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RESEARCH01-01-2017
Opioid analgesic administration in patients with suspected drug use
Revista Brasileira de Enfermagem. 2017;70(3):626-632
Abstract
RESEARCHOpioid analgesic administration in patients with suspected drug use
Revista Brasileira de Enfermagem. 2017;70(3):626-632
DOI 10.1590/0034-7167-2016-0501
Views0See moreABSTRACT
Objective:
To identify the prevalence of patients suspected of drug use according to the nursing professionals’ judgement, and compare the behavior of these professionals in opioid administration when there is or there is no suspicion that patient is a drug user.
Method:
A cross-sectional study with 507 patients and 199 nursing professionals responsible for administering drugs to these patients. The Chi-Square test, Fisher’s Exact and a significance level of 5% were used for the analyzes.
Results:
The prevalence of suspected patients was 6.7%. The prevalence ratio of administration of opioid analgesics ‘if necessary’ is twice higher among patients suspected of drug use compared to patients not suspected of drug use (p = 0.037).
Conclusion:
The prevalence of patients suspected of drug use was similar to that of studies performed in emergency departments. Patients suspected of drug use receive more opioids than patients not suspected of drug use.
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RESEARCH01-01-2017
Insulin therapy waste produced in the households of people with diabetes monitored in Primary Care
Revista Brasileira de Enfermagem. 2017;70(3):618-625
Abstract
RESEARCHInsulin therapy waste produced in the households of people with diabetes monitored in Primary Care
Revista Brasileira de Enfermagem. 2017;70(3):618-625
DOI 10.1590/0034-7167-2016-0406
Views0See moreABSTRACT
Objective:
To analyze the insulin therapy waste disposal produced in the households of people with diabetes mellitus (DM).
Method:
Cross-sectional study with 105 Primary Care patients. Socio-demographic and clinical variables and insulin therapy practice were analyzed through the absolute and relative frequencies, Fisher’s exact test and prevalence ratio (PR).
Results:
The association between types of insulin (60.0%), administered with a disposable syringe attached to a needle (80.9%), and a high percentage of reuse and disposal in normal household waste (57.1%) stood out. The professionals who most frequently provided guidance to people with diabetes were the nurses. Patients who had received instructions about disposal were 21 times more likely to dispose of waste properly than those who had not (PR 21.5; P < 0.0001). Age, gender, skin color, education, marital status, occupational status and type of DM did not interfere in the disposal (P > 0.05).
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RESEARCH01-01-2017
Use of the Diffusion of Innovation Model in venous ulcers by specialized professionals
Revista Brasileira de Enfermagem. 2017;70(3):610-617
Abstract
RESEARCHUse of the Diffusion of Innovation Model in venous ulcers by specialized professionals
Revista Brasileira de Enfermagem. 2017;70(3):610-617
DOI 10.1590/0034-7167-2016-0235
Views0ABSTRACT
Objective:
To analyze the influence of the evidence and of the opinion of peers on the decisions of specialists regarding the agreement with recommendations for prevention and treatment of venous ulcer.
Methods:
This is a quasi-experimental study with two interventions: provision of studies with the evidence of the recommendations and provision of the opinion of peers, with sample of 73 specialized doctors and nurses. Delphi technique was used in the search for agreement, with three rounds.
Results:
The participants evaluated 82 recommendations organized into eight domains: evaluation of patient and wound; documentation of clinical findings; care with the wound and surrounding skin; indication of dressing; use of antibiotics; improvement of venous return and prevention of recurrence; referrals of patients; and professional training. The interventions resulted in statistically significant changes in four domains.
Conclusion:
The interventions were able to change the opinion of participants, leading them to agreement regarding the recommendations, regardless of the level of evidence.
Keywords:Delphi TechniqueDiffusion of InnovationHealth PersonnelPractice Guidelines as TopicVaricose UlcerSee more
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RESEARCH01-01-2017
Teaching-learning evaluation on the ICNP® using virtual learning environment
Revista Brasileira de Enfermagem. 2017;70(3):602-609
Abstract
RESEARCHTeaching-learning evaluation on the ICNP® using virtual learning environment
Revista Brasileira de Enfermagem. 2017;70(3):602-609
DOI 10.1590/0034-7167-2016-0545
Views0ABSTRACT
Objective:
Evaluating the teaching-learning process of undergraduates and nursing professionals on the International Classification for Nursing Practice (ICNP®) through a course on Moodle Platform.
