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RESEARCH01-01-2018
Nursing diagnoses for elderly women vulnerable to HIV/AIDS
Revista Brasileira de Enfermagem. 2018;71:1435-1444
Abstract
RESEARCHNursing diagnoses for elderly women vulnerable to HIV/AIDS
Revista Brasileira de Enfermagem. 2018;71:1435-1444
DOI 10.1590/0034-7167-2017-0086
Views0See moreABSTRACT
Objective:
Classify the diagnoses in the conceptual framework of vulnerability of Ayres and in the Orem’s self-care theory; Elaborate operational definitions of nursing diagnoses for elderly women vulnerable to HIV/AIDS.
Method:
A descriptive exploratory study, developed from March to December 2016 in the stages: 1. Classification of diagnoses in the conceptual framework of vulnerability of Ayres and in the Orem’s self-care theory; 2. Operational definition of nursing diagnoses.
Results:
70 nursing diagnoses were classified in the conceptual framework of vulnerability of Ayres and Orem’s self-care theory, and their operational definitions were constructed, where 75.7% of these were validated.
Final consideration:
Diagnoses represent conditions that make older women vulnerable to HIV/AIDS and are linked to their self-care practices. Operational definitions contribute to a systematic approach to care and greater clarity in its implementation.
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RESEARCH01-01-2018
Sexual function of undergraduate women: a comparative study between Brazil and Italy
Revista Brasileira de Enfermagem. 2018;71:1428-1434
Abstract
RESEARCHSexual function of undergraduate women: a comparative study between Brazil and Italy
Revista Brasileira de Enfermagem. 2018;71:1428-1434
DOI 10.1590/0034-7167-2016-0669
Views0See moreABSTRACT
Objective:
to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors.
Method:
this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used.
Results:
Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05).
Conclusion:
the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.
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RESEARCH01-01-2018
Children hospitalized due to maltreatment in the ICU of a Public Health Service
Revista Brasileira de Enfermagem. 2018;71:1420-1427
Abstract
RESEARCHChildren hospitalized due to maltreatment in the ICU of a Public Health Service
Revista Brasileira de Enfermagem. 2018;71:1420-1427
DOI 10.1590/0034-7167-2017-0502
Views0See moreABSRACT
Objective:
to characterize children hospitalized due to violence in a pediatric ICU in 2011; to relate violence and the mechanisms of trauma with death; to know the contextualization of violence, from the records in the medical records.
Method:
retrospective cohort, performed in a first aid hospital, Porto Alegre city, in the records of 22 children hospitalized in the ICU due to violence. Quantitative analysis was performed by absolute and relative frequency rates, chi-square and relative risk.
Results:
54.5% were boys, 81.8% were white and 50% were up to three years old. Physical violence 50% and neglect 36.4%, family of children (77.3%), highlighting the mother (35.3%). Mechanisms of aggression: fall (22.7%), burns (18.2%). Burns were at high risk for death. Discharge to go home after ICU admission (59.1%).
Conclusion:
It is considered that the characterization of the cases of violence reflects the complexity of the theme, mainly, in face of the life histories that surround each case of children hospitalized by this aggravation.
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RESEARCH01-01-2018
Validation of primer for promoting maternal self-efficacy in preventing childhood diarrhea
Revista Brasileira de Enfermagem. 2018;71:1412-1419
Abstract
RESEARCHValidation of primer for promoting maternal self-efficacy in preventing childhood diarrhea
Revista Brasileira de Enfermagem. 2018;71:1412-1419
DOI 10.1590/0034-7167-2017-0341
Views0See moreABSTRACT
Objective:
to validate an educational primer, regarding content and design, for promoting maternal self-efficacy in preventing childhood diarrhea.
Method:
methodological study composed of 31 mothers of children under five years of age, in which the validation of the primer You can prevent diarrhea in your child! was carried out from the Content Validity Index (CVI), being evaluated as to the domains understanding, attractiveness, self-efficacy, cultural acceptance, and persuasion.
