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08-21-2023
Percepciones, maltrato y religión como predictores del impacto psicoemocional en enfermeros durante la pandemia COVID-19
Revista Brasileira de Enfermagem. 2023;76(3):e20220768
Abstract
Percepciones, maltrato y religión como predictores del impacto psicoemocional en enfermeros durante la pandemia COVID-19
Revista Brasileira de Enfermagem. 2023;76(3):e20220768
DOI 10.1590/0034-7167-2022-0768es
Views0See moreRESUMEN
Objetivos:
analizar la relación entre percepciones, maltrato y religión con el impacto psicoemocional en enfermeros durante la pandemia por covid-19.
Métodos:
estudio transversal descriptivo-analítico. Fue realizado entre los años 2020 y 2021; se encuestó a 319 enfermeros asistenciales de Perú mediante DASS-21; se evaluaron asociaciones mediante Rho de Spearman y regresión múltiple.
Resultados:
el 18,5 % presentó algún grado de estrés; el 50,2 %, ansiedad y el 29,1 %, depresión. La experiencia de maltrato, la autopercepción de la salud mental y la religión fueron predictores de estrés, ansiedad y depresión. El tiempo de experiencia laboral predice el estrés y ansiedad. Además, la autopercepción de la información y el género fueron predictores de la depresión.
Conclusiones:
los enfermeros peruanos presentaron altos niveles de estrés, ansiedad y depresión; y este impacto psicoemocional estuvo asociado a las percepciones, experiencias de maltrato y la religión.
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ORIGINAL ARTICLE08-21-2023
Identity dimension of rural women and the sexual and reproductive health
Revista Brasileira de Enfermagem. 2023;76(3):e20220298
Abstract
ORIGINAL ARTICLEIdentity dimension of rural women and the sexual and reproductive health
Revista Brasileira de Enfermagem. 2023;76(3):e20220298
DOI 10.1590/0034-7167-2022-0298
Views0See moreABSTRACT
Objectives:
to analyze the social representations of rural women about being a woman in the rural context and its implications for sexual and reproductive health.
Methods:
this is a descriptive qualitative study with data triangulation, based on the Theory of Social Representations, developed with 31 women who live in the rural context of Minas Gerais (MG/BR). An in-depth interview with a semi-structured script was conducted. A lexical analysis was performed with the help of the ALCESTE 2012 software.
Results:
the family relationship, especially the couple’s, demonstrated subjectivities and was permeated by violence and normalized sexual practice. The imagery dimension of the ideal family seems to be responsible for exerting domination over rural women.
Final Considerations:
rural women are subject to the norms and prescriptions of a patriarchal society. It is urgent to increase attention to sexual and reproductive health in an egalitarian and liberating way in order to minimize the consequences of machismo and conservatism.
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ORIGINAL ARTICLE08-11-2023
Agreement with COVID-19 disinformation among Portuguese-speaking older adults: an international study
Revista Brasileira de Enfermagem. 2023;76:e20230091
Abstract
ORIGINAL ARTICLEAgreement with COVID-19 disinformation among Portuguese-speaking older adults: an international study
Revista Brasileira de Enfermagem. 2023;76:e20230091
DOI 10.1590/0034-7167-2023-0091
Views0See moreABSTRACT
Objectives:
to assess agreement with COVID-19 disinformation among Portuguese-speaking individuals aged 50 years or older.
Methods:
a descriptive and analytical study involving 1,214 older adults born in Portuguese-speaking countries. Data collection occurred through online information mining to recognize COVID-19 and disinformation content, and the application of a structured questionnaire.
Results:
agreement with disinformation content was 65.2%. Residing outside Brazil is a protective factor for agreement with disinformation content, and those who believe in the truthfulness of the information sources they receive were 31% more likely to agree with disinformation content.
Conclusions:
there is a high prevalence of disinformation among the older population in two Portuguese-speaking countries, which should raise the attention of healthcare professionals and guide coping strategies.
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ORIGINAL ARTICLE08-07-2023
The relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
Abstract
ORIGINAL ARTICLEThe relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
DOI 10.1590/0034-7167-2022-0375
Views0See moreABSTRACT
Objectives:
to analyze the relationship of general, physical, and psychological violence with depressive symptoms and cognition in the elderly.
Methods:
quantitative, cross-sectional study, carried out with 323 elders from the Brazilian northeast. Data collection used a sociodemographic instrument; the Conflict Tactics Scales Form R; the Geriatric Depression Scale; and the Mini-Mental State Examination. The analysis employed descriptive and inferential statistics.
