Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    Linhas de pesquisa em enfermagem: destaques filosóficos e epistemológicos

    Revista Brasileira de Enfermagem. 2015;68(4):723-729

    Abstract

    Linhas de pesquisa em enfermagem: destaques filosóficos e epistemológicos

    Revista Brasileira de Enfermagem. 2015;68(4):723-729

    DOI 10.1590/0034-7167.2015680421p

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    RESUMO

    Objetivo:

    elucidar destaques filosóficos e epistemológicos mediante considerações significativas, essenciais, em favor da causalidade de questões no interesse da Enfermagem.

    Método:

    abordagem fundamentada nas proposições teóricas de Johannes Hessen, com referência a outros autores expertos no tema.

    Resultados:

    esclarecimento de aspectos substantivos e implicações adjetivas não só no interesse da investigação, ressaltando os significados essenciais do assunto, condizente com as elaborações de dissertações de mestrado e teses de doutorado de Enfermagem.

    Conclusão:

    trata-se de uma contribuição valiosa para esclarecer melhor detalhes da construção do conhecimento na temática e problemática do assunto posto em causa, as linhas de pesquisa em enfermagem.

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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.
    Linhas de pesquisa em enfermagem: destaques filosóficos e epistemológicos
  • 01-01-2015

    Research lines in nursing: phylosophical and epistemological highlights

    Revista Brasileira de Enfermagem. 2015;68(4):723-729

    Abstract

    Research lines in nursing: phylosophical and epistemological highlights

    Revista Brasileira de Enfermagem. 2015;68(4):723-729

    DOI 10.1590/0034-7167.2015680421p

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    RESUMEN

    Objetivo:

    elucidar destaques filosóficos y epistemológicos mediante consideraciones en favor de la casualidad de cuestiones en el interés de la Enfermería.

    Método:

    es fundamentado en las proposiciones teóricas de Johannes Hessen y de otros autores consagrados.

    Resultados:

    clareamiento de aspectos sustantivo e implicaciones adjetivas no sólo el interés de la investigación, resaltando los significados esenciales del asunto coincidido con las elaboraciones de disertaciones y tesis (Maestría y Doctorado de Enfermería).

    Conclusión:

    texto representa una contribución valiosa para esclarecer mejor detalles de la construcción del conocimiento en la temática y problemática del asunto puesto en causa.

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

    Using the theory of meaningful learning in nursing education

    Revista Brasileira de Enfermagem. 2015;68(4):713-722

    Abstract

    Using the theory of meaningful learning in nursing education

    Revista Brasileira de Enfermagem. 2015;68(4):713-722

    DOI 10.1590/0034-7167.2015680420i

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    ABSTRACT

    Objective:

    to synthesize the scientific literature about the Theory of Meaningful Learning in the process of teaching and learning in nursing.

    Method:

    this is an integrative review conducted in the databases MEDLINE, LILACS, SciELO, BDENF and CINAHL with studies addressing the subject or aspects of the theory of meaningful learning of David Ausubel. Ten studies were included, from which six were written in Portuguese and four in English, published from 1998 to 2013.

    Results:

    five studies used the theory of meaningful learning, four studies cited Ausubel as the author of this theory and only two studies followed the framework for the application of the theory completely. There are only a few studies on this subject and those which explore it are not correlated with Ausubel’s theory.

    Conclusion:

    it is necessary to break with the dichotomy between theory and practice and promote the articulation of content with action, introducing the student as the author of their own knowledge.

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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.
    Using the theory of meaningful learning in nursing education
  • 01-01-2015

    Nursing scientific production on health promotion, chronic condition, and aging

    Revista Brasileira de Enfermagem. 2015;68(4):705-712

    Abstract

    Nursing scientific production on health promotion, chronic condition, and aging

    Revista Brasileira de Enfermagem. 2015;68(4):705-712

    DOI 10.1590/0034-7167.2015680419i

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    ABSTRACT

    Objective:

    to characterize the scientific production of Postgraduate Programs Nursing in Brazil on health promotion with a focus on elderly people with chronic conditions in the period from 2006 to 2010.

    Method:

    integrative research developed by searching for dissertations and theses in the database of the Center for Nursing Studies and Research of the Brazilian Nursing Association published in the period from 2006 to 2010 and which focused on health promotion for elderly people with chronic conditions.

    Results:

    five themes emerged: “Living with the disease”; “Technologies of care”, “Potential for self-care” “Psycho-spiritual dimension”, and “Family caregiver”.

