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RESEARCH01-01-2018
Educational technology for people living with HIV: validation study
Revista Brasileira de Enfermagem. 2018;71:1657-1662
Abstract
RESEARCHEducational technology for people living with HIV: validation study
Revista Brasileira de Enfermagem. 2018;71:1657-1662
DOI 10.1590/0034-7167-2017-0824
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Objective:
to validate an educational technology to support the action of health professionals with people living with HIV.
Method:
methodological study with data collection using a four-point Likert scale for evaluation by eleven judges and 51 people living with HIV. The data were tabulated, processed, and analyzed by inferential and descriptive statistics, Cronbach’s alpha test, and Kruskal-Wallis for reliability and internal consistency analyses.
Result:
the Cronbach’s alpha was 0.974 for judges and 0.694 for the target audience, reliable values. Kruskal-Wallis tested hypotheses H0 and H1 with significance of 0.05. H0 was accepted with significance of 0.395 for judges and 0.187 for the target audience, demonstrating agreement on the distribution of answers. Judgements with favorable response of at least 70% were considered relevant, according to the performed tests.
Conclusion:
the technology presents high reliability and good internal consistency, being deemed appropriate.
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RESEARCH01-01-2018
Teaching strategies: promoting the development of moral competence in undergraduate students
Revista Brasileira de Enfermagem. 2018;71:1650-1656
Abstract
RESEARCHTeaching strategies: promoting the development of moral competence in undergraduate students
Revista Brasileira de Enfermagem. 2018;71:1650-1656
DOI 10.1590/0034-7167-2017-0704
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Objective:
To identify strategies and spaces used by professors to promote the development of the moral competence of nursing undergraduate students.
Method:
Qualitative research, developed with 20 nursing professors, through a semi-structured interview, from July to October 2016. Data were submitted to discursive textual analysis.
Results:
Three categories were constructed: Active methodologies as strategies for the development of moral competence; Knowledge and development of clinical reasoning as motivating spaces of moral competence; Attitude of professors as a strategy for dialogue, empathy, recovery of moral values and development of caring skills.
Final considerations:
The use of strategies and spaces to develop pedagogical actions favors the search for knowledge, clinical reasoning and the approach of ethical and moral aspects that collaborate for the development of the moral competence of nursing undergraduate students.
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RESEARCH01-01-2018
Quality of life and eating attitudes of health care students
Revista Brasileira de Enfermagem. 2018;71:1642-1649
Abstract
RESEARCHQuality of life and eating attitudes of health care students
Revista Brasileira de Enfermagem. 2018;71:1642-1649
DOI 10.1590/0034-7167-2017-0224
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Objective:
To assess the quality of life and eating attitudes of health care students of the undergraduate programs of a public university.
Method:
Observational, cross-sectional, and quantitative study performed in a federal university. Three questionnaires were used for data collection: a socio-demographic and academic, the WHOQOL-BREF and the Eating Attitudes Test (EAT-26).
Result:
399 students participated in this study, most women, average age of 22 years, average scores of EAT-26 of 15.12 and quality-of-life averages above 60 points in all domains. The students of the undergraduate program in Nutrition presented more inappropriate eating attitudes than other health care students; as the age evolves, vulnerability to inadequate eating attitudes increases; and the family income influenced negatively the quality of life in Physical and Social domains.
Conclusions:
Inadequate eating attitude diminishes the quality of life of health care students in all domains of the WHOOQOL-BREF.
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RESEARCH01-01-2018
Construction and validation of an Educational Content Validation Instrument in Health
Revista Brasileira de Enfermagem. 2018;71:1635-1641
Abstract
RESEARCHConstruction and validation of an Educational Content Validation Instrument in Health
Revista Brasileira de Enfermagem. 2018;71:1635-1641
DOI 10.1590/0034-7167-2017-0648
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Objective:
to construct and validate the Educational Content Validation Instrument in Health.
Method:
methodological study that includes the establishment of the conceptual structure; definition of objectives and population; construction of items and response scale; selection and arrangement of items; instrument structuring; opinion of experts; pre-test and content validation.