Results:
as violence increases, so do the depressive symptoms; the opposite was true when comparing violence with cognitive involvement. There is a correlation between physical and psychological violence and depressive symptoms; more depressive elders are from 1.96 to 3.00 times more likely to be the victims of psychological and physical violence, respectively.
Conclusions:
general, physical, and psychological violence is associated with depressive symptoms; those with less cognitive alterations are more vulnerable to abuse. Elders with depressive symptoms are more likely to suffer psychological and physically violence.
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ORIGINAL ARTICLE08-07-2023
Professional burnout and patient safety culture in Primary Health Care
Revista Brasileira de Enfermagem. 2023;76(3):e20220311
Abstract
ORIGINAL ARTICLEProfessional burnout and patient safety culture in Primary Health Care
Revista Brasileira de Enfermagem. 2023;76(3):e20220311
DOI 10.1590/0034-7167-2022-0311
Views0See moreABSTRACT
Objectives:
to analyze the association between the risk of occupational exhaustion (burnout) and safety culture in Primary Health Care.
Methods:
ross-sectional study conducted in 18 Primary Health Care Units in the Northeast of Brazil. Three questionnaires were used: sociodemographic, Maslach Burnout Inventory, and the Medical Office Survey on Patient Safety Culture. The study was approved by the Research Ethics Committee.
Results:
seventy-eight healthcare workers participated, of which 64.1% presented a reduced risk of burnout; and 11.5%, a high risk (p=0.000). The following were identified as weakened dimensions of safety culture: Work pressure and pace; Owner, managing partners, leadership support; Overall ratings on quality; and Overall rating on patient safety.
Conclusions:
an association was found between low risk of developing burnout syndrome and positive evaluation of safety culture.
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ORIGINAL ARTICLE08-07-2023
Systematization of Nursing Care: how did the concept mature?
Revista Brasileira de Enfermagem. 2023;76(3):e20220464
Abstract
ORIGINAL ARTICLESystematization of Nursing Care: how did the concept mature?
Revista Brasileira de Enfermagem. 2023;76(3):e20220464
DOI 10.1590/0034-7167-2022-0464
Views0See moreABSTRACT
Objectives:
to analyze the Systematization of Nursing Care conceptual maturation from the perspective of pragmatic utility.
Methods:
a concept analysis study. The stages were: select the concept; elaborate analytical questions; comprehensively review the literature; and determine concept structural components. Sixty-one documents were analyzed after a search carried out until October 2019.
Results:
four temporal periods of contextual changes have occurred since the emergence of ideas of a systematization in the 1960s. This first lasted until 1990. It was followed by those from 1990 to 2002, from 2002 to 2009 and from 2009 onwards. Partial conceptual maturity was identified, operationalization over the years, based on multiple definitions, and, currently, a concept of Systematization of Nursing Care with managerial and organizational attributes.
Conclusions:
the concept of Systematization of Nursing Care is partially mature, presents multiple definitions, being operationalized in uncertain connections with other concepts.
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ORIGINAL ARTICLE08-07-2023
King’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
Abstract
ORIGINAL ARTICLEKing’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
DOI 10.1590/0034-7167-2022-0379
Views0See moreABSTRACT
Objectives:
to assess the evidence of reliability and convergent construct validity of the King’s Parkinson’s Disease Pain Questionnaire.
Methods:
psychometric study of 75 older adults with Parkinson’s disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach’s alpha test and stability using the intraclass correlation coefficient. Scores of the King’s Parkinson’s Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity.
Results:
the mean Cronbach’s alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales.
Conclusions:
the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.
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ORIGINAL ARTICLE08-07-2023
Construction and validity of the Interprofessional Communication in Health Scale
Revista Brasileira de Enfermagem. 2023;76(3):e20220483
Abstract
ORIGINAL ARTICLEConstruction and validity of the Interprofessional Communication in Health Scale
Revista Brasileira de Enfermagem. 2023;76(3):e20220483
DOI 10.1590/0034-7167-2022-0483
Views0See moreABSTRACT
Objectives:
to construct and validate the Interprofessional Communication Scale in Health.
Methods:
a psychometric study was carried out on a sample of 360 nurses from a hospital and university center in central Portugal. Reliability was assessed through internal consistency and construct validity through exploratory and confirmatory factor analysis.
