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01-01-2016
Association between self-care and hospital readmissions of patients with heart failure
Revista Brasileira de Enfermagem. 2016;69(3):500-506
Abstract
Association between self-care and hospital readmissions of patients with heart failure
Revista Brasileira de Enfermagem. 2016;69(3):500-506
DOI 10.1590/0034-7167.2016690312i
Views0See moreABSTRACT
Objective:
to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil.
Method:
it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory.
Results:
it was observed an average of 2.57±1.66 rehospitalization last year for decompensated heart failure. There was a correlation between self-care scores with the number of hospital readmissions for decompensated HF. Education and age were associated to self-care of HF patients.
Conclusion:
both scales assess self-care in a relevant way, and correlated their indexes.
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01-01-2016
Knowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
Abstract
Knowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
DOI 10.1590/0034-7167.2016690311i
Views0See moreABSTRACT
Objective:
to evaluate the perception of healthcare institution collaborators in relation to knowledge management in the institution where they operate and analyze the existence of differences in this perception, based on the institution’s management model.
Method:
a study conducted in a sample consisting of 671 collaborators from 10 Portuguese healthcare institutions with different models of management. In order to assess the knowledge management perception, we used a score designed from and based on items from the scores available in the literature.
Results:
the perception of moderate knowledge management on the healthcare institutions and the statistically significant differences in knowledge management perception were evidenced in each management model.
Conclusion:
management knowledge takes place in healthcare institutions, and the current management model determines the way staff at these institutions manage their knowledge.
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01-01-2016
Social impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
Abstract
Social impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
DOI 10.1590/0034-7167.2016690310i
Views0See moreABSTRACT
Objective:
to evaluate the impairment of social and emotional domains of hospitalized patients undergoing hematopoietic stem cells transplantation.
Method:
an observational, longitudinal study with 25 participants evaluated in the period of pre-transplant, pancytopenia and pre-hospital discharge between September 2013 and September 2014, in a reference hospital for this treatment modality in Brazil. Two international instruments were used, both of which translated and adapted to Portuguese (Brazil): Quality of Life Questionnaire-Core 30 and Functional Assessment Cancer Therapy – Bone Marrow Transplantation.
Results:
patients have shown a statistically significant decrease in the social domain, and stability of the emotional function along the course of treatment.
Conclusion:
hematopoietic stem cell transplantation changes the social function of patients with hematologic cancer during hospitalization stage. Thus, patients should receive guidance addressing the social domain in order that it can be less affected.
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01-01-2016
Frailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
Abstract
Frailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
DOI 10.1590/0034-7167.2016690309i
Views1See moreABSTRACT
Objective:
to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná.
Method:
a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength.
Results:
of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail.
Conclusion:
in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.
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01-01-2016
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
Abstract
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
DOI 10.1590/0034-7167.2016690308i
Views0See moreABSTRACT
Objective:
to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home.
Method:
clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits.
Results:
participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable.
Conclusion:
directions provided in the home context were beneficial to the members of the case group.
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01-01-2016
Pressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
Abstract
Pressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
DOI 10.1590/0034-7167.2016690307i
Views0See moreABSTRACT
Objective:
to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients.
Method:
this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories.
Results:
an incidence of 22% (95% CI 12.6 – 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%).
Conclusion:
the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.
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01-01-2016
Accreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
Abstract
Accreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
DOI 10.1590/0034-7167.2016690306i
Views1See moreABSTRACT
Objective:
to analyze the perceptions of the multidisciplinary team on Accreditation in a public hospital.
Method:
descriptive, exploratory, qualitative research, performed in May 2014, using recorded individual interviews. In total, 28 employees of a public hospital, Accredited with Excellence, answered the guiding question: “Tell me about the Accreditation system used in this hospital”. The interviews were transcribed and subjected to content analysis.
Results:
of the speeches, three categories emerged: Advantages offered by the Accreditation; Accredited public hospital resembling a private hospital; Pride/satisfaction for acting in an accredited public hospital.
Conclusion:
participants perceived Accreditation as a favorable system for a quality management in the public service because it promotes the development of professional skills and improves cost management, organizational structure, management of assistance and perception of job pride/satisfaction.
