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REVIEW01-01-2018
Health promotion programs in higher education: integrative review of the literature
Revista Brasileira de Enfermagem. 2018;71:1714-1723
Abstract
REVIEWHealth promotion programs in higher education: integrative review of the literature
Revista Brasileira de Enfermagem. 2018;71:1714-1723
DOI 10.1590/0034-7167-2016-0693
Views0See moreABSTRACT
Objective:
to characterize the interventions of health promotion programs implemented in Health Promoting Universities; to analyze the results of the interventions of health promotion programs.
Method:
integrative review carried out in EBSCO, PubMed, SciELO, Scopus and Web of Science. Articles published between 2000 and 2014 were selected, with evidence of health promotion intervention programs and evaluation of results. Results: 17 articles were included. The health promotion programs aimed at increasing the welfare of students, with an emphasis on physical activity, sexual health and on improving the environment of health support within the university community.
Conclusion:
health promotion strategies in an university context do not always result from the convergence between educational, political, legislative or organizational actions that support lifestyles and conditions which are favorable to the health of individuals or groups, and that contribute to improving the physical and social environment.
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RESEARCH01-01-2018
Contraceptive behavior of Portuguese higher education students
Revista Brasileira de Enfermagem. 2018;71:1706-1713
Abstract
RESEARCHContraceptive behavior of Portuguese higher education students
Revista Brasileira de Enfermagem. 2018;71:1706-1713
DOI 10.1590/0034-7167-2017-0623
Views0See moreABSTRACT
Objective:
To characterize the contraceptive practices of higher education students and to identify factors that contribute to the use of different contraceptive methods.
Method:
A cross-sectional, descriptive correlational study was carried out with a sample of 1946 students, with a mean age of 21 years (20.74±2.32), who attended courses at a University in the North of Portugal.
Results:
Of the factors studied, the female gender, younger ages, previous behavior of condom use, knowledge about contraception, attitude and self-efficacy for condom use were associated with safer contraceptive choices.
Conclusion:
Investing in sexual education for young people is an important public health strategy that can empower youth to make more appropriate choices and improve adherence to contraceptive methods, reducing the risk of unintended pregnancies and sexually transmitted diseases.
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RESEARCH01-01-2018
Nursing and Global Health: social determinants of health in the training of nurses
Revista Brasileira de Enfermagem. 2018;71:1700-1705
Abstract
RESEARCHNursing and Global Health: social determinants of health in the training of nurses
Revista Brasileira de Enfermagem. 2018;71:1700-1705
DOI 10.1590/0034-7167-2017-0631
Views0See moreABSTRACT
Objective:
To evaluate to which extent nursing professors understand how social determinants of health impact on health, and whether the topic is addressed in nursing undergraduate education in Brazil.
Method:
This is a methodological study carried out with 222 nursing faculty members from Brazilian higher education institutions. The answers of the domain “Social and environmental determinants of health”, concerning a questionnaire on “Core Competencies in Global Health”, were analyzed.
Results:
Most professors have over 10 years of experience in nursing higher education. A large part of the participants strongly agreed or agreed on the importance of college subjects related to the above-mentioned topic for the education of the nurses.
Conclusion:
The professors in this study agreed that social and environmental health determinants must be taught in Nursing school, since it is necessary that nurses value this knowledge, slowly making it a part of the curriculum framework.
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RESEARCH01-01-2018
National Licensure Exam for Brazilian Nurses: why and for whom?
Revista Brasileira de Enfermagem. 2018;71:1692-1699
Abstract
RESEARCHNational Licensure Exam for Brazilian Nurses: why and for whom?
Revista Brasileira de Enfermagem. 2018;71:1692-1699
DOI 10.1590/0034-7167-2017-0929
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Objective:
To analyze critically the reasons for regulating a National Licensure Exam for Brazilian Nurses (NLEXB-N).
Method:
Qualitative study with secondary source applying the critical discourse analysis to situate context and intertextuality in the establishment of a new social practice. We analyzed data from legal documents regulating the National Licensure Exam of other professions in Brazil, the Educational Census, the Survey of Brazilian Nursing Profile and global nursing literature.
Results:
Four themes were explored: Brazilian experiences with this exam; nursing experiences in other countries; effects of the exam on the examinees; NLEXB-N in Brazil: what purposes could we present?
