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ORIGINAL ARTICLE08-30-2024
Meanings attributed to changes experienced by individuals after COVID-19 hospitalization
- Camila Harmuch
, - Jéssica dos Santos Pini ,
- Paula Antunes Bezerra Nacamura ,
- Anny Caroline Ribeiro Devechi ,
- Vinícius Brito de Souza , [ … ],
- Marcelle Paiano
Abstract
ORIGINAL ARTICLEMeanings attributed to changes experienced by individuals after COVID-19 hospitalization
Revista Brasileira de Enfermagem. 2024;77:e20230122
DOI 10.1590/0034-7167-2023-0122
- Camila Harmuch ,
- Jéssica dos Santos Pini ,
- Paula Antunes Bezerra Nacamura ,
- Anny Caroline Ribeiro Devechi ,
- Vinícius Brito de Souza ,
- Juliana Graciela Vestena Zillmer ,
- Maria Aparecida Salci ,
- Marcelle Paiano
Views0See moreABSTRACT
Objectives:
to understand the meanings attributed to the experiences of individuals after hospitalization for COVID-19.
Methods:
qualitative study, with a theoretical framework based on Symbolic Interactionism and a methodological approach grounded in Grounded Theory. Nineteen participants who had moderate and severe forms of COVID-19 after hospitalization were interviewed. Data collection took place between April and November 2021 through online interviews, and the data were analyzed using initial and focused coding in the MAXQDA software.
Results:
the data illustrate new meanings attributed to different aspects of life after hospitalization, including relationships with others, the environment, physical and mental health, finances, identity, and interactions with a new social reality.
Conclusions:
the meanings are intrinsically linked to the value of interpersonal relationships, the perception of their impact, and the consequences after hospitalization. This allows professionals to understand the importance of this information to improve care and prepare for future epidemics.
- Camila Harmuch
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ORIGINAL ARTICLE08-30-2024
Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
- Amanda Lobato Lopes ,
- Rosana Aparecida Pereira ,
- Laura Martins Valdevite Pereira ,
- Felippe Micheli Costa de Castilho ,
- Fernanda Raphael Escobar Gimenes
Abstract
ORIGINAL ARTICLEPatient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
Revista Brasileira de Enfermagem. 2024;77:e20230187
DOI 10.1590/0034-7167-2023-0187
- Amanda Lobato Lopes ,
- Rosana Aparecida Pereira ,
- Laura Martins Valdevite Pereira ,
- Felippe Micheli Costa de Castilho ,
- Fernanda Raphael Escobar Gimenes
Views0See moreABSTRACT
Objectives:
to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture.
Methods:
a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture. Those dimensions with 75% positive responses were considered strengthened.
Results:
all dimensions presented results lower than 75% of positive responses. Closed sectors showed a stronger safety culture compared to open ones. Indirect care sectors had a low general perception of patient safety when compared to direct care sectors.
Conclusions:
with the pandemic, points of weakness became even more evident, requiring attention and incisive interventions from the institution’s leaders.
- Amanda Lobato Lopes
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REVIEW08-30-2024
Educational actions conducted during the pandemic with primary health care professionals: a scoping review
- Bruna Dias França ,
- Kênia Lara Silva ,
- Lilian Cristina Rezende ,
- Francisco Carlos Felix Lana ,
- Simone de Pinho Barbosa
Abstract
REVIEWEducational actions conducted during the pandemic with primary health care professionals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20230352
DOI 10.1590/0034-7167-2023-0352
- Bruna Dias França ,
- Kênia Lara Silva ,
- Lilian Cristina Rezende ,
- Francisco Carlos Felix Lana ,
- Simone de Pinho Barbosa
Views0See moreABSTRACT
Objectives:
to map the educational actions conducted with primary health care professionals during the COVID-19 pandemic.
Methods:
a scoping review conducted in August 2023, which covered databases such as CINAHL, Medline, LILACS, IBECS, BDENF, and Web of Science. In total, 32 publications were analyzed through content analysis.
Results:
the primary beneficiaries of the educational actions included 69% physicians, 56% nurses, 25% pharmacists, 13% social workers and dentists, 9% psychologists, community health agents, and laboratory professionals, and 6% nursing technicians, nutritionists, and physical educators. The predominant educational interventions were training sessions (mentioned in 19 publications), followed by Continuing Health Education (10 publications) and Continuing Education (three publications).
Final Considerations:
the educational interventions demonstrated positive impacts on professional practice, particularly the Continuing Health Education actions, which were notable for stimulating critical problem-solving among professionals.
