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01-01-2015
Analysis of the decision-making process of nurse managers: a collective refl ection
Revista Brasileira de Enfermagem. 2015;68(4):668-675
Abstract
Analysis of the decision-making process of nurse managers: a collective refl ection
Revista Brasileira de Enfermagem. 2015;68(4):668-675
DOI 10.1590/0034-7167.2015680414i
Views0See moreABSTRACT
Objective:
to analyze the decision-making model adopted by nurses from the perspective of some decision-making process theories.
Method:
qualitative approach, based on action research. Semi-structured questionnaires and seminars were conducted from April to June 2012 in order to understand the nature of decisions and the decision-making process of nine nurses in position of managers at a public hospital in Southern Brazil. Data were subjected to content analysis.
Results:
data were classified in two categories: the current situation of decision-making, which showed a lack of systematization; the construction and collective decision-making, which emphasizes the need to develop a decision-making model.
Conclusion:
the decision-making model used by nurses is limited because it does not consider two important factors: the limits of human rationality, and the external and internal organizational environments that infl uence and determine right decisions.
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01-01-2015
Social representations of sexuality for the elderly
Revista Brasileira de Enfermagem. 2015;68(4):662-667
Abstract
Social representations of sexuality for the elderly
Revista Brasileira de Enfermagem. 2015;68(4):662-667
DOI 10.1590/0034-7167.2015680413i
Views0See moreABSTRACT
Objective:
to know the social representations of sexuality for the elderly, based on the Social Representation Theory.
Method:
study performed in a Basic Family Health Unit in Maracanau-CE, Brazil, with 30 elderly adults. Data were collected from March through April of 2013, using the free word evocation technique. Data were organized and processed using the EVOC 2000.software
Results:
the subjects evoked 150 words associated with the evocator word “sexuality”. Out of these, 43 were different. At the possible core of the representation of sexuality for the elderly, the following words were found: love, affection and respect. Sex, companionship, understanding and coexistence composed the intermediate elements of representation.
Conclusion:
the performed analyses pointed to love, respect and affection as central elements that structured and organized the social representation of sexuality in the elder years for the group studied.
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01-01-2015
Post-accident work behavior in caring for people with HIV/Aids
Revista Brasileira de Enfermagem. 2015;68(4):656-661
Abstract
Post-accident work behavior in caring for people with HIV/Aids
Revista Brasileira de Enfermagem. 2015;68(4):656-661
DOI 10.1590/0034-7167.2015680412i
Views0See moreABSTRACT
Objective:
To identify post-accident conduct in the workplace by health professionals in caring for people with HIV/Aids.
Method:
A qualitative and descriptive research study with a socio-historical perspective (1986-2006), performed in a reference hospital for infectious diseases in the State of Santa Catarina. To collect data, interviews were conducted with oral history among 23 health workers and, for the treatment of data, Bardin’s content analysis was used.
Results:
Post-accident behaviors emerged that included assessment, accident records, chemoprophylaxis when necessary, support, monitoring of the injured worker, and mainly psychological support.
Conclusion:
In situations in which the accident could not be avoided, post-exposure behaviors were important biosecurity strategies mentioned by health workers caring for patients with HIV/Aids, in the sense of minimizing the possible transmission of the HIV virus.
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01-01-2015
Social support towards the necessity of caring after myocardial infarction
Revista Brasileira de Enfermagem. 2015;68(4):649-655
Abstract
Social support towards the necessity of caring after myocardial infarction
Revista Brasileira de Enfermagem. 2015;68(4):649-655
DOI 10.1590/0034-7167.2015680411i
Views0See moreABSTRACT
Objective:
to know the received or assisted social support by the family towards the necessity of care after acute myocardial infarction.
Method:
qualitative and exploratory research. Data collection was carried out through observation and interviews with six families, from February to May, 2012. Data were also analyzed based on the thematic analysis.
Results:
three categories emerged: Immediate social support; Mediate social support; Late social support.
Conclusion:
social support follows the infarction trajectory, which attains the family members and favors the support according to the needs of care in each lived moments by the patient.