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01-01-2016
Health status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
Abstract
Health status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
DOI 10.1590/0034-7167.2016690305i
Views0See moreABSTRACT
Objective:
to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work.
Method:
observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student’s t-test, multiple linear regression, and logistic regression.
Results:
there was an improvement of perception in the patients’ health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation.
Conclusion:
improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients’ return to work were not identified.
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ORIGINAL ARTICLE09-23-2022
Brain death communication with parents of children and adolescents: care strategies
- Neide da Silva Knihs
, - Lyandra Caroline Feisther ,
- Juliana dos Santos ,
- Rosi Meri da Silva ,
- Sibele Maria Schuantes Paim , [ … ],
- Maria Lígia dos Reis Bellaguarda
Abstract
ORIGINAL ARTICLEBrain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
DOI 10.1590/0034-7167-2021-0943
- Neide da Silva Knihs ,
- Lyandra Caroline Feisther ,
- Juliana dos Santos ,
- Rosi Meri da Silva ,
- Sibele Maria Schuantes Paim ,
- Janine Schirmer ,
- João Luis Erbs Pessoa ,
- Maria Lígia dos Reis Bellaguarda
Views0See moreABSTRACT
Objectives:
to identify care strategies developed by professionals from critically ill patients’ units in communicating BD with parents of children and adolescents.
Methods:
an exploratory and descriptive research with a qualitative approach, carried out in two health institutions between October and December 2019, through semi-structured interviews. Data analysis took place through content analysis.
Results:
twenty-one professionals participated. Three care strategies were identified: actual clinical situation in suspected brain death; sensitizing families to the real clinical situation after brain death diagnosis; and time to assimilate the death information.
Final Considerations:
the care strategies for communicating brain death to families identified in this study present the possibility of subsidizing health managers in training and support promotion for professionals in care practice. Moreover, they can be incorporated and validated in the care practice of the studied context.
- Neide da Silva Knihs
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ORIGINAL ARTICLE03-30-2022
Nursing diagnoses of newborns in rooming-in care using ICNP®
- Viviane Saraiva de Almeida ,
- Marilda Andrade ,
- Danielle Lemos Querido ,
- Ana Paula Vieira dos Santos Esteves ,
- Maria Miriam Lima da Nóbrega , [ … ],
- Helder Camilo Leite
Abstract
ORIGINAL ARTICLENursing diagnoses of newborns in rooming-in care using ICNP®
Revista Brasileira de Enfermagem. 2022;75(4):e20200672
DOI 10.1590/0034-7167-2020-0672
- Viviane Saraiva de Almeida ,
- Marilda Andrade ,
- Danielle Lemos Querido ,
- Ana Paula Vieira dos Santos Esteves ,
- Maria Miriam Lima da Nóbrega ,
- Marialda Moreira Christoffel ,
- Helder Camilo Leite
Views1See moreABSTRACT
Objectives:
to create nursing diagnosis definitions for newborns in rooming-in care, using the International Classification for Nursing Practice (ICNP).
Methods:
methodological study following the steps for the identification and validation of relevant terms to care for clients; cross-mapping of the terms identified with the terms of the ICNP® 2019; elaboration and validation of the nursing diagnostic definitions of ICNP® and later classification according with the Basic Human Needs described by Wanda Horta.
Results:
from the terms extracted, 168 were validated through specialist consensus, subsidizing the elaboration of 27 diagnosis definitions.
Conclusions:
the most common diagnoses for the clients studied were: “Effective Feeding Behaviour”, “Effective Urination”, “Normal Respiration Rhythm”, “Effective Swallowing”, “Effective Peripheral Intravenous Access”, and “Effective Parent Child Attachment”. It was confirmed that the records of psychobiological needs are mainly made by nurses, which were responsible for 23 of the diagnoses in this study.
