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01-01-2016
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
Abstract
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
DOI 10.1590/0034-7167-2015-0145
Views0See moreABSTRACT
Objective:
to identify the severity of patients admitted to an emergency trauma.
Method:
A cross-sectional and retrospective study with 115 trauma patients classified as orange (Manchester System), from June 2013 to July 2014. The data were presented as mean and standard deviation, in addition to the Pearson Chi-square test, One-Way ANOVA and Tukey tests.
Results:
from the sample, 81.7% were male with mean age of 39.46±19.71 years. Higher incidence of major trauma (48.7%) and traumatic brain injury (37.4%). At the end of the outcome and MEWS, most cases that had score 1 to 3 were referred to the operating room and the ICU.
Conclusion:
the start point of MEWS was 2 to 3 points, with significant increase in the severity of the situation of patients seen after 6 hours, and approximately half of the individuals underwent surgery, indicating that the scale is a good predictor of severity.
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01-01-2016
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
Abstract
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
DOI 10.1590/0034-7167-2015-0113
Views0See moreABSTRACT
Objective:
to analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health.
Method:
qualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin.
Results:
the SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service.
Conclusion:
SESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers’ health and safety.
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01-01-2016
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
Abstract
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
DOI 10.1590/0034-7167-2015-0096
Views0See moreABSTRACT
Objective:
to translate and adapt the BPEWS for the Portuguese language, with the purpose of verifying its applicability in the Brazilian context studied.
Method:
methodological study guided by international and nationally accepted recommendations for translation and adaptation of health measurement instruments. Stages of conceptual, item, semantic, operational and pre-test equivalence are described for obtaining the BPEWS Portuguese version to be used in Brazil.
Results:
the BPEWS version translated and adapted for Brazilian Portuguese (BPEWS-Br) identified, in the pilot study, that 26.6% of children were presenting warning signs for clinical deterioration.
Conclusion:
the BPEWS-Br seems to be applicable for the context studied, and its use might help nurses in the recognition and documentation of warning signs for clinical deterioration in hospitalized Brazilian children.
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01-01-2016
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
Abstract
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
DOI 10.1590/0034-7167-2016-0147
Views0See moreABSTRACT
Objective:
to describe the process of adaptation and validation of the Nursing Activities Score to the Portuguese context.
Method:
this was a pilot study of adaptation and validation of the Nursing Activities Score with a sample consisting of 67 patients hospitalized in the intensive care units of three Portuguese hospitals. The construct validity was assessed through factor analysis procedures and the internal consistency of the items was measured through the Cronbach’s alpha coefficient.
Results:
a mean workload value of 63.04% (SD = 14.25; Median = 61.30) was obtained. Psychometric data revealed a Cronbach’s alpha of 0.71 in the total scale, indicating an acceptable accuracy. Confirmatory factor analysis suggested an appropriate adjustment between the model and the data (χ2(199) = 214.5, p = 0.214; CFI = 0.95; RMSA = 0.035).
Conclusion:
in the present study, the Portuguese version of the Nursing Activities Score was found to be a valid instrument, enabling a safe assessment of the workload of nurses.
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01-01-2016
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
Abstract
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
DOI 10.1590/0034-7167-2015-0032
Views0See moreABSTRACT
Objective:
to understand significances attributed by nurses who manage nursing care to the individual affected by cardiovascular disease to relations, interactions and associations of the educational practices in a cardiovascular reference hospital. To elaborate a theoretical explanatory model based on significances attributed in the light of the complex thinking.
Method:
qualitative study, which used Theory Based on Data (TBD) as methodological reference. Twenty-two professionals of nursing participated in the study.
Results:
the results indicate need of professional qualification to ensure the safety of patients, institutional support for the realization of educational practices, attitude of openness and availability of dialogue of the health professionals and other institutional conformations for the workers’ development.
Conclusion:
the study presents a new space for the nurse’s action that can be used to qualify and optimize the nursing practice, as it provides visibility to management and care in health institutions.
