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ORIGINAL ARTICLE04-14-2023
Validity study of educational technology on gynecological high dose rate (HDR) brachytherapy
Revista Brasileira de Enfermagem. 2023;76:e20220232
Abstract
ORIGINAL ARTICLEValidity study of educational technology on gynecological high dose rate (HDR) brachytherapy
Revista Brasileira de Enfermagem. 2023;76:e20220232
DOI 10.1590/0034-7167-2022-0232
Views0See moreABSTRACT
Objective:
to construct and validate an educational booklet on high dose rate gynecological brachytherapy (HDR) for women with gynecologic cancer.
Methods:
a methodological study, with the construction and validity of a booklet based on the Doak, Doak and Root theoretical-methodological framework. Content and appearance validity was guided by the Delphi technique, by 11 judges, selected using Jasper’s criteria. Afterwards, clinical validity was carried out with the target population.
Results:
the booklet, built from evidence from an integrative review, validated with judges, obtained an overall CVI of 0.98. After clinical validity with 27 women, it presents 24 sheets with illustrations produced by a graphic designer, subdivided into topics: gynecological system anatomy and gynecological cancer epidemiology, gynecological brachytherapy definition, therapeutic steps, approach to side effects and management, and two pages for notes.
Conclusions:
the booklet has validity for use in HDR gynecological brachytherapy treatment.
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EXPERIENCE REPORT04-14-2023
Construction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
Abstract
EXPERIENCE REPORTConstruction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
DOI 10.1590/0034-7167-2022-0414
Views0See moreABSTRACT
Objective:
to report the construction of an educational technology to promote non-violent communication for health professionals.
Methods:
an experience report on the development of an educational technology on non-violent communication for health professionals, prepared by members of a social university extension project. The Plan-Do-Study-Act cycle was used as a process or product management procedure.
Results:
two complete management method cycles were performed. A mini almanac was generated as a final product, which addressed the main elements of non-violent communication, an example of its use in everyday life, hobbies and interspersed activities.
Conclusion:
educational technology construction (mini almanac) by members of a university extension project was facilitated using the Plan-Do-Study-Act cycle, proving to be a resource for disseminating non-violent communication in health work and promoting a culture of peace.
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ORIGINAL ARTICLE04-14-2023
Artificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
Revista Brasileira de Enfermagem. 2023;76:e20210909
Abstract
ORIGINAL ARTICLEArtificial intelligence in the analysis of emotions of nursing students undergoing clinical simulation
Revista Brasileira de Enfermagem. 2023;76:e20210909
DOI 10.1590/0034-7167-2021-0909
Views0See moreABSTRACT
Objective:
to assess nursing students’ emotions undergoing maternal-child clinical simulation.
Methods:
an observational study, carried out between June and July 2019. The Focus Group technique was used, with 28 nursing students, randomly distributed into three groups, with qualitative (Bardin technique) and quantitative data (Artificial Intelligence) analysis, to analyze emotions through facial expressions, tone of voice and description of speeches.
Results:
we defined two categories: “It was not easy, it was very stressful”; and “Very valuable experience”. In Artificial Intelligence, emotional distribution between face, voice and speech revealed a prevalence of negative valence, medium-high degree of passivity, medium power to control the situation and medium-high degree of obstruction in task accomplishment.
Final considerations:
this study revealed an oscillation between positive and negative emotions, and shows to the importance of recognizing them in the teaching-learning process in mother-child simulation.
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ORIGINAL ARTICLE04-07-2023
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
Abstract
ORIGINAL ARTICLEThe use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
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Objectives:
to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.
Methods:
qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.
Results:
the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.
Final Considerations:
although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
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ORIGINAL ARTICLE04-07-2023
Implications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
Abstract
ORIGINAL ARTICLEImplications of the pandemic for the construction of nurses’ identity based on the journalistic media
Revista Brasileira de Enfermagem. 2023;76(2):e20220245
DOI 10.1590/0034-7167-2022-0245
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Objectives:
to analyze the work of nurses portrayed in the journalistic media and its impact on the construction of professional nursing identity.
