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REFLECTION01-01-2018
Health advocacy in nursing: contribution to the reorientation of the Brazilian healthcare model
Revista Brasileira de Enfermagem. 2018;71:700-703
Abstract
REFLECTIONHealth advocacy in nursing: contribution to the reorientation of the Brazilian healthcare model
Revista Brasileira de Enfermagem. 2018;71:700-703
DOI 10.1590/0034-7167-2017-0615
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Inequalities are the result of the different positions held by individuals in different social spaces, and are related to the distribution of power and property. Health advocacy is a strategy to reduce such inequalities, especially those considered unfair and unnecessary, aiming to fully promote the right to health. This study aims to discuss the contribution of nursing in the field of health advocacy, which includes the right of everyone to a healthy life as one of the strategies for the reorientation of the Brazilian healthcare model.
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REVIEW01-01-2018
Coping strategies for domestic violence against pregnant female adolescents: integrative review
Revista Brasileira de Enfermagem. 2018;71:693-699
Abstract
REVIEWCoping strategies for domestic violence against pregnant female adolescents: integrative review
Revista Brasileira de Enfermagem. 2018;71:693-699
DOI 10.1590/0034-7167-2017-0682
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Objective:
To investigate and analyze in the scientific literature coping strategies for domestic violence against pregnant female adolescents.
Method:
This is an integrative literature review, conducted from July to August 2017 on LILACS, SciELO and PubMed, using the descriptors and the MeSH terms: confrontation, violence, adolescent, pregnant women, prenatal care.
Result:
The sample comprised 9 articles that were organized and characterized according to year, country of study and coping strategy used. The main forms of coping involved the active search for cases and the primary care approach with all family members.
Conclusion:
Individualized prenatal care, the change in professional training and networking activities were pointed out as important components of the strategies for coping with violence against pregnant adolescents.
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REVIEW01-01-2018
People living on the street from the health point of view
Revista Brasileira de Enfermagem. 2018;71:684-692
Abstract
REVIEWPeople living on the street from the health point of view
Revista Brasileira de Enfermagem. 2018;71:684-692
DOI 10.1590/0034-7167-2017-0547
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Objective:
To know the Brazilian scientific production of the last ten years (2007 to 2016) about people who experience street situations under the health gaze.
Method:
Integrative literature review using the descriptors: street people, health policy and public health. We analyzed 21 articles available in the Virtual Health Library.
Results:
Four categories of analysis emerged. There was an increase in the frequency of published work on the subject, showing that the experience of living on the street makes people vulnerable to various diseases and health problems and, in addition, increases the difficulties of access to health services.
Conclusion:
There was an increase in the discussion of this topic due to the increase in the number of published studies. Despite the existence of public health policies directed to this social group, much still needs to be done to guarantee the health of this population.
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RESEARCH01-01-2018
Epidemiological profile of maternal mortality
Revista Brasileira de Enfermagem. 2018;71:677-683
Abstract
RESEARCHEpidemiological profile of maternal mortality
Revista Brasileira de Enfermagem. 2018;71:677-683
DOI 10.1590/0034-7167-2017-0624
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Objective:
To know the epidemiological profile of maternal mortality in Juiz de Fora, a city in the state of Minas Gerais. Data collection was carried out from April to December 2016.
Method:
Summary of a confidential investigation of maternal mortality on deaths occurred from January 1st, 2005 to December 31, 2015.
Results:
Eighty-five deaths of women residing in Juiz de Fora were identified and analyzed. The age group was between 20 and 36 years. The women carried out prenatal care (74.1%) with less than six visits (34.0%). Cesarean section was conducted in 38.8% of the childbirths and the obstetric treatment was considered appropriate (32.9%). The first cause of maternal death was hypovolemic shock 12 (14.10%), followed by uterine hypotony 6 (7.0%).
Conclusion:
Cesarean section rates are high and prenatal adherence is lower than that expected, which could justify the number of deaths in the period studied.
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RESEARCH01-01-2018
Permanent education in the vaccination room: what is the reality?
Revista Brasileira de Enfermagem. 2018;71:668-676
Abstract
RESEARCHPermanent education in the vaccination room: what is the reality?
Revista Brasileira de Enfermagem. 2018;71:668-676
DOI 10.1590/0034-7167-2017-0560
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Objective:
To understand, from the perspective of the professional, the Permanent Education (PE) in the vaccination room in its real context.