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01-01-2016
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
Abstract
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
DOI 10.1590/0034-7167-2015-0114
Views0See moreABSTRACT
Objective:
to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care.
Methods:
exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification.
Results:
five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity.
Conclusion:
the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.
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01-01-2016
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
Abstract
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
DOI 10.1590/0034-7167-2015-0131
Views0See moreABSTRACT
Objective:
to conduct the clinical validation of nursing diagnosis “Willingness for improved infant development”.
Method:
a cross-sectional study, conducted in a Centro de Saúde da Família (Family Health Care center), with 45 healthy breastfed infants. The instrument for collecting the data was prepared based on the literature and validated by nurses. It contained the following variables: sociodemographic, gestational, and obstetrical variables; breastfed infant’s nutritional profile; evaluation of the defining characteristics of the proposed nursing diagnosis.
Results:
all the defining characteristics were found to have high sensitivity values (>90%), positive predictive values (>65%), negative predictive values (>66%); however, low specificity values (<32%). In this study, the defining characteristics we found to have estimates (>0.50) within the ROC curve, which provides good sensitivity and specificity.
Conclusion:
this study verified the structural elements of the proposed nursing diagnosis to be relevant in the clinical context, which justifies the need for its being employed with children, taking into account its contribution to improving nursing care.
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01-01-2016
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
Abstract
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
DOI 10.1590/0034-7167-2015-0081
Views0See moreABSTRACT
Objective:
to describe the profile of standardized oral drugs at a hospital unit and assess their adequacy for use via enteral feeding tubes, according to recommendations from the literature.
Method:
descriptive study, with data on drugs collected from the Pharmacy Service Dispensing System. Specific recommendations for the use of these drugs via enteral feeding tubes were found after searches in literary databases, books, manuals, guidelines and package insert collections.
Results:
among the 236 dispensed oral drugs, 86% were in solid form; of those, 32 were “non-crushable”, with the liquid form available at the institution. Twenty-eight drugs with potential interactions with enteral nutrition were identified. Sixty percent of those presented specific recommendations on their administration via enteral feeding tube.
Conclusion:
the joint participation of multidisciplinary nutritional therapy and care teams and the implementation of programs for continuous training are suggested strategies for the prevention of potential problems in the administration of drugs in the hospital setting.
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ORIGINAL ARTICLE05-08-2023
Precarious work at a surgical center: implications for the organization and for the health of nursing workers
- Elias Barbosa de Oliveira
, - Tatiane Xavier ,
- Regina Celia Gollner Zeitoune ,
- Joanir Pereira Passos ,
- Bruno Rafael de Oliveira , [ … ],
- Ana Rita Alves Ferreira
Abstract
ORIGINAL ARTICLEPrecarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
DOI 10.1590/0034-7167-2022-0120
- Elias Barbosa de Oliveira ,
- Tatiane Xavier ,
- Regina Celia Gollner Zeitoune ,
- Joanir Pereira Passos ,
- Bruno Rafael de Oliveira ,
- Ana Rita Alves Ferreira
Views0See moreABSTRACT
Objectives:
to analyze the implications of precarious work for the organization of work and for the health of nursing professionals in a surgical center.
Methods:
qualitative, descriptive study in which the interview technique was applied on 30 nursing professionals from a surgical center in a university hospital located in the Southeast region of Brazil. The project was approved by the research ethics committee. Thematic content analysis was applied in the categorization of speeches.
Results:
precarious work in the surgical center negatively affects the organization of work due to staff turnover, loss of skilled talent, and the need for continuous training of temporary workers. It also affects the quality of care, leading to risks to patient safety and workers’ health.Final Considerations: it is important to make work conditions less precarious in order to minimize staff turnover and promote the quality of the service offered and the health of the worker.
