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ORIGINAL ARTICLE12-16-2024
Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
Abstract
ORIGINAL ARTICLEEditorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
DOI 10.1590/0034-7167-2023-0362
Views0See moreABSTRACT
Objectives:
to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017.
Methods:
qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective.
Results:
seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science.
Final Considerations:
the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.
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REVIEW12-16-2024
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
- Janaina Fonseca Almeida Souza
, - Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte , [ … ],
- Fernanda Penido Matozinhos
Abstract
REVIEWStrategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
DOI 10.1590/0034-7167-2023-0343
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte ,
- Fernanda Penido Matozinhos
Views1See moreABSTRACT
Objectives:
to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.
Methods:
systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.
Results:
initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.
Conclusions:
we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
- Janaina Fonseca Almeida Souza
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ORIGINAL ARTICLE12-16-2024
Educational technology to empower patients as participants in their care
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina , [ … ],
- Hadelândia Milon de Oliveira
Abstract
ORIGINAL ARTICLEEducational technology to empower patients as participants in their care
Revista Brasileira de Enfermagem. 2024;77(6):e20230359
DOI 10.1590/0034-7167-2023-0359
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina ,
- Joice Claret Neves ,
- Hadelândia Milon de Oliveira
Views0See moreABSTRACT
Objectives:
to build and validate an educational technology to empower patients as participants in their own care.
Methods:
methodological study to develop an educational technology based on the elaboration, validation, and evaluation that were carried out in five stages at a teaching hospital in Amazonas. The study was carried out from 2019 to 2022, with the participation of 19 judges specialized in patient safety and 72 patients admitted to the hospital’s medical and surgical clinics, the study setting.
Results:
the agreement between the judges obtained an overall index of 0.85, being considered validated. The overall analysis of the booklet obtained an assessment of the level of agreement above 85%.
Final Considerations:
the educational technology presented here was validated and suitable for promoting patient/professional rapprochement and consolidating health care in a way that increases the patient’s ability to contribute to their treatment and prevent the occurrence of adverse events.
- Rodrigo da Silva Ramos
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ORIGINAL ARTICLE12-13-2024
Educational booklet on labor and delivery: validity study
- Michelle Tatiane Carvalho Gonçalves ,
- Ana Roberta Vilarouca da Silva ,
- Mara Cristina Ribeiro Furlan ,
- Bruna Moretti Luchesi ,
- Tatiana Carvalho Reis Martins
Abstract
ORIGINAL ARTICLEEducational booklet on labor and delivery: validity study
Revista Brasileira de Enfermagem. 2024;77(5):e20240138
DOI 10.1590/0034-7167-2024-0138
- Michelle Tatiane Carvalho Gonçalves ,
- Ana Roberta Vilarouca da Silva ,
- Mara Cristina Ribeiro Furlan ,
- Bruna Moretti Luchesi ,
- Tatiana Carvalho Reis Martins
Views2See moreABSTRACT
Objectives:
to develop and validate an educational booklet on labor and delivery for pregnant women.
Methods:
this methodological study involved constructing and validating a booklet based on Echer’s framework. We used the Content Validity Index and Cronbach’s alpha for content and face validation, selecting judges according to Fering’s criteria. We then conducted a clinical validation with the target population.
Results:
the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.
Conclusions:
expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.
- Michelle Tatiane Carvalho Gonçalves
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ORIGINAL ARTICLE12-13-2024
Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
- Manuela Beatriz Velho ,
- Luciana Santos Pimentel ,
- Fernanda Amâncio Soares da Silva ,
- Alberto Trapani Junior ,
- Thayná Ventura , [ … ],
- Roxana Knobel
Abstract
ORIGINAL ARTICLEInterobserver agreement in Reception and Risk Stratification in Obstetrics implementation
Revista Brasileira de Enfermagem. 2024;77(5):e20230361
DOI 10.1590/0034-7167-2023-0361
- Manuela Beatriz Velho ,
- Luciana Santos Pimentel ,
- Fernanda Amâncio Soares da Silva ,
- Alberto Trapani Junior ,
- Thayná Ventura ,
- Adaiana Fátima Almeida ,
- Roberta Costa ,
- Roxana Knobel
Views0See moreABSTRACT
Objectives:
to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.