Method:
Mixed research conducted with 51 nursing students and nurses. Many technological and educational resources were used. To collect data, two semi-structured questionnaires were applied and focus groups were carried out. Statistical and thematic analysis of the data was performed.
Results:
There was a correlation between the Wiki variable, the Animation Video (p = 0.002) and the Arch Method (p = 0.04), as well as a correlation between the Forum, the Virtual Book (P < 0.001) and time (p = 0.009). Three topics emerged: innovation in the application of technological resources, distance education in the professional education and permanent education and the teaching-learning process on the ICNP® in a collaborative way.
Conclusion:
Teaching-learning strategies and technological resources used were pointed out as innovative and helped students have a better performance.
Keywords:Education, ContinuingEducation, DistanceEducation, NursingEducational TechnologyNursing CareSee more -
RESEARCH01-01-2017
Use of technologies in intravenous therapy: contributions to a safer practice
Revista Brasileira de Enfermagem. 2017;70(3):595-601
Abstract
RESEARCHUse of technologies in intravenous therapy: contributions to a safer practice
Revista Brasileira de Enfermagem. 2017;70(3):595-601
DOI 10.1590/0034-7167-2016-0216
Views0See moreABSTRACT
Objectives:
To identify what are the difficulties of the nursing staff in the management of technologies during intravenous therapy (IVT) and discuss the difficulties identified under the perspective of patient’s safety.
Method:
Descriptive study of qualitative approach with data collected by semi-structured interview and analyzed by the Alceste software.
Results:
The greatest difficulty of cognitive and technical emphasis was the lack of training; and regarding administrative emphasis, the greatest difficulty was the lack of material and human resources. Infusion pumps and their proper use were highlighted as the technological resource that most contributed to patient safety.
Final considerations:
The lack of training is presented as the greatest difficulty of nursing professionals and permeates safety issues of both patient and professional when using the hard technologies in IVT. Training is essential to the development of techniques, considered nursing tools.
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RESEARCH01-01-2017
Validation of the self-assessment of communication skills and professionalism for nurses
Revista Brasileira de Enfermagem. 2017;70(3):588-594
Abstract
RESEARCHValidation of the self-assessment of communication skills and professionalism for nurses
Revista Brasileira de Enfermagem. 2017;70(3):588-594
DOI 10.1590/0034-7167-2016-0133
Views0ABSTRACT
Objectives:
to translate, adapt cross-culturally and validate into Brazilian Portuguese the following instrument: “Self-assessment of communication skills and professionalism in residents” for the nursing professional, and to determine if personal characteristics and performance of the nurse interfere in the self-assessment about professionalism and interpersonal communication.
Method:
quantitative study.
Results:
the sample consisted of 110 nurses with mean age of 32 years old (± 7.3), most of them were women (n = 80; 72.7%). The internal consistency of the scale “Autoavaliação sobre profissionalismo e comunicação interpessoal entre enfermeiro e paciente” presented moderate and satisfactory reliability (α=0,712). Factorial analysis identified four factors: Interpersonal Skills, Exchange of Information, Honesty in the Relationship and Professionalism.
Conclusion:
the instrument is valid and reliable in Portuguese and for Brazilian culture. Interpersonal Skills changed with gender and marital status. Ability to exchange information was influenced by gender and working sector. Self-assessment of professionalism changed with marital status.
Keywords:CommunicationNonverbal CommunicationNurse-patient RelationshipSelf-AssessmentValidity StudiesSee more
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RESEARCH01-01-2017
Power relations in the family health team: focus on nursing
Revista Brasileira de Enfermagem. 2017;70(3):580-587
Abstract
RESEARCHPower relations in the family health team: focus on nursing
Revista Brasileira de Enfermagem. 2017;70(3):580-587
DOI 10.1590/0034-7167-2015-0171
Views0See moreABSTRACT
Objective:
to analyze the power relations that permeate the work of the family health team, and to discuss perspectives of emancipation of these subjects, focusing on nursing and community health agents.
