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ORIGINAL ARTICLE07-29-2024
Contribution of informal caregivers to self-care in individuals with heart failure
- Mailson Marques de Sousa
, - Adriana Meira Tiburtino Nepomuceno ,
- Rayana Pereira Feitosa ,
- Lara de Sá Neves Loureiro ,
- Renan Alves Silva , [ … ],
- Simone Helena dos Santos Oliveira
Abstract
ORIGINAL ARTICLEContribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
DOI 10.1590/0034-7167-2023-0492
- Mailson Marques de Sousa ,
- Adriana Meira Tiburtino Nepomuceno ,
- Rayana Pereira Feitosa ,
- Lara de Sá Neves Loureiro ,
- Renan Alves Silva ,
- Maria das Graças Melo Fernandes ,
- Simone Helena dos Santos Oliveira
Views0See moreABSTRACT
Objectives:
to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure.
Methods:
a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers’ contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman’s correlation.
Results:
the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction.
Conclusions:
informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.
- Mailson Marques de Sousa
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07-29-2024
Reflections on theoretical framework use in nursing research
- Maria Ribeiro Lacerda ,
- Rudval Souza da Silva ,
- Nadirlene Pereira Gomes ,
- Silvana Regina Rossi Kissula Souza
Abstract
Reflections on theoretical framework use in nursing research
Revista Brasileira de Enfermagem. 2024;77(3):e20230486
DOI 10.1590/0034-7167-2024-0486
- Maria Ribeiro Lacerda ,
- Rudval Souza da Silva ,
- Nadirlene Pereira Gomes ,
- Silvana Regina Rossi Kissula Souza
Views0See moreABSTRACT
Objectives:
to reflect on theoretical framework use in nursing research.
Methods:
a theoretical-reflexive study, based on concepts and constructs pertinent to using nursing theories and other sciences, considering issues of epistemology or philosophy of science.
Results:
we presented what it is and why to do nursing research and what a theoretical framework is and why to use it, in addition to some considerations regarding theoretical framework use in nursing research, essential for constructing disciplinary knowledge, which enables the materialization of researchers’ work and the presentation of propositions resulting from investigations in and for nursing as a discipline and science.
Final Considerations:
based on a reflection based on epistemological conceptions, it is possible to affirm that a theoretical framework is the core of researchers’ thinking, delimiting a problem to be investigated and, based on it, outlining methodological strategies to be followed, supporting nursing action and thinking as discipline and science.
- Maria Ribeiro Lacerda
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REVIEW07-29-2024
Nursing diagnoses for people hospitalized with heart failure: an integrative review
- Ana Paula Dias de Oliveira ,
- Lucas Garcia Lima ,
- Vinicius Batista Santos ,
- Larissa Maiara da Silva Alves Souza ,
- Juliana de Lima Lopes , [ … ],
- Alba Lucia Bottura Leite de Barros
Abstract
REVIEWNursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
DOI 10.1590/0034-7167-2023-0471
- Ana Paula Dias de Oliveira ,
- Lucas Garcia Lima ,
- Vinicius Batista Santos ,
- Larissa Maiara da Silva Alves Souza ,
- Juliana de Lima Lopes ,
- Alba Lucia Bottura Leite de Barros
Views0See moreABSTRACT
Objectives:
to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.
Methods:
an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.
Results:
analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.
Final Considerations:
evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.
- Ana Paula Dias de Oliveira
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ORIGINAL ARTICLE07-29-2024
Primary Health Care in transitional care of people with stroke
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Abstract
ORIGINAL ARTICLEPrimary Health Care in transitional care of people with stroke
Revista Brasileira de Enfermagem. 2024;77(3):e20230468
DOI 10.1590/0034-7167-2024-0468
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Views0See moreABSTRACT
Objectives:
to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge.
Methods:
single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®.
Results:
the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident.
Final Considerations:
the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.
- Adriana Bitencourt Magagnin
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ORIGINAL ARTICLE07-29-2024
Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli , [ … ],
- Luís Carlos Lopes-Júnior
Abstract
ORIGINAL ARTICLECompleteness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
Revista Brasileira de Enfermagem. 2024;77(3):e20230467
DOI 10.1590/0034-7167-2023-0467
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli ,
- Luís Carlos Lopes-Júnior
Views0See moreABSTRACT
Objectives:
to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.
