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01-01-2018
Costos de exámenes en un laboratorio clínico hospitalario de Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
Abstract
Costos de exámenes en un laboratorio clínico hospitalario de Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
DOI 10.1590/0034-7167-2016-0688
Views0See moreRESUMEN
Objetivo:
determinar los costos medios totales asociados a la realización de exámenes de laboratorio en un laboratorio clínico hospitalario de Chile.
Método:
estudio retrospectivo con información del período julio 2104 a junio 2015. Se seleccionaron 92 exámenes clasificados en diez grupos según la metodología de análisis. Los costos se estimaron como la suma de costos directos e indirectos de laboratorio y factores indirectos institucionales.
Resultados:
se obtuvieron los valores promedio para los costos según grupo de exámenes (en dólares): 1,79 (química clínica), 10,21 (técnicas de inmunoensayos), 13,27 (coagulación), 26,06 (cromatografía líquida de alta resolución), 21,2 (inmunológicos), 3,85 (gases y electrolitos), 156,48 (citogenéticos), 1,38 (orina), 4,02 (hematológicos automatizados), 4,93 (hematológicos manuales).
Conclusión:
el valor que retorna a las instituciones públicas, o arancel por servicio, que prestan servicios de laboratorio no refleja adecuadamente los verdaderos costos medios totales de producción de exámenes.
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01-01-2018
Costs of examinations performed in a hospital laboratory in Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
Abstract
Costs of examinations performed in a hospital laboratory in Chile
Revista Brasileira de Enfermagem. 2018;71(2):363-371
DOI 10.1590/0034-7167-2016-0688
Views0ABSTRACT
Objective:
To determine the total average costs related to laboratory examinations performed in a hospital laboratory in Chile.
Method:
Retrospective study with data from July 2014 to June 2015. 92 examinations classified in ten groups were selected according to the analysis methodology. The costs were estimated as the sum of direct and indirect laboratory costs and indirect institutional factors.
Results:
The average values obtained for the costs according to examination group (in USD) were: 1.79 (clinical chemistry), 10.21 (immunoassay techniques), 13.27 (coagulation), 26.06 (high-performance liquid chromatography), 21.2 (immunological), 3.85 (gases and electrolytes), 156.48 (cytogenetic), 1.38 (urine), 4.02 (automated hematological), 4.93 (manual hematological).
Conclusion:
The value, or service fee, returned to public institutions who perform laboratory services does not adequately reflect the true total average production costs of examinations.
Keywords:Average CostsDiagnoses and Laboratory ExaminationsDirect and Indirect CostsProduction of ExaminationsService FeeSee more -
RESEARCH01-01-2018
Accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns
Revista Brasileira de Enfermagem. 2018;71(2):357-362
Abstract
RESEARCHAccuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns
Revista Brasileira de Enfermagem. 2018;71(2):357-362
DOI 10.1590/0034-7167-2017-0037
Views0See moreABSTRACT
Objective:
to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns.
Method:
a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity.
Results:
Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively).
Conclusion:
four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.
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RESEARCH01-01-2018
Non-frail elderly people and their license to drive motor vehicles
Revista Brasileira de Enfermagem. 2018;71(2):350-356
Abstract
RESEARCHNon-frail elderly people and their license to drive motor vehicles
Revista Brasileira de Enfermagem. 2018;71(2):350-356
DOI 10.1590/0034-7167-2016-0675
Views0See moreABSTRACT
Objective:
to analyse the link between the non-frailty condition and the results of driving license for elderly people to drive motor vehicles.
Method:
cross-sectional study with data collection in the sample period from August 2015 to March 2016. Study performed with 347 elderlies (≥60 years).
Results:
180 (51.9%) of the participants were classified as non-frail. 48 (26.7%) of them were considered capable to drive, 121 (67.2%) capable to drive with restrictions and 11 (6.1%) temporarily uncapable. No significant relation was found between the non-frailty conditions and the results of the motor vehicles driving license study (p=0.557).
Conclusion:
The absence of physical frailty does not necessarily points out that the elderly are able to drive motor vehicles. Tracking the frailty subsidizes preventive interventions, which seek to interfere positively in the act of driving. This is an unprecedented study in nursing and it highlights an essential field for the performance of gerontological nursing.
