Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    Abstract

    ORIGINAL ARTICLE

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    DOI 10.1590/0034-7167-2023-0129

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    ABSTRACT

    Objectives:

    to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.

    Methods:

    this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.

    Results:

    limitations in physical infrastructure and management of care, along with the women’s limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.

    Final Considerations:

    childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.

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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.
  • 12-16-2024

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    Abstract

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    DOI 10.1590/0034-7167-2024-0217es

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    RESUMEN

    Objetivos:

    analizar la relación entre religión y experiencia profesional con la inteligencia espiritual en enfermeros.

    Métodos:

    estudio transversal y analítico realizado en 2021, participaron 544 profesionales de enfermería que laboraban en establecimiento de salud de Perú durante la pandemia por COVID-19. Para el análisis de los datos se emplearon el análisis de regresión múltiple y correlación de Pearson.

    Resultados:

    en los enfermeros predominó un nivel de inteligencia espiritual saludable (42,8%). Quienes no profesaban una religión tenían mayor probabilidad de tener menor puntaje de inteligencia espiritual (escala global y dimensiones); sin embargo, los enfermeros expertos tuvieron mayor probabilidad de tener mayor inteligencia espiritual (escala global y dimensiones) que los enfermeros novatos (p<0,05).

    Conclusiones:

    la inteligencia espiritual en los enfermeros fue predicha por la religión y la experiencia profesional. Este hallazgo sugiere que la inteligencia espiritual en enfermería se consolida mediante prácticas religiosas y durante el ejercicio profesional.

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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.
  • 12-16-2024

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    Abstract

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    DOI 10.1590/0034-7167-2022-0615

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    RESUMEN

    Objetivos:

    identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.

    Métodos:

    se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.

    Resultados:

    la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.

    Conclusiones:

    los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.

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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 ARTICLE12-16-2024

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    Abstract

    ORIGINAL ARTICLE

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    DOI 10.1590/0034-7167-2023-0183

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    ABSTRACT

    Objectives:

    to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.

    Methods:

    a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.

    Results:

    the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.

    Conclusions:

    the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future 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.
    Bladder ultrasound: evidence of content validity of a checklist for training nurses
  • ORIGINAL ARTICLE12-16-2024

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    Abstract

    ORIGINAL ARTICLE

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    DOI 10.1590/0034-7167-2023-0186

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    ABSTRACT

    Objectives:

    to understand the nursing team’s perception in relation to the care provided to pregnant women with mental disorders admitted to a psychiatric hospital unit.

    Methods:

    Convergent Care Research carried out between August and December 2021, through semi-structured interviews with 25 nursing professionals from a Psychiatric Unit from a reference Hospital in Southern Brazil.

    Results:

    the organized and analyzed data resulted in two thematic categories: Technical, generic and impersonal care; and From impersonality to the singularity of nursing care. Ensuring unique care for pregnant women with mental disorders means giving them a meaning of existence and providing care from a multidimensional and continuous perspective.

    Final Considerations:

    nursing care for pregnant women in psychiatric hospitalization requires continuous professional qualification, interactive technologies and support for the nursing process, in addition to promoting singular and multidimensional care.

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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 ARTICLE12-16-2024

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    Abstract

    ORIGINAL ARTICLE

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    DOI 10.1590/0034-7167-2023-0315

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    ABSTRACT

    Objectives:

    to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.

    Methods:

    a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.

    Results:

    the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.

    Conclusions:

    the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.

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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 nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
  • ORIGINAL ARTICLE12-16-2024

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    Abstract

    ORIGINAL ARTICLE

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    DOI 10.1590/0034-7167-2023-0304

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    ABSTRACT

    Objectives:

    to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.

    Methods:

    a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.

    Results:

    a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).

    Conclusions:

    a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.

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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.
    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
  • ORIGINAL ARTICLE12-16-2024

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    Abstract

    ORIGINAL ARTICLE

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    DOI 10.1590/0034-7167-2023-0237

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    RESUMO

    Objetivos:

    verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.

    Métodos:

    estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.

    Resultados:

    participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).

    Conclusões:

    prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.

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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.

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