Methods:
an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.
Results:
there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables “family history of cancer” (p<0.001), “alcoholism” (p<0.001), “smoking” (p<0.001), “TNM staging” (p<0.001) had a decreasing trend, while “clinical start of treatment” (p<0.001), “origin” (p=0.008) and “occupation” (p<0.001) indicated an increasing trend.
Conclusions:
most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.
- Wesley Rocha Grippa
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ORIGINAL ARTICLE07-29-2024
Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal , [ … ],
- Francisca Márcia Pereira Linhares
Abstract
ORIGINAL ARTICLEDisrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230464
DOI 10.1590/0034-7167-2023-0464
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal ,
- Ana Luisa Brandão de Carvalho Lira ,
- Marcos Venícios de Oliveira Lopes ,
- Suzana de Oliveira Mangueira ,
- Francisca Márcia Pereira Linhares
Views0See moreABSTRACT
Objectives:
to develop and evaluate a Middle-Range Theory for the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” in high-risk pregnancies.
Methods:
this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem’s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
Results:
the theory identified 20 elements of the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
Conclusions:
the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon “Disrupted Mother-Fetus Dyad Risk,” which aids in nurses’ diagnostic reasoning.
- Ryanne Carolynne Marques Gomes Mendes
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ORIGINAL ARTICLE07-29-2024
Mental health of parents of children and adolescents who require special health care
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly , [ … ],
- Regina Aparecida Garcia de Lima
Abstract
ORIGINAL ARTICLEMental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
DOI 10.1590/0034-7167-2023-0457
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly ,
- Aline Cristiane Cavicchioli Okido ,
- Regina Aparecida Garcia de Lima
Views0See moreABSTRACT
Objective:
To identify the manifestations presented by parents of children and adolescents who require special health attention that can impact their mental health.
Methods:
exploratory, qualitative research, based on the concept of vulnerability, with data collection carried out through interviews with 18 parents of children and adolescents with special health care needs, hospitalized in the pediatric ward of a hospital in Paraná, between May/2017 and May/ 2018. Data analyzed by inductive thematic analysis.
Results:
parents experienced situations of vulnerability when providing care at home, with repercussions on their mental health, expressed by manifestations of lack of protection, anxiety and depression.
Final considerations:
It is important that health professionals seek to expand actions to promote care and reduce situations that generate threats, insecurities, concerns and damage to the health of parents, which can impact and further weaken care for children and adolescents who need attention especially health.
- Eliana Roldão dos Santos Nonose
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ORIGINAL ARTICLE07-29-2024
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
- Márcio Adriano Fernandes Barreto ,
- Francisca Diana da Silva Negreiros ,
- Virna Ribeiro Feitosa Cestari ,
- Helena Alves de Carvalho Sampaio ,
- Thereza Maria Magalhães Moreira
Abstract
ORIGINAL ARTICLEEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
DOI 10.1590/0034-7167-2023-0386
- Márcio Adriano Fernandes Barreto ,
- Francisca Diana da Silva Negreiros ,
- Virna Ribeiro Feitosa Cestari ,
- Helena Alves de Carvalho Sampaio ,
- Thereza Maria Magalhães Moreira
Views0See moreABSTRACT
Objectives:
to analyze the validity evidence of the internal structure of the Risk Self-Medication Questionnaire Focused on Health Literacy.
Methods:
a psychometric study with 499 adults. The internal structure was assessed with exploratory and confirmatory factor analysis to prove the adjustment. Internal consistency was measured by composite reliability and McDonald’s omega coefficient (ω).
Results:
the parameters revealed a model of 35 items distributed across four factors, explaining 56% of the total variance, with factor loadings ranging from 0.31 to 0.85 and adequate communalities. Accuracy (0.79
Conclusions:
an instrument was obtained with good evidence of structural validity for measuring self-medication.
