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REVIEW05-03-2024
Elements of fatherhood involved in the gestational period: a scoping review
- Willyane de Andrade Alvarenga
, - Maria da Conceição Silva Castro Sousa ,
- Joice Kelly Lima de Sales ,
- Rhyquelle Rhibna Neris ,
- Francine DeMontigny , [ … ],
- Lucila Castanheira Nascimento
Abstract
REVIEWElements of fatherhood involved in the gestational period: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230029
DOI 10.1590/0034-7167-2023-0029
- Willyane de Andrade Alvarenga ,
- Maria da Conceição Silva Castro Sousa ,
- Joice Kelly Lima de Sales ,
- Rhyquelle Rhibna Neris ,
- Francine DeMontigny ,
- Lucila Castanheira Nascimento
Views0See moreABSTRACT
Objective:
To identify in the literature and summarize the elements and characteristics of fatherhood involved during pregnancy.
Method:
Scoping review that used PRISMA-ScR guide to report this review. Searches were carried out in PubMed, CINAHL, PsycInfo, LILACS and Scopus. Google search engines and public health agency websites assisted in searches of gray literature and Rayyan in screening studies.
Results:
A total of 406 articles were identified, of which 16 made up the final sample. Five elements make up an involved fatherhood: feeling like a father, being a provider and protector, being a partner and participant in pregnancy, participating in prenatal appointments and feeling prepared to take care of a baby.
Conclusion:
Fathers want to be involved in prenatal care, but feel excluded from this process. Public policies that encourage paternal involvement and healthcare professional training to better welcome and promote paternal involvement are of paramount importance.
- Willyane de Andrade Alvarenga
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ORIGINAL ARTICLE05-03-2024
Josicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
- Ingredy Nayara Chiacchio Silva ,
- Gilberto Tadeu Reis da Silva ,
- Itanna Vytoria Sousa Serra ,
- Deybson Borba de Almeida ,
- Giselle Alves da Silva Teixeira , [ … ],
- Ana Lúcia Arcanjo Oliveira Cordeiro
Abstract
ORIGINAL ARTICLEJosicélia Dumêt Fernandes’ professional trajectory: contributions to psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2024;77(1):e20230174
DOI 10.1590/0034-7167-2023-0174
- Ingredy Nayara Chiacchio Silva ,
- Gilberto Tadeu Reis da Silva ,
- Itanna Vytoria Sousa Serra ,
- Deybson Borba de Almeida ,
- Giselle Alves da Silva Teixeira ,
- Rosana Maria de Oliveira Silva ,
- Ana Lúcia Arcanjo Oliveira Cordeiro
Views0See moreABSTRACT
Objectives:
to analyze nurse Josicélia Dumêt Fernandes’ life story, with emphasis on her work in the psychiatry and mental health fields.
Methods:
historical, qualitative research. Semi-structured interviews and documentary research were used as data collection techniques, collected from September to October 2021. For data analysis, we opted for the content analysis method and comparison with the Foucauldian philosophical framework.
Results:
four categories emerged: Transforming herself and mental health practices; (Re)framing professional practice; Nursing practice and power relations; and The paths and implications in the psychiatry and mental health fields.
Final Considerations:
the study of the biographer demonstrates a search for transformation of herself and mental health practices, with a rupture in paradigms and reframing of her practice in psychiatry and mental health.
- Ingredy Nayara Chiacchio Silva
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ORIGINAL ARTICLE05-03-2024
Psychometric properties of the Chilean version of the quality of life questionnaire for multiple myeloma
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar , [ … ],
- Christine Rojas
Abstract
ORIGINAL ARTICLEPsychometric properties of the Chilean version of the quality of life questionnaire for multiple myeloma
Revista Brasileira de Enfermagem. 2024;77(1):e20230100
DOI 10.1590/0034-7167-2023-0100
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar ,
- Ivana Leão ,
- Ximena Valladares ,
- Christine Rojas
Views0See moreABSTRACT
Objectives:
To evaluate the internal consistency and construct validity of the QLQ-MY20 for assessing the quality of life in multiple myeloma survivors in Chile.
