Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE10-09-2023

    Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life

    Revista Brasileira de Enfermagem. 2023;76(4):e20220780

    Abstract

    ORIGINAL ARTICLE

    Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life

    Revista Brasileira de Enfermagem. 2023;76(4):e20220780

    DOI 10.1590/0034-7167-2022-0780

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    ABSTRACT

    Objective:

    To investigate the independent and combined effects of lifestyle behaviors, including physical activity, sedentary behavior, sleep duration and food intake, in the health-related quality of life (HRQoL) of Brazilian adolescents.

    Methods:

    Cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire was applied with structured questions to collect lifestyle behaviors data. Perception of the HRQoL was identified using the Kidscreen-27. The study used covariance analysis and linear regression models for statistical analysis.

    Results:

    Adolescents who reported ≤ 2 hours/day of screen-based sedentary behavior and sleep duration equivalent to 8-10 hours/night presented significantly higher HRQoL. Adolescents who reported joint adherence ≥ 3 healthy lifestyle behaviors demonstrated approximately two [OR=2.12] to three times [OR=3.04] more chance of presenting higher perceptions of HRQoL.

    Conclusion:

    Although healthy lifestyle behaviors had a positive independent effect on HRQoL, joint adherence to healthy behaviors enhances the cumulative effect.

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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.
    Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life
  • ORIGINAL ARTICLE10-09-2023

    Health care for people with tuberculosis/HIV co-infection from the multidisciplinary team’s perspective

    Revista Brasileira de Enfermagem. 2023;76(4):e20220733

    Abstract

    ORIGINAL ARTICLE

    Health care for people with tuberculosis/HIV co-infection from the multidisciplinary team’s perspective

    Revista Brasileira de Enfermagem. 2023;76(4):e20220733

    DOI 10.1590/0034-7167-2022-0733

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    ABSTRACT

    Objective:

    to know the multidisciplinary team’s perspective about the health care of people with tuberculosis and human immunodeficiency virus co-infection in relation to treatment.

    Methods:

    this is a descriptive-exploratory study, with a qualitative approach, carried out in a health care service in São Paulo, from May to June 2019. Semi-structured interviews were conducted with nine professionals from the multidisciplinary team. Data were processed through discourse analysis with the support of webQDA.

    Results:

    Two empirical categories emerged: Health care interfaces for people with tuberculosis and human immunodeficiency virus co-infection; Barriers and facilitators for health care for people with co-infection.

    Final considerations:

    the health-disease process in co-infection is mediated by conditions that positively or negatively interfere with treatment compliance. People’s health care goes beyond exclusively clinical assistance and requires the recognition of needs in a broad perspective.

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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.
    Health care for people with tuberculosis/HIV co-infection from the multidisciplinary team’s perspective
  • ORIGINAL ARTICLE10-09-2023

    Translation and validity of the Multidimensional Individual and Interpersonal Resilience Measure

    Revista Brasileira de Enfermagem. 2023;76(4):e20220696

    Abstract

    ORIGINAL ARTICLE

    Translation and validity of the Multidimensional Individual and Interpersonal Resilience Measure

    Revista Brasileira de Enfermagem. 2023;76(4):e20220696

    DOI 10.1590/0034-7167-2022-0696

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    ABSTRACT

    Objective:

    to translate, culturally adapt and validate the Multidimensional Individual and Interpersonal Resilience Measure to Brazilian Portuguese.

    Method:

    after initial translation, the pre-final version underwent rigorous cultural adaptation procedures. As a result, the final adapted version was submitted to a validity study.

    Results:

    adaptation procedures provided equivalence between the pre-final and the original versions in semantic, idiomatic, experiential and conceptual terms. A total of 187 older adults were included in the validity study. Exploratory factorial analysis (EFA) generated a model of five factors ((RMSEA = 0.030; TLI = 0.959; X = 151.590 p> 0.05). Final version showed adequate consistency (Cronbach’s α = 0.705) and test-retest reliability (ICC=0.835). No statistically significant correlation was found between resilience and sociodemographic and epidemiological variables assessed in this study.