- Márcio Adriano Fernandes Barreto
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ORIGINAL ARTICLE07-08-2020
No to distance education! Production of meaning of discourses of nursing representative entities
- Marina da Silva Sanes ,
- Franciele Budziareck das Neves ,
- Lenna Eloisa Madureira Pereira ,
- Flávia Regina Souza Ramos ,
- Laura Cavalcanti de Farias Brehmer , [ … ],
- Jussara Gue Martini
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
- Marina da Silva Sanes ,
- Franciele Budziareck das Neves ,
- Lenna Eloisa Madureira Pereira ,
- Flávia Regina Souza Ramos ,
- Laura Cavalcanti de Farias Brehmer ,
- Mara Ambrosina de Oliveira Vargas ,
- Jussara Gue Martini
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.
- Marina da Silva Sanes
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ORIGINAL ARTICLE07-13-2020
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo , [ … ],
- Gilberto de Lima Guimarães
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
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo ,
- Gilberto de Lima Guimarães
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.
- Juliana Maria Almeida do Carmo
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REVIEW07-13-2020
The quality of life of family health professionals: a systematic review and meta-synthesis
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval , [ … ],
- Luiz Renato Paranhos
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
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval ,
- Luiz Renato Paranhos
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.
- Pedro Rogério Camargos Pennisi
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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
- Josierton Cruz Bezerra ,
- Luciano José Arantes ,
- Helena Eri Shimizu ,
- Edgar Merchán-Hamann ,
- Walter Massa Ramalho
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
- Josierton Cruz Bezerra ,
- Luciano José Arantes ,
- Helena Eri Shimizu ,
- Edgar Merchán-Hamann ,
- Walter Massa Ramalho
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.
- Josierton Cruz Bezerra
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ORIGINAL ARTICLE08-10-2020
Neonatal near miss in the intensive care unit
- Maria Rita Guimarães Maia ,
- Rosângela Aparecida Pimenta Ferrari ,
- Alexandrina Aparecida Maciel Cardelli ,
- Ieda Harumi Higarashi ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
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
- Maria Rita Guimarães Maia ,
- Rosângela Aparecida Pimenta Ferrari ,
- Alexandrina Aparecida Maciel Cardelli ,
- Ieda Harumi Higarashi ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
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.
- Maria Rita Guimarães Maia
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08-10-2020
Care for the critical patient undergoing point-of-care testing: integrative review
- Débora Thais Siqueira Soares ,
- Ana Paula Hermann ,
- Maria Ribeiro Lacerda ,
- Marineli Joaquim Méier ,
- Nayla Tamara de Godoi Caceres , [ … ],
- Juliana Zimmermann Lima
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
- Débora Thais Siqueira Soares ,
- Ana Paula Hermann ,
- Maria Ribeiro Lacerda ,
- Marineli Joaquim Méier ,
- Nayla Tamara de Godoi Caceres ,
- Juliana Zimmermann Lima
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.
- Débora Thais Siqueira Soares
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ORIGINAL ARTICLE08-10-2020
Risk management in the scope of nursing professionals in the hospital setting
Revista Brasileira de Enfermagem. 2020;73(6):e20190303
Abstract
ORIGINAL ARTICLERisk management in the scope of nursing professionals in the hospital setting
Revista Brasileira de Enfermagem. 2020;73(6):e20190303
DOI 10.1590/0034-7167-2019-0303
Views1See moreABSTRACT
Objective:
To evaluate occupational hazards affecting nursing professionals’ health in the environment of the hospital.
Method:
Descriptive-exploratory research with a qualitative approach.
Results:
The main hazards affecting nursing professionals were work overload due to the large number of patients or the small number of professionals, inadequate infrastructure, and insufficient organizational management. It became evident the work interferences in the nursing professional’s life are enormous. Despite the existence of health occupational risk management, there is still a shortage of bigger endeavors to be employed in the hospital routine. As a main result of the study, a Standard Operational Protocol (SOP) for biological risk was created to be applied in a hospital setting.
Conclusion:
Based on the identification of occupational hazards, it was suggested the Standard Operational Protocol which should be standardized to manage biological occupational hazards, to ensure the adequate flow of procedures after the exposure, as well as the occupational safety of nursing professionals.