    Conclusion:

    it was possible to identify nursing care as a key element to promote the health of elderly people and make them more independent in their care so as to live with their limitations or disabilities, even when affected by chronic diseases.

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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 scientific production on health promotion, chronic condition, and aging
  • 01-01-2015

    Longevity according to life histories of the oldest-old

    Revista Brasileira de Enfermagem. 2015;68(4):697-704

    Abstract

    Longevity according to life histories of the oldest-old

    Revista Brasileira de Enfermagem. 2015;68(4):697-704

    DOI 10.1590/0034-7167.2015680418i

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    ABSTRACT

    Objective:

    to interpret life histories of the oldest-old in a community, grounded on the perspective of the Active Aging and Life Course.

    Method:

    this is a qualitative research. Participants included twenty seniors 80 years and older, users of a Basic Health Unit. Life histories were collected and analyzed according to the proposition of the Autobiographical Narrative Interview.

    Results:

    during the analytic process, elements found in the elders’ present and past arose, contributing to the development of a theoretical model: “Building longevity along the life course.”

    Conclusion:

    longevity is rooted in the past, strongly infl uenced by the family culture and life course; assumptions of the Active Aging are more meaningful in the informants’ present trajectory. The content of the narratives pointed to new possibilities of Gerontology Nursing intervention in Primary Care, aiming at health promotion and intervention, specially grounded on the respect to the oldest-elders’ culture.

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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.
    Longevity according to life histories of the oldest-old
  • 01-01-2015

    Accuracy in inference of nursing diagnoses in heart failure patients

    Revista Brasileira de Enfermagem. 2015;68(4):690-696

    Abstract

    Accuracy in inference of nursing diagnoses in heart failure patients

    Revista Brasileira de Enfermagem. 2015;68(4):690-696

    DOI 10.1590/0034-7167.2015680417i

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    ABSTRACT

    Objective:

    to determine the accuracy of nursing diagnoses of fatigue, intolerance to activity and decreased cardiac output in hospitalized HF patients.

    Method:

    descriptive study applied to nurses with experience in NANDA-I and/or HF nursing diagnoses. Evaluation and accuracy were determined by calculating effi cacy (E), false negative (FN), false positive (FP) and trend (T) measures. Nurses who showed acceptable inspection for two diagnoses were selected.

    Results:

    the nursing diagnosis of fatigue was the most commonly mistaken diagnosis identifi ed by the nursing evaluators.

    Discussion:

    the search for improving diagnostic accuracy reaffi rms the need for continuous and specifi c training to improve the diagnosis capability of nurses.

    Conclusion:

    the training allowed the exercise of clinical judgment and better accuracy of nurses.

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

    Direct cost of development and documentation of the nursing process

    Revista Brasileira de Enfermagem. 2015;68(4):683-689

    Abstract

    Direct cost of development and documentation of the nursing process

    Revista Brasileira de Enfermagem. 2015;68(4):683-689

    DOI 10.1590/0034-7167.2015680416i

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    ABSTRACT

    Objective:

    identify the average direct cost (ADC) of the activities performed by nursing professionals in the nursing process development and documentation at the medical clinic of a teaching hospital.

    Method:

    1040 activities were observed and the ADC was calculated by multiplying the time spent by professionals by the unit cost of direct labor.

    Results:

    the ADC of patient admission was R$ 55.57 (SD=19.44); among the activities of patient follow-up, the assessment phase documentation had the most significant ADC (R$ 17.70 – SD=14.60); the ADC of descriptive records corresponded to R$ 1.21 (SD=1.21) and the ADC of the nursing team for shift change was R$ 54.23 (SD=28.95).

    Conclusion:

    the study promotes visibility of the work performed by nursing professionals in the development of the nursing process, providing financial data to ensure consistent arguments for proper resources to its feasibility.

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

    Health status and mental health in patients after percutaneous coronary intervention

    Revista Brasileira de Enfermagem. 2015;68(4):676-682

    Abstract

    Health status and mental health in patients after percutaneous coronary intervention

    Revista Brasileira de Enfermagem. 2015;68(4):676-682

    DOI 10.1590/0034-7167.2015680415i

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    ABSTRACT

    Objective:

    to assess the association between perceived health status and the mental health of patients submitted to percutaneous coronary intervention after hospital discharge.

    Method:

    a quantitative and cross-sectional study involving 101 participants. The following instruments were used: a sociodemographic and clinical characterization instrument, the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and the Hospital Anxiety and Depression Scale (HADS). Participants were divided into three groups: no anxiety and no depression (G1); anxiety or depression (G2); and both (G3). The ANOVA test was used for the intergroup comparison of means on the SF-36 domains.