Methods:
a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.
Results:
around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).
Conclusions:
most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.
- Manuela Beatriz Velho
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12-13-2024
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
- Nádile Juliane Costa de Castro ,
- Ezequiel Sakew Wai Wai ,
- Fernanda Teixeira Paes ,
- Nyvia Cristina dos Santos Lima
Abstract
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
Revista Brasileira de Enfermagem. 2024;77(5):e20230430
DOI 10.1590/0034-7167-2023-0430
- Nádile Juliane Costa de Castro ,
- Ezequiel Sakew Wai Wai ,
- Fernanda Teixeira Paes ,
- Nyvia Cristina dos Santos Lima
Views0See moreABSTRACT
Objectives:
to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health.
Methods:
theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil.
Results:
this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health.
Final Considerations:
indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.
- Nádile Juliane Costa de Castro
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ORIGINAL ARTICLE12-13-2024
Stress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
Abstract
ORIGINAL ARTICLEStress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
DOI 10.1590/0034-7167-2023-0542
Views1See moreABSTRACT
Objectives:
to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.
Methods:
this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.
Results:
nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.
Conclusions:
exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.
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ORIGINAL ARTICLE12-13-2024
Adaptation and implementation of a Nursing care protocol for children in the Amazon Region
- Aline Lara de Carvalho ,
- Ezequiel Kleber Carpes Menezes ,
- Deisi Cristine Forlin Benedet ,
- Juliane Dias Aldrighi ,
- Hérica de Lara Cardoso , [ … ],
- Marilene Loewen Wall
Abstract
ORIGINAL ARTICLEAdaptation and implementation of a Nursing care protocol for children in the Amazon Region
Revista Brasileira de Enfermagem. 2024;77(5):e20230245
DOI 10.1590/0034-7167-2023-0245
- Aline Lara de Carvalho ,
- Ezequiel Kleber Carpes Menezes ,
- Deisi Cristine Forlin Benedet ,
- Juliane Dias Aldrighi ,
- Hérica de Lara Cardoso ,
- Marcus Vinicius da Rocha Santos da Silva ,
- Tatiane Herreira Trigueiro ,
- Marilene Loewen Wall
Views0See moreABSTRACT
Objectives:
to describe the process of implementing an adapted protocol for pediatric nursing care in a health unit located in a municipality in the Amazon Region.
Methods:
methodological research conducted in a basic health unit with four family health teams in the state of Rondônia, involving seven nursing professionals. Data collection occurred between October 2020 and April 2022, following the research phases: situational diagnosis, exploratory phase, protocol definition, implementation, and evaluation.
Results:
the outcome was the adaptation and implementation of a nursing care protocol for children.
Final Considerations:
the adaptation and implementation process can be an effective approach to improving care, strengthening nursing as a profession with a solid foundation in scientific and clinical evidence. This facilitates early problem identification and appropriate guidance, leading to better health outcomes for children.
- Aline Lara de Carvalho
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06-28-2021
Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants
- Talita Balaminut ,
- Sonia Semenic ,
- Laura N. Haiek ,
- Edilaine Giovanini Rossetto ,
- Adriana Moraes Leite , [ … ],
- Carmen Gracinda Silvan Scochi
Abstract
Baby-Friendly Hospital Initiative for Neonatal Wards: impact on breastfeeding practices among preterm infants
Revista Brasileira de Enfermagem. 2021;74:e20200909
DOI 10.1590/0034-7167-2020-0909
- Talita Balaminut ,
- Sonia Semenic ,
- Laura N. Haiek ,
- Edilaine Giovanini Rossetto ,
- Adriana Moraes Leite ,
- Luciana Mara Monti Fonseca ,
- Marialda Moreira Christoffel ,
- Carmen Gracinda Silvan Scochi
Views0See moreABSTRACT
Objective:
to assess breastfeeding support practices for preterm infants at two Baby-Friendly hospitals in southeastern Brazil, comparing the effect of implementing the guidelines for Baby-Friendly Hospital Initiative for Neonatal wards.
