Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    Analysis of the decision-making process of nurse managers: a collective refl ection

    Revista Brasileira de Enfermagem. 2015;68(4):668-675

    Abstract

    Analysis of the decision-making process of nurse managers: a collective refl ection

    Revista Brasileira de Enfermagem. 2015;68(4):668-675

    DOI 10.1590/0034-7167.2015680414i

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    ABSTRACT

    Objective:

    to analyze the decision-making model adopted by nurses from the perspective of some decision-making process theories.

    Method:

    qualitative approach, based on action research. Semi-structured questionnaires and seminars were conducted from April to June 2012 in order to understand the nature of decisions and the decision-making process of nine nurses in position of managers at a public hospital in Southern Brazil. Data were subjected to content analysis.

    Results:

    data were classified in two categories: the current situation of decision-making, which showed a lack of systematization; the construction and collective decision-making, which emphasizes the need to develop a decision-making model.

    Conclusion:

    the decision-making model used by nurses is limited because it does not consider two important factors: the limits of human rationality, and the external and internal organizational environments that infl uence and determine right decisions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Analysis of the decision-making process of nurse managers: a collective refl ection
  • 01-01-2015

    Social representations of sexuality for the elderly

    Revista Brasileira de Enfermagem. 2015;68(4):662-667

    Abstract

    Social representations of sexuality for the elderly

    Revista Brasileira de Enfermagem. 2015;68(4):662-667

    DOI 10.1590/0034-7167.2015680413i

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    ABSTRACT

    Objective:

    to know the social representations of sexuality for the elderly, based on the Social Representation Theory.

    Method:

    study performed in a Basic Family Health Unit in Maracanau-CE, Brazil, with 30 elderly adults. Data were collected from March through April of 2013, using the free word evocation technique. Data were organized and processed using the EVOC 2000.software

    Results:

    the subjects evoked 150 words associated with the evocator word “sexuality”. Out of these, 43 were different. At the possible core of the representation of sexuality for the elderly, the following words were found: love, affection and respect. Sex, companionship, understanding and coexistence composed the intermediate elements of representation.

    Conclusion:

    the performed analyses pointed to love, respect and affection as central elements that structured and organized the social representation of sexuality in the elder years for the group studied.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Post-accident work behavior in caring for people with HIV/Aids

    Revista Brasileira de Enfermagem. 2015;68(4):656-661

    Abstract

    Post-accident work behavior in caring for people with HIV/Aids

    Revista Brasileira de Enfermagem. 2015;68(4):656-661

    DOI 10.1590/0034-7167.2015680412i

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    ABSTRACT

    Objective:

    To identify post-accident conduct in the workplace by health professionals in caring for people with HIV/Aids.

    Method:

    A qualitative and descriptive research study with a socio-historical perspective (1986-2006), performed in a reference hospital for infectious diseases in the State of Santa Catarina. To collect data, interviews were conducted with oral history among 23 health workers and, for the treatment of data, Bardin’s content analysis was used.

    Results:

    Post-accident behaviors emerged that included assessment, accident records, chemoprophylaxis when necessary, support, monitoring of the injured worker, and mainly psychological support.

    Conclusion:

    In situations in which the accident could not be avoided, post-exposure behaviors were important biosecurity strategies mentioned by health workers caring for patients with HIV/Aids, in the sense of minimizing the possible transmission of the HIV virus.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Social support towards the necessity of caring after myocardial infarction

    Revista Brasileira de Enfermagem. 2015;68(4):649-655

    Abstract

    Social support towards the necessity of caring after myocardial infarction

    Revista Brasileira de Enfermagem. 2015;68(4):649-655

    DOI 10.1590/0034-7167.2015680411i

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    ABSTRACT

    Objective:

    to know the received or assisted social support by the family towards the necessity of care after acute myocardial infarction.

    Method:

    qualitative and exploratory research. Data collection was carried out through observation and interviews with six families, from February to May, 2012. Data were also analyzed based on the thematic analysis.

    Results:

    three categories emerged: Immediate social support; Mediate social support; Late social support.

