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01-01-2015
Risk classification in pediatrics: development and validation of a guide for nurses
Revista Brasileira de Enfermagem. 2015;68(5):913-922
Abstract
Risk classification in pediatrics: development and validation of a guide for nurses
Revista Brasileira de Enfermagem. 2015;68(5):913-922
DOI 10.1590/0034-7167.2015680521i
Views0See moreABSTRACT
Objective:
to develop and validate a short guide for the protocol to user embracement with risk classification in pediatrics.
Method:
methodological study developed in two stages: development of the guide, and face and content validation. The development involved the stratification of the protocol contents into five risk indicators according to the level of complexity; subsequently it was submitted to validation by nine experts divided in two groups: professors who were also researchers, and nurses.
Results:
in the face validation the experts considered the 25 items of the guide clear and understandable, with agreement levels above 70%. In the content validation, 17 (68%) items were considered relevant by 88.9% of the experts. The eight items considered irrelevant were changed according to suggestions of the experts, yielding an overall content validity index of 0.98.
Conclusion:
the study resulted in a guide for the classification of risks in pediatrics that is valid to assess children in emergency services.
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01-01-2015
Components of social learning theory in a tool for teaching Nursing
Revista Brasileira de Enfermagem. 2015;68(5):906-912
Abstract
Components of social learning theory in a tool for teaching Nursing
Revista Brasileira de Enfermagem. 2015;68(5):906-912
DOI 10.1590/0034-7167.2015680520i
Views0See moreABSTRACT
Objective:
to identify key components of the social learning theory in a computational tool to aid in teaching the reasoning process for the preparation of a nursing diagnosis.
Method:
qualitative study that analyzed the statements collected through a focus group of 18 teachers and students from two Brazilian nursing schools.
Results:
the themes were grouped into four categories related to the components of the theory and into 13 subcategories.
Conclusion:
the meaning of learning can be extended by the teacher’s didactics and corroborated by the relationship between systematization and reasoning. To learn by doing, some prerequisites are required as is a process of motivation and qualification, which are also inherent to learning by forming an identity in the group. In the feeling of belonging to a particular group, aspects related to the profession become visible as opposed to the aspects of belonging to a community of practice of learning.
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01-01-2015
Telephone call for post-discharge surveillance: validation and application of tool for video-assisted surgery
Revista Brasileira de Enfermagem. 2015;68(5):899-905
Abstract
Telephone call for post-discharge surveillance: validation and application of tool for video-assisted surgery
Revista Brasileira de Enfermagem. 2015;68(5):899-905
DOI 10.1590/0034-7167.2015680519i
Views0See moreABSTRACT
Objective:
to validate an instrument for post-discharge surveillance by telephone for video assisted surgeries.
Method:
a multi-method study with development, validation and application of the instrument. The validation was performed by experts considering the relevance, clarity and completeness of the contents in the calculation of the content validity index and valid questions that demonstrated 80% agreement. For the application of the instrument, the sample consisted of 68 women undergoing video-assisted surgery, and we conducted a descriptive analysis.
Results:
there was disagreement among experts in the first evaluation, and the instrument was redesigned obtaining agreement in the second evaluation. The response rate to the telephone contact was 88.2% (60/68). Complaints of abdominal pain, bleeding and incisional edema were more frequent. No patients presented with infection.
Conclusion:
the questionnaire was validated and applied and is available for use.
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01-01-2015
Managerial competences of coordinators of undergraduate nursing courses
Revista Brasileira de Enfermagem. 2015;68(5):890-898
Abstract
Managerial competences of coordinators of undergraduate nursing courses
Revista Brasileira de Enfermagem. 2015;68(5):890-898
DOI 10.1590/0034-7167.2015680518i
Views0See moreABSTRACT
Objective:
to analyze the experiences of how the managerial competences of coordinators, ideal and real, of undergraduate nursing course coordinators from the city of Belo Horizonte, Minais Gerais.
Method:
the theoretical framework presented a conceptual model of eight managerial roles (director, producer, monitor, coordinator, mentor, facilitator, broker and innovator) and three specific competences to the exercise of each one of them. Descriptive and qualitative research with 14 interviews conducted using semi-structured scripts, whose data were subjected to content analysis.
Results:
we highlighted the roles: mentor, director and facilitator as the most prominent, whose competences can be continually improved as a result of differentiated and permanent demands which the subject face, in addition to the natural ambiguities and contradictions of management function.
