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Cross-mapping of results and Nursing Interventions: contribution to the practice
Revista Brasileira de Enfermagem. 2018;71(4):1883-1890
Abstract
Cross-mapping of results and Nursing Interventions: contribution to the practice
Revista Brasileira de Enfermagem. 2018;71(4):1883-1890
DOI 10.1590/0034-7167-2017-0324
Views0See moreABSTRACT
Objective:
To evaluate, through cross-mapping, the correspondence of the expected results and prescriptions written by nurses among those contained in the Interventions Classifications and Nursing Results, for the diagnosis “Ineffective peripheral tissue perfusion”.
Method:
Descriptive study, using the case study and the mapping. The content of the case study was validated, with a rate of 93.75%. In the mapping of the statements of the nursing phenomena, written by the participants with the standardized language systems, a concordance index of 100% and 90% was obtained.
Results:
Three statements of expected results and 19 prescribed care were analyzed. Of these, four presented correspondences with the classification of results and the same number with the classification of the interventions.
Conclusion:
The mapping allowed the correspondence of the terms adopted by the nurses with the standardized language systems and showed a didactic material to verify the pertinence of the decision making.
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Antihypertensive treatment adherence in workers of a General Hospital
Revista Brasileira de Enfermagem. 2018;71(4):1875-1882
Abstract
Antihypertensive treatment adherence in workers of a General Hospital
Revista Brasileira de Enfermagem. 2018;71(4):1875-1882
DOI 10.1590/0034-7167-2016-0469
Views0See moreABSTRACT
Objective:
to assess antihypertensive treatment adherence and associated factors in workers from a hospital.
Method:
cross-sectional research, consisting of 108 workers who self-reported as being hypertensive. Associations between sociodemographic, work and health variables were assessed regarding adherence.
Results:
the mean age was 44.2 years, with predominance of the female sex and workers from the nursing area. Through blood pressure measurement, 25% of participants were classified as non-controlled hypertensive patients. Approximately 88% reported taking some sort of medication; however, 79.6% did not adhere to the antihypertensive treatment. In the multiple regression analysis, the independent factors for non-adherence were hypercholesterolemia (OR=8.10; p=0.024) and missing medical appointments (OR=4.06; p=0.048).
Conclusion:
we verified a significant percentage of non-adherence. Since hypertension and cholesterol are asymptomatic diseases that require continuous treatment, hypertensive patients have difficulties to understand the importance of adhering to the treatment, even being health professionals or working in hospitals.
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Assessment of professional competence of nurses in emergencies: created and validated instrument
Revista Brasileira de Enfermagem. 2018;71(4):1865-1874
Abstract
Assessment of professional competence of nurses in emergencies: created and validated instrument
Revista Brasileira de Enfermagem. 2018;71(4):1865-1874
DOI 10.1590/0034-7167-2016-0595
Views0ABSTRACT
Objective:
To create an instrument to assess the professional competence of nurses in emergencies.
Method:
Methodological study carried out between 2013 and 2016 in a Brazilian university. We used the Pasquali’s model and Psychometrics as references because they allow subjective phenomena to be measured. The survey covered defining steps of the behavior to be measured, the formulation of the items in the instrument, development of instructions for using the instrument and elements necessary to demonstrate validity evidence. Although we have previously performed, in a distinct and consecutive way, the literature review, definition of the Core (or Matrix) Competence and the Competence Profile, and identification of validity with Delphi, essential components to structure a technology, in this step we continued the conclusion of these Theoretical Procedures.
Result:
We created an instrument for self- and/or hetero-evaluation containing: personal/professional/academic characterization, Competency Scale, fictitious cases and actions representing the practice.
Conclusion:
We created a new soft-hard technology based on the validity evidence of contents according to experts of the five regions of Brazil.