- Viviane Saraiva de Almeida
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ORIGINAL ARTICLE10-07-2022
Nursing workload associated with neonatal mortality risk: a cross-sectional study
- Raquel Rondina Pupo da Silveira ,
- Clarita Terra Rodrigues Serafim ,
- Meire Cristina Novelli e Castro ,
- Gabrielle Maria Rodrigues ,
- José Eduardo Corrente , [ … ],
- Silvana Andrea Molina Lima
Abstract
ORIGINAL ARTICLENursing workload associated with neonatal mortality risk: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(4):e20200965
DOI 10.1590/0034-7167-2020-0965
- Raquel Rondina Pupo da Silveira ,
- Clarita Terra Rodrigues Serafim ,
- Meire Cristina Novelli e Castro ,
- Gabrielle Maria Rodrigues ,
- José Eduardo Corrente ,
- Silvana Andrea Molina Lima
Views0See moreABSTRACT
Objectives:
to analyze the association between nursing workload and neonatal mortality risk in newborns admitted to the Neonatal Intensive Care Unit.
Methods:
this is an observational, cross-sectional study conducted from January 2019 to January 2020.
Results:
the sample consisted of 399 newborns, 55.4% male, Nursing Activities Score mean of 67.5%, and Score for Neonatal Acute Physiology Perinatal Extension mean of 17.7, revealed itself as a predictor of the risk of death, while gestational age, length of hospitalization, and the first-minute Apgar established a protective relationship. The correlation between workload and neonatal mortality was low (r= 0.23, p=0.0009).
Conclusions:
the workload of the nursing team is not associated with the risk of mortality in the Neonatal Intensive Care Unit, as measured by the Nursing Activities Score.
- Raquel Rondina Pupo da Silveira
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ORIGINAL ARTICLE04-15-2022
Risk factors for infiltration in children and adolescents with peripheral intravenous catheters
- Luciano Marques dos Santos ,
- Irlane Batista Figueredo ,
- Cleonara Sousa Gomes e Silva ,
- Uliana Oliveira Catapano ,
- Bianka Sousa Martins Silva , [ … ],
- Ariane Ferreira Machado Avelar
Abstract
ORIGINAL ARTICLERisk factors for infiltration in children and adolescents with peripheral intravenous catheters
Revista Brasileira de Enfermagem. 2022;75(4):e20210176
DOI 10.1590/0034-7167-2021-0176
- Luciano Marques dos Santos ,
- Irlane Batista Figueredo ,
- Cleonara Sousa Gomes e Silva ,
- Uliana Oliveira Catapano ,
- Bianka Sousa Martins Silva ,
- Ariane Ferreira Machado Avelar
Views0See moreABSTRACT
Objectives:
to estimate the incidence of infiltration and the factors associated with its occurrence in children and adolescents in the operative period and with peripheral intravenous catheters.
Methods:
a longitudinal and prospective study with children and adolescents using peripheral intravenous catheters, conducted at the surgical clinic unit of a pediatric hospital in Feira de Santana, State of Bahia, from April 2015 to December 2016. The study used Pearson’s chi-square and Fisher’s exact test for the analysis. It also applied multiple analyses using Poisson regression with robust variance.
Results:
the incidence of infiltration was 31.2% and was associated with female sex (RR=0.53; CI=[0.30-0.96]), non-eutrophic children (RR=2.27; CI=[1.25-4.20]), who used non-irritating and non-vesicant drugs (RR=1.72; CI=[1.03-2.87]), vesicant drugs (RR=1.84; CI=[1.05-3.22]) and irritating/vesicant electrolytes (RR=2.35; CI=[1.38-3.97]).
Conclusions:
the study suggests the development of strategies that will help in the prevention of this adverse event through the knowledge of the associated factors.
- Luciano Marques dos Santos
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ORIGINAL ARTICLE02-25-2022
Death of children by domestic accidents: unveiling the maternal experience
- Maria Augusta Rocha Bezerra ,
- Ruth Cardoso Rocha ,
- Karla Nayalle de Souza Rocha ,
- Diogo Filipe Santos Moura ,
- Marialda Moreira Christoffel , [ … ],
- Silvana Santiago da Rocha
Abstract
ORIGINAL ARTICLEDeath of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
DOI 10.1590/0034-7167-2021-0435
- Maria Augusta Rocha Bezerra ,
- Ruth Cardoso Rocha ,
- Karla Nayalle de Souza Rocha ,
- Diogo Filipe Santos Moura ,
- Marialda Moreira Christoffel ,
- Ivis Emília de Oliveira Souza ,
- Silvana Santiago da Rocha
Views0See moreABSTRACT
Objectives:
to unveil the meanings of mothers whose children died as a result of domestic accidents in childhood.
