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01-01-2018
Costos de exámenes en un laboratorio clínico hospitalario de Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
Abstract
Costos de exámenes en un laboratorio clínico hospitalario de Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
DOI 10.1590/0034-7167-2016-0688
Views0See moreRESUMEN
Objetivo:
determinar los costos medios totales asociados a la realización de exámenes de laboratorio en un laboratorio clínico hospitalario de Chile.
Método:
estudio retrospectivo con información del período julio 2104 a junio 2015. Se seleccionaron 92 exámenes clasificados en diez grupos según la metodología de análisis. Los costos se estimaron como la suma de costos directos e indirectos de laboratorio y factores indirectos institucionales.
Resultados:
se obtuvieron los valores promedio para los costos según grupo de exámenes (en dólares): 1,79 (química clínica), 10,21 (técnicas de inmunoensayos), 13,27 (coagulación), 26,06 (cromatografía líquida de alta resolución), 21,2 (inmunológicos), 3,85 (gases y electrolitos), 156,48 (citogenéticos), 1,38 (orina), 4,02 (hematológicos automatizados), 4,93 (hematológicos manuales).
Conclusión:
el valor que retorna a las instituciones públicas, o arancel por servicio, que prestan servicios de laboratorio no refleja adecuadamente los verdaderos costos medios totales de producción de exámenes.
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01-01-2018
Costs of examinations performed in a hospital laboratory in Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
Abstract
Costs of examinations performed in a hospital laboratory in Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
DOI 10.1590/0034-7167-2016-0688
Views0ABSTRACT
Objective:
To determine the total average costs related to laboratory examinations performed in a hospital laboratory in Chile.
Method:
Retrospective study with data from July 2014 to June 2015. 92 examinations classified in ten groups were selected according to the analysis methodology. The costs were estimated as the sum of direct and indirect laboratory costs and indirect institutional factors.
Results:
The average values obtained for the costs according to examination group (in USD) were: 1.79 (clinical chemistry), 10.21 (immunoassay techniques), 13.27 (coagulation), 26.06 (high-performance liquid chromatography), 21.2 (immunological), 3.85 (gases and electrolytes), 156.48 (cytogenetic), 1.38 (urine), 4.02 (automated hematological), 4.93 (manual hematological).
Conclusion:
The value, or service fee, returned to public institutions who perform laboratory services does not adequately reflect the true total average production costs of examinations.
Keywords:Average CostsDiagnoses and Laboratory ExaminationsDirect and Indirect CostsProduction of ExaminationsService FeeSee more -
RESEARCH01-01-2018
Accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns
Revista Brasileira de Enfermagem. 2018;71(2):357-362
Abstract
RESEARCHAccuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns
Revista Brasileira de Enfermagem. 2018;71(2):357-362
DOI 10.1590/0034-7167-2017-0037
Views0See moreABSTRACT
Objective:
to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.
Method:
a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity.
Results:
Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively).
Conclusion:
four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.
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RESEARCH01-01-2018
Non-frail elderly people and their license to drive motor vehicles
Revista Brasileira de Enfermagem. 2018;71(2):350-356
Abstract
RESEARCHNon-frail elderly people and their license to drive motor vehicles
Revista Brasileira de Enfermagem. 2018;71(2):350-356
DOI 10.1590/0034-7167-2016-0675
Views0See moreABSTRACT
Objective:
to analyse the link between the non-frailty condition and the results of driving license for elderly people to drive motor vehicles.
Method:
cross-sectional study with data collection in the sample period from August 2015 to March 2016. Study performed with 347 elderlies (≥60 years).
Results:
180 (51.9%) of the participants were classified as non-frail. 48 (26.7%) of them were considered capable to drive, 121 (67.2%) capable to drive with restrictions and 11 (6.1%) temporarily uncapable. No significant relation was found between the non-frailty conditions and the results of the motor vehicles driving license study (p=0.557).
Conclusion:
The absence of physical frailty does not necessarily points out that the elderly are able to drive motor vehicles. Tracking the frailty subsidizes preventive interventions, which seek to interfere positively in the act of driving. This is an unprecedented study in nursing and it highlights an essential field for the performance of gerontological nursing.
