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ORIGINAL ARTICLE11-22-2024
Transitions experienced by people living with limitations resulting from leprosy: a research-care study
Revista Brasileira de Enfermagem. 2024;77(5):e20230229
Abstract
ORIGINAL ARTICLETransitions experienced by people living with limitations resulting from leprosy: a research-care study
Revista Brasileira de Enfermagem. 2024;77(5):e20230229
DOI 10.1590/0034-7167-2023-0229
Views0See moreABSTRACT
Objective:
to understand the transitional processes that affect the adaptation of people who live with limitations resulting from leprosy.
Methods:
This is a qualitative study based on the precepts of Transition Theory, mediated by care-research, with 24 people with limitations resulting from leprosy in an ex-hospital colony in Piauí. Semi-structured interviews were carried out. The interviews were analyzed using Iramuteq software.
Results:
the researched-caregivers experienced the four types of transitions, including feelings of fear, worry, loneliness, hopelessness, guilt and a tendency to hide the diagnosis. Breakdowns and resignation were revealed, with spirituality, adaptation to the new life situation and acceptance as facilitating conditions for coping with the transitional process, with a consequent improvement in quality of life.
Final considerations:
the transitional processes had a positive significance, since they contributed to adaptation and the achievement of quality of life.
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11-22-2024
Percepções de pessoas com deficiência física sobre acessibilidade e condições sociais: intervenções para enfermagem de reabilitação
Revista Brasileira de Enfermagem. 2024;77(5):e20240005
Abstract
Percepções de pessoas com deficiência física sobre acessibilidade e condições sociais: intervenções para enfermagem de reabilitação
Revista Brasileira de Enfermagem. 2024;77(5):e20240005
DOI 10.1590/0034-7167-2024-0005
Views0See moreRESUMEN
Objetivos:
analizar las experiencias de personas con discapacidad física adquirida en cuanto a accesibilidad y condiciones sociales; identificar intervenciones de rehabilitación dirigidas por enfermeras para la accesibilidad y condiciones sociales; determinar indicadores sensibles a la enfermería para mejorar la accesibilidad y condiciones sociales.
Métodos:
estudio cualitativo descriptivo-exploratorio utilizó entrevistas semiestructuradas con personas con discapacidad física adquirida mediante muestreo intencionado en bola de nieve para cumplir con todos los objetivos. El análisis de datos siguió los principios del análisis de contenido de Bardin. Los objetivos 2 y 3 se lograron mediante un enfoque teórico reflexivo.
Resultados:
los 27 participantes informaron desafíos de accesibilidad, que impactan las actividades de la vida diaria y las condiciones sociales. Esto influye en la enfermería de rehabilitación, dando lugar a tres campos de intervención: Evaluar la capacidad para realizar actividades diarias y los factores que influyen; Desarrollar e implementar capacitación para la realización de actividades diarias; Promover la movilidad, la accesibilidad y la participación social.
Consideraciones Finales:
a partir de las experiencias de los participantes, identificamos intervenciones de rehabilitación dirigidas por enfermeras para promover la accesibilidad y condiciones sociales.
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ORIGINAL ARTICLE11-22-2024
Sociodemographic and occupational influences on health professionals’ quality of life
Revista Brasileira de Enfermagem. 2024;77(4):e20240010
Abstract
ORIGINAL ARTICLESociodemographic and occupational influences on health professionals’ quality of life
Revista Brasileira de Enfermagem. 2024;77(4):e20240010
DOI 10.1590/0034-7167-2024-0010
Views0See moreABSTRACT
Objective:
To analyze the sociodemographic and occupational influences on health professionals’ quality of life.
Method:
This descriptive-exploratory, cross-sectional, analytical, and quantitative study addressed 94 health workers, including nursing technicians, nurses, and physical therapists working in Intensive Care Units in a town in the extreme south of Brazil in 2023. The student’s t-test and Spearman correlation were used.
