Articles - Revista Brasileira de Enfermagem

  • EDITORIAL

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000
    01-01-2015

    Abstract

    EDITORIAL

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000
    01-01-2015

    DOI 10.1590/0034-7167.2015680601i

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    In order to establish an organizational basis for work processes in primary health care geared towards a new social practice, it is important to recognize territories and their contexts, as these materialize human interactions, conflicts, health problems and human needs. In the process of recognition and situational diagnosis of territories, technologies for spatial analysis can […]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • OFFICIAL DOCUMENT

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962
    01-01-2015

    Abstract

    OFFICIAL DOCUMENT

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962
    01-01-2015

    DOI 10.1590/0034-7167.2015680527

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    APRESENTAÇÃOOs participantes do 18º Seminário Nacional de Pesquisa em Enfermagem (SENPE), promovido pela Associação Brasileira de Enfermagem (ABEn) e realizado pela ABEn Seção Ceará, aprovaram, em Sessão Plenária de Encerramento, no dia 03 de junho de 2015, a “Carta de Fortaleza para a Enfermagem Brasileira”. A ABEn vem a público divulgá-la, ao mesmo tempo em […]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960
    01-01-2015

    Abstract

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960
    01-01-2015

    DOI 10.1590/0034-7167.2015680526i

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    ABSTRACT

    Objective:

    analyze the concept of delayed surgical recovery.

    Method:

    the Rodgers’ concept analysis provided the procedural mechanisms to guide the study, and an integrative review was performed to achieve the second activity of the model adopted. The PubMed, CINAHL, EMBASE and LILACS databases were selected to search for primary studies.

    Results:

    sixty-six primary studies were included and served as basis to construct the use and meaning of delayed surgical recovery concept. In the analysis, six attributes were outlined, which are interrelated and underpin the research concept definition. Preliminary experience was identified as the antecedent. The consequences of the concept are expressed through clinical manifestations, re-interventions, dependence on care and reduced quality of life.

    Conclusion:

    the definition of the concept was constructed, and the antecedents and consequents were identified. The use and meaning of the delayed surgical recovery concept point to the use of the qualifier ‘impaired’ instead of ‘delayed’.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Delayed surgical recovery: a concept analysis
  • REVIEW

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952
    01-01-2015

    Abstract

    REVIEW

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952
    01-01-2015

    DOI 10.1590/0034-7167.2015680525i

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    ABSTRACT

    Objective:

    to identify the available evidence in the literature on Total Quality Management in nursing administration.

    Method:

    integrative literature review of full text articles in Portuguese, English and Spanish, published between 2000 and 2011 in the LILACS, MEDLINE, SciELO and PubMed databases.

    Results:

    the sample comprises 24 periodical articles grouped by the following thematic categories: Theoretical assumptions; Practical application and Quality indicators. Despite the criticism of models derived from classic administration theories, experiences of success with the deployment of TQM have already marked the health and nursing setting in Brazil.

    Conclusion:

    Total Quality Management in managing of nursing care has being fully used in some health institutions, while others have adopted several of its principles. Two of the twenty four articles are intervention studies, which characterizes the necessity for clinical research in this area.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Total Quality Management and hospital nursing: an integrative literature review
  • RESEARCH

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944
    01-01-2015

    Abstract

    RESEARCH

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944
    01-01-2015

    DOI 10.1590/0034-7167.2015680524i

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    ABSTRACT

    Objective:

    to characterize fatigue and exertion fatigue in patients with intermittent claudication (IC), and to test their association with sociodemographic and clinical variables, walking capacity and level of physical activity.

    Method:

    forty-nine participants (66.6 years; 70% male) were studied. Validated questionnaires were used to assess fatigue (DUFS), exertion fatigue (DEFS), level of physical activity (BASIC) and walking capacity (WIQ).

