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  • 01-01-2016

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803
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    Abstract

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803

    DOI 10.1590/0034-7167.2016690424i

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    ABSTRACT

    Objective:

    to analyze the scientific production on “breast cancer” in the period from 2002 to 2013 and determine the public policies for screening and early diagnosis of breast cancer.

    Method:

    this is an integrative literature review conducted in the databases MEDLINE, LILACS, SciELO and Google Scholar. Inclusion criteria: year and period of publication; availability of the full article; publication in Brazil; and the cross-check of the keywords Breast Cancer, Primary Health Care, Screening Programs, and Early Detection of Cancer.

    Results:

    after analysis, four thematic categories were obtained: breast self-examination, clinical examination of breast, mammography, and factors that hinder the adherence to the screening.

    Conclusion:

    health professionals have deficits of knowledge on the area, indicating the need for other studies on the subject addressed and greater investment in continuing education of professionals.

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    Public actions for control of breast cancer in Brazil: integrative review
  • 01-01-2016

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792
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    Abstract

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792

    DOI 10.1590/0034-7167.2016690423i

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    ABSTRACT

    Objective:

    to verify the nursing diagnoses in patients affected by CVAs.

    Method:

    this is an integrative review of the literature. The search was conducted on LILACS, Scielo, Medline, CINAHL, and Scopus databases between February and March 2015, using the following keywords: “Enfermagem”, “Acidente Vascular Cerebral”, “Diagnóstico de Enfermagem”; and “Nursing”, “Stroke”, and “Nursing Diagnosis”.

    Results:

    we found 9 articles published between 2009 and 2015; most of them were Brazilian, cross-sectional, and exploratory, with a level of evidence of 6. The evidence from the publications was classified as: “Evaluation and validation of specific nursing diagnoses for subjects affected by CVAs” and “Application of the nursing process on subjects affected by CVAs”.

    Conclusion:

    we noticed the publications focused on nursing diagnoses related to motor disorders, such as risk of falls and impaired physical mobility. Domains regarding safety/protection (domain 11) and sleep/resting (domain 4) were present in most evaluated publications.

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  • 01-01-2016

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784
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    Abstract

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784

    DOI 10.1590/0034-7167.2016690422i

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    ABSTRACT

    Objective:

    To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.

    Method:

    A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.

    Results:

    Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.

    Conclusion:

    Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.

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    Impact of educational interventions in reducing diabetic complications: a systematic review
  • 01-01-2016

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772
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    Abstract

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772

    DOI 10.1590/0034-7167.2016690421i

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    ABSTRACT

    Objective:

    to identify scientific evidence about the communication process in Telenursing and analyze them.

    Method:

    integrative review performed in March 2014. The search strategy, structured with the descriptors “telenursing” and “communication”, was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.

    Results:

    ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.

    Conclusion:

    distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.

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    The communication process in Telenursing: integrative review
  • 01-01-2016

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764
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    Abstract

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764

    DOI 10.1590/0034-7167.2016690420i

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    ABSTRACT

    Objective:

    to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.

    Method:

    a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.

    Results:

    a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.

    Conclusions:

    health care protocols are required to standardize practice and improve these indicators.

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  • 01-01-2016

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756
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    Abstract

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756

    DOI 10.1590/0034-7167.2016690419i

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    ABSTRACT

    Objective:

    to analyze the profile and quality of working life (QWL) of call-center workers.

    Method:

    quantitative research, conducted in one call-center of the city of São José do Rio Preto – SP, using the QVP-35 questionnaire.

    Results:

    profile was composed by: 80.2% women; 66.3% were single, with high school diploma and 6 hours of daily working hours; mean age of 28 years; 92.9% had only one job with mean working experience of 3 years. Positive aspects of QWL: intrinsic motivation, working ability, available resources and social support. Negative aspects of QWL: workload and organizational support.

    Conclusion:

    the data obtained indicate the need for better organization of call-center working processes in the company and suggests other researches in this context.

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  • 01-01-2016

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750
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    Abstract

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750

    DOI 10.1590/0034-7167.2016690418i

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    ABSTRACT

    Objective:

    to investigate stressors perceived by patients in the immediate postoperative of cardiac surgery and their association with sociodemographic and clinical characteristics.

    Method:

    a prospective correlational study conducted in a city in São Paulo, between August 2013 and December 2014. A non-probabilistic sample included patients submitted to their first coronary artery bypass graft or mitral valve surgery. The “Environmental Stressor Questionnaire” adapted to Portuguese was used.

    Results:

    105 patients participated in the study. The item “being thirsty” was evaluated as the most stressful and “the nursing staff member does not introduce himself/herself by the name” as the least stressful. Among sociodemographic and clinical variables (gender, age, type and time of surgery, pain, intubation time, use of psychotropic medications and length of stay in the intensive care unit), only pain presented a significant association with the stressors.