Methods:
a qualitative research, in the light of Heideggerian phenomenology, with ten mothers whose children died from domestic accidents. It was carried out in a municipality of the Northeast Region of Brazil through phenomenological interviews between May and June 2017. The existential analytic was constituted by the comprehensive moments of the Heideggerian method.
Results:
the meanings unveiled pointed out that, to understand the sudden death of her child, the mother oscillates between feeling guilty, pointing and denying guilt. She reports emptiness, permanent pain, non-acceptance of her child’s death, and the desire to keep him in her life. In this journey, the fear that brings limitations to her life and that of her other children is revealed. Final Considerations: it was revealed that the death of the child in infancy compromises the integrality of being a mother, indicating the need for systematic and continuous care for the adequate management of the emotional and social effects.
- Maria Augusta Rocha Bezerra
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ORIGINAL ARTICLE04-15-2022
Meanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
- Aline Zulin ,
- Anderson da Silva Rêgo ,
- Fernanda Gatez Trevisan dos Santos ,
- Luana Cristina Bellini Cardoso ,
- José Luís Guedes dos Santos , [ … ],
- Cremilde Aparecida Trindade Radovanovic
Abstract
ORIGINAL ARTICLEMeanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
DOI 10.1590/0034-7167-2021-0463
- Aline Zulin ,
- Anderson da Silva Rêgo ,
- Fernanda Gatez Trevisan dos Santos ,
- Luana Cristina Bellini Cardoso ,
- José Luís Guedes dos Santos ,
- Maria Aparecida Salci ,
- Cremilde Aparecida Trindade Radovanovic
Views0See moreABSTRACT
Objectives:
to understand the meanings attributed to the changes experienced after bariatric surgery by people with obesity.
Methods:
this is a study with a qualitative approach, with a theoretical framework in Symbolic Interactionism; and methodological, in the Grounded Theory. There were 12 participants who underwent bariatric surgery in two health services (bariatric surgery clinic; general hospital). Data collection took place between July and October 2020, through an intensive interview. Testimonies were recorded using an electronic device and transcribed in full. Data were coded in the MAXQDA 2020 software and analyzed considering the adopted theoretical framework.
Results:
two categories emerged: Rebuilding a social life; and Rediscovering self-esteem. From the articulation of these categories, the phenomenon “Re-signifying life after bariatric surgery” was constructed.
Final Considerations:
bariatric surgery contributed to significant changes in the daily lives of participants, and Symbolic Interactionism allowed the understanding of how participants interpreted their meanings.
- Aline Zulin
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ORIGINAL ARTICLE04-15-2022
Correlation between fatigue and quality of life self-reported by adolescents with cerebral palsy
- Mariana Ceravolo Ferreira ,
- Nathália Ribeiro Garcia ,
- Maria Aparecida da Silva Vieira ,
- Cejane Oliveira Martins Prudente ,
- Maysa Ferreira Martins Ribeiro
Abstract
ORIGINAL ARTICLECorrelation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
DOI 10.1590/0034-7167-2021-0716
- Mariana Ceravolo Ferreira ,
- Nathália Ribeiro Garcia ,
- Maria Aparecida da Silva Vieira ,
- Cejane Oliveira Martins Prudente ,
- Maysa Ferreira Martins Ribeiro
Views0See moreABSTRACT
Objectives:
to investigate the correlation between fatigue and quality of life in adolescents with cerebral palsy who are susceptible to more significant fatigue and lower quality of life.
Methods:
cross-sectional study conducted with 101 adolescents with cerebral palsy. Instruments such as the Pediatric Quality of Life Inventory and Gross Motor Function Classification System were used, and Kolmogorov-Smirnov, Mann-Whitney, and Spearman tests were applied.
Results:
older adolescents self-reported higher fatigue levels, and female adolescents, quadriplegic, with worse motor function, older, and not attending school had lower quality of life scores. Higher fatigue levels correlated with lower quality of life in all domains (p<0.01), especially in tiredness (general and mental) and functioning (social, academic, and psychosocial).