    Conclusion:

    EMRII-BR is a valid and reliable instrument for measuring resilience in Brazilian older adults.

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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.
  • 10-09-2023

    Standard Operating Procedure validity on intramuscular vaccine administration in adults: a methodological study

    Revista Brasileira de Enfermagem. 2023;76(4):e20220692

    Abstract

    Standard Operating Procedure validity on intramuscular vaccine administration in adults: a methodological study

    Revista Brasileira de Enfermagem. 2023;76(4):e20220692

    DOI 10.1590/0034-7167-2022-0692

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    ABSTRACT

    Objective:

    to validate a Standard Operating Procedure on the intramuscular vaccine administration technique in adults using high frequency vibration associated with cryotherapy.

    Methods:

    a literature review on intramuscular vaccination practice using a vibration device associated with cryotherapy. Then, a form was created to validate the instrument, detailing the items that were assessed by judges following recommendations in the literature. Judges’ answers were assessed using the Content Validity Index, with items whose index was greater than or equal to 0.80 being validated.

    Results:

    twenty-five nurses participated in validity, identifying judges’ opinion regarding item relevance, clarity and accuracy. Judges validated the instrument, according to the values that remained between 0.88 and 1.0.

    Conclusions:

    the instrument developed and validated is a tool capable of guaranteeing safety and standardizing immunization practice in vaccine rooms.

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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.
  • ORIGINAL ARTICLE10-09-2023

    Clinical supervision strategies, learning, and critical thinking of nursing students

    Revista Brasileira de Enfermagem. 2023;76(4):e20220691

    Abstract

    ORIGINAL ARTICLE

    Clinical supervision strategies, learning, and critical thinking of nursing students

    Revista Brasileira de Enfermagem. 2023;76(4):e20220691

    DOI 10.1590/0034-7167-2022-0691

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    ABSTRACT

    Objective:

    To identify the supervisory strategies that Nursing students consider facilitators of the development of critical thinking skills in clinical teaching.

    Methods:

    This is a qualitative study, within the interpretative paradigm, using the focus group methodology. Eight undergraduate nursing students participated in the study.

    Results:

    Participants recognized the indispensability of critical thinking for professional responsibility and quality of care and highlighted the importance of using supervisory strategies adapted to their needs, learning objectives, and the context of clinical practice.

    Final considerations:

    This study highlights the urgent need to establish, within the Nursing curricula, clinical supervision strategies that promote critical thinking and favor the development of skills for good clinical judgment, problem solving, and safe, effective, and ethical decision-making.

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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.
  • EXPERIENCE REPORT10-09-2023

    Focus group in the development of concepts for a Nursing model: experience report

    Revista Brasileira de Enfermagem. 2023;76(4):e20220689

    Abstract

    EXPERIENCE REPORT

    Focus group in the development of concepts for a Nursing model: experience report

    Revista Brasileira de Enfermagem. 2023;76(4):e20220689

    DOI 10.1590/0034-7167-2022-0689

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    ABSTRACT

    Objective:

    To communicate the experience of developing concepts for the construction of a care model through focus groups.

    Methods:

    An experience report on the development of concepts through remote focus groups with members of a research group from a public university in southern Brazil.

    Results:

    Focus groups were developed in which homogeneity and heterogeneity criteria were observed among participants. In addition to the concepts of the nursing metaparadigm, the concepts of care and family-centered care were developed, relevant to the nursing care model in question.

    Final considerations:

    Despite the challenges of conducting remote focus groups, they were suitable for the collective construction of concepts for a nursing care model, allowing the interaction of participants from different locations.