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RESEARCH01-01-2018
Practice of use of diapers in hospitalized adults and elderly: cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(2):343-349
Abstract
RESEARCHPractice of use of diapers in hospitalized adults and elderly: cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(2):343-349
DOI 10.1590/0034-7167-2016-0341
Views0See moreABSTRACT
Objective:
analyze the practice of use of diapers in adults and elderly in hospital.
Method:
observational cross-sectional study, with a sample of 105 participants assigned according to the data collection period, from September 2013 to January 2014, in the surgical clinic wards in a University Hospital.
Results:
it was observed that 38% of the 105 participants of the study did not need the use of diapers. 18% used it because they were disabled and 16% had their cognitive system damaged. As they were hospitalized, it was identified that 51.4% of patients were there ranging from 02 to 10 days, and 60% used diapers for the same period. It is also identified that long term urinary catheter (24.8%), as technology associated to diapers in the urinary control and to pressure ulcers (12.4%), being the main complication.
Conclusion:
the use of diapers did not have specific criteria to be selected. For this, it was proposed an “Evaluation Scale of Diapers Use in Adults”, as for indication as for its monitoring to help the study transposal for the nursing practice.
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RESEARCH01-01-2018
Burnout and nursing work environment in public health institutions
Revista Brasileira de Enfermagem. 2018;71(2):336-342
Abstract
RESEARCHBurnout and nursing work environment in public health institutions
Revista Brasileira de Enfermagem. 2018;71(2):336-342
DOI 10.1590/0034-7167-2016-0524
Views0See moreABSTRACT
Objective:
to identify associations between the Burnout domains and the characteristics of the work environment.
Method:
cross-sectional study with 745 nurses from 40 public health institutions in São Paulo. Nursing Work Index-Revised (NWI-R) and Maslach Burnout Inventory were used. Similar institutions according to NWI-R were grouped by clustering and the Anova and Bonferroni tests were used in the comparative analyzes.
Results:
there was significant and moderate correlation between emotional exhaustion and autonomy, control over the environment and organizational support; between reduced personal accomplishment, autonomy and organizational support; and between depersonalization and autonomy. The group that presented the worst conditions in the work environment differed on emotional exhaustion from the group with most favorable traits.
Conclusion:
emotional exhaustion was the trait of Burnout that was more consistently related to the group of institutions with more unfavorable working conditions regarding autonomy, organizational support and control over the environment.
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RESEARCH01-01-2018
Patients’ knowledge about medication prescription in the emergency service
Revista Brasileira de Enfermagem. 2018;71(2):329-335
Abstract
RESEARCHPatients’ knowledge about medication prescription in the emergency service
Revista Brasileira de Enfermagem. 2018;71(2):329-335
DOI 10.1590/0034-7167-2017-0002
Views0See moreABSTRACT
Objective:
To identify which orientations were received by the patient about the medication prescription and which professional performed it; to evaluate the patients’ knowledge about prescription drugs and to correlate it to socioeconomic variables, comorbidities, and the frequency with which the patient seeks emergency service; and to evaluate the knowledge about the medication prescribed after the health care.
Method:
This was a cross-sectional study on 304 patients that received emergency service’s discharge along with medication prescription. Applied instruments: sociodemographic characterization and evaluation of the knowledge about the prescribed medication. We used a descriptive and inferential analysis.
Results:
Most subjects had no doubts about how or for how long to take the medication; and presented questions about adverse reactions and what to do in case of forgetting to take the medication doses. There was a significant association between age; educational level; comorbidity; the frequency of emergency service’s use; and knowledge about medications.
Conclusion:
a total of 48% of the patients declared to need information about adverse effects and what to do if they forget to take the medication.
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RESEARCH01-01-2018
Calf circumference: clinical validation for evaluation of muscle mass in the elderly
Revista Brasileira de Enfermagem. 2018;71(2):322-328
Abstract
RESEARCHCalf circumference: clinical validation for evaluation of muscle mass in the elderly
Revista Brasileira de Enfermagem. 2018;71(2):322-328
DOI 10.1590/0034-7167-2017-0121
Views0See moreABSTRACT
Objective:
To validate calf circumference as a technology for assessing muscle mass in the elderly.
