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01-01-2015
Polysomnography assessment of sleep and wakefulness in premature newborns
Revista Brasileira de Enfermagem. 2015;68(6):1109-1115
Abstract
Polysomnography assessment of sleep and wakefulness in premature newborns
Revista Brasileira de Enfermagem. 2015;68(6):1109-1115
DOI 10.1590/0034-7167.2015680616i
Views0See moreABSTRACT
Objective:
to describe the total sleep time and its stages, total wake time, heart rate values and oxygen saturation shown by premature infants, and the influence of the periods of the day on sleep and physiological parameters.
Method:
a descriptive study was conducted of 13 hospitalized premature infants. Data collection was performed using polysomnography and unstructured observation for 24 uninterrupted hours.
Results:
the newborns remained asleep for 59.6% of the day, predominantly in quiet sleep, with a higher mean heart rate during wakefulness (p<0.001). No difference was found between the variables related to sleep, physiological parameters and periods of the day, but in the morning a predominance of quiet sleep was observed (p=0.002).
Conclusion:
the preterm newborn presented more total sleep time than wakefulness; quiet sleep was the predominant stage, and heart rate was higher during wakefulness.
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01-01-2015
Learning Incubator: an instrument to foster entrepreneurship in Nursing
Revista Brasileira de Enfermagem. 2015;68(6):1103-1108
Abstract
Learning Incubator: an instrument to foster entrepreneurship in Nursing
Revista Brasileira de Enfermagem. 2015;68(6):1103-1108
DOI 10.1590/0034-7167.2015680615i
Views0See moreABSTRACT
Objective:
this study aimed to know the contributions of the Learning Incubator to the process of lifelong education in health.
Method:
this is a qualitative field research whose data was collected from August to December 2014 by the focus group technique. The research had 34 employees of a Teaching Hospital in the central region of the state of Rio Grande do Sul that participated previously in the incubation process.
Results:
from the data encoded by content analysis, three themes were selected: Learning Incubator – welcoming and integrating space; An instigating instrument that enhances possibilities; Continuous and lifelong education strategy.
Conclusion:
the Learning Incubator is an important instrument to foster entrepreneurship in nursing and other health areas due to its capacity of rethinking mechanized practices, to the possibility of instigating new ways of being and acting, and to the ability of creating and developing new ideas based on individual and institutional needs.
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01-01-2015
Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review
Revista Brasileira de Enfermagem. 2015;68(6):1093-1102
Abstract
Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review
Revista Brasileira de Enfermagem. 2015;68(6):1093-1102
DOI 10.1590/0034-7167.2015680614i
Views0See moreABSTRACT
Objective:
to identify and review the literature on non-pharmacological strategies used for reducing anxiety in patients receiving cardiac catheterization.
Method:
this study was an integrative literature review. The research was conducted using the databases LILACS, SciELO, Medline (through BVS and PubMed) and Scopus. Studies were analyzed according to their objective, method, instruments used for evaluating patients’ anxiety, and the results obtained.
Results:
the most used strategy for reducing anxiety in patients receiving cardiac catheterization was music therapy. However, no study identifying the most appropriate time for this intervention (before, during and/or after the procedure) was found. Other strategies identified in this review were educational videos, massage, and palm therapy.
Conclusion:
the results found suggest that anxiety can be reduced using non-pharmacological strategies.
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01-01-2015
Estratégias não farmacológicas para diminuição da ansiedade no cateterismo cardíaco: revisão integrativa
Revista Brasileira de Enfermagem. 2015;68(6):1093-1102
Abstract
Estratégias não farmacológicas para diminuição da ansiedade no cateterismo cardíaco: revisão integrativa
Revista Brasileira de Enfermagem. 2015;68(6):1093-1102
DOI 10.1590/0034-7167.2015680614i
Views0See moreRESUMEN
Objetivo:
identificar y revisar los estudios de literatura que abordan las estrategias no farmacológicas utilizadas para reducir la ansiedad en los pacientes que reciben un cateterismo cardíaco.
