Articles - Revista Brasileira de Enfermagem

  • 06-01-2015

    Perceptions of adolescent students about drugs

    Revista Brasileira de Enfermagem. 2015;68(3):517-523

    Abstract

    Perceptions of adolescent students about drugs

    Revista Brasileira de Enfermagem. 2015;68(3):517-523

    DOI 10.1590/0034-7167.2015680320i

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    ABSTRACT

    Objective:

    To analyze the perceptions of adolescent public school students about drugs.

    Method:

    Qualitative approach of focus groups with 16 adolescent students. The data collected were analyzed by means of content analysis, leading to the following categories: meaning of drugs; living with drug use; opinions, beliefs and attitudes toward drug use; and preventing drug abuse in adolescence.

    Results:

    The adolescent students know about some drugs, and associate their use with delinquent and criminal behavior. The students identifi ed factors that lead to drug abuse, such as easy access, use by family and friends, idleness, dropping out of school and the characteristic vulnerability of adolescence.

    Conclusion:

    the results point to the need for educational activities in the context of where the adolescents live, including school, community and family environments, to support and to minimize their vulnerability.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-01-2015

    Cognitive stimulation for older people with Alzheimer’s disease performed by the caregiver

    Revista Brasileira de Enfermagem. 2015;68(3):510-516

    Abstract

    Cognitive stimulation for older people with Alzheimer’s disease performed by the caregiver

    Revista Brasileira de Enfermagem. 2015;68(3):510-516

    DOI 10.1590/0034-7167.2015680319i

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    ABSTRACT

    Objective:

    to learn the infl uence of cognitive therapy at home, conducted by the caregivers of older people with Alzheimer’s Disease.

    Method:

    a case study was developed with fi ve older people with Alzheimer’s Disease and their caregivers. The stages of research development were: orientation with the caregivers; selection of older people and caregivers; approach of the study subjects at home; weekly meetings and reapplication of tests to follow up the cognitive function of the participants.

    Results:

    in three months it was possible to identify improved cognition, verifi ed by the result of the Mini-Mental State Examination (MMSE). The scores of the other tests (KATZ, LAWTON, CLOCK TEST and VFT) remained the same.

    Conclusion:

    this strategy can be considered a light technology of nursing care for older people with dementia. When providing this care with the support of a nurse, caregivers re feel less anxious and understand the disease better.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Cognitive stimulation for older people with Alzheimer’s disease performed by the caregiver
  • 06-01-2015

    Anxiety and spirituality in university students: a cross-sectional study

    Revista Brasileira de Enfermagem. 2015;68(3):504-509

    Abstract

    Anxiety and spirituality in university students: a cross-sectional study

    Revista Brasileira de Enfermagem. 2015;68(3):504-509

    DOI 10.1590/0034-7167.2015680318i

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    ABSTRACT

    Objective:

    to study anxiety and spirituality and the relationship between them in university students.

    Method:

    the State-Trait-Anxiety Inventory (STAI) and Pinto and Pais-Ribeiro Spirituality Scales were used for data collection.

    Results:

    six hundred and sixty-nine students participated in the study, of whom 91.5% had moderate and high levels of trait anxiety and 92.9% of state anxiety; 93.8% had high spirituality scores. The multiple linear regression test showed a signifi cant relationship between anxiety and the presence of physical discomfort, unusual body movements, and the need for treatment. Furthermore, higher levels of anxiety were associated with the female gender, the lack of leisure activities, and low levels of optimism in the spirituality scale.

    Conclusion:

    it is important to develop strategies for coping with anxiety, which in turn can be oriented toward protective factors such as spirituality.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-01-2015

    Nursing guidance on bed baths to reduce anxiety

    Revista Brasileira de Enfermagem. 2015;68(3):497-503

    Abstract

    Nursing guidance on bed baths to reduce anxiety

    Revista Brasileira de Enfermagem. 2015;68(3):497-503

    DOI 10.1590/0034-7167.2015680317i

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    ABSTRACT

    Objective:

    to evaluate the effectiveness of a nursing guidance protocol to reduce the anxiety of patients with acute coronary syndrome undergoing bed bath, and the correlation of vital signs with state-anxiety.

