Articles - Revista Brasileira de Enfermagem

RESEARCH
From real to ideal – the health (un)care of long-lived elders
Revista Brasileira de Enfermagem. 2015;68(3):398-405
06-01-2015

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Abstract
RESEARCH
From real to ideal – the health (un)care of long-lived elders
Revista Brasileira de Enfermagem. 2015;68(3):398-405
06-01-2015
DOI 10.1590/0034-7167.2015680304i
Tatiane Michel,
Maria Helena Lenardt,
Mariluci Hautsch Willig,
Angela Maria Alvarez
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ABSTRACT

Objective:

to analyze similarities and dissimilarities in the meanings assigned to health care by long-lived elders and nursing professionals in a healthcare setting.

Method:

ethnographic qualitative research, based on the Spradley-McCurdy method and the interpretive anthropology of Geertz and Kleinman. The sample consisted of 20 key informants. Data were collected through participatory observation and ethnographic interviews from March to October 2013 and analyzed in domains, taxonomies and cultural themes.

Results:

Six domains and cultural taxonomies emerged and revealed reasons, attributes, and resources in providing care in relationship to long-lived elders and nursing professionals; fi nally, the following cultural theme emerged: the real to the ideal – the health (un)care of long-lived elders.

Conclusion:

The study showed the distance between the desired and actual health care provided to aged people in the scenario studied.

Keywords:Aged, 80 and over Culture Geriatric Nursing Health Services for the Aged Nursing
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RESEARCH
Rescuing the pleasure of playing of child with cancer in a hospital setting
- Liliane Faria da Silva,
- Ivone Evangelista Cabral
Revista Brasileira de Enfermagem. 2015;68(3):391-397
06-01-2015

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Abstract
RESEARCH
Rescuing the pleasure of playing of child with cancer in a hospital setting
Revista Brasileira de Enfermagem. 2015;68(3):391-397
06-01-2015
DOI 10.1590/0034-7167.2015680303i
Liliane Faria da Silva,
Ivone Evangelista Cabral
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ABSTRACT

Objective:

to dimension spaces and people that act on playing of children with cancer in outpatient treatment.

Method:

qualitative research developed with the creative sensitive method. A total of twenty two family members of seven children with cancer in outpatient treatment at a public hospital in Rio de Janeiro participated of this research. Data were generated in the family members’ homes, from September 2011 to May 2012.

Results:

after the diagnosis of childhood cancer, there was a change of scene and in the people who interact and play with children. Hospital has a central place for it, since children discover the pleasure of playing in this setting.

Conclusion:

the health care professional, especially nurses, who work on hospital care needs, should develop the ability of facilitate playing and therefore, enable care that promotes childhood development.

Keywords:Cancer Child Development Play and Playthings
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RESEARCH
Child Health Surveillance: nurses perspective
Revista Brasileira de Enfermagem. 2015;68(3):384-390
06-01-2015

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Abstract
RESEARCH
Child Health Surveillance: nurses perspective
Revista Brasileira de Enfermagem. 2015;68(3):384-390
06-01-2015
DOI 10.1590/0034-7167.2015680302i
Marina Sayuri Yakuwa,
Mariana Claudio da Silva Sartori,
Débora Falleiros de Mello,
Marli Teresinha Cassamassimo Duarte,
Vera Lúcia Pamplona Tonete
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ABSTRACT

Objective:

to analyze conceptions of nurses on child health surveillance in family health units.

Method:

a qualitative study with thematic analysis of the data, based on the paradigm of Health Surveillance. Interviews were conducted with 13 nurses in a countryside city in the state of Sao Paulo.

Results:

nurses conceived child health surveillance as an active monitoring, which should be comprehensive, identifying risks/vulnerabilities, through multidisciplinary and intersectoral actions that are dependent on maternal involvement. We found partial development of these assumptions in practice, due to diffi culties such as lack of maternal involvement in the proposed actions, lack of time for discussion and adoption of measures in the units and disarticulation between levels and sectors of the city.

Conclusion:

a greater political and technical investment is needed to ensure the adoption of this model in different sectors and levels of care of the city.

