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ORIGINAL ARTICLE12-04-2023
Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
- Ademir Jones Antunes Dorneles
, - Graziele de Lima Dalmolin ,
- Edison Luiz Devos Barlem ,
- Rosemary Silva da Silveira ,
- Rafaela Andolhe , [ … ],
- Valdecir Zavarese da Costa
Abstract
ORIGINAL ARTICLEBurnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
Revista Brasileira de Enfermagem. 2023;76:e20220684
DOI 10.1590/0034-7167-2022-0684
- Ademir Jones Antunes Dorneles ,
- Graziele de Lima Dalmolin ,
- Edison Luiz Devos Barlem ,
- Rosemary Silva da Silveira ,
- Rafaela Andolhe ,
- Silviamar Camponogara ,
- Tânia Solange Bosi de Souza Magnago ,
- Valdecir Zavarese da Costa
Views0See moreABSTRACT
Objectives:
to analyze the association between burnout and the perception of the ethical climate in nursing professionals in the covid-19 Intensive Care Unit and the relationship with the organization of work from the perspective of managers of these units.
Methods:
mixed method study conducted in three university hospitals in southern Brazil from December 2021 to March 2022. A cross-sectional study was developed with 110 nursing professionals, followed by an exploratory-descriptive study through semi-structured interviews with six managers. Descriptive and analytical statistics and discursive textual analysis were used.
Results:
the prevalence of burnout was 10% and the perception of negative ethical climate was 24.5%. The association between burnout and ethical climate revealed overload and fatigue during working hours, related to tension, fear, and stress that emerged from the consequences of the organization and relations of work in the covid-19 Intensive Care Unit.
Conclusions:
there was an association between burnout and ethical climate and elements of the work organization.
- Ademir Jones Antunes Dorneles
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ORIGINAL ARTICLE12-04-2023
Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
- Pedro Henrique Batista de Freitas ,
- Adriana Lúcia Meireles ,
- Mery Natali Silva Abreu ,
- Bruna Carolina Rafael Barbosa ,
- Waléria de Paula , [ … ],
- Clareci Silva Cardoso
Abstract
ORIGINAL ARTICLEAssessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230068
DOI 10.1590/0034-7167-2023-0068
- Pedro Henrique Batista de Freitas ,
- Adriana Lúcia Meireles ,
- Mery Natali Silva Abreu ,
- Bruna Carolina Rafael Barbosa ,
- Waléria de Paula ,
- Clareci Silva Cardoso
Views0See moreABSTRACT
Objective:
to evaluate the quality of life (QOL) and the presence of symptoms related to depression, anxiety, and stress among students in the healthcare field, in comparison to the period before the COVID-19 pandemic.
Methods:
A comparative cross-sectional research was conducted at a Brazilian public university. QOL was assessed using the WHOQOL-bref scale, while symptoms of depression, anxiety, and stress were evaluated using the DASS-21 scale. Descriptive and inferential analyses were employed to compare the two time periods.
Results:
A total of 355 students participated in this study. During the pandemic, there were significant increases in severe depression symptoms (15.1% versus 24.8%), moderate anxiety (18.3% versus 29.4%), and moderate stress (40.9% versus 53.8%) observed among the participants. Additionally, a significant reduction in QOL was noted, particularly in the domain of social relationships (65.2 versus 59.6, p-value 0.029).
Conclusion:
The study highlights a deterioration in both the quality of life and the mental health of healthcare students during the COVID-19 pandemic.
- Pedro Henrique Batista de Freitas
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ORIGINAL ARTICLE12-04-2023
Chronic pain and associated factors in remote work during the COVID-19 pandemic in Brazil
- Brenda Alves Silvestre ,
- Luiz Paulo Miotto ,
- Karina Gramani-Say ,
- Maria Helena Barbosa ,
- Priscilla Hortense
Abstract
ORIGINAL ARTICLEChronic pain and associated factors in remote work during the COVID-19 pandemic in Brazil
Revista Brasileira de Enfermagem. 2023;76:e20230012
DOI 10.1590/0034-7167-2023-0012
- Brenda Alves Silvestre ,
- Luiz Paulo Miotto ,
- Karina Gramani-Say ,
- Maria Helena Barbosa ,
- Priscilla Hortense
Views1See moreABSTRACT
Objective:
Estimate the prevalence of chronic pain and its association with symptoms of anxiety, sleep disorders, and aspects of remote work in the context of the COVID-19 pandemic.