Method:
Cross-sectional study with 132 elderly people from Goiânia, Goiás, Brazil. Decreased muscle mass was determined by the skeletal muscle mass index (IME) using Dual Energy X-Ray Absortometry (DEXA). The cutoff circumferences (CC) cutoff points to indicate muscle mass decrease were estimated by ROC curve, sensitivity, specificity and accuracy.
Results:
The most accurate cut-off points for detecting decreased muscle mass in the elderly were 34 cm for men (sensitivity: 71.5%, specificity: 77.4%) and 33 cm for women (sensitivity: 80.0%; specificity: 84.6%).
Conclusion:
CC can be used as a measure for early identification of muscle mass decrease in routine evaluations of the elderly in primary care.
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ORIGINAL ARTICLE06-28-2024
Quality of Care Transition for COVID-19 Patients in a University Hospital in Southern Brazil
- Ana Cecilia Boeng
, - Caroline Cechinel-Peiter ,
- Maria Fernanda Baeta Neves Alonso da Costa ,
- Laísa Fisher Wachholz ,
- José Luís Guedes dos Santos , [ … ],
- Gabriela Marcellino de Melo Lanzoni
Abstract
ORIGINAL ARTICLEQuality of Care Transition for COVID-19 Patients in a University Hospital in Southern Brazil
Revista Brasileira de Enfermagem. 2024;77:e20230402
DOI 10.1590/0034-7167-2023-0402
- Ana Cecilia Boeng ,
- Caroline Cechinel-Peiter ,
- Maria Fernanda Baeta Neves Alonso da Costa ,
- Laísa Fisher Wachholz ,
- José Luís Guedes dos Santos ,
- Gabriela Marcellino de Melo Lanzoni
Views0See moreABSTRACT
Objective:
To assess the quality of care transition from hospital to home for COVID-19 patients.
Method:
A cross-sectional study conducted at a University Hospital in Southern Brazil, involving 78 patients discharged after COVID-19 hospitalization. Data collection was performed via telephone using the Brazilian version of the Care Transitions Measure (CTM-15). Data were analyzed using descriptive and analytical statistics.
Results:
The mean quality of care transition was 70.8 on a scale ranging from zero to 100, indicating moderate quality of care transition. The highest score was attributed to factor 1, “Preparation for self-management,” and the lowest to factor 4, “Care Plan.”
Conclusions:
It is important to enhance communication and support provided to patients during the transition process, especially regarding understanding prescribed medications and the development of clear care plans.
- Ana Cecilia Boeng
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06-28-2024
Desfechos clínicos em recém-nascidos de mulheres grávidas com COVID-19: revisão integrativa
- Iara Bezerra da Silva Ximenes ,
- Cassiano Richel Ferreira Leal ,
- Odinéia Maria Amorim Batista ,
- Maria Eliete Batista Moura ,
- Maria Zélia de Araújo Madeira , [ … ],
- Denise de Andrade
Abstract
Desfechos clínicos em recém-nascidos de mulheres grávidas com COVID-19: revisão integrativa
Revista Brasileira de Enfermagem. 2024;77:e20230400
DOI 10.1590/0034-7167-2023-0400
- Iara Bezerra da Silva Ximenes ,
- Cassiano Richel Ferreira Leal ,
- Odinéia Maria Amorim Batista ,
- Maria Eliete Batista Moura ,
- Maria Zélia de Araújo Madeira ,
- Andreia Rodrigues Moura da Costa Valle ,
- Pedro Emílio Gomes Prates ,
- Álvaro Francisco Lopes de Sousa ,
- Denise de Andrade
Views0See moreRESUMEN
Objetivos:
analizar los desenlaces clínicos en recién nacidos de mujeres embarazadas con COVID-19.
Métodos:
revisión integradora realizada en PubMed, Web of Knowledge, SCOPUS, CINHAL; se obtuvieron 2.111 estudios y 8 artículos conformaron la muestra final.
