Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2017

    Virtual learning object and environment: a concept analysis

    Revista Brasileira de Enfermagem. 2017;70(3):572-579

    Abstract

    RESEARCH

    Virtual learning object and environment: a concept analysis

    Revista Brasileira de Enfermagem. 2017;70(3):572-579

    DOI 10.1590/0034-7167-2016-0123

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    ABSTRACT

    Objective:

    To analyze the concept of virtual learning object and environment according to Rodgers’ evolutionary perspective.

    Method:

    Descriptive study with a mixed approach, based on the stages proposed by Rodgers in his concept analysis method. Data collection occurred in August 2015 with the search of dissertations and theses in the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel. Quantitative data were analyzed based on simple descriptive statistics and the concepts through lexicographic analysis with support of the IRAMUTEQ software.

    Results:

    The sample was made up of 161 studies. The concept of “virtual learning environment” was presented in 99 (61.5%) studies, whereas the concept of “virtual learning object” was presented in only 15 (9.3%) studies.

    Conclusion:

    A virtual learning environment includes several and different types of virtual learning objects in a common pedagogical context.

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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.
    Virtual learning object and environment: a concept analysis
  • 01-01-2017

    High prevalence of enteroparasites in children from Ribeirão Preto, São Paulo, Brazil

    Revista Brasileira de Enfermagem. 2017;70(3):566-571

    Abstract

    High prevalence of enteroparasites in children from Ribeirão Preto, São Paulo, Brazil

    Revista Brasileira de Enfermagem. 2017;70(3):566-571

    DOI 10.1590/0034-7167-2016-0059

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    ABSTRACT

    Objective:

    To determine the prevalence of intestinal parasites and possible associated factors.

    Method:

    Cross-sectional epidemiological study of 962 children (3-12-years) from an area within the scope of a basic health unit in Ribeirão Preto, São Paulo, Brazil. Data were collected by home interviews and three-sample stool analysis and evaluated with the chi-square and Fisher’s exact tests (p<0.05).

    Results:

    The prevalence of intestinal parasites was significantly high (57.5%). Giardia lamblia was the most prevalent (50.8%), followed by Ascaris lumbricoides (17.8%), Entamoeba histolytica, Hymenolepis nana, Entamoeba coli and Enterobius vermiculares (5.6-7.3%) and other parasites of lower prevalence, such as Schistosoma japonicum (1%) and Schistosoma mansoni (0.5%). No statistically significant associations were detected between prevalence and the risk factors analyzed.

    Conclusion:

    Since the area presents good conditions of environmental sanitation, health education programs should be implemented that emphasize hygiene procedures for the hands and for food and water to be consumed by the population.

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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.
    High prevalence of enteroparasites in children from Ribeirão Preto, São Paulo, Brazil
  • 01-01-2017

    Alta prevalencia de enteroparasitosis en niños de Ribeirão Preto, São Paulo, Brasil

    Revista Brasileira de Enfermagem. 2017;70(3):566-571

    Abstract

    Alta prevalencia de enteroparasitosis en niños de Ribeirão Preto, São Paulo, Brasil

    Revista Brasileira de Enfermagem. 2017;70(3):566-571

    DOI 10.1590/0034-7167-2016-0059

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2017

    Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis

    Revista Brasileira de Enfermagem. 2017;70(3):558-565

    Abstract

    RESEARCH

    Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis

    Revista Brasileira de Enfermagem. 2017;70(3):558-565

    DOI 10.1590/0034-7167-2016-0437

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    ABSTRACT

    Objective:

    To validate the evaluation questionnaire on adherence of chronic kidney disease (CKD) patients under hemodialysis.

    Method:

    We verified the following psychometric properties of the instrument: reliability (stability and internal consistency) and validity (face, content, and construct).

    Results:

    The intraclass correlation coefficient reached a value of 0.98 for the adherence questions and 0.91 for the perception questions. Regarding the kappa of the 14 questions examined, 12 had a value > 0.8, whereas the Cronbach’s alpha had a value of 0.57. Experts ensured the face and content validity of the instrument, giving it an overall content validity index of 0.96. Construct validity, analyzed by Mann-Whitney test, was achieved as all domains showed a significant association with p<0.01.

    Conclusion:

    We verified, by the presented results, that the instrument has been validated for use in Brazil.

