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RESEARCH
Knowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
01-01-2016
Abstract
RESEARCHKnowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
01-01-2016DOI 10.1590/0034-7167.2016690311i
Views0See moreABSTRACT
Objective:
to evaluate the perception of healthcare institution collaborators in relation to knowledge management in the institution where they operate and analyze the existence of differences in this perception, based on the institution’s management model.
Method:
a study conducted in a sample consisting of 671 collaborators from 10 Portuguese healthcare institutions with different models of management. In order to assess the knowledge management perception, we used a score designed from and based on items from the scores available in the literature.
Results:
the perception of moderate knowledge management on the healthcare institutions and the statistically significant differences in knowledge management perception were evidenced in each management model.
Conclusion:
management knowledge takes place in healthcare institutions, and the current management model determines the way staff at these institutions manage their knowledge.
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RESEARCH
Social impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
01-01-2016
Abstract
RESEARCHSocial impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
01-01-2016DOI 10.1590/0034-7167.2016690310i
Views0ABSTRACT
Objective:
to evaluate the impairment of social and emotional domains of hospitalized patients undergoing hematopoietic stem cells transplantation.
Method:
an observational, longitudinal study with 25 participants evaluated in the period of pre-transplant, pancytopenia and pre-hospital discharge between September 2013 and September 2014, in a reference hospital for this treatment modality in Brazil. Two international instruments were used, both of which translated and adapted to Portuguese (Brazil): Quality of Life Questionnaire-Core 30 and Functional Assessment Cancer Therapy – Bone Marrow Transplantation.
Results:
patients have shown a statistically significant decrease in the social domain, and stability of the emotional function along the course of treatment.
Conclusion:
hematopoietic stem cell transplantation changes the social function of patients with hematologic cancer during hospitalization stage. Thus, patients should receive guidance addressing the social domain in order that it can be less affected.
Keywords:Hematopoietic Stem Cell TransplantationHospitalizationOncology NursingQuality of LifeSocial IsolationSee more -
RESEARCH
Frailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
01-01-2016
Abstract
RESEARCHFrailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
01-01-2016DOI 10.1590/0034-7167.2016690309i
Views0See moreABSTRACT
Objective:
to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná.
Method:
a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength.
Results:
of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail.
Conclusion:
in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.
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RESEARCH
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
01-01-2016
Abstract
RESEARCHImpact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
01-01-2016DOI 10.1590/0034-7167.2016690308i
Views0See moreABSTRACT
Objective:
to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home.
Method:
clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits.
Results:
participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable.
Conclusion:
directions provided in the home context were beneficial to the members of the case group.
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RESEARCH
Pressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
01-01-2016
Abstract
RESEARCHPressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
01-01-2016DOI 10.1590/0034-7167.2016690307i
Views0See moreABSTRACT
Objective:
to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients.
Method:
this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories.
Results:
an incidence of 22% (95% CI 12.6 – 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%).
Conclusion:
the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.
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RESEARCH
Accreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
01-01-2016
Abstract
RESEARCHAccreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
01-01-2016DOI 10.1590/0034-7167.2016690306i
Views0See moreABSTRACT
Objective:
to analyze the perceptions of the multidisciplinary team on Accreditation in a public hospital.
Method:
descriptive, exploratory, qualitative research, performed in May 2014, using recorded individual interviews. In total, 28 employees of a public hospital, Accredited with Excellence, answered the guiding question: “Tell me about the Accreditation system used in this hospital”. The interviews were transcribed and subjected to content analysis.
Results:
of the speeches, three categories emerged: Advantages offered by the Accreditation; Accredited public hospital resembling a private hospital; Pride/satisfaction for acting in an accredited public hospital.
Conclusion:
participants perceived Accreditation as a favorable system for a quality management in the public service because it promotes the development of professional skills and improves cost management, organizational structure, management of assistance and perception of job pride/satisfaction.
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RESEARCH
Health status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
01-01-2016
Abstract
RESEARCHHealth status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
01-01-2016DOI 10.1590/0034-7167.2016690305i
Views0See moreABSTRACT
Objective:
to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work.
Method:
observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student’s t-test, multiple linear regression, and logistic regression.
Results:
there was an improvement of perception in the patients’ health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation.
Conclusion:
improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients’ return to work were not identified.