Conclusions:
fatigue correlated negatively with the quality of life of adolescents with cerebral palsy, showing that the higher the level of fatigue, the more compromised is the adolescents’ life.
- Mariana Ceravolo Ferreira
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ORIGINAL ARTICLE05-09-2022
Factors associated with the skills of informal caregivers in home care
- Fernanda Gatez Trevisan dos Santos ,
- Aline Zulin ,
- Luana Cristina Bellini Cardoso ,
- Rafaely de Cassia Nogueira Sanches ,
- Anderson da Silva Rêgo , [ … ],
- Cremilde Aparecida Trindade Radovanovic
Abstract
ORIGINAL ARTICLEFactors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
DOI 10.1590/0034-7167-2021-0744
- Fernanda Gatez Trevisan dos Santos ,
- Aline Zulin ,
- Luana Cristina Bellini Cardoso ,
- Rafaely de Cassia Nogueira Sanches ,
- Anderson da Silva Rêgo ,
- Nara Marilene Oliveira Girardon-Perlini ,
- Cremilde Aparecida Trindade Radovanovic
Views0See moreABSTRACT
Objective:
To identify factors associated with cognitive, emotional, psychomotor, and relational skills of informal caregivers in home care.
Methods:
A cross-sectional study carried out with a sample of 216 informal caregivers residing in a municipality in the state of Paraná. Data collection took place between February and July 2019, with an instrument developed and validated to assess the skills of informal caregivers. Descriptive and inferential analyses were used.
Results:
The factors associated with a greater competence of informal caregivers were being female, having training in the field, and having more than five years home care experience. The lowest competence was observed in caregivers who had health problems and belonged to the lowest strata of family purchasing power. Participants had lower scores in psychomotor competence and had better results in cognitive competence.
Conclusion:
It was found that women with experience in care had higher levels of competence to provide quality care at home assistance services.
- Fernanda Gatez Trevisan dos Santos
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REVIEW07-06-2020
Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Revista Brasileira de Enfermagem. 2020;73(5):e20190370
Abstract
REVIEWMiddle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Revista Brasileira de Enfermagem. 2020;73(5):e20190370
DOI 10.1590/0034-7167-2019-0370
Views0See moreABSTRACT
Objectives:
theoretical validation of the concept of low self-efficacy in health as a nursing diagnosis construct.
Methods:
construction of a middle-range theory for validating diagnoses, comprised of five stages: definition of the approach for building the theory; definition of the main concepts; creation of a pictorial diagram; formulation of proposals; establishment of causal relationships and evidence for clinical practice. The main concepts were identified through a literature review and the studies were taken from the LILACS, SCOPUS, CINAHL and PubMed/MEDLINE databases. The final sample was comprised of 92 articles.
Results:
eighteen etiological factors and 16 clinical indicators were identified; characterized as antecedents and manifestations for inferring a diagnosis of low self-efficacy in health.
Conclusions:
the related concepts of the new nursing diagnosis of low self-efficacy in health, to be applied in clinical nursing practice, were identified and defined.
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ORIGINAL ARTICLE05-24-2021
Critical thinking in nursing training: evaluation in the area of competence Education in Health
Revista Brasileira de Enfermagem. 2021;74:e20200979
Abstract
ORIGINAL ARTICLECritical thinking in nursing training: evaluation in the area of competence Education in Health
Revista Brasileira de Enfermagem. 2021;74:e20200979
DOI 10.1590/0034-7167-2020-0979
Views0See moreABSTRACT
Objective:
To analyze the constitution of critical thinking in nursing training in the approach by competence and the integrated curriculum, considering the evaluation process by capturing its challenges, and proposing overcoming strategies.
Methods:
Qualitative. In the first phase of data collection, interviews were conducted with twenty-four professors, nine preceptors, and fifteen students to reconstruct the profile of competence, and in the second phase, a workshop to validate the profile identified challenges and proposals. The Collective Subject Discourse was used to analyze the interviews and the holistic competence reference in reconstructing the profile.
Results:
The critical thinking is built based on experiences in the world of work, and evaluation is the conductor of reflections towards emancipation.
Final considerations:
It signals the importance of professor training in the learning evaluation and working with the collective construction of subjects to overcome challenges that happen in the changes of training.
