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RESEARCH01-01-2017
Prevention of chronic complications of diabetes mellitus according to complexity
Revista Brasileira de Enfermagem. 2017;70(5):996-1003
Abstract
RESEARCHPrevention of chronic complications of diabetes mellitus according to complexity
Revista Brasileira de Enfermagem. 2017;70(5):996-1003
DOI 10.1590/0034-7167-2016-0080
Views0See moreABSTRACT
Objective:
To assess the prevention by primary health care providers of chronic complications of diabetes mellitus according to the complex thinking theoretical approach.
Method:
Evaluative research based on the complex thinking theoretical approach. The following techniques for data collection were used: interviews with 38 participants; observation in collective and individual appointments; and analysis of medical records of people with diabetes. The triangulation applied for data analysis was the ATLAS.ti software.
Results:
The prevention and management of chronic complications of diabetes did not meet the requirements set forth by ministerial public policies aimed at this population. Systematic monitoring to prevention of chronic complications showed significant gaps.
Final considerations:
Primary health care did not consider preventive actions for diabetes mellitus complications. This context was marked by disjunctive, fragmented, and dissociated practices types of care targeted to the totality of the assisted people.
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RESEARCH01-01-2017
Job satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
Abstract
RESEARCHJob satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
DOI 10.1590/0034-7167-2016-0422
Views0See moreABSTRACT
Objective:
to identify the level of attributed, perceived and real job satisfaction of oncology nursing professionals and analyze the relationships between the levels of satisfaction among these workers.
Method:
a descriptive, quantitative cross-sectional study was conducted using the Index of Work Satisfaction (IWS) to evaluate the nursing team, nurses and technicians/auxiliaries. A total of 348 workers answered the questionnaire, of which 216 were fully completed and considered for the IWS calculation.
Results:
Autonomy was considered the most important item in attributed satisfaction for the nursing team and nurses. Salary was valorized most by the technicians/auxiliaries. For perceived satisfaction, Professional Status was the most important for all workers. Regarding real satisfaction, Interaction was the most important for the nursing team and technicians/auxiliaries; while the nurses valorized Autonomy. The nurses presented the greatest job satisfaction.
Conclusion:
a discrepancy was observed in job satisfaction among the oncology nurses, indicating the importance of further quantitative research.
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RESEARCH01-01-2017
Relational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
Abstract
RESEARCHRelational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
DOI 10.1590/0034-7167-2016-0337
Views1See moreABSTRACT
Objective:
This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients.
Method:
Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis.
Results:
From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies.
Final consideration:
Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.
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RESEARCH01-01-2017
Knowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
Abstract
RESEARCHKnowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
DOI 10.1590/0034-7167-2016-0343
Views0See moreABSTRACT
Objective:
To understand mental health nursing care based on the concept of the subject of the unconscious proposed by Lacan.
Method:
A narrative study was carried out with 19 nurses, chosen based on their theoretical approach or referral by other participants, through the snowball sampling technique. The interviews were carried out in person or digitally, and were recorded and fully transcribed.
Results:
The analysis was carried out based on Freudian and Lacanian psychoanalysis, approaching nursing care as it acts on the body, secretions, and excretions, to distinguish it from the spirit of fineness. Effects on care are discussed, considering the subject of the unconscious with its knowledge, creating unique exits (sinthome). In this situation, professionals are required to abstain from a position of knowing what is better for the Other.
Final considerations:
This nursing care perspective offers contributions when discussing the centrality of the subject and words in the care process.
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RESEARCH01-01-2017
Weaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
Abstract
RESEARCHWeaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
DOI 10.1590/0034-7167-2016-0566
Views0See moreABSTRACT
Objective:
to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) in the western region of the city of São Paulo.
Method:
qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.
Results:
the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.
Final considerations:
there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.
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RESEARCH01-01-2017
Chronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
Abstract
RESEARCHChronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
DOI 10.1590/0034-7167-2016-0542
Views0See moreABSTRACT
Objective:
To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift.
Method:
Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%.
Results:
The indifferent chronotype predominated (45.2%). There were significant differences between occupational categories and variables “age” (p<0.001), “use of medication” (p=0.035) and “choice of work shift” (p=0.001). There was an association between the chronotype and the variables “work leave due to illness” (p=0.021), “children” (p=0.025), “use of medication” (p=0.018) and “work shift” (p=0.001).