Método:
revisión integradora. La investigación se llevó a cabo utilizando las bases de datos LILACS, SciELO, Medline (BVS y PubMed) y Scopus. Los estudios se analizaron de acuerdo con sus objetivos, la metodo, los instrumentos utilizados para la evaluación de la ansiedad de los pacientes, y los resultados obtenidos.
Resultados:
la estrategia dirigida más para reducir la ansiedad en los pacientes que recibieron cateterización cardíaca fue la musicoterapia. No se encontró estudio, sin embargo, identificando el momento más adecuado para esta intervención (antes, durante y / o después de este procedimiento). Otras estrategias identificados en esta revisión eran videos educativos, masajes y terapia de palma.
Conclusión:
los resultados sugieren que la ansiedad se puede reducir el uso de estrategias no farmacológicas.
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01-01-2015
Convergence, divergence and diagnostic accuracy in the light of two nursing terminologies
Revista Brasileira de Enfermagem. 2015;68(6):1086-1092
Abstract
Convergence, divergence and diagnostic accuracy in the light of two nursing terminologies
Revista Brasileira de Enfermagem. 2015;68(6):1086-1092
DOI 10.1590/0034-7167.2015680613i
Views0See moreABSTRACT
Objective:
compare divergences and convergences between the nursing diagnoses established for a case study, in the light of two nursing terminologies.
Method:
a descriptive research was undertaken. The participants were 24 nurses from public teaching hospitals (N=12) and hospital care institutions (N=12) in the Northeast of Brazil.
Results:
in group A (6 faculty members and 6 clinical professionals), 51 diagnoses were established according to NANDA-I: 54.9% of high accuracy, 23.5% zero, 15.7% low and 5.9% moderate accuracy. In group B (6 faculty members and 6 clinical professionals), 43 declarations were established using the ICNP®: 44.2% of zero accuracy, 39.5% high, 16.3% low. Four out of fi ve diagnostic titles of high accuracy in group A and the seven titles in group B converged; divergences were attributed to the number of combinations among the focus, judgment and location axes of the ICNP®.
Conclusion:
a range of titles was observed with different diagnostic inferences and low diagnostic accuracy in both groups.
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01-01-2015
Family caregivers articulating the social network of a child with special health care needs
Revista Brasileira de Enfermagem. 2015;68(6):1078-1085
Abstract
Family caregivers articulating the social network of a child with special health care needs
Revista Brasileira de Enfermagem. 2015;68(6):1078-1085
DOI 10.1590/0034-7167.2015680612i
Views0See moreABSTRACT
Objective:
the study sought to characterize the social network of the child and analyze the role of the family in its creation.
Method:
a qualitative approach was developed through five dynamics (Speaking Map) based on the creative sensitive method, with five groups of families (12 participants) in their homes.
Results:
the critical discourse analysis of the caregivers (grandparents, siblings and neighbors) showed that the mother plays the main role in articulating the social network, with its points being linked by the hospital, primary and rehabilitation care, household, school, etc. Familial care becomes more visible at home and within the community.
Conclusion:
with the insufficient public policy that articulating healthcare facilities for CSHCN in the community, family members shape a social network characterized by a dense and fluid mesh.
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01-01-2015
Speeches of managers about the policy of the directly observed treatment for tuberculosis
Revista Brasileira de Enfermagem. 2015;68(6):1069-1077
Abstract
Speeches of managers about the policy of the directly observed treatment for tuberculosis
Revista Brasileira de Enfermagem. 2015;68(6):1069-1077
DOI 10.1590/0034-7167.2015680611i
Views0See moreABSTRACT
Objective:
to analyze the managers’ speeches about the policy transfer of the directly observed treatment (DOT) for tuberculosis control in the city of João Pessoa, Paraíba, Brazil.
Method:
this is a qualitative study developed in May and June, 2013 through semi-directed interviews with twenty health professionals in five health districts in João Pessoa/PB. The empirical material produced was analyzed according to the theoretical-analytical basis of the French Discourse Analysis by Pêcheux.
Results:
the study demonstrated weaknesses in the conduction and organization of actions in relation to the DOT. It revealed that the lack of knowledge of the managers about this policy has direct implications to the care of tuberculosis patients.