Method:
a qualitative study with a family health team from a municipality in the countryside of the state of São Paulo. Data were collected through systematic observation and interview with workers. A thematic content analysis was performed.
Results:
three categories were identified: the work of the family health team and power relations; power relations between the nurse and the healthcare team; and the relations among the nursing team and between community agents and the nurse. The team produces relations of power moved by hierarchical knowledge that move in the search for the reordering of powers.
Final considerations:
it is necessary to review the contradictions present in the performance scenario of the family health teams, with a view toward making power relations more flexible.
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RESEARCH01-01-2017
Virtual learning object and environment: a concept analysis
Revista Brasileira de Enfermagem. 2017;70(3):572-579
Abstract
RESEARCHVirtual learning object and environment: a concept analysis
Revista Brasileira de Enfermagem. 2017;70(3):572-579
DOI 10.1590/0034-7167-2016-0123
Views0See moreABSTRACT
Objective:
To analyze the concept of virtual learning object and environment according to Rodgers’ evolutionary perspective.
Method:
Descriptive study with a mixed approach, based on the stages proposed by Rodgers in his concept analysis method. Data collection occurred in August 2015 with the search of dissertations and theses in the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel. Quantitative data were analyzed based on simple descriptive statistics and the concepts through lexicographic analysis with support of the IRAMUTEQ software.
Results:
The sample was made up of 161 studies. The concept of “virtual learning environment” was presented in 99 (61.5%) studies, whereas the concept of “virtual learning object” was presented in only 15 (9.3%) studies.
Conclusion:
A virtual learning environment includes several and different types of virtual learning objects in a common pedagogical context.
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ORIGINAL ARTICLE06-17-2024
Quality of life associated with nursing professionals’ individual resources and work
- Isabela Saura Sartoreto Mallagoli
, - Evandro Piccinelli da Silva ,
- Maria Aline do Nascimento Oliveira ,
- Italo Everton Bezerra Barbosa ,
- Aristeia Nunes Sampaio , [ … ],
- Angélica Gonçalves Silva Belasco
Abstract
ORIGINAL ARTICLEQuality of life associated with nursing professionals’ individual resources and work
Revista Brasileira de Enfermagem. 2024;77(3):e20230476
DOI 10.1590/0034-7167-2023-0476
- Isabela Saura Sartoreto Mallagoli ,
- Evandro Piccinelli da Silva ,
- Maria Aline do Nascimento Oliveira ,
- Italo Everton Bezerra Barbosa ,
- Aristeia Nunes Sampaio ,
- Aline Bicalho Matias ,
- Dulce Aparecida Barbosa ,
- Angélica Gonçalves Silva Belasco
Views0See moreABSTRACT
Objectives:
to assess the physical and mental components of nursing professionals’ quality of life and associate them with individual, health and work characteristics.
Methods:
cross-sectional research, with nursing professionals from a university hospital in São Paulo. Own questionnaire and validated instruments were applied.
Results:
the overall quality of life was compromised. The physical component was lower in relation to low family income and among those who perceived greater control/pressure at work, and better for those who practiced physical activity and had support of leader and organization. The mental component was lower in professionals who reported dissatisfaction with work, worse self-rated physical health and were older. Scores for both components reduced due to work-related illnesses, worse work ability and increased daytime sleepiness.
Conclusions:
quality of life was statistically associated with controllable institutional factors and individual resources that, except age, can be promoted.