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RESEARCH01-01-2018
Practice of use of diapers in hospitalized adults and elderly: cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(2):343-349
Abstract
RESEARCHPractice of use of diapers in hospitalized adults and elderly: cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(2):343-349
DOI 10.1590/0034-7167-2016-0341
Views0See moreABSTRACT
Objective:
analyze the practice of use of diapers in adults and elderly in hospital.
Method:
observational cross-sectional study, with a sample of 105 participants assigned according to the data collection period, from September 2013 to January 2014, in the surgical clinic wards in a University Hospital.
Results:
it was observed that 38% of the 105 participants of the study did not need the use of diapers. 18% used it because they were disabled and 16% had their cognitive system damaged. As they were hospitalized, it was identified that 51.4% of patients were there ranging from 02 to 10 days, and 60% used diapers for the same period. It is also identified that long term urinary catheter (24.8%), as technology associated to diapers in the urinary control and to pressure ulcers (12.4%), being the main complication.
Conclusion:
the use of diapers did not have specific criteria to be selected. For this, it was proposed an “Evaluation Scale of Diapers Use in Adults”, as for indication as for its monitoring to help the study transposal for the nursing practice.
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RESEARCH01-01-2018
Burnout and nursing work environment in public health institutions
Revista Brasileira de Enfermagem. 2018;71(2):336-342
Abstract
RESEARCHBurnout and nursing work environment in public health institutions
Revista Brasileira de Enfermagem. 2018;71(2):336-342
DOI 10.1590/0034-7167-2016-0524
Views0See moreABSTRACT
Objective:
to identify associations between the Burnout domains and the characteristics of the work environment.
Method:
cross-sectional study with 745 nurses from 40 public health institutions in São Paulo. Nursing Work Index-Revised (NWI-R) and Maslach Burnout Inventory were used. Similar institutions according to NWI-R were grouped by clustering and the Anova and Bonferroni tests were used in the comparative analyzes.
Results:
there was significant and moderate correlation between emotional exhaustion and autonomy, control over the environment and organizational support; between reduced personal accomplishment, autonomy and organizational support; and between depersonalization and autonomy. The group that presented the worst conditions in the work environment differed on emotional exhaustion from the group with most favorable traits.
Conclusion:
emotional exhaustion was the trait of Burnout that was more consistently related to the group of institutions with more unfavorable working conditions regarding autonomy, organizational support and control over the environment.
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RESEARCH01-01-2018
Patients’ knowledge about medication prescription in the emergency service
Revista Brasileira de Enfermagem. 2018;71(2):329-335
Abstract
RESEARCHPatients’ knowledge about medication prescription in the emergency service
Revista Brasileira de Enfermagem. 2018;71(2):329-335
DOI 10.1590/0034-7167-2017-0002
Views0See moreABSTRACT
Objective:
To identify which orientations were received by the patient about the medication prescription and which professional performed it; to evaluate the patients’ knowledge about prescription drugs and to correlate it to socioeconomic variables, comorbidities, and the frequency with which the patient seeks emergency service; and to evaluate the knowledge about the medication prescribed after the health care.
Method:
This was a cross-sectional study on 304 patients that received emergency service’s discharge along with medication prescription. Applied instruments: sociodemographic characterization and evaluation of the knowledge about the prescribed medication. We used a descriptive and inferential analysis.
Results:
Most subjects had no doubts about how or for how long to take the medication; and presented questions about adverse reactions and what to do in case of forgetting to take the medication doses. There was a significant association between age; educational level; comorbidity; the frequency of emergency service’s use; and knowledge about medications.
Conclusion:
a total of 48% of the patients declared to need information about adverse effects and what to do if they forget to take the medication.
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RESEARCH01-01-2018
Calf circumference: clinical validation for evaluation of muscle mass in the elderly
Revista Brasileira de Enfermagem. 2018;71(2):322-328
Abstract
RESEARCHCalf circumference: clinical validation for evaluation of muscle mass in the elderly
Revista Brasileira de Enfermagem. 2018;71(2):322-328
DOI 10.1590/0034-7167-2017-0121
Views0See moreABSTRACT
Objective:
To validate calf circumference as a technology for assessing muscle mass in the elderly.
