Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2018

    Spiritual needs experienced by the patient’s family caregiver under Oncology palliative care

    Revista Brasileira de Enfermagem. 2018;71:2635-2642

    Abstract

    RESEARCH

    Spiritual needs experienced by the patient’s family caregiver under Oncology palliative care

    Revista Brasileira de Enfermagem. 2018;71:2635-2642

    DOI 10.1590/0034-7167-2017-0873

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    ABSTRACT

    Objective:

    To understand the spiritual needs of the patients’ family caregiver under Oncology palliative care.

    Method:

    A descriptive, qualitative study with 20 family caregivers of patients hospitalized in an Oncology palliative unit. The data were collected through a phenomenological interview, and analyzed by the method of Amadeo Giorgi supported in the Merleau-Ponty’s Phenomenology of Perception.

    Results:

    The categories were unveiled: “Spirituality as a foundation for life”; “Spiritual needs sublimated by the family caregiver”; and “Care expected by the nurse”.

    Conclusion:

    Family caregivers appropriate spirituality as a coping strategy and meeting the purpose and meaning of the moment experienced. It is profitable for the nurse to contemplate the spiritual needs of the caregiver in order to provide a guided assistance in the humanization of care and comprehensive care. Therefore, there is a need for new studies that address this dimension to the family caregiver in the field of Oncology, since this care is incipient by the nurse.

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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.
  • RESEARCH01-01-2018

    Being caregiver of people with Parkinson’s Disease: experienced situations

    Revista Brasileira de Enfermagem. 2018;71:2628-2634

    Abstract

    RESEARCH

    Being caregiver of people with Parkinson’s Disease: experienced situations

    Revista Brasileira de Enfermagem. 2018;71:2628-2634

    DOI 10.1590/0034-7167-2017-0008

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    ABSTRACT

    Objective:

    To understand the experience of caring for a person with Parkinson’s Disease.

    Method:

    We used the qualitative study and thematic analysis with family caregivers of people with Parkinson’s Disease.

    Results:

    Three thematic categories were identified, being: Feelings related to Parkinson’s Disease; Changes in family daily routines; Caregiver strategies for self-care.

    Final considerations:

    Family care has shown the need for health services to provide caregivers support, as they experience situations of overload in care that can contribute to their illness. The findings also allow nurses to see the need for differentiated care for caregivers that, by assisting them with their needs, favor the quality of life of the caregiver, reduce the possibility of illness, allowing a more efficient care to the entity with chronic illness.

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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.
  • RESEARCH01-01-2018

    Humanized practices of obstetric nurses: contributions in maternal welfare

    Revista Brasileira de Enfermagem. 2018;71:2620-2627

    Abstract

    RESEARCH

    Humanized practices of obstetric nurses: contributions in maternal welfare

    Revista Brasileira de Enfermagem. 2018;71:2620-2627

    DOI 10.1590/0034-7167-2017-0290

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    ABSTRACT

    Objective:

    To analyze the practice of obstetric nurses operating in a prenatal/delivery/postpartum unit of a university hospital in Mato Grosso and the maternal welfare resulted from the care provided in this scenario.

    Method:

    Study with a quantitative approach, carried out in a prenatal/delivery/postpartum unit of a university hospital in Cuiabá, Mato Grosso. The data were collected through the Scale of Maternal Welfare in Delivery Situation 2, and the study included 104 recent mothers in the period from June to September 2016. The data were analyzed in Epi Info version 7.

    Results:

    The results indicate that the practice of obstetric nurses is based on the humanization of labor and childbirth, however, the presence of invasive and unnecessary practices in the service did not influence the level of maternal welfare, which was optimum for 76% of the women.

    Conclusion:

    The lack of information might make the women less critical and, therefore, influence the evaluation of the care received

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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.
  • RESEARCH01-01-2018

    Care coordination in Health Care for the child/adolescent in chronic condition

    Revista Brasileira de Enfermagem. 2018;71:2612-2619

    Abstract

    RESEARCH

    Care coordination in Health Care for the child/adolescent in chronic condition

    Revista Brasileira de Enfermagem. 2018;71:2612-2619

    DOI 10.1590/0034-7167-2017-0787

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    ABSTRACT

    Objective:

    To analyze the care coordination for the child and adolescent in chronic condition and users planning in the Health Care Network.