    Conclusion:

    social support follows the infarction trajectory, which attains the family members and favors the support according to the needs of care in each lived moments by the patient.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Nursing care management for children hospitalized with chronic conditions

    Revista Brasileira de Enfermagem. 2015;68(4):641-648

    Abstract

    Nursing care management for children hospitalized with chronic conditions

    Revista Brasileira de Enfermagem. 2015;68(4):641-648

    DOI 10.1590/0034-7167.2015680410i

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    ABSTRACT

    Objective:

    to understand the interactions of nurses managing nursing care for the hospitalized child with a chronic condition.

    Method:

    Theoretical and methodological references were used, Complex Thought and grounded theory, respectively. In the study 18 subjects have participated arranged in three groups: nurses, nursing technicians and family members. A semi-structured interview was used as technique for data collection. The data analysis followed three stages of coding: open, axial and selective.

    Results:

    the category “Needing to manage nursing care to the hospitalized child with chronic condition in Pediatric Inpatient Unit” and their subcategories show the complex inter subjective bindings established by nurses that support the practice of nursing care management.

    Conclusion:

    There are difficulties for nursing professionals to interact with the child’s family and the dialogical order/disorder/interaction/organization in the implementation of the management process of care is.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Functional disability and socioeconomic and demographic factors in elderly

    Revista Brasileira de Enfermagem. 2015;68(4):633-640

    Abstract

    Functional disability and socioeconomic and demographic factors in elderly

    Revista Brasileira de Enfermagem. 2015;68(4):633-640

    DOI 10.1590/0034-7167.2015680409i

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    ABSTRACT

    Objective:

    to verify the prevalence of functional disability and associated socioeconomic and demographic factors in elderly patients of Campina Grande/PB.

    Method:

    cross-sectional study with elderly patients of both genders. The variables associated with functional disability were assessed using Poisson regression.

    Results:

    A total of 420 elderly patients were included (68.1% women). The highest prevalence of functional disability were found among females aged 80 or older, white, widowed, of economic classes D/E , who lived alone, with frequency of contacts of up to 224 people and diversity of contacts of up to 14 people. After multivariate analysis, statistically significant association was observed between functional disability, gender and age group.

    Conclusion:

    the association between functional disability gender and age group is shown to be an important guidance for health interventions since it will allow health services to plan actions aiming to improve, maintain or restore the functional capacity of the elderly population.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Hypertension and Diabetes Mellitus Program evaluation on user’s view

    Revista Brasileira de Enfermagem. 2015;68(4):626-632

    Abstract

    Hypertension and Diabetes Mellitus Program evaluation on user’s view

    Revista Brasileira de Enfermagem. 2015;68(4):626-632

    DOI 10.1590/0034-7167.2015680408i

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    ABSTRACT

    Objectives:

    to evaluate the program proposed by the Reorganization Care Plan for Hypertension and Diabetes Mellitus on user’s view, and describe aspects of the trajectory of the participants correlating with the program’s evaluation.

    Method:

    evaluative study with a qualitative approach conducted in health units with the Family Health Strategy, in a city of the metropolitan region of Curitiba, in the period from September to March, 2012. A total of 30 adults with hypertension and/or Diabetes mellitus were interviewed. Data were analyzed through content analysis.

    Results:

    Four categories were identified: Disease diagnosis; Reasons for the program need; Knowledge of the program, and program evaluation.

    Conclusion:

    there was the recognition of the orientations, and the monitoring of activities developed, with emphasis in cost reduction for users.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Violence in the eye of adolescents: education intervention with Culture Circles

    Revista Brasileira de Enfermagem. 2015;68(4):617-625

    Abstract

    Violence in the eye of adolescents: education intervention with Culture Circles

    Revista Brasileira de Enfermagem. 2015;68(4):617-625

    DOI 10.1590/0034-7167.2015680407i

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    ABSTRACT

    Objective:

    to apply the methodology of Culture Circles on adolescents as a strategy for health education of nurses in the construction of the collective knowledge of the thematic violence.

    Method:

    action research type and qualitative study. Participants were 11 adolescents from a public school in Recife, PE, Brazil. Data production in Culture Circles included the participant observation with field diary, photographic recording and filming, as well as the photovoice technique. The analysis was performed by triangulating data in dialogue with the literature.