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01-01-2015
Nursing care management for children hospitalized with chronic conditions
Revista Brasileira de Enfermagem. 2015;68(4):641-648
Abstract
Nursing care management for children hospitalized with chronic conditions
Revista Brasileira de Enfermagem. 2015;68(4):641-648
DOI 10.1590/0034-7167.2015680410i
Views0See moreABSTRACT
Objective:
to understand the interactions of nurses managing nursing care for the hospitalized child with a chronic condition.
Method:
Theoretical and methodological references were used, Complex Thought and grounded theory, respectively. In the study 18 subjects have participated arranged in three groups: nurses, nursing technicians and family members. A semi-structured interview was used as technique for data collection. The data analysis followed three stages of coding: open, axial and selective.
Results:
the category “Needing to manage nursing care to the hospitalized child with chronic condition in Pediatric Inpatient Unit” and their subcategories show the complex inter subjective bindings established by nurses that support the practice of nursing care management.
Conclusion:
There are difficulties for nursing professionals to interact with the child’s family and the dialogical order/disorder/interaction/organization in the implementation of the management process of care is.
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01-01-2015
Functional disability and socioeconomic and demographic factors in elderly
Revista Brasileira de Enfermagem. 2015;68(4):633-640
Abstract
Functional disability and socioeconomic and demographic factors in elderly
Revista Brasileira de Enfermagem. 2015;68(4):633-640
DOI 10.1590/0034-7167.2015680409i
Views0See moreABSTRACT
Objective:
to verify the prevalence of functional disability and associated socioeconomic and demographic factors in elderly patients of Campina Grande/PB.
Method:
cross-sectional study with elderly patients of both genders. The variables associated with functional disability were assessed using Poisson regression.
Results:
A total of 420 elderly patients were included (68.1% women). The highest prevalence of functional disability were found among females aged 80 or older, white, widowed, of economic classes D/E , who lived alone, with frequency of contacts of up to 224 people and diversity of contacts of up to 14 people. After multivariate analysis, statistically significant association was observed between functional disability, gender and age group.
Conclusion:
the association between functional disability gender and age group is shown to be an important guidance for health interventions since it will allow health services to plan actions aiming to improve, maintain or restore the functional capacity of the elderly population.
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01-01-2015
Hypertension and Diabetes Mellitus Program evaluation on user’s view
Revista Brasileira de Enfermagem. 2015;68(4):626-632
Abstract
Hypertension and Diabetes Mellitus Program evaluation on user’s view
Revista Brasileira de Enfermagem. 2015;68(4):626-632
DOI 10.1590/0034-7167.2015680408i
Views0See moreABSTRACT
Objectives:
to evaluate the program proposed by the Reorganization Care Plan for Hypertension and Diabetes Mellitus on user’s view, and describe aspects of the trajectory of the participants correlating with the program’s evaluation.
Method:
evaluative study with a qualitative approach conducted in health units with the Family Health Strategy, in a city of the metropolitan region of Curitiba, in the period from September to March, 2012. A total of 30 adults with hypertension and/or Diabetes mellitus were interviewed. Data were analyzed through content analysis.
Results:
Four categories were identified: Disease diagnosis; Reasons for the program need; Knowledge of the program, and program evaluation.
Conclusion:
there was the recognition of the orientations, and the monitoring of activities developed, with emphasis in cost reduction for users.
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01-01-2015
Violence in the eye of adolescents: education intervention with Culture Circles
Revista Brasileira de Enfermagem. 2015;68(4):617-625
Abstract
Violence in the eye of adolescents: education intervention with Culture Circles
Revista Brasileira de Enfermagem. 2015;68(4):617-625
DOI 10.1590/0034-7167.2015680407i
Views0See moreABSTRACT
Objective:
to apply the methodology of Culture Circles on adolescents as a strategy for health education of nurses in the construction of the collective knowledge of the thematic violence.
Method:
action research type and qualitative study. Participants were 11 adolescents from a public school in Recife, PE, Brazil. Data production in Culture Circles included the participant observation with field diary, photographic recording and filming, as well as the photovoice technique. The analysis was performed by triangulating data in dialogue with the literature.
Results:
it was shown that the problematizing action provided by the Culture Circle made possible to create situations in which adolescents felt invited to critically refl ect on the phenomenon of violence in all its complexity.