- Isabela Saura Sartoreto Mallagoli
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ORIGINAL ARTICLE06-17-2024
Social protection in areas vulnerable to tuberculosis: a mixed methods study in São Luís, Maranhão
- Francisca Bruna Arruda Aragão ,
- Mellina Yamamura Calori ,
- Thais Zamboni Berra ,
- Antônio Carlos Vieira Ramos ,
- Ethel Leonor Noia Maciel , [ … ],
- Regina Célia Fiorati
Abstract
ORIGINAL ARTICLESocial protection in areas vulnerable to tuberculosis: a mixed methods study in São Luís, Maranhão
Revista Brasileira de Enfermagem. 2024;77(3):e20230428
DOI 10.1590/0034-7167-2023-0428
- Francisca Bruna Arruda Aragão ,
- Mellina Yamamura Calori ,
- Thais Zamboni Berra ,
- Antônio Carlos Vieira Ramos ,
- Ethel Leonor Noia Maciel ,
- José Henrique da Silva Cunha ,
- Larissa Barros de Souza ,
- Marcelino Santos Neto ,
- Ricardo Alexandre Arcêncio ,
- Regina Célia Fiorati
Views0See moreABSTRACT
Objectives:
to analyze the risk areas for tuberculosis and the influences of social protection on the development of treatment for the disease in the municipality of São Luís, Maranhão.
Methods:
this is explanatory sequential mixed method research. In the quantitative phase, the data were obtained from the Notifiable Diseases Information System from 2010 to 2019, with georeferencing being carried out to identify areas vulnerable to tuberculosis. In the qualitative phase, semi-structured interviews were carried out with individuals who received social benefits.
Results:
7,381 cases were geocoded, and, from the purely spatial scanning analysis, it was possible to identify 13 spatial clusters of risk. As for the interviews, there was a positive relationship between patient improvement and receiving benefits.
Conclusions:
geographic space and social determinants are relevant for reorienting monitoring actions for the conditions that generate the health-disease process.
- Francisca Bruna Arruda Aragão
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ORIGINAL ARTICLE06-17-2024
Giving meaning to internalized violence throughout life by older adults living in rural areas
- Aline Balandis Costa ,
- Maria Aparecida Salci ,
- Francielle Renata Danielli Martins Marques ,
- Vanessa Denardi Antoniassi Baldissera ,
- Lígia Carreira
Abstract
ORIGINAL ARTICLEGiving meaning to internalized violence throughout life by older adults living in rural areas
Revista Brasileira de Enfermagem. 2024;77(3):e20230163
DOI 10.1590/0034-7167-2023-0163
- Aline Balandis Costa ,
- Maria Aparecida Salci ,
- Francielle Renata Danielli Martins Marques ,
- Vanessa Denardi Antoniassi Baldissera ,
- Lígia Carreira
Views0See moreABSTRACT
Objectives:
to understand the meanings of violence internalized throughout life by older adults living in rural areas.
Methods:
a qualitative study, anchored in the Symbolic Interactionism theoretical framework and the Grounded Theory methodological framework in the constructivist aspect. Data collection occurred through individual interviews. Data were coded using the Atlas.ti software.
Results:
it was possible to identify that the context of rural areas strengthens patriarchy culture as well as contributing to violence silence and naturalization. It was also found that violence is a product of social inequality and gender inequality.
Final Considerations:
older adults living in rural areas internalized the violence suffered in a unique way, and this scenario’s specific aspects can increase intra-family abuse, as there is a patriarchal culture that promotes social and gender inequality.
- Aline Balandis Costa
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ERRATUM06-14-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e06
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e06
DOI 10.1590/0034-7167.20247702e06
Views0In the article “Is there scientific relevance to the plot of films and documentaries about eating disorders?”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(1):e20220547, page 7:Where it read:[…]See more -
ERRATUM06-14-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e05
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(2):e2024n2e05
DOI 10.1590/0034-7167.20247702e05
Views0In the article “Educational technologies used to promote self-care for people with diabetes mellitus: integrative review”, with DOI number: , published in Revista Brasileira de Enfermagem, 2023;76(Suppl 4):e20230049, in the title:Where it read:[…]See more -
REVIEW06-14-2024
Lean and/or Six Sigma for process optimization in the perioperative period: an integrative review
- Lucas Gardim ,
- Fernanda Rodrigues dos Santos ,
- Bruna Moreno Dias ,
- Lívia Barrionuevo El Hetti Fuentes ,
- Renata Cristina de Campos Pereira Silveira , [ … ],
- Andrea Bernardes
Abstract
REVIEWLean and/or Six Sigma for process optimization in the perioperative period: an integrative review
Revista Brasileira de Enfermagem. 2024;77(2):e20230431
DOI 10.1590/0034-7167-2023-0431
- Lucas Gardim ,
- Fernanda Rodrigues dos Santos ,
- Bruna Moreno Dias ,
- Lívia Barrionuevo El Hetti Fuentes ,
- Renata Cristina de Campos Pereira Silveira ,
- Andrea Bernardes
Views0See moreABSTRACT
Objective:
To analyze the evidence on the influence of Lean and/or Six Sigma for process optimization in the perioperative period.
