Articles - Revista Brasileira de Enfermagem

  • 01-01-2018

    Declínio da mortalidade por câncer cervical

    Revista Brasileira de Enfermagem. 2018;71:585-590

    Abstract

    Declínio da mortalidade por câncer cervical

    Revista Brasileira de Enfermagem. 2018;71:585-590

    DOI 10.1590/0034-7167-2016-0530

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    RESUMEN

    Objetivo:

    Describir la ocurrencia de mortalidad por cáncer cervical en Recife (PE), en el noreste de Brasil.

    Método:

    Este fue un estudio ecológico de series temporales que utilizó datos del Sistema de Información de Mortalidad (SIM) sobre el número total de muertes por cáncer cervical (C53 ICD10) ocurridas entre 2000 y 2012.

    Resultados:

    Se observó que el riesgo de muerte por esta forma de cáncer fue mayor entre las mujeres mayores de 60 años, las de color de piel mixto (53.24%), las que sólo trabajaban en casa (63.16%) y las que no tenían pareja (44.32%).

    Conclusión:

    Se requieren esfuerzos adicionales para mantener los programas de detección precoz y educación sanitaria y para utilizar estrategias terapéuticas de mayor eficacia, ya que la mortalidad por esta forma de cáncer se considera evitable cuando se diagnostica tempranamente.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Adhesion to patient safety protocols in emergency care units

    Revista Brasileira de Enfermagem. 2018;71:577-584

    Abstract

    RESEARCH

    Adhesion to patient safety protocols in emergency care units

    Revista Brasileira de Enfermagem. 2018;71:577-584

    DOI 10.1590/0034-7167-2017-0504

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    ABSTRACT

    Objective:

    To investigate compliance of national patient safety protocols in Emergency Care Units (UPA) of the Paraná State.

    Method:

    From April until September 2016, the exploratory stage of the action research was conducted on stratified sampling with 377 patients of eight units, with use of verification instrument of basic safety actions.

    Results:

    The absence of systematic identification of patients, fall risk assessment and signaling and development of pressure injuries were evidenced. We observed that 52.8% of parenteral solutions in use were not identified and that, in only 29.4% of the cases, the allergic condition was investigated. In 80.6% of the emergency units there was availability of alcoholic solution to hand hygiene.

    Conclusion:

    We concluded that the non-compliance of basic actions concerning patient safety exposes users to preventable adverse events and demands systematized actions to comply with government guidelines and promote quality of health assistance.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Epidemiological overview of HIV/AIDS in pregnant women from a state of northeastern Brazil

    Revista Brasileira de Enfermagem. 2018;71:568-576

    Abstract

    RESEARCH

    Epidemiological overview of HIV/AIDS in pregnant women from a state of northeastern Brazil

    Revista Brasileira de Enfermagem. 2018;71:568-576

    DOI 10.1590/0034-7167-2017-0495

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    ABSTRACT

    Objective:

    To learn the epidemiological characteristics of HIV infection in pregnant women.

    Method:

    Descriptive study with quantitative approach. The study population was composed of pregnant women with HIV/AIDS residing in the state of Alagoas. Data were organized into variables and analyzed according to the measures of dispersion parameter relevant to the arithmetic mean and standard deviation (X ± S).

    Results:

    Between 2007 and 2015, 773 cases of HIV/AIDS were recorded in pregnant women in Alagoas. The studied variables identified that most of these pregnant women were young, had low levels of education and faced socioeconomic vulnerability.

    Conclusion:

    It is necessary to include actions aimed at increasing the attention paid to women, once the assurance of full care and early diagnosis of HIV are important strategies to promote adequate treatment adherence and reduce the vertical transmission.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Epidemiological overview of HIV/AIDS in pregnant women from a state of northeastern Brazil
  • RESEARCH01-01-2018

    Hand hygiene management among nurses: collective health challenges

    Revista Brasileira de Enfermagem. 2018;71:562-567

    Abstract

    RESEARCH

    Hand hygiene management among nurses: collective health challenges

    Revista Brasileira de Enfermagem. 2018;71:562-567

    DOI 10.1590/0034-7167-2017-0538

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    ABSTRACT

    Objective:

    To describe the determining factors in hand hygiene management among nurses and identify associated collective health challenges.

    Method:

    Cross-sectional descriptive study. Data were collected using a questionnaire that was applied in four internal medicine units of a hospital of reference in Portugal.

    Results:

    The sample was composed of 50 nurses aged 26 to 55 years (mean age of 34.88 years); 80% were women, 58% had a Bachelor’s degree, and had 5-30 years of nursing practice (X̄ =11.94;±5.92). The vast majority of nurses (90%) reported complying with the existing recommendations on hand hygiene in pre-established moments. However, none of the nurses were able to identify all the moments for hand hygiene using water and soap or alcohol-based handrub.