Methods:
this is qualitative, retrospective, descriptive and documentary research, with 51 reports from Folha de São Paulo. Time frame from March to December 2020. Thematic Content Analysis carried out from Claude Dubar’s theoretical perspective. Organization and coding of data performed with the help of ATLAS.ti®.
Results:
three categories emerged: Working conditions in the pandemic – a problem that worsened; Impacts of the pandemic on daily work; Feelings generated by the pandemic.
Conclusions:
despite adversities, such as the precariousness of health institutions, inadequate working conditions for nurses, lack of basic items of individual protection, negative feelings and hopelessness, these professionals used their knowledge, skills and innovations in the act of caring, which contributed to reconstructing their professional identity.
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ORIGINAL ARTICLE04-07-2023
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
Abstract
ORIGINAL ARTICLESuicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
Views1See moreABSTRACT
Objectives:
to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.
Methods:
an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.
Results:
eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.
Conclusions:
adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.
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ORIGINAL ARTICLE04-07-2023
Spiritual well-being, symptoms and performance of patients under palliative care
Revista Brasileira de Enfermagem. 2023;76(2):e20220007
Abstract
ORIGINAL ARTICLESpiritual well-being, symptoms and performance of patients under palliative care
Revista Brasileira de Enfermagem. 2023;76(2):e20220007
DOI 10.1590/0034-7167-2022-0007
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Objectives:
to assess the relationship between spiritual well-being, symptoms and performance of patients under palliative care.
Methods:
this is a descriptive correlational study, conducted with 135 patients seen in palliative care outpatient clinics. Karnofsky Performance Status Scale, Edmonton Symptom Assessment Scale, Spirituality Scale and Hospital Anxiety and Depression Scale were used. Data were submitted to descriptive statistical analysis and Spearman’s correlation.
Results:
among participants, 68.2% were cancer patients. The most prevalent symptoms were changes in well-being (65.2%), anxiety (63.7%), sadness (63%) and fatigue (63%). Sadness, dyspnea, sleepiness, anxiety and depression presented weak to moderate correlation with spiritual well-being. Symptom overload showed weak negative correlation with performance.
Conclusions:
symptom intensification was correlated with worsening in spiritual well-being perception. The reduction in performance was related to increased number of symptoms, especially depression and anxiety.
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REVIEW04-07-2023
Analysis of moral courage and related factors among undergraduate nursing students: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220225
Abstract
REVIEWAnalysis of moral courage and related factors among undergraduate nursing students: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220225
DOI 10.1590/0034-7167-2022-0225
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Objective:
to analyze scientific evidence on moral courage and related factors among nursing undergraduate students.
Method:
the protocol of this scoping review was registered on Open Science Framework. A search was performed in five databases, according to the method provided by Joanna Briggs Institute Reviewers, the mnemonic strategy Population, Concept and Context, and a specific checklist.
Results:
a total of 2,812 results were identified, but only nine studies were eligible and presented three thematic approaches: Moral courage from the perspective of nursing students; Moral courage and related factors; and The teaching of moral courage in the training of nursing students. The factors related to moral courage include moral distress, moral sensitivity, age, and having a previous degree in the health field.
Final Considerations:
few studies were found with a low evidence level. Most were performed in developed countries, indicating some gaps that need to be addressed in the future.
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REFLECTION12-21-2020
War against the COVID-19 pandemic: reflection in light of Florence Nightingale’s nursing theory
Revista Brasileira de Enfermagem. 2020;73:e20200371
Abstract
REFLECTIONWar against the COVID-19 pandemic: reflection in light of Florence Nightingale’s nursing theory
Revista Brasileira de Enfermagem. 2020;73:e20200371
DOI 10.1590/0034-7167-2020-0371
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Objective:
To reflect on the relationship and importance of the environmental theory regarding practices for promotion, prevention, and treatment of COVID-19.
