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ORIGINAL ARTICLE12-16-2024
Childbirth care by health professionals: conflicting practices in obstetrics
- Greici Naiara Mattei
, - Gabriela Marcellino de Melo Lanzoni ,
- Giovana Dorneles Callegaro Higashi ,
- Taís Regina Schapko ,
- Maria Aparecida Baggio
Abstract
ORIGINAL ARTICLEChildbirth care by health professionals: conflicting practices in obstetrics
Revista Brasileira de Enfermagem. 2024;77(6):e20230129
DOI 10.1590/0034-7167-2023-0129
- Greici Naiara Mattei ,
- Gabriela Marcellino de Melo Lanzoni ,
- Giovana Dorneles Callegaro Higashi ,
- Taís Regina Schapko ,
- Maria Aparecida Baggio
Views0See moreABSTRACT
Objectives:
to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.
Methods:
this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.
Results:
limitations in physical infrastructure and management of care, along with the women’s limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.
Final Considerations:
childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.
- Greici Naiara Mattei
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12-16-2024
Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Abstract
Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal
Revista Brasileira de Enfermagem. 2024;77(6):e20240217
DOI 10.1590/0034-7167-2024-0217es
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Views1See moreRESUMEN
Objetivos:
analizar la relación entre religión y experiencia profesional con la inteligencia espiritual en enfermeros.
Métodos:
estudio transversal y analítico realizado en 2021, participaron 544 profesionales de enfermería que laboraban en establecimiento de salud de Perú durante la pandemia por COVID-19. Para el análisis de los datos se emplearon el análisis de regresión múltiple y correlación de Pearson.
Resultados:
en los enfermeros predominó un nivel de inteligencia espiritual saludable (42,8%). Quienes no profesaban una religión tenían mayor probabilidad de tener menor puntaje de inteligencia espiritual (escala global y dimensiones); sin embargo, los enfermeros expertos tuvieron mayor probabilidad de tener mayor inteligencia espiritual (escala global y dimensiones) que los enfermeros novatos (p<0,05).
Conclusiones:
la inteligencia espiritual en los enfermeros fue predicha por la religión y la experiencia profesional. Este hallazgo sugiere que la inteligencia espiritual en enfermería se consolida mediante prácticas religiosas y durante el ejercicio profesional.
- Jhon Alex Zeladita-Huaman
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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 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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ORIGINAL ARTICLE12-16-2024
Nursing team’s perceptions about care for pregnant women in a psychiatric unit
- Helena Moro Stochero ,
- Suzinara Beatriz Soares de Lima ,
- Juliana Silveira Colomé ,
- Dirce Stein Backes ,
- Mara Regina Caino Teixeira Marchiori
Abstract
ORIGINAL ARTICLENursing team’s perceptions about care for pregnant women in a psychiatric unit
Revista Brasileira de Enfermagem. 2024;77(6):e20230186
DOI 10.1590/0034-7167-2023-0186
- Helena Moro Stochero ,
- Suzinara Beatriz Soares de Lima ,
- Juliana Silveira Colomé ,
- Dirce Stein Backes ,
- Mara Regina Caino Teixeira Marchiori
Views0See moreABSTRACT
Objectives:
to understand the nursing team’s perception in relation to the care provided to pregnant women with mental disorders admitted to a psychiatric hospital unit.
Methods:
Convergent Care Research carried out between August and December 2021, through semi-structured interviews with 25 nursing professionals from a Psychiatric Unit from a reference Hospital in Southern Brazil.
Results:
the organized and analyzed data resulted in two thematic categories: Technical, generic and impersonal care; and From impersonality to the singularity of nursing care. Ensuring unique care for pregnant women with mental disorders means giving them a meaning of existence and providing care from a multidimensional and continuous perspective.
Final Considerations:
nursing care for pregnant women in psychiatric hospitalization requires continuous professional qualification, interactive technologies and support for the nursing process, in addition to promoting singular and multidimensional care.