    Conclusion:

    This study shows that continuous training, adequate materials/structures in the units, and redesigned administration/supervision practices are determining factors to achieve higher levels of adherence to hand hygiene among nurses, as well as increased quality and safety in care delivery, which is a current collective health challenge.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    How do old men take care of their own health in Primary Care?

    Revista Brasileira de Enfermagem. 2018;71:554-561

    Abstract

    RESEARCH

    How do old men take care of their own health in Primary Care?

    Revista Brasileira de Enfermagem. 2018;71:554-561

    DOI 10.1590/0034-7167-2017-0131

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    ABSTRACT

    Objective:

    To understand the care of elderly men with their own health.

    Method:

    A qualitative study with the participation of ten elderly men, through responses to the semi-structured interview guided by the “Tell me about your experiences of care with your health”, carried out in a basic health unit, during the period of October-December 2014. The speeches, after being transcribed were submitted to content analysis.

    Results:

    The ten interviewees were retired and had an average age of 67.3 years. From the analysis of the data, two categories have emerged: Elderly health care ways and health service as a supporter in the care (less) of the elderly, which revealed the restriction of health care to the triad: medicines, consultation to professionals and exams.

    Final considerations:

    Institutional and sociocultural barriers that need to be overcome so that the male population can be consolidated, guaranteeing care of their peculiarities, encouraging active behaviors for self-care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Nurse liaison: a strategy for counter-referral

    Revista Brasileira de Enfermagem. 2018;71:546-553

    Abstract

    RESEARCH

    Nurse liaison: a strategy for counter-referral

    Revista Brasileira de Enfermagem. 2018;71:546-553

    DOI 10.1590/0034-7167-2017-0490

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    ABSTRACT

    Objective:

    to identify the profile of the counter-referred patients by the “nurse liaison” and to describe the experience of the professionals who participated in the project.

    Method:

    intervention research, with twelve nursing nurses from a hospital and an Emergency Care Unit, and 26 nurses from Primary Health Care. Data were obtained through questionnaires and counter-referral forms.

    Results:

    Out of 43 counter-referred individuals, 62.8% are over sixty years, 53.5% are men with multi-pathologies. Among the positive aspects, the nurses highlighted the dialogue between health care services, agility in the acquisition of inputs for the continuity of care in primary care, benefiting patients after hospital discharge. The greatest challenge was the lack of time and the deficit of nurses to perform the function.

    Final considerations:

    the presence of the “nurse liaison” has proved to be an important strategy to improve integration between services and to promote continuity of care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nurse liaison: a strategy for counter-referral
  • RESEARCH01-01-2018

    Depression in the wives of convicted men: prevalence and associated factors

    Revista Brasileira de Enfermagem. 2018;71:538-545

    Abstract

    RESEARCH

    Depression in the wives of convicted men: prevalence and associated factors

    Revista Brasileira de Enfermagem. 2018;71:538-545

    DOI 10.1590/0034-7167-2017-0263

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    ABSTRACT

    Objective:

    To estimate the prevalence of depression and to identify the main risk factors associated with depression in wives of convicted men.

    Method:

    Descriptive, cross – sectional, quantitative approach. The data were collected with 349 female partners of convicted patients in three penitentiaries in the state of Paraná, with a semistructured research, between January and June of 2016, being compiled in a database and analyzed using SPSS® 20.0 software.

    Results:

    It was possible to identify vulnerability to depression among wives of convicted men, most were young and 42.2% have or already had depression. It was verified that the variables to depression were ages equal to or above 30 years (50.3%, p <0.001), smoking (61.1%, p <0.013) and alcoholism (16.1%, p <0.001).

    Conclusion:

    It is the responsibility of the nurse with the multidisciplinary health team to invest in health promotion and prevention actions against these risk factors that were associated with depression in this population.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2018

    Primary health care: the experience of nurses

    Revista Brasileira de Enfermagem. 2018;71:531-537

    Abstract

    Primary health care: the experience of nurses

    Revista Brasileira de Enfermagem. 2018;71:531-537

    DOI 10.1590/0034-7167-2016-0244

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    ABSTRACT

    Objective:

    to understand the meaning of nursing care in primary health care from the perspective of Chilean nurses.

    Method:

    this was a qualitative study based on the social phenomenology of Alfred Schutz. Data was collected between January and April 2013, through interviews with 13 primary health care nurses in Chile.

    Results:

    the nurses perceived primary care as a gratifying experience, considering it an encounter of subjectivities. However, they felt burdened with multiple functions and by the hierarchical pressure to achieve targets. They strived to implement innovative care, expressed by the desire to go beyond traditional care practices, and improve the efficiency of management at the various levels of health care.

    Conclusion:

    it is important to discuss the results of the present study in the context of health care and especially nursing education, with the goal of better preparing nurses who will deliver care at the primary health care level.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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