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01-01-2016
Nursing instrument to attend mothers who recently gave birth in primary health care
Revista Brasileira de Enfermagem. 2016;69(2):316-325
Abstract
Nursing instrument to attend mothers who recently gave birth in primary health care
Revista Brasileira de Enfermagem. 2016;69(2):316-325
DOI 10.1590/0034-7167.2016690215I
Views0See moreABSTRACT
Objective:
To build a nursing instrument to attend mothers who have recently given birth in primary health care.
Method:
This is a methodological research developed in five stages: identification of empirical indicators associated with mothers who have recently given birth by reviewing integrative literature; evaluation of empirical indicators by focal group; instrument structuring by categorizing indicators; instrument validation using the Delphi technique; and application and development of diagnostic statements and nursing interventions.
Results:
The instrument comprises identification data on mothers who have given birth recently, on the assessment of their human needs, and on nursing Care items. In the final version, we selected 73 diagnoses and 155 nursing interventions.
Conclusion:
With the completion of this study, nurses will have an instrument for Nursing Care Systematization to attend mothers who have given birth recently in primary health care. Besides, this study will also work as a tool in research and teaching of Obstetric Nursing.
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01-01-2016
Nursing diagnoses in intensive care: cross-mapping and NANDA-I taxonomy
Revista Brasileira de Enfermagem. 2016;69(2):307-315
Abstract
Nursing diagnoses in intensive care: cross-mapping and NANDA-I taxonomy
Revista Brasileira de Enfermagem. 2016;69(2):307-315
DOI 10.1590/0034-7167.2016690214i
Views0See moreABSTRACT
Objective:
to identify nursing diagnoses in intensive care unit (ICU) patients by means of a cross-mapping of terms contained in nursing records with the NANDA-I taxonomy.
Method:
an exploratory, descriptive study with a retrospective analysis of nursing records in 256 medical records of patients that were hospitalized in the general ICU of a hospital in the western border of the state of Rio Grande do Sul. Terms indicating conditions demanding nursing interventions were collected from the records; cross-mapping of these terms with the NANDA-I taxonomy diagnoses was performed and confirmed in a nursing focus group. Data were analyzed through descriptive statistics.
Results:
a total of 832 terms and expressions referring to 52 different diagnoses in 9 of the 13 domains of the NANDA-I taxonomy were identified.
Conclusion:
the present study enabled the identification of nursing diagnoses in patients hospitalized in ICUs, affecting care management, the training process of experts in the area, and information systems.
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01-01-2016
Social network of adolescents under probation from the perspective of public health
Revista Brasileira de Enfermagem. 2016;69(2):298-306
Abstract
Social network of adolescents under probation from the perspective of public health
Revista Brasileira de Enfermagem. 2016;69(2):298-306
DOI 10.1590/0034-7167.2016690213i
Views0See moreABSTRACT
Objective:
to analyze the meaning of the social networks of adolescents who are under probation and to identify the essential components of these networks.
Method:
an exploratory study with a qualitative approach. Twenty-six teenagers, aged 13 to 18, participated in the study. For data gathering, the authors chose semi-structured interviews and network maps. Results: it became evident that social networks are essential for adolescents, with the family in a central position – especially the mothers – as well as the Centro de Referência Especializadode Assistência Social (Center for Specialized Reference of Social Assistance – CREAS) for social promotion and construction of new life projects, away from juvenile offending. However, adolescents reported no ties to health workers.
Conclusion:
the authors observed the need for nurses, as workers in primary health care, to practice in a way that is intersectoral and interdisciplinary, with the aim of strengthening the social networks of adolescents at conflict with the law.
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01-01-2016
Direct cost of dressings for pressure ulcers in hospitalized patients
Revista Brasileira de Enfermagem. 2016;69(2):290-297
Abstract
Direct cost of dressings for pressure ulcers in hospitalized patients
Revista Brasileira de Enfermagem. 2016;69(2):290-297
DOI 10.1590/0034-7167.2016690212i
Views0See moreABSTRACT
Objective:
to identify the average direct cost (ADC) on the direct labor (DL) for nurses and the consumption of materials and solutions used in performing dressings for pressure ulcers (PU) in hospitalized patients.
