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ORIGINAL ARTICLE12-08-2024
Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
Revista Brasileira de Enfermagem. 2024;77(1):e20220773
Abstract
ORIGINAL ARTICLEInitial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
Revista Brasileira de Enfermagem. 2024;77(1):e20220773
DOI 10.1590/0034-7167-2022-0773
Views0See moreABSTRACT
Objective:
to analyze the initial nipple damage degree by breastfeeding practice and to associate findings with clinical manifestations of breastfeeding women.
Methods:
a retrospective, cross-sectional study with primary data and photographic images database from two randomized clinical trials. Photographic images were analyzed by two independent evaluators using the Nipple Trauma Score. For analysis, the chi-square, Mann-Whitney tests and Kappa coefficient were applied.
Results:
115 breastfeeding women and their respective 186 photographic images were analyzed. The degree of agreement of evaluators using the Nipple Trauma Score was 93.6%. The nipple pain score during breastfeeding was moderate and compromised more than 25% of the nipple surface area.
Conclusions:
assistance to breastfeeding women should prioritize nipple pain intensity instead of the nipple damage size.
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ORIGINAL ARTICLE12-08-2024
Safe practices for bed bathing in the intensive care unit: validation of a checklist
- Juliana Cristina Silva
, - Márcia Marques dos Santos Felix ,
- Rosa Helena Aparecida Gonçalves ,
- Isadora Braga Calegari ,
- Maria Beatriz Guimarães Raponi , [ … ],
- Maria Helena Barbosa
Abstract
ORIGINAL ARTICLESafe practices for bed bathing in the intensive care unit: validation of a checklist
Revista Brasileira de Enfermagem. 2024;77(1):e20230135
DOI 10.1590/0034-7167-2023-0135
- Juliana Cristina Silva ,
- Márcia Marques dos Santos Felix ,
- Rosa Helena Aparecida Gonçalves ,
- Isadora Braga Calegari ,
- Maria Beatriz Guimarães Raponi ,
- Maria Helena Barbosa
Views0See moreABSTRACT
Objective:
To validate a checklist for safe bathing in critically ill patients.
Methods:
This is a methodological and quantitative study. Researchers developed a checklist for safe bathing in critically ill patients consisting of 41 items, which were submitted to the apparent and content validation process, evaluated by eleven judges, and interobserver reliability. For reliability analysis, the instrument was applied in 54 bed bath procedures in the ICU; Kappa and CHF tests were used.
Results:
In the apparent and content validation, adjustments were made according to the judges’ suggestions. Kappa values ranged from moderate to almost perfect (0.462 to 0.962), and, in some items, there was 100% agreement; the reliability of the instrument was excellent (ICC = 0.962).
Conclusion:
The instrument proved to be dependable and easy to apply. Its use will contribute to safe bed bathing and subsidize interventions aimed at increasing the quality of care.
- Juliana Cristina Silva
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REVIEW11-29-2024
Assessment of knowledge in oncology about care for transgender people: a scoping review
- Fernanda Fachetti Xavier de Almeida ,
- Cremilson de Paula Silva ,
- Ricardo Souza Evangelista Sant’Ana ,
- Ruan Nilton Rodrigues Melo
Abstract
REVIEWAssessment of knowledge in oncology about care for transgender people: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20230532
DOI 10.1590/0034-7167-2023-0532
- Fernanda Fachetti Xavier de Almeida ,
- Cremilson de Paula Silva ,
- Ricardo Souza Evangelista Sant’Ana ,
- Ruan Nilton Rodrigues Melo
Views0See moreABSTRACT
Objective:
to identify evidence available in the literature on instruments and methodologies used to assess healthcare professionals’ knowledge about cancer care for the transgender population.
Methods:
a scoping review was conducted in seven databases, including studies that answered the question: what is the healthcare professionals’ level of knowledge about cancer care for the transgender population?