Results:
A significant positive correlation was found between being a woman and the psychological domain and between income and the social and environmental domain while working hours were inversely related to general QoL. Additionally, workload negatively impacted the physical, psychological, and general QOL, furniture negatively influenced the psychological domain, and equipment was negatively associated with the physical and psychological domain.
Conclusion:
The characteristics of the work environment interfere with several areas of quality of life.
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REVIEW11-22-2024
Concept analysis of youth: understanding the plurality of subjects
Revista Brasileira de Enfermagem. 2024;77(4):e20240002
Abstract
REVIEWConcept analysis of youth: understanding the plurality of subjects
Revista Brasileira de Enfermagem. 2024;77(4):e20240002
DOI 10.1590/0034-7167-2024-0002
Views0See moreABSTRACT
Objective:
To analyze the concept of “youth.”
Methods:
This is a concept analysis guided by the method proposed by Walker and Avant, operationalized through an integrative literature review. The search in scientific databases was carried out using the descriptors: youth; young; adolescence. To compose the literary corpus, 22 studies were selected.
Results:
Various factors were found in the antecedents that influence the separation of youth groups, contributing to the heterogenization of this population. The attributes include characteristics that comprise the formation of youth groups, especially the idea of shared experiences and social construction, as well as the consequences of the mentioned concept. After systematizing the variables, the analysis was conducted, highlighting the conceptions that influence youth.
Conclusion:
The study demonstrated the multifactorial complexity of the formulation of the concept of youth, highlighting various factors that contribute to this construction. For nursing, this conceptual field allows for an understanding of the population and effective engagement with this group.
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ORIGINAL ARTICLE11-22-2024
Temporal trends in neonatal mortality in Pernambuco
Revista Brasileira de Enfermagem. 2024;77(4):e20230451
Abstract
ORIGINAL ARTICLETemporal trends in neonatal mortality in Pernambuco
Revista Brasileira de Enfermagem. 2024;77(4):e20230451
DOI 10.1590/0034-7167-2023-0451
Views0See moreABSTRACT
Objective:
To verify the temporal trend of neonatal mortality in the health regions of Pernambuco between 2000 and 2020.
Method:
A time-series ecological study was conducted, analyzing the total neonatal mortality rate and its early and late components. For regression analysis, Joinpoint Regression was applied, trends were classified, and annual and average percentage changes were calculated for the period, with a significance level of 95%.
Results:
The average neonatal mortality rate in Pernambuco was 11.5 during the studied period. A decreasing trend in neonatal mortality rate was observed, especially in the early component. The region where the state capital is located showed the fastest decrease across all components.
Conclusion:
The temporal trend of neonatal mortality was decreasing; however, the rate of reduction was not uniform across the health regions of the state, and the implementation of the Mãe Coruja Pernambucana Program did not impact the trend in neonatal mortality.
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ORIGINAL ARTICLE11-22-2024
Evaluation of a video to promote HIV testing in sexual minorities
Revista Brasileira de Enfermagem. 2024;77(4):e20230320
Abstract
ORIGINAL ARTICLEEvaluation of a video to promote HIV testing in sexual minorities
Revista Brasileira de Enfermagem. 2024;77(4):e20230320
DOI 10.1590/0034-7167-2023-0320
Views0See moreABSTRACT
Objective:
To design and evaluate an educational video aimed at promoting HIV testing in gay men from the theoretical perspective of the Nola J. Pender Health Promotion Model.
Methods:
The design comprised five steps: 1.- Literature search; 2.- Formulation of the educational objective; 3.- Drafting of the script and location of the information in the theoretical components; 4.- Production; and 5.- Evaluation by experts and the target population.
Results:
The video “Living Without Fear” was produced, which presents the dilemma faced by gay men before taking a HIV test. The content validity index was 0.85, which indicated that the information was adequate and acceptable for promoting the rapid HIV test.
Final Considerations:
The results contribute to the scientific evidence aimed at promoting healthy behavior. In addition, the video was shown to be an acceptable educational tool.