Conclusion:
the management should trace strategic plans to rethink the care practices and thus, reorganize the entire care network to users in order to effectively contribute to user adherence in the fight against tuberculosis.
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01-01-2015
Conceptions of mid-level nursing professionals facing those with a chemical dependency
Revista Brasileira de Enfermagem. 2015;68(6):1063-1068
Abstract
Conceptions of mid-level nursing professionals facing those with a chemical dependency
Revista Brasileira de Enfermagem. 2015;68(6):1063-1068
DOI 10.1590/0034-7167.2015680610i
Views0See moreABSTRACT
Objective:
to describe and understand the conceptions of nursing assistants working in Psychosocial Care Centers for alcohol and drugs (CAPS ad), about the patient with addictions.
Method:
sixteen nursing assistants and technicians from nine of the CAPS ad in São Paulo were interviewed, and data were analyzed using the constant comparative method.
Results:
performing the functions in the CAPS ad enabled the change in staff’s conception from a stigmatizing and prejudiced view, to the concept of chemical dependence as a disease and those who are chemically dependent as patients with comorbidities and family problems, in need of help and treatment.
Conclusion:
professional practice in specialized services for alcohol and other drugs enables changes in the staff’s conceptions about chemically dependent individuals, highlighting the need to include the subject of alcohol and drugs in the school curriculum.
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07-12-2021
Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context
Revista Brasileira de Enfermagem. 2021;74:e20210040
Abstract
Coping strategies, concerns, and habits of Brazilian men in the COVID-19 context
Revista Brasileira de Enfermagem. 2021;74:e20210040
DOI 10.1590/0034-7167-2021-0040
Views0See moreABSTRACT
Objective:
To describe coping strategies, concerns and habits of Brazilian men during the COVID-19 pandemic.
Method:
Cross-sectional, descriptive and nationwide study, carried out in 2020 with a total of 1015 men living in Brazil. A descriptive statistic was used.
Results:
Young (41.2%), black (61.4%), highly educated (66.8%), high income (33.2%), living with family/friends (49.7%) and formal workers (65.6%) predominated. As coping strategies predominated: exclusive use of the private health system (36.4%), support from family/friends (78.2%) and leisure (97.7%) and domestic activities (64.9 %). Social distancing (59.7%), economic (58.0%) and work situations (44.4%) were the main reasons for concern. Among the prevention/control attitudes, hand washing (94.3%) and social distancing (91.0%) prevailed. Media consumption (84.6%) and health risk (65.4%) were the main increased habits.
Conclusion:
Brazilian men adopted coping strategies recommended by health authorities, with concerns and habits of potential risk to physical and mental health.
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ORIGINAL ARTICLE03-24-2021
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Views1See moreABSTRACT
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 ARTICLE06-01-2020
Occupational stress of nurses from the Mobile Emergency Care Service
Revista Brasileira de Enfermagem. 2020;73:e20180898
Abstract
ORIGINAL ARTICLEOccupational stress of nurses from the Mobile Emergency Care Service
Revista Brasileira de Enfermagem. 2020;73:e20180898
DOI 10.1590/0034-7167-2018-0898
Views0See moreABSTRACT
Objective:
To evaluate stress, and to associate it with sociodemographic and clinical aspects of nurses from the Mobile Emergency Care Service.
Method:
This is an observational, cross-sectional and quantitative study conducted with 123 nurses, who answered a questionnaire to assess sociodemographic and clinical variables, and the Job Stress Scale, which evaluates stress in the workplace.
Results:
The results indicated that most of them were women, 20 to 40 years old, married, without another employment bond and with specialization course. They had low control and low demand at work and performed a passive work. Women reported passive work and high stress levels, while men were equally divided in active and passive work with low stress levels.
Conclusion:
Passive work is harmful to health and it is related to lack of autonomy, decision-making, and social support. It may lead to reduced ability to solve problems faced in daily work routine.
