Articles - Revista Brasileira de Enfermagem

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01-01-2015

Social representations about religion and spirituality
Revista Brasileira de Enfermagem. 2015;68(4):609-616
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Abstract
Social representations about religion and spirituality
Revista Brasileira de Enfermagem. 2015;68(4):609-616
DOI 10.1590/0034-7167.2015680406i
Moema da Silva Borges,
Marília Borges Couto Santos,
Tiago Gomes Pinheiro
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ABSTRACT

Objective:

to identify the social representations about the concepts of spirituality and religion of of health teachers.

Method:

exploratory and descriptive study, based on a qualitative approach. 25 subjects participated in it. The following instruments were used to collect data: questionnaire to identify the profile; questionnaire of free association, whose inducing words were religion and spirituality, and an interview based on the scale FICA (Puchalski, 2006).

Results:

the representations about religion and spirituality, for professors, are forged around the faith in God and it gives them meaning and purpose to deal with the challenges of personal and professional living.

Conclusion:

there are still barriers that need to be overcome with a view to a comprehensive care. For this, it is essential to incorporate spirituality in the process in the curricula of health courses.

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01-01-2015

Prevalence and factors associated with smoking among tobacco growers in southern Brazil
Revista Brasileira de Enfermagem. 2015;68(4):603-608

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Abstract
Prevalence and factors associated with smoking among tobacco growers in southern Brazil
Revista Brasileira de Enfermagem. 2015;68(4):603-608
DOI 10.1590/0034-7167.2015680405i
Marcia Casaril dos Santos Cargnin,
Isabel Cristina Echer,
Caroline Ottobelli,
Marta Regina Cezar-Vaz,
Vanessa Monteiro Mantovani
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ABSTRACT

Objective:

identify the prevalence and factors associated with smoking in tobacco growers.

Method:

descriptive, cross-sectional research. Data collection occurred in 2012 through household survey and interviews, including application of a structured instrument and scale Fargeström.

Results:

there were 100 growers included, average age of 46,9 ± 10,8 years; 90(90%) married; 72(72%) white, average family composition 3,7±1,1 people; median number of children 3(1-3), and the average study time 6±2,5. The prevalence of smoking among tobacco growers was 17%, which had less education (p=0.010) and fewer people in the household (p=0.049).

Conclusion:

the prevalence of smoking among tobacco growers was higher than the national average, but the nicotine dependence was low, which can facilitate the smoking cessation process. Highlights the need to implement a program to control smoking among tobacco growers.

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01-01-2015

The family living the child recovery process after hospital discharge
Revista Brasileira de Enfermagem. 2015;68(4):594-602
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Abstract
The family living the child recovery process after hospital discharge
Revista Brasileira de Enfermagem. 2015;68(4):594-602
DOI 10.1590/0034-7167.2015680404i
Júlia Peres Pinto,
Myriam Aparecida Mandetta,
Circéa Amalia Ribeiro
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ABSTRACT

Objective:

to understand the meaning attributed by the family to its experience in the recovery process of a child affected by an acute disease after discharge, and to develop a theoretical model of this experience. Symbolic interactionism was adopted as a theoretical reference, and grounded theory was adopted as a methodological reference.

Method:

data were collected through interviews and participant observation with 11 families, totaling 15 interviews. A theoretical model consisting of two interactive phenomena was formulated from the analysis: Mobilizing to restore functional balance and Suffering from the possibility of a child’s readmission.

Results:

the family remains alert to identify early changes in the child’s health, in an attempt to avoid rehospitalization.

Conclusion:

the effects of the disease and hospitalization continue to manifest in family functioning, causing suffering even after the child’s discharge and recovery.

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01-01-2015

Multiprofessional residency in health: a document analysis of political pedagogical projects
Revista Brasileira de Enfermagem. 2015;68(4):586-593

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Abstract
Multiprofessional residency in health: a document analysis of political pedagogical projects
Revista Brasileira de Enfermagem. 2015;68(4):586-593
DOI 10.1590/0034-7167.2015680403i
Manoel Vieira de Miranda Neto,
Valéria Marli Leonello,
Maria Amélia de Campos Oliveira
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ABSTRACT

Objective:

To analyze MPRH political pedagogical projects (PPP) developed in the state of São Paulo and identify scenarios that are highly favorable to IPE.

Method:

This was a descriptive exploratory study conducted through document analysis.