- Bruna Dias França
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ORIGINAL ARTICLE08-30-2024
Negative affectivity in university students and its relationship with academic performance and professional outlook after COVID-19
- Bruna de Oliveira Alves ,
- Bárbara Guimarães Lourenço ,
- Bianca Bacelar Assis Araújo ,
- Luana Vieira Toledo ,
- Rafael Lopes Chaves , [ … ],
- Caroline de Castro Moura
Abstract
ORIGINAL ARTICLENegative affectivity in university students and its relationship with academic performance and professional outlook after COVID-19
Revista Brasileira de Enfermagem. 2024;77:e20240040
DOI 10.1590/0034-7167-2024-0040
- Bruna de Oliveira Alves ,
- Bárbara Guimarães Lourenço ,
- Bianca Bacelar Assis Araújo ,
- Luana Vieira Toledo ,
- Rafael Lopes Chaves ,
- Érika de Cássia Lopes Chaves ,
- Tânia Couto Machado Chianca ,
- Caroline de Castro Moura
Views0See moreABSTRACT
Objectives:
to evaluate the prevalence of negative affectivity in university students in the post-COVID-19 pandemic context and its relationship with academic performance and professional outlook.
Methods:
a cross-sectional study was conducted with undergraduate students from a public university in Minas Gerais between September 2022 and September 2023. Data were collected using a sociodemographic and psychosocial characterization questionnaire and the Depression, Anxiety, and Stress Scale 21. The relationships between negative affectivity, academic performance, and professional outlook were verified using the Kruskal-Wallis test, with a significance level of 5%.
Results:
a total of 585 students participated in the study. A high prevalence of depression, anxiety, and stress was found among university students in the post-COVID-19 context, with a notable severity of anxiety. A negative association was detected between the investigated negative affectivity, academic performance, and professional outlook.
Conclusions:
the results indicate an emotional vulnerability in university students, with a relationship between negative affectivity and a decline in academic performance and professional outlook.
- Bruna de Oliveira Alves
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REVIEW08-30-2024
Impact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review
- Luciana de Alcantara Nogueira ,
- Cristiano de Oliveira Ribeiro ,
- Leonel dos Santos Silva ,
- Yasmin Hiorrana dos Santos ,
- Luciana Puchalski Kalinke
Abstract
REVIEWImpact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240078
DOI 10.1590/0034-7167-2024-0078
- Luciana de Alcantara Nogueira ,
- Cristiano de Oliveira Ribeiro ,
- Leonel dos Santos Silva ,
- Yasmin Hiorrana dos Santos ,
- Luciana Puchalski Kalinke
Views0See moreABSTRACT
Objectives:
to identify the repercussions of financial toxicity on the lives of adult cancer patients during the COVID-19 pandemic.
Methods:
an integrative review was conducted using the PubMed, Web of Science, Scopus, and Embase databases, as well as the Virtual Health Library portal, in March 2023.
Results:
out of 62 studies found, 13 were included for analysis. The primary repercussions of financial toxicity included difficulties in covering basic expenses such as food, housing, medication, transportation, and internet access; increased anxiety and concerns related to health and financial situations; reduction or absence of income; challenges in obtaining treatment or accessing healthcare services; rising expenses; and telemedicine as a less burdensome alternative.
Conclusions:
the pandemic has exacerbated financial toxicity; therefore, healthcare teams must recognize it as an adverse event of oncological treatment and understand its potential to affect various aspects of patients’ lives.
- Luciana de Alcantara Nogueira
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ORIGINAL ARTICLE08-30-2024
Risk of smoking cessation treatment dropout: a cohort to help (re)think care
- Janaina Pereira da Silva ,
- Adriana Ignácio de Pádua ,
- Ruan Víctor dos Santos Silva ,
- Felipe Lima dos Santos ,
- Poliana Silva de Oliveira , [ … ],
- Cinira Magali Fortuna
Abstract
ORIGINAL ARTICLERisk of smoking cessation treatment dropout: a cohort to help (re)think care
Revista Brasileira de Enfermagem. 2024;77:e20230537
DOI 10.1590/0034-7167-2023-0537
- Janaina Pereira da Silva ,
- Adriana Ignácio de Pádua ,
- Ruan Víctor dos Santos Silva ,
- Felipe Lima dos Santos ,
- Poliana Silva de Oliveira ,
- Priscila Norié Araujo-Betetti ,
- Joris Thievenaz ,
- Cinira Magali Fortuna
Views0See moreABSTRACT
Objectives:
to evaluate the relative risk of smoking cessation treatment dropout during its intensive phase.
Methods:
a retrospective and quantitative cohort study was developed from the electronic medical records of individuals who started smoking cessation treatment between 2015 and 2019 at a specialty clinic in a city in the interior of São Paulo, Brazil. The relative risk of dropping out of treatment was calculated using the Poisson regression model.
