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  • 01-01-2016

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803
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    Abstract

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803

    DOI 10.1590/0034-7167.2016690424i

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    ABSTRACT

    Objective:

    to analyze the scientific production on “breast cancer” in the period from 2002 to 2013 and determine the public policies for screening and early diagnosis of breast cancer.

    Method:

    this is an integrative literature review conducted in the databases MEDLINE, LILACS, SciELO and Google Scholar. Inclusion criteria: year and period of publication; availability of the full article; publication in Brazil; and the cross-check of the keywords Breast Cancer, Primary Health Care, Screening Programs, and Early Detection of Cancer.

    Results:

    after analysis, four thematic categories were obtained: breast self-examination, clinical examination of breast, mammography, and factors that hinder the adherence to the screening.

    Conclusion:

    health professionals have deficits of knowledge on the area, indicating the need for other studies on the subject addressed and greater investment in continuing education of professionals.

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    Public actions for control of breast cancer in Brazil: integrative review
  • 01-01-2016

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792
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    Abstract

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792

    DOI 10.1590/0034-7167.2016690423i

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    ABSTRACT

    Objective:

    to verify the nursing diagnoses in patients affected by CVAs.

    Method:

    this is an integrative review of the literature. The search was conducted on LILACS, Scielo, Medline, CINAHL, and Scopus databases between February and March 2015, using the following keywords: “Enfermagem”, “Acidente Vascular Cerebral”, “Diagnóstico de Enfermagem”; and “Nursing”, “Stroke”, and “Nursing Diagnosis”.

    Results:

    we found 9 articles published between 2009 and 2015; most of them were Brazilian, cross-sectional, and exploratory, with a level of evidence of 6. The evidence from the publications was classified as: “Evaluation and validation of specific nursing diagnoses for subjects affected by CVAs” and “Application of the nursing process on subjects affected by CVAs”.

    Conclusion:

    we noticed the publications focused on nursing diagnoses related to motor disorders, such as risk of falls and impaired physical mobility. Domains regarding safety/protection (domain 11) and sleep/resting (domain 4) were present in most evaluated publications.

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  • 01-01-2016

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784
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    Abstract

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784

    DOI 10.1590/0034-7167.2016690422i

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    ABSTRACT

    Objective:

    To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.

    Method:

    A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.

    Results:

    Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.

    Conclusion:

    Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.

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    Impact of educational interventions in reducing diabetic complications: a systematic review
  • 01-01-2016

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772
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    Abstract

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772

    DOI 10.1590/0034-7167.2016690421i

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    ABSTRACT

    Objective:

    to identify scientific evidence about the communication process in Telenursing and analyze them.

    Method:

    integrative review performed in March 2014. The search strategy, structured with the descriptors “telenursing” and “communication”, was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.

    Results:

    ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.

    Conclusion:

    distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.

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    The communication process in Telenursing: integrative review
  • 01-01-2016

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764
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    Abstract

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764

    DOI 10.1590/0034-7167.2016690420i

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    ABSTRACT

    Objective:

    to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.

    Method:

    a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.

    Results:

    a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.

    Conclusions:

    health care protocols are required to standardize practice and improve these indicators.

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  • 01-01-2016

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756
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    Abstract

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756

    DOI 10.1590/0034-7167.2016690419i

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    ABSTRACT

    Objective:

    to analyze the profile and quality of working life (QWL) of call-center workers.

    Method:

    quantitative research, conducted in one call-center of the city of São José do Rio Preto – SP, using the QVP-35 questionnaire.

    Results:

    profile was composed by: 80.2% women; 66.3% were single, with high school diploma and 6 hours of daily working hours; mean age of 28 years; 92.9% had only one job with mean working experience of 3 years. Positive aspects of QWL: intrinsic motivation, working ability, available resources and social support. Negative aspects of QWL: workload and organizational support.

    Conclusion:

    the data obtained indicate the need for better organization of call-center working processes in the company and suggests other researches in this context.

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  • 01-01-2016

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750
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    Abstract

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750

    DOI 10.1590/0034-7167.2016690418i

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    ABSTRACT

    Objective:

    to investigate stressors perceived by patients in the immediate postoperative of cardiac surgery and their association with sociodemographic and clinical characteristics.