Methods:
Integrative review carried out in the MEDLINE (PubMed), Web of Science, EMBASE, CINAHL, Scopus and LILACS databases on the use of Lean and/or Six Sigma to optimize perioperative processes. The studies included were analyzed in three thematic categories: flow of surgical patients, work process and length of stay.
Results:
The final sample consisted of ten studies, which covered all operative periods. Lean and/or Six Sigma make a significant contribution to optimizing perioperative processes.
Final considerations:
Lean and/or Six Sigma optimize perioperative processes to maximize the achievement of system stability indicators, making it possible to identify potential problems in order to recognize them and propose solutions that can enable the institution of patient-centered care.
- Lucas Gardim
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ORIGINAL ARTICLE06-14-2024
Strategies used by nurses regarding underreporting of rural work accidents due to pesticide use
- Dionatan Carmini de Brito ,
- Daiani Modernel Xavier ,
- Alberto de Oliveira Redü ,
- Luciano Garcia Lourenção ,
- Franciele Gomes Soares , [ … ],
- Laura Fontoura Perin
Abstract
ORIGINAL ARTICLEStrategies used by nurses regarding underreporting of rural work accidents due to pesticide use
Revista Brasileira de Enfermagem. 2024;77(2):e20230384
DOI 10.1590/0034-7167-2023-0384
- Dionatan Carmini de Brito ,
- Daiani Modernel Xavier ,
- Alberto de Oliveira Redü ,
- Luciano Garcia Lourenção ,
- Franciele Gomes Soares ,
- Giovana Calcagno Gomes ,
- Laura Fontoura Perin
Views0See moreABSTRACT
Objective:
To learn the strategies used regarding underreporting of pesticide use in rural areas.
Methods:
A qualitative study was carried out in eight primary healthcare units in rural areas and two emergency care units in a municipality in southern Brazil. Data collection took place in 2023 through interviews. Twenty professional nurses participated. The data was submitted to content analysis.
Results:
The strategies identified were lifelong and continuing education for the professionals who carry out the notification, active search and training of workers who deal directly with this type of substance, computerizing the notification by filling in the forms online, and carrying out research on the subject.
Final considerations:
Nurses play an important role in reporting occupational accidents caused by the use of pesticides, improving occupational safety in rural areas.
- Dionatan Carmini de Brito
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ORIGINAL ARTICLE06-14-2024
Teoria de médio alcance do diagnóstico de enfermagem sobrepeso
- Ana Carolina Costa Carino ,
- Renata Marinho Fernandes ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Caroline Evelin Nascimento Kluczynik , [ … ],
- Ana Luisa Brandão de Carvalho Lira
Abstract
ORIGINAL ARTICLETeoria de médio alcance do diagnóstico de enfermagem sobrepeso
Revista Brasileira de Enfermagem. 2024;77(2):e20230372
DOI 10.1590/0034-7167-2023-0372
- Ana Carolina Costa Carino ,
- Renata Marinho Fernandes ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Caroline Evelin Nascimento Kluczynik ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreRESUMEN
Objetivo:
Construir una teoría de rango medio para el diagnóstico de enfermería Sobrepeso en adolescentes y adultos jóvenes.
Métodos:
Estudio metodológico a la luz de los marcos teóricos de Roy y de Lopes, Silva y Herdman. Un total de 3.925 artículos fueron recuperados y evaluados utilizando el software State of the Art Through Systematic Review. La muestra final fue de 28 artículos.
Resultados:
Los resultados convergieron en 3 atributos esenciales, 13 antecedentes y 7 consecuencias. Se construyó una teoría de rango medio compuesta por un diagrama ilustrado, 11 proposiciones y 12 relaciones causales.