Method:
Multiple holistic-qualitative case studies, based on Maffesoli’s Interpretive Sociology with 56 participants from four microregions of the Western Extended Region of Minas Gerais State.
Results:
They present PE as infrequent and insufficient. They denote that the practical-theoretical experience with vaccine contributes to the work; the search for knowledge, starting from the professional itself; and the professional training fails to perform in the vaccination room.
Final considerations:
The notions of PE are linked to the daily needs of individuals and services, with indication of being interactive, periodic, in specific and non-global issues for better assimilation. Obstacles to the non-implementation of PEH are realized by the workload associated with insufficient human resources, the distance of the nurses from the vaccination room and the lack of support from the higher levels.
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RESEARCH01-01-2018
Work and Leprosy: women in their pains, struggles and toils
Revista Brasileira de Enfermagem. 2018;71:660-667
Abstract
RESEARCHWork and Leprosy: women in their pains, struggles and toils
Revista Brasileira de Enfermagem. 2018;71:660-667
DOI 10.1590/0034-7167-2017-0598
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Objective:
To analyze the interference of leprosy in women’s life regarding work and daily life activities.
Method:
Exploratory qualitative study developed from semi-structured interviews and with the use of field diaries. The strategy of the organization of data was a thematic analysis of content and referential of the work process in health and gender.
Results:
The themes presented are: “The leprosy pains”, “Changes with the disease and adaptation at work and activities” and “Being a woman with leprosy”. On them, we present the aspects that changed in women’s life from the leprosy, especially regarding work and daily activities. Beyond physical limitation, there are impacts on social relations and above all on formal work, there may even be dismission.
Final considerations:
In women affected by leprosy, work and daily activities are directly affected; this deepens the social difficulties and requires attention of health professionals.
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RESEARCH01-01-2018
Social networks of patients with chronic skin lesions: nursing care
Revista Brasileira de Enfermagem. 2018;71:652-659
Abstract
RESEARCHSocial networks of patients with chronic skin lesions: nursing care
Revista Brasileira de Enfermagem. 2018;71:652-659
DOI 10.1590/0034-7167-2017-0581
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Objective:
To describe the social networks of patients with chronic skin damages.
Method:
A qualitative study conducted through semi-structured interviews with nine subjects with chronic skin lesions from June 2016 to March 2017; we used the theoretical-methodological framework of Lia Sanicola’s Social Network.
Results:
The analysis of the relational maps revealed that the primary network was formed mainly by relatives and neighbors; its characteristics, such as: reduced size, low density and few exchanges/relationships, configures fragility in these links. The secondary network was essentially described by health services, and the nurse was cited as a linker in the therapeutic process.
Final considerations:
Faced with the fragility of the links and social isolation, the primary health care professionals are fundamental foundations for the construction of networks of social support and care for patients with chronic skin lesions.
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RESEARCH01-01-2018
Factors associated with delay in seeking care by tuberculosis patients
Revista Brasileira de Enfermagem. 2018;71:646-651
Abstract
RESEARCHFactors associated with delay in seeking care by tuberculosis patients
Revista Brasileira de Enfermagem. 2018;71:646-651
DOI 10.1590/0034-7167-2016-0680
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Objective:
To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care.
Method:
This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant.
Results:
No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively).
Conclusion:
Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.
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ORIGINAL ARTICLE12-05-2019
Functional capacity assessment of long-lived older adults from Amazonas
Revista Brasileira de Enfermagem. 2019;72:49-55
Abstract
ORIGINAL ARTICLEFunctional capacity assessment of long-lived older adults from Amazonas
Revista Brasileira de Enfermagem. 2019;72:49-55
DOI 10.1590/0034-7167-2017-0798
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Objective:
To evaluate the functional capacity of long-lived older adults from Amazonas.
Method:
A cross-sectional epidemiological study was carried out with 116 older adults aged 80 years or older, registered in a primary health care unit in Belém, in the state of Pará, Brazil. The Functional Independence Measure (FIM) was used for functional capacity assessment and the Mini-Mental State Examination (MMSE) for cognitive screening. Univariate and bivariate analyses were carried out, in addition to the Pearson’s chi-square test.