Conclusion:
the health education intervention, performed by Culture Circles, added learning and mutual growth subsidizing nursing care actions that excel at leadership and autonomy of adolescents.
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ORIGINAL ARTICLE07-08-2020
Nurses’ practice in quilombola communities: an interface between cultural and political competence
- Lilian Cristina Rezende
, - Carolina da Silva Caram ,
- Beatriz Santana Caçador ,
- Maria José Menezes Brito
Abstract
ORIGINAL ARTICLENurses’ practice in quilombola communities: an interface between cultural and political competence
Revista Brasileira de Enfermagem. 2020;73(5):e20190433
DOI 10.1590/0034-7167-2019-0433
- Lilian Cristina Rezende ,
- Carolina da Silva Caram ,
- Beatriz Santana Caçador ,
- Maria José Menezes Brito
Views1See moreABSTRACT
Objectives:
to understand Family Health Strategy nurses’ practices in the context of quilombola communities with an interface for cultural and political competences.
Methods:
a single integrated, qualitative case study carried out on seven Family Health Strategies located in the Metropolitan Region of Belo Horizonte, state of Minas Gerais. Seven nurses and 59 quilombolas participated. Data were collected through individual interviews with nurses, collective interviews with quilombolas and observation. For analysis, the thematic content analysis was adopted.
Results:
the results revealed structural and territorial problems, which are configured as barriers for professional-user encounter as well as for professional practice performance.
Final Considerations:
it is necessary that Family Health Strategy nurses, based on political and cultural competences, create strategies that minimize the difficulties found in the implementation of health actions directed to quilombolas. Such strategies anchored in inclusive public policies.
- Lilian Cristina Rezende
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ORIGINAL ARTICLE07-08-2020
No to distance education! Production of meaning of discourses of nursing representative entities
- Marina da Silva Sanes ,
- Franciele Budziareck das Neves ,
- Lenna Eloisa Madureira Pereira ,
- Flávia Regina Souza Ramos ,
- Laura Cavalcanti de Farias Brehmer , [ … ],
- Jussara Gue Martini
Abstract
ORIGINAL ARTICLENo to distance education! Production of meaning of discourses of nursing representative entities
Revista Brasileira de Enfermagem. 2020;73(5):e20190465
DOI 10.1590/0034-7167-2019-0465
- Marina da Silva Sanes ,
- Franciele Budziareck das Neves ,
- Lenna Eloisa Madureira Pereira ,
- Flávia Regina Souza Ramos ,
- Laura Cavalcanti de Farias Brehmer ,
- Mara Ambrosina de Oliveira Vargas ,
- Jussara Gue Martini
Views0See moreABSTRACT
Objectives:
to analyze the processes of production of meanings, based on the positions of Brazilian nursing representative entities, on distance education, considering the implications for nursing as a discipline, profession and work.
Methods:
this documentary research was carried out in sources from the Federal Nursing Council and Associação Brasileira de Enfermagem, from 2015 to 2018. Data were examined from discourse analysis, using paraphrase and polysemy as analytical devices.
Results:
they were organized based on the effects of meanings produced and affiliated to two analytical categories: “Forms of mobilization and operating entities” and “Basis and justifications for the positions”.
Final Considerations:
the discourses signal concern about the future training of new professionals. Resistance, participation, visibility, broad and emphatic debate on the topic are shown as strategies for coping and defending a training process less captured by neoliberal logic, and more relational and committed to the quality of health care.
- Marina da Silva Sanes
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ORIGINAL ARTICLE07-13-2020
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo , [ … ],
- Gilberto de Lima Guimarães
Abstract
ORIGINAL ARTICLECulture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
DOI 10.1590/0034-7167-2019-0576
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo ,
- Gilberto de Lima Guimarães
Views0See moreABSTRACT
Objectives:
to assess the patient safety culture of the health team working in three maternity hospitals.
Methods:
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
Results:
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
Conclusions:
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
- Juliana Maria Almeida do Carmo
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REVIEW07-13-2020
The quality of life of family health professionals: a systematic review and meta-synthesis
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval , [ … ],
- Luiz Renato Paranhos
Abstract
REVIEWThe quality of life of family health professionals: a systematic review and meta-synthesis
Revista Brasileira de Enfermagem. 2020;73(5):e20190645
DOI 10.1590/0034-7167-2019-0645
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval ,
- Luiz Renato Paranhos
Views1See moreABSTRACT
Objectives:
to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals.