Keywords:Children’s Health Family Health Strategy Nursing Surveillance
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EDITORIAL
As diversas faces da Integridade em Pesquisa: por uma Enfermagem íntegra!
Revista Brasileira de Enfermagem. 2015;68(3):375-377
06-01-2015

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Abstract
EDITORIAL
As diversas faces da Integridade em Pesquisa: por uma Enfermagem íntegra!
Revista Brasileira de Enfermagem. 2015;68(3):375-377
06-01-2015
DOI 10.1590/0034-7167.2015680301i
Emiko Yoshikawa Egry,
Dulce Aparecida Barbosa,
Ivone Evangelista Cabral
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Recentemente, tivemos oportunidade de participar da 4ª Conferência Mundial de Integridade em Pesquisa, no Rio de Janeiro. Para nós, pesquisadores, docentes, autores, pareceristas e editores científicos de periódicos de Enfermagem foi um evento divisor de águas: de ora em diante precisamos apertar o passo para alcançar as áreas que já têm as questões de Integridade […]
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EDITORIAL
The many sides of Research Integrity: For Integrity in Nursing!
Revista Brasileira de Enfermagem. 2015;68(3):375-377
06-01-2015

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Abstract
EDITORIAL
The many sides of Research Integrity: For Integrity in Nursing!
Revista Brasileira de Enfermagem. 2015;68(3):375-377
06-01-2015
DOI 10.1590/0034-7167.2015680301i
Emiko Yoshikawa Egry,
Dulce Aparecida Barbosa,
Ivone Evangelista Cabral
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We recently had the opportunity to participate in the 4th World Conference on Research Integrity in Rio de Janeiro. For us researchers, professors, authors, reviewers and scientific editors of nursing periodicals, the event was a watershed: From this point forward, we must step up our game and catch up with other areas that already discuss […]
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REFLECTION
Professional Master’s Degree: potential contribution to Advanced Practice Nursing
Revista Brasileira de Enfermagem. 2015;68(6):1186-1189
01-01-2015

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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.
Abstract
REFLECTION
Professional Master’s Degree: potential contribution to Advanced Practice Nursing
Revista Brasileira de Enfermagem. 2015;68(6):1186-1189
01-01-2015
DOI 10.1590/0034-7167.2015680626i
Carmen Gracinda Silvan Scochi,
Francine Lima Gelbcke,
Márcia de Assunção Ferreira,
Ângela Maria Alvarez
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ABSTRACT

A reflection articleabout the contribution of Master’s Degree Programs in Advanced Practice Nursing and the Universal Health Coverage and the Universal Health Access, topicsthat have been discussed by the Pan American Health Organization, and which the Brazilian Nursingrequires not just appropriate, but further studyto reflect in order to define directions for our profession.

Keywords:Graduate Education in Nursing Universal Coverage Vocational Training
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REVIEW
Concept of family insufficiency in the aged: critical literature analysis
Revista Brasileira de Enfermagem. 2015;68(6):1176-1185
01-01-2015

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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.
Abstract
REVIEW
Concept of family insufficiency in the aged: critical literature analysis
Revista Brasileira de Enfermagem. 2015;68(6):1176-1185
01-01-2015
DOI 10.1590/0034-7167.2015680625i
Alessandra de Souza,
Tamara dos Santos Pelegrini,
João Henrique de Morais Ribeiro,
Daniele Sirineu Pereira,
Maria Angélica Mendes
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ABSTRACT

Objective:

to identify the attributes of the “family insufficiency” concept of the aged in the literature.

Method:

critical literature analysis.

Results:

family insufficiency is characterized as a complex process of psychosocial interaction, founded mainly on low social support of the aged and impaired family ties. Its antecedents are found in contemporary transformations within the family system, intergenerational conflicts, impaired family relationships and social vulnerability of the family. The consequences of family insufficiency include social vulnerability of the aged, decline of psychological and functional health, lower quality of life and unsuccessful aging. An original theoretical proposal was elaborated for the concept of family insufficiency in the elderly, with the identification of its attributes, antecedents and consequences.