Keywords:Assessment of Professional PerformanceNursing in EmergencyProfessional CompetencePsychometricsValidity of TestsSee more
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Error-producing conditions in nursing staff work
Revista Brasileira de Enfermagem. 2018;71(4):1858-1864
Abstract
Error-producing conditions in nursing staff work
Revista Brasileira de Enfermagem. 2018;71(4):1858-1864
DOI 10.1590/0034-7167-2017-0192
Views0See moreABSTRACT
Objective:
To analyze the errors made by nursing staff workers who faced ethical-disciplinary actions.
Method:
Document, exploratory, quanti-qualitative research. The information was collected in 13 ethical-disciplinary actions of COREN BA, dated from 1995 to 2010, which had as object of complaint an error made by nursing staff workers. The quantitative data were analyzed using descriptive statistics and the qualitative data was analyzed using the Human Error Theory and Sociology of Work.
Results:
Nursing technicians and assistants held most actions. The health institution, through the nursing service coordination, was the predominant complainer and the most frequent shift was daytime.
Final considerations:
The errors made by nursing staff workers demonstrate that error-producing conditions are present in the context of their occurrence in all actions, and understaffing and intensity of work are the most recurrent circumstances.
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Workload: a comparison between the online and observational methods
Revista Brasileira de Enfermagem. 2018;71(4):1850-1857
Abstract
Workload: a comparison between the online and observational methods
Revista Brasileira de Enfermagem. 2018;71(4):1850-1857
DOI 10.1590/0034-7167-2017-0313
Views0ABSTRACT
Objective:
To measure nursing Workload (WL) of nurses who work in the Inpatient Unit, as recommended by the Nursing Interventions Classification (NIC), comparing observational and online methods to propose supervision strategies for academic professionals.
Method:
Quantitative, descriptive, observational study performed in a Clinical/Surgical Hospital Unit. 30 direct and indirect activities. Data collected in observational and online records. Statistical analysis: SPSS 18.0 software, percentage frequencies and associated times between groups by Fisher’s Exact test, 95% confidence interval, significance level 5%.
Results:
Comparing the activities performed with the NIC time: from the direct 16, five observational and five online, were out of range, with no significant difference between frequencies (P=0.427). Of the 14 indirect, only in the observational, two were out of the range, without significant difference (P=0.486).
Conclusion:
Both methods measure WL; the online method developed accompanies activities performed in real time.
Keywords:NursesPersonnel DimensioningQuality of Health CareResource Management of the Health Care TeamWorkloadSee more -
Clinical validation of fall prevention behavior in a hospital environment
Revista Brasileira de Enfermagem. 2018;71(4):1841-1849
Abstract
Clinical validation of fall prevention behavior in a hospital environment
Revista Brasileira de Enfermagem. 2018;71(4):1841-1849
DOI 10.1590/0034-7167-2017-0212
Views1ABSTRACT
Objective:
Clinically validate the Nursing Outcome Behavior of falls prevention in hospitalized patients.
Method:
This was a cross-sectional study developed at a public university hospital with a sample of 45 patients. The data collection was performed through the evaluation of four nurses, with a double used the instrument with the constitutive and operational definitions of the indicators and magnitudes of the Fall Prevention Behavior Result, while the other pair did not use such definitions.
Results:
When applying the non-parametric analysis of variance by the Friedman test, ten indicators showed statistical differences between the inferences made by the evaluators for each patient. In relation to the intraclass correlation coefficient, confidence interval and p value assigned to each indicator of the scale, most of the indicators were statistically significant.
Conclusions:
The instrument referring to the Fall Behavior Outcome Behavior was considered valid for the study population.
Keywords:Accidents by FallEvaluation of Results (Health Care)NursingNursing ProcessesValidation StudiesSee more -
Equipment failure: conducts of nurses and implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(4):1832-1840
Abstract
Equipment failure: conducts of nurses and implications for patient safety
Revista Brasileira de Enfermagem. 2018;71(4):1832-1840
DOI 10.1590/0034-7167-2016-0547
Views0See moreABSTRACT
Objectives:
To identify equipment failures during handling by nurses and analyze the conduct of the professionals when these failures occur.
