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ORIGINAL ARTICLE12-16-2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
- Zannety Conceição Silva do Nascimento Souza
, - Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva , [ … ],
- Evanilda Souza de Santana Carvalho
Abstract
ORIGINAL ARTICLERespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva ,
- Evanilda Souza de Santana Carvalho
Views1See moreABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
- Zannety Conceição Silva do Nascimento Souza
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12-16-2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Abstract
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
Views0See moreABSTRACT
Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ORIGINAL ARTICLE12-16-2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Abstract
ORIGINAL ARTICLEPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Views0See moreABSTRACT
Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
- Frederico Marques Andrade
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REVIEW12-16-2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques , [ … ],
- Maria do Carmo Fernandez Lourenço Haddad
Abstract
REVIEWRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques ,
- Maria do Carmo Fernandez Lourenço Haddad
Views1See moreABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
- Evelin Daiane Gabriel Pinhatti
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ORIGINAL ARTICLE12-16-2024
Analysis of omission of antimicrobial doses in Intensive Care Units
- Isabelle Ribeiro Machado ,
- Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella , [ … ],
- Lucas Rodrigo Garcia de Mello
Abstract
ORIGINAL ARTICLEAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
- Isabelle Ribeiro Machado ,
- Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella ,
- Lucas Rodrigo Garcia de Mello
Views0See moreABSTRACT
Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
- Isabelle Ribeiro Machado
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ORIGINAL ARTICLE12-16-2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Abstract
ORIGINAL ARTICLEHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
Views0See moreABSTRACT
Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ORIGINAL ARTICLE12-16-2024
Bladder ultrasound: evidence of content validity of a checklist for training nurses
- Filipe Utuari de Andrade Coelho ,
- Sabrina Martins Reigota ,
- Flávia Manfredi Cavalcanti ,
- Dejanira Aparecida Regagnin ,
- Beatriz Murata Murakami , [ … ],
- Vinícius Batista Santos
Abstract
ORIGINAL ARTICLEBladder 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
- Filipe Utuari de Andrade Coelho ,
- Sabrina Martins Reigota ,
- Flávia Manfredi Cavalcanti ,
- Dejanira Aparecida Regagnin ,
- Beatriz Murata Murakami ,
- Vinícius Batista Santos
Views0See moreABSTRACT
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.
- Filipe Utuari de Andrade Coelho
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12-16-2024
A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
- Amelia Margaretha Simbolon ,
- Jesika Sari Munthe ,
- Mikar Syah Idaman Daeli ,
- Ineke Patrisia ,
- Chriska Roully Adeline Sinaga
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
- Amelia Margaretha Simbolon ,
- Jesika Sari Munthe ,
- Mikar Syah Idaman Daeli ,
- Ineke Patrisia ,
- Chriska Roully Adeline Sinaga
Views1See moreRESUMEN
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.
- Amelia Margaretha Simbolon
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ORIGINAL ARTICLE01-01-2019
The Brazilian Army nurses’ uniforms: visual identity in World War II
- Margarida Maria Rocha Bernardes ,
- Alexandre Barbosa de Oliveira ,
- Sônia Kaminitz ,
- Antônio Marcos Tosoli Gomes ,
- Sérgio Corrêa Marques , [ … ],
- Fernando Rocha Porto
Abstract
ORIGINAL ARTICLEThe Brazilian Army nurses’ uniforms: visual identity in World War II
Revista Brasileira de Enfermagem. 2019;72(1):111-117
DOI 10.1590/0034-7167-2018-0414
- Margarida Maria Rocha Bernardes ,
- Alexandre Barbosa de Oliveira ,
- Sônia Kaminitz ,
- Antônio Marcos Tosoli Gomes ,
- Sérgio Corrêa Marques ,
- Fernando Rocha Porto
Views1See moreABSTRACT
Objective:
To analyze the symbolic effects of the official military uniform of the nurses from Brazilian Army in World War II.
Method:
This research was developed using the historical method, with iconographic sources. The data were discussed based on the concepts of the social world theory, by Pierre Bourdieu.
Results:
The images selected demonstrate the own meaning of the uniforms, evidencing the functions and the social position of those who wear it, being private and obligatory to use it in the military field.
Final considerations:
In the case of the nurses from the Brazilian Expeditionary Force, the appropriation of uniforms promoted the visual communication representing military nurse in the context of war, at the same time it served for distinction purposes in the army, but not necessarily in the nursing field. Symbolically, they remained amongst the walls of the barracks even after the end of the war and, thus, they remained unknown and marked by the symbols of forgetfulness.