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ORIGINAL ARTICLE05-24-2021
Construction and validation of educational material on promoting breastfeeding in schools
- Roseanne de Sousa Nobre ,
- Artemizia Francisca de Sousa ,
- Ana Roberta Vilarouca da Silva ,
- Ana Larissa Gomes Machado ,
- Viviane Martins da Silva , [ … ],
- Luisa Helena de Oliveira Lima
Abstract
ORIGINAL ARTICLEConstruction and validation of educational material on promoting breastfeeding in schools
Revista Brasileira de Enfermagem. 2021;74:e20200511
DOI 10.1590/0034-7167-2020-0511
- Roseanne de Sousa Nobre ,
- Artemizia Francisca de Sousa ,
- Ana Roberta Vilarouca da Silva ,
- Ana Larissa Gomes Machado ,
- Viviane Martins da Silva ,
- Luisa Helena de Oliveira Lima
Views1See moreABSTRACT
Objective:
to build and validate an educational technology on the promotion of breastfeeding for schoolchildren.
Methods:
a methodological study was developed through a bibliographic survey, situational diagnosis, creation of illustrations, layout, design and texts, validation of the material with the help of expert judges and target audience.
Results:
the content judges enabled the validation of the material with an overall Content Validity Index of 90%, the judges of the design Suitability Assessment of Materials of 90.4% and the target audience with a 95.6% agreement. The readability percentage proved to be excellent, with an overall score of 100%.
Conclusion:
the educational technology proved to be a valid and reliable instrument to promote a breastfeeding culture among schoolchildren.
- Roseanne de Sousa Nobre
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ORIGINAL ARTICLE06-08-2020
Nurses’ responsibilities in the aerospace environment
- Shara Bianca De Pin Raduenz ,
- José Luís Guedes dos Santos ,
- Daniele Dalcanal Lazzari ,
- Eliane Regina Pereira do Nascimento ,
- Keyla Cristiane do Nascimento , [ … ],
- André Ricardo Moreira
Abstract
ORIGINAL ARTICLENurses’ responsibilities in the aerospace environment
Revista Brasileira de Enfermagem. 2020;73(4):e20180777
DOI 10.1590/0034-7167-2018-0777
- Shara Bianca De Pin Raduenz ,
- José Luís Guedes dos Santos ,
- Daniele Dalcanal Lazzari ,
- Eliane Regina Pereira do Nascimento ,
- Keyla Cristiane do Nascimento ,
- André Ricardo Moreira
Views0See moreABSTRACT
Objectives:
to characterize the nurses who work in the aerospace environment and to identify their most frequent responsibilities during the pre-flight, flight, and post-flight periods.
Methods:
a quantitative, exploratory-descriptive research, conducted using a survey through Google forms®, from January to April of 2018, with 50 nurses from aerospace services in Brazil. Data were analyzed using descriptive statistics.
Results:
predominance of male participants (64%), mean age of 37 years, with a mean working time in the aerospace environment of six years, in helicopter (54%), and in the southern region (42%). The main pre-flight, flight, and post-flight activities were, respectively: verification/testing of equipment functionality, nursing care for patients, and replacement of supplies and equipment.
Conclusions:
In the aerospace environment, nurses’ work are primarily organizational and victim care actions, during all phases of the flight.
- Shara Bianca De Pin Raduenz
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04-14-2021
Specialized nursing terminology for the care of people with COVID-19
- Diego Dias de Araújo ,
- Maria Naiane Rolim Nascimento ,
- Écila Campos Mota ,
- Maíra Marques Ribeiro ,
- Renata Patricia Fonseca Gonçalves , [ … ],
- Nuno Damácio de Carvalho Félix
Abstract
Specialized nursing terminology for the care of people with COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200741
DOI 10.1590/0034-7167-2020-0741
- Diego Dias de Araújo ,
- Maria Naiane Rolim Nascimento ,
- Écila Campos Mota ,
- Maíra Marques Ribeiro ,
- Renata Patricia Fonseca Gonçalves ,
- Ricardo Otávio Maia Gusmão ,
- Nuno Damácio de Carvalho Félix
Views0See moreABSTRACT
Objective:
To create specialized nursing terminology for the care of people with COVID-19.
