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ORIGINAL ARTICLE11-29-2022
Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
Abstract
ORIGINAL ARTICLEOutlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
DOI 10.1590/0034-7167-2021-0169
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Objectives:
to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem.
Methods:
qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems.
Results:
the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network.
Final considerations:
the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.
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ORIGINAL ARTICLE11-29-2022
Undernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210254
Abstract
ORIGINAL ARTICLEUndernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210254
DOI 10.1590/0034-7167-2021-0254
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Objectives:
to estimate the prevalence of stunting and thinness and sociodemographic, household, family, dietary, and scholar associated factors in schoolchildren living in Lokossa-Benin.
Methods:
a survey conducted in a probabilistic sample (n=615) of primary schoolchildren (8-17 years), from 12/2018 to 01/2019, using structured questionnaire and 24-hour dietary recall. Thinness and stunting were defined as Height-for-age and Body Mass Index-for-age below-2 standard deviations, respectively. Associations were estimated by chi-square test and logistic regression.
Results:
thinness and stunting prevalence was 13.1% (95%CI:9.0-18.7) and 25.5% (95%CI:20.6-31.2), respectively. Odds of thinness were higher among older schoolchildren and those who experienced hunger at school. Odds of stunting increased with age, low diet diversity, experiencing hunger at school, and having school meal five days a week (OR:2.09; 95%CI:1.29-3.36).
Conclusions:
stunting was the most common problem. Older schoolchildren and those with food deprivation or poor diet diversity were the most affected.
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ORIGINAL ARTICLE11-29-2022
Factors associated with bronchopulmonary aspiration: a national-based study
Revista Brasileira de Enfermagem. 2022;75(3):e20210220
Abstract
ORIGINAL ARTICLEFactors associated with bronchopulmonary aspiration: a national-based study
Revista Brasileira de Enfermagem. 2022;75(3):e20210220
DOI 10.1590/0034-7167-2021-0220
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Objectives:
to determine the prevalence of bronchopulmonary aspiration in the Brazilian scenario, the factors associated with the incident and the variables associated with death.
Methods:
a cross-sectional and analytical study, carried out from analysis of notifications of incidents related to bronchopulmonary aspiration of the Health Surveillance Notification System, from January 2014 to December 2018.
Results:
of the 264,590 notifications, 553 referred to aspiration, whose prevalence rate was 0.21%. There was an association between the event and age, ethnicity, main medical diagnosis, country region, service type, health unit and consequences for patients. Furthermore, four independent predictor variables for death were found: living in the North or South regions, being elderly and receiving healthcare at night.
Conclusions:
the prevalence rate of bronchopulmonary aspiration was small, but with a negative impact on patients.
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ORIGINAL ARTICLE11-29-2022
Professional burnout of nursing team working to fight the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210498
Abstract
ORIGINAL ARTICLEProfessional burnout of nursing team working to fight the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210498
DOI 10.1590/0034-7167-2021-0498
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Objective:
to identify burnout and associated factors among nursing workers working in coping with COVID-19.
Methods:
a cross-sectional study, developed in four hospitals in a capital in southern Brazil. Sample (n=499) composed of nurses and nursing technicians/assistants, who answered an online form containing socio-occupational characterization and the Maslach Burnout Inventory. Descriptive and inferential statistical analysis was performed, including multiple comparison tests.
Results:
burnout was identified in 60 (12%) workers, with no significant difference between hospitals, but with a difference in dimensions between them. In the emotional exhaustion dimension, a higher proportion (52.9%) was found at a moderate level. Prevalence of high level of professional achievement of 95.4% was identified.
Conclusion:
the presence of burnout was significantly prevalent among nurses and females. It reinforces the need to develop strategies to promote the health of nursing workers, providing improvement in health services and reduction of care and labor risks.
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ORIGINAL ARTICLE11-29-2022
Changes implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
Abstract
ORIGINAL ARTICLEChanges implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
DOI 10.1590/0034-7167-2020-1381
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Objective:
to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic.
Methods:
this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ.
Results:
five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.
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EXPERIENCE REPORT11-29-2022
Virtualization of the Brazilian Nursing Week in the COVID-19 pandemic: the novelty and the tangible
Revista Brasileira de Enfermagem. 2022;75:e20201203
Abstract
EXPERIENCE REPORTVirtualization of the Brazilian Nursing Week in the COVID-19 pandemic: the novelty and the tangible
Revista Brasileira de Enfermagem. 2022;75:e20201203
DOI 10.1590/0034-7167-2020-1203
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Objective:
to report the virtualization experience of the 81st Brazilian Nursing Week of a public university in the state of Rio de Janeiro.