Methods:
this systematic review was developed to answer the following PVO question: “Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?” The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies.
Results:
the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects.
Conclusions:
although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.
- Pedro Rogério Camargos Pennisi
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LETTER TO THE EDITOR07-01-2020
Letter to the Editor: doubts and considerations about Coronary Syndrome
Revista Brasileira de Enfermagem. 2020;73(5):e2020730502c
Abstract
LETTER TO THE EDITORLetter to the Editor: doubts and considerations about Coronary Syndrome
Revista Brasileira de Enfermagem. 2020;73(5):e2020730502c
DOI 10.1590/0034-7167.2020730502c
Views0Dear Editor,We wrote this letter referring to the article “Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome”() to make some comments, in order to clarify doubts that we were missing from answering. We have already made it clear that our intention is not to question the work of the […]See more -
ORIGINAL ARTICLE08-10-2020
Workers’ Health in Brazil: Accidents recorded by Social Security from 2008 to 2014
- Josierton Cruz Bezerra ,
- Luciano José Arantes ,
- Helena Eri Shimizu ,
- Edgar Merchán-Hamann ,
- Walter Massa Ramalho
Abstract
ORIGINAL ARTICLEWorkers’ Health in Brazil: Accidents recorded by Social Security from 2008 to 2014
Revista Brasileira de Enfermagem. 2020;73(6):e20180892
DOI 10.1590/0034-7167-2018-0892
- Josierton Cruz Bezerra ,
- Luciano José Arantes ,
- Helena Eri Shimizu ,
- Edgar Merchán-Hamann ,
- Walter Massa Ramalho
Views0See moreABSTRACT
Objectives:
to analyze the incidence of occupational accidents in Brazil, recorded by Social Security according to the geographic regions, age group, gender and their prevalence according to the causes and branch of economic activity.
Methods:
ecological descriptive study with time series analysis from 2008 to 2014. Data on the beginning and end of the historical series were compared in each ecological unit studied.
Results:
the South and Southeast regions, male, between 20 and 49 years of age presented the highest falls in incidence. 70.87% of the causes occurred in group XIX of ICD-10. The economic activity with the highest prevalence of accidents was the manufacturing industry.
Conclusions:
accidents at work have decreased in Brazil, however, the incidence is still high. Advances need to be made in the recording of accidents and in the prevention and surveillance of workers’ health.
- Josierton Cruz Bezerra
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ORIGINAL ARTICLE08-10-2020
Neonatal near miss in the intensive care unit
- Maria Rita Guimarães Maia ,
- Rosângela Aparecida Pimenta Ferrari ,
- Alexandrina Aparecida Maciel Cardelli ,
- Ieda Harumi Higarashi ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
Abstract
ORIGINAL ARTICLENeonatal near miss in the intensive care unit
Revista Brasileira de Enfermagem. 2020;73(6):e20180931
DOI 10.1590/0034-7167-2018-0931
- Maria Rita Guimarães Maia ,
- Rosângela Aparecida Pimenta Ferrari ,
- Alexandrina Aparecida Maciel Cardelli ,
- Ieda Harumi Higarashi ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
Views0See moreABSTRACT
Objective:
To analyze near miss cases among newborns hospitalized in the Intensive Care Unit.
Methods:
An observational, cross-sectional, retrospective study using the STROBE guideline. Data were collected from 1,101 records of live births (newborns). Statistical analysis used the Epi-Info program 3.3.2 and Chi-square and Fisher’s exact tests.
Results:
A total of 162 newborns were hospitalized, of which 63 had at least one criterion of near miss. The variables that remained associated with neonatal near miss were weight <1.750 g, gestational age <33 weeks and Apgar at 5 minutes <7, pragmatic criteria to identify cases of neonatal near miss morbidity.
Conclusion:
Prematurity and low birth weight were the factors that contributed most to the near miss outcome among newborns hospitalized in intensive care, a rate two and a half times higher than the number of deaths, according to scientific evidence.
