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ORIGINAL ARTICLE11-22-2024
Bedside rounds in the hospital environment from the perspective of multiprofessional health teams
- Tauana Wazir Mattar e Silva
, - Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky , [ … ],
- Rita de Cássia Oliveira
Abstract
ORIGINAL ARTICLEBedside rounds in the hospital environment from the perspective of multiprofessional health teams
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
DOI 10.1590/0034-7167-2023-0493
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky ,
- Rita de Cássia Oliveira
Views0ABSTRACT
Objective:
To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.
Methods:
Qualitative research with data analyzed through discourse analysis, based on Michel Foucault’s theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.
Results:
The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.
Final considerations:
The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.
Keywords:Health Knowledge, Attitudes, PracticeHospitalsInterprofessional RelationsPatient Care TeamProfessional PracticeSee more
- Tauana Wazir Mattar e Silva
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REVIEW11-22-2024
Transition to family parenting in the face of the first child: a scoping review
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Abstract
REVIEWTransition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
DOI 10.1590/0034-7167-2023-0487
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Views1See moreABSTRACT
Objectives:
to identify and summarize the elements that characterize the family transition process in relation to the first child.
Methods:
a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.
Final Considerations:
elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.
- Maria Isabel Ventura Araújo
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ORIGINAL ARTICLE11-22-2024
Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Abstract
ORIGINAL ARTICLEPrevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
Revista Brasileira de Enfermagem. 2024;77(5):e20230327
DOI 10.1590/0034-7167-2023-0327
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Views0See moreABSTRACT
Objectives:
to assess pain management during labor.
Methods:
a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.
Results:
the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).
Conclusions:
non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.
- Juan Ignacio Calcagno
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11-22-2024
Social Technology in the Prevention of Adolescent Violence: documentary production
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Abstract
Social Technology in the Prevention of Adolescent Violence: documentary production
Revista Brasileira de Enfermagem. 2024;77(5):e20230298
DOI 10.1590/0034-7167-2023-0298
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Views0See moreABSTRACT
Objective:
To report the development of a technological innovation in the form of a documentary, aimed at disseminating actions for preventing violence against adolescents within the context of Primary Health Care.
Methods:
The documentary was developed through action research and interventions with adolescents in the territory of a Health Unit, conducted between 2020 and 2022, using Social Technology as both an action strategy and a conceptual reference.
Results:
The Social Technology proposal, created through workshops and seminars, resulted in a documentary focusing on violence prevention, involving 48 adolescents. The documentary’s script, collectively developed, portrays a soccer match between teams symbolizing peace and violence, with peace ultimately prevailing. The documentary is six minutes long.
Final Considerations:
The documentary has proven to be an effective Social Technology tool among adolescents, as it fosters critical thinking, is accessible, has potential for digital dissemination, and appeals to the target audience.
- Daiane de Paulo Paltanin Silva
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ORIGINAL ARTICLE11-22-2024
Study for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
Revista Brasileira de Enfermagem. 2024;77(5):e20230112
Abstract
ORIGINAL ARTICLEStudy for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
Revista Brasileira de Enfermagem. 2024;77(5):e20230112
DOI 10.1590/0034-7167-2023-0112
Views0See moreABSTRACT
Objective:
To develop and validate indicators for the evaluation of computerized systems in vaccination rooms.
Methods:
Methodological study. From the construction of a logical model for managing information produced in computerized systems in vaccination rooms, an evaluation indicator matrix was developed, and its contents were validated by specialists using the Delphi method. The degree of relevance and clarity were judged, using the following parameters: agreement percentage ≥ 90%; content validity index > 0.78. Internal consistency was tested using Cronbach’s alpha coefficient of 0.93.
Results:
Of the 55 proposed indicators, 48 were validated and composed the final matrix, with 13 in the structure dimension, 29 in the process dimension, and six in the outcome dimension.
Conclusion:
The set of indicators shows validity and high reliability, and can be used to evaluate computerized systems in vaccination rooms throughout the country, as it adhered to the recommendations of the National Immunization Program.
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11-22-2024
Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky , [ … ],
- Rita de Cássia Oliveira
Abstract
Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
DOI 10.1590/0034-7167-2023-0493
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky ,
- Rita de Cássia Oliveira
Views0See moreRESUMEN
Objetivo:
Analizar la configuración de las relaciones de poder entre el equipo multiprofesional en el proceso de rondas de cabecera en el hospital.