Methods:
Descriptive, exploratory and qualitative study, whose field was the intensive care unit of a public institution, and the participants were day nurses that worked providing direct care to patients. Data were produced in 2014 through systematic observation and interviews and were examined with thick description and content analysis.
Results:
The outcomes evinced the inadequate functioning of infusion bombs, users’ errors related to the design of equipment and problems with batteries of artificial fans. These failures related to the management of equipment in the unit.
Final considerations:
It is necessary to strengthen the monitoring systems of safety conditions of equipment in intensive nursing care to prevent incidents.
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Autocontrole inefi caz da saúde em pacientes em hemodiálise: análise de conteúdo
Revista Brasileira de Enfermagem. 2018;71(4):1825-1831
Abstract
Autocontrole inefi caz da saúde em pacientes em hemodiálise: análise de conteúdo
Revista Brasileira de Enfermagem. 2018;71(4):1825-1831
DOI 10.1590/0034-7167-2016-0682
Views0See moreRESUMEN
Objectivo:
Analizar el contenido del diagnóstico de enfermería Mantenimiento Ineficaz de la Salud en pacientes en hemodiálisis.
Método:
El modelo de validación de diagnóstico de enfermería de Lopes, Silva y Auraújo fue utilizado en esta investigación. Un cuestionario semiestructurado que evaluó la definición, ubicación, características definitorias y factores relacionados con el diagnóstico Mantenimiento Ineficaz de la Salud fue respondido por 22 expertos en diagnóstico de enfermería. El análisis se realizó entre agosto de 2014 y enero de 2015.
Resultados:
Los expertos consideraron la definición propuesta y la ubicación actual en la taxonomía II de NANDA-I, Dominio 1 Promoción de Salud, Clase 2 Control de Salud, como adecuada para el diagnóstico. El nivel de adecuación adoptado fue 85% o p> 0.05 estaba por encima de diez características definitorias y 24 factores relacionados. Los expertos también sugirieron que una característica definitoria debería convertirse en un factor relacionado y que tres factores deberían convertirse en características definitorias.
Conclusión:
Se desarrolló una nueva propuesta para el diagnóstico en estudio después del análisis de expertos.
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ORIGINAL ARTICLE01-10-2024
Nursing students and the internet: a reflection of digital ethics
- Ana Carolina Barboza Brandão
, - Ingrid Bemfica Ramos ,
- Anna Carolina Caetano Griesang de Oliveira ,
- Sabrina da Costa Machado Duarte ,
- Joyce Martins Arimatea Branco Tavares , [ … ],
- Priscilla Valladares Broca
Abstract
ORIGINAL ARTICLENursing students and the internet: a reflection of digital ethics
Revista Brasileira de Enfermagem. 2024;77:e20230459
DOI 10.1590/0034-7167-2023-0459
- Ana Carolina Barboza Brandão ,
- Ingrid Bemfica Ramos ,
- Anna Carolina Caetano Griesang de Oliveira ,
- Sabrina da Costa Machado Duarte ,
- Joyce Martins Arimatea Branco Tavares ,
- Priscilla Valladares Broca
Views0See moreABSTRACT
Objectives:
to identify how first-year nursing students use cyberspace and propose an orientation guide with criteria guiding the use of cyberspace.
Methods:
qualitative and descriptive research, carried out with 24 nursing students from a federal public institution in Rio de Janeiro. Data collection was carried out through semi-structured interviews. Data analysis occurred using IRAMUTEQ®. The research was approved by the institution’s Research Ethics Committee.
Results:
students use cyberspace to communicate, study, find “cool things”, share photos and memories. Furthermore, they are concerned about hate speech, intolerance and fake news. The good and bad sides and the types of technologies most used were also portrayed.
Final considerations:
the moral and ethical values of physical coexistence, together with awareness of individual responsibility, are the pillars for using cyberspace. The guide comes as an awareness tool.
