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RESEARCH01-01-2017
Job satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
Abstract
RESEARCHJob satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
DOI 10.1590/0034-7167-2016-0422
Views0See moreABSTRACT
Objective:
to identify the level of attributed, perceived and real job satisfaction of oncology nursing professionals and analyze the relationships between the levels of satisfaction among these workers.
Method:
a descriptive, quantitative cross-sectional study was conducted using the Index of Work Satisfaction (IWS) to evaluate the nursing team, nurses and technicians/auxiliaries. A total of 348 workers answered the questionnaire, of which 216 were fully completed and considered for the IWS calculation.
Results:
Autonomy was considered the most important item in attributed satisfaction for the nursing team and nurses. Salary was valorized most by the technicians/auxiliaries. For perceived satisfaction, Professional Status was the most important for all workers. Regarding real satisfaction, Interaction was the most important for the nursing team and technicians/auxiliaries; while the nurses valorized Autonomy. The nurses presented the greatest job satisfaction.
Conclusion:
a discrepancy was observed in job satisfaction among the oncology nurses, indicating the importance of further quantitative research.
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RESEARCH01-01-2017
Relational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
Abstract
RESEARCHRelational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
DOI 10.1590/0034-7167-2016-0337
Views0See moreABSTRACT
Objective:
This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients.
Method:
Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis.
Results:
From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies.
Final consideration:
Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.
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RESEARCH01-01-2017
Knowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
Abstract
RESEARCHKnowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
DOI 10.1590/0034-7167-2016-0343
Views0See moreABSTRACT
Objective:
To understand mental health nursing care based on the concept of the subject of the unconscious proposed by Lacan.
Method:
A narrative study was carried out with 19 nurses, chosen based on their theoretical approach or referral by other participants, through the snowball sampling technique. The interviews were carried out in person or digitally, and were recorded and fully transcribed.
Results:
The analysis was carried out based on Freudian and Lacanian psychoanalysis, approaching nursing care as it acts on the body, secretions, and excretions, to distinguish it from the spirit of fineness. Effects on care are discussed, considering the subject of the unconscious with its knowledge, creating unique exits (sinthome). In this situation, professionals are required to abstain from a position of knowing what is better for the Other.
Final considerations:
This nursing care perspective offers contributions when discussing the centrality of the subject and words in the care process.
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RESEARCH01-01-2017
Weaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
Abstract
RESEARCHWeaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
DOI 10.1590/0034-7167-2016-0566
Views0See moreABSTRACT
Objective:
to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) in the western region of the city of São Paulo.
Method:
qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.
Results:
the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.
Final considerations:
there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.
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RESEARCH01-01-2017
Chronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
Abstract
RESEARCHChronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
DOI 10.1590/0034-7167-2016-0542
Views0See moreABSTRACT
Objective:
To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift.
Method:
Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%.
Results:
The indifferent chronotype predominated (45.2%). There were significant differences between occupational categories and variables “age” (p<0.001), “use of medication” (p=0.035) and “choice of work shift” (p=0.001). There was an association between the chronotype and the variables “work leave due to illness” (p=0.021), “children” (p=0.025), “use of medication” (p=0.018) and “work shift” (p=0.001).
Conclusion:
The chronotype remained indifferent, and the results confirmed association between chronotype and work shift.
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RESEARCH01-01-2017
Difficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
Abstract
RESEARCHDifficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
DOI 10.1590/0034-7167-2016-0527
Views0ABSTRACT
Introduction:
Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care.
Objective:
To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective.
Method:
Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis.
Results:
The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth.
Final considerations:
Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.
Keywords:Child NutritionChildcareNursing Primary Health CarePrimary Health CareResearch, QualitativeSee more
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RESEARCH01-01-2017
Severity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
Abstract
RESEARCHSeverity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
DOI 10.1590/0034-7167-2016-0427
Views0See moreABSTRACT
Objective:
To analyze whether an increase in patient severity and nursing workload are correlated to a greater incidence of adverse events (AEs) in critical patients.
Method:
A prospective single cohort study was performed on a sample of 138 patients hospitalized in an intensive care unit (ICU).
