Articles - Revista Brasileira de Enfermagem

ORIGINAL ARTICLE08-07-2023

Factors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76:e20220428

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Abstract
ORIGINAL ARTICLE
Factors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76:e20220428
DOI 10.1590/0034-7167-2022-0428
Denise Montenegro da Silva ,
Régia Christina Moura Barbosa Castro ,
Ana Fátima Carvalho Fernandes ,
Erilaine de Freitas Corpes ,
Cristina Poliana Rolim Saraiva dos Santos ,
Andrea Bezerra Rodrigues
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ABSTRACT

Objectives:

to analyze the factors associated with the time to surgical treatment for breast cancer in patients seen at a reference mastology outpatient clinic in the State of Ceará.

Methods:

analytical, longitudinal study with medical charts from the Mastology Outpatient Clinic of Assis Chateaubriand Maternity School. We used 140 medical charts of breast cancer patients with surgeries performed during the pandemic.

Results:

the study evidenced associations between schooling and shorter time to treatment in patients who underwent biopsy before the first outpatient visit (p = 0.026; OR: 0.16; CI = 0.03-0.85); in the group who had the biopsy performed by the outpatient clinic, was associated the type of tumor (p = 0.019) and neoadjuvant therapy (p = 0.000).

Conclusions:

the lesser educational level, tumor type, and use of neoadjuvant therapy were factors associated with the time to treatment during the pandemic period.

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ORIGINAL ARTICLE08-07-2023

Nursing students’ knowledge and attitude in relation to COVID-19 prevention behavior
Revista Brasileira de Enfermagem. 2023;76:e20220588

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Nursing students’ knowledge and attitude in relation to COVID-19 prevention behavior
Revista Brasileira de Enfermagem. 2023;76:e20220588
DOI 10.1590/0034-7167-2022-0588
Vhania Dhominica Bani ,
Pinka Kinanthi Gusti ,
Marlita Enjel Rawul ,
Martina Pakpahan ,
Ester Silitonga
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ABSTRACT

Objectives:

to determine the correlation between nursing students’ level of knowledge and attitudes toward COVID-19 prevention behavior.

Methods:

a cross-sectional study was carried out at the Private University in Indonesia. Accidental sampling was used to select 188 third-year bachelor’s nursing students as respondents. Data collection was conducted through an online questionnaire (Cronbach’s Alpha 0.799-0.959) consisting of 27 questions. The data were analyzed descriptively and inferentially.

Results:

as many as 49.5 % of respondents had high knowledge, 98.4 % had a positive attitude, and 89.9 % had positive behavior in preventing COVID-19 transmission. The Chi-square test revealed that knowledge has no correlation with COVID-19 prevention behavior (p-value 0.864), but attitude did (p-value 0.027).

Conclusions:

nursing students’ attitudes are related to behavior in preventing COVID-19. Nursing students are expected to maintain positive attitudes and behaviors toward COVID-19 prevention as future health workers at the forefront of health services.

Keywords:Attitude COVID-19 Health behavior Knowledge Nursing Student
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08-07-2023

Conhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220588

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Abstract
Conhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220588
DOI 10.1590/0034-7167-2022-0588
Vhania Dhominica Bani ,
Pinka Kinanthi Gusti ,
Marlita Enjel Rawul ,
Martina Pakpahan ,
Ester Silitonga
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RESUMEN

Objetivos:

determinar la correlación entre el nivel de conocimiento y las actitudes de los estudiantes de enfermería en relación a la conducta de prevención de la COVID-19.

Métodos:

estudio transversal realizado en una Universidad Privada de Indonesia. Se utilizó un muestreo accidental para seleccionar a 188 estudiantes de tercer año de enfermería como encuestados. La recolección de datos se realizó mediante un cuestionario en línea que consta de 27 preguntas (alfa de Cronbach 0.799-0.959). Los datos fueron analizados de forma descriptiva e inferencial.

Resultados:

el 49,5 % de los encuestados tenía conocimientos altos, el 98,4 % tenía una actitud positiva y el 89,9 % tenía un comportamiento positivo en la prevención de la transmisión de la COVID-19. La prueba de Chi-cuadrado reveló que el conocimiento no tiene correlación con el comportamiento de prevención de COVID-19 (valor de p 0,864), pero la actitud sí (valor de p 0,027).