Método:
Investigación cualitativa con datos analizados a través del análisis del discurso, basado en el marco teórico de Michel Foucault. De septiembre a diciembre de 2022, realizamos entrevistas y observaciones de campo con el equipo multiprofesional de un hospital de Belo Horizonte, Minas Gerais, Brasil, así como entrevistas cualitativas semiestructuradas con 37 profesionales.
Resultados:
Los participantes señalaron que las experiencias de los profesionales involucrados en las rondas de cabecera dependen de cómo el médico conduce el proceso, y el proceso centrado en el médico dificulta la participación de otros profesionales del equipo.
Consideraciones finales:
La forma en que los hospitales organizan las rondas de cabecera no promueve la articulación del conocimiento de sus profesionales. Además, dificulta la circulación del poder y perjudica el trabajo interdisciplinario en un proceso que mantiene al médico como actor principal de las decisiones clínicas.
- Tauana Wazir Mattar e Silva
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ORIGINAL ARTICLE11-22-2024
Knowledge sharing: nurse managers’ practices
- Ana Lúcia Arcanjo Oliveira Cordeiro ,
- Rosana Maria de Oliveira Silva ,
- Josicélia Dumêt Fernandes ,
- Gilberto Tadeu Reis da Silva
Abstract
ORIGINAL ARTICLEKnowledge sharing: nurse managers’ practices
Revista Brasileira de Enfermagem. 2024;77(5):e20230287
DOI 10.1590/0034-7167-2023-0287
- Ana Lúcia Arcanjo Oliveira Cordeiro ,
- Rosana Maria de Oliveira Silva ,
- Josicélia Dumêt Fernandes ,
- Gilberto Tadeu Reis da Silva
Views0See moreABSTRACT
Objective:
To analyze how management practices for sharing knowledge are developed in public hospitals in the context of nursing.
Methods:
Qualitative research, carried out with 15 nurse managers from six public hospitals, from July to September 2022. Data were collected through semi-structured interviews and analyzed according to content analysis and in a model for sharing knowledge at work.
Results:
Knowledge sharing in nursing occurs through intraand extra-organizational training (training, courses and events), use of digital communication tools (media and social networks) and individual and collective contact between professionals during the service (experiences, exchange of experiences and assessment feedback).
Final considerations:
Sharing knowledge is relevant to nursing work. To improve it, it must be understood that effective sharing occurs from person to person, in their daily practices, and must be conducted as a strategically planned process by nurse managers.
- Ana Lúcia Arcanjo Oliveira Cordeiro
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ORIGINAL ARTICLE11-22-2024
Interpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
- Franciéle Marabotti Costa Leite ,
- Luíza Eduarda Portes Ribeiro ,
- Tiffani Matos Oliveira ,
- Evellym Souza Correa ,
- Márcia Regina de Oliveira Pedroso , [ … ],
- Dherik Fraga Santos
Abstract
ORIGINAL ARTICLEInterpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
Revista Brasileira de Enfermagem. 2024;77(5):e20230081
DOI 10.1590/0034-7167-2023-0081
- Franciéle Marabotti Costa Leite ,
- Luíza Eduarda Portes Ribeiro ,
- Tiffani Matos Oliveira ,
- Evellym Souza Correa ,
- Márcia Regina de Oliveira Pedroso ,
- Dherik Fraga Santos
Views0See moreABSTRACT
Objective:
To identify the frequency of notifications of interpersonal violence in Espírito Santo from 2011 to 2018, and the factors associated with this issue.
Methods:
This is a cross-sectional study in which all cases of interpersonal violence from the Information System for Notifiable Diseases in the state of Espírito Santo during the period from 2011 to 2018 were analyzed. Absolute and relative frequencies and 95% confidence intervals were calculated, as well as Poisson regression.
Results:
During the analyzed period, 27,277 cases were reported in Espírito Santo (P: 75%; 95% CI: 74.5-75.4), being more prevalent among females, children, and the elderly, individuals of black/mixed race, people without disabilities, and residents of urban areas. Regarding the perpetrator, there was a higher prevalence of individuals aged 25 years and older, males, with a current or former intimate partner relationship with the victim, and suspected alcohol use at the time of the aggression. In terms of the characteristics of the aggression, there was a higher prevalence of repeat violence, involving a single aggressor, and occurring in the residence.
Conclusions:
The notification of interpersonal violence in Espírito Santo showed a high prevalence and was associated with characteristics of the victim, aggressor, and event. This scenario reinforces the need for interventions such as professional qualification, expansion of intersectoral actions, and reformulation of public policies.