Resultados:
los desenlaces clínicos en neonatos de mujeres embarazadas positivas para COVID-19 se clasificaron según las siguientes categorías: a) contaminación por COVID-19, reportada en el 62,5% de los estudios; b) alta hospitalaria debido a mejoría, mencionada en el 37,5% de los artículos; c) fallecimiento, representando casos raros en el 25% de la muestra. La complicación gestacional más prevalente fue la prematuridad, mencionada en el 75% de los estudios. Esta complicación se observó debido a casos de rotura prematura de membranas y desprendimiento de placenta.
Conclusiones:
a pesar del conocimiento del comportamiento asintomático y levemente sintomático en los recién nacidos, es importante continuar la búsqueda de nuevos datos clínicos, ya que este público presenta reacciones inciertas a la infección por el SARS-CoV-2.
- Iara Bezerra da Silva Ximenes
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REVIEW06-28-2024
Clinical outcomes in newborns of pregnant women with COVID-19: integrative review
- Iara Bezerra da Silva Ximenes ,
- Cassiano Richel Ferreira Leal ,
- Odinéia Maria Amorim Batista ,
- Maria Eliete Batista Moura ,
- Maria Zélia de Araújo Madeira , [ … ],
- Denise de Andrade
Abstract
REVIEWClinical outcomes in newborns of pregnant women with COVID-19: integrative review
Revista Brasileira de Enfermagem. 2024;77:e20230400
DOI 10.1590/0034-7167-2023-0400
- Iara Bezerra da Silva Ximenes ,
- Cassiano Richel Ferreira Leal ,
- Odinéia Maria Amorim Batista ,
- Maria Eliete Batista Moura ,
- Maria Zélia de Araújo Madeira ,
- Andreia Rodrigues Moura da Costa Valle ,
- Pedro Emílio Gomes Prates ,
- Álvaro Francisco Lopes de Sousa ,
- Denise de Andrade
Views0See moreABSTRACT
Objectives:
to analyze clinical outcomes in newborns of pregnant women with COVID-19.
Methods:
integrative review conducted in PubMed, Web of Knowledge, SCOPUS, CINHAL; 2,111 studies were obtained, and 8 articles comprised the final sample.
Results:
clinical outcomes in neonates of pregnant women positive for COVID-19 were classified according to the following categories: a) contamination by COVID-19, reported in 62.5% of the studies; b) hospital discharge due to improvement, mentioned in 37.5% of the articles; c) death, representing rare cases in 25% of the sample. The most prevalent gestational complication was prematurity, mentioned in 75% of the studies. This complication has been observed due to cases of premature rupture of membranes and placental abruption.
Conclusions:
despite the knowledge of asymptomatic and mildly symptomatic behavior in neonates, it is important to continue the search for new clinical data, as this public has uncertain reactions to SARS-CoV-2 infection.
- Iara Bezerra da Silva Ximenes
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ORIGINAL ARTICLE06-28-2024
Nursing leadership strategies in addressing COVID-19 in light of John Kotter’s framework
- Patrícia Alves Galhardo Varanda ,
- Gilberto Tadeu Reis da Silva ,
- Simone Coelho Amestoy ,
- Vânia Marli Schubert Backes ,
- Gabriela Marcellino de Melo Lanzoni , [ … ],
- Augusto Ferreira Umpiérrez
Abstract
ORIGINAL ARTICLENursing leadership strategies in addressing COVID-19 in light of John Kotter’s framework
Revista Brasileira de Enfermagem. 2024;77:e20230289
DOI 10.1590/0034-7167-2023-0289
- Patrícia Alves Galhardo Varanda ,
- Gilberto Tadeu Reis da Silva ,
- Simone Coelho Amestoy ,
- Vânia Marli Schubert Backes ,
- Gabriela Marcellino de Melo Lanzoni ,
- Augusto Ferreira Umpiérrez
Views0See moreABSTRACT
Objective:
To analyze the leadership strategies of nurses in university hospitals in response to care management changes during the COVID-19 pandemic, informed by John Kotter’s insights.
Methods:
This multicentric study utilized qualitative and analytical methods. It was conducted through semi-structured interviews with 139 lead nurses from 10 university hospitals in Brazil. Data analysis included Bardin’s content analysis and the webQDA software.