Methods:
This was a cross-sectional study conducted between March 2020 and December 2022. It involved 118 individuals from two public hospitals. The QLQ-C30 and QLQ-MY20 questionnaires were used. Internal consistency was assessed using Cronbach’s alpha(α), and construct validity was evaluated through hypothesis testing (Mann-Whitney and Spearman correlation).
Results:
The average age of participants was 67.2 years (SD=9.2). Internal consistency for the complete scale was α=0.779, for the “disease symptoms” dimension α=0.671, for the “side effects of treatments” dimension α=0.538, and for the “future perspective” dimension α=0.670. Four of the five construct validity hypotheses were confirmed: women, individuals with worse performance status, those with pain, and those with worse fatigue showed more symptoms.
Conclusions:
The Chilean version of the QLQ-MY20 demonstrates adequate internal consistency and construct validity.
- Luz Alejandra Lorca
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ORIGINAL ARTICLE05-03-2024
Pregnancy loss in women with systemic lupus erythematosus: Grounded Theory
- Rebeca Rosa de Souza ,
- Mayckel da Silva Barreto ,
- Elen Ferraz Teston ,
- Maria Aparecida Salci ,
- Viviane Cazetta de Lima Vieira , [ … ],
- Sonia Silva Marcon
Abstract
ORIGINAL ARTICLEPregnancy loss in women with systemic lupus erythematosus: Grounded Theory
Revista Brasileira de Enfermagem. 2024;77(1):e20230225
DOI 10.1590/0034-7167-2023-0225
- Rebeca Rosa de Souza ,
- Mayckel da Silva Barreto ,
- Elen Ferraz Teston ,
- Maria Aparecida Salci ,
- Viviane Cazetta de Lima Vieira ,
- Sonia Silva Marcon
Views0See moreABSTRACT
Objective:
to learn the meanings attributed to pregnancy loss by women with Lupus.
Method:
qualitative research, based on Symbolic Interactionism and Grounded Theory. Data collection took place between January and August 2022 through in-depth interviews. Data analysis went through the stages of initial and focused coding.
Results:
seventeen women participated. The central phenomenon “The climb to motherhood: falls and overcoming” was constructed, consisting of three categories: “Falling to the ground during the climb: the experience of pregnancy loss”; “Getting up and following the path: new attempts to conceive”; and “Remembering the journey: meanings attributed to pregnancy losses”.
Final considerations:
experiencing pregnancy is, analogously, like climbing a mountain, where obstacles need to be overcome to reach the summit. The experience of pregnancy loss is seen as complex, especially when there is fragility in healthcare and a lack of awareness regarding feelings of loss and grief.
- Rebeca Rosa de Souza
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05-03-2024
Preditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida , [ … ],
- Ana Luisa Brandão de Carvalho Lira
Abstract
Preditores de volume excessivo de líquidos em pacientes em hemodiálise: estudo observacional
Revista Brasileira de Enfermagem. 2024;77(1):e20220816
DOI 10.1590/0034-7167-2022-0816
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Renata Marinho Fernandes ,
- Juliana Barbosa da Silva ,
- Anna Thays Dias Almeida ,
- Cecília Maria Farias de Queiroz Frazão ,
- Marcos Venícius de Oliveira Lopes ,
- Ana Luisa Brandão de Carvalho Lira
Views0See moreRESUMEN
Objetivos:
evaluar los factores de riesgo del exceso de volumen de líquido en pacientes en hemodiálisis.
Métodos:
estudio retrospectivo de casos y controles. Se incluyeron 392 pacientes (196 casos y 196 controles) de dos centros de hemodiálisis. Se evaluaron datos sociodemográficos y 23 factores de riesgo de exceso de volumen de líquido mediante un formulario de recolección de datos. Los datos se analizaron mediante un modelo de regresión logística multivariado.