- Elias Barbosa de Oliveira
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ORIGINAL ARTICLE04-07-2023
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues , [ … ],
- Lisabelle Mariano Rossato
Abstract
ORIGINAL ARTICLESuicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
- Vanessa Dias Fogaça ,
- Danton Mateus de Souza ,
- Lucía Silva ,
- Danila Maria Batista Guedes ,
- Flavia Domingues ,
- Isadora Trinquinato ,
- Lisabelle Mariano Rossato
Views1See moreABSTRACT
Objectives:
to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.
Methods:
an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.
Results:
eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.
Conclusions:
adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.
- Vanessa Dias Fogaça
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ORIGINAL ARTICLE02-06-2023
Family caregivers’ itineraries of preschool children who survived leukemia: implications for primary healthcare nursing
- Camille Xavier de Mattos ,
- Liliane Faria da Silva ,
- Tátilla Rangel Lobo Braga ,
- Renata de Moura Bubadué ,
- Adriana Nunes Moraes Partelli , [ … ],
- Ivone Evangelista Cabral
Abstract
ORIGINAL ARTICLEFamily caregivers’ itineraries of preschool children who survived leukemia: implications for primary healthcare nursing
Revista Brasileira de Enfermagem. 2023;76(2):e20220193
DOI 10.1590/0034-7167-2022-0193
- Camille Xavier de Mattos ,
- Liliane Faria da Silva ,
- Tátilla Rangel Lobo Braga ,
- Renata de Moura Bubadué ,
- Adriana Nunes Moraes Partelli ,
- Ivone Evangelista Cabral
Views0See moreABSTRACT
Objectives:
to analyze the path taken by family caregivers of preschool children who survived leukemia and discuss the implications for primary healthcare nursing.
Methods:
the narrative interview guided by a talking map and body knowledge was used with family members of children who survived leukemia, living in Rio de Janeiro (capital) and São Paulo (countryside). Conversation analysis was applied to the data.
Results:
five family groups (seven people) of five children started their journey in the professional subsystem of private services; four were assisted in the private sector since the onset of the illness; one was assisted in public and private services. Living conditions reduced barriers to accessing supplementary health, facilitating coordination, and listening to a reference professional.
Final Considerations:
the itinerary was marked by attentive listening to family caregivers by reference professionals, favoring early diagnosis, initiation of treatment, and resolution of leukemia with the cure of children.
- Camille Xavier de Mattos
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ORIGINAL ARTICLE05-08-2023
Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
- Isabel Pintas Marques Horta ,
- Flávia Reis de Andrade ,
- Lorena da Silva Luz Santos ,
- Naira Pereira de Sousa ,
- Luciano Ramos de Lima , [ … ],
- Tania Cristina Morais Santa Bárbara Rehem
Abstract
ORIGINAL ARTICLETrend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
DOI 10.1590/0034-7167-2022-0351
- Isabel Pintas Marques Horta ,
- Flávia Reis de Andrade ,
- Lorena da Silva Luz Santos ,
- Naira Pereira de Sousa ,
- Luciano Ramos de Lima ,
- Tania Cristina Morais Santa Bárbara Rehem
Views0See moreABSTRACT
Objectives:
to analyze the trend, according to sex, of Ambulatory Care-Sensitive Conditions in the Primary Health Care of the Federal District, from 2009 to 2019.
Methods:
ecological trend study using ACSC hospitalization data available in the Hospitalization System of the Single Health System. The Prais-Winsten method was used to calculate the annual rate variation, expressed in percentages. The dependent variable was the logarithm of the rates, and the independent one, the years in the time series.
Results:
the Federal District registered 2,103,951 general hospitalizations, 16.4% of which were due to Ambulatory Care-Sensitive Conditions. Males had a higher rate of hospitalization in the period, and both sexes showed a stationary trend.
Conclusions:
the time trend of Ambulatory Care- Sensitive Conditions was stationary, but further studies are necessary regarding primary health care coverage.