Results:
The primary category identified was “Nursing Leadership Strategies in the Battle Against COVID-19,” encompassing five subcategories. This category underscored the importance of strategic vision in nursing leadership for combating COVID-19 within hospital settings, as well as the necessity of working collaboratively with their teams and other healthcare professionals.
Final Considerations:
The results highlight the strategies used by lead nurses in confronting COVID-19, which can be associated with John Kotter’s theoretical framework and his model of change.
- Patrícia Alves Galhardo Varanda
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ORIGINAL ARTICLE06-28-2024
Palliative Care for SARS-CoV-2 Patients in the Intensive Care Unit: A Comprehensive Study
- Marilia Alves Furtado ,
- Vitória Pessoa Nogueira ,
- Maria Clara Passos Araújo ,
- Virna Ribeiro Feitosa Cestari ,
- Vera Lúcia Mendes de Paula Pessoa
Abstract
ORIGINAL ARTICLEPalliative Care for SARS-CoV-2 Patients in the Intensive Care Unit: A Comprehensive Study
Revista Brasileira de Enfermagem. 2024;77:e20230218
DOI 10.1590/0034-7167-2023-0218
- Marilia Alves Furtado ,
- Vitória Pessoa Nogueira ,
- Maria Clara Passos Araújo ,
- Virna Ribeiro Feitosa Cestari ,
- Vera Lúcia Mendes de Paula Pessoa
Views0See moreABSTRACT
Objective:
To comprehend the multiprofessional actions regarding palliative care for patients in the Intensive Care Unit affected by SARS-CoV-2.
Methods:
A comprehensive qualitative study conducted with 31 professionals from the Intensive Care Units of a university hospital, based on the Theory of Peaceful End of Life.
Results:
The analysis of the discourse led to the identification of two categories: “Multidisciplinary actions to promote comfort at the end of life” and “Palliative care during the pandemic period and the promotion of emotional and spiritual comfort.”
Final Considerations:
It became evident that local administration needs to invest in measures that reduce barriers to the implementation of palliative care during times of crisis. Understanding the discourse highlighted that non-specialized professionals can provide basic palliative care appropriately, without diminishing the importance and necessity of the presence of palliative care specialists in various hospital areas.
- Marilia Alves Furtado
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ORIGINAL ARTICLE06-28-2024
Uncertainties experienced by nursing professionals who contracted Covid-19: a priori, everyone is human
- Cinthia Rafaela Amaro Gonçalves Andrade ,
- Laís de Miranda Crispim Costa ,
- Ingrid Martins Leite Lúcio ,
- Janaina Ferro Pereira ,
- Herika do Nascimento Lima , [ … ],
- Renata Lira do Nascimento
Abstract
ORIGINAL ARTICLEUncertainties experienced by nursing professionals who contracted Covid-19: a priori, everyone is human
Revista Brasileira de Enfermagem. 2024;77:e20230142
DOI 10.1590/0034-7167-2023-0142
- Cinthia Rafaela Amaro Gonçalves Andrade ,
- Laís de Miranda Crispim Costa ,
- Ingrid Martins Leite Lúcio ,
- Janaina Ferro Pereira ,
- Herika do Nascimento Lima ,
- Renata Lira do Nascimento
Views0See moreABSTRACT
Objective:
To analyze the uncertainties experienced by nursing professionals who contracted COVID-19.
Methods:
This qualitative research was conducted with 20 nursing professionals who fell ill from COVID-19. Data collection was carried out through semi-structured interviews; the data were then organized using thematic analysis and discussed in the context of Merle Mishel’s Reconceptualized of Uncertainty in Illness Theory.
Results:
The antecedents of the disease had a strong influence on how nursing professionals who contracted COVID-19 perceived uncertainty. The media coverage of the increasing number of cases, the collapse of the healthcare system, and the high mortality rate contributed to associating the disease with fear and panic.
Final Considerations:
Viewing it from the perspective of the disease’s antecedents, the illness of a nursing professional from COVID-19 underscores that before being professionals, they are human beings just like anyone else, undergoing adversities and facing the possibilities associated with being ill.