Conclusion:
The chronotype remained indifferent, and the results confirmed association between chronotype and work shift.
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RESEARCH01-01-2017
Difficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
Abstract
RESEARCHDifficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
DOI 10.1590/0034-7167-2016-0527
Views0See moreABSTRACT
Introduction:
Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care.
Objective:
To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective.
Method:
Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis.
Results:
The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth.
Final considerations:
Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.
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RESEARCH01-01-2017
Severity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
Abstract
RESEARCHSeverity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
DOI 10.1590/0034-7167-2016-0427
Views0See moreABSTRACT
Objective:
To analyze whether an increase in patient severity and nursing workload are correlated to a greater incidence of adverse events (AEs) in critical patients.
Method:
A prospective single cohort study was performed on a sample of 138 patients hospitalized in an intensive care unit (ICU).
Results:
A total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient severity presented a direct relationship to the probability of AEs occurring. However, nursing workload did not present a statistically significant relationship with the occurrence of AEs.
Conclusion:
The results cast light on the importance of using evaluation tools by the nursing personnel in order to optimize their daily activities and focus on patient safety.
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ORIGINAL ARTICLE09-24-2022
Nurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring
- Carla Braz Evangelista
, - Maria Emília Limeira Lopes ,
- Solange Fátima Geraldo da Costa ,
- Patrícia Serpa de Souza Batista ,
- Marcella Costa Souto Duarte , [ … ],
- Betânia da Mata Ribeiro Gomes
Abstract
ORIGINAL ARTICLENurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring
Revista Brasileira de Enfermagem. 2022;75(1):e20210029
DOI 10.1590/0034-7167-2021-0029
- Carla Braz Evangelista ,
- Maria Emília Limeira Lopes ,
- Solange Fátima Geraldo da Costa ,
- Patrícia Serpa de Souza Batista ,
- Marcella Costa Souto Duarte ,
- Gilvânia Smith da Nóbrega Morais ,
- Jael Rubia figueiredo de Sá França ,
- Betânia da Mata Ribeiro Gomes
Views1See moreABSTRACT
Objectives:
to analyze nurses’ role in assisting patients in palliative care, with emphasis on the spiritual dimension, in the light of Theory of Human Caring.
Methods:
this is an exploratory, qualitative study, carried out in a hospital in João Pessoa, Paraíba, between August and December 2019, with 10 nurses. For data collection, semi-structured interviews were used. For analysis, we opted for content analysis.
Results:
the spiritual dimension of care is contemplated by several religious and spiritual practices. These are respected and encouraged by nurses, although there is difficulty in providing care for the spiritual dimension.
Final Considerations:
nurses have attitudes consistent with Jean Watson’s Theory and apply the Caritas Process elements during assistance to patients’ spiritual dimension in palliative care.
- Carla Braz Evangelista
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ORIGINAL ARTICLE06-18-2021
Why does your pain never get better? Stigma and coping mechanism in people with sickle cell disease
- Evanilda Souza de Santana Carvalho ,
- Jayanne Moreira Carneiro ,
- Aline Silva Gomes ,
- Katia Santana Freitas ,
- Coretta Melissa Jenerette
Abstract
ORIGINAL ARTICLEWhy does your pain never get better? Stigma and coping mechanism in people with sickle cell disease
Revista Brasileira de Enfermagem. 2021;74(3):e20200831
DOI 10.1590/0034-7167-2020-0831
- Evanilda Souza de Santana Carvalho ,
- Jayanne Moreira Carneiro ,
- Aline Silva Gomes ,
- Katia Santana Freitas ,
- Coretta Melissa Jenerette
Views0See moreABSTRACT
Objectives:
to analyze the characteristics of stigma in the interactions of people with pain and sickle cell disease and the coping strategies adopted.
Methods:
qualitative study, conducted in Bahia’s reference units between January and July 2018. In-depth interviews were applied to 25 adults, followed by content analysis and interpretation in light of the Sociological Theory of Stigma.
Results:
four categories emerged from the data: Stigma in interactions with family members; Stigma in interactions with people in the general public; Stigma in interactions with health workers; and Strategies for coping with stigma.
Final Considerations:
in the participants’ interactions, stigma produced discrediting pain reports, labeling and stereotyping, blaming patients for not improving their health, discrimination, racism, inadequate pain assessment, and delay in care. Coping included silencing, covering up, aggressive behavior, exposure to risk, reading religious texts and praises, and church attendance.