Results:
it was observed that out of the 396 (100.0%) individuals who started the treatment, 109 (27.5%) abandoned it before the end of the intensive phase. For each one-year increase in age, the risk of dropping out of smoking cessation treatment decreased by an average of 2%.
Conclusions:
the risk of dropping out of smoking cessation treatment is higher among younger individuals. It is necessary to rethink the care offered to younger adults to promote the continuity of treatment.
- Janaina Pereira da Silva
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ORIGINAL ARTICLE08-26-2024
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Abstract
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
DOI 10.1590/0034-7167-2023-0293
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Views0See moreABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
- Natasha Dejigov Monteiro da Silva
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ORIGINAL ARTICLE08-26-2024
Driver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
Abstract
ORIGINAL ARTICLEDriver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
DOI 10.1590/0034-7167-2023-0153
Views0See moreABSTRACT
Objectives:
to describe traffic accidents involving motorcyclists and analyze the association between possession of a motorcycle driver’s license and use of helmets according to the severity of injuries.
Methods:
a cross-sectional study was conducted among all patients hospitalized in the traumatology and orthopedics sector of a public reference hospital in northeastern Brazil.
Results:
170 patients were surveyed, the majority were male (95.9%). Their ages ranged from 18 to 67 years. Most were black or brown (52.3%), had completed elementary school (58.9%) and had monthly income smaller than two minimum wages (56.5%). An association was found between being licensed to drive a motorcycle and wearing a helmet. Among those who suffered moderate injuries, this association was OR=5.66(1.85-17.23) and among those who suffered severe injuries it was OR=13.57(2.82-65.14).
Conclusions:
people who were licensed to drive motorcycles used a helmet as protective equipment more often and, in accidents, suffered fewer injuries.
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ORIGINAL ARTICLE09-26-2022
Educational technology for infants’ families to identify warning signs: a validation study
- Icleia Parente Rodrigues ,
- Patrícia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Paulo Henrique Alexandre de Paula , [ … ],
- Maria Veraci Oliveira Queiroz
Abstract
ORIGINAL ARTICLEEducational technology for infants’ families to identify warning signs: a validation study
Revista Brasileira de Enfermagem. 2022;75(5):e20210964
DOI 10.1590/0034-7167-2021-0964
- Icleia Parente Rodrigues ,
- Patrícia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Paulo Henrique Alexandre de Paula ,
- Joana Maria Rocha Sales ,
- Larissa Ludmila Monteiro de Souza Brito ,
- Maria Veraci Oliveira Queiroz
Views0See moreABSTRACT
Objective:
To validate, with the target audience, the usability and appearance of a serialized album about the warning signs to the health of children below 2 months.
Method:
Methodological validation study with the target population of an educational material in the form of a serialized album. 11 mothers with children under 2 months of age participated. The domains evaluated were: Objectives, Organization, Writing Style, Appearance, and Motivation. Data were analyzed using descriptive and statistics, and the data agreement index was calculated.
Results:
The global data agreement index was high (0.99). Mothers had positive responses, recognizing the excellence of the material: attractive figures that were easy to understand.
Conclusion:
The validation of the serialized album provides mothers with the abilities and knowledge they need to identify warning signs in regard to the health of their children, providing them with autonomy, corresponsibility, and helping them develop better child health practices.
- Icleia Parente Rodrigues
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ORIGINAL ARTICLE10-17-2022
Validation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision
- Mayara Lopes ,
- Julio César de la Torre-Montero ,
- Maria Angélica Sorgini Peterlini ,
- Mavilde da Luz Gonçalves Pedreira
Abstract
ORIGINAL ARTICLEValidation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision
Revista Brasileira de Enfermagem. 2022;75(5):e20220100
DOI 10.1590/0034-7167-2022-0100
- Mayara Lopes ,
- Julio César de la Torre-Montero ,
- Maria Angélica Sorgini Peterlini ,
- Mavilde da Luz Gonçalves Pedreira
Views0See moreABSTRACT
Objective:
To validate the Brazilian Portuguese translation and analyze the cultural adaptation of the Venous International Assessment Scale.
Methods:
Observational study by employing the Delphi technique and an equivalence evaluation by experts. The results were analyzed using item scores and by content validity index calculations of item, scale, and universal agreement.
Results:
Three rounds of evaluation were necessary for consensus. Explanatory contents were incorporated into the original scale throughout the process, resulting in a new version: VIA Scale – Revised. This scale obtained a content validity index of 0.96 and a universal agreement of 0.78. In the cross-cultural adequacy analysis phase, a score of 0.77 was obtained. The majority (90.5%) of the participants judged the scale’s decision support property as positive.
Conclusion:
The VIA Scale was validated and culturally adapted to the Brazilian Portuguese language, resulting in the VIA Scale – Revised (VIA-R).