- Cinthia Rafaela Amaro Gonçalves Andrade
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ORIGINAL ARTICLE06-28-2024
COVID-19 pandemic: what factors compromised the mental capacity to work of nursing technicians?
- Katia Maria Rosa Vieira ,
- Francisco Ubaldo Vieira Junior ,
- Zélia Zilda Lourenço de Camargo Bittencourt
Abstract
ORIGINAL ARTICLECOVID-19 pandemic: what factors compromised the mental capacity to work of nursing technicians?
Revista Brasileira de Enfermagem. 2024;77:e20220783
DOI 10.1590/0034-7167-2022-0783
- Katia Maria Rosa Vieira ,
- Francisco Ubaldo Vieira Junior ,
- Zélia Zilda Lourenço de Camargo Bittencourt
Views1See moreABSTRACT
Objectives:
to identify the factors that influenced the mental capacity to work of nursing technicians during the COVID-19 pandemic.
Methods:
a cross-sectional study, carried out at two reference hospitals in assisting the population during the COVID-19 pandemic. A total of 237 professionals from Intensive Care Units participated and answered a questionnaire. Multiple linear regression models were used to assess the correlation between mental capacity to work and variables related to risks of contamination, institutional support and health.
Results:
lack of COVID-19 tests, lack of knowledge of routine, absences in 2021 and mental illness contributed to worse mental capacity to work. Management embracement and physical capacity were considered protective factors.
Conclusions:
reduced work capacity in relation to mental demands can affect professional performance and quality of care, with implications for patients and health institutions.
- Katia Maria Rosa Vieira
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ORIGINAL ARTICLE06-17-2024
Website for families of non-breastfed children: development and validation of content and interface
Revista Brasileira de Enfermagem. 2024;77(3):e20230490
Abstract
ORIGINAL ARTICLEWebsite for families of non-breastfed children: development and validation of content and interface
Revista Brasileira de Enfermagem. 2024;77(3):e20230490
DOI 10.1590/0034-7167-2023-0490
Views0See moreABSTRACT
Objectives:
to develop and validate the content and interface of a guidance website to support families in promoting Food and Nutrition Security for children under six months who are not breastfed.
Methods:
methodological study, Knowledge Translation, in two stages of creation: 1) content and validation on the criterion of accuracy in a panel of experts; 2) interface and validation on the criteria of content, language, illustrations, layout, motivation, culture and applicability.
Results:
the “Milky Way” website is freely available: . The content was structured in a decision tree made up of types of milk: milk formula, whole cow’s milk and powdered milk; and utensils: bottle, cup and measuring spoon. There were 46 illustrations to elucidate the content, facilitate understanding and engage the target population. The Content Validity Index was 0.91.
Conclusions:
the website is a validated technology with evidence-based written and pictorial content translated for use with families.
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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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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
Knowledge sharing: nurse managers’ practices
- Ana Lúcia Arcanjo Oliveira Cordeiro ,
- Rosana Maria de Oliveira Silva ,
- Josicélia Dumêt Fernandes ,
- Gilberto Tadeu Reis da Silva
Abstract
ORIGINAL ARTICLEKnowledge sharing: nurse managers’ practices
Revista Brasileira de Enfermagem. 2024;77(5):e20230287
DOI 10.1590/0034-7167-2023-0287
- Ana Lúcia Arcanjo Oliveira Cordeiro ,
- Rosana Maria de Oliveira Silva ,
- Josicélia Dumêt Fernandes ,
- Gilberto Tadeu Reis da Silva
Views0See moreABSTRACT
Objective:
To analyze how management practices for sharing knowledge are developed in public hospitals in the context of nursing.
Methods:
Qualitative research, carried out with 15 nurse managers from six public hospitals, from July to September 2022. Data were collected through semi-structured interviews and analyzed according to content analysis and in a model for sharing knowledge at work.
Results:
Knowledge sharing in nursing occurs through intraand extra-organizational training (training, courses and events), use of digital communication tools (media and social networks) and individual and collective contact between professionals during the service (experiences, exchange of experiences and assessment feedback).