Results:
forty-one articles were selected that dealt specifically with healthcare professionals’knowledge in relation to care for the LGBTQIAPN+ population, especially the transgender population. Eighteen studies assessed patients’ perceptions of professionals’knowledge, whereas other studies used their own assessment tools, considering the global context of LGBTQIAPN+ health.
Conclusions:
there is no tested and validated instrument that assesses the knowledge about the transgender population’s oncological health, highlighting the need to construct and validate an instrument focused on this population’s needs.
- Fernanda Fachetti Xavier de Almeida
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ORIGINAL ARTICLE11-29-2024
Sleep quality of vulnerable elderly people: associated factors
- Ariene Angelini dos Santos-Orlandi ,
- Ana Carolina Ottaviani ,
- Elén dos Santos Alves ,
- Tábatta Renata Pereira de Brito ,
- Keika Inouye
Abstract
ORIGINAL ARTICLESleep quality of vulnerable elderly people: associated factors
Revista Brasileira de Enfermagem. 2024;77:e20230283
DOI 10.1590/0034-7167-2023-0283
- Ariene Angelini dos Santos-Orlandi ,
- Ana Carolina Ottaviani ,
- Elén dos Santos Alves ,
- Tábatta Renata Pereira de Brito ,
- Keika Inouye
Views0See moreABSTRACT
Objective:
To identify factors associated with poor sleep quality in elderly dependent individuals in social vulnerability.
Method:
Cross-sectional study with 59 elderly dependent individuals assisted by Family Health Units in São Carlos/SP. The following tools were used: Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, Addenbrooke’s Cognitive Examination Revised, Fried’s Frailty Phenotype, Geriatric Depression Scale (15 items), Perceived Stress Scale, Family APGAR, Social Support Scale from the Medical Outcomes Study, and World Health Organization Quality of Life, abbreviated and “old” versions.
Results:
The majority of participants were women (52.5%), aged 60-74 years (71.1%), and had poor sleep quality (76.2%). Stress (OR=1.12; 95%CI=1.02-1.22) and polypharmacy (OR=7.39; 95%CI=1.22-44.73) increased the chances of poor sleep quality, while physical activity decreased these chances (OR=0.15; 95%CI=0.02-0.79).
Conclusion:
Stress and polypharmacy are associated with poor sleep quality in elderly dependent individuals.
- Ariene Angelini dos Santos-Orlandi
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REVIEW11-22-2024
Transition to family parenting in the face of the first child: a scoping review
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Abstract
REVIEWTransition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
DOI 10.1590/0034-7167-2023-0487
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Views1See moreABSTRACT
Objectives:
to identify and summarize the elements that characterize the family transition process in relation to the first child.
Methods:
a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.
Final Considerations:
elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.
- Maria Isabel Ventura Araújo
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11-22-2024
Social Technology in the Prevention of Adolescent Violence: documentary production
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Abstract
Social Technology in the Prevention of Adolescent Violence: documentary production
Revista Brasileira de Enfermagem. 2024;77(5):e20230298
DOI 10.1590/0034-7167-2023-0298
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Views0See moreABSTRACT
Objective:
To report the development of a technological innovation in the form of a documentary, aimed at disseminating actions for preventing violence against adolescents within the context of Primary Health Care.
Methods:
The documentary was developed through action research and interventions with adolescents in the territory of a Health Unit, conducted between 2020 and 2022, using Social Technology as both an action strategy and a conceptual reference.
Results:
The Social Technology proposal, created through workshops and seminars, resulted in a documentary focusing on violence prevention, involving 48 adolescents. The documentary’s script, collectively developed, portrays a soccer match between teams symbolizing peace and violence, with peace ultimately prevailing. The documentary is six minutes long.
Final Considerations:
The documentary has proven to be an effective Social Technology tool among adolescents, as it fosters critical thinking, is accessible, has potential for digital dissemination, and appeals to the target audience.
- Daiane de Paulo Paltanin Silva
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ORIGINAL ARTICLE11-22-2024
Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Abstract
ORIGINAL ARTICLEPrevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
Revista Brasileira de Enfermagem. 2024;77(5):e20230327
DOI 10.1590/0034-7167-2023-0327
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Views0See moreABSTRACT
Objectives:
to assess pain management during labor.
