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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
Views0See moreABSTRACT
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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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
Views0See moreABSTRACT
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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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
Views0See moreABSTRACT
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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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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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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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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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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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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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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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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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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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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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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ORIGINAL ARTICLE09-07-2020
Construction of the matrix of individual nursing competences in surgical units
Revista Brasileira de Enfermagem. 2020;73(6):e20190584
Abstract
ORIGINAL ARTICLEConstruction of the matrix of individual nursing competences in surgical units
Revista Brasileira de Enfermagem. 2020;73(6):e20190584
DOI 10.1590/0034-7167-2019-0584
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Objective:
to build and to describe an Individual Skills Matrix for nurses working in surgical units and their associated behaviors / attitudes.
Method:
Exploratory, qualitative study. 43 nurses from five surgical units participated, and data collection was carried out between April and September 2017. The focus group technique was used and for data interpretation an inductive thematic analysis was performed. The competence matrix was built from the testimonies of the participants plus a search in the literature for concepts directed to each competence and description of the expected behaviors and / or attitudes.
Results:
For the Matrix, the following individual skills were identified: Planning; Communication, Relational Competence, Leadership, Decision Making and Ethics.
Final Considerations:
The construction of a Matrix should assist managers in recognizing the professional profile and assessing their performance, strengthening the achievement of professional and organizational objectives, as well as contributing to the quality and effectiveness of the care provided by nurses in these places.
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09-16-2019
Motherhood and HIV: reproductive desire, ambivalent feelings and a/an (not) offered care
Revista Brasileira de Enfermagem. 2019;72(5):1378-1388
Abstract
Motherhood and HIV: reproductive desire, ambivalent feelings and a/an (not) offered care
Revista Brasileira de Enfermagem. 2019;72(5):1378-1388
DOI 10.1590/0034-7167-2018-0063
Views0See moreABSTRACT
Objective:
To identify in the scientific literature the feelings of women living with HIV in relation to reproduction and motherhood, as well as the care provided by health professionals regarding reproductive health as a right.
Method:
Integrative review carried out in 2017, in the databases LILACS, PUBMED, BDENF and SciELO Virtual Library. We analyzed 30 articles.
Results:
As feelings, the motivation for reproduction and self-care, fears, uncertainties and hopes were evidenced. As care, services that support reproductive decisions were evidenced, but, predominantly, the disregard for the desire and care incipience for reproductive planning.
Conclusion:
There is no comprehensive and humanized work on the reproductive issues of these women, either through the neglect of the desire and viability of gestation or by the incipient care to the ambivalent emotional experiences. There is a need to qualify the care model in order to configure it, in fact, as care, aiming at guaranteeing reproductive rights.
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01-29-2021
Information about COVID-19 for deaf people: an analysis of Youtube videos in Brazilian sign language
Revista Brasileira de Enfermagem. 2021;74:e20200291
Abstract
Information about COVID-19 for deaf people: an analysis of Youtube videos in Brazilian sign language
Revista Brasileira de Enfermagem. 2021;74:e20200291
DOI 10.1590/0034-7167-2020-0291
Views0See moreABSTRACT
Objective:
to analyze YouTube videos with information about COVID-19 in Brazilian sign language.
Methods:
a cross-sectional study conducted with 402 videos from the YouTube sharing platform. Chi-square, Fisher’s exact, Mann-Whitney and Spearman’s correlation tests were used.
Results:
the videos mainly covered COVID-19 prevention (20.6%). There was a positive correlation between video length and number of views (p<0.001). The length of more than 20 minutes was associated with narration only in BSL (p=0.37) and in BSL with audio (p<0.001), while videos with less than 20 minutes were associated with simultaneous narration in BSL, audio and subtitles. Those with narration only in BSL had a similar number of views to those narrated with subtitles and/or audio (p=0.998).
Conclusion:
the videos were mostly short and included COVID-19 prevention. The longer the video, the greater the number of views. Regardless the presentation of narrations, the videos had a similar number of views.
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ORIGINAL ARTICLE11-10-2022
Content validation to support the monitoring of disclosure of HIV diagnosis in childhood
Revista Brasileira de Enfermagem. 2022;75:e20210027
Abstract
ORIGINAL ARTICLEContent validation to support the monitoring of disclosure of HIV diagnosis in childhood
Revista Brasileira de Enfermagem. 2022;75:e20210027
DOI 10.1590/0034-7167-2021-0027
Views0See moreABSTRACT
Objectives:
to create and validate the content of a guide for monitoring the communication of the HIV diagnosis in childhood.
Methods:
methodological study, with a design guided by the Knowledge-to-Action (KTA) Framework, supported by a participatory approach. The guide’s content was structured according to the communication elements proposed by Lasswel from review studies.
Results:
the content was validated by 26 experts from nursing, medicine, psychology and pedagogy, using a Likert-type scale for relevance, clarity and precision. Data collection took place online and achieved a Content Validity Index of 0.94.
Conclusions:
the guide can contribute to the practice of professionals who care for children living with HIV, to support the family in communication and to the child’s right to know their diagnosis. For further research, it is recommended to create and validate the face of the technology in order to implement it.