    Results:

    it was shown that the problematizing action provided by the Culture Circle made possible to create situations in which adolescents felt invited to critically refl ect on the phenomenon of violence in all its complexity.

    Conclusion:

    the health education intervention, performed by Culture Circles, added learning and mutual growth subsidizing nursing care actions that excel at leadership and autonomy of adolescents.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Violence in the eye of adolescents: education intervention with Culture Circles

  • EXPERIENCE REPORT02-10-2020

    Overcoming the challenges to offer quality training in psychiatric nursing

    Revista Brasileira de Enfermagem. 2020;73(1):e20180208

    Abstract

    EXPERIENCE REPORT

    Overcoming the challenges to offer quality training in psychiatric nursing

    Revista Brasileira de Enfermagem. 2020;73(1):e20180208

    DOI 10.1590/0034-7167-2018-0208

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    ABSTRACT

    Objective:

    to report the experience of the Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, Universidade Federal de Minas Gerais (UFMG) and the challenges faced to offer quality training.

    Method:

    This is an experience report about the experience of Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, UFMG.

    Results:

    After losing the workload of 120 hours in the Psychiatric Nursing Undergraduate Course, the area developed elective disciplines with a total of 330-hour load, in addition to extension and research projects.

    Final considerations:

    the precariousness of the area of Nursing training after curricular restructuring in a higher education institution, whether in relation to hour load or in the allocation of teaching vacancies, is in line with advances of the Brazilian Psychiatric Reform and epidemiological data of psychic illness and drug use.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW07-31-2020

    Educational practices for families of children and adolescents using a permanent venous catheter

    Revista Brasileira de Enfermagem. 2020;73:e20190129

    Abstract

    REVIEW

    Educational 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

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    ABSTRACT

    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.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Educational practices for families of children and adolescents using a permanent venous catheter
  • ORIGINAL ARTICLE02-06-2023

    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal

    Revista Brasileira de Enfermagem. 2023;76(2):e20210244

    Abstract

    ORIGINAL ARTICLE

    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal

    Revista Brasileira de Enfermagem. 2023;76(2):e20210244

    DOI 10.1590/0034-7167-2021-0244

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    ABSTRACT

    Objective:

    To evaluate a proposal for teaching entrepreneurship in an undergraduate Nursing course that uses active methodologies and activities based on the theory of meaningful learning.

    Methods:

    Interventional, prospective study, with a quantitative perspective, with a total of 102 participating students, carried out from July 2017 to December 2019 at a public university in the state of Sao Paulo. Statistical analysis were performed by non-parametric Chi-square or Fisher’s exact tests, with differences considered statistically significant if p < 0.05.

    Results:

    Improvements were observed in almost all items evaluated, revealing that meaningful learning became more effective with the use of active teaching methodologies. Most students need adaptation and effort to be put into these methods.

    Conclusions:

    The proposal offers pedagogical content adaptation, specifically for nursing students. New research should expand teaching-learning techniques for the development of future nurses, preparing them adequately for the job market.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal
  • ORIGINAL ARTICLE08-16-2021

    Gender debate as a challenge in nursing training

    Revista Brasileira de Enfermagem. 2021;74(5):e20201001

    Abstract

    ORIGINAL ARTICLE

    Gender debate as a challenge in nursing training

    Revista Brasileira de Enfermagem. 2021;74(5):e20201001

    DOI 10.1590/0034-7167-2020-1001

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    ABSTRACT

    Objectives:

    to understand the challenges of introducing gender debate in nursing training from undergraduate students’ perspective.

    Methods:

    a qualitative, exploratory-explanatory study. Data were collected through a semi-structured interview applied to 12 undergraduate nursing students at a public university in São Paulo. For data treatment and analysis, the Discourse of the Collective Subject was used in light of Boaventura de Sousa Santos’ knowledge production paradigm theoretical framework.

    Results:

    nursing education remains centered on the traditional scientific model, neglecting gender and strengthening stereotypes aimed at the feminization of the profession.