Methods:
Methodological study, carried out based on the identification of concepts related to the care of the person with the infection, present in the official guidelines of the Brazilian Ministry of Health; the concepts were validated by three specialist nurses; and a cross-mapping of the extracted concepts was done with CIPE® 2019 primitive concepts.
Results:
Out of 436 unique concepts, being 399 of these validated; of these, 70.9% were in the Classification and referred to the nursing care of people with COVID-19. In the Axis, the concepts related to Focus, Action, and Environment stood out. As for the non-validated concepts, 78.4% were not included in the 2019 version of CIPE®.
Conclusion:
We were able to structure a specialized CIPE® terminology, with the potential to generate nursing care indicators for people with COVID-19.
- Diego Dias de Araújo
-
ORIGINAL ARTICLE05-18-2020
Validation of the definitions of nursing diagnoses for individuals with Aids
- Vinicius Lino de Souza Neto ,
- Rayanne Teresa da Silva Costa ,
- Wenysson Noleto dos Santos ,
- Sâmara Fontes Fernandes ,
- Dhyanine Morais de Lima , [ … ],
- Richardson Augusto Rosendo da Silva
Abstract
ORIGINAL ARTICLEValidation of the definitions of nursing diagnoses for individuals with Aids
Revista Brasileira de Enfermagem. 2020;73(4):e20180915
DOI 10.1590/0034-7167-2018-0915
- Vinicius Lino de Souza Neto ,
- Rayanne Teresa da Silva Costa ,
- Wenysson Noleto dos Santos ,
- Sâmara Fontes Fernandes ,
- Dhyanine Morais de Lima ,
- Richardson Augusto Rosendo da Silva
Views0See moreABSTRACT
Objectives:
to develop and validate conceptual and operational definitions of nursing diagnoses of the International Classification for Nursing Practice for people living with Aids.
Methods:
methodological study with 100 individuals with Aids, in a hospital school. In addition, 19 nurses selected from the Lattes platform acted as experts in the validation process. The research was conducted, using three moments: identification and validation of the nursing diagnoses; construction of the conceptual and operational definitions of the diagnoses, and content validation, using the content validity index.
Results:
a total of 35 diagnoses were identified and 18 had their conceptual and operational definitions validated, with validity index of ≥ 0.8.
Conclusions:
the construction of the conceptual and operational definitions enables nurses to analyze the clinical inferences and endorse the nursing diagnosis, contributing to its predictive capacity.
- Vinicius Lino de Souza Neto
-
06-28-2021
Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants
- Talita Balaminut ,
- Sonia Semenic ,
- Laura N. Haiek ,
- Edilaine Giovanini Rossetto ,
- Adriana Moraes Leite , [ … ],
- Carmen Gracinda Silvan Scochi
Abstract
Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants
Revista Brasileira de Enfermagem. 2021;74:e20200909
DOI 10.1590/0034-7167-2020-0909
- Talita Balaminut ,
- Sonia Semenic ,
- Laura N. Haiek ,
- Edilaine Giovanini Rossetto ,
- Adriana Moraes Leite ,
- Luciana Mara Monti Fonseca ,
- Marialda Moreira Christoffel ,
- Carmen Gracinda Silvan Scochi
Views0See moreABSTRACT
Objective:
to assess breastfeeding support practices for preterm infants at two Baby-Friendly hospitals in southeastern Brazil, comparing the effect of implementing the guidelines for Baby-Friendly Hospital Initiative for Neonatal wards.
Methods:
a quasi-experimental study, pre- and post-intervention with control. Implementation of this initiative in the intervention hospital using Knowledge Translation. Data collection on compliance with the adapted Ten Steps, Three Guiding Principles and the Code before and after the intervention was carried out via interviews with mothers of preterm babies and professionals, unit observation and documentary analysis in the intervention and control hospitals. Intra-intergroup comparison was performed.
Results:
increases in global compliance with the Three Principles, Ten Steps, the Code, partial compliance with each Principle and in most Steps was greater in the intervention hospital. Conclusion: this initiative improved practices related to breastfeeding in the intervention hospital, demonstrating the potential to improve care and breastfeeding in neonatal wards.