- Margarida Maria Rocha Bernardes
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REFLECTION01-01-2019
The concept of vulnerability applied to Healthcare-associated Infections
- Maria Clara Padoveze ,
- Luize Fábrega Juskevicius ,
- Talita Raquel dos Santos ,
- Lúcia Izumi Nichiata ,
- Suely Itsuko Ciosak , [ … ],
- Maria Rita Bertolozzi
Abstract
REFLECTIONThe concept of vulnerability applied to Healthcare-associated Infections
Revista Brasileira de Enfermagem. 2019;72(1):299-303
DOI 10.1590/0034-7167-2017-0584
- Maria Clara Padoveze ,
- Luize Fábrega Juskevicius ,
- Talita Raquel dos Santos ,
- Lúcia Izumi Nichiata ,
- Suely Itsuko Ciosak ,
- Maria Rita Bertolozzi
Views1See moreABSTRACT
Objective:
To discuss the potentialities of using the concept of vulnerability to support measures for preventing and controlling healthcare-associated infections (HAIs).
Methods:
This theoretical study was conducted in steps: 1) presentation of markers that frame the concept of vulnerability; 2) presentation of the characteristics of the health events to which the concept of vulnerability is intended to be applied; 3) identification of research gaps that could be potentially filled by using the concept of vulnerability; 4) identification of the potentialities of using the concept of vulnerability to deal with HAIs.
Results:
Proposal of a framework for analyzing HAIs from a vulnerability perspective, including the individual and collective dimensions.
Conclusion:
Using the concept of vulnerability to study and deal with HAIs favors a new approach to an old problem, unlike the dominant studies that highlight the individual aspects of the practices in healthcare services.
- Maria Clara Padoveze
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REFLECTION01-01-2019
Operationality of concepts in Heideggerian phenomenological investigation: epistemological reflection on Nursing
- Thaís Vasconselos Amorim ,
- Ívis Emília de Oliveira Souza ,
- Anna Maria de Oliveira Salimena ,
- Stela Maris de Mello Padoin ,
- Rita de Cássia de Jesus Melo
Abstract
REFLECTIONOperationality of concepts in Heideggerian phenomenological investigation: epistemological reflection on Nursing
Revista Brasileira de Enfermagem. 2019;72(1):304-308
DOI 10.1590/0034-7167-2017-0941
- Thaís Vasconselos Amorim ,
- Ívis Emília de Oliveira Souza ,
- Anna Maria de Oliveira Salimena ,
- Stela Maris de Mello Padoin ,
- Rita de Cássia de Jesus Melo
Views1See moreABSTRACT
Objective:
To describe the investigative path of analysis and the operationality of concepts based on Martin Heidegger’s theoretical and philosophical framework.
Method:
Theoretical reflection on the phenomenon of pregnancy in a woman with heart disease.
Results:
Stages of the investigative movement were evidenced based on the pre-reflection related to the object of study and to the search for the phenomenal meaning, using the existential and analytical Hermeneutics as the approach and resulting in the reach of the phenomenal totality.
Conclusion:
The worldview of the researcher, who considered the subjectivities of the person in a health or disease situation, favored the announcement of the referential by the object of study. Knowledge production in the light of Martin Heidegger’s phenomenology unveiled phenomena lived and experienced in the Health and Nursing field, provided of epistemological rigor that demanded appropriation of concepts inherent to the existential analytics.
- Thaís Vasconselos Amorim
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ORIGINAL ARTICLE04-18-2019
Teaching-service integration: building the educational workshop in healthcare
- Daiana Kloh Khalaf ,
- Kenya Schmidt Reibnitz ,
- Margarete Maria de Lima ,
- Aline Bussolo Correa ,
- Jussara Gue Martini
Abstract
ORIGINAL ARTICLETeaching-service integration: building the educational workshop in healthcare
Revista Brasileira de Enfermagem. 2019;72(2):375-382
DOI 10.1590/0034-7167-2018-0008
- Daiana Kloh Khalaf ,
- Kenya Schmidt Reibnitz ,
- Margarete Maria de Lima ,
- Aline Bussolo Correa ,
- Jussara Gue Martini
Views0See moreABSTRACT
Objective:
To identify the pedagogical strategies and the elements that determine the construction of the educational workshop in healthcare at the teaching-service integration process.