Methods:
a quasi-experimental study, pre- and post-intervention with control. Implementation of this initiative in the intervention hospital using Knowledge Translation. Data collection on compliance with the adapted Ten Steps, Three Guiding Principles and the Code before and after the intervention was carried out via interviews with mothers of preterm babies and professionals, unit observation and documentary analysis in the intervention and control hospitals. Intra-intergroup comparison was performed.
Results:
increases in global compliance with the Three Principles, Ten Steps, the Code, partial compliance with each Principle and in most Steps was greater in the intervention hospital. Conclusion: this initiative improved practices related to breastfeeding in the intervention hospital, demonstrating the potential to improve care and breastfeeding in neonatal wards.
- Talita Balaminut
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REFLECTION04-22-2020
Reflections on equity and its applicability to the nursing work process
Revista Brasileira de Enfermagem. 2020;73(3):e20190783
Abstract
REFLECTIONReflections on equity and its applicability to the nursing work process
Revista Brasileira de Enfermagem. 2020;73(3):e20190783
DOI 10.1590/0034-7167-2019-0783
Views0See moreABSTRACT
Objectives:
to reflect on the principle of equity from the perspective of social justice and its applicability in the dimensions of the nursing work process.
Methods:
theoretical essay on the challenges for the practice with equity in the dimensions of the Nursing work process: teaching, care, research, political participation and administration.
Results:
the principle of equity should: in education be transversal in the training of future professionals; in assistance to occur without privilege or discrimination, treating the unequal unequally and the equals equally; in research be the target in the creation of new knowledge; in political participation to count on the contribution of social movements; and in the administration to count on the creation of specific executable policies.
Final Considerations:
there are still inequalities in access to services by part of the Brazilian population. Nursing should promote in its work process the implementation of equity promotion policies with a view to social justice.
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ORIGINAL ARTICLE10-21-2019
Premature mortality caused by the main chronic noncommunicable diseases in the Brazilian states
- Susana Cararo Confortin ,
- Selma Regina de Andrade ,
- Viviana Mariá Draeger ,
- Vandrize Meneghini ,
- Ione Jayce Ceola Schneider , [ … ],
- Aline Rodrigues Barbosa
Abstract
ORIGINAL ARTICLEPremature mortality caused by the main chronic noncommunicable diseases in the Brazilian states
Revista Brasileira de Enfermagem. 2019;72(6):1588-1594
DOI 10.1590/0034-7167-2018-0701
- Susana Cararo Confortin ,
- Selma Regina de Andrade ,
- Viviana Mariá Draeger ,
- Vandrize Meneghini ,
- Ione Jayce Ceola Schneider ,
- Aline Rodrigues Barbosa
Views0See moreABSTRACT
Objective:
To verify the variation of the premature mortality rate caused the group of the main chronic noncommunicable diseases.
Method:
This is a time-series ecological study, which used secondary data of the Mortality Information System, from 2006 to 2014, from the 26 federal units and from the Federal District. Deaths caused by circulatory system diseases, cancer, diabetes and chronic respiratory diseases were included. The trend of adjusted mortality rate was analyzed by segmented linear regression.
Results:
Premature mortality tended to be reduced in most states, except for Maranhão and Rio Grande do Norte, which presented a stable premature mortality rate. Bahia, Pernambuco, Sergipe, Roraima and all the states from the South, Southeast and Central-West Regions reached the goal of reducing 2% per year in premature mortality caused by main diseases.
Conclusion:
Most of the states showed a reduced mortality rate and are reaching the proposed target.