Methods:
a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.
Results:
the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).
Conclusions:
non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.
- Juan Ignacio Calcagno
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ORIGINAL ARTICLE11-22-2024
Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Abstract
ORIGINAL ARTICLEPerceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20240005
DOI 10.1590/0034-7167-2024-0005
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Views0ABSTRACT
Objectives:
to analyze the experiences of people with acquired physical disabilities regarding accessibility and social conditions; to identify nurse-led rehabilitation interventions for accessibility and social conditions; to determine nursing-sensitive indicators to improve accessibility and social conditions.
Methods:
a descriptive-exploratory qualitative study employed semi-structured interviews with people with acquired physical disabilities through purposive snowball sampling to address all objectives. Data analysis followed Bardin’s content analysis principles. Furthermore, objectives 2 and 3 were achieved through a reflective theoretical approach.
Results:
the 27 participants reported accessibility challenges, impacting activities of living and social conditions. This influences rehabilitation nursing, leading to three intervention fields: Assess the ability to perform activities of living and influencing factors; Develop and implement training to perform activities of living; Promote mobility, accessibility, and social participation.
Final Considerations:
based on participants experiences, we identified nurse-led rehabilitation interventions to promote accessibility and social conditions.
Keywords:Architectural AccessibilityPeople with DisabilitiesRehabilitation NursingSocial ConditionsSustainable Development GoalsSee more
- Rute Salomé da Silva Pereira
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ORIGINAL ARTICLE08-06-2021
Hope in a depression therapeutic group: a qualitative case study
Revista Brasileira de Enfermagem. 2021;74(4):e20201309
Abstract
ORIGINAL ARTICLEHope in a depression therapeutic group: a qualitative case study
Revista Brasileira de Enfermagem. 2021;74(4):e20201309
DOI 10.1590/0034-7167-2020-1309
Views1See moreABSTRACT
Objective:
to understand the perceptions of hope for people with depression in the context of a therapy group.
Methods:
using a qualitative case study approach, a semi-structured in-depth interview and a self-report questionnaire were conducted with seven women with depression integrated in a therapy group at a Portuguese day-care psychiatric unit. Data collection and analysis used triangulation of sources.
Results:
the participants evidenced hope founded on the positive experiences of the past with a strong affiliation component. Hope management is done fundamentally through the interpersonal relationships established between the members of the group, based on communicational patterns that are established on a regular basis, mediated by the group therapist.
Conclusion:
the therapy group functioned towards the reinforcement of hope in people who experience depression, and it works as a motivation to manage the implications of illness in the participants’ life and health project.
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REVIEW08-16-2021
Fatigue due to compassion in health professionals and coping strategies: a scoping review
- Vivian Jilou ,
- Joyce Mara Gabriel Duarte ,
- Rosa Helena Aparecida Gonçalves ,
- Edson Elias Vieira ,
- Ana Lúcia de Assis Simões
Abstract
REVIEWFatigue due to compassion in health professionals and coping strategies: a scoping review
Revista Brasileira de Enfermagem. 2021;74(5):e20190628
DOI 10.1590/0034-7167-2019-0628
- Vivian Jilou ,
- Joyce Mara Gabriel Duarte ,
- Rosa Helena Aparecida Gonçalves ,
- Edson Elias Vieira ,
- Ana Lúcia de Assis Simões
Views0See moreABSTRACT
Objectives:
to identify the current state of knowledge on compassion fatigue in the work context of healthcare professionals; and how coping strategies are established in this scenario.
Method:
a scoping review with search applied to the databases: MEDLINE, LILACS, CINAHL, Scopus. Temporal limit: 2009 to 2019. The data was analyzed and synthesized in narrative form
Results:
thirty articles were selected, synthesized into two categories: a) Health work and compassion fatigue: conceptual analysis, context, and manifestations; b) Coping strategies for compassion fatigue.