- Mayara Lopes
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ORIGINAL ARTICLE07-29-2022
Effects of guided imagery relaxation in hematopoietic stem-cell transplantation patients: a quasi-experimental study
- Luana Aparecida Alves da Silva ,
- Paulo Ricardo Bittencourt Guimarães ,
- Angela da Costa Barcellos Marques ,
- Larissa Marcondes ,
- Camila Schirmer Barbosa , [ … ],
- Luciana Puchalski Kalinke
Abstract
ORIGINAL ARTICLEEffects of guided imagery relaxation in hematopoietic stem-cell transplantation patients: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(5):e20220114
DOI 10.1590/0034-7167-2022-0114
- Luana Aparecida Alves da Silva ,
- Paulo Ricardo Bittencourt Guimarães ,
- Angela da Costa Barcellos Marques ,
- Larissa Marcondes ,
- Camila Schirmer Barbosa ,
- Pâmela Cristine Piltz Costa ,
- Luciana Puchalski Kalinke
Views1See moreABSTRACT
Objective:
To analyze the effects of the technique of virtual reality guided imagery in the vital signs of hematopoietic stem-cell transplantation patients.
Method:
Quasi-experimental study with 35 participants who received an intervention using virtual reality guided imagery with progressive muscle relaxation, applied three times a week for four weeks in a referral hospital for transplants in the south of Brazil. Data collected included: temperature, arterial pressure, respiratory rate, heart rate, pain, and oxygen saturation, before and after each intervention. The comparisons were analyzed using Wilcoxon’s test.
Results:
There was a clinical significance between the mean measurements before and after for respiratory rate (p=0.00) in all stages, and for the variables Heart rate, Temperature, and Oxygen saturation from the 1st to the 12th measurements (p=0.05).
Conclusion:
The intervention was low cost, easy to apply, and showed positive effects, presenting itself as an option for patient-focused care.
- Luana Aparecida Alves da Silva
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ORIGINAL ARTICLE10-17-2022
Semantic validation of educational technology with caregivers of children and adolescents undergoing chemotherapy
- Silmara de Oliveira Silva ,
- Thamyres Alany Campelo de Araújo ,
- Naryllene Maciel de Araújo ,
- Nahadja Tahaynara Barros Leal ,
- Fernando Hiago da Silva Duarte , [ … ],
- Daniele Vieira Dantas
Abstract
ORIGINAL ARTICLESemantic validation of educational technology with caregivers of children and adolescents undergoing chemotherapy
Revista Brasileira de Enfermagem. 2022;75(5):e20220294
DOI 10.1590/0034-7167-2022-0294
- Silmara de Oliveira Silva ,
- Thamyres Alany Campelo de Araújo ,
- Naryllene Maciel de Araújo ,
- Nahadja Tahaynara Barros Leal ,
- Fernando Hiago da Silva Duarte ,
- José Eugênio Lopes Leite ,
- Rodrigo Assis Neves Dantas ,
- Daniele Vieira Dantas
Views0See moreABSTRACT
Objective:
Semantically validate an educational technology with the caregiver of children and adolescents undergoing chemotherapy.
Method:
Methodological study, with a quantitative approach, guided by the theoretical framework of psychometry, developed between March and April 2022, with nine caregivers of children and adolescents undergoing chemotherapy. Educational technology is a digital animation film about the pediatric chemotherapy treatment process, used as a tool for health education.
Results:
In the reliability assessment, the Intraclass Correlation Coefficient was 0.936 [95%CI 0.868-0.984] with p < 0.05 and Cronbach’s alpha of 0.943, demonstrating satisfactory internal consistency. Regarding the semantic analysis, the domains related to objectives, organization, language, appearance, and motivation showed an agreement rate above 80%.
Conclusion:
Educational technology showed satisfactory rates, proving to be a valid, reliable, and important instrument to be used by caregivers of children and adolescents undergoing chemotherapy.
- Silmara de Oliveira Silva
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10-21-2022
Cancer symptom clusters: from the lab bench to clinical practice
Revista Brasileira de Enfermagem. 2022;75(5):e2022v75n5inov
Abstract
Cancer symptom clusters: from the lab bench to clinical practice
Revista Brasileira de Enfermagem. 2022;75(5):e2022v75n5inov
DOI 10.1590/0034-7167-2022v75n5inov
Views0See moreABSTRACT
Objective:
to present and discuss the advancement of science in symptom management through research involving oncological symptom clusters (OSC).
Method:
a reflective study, supported by the scientific literature on OSC.
Results:
five key points are crucial to advancing the science of symptom management through research involving OSC: definition of OSC characteristics; underlying mechanisms and priority symptom clusters; OSC measurement; targeted and personalized interventions; new analytical strategies.