Method:
Cross-sectional study with 132 elderly people from Goiânia, Goiás, Brazil. Decreased muscle mass was determined by the skeletal muscle mass index (IME) using Dual Energy X-Ray Absortometry (DEXA). The cutoff circumferences (CC) cutoff points to indicate muscle mass decrease were estimated by ROC curve, sensitivity, specificity and accuracy.
Results:
The most accurate cut-off points for detecting decreased muscle mass in the elderly were 34 cm for men (sensitivity: 71.5%, specificity: 77.4%) and 33 cm for women (sensitivity: 80.0%; specificity: 84.6%).
Conclusion:
CC can be used as a measure for early identification of muscle mass decrease in routine evaluations of the elderly in primary care.
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REVIEW05-13-2024
Technologies used in the treatment of burn victims in intensive care: a scope review
- Kyohana Matos de Freitas Clementino
, - Gabriela Duarte Bezerra ,
- Gleice Adriana Araujo Gonçalves ,
- Maria Corina Amaral Viana ,
- Luis Rafael Leite Sampaio , [ … ],
- Woneska Rodrigues Pinheiro
Abstract
REVIEWTechnologies used in the treatment of burn victims in intensive care: a scope review
Revista Brasileira de Enfermagem. 2024;77(1):e20220738
DOI 10.1590/0034-7167-2022-0738
- Kyohana Matos de Freitas Clementino ,
- Gabriela Duarte Bezerra ,
- Gleice Adriana Araujo Gonçalves ,
- Maria Corina Amaral Viana ,
- Luis Rafael Leite Sampaio ,
- Woneska Rodrigues Pinheiro
Views0See moreABSTRACT
Objectives:
to analyze the technologies used by the nursing team in the treatment of skin lesions caused by burns in patients under intensive care.
Methods:
this is a scope review conducted on the LILACS, Medline, PubMed, and CINAHL databases without temporal or language restrictions.
Results:
the highlighted technologies included the use of specialized dressings, biological agents such as probiotics and cyanobacteria, as well as negative pressure therapies and enzymes such as papain and collagenase. Some technologies, such as nanocrystalline silver, demonstrated efficacy in infection control.
Final Considerations:
the study identified essential technologies in burn care, emphasizing the need for further research on “soft” technologies. The findings support the promotion of evidence-based nursing care for burn patients in intensive care and enhance knowledge about effective treatments.
- Kyohana Matos de Freitas Clementino
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ORIGINAL ARTICLE05-03-2024
Cancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
Abstract
ORIGINAL ARTICLECancer patient satisfaction regarding the quality of information received: psychometric validity of EORTC QLQ-INFO25
Revista Brasileira de Enfermagem. 2024;77(1):e20230358
DOI 10.1590/0034-7167-2023-0358
Views0See moreABSTRACT
Objectives:
to psychometrically validate the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire EORTC QLQ-INFO25 instrument and identify the domains that influence patients’ perception of the information received.
Methods:
a cross-sectional methodology with cancer patients in a Brazilian philanthropic hospital institution. Sociodemographic and clinical instruments, EORTC QLQ-C30, EORTC QLQ-INFO25 and Supportive Care Needs Survey – Short Form 34 were used. Analysis occurred using Cronbach’s alpha coefficients, intraclass correlation, test-retest and exploratory factor analysis.
Results:
128 respondents participated. Cronbach’s alpha coefficient was 0.85. The test-retest obtained p-value=0.21. In the factor analysis, one item was excluded. Satisfaction with the information received was 74%, with three areas with averages below 70%. In open-ended questions, there was a greater desire for information.
Conclusions:
validity evidence was obtained with instrument reliability, consistency and stability. Respondents expressed satisfaction with the information received.
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05-03-2024
Intervenções de Enfermagem para capacitar o cuidador familiar de uma pessoa com amputação de membro inferior: revisão de escopo
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Abstract
Intervenções de Enfermagem para capacitar o cuidador familiar de uma pessoa com amputação de membro inferior: revisão de escopo
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
DOI 10.1590/0034-7167-2023-0264
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Views0See moreRESUMEN
Objetivos:
mapear intervenciones de enfermería que capaciten al cuidador familiar de la persona con amputación de miembro inferior para su rol.
Métodos:
es una revisión de alcance guiada por la metodología del Instituto Joanna Briggs, llevada a cabo en diferentes bases de datos (incluyendo literatura gris).