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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.
  • 10-09-2023

    Autocompaixão entre estudantes de enfermagem de uma Universidade Estadual da Indonésia durante a pandemia de COVID-19

    Revista Brasileira de Enfermagem. 2023;76(4):e20220585

    Abstract

    Autocompaixão entre estudantes de enfermagem de uma Universidade Estadual da Indonésia durante a pandemia de COVID-19

    Revista Brasileira de Enfermagem. 2023;76(4):e20220585

    DOI 10.1590/0034-7167-2022-0585

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    RESUMEN

    Objetivo:

    Determinar el nivel de autocompasión e investigar las relaciones entre las variables sociodemográficas y la autocompasión entre estudiantes de pregrado de enfermería en una universidad estatal de Indonesia durante la pandemia de COVID-19

    Métodos:

    Este estudio utilizó un diseño transversal. Las muestras se seleccionaron mediante una técnica de muestreo aleatorio estratificado proporcional (n=260). Los datos se recopilaron utilizando una versión indonesia de la Escala de Autocompasión, que consta de 6 subescalas: bondad propia, autocrítica, humanidad común, aislamiento, atención plena y sobre identificación. Los datos se analizaron mediante análisis univariado y bivariado.

    Resultados:

    El 60% de los estudiantes tenían autocompasión moderada. Los estudiantes puntuaron más alto en amabilidad consigo mismos (3,93±1,02) y sobre identificación (3,58±0,94), lo que indica que a menudo intentaban amarse a sí mismos cuando sentían dolor emocional y a menudo se dejaban llevar cuando sucedió algo perturbador. Posteriormente, se encontró una correlación significativa entre la edad y la autocompasión (p<0,05).

    Conclusión:

    La autocompasión entre los estudiantes de enfermería debe mejorarse por medio de intervenciones como la alfabetización de la compasión, el entrenamiento en atención plena y las técnicas experienciales basadas en la compasión.

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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.
  • 10-09-2023

    Tradução e validação do Multidimensional Individual and Interpersonal Resilience Measure

    Revista Brasileira de Enfermagem. 2023;76(4):e20220696

    Abstract

    Tradução e validação do Multidimensional Individual and Interpersonal Resilience Measure

    Revista Brasileira de Enfermagem. 2023;76(4):e20220696

    DOI 10.1590/0034-7167-2022-0696

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    RESUMEN

    Objetivo:

    traducir, adaptar culturalmente y validar el Multidimensional Individual and Interpersonal Resilience Measure para el portugués brasileño.

    Método:

    después de la traducción inicial, la versión pre-final pasó por rigurosos procedimientos de adaptación cultural. Como resultado, la versión final adaptada fue sometida a un estudio de validez.

    Resultados:

    los procedimientos de adaptación proporcionaron equivalencia entre las versiones pre-final y original en términos semánticos, idiomáticos, experienciales y conceptuales. Un total de 187 ancianos fueron incluidos en el estudio de validez. El análisis factorial exploratorio (AFE) generó un modelo de cinco factores ((RMSEA = 0,030; TLI = 0,959; X = 151,590 p> 0,05). La versión final mostró adecuada consistencia (α de Cronbach = 0,705) y confiabilidad prueba-reprueba (ICC=0,835). No se encontró correlación estadísticamente significativa entre la resiliencia y las variables sociodemográficas y epidemiológicas evaluadas en este estudio.

    Conclusión:

    EMRII-BR es un instrumento válido y confiable para medir la resiliencia en ancianos brasileños.

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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.

  • 07-09-2021

    Algorithm for transitional care for caregivers of dependent older adults: a validation study

    Revista Brasileira de Enfermagem. 2021;74:e20200625

    Abstract

    Algorithm for transitional care for caregivers of dependent older adults: a validation study

    Revista Brasileira de Enfermagem. 2021;74:e20200625

    DOI 10.1590/0034-7167-2020-0625

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    ABSTRACT

    Objective:

    To construct and validate an algorithm for transitional care for caregivers of dependent older adults.

    Method:

    This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twenty-seven experts selected according to pre-defined inclusion criteria.

    Results:

    The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers).

    Conclusion:

    Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.