Results:
A total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient severity presented a direct relationship to the probability of AEs occurring. However, nursing workload did not present a statistically significant relationship with the occurrence of AEs.
Conclusion:
The results cast light on the importance of using evaluation tools by the nursing personnel in order to optimize their daily activities and focus on patient safety.
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RESEARCH01-01-2017
Mental health in the Family Health Strategy as perceived by health professionals
Revista Brasileira de Enfermagem. 2017;70(5):935-941
Abstract
RESEARCHMental health in the Family Health Strategy as perceived by health professionals
Revista Brasileira de Enfermagem. 2017;70(5):935-941
DOI 10.1590/0034-7167-2016-0492
Views0See moreABSTRACT
Objective:
to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals.
Method:
this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures.
Results:
numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources.
Conclusion:
there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.
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Humor intervention in the nurse-patient interaction
- Luis Manuel Mota Sousa
, - Cristina Maria Alves Marques-Vieira ,
- Ana Vanessa Antunes ,
- Maria de Fátima Graça Frade ,
- Sandy Pedro Silva Severino , [ … ],
- Olga Sousa Valentim
Abstract
Humor intervention in the nurse-patient interaction
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
DOI 10.1590/0034-7167-2018-0609
- Luis Manuel Mota Sousa ,
- Cristina Maria Alves Marques-Vieira ,
- Ana Vanessa Antunes ,
- Maria de Fátima Graça Frade ,
- Sandy Pedro Silva Severino ,
- Olga Sousa Valentim
Views0ABSTRACT
Objective:
To describe the factors influencing the use of humor in nursing care, its applicability and benefits.
Method:
A scoping review was performed using the Arksey and O’Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar.
Results:
From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention.
Conclusion:
The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention should be used with caution.
Keywords:CommunicationNurse-Patient RelationsNursingPatient Outcome AssessmentWit and Humor as SubjectSee more
- Luis Manuel Mota Sousa
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ORIGINAL ARTICLE10-21-2019
Workloads and burnout of nursing workers
- Deciane Pintanela de Carvalho ,
- Laurelize Pereira Rocha ,
- Eliana Cardia de Pinho ,
- Jamila Geri Tomaschewski-Barlem ,
- Edison Luiz Devos Barlem , [ … ],
- Leonardo Salomão Goulart
Abstract
ORIGINAL ARTICLEWorkloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
DOI 10.1590/0034-7167-2017-0659
- Deciane Pintanela de Carvalho ,
- Laurelize Pereira Rocha ,
- Eliana Cardia de Pinho ,
- Jamila Geri Tomaschewski-Barlem ,
- Edison Luiz Devos Barlem ,
- Leonardo Salomão Goulart
Views0See moreABSTRACT
Objective:
to identify workloads in nursing work and its association with nursing worker burnout.
Method:
a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.
Results:
the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.
Conclusion:
workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.
- Deciane Pintanela de Carvalho
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REVIEW12-05-2019
Vulnerability of the elderly: a conceptual analysis
- Keylla Talitha Fernandes Barbosa ,
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Maria das Graças Melo Fernandes
Abstract
REVIEWVulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
DOI 10.1590/0034-7167-2018-0728
- Keylla Talitha Fernandes Barbosa ,
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Maria das Graças Melo Fernandes
Views0See moreABSTRACT
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.
- Keylla Talitha Fernandes Barbosa
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ORIGINAL ARTICLE10-21-2019
Nursing care systematization: perceptions and knowledge of the Brazilian nursing
- Marcos Renato de Oliveira ,
- Paulo César de Almeida ,
- Thereza Maria Magalhães Moreira ,
- Raimundo Augusto Martins Torres
Abstract
ORIGINAL ARTICLENursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
DOI 10.1590/0034-7167-2018-0606
- Marcos Renato de Oliveira ,
- Paulo César de Almeida ,
- Thereza Maria Magalhães Moreira ,
- Raimundo Augusto Martins Torres
Views0See moreABSTRACT
Objective:
to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.
Method:
a descriptive study, carried out in the first half of 2018.
Results:
of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.