Resultados:
se tuvieron en cuenta seis estudios publicados entre 2009 y 2021, a saber: intervenciones de asesoramiento y apoyo para pacientes y familiares; intervenciones de apoyo entre iguales realizadas por un par de profesionales certificados; participación de cuidadores o familiares en grupos de apoyo e intervenciones clave para el equilibrio psicológico del paciente y del cuidador familiar. Dos estudios analizaron la importancia de la formación del cuidador y del amputado y del desarrollo de habilidades de afrontamiento. Otro estudio recomendó intervenciones de apoyo informativo para los cuidadores en relación con el cuidado del amputado y su adaptación a la vida hogareña.
Conclusiones:
los resultados de esta revisión permiten identificar recomendaciones/directrices para la práctica y recomendaciones/sugerencias de intervenciones según las necesidades identificadas de los cuidadores familiares de pacientes con amputación de miembros inferiores.
- Diana Fonseca Rodrigues
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REVIEW05-03-2024
Nursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Abstract
REVIEWNursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
DOI 10.1590/0034-7167-2023-0264
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Views0See moreABSTRACT
Objectives:
to map nursing interventions that empower the Family caregiver of the person with lower limb amputation for is role.
Methods:
scoping review guided by Joanna Briggs Institute methodology conducted in different databases (including gray literature).
Results:
six studies published between 2009 and 2021 were included. Interventions of counselling and support for patients and family; peer support interventions performed by a certified pair; involvement of caregivers or family members in support groups; and key interventions for patient and family caregiver psychological balance. Two studies discussed the importance of caregiver and amputee training and development of coping skills. Another study recommended Interventions of informative support for caregivers regarding care for the amputee and adaptation to home.
Conclusions:
results of this review allow the identification of recommendations (guidelines) for practice and recommendations/suggestions for interventions according with identified needs of family caregivers of patients with lower limb amputation.
- Diana Fonseca Rodrigues
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ORIGINAL ARTICLE05-03-2024
Pregnancy loss in women with systemic lupus erythematosus: Grounded Theory
- Rebeca Rosa de Souza ,
- Mayckel da Silva Barreto ,
- Elen Ferraz Teston ,
- Maria Aparecida Salci ,
- Viviane Cazetta de Lima Vieira , [ … ],
- Sonia Silva Marcon
Abstract
ORIGINAL ARTICLEPregnancy loss in women with systemic lupus erythematosus: Grounded Theory
Revista Brasileira de Enfermagem. 2024;77(1):e20230225
DOI 10.1590/0034-7167-2023-0225
- Rebeca Rosa de Souza ,
- Mayckel da Silva Barreto ,
- Elen Ferraz Teston ,
- Maria Aparecida Salci ,
- Viviane Cazetta de Lima Vieira ,
- Sonia Silva Marcon
Views0See moreABSTRACT
Objective:
to learn the meanings attributed to pregnancy loss by women with Lupus.
Method:
qualitative research, based on Symbolic Interactionism and Grounded Theory. Data collection took place between January and August 2022 through in-depth interviews. Data analysis went through the stages of initial and focused coding.
Results:
seventeen women participated. The central phenomenon “The climb to motherhood: falls and overcoming” was constructed, consisting of three categories: “Falling to the ground during the climb: the experience of pregnancy loss”; “Getting up and following the path: new attempts to conceive”; and “Remembering the journey: meanings attributed to pregnancy losses”.
Final considerations:
experiencing pregnancy is, analogously, like climbing a mountain, where obstacles need to be overcome to reach the summit. The experience of pregnancy loss is seen as complex, especially when there is fragility in healthcare and a lack of awareness regarding feelings of loss and grief.
- Rebeca Rosa de Souza
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ORIGINAL ARTICLE05-03-2024
Josicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
- Ingredy Nayara Chiacchio Silva ,
- Gilberto Tadeu Reis da Silva ,
- Itanna Vytoria Sousa Serra ,
- Deybson Borba de Almeida ,
- Giselle Alves da Silva Teixeira , [ … ],
- Ana Lúcia Arcanjo Oliveira Cordeiro
Abstract
ORIGINAL ARTICLEJosicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2024;77(1):e20230174
DOI 10.1590/0034-7167-2023-0174
- Ingredy Nayara Chiacchio Silva ,
- Gilberto Tadeu Reis da Silva ,
- Itanna Vytoria Sousa Serra ,
- Deybson Borba de Almeida ,
- Giselle Alves da Silva Teixeira ,
- Rosana Maria de Oliveira Silva ,
- Ana Lúcia Arcanjo Oliveira Cordeiro
Views0See moreABSTRACT
Objectives:
to analyze nurse Josicélia Dumêt Fernandes’ life story, with emphasis on her work in the psychiatry and mental health fields.
