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RESEARCH01-01-2018
Developmental Care: assistance of nurses from Neonatal Intensive Care Units
Revista Brasileira de Enfermagem. 2018;71:2758-2766
Abstract
RESEARCHDevelopmental Care: assistance of nurses from Neonatal Intensive Care Units
Revista Brasileira de Enfermagem. 2018;71:2758-2766
DOI 10.1590/0034-7167-2017-0912
Views0See moreABSTRACT
Objective:
to analyze the Developmental Care in nursing care for Newborns in critical Neonatal Intensive Care Units.
Method:
a qualitative study with 11 nurses from Neonatal Intensive Care Units of a city in the State of São Paulo countryside, based on the Developmental Care. Data collection was based on non-participant observation, documentary research in medical records and semi-structured interviews. The Symbolic Interactionism was adopted as theoretical framework, and the Bardin Content Analysis, as method of analysis.
Results:
nurses have knowledge about Developmental Care; however, there are dissonances with doing them. The analysis is presented from two thematic categories: “Nurses’ performance in the Developmental Care” and “Nurse, Family and Developmental Care”.
Final considerations:
it is necessary to encourage reflections on the care of nurses regarding Developmental Care, and to foster sensitivity and perception in relation to the executed and registered.
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RESEARCH01-01-2018
The production of the professional master’s degree in nursing of the Federal University of Santa Catarina, 2013-2016
Revista Brasileira de Enfermagem. 2018;71:2751-2757
Abstract
RESEARCHThe production of the professional master’s degree in nursing of the Federal University of Santa Catarina, 2013-2016
Revista Brasileira de Enfermagem. 2018;71:2751-2757
DOI 10.1590/0034-7167-2018-0153
Views0See moreABSTRACT
Objective:
To summarize the production of the Professional Master’s Program in Nursing Care Management of the Federal University of Santa Catarina, between 2013 and 2016.
Method:
electronic documental research. After data collection, we analyzed the numbers of defenses in relation to what was predicted by the respective public notices; as well as sex, training time and professional area of the authors; scenario, context and research line; general objective, analysis support model, methodological approach, instruments/techniques of data collection, and technique of analysis; and, finally, technological productions.
Results:
57 dissertations were found and subjected to analysis. The highest number of defenses took place in 2016, in the public scenario, in a care context, with a qualitative approach and having assistance protocols as a final product.
Conclusion:
Although the country has weaknesses in its educational system, results of the post-graduate level stand out through the technological productions of professional master’s studies in nursing.
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RESEARCH01-01-2018
Electroconvulsive therapy: historical construction of nursing care (1989-2002)
Revista Brasileira de Enfermagem. 2018;71:2743-2750
Abstract
RESEARCHElectroconvulsive therapy: historical construction of nursing care (1989-2002)
Revista Brasileira de Enfermagem. 2018;71:2743-2750
DOI 10.1590/0034-7167-2018-0168
Views0See moreABSTRACT
Objective:
to describe the nursing care performed by the nursing team to the person with mental disorder submitted to ECT and to analyze the implications of the Psychiatric Reform in this care.
Method:
socio-historical study, which uses the Thematic Oral History method.
Results:
the nursing team is present in a continuous way in the monitoring of people submitted to ECT, performing care before, during and after the same, as well as visualizing the evolution of the technique and also of nursing care itself, however, does not recognize the Psychiatric Reform as agent for this change.
Final considerations:
the Brazilian Psychiatric Reform triggered a process of humanization of nursing knowledge, influencing the care of the person with mental disorder submitted to ECT, with this, care practices also changed, a law was approved, regulating its practice, and its application was decreasing.
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RESEARCH01-01-2018
Nurses’ perspective on health education in Diabetes Mellitus Care
Revista Brasileira de Enfermagem. 2018;71:2735-2742
Abstract
RESEARCHNurses’ perspective on health education in Diabetes Mellitus Care
Revista Brasileira de Enfermagem. 2018;71:2735-2742
DOI 10.1590/0034-7167-2018-0396
Views0See moreABSTRACT
Objective:
to grasp the perspective of nurses on health education in the process of caring for people with Diabetes Mellitus in Primary Care.
Method:
a descriptive study of a qualitative nature carried out with 13 nurses from the Family Health Strategy in Southern Brazil. The data were collected in November and December of 2017, through recorded interviews, which were submitted to content analysis, thematic modality.
Results:
three categories emerged, which show from the perspective of nurses, the influence of structural and assistance characteristics in the development of educational actions; outcomes of these actions, and possibilities to increase their quality as central to the nursing action.
Final considerations:
there are still gaps in the structuring of public health policies, especially in the process of managing and caring for people with diabetes, which limits quantitatively and qualitatively the development of educational actions in Primary Care.
