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01-01-2018
The quality of education in times of new National Curriculum Parameters
Revista Brasileira de Enfermagem. 2018;71:1485-1486
Abstract
The quality of education in times of new National Curriculum Parameters
Revista Brasileira de Enfermagem. 2018;71:1485-1486
DOI 10.1590/0034-7167-201871sup401
Views0The semantic impossibility of delimiting accurately the term “quality” challenges us. When one thinks of quality, it is common to ask questions related to the processes themselves or to the results achieved with emphasis on the satisfaction of those who participated in such processes. Thus, “quality” refers to the skills to carry out successful processes […]See more -
01-01-2018
A qualidade da educação em tempos de novas Diretrizes Curriculares Nacionais
Revista Brasileira de Enfermagem. 2018;71:1485-1486
Abstract
A qualidade da educação em tempos de novas Diretrizes Curriculares Nacionais
Revista Brasileira de Enfermagem. 2018;71:1485-1486
DOI 10.1590/0034-7167-201871sup401
Views0A impossibilidade semântica de se delimitar e demarcar com precisão o termo “qualidade” nos desafia. Quando se pensa em qualidade, é comum surgir indagações ligadas aos processos em si ou aos resultados alcançados com ênfase à satisfação de quem participou de tais processos. Assim, “qualidade” remete a competências para realizar processos com êxito e gerar […]See more -
EXPERIENCE REPORT01-01-2018
Caring for the future: decrease in infant mortality in Maranhão State
Revista Brasileira de Enfermagem. 2018;71:1479-1484
Abstract
EXPERIENCE REPORTCaring for the future: decrease in infant mortality in Maranhão State
Revista Brasileira de Enfermagem. 2018;71:1479-1484
DOI 10.1590/0034-7167-2017-0245
Views0See moreABSTRACT
Objective:
To report on the experience and care provided by the “Caring for the future” program to decrease infant mortality in 17 municipalities of Maranhão, in a proposal work of the Secretariat of Basic Care, in partnership with the Non-Governmental Organization called Centro Popular de Cultura e Desenvolvimento (Popular Center for Culture and Development/PCCD) from 2009 to 2015.
Method:
Experience Report of community care that made it possible to create and strengthen solidary relationships among community members.
Results:
The program decreased infant mortality rate and created in the supported communities a platform of health support, uniting information and care in Primary Care. The program trained 34 “Guardian Angels” and 170 “Supportive Caregivers”, mapped seven thousand “luminous spots” and trained more than 7,000 caregivers in health. It served 17 municipalities, 27,191 pregnant women, 291,266 families.
Final considerations:
The program was a catalyst for actions: it unveiled hidden resources in the community, awakened collective responsibility, offered training and built solidary relationships.
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EXPERIENCE REPORT01-01-2018
Application program to prepare child/family for venipuncture: experience report
Revista Brasileira de Enfermagem. 2018;71:1474-1478
Abstract
EXPERIENCE REPORTApplication program to prepare child/family for venipuncture: experience report
Revista Brasileira de Enfermagem. 2018;71:1474-1478
DOI 10.1590/0034-7167-2017-0386
Views0See moreABSTRACT
Objective:
To report the experience of development of an application program to prepare child and family for venipuncture.
Method:
Experience report on an application program developed in the professional nursing master’s degree program in partnership with engineering undergraduate students.
Results:
The application program allows the child to understand the venipuncture procedure in a ludic and interactive manner. Its development occurred in three stages: identification of client’s needs, definition of components, and prototype elaboration.
Final considerations:
The application program, besides being directed to care and education of children and families, is able to meet the nurses’ needs to prepare them for venipuncture. Moreover, it is worth mentioning the importance of multidisciplinary approach for the concretion of similar projects.
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EXPERIENCE REPORT01-01-2018
Applicability of Orem: training of caregiver of infant with Robin Sequence
Revista Brasileira de Enfermagem. 2018;71:1469-1473
Abstract
EXPERIENCE REPORTApplicability of Orem: training of caregiver of infant with Robin Sequence
Revista Brasileira de Enfermagem. 2018;71:1469-1473
DOI 10.1590/0034-7167-2016-0562
Views0See moreABSTRACT
Objective:
to report the nurses’ experience in relation to the training of caregivers of infants with Isolated Robin Sequence (IRS) for maintaining care after hospital discharge from the perspective of Self-Care Theoretical Framework.