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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.
    Validation of the adherence questionnaire for Brazilian chronic kidney disease patients under hemodialysis
  • RESEARCH01-01-2017

    The experience of rural families in the face of cancer

    Revista Brasileira de Enfermagem. 2017;70(3):550-557

    Abstract

    RESEARCH

    The experience of rural families in the face of cancer

    Revista Brasileira de Enfermagem. 2017;70(3):550-557

    DOI 10.1590/0034-7167-2016-0367

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    ABSTRACT

    Objective:

    To understand the meanings of cancer within the experience of rural families and how such meanings influence family dynamics.

    Method:

    Qualitative study guided by Symbolic Interactionism as a theoretical framework and Grounded Theory as a methodological framework. Six rural families (18 participants) undergoing the experience of having a relative with cancer participated in the interview.

    Results:

    Constant comparative analysis of data allowed the elaboration of an explanatory substantive theory, defined by the main category Caregiving to support the family world, which represents the family’s symbolic actions and strategies to reconcile care for the patient and care for family life.

    Final considerations:

    Throughout the experience, rural families seek to preserve the interconnected symbolic elements that provide support for the family world: family unit, land, work and care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    The experience of rural families in the face of cancer
  • RESEARCH01-01-2017

    Contributions of Public Health to nursing practice

    Revista Brasileira de Enfermagem. 2017;70(3):543-549

    Abstract

    RESEARCH

    Contributions of Public Health to nursing practice

    Revista Brasileira de Enfermagem. 2017;70(3):543-549

    DOI 10.1590/0034-7167-2016-0401

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    ABSTRACT

    Objective:

    Analyze the perceptions of undergraduate nursing students about the contributions of public health to nursing practice in the Unified Health System.

    Method:

    Qualitative Descriptive Study. Data collection was carried out through semi-directed interviews with 15 students. The language material was analyzed according to content and thematic analysis.

    Results:

    Thematic categories were established, namely: “Perceptions about Public Health” and “Contribution of Public Health to nursing practice in the Unified Health System”.

    Final considerations:

    Perceptions about Public Health are diversified, but converge to the recognition of this field as the basis for training nurses qualified to work in the SUS with technical competence, autonomy and focusing on the integrality in health care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2017

    Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction

    Revista Brasileira de Enfermagem. 2017;70(3):535-542

    Abstract

    RESEARCH

    Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction

    Revista Brasileira de Enfermagem. 2017;70(3):535-542

    DOI 10.1590/0034-7167-2016-0084

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    ABSTRACT

    Objective:

    To characterize cancellations of elective surgeries according to clinical and non-clinical reasons, as well as to verify seasonal influence and determine the estimated reduction of the index.

    Method:

    Quantitative, descriptive and retrospective study with secondary data extracted from the Public Hospital of the State of São Paulo database.

    Results:

    Out of the 8,443 (100%) elective surgeries scheduled, 7,870 (93.21%) were performed and 573 (6.79%) were canceled. Out of these 573 (100%) people, 48.33% were canceled for clinical reasons and 46.40% were for non-clinical reasons. Among the non-clinical reasons for surgery cancellations, those related to medical reasons stood out: at the request of the surgeon/change of approach (17.93%), followed by non-hospitalized patient (8.96%). There was no indication of seasonality regarding the reasons for cancellation in the assessed period.

    Conclusion:

    Although the rate of elective surgeries cancellations is lower than that of other hospitals with similar characteristics, it is still possible to reduce it from 6.79% to 1.36%, considering that 80% of the reasons for cancellation are avoidable.

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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.
    Cancellation of elective surgeries in a Brazilian public hospital: reasons and estimated reduction
  • RESEARCH01-01-2017

    Guide of attributes of the nurse’s political competence: a methodological study

    Revista Brasileira de Enfermagem. 2017;70(3):526-534

    Abstract

    RESEARCH

    Guide of attributes of the nurse’s political competence: a methodological study

    Revista Brasileira de Enfermagem. 2017;70(3):526-534

    DOI 10.1590/0034-7167-2016-0483

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    ABSTRACT

    Objective:

    To build and validate a guide of attributes of the nurse’s political competence.

    Method:

    Methodological research. This study comprised the construction of the instrument through literature review; experts validation of pre-established attributes for composing the guide; and clinical validation in the nurses work environment/reality. The data collection took place in the months from August to October 2014, and the analysis was based on the content analysis of Bardin and use of Epi info 3.5. All ethical precepts have been complied with.

    Results:

    From 29 attributes found in the literature, 25 have been validated by experts. Clinical/practical validation involved the participation of 43 nurses, who observed that the attributes are not articulated with the professional practices developed by them.

    Conclusion:

    The attributes of the nurse’s political competence were identified with support of literature. It is concluded that the professionals still have limited and fragmented perception of political competence, expressing difficulty/limitation.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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