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ORIGINAL ARTICLE12-05-2019
Gerontotechnology for fall prevention of the elderly with Parkinson
Revista Brasileira de Enfermagem. 2019;72:243-250
Abstract
ORIGINAL ARTICLEGerontotechnology for fall prevention of the elderly with Parkinson
Revista Brasileira de Enfermagem. 2019;72:243-250
DOI 10.1590/0034-7167-2018-0704
Views0See moreABSTRACT
Objective:
to develop the gerontological nursing care process among the elderly with Parkinson’s disease, aiming at the promotion of health through the creation of gerontotechnologies for fall prevention.
Method:
Convergent Care Research was used as a methodological route. Data were collected from February to October 2017, with the participation of nine elderly people with Parkinson’s disease. An educational booklet, a memory game called “não cai istepô”, a memory game called “caiu de maduro” were developed through clinical evaluation through scales, recorded semi-structured interview and workshops.
Results:
the application of gerontotechnology resulted from the elderly in self-care, empowerment and knowledge through play, revealing interest in behavior change, independence and learning, as well as serving as a facilitator of care.
Conclusion:
the gerontotechnologies presented as a playful and innovative instrument for the nursing gerontological care process.
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ORIGINAL ARTICLE07-08-2020
Self-medication practices in riverside communities in the Brazilian Amazon Rainforest
Revista Brasileira de Enfermagem. 2020;73(5):e20190432
Abstract
ORIGINAL ARTICLESelf-medication practices in riverside communities in the Brazilian Amazon Rainforest
Revista Brasileira de Enfermagem. 2020;73(5):e20190432
DOI 10.1590/0034-7167-2019-0432
Views0INTRODUCTIONThe Brazilian Amazon rainforest has an area of approximately 5 million km2, with important climatic, social and economic variations that can impact the profile of morbidity and the use of medicines. The epidemiological profile of the Amazonian population is quite heterogeneous, including vector-borne diseases, such as malaria, dengue, cutaneous leishmaniasis and Diseases Related to Inadequate […]See more -
09-16-2019
Sociodemographic and health profile of TB/HIV co-infection in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2019;72(5):1389-1396
Abstract
Sociodemographic and health profile of TB/HIV co-infection in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2019;72(5):1389-1396
DOI 10.1590/0034-7167-2018-0285
Views0See moreABSTRACT
Objective:
to ascertain the epidemiological profile of TB/HIV co-infection in Brazilian scenarios.
Method:
this is a systematic review conducted via electronic search in databases PubMed, EMBASE, LILACS and SciELO, having as inclusion criterion articles based on the Brazilian scenario of TB/HIV co-infection.
Results:
of the total 174 studies, 15 were selected, revealing the epidemiological profile of the co-infection in different scenarios: male, economically active age, low education level, brown/black ethnicity, low income, heterosexual, pulmonary clinical form, alcoholism and Directly Observed Therapy.
Conclusion:
the sociodemographic and epidemiological profile of people with TB/HIV co-infection has an expected occurrence pattern, which corroborates articles found in the literature, either at national level or by grouping the studies according to region or state.
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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
Abstract
ORIGINAL ARTICLEMusic 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
Views0See moreABSTRACT
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 ARTICLE08-19-2019
Suffering and defense in work in a mental health care service
Revista Brasileira de Enfermagem. 2019;72(4):903-909
Abstract
ORIGINAL ARTICLESuffering and defense in work in a mental health care service
Revista Brasileira de Enfermagem. 2019;72(4):903-909
DOI 10.1590/0034-7167-2018-0140
Views0See moreABSTRACT
Objective:
to know the suffering and the strategies of defense of CAPS AD III workers, from the perspective of the Work Theater proposed by Dejours.
Method:
a descriptive qualitative research, of the case study type, with CAPS AD III workers, using as theoretical framework the Psychodynamics of Work.
Results:
CAPS AD III professionals identify that the suffering in the work arises from the frustration between the real and the prescribed one; by the hegemony of practices guided by the biomedical model; stigmatization and prejudice with users; and the limitations of the Health Care Network (Rede de Atenção à Saúde). As an individual defense strategy, the rationalization was defined, and as a collective strategy, the protection strategy.
Final considerations:
worker uses strategies of defenses to face suffering and give a new meaning to it, characterizing themselves as ways of apprehending, understanding and giving meaning and new looks to their work.
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