- Susana Cararo Confortin
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ORIGINAL ARTICLE12-05-2019
Falls of elderly people living in rural areas: prevalence and associated factors
- Fernanda dos Santos ,
- Celmira Lange ,
- Patrícia Mirapalheta Pereira de Llano ,
- Marcos Aurélio Matos Lemões ,
- Carla Alberici Pastore , [ … ],
- José Luiz Pozo Raymundo
Abstract
ORIGINAL ARTICLEFalls of elderly people living in rural areas: prevalence and associated factors
Revista Brasileira de Enfermagem. 2019;72:177-183
DOI 10.1590/0034-7167-2018-0460
- Fernanda dos Santos ,
- Celmira Lange ,
- Patrícia Mirapalheta Pereira de Llano ,
- Marcos Aurélio Matos Lemões ,
- Carla Alberici Pastore ,
- Lisiane Manganelli Girardi Paskulin ,
- Arlete Eli Kunz da Costa ,
- José Luiz Pozo Raymundo
Views0See moreABSTRACT
Objective:
to identify the prevalence and factors associated with falls in the elderly population living in rural areas.
Method:
this is a cross-sectional study, carried out in 2014, with 820 older adults recorded in the Family Health Strategy (Estratégia Saúde da Família). The association between the reporting of falls in 12 months and their associated factors was verified by the Chi-square and Fischer’s exact tests and by multivariate logistic regression analysis.
Results:
the majority of the sample was female (56.1%), white (90.2%) and aged 60-69 years (54.9%). The prevalence of falls was 27.9%, and being female, hypertensive and diabetic was associated to falls.
Conclusion:
it is the responsibility of health professionals to have a closer look at the elderly who have these chronic diseases, especially within the scope of the Family Health Strategy, which works longitudinally with these patients, in addition to improving nursing care aimed at this population.
- Fernanda dos Santos
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REVIEW05-28-2021
Biological activities: anti-infectious, antioxidant and healing of the vegetable species Jatropha multifida
- Daniglayse Santos Vieira ,
- Fabianny Torres de Oliveira ,
- Jorge Andrés Garcia Suarez ,
- Davi Porfírio da Silva ,
- Thais Honório Lins Bernardo , [ … ],
- Maria Lysete de Assis Bastos
Abstract
REVIEWBiological activities: anti-infectious, antioxidant and healing of the vegetable species Jatropha multifida
Revista Brasileira de Enfermagem. 2021;74(2):e20200451
DOI 10.1590/0034-7167-2020-0451
- Daniglayse Santos Vieira ,
- Fabianny Torres de Oliveira ,
- Jorge Andrés Garcia Suarez ,
- Davi Porfírio da Silva ,
- Thais Honório Lins Bernardo ,
- Maria Lysete de Assis Bastos
Views0See moreABSTRACT
Objective:
to investigate the biological activities of interest to the health of Jatropha multifida plant species in published scientific literature.
Methods:
this is an integrative review, with searches between May and June 2019, using the descriptors, combined through the Boolean operator AND, Jatropha multifida, anti-infective agents, wound healing, cytotoxicity and antioxidants, in LILACS, BDENF, MEDLINE, SciFinder, Web of Science and Scopus databases and in the virtual libraries SciELO and ScienceDirect.
Results:
twelve publications were retrieved that showed nine biological activities. The antioxidant activity was reported in 04 (33.33%) studies; antimicrobial and anticancer, addressed by 03 (25%) and 02 (16.66%); anti-inflammatory, anti-melanin deposition, healing, antiophidic, purgative and anti-influenza, seen in 01 (8.33%) each.
Final considerations:
although scarce, the published scientific production highlights the biological potential of J. multifida and supports the need for further studies.
- Daniglayse Santos Vieira
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ORIGINAL ARTICLE06-01-2020
Primary care quality and its effects on leprosy monitoring indicators
Revista Brasileira de Enfermagem. 2020;73(4):e20190038
Abstract
ORIGINAL ARTICLEPrimary care quality and its effects on leprosy monitoring indicators
Revista Brasileira de Enfermagem. 2020;73(4):e20190038
DOI 10.1590/0034-7167-2019-0038
Views0See moreABSTRACT
Objectives:
to evaluate the quality of primary care in leprosy control actions, to correlate effects on monitoring indicators.