Conclusion:
the higher education institution can adjust their selection and evaluation processes for this position, including the difficulties of professional competences training required in the exercise of managerial function.
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01-01-2015
Family participation to elderly rehabilitation with femoral fracture
Revista Brasileira de Enfermagem. 2015;68(5):883-889
Abstract
Family participation to elderly rehabilitation with femoral fracture
Revista Brasileira de Enfermagem. 2015;68(5):883-889
DOI 10.1590/0034-7167.2015680517i
Views0See moreABSTRACT
Objective:
verify if the mode of care adopted by caregivers favored functional independence recovery by elderly with and without the presence of nervous system disease and mental and behavioral disorders; and, if disease interfered with their functional independence.
Method:
transversal study, with 12-month follow-up of 89 Brazilian elders (≥ 60 years) after proximal femoral surgery, and their family caregiver.
Results:
the Functional Independence Measure scores decreased by 0.7 points per year of life, and in the case of presenting nervous system disease and mental and behavioral disorders, this loss amounted to 20.5 points.
Conclusion:
The incentive to ambulate increased by 18.8 for self-care, 12.8 for self-care, and 11.5 for leisure activities on the Functional Independence Measure. Encouraging movement and ambulation, self-care and leisure activities, especially with those elderly with nervous system diseases and mental and behavioral disorders, is recommended.
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01-01-2015
Participação familiar para a reabilitação de idosos com fratura de fêmur
Revista Brasileira de Enfermagem. 2015;68(5):883-889
Abstract
Participação familiar para a reabilitação de idosos com fratura de fêmur
Revista Brasileira de Enfermagem. 2015;68(5):883-889
DOI 10.1590/0034-7167.2015680517i
Views1See moreRESUMEN
Objetivo:
verificar si el modo de cuidar adoptado por los cuidadores favoreció la recuperación de la independencia funcional de los ancianos con y sin la presencia de enfermedad en el sistema nervioso y trastornos mentales y comportamentales y si enfermedades interfirieron en la independencia funcional.
Método:
estudio trasversal, con seguimiento por 12 meses de 89 ancianos brasileños (≥ 60 años), sometidos a cirugía de fémur proximal y sus cuidadores familiares.
Resultados:
los scores de la Medida de Independencia Funcional disminuyeron 0,7 puntos por año vivido y, en el caso de enfermedad en el sistema nervioso y trastorno mental y comportamental, esa pérdida aumentó para 20,5 puntos. El incentivo a la deambulación aumentó 18,9, al autocuidado 12,8 y al ocio 11,5 puntos de la Medida de Independencia Funcional.
Conclusión:
se recomienda el incentivo al movimiento y a la deambulación, al autocuidado y a las actividades de ocio, principalmente en aquellos ancianos con enfermedades en el sistema nervioso y trastorno mental y comportamental.
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01-01-2015
Absenteeism – illness of the nursing staff of a university hospital
Revista Brasileira de Enfermagem. 2015;68(5):876-882
Abstract
Absenteeism – illness of the nursing staff of a university hospital
Revista Brasileira de Enfermagem. 2015;68(5):876-882
DOI 10.1590/0034-7167.2015680516i
Views0See moreABSTRACT
Objective:
to analyze absenteeism – illness of the nursing staff.
Method:
this was a retrospective study of a university hospital in the city of Goiânia, Goiás, Brazil, using a quantitative approach. Data were collected from functional records of the staff during the period from 2008 to 2012.
Results:
of 602 workers, 435 had 1574 medical certifi cates. Diseases of the musculoskeletal system and connective tissue, followed by mental and behavioral disorders were the major diseases for sick leave. The occupation with the highest number of medical certifi cates was the nursing technician. Females and the age group between 41-50 years prevailed in the sample. Ambulatory was the area with most frequent events, followed by the medical clinic and emergency room.
Conclusion:
absenteeism-illness affects the functioning of the service, the nursing staff and users, promoting work overload, and interfering in the quality of nursing care.
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01-01-2015
The nurse faced with early weaning in child nursing consultations
Revista Brasileira de Enfermagem. 2015;68(5):869-875
Abstract
The nurse faced with early weaning in child nursing consultations
Revista Brasileira de Enfermagem. 2015;68(5):869-875
DOI 10.1590/0034-7167.2015680515i
Views0See moreABSTRACT
Objective:
analyze the role of the nurse regarding early weaning in children younger than 6 months old.