Conclusiones:

las actitudes de los estudiantes de enfermería están relacionadas con el comportamiento en la prevención del COVID-19. Se espera que los estudiantes de enfermería mantengan actitudes y comportamientos positivos hacia la prevención de COVID-19 como futuros profesionales de la salud en la primera línea de los servicios de salud.

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08-07-2023

Senso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220468

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Senso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220468
DOI 10.1590/0034-7167-2022-0468
Fabiane Dolphine Fuentes Penachiotti ,
Mirian Ueda Yamaguchi ,
Adi Mana ,
Shifra Sagy ,
Rute Grossi-Milani
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RESUMEN

Objetivos:

verificar el papel del sentido de coherencia, sentido de coherencia nacional, apoyo social y confianza en las instituciones como predictores de salud mental en brasileños durante la pandemia de COVID-19.

Métodos:

estudio transversal, realizado de noviembre de 2020 a enero de 2021 mediante cuestionario online. Se utilizaron instrumentos estandarizados. La muestra estuvo compuesta por 1.630 brasileños. En el análisis de datos se realizaron correlación de Pearson y regresión lineal.

Resultados:

el sentido de coherencia fue el único predictor de ansiedad [β= -0,61;p<0,001], explicando el 38% de la variación de sus puntuaciones, mientras que el sentido de coherencia [β=0,52;p<0,001], sentido de coherencia nacional [β= 0,16;p<0,001] y apoyo social [β=0,15;p<0,001] fueron predictores de salud mental positiva y en conjunto explicaron el 51% de su variación.

Conclusiones:

los hallazgos sugieren que sentido de coherencia, sentido de coherencia nacional y el apoyo social representan importantes predictores de salud mental y que el fortalecimiento de estos recursos, podría potencialmente promover la salud mental de los brasileños.

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ORIGINAL ARTICLE08-07-2023

Sense of coherence and social support as predictors of mental health during COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220468

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Sense of coherence and social support as predictors of mental health during COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220468
DOI 10.1590/0034-7167-2022-0468
Fabiane Dolphine Fuentes Penachiotti ,
Mirian Ueda Yamaguchi ,
Adi Mana ,
Shifra Sagy ,
Rute Grossi-Milani
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ABSTRACT

Objectives:

to verify the role of sense of coherence, sense of national coherence, social support and trust in institutions to predict mental health in Brazilians during the COVID-19 pandemic.

Methods:

a cross-sectional study, carried out from November, 2020 to January, 2021 via an online survey. Standardized instruments were used. The sample consisted of 1,630 Brazilians. Pearson’s correlation and linear regression were performed in data analysis.

Results:

sense of coherence was the only predictor of anxiety [β= -0.61; p<0.001], explaining 38% of the variance in its scores, while sense of coherence [β= 0.52; p<0.001], sense of national coherence [β= 0.16; p<0.001], and social support [β= 0.15; p<0.001] predicted positive mental health and together explained 51% of its variance.

Conclusions:

the findings suggest that sense of coherence, sense of national coherence and social support represent important predictors for mental health and that strengthening these resources, could potentially promote Brazilians’ mental health.

Keywords:Anxiety COVID-19 Health Promotion Mental Health Sense of Coherence
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ORIGINAL ARTICLE07-31-2023

Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475

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Abstract
ORIGINAL ARTICLE
Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
DOI 10.1590/0034-7167-2022-0475
Paula dos Santos Brito ,
Lívia Maia Pascoal ,
Mário Vinicius Teles Costa ,
Lorrany Fontenele Moraes da Silva ,
Liana Priscilla Lima de Melo ,
Marcelino Santos Neto ,
Francisca Elisângela Teixeira Lima ,
Floriacy Stabnow Santos
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ABSTRACT

Objectives:

to assess the operationalization of Primary Health Care in the COVID-19 pandemic, according to Primary Care Assessment Tool: PCATool-Brasil attributes, from physicians’ and nurses’ perspective.

Methods:

a cross-sectional study, carried out with 99 physicians and nurses from Basic Health Units in a state in northeastern Brazil, with the aid of the adapted instrument PCATool-Brasil.