- Helena Moro Stochero
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ORIGINAL ARTICLE12-16-2024
The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
- Caren de Oliveira Riboldi ,
- Renata Cristina Gasparino ,
- Wiliam Wegner ,
- Eder Henriqson ,
- Tarcísio Abreu Saurin , [ … ],
- Ana Maria Müller de Magalhães
Abstract
ORIGINAL ARTICLEThe nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
Revista Brasileira de Enfermagem. 2024;77(6):e20230315
DOI 10.1590/0034-7167-2023-0315
- Caren de Oliveira Riboldi ,
- Renata Cristina Gasparino ,
- Wiliam Wegner ,
- Eder Henriqson ,
- Tarcísio Abreu Saurin ,
- Ana Maria Müller de Magalhães
Views1See moreABSTRACT
Objectives:
to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.
Methods:
a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.
Results:
the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.
Conclusions:
the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.
- Caren de Oliveira Riboldi
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ORIGINAL ARTICLE12-16-2024
Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
- Talyta Sâmara Batista Ferreira ,
- Cinara Botelho Moutinho ,
- Edmar Rocha Almeida ,
- Ana Júlia Soares Oliveira ,
- Carolina Amaral Oliveira Rodrigues , [ … ],
- Marise Fagundes Silveira
Abstract
ORIGINAL ARTICLEFactors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
Revista Brasileira de Enfermagem. 2024;77(6):e20230304
DOI 10.1590/0034-7167-2023-0304
- Talyta Sâmara Batista Ferreira ,
- Cinara Botelho Moutinho ,
- Edmar Rocha Almeida ,
- Ana Júlia Soares Oliveira ,
- Carolina Amaral Oliveira Rodrigues ,
- Clara de Cássia Versiani ,
- Sibylle Emilie Vogt ,
- Marise Fagundes Silveira
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.
Methods:
a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.
Results:
a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).
Conclusions:
a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.
- Talyta Sâmara Batista Ferreira
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ORIGINAL ARTICLE12-16-2024
Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff
- Emanuelli Mancio Ferreira da Luz ,
- Oclaris Lopes Munhoz ,
- Patrícia Bitencourt Toscani Greco ,
- Bruna Xavier Morais ,
- Silviamar Camponogara , [ … ],
- Tânia Solange Bosi de Souza Magnago
Abstract
ORIGINAL ARTICLEPrevalence and factors associated with musculoskeletal pain among hospital cleaning staff
Revista Brasileira de Enfermagem. 2024;77(6):e20230237
DOI 10.1590/0034-7167-2023-0237
- Emanuelli Mancio Ferreira da Luz ,
- Oclaris Lopes Munhoz ,
- Patrícia Bitencourt Toscani Greco ,
- Bruna Xavier Morais ,
- Silviamar Camponogara ,
- Tânia Solange Bosi de Souza Magnago
Views0See moreRESUMO
Objetivos:
verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.
Métodos:
estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.
Resultados:
participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).
Conclusões:
prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.
- Emanuelli Mancio Ferreira da Luz
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ORIGINAL ARTICLE06-14-2021
Continuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
- Anna Tereza Alves Guedes ,
- Anniely Rodrigues Soares ,
- Daniele Beltrão Lucena de França ,
- Elenice Maria Cecchetti Vaz ,
- Neusa Collet , [ … ],
- Altamira Pereira da Silva Reichert
Abstract
ORIGINAL ARTICLEContinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
Revista Brasileira de Enfermagem. 2021;74(6):e20200694
DOI 10.1590/0034-7167-2020-0694
- Anna Tereza Alves Guedes ,
- Anniely Rodrigues Soares ,
- Daniele Beltrão Lucena de França ,
- Elenice Maria Cecchetti Vaz ,
- Neusa Collet ,
- Altamira Pereira da Silva Reichert
Views0See moreABSTRACT
Objective:
Understand the continuity of stimulation of neuro-psychomotor development in children with congenital Zika syndrome.