Results:
the primer was considered relevant and clear, with average concordance of 99.4% and 99.8%, respectively. The overall CVI was of 0.99, evidencing satisfactory level of agreement between the mothers. The assessment of domains generated satisfactory results.
Conclusion:
the primer was considered valid by the target audience; thus, it can be implemented for promoting maternal confidence to prevent childhood diarrhea.
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RESEARCH01-01-2018
Water balance in pediatric nephrology: construction of a Standard Operating Procedure
Revista Brasileira de Enfermagem. 2018;71:1404-1411
Abstract
RESEARCHWater balance in pediatric nephrology: construction of a Standard Operating Procedure
Revista Brasileira de Enfermagem. 2018;71:1404-1411
DOI 10.1590/0034-7167-2017-0045
Views0See moreABSTRACT
Objective:
To construct a Standard Operating Procedure (SOP) about the water balance, to be used by the health team in the care of children hospitalized in a pediatric nephrology unit.
Method:
The study was carried out in two stages: integrative review of the literature for the development of SOP and validation by specialists. The search for literature occurred in the electronic databases PUBMED, SCOPUS, LILACS, BDENF. After the bibliographic survey the construction of the SOP was performed, which was evaluated by specialists. The analysis was performed by calculating the Content Validity Index (CVI).
Results:
nine studies were selected as results of the integrative review. The sample of specialists was composed of nine professionals. The study was evaluated in six items, five of which presented CVI = 1 and one obtained CVI = 0.77.
Conclusion:
the evaluation of specialists culminated in the validation of SOP, suggesting changes that were accepted and discussed with the literature.
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RESEARCH01-01-2018
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
Abstract
RESEARCHIdentification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Views0See moreABSTRACT
Objective:
To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.
Method:
Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.
Results:
89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.
Conclusion:
Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.
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RESEARCH01-01-2018
Assessment of the preparation and administration of oral medications to institutionalized children
Revista Brasileira de Enfermagem. 2018;71:1388-1394
Abstract
RESEARCHAssessment of the preparation and administration of oral medications to institutionalized children
Revista Brasileira de Enfermagem. 2018;71:1388-1394
DOI 10.1590/0034-7167-2017-0197
Views0See moreABSTRACT
Objective:
to evaluate the preparation and administration of oral medications to institutionalized children by nursing professionals.
Method:
quantitative study, developed from August to September 2016, in a shelter in Fortaleza, Ceará. 323 observations of preparation and administration of oral drugs were carried out. Interview and non-participant direct observation of the process of drug administration were performed, whose data were analyzed through descriptive statistics.
Results:
Of the 29 actions of preparation and administration of the drugs, ten were considered satisfactory. Sanitizing of hands before touching the pills occurred in only 5.2% of the observations and cleansing of the bottle for liquid drugs was performed in 23.8%. The actions “check the right child”; “checking medication with the prescription”, and “check the right dose” obtained percentages below 15%.
Conclusion:
measures recommended by the literature for the administration of medication were not, in their clear majority, followed, making specific training and protocols necessary.
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RESEARCH01-01-2018
The pain of children with sickle cell disease: the nursing approach
Revista Brasileira de Enfermagem. 2018;71:1381-1387
Abstract
RESEARCHThe pain of children with sickle cell disease: the nursing approach
Revista Brasileira de Enfermagem. 2018;71:1381-1387
DOI 10.1590/0034-7167-2016-0648
Views0See moreABSTRACT
Objective:
To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain.
Method:
This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews with 13 nurses. The interviews were transcribed and after this process the qualitative data were organized according to thematic analysis.
Results:
This study showed that the nurses can identify pain in children with SCD from the signals they emit, such as: constant crying, restlessness, facial expressions and verbal reports. Pain is difficult to evaluate due to the lack of instruments, such as a pain scale. For pain control they use emotional support, promotion of comfort and the administration of drugs prescribed by the doctor.