Results:

Essential Score was classified as high performance (6.6) and General Score as low performance (6.5). First Contact Access, Care Integration, and Community Guidance scores were <6.6. The best performances were attributed to the Longitudinality, Comprehensiveness and Family Guidance services (scores>6.6).

Conclusions:

the attributes of Primary Health Care, in general, showed values above or close to the cut-off point in the assessment. These data can support strategies for local and national managers to strengthen Primary Health Care in the COVID-19 pandemic and future public health emergencies.

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07-31-2023

Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
Revista Brasileira de Enfermagem. 2023;76:e20220173

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
Revista Brasileira de Enfermagem. 2023;76:e20220173
DOI 10.1590/0034-7167-2022-0173
Mariana Torreglosa Ruiz ,
Karoline Faria de Oliveira ,
Nayara Freitas Azevedo ,
Marina Carvalho Paschoini ,
Wellington Francisco Rodrigues ,
Carlo José Freire de Oliveira ,
Jacqueline Faria de Oliveira ,
Luciana Mara Monti Fonseca ,
Monika Wernet
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ABSTRACT

Objectives:

to compare exclusive breastfeeding prevalence versus artificial feeding in newborns of mothers with COVID-19.

Methods:

a systematic review of prevalence, according to JBI. Searches in PubMe^d®, Embase, CINAHL, LILACS and Web of Science™ databases in August 2021. Cross-sectional, longitudinal or cohort studies were selected, without language and time limitations that showed breastfeeding prevalence or that allowed calculation.

Results:

fifteen articles published in 2020 and 2021, cohort (60%) or cross-sectional (40%) were analyzed. The average of exclusive breastfeeding in mothers with COVID-19 was 56.76% (CI=39.90–72.88), and artificial breastfeeding, 43.23% (CI = 30.99 – 55.88), without statistically significant differences.

Conclusions:

despite the recommendations for maintaining breastfeeding, there was a reduction worldwide, when compared to periods prior to the pandemic. With advances in science, these rates have improved, showing the impact of evidence on practices. As limitations, study sources are cited. It is recommended to carry out new studies. PROSPERO registration CRD42021234486.

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ORIGINAL ARTICLE07-31-2023

Sociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital
Revista Brasileira de Enfermagem. 2023;76:e20220730

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Sociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital
Revista Brasileira de Enfermagem. 2023;76:e20220730
DOI 10.1590/0034-7167-2022-0730
Evelyn Klein dos Santos ,
Fernando Riegel ,
Jhonatan Tyson Barros Azevedo ,
Maria da Graça Oliveira Crossetti ,
Margarita Ana Rubin Unicovsky ,
Jussara Gue Martini ,
Paula Bresolin ,
Andrea Aparecida Gonçalves Nes
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ABSTRACT

Objectives:

to analyze the sociodemographic profile, diagnoses and nursing care of post-COVID-19 patients admitted to a university hospital in southern Brazil.

Methods:

a retrospective cohort study. The sample consisted of 1,467 medical records, from January 2020 to January 2021.

Results:

from the analyzed medical records, the most prevalent profiles, respectively, included: males (52.9%); white (81.1%); with Impaired Physiological Balance Syndrome* Nursing Diagnosis (77.3%); nursing care implementing aerosol precautions (94.5%); implementing droplet precautions (93.4%); checking vital signs (91.9%); applying standard disinfectant to equipment and surfaces (89.6%).

Conclusions:

the analysis of the sociodemographic profile, diagnoses and nursing care of patients in this study may contribute to implementing the Nursing Process in the coronavirus pandemic context.

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RESEARCH01-01-2018

Self-care of men with priapism and sickle cell disease
Revista Brasileira de Enfermagem. 2018;71(5):2418-2424

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Abstract
RESEARCH
Self-care of men with priapism and sickle cell disease
Revista Brasileira de Enfermagem. 2018;71(5):2418-2424
DOI 10.1590/0034-7167-2017-0464
Deise Oliveira Costa,
Fabíola Azevedo Araújo,
Aline Silva Gomes Xavier,
Lorena dos Santos Araújo,
Ueigla Batista da Silva,
Eliene Almeida Santos,
Silvia Lúcia Ferreira
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ABSTRACT

Objective:

To identify self-care demands of men with sickle cell disease and priapism and describe self-care measures in light of Orem’s Self-Care Theory.