Resultados:
factores de riesgo conocimiento insuficiente (OR=2,06), ingesta excesiva de líquidos (OR=2,33), retirada inadecuada de líquidos durante la hemodiálisis (OR=2,62) e ingesta excesiva de sodio (OR=1,91) pueden aumentar aproximadamente dos veces la posibilidad de que se produzca un exceso de volumen de líquido en pacientes en hemodiálisis. La educación (OR=0,95) y la edad (OR=0,97) son factores protectores del volumen excesivo de líquido.
Conclusiones:
conocer estos factores de riesgo puede ayudar a las enfermeras a realizar una inferencia diagnóstica precisa y rápida del riesgo de volumen excesivo de líquidos.
- Maria Isabel da Conceição Dias Fernandes
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REVIEW05-03-2024
Nursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Abstract
REVIEWNursing interventions to empower the family caregiver of person with lower limb amputation: scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
DOI 10.1590/0034-7167-2023-0264
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Views0See moreABSTRACT
Objectives:
to map nursing interventions that empower the Family caregiver of the person with lower limb amputation for is role.
Methods:
scoping review guided by Joanna Briggs Institute methodology conducted in different databases (including gray literature).
Results:
six studies published between 2009 and 2021 were included. Interventions of counselling and support for patients and family; peer support interventions performed by a certified pair; involvement of caregivers or family members in support groups; and key interventions for patient and family caregiver psychological balance. Two studies discussed the importance of caregiver and amputee training and development of coping skills. Another study recommended Interventions of informative support for caregivers regarding care for the amputee and adaptation to home.
Conclusions:
results of this review allow the identification of recommendations (guidelines) for practice and recommendations/suggestions for interventions according with identified needs of family caregivers of patients with lower limb amputation.
- Diana Fonseca Rodrigues
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05-03-2024
Intervenções de Enfermagem para capacitar o cuidador familiar de uma pessoa com amputação de membro inferior: revisão de escopo
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Abstract
Intervenções de Enfermagem para capacitar o cuidador familiar de uma pessoa com amputação de membro inferior: revisão de escopo
Revista Brasileira de Enfermagem. 2024;77(1):e20230264
DOI 10.1590/0034-7167-2023-0264
- Diana Fonseca Rodrigues ,
- Fabiana Sofia Ferreira Machado Castanheira ,
- António Luís Rodrigues Faria de Carvalho ,
- Cristina Maria Correia Barroso Pinto
Views0See moreRESUMEN
Objetivos:
mapear intervenciones de enfermería que capaciten al cuidador familiar de la persona con amputación de miembro inferior para su rol.
Métodos:
es una revisión de alcance guiada por la metodología del Instituto Joanna Briggs, llevada a cabo en diferentes bases de datos (incluyendo literatura gris).
Resultados:
se tuvieron en cuenta seis estudios publicados entre 2009 y 2021, a saber: intervenciones de asesoramiento y apoyo para pacientes y familiares; intervenciones de apoyo entre iguales realizadas por un par de profesionales certificados; participación de cuidadores o familiares en grupos de apoyo e intervenciones clave para el equilibrio psicológico del paciente y del cuidador familiar. Dos estudios analizaron la importancia de la formación del cuidador y del amputado y del desarrollo de habilidades de afrontamiento. Otro estudio recomendó intervenciones de apoyo informativo para los cuidadores en relación con el cuidado del amputado y su adaptación a la vida hogareña.
Conclusiones:
los resultados de esta revisión permiten identificar recomendaciones/directrices para la práctica y recomendaciones/sugerencias de intervenciones según las necesidades identificadas de los cuidadores familiares de pacientes con amputación de miembros inferiores.