Method:
qualitative and descriptive study. The nurses who performed the study did nursing consultation to children programmatically in family health units in Cuiabá – Mato Grosso. Data were collected in January and February 2012, through participant observation of nursing consultations. For data analysis, content analysis was used.
Results:
that nurses, in most cases, used appropriate strategies for the management of common problems in breastfeeding, although some behaviors have not yet proven scientifi c evidence about the benefi ts and/or damage to its practice.
Conclusion:
nurses addressed important aspects of breastfeeding during consultations and worked for the promotion and resumption of exclusive breastfeeding.
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ORIGINAL ARTICLE06-01-2020
Workplace violence types in family health, offenders, reactions, and problems experienced
- Isabel Cristina Saboia Sturbelle
, - Daiane Dal Pai ,
- Juliana Petri Tavares ,
- Letícia de Lima Trindade ,
- Carmem Lúcia Colomé Beck , [ … ],
- Vittória Zarpelão de Matos
Abstract
ORIGINAL ARTICLEWorkplace violence types in family health, offenders, reactions, and problems experienced
Revista Brasileira de Enfermagem. 2020;73:e20190055
DOI 10.1590/0034-7167-2019-0055
- Isabel Cristina Saboia Sturbelle ,
- Daiane Dal Pai ,
- Juliana Petri Tavares ,
- Letícia de Lima Trindade ,
- Carmem Lúcia Colomé Beck ,
- Vittória Zarpelão de Matos
Views0See moreABSTRACT
Objective:
to identify the types of violence that affect the health team in Family Health Units, their offenders, reactions and problems experienced by workers.
Method:
a cross-sectional, concurrent mixed-type research. The Survey Questionnaire Workplace Violence in the Health Sector was applied to 106 workers from Family Health Units. Of these, 18 answered the semi-structured interview.
Results:
verbal aggression (65.1%), bullying (14.2%), racial discrimination (10.4%), physical assault (8.5%) and sexual harassment (4.7%) were prevalent. Patients were the main perpetrators of verbal aggression (79.4%) and bullying (46.7%). Workers responded by telling co-workers and reporting to the boss. Victims remained over-alert, vigilant and tense, relating exposure to violence to absenteeism and the desire to leave the profession.
Conclusion:
verbal aggression is the most common violence with negative impact on workers’ health and work performed.
- Isabel Cristina Saboia Sturbelle
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ORIGINAL ARTICLE09-07-2020
Profile and entrepreneurial intention of nursing students: a comparison between Brazil and Chile
- Rosana Maria Barreto Colichi ,
- Verónica Gómez-Urrutia ,
- Andres Eduardo Jimenez-Figueroa ,
- Hélio Rubens de Carvalho Nunes ,
- Silvana Andrea Molina Lima
Abstract
ORIGINAL ARTICLEProfile and entrepreneurial intention of nursing students: a comparison between Brazil and Chile
Revista Brasileira de Enfermagem. 2020;73(6):e20190890
DOI 10.1590/0034-7167-2019-0890
- Rosana Maria Barreto Colichi ,
- Verónica Gómez-Urrutia ,
- Andres Eduardo Jimenez-Figueroa ,
- Hélio Rubens de Carvalho Nunes ,
- Silvana Andrea Molina Lima
Views0See moreABSTRACT
Objective:
to identify and compare factors associated with profile, intentions, motivations, and barriers to entrepreneurial behavior of nursing students from Brazil and Chile.
Methods:
this cross-sectional study was carried out between March and September 2018 including 889 nursing students. A form was used to assess the socio-demographic profile, professional claims, entrepreneurial intentions and motivations. Statistical analysis used Chi-Square and Fisher’s Exact tests, with a 5% significance level, and a simple logistic regression model.
Results:
there are significant differences between countries in the profile of students and in the motivations studied, but not in professional pretensions and entrepreneurial intentions. Lack of education on the subject reveals itself as an important barrier to entrepreneurship.
Conclusion:
given the lack of teaching entrepreneurship in undergraduate nursing courses and the characteristics inherent to students, education must be appropriate to different cultures to prepare future professionals for other areas of practice.