Results:
an instrument with 15 items was constructed and, after expert evaluation, eighteen items were obtained, divided into three domains: objectives (four), structure/presentation (nine), and relevance (two). Six items were modified since they presented a percentage of agreement below 0.8. Items of the total instrument presented good internal consistency (0.877) regarding domains.
Conclusion:
an Educational Content Validation Instrument in Health was elaborated and validated, presenting good reliability, and may contribute to the practice of researchers and health professionals in the development of educational content.
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RESEARCH01-01-2018
Teaching of infection control in undergraduate courses in health sciences: opinion of experts
Revista Brasileira de Enfermagem. 2018;71:1626-1634
Abstract
RESEARCHTeaching of infection control in undergraduate courses in health sciences: opinion of experts
Revista Brasileira de Enfermagem. 2018;71:1626-1634
DOI 10.1590/0034-7167-2017-0928
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Objective:
To know the perception of expert professionals in infection control and prevention on the teaching of skills for the prevention and control of infections related to health care in undergraduate courses in Health Sciences.
Method:
We used the Delphi technique, developed in four sequential rounds. Thirty-one nurses and eight physicians participated in the study. Qualitative data were analyzed through content analysis; the quantitative ones, from the descriptive statistics.
Results:
The importance of the courses has had teachers with expertise in infection control and prevention added to arguments about the development of the subject in the curricula by means of a specific subject or as a transversal theme.
Conclusions:
In order to cover the complexity of the elements that are interconnected for professional training, teaching must be based on pedagogical strategies that provoke reflection in students, encouraging them to develop critical thinking about their experiences.
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RESEARCH01-01-2018
Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
Abstract
RESEARCHNursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
DOI 10.1590/0034-7167-2017-0754
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Objective:
To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.
Method:
Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.
Results:
The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.
Conclusion:
Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and research.
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RESEARCH01-01-2018
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
Abstract
RESEARCHTraining in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
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Objective:
seize meanings attributed by primary care nurses to training in diabetes education.
Method:
exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.
Results:
nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.
Conclusion:
the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.
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RESEARCH01-01-2018
Educational animation about home care with premature newborn infants
Revista Brasileira de Enfermagem. 2018;71:1604-1610
Abstract
RESEARCHEducational animation about home care with premature newborn infants
Revista Brasileira de Enfermagem. 2018;71:1604-1610
DOI 10.1590/0034-7167-2017-0401
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Objective:
to elaborate and validate animation on the care of premature newborn infants at home.
Method:
Methodological study in three stages: integrative review on home care; animation design based on Roper, Logan and Tierney’s Model named “Activities of Living” (ALs), and validation of content and appearance by neonatology specialists. The steps to develop the animation were: creation of storyboard; definition of objects; specification of keyframes; and frame generation among key frameworks.
Results:
Of the 53 articles selected in the review, care was extracted and grouped into the twelve activities of living. Three storyboards were created to embrace all care and validated by 22 experts. Most of the care had matches above 80%.
Conclusion:
The validation of the storyboards made it possible to glimpse the changes in scenes and dialogues in a clearer and more detailed way. Animation is an innovative educational technology to support teaching and learning of parents and family.
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REFLECTION04-03-2020
Environmental health: emancipatory care challenges and possibilities by the nurse
Revista Brasileira de Enfermagem. 2020;73(3):e20180478
Abstract
REFLECTIONEnvironmental health: emancipatory care challenges and possibilities by the nurse
Revista Brasileira de Enfermagem. 2020;73(3):e20180478
DOI 10.1590/0034-7167-2018-0478
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Objectives:
to discuss challenges and possibilities for the construction of Environmental Health emancipatory care practices by the nurse.
Methods:
reflective analysis based on conceptual, theoretical, and methodological aspects of nursing care, under the emancipatory and critical perspective.
Results:
contemporary environmental issues involve complex determinants of the health-disease process. This fact requires the accomplishment of educative actions that encourage the change of environmental attitudes related to health-risk situations. In this sense, there are significant demands for emancipatory practices of primary care in Environmental Health by nurses, which need to be systematized by health and education institutions.