Method:
Collective case study with qualitative approach. The cases consisted of two undergraduate courses in nursing. Thirty-one interviews were conducted with healthcare professionals, professors and students, in addition to participant observation in seven basic health units (UBS) that received the students interviewed.
Results:
The following analytical categories emerged: teaching-service integration: articulating idealized situations with real situations; pedagogical workshop in health: development of collective pedagogical actions; reflection on the experiences in the pedagogical workshop in health: articulating the knowledge of the work world with the teaching world.
Final Consideration:
Despite the integration difficulties between teaching and service, we can conclude that their encounter generates a fertile field for the development of the educational workshop in healthcare. To this end, the agreement of the strategies presented in the constitution of the workshop is necessary.
- Daiana Kloh Khalaf
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ORIGINAL ARTICLE06-27-2019
Collective construction of bundle for immunobiological agents conservation best practices
- Valéria Conceição de Oliveira ,
- Patrícia Peres de Oliveira ,
- Larissa Carvalho de Castro ,
- Heloiza Maria Siqueira Rennó ,
- Dayane Taís de Almeida Gonçalves , [ … ],
- Ione Carvalho Pinto
Abstract
ORIGINAL ARTICLECollective construction of bundle for immunobiological agents conservation best practices
Revista Brasileira de Enfermagem. 2019;72(3):671-679
DOI 10.1590/0034-7167-2018-0406
- Valéria Conceição de Oliveira ,
- Patrícia Peres de Oliveira ,
- Larissa Carvalho de Castro ,
- Heloiza Maria Siqueira Rennó ,
- Dayane Taís de Almeida Gonçalves ,
- Ione Carvalho Pinto
Views0See moreABSTRACT
Objective:
to construct collectively with nursing professionals bundle for best practices of cold chain maintenance of immunobiological agents conservation at the local level.
Method:
a qualitative research of convergent care type. Bundle construction was guided by the Evidence-Based Practice criterion. Data collection was carried out from October to December 2016, through five workshops, with the participation of 21 professionals from 7 vaccination rooms of a municipality of Minas Gerais State. The framework developed by Morse and Field was adopted for data analysis.
Results:
through bundle, care is taken regarding refrigeration equipment temperature monitoring, contingency plan performance, recyclable ice coil setting and chamber use as refrigeration equipment.
Final considerations:
the chosen interventions began to guide the practice and promote a care based on safety and quality.
- Valéria Conceição de Oliveira
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ORIGINAL ARTICLE09-16-2019
Management of nursing care in HIV/AIDS from a palliative and hospital perspective
- Karen Gisela Moraes Zepeda ,
- Marcelle Miranda da Silva ,
- Débora Cristina Leitão dos Santos ,
- Rafael Barroso Gaspar ,
- Liana Amorim Corrêa Trotte
Abstract
ORIGINAL ARTICLEManagement of nursing care in HIV/AIDS from a palliative and hospital perspective
Revista Brasileira de Enfermagem. 2019;72(5):1243-1250
DOI 10.1590/0034-7167-2017-0431
- Karen Gisela Moraes Zepeda ,
- Marcelle Miranda da Silva ,
- Débora Cristina Leitão dos Santos ,
- Rafael Barroso Gaspar ,
- Liana Amorim Corrêa Trotte
Views2See moreABSTRACT
Objectives:
To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care.
Method:
Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil.
Results:
Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose.
Final considerations:
The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.
- Karen Gisela Moraes Zepeda
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ORIGINAL ARTICLE03-19-2021
Mobile application of the Terminology Subset for Coping with Domestic Violence Against Children
Revista Brasileira de Enfermagem. 2021;74:e20200287
Abstract
ORIGINAL ARTICLEMobile application of the Terminology Subset for Coping with Domestic Violence Against Children
Revista Brasileira de Enfermagem. 2021;74:e20200287
DOI 10.1590/0034-7167-2020-0287
Views1See moreABSTRACT
Objective:
to describe the development of a mobile application for the International Classification Terminology Subset for Nursing Practice for Coping with Domestic Violence Against Children.
Methods:
an applied research of technological development, based on the Analysis, Design, Development, Implementation and Evaluation model and on the terminological subset based on the Theory of Nursing Praxis Intervention in Collective Health framework.
Results:
the application is divided into: 1) “Definition”: characterizes the phenomenon of violence against children; 2) “Assistance”: electronic record of nursing care; 3) “Diagnosis Consultation”; 4) “Intervention Consultation”: nursing diagnoses, outcomes, and interventions related to children and their families, subdivided into Strengthening and Weariness group.
