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01-01-2017
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
Abstract
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
DOI 10.1590/0034-7167-2016-0246
Views0RESUMEN
Objetivo:
Determinar cuál de las escalas evaluadas (NEMS y NAS), es más adecuada para Unidades de Cuidados Intensivos aplicando metodología de calidad.
Método:
Tras identificar como oportunidad de mejora la no adecuación de la escala NEMS para determinar cargas de trabajo de enfermería en UCI, se aplica metodología de los ciclos de mejora a dicha escala y a la NAS, como propuesta de mejora, evaluando los criterios: medición de cargas de trabajo al día y por turno, inclusión de todas las actividades enfermeras, y análisis por paciente y unidad.
Resultados:
Escala NEMS no muestra diferencias significativas en el cumplimiento (67%). Comparación NEMS-NAS, todos los criterios excepto el 1º, obtienen mejora significativa. NEMS sólo valora el criterio 1 (64,22%), y NAS todos con un cumplimiento para el 1º, 2º y 4º del 64,74%, y el 3º del 100%.
Conclusión:
La escala NAS es más adecuada para medir cargas de trabajo de enfermería en UCI.
Keywords:Carga de TrabajoControl de CalidadEnfermeríaGestión de la CalidadUnidades de Cuidados IntensivosSee more
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01-01-2017
Assessing the adequacy of workload measurement tools using a quality-based methodology
Revista Brasileira de Enfermagem. 2017;70(1):39-46
Abstract
Assessing the adequacy of workload measurement tools using a quality-based methodology
Revista Brasileira de Enfermagem. 2017;70(1):39-46
DOI 10.1590/0034-7167-2016-0246
Views0See moreABSTRACT
Objective:
determine which tool (NEMS and NAS) is most suitable for use in intensive care units using a quality-based methodology.
Method:
after identifying the opportunity for improvement “Inadequacy of the NEMS for determining nursing workload in the intensive care unit (ICU)”, we assessed the NEMS and the NAS, as a proposed improvement to the NEMS, using quality improvement cycles methodology based on the following criteria: measurement of daily nursing workload on a daily and shift basis; the tool encompasses all nursing activities undertaken in the ICU; and workload assessed per patient and unit.
Results:
there was no significant difference in level of compliance for the NEMS (67%). The comparison NEMS-NAS showed that there was a statistically significant improvement for all criteria except criterion 1. The NEMS only assesses criterion 1 (64.22%); while the NAS assessed all four criteria, obtaining a compliance rate of 64.74% for criteria 1, 2, and 4, and 100% for criterion 3.
Conclusion:
the NAS is more suitable for measuring nursing workload in UCIs.
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01-01-2017
Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(1):31-38
Abstract
Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(1):31-38
DOI 10.1590/0034-7167-2016-0015
Views0See moreABSTRACT
Objective:
to evaluate the effectiveness of an educational nursing intervention to reduce hyperphosphataemia in chronic renal patients on hemodialysis.
Method:
quasi-experimental study with 63 hyperphosphatemic patients on hemodialysis. The intervention consisted of developing and providing a printed and illustrated manual to patients containing information on disease control. The participant was asked to complete a daily checklist with the aim to reinforce aspects provided in the manual. Laboratory tests and itching intensity were analyzed at the beginning of the study, and at 30 and 60 days after the educational intervention.
Results:
the mean age of participants was 58±13.1 years, with a treatment time of 51.1±44.7 months. A reduction in serum phosphorus values of 7.06 ± 1.43 to 5.80 ± 1.53 (p <0.001) and the intensity of itching after the intervention was observed.
Conclusion:
the educational nursing intervention was effective in reducing phosphate and decreasing itching in hyperphosphatemic patients.
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01-01-2017
Filial care and the relationship with the elderly in families of different nationalities
Revista Brasileira de Enfermagem. 2017;70(1):22-30
Abstract
Filial care and the relationship with the elderly in families of different nationalities
Revista Brasileira de Enfermagem. 2017;70(1):22-30
DOI 10.1590/0034-7167-2015-0050
Views0See moreABSTRACT
Objective:
identify how filial care and the relationship with the elderly occur in families of different nationalities.
Method:
qualitative study carried out in a town on the triple frontier of Paraná, comprising 33 elderly people of five different nationalities, adopting the Symbolic Interactionism and the Grounded Theory as theoretical-methodological strategy.
Results:
among Lebanese people, the Muslim religion teaches children to obey and respect parents; among French, distant family relationships and institutions for the elderly stand out. Paraguayans hold close family relationships; Chinese people consider filial care as a tacit obligation; Brazilians, in turn, tend to embrace and take care of their parents in old age.