- Isabel Pintas Marques Horta
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ORIGINAL ARTICLE03-17-2023
Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
- Maristela Izcak Baldissera ,
- Carine Vendruscolo ,
- Denise Antunes de Azambuja Zocche ,
- Fabiane Ferraz ,
- Rafael Gue Martini
Abstract
ORIGINAL ARTICLECharacteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
Revista Brasileira de Enfermagem. 2023;76(2):e20220443
DOI 10.1590/0034-7167-2022-0443
- Maristela Izcak Baldissera ,
- Carine Vendruscolo ,
- Denise Antunes de Azambuja Zocche ,
- Fabiane Ferraz ,
- Rafael Gue Martini
Views0See moreABSTRACT
Objective:
to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams.
Methods:
methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning.
Results:
applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management).
Final considerations:
the study promoted the systematization of teams’ work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.
- Maristela Izcak Baldissera
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ORIGINAL ARTICLE03-27-2023
Adaptation and validation of an adult patient classification instrument with emphasis on the family dimension
- Ariane Polidoro Dini ,
- Jamilly dos Santos Okabe ,
- Stephanie Ziare Kalvan ,
- Carla Simplicio ,
- Renata Cristina Gasparino
Abstract
ORIGINAL ARTICLEAdaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
DOI 10.1590/0034-7167-2022-0530
- Ariane Polidoro Dini ,
- Jamilly dos Santos Okabe ,
- Stephanie Ziare Kalvan ,
- Carla Simplicio ,
- Renata Cristina Gasparino
Views1See moreABSTRACT
Objectives:
to adapt and validate an instrument for classifying adult patients that emphasizes the family support network in the demand for nursing care.
Methods:
methodological study, carried out in three phases: adaptation of an instrument considering the reality of adult patients; content validation with seven experts and assessment of measurement properties (construct validity and internal consistency) with 781 hospitalized patients.
Results:
in content validation, the indicators reached the values established for the Content Validity Index (0.85-1.00). In the confirmatory factor analysis, the 11 indicators were distributed in three domains and presented average variance extracted and factor loading greater than 0.5. Composite reliability was greater than 0.7.
Conclusions:
the present study adapted and made available, with evidence of validity and reliability, an instrument for classifying adult patients that considers the family support network in the demand for nursing care.
- Ariane Polidoro Dini
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ORIGINAL ARTICLE05-08-2023
Interactive gerontechnology for fall prevention in the elderly: a descriptive study
- Juliana Cunha Maia ,
- Jamylle Lucas Diniz ,
- Caroline Ribeiro de Sousa ,
- Francisco Gerlai Lima Oliveira ,
- Brenda Pinheiro Evangelista , [ … ],
- Rachel Gabriel Bastos Barbosa
Abstract
ORIGINAL ARTICLEInteractive gerontechnology for fall prevention in the elderly: a descriptive study
Revista Brasileira de Enfermagem. 2023;76(2):e20220739
DOI 10.1590/0034-7167-2022-0739
- Juliana Cunha Maia ,
- Jamylle Lucas Diniz ,
- Caroline Ribeiro de Sousa ,
- Francisco Gerlai Lima Oliveira ,
- Brenda Pinheiro Evangelista ,
- Janaína Fonseca Victor Coutinho ,
- Marília Braga Marques ,
- Rachel Gabriel Bastos Barbosa
Views0See moreABSTRACT
Objectives:
to develop interactive gerontechnology for the prevention of falls in the elderly at home.
Methods:
an exploratory and descriptive study that consisted of gerontechnology development and evaluation by experts and the target audience. For evaluation, researchers used the Agreement Index (AI), considering values greater than 80%.
Results:
the three-dimensional virtual scale model was elaborated through the SketchUp program, with the distribution of rooms and floors, constituting Prototype 1 (P1). Fifty-four judges evaluated the P1, and all presented agreement above the established, with a minimum AI of 88% and a maximum of 100%, producing Prototype 2 (P2). Thirty elderly participants from a philanthropic institution evaluated Prototype 2. On all items, AI ranged from 83% a 100%, resulting in the final version.
Conclusions:
the product of this research reveals itself as an innovative and scientifically based tool aimed at preventing falls in the elderly.