Method:

This is a descriptive exploratory study with qualitative approach conducted with nine men with a history of sickle cell disease and priapism. Data were analyzed using Orem’s Self-Care Theory.

Results:

Some demands were identified: from universal self-care – difficulty in social interaction and solitude, changes in self-image, self-esteem and sexual activity; from development – the experience with priapism and little knowledge about the pathophysiology of the disease; regarding health deviations – pain crises.

Conclusion:

Orem’s theory allowed to identify self-care demands, which are essential for the nursing care provided for men with priapism. Nursing has an essential role in the measures for the different demands presented.

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ORIGINAL ARTICLE10-09-2023

Compliance with central venous catheter infection prevention practices after intervention with simulation
Revista Brasileira de Enfermagem. 2023;76(4):e20220574

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Compliance with central venous catheter infection prevention practices after intervention with simulation
Revista Brasileira de Enfermagem. 2023;76(4):e20220574
DOI 10.1590/0034-7167-2022-0574
Thayane Gusmão Pires de Oliveira ,
Juliana de Oliveira Marcatto ,
Allana dos Reis Corrêa ,
Luciano Marques dos Santos ,
Patrícia Kuerten Rocha ,
Delma Aurélia da Silva Simão ,
Bruna Figueiredo Manzo
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ABSTRACT

Objectives:

to assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit.

Methods:

a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted.

Results:

after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique.

Conclusions:

the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.

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EXPERIENCE REPORT10-09-2023

Focus group in the development of concepts for a Nursing model: experience report
Revista Brasileira de Enfermagem. 2023;76(4):e20220689

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
EXPERIENCE REPORT
Focus group in the development of concepts for a Nursing model: experience report
Revista Brasileira de Enfermagem. 2023;76(4):e20220689
DOI 10.1590/0034-7167-2022-0689
Jaquiele Jaciara Kegler ,
Eliane Tatsch Neves ,
Maria Ribeiro Lacerda ,
Diúlia Calegari de Oliveira
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ABSTRACT

Objective:

To communicate the experience of developing concepts for the construction of a care model through focus groups.

Methods:

An experience report on the development of concepts through remote focus groups with members of a research group from a public university in southern Brazil.

Results:

Focus groups were developed in which homogeneity and heterogeneity criteria were observed among participants. In addition to the concepts of the nursing metaparadigm, the concepts of care and family-centered care were developed, relevant to the nursing care model in question.

Final considerations:

Despite the challenges of conducting remote focus groups, they were suitable for the collective construction of concepts for a nursing care model, allowing the interaction of participants from different locations.

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ORIGINAL ARTICLE10-09-2023

Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life
Revista Brasileira de Enfermagem. 2023;76(4):e20220780

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life
Revista Brasileira de Enfermagem. 2023;76(4):e20220780
DOI 10.1590/0034-7167-2022-0780
Dartagnan Pinto Guedes ,
Bruna Hatsue Santos Yamaji ,
Marizete Arenhart Zuppa
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ABSTRACT

Objective:

To investigate the independent and combined effects of lifestyle behaviors, including physical activity, sedentary behavior, sleep duration and food intake, in the health-related quality of life (HRQoL) of Brazilian adolescents.

Methods:

Cross-sectional school-based study, with the participation of 306 adolescents aged 14 to 18 years. A questionnaire was applied with structured questions to collect lifestyle behaviors data. Perception of the HRQoL was identified using the Kidscreen-27. The study used covariance analysis and linear regression models for statistical analysis.

Results:

Adolescents who reported ≤ 2 hours/day of screen-based sedentary behavior and sleep duration equivalent to 8-10 hours/night presented significantly higher HRQoL. Adolescents who reported joint adherence ≥ 3 healthy lifestyle behaviors demonstrated approximately two [OR=2.12] to three times [OR=3.04] more chance of presenting higher perceptions of HRQoL.

Conclusion:

Although healthy lifestyle behaviors had a positive independent effect on HRQoL, joint adherence to healthy behaviors enhances the cumulative effect.