    Results:

    There was an association between perceived health status and mental health. The participants in G1 presented higher scores in all SF-36 domains in comparison with participants in G2 and G3.

    Conclusion:

    Participants with no anxiety and depression presented better-perceived health status in comparison with those with anxiety or depression, or both.

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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.

  • REVIEW06-17-2020

    The role of the nurse in caring for the critical patient with sepsis

    Revista Brasileira de Enfermagem. 2020;73(4):e20190031

    Abstract

    REVIEW

    The role of the nurse in caring for the critical patient with sepsis

    Revista Brasileira de Enfermagem. 2020;73(4):e20190031

    DOI 10.1590/0034-7167-2019-0031

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    ABSTRACT

    Objectives:

    to know the nursing interventions in the identification, prevention and control of sepsis in critical patients.

    Methods:

    integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO database and Google Scholar. Nine studies were included in the sample.

    Results:

    nursing interventions are centered on the creation/implementation of protocols for the early recognition of sepsis, the training of teams to ensure a safe and effective approach and the adoption of measures for infection prevention and control as a way to prevent sepsis.

    Final Considerations:

    the evidence shows that nurses are fundamental in the early identification, control and prevention of sepsis, preventing disease progression and contributing to decreased morbidity and mortality.

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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.
    The role of the nurse in caring for the critical patient with sepsis
  • ORIGINAL ARTICLE02-10-2020

    Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort

    Revista Brasileira de Enfermagem. 2020;73(1):e20180162

    Abstract

    ORIGINAL ARTICLE

    Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort

    Revista Brasileira de Enfermagem. 2020;73(1):e20180162

    DOI 10.1590/0034-7167-2018-0162

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    ABSTRACT

    Objective:

    To describe the association between common mental disorders and socio-demographic variables, smoking habits and stressful events among the 30-year-old members of a 1982 cohort.

    Method:

    Mental disorder was analyzed by the Self-Reporting Questionnaire (SRQ-20). Poisson regression was used to analyze the unadjusted and adjusted associations.

    Results:

    Low level of education and stressful events increased the prevalence of mental disorders for both genders. Lower income for women and unemployment for men also remained associated with CMD.

    Conclusion:

    It was possible to describe the association between contemporary factors and mental disorders in a young population, to which prevention and control measures, through public policies proposed to the areas of Primary Care, Mental Health and Education, can represent a better quality of life and health.

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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 ARTICLE09-21-2020

    Prevalence of xerostomia in women during breast cancer chemotherapy

    Revista Brasileira de Enfermagem. 2020;73:e20190785

    Abstract

    ORIGINAL ARTICLE

    Prevalence of xerostomia in women during breast cancer chemotherapy

    Revista Brasileira de Enfermagem. 2020;73:e20190785

    DOI 10.1590/0034-7167-2019-0785

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    ABSTRACT

    Objective:

    To identify the prevalence of xerostomia in women undergoing chemotherapy for breast cancer.

    Method:

    Prospective cohort with 27 women who underwent up to 16 sessions of intravenous chemotherapy. Data collection was performed at the outpatient clinic of a university hospital in the city of São Paulo, where two forms were applied before the start of treatment and the Xerostomia Inventory before and after each chemotherapy session.

    Results:

    Complaints of dry mouth were present in 48.1% of women before chemotherapy, and they were approximately 28 times more likely to develop dry mouth during treatment. It was observed that the use of antiemetics contributed to the occurrence of xerostomia, and the anti-ulcerous were presented as a protective factor.

    Conclusion:

    The study identified both a high prevalence of xerostomia regardless of the chemotherapy used and the need to create protocols to improve the quality of life of these 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.
  • ORIGINAL ARTICLE12-13-2019

    Hammock and nesting in preterm infants: randomized controlled trial

    Revista Brasileira de Enfermagem. 2019;72:96-102

    Abstract

    ORIGINAL ARTICLE

    Hammock and nesting in preterm infants: randomized controlled trial

    Revista Brasileira de Enfermagem. 2019;72:96-102

    DOI 10.1590/0034-7167-2018-0099

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    ABSTRACT

    Objective:

    To compare the physiological variables and the sleep-wake pattern presented by preterm in nesting and hammock positions after diaper change.