Method:
Descriptive-exploratory study with theoretical support in symbolic interactionism. Between August and November 2019, 12 health professionals were interviewed in depth; and to the focus group, seven caregivers of children with the syndrome. The analysis was thematic inductive.
Results:
The continuation of neuro-psychomotor stimulation of children with Zika syndrome goes through: organizational difficulties (lack of doctors, professional unpreparedness, dissatisfaction and search for other services); socioenvironmental aspects (low maternal education, low socioeconomic level, difficulty in moving and lack of support); and conditions inherent to children (hospitalizations for respiratory crises, seizures, hypoactivity and social stigma).
Final considerations:
A strengthened support network with qualified human resources is necessary in order to provide comprehensive care and avoid the discontinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome.
- Anna Tereza Alves Guedes
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ORIGINAL ARTICLE08-20-2021
Risk of suicide among nursing students
- Stephane Marcele Almeida Braga Moraes ,
- Valquíria Farias Bezerra Barbosa ,
- Ana Carla Silva Alexandre ,
- Silvana Cavalcanti dos Santos ,
- Fernanda Jorge Guimarães, [ … ],
- Juliana Lourenço de Araújo Veras
Abstract
ORIGINAL ARTICLERisk of suicide among nursing students
Revista Brasileira de Enfermagem. 2021;74(6):e20200867
DOI 10.1590/0034-7167-2020-0867
- Stephane Marcele Almeida Braga Moraes ,
- Valquíria Farias Bezerra Barbosa ,
- Ana Carla Silva Alexandre ,
- Silvana Cavalcanti dos Santos ,
- Fernanda Jorge Guimarães,
- Juliana Lourenço de Araújo Veras
Views0See moreABSTRACT
Objectives:
to identify the risk and degree of risk of suicide in nursing students of a public institution in the countryside of Pernambuco, Brazil.
Methods:
this was a cross-sectional, quantitative research conducted with 150 students. For data collection, a sociodemographic questionnaire and the instrument, M.I.N.I. – Brazilian version 5.0.0 – Module C – Risk of suicide were used. Statistical analyses were performed with IBM(® )SPSS(®), version 23.
Results:
53.3% of nursing students had a risk of suicide, of which 20.7% had a high risk. Moreover, 22.67% reported previous suicide attempt. It is noteworthy that students without a partner have a higher risk of suicide (56.8%) than those with a partner (29.4%).
Conclusions:
it is perceived the need to develop programs that identify students at risk of suicide in higher education institutions, in order to raise awareness of the problem and implement policies to promote mental health in the academia.
- Stephane Marcele Almeida Braga Moraes
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REVIEW08-20-2021
Root Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
- Luciana Andrade de Lima ,
- Louise Constancia de Melo Alves Silva ,
- Joyce Karolayne dos Santos Dantas ,
- Maria Solange Moreira de Lima ,
- Daniele Vieira Dantas , [ … ],
- Rodrigo Assis Neves Dantas
Abstract
REVIEWRoot Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20200954
DOI 10.1590/0034-7167-2020-0954
- Luciana Andrade de Lima ,
- Louise Constancia de Melo Alves Silva ,
- Joyce Karolayne dos Santos Dantas ,
- Maria Solange Moreira de Lima ,
- Daniele Vieira Dantas ,
- Rodrigo Assis Neves Dantas
Views0See moreABSTRACT
Objectives:
to analyze the applicability of Root Cause Analysis and Failure Mode and Effect Analysis tools, aiming to improve care in pediatric units.
Methods:
this is a scoping review carried out according to the Joanna Briggs Institute guidelines, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes extension for Scoping Reviews. Search took place in May 2018 on 15 data sources.
Results:
search totaled 8,254 studies. After using the relevant inclusion and exclusion criteria, 15 articles were included in the review. Of these, nine were published between 2013 and 2018, 12 used Failure Mode and Effect Analysis and 11 carried out interventions to improve the quality of the processes addressed, showing good post-intervention results.
