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01-01-2018
El cuidado en la Atención Primaria de Salud: vivencia de las enfermeras
Revista Brasileira de Enfermagem. 2018;71:531-537
Abstract
El cuidado en la Atención Primaria de Salud: vivencia de las enfermeras
Revista Brasileira de Enfermagem. 2018;71:531-537
DOI 10.1590/0034-7167-2016-0244
Views0See moreRESUMEN
Objetivo:
comprender el significado de realizar cuidados de enfermería en la Atención Primaria de Salud desde la perspectiva de las enfermeras chilenas.
Método:
investigación cualitativa con enfoque desde la fenomenología social de Alfred Schütz. La recolección de datos fue realizada entre enero y abril del 2013, a través de entrevista con 13 enfermeras de Atención Primaria en Chile.
Resultados:
las enfermeras perciben el cuidado como una experiencia gratificante considerando un encuentro de subjetividades. Sin embargo, se sienten sobrecargadas por múltiples funciones a realizar y por presiones jerárquicas en el logro de las metas. Aspiran implementar cuidados innovadores manifiestados por el deseo de superar el cuidado tradicional y la eficiencia de la gestión de los diversos niveles de atención de la salud.
Conclusión:
es importante discutir estos resultados en el contexto de la asistencia y especialmente en la formación, con el fin de preparar mejor a las enfermeras que brindarán cuidados en este nivel de atención.
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RESEARCH01-01-2018
Obstacles in the detection and reporting of tuberculosis cases: a discursive analysis
Revista Brasileira de Enfermagem. 2018;71:523-530
Abstract
RESEARCHObstacles in the detection and reporting of tuberculosis cases: a discursive analysis
Revista Brasileira de Enfermagem. 2018;71:523-530
DOI 10.1590/0034-7167-2016-0673
Views0See moreABSTRACT
Objective:
To analyze the discourses of health professionals about the obstacles in the process of detection and reporting of tuberculosis cases in Mozambique.
Method:
Qualitative exploratory study with a theoretical-methodological approach of Discourse Analysis of French matrix. The study was conducted in Mozambique in 2014 at three levels: central, provincial and district. The study included 15 health professionals, 4 physicians, 6 technicians and 5 nursing professionals, who worked in the National Tuberculosis Control Program, with more than 1 year of experience.
Result:
The following discursive blocks emerged: Detection of tuberculosis cases in laboratories; Underreporting of tuberculosis cases; Obstacles to detect cases of tuberculosis: long distances and lack of transport; and Reporting of cases for decision making.
Final considerations:
The discourses analyzed point to the ideological affiliation that includes the lack of investment policies in the health sector and the political commitment as basic obstacles in the detection and reporting of tuberculosis cases.
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RESEARCH01-01-2018
Quality of life of elderly people living with HIV/AIDS in outpatient follow-up
Revista Brasileira de Enfermagem. 2018;71:513-522
Abstract
RESEARCHQuality of life of elderly people living with HIV/AIDS in outpatient follow-up
Revista Brasileira de Enfermagem. 2018;71:513-522
DOI 10.1590/0034-7167-2017-0127
Views0See moreABSTRACT
Objective:
To analyze factors related to the quality of life of elderly people living with HIV/AIDS.
Method:
A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements.
Results:
Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs.
Conclusion:
The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.
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RESEARCH01-01-2018
Alcohol consumption, Quality of Life and Brief Intervention among Nursing university students
Revista Brasileira de Enfermagem. 2018;71:505-512
Abstract
RESEARCHAlcohol consumption, Quality of Life and Brief Intervention among Nursing university students
Revista Brasileira de Enfermagem. 2018;71:505-512
DOI 10.1590/0034-7167-2017-0692
Views0See moreABSTRACT
Objective:
To evaluate nursing university students’ alcohol consumption patterns, Brief Intervention and Quality of Life (QoL).
Method:
This is a prospective and longitudinal study containing sociodemographic, economic information concerning alcoholic beverages, BI and QoL evaluation among 281 nursing university students. Since surveys have been applied, seminars have been given and consumption patterns have been discussed, an educational material was delivered after university students’ revaluation and BI reinforcement. Descriptive and analytical statistics have been conducted.
Results:
90% of the students have already consumed alcohol and 20.6% that consumed for the first time and abused alcohol were minors. After the implementation of BI, the alcohol consumption has decreased among university students. Besides the vitality, generate state of health, and emotional aspects have decreased, mental health was substantially low among the students that used to drink.
Conclusion:
BI contributes to decrease alcoholic beverages consumption and promotes health.
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RESEARCH01-01-2018
Reflections and collective production about being a municipal health counselor
Revista Brasileira de Enfermagem. 2018;71:496-504
Abstract
RESEARCHReflections and collective production about being a municipal health counselor
Revista Brasileira de Enfermagem. 2018;71:496-504
DOI 10.1590/0034-7167-2017-0369
Views0See moreABSTRACT
Objective:
to identify the participation dynamics of a municipal council and to develop a critical-reflexive process on “being a counselor”, identifying weaknesses and possibilities of this council, in addition to collectively generating new knowledge and (re)elaborating the MHC Ordinary Law.