Results:

The analysis revealed a heterogeneous scenario regarding the curricula, didactic and pedagogical organization, educational objectives, pedagogical matrices and evaluation systems employed. One of the programs was identified as providing a highly favorable setting for IPE.

Conclusion:

The analysis adequately evaluated IPE in educational settings and found a highly favorable scenario for it, identifying didactic, pedagogical, political and organizational MPRH elements.

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01-01-2015

Beliefs of older adults about their vulnerability to HIV/Aids, for the construction of nursing diagnoses
Revista Brasileira de Enfermagem. 2015;68(4):579-585
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Abstract
Beliefs of older adults about their vulnerability to HIV/Aids, for the construction of nursing diagnoses
Revista Brasileira de Enfermagem. 2015;68(4):579-585
DOI 10.1590/0034-7167.2015680402i
Greicy Kelly Gouveia Dias Bittencourt,
Maria Adelaide Silva Paredes Moreira,
Lindiane Constâncio da Silva Meira,
Maria Miriam Lima da Nóbrega,
Jordana Almeida Nogueira,
Antonia Oliveira Silva
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ABSTRACT

Objective:

to know the beliefs of older adults about their vulnerability to HIV/Aids, and to identify nursing diagnoses.

Method:

a field research implemented in Family Health Units, in João Pessoa, Brazil. The sample included 250 older adults of both genders with data collected from April to July of 2011. A Test of Free Word Association was applied using the term HIV/Aids. A content analysis and cross-mapping of the most frequent terms with the International Classification for Nursing Practice, 2011 were performed.

Results:

202 terms were identified in terms, with an overall frequency of 1156. Of the 202 terms, 16 were more frequent and were used to construct the nursing diagnoses. The diagnoses identified were knowledge about appropriate sexual behavior, ability for partial protection, fear of death and hopelessness.

Conclusion:

understanding these beliefs drew from knowledge about factors related to, vulnerability to HIV/Aids aimed at planning health care actions for this population segment.

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AUTHORS’S ANSWER01-01-2015

AUTHORS’S ANSWER
- Leonice Fumiko Sato Kurebayashi,
- Maria Júlia Paes da Silva
Revista Brasileira de Enfermagem. 2015;68(4):578-578

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Abstract
AUTHORS’S ANSWER
AUTHORS’S ANSWER
Revista Brasileira de Enfermagem. 2015;68(4):578-578
DOI 10.1590/0034-7167.20156804r
Leonice Fumiko Sato Kurebayashi,
Maria Júlia Paes da Silva
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Dear Dr Levent Tekin, Thank you very much for your relevant considerations about the manuscript.[…]
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LETTER TO THE EDITOR01-01-2015

Considerations about the manuscript published
- Levent Tekin
Revista Brasileira de Enfermagem. 2015;68(4):577-577
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Abstract
LETTER TO THE EDITOR
Considerations about the manuscript published
Revista Brasileira de Enfermagem. 2015;68(4):577-577
DOI 10.1590/0034-7167.20156804c
Levent Tekin
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Re: Chinese auriculotherapy to improve quality of life of nursing team To the Editor,[…]
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01-01-2015

A Pesquisa em Enfermagem e os novos rumos a partir do SENPE
- Eucléa Gomes Vale,
- Maria Josefina da Silva
Revista Brasileira de Enfermagem. 2015;68(4):571-572

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Abstract
A Pesquisa em Enfermagem e os novos rumos a partir do SENPE
Revista Brasileira de Enfermagem. 2015;68(4):571-572
DOI 10.1590/0034-7167.2015680401i
Eucléa Gomes Vale,
Maria Josefina da Silva
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Após quase meio século do início da pesquisa em Enfermagem no Brasil, ainda há necessidade de investimentos para considerá-la consolidada. Os seminários nacionais que discutem a investigação nesta área demonstram esta afirmação ao longo de 17 eventos, por seus resultados e participação da categoria de pesquisadores e prestadores de serviço.O 18º Seminário Nacional de Pesquisa […]
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ORIGINAL ARTICLE03-24-2021

Costs of healthcare-associated infections in an Intensive Care Unit
- Michelle Araujo Leal ,
- Ana Amélia de Freitas-Vilela
Revista Brasileira de Enfermagem. 2021;74(1):e20200275

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Abstract
ORIGINAL ARTICLE
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Michelle Araujo Leal ,
Ana Amélia de Freitas-Vilela
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ABSTRACT

Objectives:

to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.

Methods:

a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.

Results:

a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).

Conclusions:

hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.