Final considerations:
The nurses recognize the pain of the child and use pharmacological and non-pharmacological methods to control it but have difficulties to assess it.
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08-19-2019
Humor intervention in the nurse-patient interaction
- Luis Manuel Mota Sousa
, - Cristina Maria Alves Marques-Vieira ,
- Ana Vanessa Antunes ,
- Maria de Fátima Graça Frade ,
- Sandy Pedro Silva Severino , [ … ],
- Olga Sousa Valentim
Abstract
Humor intervention in the nurse-patient interaction
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
DOI 10.1590/0034-7167-2018-0609
- Luis Manuel Mota Sousa ,
- Cristina Maria Alves Marques-Vieira ,
- Ana Vanessa Antunes ,
- Maria de Fátima Graça Frade ,
- Sandy Pedro Silva Severino ,
- Olga Sousa Valentim
Views0ABSTRACT
Objective:
To describe the factors influencing the use of humor in nursing care, its applicability and benefits.
Method:
A scoping review was performed using the Arksey and O’Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar.
Results:
From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention.
Conclusion:
The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention should be used with caution.
Keywords:CommunicationNurse-Patient RelationsNursingPatient Outcome AssessmentWit and Humor as SubjectSee more
- Luis Manuel Mota Sousa
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ORIGINAL ARTICLE10-21-2019
Workloads and burnout of nursing workers
- Deciane Pintanela de Carvalho ,
- Laurelize Pereira Rocha ,
- Eliana Cardia de Pinho ,
- Jamila Geri Tomaschewski-Barlem ,
- Edison Luiz Devos Barlem , [ … ],
- Leonardo Salomão Goulart
Abstract
ORIGINAL ARTICLEWorkloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
DOI 10.1590/0034-7167-2017-0659
- Deciane Pintanela de Carvalho ,
- Laurelize Pereira Rocha ,
- Eliana Cardia de Pinho ,
- Jamila Geri Tomaschewski-Barlem ,
- Edison Luiz Devos Barlem ,
- Leonardo Salomão Goulart
Views0See moreABSTRACT
Objective:
to identify workloads in nursing work and its association with nursing worker burnout.
Method:
a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.
Results:
the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.
Conclusion:
workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.
- Deciane Pintanela de Carvalho
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REVIEW12-05-2019
Vulnerability of the elderly: a conceptual analysis
- Keylla Talitha Fernandes Barbosa ,
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Maria das Graças Melo Fernandes
Abstract
REVIEWVulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
DOI 10.1590/0034-7167-2018-0728
- Keylla Talitha Fernandes Barbosa ,
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Maria das Graças Melo Fernandes
Views0See moreABSTRACT
Objective:
To analyze the concept of vulnerability of the elderly.
Method:
A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the
Descriptors:
Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.
Results:
Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.
Conclusion:
The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.
- Keylla Talitha Fernandes Barbosa
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ORIGINAL ARTICLE10-21-2019
Nursing care systematization: perceptions and knowledge of the Brazilian nursing
- Marcos Renato de Oliveira ,
- Paulo César de Almeida ,
- Thereza Maria Magalhães Moreira ,
- Raimundo Augusto Martins Torres
Abstract
ORIGINAL ARTICLENursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
DOI 10.1590/0034-7167-2018-0606
- Marcos Renato de Oliveira ,
- Paulo César de Almeida ,
- Thereza Maria Magalhães Moreira ,
- Raimundo Augusto Martins Torres
Views0See moreABSTRACT
Objective:
to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.
Method:
a descriptive study, carried out in the first half of 2018.
Results:
of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.