Final considerations:
Sharing knowledge is relevant to nursing work. To improve it, it must be understood that effective sharing occurs from person to person, in their daily practices, and must be conducted as a strategically planned process by nurse managers.
- Ana Lúcia Arcanjo Oliveira Cordeiro
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ORIGINAL ARTICLE11-22-2024
Transitions experienced by people living with limitations resulting from leprosy: a research-care study
Revista Brasileira de Enfermagem. 2024;77(5):e20230229
Abstract
ORIGINAL ARTICLETransitions experienced by people living with limitations resulting from leprosy: a research-care study
Revista Brasileira de Enfermagem. 2024;77(5):e20230229
DOI 10.1590/0034-7167-2023-0229
Views0See moreABSTRACT
Objective:
to understand the transitional processes that affect the adaptation of people who live with limitations resulting from leprosy.
Methods:
This is a qualitative study based on the precepts of Transition Theory, mediated by care-research, with 24 people with limitations resulting from leprosy in an ex-hospital colony in Piauí. Semi-structured interviews were carried out. The interviews were analyzed using Iramuteq software.
Results:
the researched-caregivers experienced the four types of transitions, including feelings of fear, worry, loneliness, hopelessness, guilt and a tendency to hide the diagnosis. Breakdowns and resignation were revealed, with spirituality, adaptation to the new life situation and acceptance as facilitating conditions for coping with the transitional process, with a consequent improvement in quality of life.
Final considerations:
the transitional processes had a positive significance, since they contributed to adaptation and the achievement of quality of life.
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ORIGINAL ARTICLE11-22-2024
Study for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
Revista Brasileira de Enfermagem. 2024;77(5):e20230112
Abstract
ORIGINAL ARTICLEStudy for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
Revista Brasileira de Enfermagem. 2024;77(5):e20230112
DOI 10.1590/0034-7167-2023-0112
Views0See moreABSTRACT
Objective:
To develop and validate indicators for the evaluation of computerized systems in vaccination rooms.
Methods:
Methodological study. From the construction of a logical model for managing information produced in computerized systems in vaccination rooms, an evaluation indicator matrix was developed, and its contents were validated by specialists using the Delphi method. The degree of relevance and clarity were judged, using the following parameters: agreement percentage ≥ 90%; content validity index > 0.78. Internal consistency was tested using Cronbach’s alpha coefficient of 0.93.
Results:
Of the 55 proposed indicators, 48 were validated and composed the final matrix, with 13 in the structure dimension, 29 in the process dimension, and six in the outcome dimension.
Conclusion:
The set of indicators shows validity and high reliability, and can be used to evaluate computerized systems in vaccination rooms throughout the country, as it adhered to the recommendations of the National Immunization Program.
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ORIGINAL ARTICLE11-22-2024
Interpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
- Franciéle Marabotti Costa Leite ,
- Luíza Eduarda Portes Ribeiro ,
- Tiffani Matos Oliveira ,
- Evellym Souza Correa ,
- Márcia Regina de Oliveira Pedroso , [ … ],
- Dherik Fraga Santos
Abstract
ORIGINAL ARTICLEInterpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
Revista Brasileira de Enfermagem. 2024;77(5):e20230081
DOI 10.1590/0034-7167-2023-0081
- Franciéle Marabotti Costa Leite ,
- Luíza Eduarda Portes Ribeiro ,
- Tiffani Matos Oliveira ,
- Evellym Souza Correa ,
- Márcia Regina de Oliveira Pedroso ,
- Dherik Fraga Santos
Views0See moreABSTRACT
Objective:
To identify the frequency of notifications of interpersonal violence in Espírito Santo from 2011 to 2018, and the factors associated with this issue.
Methods:
This is a cross-sectional study in which all cases of interpersonal violence from the Information System for Notifiable Diseases in the state of Espírito Santo during the period from 2011 to 2018 were analyzed. Absolute and relative frequencies and 95% confidence intervals were calculated, as well as Poisson regression.