Method:
Convergent care research, including documentary analysis, non-participant observation and thematic workshops. The research was carried out in 2016, with municipal health counselors from a city in the Western Region of Santa Catarina.
Results:
this study made it possible to identify forms of social participation that should be strengthened in the performance of social power, to reflect and share individual experiences, to anchor them in the current legislation, and to build knowledge that enabled the elaboration/organization of a product – a new text for the Ordinary Law of the Council, adjusted to current legislation.
Final considerations:
There is a need to increase participation, considering the presence of the counselors in the meetings, the effective representation and a greater interaction in the discussions and deliberations of the council.
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RESEARCH01-01-2018
Social network: evaluation of the support or containment contexts of lesbian mothers
Revista Brasileira de Enfermagem. 2018;71:490-495
Abstract
RESEARCHSocial network: evaluation of the support or containment contexts of lesbian mothers
Revista Brasileira de Enfermagem. 2018;71:490-495
DOI 10.1590/0034-7167-2017-0419
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Objective:
To evaluate the social network of lesbian mothers, from the social contexts of support or restraint.
Method:
Descriptive, exploratory study, of qualitative approach, based on the theoretical reference of Social Network, with eight lesbian mothers selected through Snowball technique, using semi-structured interview. Data analysis was performed with IRAMUTEQ software, through Similarity Analysis.
Results:
The social network is configured as: 1) Emotional distance and non-acceptance of motherhood by the family members – primary network elements; 2) Interference in the socio-cultural medium for the effectiveness of the mother-child bond – secondary network elements.
Final considerations:
Social network is grounded on trivialized and negative conceptions that highlight prejudice and disrespect. The discussion of this theme contributes to a greater visibility of those new family arrangements as well as to reduce stigmas e prejudices that pervade the social network components of these women.
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RESEARCH01-01-2018
Wellness room as a strategy to reduce occupational stress: quasi-experimental study
Revista Brasileira de Enfermagem. 2018;71:483-489
Abstract
RESEARCHWellness room as a strategy to reduce occupational stress: quasi-experimental study
Revista Brasileira de Enfermagem. 2018;71:483-489
DOI 10.1590/0034-7167-2017-0572
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Objective:
To compare occupational stress levels of nurse staff working in the surgical unit before and after the intervention “wellness room”.
Method:
Quasi-experimental study with a sample of 60 nurse staff working in a surgical unit of a teaching hospital in the Southern Region of Brazil. The intervention was conducted in a room in the workplace for six months and consisted of sections of aesthetic care, relaxation, lectures and workshops to reduce occupational stress. Data were collected through the Demand-Control-Support Questionnaire before and after the intervention, and the comparative analysis was performed by the Wilcoxon test.
Results:
After the intervention, there was a decrease in demand and an increase in control and in the social support received at work in all professional categories, but the differences were not statistically significant.
Conclusion:
The intervention “wellness room” reduced occupational stress levels in the sample studied; however, it was not a significant decrease.
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RESEARCH01-01-2018
Characterization of users at risk of developing diabetes: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71:475-482
Abstract
RESEARCHCharacterization of users at risk of developing diabetes: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71:475-482
DOI 10.1590/0034-7167-2017-0776
Views0See moreABSTRACT
Objective:
To characterize the profile of users at risk of developing diabetes mellitus type 2 according to sociodemographic and clinical variables.
Method:
Cross-sectional study, descriptive, quantitative approach conducted with 266 users of Basic Care. Inferential statistics analysis, calculating the crude prevalence ratio with confidence interval of 95% and Kruskal-Wallis test, and application of the multivariate technique simple Correspondence Analysis.
Results:
It was noted that 83.1% were women and 36.4% frequented the Family Health Unit from 1 to 5 years. Regarding the factors associated with diabetes mellitus type 2, 66.5% of the users were overweight and 77.9% were rated with central obesity. The great majority, 77.4%, did not practice physical activities and 21.1% had altered glycemia.
Conclusion:
The results showed that many risk factors for developing diabetes mellitus type 2 were among the population of the study.
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REVIEW07-06-2020
Patient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
Abstract
REVIEWPatient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
DOI 10.1590/0034-7167-2019-0209
Views1See moreABSTRACT
Objectives:
to identify the patient safety challenges described by health professionals in Primary Health Care.
Methods:
a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included.
Results:
the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety.
Conclusions:
patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.
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07-16-2021
Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
Abstract
Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
DOI 10.1590/0034-7167-2020-1150
Views0See moreABSTRACT
Objective:
to assess sleep quality in menopausal women and its association with symptoms related to this period.
Method:
this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant.
Results:
261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale.
Conclusion:
women with worse sleep quality revealed greater severity of symptoms related to menopause.
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ORIGINAL ARTICLE08-10-2020
Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
Abstract
ORIGINAL ARTICLEEliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
DOI 10.1590/0034-7167-2018-0950
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Objectives:
to analyze theoretical conceptions of Eliot Freidson’s Sociology of Professions scoped on health and nursing professions.