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ORIGINAL ARTICLE12-04-2023

Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679

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Abstract
ORIGINAL ARTICLE
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
DOI 10.1590/0034-7167-2022-0679
Ana Paula Nogueira de Magalhães ,
Diego de Oliveira Souza ,
Fernanda Pereira de Macêdo ,
Sabrina Ângela França da Silva Cruz ,
Camila Pereira-Abagaro ,
Roselia Arminda Rosales-Flores
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ABSTRACT

Objective:

To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.

Methods:

Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.

Results:

among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).

Conclusions:

The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.

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ORIGINAL ARTICLE05-29-2023

Quality of life from women’s perspective in the exercise of sex work: a study of social representations
Revista Brasileira de Enfermagem. 2023;76:e20220169

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Abstract
ORIGINAL ARTICLE
Quality of life from women’s perspective in the exercise of sex work: a study of social representations
Revista Brasileira de Enfermagem. 2023;76:e20220169
DOI 10.1590/0034-7167-2022-0169
Pablo Luiz Santos Couto ,
Maria Luisa Pereira Neves ,
Luiz Carlos Moraes França ,
Antônio Marcos Tosoli Gomes ,
Samantha Souza da Costa Pereira ,
Alba Benemérita Alves Vilela ,
Dejeane de Oliveira Silva ,
Sérgio Correia Marques
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ABSTRACT

Objectives:

to analyze the social representations elaborated by sex workers from Alto Sertão Produtivo Baiano about quality of life.

Methods:

a qualitative study, based on the Social Representation Theory, carried out in the region of Alto Sertão Produtivo Baiano, with 30 sex workers. Individual in-depth interview was carried out, with speeches organized in a corpus and treated in IRAMUTEQ, enabling lexical analysis for Descending Hierarchical Classification.

Results:

four thematic classes emerged, in which social representations of quality of life pervade: money earned to supply needs; association with healthy living and obtaining health (physical and mental); balance of emotions (although there are some negative sensations such as fear and anxiety); and faith in a deity.

Final Considerations:

the social representations elaborated by sex workers about quality of life are anchored in concepts, subjective and practical, punctuated by the World Health Organization.

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ORIGINAL ARTICLE12-08-2023

Care for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767

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Abstract
ORIGINAL ARTICLE
Care for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
DOI 10.1590/0034-7167-2022-0767
Isadora Queiroz Correa Garchet Furtado ,
Isabela Silva Cancio Velloso ,
Carolina Salles Galdino ,
Alexandre de Pádua Carrieri
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ABSTRACT

Objective:

to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals’ perspective.

Methods:

this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man.

Results:

from professionals’ perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency.

Final considerations:

caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.

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ORIGINAL ARTICLE12-08-2023

Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
DOI 10.1590/0034-7167-2022-0785
Carine Teles Sangaleti ,
Maicon Henrique Lentsck ,
Dannyele Cristina da Silva ,
Andrielli Machado ,
Maria Regiane Trincaus ,
Maria Cristina Umpierrez Vieira ,
Bruno Bordin Pelazza ,
Fernanda Marciano Consolim Colombo
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ABSTRACT

Objective:

to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care.

Methods:

a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression.

Results:

polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications.

Conclusions:

polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.

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ORIGINAL ARTICLE06-16-2021

Patient participation in care safety: Primary Health Care professionals’ perception
Revista Brasileira de Enfermagem. 2021;74(2):e20200773

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Patient participation in care safety: Primary Health Care professionals’ perception
Revista Brasileira de Enfermagem. 2021;74(2):e20200773
DOI 10.1590/0034-7167-2020-0773
Pedro Rodrigues Carvalho ,
Emannuela Sofia Dantas Ferraz ,
Cristiane Chagas Teixeira ,
Valéria Bertonha Machado ,
Ana Lúcia Queiroz Bezerra ,
Thatianny Tanferri de Brito Paranaguá
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ABSTRACT

Objectives:

to analyze health professionals’ perception about the meaning and practice of patient involvement in care safety in Primary Health Care.

Methods:

this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin.

Results:

nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety.

Final Considerations:

the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals’ practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvement in care safety.

