. The incidence of contrast-induced nephropathy ranged from 6% to 24%. It stands out among patients with advanced age, male gender, diabetes mellitus, systemic arterial hypertension, volume of contrast infused and osmolarity. Intravenous hydration, sodium bicarbonate, ascorbic acid and statin were important prophylactic agents.
Conclusion:
this study envisioned the main risk factors for contrast-induced nephropathy in patients undergoing percutaneous coronary intervention and elucidated preventive measures that guide multidisciplinary health care aiming at a quality and safe care.
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