Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-13-2024

    Nurses’ experience regarding patient safety in mobile pre-hospital care

    Revista Brasileira de Enfermagem. 2024;77(5):e20230529

    Abstract

    ORIGINAL ARTICLE

    Nurses’ experience regarding patient safety in mobile pre-hospital care

    Revista Brasileira de Enfermagem. 2024;77(5):e20230529

    DOI 10.1590/0034-7167-2023-0529

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    ABSTRACT

    Objectives:

    to understand nurses’ experience regarding patient safety in mobile pre-hospital care.

    Method:

    a qualitative, exploratory and descriptive study, conducted with nurses active in mobile pre-hospital care services. Semi-structured interviews were conducted, audio-graved and submitted to Bardin’s content analysis.

    Results:

    from four thematic categories established, nurses reported the care and management skills necessary to work in this service. They demonstrated a commitment to ensuring safe care for patients, staff and spectators. They highlighted the actions taken to prevent and mitigate incidents. However, they based their experiences on practice protocols and individual actions, expressing the need to improve knowledge about patient safety.

    Final Considerations:

    mobile pre-hospital care nurses’ experience in relation to patient safety was limited, suggesting the need for training on the subject, alignment of work processes and implementation of strategies, aiming to guarantee safe care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-13-2024

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    Abstract

    ORIGINAL ARTICLE

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    DOI 10.1590/0034-7167-2023-0542

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    ABSTRACT

    Objectives:

    to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.

    Methods:

    this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.

    Results:

    nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.

    Conclusions:

    exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.

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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.
    Stress in nursing workers caring for people with COVID-19
  • ORIGINAL ARTICLE12-13-2024

    Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240011

    Abstract

    ORIGINAL ARTICLE

    Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240011

    DOI 10.1590/0034-7167-2024-0011

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    ABSTRACT

    Objectives:

    to compare the knowledge and attitudes of nursing students regarding sexual behavior and sexually transmitted infections (STIs) in older adults before and after an educational intervention.

    Methods:

    this quasi-experimental study involved a convenience sample of 45 nursing students from a public university, conducted in three stages: pre-intervention, intervention, and post-intervention. A questionnaire was used to assess sociodemographic characteristics, academic training, and knowledge and attitudes on the topic. The intervention was an educational web conference. Paired t-test and Wilcoxon test were used for data analysis.

    Results:

    there was a statistically significant difference in the knowledge and attitude scores of nursing students before and after the educational intervention (p < 0.001). A significant increase was observed in the knowledge score (from 9.3 to 12.2) and attitude score (from 108 to 117.2) in the post-intervention phase.

    Conclusions:

    the knowledge of nursing students regarding the sexuality of older adults increased after the educational intervention, and their attitudes on the subject became more positive.

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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.
    Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study
  • ORIGINAL ARTICLE12-13-2024

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    Abstract

    ORIGINAL ARTICLE

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    DOI 10.1590/0034-7167-2024-0138

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    ABSTRACT

    Objectives:

    to develop and validate an educational booklet on labor and delivery for pregnant women.

    Methods:

    this methodological study involved constructing and validating a booklet based on Echer’s framework. We used the Content Validity Index and Cronbach’s alpha for content and face validation, selecting judges according to Fering’s criteria. We then conducted a clinical validation with the target population.

    Results:

    the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.

    Conclusions:

    expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.

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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 booklet on labor and delivery: validity study
  • 12-08-2024

    Contexto ibero-americano da enfermagem: construindo e compartilhando conhecimento

    Revista Brasileira de Enfermagem. 2024;77(1):e770101

    Abstract

    Contexto ibero-americano da enfermagem: construindo e compartilhando conhecimento

    Revista Brasileira de Enfermagem. 2024;77(1):e770101

    DOI 10.1590/0034-7167.2024770101pt

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    Na próxima semana, acontecerão dois grandes eventos científicos em Madri e Granada (Espanha). Serão atividades internacionais, específicas e de forma muito especial, embora não exclusivas do campo ibero-americano, organizadas e desenvolvidas por duas sociedades científicas de enfermagem muito importantes, como a Associação de Enfermagem Comunitária (AEC) e a Associação Latino-Americana de Escolas e Faculdades de […]
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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 ARTICLE12-08-2024

    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations

    Revista Brasileira de Enfermagem. 2024;77(1):e20220773

    Abstract

    ORIGINAL ARTICLE

    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations

    Revista Brasileira de Enfermagem. 2024;77(1):e20220773

    DOI 10.1590/0034-7167-2022-0773

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    ABSTRACT

    Objective:

    to analyze the initial nipple damage degree by breastfeeding practice and to associate findings with clinical manifestations of breastfeeding women.