Methods:
case study, exploratory and descriptive case conducted in a teaching hospital. For six months, 228 dressings were performed for the treatment of PU patients. We calculated the cost by multiplying the time spent by nurses by the DL unit cost, adding to the cost of materials and solutions consumed.
Results:
the dressings ADC of PU corresponds to US$ 19.18 (PUs-category I); US$ 6.50 (PUs-category II); US$ 12.34 (PUs-category III); US$ 5.84 (PUs-category IV); US$ 9.52 (PUs-unclassifiable) and US$ 3.76 (PU suspected deep tissue injury).
Conclusion:
the methodology used can be reproduced in different hospital settings for the development of other studies to expand and complement the knowledge gained.
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01-01-2016
Humanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
Abstract
Humanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
DOI 10.1590/0034-7167.2016690211i
Views0See moreABSTRACT
Objective:
identify the senses and practices representative of humanization in the training of undergraduate nursing students.
Method:
a qualitative study, supported on the national policy of humanization and the concept of social representation. An interview was conducted with 40 undergraduate nursing students from a public institution. ALCESTE software was used for lexical content analysis.
Results:
the sense of humanization is built on the practice and disciplines of social and human sciences. The coordination between theory and practice is representative of humanization, but does not take place in learning experiences. The professor’s participation and teamwork are elements that influence humanization.
Conclusion:
humanization should be reinforced in the training of undergraduate nursing students, using learning-teaching strategies and experiences that make sense to students, including alliances between theory and practice, learning and service, research and care.
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01-01-2016
Prevention of vertical mother-to-child transmission of HIV: care and adhesion provided by couples
Revista Brasileira de Enfermagem. 2016;69(2):275-281
Abstract
Prevention of vertical mother-to-child transmission of HIV: care and adhesion provided by couples
Revista Brasileira de Enfermagem. 2016;69(2):275-281
DOI 10.1590/0034-7167.2016690210i
Views0See moreABSTRACT
Objective:
to unveil the existential movement of a couple when performing vertical HIV transmission prophylaxis.
Method:
qualitative research, using Martin Heidegger’s phenomenological approach. A phenomenological interview was conducted with 14 participants between December/2011 and February/2012 in the outpatient facilities of an university hospital, Brazil. A comprehensive and interpretative heideggerian analysis was developed.
Results:
the couple understands that they have followed the guidance of the health professionals as indicated. By not being able to breastfeed, the woman did not fail to be a mother, but it was also not a complete experience. The senses of the occupation of the couple-being unfolded to the prophylactic treatment and facticity due to the fact of not breastfeeding.
Conclusion:
we indicate the need to rethink care, proposing a working relationship that transcends the impersonal that dictates about what the couple must deal with, enabling their active participation in care decisions and actions.
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01-01-2016
Attitudes and pleasure/suffering in mental health work
Revista Brasileira de Enfermagem. 2016;69(2):266-274
Abstract
Attitudes and pleasure/suffering in mental health work
Revista Brasileira de Enfermagem. 2016;69(2):266-274
DOI 10.1590/0034-7167.2016690209i
Views0See moreABSTRACT
Objective:
to investigate the existence of a relationship between attitudinal profiles and the pleasure/suffering dynamic in workers of Mental Health Services.
Method:
a quantitative, descriptive-analytical, correlational and cross-sectional study conducted in 2014. We used three instruments: characterization questionnaire, Opinions on Mental Illness Scale and Pleasure and Suffering Indicators at Work Scale, answered by 80 workers of the Network for Psychosocial Care of Alfenas, state of Minas Gerais, Brazil.
Results:
Authoritarianism proved to be the predominant profile. As for the pleasure/suffering at work, Gratification was considered adequate, and indicators such as Freedom, Wear and Insecurity were considered moderate critical. There were positive correlations between the most favorable attitudes and pleasure indicators at work. The values of both scales showed a relationship with socio-demographic and professional variables.
Conclusion:
the less favorable attitudes are prevalent and, in spite of suffering being present, these professionals feel gratified about their work.
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01-01-2016
Overweight in young adult students: the vulnerability of a distorted self-perception of body image
Revista Brasileira de Enfermagem. 2016;69(2):258-265
Abstract
Overweight in young adult students: the vulnerability of a distorted self-perception of body image
Revista Brasileira de Enfermagem. 2016;69(2):258-265
DOI 10.1590/0034-7167.2016690208i
Views0See moreABSTRACT
Objective:
To analyze overweight in young adult students from the individual dimension of vulnerability, especially its interpersonal and subjective markers.