Methods:
A theoretical-reflexive study about the COVID-19 pandemic in light of the environmental theory proposed by Florence Nightingale.
Results:
It is observed that the application of the theoretical foundations proposed by the environmental theory is related to the current practices used in the fight against the COVID-19 pandemic.
Final Considerations:
It is believed that the theoretical basis is fundamental for the critical-reflexive training of the nursing professional, for the consolidation of Nursing as a science; therefore, it could provide a foundation in nowadays battle against the pandemic.
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08-20-2021
Validation of an educational game about first aid for schoolchildren
Revista Brasileira de Enfermagem. 2021;74(6):e20201107
Abstract
Validation of an educational game about first aid for schoolchildren
Revista Brasileira de Enfermagem. 2021;74(6):e20201107
DOI 10.1590/0034-7167-2020-1107
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Objectives: to validate the content and appearance of an educational game about first aid for schoolchildren with experts in education and health.
Methods: this is a methodological, quantitative and descriptive research, carried out using the Delphi technique, using an online collection instrument, covering 55 items of the game. Content and appearance assessment was performed by 26 judges. The data were analyzed using Content Validity index.
Results: the final prototype is presented in a board format, composed of four buildable pawns and 117 cards between questions, alerts and challenges. Overall Content Validity index of 0.95 and greater than 0.8 was obtained for all items in two Delphi rounds.
Conclusions: the educational game validated by experts is a pedagogical tool for teaching first aid to schoolchildren as an option to traditional educational practices.
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ORIGINAL ARTICLE06-27-2019
Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
Revista Brasileira de Enfermagem. 2019;72(3):760-766
Abstract
ORIGINAL ARTICLEInfection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
Revista Brasileira de Enfermagem. 2019;72(3):760-766
DOI 10.1590/0034-7167-2019-0009
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Objective:
To evaluate the risk factors related to Klebsiella pneumoniae carbapenemase infection after renal transplantation.
Methods:
This was a retrospective epidemiological (case-control) study, conducted from October 2011 to march 2016. Transplanted patients with infection by this bacteria during hospitalization were selected as cases. The controls were paired by age, sex, type of donor and transplant time. The proportion of cases and controls was 1:2.
Results:
Thirty hundred and five patients were included in the study (45 cases and 90 controls). The risk factors found for infection by KPC were: time of hospitalization after the transplant (OR: 4.82; CI95% 2.46-9.44), delayed kidney function (OR: 5.60; CI95% 1.91-11.01) and previous infectious for another microorganism ( OR: 34.13 CI95% 3.52-132.00).
Conclusion:
The risk of acquisition of this bacterium was directly related to invasive procedures and exposure to the hospital environment. The findings reinforce the importance of prevention measures and control of infection by this microorganism.
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ORIGINAL ARTICLE11-19-2022
Stigma experienced by men diagnosed with COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20210038
Abstract
ORIGINAL ARTICLEStigma experienced by men diagnosed with COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20210038
DOI 10.1590/0034-7167-2021-0038
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Objective:
to analyze the stigma characteristics perceived in the experience of men who had COVID-19.
Method:
this qualitative study involved men living in Brazil, diagnosed with COVID-19, who answered semi-structured questions in an online form. Data were subjected to thematic and lexical analysis, interpreted in the light of the stigma theory.
Results:
92 men, adults, cisgender, heterosexual, of mixed race/color, belonging to middle class, living in the urban area, with higher education participated. The stigma characteristics evidenced were the occurrence of leave, perception of impolite treatment, use of labels and discrimination by co-workers, family members, neighbors and even healthcare professionals, with consequences for the psycho-emotional dimension.
Final considerations:
discrimination and exclusion derived from stigma surprised men marked by class and gender privileges, little used to being downgraded in interactions when compared to other groups.