Results:
the Interprofessional Communication in Health Scale, consisting of 27 items, is organized into 3 factors: “Teamwork”, “Conflict management” and “Leadership”, with a total variance of 51.1%. Good internal consistency was obtained, with a Cronbach’s alpha of 0.842, and adequate Goodness of Fit Index model.
Conclusions:
the Interprofessional Communication in Health Scale presents a factorial structure with adequate validity and reliability results, and may constitute a useful self-report instrument in assessing interprofessional communication in health.
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REVIEW06-10-2022
Self-inflicted violence and suicide in people living with HIV/AIDS: a systematic review
Revista Brasileira de Enfermagem. 2022;75:e20210768
Abstract
REVIEWSelf-inflicted violence and suicide in people living with HIV/AIDS: a systematic review
Revista Brasileira de Enfermagem. 2022;75:e20210768
DOI 10.1590/0034-7167-2021-0768
Views0See moreABSTRACT
Objectives:
to analyze intellectual productions on self-inflicted violence and suicide in people living with HIV/AIDS.
Methods:
a systematic review, carried out between March and April 2021, in the PubMed®/MEDLINE®, Web of Science and LILACS databases, subsidized in the Strengthening the Reporting of Observational Studies in Epidemiology. The period outlined was from 2011 to 2020.
Results:
a total of 199 studies were identified, and 16 composed the final sample, grouped into the categories: Sociodemographic characteristics of victims of self-inflicted violence/suicide and their intervening factors (pointing to young adults, especially homosexuals, with low social support and a history of mental illness or substance abuse as usual victims); Successful measures for suicide prevention/control in people living with HIV/AIDS (suggesting more frequent psychosocial and clinical follow-up of those starting antiretroviral and immunocompromised treatment).
Conclusions:
biopsychosocial follow-up, analysis of sociodemographic profile and intervening factors should be frequent in this population for disease prevention/control.
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ORIGINAL ARTICLE09-05-2022
Screening for common mental disorder in elderly residents in the countryside: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75:e20210875
Abstract
ORIGINAL ARTICLEScreening for common mental disorder in elderly residents in the countryside: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75:e20210875
DOI 10.1590/0034-7167-2021-0875
Views0See moreABSTRACT
Objective:
To estimate the prevalence of common mental disorders and their associated factors in the elderly in a municipality in the countryside of the Brazilian Midwest.
Methods:
Quantitative, observational, cross-sectional approach research, conducted with 218 elderly people.
Results:
The prevalence of the common mental disorder among the elderly was 25.1%; in the univariate analysis, it was higher in females (35.4%), in the age group of 80 years or older (46.1%), brown skin color (30.2%), widowed (42.6%), illiterate (47.6%), and retired (27.6%). In the multiple analysis, the variables female gender (p<0.006), age 80 years or older (p<0.036), dissatisfaction with life (p<0.009), lack of social interaction (p=0.017), and dysfunctional family (p=0.021) remained associated with CMD.
Conclusion:
The results revealed are helpful and contribute to the reinforcement of the need for mental health care in this population extract so growing worldwide.
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ORIGINAL ARTICLE06-03-2022
Association between falls in older adults and prevention group
Revista Brasileira de Enfermagem. 2022;75:e20200207
Abstract
ORIGINAL ARTICLEAssociation between falls in older adults and prevention group
Revista Brasileira de Enfermagem. 2022;75:e20200207
DOI 10.1590/0034-7167-2020-0207
Views0See moreABSTRACT
Objectives:
to assess the effectiveness of guidelines on fall prevention in a group of older adults in Primary Health Care.
Methods:
a cross-sectional study, carried out with older adults selected by a simple random sample (274; N=1,234). Data covered sociodemographic and socioeconomic variables, marital status, health conditions, factors associated with falls and participation in the prevention group. Student’s t test was used, and dichotomous variables were used by the chi-square test. The project met ethical requirements.
Results:
sample with female profile (61.7%), married, with low education, mean age of 71.69 years. The factors associated with falls identified were female sex, medicalization and participation in the prevention group. There was no protective association between participation in a fall prevention group in older adults and a decrease in the number of falls.
Conclusions:
based on evidence, a personalized intervention during the nursing visit is suggested as a strategy to prevent falls.
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ORIGINAL ARTICLE03-07-2022
Predictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75:e20201292
Abstract
ORIGINAL ARTICLEPredictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75:e20201292
DOI 10.1590/0034-7167-2020-1292
Views0See moreABSTRACT
Objective:
to identify the prevalence and predictors of frailty in older people in Primary Health Care.