- Maria Rita Guimarães Maia
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08-10-2020
Care for the critical patient undergoing point-of-care testing: integrative review
- Débora Thais Siqueira Soares ,
- Ana Paula Hermann ,
- Maria Ribeiro Lacerda ,
- Marineli Joaquim Méier ,
- Nayla Tamara de Godoi Caceres , [ … ],
- Juliana Zimmermann Lima
Abstract
Care for the critical patient undergoing point-of-care testing: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20180948
DOI 10.1590/0034-7167-2018-0948
- Débora Thais Siqueira Soares ,
- Ana Paula Hermann ,
- Maria Ribeiro Lacerda ,
- Marineli Joaquim Méier ,
- Nayla Tamara de Godoi Caceres ,
- Juliana Zimmermann Lima
Views0See moreABSTRACT
Objective:
to identify, based on the evidence, point-of-care testing in bedbound in critically ill patients.
Method:
integrative review, carried out through search in Pubmed, Virtual Health Library, Joanna Briggs Institute, The British Institute of Radiology, Brazilian Radiology, and Google Scholar databases. We used the PICO research strategy and selected articles published from 2013 onwards, which presented information about point-of-care testing.
Results:
the different interventions found in the analysis of the 23 selected articles allowed the thematic grouping of care related to safety in communication, patient identification, care with devices, and the prevention and control of infection, which can be used in point-of-care testing.
Final considerations:
The care described in the evidence provided support for validating a safe care protocol for critically ill patients undergoing imaging studies in bed.
- Débora Thais Siqueira Soares
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REVIEW09-06-2022
Religiosity and mental health as aspects of comprehensiveness in care
- Dalila de Alcântara Martins ,
- Prisca Dara Lunieres Pêgas Coêlho ,
- Sandra Greice Becker ,
- Alaidistania Aparecida Ferreira ,
- Maria Luiza Carvalho de Oliveira , [ … ],
- Leslie Bezerra Monteiro
Abstract
REVIEWReligiosity and mental health as aspects of comprehensiveness in care
Revista Brasileira de Enfermagem. 2022;75(1):e20201011
DOI 10.1590/0034-7167-2020-1011
- Dalila de Alcântara Martins ,
- Prisca Dara Lunieres Pêgas Coêlho ,
- Sandra Greice Becker ,
- Alaidistania Aparecida Ferreira ,
- Maria Luiza Carvalho de Oliveira ,
- Leslie Bezerra Monteiro
Views0See moreABSTRACT
Objective:
to understand how religiosity can influence the health of individuals diagnosed with mental disorders, based on comprehensive care.
Methods:
this is an integrative literature review, with the inclusion of articles in Portuguese, English and Spanish, between 2010 and 2018.
Results:
the critical analysis and qualitative synthesis of the 24 selected studies were categorized into two subtopics: The influence of religiosity in promoting comprehensive mental health care; Mental health versus religiosity: influencing conditions for effective access to comprehensive care.
Final considerations:
a positive influence of religiosity was identified in the lives of individuals diagnosed with mental disorders; however, evidence shows that health teams do not feel comfortable and prepared to work with religiosity as an expression of spirituality. This being one of the dimensional aspects of health, it can be inferred, on the results, the existence of this gap in the comprehensive care approach.
- Dalila de Alcântara Martins
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ORIGINAL ARTICLE06-09-2021
Professional practice in caring for maternal grief in the face of stillbirth in two countries
Revista Brasileira de Enfermagem. 2021;74(3):e20200253
Abstract
ORIGINAL ARTICLEProfessional practice in caring for maternal grief in the face of stillbirth in two countries
Revista Brasileira de Enfermagem. 2021;74(3):e20200253
DOI 10.1590/0034-7167-2020-0253
Views0See moreABSTRACT
Objective:
to understand professional care for maternal grief in the puerperium of stillbirth.
Methods:
a clinical-qualitative study with all the women who had stillbirths living in Maringá (Brazil) and participating in the Center d’Études et de Recherche in Family Intervention at the University of Quebec in Outaouais in Gatineau (Canada). Semi-structured interviews were carried out and the relevant aspects were categorized into themes.
Results:
the identified categories were: Assistance received in the puerperium with a focus on grief: hospital and outpatient environment, and Professional support in coping with maternal grief after fetal loss: with contact and memories, without contact and without memories and impossibilities of contact with the baby.