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REVIEW03-30-2020

Internet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Internet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766
DOI 10.1590/0034-7167-2018-0766
Elisabete Zimmer Ferreira ,
Adriane Maria Netto de Oliveira ,
Silvana Possani Medeiros ,
Giovana Calcagno Gomes ,
Marta Regina Cezar-Vaz ,
Janaína Amorim de Ávila
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ABSTRACT

Objectives:

To identify scientific evidence on the influence of internet use on adolescents’ biopsychosocial health.

Methods:

Integrative review, with database search, using the descriptors “internet”, “adolescent health” and “adolescent behavior”. After applying the inclusion and exclusion criteria, 16 articles were selected.

Results:

Knowledge convergence produced for three main themes was demonstrated: “Internet exposure time and possible damages to adolescent health”; “Internet, adolescent and cyberbullying”; and “Internet as a source of information for adolescent health”.

Final considerations:

The network involves an intricate network of interactions, providing varied behaviors and attitudes that reflect on adolescent health. Therefore, it is important to articulate nursing actions with the school community and the family, in order to carry out health education.

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REFLECTION07-10-2020

Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092

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Abstract
REFLECTION
Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092
DOI 10.1590/0034-7167-2019-0092
Leni de Lima Santana ,
Leila Maria Mansano Sarquis ,
Fernanda Moura D’ Almeida Miranda
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ABSTRACT

Objective:

to reflect on the psychosocial risks and their impacts on the health of health workers in light of the Brazilian economic context and Labor Reform.

Method:

reflective study on the Brazilian Labor Reform and its impacts on health of health workers.

Results:

although the changes observed in the labor sphere have contributed to improvements in health and safety policies for, these changes have also contributed to the emergence of new risks arising from work activities, including psychosocial risks, which affect all occupational categories.

Final considerations:

we understand that the Brazilian Labor Reform carried out in 2017 leads to the weakening of labor relations, increases workers’ exposure to risks in the workplace, increases the risk of illness, and opposes the global movement of international organizations aimed at the prevention of aggravation in workers’ health and also at preserving their health.

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REVIEW06-17-2020

The role of the nurse in caring for the critical patient with sepsis
Revista Brasileira de Enfermagem. 2020;73(4):e20190031

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
The role of the nurse in caring for the critical patient with sepsis
Revista Brasileira de Enfermagem. 2020;73(4):e20190031
DOI 10.1590/0034-7167-2019-0031
Maria João Chambel Branco ,
Ana Paula Mirco Lucas ,
Rita Margarida Dourado Marques ,
Patrícia Pontífice Sousa
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ABSTRACT

Objectives:

to know the nursing interventions in the identification, prevention and control of sepsis in critical patients.

Methods:

integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO database and Google Scholar. Nine studies were included in the sample.

Results:

nursing interventions are centered on the creation/implementation of protocols for the early recognition of sepsis, the training of teams to ensure a safe and effective approach and the adoption of measures for infection prevention and control as a way to prevent sepsis.

Final Considerations:

the evidence shows that nurses are fundamental in the early identification, control and prevention of sepsis, preventing disease progression and contributing to decreased morbidity and mortality.

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ORIGINAL ARTICLE05-15-2020

Configuration of power relations in physicians and nurses’ professional practices
Revista Brasileira de Enfermagem. 2020;73:e20180629

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Abstract
ORIGINAL ARTICLE
Configuration of power relations in physicians and nurses’ professional practices
Revista Brasileira de Enfermagem. 2020;73:e20180629
DOI 10.1590/0034-7167-2018-0629
Tauana Wazir Mattar e Silva ,
Isabela Silva Câncio Velloso ,
Meiriele Tavares Araújo ,
Aline da Rocha Kallás Fernandes
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ABSTRACT

Objective:

to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU).

Method:

qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective.

Results:

three categories were developed – Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices.

Final considerations:

the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.

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ORIGINAL ARTICLE02-10-2020

Theater of the Oppressed and bullying: nursing performance in school adolescent health
Revista Brasileira de Enfermagem. 2020;73(1):e20170910

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Theater of the Oppressed and bullying: nursing performance in school adolescent health
Revista Brasileira de Enfermagem. 2020;73(1):e20170910
DOI 10.1590/0034-7167-2017-0910
Lidiane Cristina da Silva Alencastro ,
Jorge Luiz da Silva ,
André Vilela Komatsu ,
Fabiane Blanco Silva Bernardino ,
Flávia Carvalho Malta de Mello ,
Marta Angélica Iossi Silva
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ABSTRACT

Objective:

to assess the effects of an intervention based on the Theater of the Oppressed in reducing school bullying.