    Final Considerations:

    nursing training has a challenge of implementing actions that deepen the gender theme. Therefore, some strategies are suggested, such as improving professor training and appropriating emancipatory pedagogical practices; reviewing pedagogical political projects; curriculum theorization and restructuring; problematizing gender issues for nursing leadership.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-30-2021

    Historical aspects in pain management in palliative care in an oncological reference unit

    Revista Brasileira de Enfermagem. 2021;74(5):e20200761

    Abstract

    ORIGINAL ARTICLE

    Historical 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

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    ABSTRACT

    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.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • TECHNOLOGICAL INNOVATION06-04-2021

    Development of a nursing website for critical care regarding healthcare-associated infections

    Revista Brasileira de Enfermagem. 2021;74:e20200928

    Abstract

    TECHNOLOGICAL INNOVATION

    Development of a nursing website for critical care regarding healthcare-associated infections

    Revista Brasileira de Enfermagem. 2021;74:e20200928

    DOI 10.1590/0034-7167-2020-0928

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    ABSTRACT

    Objective:

    to describe the development of a website about the main healthcare-associated infections and the respective bundles to prevent these diseases, oriented toward intensive care unit nursing.

    Methods:

    experience report describing the development of technological innovation by nurses, using computational tools and technological production methodological research and following the product development process.

    Results:

    nurses developed an educational website which can be accessed through computers, tablets, and smartphones at the electronic address irastis.com and focuses on healthcare-associated infections.

    Final considerations:

    digital technologies have contributed to fulfill demands in health care, research, and education. The developed website has the potential to support reduction in healthcare-associated infection rates, since it makes preventive measures for these infections available and refers users to publication environments that systematize the implementation of the bundles.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Development of a nursing website for critical care regarding healthcare-associated infections
  • ORIGINAL ARTICLE10-21-2019

    Being an institutionalized elderly person: meaning of experiences based on Heidegger’s phenomenology

    Revista Brasileira de Enfermagem. 2019;72(6):1632-1638

    Abstract

    ORIGINAL ARTICLE

    Being an institutionalized elderly person: meaning of experiences based on Heidegger’s phenomenology

    Revista Brasileira de Enfermagem. 2019;72(6):1632-1638

    DOI 10.1590/0034-7167-2018-0763

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    ABSTRACT

    Objective:

    Analyze the meaning of being an elderly person living in a long-term institution.

    Method:

    Qualitative study based on Martin Heidegger’s thought. Twelve phenomenological interviews were conducted with people aged over 60 years living in a long-term institution for the elderly in the city of Itabuna, Bahia, Brazil.

    Results:

    The units of meaning identified were: experience of progressive loss of autonomy and independence, perception of living in an institution as an inevitable circumstance; and being-with becoming being-alone/being-lonely. After the identification of ontic aspects and hermeneutical understanding, the unit of meaning was constructed: meaning of being an elderly person living in a long-term institution.

    Final considerations:

    The ontological needs referring to being an elderly person remain forgotten. As we are ontic and ontological, limited care to the ontic instance indicates deficiencies in institutionalization. Improvements are required to ensure the right to age with quality of life to this population.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-11-2021

    Resilience in elderly people: factors associated with sociodemographic and health conditions

    Revista Brasileira de Enfermagem. 2021;74:e20200171

    Abstract

    Resilience in elderly people: factors associated with sociodemographic and health conditions

    Revista Brasileira de Enfermagem. 2021;74:e20200171

    DOI 10.1590/0034-7167-2020-0171

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    ABSTRACT

    Objective:

    to describe the sociodemographic and health characteristics of elderly people, measure the score of total resilience and by sex and verify the association of sociodemographic and health variables with total resilience and by sex.

    Methods:

    this is a household survey with 808 elderly people, assessed by validated instruments. Student’s t test and multiple linear regression (p<0.05).

    Results:

    most were female, 60|-|79 years old. The total resilience score was 78.06, for men 81.53 and for women, 76.32. Total resilience was associated with males; positive self-perceived health; greater participation in Advanced Activities of Daily Living; fewer morbidities; absence of depressive symptoms. Among men and women, resilience was associated with greater participation in Advanced Activities of Daily Living and absence of depressive symptoms and, specifically, among women, positive self-perceived health.

    Conclusion:

    these results contribute to nursing care, aiming to encourage resilience.

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

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