Results:
During the analyzed period, 27,277 cases were reported in Espírito Santo (P: 75%; 95% CI: 74.5-75.4), being more prevalent among females, children, and the elderly, individuals of black/mixed race, people without disabilities, and residents of urban areas. Regarding the perpetrator, there was a higher prevalence of individuals aged 25 years and older, males, with a current or former intimate partner relationship with the victim, and suspected alcohol use at the time of the aggression. In terms of the characteristics of the aggression, there was a higher prevalence of repeat violence, involving a single aggressor, and occurring in the residence.
Conclusions:
The notification of interpersonal violence in Espírito Santo showed a high prevalence and was associated with characteristics of the victim, aggressor, and event. This scenario reinforces the need for interventions such as professional qualification, expansion of intersectoral actions, and reformulation of public policies.
- Franciéle Marabotti Costa Leite
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ORIGINAL ARTICLE11-22-2024
Sociodemographic and occupational influences on health professionals’ quality of life
- Alberto de Oliveira Redü ,
- Daiani Modernel Xavier ,
- Marcela Amaral Daoud ,
- Pâmela Kath de Oliveira Nörnberg ,
- Natália Sperli Geraldes Marin dos Santos Sasaki , [ … ],
- Luciano Garcia Lourenção
Abstract
ORIGINAL ARTICLESociodemographic and occupational influences on health professionals’ quality of life
Revista Brasileira de Enfermagem. 2024;77(4):e20240010
DOI 10.1590/0034-7167-2024-0010
- Alberto de Oliveira Redü ,
- Daiani Modernel Xavier ,
- Marcela Amaral Daoud ,
- Pâmela Kath de Oliveira Nörnberg ,
- Natália Sperli Geraldes Marin dos Santos Sasaki ,
- Geovane Mendes Farias ,
- Luciano Garcia Lourenção
Views0See moreABSTRACT
Objective:
To analyze the sociodemographic and occupational influences on health professionals’ quality of life.
Method:
This descriptive-exploratory, cross-sectional, analytical, and quantitative study addressed 94 health workers, including nursing technicians, nurses, and physical therapists working in Intensive Care Units in a town in the extreme south of Brazil in 2023. The student’s t-test and Spearman correlation were used.
Results:
A significant positive correlation was found between being a woman and the psychological domain and between income and the social and environmental domain while working hours were inversely related to general QoL. Additionally, workload negatively impacted the physical, psychological, and general QOL, furniture negatively influenced the psychological domain, and equipment was negatively associated with the physical and psychological domain.
Conclusion:
The characteristics of the work environment interfere with several areas of quality of life.
- Alberto de Oliveira Redü
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REVIEW11-22-2024
Concept analysis of youth: understanding the plurality of subjects
- André Ribeiro de Castro Júnior ,
- Moziane Mendonça de Araújo ,
- Fabiane do Amaral Gubert ,
- Marcos Venícios de Oliveira Lopes ,
- Viviane Martins da Silva , [ … ],
- Cristiana Brasil de Almeida Rebouças
Abstract
REVIEWConcept analysis of youth: understanding the plurality of subjects
Revista Brasileira de Enfermagem. 2024;77(4):e20240002
DOI 10.1590/0034-7167-2024-0002
- André Ribeiro de Castro Júnior ,
- Moziane Mendonça de Araújo ,
- Fabiane do Amaral Gubert ,
- Marcos Venícios de Oliveira Lopes ,
- Viviane Martins da Silva ,
- Cristiana Brasil de Almeida Rebouças
Views0See moreABSTRACT
Objective:
To analyze the concept of “youth.”
Methods:
This is a concept analysis guided by the method proposed by Walker and Avant, operationalized through an integrative literature review. The search in scientific databases was carried out using the descriptors: youth; young; adolescence. To compose the literary corpus, 22 studies were selected.
Results:
Various factors were found in the antecedents that influence the separation of youth groups, contributing to the heterogenization of this population. The attributes include characteristics that comprise the formation of youth groups, especially the idea of shared experiences and social construction, as well as the consequences of the mentioned concept. After systematizing the variables, the analysis was conducted, highlighting the conceptions that influence youth.
Conclusion:
The study demonstrated the multifactorial complexity of the formulation of the concept of youth, highlighting various factors that contribute to this construction. For nursing, this conceptual field allows for an understanding of the population and effective engagement with this group.
- André Ribeiro de Castro Júnior
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