    Method:

    Qualitative study, conducted with 26 health professionals and managers through Focus Groups. Thematic content analysis was used.

    Results:

    Care coordination is fragile, with lack of support from the management, and presence of high turnover of managers and professionals. The limits in the network planning are due to frequent changes in the careflow. Communication between levels of care and lack of counter-referral makes network care unfeasible.

    Final considerations:

    There is a need for planning in the Health Care Network and establishment of careflow, as well as the construction of communication channels and tools of referral and counter-referral between professionals and services, for the constitution and integration of the network from the perspective of user-centered care.

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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.
  • RESEARCH01-01-2018

    Influence of socio-demographic characteristics in the self-care of people with heart failure

    Revista Brasileira de Enfermagem. 2018;71:2604-2611

    Abstract

    RESEARCH

    Influence of socio-demographic characteristics in the self-care of people with heart failure

    Revista Brasileira de Enfermagem. 2018;71:2604-2611

    DOI 10.1590/0034-7167-2017-0480

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    ABSTRACT

    Objective:

    To determine the influence of socio-demographic characteristics in the self-care of people with heart failure (HF).

    Method:

    Cross-sectional, analytical study, held in three private hospitals in Fortaleza, Ceará, Brasil, with 57 hospitalized patients. The data were collected through a demographic characterization form and a self-care assessment scale and were analyzed with inferential statistics, using mean comparison tests.

    Results:

    Self-care was best assessed in people with higher education level, higher household income and in a relationship.

    Conclusion:

    The socio-demographic characteristics influenced seven self-care practices: dietary control; monitoring of body weight; effort in labor activities; knowledge about HF; up-to-date vaccination record; leisure activities; and family and social support network with strong bonds. The higher prevalence of answers indicating satisfactory self-care practices among the patients occurred in the areas of health promotion and tolerance to stress.

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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

    Ethical dilemmas for the areas of Nursing and Health in relation to Preprints

    Revista Brasileira de Enfermagem. 2018;71:2602-2603

    Abstract

    Ethical dilemmas for the areas of Nursing and Health in relation to Preprints

    Revista Brasileira de Enfermagem. 2018;71:2602-2603

    DOI 10.1590/0034-7167.201871supl601

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    According to a recent publication by a group of researchers at the National Institutes of Health and the Whitehead Institute(), a preprint submission is defined as a complete written description of a scientific work that has not yet been published in a journal. It may be a research article, an editorial, a review, or another […]
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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

    Dilemas éticos para área da Enfermagem e da Saúde em relação ao Preprint

    Revista Brasileira de Enfermagem. 2018;71:2602-2603

    Abstract

    Dilemas éticos para área da Enfermagem e da Saúde em relação ao Preprint

    Revista Brasileira de Enfermagem. 2018;71:2602-2603

    DOI 10.1590/0034-7167.201871supl601

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    De acordo com uma recente publicação de um grupo de pesquisadores do National Institutes of Health e do Whitehead Institute(), uma submissão preprint é definida como uma descrição escrita completa de um trabalho científico que ainda não foi publicado em um periódico. Pode ser um artigo de pesquisa, editorial, revisão ou outro tipo de documento […]
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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.
  • ERRATUM01-01-2018

    ERRATUM

    Revista Brasileira de Enfermagem. 2018;71:2349-2350

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2018;71:2349-2350

    DOI 10.1590/0034-7167.201871suppl5e02

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    Article “Integrative review of literature: nursing care to aged people with HIV”, with number of DOI: http://dx.doi.org/10.1590/0034-7167-2017-0264, published in the journal Revista Brasileira de Enfermagem, v71(suppl 2):884-82:References 28 and 30 should be deleted.[…]
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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 ARTICLE04-09-2020

    High-risk areas of leprosy in Brazil between 2001-2015

    Revista Brasileira de Enfermagem. 2020;73(3):e20180583

    Abstract

    ORIGINAL ARTICLE

    High-risk areas of leprosy in Brazil between 2001-2015

    Revista Brasileira de Enfermagem. 2020;73(3):e20180583

    DOI 10.1590/0034-7167-2018-0583

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    ABSTRACT

    Objectives:

    to identify high-risk areas of leprosy in Brazil from 2001 to 2015.