Method:
the following categories were considered in this experience report: self-care action, self-care capacity, therapeutic self-care demand, self-care deficit, and nursing system. The nursing system was wholly compensatory and supportive-educative.
Results:
caregivers’ training by nurses results in the acquisition of technical skills and specific knowledge related to the infant’s positioning in elevated ventral decubitus, nasopharyngeal intubation, feeding-facilitating techniques and care with the feeding tube.
Final considerations:
the continuity of home care is guaranteed from caregivers’ training for the therapeutic demand.
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REVIEW01-01-2018
The effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review
Revista Brasileira de Enfermagem. 2018;71:1460-1468
Abstract
REVIEWThe effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review
Revista Brasileira de Enfermagem. 2018;71:1460-1468
DOI 10.1590/0034-7167-2017-0338
Views0See moreABSTRACT
Objective:
to assess the effectiveness of post-partum interventions to prevent urinary incontinence: a systematic review.
Method:
systematic review of randomized controlled studies conducted in the MEDLINE, Cochrane, Scopus and the Virtual Library on Health (Biblioteca Virtual em Saúde, BVS) databases.
Results:
six articles were included in this review. All studies used the Pelvic Floor Muscle Training as the main procedure to prevent urinary incontinence. The results pointed to a positive and effective intervention in the post-partum period.
Conclusion:
there is evidence that programs of exercise of the pelvic floor musculature performed both in the immediate and late post-partum result in a significant increase in muscle strength and contribute to prevent urinary incontinence.
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REVIEW01-01-2018
Effects of different hormonal contraceptives in women’s blood pressure values
Revista Brasileira de Enfermagem. 2018;71:1453-1459
Abstract
REVIEWEffects of different hormonal contraceptives in women’s blood pressure values
Revista Brasileira de Enfermagem. 2018;71:1453-1459
DOI 10.1590/0034-7167-2017-0317
Views0See moreABSTRACT
Objective:
To identify evidence in the literature of the relationship between the use of different hormonal contraceptive methods and alterations in women’s blood pressure values.
Method:
This is an integrative literature review, consisting of ten scientific articles published in PubMed and BVS, between 2012 and 2016, selected by keywords, available fully and free of charge, in English, Portuguese, or Spanish.
Results:
The articles showed that exogenous estrogen helps in the activation of the renin-angiotensin-aldosterone system causing hypertensive effects even in small doses; and that combined use with drospirenone reduces these effects. Routes of administration without passage through the liver and use of isolated progestin showed promising results in reducing the effects on blood pressure.
Conclusion:
There is evidence in the literature of pressure alterations associated with different hormonal contraceptives and that personal history of morbidities are to be considered in an attempt to reduce the effects on the cardiovascular system.
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RESEARCH01-01-2018
Accuracy of the defining characteristics of the nursing diagnosis for fatigue in women under radiotherapy
Revista Brasileira de Enfermagem. 2018;71:1445-1452
Abstract
RESEARCHAccuracy of the defining characteristics of the nursing diagnosis for fatigue in women under radiotherapy
Revista Brasileira de Enfermagem. 2018;71:1445-1452
DOI 10.1590/0034-7167-2017-0549
Views0See moreABSTRACT
Objective:
To evaluate the accuracy of the defining characteristics of the nursing diagnosis for “fatigue in women with breast cancer under radiotherapy”.
Method:
Study of diagnostic accuracy, with cross-sectional design, performed in 130 women with breast cancer under radiation treatment. A data collection instrument was used to evaluate clinical socio-demographics and to investigate the presence or absence of defining characteristics for fatigue. The latent class analysis model was applied to assess accuracy measurements of the characteristics identified.
Results:
Fatigue diagnosis was present in 21.9% of the women. The characteristic which showed the highest sensitivity was “Impaired capacity in maintaining the usual level of physical activity”, while “Impaired capacity in maintaining usual routines” and “Lack of interest about the surrounding environment” presented greater specificity.
Conclusion:
Accurate diagnostics allow devising an action plan directed to the patients’ real needs.
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01-22-2021
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
Abstract
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
DOI 10.1590/0034-7167-2019-0784
Views0See moreABSTRACT
Objective:
To analyze the epidemiological profile of HIV infections in pregnant women.
Methods:
Analytical study with a quantitative approach.
Results:
The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7).
Conclusion:
The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.