Final considerations:
the nurse, as an educator and social actor, should offer emancipatory practices of risk management, empowerment, and shared social and environmental responsibility, with a view to recovering an ecological well-being and social transformation, to improve environmental quality and human life.
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ORIGINAL ARTICLE06-01-2020
Binge drinking and overweight in brazilian adults – CUME Project
Revista Brasileira de Enfermagem. 2020;73:e20190316
Abstract
ORIGINAL ARTICLEBinge drinking and overweight in brazilian adults – CUME Project
Revista Brasileira de Enfermagem. 2020;73:e20190316
DOI 10.1590/0034-7167-2019-0316
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Objective:
To verify the association between heavy episodic alcohol consumption [binge drinking (BD)] and overweight in 2,909 adults from the Cohort of Universities of Minas Gerais (CUME Project) baseline, Brazil.
Method:
Cross-sectional study in which sociodemographic, anthropometric (BMI ≥ 25 kg/m2 = overweight) and dietary intake data were collected. This study evaluated the occurrence and monthly frequency of BD (≥ 4 drinks at one time for women; ≥ 5 drinks at one time for men, in the last 30 days).
Results:
The prevalence of BD and overweight were 41.3% and 40.8%, respectively. BD increased the prevalence of overweight by 19%, and, BD exposure by ≥ 5 days / month increased it by 31%.
Conclusion:
BD on a single or multiple occasion during the month was associated with a higher prevalence of overweight. Therefore, such a lifestyle should be considered in weight gain prevention strategies.
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ORIGINAL ARTICLE12-04-2020
“The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents
Revista Brasileira de Enfermagem. 2020;73:e20200578
Abstract
ORIGINAL ARTICLE“The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents
Revista Brasileira de Enfermagem. 2020;73:e20200578
DOI 10.1590/0034-7167-2020-0578
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Objective:
to describe the risk factors that influence the self-injury behavior of adolescents assisted at a Psychosocial Care Center for Children and Adolescents, according to subjects’ own perceptions.
Method:
a descriptive, exploratory, qualitative study carried out through medical records and a focus group with 07 adolescents. The statements were submitted to thematic content analysis.
Results:
in the risk factors category, four subcategories emerged: Family adversity factors; Social contagion; Adverse life events; Personal characteristics. Conflicts, lack of support, drug use in the family, meeting someone who cuts themselves, social networks, religiosity, history of sexual violence and bullying were identified as risk factors that influence self-injury.
Final Considerations:
adolescents pointed out the need for prejudice-free dialogues in schools, in health and family devices, configuring protective factors to avoid this practice that comes from several negative events throughout life.
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ORIGINAL ARTICLE08-07-2020
Functional health literacy in older adults with hypertension in the Family Health Strategy
Revista Brasileira de Enfermagem. 2020;73:e20190848
Abstract
ORIGINAL ARTICLEFunctional health literacy in older adults with hypertension in the Family Health Strategy
Revista Brasileira de Enfermagem. 2020;73:e20190848
DOI 10.1590/0034-7167-2019-0848
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Objective:
To assess Functional Health Literacy and the associated sociodemographic, health, information sources and health media factors in older adults with hypertension assisted at the Family Health Strategy.
Methods:
A quantitative cross-sectional study with an exploratory-descriptive approach, carried out with a total of 264 older adults. A sociodemographic and health characterization instrument was used for the data collection, and another one that evaluated the Functional Health Literacy. For the analysis, a descriptive and inferential statistics were performed.
Results:
Most of the participants in the study had inadequate literacy (59.5% – 157), and the variables education, income, hospital stay and internet as a source of information are related to the averages of Functional Health Literacy.
Conclusion:
Knowing the Functional Health Literacy of older adults with hypertension and its associated factors can provide subsidies for the planning of health education strategies that, in fact, meet their health needs.