    Method:

    randomized clinical trial study. The sample consisted of 120 patients. The intervention group received a nursing guidance protocol about bed bath and the control group received the unit’s routine information. The STAI-State scale was used to assess anxiety, and data were collected at three times: immediately after informing the patients about the bed bath; immediately after interventions; and immediately after the bath.

    Results:

    the intervention group presented signifi cantly lower state-anxiety compared to the control group (p<0.001) after the intervention.

    Conclusion:

    the nursing orientation was effective to reduce anxiety in patients with acute coronary syndrome undergoing bed bath.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing guidance on bed baths to reduce anxiety
  • 06-01-2015

    Body language in health care: a contribution to nursing communication

    Revista Brasileira de Enfermagem. 2015;68(3):490-496

    Abstract

    Body language in health care: a contribution to nursing communication

    Revista Brasileira de Enfermagem. 2015;68(3):490-496

    DOI 10.1590/0034-7167.2015680316i

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    ABSTRACT

    Objective:

    to classify body language used in nursing care, and propose “Body language in nursing care” as an analytical category for nursing communication.

    Method:

    quantitative research with the systematic observation of 21:43 care situations, with 21 members representing the nursing teams of two hospitals. Empirical categories: sound, facial, eye and body expressions.

    Results:

    sound expressions emphasized laughter. Facial expressions communicated satisfaction and happiness. Eye contact with members stood out in visual expressions. The most frequent body expressions were head movements and indistinct touches.

    Conclusion:

    nursing care team members use body language to establish rapport with patients, clarify their needs and plan care. The study classifi ed body language characteristics of humanized care, which involves, in addition to technical, non-technical issues arising from nursing communication.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Body language in health care: a contribution to nursing communication
  • 06-01-2015

    Health promotion in supplementary health care: outsourcing, microregulation and implications for care

    Revista Brasileira de Enfermagem. 2015;68(3):482-489

    Abstract

    Health promotion in supplementary health care: outsourcing, microregulation and implications for care

    Revista Brasileira de Enfermagem. 2015;68(3):482-489

    DOI 10.1590/0034-7167.2015680315i

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    ABSTRACT

    Objective:

    to analyze health promotion programs in the supplementary health care.

    Methods:

    This was a multiple case study with a qualitative approach whose data were obtained from interviews with coordinators of providers contracted by the corporations of health insurance plans in Belo Horizonte, Minas Gerais. The data were submitted to Critical Discourse Analysis.

    Results:

    Home care has been described as the main action in the fi eld of health promotion transferred to the providers, followed by management of patients and cases, and the health education.groups. The existence of health promotion principles is questionable in all programs. Outsourcing is marked by a process with a division between cost and care management. Implications of this process occur within admission and interventions on the needs of the benefi ciaries.

    Conclusions:

    Statements revealed rationalization of cost, restructuring of work, and reproduction of the dominant logic of capital accumulation by the health insurance companies.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health promotion in supplementary health care: outsourcing, microregulation and implications for care
  • 06-01-2015

    Drug addicts treatment motivations: perception of family members

    Revista Brasileira de Enfermagem. 2015;68(3):474-481

    Abstract

    Drug addicts treatment motivations: perception of family members

    Revista Brasileira de Enfermagem. 2015;68(3):474-481

    DOI 10.1590/0034-7167.2015680314i

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    ABSTRACT

    Objective:

    to identify the reasons and motivations why family members search treatment for the drug addicted.

    Method:

    descriptive qualitative research, developed in 2012 and 2013, in a Drug Addicts Rehabilitation Unit of Parana State, Brazil. A total of 19 semi-structured interviews were conducted with the drug addicts’ family members in treatment. The results were analyzed based on the Transtheoretical Model of Behavior Change and organized in thematic categories according with qualitative data analysis.