- Rosana Maria Barreto Colichi
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REFLECTION02-15-2021
The belief in health in the adoption of COVID-19 prevention and control measures
- Khelyane Mesquita de Carvalho ,
- Cynthia Roberta Dias Torres Silva ,
- Sarah Giulia Bandeira Felipe ,
- Marcia Teles de Oliveira Gouveia
Abstract
REFLECTIONThe belief in health in the adoption of COVID-19 prevention and control measures
Revista Brasileira de Enfermagem. 2021;74:e20200576
DOI 10.1590/0034-7167-2020-0576
- Khelyane Mesquita de Carvalho ,
- Cynthia Roberta Dias Torres Silva ,
- Sarah Giulia Bandeira Felipe ,
- Marcia Teles de Oliveira Gouveia
Views0See moreABSTRACT
Objective:
Reflect, in the light of the Health Belief Model, on the adoption of behavioral measures in the context of COVID-19.
Methods:
Theoretical-reflective essay, based on the Health Belief Model, to reflect on adherence to preventive behaviors in the pandemic of COVID-19.
Results:
Adherence to preventive behaviors is strongly influenced by socioeconomic, territorial, political and individual factors in the face of critical health situations. In addition, the spread of false news modulates the thinking and execution of behavioral actions in the population.
Final Considerations:
It is necessary to understand the importance of health communication processes and the use of tools aimed at responsible human behavior and engaged in the adoption of a preventive posture.
- Khelyane Mesquita de Carvalho
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ORIGINAL ARTICLE08-10-2020
Palliative care consultation team: symptom relief in first 48 hours of hospitalization
- Magda Aparecida dos Santos Silva ,
- Marcio Augusto Diniz ,
- Ricardo Tavares de Carvalho ,
- Toshio Chiba ,
- Cibele Andrucioli de Mattos-Pimenta
Abstract
ORIGINAL ARTICLEPalliative care consultation team: symptom relief in first 48 hours of hospitalization
Revista Brasileira de Enfermagem. 2020;73(6):e20190391
DOI 10.1590/0034-7167-2019-0391
- Magda Aparecida dos Santos Silva ,
- Marcio Augusto Diniz ,
- Ricardo Tavares de Carvalho ,
- Toshio Chiba ,
- Cibele Andrucioli de Mattos-Pimenta
Views0See moreABSTRACT
Objective:
To compare the relief of symptoms provided by palliative care consultation team (PCCT) compared to the traditional care team (TC), in patients with advanced cancer in the first 48 hours of hospitalization.
Method:
Allocated to PCCT Group and TC Group, this study assessed 290 patients according to the Edmonton Symptom Assessment System (ESAS) within the first 48 hours of hospitalization. The main outcome was a minimum 2-point reduction in symptom intensity.
Results:
At 48 hours, the PCCT Group had a 2-point reduction in the mean differences (p <0.001) in pain, nausea, dyspnea, and depression; and TC Group, on nausea and sleep impairment (p <0.001). Multiple Logistic Regression found for the PCCT Group a greater chance of pain relief (OR 2.34; CI 1.01-5.43; p = 0.049).
Conclusion:
There was superiority of the PCCT Group for pain relief, dyspnea and depression. There is a need for more studies that broaden the understanding of team modalities.
- Magda Aparecida dos Santos Silva
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ORIGINAL ARTICLE08-10-2020
Grounded Theory methodological aspects in Brazilian nursing thesis
Revista Brasileira de Enfermagem. 2020;73(6):e20190274
Abstract
ORIGINAL ARTICLEGrounded Theory methodological aspects in Brazilian nursing thesis
Revista Brasileira de Enfermagem. 2020;73(6):e20190274
DOI 10.1590/0034-7167-2019-0274
Views0See moreABSTRACT
Objective:
to analyze the application of methodological aspects of Grounded Theory in Brazilian nursing thesis.
Methods:
qualitative, descriptive study elaborated based on theses available in the CAPES Thesis and Dissertations Catalog, located with the search for the terms “Teoria Fundamentada nos Dados” OR “Grounded Theory”, from 2013 to 2017. The data obtained were analyzed, considering the Grounded Theory methodological assumptions.
Results:
observance of Grounded Theory basic concepts and articulation with several theoretical frameworks in the conduct of the investigations are strengthening aspects of the method. However, dissent in the description of the operationalization of the stages and naming of the elaborated construct weaken the methodological quality.