Conclusion:
family care prevailed, but the traditions of each society lead the actions of that care, demanding health professionals’ capacity of recognizing in which context the elderly is inserted.
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01-01-2017
Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients
Revista Brasileira de Enfermagem. 2017;70(1):15-21
Abstract
Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients
Revista Brasileira de Enfermagem. 2017;70(1):15-21
DOI 10.1590/0034-7167-2015-0138
Views0See moreABSTRACT
Objective:
To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients.
Method:
Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic.
Results:
It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables.
Conclusion:
The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.
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01-01-2017
Excesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise
Revista Brasileira de Enfermagem. 2017;70(1):15-21
Abstract
Excesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise
Revista Brasileira de Enfermagem. 2017;70(1):15-21
DOI 10.1590/0034-7167-2015-0138
Views0See moreRESUMEN
Objetivo:
analizar las características definitorias y los factores relacionados con el diagnóstico enfermero de exceso de volumen líquido y su relación con variables sociodemográficas y clínicas en pacientes de hemodiálisis.
Método:
estudio transversal, realizado mediante un formulario y examen físico, con una muestra de 100 pacientes, entre diciembre de 2012 y abril de 2013 en un hospital universitario y una clínica de diálisis.
Resultados:
se encontraron 10 asociaciones estadísticamente significativas entre las características definitorias, factores relacionados de volumen de exceso de líquido y las variables sociodemográficas y clínicas.
Conclusión:
las características definitorias y los factores relacionados de exceso de volumen líquido podrían estar influenciados por variables sociodemográficas y clínicas en clientes de hemodiálisis.
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01-01-2017
Enfrentando desafios em tempos de adversidades
Revista Brasileira de Enfermagem. 2017;70(1):1-2
Abstract
Enfrentando desafios em tempos de adversidades
Revista Brasileira de Enfermagem. 2017;70(1):1-2
DOI 10.1590/0034-7167.2017700101
Views0Na confluência da tradição, do respeito pela história e da abordagem crítica das questões inerentes ao desenvolvimento da profissão de enfermagem, a Associação Brasileira de Enfermagem (ABEn) vem consolidando uma trajetória exemplar na sociedade brasileira. Ao longo da sua história, as reflexões, discussões e decisões sobre assuntos pertinentes e prementes da profissão têm possibilitado intervenções […]See more -
01-01-2017
Facing challenges in times of adversity
Revista Brasileira de Enfermagem. 2017;70(1):1-2
Abstract
Facing challenges in times of adversity
Revista Brasileira de Enfermagem. 2017;70(1):1-2
DOI 10.1590/0034-7167.2017700101
Views0At the confluence of tradition, respect for history and a critical approach to the issues inherent to the development of the nursing profession, the Brazilian Nursing Association (ABEn) has been consolidating an exemplary trajectory in Brazilian society. Throughout its history, the reflections, discussions and decisions on pertinent and urgent subjects of the profession have made […]See more
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ORIGINAL ARTICLE07-18-2022
Nursing in Primary Health Care: association between leadership, psychological capital, and burnout implications
Revista Brasileira de Enfermagem. 2022;75:e20210942
Abstract
ORIGINAL ARTICLENursing in Primary Health Care: association between leadership, psychological capital, and burnout implications
Revista Brasileira de Enfermagem. 2022;75:e20210942
DOI 10.1590/0034-7167-2021-0942
Views0See moreABSTRACT
Objectives:
to verify the association between authentic leadership and burnout syndrome in Primary Health Care nursing professionals and analyze the relationship between positive psychological capital and burnout syndrome in subordinate nursing professionals.
Methods:
a field, descriptive-exploratory, cross-sectional study with a quantitative approach, developed with the nursing team, in Basic Health Units in the city of São Paulo, with the application of the sociodemographic questionnaires, Burnout Characterization Scale [Escala de Caracterização do Burnout], Authentic Leadership Questionnaire and Psychological Capital Questionnaire.
Results:
in leaders’ perception, there was no evidence of significant associations between burnout and authentic leadership scales. There was a significant negative association of the burnout scale dimensions with the leadership dimensions regarding the subordinates. There was evidence of significant negative associations in the burnout scores with the scores of the psychological questionnaire dimensions.
Conclusions:
in nursing, burnout is associated with authentic leadership and psychological capital.
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ORIGINAL ARTICLE03-07-2022
Is self-esteem associated with the elderly person’s quality of life?