- Evanilda Souza de Santana Carvalho
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ORIGINAL ARTICLE07-14-2021
Manchester Triage System: assessment in an emergency hospital service
- Ana Paula Santos de Jesus ,
- Meiry Fernanda Pinto Okuno ,
- Cassia Regina Vancini Campanharo ,
- Maria Carolina Barbosa Teixeira Lopes ,
- Ruth Ester Assayag Batista
Abstract
ORIGINAL ARTICLEManchester Triage System: assessment in an emergency hospital service
Revista Brasileira de Enfermagem. 2021;74(3):e20201361
DOI 10.1590/0034-7167-2020-1361
- Ana Paula Santos de Jesus ,
- Meiry Fernanda Pinto Okuno ,
- Cassia Regina Vancini Campanharo ,
- Maria Carolina Barbosa Teixeira Lopes ,
- Ruth Ester Assayag Batista
Views0See moreABSTRACT
Objectives:
to analyze demographic data, clinical profile and outcomes of patients in emergency services according to Manchester Triage System’s priority level.
Methods:
a cross-sectional, analytical study, carried out with 3,624 medical records. For statistical analysis, the Chi-Square Test was used.
Results:
white individuals were more advanced in age. In the red and white categories, there was a higher percentage of men when compared to women (p=0.0018) and higher prevalence of personal history. Yellow priority patients had higher percentage of pain (p<0.0001). Those in red category had a higher frequency of altered vital signs, external causes, and death outcome. There was a higher percentage of exams performed and hospitalization in the orange category. Blue priority patients had a higher percentage of non-specific complaints and dismissal after risk stratification.
Conclusions:
a higher percentage of altered vital signs, number of tests performed, hospitalization and death were evidenced in Manchester protocol’s high priority categories.
- Ana Paula Santos de Jesus
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ORIGINAL ARTICLE03-09-2020
Quality of life at work in a central sterile processing department
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes , [ … ],
- Nair Portela Silva Coutinho
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
DOI 10.1590/0034-7167-2018-0792
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes ,
- Nair Portela Silva Coutinho
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life of nursing professionals who work in a central sterile processing department.
Methods:
a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.
Conclusions:
This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.
- Gliccia Morguethe Vieira Rego
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ORIGINAL ARTICLE03-03-2021
Trend of transplants and organ and tissue donations in Brazil: a time series analysis
- Fernanda Gatez Trevisan dos Santos ,
- Vanessa Aparecida Martim Mezzavila ,
- Thamires Fernandes Cardoso da Silva Rodrigues ,
- Luana Cristina Bellini Cardoso ,
- Marcelo da Silva , [ … ],
- Cremilde Aparecida Trindade Radovanovic
Abstract
ORIGINAL ARTICLETrend of transplants and organ and tissue donations in Brazil: a time series analysis
Revista Brasileira de Enfermagem. 2021;74(1):e20200058
DOI 10.1590/0034-7167-2020-0058
- Fernanda Gatez Trevisan dos Santos ,
- Vanessa Aparecida Martim Mezzavila ,
- Thamires Fernandes Cardoso da Silva Rodrigues ,
- Luana Cristina Bellini Cardoso ,
- Marcelo da Silva ,
- Rosana Rosseto de Oliveira ,
- Cremilde Aparecida Trindade Radovanovic
Views0See moreABSTRACT
Objectives:
to indentify the time trend of rates of organs and tissues effective donors, of reports and types of transplanted organs per million people of the Brazilian population.
Methods:
ecological study, of time series, about reports of organ donations and on transplants. The data were provided by the Registro Brasileiro de Transplantes and analyzed using polynomial regression.
Results
an increasing trend was found for potential donors and effective donors, with an average increase of 2.33 and 0.92 per year, respectively. The South Region had the highest rate of potential donors (83.8) and effective donors (34.1) and the North Region, the lowest rate (20.2 and 3.9). The family refusal was the main obstacle to accomplish the donation.
Conclusions
the results show an increasing trend of potential donors and effective donors throughout Brazil, with emphasis on the southern region of the country. Among the main reasons for non-donation, it is worth emphasizing family refusal and medical contraindication prescription.