- Ana Carolina Barboza Brandão
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ORIGINAL ARTICLE01-10-2024
Maternity behind and beyond bars: analysis from the perspective of protection bioethics
Revista Brasileira de Enfermagem. 2024;77:e20220576
Abstract
ORIGINAL ARTICLEMaternity behind and beyond bars: analysis from the perspective of protection bioethics
Revista Brasileira de Enfermagem. 2024;77:e20220576
DOI 10.1590/0034-7167-2022-0576
Views0See moreABSTRACT
Objective:
to analyze how motherhood is expressed in female prison units from the perspective of Bioethics of Protection.
Method:
qualitative research with an ethnographic approach, developed in two women’s prison units. Participantes were: six mothers deprived of liberty, 15 health professionals, and nine prison officers. For data collection, semi-structured interviews and descriptive observation were used. Data analysis was based on the Content Analysis technique, thematic category.
Results:
three categories emerged: women and children violated behind bars (inequities); mothers and children in prison exacerbating imbalances, tensions and conflicts; and limits and references for resocialization.
Final Considerations:
the Bioethics of Protection proposal appears as a valid tool for the analytical direction of the process of confronting issues in the scope of public health in prison units, considering vulnerable groups and aiming at equity and human dignity.
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ORIGINAL ARTICLE01-10-2024
Self-harm in the two years of greatest restrictions during the covid-19 pandemic: a cross-sectional study
- Odilon Vieira Santos ,
- Letícia Aparecida Machado Lisboa da Silva ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- José Ramón Martínez-Riera , [ … ],
- Hugo Fernandes
Abstract
ORIGINAL ARTICLESelf-harm in the two years of greatest restrictions during the covid-19 pandemic: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77:e20240289
DOI 10.1590/0034-7167-2024-0289
- Odilon Vieira Santos ,
- Letícia Aparecida Machado Lisboa da Silva ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- José Ramón Martínez-Riera ,
- Hugo Fernandes
Views0See moreABSTRACT
Objective:
to analyze occurrence of self-harm, sociodemographic profile of victims and referrals in the first 24 months of the COVID-19 pandemic in São Paulo.
Method:
cross-sectional study carried out by the Notifiable Diseases Information System with data on self-harm in São Paulo. The period outlined was March 2020 to February 2022. R (4.0.2) software and chi-square test were used.
Results:
there were 15,946 incidents. Victims were young, white, single, heterosexual women. There was high incidence of people with previous mental disorders more than once and without clear motivation. The method used was poisoning/intoxication. There was a considerable number of referrals to the health network, although not totalitarian.
Conclusion:
the years of greater insecurity in relation to the pandemic have given rise to self-harm cases with peculiar characteristics. Agile health policies must be applied in atypical conditions, such as pandemics, especially for adolescents/young people with previous mental disorders.
- Odilon Vieira Santos
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EXPERIENCE REPORT01-10-2024
Sustainability in Higher Education: Experience report on achieving Sustainable Development Goals
- Laura Mafalda Carvalho Lopes ,
- Rosalina Matias-Correia ,
- Rosa Carla Gomes da Silva ,
- Natália de Jesus Barbosa Machado ,
- Ana Paula dos Santos Jesus Marques França
Abstract
EXPERIENCE REPORTSustainability in Higher Education: Experience report on achieving Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20240118
DOI 10.1590/0034-7167-2024-0118
- Laura Mafalda Carvalho Lopes ,
- Rosalina Matias-Correia ,
- Rosa Carla Gomes da Silva ,
- Natália de Jesus Barbosa Machado ,
- Ana Paula dos Santos Jesus Marques França
Views0See moreABSTRACT
Objective:
Describe the activities aimed at achieving the Sustainable Development Goals (SDGs), implemented by a polytechnic higher education institution, in the northern region of Portugal.
Methods:
This is an experience report from a Higher Education Institution, which characterizes the contribution to the SDGs, within the scope of teaching, research, campus and leadership.
Results:
In total, 1247 activities were mapped, with a preponderance in the “people” dimension (685 activities), with SDG 3 being the most prominent. Scientific articles contribute significantly to the SDGs, with a notable discrepancy between automatic (Scopus) and manual classifications, indicating a tendency to underestimate the impact of nursing studies.