Conclusions:
this study presented: a descriptive and general panorama about compassion fatigue in healthcare professionals, identifying a greater consolidation of the concept between 2015 and 2018; and some coping strategies. The association between health and spirituality is highlighted as one of the strategies in this scenario, enabling new research to be conducted in view of the importance of the theme in life, health work.
- Vivian Jilou
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ORIGINAL ARTICLE07-23-2021
Disabilities in leprosy: construction and validation of instrument on knowledge and attitude of professionals
- Emanuelle Malzac Freire de Santana ,
- Karen Krystien Gonçalves de Brito ,
- Smalyanna Sgren da Costa Andrade ,
- Ester Missas Villaverde Antas ,
- Matheus de Medeiros Nóbrega , [ … ],
- Simone Helena dos Santos Oliveira
Abstract
ORIGINAL ARTICLEDisabilities in leprosy: construction and validation of instrument on knowledge and attitude of professionals
Revista Brasileira de Enfermagem. 2021;74(5):e20200862
DOI 10.1590/0034-7167-2020-0862
- Emanuelle Malzac Freire de Santana ,
- Karen Krystien Gonçalves de Brito ,
- Smalyanna Sgren da Costa Andrade ,
- Ester Missas Villaverde Antas ,
- Matheus de Medeiros Nóbrega ,
- Maria Júlia Guimarães Oliveira Soares ,
- Simone Helena dos Santos Oliveira
Views0See moreABSTRACT
Objective:
To develop and test the content validity of the “Knowledge and Attitudes on Assessing Degrees of Physical Disability in Leprosy” instrument.
Methods:
Methodological study carried out between January and May 2019 in three stages: item generation, analysis of aggregated redundancy to the composition, and content validation, using the Delphi technique.
Results:
In the first evaluation, a relevance of ≥ 0.80 stood out for all items, except for 2.8, which was excluded. To make the instrument clearer, the sequence was renumbered from one to 32; 2.6, 3.1, and 15 were reformulated, and the others underwent modifications, except for ten and 13. After the second evaluation, all items obtained Content Validity Index > 0.90 and Kappa = 1.00.
Conclusion:
The instrument has an excellent content validity; it is inferred that it is adequate to measure the knowledge and attitudes of professionals in the assessment of physical disabilities in leprosy.
- Emanuelle Malzac Freire de Santana
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ORIGINAL ARTICLE08-30-2021
Mental health in adolescence: Elaboration and validation of an educational technology for health promotion
- Sibele Pontes Rocha ,
- Quiteria Larissa Teodoro Farias ,
- Maristela Inês Osawa Vasconcelos ,
- Stella Maris Brum Lopes ,
- Igor Iuco Castro-Silva , [ … ],
- Iane Ximenes Teixeira
Abstract
ORIGINAL ARTICLEMental health in adolescence: Elaboration and validation of an educational technology for health promotion
Revista Brasileira de Enfermagem. 2021;74(5):e20201023
DOI 10.1590/0034-7167-2020-1023
- Sibele Pontes Rocha ,
- Quiteria Larissa Teodoro Farias ,
- Maristela Inês Osawa Vasconcelos ,
- Stella Maris Brum Lopes ,
- Igor Iuco Castro-Silva ,
- Karla Kristine Dames da Silva ,
- Iane Ximenes Teixeira
Views1See moreABSTRACT
Objective:
to build and validate the appearance of a digital educational technology to promote the mental health of school adolescents.
Methods:
methodological study, which included the elaboration and validation of the “Conect@dos com a S@ude” online course based on the Galvis-Panqueva methodological framework. The elaboration was based on a literature review and followed the Theory of Meaningful Learning. The validation was performed by a total of 21 adolescent students, using an instrument adapted for the study. A quantitative analysis was performed from the Content Validity Index and descriptive of the suggestions pointed out by the target audience.
Results:
the analysis of the Content Validity index ranged from 0.8 to 1 in all evaluated items. The adolescents presented some suggestions for improvement for the course, most of them were accepted.