Conclusion:
the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
- Marcos Renato de Oliveira
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Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
- Núbia Samara Caribé de Aragão ,
- Gabriella Bené Barbosa ,
- Cleide Lucilla Carneiro Santos ,
- Deise dos Santos Silva Nascimento ,
- Laís Barbosa Souza Vilas Bôas , [ … ],
- Carlito Lopes Nascimento Sobrinho
Abstract
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
DOI 10.1590/0034-7167-2019-0535
- Núbia Samara Caribé de Aragão ,
- Gabriella Bené Barbosa ,
- Cleide Lucilla Carneiro Santos ,
- Deise dos Santos Silva Nascimento ,
- Laís Barbosa Souza Vilas Bôas ,
- Davi Félix Martins Júnior ,
- Carlito Lopes Nascimento Sobrinho
Views0See moreABSTRACT
Objective:
to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.
Methods:
a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.
Results:
Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.
Conclusion:
the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.
- Núbia Samara Caribé de Aragão
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ORIGINAL ARTICLE12-05-2019
Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms
- Ariene Angelini dos Santos-Orlandi ,
- Allan Gustavo Brigola ,
- Ana Carolina Ottaviani ,
- Bruna Moretti Luchesi ,
- Érica Nestor Souza , [ … ],
- Sofia Cristina Iost Pavarini
Abstract
ORIGINAL ARTICLEElderly caregivers of the elderly: frailty, loneliness and depressive symptoms
Revista Brasileira de Enfermagem. 2019;72:88-96
DOI 10.1590/0034-7167-2018-0137
- Ariene Angelini dos Santos-Orlandi ,
- Allan Gustavo Brigola ,
- Ana Carolina Ottaviani ,
- Bruna Moretti Luchesi ,
- Érica Nestor Souza ,
- Fernanda Gomez de Moura ,
- Juliana de Fátima Zacarin ,
- Mariélli Terassi ,
- Nathalia Alves de Oliveira ,
- Sofia Cristina Iost Pavarini
Views0See moreABSTRACT
Objective:
to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers.
Method:
a cross – sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables).
Results:
there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility.
Conclusion:
elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.
- Ariene Angelini dos Santos-Orlandi
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Clinical simulation in nursing education in intensive therapy: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1061-1070
Abstract
Clinical simulation in nursing education in intensive therapy: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1061-1070
DOI 10.1590/0034-7167-2018-0217
Views0See moreABSTRACT
Objective:
to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care.
Method:
an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017.
Results:
29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years.
Conclusion:
variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.
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ORIGINAL ARTICLE06-08-2020
Usability of a mobile application on diabetic foot self-care
- Antonio Dean Barbosa Marques ,
- Thereza Maria Magalhães Moreira ,
- Thaís Vaz Jorge ,
- Sara Maria Soares Rabelo ,
- Rhanna Emanuela Fontenele Lima de Carvalho , [ … ],
- Gilvan Ferreira Felipe
Abstract
ORIGINAL ARTICLEUsability of a mobile application on diabetic foot self-care
Revista Brasileira de Enfermagem. 2020;73(4):e20180862
DOI 10.1590/0034-7167-2018-0862
- Antonio Dean Barbosa Marques ,
- Thereza Maria Magalhães Moreira ,
- Thaís Vaz Jorge ,
- Sara Maria Soares Rabelo ,
- Rhanna Emanuela Fontenele Lima de Carvalho ,
- Gilvan Ferreira Felipe
Views0See moreABSTRACT
Objectives:
to assess the usability of an app prototype for diabetic foot self-care by an end user.
Methods:
a descriptive study that uses heuristic assessment of a hybrid app usability. Fifteen users of an outpatient diabetes care service in a capital of Northeastern Brazil participated in the study during April 2018. The usability measurement tool called Smartphone Usability questionnaiRE was applied.
Results:
the lowest score was 77 and the highest was 112, with an average usability of 96.1 points. Usability was framed in the last two levels, 70 and 8o. Users now strongly agree (level 70) and fully (level 80) with the assessed items, which represents good usability of the apps prototype.
Conclusions:
the final product developed focuses on user needs and requirements, which can ensure usability based on effectiveness, efficiency and satisfaction triad.
- Antonio Dean Barbosa Marques
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