Methods:
historical, qualitative research. Semi-structured interviews and documentary research were used as data collection techniques, collected from September to October 2021. For data analysis, we opted for the content analysis method and comparison with the Foucauldian philosophical framework.
Results:
four categories emerged: Transforming herself and mental health practices; (Re)framing professional practice; Nursing practice and power relations; and The paths and implications in the psychiatry and mental health fields.
Final Considerations:
the study of the biographer demonstrates a search for transformation of herself and mental health practices, with a rupture in paradigms and reframing of her practice in psychiatry and mental health.
- Ingredy Nayara Chiacchio Silva
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05-03-2024
Propiedades psicométricas de la versión chilena del cuestionario de calidad de vida para mieloma múltiple
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar , [ … ],
- Christine Rojas
Abstract
Propiedades psicométricas de la versión chilena del cuestionario de calidad de vida para mieloma múltiple
Revista Brasileira de Enfermagem. 2024;77(1):e20230100
DOI 10.1590/0034-7167-2023-0100es
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar ,
- Ivana Leão ,
- Ximena Valladares ,
- Christine Rojas
Views0See moreRESUMEN
Objetivos:
Evaluar consistencia interna y validez de constructo del QLQ-MY20 para valoración de calidad de vida en sobrevivientes de mieloma múltiple en Chile.
Métodos:
Estudio transversal, realizado entre marzo 2020 y diciembre 2022. Participaron 118 personas de dos hospitales públicos. Se utilizaron los cuestionarios QLQ-C30 y QLQ-MY20. Fueron evaluadas la consistencia interna con alfa de Cronbach (α) y validez de constructo mediante pruebas de hipótesis (Mann Whitney y correlación de Spearman).
Resultados:
El promedio de edad de los participantes era 67,2 (DE=9,2) años. Consistencia interna para escala completa (α=0,779), dimensión “síntomas de la enfermedad” (α=0,671), dimensión “efectos secundarios de los tratamientos” (α=0,538) y dimensión “perspectiva de futuro” (α=0,670). Se comprobaron cuatro de las cinco hipótesis de la validez de constructo: presentaron más síntomas las mujeres, personas con peor performance estatus, con dolor y con peor fatiga.
Conclusiones:
La versión chilena del QLQ-MY20 presenta adecuada consistencia interna y validez de constructo.
- Luz Alejandra Lorca
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ORIGINAL ARTICLE05-03-2024
Psychometric properties of the Chilean version of the quality of life questionnaire for multiple myeloma
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar , [ … ],
- Christine Rojas
Abstract
ORIGINAL ARTICLEPsychometric properties of the Chilean version of the quality of life questionnaire for multiple myeloma
Revista Brasileira de Enfermagem. 2024;77(1):e20230100
DOI 10.1590/0034-7167-2023-0100
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar ,
- Ivana Leão ,
- Ximena Valladares ,
- Christine Rojas
Views0See moreABSTRACT
Objectives:
To evaluate the internal consistency and construct validity of the QLQ-MY20 for assessing the quality of life in multiple myeloma survivors in Chile.
Methods:
This was a cross-sectional study conducted between March 2020 and December 2022. It involved 118 individuals from two public hospitals. The QLQ-C30 and QLQ-MY20 questionnaires were used. Internal consistency was assessed using Cronbach’s alpha(α), and construct validity was evaluated through hypothesis testing (Mann-Whitney and Spearman correlation).
Results:
The average age of participants was 67.2 years (SD=9.2). Internal consistency for the complete scale was α=0.779, for the “disease symptoms” dimension α=0.671, for the “side effects of treatments” dimension α=0.538, and for the “future perspective” dimension α=0.670. Four of the five construct validity hypotheses were confirmed: women, individuals with worse performance status, those with pain, and those with worse fatigue showed more symptoms.
Conclusions:
The Chilean version of the QLQ-MY20 demonstrates adequate internal consistency and construct validity.