Final considerations:
built from scientific research, the application has the potential to support nursing care, presenting, in an organized and systematic manner, nursing diagnoses, outcomes, and interventions, in addition to enabling the registration of cases under monitoring.
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ORIGINAL ARTICLE09-05-2022
Spirituality and religiosity expressed by relatives of drug users: contributions to health care
- Márcio Wagner Camatta ,
- Rafael Gil Medeiros ,
- Isadora Helena Greve ,
- Alessandra Mendes Calixto ,
- Cíntia Nasi , [ … ],
- Luciano Barroso Oliveira da Silva
Abstract
ORIGINAL ARTICLESpirituality and religiosity expressed by relatives of drug users: contributions to health care
Revista Brasileira de Enfermagem. 2022;75:e20210724
DOI 10.1590/0034-7167-2021-0724
- Márcio Wagner Camatta ,
- Rafael Gil Medeiros ,
- Isadora Helena Greve ,
- Alessandra Mendes Calixto ,
- Cíntia Nasi ,
- Luiza Bohnen Souza ,
- Thauane da Cunha Dutra ,
- Luciano Barroso Oliveira da Silva
Views0See moreABSTRACT
Objective:
to analyze the expressions of spirituality and religiosity of relatives of people who abuse or are dependent on psychoactive substances.
Methods:
exploratory-descriptive research that dialogues with the spirituality and religiosity conceptual framework. It was performed at an outpatient clinic specialized in drug treatment in southern Brazil. Semi-structured interviews conducted with 11 relatives of patients undergoing treatment were analyzed by content analysis.
Results:
the findings were grouped into two categories: forms of expression of spirituality and religiosity practices; and their influence on relatives’ lives. Spirituality and religiosity almost always serve as a protective factor against feelings of anguish, conflicts and loneliness.
Final considerations:
despite the important role of expressions of spirituality and religiosity for many relatives, not everyone seems to benefit from them. Health professionals should consider these expressions in the construction of comprehensive health care for relatives.
- Márcio Wagner Camatta
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ORIGINAL ARTICLE09-21-2020
Organizational flow chart of home care for children with special health care needs
Revista Brasileira de Enfermagem. 2020;73:e20190310
Abstract
ORIGINAL ARTICLEOrganizational flow chart of home care for children with special health care needs
Revista Brasileira de Enfermagem. 2020;73:e20190310
DOI 10.1590/0034-7167-2019-0310
Views0See moreABSTRACT
Objective:
To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN) in the state of Parana.
Method:
Quantitative, descriptive, exploratory, multiple case studies. Data was collected with professionals from the eight home care services in Parana. Data were analyzed using the Strengths, Weaknesses, Opportunities and Threats (SWOT) methodology, from which a 5W2H method of action plan was developed, resulting in a flow chart.
Results:
Considering the strategies found in Home Care services, such as planned hospital discharge, caregiver training, organized transportation and singular therapeutic project, a flow organization protocol for children with special health care needs in Home Care services was developed.
Conclusion:
The protocol developed makes it possible to organize the care provided to children with special health care needs in home care.
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ORIGINAL ARTICLE09-21-2020
Adolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna , [ … ],
- Patrícia Neyva da Costa Pinheiro
Abstract
ORIGINAL ARTICLEAdolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
Revista Brasileira de Enfermagem. 2020;73:e20190242
DOI 10.1590/0034-7167-2019-0242
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna ,
- Patrícia Neyva da Costa Pinheiro
Views0See moreABSTRACT
Objective:
To analyze the association between vulnerabilities to Sexually Transmitted Infections (STIs/HIV/AIDS) of adolescents in poverty and their level of resilience.
Method:
Cross-sectional study with 287 students between 11 and 17 years old in a school in the outskirts of Fortaleza-Ce. The study was conducted from August to October 2016. Three instruments related to characterization, vulnerability to STIs/HIV/AIDS and resilience were used. The association between the instruments was calculated using the Mann-Whitney and Kruskal-Wallis tests. Association between vulnerability to STIs/HIV/AIDS and resilience was assessed through the Spearman’s correlation coefficient. Statistical significance was set at p<0.05.
Results:
There was a significant association between the factors “housing” (p=0.022), “family income” (p=0.037) and vulnerability to STIs/HIV/AIDS. Adolescents whose father has completed high school (p=0.043) have moderately high resilience.