Method:

a quasi-experimental study with 232 first-year high school students from two public schools in the city of Cuiabá, Mato Grosso State, Brazil. An intervention was performed with the Theater of the Oppressed, a theatrical methodology created by Augusto Boal and inspired by Paulo Freire’s “Pedagogy of the Oppressed”, in which one school composed the intervention group, and another school, the comparison group. Both groups were assessed for involvement in bullying situations before and after intervention. For data analysis, Poisson Regression models with random effect were used.

Results:

intervention group presented a significant decrease in direct victimization (physical and verbal aggression).

Conclusion:

the Theater of the Oppressed represents an important strategy in reducing bullying victimization among school adolescents.

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ORIGINAL ARTICLE02-10-2020

Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort
Revista Brasileira de Enfermagem. 2020;73(1):e20180162

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort
Revista Brasileira de Enfermagem. 2020;73(1):e20180162
DOI 10.1590/0034-7167-2018-0162
Lenice de Castro Muniz de Quadros ,
Luciana de Avila Quevedo ,
Helen Denise Gonçalves ,
Bernardo Lessa Horta ,
Janaína Vieira dos Santos Motta ,
Denise Petrucci Gigante
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ABSTRACT

Objective:

To describe the association between common mental disorders and socio-demographic variables, smoking habits and stressful events among the 30-year-old members of a 1982 cohort.

Method:

Mental disorder was analyzed by the Self-Reporting Questionnaire (SRQ-20). Poisson regression was used to analyze the unadjusted and adjusted associations.

Results:

Low level of education and stressful events increased the prevalence of mental disorders for both genders. Lower income for women and unemployment for men also remained associated with CMD.

Conclusion:

It was possible to describe the association between contemporary factors and mental disorders in a young population, to which prevention and control measures, through public policies proposed to the areas of Primary Care, Mental Health and Education, can represent a better quality of life and health.

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REVIEW12-21-2020

Lean Six Sigma methodology application in health care settings: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190861

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Lean Six Sigma methodology application in health care settings: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190861
DOI 10.1590/0034-7167-2019-0861
Guilherme dos Santos Zimmermann ,
Luciola Demery Siqueira ,
Elena Bohomol
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ABSTRACT

Objective:

to analyze the scientific production on the results of Lean Six Sigma methodology in health care institutions.

Methods:

an integrative literature review, with the following question: what are the results in health institutions using Lean Six Sigma and Six Sigma methodology? The search was carried out at MEDLINE, LILACS, BDENF, CINAHL, Web of Science, and Scopus, with no time frame.

Results:

thirty-four articles were included, published between 2005 and 2019, of which 52.9% came from the United States of America. The most commonly found improvements were in hospital institutions and from the perspective of customers and internal processes.

Conclusion:

using Lean Six Sigma methodology proved to be effective in the different health care settings, evidencing a gap in its application regarding people engagement and training.

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Factors associated with the time to treat breast cancer in the pandemic period: an observational study

ABSTRACT

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Methods:

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Conclusions:

Nursing students’ knowledge and attitude in relation to COVID-19 prevention behavior

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Conhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19

RESUMEN

Objetivos:

Métodos:

Resultados:

Conclusiones:

Senso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19

RESUMEN

Objetivos:

Métodos:

Resultados:

Conclusiones:

Sense of coherence and social support as predictors of mental health during COVID-19 pandemic

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Sociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Self-care of men with priapism and sickle cell disease

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Compliance with central venous catheter infection prevention practices after intervention with simulation

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Focus group in the development of concepts for a Nursing model: experience report

ABSTRACT

Objective:

Methods:

Results:

Final considerations:

Independent and combined effects of lifestyle behaviors on adolescent health-related quality of life

ABSTRACT

Objective:

Methods:

Results:

Conclusion:

Working conditions in nursing in the face of Covid-19 from the perspective of precariousness

ABSTRACT

Objective:

Methods:

Results:

Conclusions:

Quality of life from women’s perspective in the exercise of sex work: a study of social representations

ABSTRACT