Conclusion:
the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
- Marcos Renato de Oliveira
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01-20-2021
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
- Núbia Samara Caribé de Aragão ,
- Gabriella Bené Barbosa ,
- Cleide Lucilla Carneiro Santos ,
- Deise dos Santos Silva Nascimento ,
- Laís Barbosa Souza Vilas Bôas , [ … ],
- Carlito Lopes Nascimento Sobrinho
Abstract
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
DOI 10.1590/0034-7167-2019-0535
- Núbia Samara Caribé de Aragão ,
- Gabriella Bené Barbosa ,
- Cleide Lucilla Carneiro Santos ,
- Deise dos Santos Silva Nascimento ,
- Laís Barbosa Souza Vilas Bôas ,
- Davi Félix Martins Júnior ,
- Carlito Lopes Nascimento Sobrinho
Views0See moreABSTRACT
Objective:
to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.
Methods:
a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.
Results:
Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.
Conclusion:
the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.
- Núbia Samara Caribé de Aragão
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ORIGINAL ARTICLE12-05-2019
Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms
- Ariene Angelini dos Santos-Orlandi ,
- Allan Gustavo Brigola ,
- Ana Carolina Ottaviani ,
- Bruna Moretti Luchesi ,
- Érica Nestor Souza , [ … ],
- Sofia Cristina Iost Pavarini
Abstract
ORIGINAL ARTICLEElderly caregivers of the elderly: frailty, loneliness and depressive symptoms
Revista Brasileira de Enfermagem. 2019;72:88-96
DOI 10.1590/0034-7167-2018-0137
- Ariene Angelini dos Santos-Orlandi ,
- Allan Gustavo Brigola ,
- Ana Carolina Ottaviani ,
- Bruna Moretti Luchesi ,
- Érica Nestor Souza ,
- Fernanda Gomez de Moura ,
- Juliana de Fátima Zacarin ,
- Mariélli Terassi ,
- Nathalia Alves de Oliveira ,
- Sofia Cristina Iost Pavarini
Views0See moreABSTRACT
Objective:
to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers.
Method:
a cross – sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables).
Results:
there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility.
Conclusion:
elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.
- Ariene Angelini dos Santos-Orlandi
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08-19-2019
Clinical simulation in nursing education in intensive therapy: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1061-1070
Abstract
Clinical simulation in nursing education in intensive therapy: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1061-1070
DOI 10.1590/0034-7167-2018-0217
Views0See moreABSTRACT
Objective:
to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care.
Method:
an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017.
Results:
29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years.
Conclusion:
variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.
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ORIGINAL ARTICLE06-08-2020
Usability of a mobile application on diabetic foot self-care
- Antonio Dean Barbosa Marques ,
- Thereza Maria Magalhães Moreira ,
- Thaís Vaz Jorge ,
- Sara Maria Soares Rabelo ,
- Rhanna Emanuela Fontenele Lima de Carvalho , [ … ],
- Gilvan Ferreira Felipe
Abstract
ORIGINAL ARTICLEUsability of a mobile application on diabetic foot self-care
Revista Brasileira de Enfermagem. 2020;73(4):e20180862
DOI 10.1590/0034-7167-2018-0862
- Antonio Dean Barbosa Marques ,
- Thereza Maria Magalhães Moreira ,
- Thaís Vaz Jorge ,
- Sara Maria Soares Rabelo ,
- Rhanna Emanuela Fontenele Lima de Carvalho ,
- Gilvan Ferreira Felipe
Views0See moreABSTRACT
Objectives:
to assess the usability of an app prototype for diabetic foot self-care by an end user.
Methods:
a descriptive study that uses heuristic assessment of a hybrid app usability. Fifteen users of an outpatient diabetes care service in a capital of Northeastern Brazil participated in the study during April 2018. The usability measurement tool called Smartphone Usability questionnaiRE was applied.
Results:
the lowest score was 77 and the highest was 112, with an average usability of 96.1 points. Usability was framed in the last two levels, 70 and 8o. Users now strongly agree (level 70) and fully (level 80) with the assessed items, which represents good usability of the apps prototype.
Conclusions:
the final product developed focuses on user needs and requirements, which can ensure usability based on effectiveness, efficiency and satisfaction triad.
- Antonio Dean Barbosa Marques
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