Conclusion:
Adolescents with low socioeconomic status and who live on less than a minimum wage tends to be more susceptible to vulnerabilities to STIs/HIV/AIDS and to have low resilience.
- Maria Isabelly Fernandes da Costa
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ORIGINAL ARTICLE10-21-2019
Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents
- Maria Isabelly Fernandes da Costa ,
- Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa , [ … ],
- Izaildo Tavares Luna
Abstract
ORIGINAL ARTICLESocial determinants of health and vulnerabilities to sexually transmitted infections in adolescents
Revista Brasileira de Enfermagem. 2019;72(6):1595-1601
DOI 10.1590/0034-7167-2018-0726
- Maria Isabelly Fernandes da Costa ,
- Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa ,
- Izaildo Tavares Luna
Views1See moreABSTRACT
Objective:
To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs).
Method:
Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará.
Results:
212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9).
Conclusion:
The intermediate social determinant “type of housing” influences the vulnerability to STAs.
- Maria Isabelly Fernandes da Costa
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ORIGINAL ARTICLE06-27-2019
Safety of the patient in an emergency situation: perceptions of the nursing team
- Andréa Tayse de Lima Gomes ,
- Marcos Antônio Ferreira Jr ,
- Pétala Tuani Candido Oliveira Salvador ,
- Manacés dos Santos Bezerril ,
- Flávia Barreto Tavares Chiavone , [ … ],
- Viviane Euzébia Pereira Santos
Abstract
ORIGINAL ARTICLESafety of the patient in an emergency situation: perceptions of the nursing team
Revista Brasileira de Enfermagem. 2019;72(3):753-759
DOI 10.1590/0034-7167-2018-0544
- Andréa Tayse de Lima Gomes ,
- Marcos Antônio Ferreira Jr ,
- Pétala Tuani Candido Oliveira Salvador ,
- Manacés dos Santos Bezerril ,
- Flávia Barreto Tavares Chiavone ,
- Viviane Euzébia Pereira Santos
Views0See moreABSTRACT
Objective:
To know the perception of nursing professionals about the essential aspects to provide safe care to polytraumatized patients in emergency services.
Method:
Descriptive and mixed study, performed with a focus group and projective techniques. The sample was made of seven nursing professionals. Data analysis took place through the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires and SPSS 22.0 softwares.
Results:
Based on the analysis of participants’ speeches, three content partitions emerged in the Descending Hierarchical Classification. 1) Structure: need for changes; 2) The process: safe actions by the nursing team; and 3) Care free from damage as the sought result.
Conclusion:
Patient safety in emergency situations must rely on a proper environment and an organized sector, good conditions to transport patients, use of routines and protocols, identification and organization of the beds.
- Andréa Tayse de Lima Gomes
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ORIGINAL ARTICLE09-21-2020
Contexts of vulnerabilities experienced by adolescents: challenges to public policies
- Aline dos Santos Gasparetto ,
- Tassia de Arruda Bonfim ,
- Elen Ferraz Teston ,
- Priscila Maria Marcheti ,
- Sueli Aparecida Frari Galera , [ … ],
- Bianca Cristina Ciccone Giacon-Arruda
Abstract
ORIGINAL ARTICLEContexts of vulnerabilities experienced by adolescents: challenges to public policies
Revista Brasileira de Enfermagem. 2020;73:e20190224
DOI 10.1590/0034-7167-2019-0224
- Aline dos Santos Gasparetto ,
- Tassia de Arruda Bonfim ,
- Elen Ferraz Teston ,
- Priscila Maria Marcheti ,
- Sueli Aparecida Frari Galera ,
- Bianca Cristina Ciccone Giacon-Arruda
Views0See moreABSTRACT
Objectives:
to understand the context of vulnerability experienced by adolescents from the perspective of health professionals from the Family Health Strategy.
Methods:
a descriptive-exploratory qualitative study developed with 80 Family Health Strategy professionals in the Midwest region of Brazil. Data collection was developed from July to September 2018 through a focus group, and submitted to Thematic Analysis.
Results:
it was understood that the vulnerability experienced by adolescents is not an exposure to something isolated, but is linked to risk and protection factors, socioeconomic and cultural contexts, public and health policies.
Final Considerations:
there are still gaps in public policies for this population, which impacts on the access and development of promotion actions by health professionals.