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ORIGINAL ARTICLE03-24-2021

Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
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Abstract
ORIGINAL ARTICLE
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
DOI 10.1590/0034-7167-2020-0392
Maria de Nazaré de Souza Ribeiro ,
Fátima Helena do Espírito Santo ,
Bruna da Silva Simões ,
Cleisiane Xavier Diniz ,
Helen Cristine Albuquerque Bezerra ,
Luiz dos Santos
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ABSTRACT

Objectives:

to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process.

Methods:

qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis.

Results:

the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity.

Conclusions:

the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.

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ORIGINAL ARTICLE06-11-2021

Work at the surgical center: risks of the pathogenic suffering of the nursing team
- Rosane Lima de Araujo ,
- Cecília Helena Glanzner
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
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Abstract
ORIGINAL ARTICLE
Work at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
DOI 10.1590/0034-7167-2019-0803
Rosane Lima de Araujo ,
Cecília Helena Glanzner
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ABSTRACT

Objectives:

to assess the risks of pathogenic suffering related to the experience of nursing workers in the operating room of a university hospital.

Methods:

cross-sectional, quantitative study, carried out from 11/2017 to 01/2018 in a university hospital in the South of Brazil. The sample was composed by 159 nursing workers of the units of a surgical center, that answered to the Scale of Evaluation of Pathogenic Suffering at Work. Data was submitted to statistical analysis.

Results:

the workers present low risk of pathogenic suffering related to the experiences at work, being the results of its factors: Uselessness (1.47±0.761) – low risk; Indignity (2.372±1.035) – medium risk; and Disqualification (1.74±0.903) – low risk.

Conclusions:

the evaluation of Pathogenic Suffering at Work Scale was positive, predominating low risk for pathogenic suffering of surgical center workers related to professional experiences, because they feel useful, valued and are not indignant about their work, feelings that reflect on the quality of care provided.

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ORIGINAL ARTICLE05-21-2021

Music in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838

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Abstract
ORIGINAL ARTICLE
Music in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
DOI 10.1590/0034-7167-2019-0838
Mariana Scheidegger dos Santos ,
Filipe de Moraes Thomaz ,
Rafael Tavares Jomar ,
Angela Maria Mendes Abreu ,
Gunnar Glauco De Cunto Carelli Taets
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ABSTRACT

Objectives:

to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.

Methods:

quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.

Results:

the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.

Conclusions:

the use of music diminishes the stress and the distress of cancer patients.

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ORIGINAL ARTICLE05-21-2021

Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089

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Abstract
ORIGINAL ARTICLE
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
DOI 10.1590/0034-7167-2020-0089
Tatiane Henrique ,
Fábio Luiz Banhara ,
Natiele Favarão da Silva ,
Francely Tineli Farinha ,
Maila Meryellen Ferreira Garcia Manso ,
Armando dos Santos Trettene
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ABSTRACT

Objectives:

to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.

Methods:

cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.

Results:

48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).

Conclusions:

the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.

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ORIGINAL ARTICLE05-28-2021

The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116

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Abstract
ORIGINAL ARTICLE
The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
DOI 10.1590/0034-7167-2020-0116
Jair da Silva Melo ,
Noélle de Oliveira Freitas ,
Maíra Rosa Apostolico
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ABSTRACT

Objective:

To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.

Methods:

This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.

Results:

168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.

Final considerations:

Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.

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ORIGINAL ARTICLE05-28-2021

Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
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Abstract
ORIGINAL ARTICLE
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
Camila Brito Borguezam ,
Caroline Tolentino Sanches ,
Silvia Paulino Ribeiro Albaneser ,
Uiara Rodrigues de Oliveira Moraes ,
Cintia Magalhães Carvalho Grion ,
Gilselena Kerbauy
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ABSTRACT

Objectives:

to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.

Methods:

an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi Info^TM.

Results:

the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).

Conclusions:

this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.

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ORIGINAL ARTICLE06-16-2021

The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
- Emanuelle Caires Dias Araújo Nunes ,
- Regina Szylit
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
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Abstract
ORIGINAL ARTICLE
The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
DOI 10.1590/0034-7167-2020-0364
Emanuelle Caires Dias Araújo Nunes ,
Regina Szylit
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ABSTRACT

Objectives:

to know the meaning of contemporary nursing from the experience of intensive care nurses.

Methods:

qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential.

Results:

the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills – besides the scientific ones, such as empathy, creativity, spirituality and compassion.

Final Considerations:

the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.

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