Method:
A cross-sectional and descriptive study conducted with 328 adults engaged in remote work. Data was collected online from February 2021 to January 2022. For pain investigation and evaluations of sleep and anxiety, a structured questionnaire, the Pittsburgh Sleep Quality Index, and the Generalized Anxiety Disorder-7 were used, respectively.
Results:
The prevalence of chronic pain was 47.9% (CI 95% = 42.5-53.3). Associations were identified between pain and anxiety, sleep disorders, and sitting time (p<0.01).
Conclusion:
The prevalence of chronic pain in remote work was found to be high, with pain being of moderate intensity and associated with anxiety, sleep disorders, and prolonged sitting time.
- Brenda Alves Silvestre
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Drug-Resistant Tuberculosis and COVID-19: A Scoping Review on a New Threat to Antimicrobial Resistance
- Beibilene Perlato Melo da Silva ,
- Anelisa Soares de Almeida ,
- Matheus Gabriel de Melo Sérgio ,
- Thamires Carraro Gatto ,
- Vinícius Paglione Carasek , [ … ],
- Mellina Yamamura
Abstract
Drug-Resistant Tuberculosis and COVID-19: A Scoping Review on a New Threat to Antimicrobial Resistance
Revista Brasileira de Enfermagem. 2023;76:e20220803
DOI 10.1590/0034-7167-2022-0803
- Beibilene Perlato Melo da Silva ,
- Anelisa Soares de Almeida ,
- Matheus Gabriel de Melo Sérgio ,
- Thamires Carraro Gatto ,
- Vinícius Paglione Carasek ,
- Mellina Yamamura
Views0ABSTRACT
Objective:
To assess the impact of COVID-19 on the morbidity and mortality associated with drug-resistant tuberculosis (DR-TB).
Methods:
A comprehensive review of articles published in international databases since December 2019 was conducted. The findings are presented in a narrative format, supplemented with tables, diagrams, and a map created using ArcGIS software.
Results:
Thirty-five studies were selected, highlighting the significant consequences of COVID-19 on TB and DR-TB treatment progress. Four main thematic areas were identified: Clinical and epidemiological aspects of the interaction between COVID-19 and DR-TB; Management of physical resources and the team; Challenges and circumstances; Perspectives and possibilities.
Conclusions:
This study revealed that the COVID-19 pandemic significantly negatively impacted the control of long-standing diseases like TB, particularly in the context of morbidity and mortality related to DR-TB.
Keywords:COVID-19Extensively Drug-Resistant TuberculosisMicrobial Drug ResistanceMultidrug-Resistant TuberculosisTuberculosisSee more
- Beibilene Perlato Melo da Silva
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ORIGINAL ARTICLE12-04-2023
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro , [ … ],
- Roselia Arminda Rosales-Flores
Abstract
ORIGINAL ARTICLEWorking conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
DOI 10.1590/0034-7167-2022-0679
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro ,
- Roselia Arminda Rosales-Flores
Views0See moreABSTRACT
Objective:
To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.
Methods:
Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.
Results:
among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).
Conclusions:
The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.
- Ana Paula Nogueira de Magalhães
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ORIGINAL ARTICLE12-04-2023
Fatores que afetam a atitude da comunidade em relação à vacinação contra a COVID-19: estudo transversal
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Abstract
ORIGINAL ARTICLEFatores que afetam a atitude da comunidade em relação à vacinação contra a COVID-19: estudo transversal
Revista Brasileira de Enfermagem. 2023;76:e20220597
DOI 10.1590/0034-7167-2022-0597
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Views0RESUMEN
Objetivo:
El objetivo de este estudio fue analizar los factores que afectan la actitud de la comunidad hacia la vacunación contra el COVID-19 en el distrito de Tangerang.