- Juliana Cunha Maia
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ORIGINAL ARTICLE08-21-2023
Effectiveness of educational intervention among seropositive women about knowledge about HIV sexual transmission
- Regina de Souza Alves ,
- Laelson Rochelle Milanês Sousa ,
- Josely Pinto de Moura ,
- Elucir Gir ,
- Renata Karina Reis
Abstract
ORIGINAL ARTICLEEffectiveness of educational intervention among seropositive women about knowledge about HIV sexual transmission
Revista Brasileira de Enfermagem. 2023;76(3):e20220371
DOI 10.1590/0034-7167-2022-0371
- Regina de Souza Alves ,
- Laelson Rochelle Milanês Sousa ,
- Josely Pinto de Moura ,
- Elucir Gir ,
- Renata Karina Reis
Views0See moreABSTRACT
Objectives:
to assess the effectiveness of a group and telephone educational intervention with seropositive women about knowledge about HIV sexual transmission prevention.
Methods:
a quasi-experimental before-and-after study, carried out with 151 women living with HIV in a Specialized Care Service in a Brazilian capital. The educational intervention was carried out in three moments, with the assessment being carried out before the first and after the last moment.
Results:
97.4% of study participants were cisgender women aged between 18 and 58 years; 55.6% considered themselves brown; and 32.5% of interviewees had elementary school. Regarding knowledge about HIV sexual transmission, in 78.5% of items, there was an association (p<0.005) with increased participants’ knowledge after receiving the intervention.
Conclusions:
the educational intervention helped to increase the knowledge of women living with HIV about the sexual transmission of the infection.
- Regina de Souza Alves
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REVIEW07-17-2020
Approaches to workload in psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2020;73:e20190620
Abstract
REVIEWApproaches to workload in psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2020;73:e20190620
DOI 10.1590/0034-7167-2019-0620
Views0See moreABSTRACT
Objective:
to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge
Methods:
integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included.
Results:
the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies.
Conclusion:
strategies were found for measuring workload and assessing the impact of stressors on nursing teams.
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ORIGINAL ARTICLE08-30-2021
Historical aspects in pain management in palliative care in an oncological reference unit
- Carolina Fraga Paiva ,
- Tânia Cristina Franco Santos ,
- Pacita Geovana Gama de Sousa Aperibense ,
- Gizele da Conceição Soares Martins ,
- Lilian Dias Ennes , [ … ],
- Antonio José de Almeida Filho
Abstract
ORIGINAL ARTICLEHistorical aspects in pain management in palliative care in an oncological reference unit
Revista Brasileira de Enfermagem. 2021;74(5):e20200761
DOI 10.1590/0034-7167-2020-0761
- Carolina Fraga Paiva ,
- Tânia Cristina Franco Santos ,
- Pacita Geovana Gama de Sousa Aperibense ,
- Gizele da Conceição Soares Martins ,
- Lilian Dias Ennes ,
- Antonio José de Almeida Filho
Views0See moreABSTRACT
Objective:
Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute.
Methods:
Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme.
Results:
Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain.
Final considerations:
These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.
- Carolina Fraga Paiva
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REVIEW04-16-2021
Nursing assistance in patient care with external ventricular drain: a scoping review
- Victoria Tiyoko Moraes Sakamoto ,
- Tainara Wink Vieira ,
- Karin Viegas ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Abstract
REVIEWNursing assistance in patient care with external ventricular drain: a scoping review
Revista Brasileira de Enfermagem. 2021;74(2):e20190796
DOI 10.1590/0034-7167-2019-0796
- Victoria Tiyoko Moraes Sakamoto ,
- Tainara Wink Vieira ,
- Karin Viegas ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Views0See moreABSTRACT
Objectives:
to map the available evidence about nursing care aimed at adult patients using external ventricular drain.
Methods:
this is a review using the scoping review method.