Conclusion:

the findings of this study constitute a theoretical advancement in the Family Insufficiency Syndrome in elderly people and provide data for future field research in developing the concept.

Keywords:Aged Concept Formation Family Relations
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RESEARCH
Low birth weight in a municipality in the southeast region of Brazil
Revista Brasileira de Enfermagem. 2015;68(6):1169-1175
01-01-2015

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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.
Abstract
RESEARCH
Low birth weight in a municipality in the southeast region of Brazil
Revista Brasileira de Enfermagem. 2015;68(6):1169-1175
01-01-2015
DOI 10.1590/0034-7167.2015680624i
Carolina Queiroz de Souza Mendes,
Bruna Cristina de Almeida Cacella,
Myriam Aparecida Mandetta,
Maria Magda Ferreira Gomes Balieiro
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ABSTRACT

Objective:

to identify the prevalence of low birth weight in the city of São Paulo.

Method:

epidemiological cross-sectional study with data collected by means of the Brazilian Live Birth Information System related to births occurred in the city of São Paulo between 2007 and 2013. Maternal, gestational, childbirth, and neonatal variables were analyzed descriptively and by association.

Results:

9.65% (1,342,655) of live births were underweight (mean of 3234.55 grams in the term group and 2312.17 in the pre-term group) with a mean maternal age of 27.53 years old. The risk factors identified include maternal age, not having a partner, low maternal level of education, other race rather than white, pre-term pregnancy, multiple births, low number of prenatal check-ups, and cesarean delivery.

Conclusion:

knowledge of this evidence favors planning the care provided by defining strategies to reduce it and consequently improve maternal and infant health care.

Keywords:Epidemiologic Factors Epidemiology Low Birth Weight Infant
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EXPERIENCE REPORT
Implementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
04-09-2020

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Abstract
EXPERIENCE REPORT
Implementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
04-09-2020
DOI 10.1590/0034-7167-2018-0421
Luciana Schleder Gonçalves ,
Maria Luiza de Medeiros Amaro ,
Andressa de Lima Miranda Romero ,
Fernanda Karoline Schamne ,
Jacson Luiz Fressatto ,
Carolina Wrobel Bezerra
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ABSTRACT

Objectives:

to present the nurses’ experience with technological tools to support the early identification of sepsis.

Methods:

experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.

Results:

describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.

Final Considerations:

technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.

Keywords:Artificial Intelligence Decision Making Guideline Adherence Nursing Informatics Sepsis
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ORIGINAL ARTICLE
Caring for the carer: quality of life and burden of female caregivers
Revista Brasileira de Enfermagem. 2019;72(3):728-736
06-27-2019

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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.
Abstract
ORIGINAL ARTICLE
Caring for the carer: quality of life and burden of female caregivers
Revista Brasileira de Enfermagem. 2019;72(3):728-736
06-27-2019
DOI 10.1590/0034-7167-2018-0334
Michelly Guedes de Oliveira Araújo ,
Michelinne Oliveira Machado Dutra ,
Carla Carolina Silva Leite Freitas ,
Tatiane Gomes Guedes ,
Francisco Stélio de Souza ,
Rosilene Santos Baptista
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ABSTRACT

Objective:

To assess the quality of life and the burden of female caregivers.

Method:

Descriptive, cross-sectional, quantitative study carried out with 224 informal caregivers from March to July 2016. Three instruments were used: a characterization form for the caregiver, the WHOQOL-Bref questionnaire and the Zarit Burden Interview. The following tests were used: Cronbach’s Alpha, Kolmogorov-Smirnov, Kruskal-Wallis, Spearman and Mann-Whitney.

Results:

The mean age of caregivers was 51.8 years with a standard deviation of 13.7. They were predominantly married, had a low income and low level of education, were first-degree relatives, had been providing care for one to five years and presented some pathology. The associations of quality of life that presented statistical significance were: income, marital status, number of people living with the caregiver and time of care.

Conclusion:

The burden was negatively correlated with QOL, that is, the greater the burden, the more impaired will be the life of these caregivers.

