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ORIGINAL ARTICLE09-23-2022
Social entrepreneurship in the professional training in Nursing
Revista Brasileira de Enfermagem. 2022;75(3):e20220391
Abstract
ORIGINAL ARTICLESocial entrepreneurship in the professional training in Nursing
Revista Brasileira de Enfermagem. 2022;75(3):e20220391
DOI 10.1590/0034-7167-2021-0391
Views0See moreABSTRACT
Objectives:
to assess the knowledge and practices that stimulate social entrepreneurship in the professional training of Nursing students.
Methods:
qualitative exploratory-descriptive study carried out with 44 Nursing students from a University in the South Region of Brazil. Data were collected between May and August 2021, through individual online interviews. The participants were students of nursing course in the 6th semester or above, who had previously participated in teaching, research, or university outreach activities on entrepreneurship.
Results:
the data was organized and analyzed according to the thematic analysis technique and resulted in three thematic categories: Meanings of social entrepreneurship, Factors that sparked social entrepreneurship, and Recognizing oneself as an entrepreneurial nurse.
Final Considerations:
the knowledge and practices that stimulate social entrepreneurship in the professional training of Nursing students are associated with teaching, research and university outreach activities that allow concrete experiences in the living and dynamic world of communities.
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ORIGINAL ARTICLE09-23-2022
Almanac for preventing the use of alcohol and other drugs among adolescents: construction and validity
Revista Brasileira de Enfermagem. 2022;75(3):e20220118
Abstract
ORIGINAL ARTICLEAlmanac for preventing the use of alcohol and other drugs among adolescents: construction and validity
Revista Brasileira de Enfermagem. 2022;75(3):e20220118
DOI 10.1590/0034-7167-2022-0118
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Objectives:
to build and validate an almanac to prevent the use of alcohol and other drugs among adolescents.
Methods:
a methodological study, based on the adaptation of Echer’s stages and on Culture Circles. The Content Validity Index and the Concordance Index were used for validity.
Results:
problematization in Culture Circles and literature review supported the elaboration of an almanac. In validity with eleven health judges, the material obtained a global Content Validity Index of 0.73 in the first version and 0.84 in the second version, with validation with five judges. In terms of concordance, the 95% value was obtained with four technical judges and 86.2% with nine participants from the target audience.
Conclusions:
the constructed and validated almanac has playful, dialogic and problematizing potential.
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ORIGINAL ARTICLE09-23-2022
Brain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
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
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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.
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ORIGINAL ARTICLE09-23-2022
Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study
Revista Brasileira de Enfermagem. 2022;75(3):e20210934
Abstract
ORIGINAL ARTICLEEffects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study
Revista Brasileira de Enfermagem. 2022;75(3):e20210934
DOI 10.1590/0034-7167-2021-0934
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Objectives:
to analyze the implementation of multidisciplinary checklist-directed rounds before health indicators and multidisciplinary team perception of an Intensive Care Unit.
Methods:
a mixed methods study, with an explanatory sequential design, carried out at a hospital in southern Brazil, from September 2020 to August 2021. The integration of quantitative and qualitative data was combined by connection.
Results:
after the implementation of checklist-directed rounds, there was a significant reduction in hospital stay from ventilator-associated pneumonia, urinary tract infection and daily invasive device use. The investigated practice is essential for comprehensive care, harm reduction, effective work and critical patient safety.
Conclusions:
the multidisciplinary rounds with checklist use reduced data on health indicators of critically ill patients and was considered a vital practice in the intensive care setting.
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REFLECTION09-23-2022
Legislation and quality of nursing education in the context of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(3):e20210825
Abstract
REFLECTIONLegislation and quality of nursing education in the context of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(3):e20210825
DOI 10.1590/0034-7167-2021-0825
Views0See moreABSTRACT
Objectives:
to reflect on the governmental normative acts issued for higher education during the COVID-19 pandemic and on the repercussions of these acts on the quality of nursing education in Brazil.
Methods:
this is a reflection on the repercussions for the quality of nursing education, based on the normative acts applied to higher education, enacted from March to December 2020, available on the Ministry of Education website and in the current literature on the subject anchored in the National Curriculum Guidelines for the Undergraduate Nursing Course.
Results:
educational legislation, in the context of the pandemic, distanced education from the world of work, as well as from the quality of training established in the guidelines.
Final Considerations:
remote teaching in nursing makes it difficult to train professionals with the capacity to effectively teach and learn in the real world of care and health promotion in the Unified Health System.
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09-19-2022
Subjetivação dos profissionais de saúde no fim da vida e morte no serviço domiciliar
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
Abstract
Subjetivação dos profissionais de saúde no fim da vida e morte no serviço domiciliar
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
DOI 10.1590/0034-7167-2021-0684
Views0See moreRESUMEN
Objetivos:
analizar los modos de subjetivación de los profesionales de la salud hacia el final de la vida y la muerte en un servicio de atención domiciliaria.