Results:
The older adults presented modified independence in the self-care, sphincter control and locomotion dimensions, and needed supervision for mobility/transfers. In mobility, men presented complete independence. Modified independence was found in the 80-89 age group. It was observed that, the lower the education level, the worse the cognitive performance.
Conclusion:
In spite of their advanced age, long-lived older adults still present functional capacity for activities of daily living, even though they required supervision for high energy expenditure tasks, such as mobility and transfers.
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03-19-2021
Validity and reliability of Kessler Psychological Distress Scale for Brazilian elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74:e20200365
Abstract
Validity and reliability of Kessler Psychological Distress Scale for Brazilian elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74:e20200365
DOI 10.1590/0034-7167-2020-0365
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Objective:
to verify the validity and reliability of the Psychological Distress Scale for screening mental distress.
Methods:
a cross-sectional study with 75 elderly people. Psychological Distress scale and Self Reporting Questionnaire were used. Criterion validity was verified using Spearman’s correlation and diagnostic accuracy measures. Cronbach’s alpha coefficient was used to investigate reliability.
Results:
the total internal consistency of the Psychological Distress Scale was α=0.844. Concurrent validity between this instrument and the Self Reporting Questionnaire was ρ=0.722 (p<0.001). The best cut-off point for screening mental distress among elderly people was a total score greater than 14, with sensitivity equal to 75.47% and specificity equal to 85.0%.
Conclusions:
the scale was robust for screening mental distress, given its high reliability, in terms of homogeneity, and adequate criterion validity, whose best cut-off point for screening was a score greater than 14.
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ORIGINAL ARTICLE07-06-2020
Vulnerability in the health of young transgender women living with HIV/AIDS
Revista Brasileira de Enfermagem. 2020;73(5):e20190046
Abstract
ORIGINAL ARTICLEVulnerability in the health of young transgender women living with HIV/AIDS
Revista Brasileira de Enfermagem. 2020;73(5):e20190046
DOI 10.1590/0034-7167-2019-0046
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Objectives:
to analyze the health vulnerability of young female transgender living with HIV/AIDS.
Methods:
qualitative, descriptive, and exploratory study, based on the theoretical reference of Social Representation and concept of vulnerability; developed with six transgender women in a reference Hospital for HIV/AIDS. We analyzed the individual interviews, recorded, and transcribed in full, in the IRaMuTeQ software by Similitude Analysis.
Results:
the thematic categories are listed based on the Ayres reference: 1) Individual dimension of vulnerability to HIV/AIDS; 2) Social dimension of vulnerability to HIV/AIDS; 3) Programmatic dimension of the vulnerability.
Final Considerations:
the young female transsexual living with HIV/AIDS experience a context of vulnerability in health associated with a lack of knowledge and difficulties for the realization of self-care. The study evidenced the representations of social abjection and unpreparedness of the health team that compose the Primary Attention in Health in promoting qualified assistance for the execution of the effective and humanized care.
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ORIGINAL ARTICLE05-09-2022
Wise Infant Development®: creation of a software for teaching in pediatric nursing education
Revista Brasileira de Enfermagem. 2022;75(5):e20210466
Abstract
ORIGINAL ARTICLEWise Infant Development®: creation of a software for teaching in pediatric nursing education
Revista Brasileira de Enfermagem. 2022;75(5):e20210466
DOI 10.1590/0034-7167-2021-0466
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Objectives:
to create a software application for nursing education on child development assessment.
Methods:
this is a methodological applied research developed in three stages: analysis, design, and development. Product quality characteristics from the ISO/IEC 25010 standards were adopted. The programming language used was JavaScript. The educational software was developed based on a constructivist cognitive theory.
Results:
it was possible to create the software from the following quality metrics: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability, and portability. The technology addresses child development in physical, cognitive, and psychosocial domains and how this assessment should be carried out in Brazil. The software has pre and posttests, 5 learning modules, certificate issuance, support for doubts, and an administrative panel. Final Considerations: it is concluded that the software adds to the existing tools for child development monitoring, facilitating students’ knowledge acquisition in promoting child health.
