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ORIGINAL ARTICLE12-16-2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Abstract
ORIGINAL ARTICLEHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
Views0See moreABSTRACT
Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ORIGINAL ARTICLE12-16-2024
Analysis of omission of antimicrobial doses in Intensive Care Units
- Isabelle Ribeiro Machado
, - Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella , [ … ],
- Lucas Rodrigo Garcia de Mello
Abstract
ORIGINAL ARTICLEAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
- Isabelle Ribeiro Machado ,
- Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella ,
- Lucas Rodrigo Garcia de Mello
Views0See moreABSTRACT
Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
- Isabelle Ribeiro Machado
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REVIEW12-16-2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques , [ … ],
- Maria do Carmo Fernandez Lourenço Haddad
Abstract
REVIEWRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques ,
- Maria do Carmo Fernandez Lourenço Haddad
Views1See moreABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
- Evelin Daiane Gabriel Pinhatti
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ORIGINAL ARTICLE12-16-2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Abstract
ORIGINAL ARTICLEPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Views0See moreABSTRACT
Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
- Frederico Marques Andrade
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12-16-2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Abstract
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
Views0See moreABSTRACT
Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ORIGINAL ARTICLE12-16-2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva , [ … ],
- Evanilda Souza de Santana Carvalho
Abstract
ORIGINAL ARTICLERespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva ,
- Evanilda Souza de Santana Carvalho
Views1See moreABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
- Zannety Conceição Silva do Nascimento Souza
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ORIGINAL ARTICLE12-16-2024
Construction and validation of an educational game on biosafety in the central sterile supply department
- Tatiana Nemoto Piccoli Moraes ,
- Fernanda Moura D’Almeida Miranda ,
- Rafaela Danta de Sousa ,
- Luciana Schleder Gonçalves ,
- Maria de Fatima Mantovani , [ … ],
- Jenira Priscila dos Anjos
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
DOI 10.1590/0034-7167-2023-0478
- Tatiana Nemoto Piccoli Moraes ,
- Fernanda Moura D’Almeida Miranda ,
- Rafaela Danta de Sousa ,
- Luciana Schleder Gonçalves ,
- Maria de Fatima Mantovani ,
- Jenira Priscila dos Anjos
Views0See moreABSTRACT
Objectives:
to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.
Methods:
the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.
Results:
the study resulted in the construction of a board game named by the authors as “My Health First.”
Conclusions:
the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.
- Tatiana Nemoto Piccoli Moraes
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ORIGINAL ARTICLE12-16-2024
Training profile of intensive care nurses in Brazil: cross-sectional study
- Thais Oliveira Gomes ,
- Fernanda Berchelli Girão ,
- Tágora do Lago Santos ,
- Matheus Henrique Silva ,
- Erika Azevedo Portes , [ … ],
- Marcus Vinicius Melo de Andrade
Abstract
ORIGINAL ARTICLETraining profile of intensive care nurses in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(6):e20230460
DOI 10.1590/0034-7167-2023-0460
- Thais Oliveira Gomes ,
- Fernanda Berchelli Girão ,
- Tágora do Lago Santos ,
- Matheus Henrique Silva ,
- Erika Azevedo Portes ,
- Clayton Lima Melo ,
- Marcus Vinicius Melo de Andrade
Views0See moreABSTRACT
Objectives:
to describe the training profile of Brazilian intensive care nurses.
Methods:
a cross-sectional study carried out in two stages: a structured, self-administered questionnaire; mapping of the national supply of lato sensu postgraduate courses. Data was collected on the sociodemographic profile, training process and characterization of the courses.
Results:
in the first stage, 202 respondents were obtained. The majority were women (79.2%), aged between 26 and 45 (80.7%), graduated less than 5 years ago (44%), through lato sensu postgraduate courses (55.5%), which were marked by the absence of laboratory practice (57.5%) and guided tours (42.5%). In the second stage, 457 courses were identified, with face-to-face teaching (58.9%), a workload of 360 to 420 hours (51.2%), a duration of up to 6 months (41.8%) and variation in the sub-area of training.
Conclusions:
there was a predominance of professionals graduating from lato sensu post-graduate courses, with essentially theoretical teaching and heterogeneity in terms of modality, workload and sub-area of training.
- Thais Oliveira Gomes
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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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REVIEW10-09-2023
Effects on communication due to face mask use: an integrative review
- Jonathan Grassi ,
- Isabel Barreto de Oliveira ,
- Laura Franco Chiriboga ,
- Andréa Alves Maia ,
- Margareth Attianezi , [ … ],
- Aline Neves Pessoa Almeida
Abstract
REVIEWEffects on communication due to face mask use: an integrative review
Revista Brasileira de Enfermagem. 2023;76(4):e20220674
DOI 10.1590/0034-7167-2022-0674
- Jonathan Grassi ,
- Isabel Barreto de Oliveira ,
- Laura Franco Chiriboga ,
- Andréa Alves Maia ,
- Margareth Attianezi ,
- Aline Neves Pessoa Almeida
Views0See moreABSTRACT
Objectives:
to integrate evidence from studies on auditory perceptual and speech production effects in communication situations with face mask use.