Method:
An analytical quantitative study was performed with 560 young adults from 26 schools in a capital city in Northeastern Brazil. After obtaining data to administer specific questionnaires, logistic regression was used to identify markers of individual vulnerability.
Results:
In the bivariate analysis, overweight showed a statistically significant association with self-perception of health, satisfaction with body image and self-perception of overweight, the latter remaining in the final regression model.
Conclusion:
It can be mainly concluded that self-perception of overweight is distorted when compared to one’s actual body weight and, for this reason, young adults are vulnerable to dysfunctional health states. However, it was confirmed that this health condition must be understood in an individual and contextual perspective.
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REVIEW05-03-2024
Elements of fatherhood involved in the gestational period: a scoping review
- Willyane de Andrade Alvarenga
, - Maria da Conceição Silva Castro Sousa ,
- Joice Kelly Lima de Sales ,
- Rhyquelle Rhibna Neris ,
- Francine DeMontigny , [ … ],
- Lucila Castanheira Nascimento
Abstract
REVIEWElements of fatherhood involved in the gestational period: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230029
DOI 10.1590/0034-7167-2023-0029
- Willyane de Andrade Alvarenga ,
- Maria da Conceição Silva Castro Sousa ,
- Joice Kelly Lima de Sales ,
- Rhyquelle Rhibna Neris ,
- Francine DeMontigny ,
- Lucila Castanheira Nascimento
Views0See moreABSTRACT
Objective:
To identify in the literature and summarize the elements and characteristics of fatherhood involved during pregnancy.
Method:
Scoping review that used PRISMA-ScR guide to report this review. Searches were carried out in PubMed, CINAHL, PsycInfo, LILACS and Scopus. Google search engines and public health agency websites assisted in searches of gray literature and Rayyan in screening studies.
Results:
A total of 406 articles were identified, of which 16 made up the final sample. Five elements make up an involved fatherhood: feeling like a father, being a provider and protector, being a partner and participant in pregnancy, participating in prenatal appointments and feeling prepared to take care of a baby.
Conclusion:
Fathers want to be involved in prenatal care, but feel excluded from this process. Public policies that encourage paternal involvement and healthcare professional training to better welcome and promote paternal involvement are of paramount importance.
- Willyane de Andrade Alvarenga
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05-03-2024
Preditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida , [ … ],
- Ana Luisa Brandão de Carvalho Lira
Abstract
Preditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
DOI 10.1590/0034-7167-2022-0816
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Marcos Venícius de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreRESUMEN
Objetivos:
evaluar los factores de riesgo del exceso de volumen de líquido en pacientes en hemodiálisis.
Métodos:
estudio retrospectivo de casos y controles. Se incluyeron 392 pacientes (196 casos y 196 controles) de dos centros de hemodiálisis. Se evaluaron datos sociodemográficos y 23 factores de riesgo de exceso de volumen de líquido mediante un formulario de recolección de datos. Los datos se analizaron mediante un modelo de regresión logística multivariado.
Resultados:
factores de riesgo conocimiento insuficiente (OR=2,06), ingesta excesiva de líquidos (OR=2,33), retirada inadecuada de líquidos durante la hemodiálisis (OR=2,62) e ingesta excesiva de sodio (OR=1,91) pueden aumentar aproximadamente dos veces la posibilidad de que se produzca un exceso de volumen de líquido en pacientes en hemodiálisis. La educación (OR=0,95) y la edad (OR=0,97) son factores protectores del volumen excesivo de líquido.
Conclusiones:
conocer estos factores de riesgo puede ayudar a las enfermeras a realizar una inferencia diagnóstica precisa y rápida del riesgo de volumen excesivo de líquidos.
- Maria Isabel da Conceição Dias Fernandes
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ORIGINAL ARTICLE05-03-2024
Predictors of excess fluid volume in hemodialysis patients: an observational study
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida , [ … ],
- Ana Luisa Brandão de Carvalho Lira
Abstract
ORIGINAL ARTICLEPredictors of excess fluid volume in hemodialysis patients: an observational study
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
DOI 10.1590/0034-7167-2022-0816
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Marcos Venícius de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreABSTRACT
Objectives:
to assess risk factors for excess fluid volume in hemodialysis patients.