Final considerations:
a better understanding of the complex connections between different systems and biobehavioral aspects in patients, especially in the field of oncology nursing, is urgent. The study of these interactions has become increasingly promising and emerging for oncology nursing, since therapeutic interventions, whose target is the neuroimmunoendocrine axis, are relevant for personalized care, translating into greater scientific and nurse autonomy to care for patients.
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ORIGINAL ARTICLE06-24-2022
Prevalence of the Human Immunodeficiency Virus and associated factors in pregnant women in the state of Pará
- Helloyza Halana Fernanda Aquino Pompeu ,
- Lilia Pimenta de Moraes ,
- Camila Cristina Girard Santos ,
- Helber Yanaguibashi Shibata ,
- Jonas Elias Castro da Rocha , [ … ],
- Cristiane Patrícia Siqueira Monteiro
Abstract
ORIGINAL ARTICLEPrevalence of the Human Immunodeficiency Virus and associated factors in pregnant women in the state of Pará
Revista Brasileira de Enfermagem. 2022;75(6):e20210171
DOI 10.1590/0034-7167-2021-0171
- Helloyza Halana Fernanda Aquino Pompeu ,
- Lilia Pimenta de Moraes ,
- Camila Cristina Girard Santos ,
- Helber Yanaguibashi Shibata ,
- Jonas Elias Castro da Rocha ,
- Alexandre Aguiar Pereira ,
- Conceição do Socorro Damasceno Barros ,
- Cristiane Patrícia Siqueira Monteiro
Views0See moreABSTRACT
Objectives:
to analyze the prevalence of the Human Immunodeficiency Virus and the associated factors in pregnant women in the state of Pará.
Methods:
retrospective, analytical, quantitative study with a sample of 332 medical records of HIV-positive pregnant women hospitalized at the Referral Maternity Hospital in the state of Pará between 2010 and 2019. Bivariate and multivariate statistical analysis were performed with the variables collected.
Results:
the average prevalence in the period was 2.39% and the Metropolitan Region concentrated 66.87% of cases. There was a strong relationship between the number of antenatal consultations and lack of knowledge of serological status (p value equal to 0.01E-17) variables, and a correlation between the education and number of antenatal consultations variables.
Conclusions:
the increase in the infection rate during the study period revealed the need to intensify health actions, early diagnosis and strategies to improve adherence to antiretroviral treatment for maternal viral suppression and reduction of the risk of vertical transmission, contributing to improve public policies.
- Helloyza Halana Fernanda Aquino Pompeu
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ORIGINAL ARTICLE10-03-2022
Evaluation of respiratory complications in a cohort of preterm infants who did not receive palivizumab monoclonal antibodies
- Poliana Castro de Resende Bonati ,
- Maria Cândida de Carvalho Furtado ,
- Débora Falleiros de Mello ,
- Paula Carolina Bejo Wolkers ,
- Gabriel de Oliveira Faria , [ … ],
- Daniela Marques de Lima Mota Ferreira
Abstract
ORIGINAL ARTICLEEvaluation of respiratory complications in a cohort of preterm infants who did not receive palivizumab monoclonal antibodies
Revista Brasileira de Enfermagem. 2022;75(6):e20210362
DOI 10.1590/0034-7167-2021-0362
- Poliana Castro de Resende Bonati ,
- Maria Cândida de Carvalho Furtado ,
- Débora Falleiros de Mello ,
- Paula Carolina Bejo Wolkers ,
- Gabriel de Oliveira Faria ,
- Daniela Marques de Lima Mota Ferreira
Views0See moreABSTRACT
Objectives:
to analyze the occurrence of respiratory complications over the first year of life in preterm infants who did not receive palivizumab monoclonal antibodies.
Methods:
analytical retrospective cohort study with preterm infants born between 2012 and 2016 in Uberlândia, state of Minas Gerais, Brazil. Data collection occurred from January to November 2018, by consulting hospital and primary healthcare medical records. Data were processed with the Poisson regression model, with p<0.05.
Results:
of a total of 5,213 preterm births, 504 (9.7%) met the inclusion criteria. The preterm infants in this subset were assisted 2,899 times in primary care, which resulted in 1,098 (37.5%) medical diagnoses, of which 803 (78.5%) involved the respiratory tract. Preterm babies fed on formula milk at hospital discharge had more diagnoses of respiratory diseases. Maternal age (p=0.039), respiratory diagnosis at hospital discharge (p=0.028), and number of sporadic appointments (p<0.001) showed a significant association with bronchiolitis; number of sporadic appointments showed a significant association with occurrence of respiratory diseases; and breastfeeding had a protective effect against the development of bronchiolitis.