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07-26-2021
Impact of clinical supervision on job satisfaction and emotional competence of nurses
- Inês Alves da Rocha e Silva Rocha ,
- Cristina Maria Correia Barroso Pinto ,
- António Luís Rodrigues Faria de Carvalho
Abstract
Impact of clinical supervision on job satisfaction and emotional competence of nurses
Revista Brasileira de Enfermagem. 2021;74(6):e20210125
DOI 10.1590/0034-7167-2021-0125
- Inês Alves da Rocha e Silva Rocha ,
- Cristina Maria Correia Barroso Pinto ,
- António Luís Rodrigues Faria de Carvalho
Views0See moreABSTRACT
Objective:
To evaluate the impact of implementing the SafeCare clinical supervision model on nurses’ job satisfaction and emotional competence profile.
Methods:
This is a quasi-experimental study, with a sample of 28 nurses from a hospital in northern Portugal. A self-administered questionnaire was applied, used as pre and post-test, which included: sociodemographic and professional characterization; “Job Satisfaction Scale”; and “Veiga Emotional Competence Scale”. We conducted descriptive statistical analysis and the Wilcoxon Test.
Results:
A significant decrease in the nurses’ satisfaction with hierarchical superior was observed in the post-test. No significant differences were found in the nurses’ job satisfaction and emotional competence after the implementation of the SafeCare Model.
Conclusion:
The SafeCare Model needs improvement, suggesting increasing the amount of training time administered to nurses and strengthening the healthcare institution’s link to the Model.
- Inês Alves da Rocha e Silva Rocha
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ORIGINAL ARTICLE07-10-2020
Working conditions and depression in hospital emergency service nurses
Revista Brasileira de Enfermagem. 2020;73:e20180952
Abstract
ORIGINAL ARTICLEWorking conditions and depression in hospital emergency service nurses
Revista Brasileira de Enfermagem. 2020;73:e20180952
DOI 10.1590/0034-7167-2018-0952
Views0See moreABSTRACT
Objective:
to analyze the presence, intensity and factors related to working conditions for depressive symptoms in hospital emergency nurses in the east of São Paulo.
Methods:
a descriptive, exploratory, quantitative and qualitative study, which applied psychometric scales and interview script.
Results:
nurses (95.24%) had depressive symptoms by the assessment scales by the observer, most with mild and moderate intensity. Inadequate working conditions led to suffering. Factors that trigger depressive symptoms were: disorganized work; harmful relationship with immediate management; inappropriate physician behavior; aggressions; lack of inputs, infrastructure and human resources; professional devaluation. Identified professionals with depressive symptoms who, because they were unaware of being affected by the disorder, did not seek treatment, continued to perform activities that compromised their physical and mental health, promoting damage to the assistance provided.
Final considerations:
high frequency of depressive symptoms. The precarious work environment negatively influenced the care and development of depressive symptoms.
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ORIGINAL ARTICLE06-27-2019
Safety of the patient in an emergency situation: perceptions of the nursing team
- Andréa Tayse de Lima Gomes ,
- Marcos Antônio Ferreira Jr ,
- Pétala Tuani Candido Oliveira Salvador ,
- Manacés dos Santos Bezerril ,
- Flávia Barreto Tavares Chiavone , [ … ],
- Viviane Euzébia Pereira Santos
Abstract
ORIGINAL ARTICLESafety of the patient in an emergency situation: perceptions of the nursing team
Revista Brasileira de Enfermagem. 2019;72(3):753-759
DOI 10.1590/0034-7167-2018-0544
- Andréa Tayse de Lima Gomes ,
- Marcos Antônio Ferreira Jr ,
- Pétala Tuani Candido Oliveira Salvador ,
- Manacés dos Santos Bezerril ,
- Flávia Barreto Tavares Chiavone ,
- Viviane Euzébia Pereira Santos
Views0See moreABSTRACT
Objective:
To know the perception of nursing professionals about the essential aspects to provide safe care to polytraumatized patients in emergency services.
Method:
Descriptive and mixed study, performed with a focus group and projective techniques. The sample was made of seven nursing professionals. Data analysis took place through the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires and SPSS 22.0 softwares.