Consideraciones finales:
A partir de la creación de la teoría, fue posible comprender mejor el diagnóstico de enfermería Sobrepeso en el contexto de adolescentes y adultos jóvenes. La comprensión de los fenómenos de enfermería contribuye para el avance y fortalecimiento de la ciencia de enfermería.
- Ana Carolina Costa Carino
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ORIGINAL ARTICLE09-20-2024
Risk assessment for postoperative complications in patients undergoing cardiac surgical procedures
- Carolina Larrosa de Almeida ,
- Jones Sidnei Barbosa de Oliveira ,
- Cláudia Geovana da Silva Pires ,
- Cláudia Silva Marinho
Abstract
ORIGINAL ARTICLERisk assessment for postoperative complications in patients undergoing cardiac surgical procedures
Revista Brasileira de Enfermagem. 2024;77(4):e20230127
DOI 10.1590/0034-7167-2023-0127
- Carolina Larrosa de Almeida ,
- Jones Sidnei Barbosa de Oliveira ,
- Cláudia Geovana da Silva Pires ,
- Cláudia Silva Marinho
Views0ABSTRACT
Objectives:
to evaluate the risk of postoperative complications in cardiac patients.
Methods:
an evaluative study using the Tuman Score on medical records of 70 adult patients who underwent cardiac surgery at a University Hospital. The R for Windows software was used for the analyses. Descriptive statistics and bivariate analysis were employed to verify the association between the risk score and complications. The relative risk between the Tuman Score and postoperative complications was obtained through Quasi-Poisson regression, with a 95% confidence interval.
Results:
the majority of the patients were male (58.57%), aged between 41-64 years (50%), who underwent myocardial revascularization (50%). These patients were associated with a lower risk of postoperative complications (p=0.003), (p=0.008), and (p=0.000), respectively. High-risk patients had pulmonary complications (RR=1.32, p=0.002) and neurological complications (RR=1.20, p=0.047).
Conclusions:
preoperative risk assessment promotes qualified care to reduce postoperative complications.
Keywords:Cardiac Surgical ProceduresCardiovascular DiseasesCardiovascular NursingPostoperative ComplicationsRisk AssessmentSee more - Carolina Larrosa de Almeida
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EXPERIENCE REPORT09-20-2024
Researchers’ experience in data collection with families of femicide victims
Revista Brasileira de Enfermagem. 2024;77(4):e20230119
Abstract
EXPERIENCE REPORTResearchers’ experience in data collection with families of femicide victims
Revista Brasileira de Enfermagem. 2024;77(4):e20230119
DOI 10.1590/0034-7167-2023-0119
Views0See moreABSTRACT
Objectives:
to describe researchers’ experience in collecting data from families of femicide victims.
Methods:
this descriptive, qualitative study took the form of an experience report and was conducted in Manaus, Amazonas, Brazil. It involved documentary consultation, training researchers, scheduling and conducting interviews, and using a field diary to record the researchers’ perceptions and experiences.
Results:
the descriptions and photographs of the crime scene were both distressing and impactful for the researchers. The mementos of the victims (including clothing, objects, and childhood photos) shown by their families were deeply moving. Identifying with these experiences facilitated listening to the stories told by the relatives. It was essential to maintain a non-judgmental attitude, acknowledge the loss, provide support for the suffering, and demonstrate a willingness to help.
Final Considerations:
the experience encompassed both theoretical and methodological aspects that were planned and executed in data collection, fostering the development of skills and sensitivity towards the cases. Beyond knowledge and preparation, researchers are expected to exhibit ethical conduct and empathetic capacity.
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ORIGINAL ARTICLE09-20-2024
Factors associated with preventable infant mortality in 2020: a Brazilian population-based study
- Mikaelly Rayanne Moraes Sousa ,
- Cristina Maria Garcia de Lima Parada ,
- Hélio Rubens de Carvalho Nunes
Abstract
ORIGINAL ARTICLEFactors associated with preventable infant mortality in 2020: a Brazilian population-based study
Revista Brasileira de Enfermagem. 2024;77(4):e20230072
DOI 10.1590/0034-7167-2023-0072
- Mikaelly Rayanne Moraes Sousa ,
- Cristina Maria Garcia de Lima Parada ,
- Hélio Rubens de Carvalho Nunes
Views0ABSTRACT
Objectives:
to identify factors associated with preventable infant deaths, classified as neonatal and post-neonatal.