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ORIGINAL ARTICLE04-22-2022
Development, validation and international certification of a health portal for people with disabilities
Revista Brasileira de Enfermagem. 2022;75:e20210082
Abstract
ORIGINAL ARTICLEDevelopment, validation and international certification of a health portal for people with disabilities
Revista Brasileira de Enfermagem. 2022;75:e20210082
DOI 10.1590/0034-7167-2021-0082
Views0See moreABSTRACT
Objectives:
to develop, validate with specialists and internationally certify a virtual health portal, the D+Informação.
Methods:
a quantitative methodological study. Twenty-two expert judges validated the Portal in the health and computer science areas using the Content Validity Index and the Gwet test. International certification followed HONcode principles® to ensure the trust of information.
Results:
judges of health and computer science validated the portal obtaining a minimum Content Validity Index in more than 75% of the topics, in addition to the evaluation of general agreement, 0.253; content evaluation, 0.193, and interface evaluation, 0.230. All presented the value of Gwet with p ≤ 0,001.
Conclusions:
the portal D+Informação was developed, validated, internationally certified and is hosted on this website:
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07-30-2021
Sleep quality and work among nursing vocational students
Revista Brasileira de Enfermagem. 2021;74(6):e20201285
Abstract
Sleep quality and work among nursing vocational students
Revista Brasileira de Enfermagem. 2021;74(6):e20201285
DOI 10.1590/0034-7167-2020-1285
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Objectives:
to analyze quality of sleep among students of technical courses in nursing according to the exercise of work activity.
Methods:
a cross-sectional and analytical research, with 213 students from Paraná. Characterization data and the Pittsburg Sleep Quality Index were collected between March and June 2020 and analyzed descriptively and inferentially.
Results:
quality of poor sleep was 76.5% among those who work and 75.3% among those who do not work. Difficulty in reconciling personal and academic life (p=0.016;adjOR:3.450) and indicating anxiety due to school activities (p=0.017;adjOR:3.236) increased the chances of poor sleep quality among working students. Satisfaction with health reduced the chances of poor sleep quality, regardless of exercising work activity (p=0.002;adjOR:0.210) or not (p=0.008;adjOR:0.215).
Conclusions:
students who performed work activities have worse sleep quality due to anxiety and the multiple activities to be reconciled with the study.
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ORIGINAL ARTICLE09-16-2019
Knowledge of sex workers about HIV/AIDS and its influence on sexual practices
Revista Brasileira de Enfermagem. 2019;72(5):1311-1317
Abstract
ORIGINAL ARTICLEKnowledge of sex workers about HIV/AIDS and its influence on sexual practices
Revista Brasileira de Enfermagem. 2019;72(5):1311-1317
DOI 10.1590/0034-7167-2018-0590
Views0See moreABSTRACT
Objective:
assess the knowledge of sex workers about HIV/AIDS and its influence on sexual practices.
Method:
Ninety women participated in the study. The Scientific Knowledge Test about HIV/AIDS and sexual practices was used. The Wald test was applied to verify the relationship between knowledge and sexual practices with statistical significance of p<0.05.
Results:
the score of 61.7% of correct answers in all three dimensions stands out; 72.2% have sexual intercourse without a condom in exchange for a large amount of money; 53.3% have sex during the menstrual period; 62.2% have sexual intercourse with drug users; 75.6% have sex with clients showing lesions on the penis or anus. The B coefficient (-0.19) showed that the higher the knowledge about HIV/AIDS, the lower the practice of risky sexual behaviors.
Conclusion:
the influence of knowledge about HIV/AIDS on sexual practices was not statistically significant, but the sexual practices and insufficient knowledge about prevention, physiological and behavioral attributes were observed.
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REVIEW12-16-2023
Multilevel model in the identification of behavioral and structural risk factors for HIV: integrative review
Revista Brasileira de Enfermagem. 2023;76(1):e20210853
Abstract
REVIEWMultilevel model in the identification of behavioral and structural risk factors for HIV: integrative review
Revista Brasileira de Enfermagem. 2023;76(1):e20210853
DOI 10.1590/0034-7167-2021-0853
Views0See moreABSTRACT
Objectives:
to investigate studies that adopted the multilevel analysis model to identify behavioral and structural risk factors associated with HIV infection.
Methods:
an integrative review of the literature with studies available in full, obtained from EMBASE, CINAHL, Pubmed, and Scopus, whose selected descriptors were the indexed terms: “HIV”, “multilevel analysis” and “behavior”.
Results:
the search resulted in 236 studies. Out of these, ten studies comprised the sample. Economic disadvantage, neighborhood characteristics, housing instability, incarceration, transactional sex, multiple partners, substance abuse, and age at first intercourse were classified as structural and behavioral risk factors for HIV. Reduced socioeconomic disadvantage, provision of housing stability, and condom use were associated with protective factors for HIV exposure.
Conclusions:
by applying the multilevel model in risk factor research studies, it was possible to identify the structural and behavioral elements of HIV risk.
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