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ORIGINAL ARTICLE07-31-2020
Educational demands of family members of children with special health care needs in the transition from hospital to home
Revista Brasileira de Enfermagem. 2020;73:e20190156
Abstract
ORIGINAL ARTICLEEducational demands of family members of children with special health care needs in the transition from hospital to home
Revista Brasileira de Enfermagem. 2020;73:e20190156
DOI 10.1590/0034-7167-2019-0156
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Objectives:
to analyze the educational demands of family members of children with special health care needs in the transition from hospital to home
Methods:
qualitative research conducted between February and June 2018, using the handbook on creativity and sensitivity dynamics, from the sensitive creative method; the participants were nine family caregivers of children admitted to a public hospital in Rio de Janeiro; the data were subjected to French discourse analysis
Results:
the educational demands were clinical, centered on the categories complex and continuous care, technological care, modified habits, medication, development and mixed care, and social, related to the supplies and rights of children
Final Considerations:
the social educational demand has emerged as a new demand to be incorporated in the care of these children. The transition from hospital to home should be progressive and have the nurse as its coordinator, with the objective of providing participatory, safe, quality care, articulated within a social network
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04-16-2021
Conceptual and operational definition of the components of the nursing diagnosis hypothermia (00006) in the perioperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20190684
Abstract
Conceptual and operational definition of the components of the nursing diagnosis hypothermia (00006) in the perioperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20190684
DOI 10.1590/0034-7167-2019-0684
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Objective:
to construct the conceptual and operational definitions of the defining and conceptual characteristics of the related factors of the nursing diagnosis (ND) hypothermia (00006) of NANDA-I, 2015-2017, in adult patients in the perioperative period.
Method:
an integrative literature review in the Medical Literature Analysis and Retrieval System Online, Cochrane Library, The Cumulative Index to Nursing and Allied Health Literature and in Latin & American Literature in Health Sciences databases.
Results:
2,041 articles were found, 95 selected for reading in full and 24 used to construct such definitions. Gay literature was also explored to ensure robustness to the elucidation of topics not found in articles.
Conclusion:
such definitions will assist nurses in surgical practice in information collection, in accurate determination of the referred ND, in teaching and in future research related to this theme, as well as in the next validation stages of such ND to the referred population.
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REVIEW02-25-2022
Transitional rehabilitation care and patient care continuity as an advanced nursing practice
Revista Brasileira de Enfermagem. 2022;75(5):e20210399
Abstract
REVIEWTransitional rehabilitation care and patient care continuity as an advanced nursing practice
Revista Brasileira de Enfermagem. 2022;75(5):e20210399
DOI 10.1590/0034-7167-2021-0399
Views1See moreABSTRACT
Objective:
To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care.
Methods:
Integrative literature review oriented toward answering the question “What nursing interventions guarantee transitional rehabilitation care to dependent adult or elderly people when they return home after hospitalization?”.
Results:
The patients did not participate much in the planning of hospital discharge and decision-making when they had to return home. Informal caretakers reported that professionals showed detachment during hospitalization and delayed guiding instructions. Health professionals mentioned lack of time to offer this care modality as a difficulty.
Final considerations:
Ensuring training, follow-up, and coordination between care levels is essential. Care integration can reduce hospital stay and the impact of post-discharge complications. Transitional care contributes to a sustainable health system, higher care quality, and client satisfaction.
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ORIGINAL ARTICLE07-15-2020
Influence of health care practices on the burden of caregiver mothers
Revista Brasileira de Enfermagem. 2020;73:e20190154
Abstract
ORIGINAL ARTICLEInfluence of health care practices on the burden of caregiver mothers
Revista Brasileira de Enfermagem. 2020;73:e20190154
DOI 10.1590/0034-7167-2019-0154
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Objectives:
to explore the influence of health care practices on the burden of caregiver mothers of children with special health needs.
Methods:
observational, analytical, cross-sectional, quantitative study. Participation of 100 caregiver mothers, who responded the following instruments: characterization instrument; Burden Interview for Informal Caregivers; Perceptions of Family-Centered Care – Parents version; Evaluation Instrument for Primary Care – Child Version. For statistical analysis, were used the Spearman’s Correlation and univariate and multivariate linear regression analysis.
Results:
the mean burden score was 47.99. There was a negative correlation between the burden and the domains of collaboration and support of the Perceptions of Family-Centered Care scale. In the multivariate linear regression model, the longitudinality variable maintained a significant relation with the burden (p = 0.023).
Conclusions:
a shared, longitudinal and integrated care between families and health services can ease the burden of caregiver mothers.
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