    Methods:

    this is an ecological study of spatial analysis based on Brazilian municipalities. Spatial scan statistics were used to identify spatial clustering and measure the relative risk from the annual detection rate of new cases of leprosy. By criterion based on the Gini index, only secondary clusters were considered.

    Results:

    spatial scan statistics detected 26 clusters, in which the detection rate was 59.19 cases per 100 thousand inhabitants, while in the remainder of the country it was 11.76. Large part of the cluster area is located in the Legal Amazon. These groups included only 21.34% of the total population, but 60.40% of the new cases of the disease.

    Conclusions:

    Leprosy remains concentrated in some areas, showing the need for control programs to intensify actions in these municipalities.

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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.
    High-risk areas of leprosy in Brazil between 2001-2015
  • REVIEW08-14-2020

    Nursing practice environment in Primary Health Care: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(6):e20190479

    Abstract

    REVIEW

    Nursing practice environment in Primary Health Care: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(6):e20190479

    DOI 10.1590/0034-7167-2019-0479

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    INTRODUCTIONKnowledge and scientific evidence about nursing practice environments (NPE) in the context of Primary Health Care (PHC) is scarce.Policy makers, health and professional organizations have proposed to redesign the health system in PHC with the aim of increasing citizens’ accessibility, improving customer outcomes and maximizing efficiency. […]
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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 practice environment in Primary Health Care: a scoping review
  • ORIGINAL ARTICLE12-13-2019

    Perceptions and expectations of pregnant women about the type of birth

    Revista Brasileira de Enfermagem. 2019;72:41-49

    Abstract

    ORIGINAL ARTICLE

    Perceptions and expectations of pregnant women about the type of birth

    Revista Brasileira de Enfermagem. 2019;72:41-49

    DOI 10.1590/0034-7167-2017-0731

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    ABSTRACT

    Objective:

    to understand the perceptions and expectations of pregnant women about the type of birth.

    Method:

    this is a qualitative research, based on the assumptions of the Humanization of Obstetric Care. 15 pregnant women were interviewed twice at the beginning and the end of gestation between October 2015 and May 2016. Data were analyzed according to the method of the Discourse of the Collective Subject.

    Results:

    the discourses were associated with four themes: Advantages of vaginal birth over cesarean section; Fear and unpredictability of vaginal birth; Importance of the doctor in the definition of the type of birth; and Influence of family and friends in choosing the type of birth.

    Final considerations:

    according to pregnant women, vaginal birth has more benefit compared to cesarean section. However, during gestation and birth, fear of pain and the unexpected, and medical opinions of friends and family against vaginal birth strongly influence the choice of cesarean section.

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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.
  • REVIEW09-30-2020

    Telenursing in care, education and management in Latin America and the Caribbean: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190317

    Abstract

    REVIEW

    Telenursing in care, education and management in Latin America and the Caribbean: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190317

    DOI 10.1590/0034-7167-2019-0317

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    ABSTRACT

    Objective:

    Analyze the knowledge generated about telenursing related to the roles of nurses (care, education and management) in Latin America and the Caribbean, based on scientific evidence.

    Methods:

    Integrative review, for the years 2009 to 2019, in scientific databases from Latin America and the Caribbean. Twelve articles were selected.

    Results:

    Nine studies focused on care and three on education. The information and communication technology used in the studies was telephony directed toward non-communicable diseases. There were concerns about the remote communication process. With respect to education, two focused on educating health teams and one on educating patients.

    Conclusion:

    It is necessary to conduct studies on telenursing that generate changes in care practices, explore information and communication technology resources and provide communication training focused on this new care model.

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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.
    Telenursing in care, education and management in Latin America and the Caribbean: an integrative review
  • REVIEW04-16-2021

    Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190804

    Abstract

    REVIEW

    Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190804

    DOI 10.1590/0034-7167-2019-0804

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    ABSTRACT

    Objective:

    to evidence the clinical outcomes of navigation performed by nurses in cancer patients.

    Methods:

    this is an integrative literature review with collection in MEDLINE via PUBMED, LILACS, Web of Science, Scopus, and CINAHL databases. The final sample consisted of seven studies. The data were analyzed and presented descriptively. Data related to clinical outcomes were compiled and described in full. The Agency for Healthcare Research and Quality categorization was used to assess the level of evidence.