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ORIGINAL ARTICLE12-21-2020
Knowledge and practices of nursing professionals in caring for ostomates
Revista Brasileira de Enfermagem. 2020;73:e20200018
Abstract
ORIGINAL ARTICLEKnowledge and practices of nursing professionals in caring for ostomates
Revista Brasileira de Enfermagem. 2020;73:e20200018
DOI 10.1590/0034-7167-2020-0018
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Objective:
to analyze the knowledge and practices of nursing professionals in caring for people with colostomy bag.
Method:
a qualitative and descriptive study conducted with 21 nursing professionals from a General Surgery Unit. Data collection used triangulation of techniques, based on non-participant observation, analysis of nursing records, and semi-structured interviews. Analysis followed the spiral technique assumptions.
Results:
it was possible to comprehend the theoretical and scientific knowledge that subsidize practice; identify contradictions related to statement and care in the profession’s daily work and the intervening factors, which can facilitate and/or make the nursing care process difficult.
Final Considerations:
knowledge and practices of professionals in caring for ostomates occur within work experiences, in which socialization of knowledge makes it possible to expand the perspectives of care.
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EXPERIENCE REPORT02-05-2021
Paulo Freire’s culture circles: contributions to nursing research, teaching, and professional practice
Revista Brasileira de Enfermagem. 2021;74(1):e20190626
Abstract
EXPERIENCE REPORTPaulo Freire’s culture circles: contributions to nursing research, teaching, and professional practice
Revista Brasileira de Enfermagem. 2021;74(1):e20190626
DOI 10.1590/0034-7167-2019-0626
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Objectives:
to share the contributions of culture circles for teaching, research, and professional nursing practice, having as framework Paulo Freire’s Research Itinerary.
Methods:
this is an experience report of a culture circle, with participation of three professors and ten students, enrolled in a course of a Graduate Program in Nursing in southern Brazil. In this culture circle, a tree was built in which the roots formed the thematic investigation, the stem, coding and decoding, and the leaves, the Research Itinerary critical unveiling.
Results:
participants demonstrated empowerment of Paulo Freire’s assumptions, and building a tree made it possible to discuss in a pleasant and playful way culture circle use in teaching, research, and professional nursing practice.
Final Considerations:
the culture circle promoted reflection and action on nursing praxis, turning Freirean thoughts into something concrete and transforming realities.
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ORIGINAL ARTICLE09-21-2020
Frailty, depression, and quality of life: a study with elderly caregivers
Revista Brasileira de Enfermagem. 2020;73:e20180947
Abstract
ORIGINAL ARTICLEFrailty, depression, and quality of life: a study with elderly caregivers
Revista Brasileira de Enfermagem. 2020;73:e20180947
DOI 10.1590/0034-7167-2018-0947
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Objective:
to analyze the relationship between frailty, depressive symptoms, and quality of life of elderly caregivers of other elderly living in high social vulnerability.
Methods:
a descriptive, correlational and cross-sectional study conducted with 40 elderly caregivers. A questionnaire to characterize elderly caregivers, the Fried frailty phenotype, the Geriatric Depression Scale (to screen depressive symptoms) and the Short-Form 6 Dimension (to assess quality of life) were used. For data analysis, Student’s t-test, ANOVA, Pearson’s χ2 and Fisher’s exact test were used.
Results:
most were pre-frail (52.5%) and had no evidence of depressive symptoms (57.5%). They presented, on average, a score of 0.76 (±0.1) in relation to quality of life. Statistical significance was observed between the average scores of quality of life with depressive symptoms (p=0.012) and frailty level (p=0.004).
Conclusion:
frail elderly caregivers with depressive symptoms had a worse perception of quality of life.
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ORIGINAL ARTICLE02-10-2020
Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers
Revista Brasileira de Enfermagem. 2020;73(1):e20180214
Abstract
ORIGINAL ARTICLEMobile care service for psychiatric urgencies and emergencies: perception of nursing workers
Revista Brasileira de Enfermagem. 2020;73(1):e20180214
DOI 10.1590/0034-7167-2018-0214
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Objective:
To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência).
Method:
Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis.
Results:
The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions.
Final considerations:
Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.
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