Methods:
Eight nurses were interviewed, all involved in the development of the professional Council on the timeframe from 1975 to 1986. Documental resources were Laws, Ordinances, Resolutions, Reports, Meeting Minutes and Public Deeds. Information was organized as from literature and Eliot Freidson’s conceptions, and thematic content analysis was carried out.
Results:
the concepts authored by Eliot Freidson allowed for the development of a concept chart that portrays the nursing profession and that may be expanded for the other occupations in the health field, in consonance with professional organization in the country.
Final Considerations:
Eliot Freidson’s framework, in interpretation for nursing, consolidates the profession with relative autonomy, expertise by Nursing Care Systematization and credentialism by professional normalizations.
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REVIEW01-20-2021
Psychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
Abstract
REVIEWPsychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
DOI 10.1590/0034-7167-2020-0198
Views0See moreABSTRACT
Objective:
to identify, in international scientific production, the main psychosocial factors in nursing work, found through the Copenhagen Psychosocial Questionnaire (COPSOQ) application.
Methods:
a systematic review study of psychosocial factors at work among nursing professionals, who used COPSOQ in the assessment of work environments.
Results:
fifteen articles were identified, which highlighted as main psychosocial dimensions of nursing work demands, work organization, social relationships and leadership, work-home interface, workplace health and well-being and offensive behaviors.
Conclusion:
the high demands for cognitive, emotional work and work pace were identified in the nursing routine. Management support had a positive impact. Physical and psychological violence and shift work interfere in family life, aggravating the fatigue of these professionals. Interventions for reducing work stress presuppose the identification of psychosocial factors involved in nursing work.
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ORIGINAL ARTICLE12-05-2019
Factors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
Abstract
ORIGINAL ARTICLEFactors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
DOI 10.1590/0034-7167-2017-0079
Views0See moreABSTRACT
Objective:
determine the prevalence and factors associated with frailty syndrome (FS) in the elderly in the rural population of Pelotas.
Method:
Quantitative, analytical, transversal study conducted with 820 elderly subjects registered in the Family Health Strategy (FHS) in the rural area in the municipality of Pelotas, from July to October 2014.
Results:
among those evaluated, 43.41% showed FS. These factors were consolidated as associated with the condition: low income (PR: 1.54, p ≤ 0.001), low educ. level (PR: 1.45, p ≤ 0.001), nutritional status (obesity) (PR:1.89, p ≤ 0.001), physical inactivity (PR:1.93, p = 0.003), cognitive deficit (PR:2.07, p = 0.005), and poor self-perceived health (PR: 8.21, p ≤ 0.001).
Conclusion:
the findings may contribute effectively to the establishment of prevention and screening measures for frailty among the elderly by health professionals, especially nurses, aiming to prevent the occurrence of the syndrome and adverse and undesirable outcomes.
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ORIGINAL ARTICLE07-06-2020
Association between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
Abstract
ORIGINAL ARTICLEAssociation between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
DOI 10.1590/0034-7167-2019-0430
Views0See moreABSTRACT
Objectives:
to verify the association between knowledge and adherence to foot self-care practices performed by patients with diabetes mellitus type 2.
Methods:
cross-sectional, descriptive study carried out with 197 patients in basic health units located in the Northeast region of Brazil. For data collection, we used a semi-structured questionnaire that addressed issues inherent to knowledge and Diabetes Self-Care Activities.
Results:
we observed that patients with moderate knowledge about self-care practices were more likely to perform foot self-examination, dry the interdigital spaces, moisturize their feet with creams and oils, observe the presence of mycosis and ingrown toenail when compared to patients with insufficient knowledge.
Conclusions:
the patients’ level of knowledge was closely related to the self-care activities carried out, which reinforces the importance of nurses working on training those on essential health care.
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ORIGINAL ARTICLE06-01-2020
Factors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
Abstract
ORIGINAL ARTICLEFactors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
DOI 10.1590/0034-7167-2018-0913
Views0See moreABSTRACT
Objective:
To analyze the factors associated with occupational stress among nursing workers in health services of medium complexity.
Methods:
Epidemiological, cross-sectional, exploratory study. A randomly selected sample of 126 nursing professionals from medium complexity services in three cities in the state of Bahia (Santo Antônio de Jesus, Feira de Santana and Itabuna) was investigated. Data were collected in 2011 and 2012. The demand-control model proposed by Karasek was used to assess occupational stress. Simultaneous analysis of occupational stressors was performed using Poisson regression with robust variance.
Results:
The prevalence of occupational stress among nursing professionals was 77%. Occupational stress was associated with the professional category of nursing technician (p=0.01).
Conclusion:
The data indicates a concerning situation of exposure to occupational stressors, which requires coping strategies in order to protect the health of the worker.
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ORIGINAL ARTICLE03-07-2022
Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
Abstract
ORIGINAL ARTICLECritically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
DOI 10.1590/0034-7167-2021-0119
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Objective:
To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables.
Methods:
Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group.
Results:
Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found.
Conclusion:
Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.
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