    Results:

    the search for treatment for drug addicts occurred: in the pre-contemplation stage infl uenced by external factors; in the contemplation stage both for ambivalence and behavioral changes needs; in the action stage by awareness of drug addiction and also professional help needs; and in the maintenance stage because of the non-conservation of behavioral changes.

    Conclusion:

    an evaluation of motivational stages in the beginning of treatment is required for expansion of success possibilities in the rehabilitation process.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-01-2015

    Gateway to the diagnosis of tuberculosis among elders in Brazilian municipalities

    Revista Brasileira de Enfermagem. 2015;68(3):467-473

    Abstract

    Gateway to the diagnosis of tuberculosis among elders in Brazilian municipalities

    Revista Brasileira de Enfermagem. 2015;68(3):467-473

    DOI 10.1590/0034-7167.2015680313i

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    ABSTRACT

    Objective:

    to analyze the factors associated with the gateway of the health systems of Brazilian municipalities for the diagnosis of tuberculosis in older people.

    Method:

    survey study type, with a sample of 91 elders, in a population with 706 cases of tuberculosis. Data were collected by means of an instrument based on the Primary Care Assessment Tool (PCAT) adapted for tuberculosis care, emphasizing the gateway variable. Variables were categorized and compared between primary health care (PHC) and specialized care (SC) services. Bivariate analysis and the Chi-square association test were used.

    Results:

    a statistically signifi cant association (p = 0.0001) was found between the fi rst health service sought and the unit that diagnosed tuberculosis, showing better performance of specialized care services in the diagnosis.

    Conclusion:

    it is necessary to improve primary health care services to tackle delayed diagnosis of tuberculosis in older people.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • EXPERIENCE REPORT01-01-2018

    Clinical and epidemiological teaching of dengue through simulated practice

    Revista Brasileira de Enfermagem. 2018;71(2):451-456

    Abstract

    EXPERIENCE REPORT

    Clinical and epidemiological teaching of dengue through simulated practice

    Revista Brasileira de Enfermagem. 2018;71(2):451-456

    DOI 10.1590/0034-7167-2016-0503

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    ABSTRACT

    Objective:

    to describe the experience of clinical teaching on dengue and the practice of epidemiological surveillance using problematization methodology.

    Method:

    report of experience on educational activity with undergraduate nursing students, held in March 2016, at a public university in the city of São Paulo, conceived in four stages: dialogic lecture, active search of Aedes aegypti, case study and simulation of nursing consultation to individuals with dengue.

    Results:

    The activity allowed to retrieve previous knowledge about the disease, respond to exercises that addressed different clinical situations and epidemiological surveillance, including in situ evaluation of possible mosquito outbreaks, and discuss the need to expand prevention and health of the individual and the community, the impact of the media in the dissemination of cases and the coping difficulties experienced in the different levels of attention.

    Conclusion:

    the methodology adopted enabled qualified training of students to cope with dengue.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Clinical and epidemiological teaching of dengue through simulated practice
  • ORIGINAL ARTICLE07-18-2022

    Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization

    Revista Brasileira de Enfermagem. 2022;75(6):e20210546

    Abstract

    ORIGINAL ARTICLE

    Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization

    Revista Brasileira de Enfermagem. 2022;75(6):e20210546

    DOI 10.1590/0034-7167-2021-0546

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    ABSTRACT

    Objective:

    Understand the beliefs, knowledge, and actions of nursing technicians on breastfeeding as a form of non-pharmacological intervention to relieve pain in newborns and infants during immunization.

    Methods:

    Qualitative study carried out through semi-structured interviews with nine nursing technicians from three Basic Health Units in a city in the state of São Paulo. The theoretical approach of the Belief Model and the methodological framework of Thematic Analysis supported this study.

    Results:

    Three themes originated: Beliefs, Knowledge, and Actions of nursing technicians.

