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RESEARCH01-01-2018
Professional exhaustion, quality and intentions among family health nurses
Revista Brasileira de Enfermagem. 2018;71:2295-2301
Abstract
RESEARCHProfessional exhaustion, quality and intentions among family health nurses
Revista Brasileira de Enfermagem. 2018;71:2295-2301
DOI 10.1590/0034-7167-2016-0510
Views0See moreABSTRACT
Objective:
to analyze how family health nurses assess quality of care; check if they have any intention of leaving their current job and nursing; estimate prevalence of professional exhaustion; and correlate these variables.
Method:
cross-sectional and correlational study with 198 nurses. The Maslach Burnout Inventory was applied, as it has questions for characterizing nurses, assessing perception on quality of care and of material and human resources, and verifying intention of leaving current work and nursing.
Results:
most nurses assess quality of care as good, 28.0% present emotional exhaustion, there is intention of leaving current work and nursing.
Conclusions:
family health nurses experience professional exhaustion, which in turn presents correlation with decreased quality of care and increased intentions of leaving current work and nursing.
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RESEARCH01-01-2018
Ombudsman’s experience in Psychosocial Care Centers for alcohol/drugs
Revista Brasileira de Enfermagem. 2018;71:2287-2294
Abstract
RESEARCHOmbudsman’s experience in Psychosocial Care Centers for alcohol/drugs
Revista Brasileira de Enfermagem. 2018;71:2287-2294
DOI 10.1590/0034-7167-2017-0924
Views0See moreABSTRACT
Objective:
The objective of the study was to analyze criticisms, compliments and suggestions of users, family and workers, placed in an Ombudsman of a Centro de Atenção Psicossocial para Álcool e outras Drogas (Psychosocial Care Centers for Alcohol and Other Drugs- CAPS ad).
Method:
A study carried out in the CAPS ad of Macapá-AP from August to December 2016, through the thematic content analysis of the files deposited in the ombudsman, recently introduced in the service, containing criticisms, compliments and suggestions from users, family members, and CAPS ad.
Results:
It was observed the dissatisfaction with the infrastructure of the CAPS ad, and with the relationships built between users and professionals, in addition, suggestions were given of workshops, and improvement in the development of the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project).
Final considerations:
It is concluded that the multidisciplinary team needs to put in practice the real psychosocial care in the service, and that the management helps in the improvement of the service’s place, and in the proposal of qualifications to this team.
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RESEARCH01-01-2018
Nursing students’ sense perception of communication in psychiatric hospital
Revista Brasileira de Enfermagem. 2018;71:2280-2286
Abstract
RESEARCHNursing students’ sense perception of communication in psychiatric hospital
Revista Brasileira de Enfermagem. 2018;71:2280-2286
DOI 10.1590/0034-7167-2017-0957
Views0See moreABSTRACT
Objective:
to analyze the sense perception of nursing students in the learning of communication in a psychiatric hospital.
Method:
qualitative, exploratory and descriptive, from representative drawings of the communication perceived by the body senses of 23 nursing students, and recorded enunciation of the remarkable experiences after the end of the practical activities. The data were analyzed according to thematic content.
Results:
the heart captures perceptions, favoring interpersonal relationships; smelling shows care lacking in hospitalization; vision monopolizes the impressions of reality, making the movements static; hearing is exercised in the amplitude to listen; touching demarcates limitations of contact and interaction; and tasting, as social sense, seeks to overcome the obstacles to take care.
Conclusion:
the learning of communication was significant, making the psychiatric hospital a space to listen to what is inside, to find in the emotions and rationalities the sensations that can be inside and outside the tension nodes that interfere in the perceptions.
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RESEARCH01-01-2018
Feelings of families regarding drug dependence: in the light of comprehensive sociology
Revista Brasileira de Enfermagem. 2018;71:2272-2279
Abstract
RESEARCHFeelings of families regarding drug dependence: in the light of comprehensive sociology
Revista Brasileira de Enfermagem. 2018;71:2272-2279
DOI 10.1590/0034-7167-2018-0150
Views0See moreABSTRACT
Objective:
to understand the feelings of families before drug dependence.