    Methods:

    a retrospective, cross-sectional study with primary data and photographic images database from two randomized clinical trials. Photographic images were analyzed by two independent evaluators using the Nipple Trauma Score. For analysis, the chi-square, Mann-Whitney tests and Kappa coefficient were applied.

    Results:

    115 breastfeeding women and their respective 186 photographic images were analyzed. The degree of agreement of evaluators using the Nipple Trauma Score was 93.6%. The nipple pain score during breastfeeding was moderate and compromised more than 25% of the nipple surface area.

    Conclusions:

    assistance to breastfeeding women should prioritize nipple pain intensity instead of the nipple damage size.

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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.
    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
  • REVIEW12-08-2024

    Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230192

    Abstract

    REVIEW

    Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230192

    DOI 10.1590/0034-7167-2023-0192

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    ABSTRACT

    Objective:

    To assess the evidence regarding the effectiveness of interventions aimed at strengthening self-efficacy beliefs in college students.

    Methods:

    Integrative Review conducted on the Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus, and PsycInfo databases. The methodological quality of the studies was assessed using tools proposed by the Joanna Briggs Institute, and the results were analyzed descriptively.

    Results:

    Out of the 10 selected studies, six demonstrated that interventions aimed at strengthening self-efficacy were effective (Levels of Evidence II and III), and four revealed contrary results (Levels of Evidence I and II). Programs aimed at enhancing self-efficacy should include content on positive mental health, psychoeducation strategies, cover a period of eight to twelve weeks, and consider the completion of homework assignments.

    Conclusion:

    The synthesis of evidence pointed to pathways for building an effective self-efficacy strengthening program to be implemented in universities.

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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.
    Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review
  • REVIEW12-08-2024

    Common mental disorders in hematopoietic stem cell transplant patients: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20220581

    Abstract

    REVIEW

    Common mental disorders in hematopoietic stem cell transplant patients: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20220581

    DOI 10.1590/0034-7167-2022-0581

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    ABSTRACT

    Objective:

    to map common recurrent mental disorders in patients undergoing hematopoietic stem cell transplantation.

    Methods:

    this is a scoping review carried out in January 2022 in electronic databases and repositories of dissertations and thesis. Studies that answered the research question, met the objective of the study and were available in full electronically, in any language, were included.

    Results:

    the sample consisted of 28 studies, 14 of which were published in the United States of America. The common mental disorders found were depressive, anxiety, post-traumatic stress and mood disorders. Twenty symptoms were mentioned, among the most prevalent are fatigue and sleep disorders/insomnia.

    Conclusions:

    the difficulty and importance of carrying out the differential diagnosis of these disorders were highlighted, since their symptoms can be confused with other health problems and have a strong potential to interfere with patients’ evolution.

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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.
    Common mental disorders in hematopoietic stem cell transplant patients: a scoping review

  • ORIGINAL ARTICLE12-13-2019

    Accessibility of children with special health needs to the health care network

    Revista Brasileira de Enfermagem. 2019;72:65-71

    Abstract

    ORIGINAL ARTICLE

    Accessibility of children with special health needs to the health care network

    Revista Brasileira de Enfermagem. 2019;72:65-71

    DOI 10.1590/0034-7167-2017-0899

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    ABSTRACT

    Objective:

    To know how children with special health needs access the health care network.

    Method:

    This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis.

    Results:

    Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care.