    Final considerations:

    Despite knowledge about the benefits of breastfeeding as the most effective method for relieving pain in newborns and infants during vaccination, their restrictive beliefs overrode the evidence, leading them to act in ways that discourage or prevent the mother from breastfeed during vaccination. Formal training is recommended to align with current evidence-based practices.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW12-08-2023

    Educational technologies for accident prevention due to falls in childhood: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20220807

    Abstract

    REVIEW

    Educational technologies for accident prevention due to falls in childhood: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20220807

    DOI 10.1590/0034-7167-2022-0807

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    ABSTRACT

    Objectives:

    to map evidence on educational technology use for accident prevention due to falls in childhood.

    Methods:

    a scoping review, carried out in October and November 2022, in the MEDLINE, Web of Science, BDENF and CINAHL databases and LILACS bibliographic index. There was no delimitation of language or time. Data were extracted and analyzed descriptively by two independent researchers. The research protocol was registered in the Open Science Framework.

    Results:

    twenty-six studies were selected. Booklets, pamphlets and leaflets were the most used technologies, presenting health services as the most frequent environment to develop research on fall prevention. The technologies developed were important outcomes: increased knowledge of children, family members, caregivers, health and education professionals.

    Conclusions:

    educational technology use makes it possible to increase knowledge, adopt safe practices and reduce falls.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Educational technologies for accident prevention due to falls in childhood: a scoping review
  • REVIEW03-15-2024

    Resources for health literacy among caregivers of prematurely born children: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230062

    Abstract

    REVIEW

    Resources for health literacy among caregivers of prematurely born children: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230062

    DOI 10.1590/0034-7167-2023-0062

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    ABSTRACT

    Objectives:

    to map the available evidence on resources used to promote health literacy among caregivers of prematurely born children during outpatient follow-up.

    Methods:

    the Joanna Briggs Institute’s scope review protocol was utilized. The search encompassed six databases, incorporating studies from 2012 to 2022.

    Results:

    the three included publications revealed that the resources employed are: mobile applications, phone calls, individual counseling, videos, educational pamphlets, and group discussions. Implementing an education protocol during the transition home enhances scientifically grounded health promotion rates.

    Conclusions:

    there is limited literature addressing the health literacy of these caregivers. The nursing team plays a crucial role in health education and in developing resources applicable to these families.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Resources for health literacy among caregivers of prematurely born children: a scoping review
  • ORIGINAL ARTICLE01-13-2024

    Social representations of oncologic surgery for patients with cancer

    Revista Brasileira de Enfermagem. 2024;77(6):e20230273

    Abstract

    ORIGINAL ARTICLE

    Social representations of oncologic surgery for patients with cancer

    Revista Brasileira de Enfermagem. 2024;77(6):e20230273

    DOI 10.1590/0034-7167-2023-0273

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    ABSTRACT

    Objectives:

    to analyze the social representations of patients with cancer regarding oncologic surgery.

    Methods:

    a qualitative study based on Social Representation Theory was conducted with 126 participants between October 2021 and May 2022 in a public hospital in Rio de Janeiro. A characterization questionnaire, free evocations of the inducing term “surgery”, and semi-structured interviews with 60 participants were applied. Data were analyzed using Microsoft Excel® and IRaMuTeQ.

    Results:

    the central core of the representation is composed of fear, cure, hope, and removing the disease. The analysis of interviews resulted in six classes that highlight the social changes caused by treatment as well as the need for a support network to cope with the surgical process.

    Final Considerations:

    the representations reflect fear and hope towards the procedure and the desire to remove the disease, thus translating the cure through surgery.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Social representations of oncologic surgery for patients with cancer
  • ORIGINAL ARTICLE01-13-2024

    Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension

    Revista Brasileira de Enfermagem. 2024;77(6):e20230481

    Abstract

    ORIGINAL ARTICLE

    Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension

    Revista Brasileira de Enfermagem. 2024;77(6):e20230481

    DOI 10.1590/0034-7167-2023-0481

    Views3

    ABSTRACT

    Objectives:

    to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care.

    Methods:

    this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis.

    Results:

    according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges.