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RESEARCH
Prevalence and factors associated with frailty in non-institutionalized older adults
Revista Brasileira de Enfermagem. 2016;69(3):435-442
01-01-2016
Abstract
RESEARCHPrevalence and factors associated with frailty in non-institutionalized older adults
Revista Brasileira de Enfermagem. 2016;69(3):435-442
01-01-2016DOI 10.1590/0034-7167.2016690304i
Views0See moreABSTRACT
Objective:
to investigate the prevalence and factors associated with frailty in non-institutionalized older adults living in northern Minas Gerais, Brazil.
Method:
data were collected in their homes, in 2013, based on a census cluster sampling. Demographic and socioeconomic variables, morbidities, utilization of health care services, and scores on the Edmonton Fragility Scale were analyzed. The adjusted prevalence ratios were obtained using the Poisson regression multiple analysis with robust variance.
Results:
the prevalence of frailty was 41.3%. The variables associated with frailty were: female gender, very old age, education of less than four years, not having been hospitalized in the last 12 months, having a caregiver, falling in the prior year, diabetes mellitus, cardiac disease, and osteoarticular disease.
Conclusion:
the prevalence of frailty was high. Some factors consist of modifiable conditions, which should encourage health actions aimed at this group.
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ORIGINAL ARTICLE
Nurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring
- Carla Braz Evangelista
, - Maria Emília Limeira Lopes ,
- Solange Fátima Geraldo da Costa ,
- Patrícia Serpa de Souza Batista ,
- Marcella Costa Souto Duarte , [ … ],
- Betânia da Mata Ribeiro Gomes
09-24-2022
Abstract
ORIGINAL ARTICLENurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring
Revista Brasileira de Enfermagem. 2022;75(1):e20210029
09-24-2022DOI 10.1590/0034-7167-2021-0029
- Carla Braz Evangelista ,
- Maria Emília Limeira Lopes ,
- Solange Fátima Geraldo da Costa ,
- Patrícia Serpa de Souza Batista ,
- Marcella Costa Souto Duarte ,
- Gilvânia Smith da Nóbrega Morais ,
- Jael Rubia figueiredo de Sá França ,
- Betânia da Mata Ribeiro Gomes
Views0See moreABSTRACT
Objectives:
to analyze nurses’ role in assisting patients in palliative care, with emphasis on the spiritual dimension, in the light of Theory of Human Caring.
Methods:
this is an exploratory, qualitative study, carried out in a hospital in João Pessoa, Paraíba, between August and December 2019, with 10 nurses. For data collection, semi-structured interviews were used. For analysis, we opted for content analysis.
Results:
the spiritual dimension of care is contemplated by several religious and spiritual practices. These are respected and encouraged by nurses, although there is difficulty in providing care for the spiritual dimension.
Final Considerations:
nurses have attitudes consistent with Jean Watson’s Theory and apply the Caritas Process elements during assistance to patients’ spiritual dimension in palliative care.
- Carla Braz Evangelista
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ORIGINAL ARTICLE
Why does your pain never get better? Stigma and coping mechanism in people with sickle cell disease
- Evanilda Souza de Santana Carvalho ,
- Jayanne Moreira Carneiro ,
- Aline Silva Gomes ,
- Katia Santana Freitas ,
- Coretta Melissa Jenerette
06-18-2021
Abstract
ORIGINAL ARTICLEWhy does your pain never get better? Stigma and coping mechanism in people with sickle cell disease
Revista Brasileira de Enfermagem. 2021;74(3):e20200831
06-18-2021DOI 10.1590/0034-7167-2020-0831
- Evanilda Souza de Santana Carvalho ,
- Jayanne Moreira Carneiro ,
- Aline Silva Gomes ,
- Katia Santana Freitas ,
- Coretta Melissa Jenerette
Views0See moreABSTRACT
Objectives:
to analyze the characteristics of stigma in the interactions of people with pain and sickle cell disease and the coping strategies adopted.
Methods:
qualitative study, conducted in Bahia’s reference units between January and July 2018. In-depth interviews were applied to 25 adults, followed by content analysis and interpretation in light of the Sociological Theory of Stigma.
Results:
four categories emerged from the data: Stigma in interactions with family members; Stigma in interactions with people in the general public; Stigma in interactions with health workers; and Strategies for coping with stigma.
Final Considerations:
in the participants’ interactions, stigma produced discrediting pain reports, labeling and stereotyping, blaming patients for not improving their health, discrimination, racism, inadequate pain assessment, and delay in care. Coping included silencing, covering up, aggressive behavior, exposure to risk, reading religious texts and praises, and church attendance.
