Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    Epistemology of nursing care: a reflection on its foundations

    Revista Brasileira de Enfermagem. 2016;69(6):1240-1245

    Abstract

    Epistemology of nursing care: a reflection on its foundations

    Revista Brasileira de Enfermagem. 2016;69(6):1240-1245

    DOI 10.1590/0034-7167-2016-0331

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    ABSTRACT

    Objective:

    to reflect on nursing care and its epistemology from its historical, theoretical, philosophical, spiritual dimensions and as a social practice.

    Method:

    discussions originated in the discipline “Epistemology of caring”, from the graduate nursing program of the School of Nursing, Federal University of Minas Gerais, and in critical analysis of nursing literature together with the professional practice of the authors.

    Results:

    we identified the necessity of developing a critical conscience on health care provision, research, and teaching, as well as on challenges in maintaining high standards of working interpersonal relationships, which has a profound impact on population health.

    Conclusion:

    we suggest the rescue of integrality, humanization, unity, and spirituality in researches and practices of individual, familiar, and community care, as an advance in incorporating epistemology of caring in nursing.

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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.
  • 01-01-2016

    Health needs and nursing care

    Revista Brasileira de Enfermagem. 2016;69(6):1236-1239

    Abstract

    Health needs and nursing care

    Revista Brasileira de Enfermagem. 2016;69(6):1236-1239

    DOI 10.1590/0034-7167-2016-0128

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    ABSTRACT

    Objective:

    to present the concept of needs according to different approaches to discuss the possibility of health care that incorporates a broader view of human vulnerabilities in health services.

    Methods:

    the arguments are founded on nursing theorists who worked on the construction of frameworks relevant to care, based on needs and on philosophers who show the possibility of identifying the vulnerabilities of human beings, defending art as a therapeutic instrument that can promote health care.

    Conclusion:

    although care can acquire a new dimension with the introduction of art, according to certain perspectives, philosophical studies on ethics and aesthetics should be resumed to identify human vulnerabilities that can in fact be compensated by sensible understanding of the outer world. To incorporate art in nursing care requires studies from theorists to be recovered, deepening concepts and working on empirical investigations for their adequate 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.
  • 01-01-2016

    Case studies and role play: learning strategies in nursing

    Revista Brasileira de Enfermagem. 2016;69(6):1231-1235

    Abstract

    Case studies and role play: learning strategies in nursing

    Revista Brasileira de Enfermagem. 2016;69(6):1231-1235

    DOI 10.1590/0034-7167-2016-0277

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    ABSTRACT

    Objective:

    to report professors’ experience in a public university of Southern region of Brazil using case studies and role play as learning strategies for nursing care of hospitalized adults.

    Method:

    learning experience report from the Nursing Care of Adults I class of nursing undergraduate course.

    Results

    the development of case studies and role play considered health care needs from epidemiological profile of chronic noncommunicable diseases morbidity and mortality, nursing as an assisting method, and social aspects of hospitalized individuals. Role play planning was made by creating a stage in laboratory of practices and dialogues comprising students and professors interaction.

    Conclusion

    case studies and role play encouraged students to active search for learning and brought theory closer to real health care situations.

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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.
    Case studies and role play: learning strategies in nursing
  • 01-01-2016

    Politicy of care in the criticism towards gender stereotypes

    Revista Brasileira de Enfermagem. 2016;69(6):1223-1230

    Abstract

    Politicy of care in the criticism towards gender stereotypes

    Revista Brasileira de Enfermagem. 2016;69(6):1223-1230

    DOI 10.1590/0034-7167-2016-0441

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    ABSTRACT

    Objectives:

    analyze gender inequalities among Brazilian women in Portugal and in contemporary nursing based on care politicity in the light of gender; disclose oppression of the female produced by the stereotypes that look upon women as natural caregivers; point out politicity to deconstruct gender stereotypes.

    Method:

    theoretical reflection with narrative review of literature to analyze classic references in the feminist epistemology combined with the care politicity thesis.

    Results:

    the similarities between the stereotypes of the Brazilian Eves and the Portuguese Maries as either the sexualized or sanctified nurse are inserted in the Jewish-Christian moral genealogy that reaffirms the subservience of the female to the male.

    Conclusion:

    by attaching priority to care that needs non-care to expand the possibilities of care giving, the theoretical assumption of politicy of care can contribute to subvert the stereotypical images of Brazilian women in Portuguese lands and in contemporary nursing.