- Talita Balaminut
-
08-16-2021
The prevalence of the technocratic model in obstetric care from the perspective of health professionals
- Marli Therezinha Stein Backes ,
- Karini Manhães de Carvalho ,
- Larissa Nascimento Ribeiro ,
- Tamiris Scoz Amorim ,
- Evanguelia Kotzias Atherino dos Santos , [ … ],
- Dirce Stein Backes
Abstract
The prevalence of the technocratic model in obstetric care from the perspective of health professionals
Revista Brasileira de Enfermagem. 2021;74:e20200689
DOI 10.1590/0034-7167-2020-0689
- Marli Therezinha Stein Backes ,
- Karini Manhães de Carvalho ,
- Larissa Nascimento Ribeiro ,
- Tamiris Scoz Amorim ,
- Evanguelia Kotzias Atherino dos Santos ,
- Dirce Stein Backes
Views0See moreABSTRACT
Objectives:
to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals.
Methods:
Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration.
Results:
the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff.
Final Considerations:
obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.
- Marli Therezinha Stein Backes
-
REVIEW09-18-2020
Cloth masks as respiratory protections in the COVID-19 pandemic period: evidence gaps
- Ana Cristina de Oliveira e Silva ,
- Ana Maria de Almeida ,
- Maria Eliane Moreira Freire ,
- Jordana de Almeida Nogueira ,
- Elucir Gir , [ … ],
- Wynne Pereira Nogueira
Abstract
REVIEWCloth masks as respiratory protections in the COVID-19 pandemic period: evidence gaps
Revista Brasileira de Enfermagem. 2020;73:e20200239
DOI 10.1590/0034-7167-2020-0239
- Ana Cristina de Oliveira e Silva ,
- Ana Maria de Almeida ,
- Maria Eliane Moreira Freire ,
- Jordana de Almeida Nogueira ,
- Elucir Gir ,
- Wynne Pereira Nogueira
Views0See moreABSTRACT
Objective:
to identify scientific evidence on the effectiveness of using cloth masks as safe protectors against COVID-19.
Method:
an integrative review of articles available in full obtained at PubMed, CINAHL, and Web of Science. Controlled, non-controlled descriptors and keywords such as “mask”, “home-made” and “cloth” or “cotton” and “infection control” or “infection prevention” were used.
Results:
thirty-eight articles were selected; of these, seven studies made up the sample. Evidence shows that cloth masks do not have the same protective characteristics as surgical masks, indicating an increased risk of infection due to humidity, diffusion of fluids, virus retention, and improper preparation. Considering the shortage of surgical masks during the pandemic, cloth masks could be proposed as a last resort.
Conclusion:
cloth masks should be used together with preventive measures, such as home insulation, good respiratory conduct, and regular hand hygiene.
- Ana Cristina de Oliveira e Silva
-
ORIGINAL ARTICLE06-01-2020
Primary care quality and its effects on leprosy monitoring indicators
Revista Brasileira de Enfermagem. 2020;73(4):e20190038
Abstract
ORIGINAL ARTICLEPrimary care quality and its effects on leprosy monitoring indicators
Revista Brasileira de Enfermagem. 2020;73(4):e20190038
DOI 10.1590/0034-7167-2019-0038
Views0See moreABSTRACT
Objectives:
to evaluate the quality of primary care in leprosy control actions, to correlate effects on monitoring indicators.
Methods:
a cross-sectional study, conducted in Belo Horizonte, from July to September 2014. Interviews with 408 professionals were conducted through the application of a tool that assesses attributes of primary care in leprosy control actions, and monitoring indicators were calculated. Spearman correlation was used, significance level p < 0.05.
Results:
the overall score correlated with the percentage of cases treated in primary care and of family health staff coverage. The derived score correlated with the percentage of cases treated in primary care, and the essential score correlated with the proportion and rate of cases diagnosed, with grade 2 physical disability.
Conclusions:
the quality of leprosy control actions performed by primary care professionals produces impacts on health indicators, and developing strategies consistent with the reality of the territory is necessary.
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