- Evanilda Souza de Santana Carvalho
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ORIGINAL ARTICLE
Manchester Triage System: assessment in an emergency hospital service
- Ana Paula Santos de Jesus ,
- Meiry Fernanda Pinto Okuno ,
- Cassia Regina Vancini Campanharo ,
- Maria Carolina Barbosa Teixeira Lopes ,
- Ruth Ester Assayag Batista
07-14-2021
Abstract
ORIGINAL ARTICLEManchester Triage System: assessment in an emergency hospital service
Revista Brasileira de Enfermagem. 2021;74(3):e20201361
07-14-2021DOI 10.1590/0034-7167-2020-1361
- Ana Paula Santos de Jesus ,
- Meiry Fernanda Pinto Okuno ,
- Cassia Regina Vancini Campanharo ,
- Maria Carolina Barbosa Teixeira Lopes ,
- Ruth Ester Assayag Batista
Views0ABSTRACT
Objectives:
to analyze demographic data, clinical profile and outcomes of patients in emergency services according to Manchester Triage System’s priority level.
Methods:
a cross-sectional, analytical study, carried out with 3,624 medical records. For statistical analysis, the Chi-Square Test was used.
Results:
white individuals were more advanced in age. In the red and white categories, there was a higher percentage of men when compared to women (p=0.0018) and higher prevalence of personal history. Yellow priority patients had higher percentage of pain (p<0.0001). Those in red category had a higher frequency of altered vital signs, external causes, and death outcome. There was a higher percentage of exams performed and hospitalization in the orange category. Blue priority patients had a higher percentage of non-specific complaints and dismissal after risk stratification.
Conclusions:
a higher percentage of altered vital signs, number of tests performed, hospitalization and death were evidenced in Manchester protocol’s high priority categories.
Keywords:Emergency NursingEmergency Service, HospitalOutcome and Process Assessment (Health Care)TriageVital SignsSee more - Ana Paula Santos de Jesus
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ORIGINAL ARTICLE
Quality of life at work in a central sterile processing department
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes , [ … ],
- Nair Portela Silva Coutinho
03-09-2020
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
03-09-2020DOI 10.1590/0034-7167-2018-0792
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes ,
- Nair Portela Silva Coutinho
Views1See moreABSTRACT
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.
- Gliccia Morguethe Vieira Rego
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ORIGINAL ARTICLE
Trend of transplants and organ and tissue donations in Brazil: a time series analysis
- Fernanda Gatez Trevisan dos Santos ,
- Vanessa Aparecida Martim Mezzavila ,
- Thamires Fernandes Cardoso da Silva Rodrigues ,
- Luana Cristina Bellini Cardoso ,
- Marcelo da Silva , [ … ],
- Cremilde Aparecida Trindade Radovanovic
03-03-2021
Abstract
ORIGINAL ARTICLETrend of transplants and organ and tissue donations in Brazil: a time series analysis
Revista Brasileira de Enfermagem. 2021;74(1):e20200058
03-03-2021DOI 10.1590/0034-7167-2020-0058
- Fernanda Gatez Trevisan dos Santos ,
- Vanessa Aparecida Martim Mezzavila ,
- Thamires Fernandes Cardoso da Silva Rodrigues ,
- Luana Cristina Bellini Cardoso ,
- Marcelo da Silva ,
- Rosana Rosseto de Oliveira ,
- Cremilde Aparecida Trindade Radovanovic
Views0See moreABSTRACT
Objectives:
to indentify the time trend of rates of organs and tissues effective donors, of reports and types of transplanted organs per million people of the Brazilian population.
Methods:
ecological study, of time series, about reports of organ donations and on transplants. The data were provided by the Registro Brasileiro de Transplantes and analyzed using polynomial regression.
Results
an increasing trend was found for potential donors and effective donors, with an average increase of 2.33 and 0.92 per year, respectively. The South Region had the highest rate of potential donors (83.8) and effective donors (34.1) and the North Region, the lowest rate (20.2 and 3.9). The family refusal was the main obstacle to accomplish the donation.
Conclusions
the results show an increasing trend of potential donors and effective donors throughout Brazil, with emphasis on the southern region of the country. Among the main reasons for non-donation, it is worth emphasizing family refusal and medical contraindication prescription.