    Conclusion:

    knowing stressors can help implement practices associated with their reduction, favoring patients’ recovery.

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  • 01-01-2016

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740
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    Abstract

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740

    DOI 10.1590/0034-7167.2016690417i

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    ABSTRACT

    Objective:

    to identify, describe and analyze characteristics of leadership, head nurses and participants in the teaching-learning process of leadership in Nursing, according to nurse professors who performed studies on this theme and taught such content between 1972 and 1994 in nursing schools of the state of São Paulo, southeastern Brazil.

    Methods:

    Thematic Oral History was used. A total of four nurse professors were interviewed, whose reports were submitted to content analysis.

    Results:

    the following aspects were approached in this study: the context in which students developed leadership, the influence of previous experiences on leadership qualification, its attributes, the importance of leadership, the value of teaching it, the possibilities of emancipation of a head nurse, the repercussions of teaching leadership for one’s professional life, the relationships between qualification and job market, the aspects of teaching qualification and students’ characteristics.

    Conclusion:

    although not essential for nursing qualification, leadership had a symbolic capital.

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  • 01-01-2015

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92
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    Abstract

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92

    DOI 10.1590/0034-7167.2015680112p

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    Objective:

    to investigate the report of vaccination against Hepatitis B, verification of immunization and the factors associated with dosages of anti-HBs.

    Method:

    we collected blood samples from those reported that they had one or more doses of the vaccine. We evaluated the association of the dosage of anti- HBs with sociodemographic conditions, occupational and behavioral. The associations were verified by Mann Whitney and Kruskal Wallis and correlation Spermann by linear regression using SPSS® 17.0.

    Results:

    among the 761 respondents, 504 (66.1%) were vaccinated, 52.5 % received three doses, 30.4 % verified immunization. Of the 397 evaluated for the determination of anti-Hbs, 16.4% were immune.

    Conclusion:

    it was found that longer duration of work was associated with higher levels of anti-HBs, while levels of smoking were inversely associated with anti-HBs. These workers need for vaccination campaigns.

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  • 01-01-2015

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83
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    Abstract

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83

    DOI 10.1590/0034-7167.2015680111p

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    Objective:

    To identify the mental disorders carriers’ perception, the smokers ones, about the decreasing number of cigarettes during psychiatric hospitalization.

    Method:

    Exploratory study with 96 hospitalized carriers of mental disorders who are smokers: G1 (34 subjects hospitalized when was allowed one cigarette by hour) and G2 (62 subjects hospitalized when it was reduced to eight cigarette by day). Semi-structured questionnaire. Thematic content analysis.

    Results:

    The G1 admitted satisfaction with the restriction – smoking during hospitalization as entitlement. The G2 resists the restriction change occurred without dialogue or support. In spite of the difficulties, some attitude changes about the cigarette were noticed such as increase of the responsibility, discovery of the ability to reduce smoking and the meaning of its role.

    Conclusion:

    Some subjects understand the smoking health policy change as punishment, while others as opportunity to think about the role of cigarette in their life.

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  • 01-01-2015

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75
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    Abstract

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75

    DOI 10.1590/0034-7167.2015680110p

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    Objective:

    the aim of this study was to identify factors associated with family functionality of non-institutionalized long-lived subjects, who were residents in Goiânia (GO), Brazil.

    Method:

    this was a population-based epidemiological study with cross-sectional outline. Evaluation scales of the functional and cognitive capacities were used. Family dynamics was measured using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) instrument by making home interviews with 131 long-lived individuals.

    Results:

    there was prevalence of the female gender, average of age of 83.87 years old, widowhood condition, and residence in a big family, primary schooling, and self-perception of regular health. A great amount showed independence for self-care and partial dependence for daily life instrumental activities. Family functionality prevailed with score average of 9.06 points.

    Conclusion:

    in conclusion, family functionality in long-lived subjects is associated with self-perception of poor/bad health, osteoporosis, and fall. Results allowed characterizing long-lived subjects’ family functionality with the aim of valuing and prioritizing family as a caregiver.

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    Family functionality in oldest old household residents
  • 01-01-2015

    Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors

    Revista Brasileira de Enfermagem. 2015;68(1):60-67
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    Abstract

    Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors

    Revista Brasileira de Enfermagem. 2015;68(1):60-67

    DOI 10.1590/0034-7167.2015680109i

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    Objective:

    the aim of the study was to determine the prevalence of non-adherence to antihypertensive drug treatment and its association with factors bio-socio-economic and welfare.

    Method:

    it was a descriptive, cross-sectional study, performed with 422 hypertensive individuals. Data were collected through home interviews, conducted between December 2011 and March 2012.

    Results:

    the results showed that the respondents were mostly female, married, elderly, low income and little time of diagnosis. Were considered non adherent to medication 42.65% of participants. Non-Caucasian hypertensive patients, with fewer than eight years of schooling, who did not regularly attend doctor’s appointments, took more than two anti-hypertensive medications and did not have private health insurance, showed higher likelihood of not complying with the drug treatment.