Results:
Initially, 965 studies were identified and, after the eligibility criteria, a sample of 54 publications was obtained. Each of them was assessed according to GRADE, resulting in three studies with high quality; 14 with moderate quality; 32 with low quality; and five with very low quality. It was highlighted 20 nursing care subdivided into nine categories, namely: drainage system; bed positioning and mobilization; catheter care; monitoring of intracranial pressure; and medication administration.
Conclusions:
the scoping review made it possible to identify the main nursing care directed to adult patients undergoing placement of external ventricular drain from the evidence available to date.
- Victoria Tiyoko Moraes Sakamoto
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REVIEW07-14-2021
Stress level experienced by participants in realistic simulation: a systematic review
- Guilherme da Costa Brasil ,
- Lucas Tomaz Benigno Lima ,
- Elaine Carvalho Cunha ,
- Flávia Oliveira de Almeida Marques da Cruz ,
- Laiane Medeiros Ribeiro
Abstract
REVIEWStress level experienced by participants in realistic simulation: a systematic review
Revista Brasileira de Enfermagem. 2021;74(4):e20201151
DOI 10.1590/0034-7167-2020-1151
- Guilherme da Costa Brasil ,
- Lucas Tomaz Benigno Lima ,
- Elaine Carvalho Cunha ,
- Flávia Oliveira de Almeida Marques da Cruz ,
- Laiane Medeiros Ribeiro
Views0See moreABSTRACT
Objectives:
to identify the available evidence regarding stress levels experienced by participants in education based on a realistic simulation.
Methods:
systematic review that included randomized clinic trials on electronic databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin-American and Caribbean Literature in Health Sciences, LIVIVO, PubMed, Scopus, and Web of Science. The additional search was performed on Google Scholar and OpenGrey. All searches occurred on September 24, 2020. The methodologic quality of the results was evaluated by the Cochrane Collaboration Risk of Bias Tool.
Results:
eighteen studies were included, which evaluated the participants’ stress using physiologic, self-reported measures, or the combination of both. Stress as experienced in a high level in simulated scenarios.
Conclusions:
evidence of the study included in this systematic review suggest that stress is experienced in a high level in simulated scenarios.
- Guilherme da Costa Brasil
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ORIGINAL ARTICLE09-21-2020
Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome
- Juliana Cristina Cruz Calazans ,
- Paula Daniella de Abreu ,
- Ednaldo Cavalcante de Araújo ,
- Francisca Márcia Pereira Linhares ,
- Cleide Maria Pontes , [ … ],
- Maria Gorete Lucena de Vasconcelos
Abstract
ORIGINAL ARTICLEAdaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome
Revista Brasileira de Enfermagem. 2020;73:e20190602
DOI 10.1590/0034-7167-2019-0602
- Juliana Cristina Cruz Calazans ,
- Paula Daniella de Abreu ,
- Ednaldo Cavalcante de Araújo ,
- Francisca Márcia Pereira Linhares ,
- Cleide Maria Pontes ,
- Ana Catarina Torres de Lacerda ,
- Maria Gorete Lucena de Vasconcelos
Views0See moreABSTRACT
Objective:
to reveal the adaptive problems of the woman abandoned by the child’s parent after Congenital Zika Syndrome, in the light of Roy’s Adaptation Model.
Method:
a qualitative, descriptive study, based on Roy’s Adaptation Model, developed with six women abandoned by their child’s parent after Zika Congenital Syndrome diagnosis, through interview and Content Analysis technique.
Results:
adaptive problems appeared in nutrition, activity, rest, and protection patterns, due to limitations in self-care; self-concept, related to dissatisfaction with body image and personal being; in the role of transition role, through difficulties in taking over new roles and in interdependence, related to changes in affective needs.
Final considerations:
the overload of care for children with Congenital Zika Syndrome, added to the challenges of the abandoned woman by her child’s parent, led to adaptive problems, showing their main difficulties of coping.