Final
considerations: the need for a multidisciplinary support and monitoring network for women who experienced fetal loss was evident. From this study, a routine of care for grief can be implemented in Brazil based on experiences in Canada.
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ORIGINAL ARTICLE05-03-2021
Implementation of a surgical safety checklist in Brazil: cross-sectional study
- Vanessa de Brito Poveda ,
- Cassiane de Santana Lemos ,
- Simone Garcia Lopes ,
- Márcia Cristina de Oliveira Pereira ,
- Rachel de Carvalho
Abstract
ORIGINAL ARTICLEImplementation of a surgical safety checklist in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(2):e20190874
DOI 10.1590/0034-7167-2019-0874
- Vanessa de Brito Poveda ,
- Cassiane de Santana Lemos ,
- Simone Garcia Lopes ,
- Márcia Cristina de Oliveira Pereira ,
- Rachel de Carvalho
Views0See moreABSTRACT
Objective:
to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals.
Methods:
this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017.
Results:
among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery.
Conclusion:
this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.
- Vanessa de Brito Poveda
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ORIGINAL ARTICLE06-18-2021
Standard drug consumption: a study with elderly people in Primary Health Care
- Josefa Muriele da Silva Marinho ,
- Karyne Beatriz Almeida de Medeiros ,
- Romário Nóbrega Santos Fonseca ,
- Thiego Santos de Araujo ,
- Wanessa Cristina Tomaz dos Santos Barros , [ … ],
- Luciane Paula Batista Araújo de Oliveira
Abstract
ORIGINAL ARTICLEStandard drug consumption: a study with elderly people in Primary Health Care
Revista Brasileira de Enfermagem. 2021;74(3):e20200729
DOI 10.1590/0034-7167-2020-0729
- Josefa Muriele da Silva Marinho ,
- Karyne Beatriz Almeida de Medeiros ,
- Romário Nóbrega Santos Fonseca ,
- Thiego Santos de Araujo ,
- Wanessa Cristina Tomaz dos Santos Barros ,
- Luciane Paula Batista Araújo de Oliveira
Views0See moreABSTRACT
Objective:
To identify the pattern of medication consumption among the elderly assisted in Primary Health Care.
Methods:
Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte.
Results:
The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free.
Conclusion:
The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.
- Josefa Muriele da Silva Marinho
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ORIGINAL ARTICLE04-15-2022
Analysis of the temporal trend of mortality from sickle cell anemia in Brazil
- Felipe Machado Mota ,
- Marcos Antonio Ferreira Júnior ,
- Andréia Insabralde de Queiroz Cardoso ,
- Carolina Mariana Pompeo ,
- Oleci Pereira Frota , [ … ],
- Albert Schiaveto de Souza
Abstract
ORIGINAL ARTICLEAnalysis of the temporal trend of mortality from sickle cell anemia in Brazil
Revista Brasileira de Enfermagem. 2022;75(4):e20210640
DOI 10.1590/0034-7167-2021-0640
- Felipe Machado Mota ,
- Marcos Antonio Ferreira Júnior ,
- Andréia Insabralde de Queiroz Cardoso ,
- Carolina Mariana Pompeo ,
- Oleci Pereira Frota ,
- Daniel Henrique Tsuha ,
- Albert Schiaveto de Souza
Views0See moreABSTRACT
Objectives:
To analyze the temporal trend of mortality from sickle cell anemia in Brazil, by region, in the period 1997-2017.
Methods:
epidemiological study, with an ecological design, with a temporal trend, carried out with data from the Mortality Information System. For descriptive analysis, absolute and relative frequencies were used. In the correlation analysis, the ANOVA test was used, followed by Tukey’s post-test. The temporal trend was obtained using the cubic polynomial regression test.
Results:
6,813 deaths from sickle cell anemia were registered. Brown individuals (50.87%) were more frequent, with a predominance of males (50.4%), aged between 25 and 34 years and a higher incidence of deaths in the Midwest (0.25/100 thousand inhabitants). The time curve showed an increasing trend of deaths in the country between 1997 and 2015 (R2 = 0.98).
Conclusions:
sickle cell anemia showed increasing mortality in the 21 years analyzed and alerts health professionals and managers.
