Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE10-11-2024

    Indigenous women’s experiences about the pregnancy-puerperal cycle

    Revista Brasileira de Enfermagem. 2024;77:e20230410

    Abstract

    ORIGINAL ARTICLE

    Indigenous women’s experiences about the pregnancy-puerperal cycle

    Revista Brasileira de Enfermagem. 2024;77:e20230410

    DOI 10.1590/0034-7167-2023-0410

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    ABSTRACT

    Objectives:

    to understand the experiences of indigenous women regarding the pregnancy-puerperal cycle.

    Methods:

    qualitative, exploratory and descriptive research, carried out between May and August 2023 with 27 pregnant women from Indigenous Villages in Mato Grosso, Brazil, through open individual interviews. The data was analyzed using Reflexive thematic analysis.

    Results:

    data analysis resulted in the following themes: Cultivation of labor and birth in its natural and sacred path; Unique practices and beliefs associated with breastfeeding; Evolved or reductive thinking? The participants suggest inviolable practices and beliefs, which must be welcomed, respected and enhanced by indigenous health teams.

    Final Considerations:

    the experiences of indigenous women regarding the pregnancy-puerperal cycle are unique and motivated by inviolable cultural and religious beliefs, which transcend scientific knowledge, certainties and the linearity of contemporary approaches, normally established as order.

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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.
    Indigenous women’s experiences about the pregnancy-puerperal cycle
  • ORIGINAL ARTICLE10-07-2024

    Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)

    Revista Brasileira de Enfermagem. 2024;77(5):e20230375

    Abstract

    ORIGINAL ARTICLE

    Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)

    Revista Brasileira de Enfermagem. 2024;77(5):e20230375

    DOI 10.1590/0034-7167-2023-0375

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    ABSTRACT

    Objectives:

    to analyze the legislation issued during the COVID-19 pandemic for nursing education and immediate consequences.

    Methods:

    documentary research, whose source was the legislation issued for nursing education during the COVID-19 pandemic. Thirty-two documents were analyzed and submitted to a collection instrument.

    Results:

    contradictions and consequences for nursing education following the guidelines and law of guidelines and bases were revealed. The consequences of the law affected the quality of teaching, equal access, exemption from minimum school days and course abbreviation. Regarding the guidelines, there was a lack of conditions for developing skills, in addition to the attempt to update them. Concerning internships, acting during the pandemic put students at risk, and their abbreviation prevented them from consolidating knowledge and skills.

    Final Considerations:

    remote teaching did not guarantee the quality and equality of teaching, weakened the development of skills, not taking into account nursing’s educational needs.

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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.
    Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)
  • ORIGINAL ARTICLE10-07-2024

    Development and validation of a mobile application prototype for postoperative cardiac surgery

    Revista Brasileira de Enfermagem. 2024;77(5):e20230491

    Abstract

    ORIGINAL ARTICLE

    Development and validation of a mobile application prototype for postoperative cardiac surgery

    Revista Brasileira de Enfermagem. 2024;77(5):e20230491

    DOI 10.1590/0034-7167-2023-0491

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    ABSTRACT

    Objectives:

    to develop and validate the content, appearance, and semantics of a prototype application for monitoring patients in the postoperative period of cardiac surgery.

    Methods:

    this is a technological development study based on Contextualized Instructional Design. The content and appearance evaluation was conducted by a committee of specialists, and semantic validation was carried out by patients from a cardiac surgery outpatient clinic.

    Results:

    the application prototype consisted of 43 screens, validated by 17 health specialists, with content validity ratio and appearance validity index results of 0.86 and 0.99, respectively. For semantic validation, 10 patients participated in data collection, with a total content validity index of 0.978.

    Conclusions:

    the prototype of the “VivaCor PósOp” application demonstrated evidence of content, appearance, and semantic validity, with the potential to stimulate self-care in patients in the postoperative period of cardiac surgery.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Development and validation of a mobile application prototype for postoperative cardiac surgery
  • ORIGINAL ARTICLE10-07-2024

    Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study

    Revista Brasileira de Enfermagem. 2024;77(5):e20230499

    Abstract

    ORIGINAL ARTICLE

    Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study

    Revista Brasileira de Enfermagem. 2024;77(5):e20230499

    DOI 10.1590/0034-7167-2023-0499

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    ABSTRACT

    Objectives:

    to assess the association between indicators of emotional distress and dispositional mindfulness in health students at a Brazilian federal public university.

    Methods:

    a cross-sectional study, developed with university students in the health area of a public institution from May to June 2022. In the analysis, multiple linear regression was used using SPSS software.