- Franciéle Marabotti Costa Leite
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ORIGINAL ARTICLE07-08-2020
Nurses’ practice in quilombola communities: an interface between cultural and political competence
- Lilian Cristina Rezende ,
- Carolina da Silva Caram ,
- Beatriz Santana Caçador ,
- Maria José Menezes Brito
Abstract
ORIGINAL ARTICLENurses’ practice in quilombola communities: an interface between cultural and political competence
Revista Brasileira de Enfermagem. 2020;73(5):e20190433
DOI 10.1590/0034-7167-2019-0433
- Lilian Cristina Rezende ,
- Carolina da Silva Caram ,
- Beatriz Santana Caçador ,
- Maria José Menezes Brito
Views1See moreABSTRACT
Objectives:
to understand Family Health Strategy nurses’ practices in the context of quilombola communities with an interface for cultural and political competences.
Methods:
a single integrated, qualitative case study carried out on seven Family Health Strategies located in the Metropolitan Region of Belo Horizonte, state of Minas Gerais. Seven nurses and 59 quilombolas participated. Data were collected through individual interviews with nurses, collective interviews with quilombolas and observation. For analysis, the thematic content analysis was adopted.
Results:
the results revealed structural and territorial problems, which are configured as barriers for professional-user encounter as well as for professional practice performance.
Final Considerations:
it is necessary that Family Health Strategy nurses, based on political and cultural competences, create strategies that minimize the difficulties found in the implementation of health actions directed to quilombolas. Such strategies anchored in inclusive public policies.
- Lilian Cristina Rezende
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ORIGINAL ARTICLE07-08-2020
No to distance education! Production of meaning of discourses of nursing representative entities
- Marina da Silva Sanes ,
- Franciele Budziareck das Neves ,
- Lenna Eloisa Madureira Pereira ,
- Flávia Regina Souza Ramos ,
- Laura Cavalcanti de Farias Brehmer , [ … ],
- Jussara Gue Martini
Abstract
ORIGINAL ARTICLENo to distance education! Production of meaning of discourses of nursing representative entities
Revista Brasileira de Enfermagem. 2020;73(5):e20190465
DOI 10.1590/0034-7167-2019-0465
- Marina da Silva Sanes ,
- Franciele Budziareck das Neves ,
- Lenna Eloisa Madureira Pereira ,
- Flávia Regina Souza Ramos ,
- Laura Cavalcanti de Farias Brehmer ,
- Mara Ambrosina de Oliveira Vargas ,
- Jussara Gue Martini
Views0See moreABSTRACT
Objectives:
to analyze the processes of production of meanings, based on the positions of Brazilian nursing representative entities, on distance education, considering the implications for nursing as a discipline, profession and work.
Methods:
this documentary research was carried out in sources from the Federal Nursing Council and Associação Brasileira de Enfermagem, from 2015 to 2018. Data were examined from discourse analysis, using paraphrase and polysemy as analytical devices.
Results:
they were organized based on the effects of meanings produced and affiliated to two analytical categories: “Forms of mobilization and operating entities” and “Basis and justifications for the positions”.
Final Considerations:
the discourses signal concern about the future training of new professionals. Resistance, participation, visibility, broad and emphatic debate on the topic are shown as strategies for coping and defending a training process less captured by neoliberal logic, and more relational and committed to the quality of health care.
- Marina da Silva Sanes
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ORIGINAL ARTICLE07-13-2020
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo , [ … ],
- Gilberto de Lima Guimarães
Abstract
ORIGINAL ARTICLECulture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
DOI 10.1590/0034-7167-2019-0576
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo ,
- Gilberto de Lima Guimarães
Views0See moreABSTRACT
Objectives:
to assess the patient safety culture of the health team working in three maternity hospitals.
Methods:
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
Results:
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
Conclusions:
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
- Juliana Maria Almeida do Carmo
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REVIEW07-13-2020
The quality of life of family health professionals: a systematic review and meta-synthesis
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval , [ … ],
- Luiz Renato Paranhos
Abstract
REVIEWThe quality of life of family health professionals: a systematic review and meta-synthesis
Revista Brasileira de Enfermagem. 2020;73(5):e20190645
DOI 10.1590/0034-7167-2019-0645
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval ,
- Luiz Renato Paranhos
Views1See moreABSTRACT
Objectives:
to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals.
Methods:
this systematic review was developed to answer the following PVO question: “Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?” The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies.
Results:
the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects.
Conclusions:
although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.