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RESEARCH01-01-2018
Nursing professionals’ knowledge regarding the management of waste produced in primary health care
Revista Brasileira de Enfermagem. 2018;71:2728-2734
Abstract
RESEARCHNursing professionals’ knowledge regarding the management of waste produced in primary health care
Revista Brasileira de Enfermagem. 2018;71:2728-2734
DOI 10.1590/0034-7167-2018-0308
Views0See moreABSTRACT
Objective:
To evaluate the knowledge of Nursing professionals regarding waste management in primary healthcare services.
Method:
Descriptive study with a mixed approach, developed with 42 nursing professionals who worked in basic health units of a capital in the Brazilian Northeast Region. Quantitative variables were analyzed by the SPSS 20.0 program. Reports were processed by the IRaMuTeQ software, analyzed according to the descending hierarchical classification, and grounded on the Collective Subject Discourse.
Results:
Low knowledge scores were obtained, associated with specific socioeconomic and training variables. Analysis of collected reports allowed to identify three classes: “Inadequate waste disposal: first and main step”; “Correct disposal improves service quality and prevents diseases”; and “Consequences associated with incorrect disposal”.
Conclusion:
The knowledge of professionals falls short of the expectations to adequately manage waste produced in primary health care and is concentrated on the initial steps, mainly the disposal process.
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RESEARCH01-01-2018
Between State, society and family: the care of female caregivers
Revista Brasileira de Enfermagem. 2018;71:2720-2727
Abstract
RESEARCHBetween State, society and family: the care of female caregivers
Revista Brasileira de Enfermagem. 2018;71:2720-2727
DOI 10.1590/0034-7167-2018-0111
Views0See moreABSTRACT
Objective:
to investigate the care provided by family female caregivers of elderly dependents who have been monitored by public home care and its social repercussions, discussing the facets between State, society and families.
Method:
descriptive cross-sectional study, with 45 caregivers of elderly patients accompanied by Home Care Services. Data were collected by means of a structured script. The discussion was elaborated in light of the works “Cuidado e cuidadoras: as várias faces do trabalho do ‘care'” (Care and female caregivers: the several faces of the care work) and “Gênero e trabalho na França e no Brasil” (Gender and work in France and Brazil).
Results:
Most caregivers were women (95%) who performed home care at several places and incorporated hospital equipment into everyday life. They have been caregivers for four and a half years, working 18 hours a day on average; they presented average age of 55 years; 82% were ill, and 43% had no income.
Conclusion:
the study demonstrated the relevance of the care of female caregivers to society as well as their invisibility to public health and social policies.
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RESEARCH01-01-2018
Quality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71:2713-2719
Abstract
RESEARCHQuality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71:2713-2719
DOI 10.1590/0034-7167-2017-0656
Views0See moreABSTRACT
Objective:
To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive healthcare, the bond and the coordination of care in the country’s macro-regions.
Method:
A descriptive, transversal study, from interviews with 65,391 patients of Primary Health Care, in 3,944 municipalities regarding the use of health services.
Results:
The professionals seek to solve the patients’ problems in their unit (73.1%) but focused mainly on the scope of the appointment (65.6%) and offering care away from the population’s reality (69.4%). Difficulties in the rescue of clinical history were referred (50.3%) and in the care performed in other health services (29.2%).
Conclusion:
The comprehensive health care, the bond and the coordination of care remain challenges to the Primary Health Care in the country, requiring reflections on the implementation of national policies, especially considering the regional diversities in Brazil.
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RESEARCH01-01-2018
Role-playing: teaching strategy that encourages reflections on nursing care
Revista Brasileira de Enfermagem. 2018;71:2706-2712
Abstract
RESEARCHRole-playing: teaching strategy that encourages reflections on nursing care
Revista Brasileira de Enfermagem. 2018;71:2706-2712
DOI 10.1590/0034-7167-2017-0733
Views0See moreABSTRACT
Objective:
Describe the reflections of nursing students on nursing care through the use of role-playing.
Method:
Qualitative research with descriptive-exploratory approach and documentary base. The data were collected from portfolios of 32 students from an undergraduate course in the Southern Brazil. The analysis of the data followed the steps of sorting, classification in structures of relevance, synthesis and interpretation.
Results:
Two empirical categories were obtained: (1) Feelings in the act of taking care and receiving care and (2) Reversing roles: benefits to the nurse in the act of caring.
Final considerations:
The use of role-playing as a strategy for teaching the theme of care to undergraduate students encouraged reflections about the skills and abilities necessary for the act of taking care and favored the students’ self-perception as nurses, appropriating the essence of their future profession: care.