- Edison Vitório de Souza Júnior
, - Diego Pires Cruz ,
- Lais Reis Siqueira ,
- Randson Souza Rosa ,
- Cristiane dos Santos Silva , [ … ],
- Namie Okino Sawada
Abstract
ORIGINAL ARTICLEIs self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
DOI 10.1590/0034-7167-2021-0388
- Edison Vitório de Souza Júnior ,
- Diego Pires Cruz ,
- Lais Reis Siqueira ,
- Randson Souza Rosa ,
- Cristiane dos Santos Silva ,
- Chrisne Santana Biondo ,
- Namie Okino Sawada
Views0See moreABSTRACT
Objective:
To analyze the association between self-esteem and quality of life in the elderly.
Methods:
Cross-sectional web survey developed with 519 elderly people. Participants filled out three data collection instruments developed on the Google Forms platform and widely disseminated through all of Brazil. Fisher’s exact test, Mann-Whitney, Pearson correlation, and linear regression with 95% confidence interval were used.
Results:
Self-esteem was associated with all quality-of-life facets: sensory skills [β= 1.307; p<0.001]; autonomy [β= 2.101; p<0.001]; past, present, and future activities [β= 2.486; p<0.001]; social presence [β= 2.547; p<0.001]; death and dying [β= 2.175; p<0.001]; and intimacy [β=2.378; p<0.001].
Conclusion:
There is a positive and statistically significant association between self-esteem and quality of life in the elderly. We therefore suggest the development of local policies capable of raising this age groups’ self-esteem and reaffirming aging as a new possibility for discoveries and pleasure.
- Edison Vitório de Souza Júnior
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ORIGINAL ARTICLE10-21-2022
Self-care deficit among older men in the COVID-19 pandemic: implications for nursing
- Vinícius de Oliveira Muniz ,
- Lorena de Cerqueira Andrade Braga ,
- Pricila Oliveira de Araujo ,
- Pedro Paulo Corrêa Santana ,
- Gildasio Souza Pereira , [ … ],
- Evanilda Souza de Santana Carvalho
Abstract
ORIGINAL ARTICLESelf-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
DOI 10.1590/0034-7167-2021-0933
- Vinícius de Oliveira Muniz ,
- Lorena de Cerqueira Andrade Braga ,
- Pricila Oliveira de Araujo ,
- Pedro Paulo Corrêa Santana ,
- Gildasio Souza Pereira ,
- Anderson Reis de Sousa ,
- Larissa Chaves Pedreira ,
- Evanilda Souza de Santana Carvalho
Views0See moreABSTRACT
Objectives:
to analyze self-care deficit among older men in the COVID-19 pandemic in Brazil and to discuss the implications for nursing practice.
Methods:
web survey, multicentric, qualitative. A total of 120 older men participated, applying a form from April to June 2020 and April to August 2021. Reflective Thematic Analysis, interpreted by Orem’s Self-Care Deficit Theory, was used.
Results:
temporally, the self-care of older men was manifested in the self-care requirements – affective bonds, self-care for development – meditation and self-care with health deviations – remote consultations. Fully, partially compensatory, educational/support systems mobilized self-care.
Final Considerations:
as care managers, nurses can strengthen the support network for older men by activating professionals from the multidisciplinary team, family members, caregivers and the community to promote self-care and correct health deviations in times of crisis.
- Vinícius de Oliveira Muniz
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ORIGINAL ARTICLE04-03-2020
Organizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
Abstract
ORIGINAL ARTICLEOrganizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
DOI 10.1590/0034-7167-2018-0510
Views0See moreABSTRACT
Objectives:
To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care.
Methods:
This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals.
Results:
Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians.
Conclusions:
We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.
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ORIGINAL ARTICLE06-08-2020
Teaching in health residencies: knowledge of preceptors under Shulman’s analysis
- Kátia Regina Barros Ribeiro ,
- Marta Lenise do Prado ,
- Vânia Marli Schubert Backes ,
- Neyse Pratícia do Nascimento Mendes ,
- Deborah Dinorah de Sá Mororó
Abstract
ORIGINAL ARTICLETeaching in health residencies: knowledge of preceptors under Shulman’s analysis
Revista Brasileira de Enfermagem. 2020;73(4):20180779
DOI 10.1590/0034-7167-2018-0779
- Kátia Regina Barros Ribeiro ,
- Marta Lenise do Prado ,
- Vânia Marli Schubert Backes ,
- Neyse Pratícia do Nascimento Mendes ,
- Deborah Dinorah de Sá Mororó
Views0See moreABSTRACT
Objectives:
to understand how the pedagogical knowledge that integrates the basic knowledge of teaching is perceived by preceptors in residents’ teaching-learning process.
Methods:
a qualitative research conducted by semi-structured interview from December 2013 to July 2014, with 31 preceptors of residency programs of three university hospitals in northeastern Brazil. For analysis, the Grounded Theory’s proposal was used and supported by Atlas ti(r) 7.0 software.