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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.
  • 01-01-2016

    Strategies for thirst relief: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(6):1215-1222

    Abstract

    Strategies for thirst relief: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(6):1215-1222

    DOI 10.1590/0034-7167-2016-0317

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    ABSTRACT

    Objective:

    to analyze the strategies used to relieve the thirst of hospitalized patients.

    Method:

    an integrative review, for which the databases PubMed, LILACS, CINAHL and the group of references organized by the Group for Study and Research of Thirst were selected for the search of primary studies, with the keywords: thirst, ice, cold, intervention, nursing care, artificial saliva.

    Results:

    the review sample was composed of ten primary studies. The strategies found were: low temperature using frozen gauze, ice chips, and cold water, menthol associated with cold strategies, chewing gum, acupressure, and the use of a thin straw, substitute saliva, and early fluid ingestion.

    Conclusion:

    the temperature was presented as a predominant and effective strategy to relieve the thirst for surgical patients in intensive care and hemodialysis treatment.

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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.
    Strategies for thirst relief: integrative literature review
  • 01-01-2016

    Care of the self and power relations: female nurses taking care of other women

    Revista Brasileira de Enfermagem. 2016;69(6):1204-1214

    Abstract

    Care of the self and power relations: female nurses taking care of other women

    Revista Brasileira de Enfermagem. 2016;69(6):1204-1214

    DOI 10.1590/0034-7167-2016-0021

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    ABSTRACT

    Objective:

    to analyze the care of self of female nurses and the power relations established by them in the care of other women.

    Method:

    integrative review of literature published between 2005 and 2015. There were 25 publications in the sample.

    Results:

    qualitative state of the art with reference domain of a liberating perspective, based on humanization, autonomy and empowerment as a risk reduction strategy in the practice of care to women. The findings suggest solidified power relations among female nurses and women, focused on professional domain concentrated on nurse education under the patriarchal and society’s normalization discourse. Some studies consider the importance of understanding power in a capillary way, operating on the bodies of individuals.

    Conclusion:

    there is little discussion about the care of self of nurses and the effects on their professional practice, indicating gaps in knowledge in this field.

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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.
    Care of the self and power relations: female nurses taking care of other women
  • 01-01-2016

    Nursing competencies in promoting the health of individuals with chronic diseases

    Revista Brasileira de Enfermagem. 2016;69(6):1195-1203

    Abstract

    Nursing competencies in promoting the health of individuals with chronic diseases

    Revista Brasileira de Enfermagem. 2016;69(6):1195-1203

    DOI 10.1590/0034-7167-2016-0312

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    ABSTRACT

    Objective:

    to identify nurse’s competencies related to health promotion of individuals with chronic cardiac disease, in the light of the Galway consensus.

    Method:

    integrative literature review was conducted to search for studies published between 2010 and 2014 in the databases LILACS, BDENF, IBECS; and PubMed in February 2015. The 21 included studies were analyzed according to the eight domains of competence: Catalyzing change, Leadership, Evaluation, Planning, Implementation, Assessment, Advocacy and Partnerships.

    Results:

    all domains of competence were included in the nursing interventions in health promotion of chronic cardiac patients, and the Planning and Evaluation were the most evident competences.

    Conclusion:

    the results of this research highlighted the nurse as an agent capable of operating care management, in order to improve coordination of the latter with work and education and, thus, the health care of the population.

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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 competencies in promoting the health of individuals with chronic diseases
  • 01-01-2016

    Assisted therapy with dogs in pediatric oncology: relatives’ and nurses’ perceptions

    Revista Brasileira de Enfermagem. 2016;69(6):1188-1194

    Abstract

    Assisted therapy with dogs in pediatric oncology: relatives’ and nurses’ perceptions

    Revista Brasileira de Enfermagem. 2016;69(6):1188-1194

    DOI 10.1590/0034-7167-2016-0243

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    ABSTRACT

    Objective:

    to understand the perception of nursing staff professionals and legal guardians of children and adolescents with cancer regarding Assisted Therapy with dogs.

    Method:

    qualitative study based on participant observation conducted with 16 participants in a reference hospital of child cancer. We applied an in-depth interview and interpreted the data according to a content analysis technique.

    Results:

    the practice is admittedly beneficial to participants despite the fact they do not understand its true objectives and therapeutic applications. Participants only associate it with something distracting and entertaining without realizing the occurrence of a more complex process behind it, which comprises changes besides the emotional ones (more easily perceived).

    Conclusion:

    the perceptions of participants reinforce recommendations that can be applied in the hospital environment, also showing that the therapy in question can become an effective technology to promote the health of children and adolescents with cancer.

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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

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    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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