    Conclusion:

    The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

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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.
    Accessibility of children with special health needs to the health care network
  • 08-19-2019

    Humor intervention in the nurse-patient interaction

    Revista Brasileira de Enfermagem. 2019;72(4):1078-1085

    Abstract

    Humor intervention in the nurse-patient interaction

    Revista Brasileira de Enfermagem. 2019;72(4):1078-1085

    DOI 10.1590/0034-7167-2018-0609

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    ABSTRACT

    Objective:

    To describe the factors influencing the use of humor in nursing care, its applicability and benefits.

    Method:

    A scoping review was performed using the Arksey and O’Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar.

    Results:

    From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention.

    Conclusion:

    The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention should be used with caution.

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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.
    Humor intervention in the nurse-patient interaction
  • ORIGINAL ARTICLE07-13-2020

    Incontinence-associated dermatitis in elderly patients: prevalence and risk factors

    Revista Brasileira de Enfermagem. 2020;73:e20180475

    Abstract

    ORIGINAL ARTICLE

    Incontinence-associated dermatitis in elderly patients: prevalence and risk factors

    Revista Brasileira de Enfermagem. 2020;73:e20180475

    DOI 10.1590/0034-7167-2018-0475

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    ABSTRACT

    Objective:

    To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly.

    Method:

    Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05.

    Results:

    138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]).

    Conclusion:

    The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.

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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.
    Incontinence-associated dermatitis in elderly patients: prevalence and risk factors
  • ORIGINAL ARTICLE10-21-2019

    Workloads and burnout of nursing workers

    Revista Brasileira de Enfermagem. 2019;72(6):1435-1441

    Abstract

    ORIGINAL ARTICLE

    Workloads and burnout of nursing workers

    Revista Brasileira de Enfermagem. 2019;72(6):1435-1441

    DOI 10.1590/0034-7167-2017-0659

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    ABSTRACT

    Objective:

    to identify workloads in nursing work and its association with nursing worker burnout.

    Method:

    a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.

    Results:

    the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.

    Conclusion:

    workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.

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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 ARTICLE10-21-2019

    Nursing care systematization: perceptions and knowledge of the Brazilian nursing

    Revista Brasileira de Enfermagem. 2019;72(6):1547-1553

    Abstract

    ORIGINAL ARTICLE

    Nursing care systematization: perceptions and knowledge of the Brazilian nursing

    Revista Brasileira de Enfermagem. 2019;72(6):1547-1553

    DOI 10.1590/0034-7167-2018-0606

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    ABSTRACT

    Objective:

    to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.

    Method:

    a descriptive study, carried out in the first half of 2018.

    Results:

    of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.

    Conclusion:

    the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.

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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.
    Nursing care systematization: perceptions and knowledge of the Brazilian nursing
  • REVIEW12-05-2019

    Vulnerability of the elderly: a conceptual analysis

    Revista Brasileira de Enfermagem. 2019;72:337-344

    Abstract

    REVIEW

    Vulnerability of the elderly: a conceptual analysis

    Revista Brasileira de Enfermagem. 2019;72:337-344

    DOI 10.1590/0034-7167-2018-0728

    Views0

    ABSTRACT

    Objective:

    To analyze the concept of vulnerability of the elderly.

    Method:

    A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the

    Descriptors:

    Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.

    Results:

    Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.

    Conclusion:

    The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.

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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.
    Vulnerability of the elderly: a conceptual analysis
  • 01-20-2021

    Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses

    Revista Brasileira de Enfermagem. 2021;74:e20190535

    Abstract

    Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses

    Revista Brasileira de Enfermagem. 2021;74:e20190535

    DOI 10.1590/0034-7167-2019-0535

    Views0

    ABSTRACT

    Objective:

    to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.

    Methods:

    a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.

    Results:

    Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.

    Conclusion:

    the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.

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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.
  • 08-19-2019

    Clinical simulation in nursing education in intensive therapy: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1061-1070

    Abstract

    Clinical simulation in nursing education in intensive therapy: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1061-1070

    DOI 10.1590/0034-7167-2018-0217

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    ABSTRACT

    Objective:

    to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care.

    Method:

    an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017.

    Results:

    29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years.

    Conclusion:

    variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical 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.
    Clinical simulation in nursing education in intensive therapy: an integrative review

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