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ORIGINAL ARTICLE11-22-2024
Development and validity of a mobile application prototype for hospital shift handover
Revista Brasileira de Enfermagem. 2024;77(4):e20230173
Abstract
ORIGINAL ARTICLEDevelopment and validity of a mobile application prototype for hospital shift handover
Revista Brasileira de Enfermagem. 2024;77(4):e20230173
DOI 10.1590/0034-7167-2023-0173
Views0See moreABSTRACT
Objective:
To develop and validate a mobile application prototype for nursing shift handover in a hospital inpatient unit.
Methods:
A methodological study of technological production, carried out from April 2020 to January 2022, for mobile application construction and validity through the Design Thinking methodology. The study involved the stages of prototype development and validity by experts.
Results:
The application for mobile nursing shift handover obtained a usability score of 79 points and a content validity coefficient of 0.7.
Conclusions:
The instrument obtained an excellent assessment according to usability and agreement among experts. However, future studies are needed to implement this technology in order to assess effectiveness, time optimization and failures during communication.
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ORIGINAL ARTICLE10-25-2024
Analysis of the vaccination situation against Mpox in people living with HIV/AIDS: an ecological study
Revista Brasileira de Enfermagem. 2024;77(5):e20230234
Abstract
ORIGINAL ARTICLEAnalysis of the vaccination situation against Mpox in people living with HIV/AIDS: an ecological study
Revista Brasileira de Enfermagem. 2024;77(5):e20230234
DOI 10.1590/0034-7167-2023-0234
Views0See moreABSTRACT
Objectives:
to analyze the vaccination situation against Mpox in people living with HIV/AIDS in Brazil.
Methods:
an ecological study on the vaccination status against Mpox in people living with HIV/AIDS (PLWHA) in Brazil. The data were collected in April 2023 through information from the Ministry of Health, using the “Microsoft app Power BI,” which is publicly accessible.
Results:
the data analysis revealed that in Brazil, 2,978 doses of the MVA-BN Jynneos Mpox vaccine were administered in PLWHA, resulting in a vaccination coverage of 18.3%, with the southern and southeastern regions showing the lowest and highest vaccination coverage, respectively. Gender-based evaluation showed a higher proportion of vaccinated males.
Conclusions:
we identified low vaccination coverage in all regions of Brazil, highlighting the need for intensified vaccination activities, especially for PLWHA.
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ORIGINAL ARTICLE06-01-2020
Adolescence, pregnancy and domestic violence: social conditions and life projects
Revista Brasileira de Enfermagem. 2020;73:e20190111
Abstract
ORIGINAL ARTICLEAdolescence, pregnancy and domestic violence: social conditions and life projects
Revista Brasileira de Enfermagem. 2020;73:e20190111
DOI 10.1590/0034-7167-2019-0111
Views0See moreABSTRACT
Objective:
to analyze the social conditions and life projects of non-pregnant adolescents, pregnant adolescents and pregnant women who are victims of domestic violence.
Methods:
This is a exploratory, descriptive and comparative study of a quantitative and qualitative character. Ninety adolescents between 12 and 18 years old participated in the study, consisting of three groups: Group A (30 non-pregnant adolescents with no history of violence); Group B (30 pregnant adolescents with no history of violence); and Group C (30 pregnant adolescents with a history of violence). The tools used were a questionnaire of characterization of socioeconomic conditions, Inventory of Domestic Violence Against Children and Adolescent Phrases and structured interview.
Results:
Group C adolescents had lower schooling, higher school dropout, lower family income and short-term life projects.
Final considerations:
in life projects and social conditions (marital status, education, living conditions and family income) there was some difference between the groups.
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REVIEW07-29-2022
Technologies used by nursing to predict clinical deterioration in hospitalized adults: a scoping review
Revista Brasileira de Enfermagem. 2022;75(5):e20210570
Abstract
REVIEWTechnologies used by nursing to predict clinical deterioration in hospitalized adults: a scoping review
Revista Brasileira de Enfermagem. 2022;75(5):e20210570
DOI 10.1590/0034-7167-2021-0570
Views1See moreABSTRACT
Objective:
to map the early clinical deterioration technologies used in nurses’ professional practice in the care of hospitalized adult patients.