Final considerations:
the methodological consistency provided by Grounded Theory has the potential to demonstrate the studies’ rigor and reliability conducted and theories generated. It is necessary to deepen theoretical-conceptual studies to elucidate discrepancies in the applicability in nursing research.
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EXPERIENCE REPORT06-11-2021
Care management in coping with COVID-19 at a teaching hospital
Revista Brasileira de Enfermagem. 2021;74:e20200970
Abstract
EXPERIENCE REPORTCare management in coping with COVID-19 at a teaching hospital
Revista Brasileira de Enfermagem. 2021;74:e20200970
DOI 10.1590/0034-7167-2020-0970
Views0See moreABSTRACT
Objective:
to report the experience of implementing care management strategies in coping with the COVID-19 pandemic in a teaching hospital.
Method:
this is an experience report of the managers who work at the largest public hospital in Paraná with functions as Head of the Care Management Division, Head of the Care Lines Management Sector, Head of the Infectiology Unit and support team.
Results:
care management strategies were structured based on the service dynamics; physical structure; human Resources; professional and user safety.
Final considerations:
preparing for a pandemic involves measures that include modifying infrastructure and processes, managing employees and users, infection prevention strategies, and clinical recommendations. These measures are necessary to optimize the quality of care provided to users with COVID-19 and to reduce the risk of viral transmission to other users or health professionals.
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ORIGINAL ARTICLE12-13-2019
Factors related to quilombola attendance to child follow-up appointments
- Elenilda Farias de Oliveira ,
- Climene Laura de Camargo ,
- Nadirlene Pereira Gomes ,
- Telmara Menezes Couto ,
- Luana Moura Campos , [ … ],
- Patricia Santos de Oliveira
Abstract
ORIGINAL ARTICLEFactors related to quilombola attendance to child follow-up appointments
Revista Brasileira de Enfermagem. 2019;72:9-16
DOI 10.1590/0034-7167-2017-0605
- Elenilda Farias de Oliveira ,
- Climene Laura de Camargo ,
- Nadirlene Pereira Gomes ,
- Telmara Menezes Couto ,
- Luana Moura Campos ,
- Patricia Santos de Oliveira
Views0See moreABSTRACT
Objective:
To understand factors interfering with the attendance of quilombola children to growth and development follow-up appointments.
Method:
It is a qualitative research based on Symbolic interactionism, during which 14 mothers of children bellow 1 year-old were interviewed, who attended to the Family Health Unit at Ilha de Maré, Bahia, Brazil.
Results:
Appointment attendance is affected by factors intrinsic to mothers (meaning of child health follow-up; association between appointments and children falling ill; personal issues) and extrinsic factors, related to the service (availability, long waiting time for appointments and its quality).
Final considerations:
An administration prioritizing the service’s organization is required, which can prioritize attendances and the reduction of waiting time, specially given the personal issues that compromise going to the unit.
- Elenilda Farias de Oliveira
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ORIGINAL ARTICLE12-13-2019
Nurses’ experiences in the care of high-risk newborns: a phenomenological study
- Sueli Maria Refrande ,
- Rose Mary Costa Rosa Andrade Silva ,
- Eliane Ramos Pereira ,
- Renata Carla Nencetti Pereira Rocha ,
- Sérgio Henrique da Silva Melo , [ … ],
- Ricardo Raimundo dos Santos
Abstract
ORIGINAL ARTICLENurses’ experiences in the care of high-risk newborns: a phenomenological study
Revista Brasileira de Enfermagem. 2019;72:111-117
DOI 10.1590/0034-7167-2018-0221
- Sueli Maria Refrande ,
- Rose Mary Costa Rosa Andrade Silva ,
- Eliane Ramos Pereira ,
- Renata Carla Nencetti Pereira Rocha ,
- Sérgio Henrique da Silva Melo ,
- Neusa Aparecida Refrande ,
- Ricardo Raimundo dos Santos
Views0See moreABSTRACT
Objective:
To describe nurses’ experience in the care of high-risk newborns.
Method:
This is a descriptive study with a qualitative approach, based on Merleau-Ponty’s phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty.
Results:
Three categories emerged: “experienced body of the nurse practitioner on the high-risk newborn”; “experienced world of the nurse practitioner on the high-risk newborn”; and “time spent by the nurse practitioner with the high-risk newborn”.
Final considerations:
The study allowed us to describe, through the participants’ speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.
- Sueli Maria Refrande
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