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ORIGINAL ARTICLE04-22-2020
Indicators of effectiveness of nursing care in the dimension of patient safety
Revista Brasileira de Enfermagem. 2020;73(3):e20180833
Abstract
ORIGINAL ARTICLEIndicators of effectiveness of nursing care in the dimension of patient safety
Revista Brasileira de Enfermagem. 2020;73(3):e20180833
DOI 10.1590/0034-7167-2018-0833
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Objectives:
to validate nursing care effectiveness indicators of patient safety dimension.
Methods:
quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. For validation, the minimum agreement criterion was 70%.
Results:
Cronbach’s alpha (0.942) evidenced the high internal consistency among the attributes. The indicators fall with damage, hip fracture, and postoperative hip fracture, incidents related to equipment, incidents due to failures in patient identification, and pressure injury were validated in all attributes, and those of medication error and hand Hygiene were not validated.
Conclusions:
the validated indicators allow assessment of the effectiveness of hospital nursing care. Unavailability of data is an obstacle to monitoring patient safety.
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ORIGINAL ARTICLE08-26-2022
Sickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20220028
Abstract
ORIGINAL ARTICLESickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20220028
DOI 10.1590/0034-7167-2022-0028
Views0See moreABSTRACT
Objective:
to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason.
Methods:
a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation.
Results:
of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years.
Conclusions:
there was an impact of the pandemic on absence duration and reason.
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06-11-2021
Educational technology on COVID-19 for families of children and adolescents with sickle cell disease
Revista Brasileira de Enfermagem. 2021;74:e20201045
Abstract
Educational technology on COVID-19 for families of children and adolescents with sickle cell disease
Revista Brasileira de Enfermagem. 2021;74:e20201045
DOI 10.1590/0034-7167-2020-1045
Views1See moreABSTRACT
Objective:
to construct and validate educational technology on COVID-19 and essential care for families of children/adolescents with sickle cell disease.
Methods:
this is a methodological study, in three stages: 1) elaborated educational technology, using the Doak, Doak and Root theoretical-methodological model; 2) content and appearance validation by the content validity coefficient. Delphi technique was applied in two rounds (Delphi I [12 judges]/Delphi II [11 judges]); 3) conducting a pilot test with six families.
Results:
“Sickle cell disease and COVID-19: essential care” included: consequences of COVID-19 in sickle cell disease, guidelines for reducing the risks of contracting the virus and having complications, signs and symptoms of COVID-19, guidelines in case of child/adolescent with suspicion or symptoms of COVID-19. Global content validity coefficient (Delphi II): 0.98.
Conclusion:
educational technology presented content and appearance validity for families of children/adolescents with sickle cell disease, related to COVID-19.
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ORIGINAL ARTICLE12-21-2020
Care Facilitator Cart: a product technology built with nursing professionals
Revista Brasileira de Enfermagem. 2020;73:e20190741
Abstract
ORIGINAL ARTICLECare Facilitator Cart: a product technology built with nursing professionals
Revista Brasileira de Enfermagem. 2020;73:e20190741
DOI 10.1590/0034-7167-2019-0741
Views0See moreABSTRACT
Objectives:
to describe a product technology building (Care Facilitator Cart) with nursing professionals working in surgical clinic and medical clinic at a university hospital in Rio Grande do Sul.
Methods:
a qualitative, methodological research guided by the Business Model Canvas, with 52 nursing professionals, through non-participant observation and brainstorming, carried out from April to October 2016. The records were analyzed through content analysis.
Results:
the product was built with two floors, a retractable table, a removable compartment for disposal and separation of infectious, recyclable and sharps waste, lid opening by a sensor, among others.
Final Considerations:
the invention unleashes possibilities to be an innovative instrument aimed at performing safe care in hospital institutions, with a view to reducing professional wear, rework, infection control, and effectiveness of procedures and techniques.
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