Métodos:
investigación cualitativa realizada en un servicio de atención domiciliaria en un hospital escuela en el sur de Brasil, con 12 profesionales de la salud. Para la recolección de datos se utilizó la observación participante y entrevistas semiestructuradas, de abril a septiembre de 2018. Los datos fueron analizados a partir del concepto de poder y subjetivación de Foucault.
Resultados:
los profesionales son sensibilizados por discursos morales, espirituales y de cuidados paliativos, así como por vivencias que los constituyen sujetos que modifican sus modos de vida y ejercicio profesional a partir de la relación con la muerte.
Consideraciones Finales:
la red discursiva de los cuidados paliativos es interiorizada por los profesionales, que realizan sus prácticas con conductas encaminadas a promover “una buena muerte”.
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ORIGINAL ARTICLE09-19-2022
Colorectal cancer mortality in women: trend analysis in Brazil and its regions and states
Revista Brasileira de Enfermagem. 2022;75(2):e20210751
Abstract
ORIGINAL ARTICLEColorectal cancer mortality in women: trend analysis in Brazil and its regions and states
Revista Brasileira de Enfermagem. 2022;75(2):e20210751
DOI 10.1590/0034-7167-2021-0751
Views0See moreABSTRACT
Objectives:
to analyze colorectal cancer mortality trends in women in Brazil and its regions and states.
Methods:
ecological, time-series study with trend analysis of deaths caused by colorectal cancer in women in Brazil and its regions and states between 2008 and 2019. Polynomial regression was used to treat the data.
Results:
48,225 deaths of women caused by colorectal cancer were examined. There was an increasing mortality trend in Brazilian women, with regional differences that resulted from socioeconomic, political, and cultural inequalities. The South Region stood out with the highest rate (7.32) in 2008, which increased to 8.65 in 2019, followed by the Southeast Region, whose rates were 6.72 and 9.05 in 2008 and 2019, respectively.
Conclusions:
colorectal cancer mortality increased, which indicates the need to expand public policies oriented toward screening and early diagnosis of colorectal cancer in women.
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ORIGINAL ARTICLE09-19-2022
Health professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
Abstract
ORIGINAL ARTICLEHealth professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
DOI 10.1590/0034-7167-2021-0684
Views0See moreABSTRACT
Objectives:
to analyze the modes of subjectification of health professionals towards end of life and death in a home care service.
Methods:
this is qualitative research carried out in a home care service at a teaching hospital in southern Brazil, with 12 health professionals. Participant observation and semi-structured interviews were used for data collection, from April to September 2018. Data were analyzed based on Foucault’s concept of power and subjectivation.
Results:
professionals are sensitized by moral, spiritual and palliative care discourses, as well as experiences that constitute them subjects who modify their ways of life and professional practice based on the relation with death.
Final Considerations:
the discursive network of palliative care is internalized by professionals, who carry out their practices with behaviors aimed at promoting “a good death”.
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ORIGINAL ARTICLE07-08-2020
Spirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
Revista Brasileira de Enfermagem. 2020;73:e20190034
Abstract
ORIGINAL ARTICLESpirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
Revista Brasileira de Enfermagem. 2020;73:e20190034
DOI 10.1590/0034-7167-2019-0034
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Objective:
to understand spirituality and religiosity in the experience of suffering, guilt, and death of the elderly with cancer.
Method:
qualitative research based on Viktor Frankl’s Existential Analysis. Twenty phenomenological interviews were conducted with people over 60 years old undergoing chemotherapy treatment at an oncology unit of a hospital in the city of Salvador, Bahia State, Brazil, between August and October 2018.
Results:
the following categories emerged: Experiences spirituality and religiosity in the face of the tragic triad and existential emptiness; Uses spirituality/religiosity as resilience strategies. After apprehension of ontic aspects, it was possible the ontological understanding of spirituality and religiosity in the face of suffering, guilt, and death experienced in the elderly with cancer’s daily life.
Final considerations:
spirituality and religiosity were understood as coping strategies used in the unstable experience of the elderly with cancer, providing comfort and resilience.
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ORIGINAL ARTICLE09-16-2019
Depression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
Abstract
ORIGINAL ARTICLEDepression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
DOI 10.1590/0034-7167-2018-0730
Views0See moreABSTRACT
Objective:
To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS.
Method:
Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05.
Results:
31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05).
Conclusion:
It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
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ORIGINAL ARTICLE10-05-2020
Factors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
Abstract
ORIGINAL ARTICLEFactors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
DOI 10.1590/0034-7167-2019-0899
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Objective:
To analyze the factors associated with the performance of episiotomy.
Methods:
Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.
Results:
Episiotomy was performed in 26.34% of women, and 59.21% knew they had been subjected to it. We observed that younger women, primiparous women, women assisted by a professional other than the obstetric nurse and women who had their babies in a private hospital have an increased chance of being submitted to this procedure.