- Pedro Rogério Camargos Pennisi
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LETTER TO THE EDITOR07-01-2020
Letter to the Editor: doubts and considerations about Coronary Syndrome
Revista Brasileira de Enfermagem. 2020;73(5):e2020730502c
Abstract
LETTER TO THE EDITORLetter to the Editor: doubts and considerations about Coronary Syndrome
Revista Brasileira de Enfermagem. 2020;73(5):e2020730502c
DOI 10.1590/0034-7167.2020730502c
Views0Dear Editor,We wrote this letter referring to the article “Impact of anxiety and depression on morbidity and mortality of patients with coronary syndrome”() to make some comments, in order to clarify doubts that we were missing from answering. We have already made it clear that our intention is not to question the work of the […]See more -
ORIGINAL ARTICLE08-10-2020
Workers’ Health in Brazil: Accidents recorded by Social Security from 2008 to 2014
- Josierton Cruz Bezerra ,
- Luciano José Arantes ,
- Helena Eri Shimizu ,
- Edgar Merchán-Hamann ,
- Walter Massa Ramalho
Abstract
ORIGINAL ARTICLEWorkers’ Health in Brazil: Accidents recorded by Social Security from 2008 to 2014
Revista Brasileira de Enfermagem. 2020;73(6):e20180892
DOI 10.1590/0034-7167-2018-0892
- Josierton Cruz Bezerra ,
- Luciano José Arantes ,
- Helena Eri Shimizu ,
- Edgar Merchán-Hamann ,
- Walter Massa Ramalho
Views0See moreABSTRACT
Objectives:
to analyze the incidence of occupational accidents in Brazil, recorded by Social Security according to the geographic regions, age group, gender and their prevalence according to the causes and branch of economic activity.
Methods:
ecological descriptive study with time series analysis from 2008 to 2014. Data on the beginning and end of the historical series were compared in each ecological unit studied.
Results:
the South and Southeast regions, male, between 20 and 49 years of age presented the highest falls in incidence. 70.87% of the causes occurred in group XIX of ICD-10. The economic activity with the highest prevalence of accidents was the manufacturing industry.
Conclusions:
accidents at work have decreased in Brazil, however, the incidence is still high. Advances need to be made in the recording of accidents and in the prevention and surveillance of workers’ health.
- Josierton Cruz Bezerra
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ORIGINAL ARTICLE08-10-2020
Neonatal near miss in the intensive care unit
- Maria Rita Guimarães Maia ,
- Rosângela Aparecida Pimenta Ferrari ,
- Alexandrina Aparecida Maciel Cardelli ,
- Ieda Harumi Higarashi ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
Abstract
ORIGINAL ARTICLENeonatal near miss in the intensive care unit
Revista Brasileira de Enfermagem. 2020;73(6):e20180931
DOI 10.1590/0034-7167-2018-0931
- Maria Rita Guimarães Maia ,
- Rosângela Aparecida Pimenta Ferrari ,
- Alexandrina Aparecida Maciel Cardelli ,
- Ieda Harumi Higarashi ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
Views0See moreABSTRACT
Objective:
To analyze near miss cases among newborns hospitalized in the Intensive Care Unit.
Methods:
An observational, cross-sectional, retrospective study using the STROBE guideline. Data were collected from 1,101 records of live births (newborns). Statistical analysis used the Epi-Info program 3.3.2 and Chi-square and Fisher’s exact tests.
Results:
A total of 162 newborns were hospitalized, of which 63 had at least one criterion of near miss. The variables that remained associated with neonatal near miss were weight <1.750 g, gestational age <33 weeks and Apgar at 5 minutes <7, pragmatic criteria to identify cases of neonatal near miss morbidity.
Conclusion:
Prematurity and low birth weight were the factors that contributed most to the near miss outcome among newborns hospitalized in intensive care, a rate two and a half times higher than the number of deaths, according to scientific evidence.
- Maria Rita Guimarães Maia
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08-10-2020
Care for the critical patient undergoing point-of-care testing: integrative review
- Débora Thais Siqueira Soares ,
- Ana Paula Hermann ,
- Maria Ribeiro Lacerda ,
- Marineli Joaquim Méier ,
- Nayla Tamara de Godoi Caceres , [ … ],
- Juliana Zimmermann Lima
Abstract
Care for the critical patient undergoing point-of-care testing: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20180948
DOI 10.1590/0034-7167-2018-0948
- Débora Thais Siqueira Soares ,
- Ana Paula Hermann ,
- Maria Ribeiro Lacerda ,
- Marineli Joaquim Méier ,
- Nayla Tamara de Godoi Caceres ,
- Juliana Zimmermann Lima
Views0See moreABSTRACT
Objective:
to identify, based on the evidence, point-of-care testing in bedbound in critically ill patients.