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ORIGINAL ARTICLE08-10-2020
Transformational leadership in nursing practice: challenges and strategies
- Vanêska Brito Ferreira
, - Simone Coelho Amestoy ,
- Gilberto Tadeu Reis da Silva ,
- Letícia de Lima Trindade ,
- Ises Adriana Reis dos Santos , [ … ],
- Patrícia Alves Galhardo Varanda
Abstract
ORIGINAL ARTICLETransformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
DOI 10.1590/0034-7167-2019-0364
- Vanêska Brito Ferreira ,
- Simone Coelho Amestoy ,
- Gilberto Tadeu Reis da Silva ,
- Letícia de Lima Trindade ,
- Ises Adriana Reis dos Santos ,
- Patrícia Alves Galhardo Varanda
Views0INTRODUCTIONLeadership stands out as one of the managerial skills necessary to nurses’ practice, especially in the current scenario of frequent overcrowding and scarcity of beds, material resource deficits and insufficient staffing. The reality of some public health services has weaknesses in serving the population and lacks nurses with the knowledge, skills and attitudes to act […]See more - Vanêska Brito Ferreira
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ORIGINAL ARTICLE10-05-2020
Factors associated with the performance of episiotomy
- Bruna Menezes Aguiar ,
- Thales Philipe Rodrigues da Silva ,
- Samire Lopes Pereira ,
- Ana Maria Magalhães Sousa ,
- Roberta Barbosa Guerra , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEFactors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
DOI 10.1590/0034-7167-2019-0899
- Bruna Menezes Aguiar ,
- Thales Philipe Rodrigues da Silva ,
- Samire Lopes Pereira ,
- Ana Maria Magalhães Sousa ,
- Roberta Barbosa Guerra ,
- Kleyde Ventura de Souza ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the performance of episiotomy.
Methods:
Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.
Results:
Episiotomy was performed in 26.34% of women, and 59.21% knew they had been subjected to it. We observed that younger women, primiparous women, women assisted by a professional other than the obstetric nurse and women who had their babies in a private hospital have an increased chance of being submitted to this procedure.
Conclusion:
Considering the rates of episiotomy, this study highlights the need for the absolute contraindication to indiscriminate performing it.
- Bruna Menezes Aguiar
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ORIGINAL ARTICLE01-27-2020
Factors associated with depressive symptoms in elderly caregivers with chronic pain
- Marielli Terassi ,
- Estefani Serafim Rossetti ,
- Bruna Moretti Luchesi ,
- Karina Gramani-Say ,
- Priscilla Hortense , [ … ],
- Sofia Cristina Iost Pavarini
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
DOI 10.1590/0034-7167-2017-0782
- Marielli Terassi ,
- Estefani Serafim Rossetti ,
- Bruna Moretti Luchesi ,
- Karina Gramani-Say ,
- Priscilla Hortense ,
- Sofia Cristina Iost Pavarini
Views0See moreABSTRACT
Objective:
to identify factors associated with depressive symptoms in elderly caregivers with chronic pain.
Method:
the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression.
Results:
most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use.
Conclusion:
factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.
- Marielli Terassi
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04-14-2021
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
- Vinicius Batista Santos ,
- Daniele Cristina Bosco Aprile ,
- Camila Takáo Lopes ,
- Juliana de Lima Lopes ,
- Mônica Antar Gamba , [ … ],
- Tânia Arena Moreira Domingues
Abstract
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
Revista Brasileira de Enfermagem. 2021;74:e20201185
DOI 10.1590/0034-7167-2020-1185
- Vinicius Batista Santos ,
- Daniele Cristina Bosco Aprile ,
- Camila Takáo Lopes ,
- Juliana de Lima Lopes ,
- Mônica Antar Gamba ,
- Karina Aparecida Lopes da Costa ,
- Tânia Arena Moreira Domingues
Views0See moreABSTRACT
Objective:
to perform the content and face validation of a checklist and a banner on pressure injury prevention in patients in prone position.
Method:
this is a methodological study of content and face validation with 26 nurses with specialization. Professionals assessed the checklist and the banner in relation to clarity, theoretical relevance, practical relevance, relation of the figures to the text and font size. The Content Validity Index was calculated for each item, considering one with a value equal to or greater than 0.8 as valid.
Results:
all the actions described in the checklist and in the banner had a Content Validity Index greater than 0.80, with standardization of verbal time and esthetic adjustments in the banner’s layout, as suggested.
Conclusions:
the checklist and the banner were validated and can be used in clinical practice to facilitate pressure injury preventions in patients in prone position.
- Vinicius Batista Santos
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REVIEW03-09-2020
Singular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
Abstract
REVIEWSingular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
DOI 10.1590/0034-7167-2018-0508
Views0See moreABSTRACT
Objectives:
to analyze the Singular Therapeutic Projects’ characteristics in mental health care used to assist the subject with psychological distress.
Methods:
it is an Integrative Literature Review study conducted in July 2017. The following databases used to collect the data were LILACS, MEDLINE and BDENF. After applying the inclusion and exclusion criteria, 12 articles were selected.