- Luz Alejandra Lorca
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ORIGINAL ARTICLE12-16-2024
Complexities of nursing in healthcare waste management in hospitals
- Maria José Carvalho Ferreira ,
- Carla Aparecida Arena Ventura ,
- Glaucia Valente Valadares ,
- Thiago Privado da Silva ,
- Laura Johanson da Silva , [ … ],
- Ítalo Rodolfo Silva
Abstract
ORIGINAL ARTICLEComplexities of nursing in healthcare waste management in hospitals
Revista Brasileira de Enfermagem. 2024;77(6):e20230391
DOI 10.1590/0034-7167-2023-0391
- Maria José Carvalho Ferreira ,
- Carla Aparecida Arena Ventura ,
- Glaucia Valente Valadares ,
- Thiago Privado da Silva ,
- Laura Johanson da Silva ,
- Ítalo Rodolfo Silva
Views0See moreABSTRACT
Objectives:
to understand how healthcare waste management is developed by nursing professionals in hospitals.
Methods:
qualitative research, whose theoretical and methodological frameworks were Complexity Theory and Grounded Theory. Thirty-two nursing professionals from a public hospital in Rio de Janeiro participated in the study. Semi-structured interviews were used.
Results:
nursing affects healthcare waste management multidimensionally. Shortage of materials and work overload were identified as factors that influence professionals’ decision-making and increase the risk of improper waste disposal. The lack of knowledge on the subject also influences nursing practice. However, professionals value actions related to hazardous waste.
Final Considerations:
nursing professionals recognize themselves in healthcare waste management and understand the need to develop systemic awareness for sustainable practice.
- Maria José Carvalho Ferreira
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ORIGINAL ARTICLE12-16-2024
Predisposing factors for symptoms of anxiety, depression, and insomnia in university students
- Júlia Couto de Oliveira ,
- Vanessa Ribeiro Neves ,
- Juliana Garcia Céspedes ,
- Vânia D’Almeida ,
- Meiry Fernanda Pinto Okuno , [ … ],
- Anderson da Silva Rosa
Abstract
ORIGINAL ARTICLEPredisposing factors for symptoms of anxiety, depression, and insomnia in university students
Revista Brasileira de Enfermagem. 2024;77(6):e20230387
DOI 10.1590/0034-7167-2023-0387
- Júlia Couto de Oliveira ,
- Vanessa Ribeiro Neves ,
- Juliana Garcia Céspedes ,
- Vânia D’Almeida ,
- Meiry Fernanda Pinto Okuno ,
- Laís Lira Figueiredo ,
- Ana Rafaela de Brito Cerqueira ,
- Anderson da Silva Rosa
Views0See moreABSTRACT
Objectives:
to characterize the sociodemographic and psychological aspects of university students who sought psychiatric care at a Student Support Center of a Federal University and to analyze associations between mental health issues and predisposing factors.
Methods:
a retrospective analysis of 103 medical records was conducted. The statistical analysis consisted of two steps: a descriptive analysis and a predictive analysis using the Logistic Regression Model.
Results:
the majority of the students were female. Symptoms of anxiety, depression, and insomnia were the main reasons for seeking care. Students who reported having emotional difficulties that negatively impacted their studies and those who had undergone some form of health treatment showed a higher probability of experiencing anxiety symptoms. Notable correlations were found between anxiety and emotional difficulties, depression and diarrhea, and insomnia and a sedentary lifestyle.
Conclusions:
symptoms of anxiety, depression, and insomnia led students to seek psychiatric care at the university. Understanding the predisposing factors for mental health issues in university students can inform care strategies and promote academic success.
- Júlia Couto de Oliveira
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ORIGINAL ARTICLE12-16-2024
Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
Abstract
ORIGINAL ARTICLEEditorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
DOI 10.1590/0034-7167-2023-0362
Views0See moreABSTRACT
Objectives:
to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017.
Methods:
qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective.
Results:
seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science.
Final Considerations:
the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.
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ORIGINAL ARTICLE12-16-2024
Educational technology to empower patients as participants in their care
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina , [ … ],
- Hadelândia Milon de Oliveira
Abstract
ORIGINAL ARTICLEEducational technology to empower patients as participants in their care
Revista Brasileira de Enfermagem. 2024;77(6):e20230359
DOI 10.1590/0034-7167-2023-0359
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina ,
- Joice Claret Neves ,
- Hadelândia Milon de Oliveira
Views0See moreABSTRACT
Objectives:
to build and validate an educational technology to empower patients as participants in their own care.