- Juliana Cristina Cruz Calazans
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ORIGINAL ARTICLE05-28-2021
Nurses’ educational practices in Family Health Strategy
Revista Brasileira de Enfermagem. 2021;74(2):e20200045
Abstract
ORIGINAL ARTICLENurses’ educational practices in Family Health Strategy
Revista Brasileira de Enfermagem. 2021;74(2):e20200045
DOI 10.1590/0034-7167-2020-0045
Views0See moreABSTRACT
Objectives:
to analyze the nurse’s educational practice in Family Health Strategy.
Methods:
descriptive study with a qualitative approach, whose data production used the World Café group technique, in two meetings, with 26 nurses of a health district of Manaus-AM. The technique used was Categorial-Thematic Content Analysis.
Results:
the study generated two units of analysis: Political and Organizational Configuration of Educational Work at ESF and Operational Configuration of Educational Work at ESF, revealing the necessary (re)configurations in co-management, in the centrality of the subject for the planning of educational work, and in (re)pactuation between the management of services and training institutions to overcome contradictions in the implementation of National Policies on Permanent Education and Basic Health Care.
Conclusions:
the configuration of nurses’ educational practice at ESF works toward interactions, organized to respond to health policies, incorporating creativity in doing, but facing numerous obstacles.
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REFLECTION11-11-2020
Children with special needs in health: challenges of the single health system in the 21st century
- Camilla Ferreira Catarino Barreiros ,
- Maria Auxiliadora de Souza Mendes Gomes ,
- Saint Clair do Santos Mendes Júnior
Abstract
REFLECTIONChildren with special needs in health: challenges of the single health system in the 21st century
Revista Brasileira de Enfermagem. 2020;73:e20190037
DOI 10.1590/0034-7167-2019-0037
- Camilla Ferreira Catarino Barreiros ,
- Maria Auxiliadora de Souza Mendes Gomes ,
- Saint Clair do Santos Mendes Júnior
Views0See moreABSTRACT
Objective:
Reflect on the gaps in the care of Children with Special Needs in Health that demand complex clinical care with dependence on technological support for the maintenance of life, in the Unified Health System.
Methods:
This is a reflection study based on recent policies and literature related to the theme.
Discussion:
Despite the advances achieved with the Unified Health System with regard to access to health services and the expansion of Primary Care, with the aim of reorienting health, it can be said that the health care model for CSHCN in Brazil is still centered on the hospital and medical knowledge.
Final considerations:
There are gaps in the policies for children aimed at the new paediatric profile, and little is discussed about its implications for the Unified Health System.
- Camilla Ferreira Catarino Barreiros
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REVIEW07-31-2020
Educational practices for families of children and adolescents using a permanent venous catheter
- Verônica Braga Corrêa ,
- Michelle Darezzo Rodrigues Nunes ,
- Ana Luiza Dorneles da Silveira ,
- Liliane Faria da Silva ,
- Selma Petra Chaves Sá , [ … ],
- Fernanda Garcia Bezerra Góes
Abstract
REVIEWEducational practices for families of children and adolescents using a permanent venous catheter
Revista Brasileira de Enfermagem. 2020;73:e20190129
DOI 10.1590/0034-7167-2019-0129
- Verônica Braga Corrêa ,
- Michelle Darezzo Rodrigues Nunes ,
- Ana Luiza Dorneles da Silveira ,
- Liliane Faria da Silva ,
- Selma Petra Chaves Sá ,
- Fernanda Garcia Bezerra Góes
Views0See moreABSTRACT
Objectives:
to identify, in the scientific literature, the educational practices performed by nurses with the families of children and adolescents using long-term venous catheters, concerning home care.
Methods:
integrative review in LILACS, PubMed, SCOPUS, Web of Science and CINAHL databases, from August to September 2018.
Results:
we analyzed eight articles that met the inclusion criteria. The results showed that all studies are international, mostly North American and with low level of evidence. The educational practices found were home visits, production of printed educational materials, use of mannequins for simulation, creation of an educational video, and combined educational practices.
Final Considerations:
the care provided by families at home in the countries studied is more complex than in Brazil, and the conclusion is that Brazilian studies need to advance in publications related to this area.
- Verônica Braga Corrêa
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