    Results:

    the sample was mostly female, ≤ 22 years old, non-white, studying the first semesters, with a higher prevalence for the medicine course. Students presented moderate dispositional mindfulness scores. It was observed that the variables of stress, depression and current suicide risk were associated with the capacity for mindfulness.

    Conclusions:

    knowing the indicators of emotional distress that are related to the potential of mindfulness can contribute as a situational diagnosis to better design strategies that promote the improvement of emotional indicators of health students.

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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.
  • REVIEW10-07-2024

    Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients

    Revista Brasileira de Enfermagem. 2024;77(5):e20240162

    Abstract

    REVIEW

    Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients

    Revista Brasileira de Enfermagem. 2024;77(5):e20240162

    DOI 10.1590/0034-7167-2024-0162

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    ABSTRACT

    Objectives:

    to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.

    Methods:

    an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.

    Results:

    from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient’s vein; skin elasticity; unsuccessful insertion.

    Conclusions:

    it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.

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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.
    Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
  • EXPERIENCE REPORT09-30-2024

    Health promotion of long-haul truck drivers and their families

    Revista Brasileira de Enfermagem. 2024;77:e20230511

    Abstract

    EXPERIENCE REPORT

    Health promotion of long-haul truck drivers and their families

    Revista Brasileira de Enfermagem. 2024;77:e20230511

    DOI 10.1590/0034-7167-2023-0511

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    ABSTRACT

    Objectives:

    to describe the development of a Health Information and Communication Technology for the health care of long-haul truck drivers and their families.

    Methods:

    this is a description of the development of an Information and Communication Technology, developed from March to September 2023, following the systematization of the experience in five steps: 1) starting point, 2) initial questions, 3) recovery of the lived process, 4) background reflection, and 5) arrival points.

    Results:

    the technology called “Work-Family Balance,” electronically available, presents resources for the health care of long-haul truck drivers. It is anchored in studies on the health of long-haul truck drivers, notes from the International Labor Organization, the Strategic Action Plan for Confronting Chronic Diseases and Non-Communicable Diseases in Brazil, 2021-2030, and the Declaration by the International Association of Family Nursing.

    Final Considerations:

    the theoretical improvement of nursing can potentially improve the health care of long-haul truck drivers, prevent Chronic Non-Communicable Diseases, and promote work-life balance to achieve the goals of Agenda 2030.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health promotion of long-haul truck drivers and their families
  • ORIGINAL ARTICLE09-30-2024

    Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment

    Revista Brasileira de Enfermagem. 2024;77:e20230515

    Abstract

    ORIGINAL ARTICLE

    Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment

    Revista Brasileira de Enfermagem. 2024;77:e20230515

    DOI 10.1590/0034-7167-2023-0515

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    ABSTRACT

    Objectives:

    to construct and assess an educational video to promote the adherence of women with pelvic organ prolapse to vaginal pessary use.

    Methods:

    this is a methodological study, with a longitudinal design and quantitative analysis. The pre-production (synopsis, argument, script, storyboard), production and post-production stages were covered. Content and technical assessments were carried out by judges from the health and communication areas, respectively, and appearance assessment by the target audience.

    Results:

    the video was the first to be developed on the topic on the national scene, considered assessed from the point of view of appearance and content, presenting an overall Content Validity Index of 0.99 and a level of agreement among judges of 91.1% to 100%. Assessment by the target audience reached a percentage of 96% to 100%.

    Conclusions:

    the educational video is an instrument capable of promoting adherence to pessary in women indicated for this therapeutic approach.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment
  • ORIGINAL ARTICLE09-30-2024

    Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being

    Revista Brasileira de Enfermagem. 2024;77:e20240012

    Abstract

    ORIGINAL ARTICLE

    Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being

    Revista Brasileira de Enfermagem. 2024;77:e20240012

    DOI 10.1590/0034-7167-2024-0012

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    ABSTRACT

    Objectives:

    to understand maternal perceptions of maternal and child well-being based on Shantala massage and discuss its association with the third Sustainable Development Goal.

    Methods:

    a descriptive-exploratory study in the light of Symbolic Interactionism. Eight women, mothers of infants, participated in five online meetings to teach Shantala massage, collected in focus groups, between November and December 2021. The data was subjected to thematic content analysis and lexical analysis with IRAMUTEQ®.

    Results:

    two categories emerged, 1) Maternal perceptions of Shantala massage and its promotion of child well-being and 2) Maternal perceptions of Shantala massage and its impact on their well-being, interconnected with subcategories.

    Final Considerations:

    Shantala massage promoted mutual impacts on maternal and child well-being, working together to achieve the third Sustainable Development Goal.

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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.
    Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being

  • 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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