Methods:
a retrospective case-control study was conducted. A total of 392 patients (196 cases and 196 controls) from two hemodialysis centers were included. Sociodemographic data and 23 risk factors for excess fluid volume were assessed using a data collection form. Data were analyzed using a multivariate logistic regression model.
Results:
the insufficient knowledge (OR=2.06), excessive fluid intake (OR=2.33), inadequate fluid removal during hemodialysis (OR=2.62) and excessive sodium intake (OR=1.91) risk factors may increase the chance of occurrence of excess fluid volume in hemodialysis patients by approximately two times. Education level (OR=0.95) and age (OR=0.97) are protective factors for excessive fluid volume.
Conclusions:
knowing these risk factors may help nurses with accurate and rapid diagnostic inference of the risk of excessive fluid volume.
- Maria Isabel da Conceição Dias Fernandes
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ORIGINAL ARTICLE05-03-2024
What is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
- Danielle Samara Tavares de Oliveira-Figueiredo ,
- Matteus Pio Gianotti Pereira Cruz Silva ,
- Paula Yhasmym de Oliveira Feitosa ,
- Bruna Cardoso Leite ,
- Fabiana Lucena Rocha , [ … ],
- Luciana Dantas Farias de Andrade
Abstract
ORIGINAL ARTICLEWhat is the burden of multimorbidity and the factors associated with its occurrence in elderly Brazilians?
Revista Brasileira de Enfermagem. 2024;77(1):e20220809
DOI 10.1590/0034-7167-2022-0809
- Danielle Samara Tavares de Oliveira-Figueiredo ,
- Matteus Pio Gianotti Pereira Cruz Silva ,
- Paula Yhasmym de Oliveira Feitosa ,
- Bruna Cardoso Leite ,
- Fabiana Lucena Rocha ,
- Luciana Dantas Farias de Andrade
Views0See moreABSTRACT
Objective:
To estimate the prevalence of multimorbidity in elderly people and its association with sociodemographic characteristics, lifestyle, and anthropometry.
Methods:
This was a cross-sectional study using data from the National Health Survey, 2019. A total of 22,728 elderly individuals from all 27 Brazilian states were randomly selected. Poisson regression models with robust variance were employed, and a significance level of 5% was adopted.
Results:
The prevalence of multimorbidity was 51.6% (95% CI: 50.4-52.7), with the highest estimates observed in the South and Southeast. Multimorbidity was associated with being female (aPR = 1.33; 95% CI: 1.27-1.39), being 80 years old or older (aPR = 1.12; 95% CI: 1.05-1.19), having low education (aPR = 1.16; 95% CI: 1.07-1.25), past cigarette use (aPR = 1.16; 95% CI: 1.11-1.21), insufficient physical activity (aPR = 1.13; 95% CI: 1.06-1.21), and screen use for 3 hours or more per day (aPR = 1.13; 95% CI: 1.08-1.18).
Conclusion:
Multimorbidity affects more than half of the elderly population in Brazil and is associated with social, demographic, and behavioral factors.
- Danielle Samara Tavares de Oliveira-Figueiredo
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ORIGINAL ARTICLE04-22-2024
Nurses’ perception of the nursing process and its relationship with leadership
- Karen Ariane Bär ,
- Bianca dos Santos Lima ,
- Gicelle Morais Martelle ,
- Silvana Cruz da Silva ,
- Margarida Reis dos Santos , [ … ],
- Regina Gema Santini Costenaro
Abstract
ORIGINAL ARTICLENurses’ perception of the nursing process and its relationship with leadership
Revista Brasileira de Enfermagem. 2024;77(1):e20230371
DOI 10.1590/0034-7167-2023-0371
- Karen Ariane Bär ,
- Bianca dos Santos Lima ,
- Gicelle Morais Martelle ,
- Silvana Cruz da Silva ,
- Margarida Reis dos Santos ,
- Regina Gema Santini Costenaro
Views0See moreABSTRACT
Objectives:
to describe Nurses’ perception of the Nursing Process and its relationship with leadership.
Methods:
action research conducted between September/2021 and April/2022 with nurses from a medium-sized hospital in southern Brazil. The data investigated, one of the stages of the method, was collected using the Focus Group technique and submitted to Strategic Focus Analysis.