    Results:

    the clinical outcomes demonstrated were decreased distress, anxiety and depression, improved control and management of symptoms, improved physical conditioning, improved quality and continuity of care, improved quality of life, reduced time to start treatment.

    Final considerations:

    there is research that shows better clinical outcomes in cancer patients through navigation by nurses across the continuum of health care.

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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.
    Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review
  • ORIGINAL ARTICLE06-29-2020

    Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice

    Revista Brasileira de Enfermagem. 2020;73:e20200303

    Abstract

    ORIGINAL ARTICLE

    Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice

    Revista Brasileira de Enfermagem. 2020;73:e20200303

    DOI 10.1590/0034-7167-2020-0303

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    ABSTRACT

    Objective:

    to discuss the application of Rapid Cycle Deliberate Practice for attire and unattire training in the context of COVID-19 and structure a practical guide to the application at this juncture.

    Methods:

    this methodological study described theoretical and practical aspects of the application of a simulation strategy as a technological training tool. An application guide was constructed from the search for evidence from the main health authority bodies in Brazil.

    Results:

    maximizing time in Deliberate Practice, feedback with evidence and psychological security are the principles of this strategy. The dynamic involves repetition and feedback. The application guide presents the sequence of actions for attire and unattire.

    Final considerations:

    coping with this pandemic requires appropriate use of personal protective equipment. The authors suggest the Rapid Cycle Deliberate Practice as a technological educational tool for attire/unattire, since it encourages mastery performance.

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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.
    Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice
  • ORIGINAL ARTICLE08-19-2019

    Interruptions and nursing workload during medication administration process

    Revista Brasileira de Enfermagem. 2019;72(4):1001-1006

    Abstract

    ORIGINAL ARTICLE

    Interruptions and nursing workload during medication administration process

    Revista Brasileira de Enfermagem. 2019;72(4):1001-1006

    DOI 10.1590/0034-7167-2018-0680

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    ABSTRACT

    Objective:

    To investigate the sources and causes of interruptions during the medication administration process performed by a nursing team and measure its frequency, duration and impact on the team’s workload.

    Métodos:

    This is an observational study that timed 121 medication rounds (preparation, administration and documentation) performed by 15 nurses and nine nursing technicians in a Neonatal Intensive Care Unit in the countryside of the state of São Paulo.

    Resultados:

    63 (52.1%) interruptions were observed. In each round, the number of interruptions that happened ranged from 1-7, for 127 in total; these occurred mainly during the preparation phase, 97 (76.4%). The main interruption sources were: nursing staff – 48 (37.8%) − and self-interruptions – 29 (22.8%). The main causes were: information exchanges – 54 (42.5%) − and parallel conversations – 28 (22%). The increase in the mean time ranged from 53.7 to 64.3% (preparation) and from 18.3 to 19.2% (administration) – p≤0.05.

    Conclusão:

    Interruptions in the medication process are frequent, interfere in the workload of the nursing team and may reflect on the safety of care.

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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 ARTICLE12-21-2020

    Construction and validation of a mobile application for development of nursing history and diagnosis

    Revista Brasileira de Enfermagem. 2020;73:e20190674

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of a mobile application for development of nursing history and diagnosis

    Revista Brasileira de Enfermagem. 2020;73:e20190674

    DOI 10.1590/0034-7167-2019-0674

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    ABSTRACT

    Objectives:

    to describe the construction and validation process for a mobile application for development of the nursing history and diagnosis.

    Methods:

    methodological study conducted in 2018 in three stages: content creation, based on the Basic Human Needs categories and nursing diagnoses; content assessment by nine nursing judges, with calculation of the content validity index; and construction of the application, which included definition of the requirements, a conceptual map, implementation and prototyping options, tests and implementation.

    Results:

    the application was organized by sections: Grouped Basic Human Needs, Cranial pair tests, Clinical assessment scales and Additional tests. Two section were adjusted according to the judges’ suggestions.

    Final Considerations:

    it is the first application produced in Brazil based on the Basic Human Need categories, which enables quick access to information, concepts and typical nomenclatures of semiology, recording of clinical data and definition of nursing diagnoses.

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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.
    Construction and validation of a mobile application for development of nursing history and diagnosis

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