Keywords:Caregivers Family Nursing Quality of Life Women's Health
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REVIEW
Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135
03-24-2021

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Abstract
REVIEW
Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135
03-24-2021
DOI 10.1590/0034-7167-2020-0135
Juliana da Silva Garcia Nascimento ,
Tainá Vilhar Siqueira ,
Jordana Luiza Gouvêa de Oliveira ,
Mateus Goulart Alves ,
Daniela da Silva Garcia Regino ,
Maria Celia Barcellos Dalri
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ABSTRACT

Objectives:

to investigate the scientific evidence on the use of Bloom’s taxonomy for developing competence in nursing professionals and students in clinical simulation.

Methods:

integrative review of the National Library of Medicine (NLM), National Institutes of Health (NIH), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), Web of Science and SCOPUS databases, using the Rayyan application.

Results:

a total of 871 studies were identified; four composed the sample. The development of clinical competence occurred through the coordination of knowledge, skills, and attitudes. To develop the cognitive domain, the objectives of knowledge and comprehension of the Bloom’s taxonomy were mobilized. The psychomotor domain required development of the skills demanded by the proposed clinical care. The affective domain was developed through will and motivation to learn.

Conclusions:

it is possible to develop clinical competence in nursing by adopting Bloom’s taxonomy in each phase of clinical simulation.

Keywords:Classification Clinical Competence Education, Nursing Learning Simulation Training
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ORIGINAL ARTICLE
Package of menthol measures for thirst relief: a randomized clinical study
- Viviane Moreira Serato ,
- Lígia Fahl Fonseca ,
- Marcela Maria Birolim ,
- Edilaine Giovanini Rossetto ,
- Lílian Denise Mai ,
- Aline Korki Arrabal Garcia
Revista Brasileira de Enfermagem. 2019;72(3):600-608
06-27-2019

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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.
Abstract
ORIGINAL ARTICLE
Package of menthol measures for thirst relief: a randomized clinical study
Revista Brasileira de Enfermagem. 2019;72(3):600-608
06-27-2019
DOI 10.1590/0034-7167-2018-0057
Viviane Moreira Serato ,
Lígia Fahl Fonseca ,
Marcela Maria Birolim ,
Edilaine Giovanini Rossetto ,
Lílian Denise Mai ,
Aline Korki Arrabal Garcia
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ABSTRACT

Objective:

To evaluate the effectiveness of the menthol package (lip hydration and ice popsicles) compared to a package of non-menthol measures (lip hydration and ice popsicles) as a way to relieve thirst in patients in the Anesthetic Recovery Room.

Method:

Randomized and parallel trial study, with 120 patients randomized patients in an experimental group – menthol measurements (n=59) and control group – measures without menthol (n = 61).

Results:

There was a significant (p<0.05) decrease in intensity, hydration, dryness and taste in the oral cavity between the three moments of assessment/intervention in the two groups. The difference was significant in the experimental group for thirst intensity at the second assessment/intervention point (p<0.05) after a single administration of the menthol package.

Conclusion:

There was a reduction in thirst intensity in both groups. Patients who received menthol packages showed a significant decrease in intensity after a single evaluation/intervention time. NCT: 02869139.

Keywords:Ice Low Temperature Menthol Perioperative Nursing Thirst
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EDITORIAL
Coronavirus 2020
- Angélica Gonçalves Silva Belasco ,
- Cassiane Dezoti da Fonseca
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
03-27-2020

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Abstract
EDITORIAL
Coronavirus 2020
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
03-27-2020
DOI 10.1590/0034-7167-2020730201
Angélica Gonçalves Silva Belasco ,
Cassiane Dezoti da Fonseca
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Emerging and reemerging infectious diseases are constant challenges for public health worldwide. Recent cases of pneumonia of unknown cause in Wuhan, China, have led to the discovery of a new type of Coronavirus (2019-nCoV), which are enveloped RNA viruses, commonly found in humans, other mammals and birds, capable of causing respiratory, enteric, hepatic, and neurological […]
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ORIGINAL ARTICLE
Pressure injury related to the use of personal protective equipment in COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200670
12-04-2020