- Diana Fonseca Rodrigues
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05-03-2024
Propiedades psicométricas de la versión chilena del cuestionario de calidad de vida para mieloma múltiple
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar , [ … ],
- Christine Rojas
Abstract
Propiedades psicométricas de la versión chilena del cuestionario de calidad de vida para mieloma múltiple
Revista Brasileira de Enfermagem. 2024;77(1):e20230100
DOI 10.1590/0034-7167-2023-0100es
- Luz Alejandra Lorca ,
- Cinara Sacomori ,
- Camila Peña ,
- Claudia Barrera ,
- Melissa Salazar ,
- Ivana Leão ,
- Ximena Valladares ,
- Christine Rojas
Views0See moreRESUMEN
Objetivos:
Evaluar consistencia interna y validez de constructo del QLQ-MY20 para valoración de calidad de vida en sobrevivientes de mieloma múltiple en Chile.
Métodos:
Estudio transversal, realizado entre marzo 2020 y diciembre 2022. Participaron 118 personas de dos hospitales públicos. Se utilizaron los cuestionarios QLQ-C30 y QLQ-MY20. Fueron evaluadas la consistencia interna con alfa de Cronbach (α) y validez de constructo mediante pruebas de hipótesis (Mann Whitney y correlación de Spearman).
Resultados:
El promedio de edad de los participantes era 67,2 (DE=9,2) años. Consistencia interna para escala completa (α=0,779), dimensión “síntomas de la enfermedad” (α=0,671), dimensión “efectos secundarios de los tratamientos” (α=0,538) y dimensión “perspectiva de futuro” (α=0,670). Se comprobaron cuatro de las cinco hipótesis de la validez de constructo: presentaron más síntomas las mujeres, personas con peor performance estatus, con dolor y con peor fatiga.
Conclusiones:
La versión chilena del QLQ-MY20 presenta adecuada consistencia interna y validez de constructo.
- Luz Alejandra Lorca
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ORIGINAL ARTICLE03-24-2021
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Views1See moreABSTRACT
Objectives:
to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.
Methods:
a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.
Results:
a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).
Conclusions:
hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
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ORIGINAL ARTICLE03-24-2021
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
- Maria de Nazaré de Souza Ribeiro ,
- Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra , [ … ],
- Luiz dos Santos
Abstract
ORIGINAL ARTICLEFeelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
DOI 10.1590/0034-7167-2020-0392
- Maria de Nazaré de Souza Ribeiro ,
- Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra ,
- Luiz dos Santos
Views1See moreABSTRACT
Objectives:
to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process.
Methods:
qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis.
Results:
the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity.
Conclusions:
the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.
- Maria de Nazaré de Souza Ribeiro
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ORIGINAL ARTICLE06-11-2021
Work at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
Abstract
ORIGINAL ARTICLEWork at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
DOI 10.1590/0034-7167-2019-0803
Views0See moreABSTRACT
Objectives:
to assess the risks of pathogenic suffering related to the experience of nursing workers in the operating room of a university hospital.
Methods:
cross-sectional, quantitative study, carried out from 11/2017 to 01/2018 in a university hospital in the South of Brazil. The sample was composed by 159 nursing workers of the units of a surgical center, that answered to the Scale of Evaluation of Pathogenic Suffering at Work. Data was submitted to statistical analysis.
Results:
the workers present low risk of pathogenic suffering related to the experiences at work, being the results of its factors: Uselessness (1.47±0.761) – low risk; Indignity (2.372±1.035) – medium risk; and Disqualification (1.74±0.903) – low risk.
Conclusions:
the evaluation of Pathogenic Suffering at Work Scale was positive, predominating low risk for pathogenic suffering of surgical center workers related to professional experiences, because they feel useful, valued and are not indignant about their work, feelings that reflect on the quality of care provided.
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ORIGINAL ARTICLE05-21-2021
Music in the relief of stress and distress in cancer patients
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Abstract
ORIGINAL ARTICLEMusic in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
DOI 10.1590/0034-7167-2019-0838
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Views0See moreABSTRACT
Objectives:
to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.