Results:
three categories emerged from the organized and analyzed data, namely: Nursing Process: a tool that qualifies nursing care; Conditions that weaken the Nursing Process; and Strategies that enhance the Systematization of Nursing Care.
Final Considerations:
the perception of the Nursing Process and its relationship with leadership are not always understood as complementary themes. Although they recognize that the Nursing Process is sometimes imposed as normative, nurses do not perceive the importance of the role of the leader, who is considered a key player in conducting and boosting the Systematization of Nursing Care.
- Karen Ariane Bär
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ORIGINAL ARTICLE04-22-2024
Adherence to Covid-19 vaccination during the pandemic: the influence of fake news
- Luana Cristina Roberto Borges ,
- Sonia Silva Marcon ,
- Gabrielly Segatto Brito ,
- Miriam Terabe ,
- Nathalia Ivulic Pleutim , [ … ],
- Elen Ferraz Teston
Abstract
ORIGINAL ARTICLEAdherence to Covid-19 vaccination during the pandemic: the influence of fake news
Revista Brasileira de Enfermagem. 2024;77(1):e20230284
DOI 10.1590/0034-7167-2023-0284
- Luana Cristina Roberto Borges ,
- Sonia Silva Marcon ,
- Gabrielly Segatto Brito ,
- Miriam Terabe ,
- Nathalia Ivulic Pleutim ,
- Ana Heloisa Mendes ,
- Elen Ferraz Teston
Views0See moreABSTRACT
Objectives:
to understand how fake news has influenced adherence to Covid-19 immunization, from the perspective of health professionals.
Methods:
a qualitative, descriptive-exploratory study was conducted in Campo Grande – MS. Twenty nursing professionals working in vaccine rooms or managing immunobiologicals participated through semi-structured interviews. The interviews were audio-recorded, fully transcribed, and subjected to thematic content analysis.
Results:
two categories emerged in which the professionals highlighted an increase in vaccine hesitancy among the population, influenced by fake news and denialist actions, which negatively interfered with the population’s trust in vaccines and in the professionals administering them.
Final Considerations:
concerns about vaccine safety and denialist actions by authorities and media outlets can contribute to the phenomenon of non-vaccination. The valorization of science, the promotion of educational actions, and raising public awareness about immunization were presented as strategies to increase vaccine coverage
- Luana Cristina Roberto Borges
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ORIGINAL ARTICLE04-22-2024
Mothers’ perception of the care of newborn in the home environment
- Gina de Souza Castro Hammel ,
- Laura Tais Loureiro Simas ,
- Luiz Fernando Rodrigues Junior ,
- Claudia Zamberlan ,
- Lurdes Lomba , [ … ],
- Dirce Stein Backes
Abstract
ORIGINAL ARTICLEMothers’ perception of the care of newborn in the home environment
Revista Brasileira de Enfermagem. 2024;77(1):e20230080
DOI 10.1590/0034-7167-2023-0080
- Gina de Souza Castro Hammel ,
- Laura Tais Loureiro Simas ,
- Luiz Fernando Rodrigues Junior ,
- Claudia Zamberlan ,
- Lurdes Lomba ,
- Dirce Stein Backes
Views0See moreABSTRACT
Objectives:
to identify mothers’ perceptions about caring for newborns in the home environment, from the perspective of complexity thinking.
Methods:
qualitative, exploratory and descriptive research, carried out between November/2022 and February/2023. Data were collected through individual interviews with 21 mothers from southern Brazil who cared for newborns at home and analyzed using the thematic analysis technique.
Results:
the four thematic axes resulting from the data analysis: Living amidst order and disorder; embracing singularities; dealing with the certain and the uncertain; support network in the (re)organizing process demonstrate that the mother caring for a newborn in their home environment experiences a distinct and plural adaptive process, which must be welcomed and understood by health professionals who work within the family environment.
Final Considerations:
the care of newborns in a home environment, in the perception of mothers, requires differentiated attention and a formal or informal support network that considers the unique specificities of each woman/mother in the personal, family and social spheres. Therefore, in addition to the social support network, it is important to rethink home intervention approaches.