Methods:
an experience report with descriptive approach on the planning and virtual operationalization of a traditional nursing event, which took place in May 2020.
Results:
the event had 543 entries and 39 activities were offered, 3 panels with the presence of international guests, 1 national conference, 3 thematic roundtable discussions, 9 roundtable discussions involving projects and extension leagues, 5 cultural activities and 17 activities in social networks (lives and videos). Final considerations: the virtualization of the 81st Brazilian Nursing Week brought the learning and appropriation of new ways of debating nursing in times of physical isolation, which will contribute to an immediate future in social and work relations as well as to the collaborative construction of knowledge.
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ORIGINAL ARTICLE11-29-2022
Reflections on nursing and COVID-19 in light of health education
Revista Brasileira de Enfermagem. 2022;75:e20201305
Abstract
ORIGINAL ARTICLEReflections on nursing and COVID-19 in light of health education
Revista Brasileira de Enfermagem. 2022;75:e20201305
DOI 10.1590/0034-7167-2020-1305
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Objective:
To reflect on the nursing and pandemic of COVID-19 considering health education, health promotion, and the Ottawa Charter action areas.
Methods:
A theoretical-reflexive study on health education and health promotion concepts and the areas of action presented in the Ottawa Charter.
Results:
Educational actions are present in the contexts of epidemics and pandemics, as well as in the work of nurses, who need to be increasingly based on dialogue and individual and collective empowerment to enable users to adopt healthy and preventive behaviors – in this case, concerning COVID19. However, this professional needs effective and efficient public policy actions and measures based on scientific assumptions of health promotion. Final considerations: The actions of health education need to be increasingly valued because knowledge can be considered the first “vaccine” to combat any pandemic.
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ORIGINAL ARTICLE11-26-2022
Factors associated with suicide ideation of healthcare university students
Revista Brasileira de Enfermagem. 2022;75:e20200982
Abstract
ORIGINAL ARTICLEFactors associated with suicide ideation of healthcare university students
Revista Brasileira de Enfermagem. 2022;75:e20200982
DOI 10.1590/0034-7167-2020-0982
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Objectives:
to analyze the factors associated with suicidal ideation in students from healthcare graduation courses.
Methods:
quantitative, cross-sectional study, with 251 students from the courses of radiology, speech-language therapy, medicine, nutrition, health service management, and nursing, from a federal higher education institution in the Southeast of Brazil. Data were collected from August to October 2019, using an electronic questionnaire.
Results:
the prevalence of suicidal ideation among participants was 26.33%. In the final logistic regression model, only depressive symptoms were associated with suicidal ideation. Having symptoms of depression increased the chances of suicidal ideation 2.6 times.
Conclusion:
the high prevalence of suicidal ideation and its associated factors constitutes a situational diagnosis that demands the elaboration of public and institutional policies, focused on the promotion and attention to the mental health of the students.
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12-05-2019
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
Abstract
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
DOI 10.1590/0034-7167-2018-0273
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Objective:
to identify factors inherent in hospital care that favor urinary incontinence in the elderly.
Method:
an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model.
Results:
13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly.
Conclusion:
modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.
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ORIGINAL ARTICLE06-27-2019
Nurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem. 2019;72(3):767-773
Abstract
ORIGINAL ARTICLENurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem. 2019;72(3):767-773
DOI 10.1590/0034-7167-2018-0376
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Objective:
To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services.
Method:
cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied.
Results:
A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003).
Conclusion:
The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital’s services, serving as a warning and assisting in the services’ improvement.
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REVIEW05-18-2020
Effects of acupuncture in patients with chronic kidney disease: a systematic review
Revista Brasileira de Enfermagem. 2020;73(4):e20180784
Abstract
REVIEWEffects of acupuncture in patients with chronic kidney disease: a systematic review
Revista Brasileira de Enfermagem. 2020;73(4):e20180784
DOI 10.1590/0034-7167-2018-0784
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Objectives:
to analyze the effects of acupuncture techniques in patients with chronic kidney disease.
Methods:
a systematic review conducted in six databases, from September to December 2017, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses’ criteria. The following descriptors were used: Acupuncture AND Chronic Renal Insufficiency AND Clinical Trial.