Métodos:
Estudio transversal en el que se utilizó un muestreo por conveniencia para seleccionar a 400 encuestados. Los criterios de inclusión fueron vivir en el distrito de Tangerang, edad 18-55 años y trabajar. Se utilizó un cuestionario en línea, el cual pasó pruebas de validez y confiabilidad. Este estudio recibió aprobación ética.
Resultados:
La mayoría de los encuestados tenía un alto nivel de educación (48,50%), bajos ingresos (72,50%), alto conocimiento (78%) y una actitud positiva (76,50%) respecto a la vacunación contra el COVID-19. La prueba chi-cuadrado reveló una correlación entre el conocimiento y las actitudes hacia la vacunación contra el COVID-19 (p=0,001) y los niveles educativos (p=0,001). No hubo correlación entre los ingresos y las actitudes (p=0,094).
Conclusiones:
Los profesionales de la salud deben realizar una amplia socialización y visitas cara a cara con personas con acceso limitado a la información para promover una actitud positiva y ampliar el alcance de la vacunación contra el COVID-19.
Keywords:Atitude Frente a SaúdeCobertura VacinalCOVID-19Hesitação VacinacionalVacinas Contra COVID-19See more - Chintia Gracelia Amalo
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ORIGINAL ARTICLE12-04-2023
Factors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Abstract
ORIGINAL ARTICLEFactors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study
Revista Brasileira de Enfermagem. 2023;76:e20220597
DOI 10.1590/0034-7167-2022-0597
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Views0See moreABSTRACT
Objective:
The study aimed to analyze the factors that affect the community’s attitude towards COVID-19 vaccination in Tangerang District.
Methods:
A cross-sectional study was used. Convenience sampling was used to select 400 respondents. Inclusion criteria are living in Tangerang District, aged between 18 and 55, and earning a living. An online questionnaire was used and passed validity and reliability tests. This study received ethical approval.
Results:
Most respondents had a high level of education (48.50%), low income (72.50%), high knowledge (78%), and a positive attitude (76.50%) regarding vaccination against COVID-19. The Chi-square test revealed a correlation between knowledge and attitudes towards COVID-19 vaccination (p=0.001), as well as education levels (p=0.001), but there was no correlation between income and attitudes (p=0.094).
Conclusions:
Health professionals should engage in extensive socialization and face-to-face visits with people with limited access to information to promote a positive attitude and expand the scope of COVID-19 vaccination.
- Chintia Gracelia Amalo
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ORIGINAL ARTICLE12-04-2023
Estresse laboral entre enfermeiros na pandemia de COVID-19: Quais são os fatores contribuintes?
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik , [ … ],
- Ika Adelia Susanti
Abstract
ORIGINAL ARTICLEEstresse laboral entre enfermeiros na pandemia de COVID-19: Quais são os fatores contribuintes?
Revista Brasileira de Enfermagem. 2023;76:e20220586
DOI 10.1590/0034-7167-2022-0586
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik ,
- Arifah Septiane ,
- Idyatul Hasanah ,
- Ika Adelia Susanti
Views0See moreRESUMEN
Objetivo:
Analizar los factores contribuyentes del estrés laboral entre enfermeros en la pandemia de COVID-19.
Métodos:
Estudio transversal realizado con 101 enfermeros de dos hospitales de Java Occidental, Indonesia. Se distribuyó un cuestionario en línea para evaluar el estrés laboral y los datos se analizaron mediante regresión logística ordinal.
Resultados:
Más de la mitad de los enfermeros experimentaron un estrés laboral moderado. El estudio reveló que los enfermeros mayores de 35 años tenían una menor probabilidad de experimentar estrés laboral (AOR: 0.173; IC95%: 0.038-0.782) y los enfermeros casados tenían una mayor probabilidad (AOR: 7.156; IC95%: 1.456-35.163). Los enfermeros con cargas de trabajo bajas y moderadas tenían una probabilidad menor, (AOR: 0.003; IC95%: 0.000-0.051) y (AOR: 0.025; IC95%: 0.005-0.116), respectivamente.
Conclusión:
Es fundamental considerar la edad, el estado civil y la carga de trabajo para un abordaje eficaz del estrés laboral entre los enfermeros.