    Conclusion:

    these findings suggest that hypertensive patients with unfavorable socioeconomic characteristics and difficulty of access to the service require different interventions in order to encourage them to adhere to medication treatment.

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  • 01-01-2015

    Adherence and knowledge about the use of personal protective equipment among manicurists

    Revista Brasileira de Enfermagem. 2015;68(1):52-59
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    Abstract

    Adherence and knowledge about the use of personal protective equipment among manicurists

    Revista Brasileira de Enfermagem. 2015;68(1):52-59

    DOI 10.1590/0034-7167.2015680108i

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    Objective:

    this study aimed to assess adherence and knowledge of manicures/pedicures on the use of Personal Protective Equipment (PPE).

    Methods:

    it was a survey with 235 manicures/pedicures in salons, Belo Horizonte/Brazil. Data were analyzed with the software Statistical package for the social sciences (17.0), using descriptive statistics, chi-square and logistic regression.

    Results:

    the adherence and the knowledge of the professional were evaluated using the median of the results, obtaining 52% and 63% respectively. The professionals younger than 31 were more likely (2.54 times) to adhere to PPE and those who claimed to have done biosafety course and to use uniform during work, had better chance of understanding (2.86 and 3.12 times, respectively). The majority (83.4 %) stated that the use of PPE should occur for all procedures, meanwhile 71.5 % cited not use them.

    Conclusions:

    the results indicate the poor adherence to PPE, strengthen occupational biological risk and need for training of these professionals.

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  • 01-01-2015

    Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes

    Revista Brasileira de Enfermagem. 2015;68(1):45-51
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    Abstract

    Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes

    Revista Brasileira de Enfermagem. 2015;68(1):45-51

    DOI 10.1590/0034-7167.2015680107i

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    Objective:

    to analyze the predictive value of the Manchester Triage System in relation to clinical outcome of patients.

    Methods:

    prospective observational study of 577 patients admitted to the ER and subjected to risk classification. The Therapeutic Intervention Scoring System-28 (TISS-28) was used to measure the severity of patients (primary outcome) and secondary outcomes: high / transfer, death, and length of hospital stay. Descriptive and univariate analyzes were conducted.

    Results:

    patients classified as red are 10.7 times more likely to have scores above 14 in TISS-28 in relation to others. Patients classified as red have 5.9 times more chance of progression to death compared to others. Patients of high priority service are 1.5 times more likely to be hospitalized over five days than low priority.

    Conclusions:

    STM proved a good predictor of clinical outcomes.

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  • 01-01-2015

    Entrepreneurship in Nursing: overview of companies in the State of São Paulo

    Revista Brasileira de Enfermagem. 2015;68(1):40-44
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    Abstract

    Entrepreneurship in Nursing: overview of companies in the State of São Paulo

    Revista Brasileira de Enfermagem. 2015;68(1):40-44

    DOI 10.1590/0034-7167.2015680106i

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    Objective:

    the present study aimed to identify and characterize nursing companies managed by entrepreneur nurses registered at the Commercial Registry of São Paulo by 2011.

    Method:

    it’s a descriptive, exploratory study, whose data collection, made throughout January 2012, was carried out on the Commercial Registry of Sao Paulo website. This non-governmental body has the function of registering the opening of companies and supervising their trade situation.

    Results and conclusion:

    this study allowed us to identify that the entrepreneur nurse is a growing reality through the identification of 196 companies opened by these professionals. Afterwards, it was analyzed their time of functioning, the main economic activity of the company, capital value, percentage of nurse partners and the distribution of companies by region of Sao Paulo State.

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    Entrepreneurship in Nursing: overview of companies in the State of São Paulo
  • 01-01-2015

    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

    Revista Brasileira de Enfermagem. 2015;68(1):32-39
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    Abstract

    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

    Revista Brasileira de Enfermagem. 2015;68(1):32-39

    DOI 10.1590/0034-7167.2015680105i

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    Objective:

    the study aims at discussing the significations apprehended by the non-blood donators, considering the context and the consequences of the acting of the nurse in hemotherapy.

    Method:

    it is a qualitative approach, with theoretical frame of Symbolic Interactionism and Grounded Theory method. The data production was carried out by intensive interview with subjects of three sample groups of a University Hospital of Rio de Janeiro City.

    Results:

    the phenomenon originated two analysis categories: “Perceiving the blood matter” and “Reflecting about the blood donation campaigns”. It was observed that the environment of the donor is not composed by contact with the other and the information that it can achieve, including the media.

    Conclusion:

    these were the main basis for the knowledge of blood donation according to their beliefs, culture and values. Therefore, all these aspects must be considered by the nurse acting on donors capture.

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    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

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