Method:
exploratory, analytical and qualitative study carried out with families of drug users, which are followed up by the Centro de Atenção Psicossocial Álcool e Drogas (Psychosocial Care Center for Alcohol and DARUGS). The collection of data took place by in-depth interview, with the support of field diary. Three visits were done, on average, for each family. The software IRAMUTEQ was adopted for textual corpus organization and was discussed in the light of Michel Maffesoli.
Results:
nine families participated in the research; from the analysis, four classes arose: “My life has changed a lot because of drugs”; “I fear leaving him alone”; “I trust and have faith in God”, and “I am always worried in my own house”.
Final considerations:
the families revealed how much drug dependence did not only affect the user, but also the whole family, provoking in the family complex feelings and emotions.
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RESEARCH01-01-2018
Project K: Training for hospital-community safe transition
Revista Brasileira de Enfermagem. 2018;71:2264-2271
Abstract
RESEARCHProject K: Training for hospital-community safe transition
Revista Brasileira de Enfermagem. 2018;71:2264-2271
DOI 10.1590/0034-7167-2018-0190
Views0See moreABSTRACT
Objective:
To define the safe transition process from hospital to community of patients with chronic mental disorders and their families.
Method:
This was an action research study included in the constructivist paradigm. The participants in the study were nurses from a psychiatry service and from primary healthcare services.
Results:
After the identification of causes of continuity fragmentation, the following items emerged from the participants’ speeches: a) two criteria categories for safe transition (those associated with health status, dependence level, and self-care capacity of patients, and those associated with knowledge and competence level of informal caregivers); b) the design of an algorithm to facilitate clinical decision-making.
Final considerations:
In order to promote adherence to therapeutic treatment in the hospital-community transition, treatment plans must include patients and their families, and improve communication networks and support among care levels.
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RESEARCH01-01-2018
Screening and Brief Intervention for the use of alcohol and other drugs
Revista Brasileira de Enfermagem. 2018;71:2258-2263
Abstract
RESEARCHScreening and Brief Intervention for the use of alcohol and other drugs
Revista Brasileira de Enfermagem. 2018;71:2258-2263
DOI 10.1590/0034-7167-2017-0444
Views0See moreABSTRACT
Objective:
to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances.
Method:
a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed.
Results:
the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol.
Conclusion:
it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.
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RESEARCH01-01-2018
Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization
Revista Brasileira de Enfermagem. 2018;71:2251-2257
Abstract
RESEARCHNight beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization
Revista Brasileira de Enfermagem. 2018;71:2251-2257
DOI 10.1590/0034-7167-2018-0149
Views1See moreABSTRACT
Objective:
To analyze and characterize the use of night beds in a Psychosocial Attention Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas – CAPS ad).
Method:
It is a quantitative, documental, descriptive and retrospective study. Data were gathered from 565 medical records. An analysis of continuous variables was performed.
Results:
When admitted to the beds, most users (87.6%) consumed multiple substances daily and were vulnerable, specially in street situation (68.3%). These users were admitted on an average of two times, undergoing a previous evaluation by the nurse (85.8%), usually for detoxication or due to the vulnerable condition. They stayed in the center for an average of seven days and 31.1% did not finish what was proposed. For a few cases, hospital support was needed. Overall, discharges were planned, but the return happened without booking.
Conclusion:
Social issues cut through the use of night beds, however, it is a therapeutic resource that meets significant demands and is present in the daily lives of vulnerable users as a comprehensive care.
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RESEARCH01-01-2018
Adaptation and validation of the Measuring of Treatment Adherence for mental health
Revista Brasileira de Enfermagem. 2018;71:2243-2250
Abstract
RESEARCHAdaptation and validation of the Measuring of Treatment Adherence for mental health
Revista Brasileira de Enfermagem. 2018;71:2243-2250
DOI 10.1590/0034-7167-2017-0796
Views0See moreABSTRACT
Objective:
to adapt culturally and validate the Measuring Instrument of Treatment Adherence for mental health.