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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.
    Algorithm for transitional care for caregivers of dependent older adults: a validation study
  • EXPERIENCE REPORT09-18-2020

    Telemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections

    Revista Brasileira de Enfermagem. 2020;73:e20200350

    Abstract

    EXPERIENCE REPORT

    Telemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections

    Revista Brasileira de Enfermagem. 2020;73:e20200350

    DOI 10.1590/0034-7167-2020-0350

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    ABSTRACT

    Objective:

    to report the experience of telemonitoring Brazilian nursing homes before coronavirus and COVID-19 infections.

    Methods:

    a descriptive experience report that occurred between March 18 and April 25, 2020 through telemonitoring nursing homes in Salvador, Bahia, following a script previously prepared for first contact and follow-up. The telemonitoring was carried out by professors from the School of Nursing of Universidade Federal da Bahia and Graduate Program students for four weeks.

    Results:

    thirty-two institutions were followed for four weeks. Some facilities and difficulties appeared during the monitoring.

    Final consideratios:

    as nursing homes are collective households, their residents are vulnerable to transmission of infections. In addition, the diversity of structures and economic, social and human resources needs of these locations reveal their fragility and urgency of public policies that address such diversities.

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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.
  • 06-28-2021

    Individual and contextual variables associated with smoking and alcohol consumption during pregnancy

    Revista Brasileira de Enfermagem. 2021;74:e20200804

    Abstract

    Individual and contextual variables associated with smoking and alcohol consumption during pregnancy

    Revista Brasileira de Enfermagem. 2021;74:e20200804

    DOI 10.1590/0034-7167-2020-0804

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    ABSTRACT

    Objective:

    to analyze the association between individual characteristics and housing context with smoking and alcohol consumption during pregnancy.

    Methods:

    a cross-sectional study with a probabilistic sample of 3,580 pregnant women who underwent prenatal care in the Unified Health System in 2019. The outcomes were firsthand, secondhand smoke and alcohol consumption during pregnancy. Individual characteristics and the living environment were used as exploratory variables.

    Results:

    living in a neighborhood with episodes of violence, without social cohesion and without urban elements that encourage physical activity was associated with smoking. Alcohol consumption during pregnancy was associated with living in environments that do not encourage physical activity. Smoking was also associated with lower income and education.

    Conclusions:

    individual characteristics and the living environment are associated with smoking, secondhand smoke and alcohol consumption during pregnancy.

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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.
  • ORIGINAL ARTICLE08-19-2019

    The daily routine of nurses in rural areas in the Family Health Strategy

    Revista Brasileira de Enfermagem. 2019;72(4):918-925

    Abstract

    ORIGINAL ARTICLE

    The daily routine of nurses in rural areas in the Family Health Strategy

    Revista Brasileira de Enfermagem. 2019;72(4):918-925

    DOI 10.1590/0034-7167-2018-0243

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    ABSTRACT

    Objective:

    to analyze the daily work of rural Family Health Strategy (FHS) nurses.

    Method:

    a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis.

    Results:

    rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management.

    Final considerations:

    conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.

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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.
  • ORIGINAL ARTICLE12-05-2019

    Health situation in the perception of elderly widows assisted by primary health care

    Revista Brasileira de Enfermagem. 2019;72:199-204

    Abstract

    ORIGINAL ARTICLE

    Health situation in the perception of elderly widows assisted by primary health care

    Revista Brasileira de Enfermagem. 2019;72:199-204

    DOI 10.1590/0034-7167-2018-0549

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    ABSTRACT

    Objective:

    Analyze the perception of elderly widow women about their health situation.

    Method:

    Descriptive and exploratory research, based on qualitative approach performed with 34 widowed women aged 60 years and over, enrolled in primary health care. It was used content analysis in its thematic analysis modality.

    Results:

    Three thematic nuclei were obtained: “positive self-perception of health in old age”, “negative understanding of health related to the diseases” and “negative repercussions of the absence of the husband in the health situation of the widows”. Presence of the family, chronic diseases under control, physical limitations and absence of the partner directly influenced the responses of the elderly widows.