Conclusions:
preterm infants who did not receive palivizumab showed a high percentage of respiratory diseases, and breastfeeding helped protect them against bronchiolitis. It is recommended that these preterm babies be monitored in primary health care.
- Poliana Castro de Resende Bonati
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ORIGINAL ARTICLE09-09-2022
Palliative care management by caregivers in home care: theoretical validation in a conversation circle
- Roberta Teixeira Prado ,
- Denise Rocha Raimundo Leone ,
- Thiago de Medeiros Souza ,
- Paula Valente Werneck ,
- Maria Ribeiro Lacerda , [ … ],
- Edna Aparecida Barbosa de Castro
Abstract
ORIGINAL ARTICLEPalliative care management by caregivers in home care: theoretical validation in a conversation circle
Revista Brasileira de Enfermagem. 2022;75(6):e20210737
DOI 10.1590/0034-7167-2021-0737
- Roberta Teixeira Prado ,
- Denise Rocha Raimundo Leone ,
- Thiago de Medeiros Souza ,
- Paula Valente Werneck ,
- Maria Ribeiro Lacerda ,
- Edna Aparecida Barbosa de Castro
Views0See moreABSTRACT
Objectives:
to present the validation process of a Grounded Theory on the management of palliative care at home by a caregiver of a family member who experiences a death/dying process.
Methods:
a qualitative, explanatory research, which validated a theoretical matrix through a conversation circle containing 15 family caregivers and nine healthcare professionals, in December 2018.
Results:
forty-six propositions were validated regarding family caregivers’ contextual, causal, intervening conditions, consequences and action strategies to deal with the dying and death process of a family member. Conversation circles encouraged dialogue and (re)signification of the senses and knowledge of those involved, proving to be a way of educating and promoting the exercise of citizenship by participants.
Final Considerations:
the conversation circle made it possible for participants to interact and share information and experiences regarding home care for palliative patients and their families.
- Roberta Teixeira Prado
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ORIGINAL ARTICLE03-24-2021
Development, validation and application of clinical simulation scenarios for assessment of stomatherapy specialists
- Angélica Olivetto de Almeida ,
- Sônia Regina Pérez Evangelista Dantas ,
- Maria Angela Boccara de Paula ,
- Juliany Lino Gomes Silva ,
- Ednalda Maria Franck , [ … ],
- Ana Railka de Souza Oliveira-Kumakura
Abstract
ORIGINAL ARTICLEDevelopment, validation and application of clinical simulation scenarios for assessment of stomatherapy specialists
Revista Brasileira de Enfermagem. 2021;74(1):e20200360
DOI 10.1590/0034-7167-2020-0360
- Angélica Olivetto de Almeida ,
- Sônia Regina Pérez Evangelista Dantas ,
- Maria Angela Boccara de Paula ,
- Juliany Lino Gomes Silva ,
- Ednalda Maria Franck ,
- Ana Railka de Souza Oliveira-Kumakura
Views0See moreABSTRACT
Objectives:
to build and validate three clinical simulation scenarios and report the application with candidates for the specialist’s degree in stomatherapy.
Methods:
methodological study, building three scenarios and evaluation checklists; content validation with judges, using content validity index and Modified Kappa Coefficient; pre-test and application.
Results:
scenarios built based on nursing care for: 1. insufficiency and venous ulcer; 2. demarcation of intestinal stomia; and 3. Clean intermittent catheterization. In the content validation of the 24 items appreciated, 83%, 80%, and 92% were validated without change. In the pre-test, the objectives and checklists were adjusted. In the application, to standardize the evaluation, actors and evaluators were trained previously, and each candidate passed the three stations.
Conclusions:
scenarios built and with validated content, based on evidence and covering the three areas of stomatherapy. The pre-test allowed for adjustments in the scenarios, and the candidates achieved the expected objectives.
- Angélica Olivetto de Almeida
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04-14-2021
Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times
- Paolla Amorim Malheiros Dulfe ,
- Valdecyr Herdy Alves ,
- Audrey Vidal Pereira ,
- Bianca Dargam Gomes Vieira ,
- Diego Pereira Rodrigues , [ … ],
- Maria Bertilla Lutterbach Riker Branco
Abstract
Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times
Revista Brasileira de Enfermagem. 2021;74:e20200863
DOI 10.1590/0034-7167-2020-0863
- Paolla Amorim Malheiros Dulfe ,
- Valdecyr Herdy Alves ,
- Audrey Vidal Pereira ,
- Bianca Dargam Gomes Vieira ,
- Diego Pereira Rodrigues ,
- Giovanna Rosário Soanno Marchiori ,
- Maria Bertilla Lutterbach Riker Branco
Views0See moreABSTRACT
Objectives:
to analyze how the nurse-midwives of maternity wards that were fields of practice for an improvement course in obstetrics have reorganized care in the context of labor and birth amidst the COVID-19 pandemic.