Method:
methodological study, carried out with 300 individuals with mental disorders, in two Psychosocial Care Centers in Curitiba, state of Paraná, Brazil, from April to June 2014. The cross-cultural adaptation was developed according to international recommendations, the construct validation was made by exploratory factor analysis, and internal consistency was verified by Cronbach’s alpha.
Results:
through the evaluation of a committee of experts and completion of the pre-testing, face and content validation was achieved. From the factor analysis, we identified two factors of the instrument’s construct: involuntary action and voluntary action, with a total explanation variance of 55.7%. The value of Bartlett’s test of sphericity was p<0.001. Cronbach’s alpha was 0.74.
Conclusion:
the adapted and validated instrument proved to be trustworthy to be applied to the verification of adherence to drug therapy for individuals with mental disorders.
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ORIGINAL ARTICLE11-10-2022
Effect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families
- Leilane Barbosa de Sousa
, - Hévila Ferreira Gomes Medeiros Braga ,
- Aynoan de Sousa Amaro Alencastro ,
- Maria Jocelane Nascimento da Silva ,
- Brena Shellem Bessa de Oliveira , [ … ],
- Emanuella Silva Joventino Melo
Abstract
ORIGINAL ARTICLEEffect of educational video on newborn care for the knowledge of pregnant and postpartum women and their families
Revista Brasileira de Enfermagem. 2022;75:e20201371
DOI 10.1590/0034-7167-2020-1371
- Leilane Barbosa de Sousa ,
- Hévila Ferreira Gomes Medeiros Braga ,
- Aynoan de Sousa Amaro Alencastro ,
- Maria Jocelane Nascimento da Silva ,
- Brena Shellem Bessa de Oliveira ,
- Lydia Vieira Freitas dos Santos ,
- Emanuella Silva Joventino Melo
Views0See moreABSTRACT
Objectives:
to evaluate the effect of educational video on newborn care to increase the knowledge of pregnant, postpartum, and family members.
Methods:
a quasi-experimental study, with pre-intervention and post-intervention evaluation with a single group. Fifty-eight pregnant, postpartum, and family members treated in basic health units and a hospital in Ceará, Brazil, participated. The study used the McNemar and binomial tests for the analysis.
Results:
after the intervention, there was an increase in the frequency of hits, from 70.82% to 92.97%. Most of the questions presented a significant increase of hits (p < 0.05) with an emphasis on sleeping position, drying of clothes, free demand for breastfeeding, and things to avoid (such as accessories in the sleeping place and talc in diaper change).
Conclusions:
the educational video was effective to participants in acquiring knowledge on the care of newborns and can assist in health education activities carried out by nurses.
- Leilane Barbosa de Sousa
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ORIGINAL ARTICLE06-27-2019
Health literacy of adults with and without arterial hypertension
- Fernanda Moura Borges ,
- Ana Roberta Vilarouca da Silva ,
- Luisa Helena de Oliveira Lima ,
- Paulo César de Almeida ,
- Neiva Francenely Cunha Vieira , [ … ],
- Ana Larissa Gomes Machado
Abstract
ORIGINAL ARTICLEHealth literacy of adults with and without arterial hypertension
Revista Brasileira de Enfermagem. 2019;72(3):646-653
DOI 10.1590/0034-7167-2018-0366
- Fernanda Moura Borges ,
- Ana Roberta Vilarouca da Silva ,
- Luisa Helena de Oliveira Lima ,
- Paulo César de Almeida ,
- Neiva Francenely Cunha Vieira ,
- Ana Larissa Gomes Machado
Views1See moreABSTRACT
Objective:
Assess the level of health literacy of adults, with and without hypertension, treated in three basic health units (UBS) in Picos, Piauí.
Methods:
Cross-sectional study conducted with 357 adults. Data were collected using a questionnaire with sociodemographic variables, and literacy was assessed by the Test of Functional Literacy in Adults. Descriptive analysis was performed followed by the association between literacy and exposure variables with Pearson’s chi-squared (X2) test and Mann-Whitney U test.
Results:
Inadequate or marginal health literacy was found in three units investigated (71.5%; 77.8% and 85.2%);. Age and the years of schooling were factors associated with inadequate literacy in adults with hypertension (p<0.0001).