Methods:
this is a scoping review, according to Joanna Briggs Institute Reviewer’s Manual, which seeks to map the main technologies for detecting early clinical deterioration of hospitalized patients available for use by nurses, summarizing them and indicating gaps in knowledge to be investigated.
Results:
twenty-seven studies were found. The most present variables in the technologies were vital signs, urinary output, awareness and risk scales, clinical examination and nurses’ judgment. The main outcomes were activation of rapid response teams, death, cardiac arrest and admission to critical care units.
Final considerations:
the study emphasizes the most accurate variables in patient clinical assessment, so that indicative signs of potential severity can be prioritized to guide health conducts aiming to intervene early in the face of ongoing clinical deterioration.
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ORIGINAL ARTICLE10-19-2020
Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly
Revista Brasileira de Enfermagem. 2020;73:e20190735
Abstract
ORIGINAL ARTICLEHemovigilance and patient safety: analysis of immediate transfusion reactions in elderly
Revista Brasileira de Enfermagem. 2020;73:e20190735
DOI 10.1590/0034-7167-2019-0735
Views0See moreABSTRACT
Objective:
To identify immediate transfusion reactions in elders hospitalized in a public hospital in the Federal District.
Methods:
This is an observational, retrospective, documental, and analytical research, with a quantitative analysis of 516 transfusions of packed red blood cells in elders hospitalized in the largest public hospital, who required blood components, from June to December 2017, through descriptive statistics.
Results:
The sample corresponded to 46.36% of the total number of transfusions in elders in the period. The mean age was 70 years old. There were adverse effects (reactions to the transfusion) in 12 (2.3%) transfusions. Respiratory alterations (33.3%) and fever (23.8%) were the most common events.
Conclusion:
The incidence of reactions to the transfusion is below national and international rates, indicating probable undernotification, which could be associated to a lack of knowledge regarding its clinical manifestations and the lack of systematic monitoring of the transfusion.
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ORIGINAL ARTICLE12-13-2019
Effect of nursing telemonitoring on the knowledge of obese women: clinical trial
Revista Brasileira de Enfermagem. 2019;72:212-219
Abstract
ORIGINAL ARTICLEEffect of nursing telemonitoring on the knowledge of obese women: clinical trial
Revista Brasileira de Enfermagem. 2019;72:212-219
DOI 10.1590/0034-7167-2018-0500
Views0See moreABSTRACT
Objective:
To assess the effectiveness of remote monitoring in the knowledge of overweight women.
Method:
Randomized clinical trial with 101 women, randomly assigned to the control group (CG=50) and to the intervention group (IG=51). The IG received educational intervention over the telephone, during three months and routine follow-up in the service, while the CG only received conventional follow-up. The knowledge was assessed by a specific questionnaire. Data were analyzed by the Robust Linear Regression Model, adopting a statistical significance of 5%.
Results:
In the intragroup assessment, an increase in the correct answers with a statistically significant difference was observed only for the IG in the domains: “Concept and causes of overweight,” “Complications of overweight” and “Eating habits.” In the intergroup comparison, an increase in the average knowledge was verified in the same domains for the IG (p≤0.005).
Conclusion:
nursing telemonitoring contributed positively to the improvement of women’s knowledge.
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REVIEW09-18-2020
Cloth masks as respiratory protections in the COVID-19 pandemic period: evidence gaps
Revista Brasileira de Enfermagem. 2020;73:e20200239
Abstract
REVIEWCloth masks as respiratory protections in the COVID-19 pandemic period: evidence gaps
Revista Brasileira de Enfermagem. 2020;73:e20200239
DOI 10.1590/0034-7167-2020-0239
Views0See moreABSTRACT
Objective:
to identify scientific evidence on the effectiveness of using cloth masks as safe protectors against COVID-19.
Method:
an integrative review of articles available in full obtained at PubMed, CINAHL, and Web of Science. Controlled, non-controlled descriptors and keywords such as “mask”, “home-made” and “cloth” or “cotton” and “infection control” or “infection prevention” were used.
