Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2018

    Assistance flowchart for pain management in a Neonatal Intensive Care Unit

    Revista Brasileira de Enfermagem. 2018;71:1281-1289

    Abstract

    RESEARCH

    Assistance flowchart for pain management in a Neonatal Intensive Care Unit

    Revista Brasileira de Enfermagem. 2018;71:1281-1289

    DOI 10.1590/0034-7167-2017-0265

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    ABSTRACT

    Objective:

    To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.

    Method:

    This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.

    Results:

    Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.

    Final considerations:

    The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

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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.
    Assistance flowchart for pain management in a Neonatal Intensive Care Unit
  • RESEARCH01-01-2018

    The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it

    Revista Brasileira de Enfermagem. 2018;71:1373-1380

    Abstract

    RESEARCH

    The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it

    Revista Brasileira de Enfermagem. 2018;71:1373-1380

    DOI 10.1590/0034-7167-2017-0242

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    ABSTRACT

    Objective:

    To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.

    Method:

    A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.

    Results:

    Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.

    Conclusion:

    The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.

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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

    Identification of post-cesarean surgical site infection: nursing consultation

    Revista Brasileira de Enfermagem. 2018;71:1395-1403

    Abstract

    RESEARCH

    Identification of post-cesarean surgical site infection: nursing consultation

    Revista Brasileira de Enfermagem. 2018;71:1395-1403

    DOI 10.1590/0034-7167-2017-0325

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    ABSTRACT

    Objective:

    To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.

    Method:

    Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.

    Results:

    89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.

    Conclusion:

    Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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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

    Nursing laboratory and critical education of nurses: approaches and distances

    Revista Brasileira de Enfermagem. 2018;71:1500-1506

    Abstract

    RESEARCH

    Nursing laboratory and critical education of nurses: approaches and distances

    Revista Brasileira de Enfermagem. 2018;71:1500-1506

    DOI 10.1590/0034-7167-2017-0339

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    ABSTRACT

    Objective:

    to analyze the contribution of the laboratory of nursing to the critical education of nurses.

    Method:

    qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.

    Results:

    it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.

    Final considerations:

    the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.

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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

    Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

    Revista Brasileira de Enfermagem. 2018;71:1540-1547

    Abstract

    RESEARCH

    Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

    Revista Brasileira de Enfermagem. 2018;71:1540-1547

    DOI 10.1590/0034-7167-2017-0188

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    ABSTRACT

    Objective:

    to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.

    Method:

    a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.

    Results:

    the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.

    Final considerations:

    it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.

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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

    Knowledge about precautions in Primary Health Care: tool validation

    Revista Brasileira de Enfermagem. 2018;71:1589-1595

    Abstract

    RESEARCH

    Knowledge about precautions in Primary Health Care: tool validation

    Revista Brasileira de Enfermagem. 2018;71:1589-1595

    DOI 10.1590/0034-7167-2017-0886

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    ABSTRACT

    Objective:

    To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.

    Method:

    Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.

    Results:

    A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.

    Conclusion:

    The developed tool has been validated and is now available for use in Primary 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.
  • RESEARCH01-01-2018

    Training in diabetes education: meanings attributed by primary care nurses

    Revista Brasileira de Enfermagem. 2018;71:1611-1618

    Abstract

    RESEARCH

    Training in diabetes education: meanings attributed by primary care nurses

    Revista Brasileira de Enfermagem. 2018;71:1611-1618

    DOI 10.1590/0034-7167-2017-0792

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    ABSTRACT

    Objective:

    seize meanings attributed by primary care nurses to training in diabetes education.

    Method:

    exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.

    Results:

    nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.

    Conclusion:

    the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.

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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.
    Training in diabetes education: meanings attributed by primary care nurses
  • RESEARCH01-01-2018

    Nursing international student mobility in the University of São Paulo

    Revista Brasileira de Enfermagem. 2018;71:1619-1625

    Abstract

    RESEARCH

    Nursing international student mobility in the University of São Paulo

    Revista Brasileira de Enfermagem. 2018;71:1619-1625

    DOI 10.1590/0034-7167-2017-0754

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    ABSTRACT

    Objective:

    To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.

    Method:

    Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.

    Results:

    The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.

    Conclusion:

    Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and 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.

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