    Final Considerations:

    the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ERRATUM01-13-2024

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08

    DOI 10.1590/0034-7167.20247706e08

    Views2
    In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1:Where it read:[…]
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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-29-2022

    Palliative care production for health professionals in the context of home care

    Revista Brasileira de Enfermagem. 2022;75(1):e20210030

    Abstract

    ORIGINAL ARTICLE

    Palliative care production for health professionals in the context of home care

    Revista Brasileira de Enfermagem. 2022;75(1):e20210030

    DOI 10.1590/0034-7167-2021-0030

    Views1

    ABSTRACT

    Objectives:

    to analyze palliative care production developed by health professionals to home care patients.

    Methods:

    this is an exploratory study, with a qualitative approach, using the transpersonal care theoretical framework. Thirteen interviews were conducted with health professionals and 18 observations were conducted on different cases. Content analysis was performed using MAXQDA©.

    Results:

    actions performed: maintenance and follow-up measures to people eligible for palliative care, in acts of dialogue and “listening” to caregivers and users, conducting guidelines for the care and self-care process, performing technical procedures, delivery of materials, referrals and medical prescriptions to users.

    Final Considerations:

    it is perceived the need for advances in the implementation of government policies in Brazil that insert palliative care into the Health Care Network through educational, managerial and care actions that ensure human dignity, thus allowing the development of these and other palliative care interventions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE07-13-2020

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    Abstract

    ORIGINAL ARTICLE

    Mental health of nursing in coping with COVID-19 at a regional university hospital

    Revista Brasileira de Enfermagem. 2020;73:e20200434

    DOI 10.1590/0034-7167-2020-0434

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    ABSTRACT

    Objective:

    to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

    Methods:

    a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

    Results:

    there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

    Conclusion:

    we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION04-22-2020

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    Abstract

    REFLECTION

    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health

    Revista Brasileira de Enfermagem. 2020;73(3):e20190250

    DOI 10.1590/0034-7167-2019-0250

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    ABSTRACT

    Objective:

    to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

    Method:

    It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

    Results:

    historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

    Final considerations:

    The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
  • REFLECTION10-26-2020

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    Abstract

    REFLECTION

    Nursing education: challenges and perspectives in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200683

    DOI 10.1590/0034-7167-2020-0683

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    ABSTRACT

    Objective:

    To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

    Methods:

    Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

    Results:

    Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

    Final considerations:

    The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-13-2020

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200673

    DOI 10.1590/0034-7167-2020-0673

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    ABSTRACT

    Objective:

    To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

    Methods:

    Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

    Results:

    In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

    Conclusion:

    Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE02-27-2020

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    Abstract

    ORIGINAL ARTICLE

    Prevalence of symptoms and quality of life of cancer patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180287

    DOI 10.1590/0034-7167-2018-0287

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    ABSTRACT

    Objectives:

    to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

    Methods:

    this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

    Results:

    prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

    Conclusions:

    fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-10-2020

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    Abstract

    ORIGINAL ARTICLE

    Braden Scale in pressure ulcer risk assessment

    Revista Brasileira de Enfermagem. 2020;73(6):e20190413

    DOI 10.1590/0034-7167-2019-0413

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    ABSTRACT

    Objective:

    To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

    Methods:

    A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

    Results:

    The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

    Conclusion:

    The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW03-24-2021

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    Abstract

    REVIEW

    Strategies of active learning methodologies in nursing education: an integrative literature review

    Revista Brasileira de Enfermagem. 2021;74(1):e20200130

    DOI 10.1590/0034-7167-2020-0130

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    ABSTRACT

    Objectives:

    to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

    Methods:

    integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

    Results:

    among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

    Final Considerations:

    the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-16-2019

    Validation of educational booklet: an educational technology in dengue prevention

    Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

    Abstract

    ORIGINAL ARTICLE

    Validation of educational booklet: an educational technology in dengue prevention

    Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

    DOI 10.1590/0034-7167-2018-0771

    Views0

    ABSTRACT

    Objective:

    to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population.

    Method:

    methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out.

    Results:

    the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization.

    Conclusion:

    the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.

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

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