Methods:
an integrative literature review, in MEDLINE, Cochrane Library and Embase databases. The guiding question was: what effects on communication (perceptual-auditory and speech production) occur with face mask use?
Results:
searches in electronic databases resulted in 1,478 studies and filtering resulted in 29 final studies.
Conclusions:
mask use has effects on communication, both in perception and speech production, factors that are also related to quality of life, stress and socio-emotional factors. These data can impact on indicators and alerts in favor of adopting strategies to manage mask use, involving speech production and perception when wearing a mask in health services.
- Jonathan Grassi
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ORIGINAL ARTICLE10-09-2023
Expansion of Psychosocial Care Centers and their relationship with health and human rights
- Antonio José Correa de Pauli ,
- Caíque Rossi Baldassarini ,
- Janaína Cristina Pasquini de Almeida ,
- Jaqueline Lemos de Oliveira ,
- Regina Célia Fiorati , [ … ],
- Jacqueline de Souza
Abstract
ORIGINAL ARTICLEExpansion of Psychosocial Care Centers and their relationship with health and human rights
Revista Brasileira de Enfermagem. 2023;76(4):e20220662
DOI 10.1590/0034-7167-2022-0662
- Antonio José Correa de Pauli ,
- Caíque Rossi Baldassarini ,
- Janaína Cristina Pasquini de Almeida ,
- Jaqueline Lemos de Oliveira ,
- Regina Célia Fiorati ,
- Carla Aparecida Arena Ventura ,
- Jacqueline de Souza
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the expansion of the number of Brazilian Psychosocial Care Centers (CAPS) considering aspects related to the general health scenario and the institutionalization of human rights.
Methods:
An analytical document-based study, developed between February 2020 and May 2022, whose secondary data on the 27 Brazilian capitals were collected on platforms in the public domain, based on the time series from 2015 to 2020. Indicators were listed based on health system infrastructure and quality of life. For data analysis, descriptive statistics, Pearson’s correlation test and Student’s t test were used.
Results:
The capitals that expanded the number of CAPS in the analyzed period were the ones that presented the greatest political-legal framework for the protection of human rights.
Conclusion:
The results suggest that the greater the commitment of governments in favor of human rights, the greater the investment for CAPS expansion.
- Antonio José Correa de Pauli
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ORIGINAL ARTICLE10-09-2023
Prevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people
- Andreia Matos da Silva ,
- Ariane Silva do Carmo ,
- Vicente Paulo Alves ,
- Luiz Sérgio Fernandes de Carvalho
Abstract
ORIGINAL ARTICLEPrevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people
Revista Brasileira de Enfermagem. 2023;76(4):e20220592
DOI 10.1590/0034-7167-2022-0592
- Andreia Matos da Silva ,
- Ariane Silva do Carmo ,
- Vicente Paulo Alves ,
- Luiz Sérgio Fernandes de Carvalho
Views0See moreABSTRACT
Objective:
To identify the prevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people from three Brazilian regions.
Methods:
This is a multicenter, cross-sectional, and comparative study conducted with elderly people aged 80 years or older.
Results:
Higher prevalence of arterial hypertension were observed among those who use polypharmacy (75.7%), among elderly people aged between 80 and 84 years (33.9%), as well as in elderly people who are overweight (78.2%). The prevalence of diabetes was 24% (RP: 0.76; 95% CI: 0.59-0.98) lower among women compared to men and 2.15 times higher among those who use five or more medications (RP: 2.15; 95% CI: 1.63-2.85).
Conclusions:
In our sample, polypharmacy, body weight, and gender determine the prevalence of non-communicable chronic diseases: arterial hypertension and diabetes mellitus in long-lived elderly people.
- Andreia Matos da Silva
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10-09-2023
Autocompaixão entre estudantes de enfermagem de uma Universidade Estadual da Indonésia durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
Abstract
Autocompaixão entre estudantes de enfermagem de uma Universidade Estadual da Indonésia durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
DOI 10.1590/0034-7167-2022-0585
Views0See moreRESUMEN
Objetivo:
Determinar el nivel de autocompasión e investigar las relaciones entre las variables sociodemográficas y la autocompasión entre estudiantes de pregrado de enfermería en una universidad estatal de Indonesia durante la pandemia de COVID-19
Métodos:
Este estudio utilizó un diseño transversal. Las muestras se seleccionaron mediante una técnica de muestreo aleatorio estratificado proporcional (n=260). Los datos se recopilaron utilizando una versión indonesia de la Escala de Autocompasión, que consta de 6 subescalas: bondad propia, autocrítica, humanidad común, aislamiento, atención plena y sobre identificación. Los datos se analizaron mediante análisis univariado y bivariado.