Methods:
quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.
Results:
the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.
Conclusions:
the use of music diminishes the stress and the distress of cancer patients.
- Mariana Scheidegger dos Santos
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ORIGINAL ARTICLE05-21-2021
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso , [ … ],
- Armando dos Santos Trettene
Abstract
ORIGINAL ARTICLEOrthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
DOI 10.1590/0034-7167-2020-0089
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso ,
- Armando dos Santos Trettene
Views1See moreABSTRACT
Objectives:
to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.
Methods:
cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.
Results:
48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).
Conclusions:
the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.
- Tatiane Henrique
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ORIGINAL ARTICLE05-28-2021
The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
Abstract
ORIGINAL ARTICLEThe work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
DOI 10.1590/0034-7167-2020-0116
Views0See moreABSTRACT
Objective:
To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.
Methods:
This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.
Results:
168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.
Final considerations:
Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.
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ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion , [ … ],
- Gilselena Kerbauy
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion ,
- Gilselena Kerbauy
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
- Camila Brito Borguezam
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ORIGINAL ARTICLE06-16-2021
The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
Abstract
ORIGINAL ARTICLEThe meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
DOI 10.1590/0034-7167-2020-0364
Views0See moreABSTRACT
Objectives:
to know the meaning of contemporary nursing from the experience of intensive care nurses.
Methods:
qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential.
Results:
the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills – besides the scientific ones, such as empathy, creativity, spirituality and compassion.
Final Considerations:
the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.
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ORIGINAL ARTICLE05-15-2020
Stress and quality of sleep in undergraduate nursing students
- Kézia Katiane Medeiros da Silva ,
- Milva Maria Figueiredo de Martino ,
- Clarissa Maria Bandeira Bezerra ,
- Ângela Monic Lima de Souza ,
- Danila Maria da Silva , [ … ],
- Jacqueline Targino Nunes
Abstract
ORIGINAL ARTICLEStress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
DOI 10.1590/0034-7167-2018-0227
- Kézia Katiane Medeiros da Silva ,
- Milva Maria Figueiredo de Martino ,
- Clarissa Maria Bandeira Bezerra ,
- Ângela Monic Lima de Souza ,
- Danila Maria da Silva ,
- Jacqueline Targino Nunes
Views0See moreABSTRACT
Objective:
to analyze the level of stress and sleep quality in nursing students according to terms of the nursing program.
Method:
descriptive and cross-sectional research developed in a higher education institution in Northeastern Brazil on 167 students. We used data collection, sociodemographic information, and a scale for assessing stress and sleep quality in nursing students.
Results:
we identified a statistically significant difference between domains of the stress scale and the terms of the undergraduate program, and between the quality of sleep and such terms such as as in the fourth and sixth semesters.
Conclusion:
different stress scores show that the semester which concerns students the most is the fifth. Quality of sleep was deemed good for the first, third, fifth, seventh, and eighth semesters; and poor for the fourth and sixth terms.
- Kézia Katiane Medeiros da Silva
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ORIGINAL ARTICLE09-21-2020
Clinical judgment and diagnostic reasoning of nursing students in clinical simulation
- Janaina Gomes Perbone Nunes ,
- José Joaquim Penedos Amendoeira ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Kathie Lasater ,
- Sheila Coelho Ramalho Vasconcelos Morais , [ … ],
- Emilia Campos de Carvalho
Abstract
ORIGINAL ARTICLEClinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
DOI 10.1590/0034-7167-2018-0878
- Janaina Gomes Perbone Nunes ,
- José Joaquim Penedos Amendoeira ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Kathie Lasater ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Emilia Campos de Carvalho
Views0See moreABSTRACT
Objectives:
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation.
Methods:
this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric – Brazilian Version and the Diagnostic Thinking Inventory.
Results:
clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the “noticing” aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047).