Method:
integrative review, carried out through search in Pubmed, Virtual Health Library, Joanna Briggs Institute, The British Institute of Radiology, Brazilian Radiology, and Google Scholar databases. We used the PICO research strategy and selected articles published from 2013 onwards, which presented information about point-of-care testing.
Results:
the different interventions found in the analysis of the 23 selected articles allowed the thematic grouping of care related to safety in communication, patient identification, care with devices, and the prevention and control of infection, which can be used in point-of-care testing.
Final considerations:
The care described in the evidence provided support for validating a safe care protocol for critically ill patients undergoing imaging studies in bed.
- Débora Thais Siqueira Soares
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ORIGINAL ARTICLE06-27-2019
Validation of a clinical simulation setting in the management of postpartum haemorrhage
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo , [ … ],
- Francisca Marcia Pereira Linhares
Abstract
ORIGINAL ARTICLEValidation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
DOI 10.1590/0034-7167-2018-0065
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo ,
- Francisca Marcia Pereira Linhares
Views0See moreABSTRACT
Objective:
To construct and validate a clinical simulation setting for postpartum haemorrhage.
Method:
Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.
Results:
Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.
Conclusion:
It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.
- Priscyla de Oliveira Nascimento Andrade
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REVIEW06-01-2020
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Views1See moreABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
- Nelma Nunes da Silva
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ORIGINAL ARTICLE10-21-2019
Occupational stress and engagement in primary health care workers
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Abstract
ORIGINAL ARTICLEOccupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
DOI 10.1590/0034-7167-2018-0681
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Views0See moreABSTRACT
Objective:
To evaluate levels of occupational stress and work engagement among primary health care workers.
Method:
A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).
Results:
Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.
Conclusion:
Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.
- Dezolina Franciele Cardin Cordioli
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ORIGINAL ARTICLE07-01-2020
Patient safety culture: perception of nursing professionals in high complexity institutions
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Abstract
ORIGINAL ARTICLEPatient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
DOI 10.1590/0034-7167-2019-0174
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Views1See moreABSTRACT
Objectives:
to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.
Methods:
descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).
Results:
four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.
Conclusions:
evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.
- Desirée Zago Sanchis
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ORIGINAL ARTICLE06-27-2019
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva , [ … ],
- Jaime Alonso Caravaca-Morera
Abstract
ORIGINAL ARTICLEDebriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
DOI 10.1590/0034-7167-2018-0103
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva ,
- Jaime Alonso Caravaca-Morera
Views0See moreABSTRACT
Objective:
Evaluate the contribution of debriefing after clinical simulations for nursing students.
Method:
Quantitative study, conducted with 35 nursing students who participated in five clinical simulation scenarios with planned debriefings based on the model of the National League Nursing/Jeffries Simulation Theory. After the fifth scenario, students answered the Debriefing Evaluation Scale associated with the Simulation.
Results:
The items evaluated involved the psychosocial, cognitive, and affective values, and within a scale from one to five, the highest mean was found in cognitive value with 4.23 (±0.56) points, then in psychosocial value with 3.77 (±0.53), and finally in affective value with 3.71 (±0.63) points.
Conclusion:
The debriefing conducted after the clinical simulation scenarios was a reflective exercise that contributed to the student integrating multiple knowledges in affective, cognitive and psychosocial values, and thus develop the competencies required.
- Carina Bortolato-Major
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REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Abstract
REVIEWTransitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Views1See moreABSTRACT
Objective:
To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.
Methods:
Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.
Results:
The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.
Final considerations:
The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.
- Bruna Alexandra da Silva Ferreira
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REVIEW10-19-2020
Validation methods of nursing protocols: an integrative review
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Abstract
REVIEWValidation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Views0See moreABSTRACT
Objective:
to identify scientific production about validation methods of nursing care protocols.
Method:
an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used.
Results:
thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles.
Conclusion:
protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.
- Tainara Wink Vieira
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EXPERIENCE REPORT04-09-2020
Implementation of an Artificial Intelligence Algorithm for sepsis detection
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto , [ … ],
- Carolina Wrobel Bezerra
Abstract
EXPERIENCE REPORTImplementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
DOI 10.1590/0034-7167-2018-0421
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto ,
- Carolina Wrobel Bezerra
Views0See moreABSTRACT
Objectives:
to present the nurses’ experience with technological tools to support the early identification of sepsis.
Methods:
experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.
Results:
describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.
Final Considerations:
technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.
- Luciana Schleder Gonçalves
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