Conclusion:
The results demonstrate the significant contribution of this institution to the SDGs, with a special focus on health and education. This contribution reflects the mission of the institution, which involves training competent and socially conscious health professionals, but simultaneously the need for greater awareness and training of the teaching staff.
- Laura Mafalda Carvalho Lopes
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REVIEW01-10-2024
Health of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
Abstract
REVIEWHealth of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
DOI 10.1590/0034-7167-2024-0106
Views0See moreABSTRACT
Objective:
to map the literature on quilombola children’s health and its relationship with the Sustainable Development Goals.
Method:
a scoping review, which followed the JBI protocol and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Searches were conducted in the LILACS, BDENF, Web of Science, Scopus, MEDLINE databases and Google Scholar platform. The research protocol was registered in the Open Science Framework.
Results:
eighteen articles out of 2,055 studies were selected as relevant for this study. The articles were grouped into four axes: Access to healthcare services; Nutritional aspects of quilombola children; Health problems of quilombola children; and Care for quilombola children. The relationship between these articles and SDGs 1, 3, 4, 6 and 10 was observed.
Final considerations:
the study provided an extremely important mapping of the theme of quilombola children’s health and themes related to the Sustainable Development Goals.
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ORIGINAL ARTICLE01-10-2024
Social Representations of pregnancy among trans men
- Danilo Martins Roque Pereira ,
- Ednaldo Cavalcante de Araújo ,
- Sheyla Costa de Oliveira ,
- Anderson Reis de Sousa ,
- Mariana Mercês Mesquita Espíndola , [ … ],
- Joecio Cordeiro Cardoso
Abstract
ORIGINAL ARTICLESocial Representations of pregnancy among trans men
Revista Brasileira de Enfermagem. 2024;77:e20240094
DOI 10.1590/0034-7167-2024-0094
- Danilo Martins Roque Pereira ,
- Ednaldo Cavalcante de Araújo ,
- Sheyla Costa de Oliveira ,
- Anderson Reis de Sousa ,
- Mariana Mercês Mesquita Espíndola ,
- Milka Gabrielle de Lira Nóbrega West ,
- Marclineide Nóbrega de Andrade Ramalho ,
- Joecio Cordeiro Cardoso
Views0See moreABSTRACT
Objective:
to understand the meanings and experiences of pregnancy among trans men in light of the Theory of Social Representations.
Methods:
this is a qualitative, descriptive and exploratory study, carried out with trans men selected for convenience and availability. Data production took place from September to October 2021, via the Google Meet® platform, based on interviews with a semi-structured script. Interview lexicographic textual analysis was performed using the Reinert method and instrumented by IRAMUTEQ version 7.0.
Results:
social representations of pregnancy involved a wide field of meanings, in which efforts were articulated to accept opportune and solitary pregnancy, fear of the parturition process and influence of physical and emotional changes.
Final considerations:
the study reinforces the importance of advanced nursing practice in assisting the pregnancy-puerperal cycle, based on the perspective of comprehensive care, equity in access to services and respect for differences.
- Danilo Martins Roque Pereira
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REVIEW01-10-2024
Prevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
- Raphael Sampaio dos Santos ,
- Katerine Moraes dos Santos ,
- Angela Maria Mendes Abreu ,
- Cristiane Cardoso de Paula ,
- Regina Célia Gollner Zeitoune
Abstract
REVIEWPrevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
Revista Brasileira de Enfermagem. 2024;77:e20240052
DOI 10.1590/0034-7167-2024-0052
- Raphael Sampaio dos Santos ,
- Katerine Moraes dos Santos ,
- Angela Maria Mendes Abreu ,
- Cristiane Cardoso de Paula ,
- Regina Célia Gollner Zeitoune
Views0See moreABSTRACT
Objectives:
To identify in the scientific literature the prevalence, diagnostic methods, and exposure variables of latent infection by Mycobacterium tuberculosis in healthcare workers.