Conclusions:
the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
- Janaina Gomes Perbone Nunes
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ORIGINAL ARTICLE12-05-2019
Quality of life of institutionalized aged with and without symptoms of depression
- Gerson Scherrer Júnior ,
- Meiry Fernanda Pinto Okuno ,
- Leticia Meazzini de Oliveira ,
- Dulce Aparecida Barbosa ,
- Angélica Castilho Alonso , [ … ],
- Angélica Gonçalves Silva Belasco
Abstract
ORIGINAL ARTICLEQuality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
DOI 10.1590/0034-7167-2018-0316
- Gerson Scherrer Júnior ,
- Meiry Fernanda Pinto Okuno ,
- Leticia Meazzini de Oliveira ,
- Dulce Aparecida Barbosa ,
- Angélica Castilho Alonso ,
- Dayana Souza Fram ,
- Angélica Gonçalves Silva Belasco
Views0See moreABSTRACT
Objective:
compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores.
Method:
cross-sectional study conducted with 101 institutionalized aged. Multiple linear regression was used for data analysis.
Results:
symptoms of depression changed negatively the QOL in the domains: autonomy; present, past and future activities; social participation; intimacy and total score. Dependent aged presented lower QOL for the performance of ADL in the domains: autonomy; social participation and total score; dancing without limitation of movement; liking the residential and not presenting symptoms of depression were the variables that positively influenced the QOL of the aged.
Conclusion:
social and psychological support, good living conditions and stimulating assistance can improve the QOL of institutionalized elderlies.
- Gerson Scherrer Júnior
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ORIGINAL ARTICLE07-08-2020
Spirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
- Raniele Araújo de Freitas ,
- Tânia Maria de Oliva Menezes ,
- Lucivalda Barbosa Santos ,
- Halanna Carneiro Guimarães Bastos Moura ,
- Marta Gabriele Santos Sales , [ … ],
- Fabiana Araújo Moreira
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
- Raniele Araújo de Freitas ,
- Tânia Maria de Oliva Menezes ,
- Lucivalda Barbosa Santos ,
- Halanna Carneiro Guimarães Bastos Moura ,
- Marta Gabriele Santos Sales ,
- Fabiana Araújo Moreira
Views0See moreABSTRACT
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.
- Raniele Araújo de Freitas
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ORIGINAL ARTICLE02-10-2020
Mental health profile of the elderly community: a cross-sectional study
- Renata Cavalcanti Cordeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo ,
- Neyce de Matos Nascimento ,
- Rafaella Queiroga Souto , [ … ],
- Jeane da Silva Rocha Santos
Abstract
ORIGINAL ARTICLEMental health profile of the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(1):e20180191
DOI 10.1590/0034-7167-2018-0191
- Renata Cavalcanti Cordeiro ,
- Renata Clemente dos Santos ,
- Gleicy Karine Nascimento de Araújo ,
- Neyce de Matos Nascimento ,
- Rafaella Queiroga Souto ,
- Albanita Gomes da Costa de Ceballos ,
- Fabia Alexandra Pottes Alves ,
- Jeane da Silva Rocha Santos
Views0See moreABSTRACT
Objective:
to describe the mental health profile of the elderly registered in a Family Health Unit in the city of Recife, Pernambuco State.
Method:
it was a descriptive quantitative study, conducted with 159 elderly through the scales Geriatric Depression, Resilience, Social Support, Life Satisfaction, and Positive and Negative Affects, Mini-Mental State Examination, Stressful Events Inventory and Brazil Old Age Shedule.
Results:
females, young and literate elderly predominated. Most were satisfied with life, 52.2% without depressive symptoms, 68.6% without cognitive impairment, 67.9% high resilience and 95.8% high social support, but 62% of elderly with depressive symptoms showed cognitive deficit. Negative correlation was identified between depression and cognitive impairment, resilience, social support and life satisfaction.
Conclusion:
assessment of these indicators identifies triggers of psychological distress, assisting the nursing staff in the development of preventive and care actions.