Methods:
a cross-sectional study, conducted in Belo Horizonte, from July to September 2014. Interviews with 408 professionals were conducted through the application of a tool that assesses attributes of primary care in leprosy control actions, and monitoring indicators were calculated. Spearman correlation was used, significance level p < 0.05.
Results:
the overall score correlated with the percentage of cases treated in primary care and of family health staff coverage. The derived score correlated with the percentage of cases treated in primary care, and the essential score correlated with the proportion and rate of cases diagnosed, with grade 2 physical disability.
Conclusions:
the quality of leprosy control actions performed by primary care professionals produces impacts on health indicators, and developing strategies consistent with the reality of the territory is necessary.
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ORIGINAL ARTICLE10-21-2019
Education in Diabetes Mellitus for blood glucose self-monitoring: a quasi-experimental study
- Marcelo Henrique Barbosa Baptista ,
- Fernanda Cristina Dourado ,
- Danielle dos Santos Gomides ,
- Carla Regina de Souza Teixeira ,
- Maria Cristina Foss de Freitas , [ … ],
- Ana Emilia Pace
Abstract
ORIGINAL ARTICLEEducation in Diabetes Mellitus for blood glucose self-monitoring: a quasi-experimental study
Revista Brasileira de Enfermagem. 2019;72(6):1601-1608
DOI 10.1590/0034-7167-2018-0731
- Marcelo Henrique Barbosa Baptista ,
- Fernanda Cristina Dourado ,
- Danielle dos Santos Gomides ,
- Carla Regina de Souza Teixeira ,
- Maria Cristina Foss de Freitas ,
- Ana Emilia Pace
Views0See moreABSTRACT
Objective:
to evaluate the contributions of an educational program for capillary blood glucose self-monitoring.
Method:
a quasi-experimental study performed in an outpatient unit of a tertiary health care service in a sample of 25 people with Type 2 Diabetes Mellitus, from July 2016 to December 2017, developed through interactive tools for care with capillary blood glucose self-monitoring.
Results:
among the items of capillary blood glucose self-monitoring that showed improvement after participation in the educational program, the most noteworthy are the “postprandial blood glucose values” (p=0.0039), “Interpretation of capillary blood glucose results with meals and medications” (p=0.0156), “recognition of the ‘weakness’ symptom for hyperglycemia” (p=0.0386) and “administration of medications correctly” for hyperglycemia prevention (p=0.0063).
Conclusion:
the study made it possible to recognize the main characteristics of blood glucose self-monitoring that may contribute to the care for the person with diabetes.
- Marcelo Henrique Barbosa Baptista
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ORIGINAL ARTICLE06-01-2020
Nursing entrepreneur care in social inequity contexts
- Dirce Stein Backes ,
- Amanda Ruiz Forgiarini ,
- Lenise Dutra da Silva ,
- Martha Helena Teixeira Souza ,
- Marli Terezinha Stein Backes , [ … ],
- Andreas Büscher
Abstract
ORIGINAL ARTICLENursing entrepreneur care in social inequity contexts
Revista Brasileira de Enfermagem. 2020;73(4):e20190014
DOI 10.1590/0034-7167-2019-0014
- Dirce Stein Backes ,
- Amanda Ruiz Forgiarini ,
- Lenise Dutra da Silva ,
- Martha Helena Teixeira Souza ,
- Marli Terezinha Stein Backes ,
- Andreas Büscher
Views0See moreABSTRACT
Objectives:
to identify emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care.
Methods:
qualitative study carried out in two stages: field approach from healthcare interventions in a Recycling Materials Association, and individual interviews conducted between October and December 2018.
Results:
the analysis resulted in three thematic categories: Social contribution of recyclable materials collectors; From the assistentialist perception to entrepreneurial Nursing care; Emancipatory strategies of recycling work.
Final Considerations:
the emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care are related to the appreciation, recognition and enhancement of social work that has been already performed by these professionals, and to the creation of spaces for the socialization of experiences, expectations and perspectives.
- Dirce Stein Backes
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