- Fernanda Gatez Trevisan dos Santos
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Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context
- Anderson Reis de Sousa ,
- Jules Ramon Brito Teixeira ,
- Tilson Nunes Mota ,
- Thiago da Silva Santana ,
- Sélton Diniz dos Santos , [ … ],
- Álvaro Francisco Lopes Sousa
07-12-2021
Abstract
Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context
Revista Brasileira de Enfermagem. 2021;74:e20210040
07-12-2021DOI 10.1590/0034-7167-2021-0040
- Anderson Reis de Sousa ,
- Jules Ramon Brito Teixeira ,
- Tilson Nunes Mota ,
- Thiago da Silva Santana ,
- Sélton Diniz dos Santos ,
- Magno Conceição das Merces ,
- Evanilda Souza de Santana Carvalho ,
- Álvaro Francisco Lopes Sousa
Views0See moreABSTRACT
Objective:
To describe coping strategies, concerns and habits of Brazilian men during the COVID-19 pandemic.
Method:
Cross-sectional, descriptive and nationwide study, carried out in 2020 with a total of 1015 men living in Brazil. A descriptive statistic was used.
Results:
Young (41.2%), black (61.4%), highly educated (66.8%), high income (33.2%), living with family/friends (49.7%) and formal workers (65.6%) predominated. As coping strategies predominated: exclusive use of the private health system (36.4%), support from family/friends (78.2%) and leisure (97.7%) and domestic activities (64.9 %). Social distancing (59.7%), economic (58.0%) and work situations (44.4%) were the main reasons for concern. Among the prevention/control attitudes, hand washing (94.3%) and social distancing (91.0%) prevailed. Media consumption (84.6%) and health risk (65.4%) were the main increased habits.
Conclusion:
Brazilian men adopted coping strategies recommended by health authorities, with concerns and habits of potential risk to physical and mental health.
- Anderson Reis de Sousa
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ORIGINAL ARTICLE
Self-medication practices in riverside communities in the Brazilian Amazon Rainforest
Revista Brasileira de Enfermagem. 2020;73(5):e20190432
07-08-2020
Abstract
ORIGINAL ARTICLESelf-medication practices in riverside communities in the Brazilian Amazon Rainforest
Revista Brasileira de Enfermagem. 2020;73(5):e20190432
07-08-2020DOI 10.1590/0034-7167-2019-0432
Views0INTRODUCTIONThe Brazilian Amazon rainforest has an area of approximately 5 million km2, with important climatic, social and economic variations that can impact the profile of morbidity and the use of medicines. The epidemiological profile of the Amazonian population is quite heterogeneous, including vector-borne diseases, such as malaria, dengue, cutaneous leishmaniasis and Diseases Related to Inadequate […]See more -
ORIGINAL ARTICLE
Occupational stress of nurses from the Mobile Emergency Care Service
- Alessandra Ferreira Araújo ,
- Luciana Neves da Silva Bampi ,
- Caio Cesar de Olivera Cabral ,
- Rayanne Silva Queiroz ,
- Luiza Helena Brito Calasans , [ … ],
- Tiago Silva Vaz
06-01-2020
Abstract
ORIGINAL ARTICLEOccupational stress of nurses from the Mobile Emergency Care Service
Revista Brasileira de Enfermagem. 2020;73:e20180898
06-01-2020DOI 10.1590/0034-7167-2018-0898
- Alessandra Ferreira Araújo ,
- Luciana Neves da Silva Bampi ,
- Caio Cesar de Olivera Cabral ,
- Rayanne Silva Queiroz ,
- Luiza Helena Brito Calasans ,
- Tiago Silva Vaz
Views0See moreABSTRACT
Objective:
To evaluate stress, and to associate it with sociodemographic and clinical aspects of nurses from the Mobile Emergency Care Service.
Method:
This is an observational, cross-sectional and quantitative study conducted with 123 nurses, who answered a questionnaire to assess sociodemographic and clinical variables, and the Job Stress Scale, which evaluates stress in the workplace.
Results:
The results indicated that most of them were women, 20 to 40 years old, married, without another employment bond and with specialization course. They had low control and low demand at work and performed a passive work. Women reported passive work and high stress levels, while men were equally divided in active and passive work with low stress levels.
Conclusion:
Passive work is harmful to health and it is related to lack of autonomy, decision-making, and social support. It may lead to reduced ability to solve problems faced in daily work routine.
- Alessandra Ferreira Araújo
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