Results:
nine studies were selected; the acupuncture techniques used were auriculotherapy, electroacupuncture and acupressure aimed at improving quality of life, fatigue, sleep and clinical variables of the disease. The studies that assessed quality of life, sleep and fatigue presented significant benefits. Studies that assessed quality of life, sleep and fatigue presented significant benefits. There was no statistical significance in the improvement of serum creatinine levels and glomerular filtration rate. Methodological and assessment tools’ divergence made impossible meta-analysis
Conclusions:
studies reinforce the positive effect of acupuncture in improving quality of life, fatigue and sleep in patients.
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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
Abstract
ORIGINAL ARTICLEConfiguration of power relations in physicians and nurses’ professional practices
Revista Brasileira de Enfermagem. 2020;73:e20180629
DOI 10.1590/0034-7167-2018-0629
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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 ARTICLE12-05-2019
Perception of body image and nutritional status in adolescents of public schools
Revista Brasileira de Enfermagem. 2019;72:229-235
Abstract
ORIGINAL ARTICLEPerception of body image and nutritional status in adolescents of public schools
Revista Brasileira de Enfermagem. 2019;72:229-235
DOI 10.1590/0034-7167-2018-0644
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Objective:
To assess body image dissatisfaction among adolescents from Northern Minas Gerais.
Method:
This is a cross-sectional study with adolescents of both sexes, enrolled in the sixth to ninth year in the municipal public education network. A questionnaire was used, composed of sociodemographic and body image variables, which was obtained through a scale of silhouette figures. The anthropometric measurements of weight and height were performed to estimate body mass index. The correlation between the classification of the body mass index and the body image of adolescents was estimated through weighted Kappa.
Results:
A total of 535 adolescents participated, and 24.5% had different classifications between the real and ideal body image. The Kappa index for the classification of body image was 0.51, 0.58 and 0.32 for the total of adolescents, girls and boys, respectively.
Conclusion:
Public school adolescents are dissatisfied with their self-body image.
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07-05-2021
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
Abstract
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
DOI 10.1590/0034-7167-2020-0984
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Objective:
To investigate possible differences in plasma and erythrocyte concentrations of selenium among elderly with and without a diagnosis of Alzheimer’s disease (AD).
Methods:
Cross-sectional study, performed with an elderly group with Alzheimer’s disease, diagnosed by a geriatric doctor, and compared to an elderly group without the disease, equaling gender, education, and age. Atomic absorption spectrophotometry determined plasma and erythrocyte concentrations of total selenium (Set).
Results:
The mean age was 74.41±7.1 years in the Alzheimer’s disease group and 71.46±5.1 years among the control group. The Alzheimer’s disease group presented lower plasma concentrations (mean of 45.29±14.51 µg/dL vs. 55.14±14.01 µg/dL; p=0.004), and erythrocyte Set (median of 56.36 µg/L vs. 76.96 µg/L; p<0.001). The logistic regression model indicated an association between erythrocyte Set concentrations and diagnosis of Alzheimer’s disease (p=0.028).
Conclusion:
Elderly with Alzheimer’s disease present lower selenium concentrations in the evaluated organic compartments.
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ORIGINAL ARTICLE10-21-2019
Mental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
Abstract
ORIGINAL ARTICLEMental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
DOI 10.1590/0034-7167-2018-0743
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Objective:
to analyze perceptions of the Family Health Strategy (FHS) professional team about mental health-disorder and to identify health actions developed by the team for people with mental disorders.
Method:
a qualitative study of a Marxist theoretical framework and a dialectical method. 99 FHS middle and higher level professionals from São Paulo participated. Semi-structured interviews were conducted. Data were submitted to ALCESTE software and Thematic Content Analysis.
Results:
there were three empirical categories: Training in Mental Health; Perception of the FHS professional about mental health-disorder; and Health actions developed by the FHS team with people with mental disorders. Actions that converge and diverge from the psychosocial care model were identified.
Final considerations:
there is an effort from professionals to work according to the psychosocial care model, but it is necessary to invest in the Permanent Education in Health of these professionals to overcome barriers and foster successful territorial actions.
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ORIGINAL ARTICLE03-09-2020
Quality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
DOI 10.1590/0034-7167-2018-0792
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Objectives:
to evaluate the quality of life of nursing professionals who work in a central sterile processing department.
Methods:
a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.
Conclusions:
This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.
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