Results:
there was divergence between what was recommended by the Ministry of Health for PTS elaboration with that described in the studies analyzed. Emphasis is placed on the low participation and co-responsibility between team/user in PTS elaboration, excessive referrals to specialized mental health services, fragmentation of knowledge within the multidisciplinary team, and difficulty sharing and discussing information about cases.
Final considerations:
it is pointed out the need to adapt PTS elaboration, and its respective steps, to the needs of each individual.
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ORIGINAL ARTICLE12-13-2019
Obstetric Nursing in best practices of labor and delivery care
- Thales Philipe Rodrigues da Silva ,
- Érica Dumont-Pena ,
- Ana Maria Magalhães Sousa ,
- Torcata Amorim ,
- Luísa Castanheira Tavares , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEObstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
DOI 10.1590/0034-7167-2018-0561
- Thales Philipe Rodrigues da Silva ,
- Érica Dumont-Pena ,
- Ana Maria Magalhães Sousa ,
- Torcata Amorim ,
- Luísa Castanheira Tavares ,
- Débora Cabral di Pietra Nascimento ,
- Kleyde Ventura de Souza ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objective:
to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals.
Method:
a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition.
Results:
clearly useful practices were used in greater proportions in the hospitals that had Obstetric Nursing working, while clearly harmful practices and those used inappropriately were practiced in smaller proportions in hospitals that had Obstetric Nursing, both with statistical difference.
Conclusion:
institutions with Obstetric Nursing adopt better practices of delivery and birth care, based on scientific evidence, when compared to those that do not act.
- Thales Philipe Rodrigues da Silva
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REVIEW08-20-2021
Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
- Marcela Moreira Nascimento Prieto ,
- Renata Elizabete Pagotti da Fonseca ,
- Silvia Helena Zem-Mascarenhas
Abstract
REVIEWAssessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
DOI 10.1590/0034-7167-2020-1315
- Marcela Moreira Nascimento Prieto ,
- Renata Elizabete Pagotti da Fonseca ,
- Silvia Helena Zem-Mascarenhas
Views0See moreABSTRACT
Objectives:
to describe, from literature, the characteristics of patient safety culture in Brazilian hospitals that applied the Hospital Survey on Patient Safety Culture.
Methods:
this is a scoping review. A search was performed in the databases LILACS, PubMed, SciELO, CINAHL, Web of Science, Scopus and in the CAPES Dissertations and Theses Database in September and October 2020.
Results:
thirty-six studies were identified. Nine studies identified strengthened areas such as: “teamwork within the units”, “expectations of supervisor/boss and actions promoting safety”, “organizational learning”, “support of hospital management for patient safety” and “frequency of report of events”. As a critical area, the dimension “non-punitive response to error” was evidenced in 30 of 36 studies.
Conclusions:
the identification of areas of strength and critical areas of safety culture is relevant to encourage improvement of patient safety problems in an institution.
- Marcela Moreira Nascimento Prieto
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ORIGINAL ARTICLE07-31-2020
Maternal and child health care: adequacy index in public health services
- Flávia Françoso Genovesi ,
- Márcia Aparecida dos Santos Silva Canario ,
- Christine Bacarat de Godoy ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli , [ … ],
- Rosângela Aparecida Pimenta Ferrari
Abstract
ORIGINAL ARTICLEMaternal and child health care: adequacy index in public health services
Revista Brasileira de Enfermagem. 2020;73:e20170757
DOI 10.1590/0034-7167-2017-0757
- Flávia Françoso Genovesi ,
- Márcia Aparecida dos Santos Silva Canario ,
- Christine Bacarat de Godoy ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli ,
- Rosângela Aparecida Pimenta Ferrari
Views0See moreABSTRACT
Objectives:
to analyze the adequacy of maternal and child-care in prenatal care, childbirth and the puerperal period, in the public health service.
Methods:
longitudinal study carried out in a city in Paraná with 357 puerperal women in a public maternity ward, outpatient clinic for immediate puerperal return and home visit 42 days postpartum. Four care domains were grouped (1 – Prenatal, 2 – Maternity, 3 – Immediate puerperal return, 4 – Late puerperal return). Mean, median, standard deviation and coefficient of variance were calculated considering adequate assistance when ≥ 70%; and inadequate, inferior.
Results:
lowest suitability average in Domain 3 (39.37%) and highest for Domain 4 (74.82%); median of 50.00% at 3 and 76.90% at 4. The largest standard deviation, in Domain 3 (25.18%); and high coefficient of variance for 1 and 3.
Conclusions:
in maternal and child follow-up, rates close to adequate in maternity care and higher in late puerperal return, meanwhile prenatal and immediate puerperal return were below the recommended in the health care network.
- Flávia Françoso Genovesi
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