Methods:
this is a descriptive, exploratory and qualitative study carried out with nine nurse-midwives who are preceptors and collaborators in maternity wards that were fields of practice for an improvement course, between February and April 2020, through a semi-structured interview through WhatsApp®. Content analysis was used to treat the information.
Results:
the pandemic brought the need to reorganize work, with a focus on service training and maintenance of good practices in labor and birth, whose movement was intensely experienced, interfering in nurse-midwives’ mental health.
Conclusion:
nurse-midwives have faced the pandemic with concerns about maintaining safe care, focused on practices based on updated scientific evidence.
- Paolla Amorim Malheiros Dulfe
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05-21-2021
Quality of life and falls in elderly people: a mixed methods study
- Thainara Lopes da Silva ,
- Vanessa Vieira da Motta ,
- Willian José Garcia ,
- Cristina Arreguy-Sena ,
- Paulo Ferreira Pinto , [ … ],
- Elenir Pereira de Paiva
Abstract
Quality of life and falls in elderly people: a mixed methods study
Revista Brasileira de Enfermagem. 2021;74:e20200400
DOI 10.1590/0034-7167-2020-0400
- Thainara Lopes da Silva ,
- Vanessa Vieira da Motta ,
- Willian José Garcia ,
- Cristina Arreguy-Sena ,
- Paulo Ferreira Pinto ,
- Pedro Miguel Santos Dinis Parreira ,
- Elenir Pereira de Paiva
Views0See moreABSTRACT
Objective:
to assess elderly people’s quality of life, understanding the social representations of falls.
Methods:
a convergent mixed methods research carried out at homes, with a sample of 134 elderly people. A structured questionnaire was used, covering sociodemographic variables and factors that indicated frailty and risk of falling. For quality of life assessment, Medical Outcomes Study Short-Form 36 and Theory of Social Representations, Abric’s structural approach were used, with data treated by dictionary of equivalent terms, processed in Evoc 2000, converging analytically according to Neuman.
Results:
quality of life impairment was identified in terms of physical, emotional and functional capacity. The elements of the possible central nucleus were fall, fear, and bruised-broken-bone.
Final considerations:
quality of life impairment can contribute to increase the number of falls, which has been shown to be an event present in elderly people’s lives through evocations. Understanding elderly people’s individual demands allows planning actions.
- Thainara Lopes da Silva
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ORIGINAL ARTICLE07-06-2020
Knowledge and health promotion practice of Family Health Strategy nurses
- Nathália Cristina do Carmo da Silva ,
- Karen Sayuri Mekaro ,
- Rebeca Isis de Oliveira Santos ,
- Sílvia Carla da Silva André Uehara
Abstract
ORIGINAL ARTICLEKnowledge and health promotion practice of Family Health Strategy nurses
Revista Brasileira de Enfermagem. 2020;73(5):e20190362
DOI 10.1590/0034-7167-2019-0362
- Nathália Cristina do Carmo da Silva ,
- Karen Sayuri Mekaro ,
- Rebeca Isis de Oliveira Santos ,
- Sílvia Carla da Silva André Uehara
Views0See moreABSTRACT
Objectives:
to analyze the knowledge and health promotion practice carried out by Family Health Strategy nurses.
Methods:
a descriptive study and qualitative approach. The study was conducted with 18 Family Health Strategy nurses from the city of São Carlos. Data were collected through semi-structured interviews and analyzed through thematic analysis. The study was approved by the Research Ethics Committee.
Results:
the data revealed that nurses had difficulties to conceptualize health promotion, and it is common to describe the definition of disease prevention. Nurses also reported developing group activities for health promotion; however, individual actions and consultations were still predominant.
Final Considerations:
it is necessary to develop sustainable strategies for collective health-promoting activities, in addition to strengthening multidisciplinary work and Continuing Education actions.
- Nathália Cristina do Carmo da Silva
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07-28-2021
The era of precision medicine and its impact on nursing: paradigm shifts?
Revista Brasileira de Enfermagem. 2021;74(5):e740501
Abstract
The era of precision medicine and its impact on nursing: paradigm shifts?