Conclusion:
Inadequate literacy was found in more than 70% of the hypertensive patients investigated. This finding reinforces the need to improve the self-care skills of hypertensive patients, especially the older ones and those with few years of schooling.
- Fernanda Moura Borges
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ORIGINAL ARTICLE03-30-2020
Clinical simulation in teaching Pediatric Nursing: students’ perception
- Mayara Gombrade Teles ,
- Ana Márcia Chiaradia Mendes-Castillo ,
- Ana Railka de Souza Oliveira-Kumakura ,
- Juliany Lino Gomes Silva
Abstract
ORIGINAL ARTICLEClinical simulation in teaching Pediatric Nursing: students’ perception
Revista Brasileira de Enfermagem. 2020;73(2):e20180720
DOI 10.1590/0034-7167-2018-0720
- Mayara Gombrade Teles ,
- Ana Márcia Chiaradia Mendes-Castillo ,
- Ana Railka de Souza Oliveira-Kumakura ,
- Juliany Lino Gomes Silva
Views0See moreABSTRACT
Objectives:
to comprehend the perception of undergraduate nursing students about learning to care for the child and family through clinical simulation.
Methods:
this is a qualitative research conducted with ten nursing students through semi-structured interviews. Data were analyzed through content analysis.
Results:
data were organized into two categories: “learning a new way to learn,” in which students describe their experiences during the simulation, and “learning a new way to care,” in which they reflect on learning through simulation.
Final considerations:
we believe that clinical simulation practice in teaching should be encouraged because of the benefits it can offer to the students, faculty, patients and their families. However, we recommend further studies to validate scenarios of child and family healthcare.
- Mayara Gombrade Teles
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ORIGINAL ARTICLE10-18-2022
Methodological path to reach the degree of saturation in qualitative research: grounded theory
- Cleson Oliveira de Moura ,
- Ítalo Rodolfo Silva ,
- Thiago Privado da Silva ,
- Karoliny Alves Santos ,
- Maria da Conceição Albernaz Crespo , [ … ],
- Marcelle Miranda da Silva
Abstract
ORIGINAL ARTICLEMethodological path to reach the degree of saturation in qualitative research: grounded theory
Revista Brasileira de Enfermagem. 2022;75(2):e20201379
DOI 10.1590/0034-7167-2020-1379
- Cleson Oliveira de Moura ,
- Ítalo Rodolfo Silva ,
- Thiago Privado da Silva ,
- Karoliny Alves Santos ,
- Maria da Conceição Albernaz Crespo ,
- Marcelle Miranda da Silva
Views0See moreABSTRACT
Objectives:
to achieve the degree of saturation in study that applied the grounded theory.
Methods:
qualitative research, carried out in four Family Health Units, between June 2018 and May 2019. The data from the interviews with 30 health professionals and non-participant observation were coded in the stages: open, axial and integration.
Results:
the degree of saturation was achieved by two conceptual models – theoretical saturation and inductive thematic. Theoretical saturation was considered: the development of conceptual codes and observation, in the collection and analysis of data, when they generated new categories/subcategories or only indicated increasing instances. For thematic inductive saturation, the use of new codes based on each interview stood out.
Final Considerations:
the visual layout for the number of codes, the theoretical scope of the concepts and the delimitation of the sample groups guided the identification of the degree of saturation for the development of the conceptual body that supported the substantive theory.
- Cleson Oliveira de Moura
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08-01-2022
Monkeypox: between precision public health and stigma risk
Revista Brasileira de Enfermagem. 2022;75(5):e750501
Abstract
Monkeypox: between precision public health and stigma risk
Revista Brasileira de Enfermagem. 2022;75(5):e750501
DOI 10.1590/0034-7167.2022750501
Views0The World Health Organization (WHO) is on alert due to an unprecedented Monkeypox outbreak in non-endemic countries, such as Europe, which have been affected recently. Despite the low pandemic potential, the recent SARS-CoV-2 pandemic has contributed to heightened levels of public concern in the face of the threat of new global health emergencies().As of May […]See more -
ORIGINAL ARTICLE11-02-2020
Transitional care from hospital to home for older people: implementation of best practices
- Maria Fernanda Baeta Neves Alonso da Costa ,
- Karina Sichieri ,
- Vanessa de Brito Poveda ,
- Cleide Maria Caetano Baptista ,
- Priscila Cantoni Aguado
Abstract
ORIGINAL ARTICLETransitional care from hospital to home for older people: implementation of best practices
Revista Brasileira de Enfermagem. 2020;73:e20200187
DOI 10.1590/0034-7167-2020-0187
- Maria Fernanda Baeta Neves Alonso da Costa ,
- Karina Sichieri ,
- Vanessa de Brito Poveda ,
- Cleide Maria Caetano Baptista ,
- Priscila Cantoni Aguado
Views0See moreABSTRACT
Objective:
to assess the conformity of nursing care concerning best evidence in transitional care from hospital to home for older people.