- Gina de Souza Castro Hammel
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ORIGINAL ARTICLE04-22-2024
Learning difficulties in school children: health and education professionals’ perceptions
- Pamela Camila Fernandes Rumor ,
- Michelle Kuntz Durand ,
- Jeane Barros de Souza ,
- Janaina Medeiros de Souza ,
- Adriana Bitencourt Magagnin , [ … ],
- Ivonete Teresinha Schülter Buss Heidemann
Abstract
ORIGINAL ARTICLELearning difficulties in school children: health and education professionals’ perceptions
Revista Brasileira de Enfermagem. 2024;77(1):e20230074
DOI 10.1590/0034-7167-2023-0074
- Pamela Camila Fernandes Rumor ,
- Michelle Kuntz Durand ,
- Jeane Barros de Souza ,
- Janaina Medeiros de Souza ,
- Adriana Bitencourt Magagnin ,
- Ivonete Teresinha Schülter Buss Heidemann
Views0See moreABSTRACT
Objectives:
to understand health and education professionals’ perceptions regarding children’s learning difficulties in public schools.
Methods:
qualitative research, of the participatory action type, linked to Paulo Freire’s Research Itinerary. Forty-five professionals participated, through interviews and a Virtual Culture Circle. The analysis was developed through careful reading, reflection and interpretation of highlighted topics.
Results:
professionals discussed the (in)visibility of learning difficulties, strategies and resources in the educational sector and the search for solutions in the health sector. It was found that the production of complaints related to school learning is attributed predominantly as an individual problem of children or their family, exempting the educational institution from this process.
Final Considerations:
greater investment in professional training and development policies is urgently needed to facilitate coordination between sectors, with a view to overcoming outdated pedagogical and health models.
- Pamela Camila Fernandes Rumor
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ORIGINAL ARTICLE07-29-2024
Adaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
- Letícia Pickler ,
- Margarete Maria de Lima ,
- Ariane Thaise Frello Roque ,
- Laís Antunes Wilhelm ,
- Felice Curcio , [ … ],
- Isadora Ferrante Boscoli de Oliveira Alves
Abstract
ORIGINAL ARTICLEAdaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
DOI 10.1590/0034-7167-2023-0159
- Letícia Pickler ,
- Margarete Maria de Lima ,
- Ariane Thaise Frello Roque ,
- Laís Antunes Wilhelm ,
- Felice Curcio ,
- Dionara Guarda ,
- Roberta Costa ,
- Isadora Ferrante Boscoli de Oliveira Alves
Views0See moreABSTRACT
Objectives:
to understand the process of adapting to childbirth during the COVID-19 pandemic from the perspective of a group of pregnant women.
Methods:
a qualitative, descriptive-exploratory study was conducted with 23 women. Data were collected between October and December 2021 through documentation and semi-structured interviews, which were analyzed using Minayo’s methodology and Roy’s Adaptation Model.
Results:
various types of stimuli – focal, contextual, and residual – were identified as influencing childbirth preparation. The online group was essential for facilitating pregnant women’s adaptation, offering significant support and generating positive feedback for childbirth preparation.
Final Considerations:
the importance of pregnant women’s groups as a strategy for improving adaptation to childbirth was identified, underscoring the effectiveness of this support among professionals and participants, as well as among pregnant women. This support network strengthened preparation for childbirth during a challenging period like the pandemic.
- Letícia Pickler
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ORIGINAL ARTICLE07-29-2024
Profile of patients in private home care who developed ventilator-associated pneumonia
- Fabiana Schimidt Cezar ,
- Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Abstract
ORIGINAL ARTICLEProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
DOI 10.1590/0034-7167-2023-0146
- Fabiana Schimidt Cezar ,
- Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Views0See moreABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
- Fabiana Schimidt Cezar
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ORIGINAL ARTICLE07-29-2024
Impact of educational intervention on understanding health recommendations after liver transplantation
Revista Brasileira de Enfermagem. 2024;77(3):e20230132
Abstract
ORIGINAL ARTICLEImpact of educational intervention on understanding health recommendations after liver transplantation
Revista Brasileira de Enfermagem. 2024;77(3):e20230132
DOI 10.1590/0034-7167-2023-0132
Views0See moreABSTRACT
Objectives:
to evaluate the impact of educational intervention on understanding health recommendations after liver transplantation.