- Tita Rohita
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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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REVIEW01-01-2016
Public actions for control of breast cancer in Brazil: integrative review
Revista Brasileira de Enfermagem. 2016;69(4):793-803
Abstract
REVIEWPublic actions for control of breast cancer in Brazil: integrative review
Revista Brasileira de Enfermagem. 2016;69(4):793-803
DOI 10.1590/0034-7167.2016690424i
Views0See moreABSTRACT
Objective:
to analyze the scientific production on “breast cancer” in the period from 2002 to 2013 and determine the public policies for screening and early diagnosis of breast cancer.
Method:
this is an integrative literature review conducted in the databases MEDLINE, LILACS, SciELO and Google Scholar. Inclusion criteria: year and period of publication; availability of the full article; publication in Brazil; and the cross-check of the keywords Breast Cancer, Primary Health Care, Screening Programs, and Early Detection of Cancer.
Results:
after analysis, four thematic categories were obtained: breast self-examination, clinical examination of breast, mammography, and factors that hinder the adherence to the screening.
Conclusion:
health professionals have deficits of knowledge on the area, indicating the need for other studies on the subject addressed and greater investment in continuing education of professionals.
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REVIEW01-01-2016
Nursing diagnoses in patients with cerebral vascular accident: an integrative review
Revista Brasileira de Enfermagem. 2016;69(4):785-792
Abstract
REVIEWNursing diagnoses in patients with cerebral vascular accident: an integrative review
Revista Brasileira de Enfermagem. 2016;69(4):785-792
DOI 10.1590/0034-7167.2016690423i
Views0See moreABSTRACT
Objective:
to verify the nursing diagnoses in patients affected by CVAs.
Method:
this is an integrative review of the literature. The search was conducted on LILACS, Scielo, Medline, CINAHL, and Scopus databases between February and March 2015, using the following keywords: “Enfermagem”, “Acidente Vascular Cerebral”, “Diagnóstico de Enfermagem”; and “Nursing”, “Stroke”, and “Nursing Diagnosis”.
Results:
we found 9 articles published between 2009 and 2015; most of them were Brazilian, cross-sectional, and exploratory, with a level of evidence of 6. The evidence from the publications was classified as: “Evaluation and validation of specific nursing diagnoses for subjects affected by CVAs” and “Application of the nursing process on subjects affected by CVAs”.
Conclusion:
we noticed the publications focused on nursing diagnoses related to motor disorders, such as risk of falls and impaired physical mobility. Domains regarding safety/protection (domain 11) and sleep/resting (domain 4) were present in most evaluated publications.
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REVIEW01-01-2016
Impact of educational interventions in reducing diabetic complications: a systematic review
Revista Brasileira de Enfermagem. 2016;69(4):773-784
Abstract
REVIEWImpact of educational interventions in reducing diabetic complications: a systematic review
Revista Brasileira de Enfermagem. 2016;69(4):773-784
DOI 10.1590/0034-7167.2016690422i
Views0ABSTRACT
Objective:
To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.
Method:
A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.
Results:
Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.
Conclusion:
Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.
Keywords:Diabetes Mellitus Type 1Diabetes Mellitus Type 2Diabetic ComplicationsEvaluation of the Efficacy-Effectiveness- of InterventionsHealth EducationSee more
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REVIEW01-01-2016
The communication process in Telenursing: integrative review
Revista Brasileira de Enfermagem. 2016;69(4):765-772
Abstract
REVIEWThe communication process in Telenursing: integrative review
Revista Brasileira de Enfermagem. 2016;69(4):765-772
DOI 10.1590/0034-7167.2016690421i
Views0See moreABSTRACT
Objective:
to identify scientific evidence about the communication process in Telenursing and analyze them.
Method:
integrative review performed in March 2014. The search strategy, structured with the descriptors “telenursing” and “communication”, was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.
Results:
ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.
Conclusion:
distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.