- Felipe Machado Mota
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TECHNOLOGICAL INNOVATION06-04-2021
Integrated Care model: Transition from acute to chronic care
Revista Brasileira de Enfermagem. 2021;74:e20200910
Abstract
TECHNOLOGICAL INNOVATIONIntegrated Care model: Transition from acute to chronic care
Revista Brasileira de Enfermagem. 2021;74:e20200910
DOI 10.1590/0034-7167-2020-0910
Views0See moreABSTRACT
Objective:
Description and discussion dimensions of Integrated Care Model.
Methods:
A descriptive study is done that describe a technological innovation, intervention strategies for professional performance.
Results:
Integrated Care Model (ICM) has two main categories include individual and Group-and disease-specific Model. First, is used for risky patients or with comorbidities. In second category; Chronic Care Model (CCM) is common form of Integrated Care Model to improve resultants in the patients with chronic condition, to move from acute care to integrate, regular, long-lasting, preventative and community-based nursing.
Final considerations:
It is important to consider patient as an active member of the treatment team. It seems to be essential to monitor performance of care system. On the other hand, offer multidisciplinary care leads to present desirable care, tailored to the specific needs of patients regarding safety, patient-centered care and their culture.
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ORIGINAL ARTICLE09-06-2022
Evaluation of the health level of the elderly: patient care team considerations
- Maria Clara Duarte Monteiro ,
- Maria Manuela Ferreira Pereira da Silva Martins ,
- Soraia Dornelles Schoeller
Abstract
ORIGINAL ARTICLEEvaluation of the health level of the elderly: patient care team considerations
Revista Brasileira de Enfermagem. 2022;75(1):e20201277
DOI 10.1590/0034-7167-2020-1277
- Maria Clara Duarte Monteiro ,
- Maria Manuela Ferreira Pereira da Silva Martins ,
- Soraia Dornelles Schoeller
Views0See moreABSTRACT
Objective:
To understand the differences of physicians, nurses, and social workers in the evaluation of the health status of the elderly.
Methods:
A cross-sectional quantitative study, using descriptive statistics. Non-probabilistic sample, consisting of 291 participants from three professional categories: 71 (24.4%) physicians, 192 (66%) nurses, and 28 (9.6%) social workers. We used a questionnaire including the variables: sociodemographic characteristics and instruments used for evaluation.
Results:
Instruments with greater utility for the evaluation of the elderly: for physicians, Mini Mental State Examination; for nurses, Braden scale; and for social workers, genogram. In the physical examination, the data most collected by physicians and nurses are the vital signs; and by social workers, the condition for performing the Activities of Daily Living.
Conclusions:
The evaluation of the elderly is based on a diversity of instruments and is an area in which health and social professionals need to share information.
- Maria Clara Duarte Monteiro
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EXPERIENCE REPORT09-01-2021
Process modeling: technological innovation to control the risk for perioperative positioning injury
- Ana Luzia Rodrigues ,
- Fernanda Broering Gomes Torres ,
- Eduardo Alves Portela Santos ,
- Marcia Regina Cubas
Abstract
EXPERIENCE REPORTProcess modeling: technological innovation to control the risk for perioperative positioning injury
Revista Brasileira de Enfermagem. 2021;74:e20200145
DOI 10.1590/0034-7167-2020-0145
- Ana Luzia Rodrigues ,
- Fernanda Broering Gomes Torres ,
- Eduardo Alves Portela Santos ,
- Marcia Regina Cubas
Views0See moreABSTRACT
Objectives:
to report the construction of a process model to support the decision making of operating room nurses to control the risk for perioperative positioning injury.
Methods:
experience report on a process model that helps nurses with decision making regarding clients at risk for perioperative positioning injury. By following the steps, it was possible to identify intrinsic and extrinsic variables of the literature and of the workflows of teams involved in the positioning of the client for surgery. The Business Process Model and Notation, the Bizagi Modeler software and terms from the International Classification for Nursing Practice were used in the model.
Results:
the experience allowed the observation of the knowledge integration between different areas, which enabled the process modeling and its validation.
Conclusions:
process modeling is an innovative option for the development of support systems for clinical nursing decisions.
- Ana Luzia Rodrigues
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