Results:
preceptors integrate preceptorship with basic teaching knowledge proposed by Lee Shulman, with emphasis on General Pedagogical Knowledge when seeking strategies to better work on specific and disciplinary content, and Pedagogical Content Knowledge when adapting content to make it comprehensible to residents.
Final Considerations:
the study allowed us to understand how Shulman’s basic knowledge of teaching is perceived by preceptors. It is recognized that they integrate knowledge into the preceptorship, highlighting the General and Pedagogical Content Knowledge.
- Kátia Regina Barros Ribeiro
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REVIEW06-18-2021
Microbiological profile of leg ulcer infections: review study
- Taysa de Fátima Garcia ,
- Eline Lima Borges ,
- Thaisa Oliveira de Castro Junho ,
- Josimare Aparecida Otoni Spira
Abstract
REVIEWMicrobiological profile of leg ulcer infections: review study
Revista Brasileira de Enfermagem. 2021;74(3):e20190763
DOI 10.1590/0034-7167-2019-0763
- Taysa de Fátima Garcia ,
- Eline Lima Borges ,
- Thaisa Oliveira de Castro Junho ,
- Josimare Aparecida Otoni Spira
Views0See moreABSTRACT
Objectives:
to analyze the microbiological profile of leg ulcers of patients treated at outpatient clinics and hospitals regarding the type of microorganism, microbiological selection of antibiotics, and techniques for the collection of culture material.
Methods:
literature review performed on LILACS, IBECS, MEDLINE, and CINAHL databases, resulting in a descriptive analysis of 27 studies.
Results:
35.7% of the studies occurred in an outpatient care scenario; and 64.2% in hospitals. There was a predominance of swab (100%) in outpatient care and biopsy (55.5%) in the hospital. Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus aureus were more common at both levels of assistance. Methicillin-resistant Staphylococcus aureus was isolated in both.
Conclusions:
the microbiological profile of infections was similar, with the presence of resistant bacteria in both environments. This fact causes concern and raises the need for research to elucidate it. The studies did not compare the effectiveness between biopsy and swab.
- Taysa de Fátima Garcia
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REVIEW07-09-2021
Breast cancer screening in Primary Health Care in Brazil: a systematic review
- Danila Cristina Paquier Sala ,
- Meiry Fernanda Pinto Okuno ,
- Monica Taminato ,
- Cristiane Pereira de Castro ,
- Marília Cristina Prado Louvison , [ … ],
- Oswaldo Yoshimi Tanaka
Abstract
REVIEWBreast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
- Danila Cristina Paquier Sala ,
- Meiry Fernanda Pinto Okuno ,
- Monica Taminato ,
- Cristiane Pereira de Castro ,
- Marília Cristina Prado Louvison ,
- Oswaldo Yoshimi Tanaka
Views1See moreABSTRACT
Objectives:
to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.
Methods:
this is a systematic review following the Cochrane Collaboration recommendations.
Results:
among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.
Conclusions:
Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.
- Danila Cristina Paquier Sala
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09-24-2022
Effects of auriculotherapy in the treatment of nausea and vomiting: a systematic review
- Nathaly Bianka Moraes Fróes ,
- Francisca Ariane de Souza Arrais ,
- Priscila de Souza Aquino ,
- Juliana Cunha Maia ,
- Marianne Maia Dutra Balsells
Abstract
Effects of auriculotherapy in the treatment of nausea and vomiting: a systematic review
Revista Brasileira de Enfermagem. 2022;75(1):e20201350
DOI 10.1590/0034-7167-2020-1350
- Nathaly Bianka Moraes Fróes ,
- Francisca Ariane de Souza Arrais ,
- Priscila de Souza Aquino ,
- Juliana Cunha Maia ,
- Marianne Maia Dutra Balsells
Views0See moreABSTRACT
Objectives:
to identify the effectiveness of auriculotherapy in the treatment of nausea and vomiting through a systematic review of the scientific literature.
Methods:
it was performed a systematic review of the literature making use of the following data basis: The Scopus, PubMed, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Web of Science, LILACS and Cochrane databases were used. Articles from complete research from randomized controlled clinical trials that describe using auriculotherapy in nausea and vomiting treatment were selected, without restriction of date or language.
Results:
eleven articles were selected for analysis. The majority approached the population in surgical situations, followed by patients undergoing chemotherapy and pregnant women. As for results, 81% (n=8) of the articles reported that nausea and vomiting were lower in incidence and/or intensity in the intervention group.
Conclusions:
the review provided relevant data on the effects of auriculotherapy in nausea and vomiting treatment, with a decrease in the intensity and frequency of these symptoms in different populations.
- Nathaly Bianka Moraes Fróes
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