Conclusion:
the course was validated by the target audience.
- Sibele Pontes Rocha
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ORIGINAL ARTICLE08-30-2021
Family functionality and burden of family caregivers of users with mental disorders
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva , [ … ],
- Ana Márcia Tenório Souza Cavalcanti
Abstract
ORIGINAL ARTICLEFamily functionality and burden of family caregivers of users with mental disorders
Revista Brasileira de Enfermagem. 2021;74(5):e20201061
DOI 10.1590/0034-7167-2020-1061
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva ,
- Ana Márcia Tenório Souza Cavalcanti
Views0See moreABSTRACT
Objective:
to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders.
Methods:
cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted.
Results:
women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden.
Conclusions:
nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.
- Jaciquely José da Costa Andrade
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ORIGINAL ARTICLE07-23-2021
The role of grandparents of children with cancer in the hospital
Revista Brasileira de Enfermagem. 2021;74(5):e20201143
Abstract
ORIGINAL ARTICLEThe role of grandparents of children with cancer in the hospital
Revista Brasileira de Enfermagem. 2021;74(5):e20201143
DOI 10.1590/0034-7167-2020-1143
Views0See moreABSTRACT
Objective:
To understand the role of grandparents of hospitalized children with cancer.
Methods:
In a qualitative study, we interviewed eleven grandparents of children with cancer hospitalized at a referral center for pediatric oncology in São Paulo. The data were analyzed using the Hybrid Framework of Thematic Analysis.
Results:
Six themes were found to describe the role of grandparents in this context: Being the family’s support, Sharing love to my child and my grandchild, Being there for my child and my grandchild, Offering spiritual support to my child and my grandchild, Making an effort to be able to manage my own feelings and Balancing the demands of hospitalization with available resources.
Final considerations:
The findings show the significance of the grandparents’ role in this experience and emphasize the value of being considered, by health professionals, as part of the family and care.
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ORIGINAL ARTICLE07-30-2021
Perspective of nursing students about active learning and insertion in the job market
Revista Brasileira de Enfermagem. 2021;74(6):e20190168
Abstract
ORIGINAL ARTICLEPerspective of nursing students about active learning and insertion in the job market
Revista Brasileira de Enfermagem. 2021;74(6):e20190168
DOI 10.1590/0034-7167-2019-0168
Views0See moreABSTRACT
Objective:
to understand the perception of alumni from a nursing course which uses active learning methods about their insertion in the job market.
Methods:
descriptive and exploratory study with a qualitative approach, carried out through 17 interviews with alumni from 2012 and 2014. The analysis took place using Dialectic Hermeneutics, as subsidized by the theoretical framework of the Theory of Complexity.
Results:
the statements of the alumni showed aspects related to safety to act in the job market, to stimulating proactivity and initiative for learning as proposed by the active method, to difficulties in teamwork, and to the lack of experience in certain specialized fields.
Final Considerations:
there are advances and challenges marked by contradictions in the way the alumni act and think as they enter the job market, which is an inherent condition to processes of change, from the perspective of complex thinking.
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ORIGINAL ARTICLE08-20-2021
Resilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors
- Jaqueline Scalabrin da Silva ,
- Otavio Fereira Moraes ,
- Luiza Dressler Sabin ,
- Franciele Ormizinda Almeida ,
- Tânia Solange Bosi de Souza Magnago
Abstract
ORIGINAL ARTICLEResilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors
Revista Brasileira de Enfermagem. 2021;74(6):e20190388
DOI 10.1590/0034-7167-2019-0388
- Jaqueline Scalabrin da Silva ,
- Otavio Fereira Moraes ,
- Luiza Dressler Sabin ,
- Franciele Ormizinda Almeida ,
- Tânia Solange Bosi de Souza Magnago
Views0See moreABSTRACT
Objectives:
analyze the level of resilience of family caregivers of children and adolescents hospitalized for cancer treatment and associated factors.