Method:
this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.
Results:
the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).
Conclusions:
the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.
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ORIGINAL ARTICLE04-15-2022
Validation of Questionnaire to Assess the Impact of Dementia on the Family
Revista Brasileira de Enfermagem. 2022;75:e20210232
Abstract
ORIGINAL ARTICLEValidation of Questionnaire to Assess the Impact of Dementia on the Family
Revista Brasileira de Enfermagem. 2022;75:e20210232
DOI 10.1590/0034-7167-2021-0232
Views0See moreABSTRACT
Objective:
To validate a questionnaire to assess the impact of dementia on one of the household members.
Methods:
Methodological study. The instrument was designed based on literature review, expert opinion, and researchers’ experience and then applied to a non-probability convenience sample consisting of 262 family members who live daily with a person with dementia. The construct validity was studied by exploratory factor analysis, principal components method, with varimax rotation of the items.
Results:
An instrument with 30 items was obtained, distributed in four dimensions: “Emotional dimension,” “Economic dimension,” “Family relations dimension,” and “Support-seeking dimension.” Factor analysis revealed a total explained variance of 54.96% and a total Cronbach’s alpha of .899.
Conclusions:
The instrument presents high internal consistency, grouped into four dimensions, all closely related to the family’s adaptation to the onset of dementia in one of its members.
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ORIGINAL ARTICLE03-07-2022
Is self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
Abstract
ORIGINAL ARTICLEIs self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
DOI 10.1590/0034-7167-2021-0388
Views0See moreABSTRACT
Objective:
To analyze the association between self-esteem and quality of life in the elderly.
Methods:
Cross-sectional web survey developed with 519 elderly people. Participants filled out three data collection instruments developed on the Google Forms platform and widely disseminated through all of Brazil. Fisher’s exact test, Mann-Whitney, Pearson correlation, and linear regression with 95% confidence interval were used.
Results:
Self-esteem was associated with all quality-of-life facets: sensory skills [β= 1.307; p<0.001]; autonomy [β= 2.101; p<0.001]; past, present, and future activities [β= 2.486; p<0.001]; social presence [β= 2.547; p<0.001]; death and dying [β= 2.175; p<0.001]; and intimacy [β=2.378; p<0.001].
Conclusion:
There is a positive and statistically significant association between self-esteem and quality of life in the elderly. We therefore suggest the development of local policies capable of raising this age groups’ self-esteem and reaffirming aging as a new possibility for discoveries and pleasure.
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EXPERIENCE REPORT10-24-2022
Nursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
Abstract
EXPERIENCE REPORTNursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
DOI 10.1590/0034-7167-2021-0913
Views0See moreABSTRACT
Objectives:
to describe the strategy of applying the nursing process guided by Pender’s Health Promotion Model to elderly women susceptible to falls with a view to promoting a self-efficacy behavior for fall prevention.
Methods:
application of the nursing process to eleven elderly women who had already experienced falls, living in a neighborhood in the outskirts of Belem, state of Pará, which involved interviews to obtain their nursing history and group meetings using the focus group technique to develop the other phases of the nursing process: nursing diagnosis, nursing interventions, and nursing assessment.
Results:
despite the risk factors for falls, the intervention model adopted in this study allowed elderly women to enhance their self-efficacy.
Final Considerations:
the model proved to be suitable for the participation of elderly women in actions to build fall prevention behaviors, with a view to healthier lifestyles.
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ORIGINAL ARTICLE10-24-2022
Factors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
Abstract
ORIGINAL ARTICLEFactors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
DOI 10.1590/0034-7167-2021-0927
Views1See moreABSTRACT
Objectives:
to analyze the personal and work-related burden factors associated with physical and emotional symptoms of informal caregivers of the elderly.
Methods:
cross-sectional study conducted with 121 informal caregivers and 121 seniors who received care, assessed individually for the risk of: physical overload, musculoskeletal symptoms, Self-Reporting Questionnaire, effort perception, and Katz index.
Results:
a greater perception of effort raises up to 3.3 times the chances of presenting symptoms of pain in the spine region (p=0.01), and lower functional capacity of the elderly increases up to 1.3 times the chances of presenting pain symptoms in the spine region (p=0.02). The symptoms of emotional overload were associated with the caregiver’s low income (p=0.02).
Conclusions:
the perception of effort, dependence of the elderly, caregiver’s age, and symptoms of emotional overload are involved with caregivers’ symptoms of physical overload, and low income, with emotional overload.
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