Conclusion:
Considering the rates of episiotomy, this study highlights the need for the absolute contraindication to indiscriminate performing it.
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ORIGINAL ARTICLE12-13-2019
Obstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
Abstract
ORIGINAL ARTICLEObstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
DOI 10.1590/0034-7167-2018-0561
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Objective:
to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals.
Method:
a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition.
Results:
clearly useful practices were used in greater proportions in the hospitals that had Obstetric Nursing working, while clearly harmful practices and those used inappropriately were practiced in smaller proportions in hospitals that had Obstetric Nursing, both with statistical difference.
Conclusion:
institutions with Obstetric Nursing adopt better practices of delivery and birth care, based on scientific evidence, when compared to those that do not act.
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ORIGINAL ARTICLE09-16-2019
Temporal trend of leprosy in a region of high endemicity in the Brazilian Northeast
Revista Brasileira de Enfermagem. 2019;72(5):1356-1362
Abstract
ORIGINAL ARTICLETemporal trend of leprosy in a region of high endemicity in the Brazilian Northeast
Revista Brasileira de Enfermagem. 2019;72(5):1356-1362
DOI 10.1590/0034-7167-2018-0682
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Objective:
to analyze the temporal trend and epidemiological patterns of leprosy indicators in Sobral, a municipality countryside of the state of Ceará, from 2001 to 2016.
Method:
a time series study based on data from the Department of Informatics of the Unified Health System. The time trend analysis was performed using the join point regression model.
Results:
There were 2,220 new cases of leprosy in Sobral from 2001 to 2016. Of these, 158 (7.2%) in children younger than 15 years of age, the proportion of new male cases was 52.8% (1,162), cases with grade 2 were 7.0% (156), and proportion of cases diagnosed by contact examination 5.7% (126).
Final considerations:
leprosy remains hyperendemic in adults and children, demonstrating the character of neglected disease. Analysis of the temporal trend allowed to verify that the instability in the detection coefficients, reflect operational problems in the organization of the services
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REVIEW08-20-2021
Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
Abstract
REVIEWAssessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
DOI 10.1590/0034-7167-2020-1315
Views0See moreABSTRACT
Objectives:
to describe, from literature, the characteristics of patient safety culture in Brazilian hospitals that applied the Hospital Survey on Patient Safety Culture.
Methods:
this is a scoping review. A search was performed in the databases LILACS, PubMed, SciELO, CINAHL, Web of Science, Scopus and in the CAPES Dissertations and Theses Database in September and October 2020.
Results:
thirty-six studies were identified. Nine studies identified strengthened areas such as: “teamwork within the units”, “expectations of supervisor/boss and actions promoting safety”, “organizational learning”, “support of hospital management for patient safety” and “frequency of report of events”. As a critical area, the dimension “non-punitive response to error” was evidenced in 30 of 36 studies.
Conclusions:
the identification of areas of strength and critical areas of safety culture is relevant to encourage improvement of patient safety problems in an institution.
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ORIGINAL ARTICLE03-07-2022
Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument
Revista Brasileira de Enfermagem. 2022;75(5):e20210582
Abstract
ORIGINAL ARTICLEAdaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument
Revista Brasileira de Enfermagem. 2022;75(5):e20210582
DOI 10.1590/0034-7167-2021-0582
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Objective:
To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture.
Methods:
This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content.
Result:
In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes.
Conclusion:
The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) – Brazilian version was cross-culturally adapted, and its content was validated.
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ORIGINAL ARTICLE09-21-2020
Anxiety and depression in informal caregivers of dependent elderly people: an analytical study
Revista Brasileira de Enfermagem. 2020;73:e20190851
Abstract
ORIGINAL ARTICLEAnxiety and depression in informal caregivers of dependent elderly people: an analytical study
Revista Brasileira de Enfermagem. 2020;73:e20190851
DOI 10.1590/0034-7167-2019-0851
Views0See moreABSTRACT
Objective:
To analyze the symptoms of anxiety and depression in informal caregivers of dependent elderly at home.
Methods:
Analytical, cross-sectional study conducted in the city of Teresina (PI), with informal caregivers of dependent elderly people. Data collection took place from November 2017 to February 2018, using a characterization form for the dependent elderly and their caregiver, Beck’s Anxiety Inventory (BAI) and Beck’s Depression Inventory (BDI). The forward linear regression model was used to identify the predictive variables of anxiety and depression.
Results:
It was found that 18.4% of caregivers had symptoms of depression; and 14%, moderate to severe anxiety. There was a correlation between anxiety and depression (p = 0.000).
Conclusion:
The findings of this study make it possible to assess anxiety and depression in caregivers of dependent elderly people, making it possible, through these parameters, to view the profile and care demands of this population.
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