Methods:
randomized and prospective clinical trial, with 68 liver transplant recipients in two institutions. The level of understanding was assessed using a statement agreement scale and the understanding score was classified. Chi-square test was used to compare groups.
Results:
the level of understanding was reasonable in 77.9% of patients, 73.5% in the Control Group and 82.3% in the Intervention Group (p=0.399). For topics covered after educational action, there were more than 80% correct answers regarding nutrition, frequent hydration, usage and function of immunosuppressants. However, there were less than 10% correct answers regarding hand hygiene, contact with animals and crowds of people. The use of the patient’s audio, visual and tactile resources led to improved understanding of skin care (p=0.014).
Conclusions:
the level of understanding acquired regarding health recommendations was only reasonable.
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ORIGINAL ARTICLE07-29-2024
Trends in cesarean section rates in Brazil by Robson classification group, 2014-2020
- Virginia Barbosa Pereira ,
- Síntia Nascimento dos Reis ,
- Fernanda Gontijo Araújo ,
- Torcata Amorim ,
- Eunice Francisca Martins , [ … ],
- Mariana Santos Felisbino-Mendes
Abstract
ORIGINAL ARTICLETrends in cesarean section rates in Brazil by Robson classification group, 2014-2020
Revista Brasileira de Enfermagem. 2024;77(3):e20230099
DOI 10.1590/0034-7167-2023-0099
- Virginia Barbosa Pereira ,
- Síntia Nascimento dos Reis ,
- Fernanda Gontijo Araújo ,
- Torcata Amorim ,
- Eunice Francisca Martins ,
- Mariana Santos Felisbino-Mendes
Views0See moreABSTRACT
Objectives:
to evaluate the trends in cesarean sections from 2014 to 2020 across both public and private sectors, utilizing the Robson Classification.
Methods:
this time series study analyzed the proportion of women who underwent cesarean sections between 2014 and 2020, considering both the Robson classification and the type of healthcare service. Trend analysis was conducted using the Prais-Winsten regression.
Results:
higher proportions of cesarean sections were observed in all Robson groups within the private sector compared to the public sector. This was despite a decreasing trend in the private sector and an increasing trend in the public sector. Notably, elevated proportions of cesarean sections were recorded in groups that are typically favorable to normal childbirth (Robson 1, 4, and 5).
Conclusions:
although there was a decreasing trend in cesarean sections within the private sector, an increasing trend was observed in the public sector. Additionally, there was a high proportion of cesarean sections among women with conditions favorable to normal childbirth. It is crucial to continuously monitor these indicators to evaluate and implement interventions aimed at reducing unnecessary cesarean sections.
- Virginia Barbosa Pereira
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ORIGINAL ARTICLE07-29-2024
Healthcare judicialization: an analysis of indicators and official data on medications
- Nádia Bernardinis ,
- Vanessa Terezinha Gubert ,
- Cristiane Munaretto Ferreira ,
- Jorge Otávio Maia Barreto
Abstract
ORIGINAL ARTICLEHealthcare judicialization: an analysis of indicators and official data on medications
Revista Brasileira de Enfermagem. 2024;77(3):e20220413
DOI 10.1590/0034-7167-2022-0413
- Nádia Bernardinis ,
- Vanessa Terezinha Gubert ,
- Cristiane Munaretto Ferreira ,
- Jorge Otávio Maia Barreto
Views0See moreABSTRACT
Objectives:
to analyze judicial demands for medications in Campo Grande, Brazil, between July 2018 and June 2020.
Methods:
the four dimensions of the Manual of Indicators for Evaluation and Monitoring of Judicial Demands for Medications were examined.
Results:
676 judicial processes were identified, corresponding to 1006 requests for 284 different medications. In 92.74% of the processes, access to medications was granted, with 88.80% granted on an urgent basis. The median time between the decision and delivery of the medication was 146 days. The average monthly cost of acquiring medications was R$ 2,183.68 Brazilian reais. Among the identified medications, 90.22% had at least one therapeutic alternative available in the public healthcare system.
Conclusions:
characterizing and analyzing judicial demands related to medications can support discussions on updating medication lists and clinical protocols, organizing healthcare services, allocating resources, and implementing actions to reduce judicialization.