Results:
Based on the analysis of participants’ speeches, three content partitions emerged in the Descending Hierarchical Classification. 1) Structure: need for changes; 2) The process: safe actions by the nursing team; and 3) Care free from damage as the sought result.
Conclusion:
Patient safety in emergency situations must rely on a proper environment and an organized sector, good conditions to transport patients, use of routines and protocols, identification and organization of the beds.
- Andréa Tayse de Lima Gomes
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ORIGINAL ARTICLE06-24-2020
Practice of breastfeeding in quilombola communities in the light of transcultural theory
- Lucas Amaral Martins ,
- Rafaele Marques de Oliveira ,
- Climene Laura de Camargo ,
- Aline Cristiane de Sousa Azevedo Aguiar ,
- Deisy Vital dos Santos , [ … ],
- Jamile Moreira Machado de Souza
Abstract
ORIGINAL ARTICLEPractice of breastfeeding in quilombola communities in the light of transcultural theory
Revista Brasileira de Enfermagem. 2020;73(4):e20190191
DOI 10.1590/0034-7167-2019-0191
- Lucas Amaral Martins ,
- Rafaele Marques de Oliveira ,
- Climene Laura de Camargo ,
- Aline Cristiane de Sousa Azevedo Aguiar ,
- Deisy Vital dos Santos ,
- Maria Carolina Ortiz Whitaker ,
- Jamile Moreira Machado de Souza
Views0See moreABSTRACT
Objectives:
to identify factors that interfere with the practice of exclusive breastfeeding in quilombola communities.
Methods:
qualitative research based on the Transcultural Theory proposed by Madeleine Leininger, performed with quilombola mothers. For data collection, we used the semi-structured interview, conducted from June 2018 to January 2019. Content analysis was guided by the interactive model of Miles and Huberman.
Results:
it was revealed that intergenerational cultural myths and customs interfere with breastfeeding practice, and identified the influence of professional nurses on best breastfeeding practices.
Final Considerations:
cultural and intergenerational factors favor early weaning and expose the child to illness.
- Lucas Amaral Martins
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REVIEW10-28-2020
Health care of sexual and gender minorities: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20190192
Abstract
REVIEWHealth care of sexual and gender minorities: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20190192
DOI 10.1590/0034-7167-2019-0192
Views0See moreABSTRACT
Objectives:
to describe health care practices aimed at lesbians, gays, bisexuals, transvestites, and transsexuals.
Methods:
an integrative literature review based on systematic steps, in MEDLINE, LILACS AND SciELO databases and/or electronic libraries. It was held from September to November 2018, with articles published between 2012 and 2017, available in full in Portuguese, English, and Spanish, addressing health care to that population group.
Results:
fourteen articles were included. Most of the articles were about the trajectory of individuals within health services and showed limitations and obstacles in the use of these services.
Final Considerations:
there is evidence that factors related to organization of services, attitude of professionals, stigma, and discrimination experienced undermine health care practices. Therefore, it is essential to carry out educational activities in health services and educational institutions.
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ORIGINAL ARTICLE06-01-2020
Nursing knowledge patterns: nurses’ image and role in society perceived by students
Revista Brasileira de Enfermagem. 2020;73(4):e20180959
Abstract
ORIGINAL ARTICLENursing knowledge patterns: nurses’ image and role in society perceived by students
Revista Brasileira de Enfermagem. 2020;73(4):e20180959
DOI 10.1590/0034-7167-2018-0959
Views0See moreABSTRACT
Objectives:
to understand high school students’ perception about the nurse’s image and role in society, from nursing knowledge patterns.
Methods:
phenomenographic qualitative study, developed between October 2017 and January 2018, in a public university in the countryside of the state of São Paulo, with eight Interdisciplinary Higher Education Program (Programa de Formação Interdisciplinar Superior) students. The findings were collected through semi-structured interviews and analyzed by the phenomenography framework, supported by rereading nursing knowledge patterns.
Results:
two categories emerged: Perception of nurses’ image, which contemplates their positive and negative characteristics, attributes and place where they operate; and Nurses’ role in society, in which their work is compared with physicians’.
Final Considerations:
despite their essential role in care, subordination to medical knowledge and lack of knowledge of nurses’ functions still reflect their image.
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