Methods:
this is an epidemiological and population-based study relating to 2020. Data from the Mortality Information System (MIS) and the preventability classification proposed in the Brazilian Health System List of Causes of Deaths Preventable by Interventions were used.
Results:
prematurity, living in the North and Northeast regions and the occurrence of the event at home were associated with preventable neonatal deaths. To the avoidable post-neonatal component, death outside the hospital, low maternal education and children of brown or yellow color/race were associated.
Conclusions:
the main risk factor associated with preventable deaths was prematurity, in the case of neonatal death. Low maternal education and occurrence outside the hospital were associated with post-neonatal deaths.
Keywords:Epidemiological StudiesHealth Care QualityHealth Information SystemsInfant MortalityVital StatisticsSee more - Mikaelly Rayanne Moraes Sousa
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EDITORIAL09-09-2024
Potential of Artificial Intelligence in Evidence-Based Practice in Nursing
Revista Brasileira de Enfermagem. 2024;77(5):e770501
Abstract
EDITORIALPotential of Artificial Intelligence in Evidence-Based Practice in Nursing
Revista Brasileira de Enfermagem. 2024;77(5):e770501
DOI 10.1590/0034-7167.2024770501
Views0Evidence-based practice (EBP) has established itself as a fundamental pillar in nursing, driving effective clinical decision-making based on high-quality scientific research. The primary goal of EBP is to ensure that patients receive the most appropriate and safe care, based on the best available evidence. In this context, knowledge synthesis methods are essential tools for EBP, […]See more -
REVIEW09-06-2024
Parents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review
- Mariana Mesquita de Oliveira Lima ,
- Aline Oliveira Silveira ,
- Ana Paula Sarmento Charão Aureliano ,
- Hellen Cristina Costa Rocha ,
- Luciana Melo de Moura , [ … ],
- Sammya Rodrigues dos Santos
Abstract
REVIEWParents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review
Revista Brasileira de Enfermagem. 2024;77(4):e20240126
DOI 10.1590/0034-7167-2024-0126
- Mariana Mesquita de Oliveira Lima ,
- Aline Oliveira Silveira ,
- Ana Paula Sarmento Charão Aureliano ,
- Hellen Cristina Costa Rocha ,
- Luciana Melo de Moura ,
- Sammya Rodrigues dos Santos
Views0See moreABSTRACT
Objective:
to map scientific evidence about perceptions, beliefs, knowledge and attitudes of parents or legal guardians of children under 5 years of age regarding routine childhood vaccination.
Methods:
a scoping review, conducted in accordance with the JBI framework. The searches were carried out in the PubMed/MEDLINE, Web of Science, Scopus and LILACS databases. A total of 5,535 studies were returned and 77 were selected, which met the inclusion criteria.
Results:
perceptions related to interaction with healthcare professionals and services, with family organization and structure, with social interaction and public policies, cultural, religious and personal beliefs, knowledge about vaccination schedule, vaccination and immunization process and sources of information are the main factors mapped and which can positively or negatively influence parents’ or legal guardians’ attitudes towards vaccinating children.
Conclusions:
the findings allow us to identify factors related to parents’ perception and beliefs about childhood vaccination.
- Mariana Mesquita de Oliveira Lima
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ORIGINAL ARTICLE09-06-2024
Construction and validation of an instrument for event-related sterility of processed healthcare products
- Vanessa Aparecida Vilas-Boas ,
- Louise Assumpção Rondini ,
- Thamiris Cavazzani Vegro Czempik ,
- Ada Helena Melo Lorenzetti ,
- Kazuko Uchikawa Graziano , [ … ],
- Ariane Polidoro Dini
Abstract
ORIGINAL ARTICLEConstruction and validation of an instrument for event-related sterility of processed healthcare products
Revista Brasileira de Enfermagem. 2024;77(4):e20240021
DOI 10.1590/0034-7167-2024-0021
- Vanessa Aparecida Vilas-Boas ,
- Louise Assumpção Rondini ,
- Thamiris Cavazzani Vegro Czempik ,
- Ada Helena Melo Lorenzetti ,
- Kazuko Uchikawa Graziano ,
- Ariane Polidoro Dini
Views0See moreABSTRACT
Objective:
To construct and validate an instrument to assess events related to maintaining the sterility of processed healthcare products.