    Method:

    This is a crossover randomized controlled trial. It was conducted with 20 preterm infants who, after diaper change, were placed in nests or hammocks. These preterm infants were evaluated for physiological variables (heart rate and oxygen saturation) and behavioral variables (sleep and wakefulness).

    Results:

    There was no statistically significant difference in the studied variables between nesting and hammock positions. However, regarding the categorical variable sleep, the comparison between the research phases for the hammock position showed differences between the baseline phase and the immediate recovery (p=0.00), baseline and late recovery (p=0.00), response and immediate recovery (p=0.00), response and late recovery (p=0.00).

    Conclusion:

    No differences were identified between the nest and the hammock; however, the use of the hammock favored the sleep of preterm infants compared to its non-use.

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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.
    Hammock and nesting in preterm infants: randomized controlled trial
  • ORIGINAL ARTICLE05-15-2020

    Configuration of power relations in physicians and nurses’ professional practices

    Revista Brasileira de Enfermagem. 2020;73:e20180629

    Abstract

    ORIGINAL ARTICLE

    Configuration of power relations in physicians and nurses’ professional practices

    Revista Brasileira de Enfermagem. 2020;73:e20180629

    DOI 10.1590/0034-7167-2018-0629

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    ABSTRACT

    Objective:

    to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU).

    Method:

    qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective.

    Results:

    three categories were developed – Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices.

    Final considerations:

    the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.

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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.
  • REVIEW03-30-2020

    Internet influence on the biopsychosocial health of adolescents: an integratitive review

    Revista Brasileira de Enfermagem. 2020;73(2):e20180766

    Abstract

    REVIEW

    Internet influence on the biopsychosocial health of adolescents: an integratitive review

    Revista Brasileira de Enfermagem. 2020;73(2):e20180766

    DOI 10.1590/0034-7167-2018-0766

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    ABSTRACT

    Objectives:

    To identify scientific evidence on the influence of internet use on adolescents’ biopsychosocial health.

    Methods:

    Integrative review, with database search, using the descriptors “internet”, “adolescent health” and “adolescent behavior”. After applying the inclusion and exclusion criteria, 16 articles were selected.

    Results:

    Knowledge convergence produced for three main themes was demonstrated: “Internet exposure time and possible damages to adolescent health”; “Internet, adolescent and cyberbullying”; and “Internet as a source of information for adolescent health”.

    Final considerations:

    The network involves an intricate network of interactions, providing varied behaviors and attitudes that reflect on adolescent health. Therefore, it is important to articulate nursing actions with the school community and the family, in order to carry out health education.

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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.
    Internet influence on the biopsychosocial health of adolescents: an integratitive review
  • ORIGINAL ARTICLE02-17-2020

    Analysis of records by nursing technicians and nurses in medical records

    Revista Brasileira de Enfermagem. 2020;73(2):e20180542

    Abstract

    ORIGINAL ARTICLE

    Analysis of records by nursing technicians and nurses in medical records

    Revista Brasileira de Enfermagem. 2020;73(2):e20180542

    DOI 10.1590/0034-7167-2018-0542

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    ABSTRACT

    Objectives:

    to analyze the main non-conformities of the nursing records of a public hospital in Natal, Brazil.

    Methods:

    this is a descriptive, cross-sectional study, with a quantitative approach. This study was conducted in nursing departments of medical and surgical wards. The sample was composed of 120 medical records of inpatients between October and December 2016. The obtained data were tabulated and analyzed by simple statistics in absolute and relative frequency using the 2013 Microsoft Excel software. The Pareto Diagram was used to evaluate the non-conformities of the records.

    Results:

    the main problems in the nursing records were the absence of the professional category and the nursing council number, responsible for 41.8% of the non-conformities in the records of nursing technicians; for nurses’ records, the main non-conformities were the absence of time and the illegible handwriting, with 61.2%.

    Conclusions:

    the study showed that nursing professionals perform their records incompletely and often do not document the care provided.

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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.
    Analysis of records by nursing technicians and nurses in medical records
  • 12-05-2019

    Hospital care and urinary incontinence in the elderly

    Revista Brasileira de Enfermagem. 2019;72:284-293

    Abstract

    Hospital care and urinary incontinence in the elderly

    Revista Brasileira de Enfermagem. 2019;72:284-293

    DOI 10.1590/0034-7167-2018-0273

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    ABSTRACT

    Objective:

    to identify factors inherent in hospital care that favor urinary incontinence in the elderly.

    Method:

    an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model.

    Results:

    13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly.

    Conclusion:

    modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.

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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.
    Hospital care and urinary incontinence in the elderly

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