- Aline dos Santos Gasparetto
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ORIGINAL ARTICLE09-21-2020
The vulnerabilities of premature children: home and institutional contexts
- Rosane Meire Munhak da Silva ,
- Adriana Zilly ,
- Ana Paula Contiero Toninato ,
- Letícia Pancieri ,
- Maria Cândida Carvalho Furtado , [ … ],
- Débora Falleiros de Mello
Abstract
ORIGINAL ARTICLEThe vulnerabilities of premature children: home and institutional contexts
Revista Brasileira de Enfermagem. 2020;73:e20190218
DOI 10.1590/0034-7167-2019-0218
- Rosane Meire Munhak da Silva ,
- Adriana Zilly ,
- Ana Paula Contiero Toninato ,
- Letícia Pancieri ,
- Maria Cândida Carvalho Furtado ,
- Débora Falleiros de Mello
Views0See moreABSTRACT
Objective:
To analyze situations in which premature children are vulnerable in home care, in the first six months after hospital discharge.
Method:
Qualitative study, from the perspective of philosophical hermeneutics, carried out in a Brazilian city on the border. In-depth interviews were conducted, with a data analysis considering the method of interpretation of meanings. 18 mothers of premature children discharged from a hospital unit participated. 25 home visits and 56 calls were made.
Results:
The reports from the mothers express situations of vulnerability, concerns, needs for care, singularities of the development of the premature baby, and repercussions of institutional routines in home care.
Final considerations:
There are vulnerable circumstances in prematurity that reaffirm interconnected individual, social, and institutional dimensions. It is important to highlight that the institutional dimension involves the responsibility of health professionals not to increase individual and social vulnerabilities, but to promote care and seek to reduce situations that generate risks, uncertainties, concerns, and damages.
- Rosane Meire Munhak da Silva
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ORIGINAL ARTICLE12-05-2019
Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2019;72:22-29
Abstract
ORIGINAL ARTICLESelf-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2019;72:22-29
DOI 10.1590/0034-7167-2017-0579
Views0See moreABSTRACT
Objective:
to analyze the association between self-care activities of older adults with Type 2 Diabetes Mellitus (DM) and sociodemographic variables, type of treatment and depressive symptoms.
Method:
inferential and cross-sectional study, with 121 older adults with Type 2 DM in ambulatory care. We used a questionnaire for characterization of sociodemographic and health, questionnaire self-care activities with DM, Mini Mental State Examination and Geriatric Depression Scale. The association of variables was used (Fisher’s exact test) and for comparing the means (Student’s t-test and analysis of variance).
Results:
The mean age was 68.1 years, the majority were women (57.2%), retired (71.9%) and married (65.3%). The highest averages were for the activities: “to dry the spaces between the toes, after washing them” and smaller averages for “exercise”.
Conclusion:
In spite of high average for self-care activities, there is a need for enhanced performance and compliance to them.
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ORIGINAL ARTICLE09-16-2019
Social representations of the elderly about HIV/AIDS
- Brígida Maria Gonçalves de Melo Brandão ,
- Rebeca Coelho de Moura Angelim ,
- Sergio Corrêa Marques ,
- Denize Cristina de Oliveira ,
- Regina Célia de Oliveira , [ … ],
- Fátima Maria da Silva Abrão
Abstract
ORIGINAL ARTICLESocial representations of the elderly about HIV/AIDS
Revista Brasileira de Enfermagem. 2019;72(5):1349-1355
DOI 10.1590/0034-7167-2018-0296
- Brígida Maria Gonçalves de Melo Brandão ,
- Rebeca Coelho de Moura Angelim ,
- Sergio Corrêa Marques ,
- Denize Cristina de Oliveira ,
- Regina Célia de Oliveira ,
- Fátima Maria da Silva Abrão
Views0See moreABSTRACT
Objective:
to understand the representational content about HIV/AIDS among seropositive elderly people.
Method:
a qualitative study carried out from April to May 2017, in the city of Recife/PE, with 48 seropositive elderly people, through a semi-structured interview. The Social Representations Theory was used as theoretical framework and the method of lexical analysis through IRAMUTEQ software.
Results:
it was observed that the social representation of HIV is structured around the proximity of death and that it is a disease of restricted groups, leading to feelings of sadness. On the other hand, it is evident a transformation of the representation linked to the reified knowledge, leading to the process of naturalization of the disease.
Final considerations:
it is concluded that the elderly living with HIV, when they undergo a process of reframing about the disease, become more flexible to deal with their condition of seropositivity.
- Brígida Maria Gonçalves de Melo Brandão
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