Methods:
a project to implement best evidence based on the model proposed by the Joanna Briggs Institute in surgical clinic of a university hospital with older people, caregivers or family members, and nurses, between July and August 2019. Eight evidence-based criteria have been audited through interviews, medical records and computerized system, presented in percentages.
Results:
the highest non-compliance rate found in a baseline audit was absence of continued training on transitional care and hospital discharge plan. Identifying barriers to best practices included educational programs; afterwards, there was an improvement in compliance rates in all the criteria assessed.
Final considerations:
the criteria based on audited evidence showed an increase in compliance rates with the strategies implemented, contributing to improving transitional care for older people.
- Maria Fernanda Baeta Neves Alonso da Costa
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ORIGINAL ARTICLE10-21-2019
Practice challenges in patient safety
- Andréia Guerra Siman ,
- Luciene Muniz Braga ,
- Marilane de Oliveira Fani Amaro ,
- Maria José Menezes Brito
Abstract
ORIGINAL ARTICLEPractice challenges in patient safety
Revista Brasileira de Enfermagem. 2019;72(6):1504-1511
DOI 10.1590/0034-7167-2018-0441
- Andréia Guerra Siman ,
- Luciene Muniz Braga ,
- Marilane de Oliveira Fani Amaro ,
- Maria José Menezes Brito
Views0See moreABSTRACT
Objective:
to understand the professional practice challenges in reaching the goals and objectives of the National Patient Safety Program (Programa Nacional de Segurança do Paciente).
Method:
qualitative case study, based on the Comprehensive Sociology, carried out with 31 professionals from the Patient Safety Center (Núcleo de Segurança do Paciente) and the nursing team, working in a teaching hospital. Data collection took place between May and December 2015 through interviews, observation and documentary analysis. The analysis proceeded according to the prerogatives of the Content Analysis.
Results:
three categories emerged: the prescribed reality; material resources and their impact on care; and human resources related to the reality.
Final considerations:
challenges to safe professional practice are caused by inadequate physical structure, insufficient physical and human resources, but mainly invade the transition from the prescriptive reality scope.
- Andréia Guerra Siman
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RESEARCH01-24-2017
Nurses in the labor market: professional insertion, competencies and skills
Revista Brasileira de Enfermagem. 2017;70(6):1220-1226
Abstract
RESEARCHNurses in the labor market: professional insertion, competencies and skills
Revista Brasileira de Enfermagem. 2017;70(6):1220-1226
DOI 10.1590/0034-7167-2016-0061
Views0See moreABSTRACT
Objective:
to characterize nurses graduated from the School of Nursing of the University of São Paulo, from 2006 to 2012; verify their entry, facilitating factors and difficulties of these graduates in the labor market and to consider their skills and competences in the world of work.
Method:
an exploratory, descriptive study with a qualitative approach.
Results:
out of 505 graduates, 172 (34.1%) participated in the research. Entry into the labor market was mainly via public hospital institutions, in the SE of Brazil, in the caregiving sectors. The greater part remained from one to two years in their first job. Most agreed that they were prepared to meet the health needs of the population. Furthermore, they had been encouraged to seek systematic and continuous improvement in a critical, reflexive and creative way, while combining technical-scientific knowledge and personal skills.
Conclusion:
the results show that the University of São Paulo has been preparing nurses for work in the labor market, in accordance with the provisions of the National Curricular Guidelines.
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