Results:
thirty-eight articles were selected; of these, seven studies made up the sample. Evidence shows that cloth masks do not have the same protective characteristics as surgical masks, indicating an increased risk of infection due to humidity, diffusion of fluids, virus retention, and improper preparation. Considering the shortage of surgical masks during the pandemic, cloth masks could be proposed as a last resort.
Conclusion:
cloth masks should be used together with preventive measures, such as home insulation, good respiratory conduct, and regular hand hygiene.
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ORIGINAL ARTICLE07-22-2022
Effects of carbohydrate use on preoperative thirst: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210355
Abstract
ORIGINAL ARTICLEEffects of carbohydrate use on preoperative thirst: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210355
DOI 10.1590/0034-7167-2021-0355
Views0See moreABSTRACT
Objectives:
to evaluate the effectiveness of carbohydrate popsicles, carbohydrate solution, and usual care (fasting) on the intensity and discomfort of preoperative thirst.
Methods:
a randomized clinical trial with 60 preoperative patients aged between 18 and 60 years, randomized into three groups: control (fasting), carbohydrate solution (100 ml), and carbohydrate popsicle (100 ml). The outcomes were thirst intensity and discomfort.
Results:
there was a difference between groups for final thirst intensity (p = 0.01) and final thirst discomfort (p = 0.001). The effect size for both the Solution Group and the Popsicle Group was robust: 0.99 and 1.14, respectively.
Conclusions:
the groups that received the carbohydrate fasting abbreviation showed a reduction in thirst discomfort compared to the control group. The carbohydrate popsicle proved more effective in reducing the intensity of thirst. NCT: 3.209.283
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ORIGINAL ARTICLE07-30-2021
Construction and validation of self-care educational technology for caregivers
Revista Brasileira de Enfermagem. 2021;74(4):e20200215
Abstract
ORIGINAL ARTICLEConstruction and validation of self-care educational technology for caregivers
Revista Brasileira de Enfermagem. 2021;74(4):e20200215
DOI 10.1590/0034-7167-2020-0215
Views0See moreABSTRACT
Objectives:
to build and validate educational self-care technology for informal caregivers.
Methods:
methodological study, anchored in the Delphi technique, carried out in a municipality in the state of Paraná, Brazil, between September 2018 and November 2019. It was developed in three stages: situational diagnosis; elaboration of educational technology; content and appearance validation by expert judges and informal caregivers, using the content validity index and coefficient of variation.
Results:
after the steps of the methodological process, an educational technology called “Taking Care of Those Who Care” was produced, as an information tool that deals with the self-care of informal caregivers, receiving a content validity index above 0.86 and a variation coefficient. below 20% on all items.
Conclusions:
the educational technology was built and evaluated with satisfactory rates by the specialists and target audience, showing a high correlation of agreement, characterizing it as adequate and informative to informal caregivers.
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ORIGINAL ARTICLE10-18-2022
Methods for measuring venous peripherally inserted central catheters in newborns
Revista Brasileira de Enfermagem. 2022;75(2):e20210045
Abstract
ORIGINAL ARTICLEMethods for measuring venous peripherally inserted central catheters in newborns
Revista Brasileira de Enfermagem. 2022;75(2):e20210045
DOI 10.1590/0034-7167-2021-0045
Views0See moreABSTRACT
Objective:
to analyze the results of insertion procedures of Peripherally Inserted Central Catheters in newborns using two measurement methods.
Methods:
this is a randomized clinical trial, presenting descriptive and exploratory results of variables. It was held at a Neonatal Intensive Care Unit. Data were collected between September 2018 and 2019. The sample analyzed was 88 catheter insertion procedures, distributed in two groups. Study approved by an Institutional Review Board and obtained registration in the country and abroad. Descriptive analysis and logistic regression of data.
Results:
modified measurement obtained a significant difference for the central catheter tip location. Elective removals and adverse events were not significant between groups; however, poor positioning was related to adverse events.
Conclusions:
between the two methods analyzed, the modified measurement obtained better results in the proper catheter tip positioning and, consequently, less risk to patients.
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