Methods:
cross-sectional study, carried out in 2018, with 62 family caregivers in a university hospital in the state of Rio Grande do Sul, Brazil. The instruments CDRisc-10-Br, SRQ20, PSS-14 and WHOQOL-Bref were used to measure resilience, minor psychological disorders, stress, and quality of life, respectively. Inferential statistics were used.
Results:
female caregivers, married, with one child and who practice some predominated religion. They were classified as having a moderate level of resilience (48.4%); with suspicion for minor psychological disorders (45%) and high level of stress (41%). In terms of quality of life, they were satisfied in the Physical, Psychological and Social Relations domains; and dissatisfied in the Environment domain.
Conclusions:
there were direct weak to moderate correlations between the level of resilience and quality of life and inversely with stress and minor psychological disorders.
- Jaqueline Scalabrin da Silva
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REVIEW09-06-2022
Religiosity and mental health as aspects of comprehensiveness in care
- Dalila de Alcântara Martins ,
- Prisca Dara Lunieres Pêgas Coêlho ,
- Sandra Greice Becker ,
- Alaidistania Aparecida Ferreira ,
- Maria Luiza Carvalho de Oliveira , [ … ],
- Leslie Bezerra Monteiro
Abstract
REVIEWReligiosity and mental health as aspects of comprehensiveness in care
Revista Brasileira de Enfermagem. 2022;75(1):e20201011
DOI 10.1590/0034-7167-2020-1011
- Dalila de Alcântara Martins ,
- Prisca Dara Lunieres Pêgas Coêlho ,
- Sandra Greice Becker ,
- Alaidistania Aparecida Ferreira ,
- Maria Luiza Carvalho de Oliveira ,
- Leslie Bezerra Monteiro
Views0See moreABSTRACT
Objective:
to understand how religiosity can influence the health of individuals diagnosed with mental disorders, based on comprehensive care.
Methods:
this is an integrative literature review, with the inclusion of articles in Portuguese, English and Spanish, between 2010 and 2018.
Results:
the critical analysis and qualitative synthesis of the 24 selected studies were categorized into two subtopics: The influence of religiosity in promoting comprehensive mental health care; Mental health versus religiosity: influencing conditions for effective access to comprehensive care.
Final considerations:
a positive influence of religiosity was identified in the lives of individuals diagnosed with mental disorders; however, evidence shows that health teams do not feel comfortable and prepared to work with religiosity as an expression of spirituality. This being one of the dimensional aspects of health, it can be inferred, on the results, the existence of this gap in the comprehensive care approach.
- Dalila de Alcântara Martins
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ORIGINAL ARTICLE06-09-2021
Professional practice in caring for maternal grief in the face of stillbirth in two countries
Revista Brasileira de Enfermagem. 2021;74(3):e20200253
Abstract
ORIGINAL ARTICLEProfessional practice in caring for maternal grief in the face of stillbirth in two countries
Revista Brasileira de Enfermagem. 2021;74(3):e20200253
DOI 10.1590/0034-7167-2020-0253
Views0See moreABSTRACT
Objective:
to understand professional care for maternal grief in the puerperium of stillbirth.
Methods:
a clinical-qualitative study with all the women who had stillbirths living in Maringá (Brazil) and participating in the Center d’Études et de Recherche in Family Intervention at the University of Quebec in Outaouais in Gatineau (Canada). Semi-structured interviews were carried out and the relevant aspects were categorized into themes.
Results:
the identified categories were: Assistance received in the puerperium with a focus on grief: hospital and outpatient environment, and Professional support in coping with maternal grief after fetal loss: with contact and memories, without contact and without memories and impossibilities of contact with the baby.
Final
considerations: the need for a multidisciplinary support and monitoring network for women who experienced fetal loss was evident. From this study, a routine of care for grief can be implemented in Brazil based on experiences in Canada.