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ORIGINAL ARTICLE12-05-2019
Spirituality and religiosity for the transcendence of the elderly being
Revista Brasileira de Enfermagem. 2019;72:259-265
Abstract
ORIGINAL ARTICLESpirituality and religiosity for the transcendence of the elderly being
Revista Brasileira de Enfermagem. 2019;72:259-265
DOI 10.1590/0034-7167-2018-0840
Views0See moreABSTRACT
Objective:
to understand the life experiences that favor transcendence of the elderly being.
Method:
a qualitative phenomenological hermeneutic study, in two groups of elderly coexistence. The selection of participants was by intentional sampling: 11 elderly, achieving theoretical saturation. Data collection was carried out through a phenomenological interview with a detonating question. Ethical principles of the General Health Law in health research were fulfilled. Analysis with Heideggerian hermeneutic circle was performed.
Results:
unity of meaning on the consciousness of a higher power for transcendence is highlighted, where spirituality and religiosity are resources of the elderly for strength, feel protected, overcome difficult situations and reach fullness; both favor the understanding of their historicity by manifesting enlightenment.
Final considerations:
transcendence of the elderly being is favored with spirituality and the experiences of their daily life are imbued with a spiritual and religious relationship that give meaning to their existence.
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ORIGINAL ARTICLE09-16-2019
Depression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
Abstract
ORIGINAL ARTICLEDepression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
DOI 10.1590/0034-7167-2018-0730
Views0See moreABSTRACT
Objective:
To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS.
Method:
Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05.
Results:
31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05).
Conclusion:
It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
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ORIGINAL ARTICLE12-05-2019
Quality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
Abstract
ORIGINAL ARTICLEQuality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
DOI 10.1590/0034-7167-2018-0316
Views0See moreABSTRACT
Objective:
compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores.
Method:
cross-sectional study conducted with 101 institutionalized aged. Multiple linear regression was used for data analysis.
Results:
symptoms of depression changed negatively the QOL in the domains: autonomy; present, past and future activities; social participation; intimacy and total score. Dependent aged presented lower QOL for the performance of ADL in the domains: autonomy; social participation and total score; dancing without limitation of movement; liking the residential and not presenting symptoms of depression were the variables that positively influenced the QOL of the aged.
Conclusion:
social and psychological support, good living conditions and stimulating assistance can improve the QOL of institutionalized elderlies.
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ORIGINAL ARTICLE09-21-2020
Clinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
Abstract
ORIGINAL ARTICLEClinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
DOI 10.1590/0034-7167-2018-0878
Views0See moreABSTRACT
Objectives:
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation.
Methods:
this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric – Brazilian Version and the Diagnostic Thinking Inventory.
Results:
clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the “noticing” aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047).
Conclusions:
the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
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ORIGINAL ARTICLE05-15-2020
Stress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
Abstract
ORIGINAL ARTICLEStress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
DOI 10.1590/0034-7167-2018-0227
Views0See moreABSTRACT
Objective:
to analyze the level of stress and sleep quality in nursing students according to terms of the nursing program.
Method:
descriptive and cross-sectional research developed in a higher education institution in Northeastern Brazil on 167 students. We used data collection, sociodemographic information, and a scale for assessing stress and sleep quality in nursing students.
Results:
we identified a statistically significant difference between domains of the stress scale and the terms of the undergraduate program, and between the quality of sleep and such terms such as as in the fourth and sixth semesters.
Conclusion:
different stress scores show that the semester which concerns students the most is the fifth. Quality of sleep was deemed good for the first, third, fifth, seventh, and eighth semesters; and poor for the fourth and sixth terms.
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ORIGINAL ARTICLE08-10-2020
Transformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
Abstract
ORIGINAL ARTICLETransformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
DOI 10.1590/0034-7167-2019-0364
Views0INTRODUCTIONLeadership stands out as one of the managerial skills necessary to nurses’ practice, especially in the current scenario of frequent overcrowding and scarcity of beds, material resource deficits and insufficient staffing. The reality of some public health services has weaknesses in serving the population and lacks nurses with the knowledge, skills and attitudes to act […]See more -
ORIGINAL ARTICLE01-27-2020
Factors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
DOI 10.1590/0034-7167-2017-0782
Views0See moreABSTRACT
Objective:
to identify factors associated with depressive symptoms in elderly caregivers with chronic pain.
Method:
the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression.
Results:
most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use.
Conclusion:
factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.
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