- Renata Cavalcanti Cordeiro
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EXPERIENCE REPORT10-26-2020
Collaborative practices from health care teams to face the covid-19 pandemic
- Adriano da Costa Belarmino ,
- Maria Eunice Nogueira Galeno Rodrigues ,
- Saiwori de Jesus Silva Bezerra dos Anjos ,
- Antonio Rodrigues Ferreira Júnior
Abstract
EXPERIENCE REPORTCollaborative practices from health care teams to face the covid-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200470
DOI 10.1590/0034-7167-2020-0470
- Adriano da Costa Belarmino ,
- Maria Eunice Nogueira Galeno Rodrigues ,
- Saiwori de Jesus Silva Bezerra dos Anjos ,
- Antonio Rodrigues Ferreira Júnior
Views0See moreABSTRACT
Objective:
To report the experience of collaborative practices facing the COVID-19 pandemic.
Methods:
This is a report about the experience of collaborative practices conducted by health care teams in emergency service in the Emergency Care Units facing of COVID-19 pandemic in the city of Fortaleza, State of Ceará, in the first semester of 2020.
Results:
Collaborative actions, cooperation and effective communication among nursing and medical team contribute to the management of mild and complex cases of COVID-19, as well as qualify them in suitable and necessary care and confrontation measures.
Final considerations:
The report shows the need for collaborative practices to minimize negative effects on the population in the face of the new coronavirus pandemic.
- Adriano da Costa Belarmino
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ORIGINAL ARTICLE11-25-2020
Family experiences in discovering Autism Spectrum Disorder: implications for family nursing
- Tassia de Arruda Bonfim ,
- Bianca Cristina Ciccone Giacon-Arruda ,
- Catchia Hermes-Uliana ,
- Sueli Aparecida Frari Galera ,
- Maria Angélica Marcheti
Abstract
ORIGINAL ARTICLEFamily experiences in discovering Autism Spectrum Disorder: implications for family nursing
Revista Brasileira de Enfermagem. 2020;73:e20190489
DOI 10.1590/0034-7167-2019-0489
- Tassia de Arruda Bonfim ,
- Bianca Cristina Ciccone Giacon-Arruda ,
- Catchia Hermes-Uliana ,
- Sueli Aparecida Frari Galera ,
- Maria Angélica Marcheti
Views0See moreabstract
Objectives:
to describe the family’s experience in the process of discovering the diagnosis and initiation of treatment of children with Autism Spectrum Disorder.
Methods:
this qualitative and descriptive study interviewed nine relatives of eight children on autism spectrum. They were inserted in health services, public education, and Association of Parents and Friends of The Exceptional of cities in the countryside of the Center-West. Data were collected through open interviews from July to September 2017. Data was submitted to thematic analysis.
Results:
at the beginning, the family was difficult to perceive the first atypical signs presented by the children. Families experience situations of vulnerability, since support networks are insufficient. The school played a significant role in recognizing unexpected behaviors.
Final Considerations:
support, offered by nurses, health professionals, school and social support devices, is important to family and children in this trajectory.
- Tassia de Arruda Bonfim
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ORIGINAL ARTICLE10-21-2019
Nurses defending the autonomy of the elderly at the end of life
- Rafael Barroso Gaspar ,
- Marcelle Miranda da Silva ,
- Karen Gisela Moraes Zepeda ,
- Ítalo Rodolfo Silva
Abstract
ORIGINAL ARTICLENurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem. 2019;72(6):1639-1645
DOI 10.1590/0034-7167-2018-0768
- Rafael Barroso Gaspar ,
- Marcelle Miranda da Silva ,
- Karen Gisela Moraes Zepeda ,
- Ítalo Rodolfo Silva
Views1See moreABSTRACT
Objective:
to understand how nurses deal with the elderly’s autonomy at the end of life.
Method:
qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil.
Results:
nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team.
Final considerations:
the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.
- Rafael Barroso Gaspar
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