- Nádia Bernardinis
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ORIGINAL ARTICLE07-19-2024
Nursing students’ perception: Escape Room use in teaching leadership skills
- Chennyfer Dobbins Abi Rached ,
- Emili Amani Alves da Cruz ,
- Maria Helena Cardoso da Mota ,
- Caroline da Silva Fonseca Paulo ,
- Giovanna Micucci Pires Amaral , [ … ],
- Daniela Lika Nakajima
Abstract
ORIGINAL ARTICLENursing students’ perception: Escape Room use in teaching leadership skills
Revista Brasileira de Enfermagem. 2024;77(2):e20230414
DOI 10.1590/0034-7167-2023-0414
- Chennyfer Dobbins Abi Rached ,
- Emili Amani Alves da Cruz ,
- Maria Helena Cardoso da Mota ,
- Caroline da Silva Fonseca Paulo ,
- Giovanna Micucci Pires Amaral ,
- Daniela Lika Nakajima
Views0See moreABSTRACT
Objectives:
to understand nursing students’ perception regarding Escape Room use to develop leadership skills.
Methods:
a qualitative exploratory-descriptive study, with 97 nursing students. Escape Room game sessions were held, totaling ten. Subsequently, a debriefing and analysis was carried out using the Discourse of the Collective Subject method, through the focus group technique. Ethical procedures were respected.
Results:
students’ perceptions about using this methodology to develop leadership skills were positive and significant. The effectiveness of the game in teaching and developing these skills in nursing practice stands out.
Final Considerations:
the game was an effective active methodology in approaching the proposed content, promoting satisfaction and easy assimilation.
- Chennyfer Dobbins Abi Rached
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ORIGINAL ARTICLE07-19-2024
Validation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
Abstract
ORIGINAL ARTICLEValidation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
DOI 10.1590/0034-7167-2023-0401
Views0See moreABSTRACT
Objectives:
to develop and validate an instrument for the classification of pregnant and postpartum women according to the demand for nursing care.
Methods:
a methodological study conducted in three stages: 1) construction of the instrument based on literature review; 2) content validation using the Delphi technique with 12 experts; and 3) Evaluation of the convergent construct validity through the correlation between the scores of the constructed instrument and the Fugulin instrument.
Results:
an instrument with ten indicators of specific care for pregnant and postpartum women was developed. A content validity index higher than 0.9 was obtained, requiring only one round of the Delphi technique. The Spearman coefficient was 0.64 between the instruments, indicating a strong correlation.
Conclusions:
the classification instrument specifically constructed for pregnant and postpartum women showed evidence of content validity and convergent construct validity with a widely used instrument in the national territory.
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ORIGINAL ARTICLE07-19-2024
The use of spirituality/religiosity by oncology nurse residents in nursing care
- Ana Paula Kelly de Almeida Tomaz ,
- Rômulo Frutuoso Antunes ,
- Rachel Verdan Dib ,
- Raquel de Souza Ramos ,
- Flaviana Pereira Bastos Nascimento , [ … ],
- Regina Célia Gollner Zeitoune
Abstract
ORIGINAL ARTICLEThe use of spirituality/religiosity by oncology nurse residents in nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230383
DOI 10.1590/0034-7167-2023-0383
- Ana Paula Kelly de Almeida Tomaz ,
- Rômulo Frutuoso Antunes ,
- Rachel Verdan Dib ,
- Raquel de Souza Ramos ,
- Flaviana Pereira Bastos Nascimento ,
- Sérgio Abreu de Jesus ,
- Kayo Henrique Jardel Feitosa Sousa ,
- Regina Célia Gollner Zeitoune
Views0See moreABSTRACT
Objectives:
to analyze the use of spirituality/religiosity by oncology nurse residents in caring for patients with cancer.
Methods:
a census, descriptive, sectional study, with 46 nurse residents from three public hospitals in Rio de Janeiro. Data collection took place between August 2020 and January 2021, using a sociodemographic questionnaire, including a question about the use of spirituality/ religiosity to deal with work situations. Descriptive analysis was carried out using SPSS software version 22.0.
Results:
participants stated that they use religiosity/spirituality in work situations related to patients or themselves. In relation to patients, death was the most mentioned situation among professionals, and for themselves, everyday situations and emotional vulnerability were the most mentioned.
Final Considerations:
spirituality and religiosity are dimensions that guide oncology nurse residents’ attitudes.
- Ana Paula Kelly de Almeida Tomaz
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