Methods:
This methodological study developed the instrument through analysis by a panel of experts, focusing on the integrity of commonly used packaging: spunbond-meltblown-spunbond and medical-grade paper. The instrument was analyzed using the Content Validity Index and Content Validity Ratio (≥ 0.80) and modified Kappa (≥ 0.74). The instrument underwent pre-testing.
Results:
Six experienced professionals participated in the expert panel. After two rounds, the final version of the instrument contained five dimensions. In the pre-test, 30 nursing professionals participated, of whom 86.67% considered the instrument good, and 90% found it understandable.
Conclusion:
The construction and validation followed literature recommendations. The instrument is available, aiding in the safe use of processed healthcare products.
- Vanessa Aparecida Vilas-Boas
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ORIGINAL ARTICLE09-06-2024
Reflective practice of nurse residents in the teaching-learning process in teaching hospitals
Revista Brasileira de Enfermagem. 2024;77(4):e20230540
Abstract
ORIGINAL ARTICLEReflective practice of nurse residents in the teaching-learning process in teaching hospitals
Revista Brasileira de Enfermagem. 2024;77(4):e20230540
DOI 10.1590/0034-7167-2023-0540
Views0See moreABSTRACT
Objective:
To analyze reflective practice in the teaching-learning process of nurses in residency programs in teaching hospitals in Minas Gerais, Brazil.
Methods:
Case study, based on the reflective practice framework, conducted in two teaching hospitals. Observation and interviews were conducted with first and second-year residents, and five participants were included for in-depth analysis, with their data subjected to frequency distribution analysis and Critical Discourse Analysis.
Results:
In 519 observed activities, elements of reflection were identified in 22.2%, especially active listening and expression of doubts. Discourses indicated practice as the best moment for teaching-learning due to its potential to generate reflections. Learning by doing and case discussion were considered potential strategies for reflective learning.
Conclusion:
Know-in-action reflection was evidenced as the predominant formative aspect for residents, with few opportunities for reflection on reflection-in-action.
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ORIGINAL ARTICLE09-06-2024
Middle-Range theory of the nursing diagnosis of sedentary lifestyle in young adults
- Renata Marinho Fernandes ,
- Ana Carolina Costa Carino ,
- Anna Thays Dias Almeida ,
- Maria Isabel da Conceição Dias Fernandes ,
- Sâmella Karine de Macêdo Leopoldino , [ … ],
- Ana Luisa Brandão de Carvalho Lira
Abstract
ORIGINAL ARTICLEMiddle-Range theory of the nursing diagnosis of sedentary lifestyle in young adults
Revista Brasileira de Enfermagem. 2024;77(4):e20230516
DOI 10.1590/0034-7167-2023-0516
- Renata Marinho Fernandes ,
- Ana Carolina Costa Carino ,
- Anna Thays Dias Almeida ,
- Maria Isabel da Conceição Dias Fernandes ,
- Sâmella Karine de Macêdo Leopoldino ,
- Camila Sayonara Tavares Gomes ,
- Ana Raquel Cortês Nelson ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreABSTRACT
Objective:
To construct a middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults.
Methods:
A methodological study for the validation of a nursing diagnosis based on a Middle-Range Theory, carried out in six stages: definition of the approach; definition of theoretical-conceptual models; definition of main concepts; development of a pictorial scheme; construction of propositions; establishment of causal relationships and evidence for practice. The theory construction was operationalized through an integrative review and supported by Roy’s adaptation model.
Results:
Three essential attributes were identified; 10 antecedents; 7 clinical consequences; a pictogram, 9 propositions, and 11 causal relationships and evidence for practice.
Conclusion:
The middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults was constructed, expanding the understanding of this phenomenon, to be applied in clinical practice by nurses.
- Renata Marinho Fernandes
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