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ORIGINAL ARTICLE05-03-2021
Implementation of a surgical safety checklist in Brazil: cross-sectional study
- Vanessa de Brito Poveda ,
- Cassiane de Santana Lemos ,
- Simone Garcia Lopes ,
- Márcia Cristina de Oliveira Pereira ,
- Rachel de Carvalho
Abstract
ORIGINAL ARTICLEImplementation of a surgical safety checklist in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(2):e20190874
DOI 10.1590/0034-7167-2019-0874
- Vanessa de Brito Poveda ,
- Cassiane de Santana Lemos ,
- Simone Garcia Lopes ,
- Márcia Cristina de Oliveira Pereira ,
- Rachel de Carvalho
Views0See moreABSTRACT
Objective:
to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals.
Methods:
this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017.
Results:
among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery.
Conclusion:
this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.
- Vanessa de Brito Poveda
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ORIGINAL ARTICLE06-18-2021
Standard drug consumption: a study with elderly people in Primary Health Care
- Josefa Muriele da Silva Marinho ,
- Karyne Beatriz Almeida de Medeiros ,
- Romário Nóbrega Santos Fonseca ,
- Thiego Santos de Araujo ,
- Wanessa Cristina Tomaz dos Santos Barros , [ … ],
- Luciane Paula Batista Araújo de Oliveira
Abstract
ORIGINAL ARTICLEStandard drug consumption: a study with elderly people in Primary Health Care
Revista Brasileira de Enfermagem. 2021;74(3):e20200729
DOI 10.1590/0034-7167-2020-0729
- Josefa Muriele da Silva Marinho ,
- Karyne Beatriz Almeida de Medeiros ,
- Romário Nóbrega Santos Fonseca ,
- Thiego Santos de Araujo ,
- Wanessa Cristina Tomaz dos Santos Barros ,
- Luciane Paula Batista Araújo de Oliveira
Views0See moreABSTRACT
Objective:
To identify the pattern of medication consumption among the elderly assisted in Primary Health Care.
Methods:
Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte.
Results:
The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free.
Conclusion:
The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.
- Josefa Muriele da Silva Marinho
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ORIGINAL ARTICLE04-15-2022
Analysis of the temporal trend of mortality from sickle cell anemia in Brazil
- Felipe Machado Mota ,
- Marcos Antonio Ferreira Júnior ,
- Andréia Insabralde de Queiroz Cardoso ,
- Carolina Mariana Pompeo ,
- Oleci Pereira Frota , [ … ],
- Albert Schiaveto de Souza
Abstract
ORIGINAL ARTICLEAnalysis of the temporal trend of mortality from sickle cell anemia in Brazil
Revista Brasileira de Enfermagem. 2022;75(4):e20210640
DOI 10.1590/0034-7167-2021-0640
- Felipe Machado Mota ,
- Marcos Antonio Ferreira Júnior ,
- Andréia Insabralde de Queiroz Cardoso ,
- Carolina Mariana Pompeo ,
- Oleci Pereira Frota ,
- Daniel Henrique Tsuha ,
- Albert Schiaveto de Souza
Views0See moreABSTRACT
Objectives:
To analyze the temporal trend of mortality from sickle cell anemia in Brazil, by region, in the period 1997-2017.
Methods:
epidemiological study, with an ecological design, with a temporal trend, carried out with data from the Mortality Information System. For descriptive analysis, absolute and relative frequencies were used. In the correlation analysis, the ANOVA test was used, followed by Tukey’s post-test. The temporal trend was obtained using the cubic polynomial regression test.
Results:
6,813 deaths from sickle cell anemia were registered. Brown individuals (50.87%) were more frequent, with a predominance of males (50.4%), aged between 25 and 34 years and a higher incidence of deaths in the Midwest (0.25/100 thousand inhabitants). The time curve showed an increasing trend of deaths in the country between 1997 and 2015 (R2 = 0.98).
Conclusions:
sickle cell anemia showed increasing mortality in the 21 years analyzed and alerts health professionals and managers.