    Method:

    a prospective correlational study conducted in a city in São Paulo, between August 2013 and December 2014. A non-probabilistic sample included patients submitted to their first coronary artery bypass graft or mitral valve surgery. The “Environmental Stressor Questionnaire” adapted to Portuguese was used.

    Results:

    105 patients participated in the study. The item “being thirsty” was evaluated as the most stressful and “the nursing staff member does not introduce himself/herself by the name” as the least stressful. Among sociodemographic and clinical variables (gender, age, type and time of surgery, pain, intubation time, use of psychotropic medications and length of stay in the intensive care unit), only pain presented a significant association with the stressors.

    Conclusion:

    knowing stressors can help implement practices associated with their reduction, favoring patients’ recovery.

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  • 01-01-2016

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740
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    Abstract

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740

    DOI 10.1590/0034-7167.2016690417i

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    ABSTRACT

    Objective:

    to identify, describe and analyze characteristics of leadership, head nurses and participants in the teaching-learning process of leadership in Nursing, according to nurse professors who performed studies on this theme and taught such content between 1972 and 1994 in nursing schools of the state of São Paulo, southeastern Brazil.

    Methods:

    Thematic Oral History was used. A total of four nurse professors were interviewed, whose reports were submitted to content analysis.

    Results:

    the following aspects were approached in this study: the context in which students developed leadership, the influence of previous experiences on leadership qualification, its attributes, the importance of leadership, the value of teaching it, the possibilities of emancipation of a head nurse, the repercussions of teaching leadership for one’s professional life, the relationships between qualification and job market, the aspects of teaching qualification and students’ characteristics.

    Conclusion:

    although not essential for nursing qualification, leadership had a symbolic capital.

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  • 01-01-2015

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000
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    Abstract

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000

    DOI 10.1590/0034-7167.2015680601i

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    In order to establish an organizational basis for work processes in primary health care geared towards a new social practice, it is important to recognize territories and their contexts, as these materialize human interactions, conflicts, health problems and human needs.In the process of recognition and situational diagnosis of territories, technologies for spatial analysis can facilitate […]
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  • 01-01-2015

    Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000
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    Abstract

    Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000

    DOI 10.1590/0034-7167.2015680601i

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    Para a constituição de uma base organizativa dos processos de trabalho na Atenção Primária à Saúde em direção a uma nova prática social é importante o reconhecimento dos territórios e seus contextos, pois estes materializam as interações humanas, os conflitos, os problemas de saúde e necessidades humanas.Nesse processo de reconhecimento e diagnóstico situacional dos territórios, […]
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  • 01-01-2015

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962
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    Abstract

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962

    DOI 10.1590/0034-7167.2015680527

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    APRESENTAÇÃOOs participantes do 18º Seminário Nacional de Pesquisa em Enfermagem (SENPE), promovido pela Associação Brasileira de Enfermagem (ABEn) e realizado pela ABEn Seção Ceará, aprovaram, em Sessão Plenária de Encerramento, no dia 03 de junho de 2015, a “Carta de Fortaleza para a Enfermagem Brasileira”. A ABEn vem a público divulgá-la, ao mesmo tempo em […]
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  • 01-01-2015

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960
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    Abstract

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960

    DOI 10.1590/0034-7167.2015680526i

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    ABSTRACT

    Objective:

    analyze the concept of delayed surgical recovery.

    Method:

    the Rodgers’ concept analysis provided the procedural mechanisms to guide the study, and an integrative review was performed to achieve the second activity of the model adopted. The PubMed, CINAHL, EMBASE and LILACS databases were selected to search for primary studies.

    Results:

    sixty-six primary studies were included and served as basis to construct the use and meaning of delayed surgical recovery concept. In the analysis, six attributes were outlined, which are interrelated and underpin the research concept definition. Preliminary experience was identified as the antecedent. The consequences of the concept are expressed through clinical manifestations, re-interventions, dependence on care and reduced quality of life.

    Conclusion:

    the definition of the concept was constructed, and the antecedents and consequents were identified. The use and meaning of the delayed surgical recovery concept point to the use of the qualifier ‘impaired’ instead of ‘delayed’.