    Final considerations:

    The elderly widows perceive their health situation as relatively good and some factors are challenges to a better health situation. For the participants, widowhood means more than just the physical loss of the husband, interfering negatively in the perception of their health situation.

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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.
  • ORIGINAL ARTICLE05-18-2020

    Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network

    Revista Brasileira de Enfermagem. 2020;73(4):e20190856

    Abstract

    ORIGINAL ARTICLE

    Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network

    Revista Brasileira de Enfermagem. 2020;73(4):e20190856

    DOI 10.1590/0034-7167-2018-0856

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    ABSTRACT

    Objectives:

    to identify potentialities and weaknesses of the intersectoral network for women in situations of sexual violence, from the perspective of Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights.

    Methods:

    qualitative study conducted with multidisciplinary team members who work in intersectoral care services for women subject to sexual violence. It was held in a municipality in southern Brazil. An intentional sample, totaling 30 professionals. Semi-structured interview was used from January to April 2016. Interviews were analyzed by Thematic Analysis.

    Results:

    two categories emerged: potentialities and weaknesses related to the intersectoral network. Potentialities confirm the importance of the articulated intersectoral network; weaknesses such as lack of organized flow and disarticulation of services result in women revictimization and care fragmentation.

    Final Considerations:

    it is necessary to articulate services and qualify professionals. The Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights foster discussions that contribute to how to organize and sustain the intersectoral network.

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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.
    Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network
  • ORIGINAL ARTICLE12-13-2019

    Applying best practices to pregnant women in the obstetric center

    Revista Brasileira de Enfermagem. 2019;72:191-196

    Abstract

    ORIGINAL ARTICLE

    Applying best practices to pregnant women in the obstetric center

    Revista Brasileira de Enfermagem. 2019;72:191-196

    DOI 10.1590/0034-7167-2018-0422

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    ABSTRACT

    Objective:

    To identify the meaning attributed by nursing technicians to good care practices based on scientific evidence used with the pregnant women during the dilation stage of labor.

    Method:

    A qualitative study, based on Grounded Theory principles. Twelve interviews with nursing technicians attending labor in the obstetric center of two public hospitals, in Florianópolis/SC, were performed, from August of 2016 to March of 2017. Data were analyzed using open, axial coding.

    Results:

    The implementation of good practices, for nursing technicians, means adequately performing their activities, providing humanized care to the pregnant woman, respecting her autonomy, promoting pain relief, and a peaceful labor.

    Final Considerations:

    An adequate number of technicians must be determined to maintain quality of care, and to complete nursing records in a more detailed and systematized manner.

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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.
  • REVIEW09-09-2022

    Medical adhesive-related skin injury in adult intensive care unit: scoping review

    Revista Brasileira de Enfermagem. 2022;75(6):e20210926

    Abstract

    REVIEW

    Medical adhesive-related skin injury in adult intensive care unit: scoping review

    Revista Brasileira de Enfermagem. 2022;75(6):e20210926

    DOI 10.1590/0034-7167-2021-0926

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    ABSTRACT

    Objectives:

    to identify and synthesize scientific evidence on preventing medical adhesive-related skin injuries in adult intensive care patients.

    Methods:

    this is a scoping review based on PRISMA-ScR recommendations and the technique proposed by Joanna Briggs Institute. PubMed, CINAHL, Web of Science, Scopus, LILACS, and Embase databases were searched using “Injuries AND Adhesives AND Skin AND Medical” descriptors”.

    Results:

    1,329 studies were identified, and after analysis, the final sample consisted of nine articles. We obtained two experts’ consensus, three case studies, two cross-sectional studies, one prospective cohort study, and one literature review regarding the type of studies.

    Final Considerations:

    the synthesized evidence allowed us to list health care measures to prevent medical adhesive-related skin injuries. The professional must know how to identify the skin injuries associated with medical adhesives and the main strategies for their prevention.

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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.
    Medical adhesive-related skin injury in adult intensive care unit: scoping review

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