Resultados:
El 60% de los estudiantes tenían autocompasión moderada. Los estudiantes puntuaron más alto en amabilidad consigo mismos (3,93±1,02) y sobre identificación (3,58±0,94), lo que indica que a menudo intentaban amarse a sí mismos cuando sentían dolor emocional y a menudo se dejaban llevar cuando sucedió algo perturbador. Posteriormente, se encontró una correlación significativa entre la edad y la autocompasión (p<0,05).
Conclusión:
La autocompasión entre los estudiantes de enfermería debe mejorarse por medio de intervenciones como la alfabetización de la compasión, el entrenamiento en atención plena y las técnicas experienciales basadas en la compasión.
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ORIGINAL ARTICLE10-09-2023
Self-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
Abstract
ORIGINAL ARTICLESelf-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
DOI 10.1590/0034-7167-2022-0585
Views0See moreABSTRACT
Objective:
To determine the level of self-compassion and investigate the relationships between sociodemographic variables and self-compassion among undergraduate nursing students at a state university in Indonesia during the COVID-19 Pandemic.
Methods:
This study used a cross-sectional design. Samples were selected using a proportionate stratified random sampling technique (n=260). Data were collected using an Indonesian version of the Self-compassion Scale, which consists of 6 subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification. Data were analyzed using univariate and bivariate analysis.
Results:
60% of students had moderate self-compassion. Students scored the highest in self-kindness (3,93±1,02) and over-identification (3,58±0,94), indicating that they often tried to love themselves when they felt emotional pain and often get carried away when something upsetting happened. Subsequently, a significant correlation was found between age and self-compassion (p<0.05).
Conclusion:
Self-compassion among nursing students should be improved through interventions such as compassion literacy, mindfulness training, and compassion-based experiential techniques.
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10-09-2023
Um estudo qualitativo das razões para baixa notificação de incidentes de segurança do paciente entre enfermeiros indonésios
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
Abstract
Um estudo qualitativo das razões para baixa notificação de incidentes de segurança do paciente entre enfermeiros indonésios
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
DOI 10.1590/0034-7167-2022-0583
Views0See moreRESUMEN
Objetivos:
investigar las razones de la baja notificación de incidentes de seguridad del paciente entre las enfermeras de Indonesia.
Métodos:
este estudio de caso cualitativo se llevó a cabo entre 15 enfermeras clínicas seleccionadas intencionalmente de un hospital público en Lampung, Indonesia. Se utilizó un guión de entrevista para la recolección de datos a través de entrevistas presenciales en profundidad en julio de 2022. Se utilizó el enfoque temático para el análisis de datos.
Resultados:
en este estudio surgieron siete temas: (1) Comprender la notificación de incidentes; (2) La cultura; (3) Consecuencias de la notificación; (4) Socialización y capacitación; (5) Instalaciones; (6) Comentarios; y (7) Recompensas y Castigos.
Consideraciones Finales:
estos hallazgos deben ser considerados desafíos para el comité de seguridad del paciente y la gerencia del hospital para aumentar la notificación de incidentes de seguridad del paciente, especialmente entre las enfermeras del hospital.
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ORIGINAL ARTICLE10-09-2023
A qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
Abstract
ORIGINAL ARTICLEA qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
DOI 10.1590/0034-7167-2022-0583
Views0See moreABSTRACT
Objectives:
to investigate the reasons for low patient safety incident reporting among Indonesian nurses.
Methods:
this qualitative case study was conducted among 15 clinical nurses selected purposively from a public hospital in Lampung, Indonesia. Interview guidelines were used for data collection through face-to-face in-depth interviews in July 2022. The thematic approach was used to analyze the data.
Results:
in this present study, seven themes emerged (1) Understanding incident reporting; (2) The culture; (3) Consequences of reporting; (4) Socialization and training; (5) Facilities; (6) Feedback; and (7) Rewards and punishments.
Final Considerations:
these findings should be considered challenges for the patient safety committee and hospital management to increase patient safety incident reporting, particularly among nurses in the hospital.
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ORIGINAL ARTICLE10-09-2023
Compliance with central venous catheter infection prevention practices after intervention with simulation
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha , [ … ],
- Bruna Figueiredo Manzo
Abstract
ORIGINAL ARTICLECompliance with central venous catheter infection prevention practices after intervention with simulation
Revista Brasileira de Enfermagem. 2023;76(4):e20220574
DOI 10.1590/0034-7167-2022-0574
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha ,
- Delma Aurélia da Silva Simão ,
- Bruna Figueiredo Manzo
Views0See moreABSTRACT
Objectives:
to assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit.
Methods:
a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted.
Results:
after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique.
Conclusions:
the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.
- Thayane Gusmão Pires de Oliveira
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