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RESEARCH01-01-2016
Health care for patients with acute coronary syndrome according to quality indicators
Revista Brasileira de Enfermagem. 2016;69(4):757-764
Abstract
RESEARCHHealth care for patients with acute coronary syndrome according to quality indicators
Revista Brasileira de Enfermagem. 2016;69(4):757-764
DOI 10.1590/0034-7167.2016690420i
Views0ABSTRACT
Objective:
to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.
Method:
a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.
Results:
a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.
Conclusions:
health care protocols are required to standardize practice and improve these indicators.
Keywords:Acute Coronary SyndromeEmergency Medical ServicesHealth Care QualityHealth Care Quality IndicatorsTreatment TimeSee more -
RESEARCH01-01-2016
Quality of working life of call-center workers
Revista Brasileira de Enfermagem. 2016;69(4):751-756
Abstract
RESEARCHQuality of working life of call-center workers
Revista Brasileira de Enfermagem. 2016;69(4):751-756
DOI 10.1590/0034-7167.2016690419i
Views0See moreABSTRACT
Objective:
to analyze the profile and quality of working life (QWL) of call-center workers.
Method:
quantitative research, conducted in one call-center of the city of São José do Rio Preto – SP, using the QVP-35 questionnaire.
Results:
profile was composed by: 80.2% women; 66.3% were single, with high school diploma and 6 hours of daily working hours; mean age of 28 years; 92.9% had only one job with mean working experience of 3 years. Positive aspects of QWL: intrinsic motivation, working ability, available resources and social support. Negative aspects of QWL: workload and organizational support.
Conclusion:
the data obtained indicate the need for better organization of call-center working processes in the company and suggests other researches in this context.
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RESEARCH01-01-2016
Stressors perceived by patients in the immediate postoperative of cardiac surgery
Revista Brasileira de Enfermagem. 2016;69(4):741-750
Abstract
RESEARCHStressors perceived by patients in the immediate postoperative of cardiac surgery
Revista Brasileira de Enfermagem. 2016;69(4):741-750
DOI 10.1590/0034-7167.2016690418i
Views0See moreABSTRACT
Objective:
to investigate stressors perceived by patients in the immediate postoperative of cardiac surgery and their association with sociodemographic and clinical characteristics.
Method:
a prospective correlational study conducted in a city in São Paulo, between August 2013 and December 2014. A non-probabilistic sample included patients submitted to their first coronary artery bypass graft or mitral valve surgery. The “Environmental Stressor Questionnaire” adapted to Portuguese was used.
Results:
105 patients participated in the study. The item “being thirsty” was evaluated as the most stressful and “the nursing staff member does not introduce himself/herself by the name” as the least stressful. Among sociodemographic and clinical variables (gender, age, type and time of surgery, pain, intubation time, use of psychotropic medications and length of stay in the intensive care unit), only pain presented a significant association with the stressors.
Conclusion:
knowing stressors can help implement practices associated with their reduction, favoring patients’ recovery.
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RESEARCH01-01-2016
Concepts and practices of teaching and exercise of leadership in Nursing
Revista Brasileira de Enfermagem. 2016;69(4):733-740
Abstract
RESEARCHConcepts and practices of teaching and exercise of leadership in Nursing
Revista Brasileira de Enfermagem. 2016;69(4):733-740
DOI 10.1590/0034-7167.2016690417i
Views0ABSTRACT
Objective:
to identify, describe and analyze characteristics of leadership, head nurses and participants in the teaching-learning process of leadership in Nursing, according to nurse professors who performed studies on this theme and taught such content between 1972 and 1994 in nursing schools of the state of São Paulo, southeastern Brazil.
Methods:
Thematic Oral History was used. A total of four nurse professors were interviewed, whose reports were submitted to content analysis.
Results:
the following aspects were approached in this study: the context in which students developed leadership, the influence of previous experiences on leadership qualification, its attributes, the importance of leadership, the value of teaching it, the possibilities of emancipation of a head nurse, the repercussions of teaching leadership for one’s professional life, the relationships between qualification and job market, the aspects of teaching qualification and students’ characteristics.
Conclusion:
although not essential for nursing qualification, leadership had a symbolic capital.
Keywords:Higher EducationHistory of NursingLeadershipNursing EducationResearch on Nursing ManagementSee more
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