Final considerations:
The National Licensure Exam for Brazilian Nurses is a measure of individual accountability that increases social injustice, inequality and inequity. We must pay attention to the consequences of its application, based on evidences produced in the area.
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RESEARCH01-01-2018
North American nurse educators in the HOPE Earth Project and Nursing teaching
Revista Brasileira de Enfermagem. 2018;71:1685-1691
Abstract
RESEARCHNorth American nurse educators in the HOPE Earth Project and Nursing teaching
Revista Brasileira de Enfermagem. 2018;71:1685-1691
DOI 10.1590/0034-7167-2017-0825
Views0See moreABSTRACT
Objective:
analyze the activities of the North American nurse educators of the Project Health Opportunity for People Everywhere Earth (HOPE Earth Project) in Natal, state capital of Rio Grande do Norte, Brazil (1974-1981).
Method:
sociohistorical, qualitative study, resulting from filed documents and ten semistructured interviews. These sources were processed and analyzed using Oral History and Thematic Analysis.
Results:
the following categories emerged: The North American nurse educators of the HOPE Earth Project and Educator Mary Anne Small through the memories of who had contact with her.
Final considerations:
the HOPE Earth Project contributed to higher education in health at the Federal University of Rio Grande do Norte, guaranteeing the coming of qualified and experienced lecturers, and the North American educators cooperated towards the qualification of the Nursing Course, even when it was already structured and fully functioning.
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RESEARCH01-01-2018
Teachers’ experiences about first aid at school
Revista Brasileira de Enfermagem. 2018;71:1678-1684
Abstract
RESEARCHTeachers’ experiences about first aid at school
Revista Brasileira de Enfermagem. 2018;71:1678-1684
DOI 10.1590/0034-7167-2017-0715
Views0See moreABSTRACT
Objective:
To unveil the experiences of primary and elementary school teachers about first aid at school.
Method:
a descriptive, qualitative study, conducted in May 2014, from a focus group with nine teachers from the municipal network of Bom Jesus-PI. Audio recording occurred, content was transcribed, and data were processed by IRAMUTEQ software and analyzed from the Descendant Hierarchical Classification.
Results:
Three classes were obtained: Teachers’ knowledge about first aid (influence of maternal experience, belief in popular myths and awareness of lack of preparation were indicated); Feelings in situations of urgency and emergency (anguish, fear and concern); First aid at school, (occurring in class or during break time, coming from collisions and syncope).
Final considerations:
The research evidenced experiences based on popular beliefs, family experiences and knowledge gaps. The lack of preparation was evidenced by the teachers’ reports about having misconduct during first aid at school.
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RESEARCH01-01-2018
Problematization methodology in primary healthcare teaching
Revista Brasileira de Enfermagem. 2018;71:1671-1677
Abstract
RESEARCHProblematization methodology in primary healthcare teaching
Revista Brasileira de Enfermagem. 2018;71:1671-1677
DOI 10.1590/0034-7167-2017-0157
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Objective:
To identify the contribution of the problematization methodology in primary healthcare teaching in a nursing undergraduate course.
Method:
Documentary, descriptive and qualitative study, carried out with undergraduate students from the Ribeirão Preto College of Nursing at the University of São Paulo. Data were collected through analysis documents which consisted of 21 evaluation forms filled out by first-year undergraduate students in the 2013 school year taking the subject Comprehensive Health Care I, whose theoretical framework was focused on primary health care.
Results:
It was found that the subject met the intended goals, allowed coordination between theory and practice, and enabled the contact of undergraduate students with the profession and work environment in the beginning of the course.
Final considerations:
Analysis of the evaluation forms for the subject Comprehensive Health Care I evidenced that the use of the problematization methodology favored primary healthcare teaching.
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RESEARCH01-01-2018
Nursing students facing moral distress: strategies of resistance
Revista Brasileira de Enfermagem. 2018;71:1663-1670
Abstract
RESEARCHNursing students facing moral distress: strategies of resistance
Revista Brasileira de Enfermagem. 2018;71:1663-1670
DOI 10.1590/0034-7167-2017-0072
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Objective:
To understand the resistance strategies adopted by undergraduate students in nursing, faced with situations of moral distress (MD).
Method:
Qualitative research, developed in three universities in the south of Brazil, two federal and one private, with 21 undergraduate students in nursing from December 2015 to February 2016; the data was submitted to the discursive textual analysis and Foucauldian theoretical reference.