Methods:
An integrative review of the scientific literature based on the following review question: What are the available scientific evidence in the literature that address the prevalence of latent infection by Mycobacterium tuberculosis in healthcare workers and its association with possible risk factors among these workers?
Results:
Being a physician or nurse, being older, and being male were generally associated with higher prevalences. The study also showed that interferon-gamma release assays were more commonly used as a diagnostic method compared to skin tests.
Conclusions:
More studies are needed regarding the epidemiology of latent infection by Mycobacterium tuberculosis in the context of healthcare workers, aiming for higher impact actions that contribute to the reduction of tuberculosis worldwide.
- Raphael Sampaio dos Santos
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ORIGINAL ARTICLE01-10-2024
Brazil-Portugal Comparison: Education, Health and Social Development in light of the Sustainable Development Goals
- Felipa Rafaela Amadigi ,
- Monica Motta Lino ,
- Rosani Ramos Machado ,
- Ianka Cristina Celuppi ,
- Carla Sílvia Fernandes , [ … ],
- Denise Elvira Pires de Pires
Abstract
ORIGINAL ARTICLEBrazil-Portugal Comparison: Education, Health and Social Development in light of the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20240047
DOI 10.1590/0034-7167-2024-0047
- Felipa Rafaela Amadigi ,
- Monica Motta Lino ,
- Rosani Ramos Machado ,
- Ianka Cristina Celuppi ,
- Carla Sílvia Fernandes ,
- Maria Manuela Martins ,
- Denise Elvira Pires de Pires
Views0See moreABSTRACT
Objective:
to comparatively analyze the health, education and social development systems of Brazil and Portugal, their relationship with the Sustainable Development Goals and the Organization for Economic Cooperation and Development averages.
Method:
exploratory and descriptive qualitative research, through documentary analysis. The indicators address health, education and social development, considering life expectancy, mortality, prevalence of chronic diseases, literacy, educational performance and poverty rates.
Results:
indicate significant differences between countries. Portugal presents better indicators in life expectancy, educational quality and poverty rates, whereas Brazil faces greater challenges in chronic diseases and equity in access to healthcare services.
Final considerations:
the importance of public policies adapted to local realities and the need for a strategic vision for healthcare systems aligned with the Sustainable Development Goals, in addition to the need for continuous investments and integration of digital health for efficient and equitable systems, stand out.
- Felipa Rafaela Amadigi
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ERRATUM01-13-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
DOI 10.1590/0034-7167.20247706e08
Views0In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1:Where it read:[…]See more -
ERRATUM01-13-2024
ERRATA
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e07
Abstract
ERRATUMERRATA
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e07
DOI 10.1590/0034-7167.20247706e06pt
Views0No artigo “Crenças e atitudes de pais ou responsáveis legais sobre a vacinação infantil: revisão de escopo”, com número DOI: , publicado no periódico Revista Brasileira de Enfermagem, 2024;77(4):e20240126, página 5:Onde se lia:[…]See more -
ORIGINAL ARTICLE01-13-2024
Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
- Jarbas da Silva Ziani ,
- Jenifer Härter ,
- Francielle Liz Monteiro ,
- Camila Biazus Dalcin ,
- Stela Maris de Mello Padoin , [ … ],
- Cláudia Zamberlan
Abstract
ORIGINAL ARTICLEIndicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
Revista Brasileira de Enfermagem. 2024;77(6):e20240204
DOI 10.1590/0034-7167-2024-0204
- Jarbas da Silva Ziani ,
- Jenifer Härter ,
- Francielle Liz Monteiro ,
- Camila Biazus Dalcin ,
- Stela Maris de Mello Padoin ,
- Marcelo Ribeiro Primeira ,
- Laís Mara Caetano da Silva Corcini ,
- Cláudia Zamberlan
Views0See moreABSTRACT
Objectives:
to compare the sociodemographic and clinical severity indicators of hospitalized people with HIV in relation to clinical outcomes and urgent hospital admission.