    Results:

    participants had substantial fatigue (DUFS = 20.4+8.8) and substantial exertion fatigue (DEFS = 20.4+10.8). There was an association between the DUFS and marital status (p = 0,008). There was a statically significant association between DEFS with scores of the BASIC (r = .331; p = .02) and among DEFS with WIQ domains – walking distance (r=.359; p = .011) and climbing stairs (r=.331; p = .02).

    Conclusion:

    patients with IC have fatigue and exertion fatigue. Exertion fatigue might compromise the engagement of these patients in physical activity, one of the main components of IC treatment.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Association between fatigue and functional capacity in patients with intermittent claudication
  • RESEARCH

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936
    01-01-2015

    Abstract

    RESEARCH

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936
    01-01-2015

    DOI 10.1590/0034-7167.2015680523i

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    ABSTRACT

    Objective:

    to calculate the average total cost (ATC) on the direct labor costs (DLC) of nursing professionals in body mobilization of patients for the prevention of pressure ulcers.

    Method:

    this is a quantitative, exploratory and, descriptive research. We observed 656 preventive mobilizations and we calculated the cost by multiplying the time spent by professionals at a unitary DLC.

    Results:

    ATC with DLC for each Unit corresponded to: Medical Clinic R$ 5.38 for bed turning, R$ 5.26 for seating positions, R$ 5.55 for walking aid; Surgical Clinic R$ 2.42 for bed turning, R$ 2.30 for seating positions, R$ 2.96 for walking aid and Intensive Care Unit R$ 8.15 for bed turning, R$ 7.57 for seating positions, R$ 15.32 for walking aid.

    Conclusion:

    the knowledge generated can support management related to costs of human resources needed to efficiently and effectively nursing care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929
    01-01-2015

    Abstract

    RESEARCH

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929
    01-01-2015

    DOI 10.1590/0034-7167.2015680522i

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    ABSTRACT

    Objective:

    To analyze the strategies employed by nurses to maintain the nursing residence program at the Ophir Loyola Hospital and discuss the potential effects of this interruption on the state of Pará.

    Method:

    Social-historic research. Data were collected through primary sources, written documents, and oral testimonial; the secondary sources used were manuals and articles that approached the topic in question. The theoretical reference was based on the French sociologist Pierre Bourdieu’s ideas about the concepts of cultural, social, and symbolic capital, in addition to the habitus and field concepts.

    Results:

    During the nurses’ mobilization there was a strong political influence on the development of the crisis and the interruption of the nursing residence Program at the Ophir Loyola Hospital, with implications for the nurses’ qualifications and the health care delivered to the societyof Pará.

    Conclusion:

    The analysis showed the prevalence of partisan political interests at the expense of social interests, culminating in the interruption of the nursing residency.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    Risk classification in pediatrics: development and validation of a guide for nurses

    Revista Brasileira de Enfermagem. 2015;68(5):913-922
    01-01-2015

    Abstract

    RESEARCH

    Risk classification in pediatrics: development and validation of a guide for nurses

    Revista Brasileira de Enfermagem. 2015;68(5):913-922
    01-01-2015

    DOI 10.1590/0034-7167.2015680521i

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    ABSTRACT

    Objective:

    to develop and validate a short guide for the protocol to user embracement with risk classification in pediatrics.

    Method:

    methodological study developed in two stages: development of the guide, and face and content validation. The development involved the stratification of the protocol contents into five risk indicators according to the level of complexity; subsequently it was submitted to validation by nine experts divided in two groups: professors who were also researchers, and nurses.

    Results:

    in the face validation the experts considered the 25 items of the guide clear and understandable, with agreement levels above 70%. In the content validation, 17 (68%) items were considered relevant by 88.9% of the experts. The eight items considered irrelevant were changed according to suggestions of the experts, yielding an overall content validity index of 0.98.

    Conclusion:

    the study resulted in a guide for the classification of risks in pediatrics that is valid to assess children in emergency services.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Risk classification in pediatrics: development and validation of a guide for nurses

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