Methods:
methodological study to develop an educational technology based on the elaboration, validation, and evaluation that were carried out in five stages at a teaching hospital in Amazonas. The study was carried out from 2019 to 2022, with the participation of 19 judges specialized in patient safety and 72 patients admitted to the hospital’s medical and surgical clinics, the study setting.
Results:
the agreement between the judges obtained an overall index of 0.85, being considered validated. The overall analysis of the booklet obtained an assessment of the level of agreement above 85%.
Final Considerations:
the educational technology presented here was validated and suitable for promoting patient/professional rapprochement and consolidating health care in a way that increases the patient’s ability to contribute to their treatment and prevent the occurrence of adverse events.
- Rodrigo da Silva Ramos
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REVIEW12-16-2024
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte , [ … ],
- Fernanda Penido Matozinhos
Abstract
REVIEWStrategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
DOI 10.1590/0034-7167-2023-0343
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte ,
- Fernanda Penido Matozinhos
Views1See moreABSTRACT
Objectives:
to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.
Methods:
systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.
Results:
initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.
Conclusions:
we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
- Janaina Fonseca Almeida Souza
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ORIGINAL ARTICLE12-16-2024
The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
- Caren de Oliveira Riboldi ,
- Renata Cristina Gasparino ,
- Wiliam Wegner ,
- Eder Henriqson ,
- Tarcísio Abreu Saurin , [ … ],
- Ana Maria Müller de Magalhães
Abstract
ORIGINAL ARTICLEThe nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
Revista Brasileira de Enfermagem. 2024;77(6):e20230315
DOI 10.1590/0034-7167-2023-0315
- Caren de Oliveira Riboldi ,
- Renata Cristina Gasparino ,
- Wiliam Wegner ,
- Eder Henriqson ,
- Tarcísio Abreu Saurin ,
- Ana Maria Müller de Magalhães
Views1See moreABSTRACT
Objectives:
to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.
Methods:
a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.
Results:
the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.
Conclusions:
the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.
- Caren de Oliveira Riboldi
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ORIGINAL ARTICLE12-16-2024
Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
- Talyta Sâmara Batista Ferreira ,
- Cinara Botelho Moutinho ,
- Edmar Rocha Almeida ,
- Ana Júlia Soares Oliveira ,
- Carolina Amaral Oliveira Rodrigues , [ … ],
- Marise Fagundes Silveira
Abstract
ORIGINAL ARTICLEFactors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
Revista Brasileira de Enfermagem. 2024;77(6):e20230304
DOI 10.1590/0034-7167-2023-0304
- Talyta Sâmara Batista Ferreira ,
- Cinara Botelho Moutinho ,
- Edmar Rocha Almeida ,
- Ana Júlia Soares Oliveira ,
- Carolina Amaral Oliveira Rodrigues ,
- Clara de Cássia Versiani ,
- Sibylle Emilie Vogt ,
- Marise Fagundes Silveira
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.
Methods:
a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.
Results:
a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).
Conclusions:
a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.
- Talyta Sâmara Batista Ferreira
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ORIGINAL ARTICLE12-16-2024
Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff
- Emanuelli Mancio Ferreira da Luz ,
- Oclaris Lopes Munhoz ,
- Patrícia Bitencourt Toscani Greco ,
- Bruna Xavier Morais ,
- Silviamar Camponogara , [ … ],
- Tânia Solange Bosi de Souza Magnago
Abstract
ORIGINAL ARTICLEPrevalence and factors associated with musculoskeletal pain among hospital cleaning staff
Revista Brasileira de Enfermagem. 2024;77(6):e20230237
DOI 10.1590/0034-7167-2023-0237
- Emanuelli Mancio Ferreira da Luz ,
- Oclaris Lopes Munhoz ,
- Patrícia Bitencourt Toscani Greco ,
- Bruna Xavier Morais ,
- Silviamar Camponogara ,
- Tânia Solange Bosi de Souza Magnago
Views0See moreRESUMO
Objetivos:
verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.
Métodos:
estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.
Resultados:
participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).
Conclusões:
prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.
- Emanuelli Mancio Ferreira da Luz
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