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    Delayed surgical recovery: a concept analysis
  • 01-01-2015

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952
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    Abstract

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952

    DOI 10.1590/0034-7167.2015680525i

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    ABSTRACT

    Objective:

    to identify the available evidence in the literature on Total Quality Management in nursing administration.

    Method:

    integrative literature review of full text articles in Portuguese, English and Spanish, published between 2000 and 2011 in the LILACS, MEDLINE, SciELO and PubMed databases.

    Results:

    the sample comprises 24 periodical articles grouped by the following thematic categories: Theoretical assumptions; Practical application and Quality indicators. Despite the criticism of models derived from classic administration theories, experiences of success with the deployment of TQM have already marked the health and nursing setting in Brazil.

    Conclusion:

    Total Quality Management in managing of nursing care has being fully used in some health institutions, while others have adopted several of its principles. Two of the twenty four articles are intervention studies, which characterizes the necessity for clinical research in this area.

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    Total Quality Management and hospital nursing: an integrative literature review
  • 01-01-2015

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944
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    Abstract

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944

    DOI 10.1590/0034-7167.2015680524i

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    ABSTRACT

    Objective:

    to characterize fatigue and exertion fatigue in patients with intermittent claudication (IC), and to test their association with sociodemographic and clinical variables, walking capacity and level of physical activity.

    Method:

    forty-nine participants (66.6 years; 70% male) were studied. Validated questionnaires were used to assess fatigue (DUFS), exertion fatigue (DEFS), level of physical activity (BASIC) and walking capacity (WIQ).

    Results:

    participants had substantial fatigue (DUFS = 20.4+8.8) and substantial exertion fatigue (DEFS = 20.4+10.8). There was an association between the DUFS and marital status (p = 0,008). There was a statically significant association between DEFS with scores of the BASIC (r = .331; p = .02) and among DEFS with WIQ domains – walking distance (r=.359; p = .011) and climbing stairs (r=.331; p = .02).

    Conclusion:

    patients with IC have fatigue and exertion fatigue. Exertion fatigue might compromise the engagement of these patients in physical activity, one of the main components of IC treatment.

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    Association between fatigue and functional capacity in patients with intermittent claudication
  • 01-01-2015

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936
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    Abstract

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936

    DOI 10.1590/0034-7167.2015680523i

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    ABSTRACT

    Objective:

    to calculate the average total cost (ATC) on the direct labor costs (DLC) of nursing professionals in body mobilization of patients for the prevention of pressure ulcers.

    Method:

    this is a quantitative, exploratory and, descriptive research. We observed 656 preventive mobilizations and we calculated the cost by multiplying the time spent by professionals at a unitary DLC.

    Results:

    ATC with DLC for each Unit corresponded to: Medical Clinic R$ 5.38 for bed turning, R$ 5.26 for seating positions, R$ 5.55 for walking aid; Surgical Clinic R$ 2.42 for bed turning, R$ 2.30 for seating positions, R$ 2.96 for walking aid and Intensive Care Unit R$ 8.15 for bed turning, R$ 7.57 for seating positions, R$ 15.32 for walking aid.

    Conclusion:

    the knowledge generated can support management related to costs of human resources needed to efficiently and effectively nursing care.

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  • 01-01-2015

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929
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    Abstract

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929

    DOI 10.1590/0034-7167.2015680522i

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    ABSTRACT

    Objective:

    To analyze the strategies employed by nurses to maintain the nursing residence program at the Ophir Loyola Hospital and discuss the potential effects of this interruption on the state of Pará.

    Method:

    Social-historic research. Data were collected through primary sources, written documents, and oral testimonial; the secondary sources used were manuals and articles that approached the topic in question. The theoretical reference was based on the French sociologist Pierre Bourdieu’s ideas about the concepts of cultural, social, and symbolic capital, in addition to the habitus and field concepts.

    Results:

    During the nurses’ mobilization there was a strong political influence on the development of the crisis and the interruption of the nursing residence Program at the Ophir Loyola Hospital, with implications for the nurses’ qualifications and the health care delivered to the societyof Pará.

    Conclusion:

    The analysis showed the prevalence of partisan political interests at the expense of social interests, culminating in the interruption of the nursing residency.

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