- Felipe Machado Mota
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TECHNOLOGICAL INNOVATION06-04-2021
Integrated Care model: Transition from acute to chronic care
Revista Brasileira de Enfermagem. 2021;74:e20200910
Abstract
TECHNOLOGICAL INNOVATIONIntegrated Care model: Transition from acute to chronic care
Revista Brasileira de Enfermagem. 2021;74:e20200910
DOI 10.1590/0034-7167-2020-0910
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Objective:
Description and discussion dimensions of Integrated Care Model.
Methods:
A descriptive study is done that describe a technological innovation, intervention strategies for professional performance.
Results:
Integrated Care Model (ICM) has two main categories include individual and Group-and disease-specific Model. First, is used for risky patients or with comorbidities. In second category; Chronic Care Model (CCM) is common form of Integrated Care Model to improve resultants in the patients with chronic condition, to move from acute care to integrate, regular, long-lasting, preventative and community-based nursing.
Final considerations:
It is important to consider patient as an active member of the treatment team. It seems to be essential to monitor performance of care system. On the other hand, offer multidisciplinary care leads to present desirable care, tailored to the specific needs of patients regarding safety, patient-centered care and their culture.
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ORIGINAL ARTICLE09-06-2022
Evaluation of the health level of the elderly: patient care team considerations
- Maria Clara Duarte Monteiro ,
- Maria Manuela Ferreira Pereira da Silva Martins ,
- Soraia Dornelles Schoeller
Abstract
ORIGINAL ARTICLEEvaluation of the health level of the elderly: patient care team considerations
Revista Brasileira de Enfermagem. 2022;75(1):e20201277
DOI 10.1590/0034-7167-2020-1277
- Maria Clara Duarte Monteiro ,
- Maria Manuela Ferreira Pereira da Silva Martins ,
- Soraia Dornelles Schoeller
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Objective:
To understand the differences of physicians, nurses, and social workers in the evaluation of the health status of the elderly.
Methods:
A cross-sectional quantitative study, using descriptive statistics. Non-probabilistic sample, consisting of 291 participants from three professional categories: 71 (24.4%) physicians, 192 (66%) nurses, and 28 (9.6%) social workers. We used a questionnaire including the variables: sociodemographic characteristics and instruments used for evaluation.
Results:
Instruments with greater utility for the evaluation of the elderly: for physicians, Mini Mental State Examination; for nurses, Braden scale; and for social workers, genogram. In the physical examination, the data most collected by physicians and nurses are the vital signs; and by social workers, the condition for performing the Activities of Daily Living.
Conclusions:
The evaluation of the elderly is based on a diversity of instruments and is an area in which health and social professionals need to share information.
- Maria Clara Duarte Monteiro
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EXPERIENCE REPORT09-01-2021
Process modeling: technological innovation to control the risk for perioperative positioning injury
- Ana Luzia Rodrigues ,
- Fernanda Broering Gomes Torres ,
- Eduardo Alves Portela Santos ,
- Marcia Regina Cubas
Abstract
EXPERIENCE REPORTProcess modeling: technological innovation to control the risk for perioperative positioning injury
Revista Brasileira de Enfermagem. 2021;74:e20200145
DOI 10.1590/0034-7167-2020-0145
- Ana Luzia Rodrigues ,
- Fernanda Broering Gomes Torres ,
- Eduardo Alves Portela Santos ,
- Marcia Regina Cubas
Views0See moreABSTRACT
Objectives:
to report the construction of a process model to support the decision making of operating room nurses to control the risk for perioperative positioning injury.
Methods:
experience report on a process model that helps nurses with decision making regarding clients at risk for perioperative positioning injury. By following the steps, it was possible to identify intrinsic and extrinsic variables of the literature and of the workflows of teams involved in the positioning of the client for surgery. The Business Process Model and Notation, the Bizagi Modeler software and terms from the International Classification for Nursing Practice were used in the model.
Results:
the experience allowed the observation of the knowledge integration between different areas, which enabled the process modeling and its validation.
Conclusions:
process modeling is an innovative option for the development of support systems for clinical nursing decisions.
- Ana Luzia Rodrigues
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