Methods:
a retrospective cohort study was conducted with 102 medical records of HIV-infected individuals hospitalized in a hospital in southern Brazil. In addition to descriptive analysis, Fisher’s exact test, Pearson’s Chi-square, and logistic regression were used.
Results:
the data showed a significant direct effect on severity indicators in the following variables: male sex (p=0.013), skin color (p=0.023), level of education (p=0.000), urgent admissions (p=0.000), late diagnosis (p=0.001), diabetes mellitus (p=0.001), hypertension (p=0.004), kidney disease (p=0.002), high viral load (p=0.006), CD4+ count below 200 (p=0.005), fever (p=0.016), weight loss (p=0.013), co-infection with hepatitis C (p=0.004), and mortality (p=0.007).
Conclusions:
three sociodemographic and thirteen clinical markers were identified as being associated with the risk of clinical deterioration in hospitalized people with HIV.
- Jarbas da Silva Ziani
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ORIGINAL ARTICLE01-13-2024
Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
- Camila Wohlenberg Camparoto ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Elen Ferraz Teston ,
- Pamela dos Reis ,
- Sonia Silva Marcon
Abstract
ORIGINAL ARTICLENurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481
DOI 10.1590/0034-7167-2023-0481
- Camila Wohlenberg Camparoto ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Elen Ferraz Teston ,
- Pamela dos Reis ,
- Sonia Silva Marcon
Views1See moreABSTRACT
Objectives:
to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care.
Methods:
this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis.
Results:
according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges.
Final Considerations:
the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.
- Camila Wohlenberg Camparoto
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ORIGINAL ARTICLE01-13-2024
Knowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
Abstract
ORIGINAL ARTICLEKnowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
DOI 10.1590/0034-7167-2023-0424
Views0ABSTRACT
Objectives:
to investigate the knowledge, attitudes, and practices of nurses regarding blood culture collection.
Methods:
a cross-sectional study was conducted in five Brazilian public hospitals with 112 nurses. Data were collected using an adapted questionnaire and analyzed through descriptive and inferential statistics.
Results:
nurses who did not consider themselves capable of collecting blood cultures had a 72% lower chance of performing the collection at the recommended site and an 83% lower chance of using the same needle for blood inoculation into the vials. Nurses working in the emergency department had a 75% lower chance of knowing the international benchmark for blood culture contamination rates, and those with less than 5 years in the position decreased their chance of accuracy in this matter by 79%.
Conclusions:
there are gaps in the knowledge, attitudes, and practices of nurses regarding blood culture collection. Standardization of the technique, periodic education, supervision and guidance of the collection team, and process auditing are recommended coping strategies.
Keywords:Blood CultureBlood Specimen CollectionHealth Knowledge, Attitudes, PracticeNursing CareQuality of Health CareSee more
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ORIGINAL ARTICLE01-13-2024
Social representations of oncologic surgery for patients with cancer
- Rômulo Frutuoso Antunes ,
- Rachel Verdan Dib ,
- Raquel de Souza Ramos ,
- Antonio Marcos Tosoli Gomes ,
- Manassés Moura dos Santos , [ … ],
- Karen Paula Damasceno dos Santos Souza
Abstract
ORIGINAL ARTICLESocial representations of oncologic surgery for patients with cancer
Revista Brasileira de Enfermagem. 2024;77(6):e20230273
DOI 10.1590/0034-7167-2023-0273
- Rômulo Frutuoso Antunes ,
- Rachel Verdan Dib ,
- Raquel de Souza Ramos ,
- Antonio Marcos Tosoli Gomes ,
- Manassés Moura dos Santos ,
- Margarida Maria Rocha Bernardes ,
- Carolina Cristina Scrivano dos Santos ,
- Karen Paula Damasceno dos Santos Souza
Views0See moreABSTRACT
Objectives:
to analyze the social representations of patients with cancer regarding oncologic surgery.
Methods:
a qualitative study based on Social Representation Theory was conducted with 126 participants between October 2021 and May 2022 in a public hospital in Rio de Janeiro. A characterization questionnaire, free evocations of the inducing term “surgery”, and semi-structured interviews with 60 participants were applied. Data were analyzed using Microsoft Excel® and IRaMuTeQ.
