Articles - Revista Brasileira de Enfermagem

  • 01-01-2018

    Needs in Mental Health and Research

    Revista Brasileira de Enfermagem. 2018;71:2077-2078

    Abstract

    Needs in Mental Health and Research

    Revista Brasileira de Enfermagem. 2018;71:2077-2078

    DOI 10.1590/0034-7167-2018-0363

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    Psychic suffering is a public health problem in the world because it is strongly related to the loss of functionality, and to the presence of drastic reflexes in personal life and in the social context. Psychic suffering presents as determinants not only the abilities of individuals to deal with thoughts, emotions, behaviors, interactions, but also […]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2018

    Necessidades em saúde mental e pesquisa

    Revista Brasileira de Enfermagem. 2018;71:2077-2078

    Abstract

    Necessidades em saúde mental e pesquisa

    Revista Brasileira de Enfermagem. 2018;71:2077-2078

    DOI 10.1590/0034-7167-2018-0363

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    O sofrimento psíquico é um problema de saúde pública no mundo pois está fortemente relacionado à perda de funcionalidade, à apresentação de reflexos drásticos na vida pessoal e no contexto social. Dessa forma, apresenta como determinantes não somente as habilidades dos indivíduos para lidar com pensamentos, emoções, comportamentos, interações, mas também aspectos relacionados à vida […]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION01-01-2018

    Ethical competences for the development of nursing care

    Revista Brasileira de Enfermagem. 2018;71:1810-1814

    Abstract

    REFLECTION

    Ethical competences for the development of nursing care

    Revista Brasileira de Enfermagem. 2018;71:1810-1814

    DOI 10.1590/0034-7167-2017-0539

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    ABSTRACT

    Objective:

    To present an analysis of the nursing ethos based on the disciplinary foundations of nursing to propose a definition of ethical competences for nursing training.

    Method:

    The present proposal is a theoretical reflection, based on a literature review of the specialty, both nursing and ethics.

    Results:

    we suggest basing the ethical education of nursing students integrating transversally disciplinary, bioethical and civic ethical competences, considering certain educational dimensions that favor their development.

    Final considerations:

    We expect that the definitions of three competences of the moral scope of nursing, contribute to cross-cutting proposals that promote the values and principles of the profession.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2018

    Competencias éticas para el desarrollo del cuidado en enfermería

    Revista Brasileira de Enfermagem. 2018;71:1810-1814

    Abstract

    Competencias éticas para el desarrollo del cuidado en enfermería

    Revista Brasileira de Enfermagem. 2018;71:1810-1814

    DOI 10.1590/0034-7167-2017-0539

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    RESUMEN

    Objetivo:

    Presentar un análisis del êthos de enfermería en base a los fundamentos disciplinares de ésta, a fin de proponer una definición de competencias éticas para la formación en enfermería

    Método:

    La presente propuesta es una reflexión teórica, fundamentada en una revisión de literatura de la especialidad, tanto de enfermería como de la ética.

    Resultados:

    se sugiere basar la formación ética de estudiantes de enfermería integrando transversalmente competencias éticas disciplinares, bioéticas y cívicas, considerando determinadas dimensiones educativas que favorecen su desarrollo.

    Consideraciones finales:

    Se espera que las definiciones de tres competencias del ámbito moral de la enfermería, contribuyan a propuestas transversales que logren fomentar los valores y principios de la profesión.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION01-01-2018

    The professor’s body: discourses on subjectivity to reflect on nurses’ education

    Revista Brasileira de Enfermagem. 2018;71:1805-1809

    Abstract

    REFLECTION

    The professor’s body: discourses on subjectivity to reflect on nurses’ education

    Revista Brasileira de Enfermagem. 2018;71:1805-1809

    DOI 10.1590/0034-7167-2017-0456

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    ABSTRACT

    Objective:

    to reflect on the body of the nursing professor in the subjectivity discourse.

    Method:

    this is a reflective essay on the theoretical and practical reverberations of the nursing professor’s body based on the Deleuzoguattarian discourse.

    Results:

    in the theoretical framework, the body of the nursing professor was considered as a producer of subjectivities and understood without organs, surrounded by strengths, desires, and affections. In the practical framework, we discussed pedagogical strategies developed by professors, such as dramatic games, simulated scenes, presentation of the line of care and living portfolio, characterized by stimulating nursing students to value political, civic, creative, and supportive dimensions.

    Conclusion:

    based on the subjectivity discourses, the professor’s body was demystified as uniquely holder of knowledge, and all participants in the educational scenario were considered active protagonists of collective knowledge.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • EXPERIENCE REPORT01-01-2018

    Nursing students in the community: entrepreneurial strategy and proponent of changes

    Revista Brasileira de Enfermagem. 2018;71:1799-1804

    Abstract

    EXPERIENCE REPORT

    Nursing students in the community: entrepreneurial strategy and proponent of changes

    Revista Brasileira de Enfermagem. 2018;71:1799-1804

    DOI 10.1590/0034-7167-2017-0382

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    ABSTRACT

    Objective:

    To report the insertion of the nursing students of the Franciscan University Center in the community through the project Adopting a Family, contributing to critical thinking within the Nursing academic production and its articulation to collective health.