- Fernanda Gatez Trevisan dos Santos
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07-12-2021
Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context
- Anderson Reis de Sousa ,
- Jules Ramon Brito Teixeira ,
- Tilson Nunes Mota ,
- Thiago da Silva Santana ,
- Sélton Diniz dos Santos , [ … ],
- Álvaro Francisco Lopes Sousa
Abstract
Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context
Revista Brasileira de Enfermagem. 2021;74:e20210040
DOI 10.1590/0034-7167-2021-0040
- Anderson Reis de Sousa ,
- Jules Ramon Brito Teixeira ,
- Tilson Nunes Mota ,
- Thiago da Silva Santana ,
- Sélton Diniz dos Santos ,
- Magno Conceição das Merces ,
- Evanilda Souza de Santana Carvalho ,
- Álvaro Francisco Lopes Sousa
Views0See moreABSTRACT
Objective:
To describe coping strategies, concerns and habits of Brazilian men during the COVID-19 pandemic.
Method:
Cross-sectional, descriptive and nationwide study, carried out in 2020 with a total of 1015 men living in Brazil. A descriptive statistic was used.
Results:
Young (41.2%), black (61.4%), highly educated (66.8%), high income (33.2%), living with family/friends (49.7%) and formal workers (65.6%) predominated. As coping strategies predominated: exclusive use of the private health system (36.4%), support from family/friends (78.2%) and leisure (97.7%) and domestic activities (64.9 %). Social distancing (59.7%), economic (58.0%) and work situations (44.4%) were the main reasons for concern. Among the prevention/control attitudes, hand washing (94.3%) and social distancing (91.0%) prevailed. Media consumption (84.6%) and health risk (65.4%) were the main increased habits.
Conclusion:
Brazilian men adopted coping strategies recommended by health authorities, with concerns and habits of potential risk to physical and mental health.
- Anderson Reis de Sousa
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ORIGINAL ARTICLE07-08-2020
Self-medication practices in riverside communities in the Brazilian Amazon Rainforest
Revista Brasileira de Enfermagem. 2020;73(5):e20190432
Abstract
ORIGINAL ARTICLESelf-medication practices in riverside communities in the Brazilian Amazon Rainforest
Revista Brasileira de Enfermagem. 2020;73(5):e20190432
DOI 10.1590/0034-7167-2019-0432
Views0INTRODUCTIONThe Brazilian Amazon rainforest has an area of approximately 5 million km2, with important climatic, social and economic variations that can impact the profile of morbidity and the use of medicines. The epidemiological profile of the Amazonian population is quite heterogeneous, including vector-borne diseases, such as malaria, dengue, cutaneous leishmaniasis and Diseases Related to Inadequate […]See more -
ORIGINAL ARTICLE06-01-2020
Occupational stress of nurses from the Mobile Emergency Care Service
- Alessandra Ferreira Araújo ,
- Luciana Neves da Silva Bampi ,
- Caio Cesar de Olivera Cabral ,
- Rayanne Silva Queiroz ,
- Luiza Helena Brito Calasans , [ … ],
- Tiago Silva Vaz
Abstract
ORIGINAL ARTICLEOccupational stress of nurses from the Mobile Emergency Care Service
Revista Brasileira de Enfermagem. 2020;73:e20180898
DOI 10.1590/0034-7167-2018-0898
- Alessandra Ferreira Araújo ,
- Luciana Neves da Silva Bampi ,
- Caio Cesar de Olivera Cabral ,
- Rayanne Silva Queiroz ,
- Luiza Helena Brito Calasans ,
- Tiago Silva Vaz
Views0See moreABSTRACT
Objective:
To evaluate stress, and to associate it with sociodemographic and clinical aspects of nurses from the Mobile Emergency Care Service.
Method:
This is an observational, cross-sectional and quantitative study conducted with 123 nurses, who answered a questionnaire to assess sociodemographic and clinical variables, and the Job Stress Scale, which evaluates stress in the workplace.
Results:
The results indicated that most of them were women, 20 to 40 years old, married, without another employment bond and with specialization course. They had low control and low demand at work and performed a passive work. Women reported passive work and high stress levels, while men were equally divided in active and passive work with low stress levels.
Conclusion:
Passive work is harmful to health and it is related to lack of autonomy, decision-making, and social support. It may lead to reduced ability to solve problems faced in daily work routine.
- Alessandra Ferreira Araújo
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