Results:
the central core of the representation is composed of fear, cure, hope, and removing the disease. The analysis of interviews resulted in six classes that highlight the social changes caused by treatment as well as the need for a support network to cope with the surgical process.
Final Considerations:
the representations reflect fear and hope towards the procedure and the desire to remove the disease, thus translating the cure through surgery.
- Rômulo Frutuoso Antunes
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ORIGINAL ARTICLE01-13-2024
Evaluation of care for people with HIV in Primary Health Care: construct validation
- Clarissa Mourão Pinho ,
- Juliana da Rocha Cabral ,
- Morgana Cristina Leôncio de Lima ,
- Mônica Alice Santos da Silva ,
- Regina Celia de Oliveira , [ … ],
- Maria Sandra Andrade
Abstract
ORIGINAL ARTICLEEvaluation of care for people with HIV in Primary Health Care: construct validation
Revista Brasileira de Enfermagem. 2024;77(6):e20230190
DOI 10.1590/0034-7167-2023-0190
- Clarissa Mourão Pinho ,
- Juliana da Rocha Cabral ,
- Morgana Cristina Leôncio de Lima ,
- Mônica Alice Santos da Silva ,
- Regina Celia de Oliveira ,
- Jael Maria de Aquino ,
- Erika Simone Galvão Pinto ,
- Maria Sandra Andrade
Views0ABSTRACT
Objectives:
to verify the construct validation of an instrument for evaluating care for people living with HIV in Primary Health Care.
Methods:
methodological study carried out in 2021 with 260 health professionals in Recife, PE. Validation based on the internal structure was carried out at this stage using exploratory and confirmatory factor analysis, and validity based on item response theory.
Results:
the validation determined the retention of five factors and 63 items. The instrument’s internal consistency and quality of fit was 0.90, the Tukey-Lewis index was 0.915 and the comparative fit index was 0.918 in the confirmatory factor analysis. The indication for the absolute majority of items is adequate fit.
Conclusions:
the instrument has construct validity, making it possible to use it to evaluate the decentralization process and care for People Living with HIV in Primary Health Care.
Keywords:Acquired Immunodeficiency SyndromeComprehensive Health CareHIVPrimary Health CareProgram EvaluationSee more
- Clarissa Mourão Pinho
-
ORIGINAL ARTICLE01-10-2024
Inventory of ethical problems in mobile pre-hospital care
- Simone da Silva Oliveira ,
- Mariana Oliveira Antunes Ferraz ,
- Darci de Oliveira Santa Rosa ,
- Kátia Santana Freitas ,
- Elaine de Oliveira Souza , [ … ],
- Marisa Aparecida Amaro Malvestio
Abstract
ORIGINAL ARTICLEInventory of ethical problems in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77:e20230539
DOI 10.1590/0034-7167-2023-0539
- Simone da Silva Oliveira ,
- Mariana Oliveira Antunes Ferraz ,
- Darci de Oliveira Santa Rosa ,
- Kátia Santana Freitas ,
- Elaine de Oliveira Souza ,
- Deisy Vital dos Santos ,
- Marisa Aparecida Amaro Malvestio
Views0See moreABSTRACT
Objective:
to construct and validate the content of an inventory of ethical problems experienced by nurses in mobile pre-hospital care.
Method:
a psychometric approach study, developed with the following stages: (1) instrument construction through a theoretical matrix based on deliberative bioethics, scoping review and online qualitative research; (2) content validity by judges; (3) pre-testing with Mobile Emergency Care Service nurses in various Brazilian states. For content validity analysis, the Content Validity Ratio was calculated (CVR>0.45 for judges and CVR>0.35 for the target population).
Results:
the instrument had 44 items, distributed across four dimensions.
Final considerations:
the constructed instrument presented sources of evidence of content validity, providing good psychometric measurements and constituting a useful tool for nurses’ practice in the pre-hospital setting.
- Simone da Silva Oliveira
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