Revista Brasileira de Enfermagem. 2021;74(5):e740501
DOI 10.1590/0034-7167.2021740501
Views0INTRODUCTIONThe large investment and development of research in genomics and molecular biology in the last two decades, especially after the conclusion of the Human Genome Project (HGP), has generated many expectations regarding its impact on the transformation from the conventional medicine paradigm to the precision medicine paradigm(–). The term precision medicine (PM) was used for […]See more -
REFLECTION02-25-2022
Art in evidence-based nursing practice from the perspective of Florence Nightingale
- José Janailton de Lima ,
- Karla Corrêa Lima Miranda ,
- Virna Ribeiro Feitosa Cestari ,
- Vera Lúcia Mendes de Paula Pessoa
Abstract
REFLECTIONArt in evidence-based nursing practice from the perspective of Florence Nightingale
Revista Brasileira de Enfermagem. 2022;75(4):e20210664
DOI 10.1590/0034-7167-2021-0664
- José Janailton de Lima ,
- Karla Corrêa Lima Miranda ,
- Virna Ribeiro Feitosa Cestari ,
- Vera Lúcia Mendes de Paula Pessoa
Views0See moreABSTRACT
Objectives:
to discuss, in the light of Florence Nightingale, the historical position of art as a constituent device of evidence-based nursing practice.
Methods:
reflective study anchored in the writings of Nightingale and other researchers with whom it is possible to have a profound dialogue on the theme “art in nursing”.
Results:
art is related to two essential elements in the practice of nursing: knowledge and skill. Understanding science as knowledge and art as skill leads to the idea that both make it possible to combine technical competence, compassion, ethics, and individualization of care. Final Considerations: the art of nursing is the continuous exercise of detailed perception, so that the subjective aspect becomes the center to which the nurse’s gaze converges, that which will allow them to unveil the “truth” posed by the patient, resulting in the best intervention for him.
- José Janailton de Lima
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ORIGINAL ARTICLE12-05-2019
Factors associated with metabolic syndrome in older adults: a population-based study
- Patrícia Aparecida Barbosa Silva ,
- Antonieta de Jesus Sacramento ,
- Camila Isis de Deus do Carmo ,
- Líliam Barbosa Silva ,
- Salete Maria de Fátima Silqueira , [ … ],
- Sônia Maria Soares
Abstract
ORIGINAL ARTICLEFactors associated with metabolic syndrome in older adults: a population-based study
Revista Brasileira de Enfermagem. 2019;72:221-228
DOI 10.1590/0034-7167-2018-0620
- Patrícia Aparecida Barbosa Silva ,
- Antonieta de Jesus Sacramento ,
- Camila Isis de Deus do Carmo ,
- Líliam Barbosa Silva ,
- Salete Maria de Fátima Silqueira ,
- Sônia Maria Soares
Views0See moreABSTRACT
Objective:
To estimate the prevalence of the metabolic syndrome and clusters of its components and to identify possible associated factors in older adults.
Method:
Cross-sectional and population-based study, involving 271 older people. We collected sociodemographic, behavioral, clinical, biochemical, and anthropometric data. Data were analyzed by descriptive and logistic regression techniques.
Results:
The prevalence of metabolic syndrome was 59% and was associated with women, overweight/obesity, and the C-reactive protein. Concerning the clusters, 11.4% of the sample had all the components of the metabolic syndrome, and only 5.2% of individuals did not have any of its components.
Conclusion:
We found there is a high prevalence of metabolic syndrome and clusters of its components in older adults. It is important to deepen studies on this matter, considering clinical aspects in relation to sex and healthy behavioral habits for creating public policies as well as emphasizing actions aimed at promoting self-care in all cycles of life.
- Patrícia Aparecida Barbosa Silva
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ORIGINAL ARTICLE06-16-2021
Family interview for organ and tissue donation: good practice assumptions
- Neide da Silva Knhis ,
- Sabrina Regina Martins ,
- Aline Lima Pestana Magalhães ,
- Saulo Fábio Ramos ,
- Camila Telemberg Sell , [ … ],
- Laura Calvacanti de Farias Brehmer
Abstract
ORIGINAL ARTICLEFamily interview for organ and tissue donation: good practice assumptions
Revista Brasileira de Enfermagem. 2021;74(2):e20190206
DOI 10.1590/0034-7167-2019-0206
- Neide da Silva Knhis ,
- Sabrina Regina Martins ,
- Aline Lima Pestana Magalhães ,
- Saulo Fábio Ramos ,
- Camila Telemberg Sell ,
- Clarice Koerich ,
- Laura Calvacanti de Farias Brehmer
Views0See moreABSTRACT
Objectives:
to identify information that can support creating good practice assumptions to develop family interview for organ and tissue donation.
Methods:
this scoping study, conducted in two Brazilian hospitals in the southern, between April and December 2017, included integrative review and consultation with 15 families who experienced interview for organ donation. For data analysis, thematic content analysis was used.
Results:
three categories emerged: communication of death, which shows the need to know the history of hospitalization of patients; emotional support, the team must have mastery of the stages of mourning; information about donation, professionals need to know the stages of the donation process and respect families’ time.
Final Considerations:
good practice assumptions point to the need for team training, respect for family time and the use of simple language.
- Neide da Silva Knhis
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