Results:
Students resisting demonstrate a sense of self-preservation and moral empowerment. Moreover, non-resistance initiatives are related to the fear of possible sanctions. Thus, by resisting or not, students may experience both positive and negative repercussions.
Final considerations:
By resisting, students aim to defend what they believe to be right, demonstrating their moral empowerment in the face of their moral distress. However, the exercise of disciplinary power seems to contribute to their moral fragilization, making it difficult to implement resistance strategies.
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ORIGINAL ARTICLE06-27-2019
Validation of a clinical simulation setting in the management of postpartum haemorrhage
- Priscyla de Oliveira Nascimento Andrade
, - Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo , [ … ],
- Francisca Marcia Pereira Linhares
Abstract
ORIGINAL ARTICLEValidation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
DOI 10.1590/0034-7167-2018-0065
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo ,
- Francisca Marcia Pereira Linhares
Views0See moreABSTRACT
Objective:
To construct and validate a clinical simulation setting for postpartum haemorrhage.
Method:
Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.
Results:
Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.
Conclusion:
It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.
- Priscyla de Oliveira Nascimento Andrade
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REVIEW06-01-2020
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Views1See moreABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
- Nelma Nunes da Silva
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ORIGINAL ARTICLE10-21-2019
Occupational stress and engagement in primary health care workers
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Abstract
ORIGINAL ARTICLEOccupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
DOI 10.1590/0034-7167-2018-0681
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Views0See moreABSTRACT
Objective:
To evaluate levels of occupational stress and work engagement among primary health care workers.
Method:
A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).
Results:
Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.
Conclusion:
Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.
- Dezolina Franciele Cardin Cordioli
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ORIGINAL ARTICLE07-01-2020
Patient safety culture: perception of nursing professionals in high complexity institutions
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Abstract
ORIGINAL ARTICLEPatient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
DOI 10.1590/0034-7167-2019-0174
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Views1See moreABSTRACT
Objectives:
to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.
Methods:
descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).
Results:
four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.
Conclusions:
evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.
- Desirée Zago Sanchis
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ORIGINAL ARTICLE06-27-2019
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva , [ … ],
- Jaime Alonso Caravaca-Morera
Abstract
ORIGINAL ARTICLEDebriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
DOI 10.1590/0034-7167-2018-0103
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva ,
- Jaime Alonso Caravaca-Morera
Views0See moreABSTRACT
Objective:
Evaluate the contribution of debriefing after clinical simulations for nursing students.
Method:
Quantitative study, conducted with 35 nursing students who participated in five clinical simulation scenarios with planned debriefings based on the model of the National League Nursing/Jeffries Simulation Theory. After the fifth scenario, students answered the Debriefing Evaluation Scale associated with the Simulation.
Results:
The items evaluated involved the psychosocial, cognitive, and affective values, and within a scale from one to five, the highest mean was found in cognitive value with 4.23 (±0.56) points, then in psychosocial value with 3.77 (±0.53), and finally in affective value with 3.71 (±0.63) points.
Conclusion:
The debriefing conducted after the clinical simulation scenarios was a reflective exercise that contributed to the student integrating multiple knowledges in affective, cognitive and psychosocial values, and thus develop the competencies required.
- Carina Bortolato-Major
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REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Abstract
REVIEWTransitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Views1See moreABSTRACT
Objective:
To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.
Methods:
Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.
Results:
The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.
Final considerations:
The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.
- Bruna Alexandra da Silva Ferreira
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REVIEW10-19-2020
Validation methods of nursing protocols: an integrative review
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Abstract
REVIEWValidation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Views0See moreABSTRACT
Objective:
to identify scientific production about validation methods of nursing care protocols.
Method:
an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used.
Results:
thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles.
Conclusion:
protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.
- Tainara Wink Vieira
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EXPERIENCE REPORT04-09-2020
Implementation of an Artificial Intelligence Algorithm for sepsis detection
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto , [ … ],
- Carolina Wrobel Bezerra
Abstract
EXPERIENCE REPORTImplementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
DOI 10.1590/0034-7167-2018-0421
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto ,
- Carolina Wrobel Bezerra
Views0See moreABSTRACT
Objectives:
to present the nurses’ experience with technological tools to support the early identification of sepsis.
Methods:
experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.
Results:
describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.
Final Considerations:
technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.
- Luciana Schleder Gonçalves
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