    Results:

    In the professors’ evaluation, the activity represented an effective articulation and insertion of the university in the community; for the students, it allowed for spaces of construction, deconstruction and negotiation with the unknown and the uncertain; for the families, it enabled the feeling of being remembered and valued as human beings and citizens. Through the experiences had, the transformation of health practices goes through the emergence and valuation of new knowledge.

    Final considerations:

    The insertion of the university in the community is constituted by an entrepreneurial strategy that is proponent of changes, due to its more effective and resolute outreach of health issues proposed by the national health system.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing students in the community: entrepreneurial strategy and proponent of changes
  • EXPERIENCE REPORT01-01-2018

    From theory to practice, operating the clinical simulation in Nursing teaching

    Revista Brasileira de Enfermagem. 2018;71:1791-1798

    Abstract

    EXPERIENCE REPORT

    From theory to practice, operating the clinical simulation in Nursing teaching

    Revista Brasileira de Enfermagem. 2018;71:1791-1798

    DOI 10.1590/0034-7167-2017-0180

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    ABSTRACT

    Objective:

    To report the experience of the operationalization of clinical simulation as a pedagogical strategy in a subject of an undergraduate course in Nursing.

    Method:

    Clinical simulation cycles were carried out following the steps of action research, such as: planning, action, observation and reflection, from March 2014 to July 2015 with 10 professors and 44 students from a Primary Care and Mental Health subject of an undergraduate course in Nursing.

    Results:

    Five cycles of clinical simulation were performed, at the end of each cycle modifications were suggested by students and professors and the operation was adjusted to meet the needs of the subject. The main points of change were: professor role, logistics, equipment, debriefing model and preparation of “simulated patients”.

    Final considerations:

    The clinical simulation is a possible method to be operationalized in undergraduate course in Nursing, needs pedagogical and logistic planning as well as, sensitization of professors and students.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    From theory to practice, operating the clinical simulation in Nursing teaching
  • EXPERIENCE REPORT01-01-2018

    Clinical simulation to teach nursing care for wounded patients

    Revista Brasileira de Enfermagem. 2018;71:1785-1790

    Abstract

    EXPERIENCE REPORT

    Clinical simulation to teach nursing care for wounded patients

    Revista Brasileira de Enfermagem. 2018;71:1785-1790

    DOI 10.1590/0034-7167-2017-0170

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    ABSTRACT

    Objective:

    to report the experience of constructing and applicating clinical simulation scenarios for the evaluation and treatment of wounds.

    Method:

    experience report on two simulation scenarios for nursing care of wounded patients applied to nursing undergraduates. We structured simulations based on the model from the National League for Nursing/Jeffries Simulation Framework. The scenarios were evaluated by the instrument Simulation Design Scale and the students by the experience with the simulation.

    Results:

    the scenarios reproduced nursing care situations with the application of role play and moulage, which allowed us to evaluate and discuss the wound treatment. Reflections on the debriefing were important for the teaching-learning process and association between theory and practice, these factors determined the satisfaction of students with the activity.

    Conclusion:

    using clinical simulation scenarios to teach students favored the clinical reasoning and decision-making in the evaluation and treatment of wounds.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • ORIGINAL ARTICLE07-13-2020

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    Abstract

    ORIGINAL ARTICLE

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    DOI 10.1590/0034-7167-2020-0434

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    ABSTRACT

    Objective:

    to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

    Methods:

    a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

    Results:

    there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

    Conclusion:

    we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION04-22-2020

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    Abstract

    REFLECTION

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    DOI 10.1590/0034-7167-2019-0250

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    ABSTRACT

    Objective:

    to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

    Method:

    It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

    Results:

    historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

    Final considerations:

    The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
  • REFLECTION10-26-2020

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    Abstract

    REFLECTION

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    DOI 10.1590/0034-7167-2020-0683

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    ABSTRACT

    Objective:

    To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

    Methods:

    Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

    Results:

    Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

    Final considerations:

    The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-13-2020

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    DOI 10.1590/0034-7167-2020-0673

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    ABSTRACT

    Objective:

    To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

    Methods:

    Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

    Results:

    In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

    Conclusion:

    Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE02-27-2020

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    Abstract

    ORIGINAL ARTICLE

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    DOI 10.1590/0034-7167-2018-0287

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    ABSTRACT

    Objectives:

    to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

    Methods:

    this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

    Results:

    prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

    Conclusions:

    fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-10-2020

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    Abstract

    ORIGINAL ARTICLE

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    DOI 10.1590/0034-7167-2019-0413

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    ABSTRACT

    Objective:

    To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

    Methods:

    A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

    Results:

    The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

    Conclusion:

    The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW03-24-2021

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    Abstract

    REVIEW

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    DOI 10.1590/0034-7167-2020-0130

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    ABSTRACT

    Objectives:

    to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

    Methods:

    integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

    Results:

    among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

    Final Considerations:

    the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-16-2019

    Validation of educational booklet: an educational technology in dengue prevention

    Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

    Abstract

    ORIGINAL ARTICLE

    Validation of educational booklet: an educational technology in dengue prevention

    Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

    DOI 10.1590/0034-7167-2018-0771

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    ABSTRACT

    Objective:

    to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population.

    Method:

    methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out.

    Results:

    the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization.

    Conclusion:

    the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Validation of educational booklet: an educational technology in dengue prevention

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