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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.
Abstract
ORIGINAL ARTICLE
Pressure injury related to the use of personal protective equipment in COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200670
12-04-2020
DOI 10.1590/0034-7167-2020-0670
Manuela de Mendonça Figueirêdo Coelho ,
Viviane Mamede Vasconcelos Cavalcante ,
Juliano Teixeira Moraes ,
Luciana Catunda Gomes de Menezes ,
Sarah Vieira Figueirêdo ,
Mírian Ferreira Coelho Castelo Branco ,
Solange Gurgel Alexandre
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ABSTRACT

Objective:

To describe the prevalence and factors associated with pressure injuries related to the use of personal protective equipment during the COVID-19 pandemic.

Methods:

Cross-sectional study conducted using an instrument made available in social networks with 1,106 health professionals. The data were analyzed using descriptive statistics and compared, considering pvalue < 0.05.

Results:

There was a prevalence of 69.4% for pressure injuries related to the use of personal protective equipment, with an average of 2.4 injuries per professional. The significant factors were: under 35 years of age, working and wearing personal protective equipment for more than six hours a day, in hospital units, and without the use of inputs for protection.

Conclusion:

Pressure injuries related to the use of medical devices showed a high prevalence in this population. The recognition of the damage in these professionals makes it possible to advance in prevention strategies.

Keywords:Coronavirus Healthcare Personnel Pandemics Personal Protective Equipment Pressure Ulcer/Injury
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ORIGINAL ARTICLE
Accessibility of children with special health needs to the health care network
Revista Brasileira de Enfermagem. 2019;72:65-71
12-13-2019

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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.
Abstract
ORIGINAL ARTICLE
Accessibility of children with special health needs to the health care network
Revista Brasileira de Enfermagem. 2019;72:65-71
12-13-2019
DOI 10.1590/0034-7167-2017-0899
Eliane Tatsch Neves ,
Aline Cristiane Cavicchioli Okido ,
Fernanda Luisa Buboltz ,
Raíssa Passos dos Santos ,
Regina Aparecida Garcia de Lima
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ABSTRACT

Objective:

To know how children with special health needs access the health care network.

Method:

This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis.

Results:

Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care.

Conclusion:

The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

Keywords:Acesso aos Serviços de Saúde Criança Cuidadores Doença Crônica Enfermagem Pediátrica
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REVIEW
Vulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
12-05-2019

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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.
Abstract
REVIEW
Vulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
12-05-2019
DOI 10.1590/0034-7167-2018-0728
Keylla Talitha Fernandes Barbosa ,
Fabiana Maria Rodrigues Lopes de Oliveira ,
Maria das Graças Melo Fernandes
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ABSTRACT

Objective:

To analyze the concept of vulnerability of the elderly.

Method:

A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the

Descriptors:

Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.

Results:

Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.

Conclusion:

The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.

Keywords:Aged Concept Formation Health Vulnerability Nursing Social Vulnerability
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ISSUE

From real to ideal – the health (un)care of long-lived elders

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Rescuing the pleasure of playing of child with cancer in a hospital setting

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Child Health Surveillance: nurses perspective

ABSTRACT

Objective:

Method:

Results:

Conclusion:

As diversas faces da Integridade em Pesquisa: por uma Enfermagem íntegra!

The many sides of Research Integrity: For Integrity in Nursing!

Professional Master’s Degree: potential contribution to Advanced Practice Nursing

ABSTRACT

Concept of family insufficiency in the aged: critical literature analysis

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Low birth weight in a municipality in the southeast region of Brazil

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Implementation of an Artificial Intelligence Algorithm for sepsis detection

ABSTRACT

Objectives:

Methods:

Results:

Final Considerations:

Caring for the carer: quality of life and burden of female caregivers

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Package of menthol measures for thirst relief: a randomized clinical study

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Coronavirus 2020

Pressure injury related to the use of personal protective equipment in COVID-19 pandemic

ABSTRACT

Objective:

Methods:

Results:

Conclusion:

Accessibility of children with special health needs to the health care network

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Vulnerability of the elderly: a conceptual analysis

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