Final Considerations:
the application of the tools indicated significant changes and improvements in the services that implemented them, proving to be satisfactory for detecting opportunities for improvement, employing specific methodologies for harm reduction in pediatrics.
- Luciana Andrade de Lima
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ORIGINAL ARTICLE07-26-2021
Representations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
Abstract
ORIGINAL ARTICLERepresentations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
DOI 10.1590/0034-7167-2020-1028
Views0See moreABSTRACT
Objective:
to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis.
Methods:
this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®.
Results:
representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection.
Final considerations:
representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.
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08-20-2021
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach ,
- Higor Pacheco Pereira ,
- Regina Paula Guimarães Vieira Cavalcante da Silva
Abstract
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201073
DOI 10.1590/0034-7167-2020-1073
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach ,
- Higor Pacheco Pereira ,
- Regina Paula Guimarães Vieira Cavalcante da Silva
Views0See moreABSTRACT
Objectives:
to establish the prevalence of salvage of central venous catheters in newborns with bloodstream infection caused by coagulase-negative staphylococci.
Methods:
retrospective cross-sectional study with 136 newborns admitted to the Neonatal Intensive Care Unit between 2011 and 2017. The total of 143 infection events undergoing antibiotic therapy were evaluated.
Results:
among the 143 infection events, 39 catheters in which antibiotic therapy was used were saved and in 69 cases, the device was removed. Positive central blood culture and single lumen catheter were factors associated with salvage failure. The probability of salvage decreased with infections diagnosed from 15 days of using the catheter. Negative blood culture raised the chance of salvage by fourfold.
Conclusions:
the use of antibiotic therapy in the treatment of infections resulted in a low prevalence of salvage of the central venous catheter. The probability of salvage was associated with variables of the device.
- Izabela Linha Secco
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EXPERIENCE REPORT02-15-2021
Coronavirus infections: health care planning based on Orem’s Nursing Theory
- Tayomara Ferreira Nascimento ,
- Graziela Maria Ferraz de Almeida ,
- Marielle Poyo Bello ,
- Rosemary Pereira Lino da Silva ,
- Cassiana Mendes Bertoncello Fontes
Abstract
EXPERIENCE REPORTCoronavirus infections: health care planning based on Orem’s Nursing Theory
Revista Brasileira de Enfermagem. 2021;74:e20200281
DOI 10.1590/0034-7167-2020-0281
- Tayomara Ferreira Nascimento ,
- Graziela Maria Ferraz de Almeida ,
- Marielle Poyo Bello ,
- Rosemary Pereira Lino da Silva ,
- Cassiana Mendes Bertoncello Fontes
Views0See moreABSTRACT
Objective:
to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory.
Method:
the active methodologies used were a literature search and seminar presentations, with an understanding of Orem’s theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used.
Results:
for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes.
Final considerations:
theoretical-practical reflections of the academic context support nursing care planning.
- Tayomara Ferreira Nascimento
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REFLECTION03-05-2021
Reflections on patient safety incident reporting systems
- Maria de Jesus Castro Sousa Harada ,
- Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt , [ … ],
- Adriane Cristina Bernat Kolankiewicz
Abstract
REFLECTIONReflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74:e20200307
DOI 10.1590/0034-7167-2020-0307
- Maria de Jesus Castro Sousa Harada ,
- Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt ,
- Antônio José de Lima Júnior ,
- Adriane Cristina Bernat Kolankiewicz
Views0See moreABSTRACT
Objective:
To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.
Method:
Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.
Results:
Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.
Final Considerations:
In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.
- Maria de Jesus Castro Sousa Harada
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EXPERIENCE REPORT01-29-2021
Restructuring service at a mastology outpatient clinic during the COVID-19 pandemic
- Cristina Poliana Rolim Saraiva dos Santos ,
- Ana Fátima Carvalho Fernandes ,
- Denise Montenegro da Silva ,
- Régia Christina Moura Barbosa Castro
Abstract
EXPERIENCE REPORTRestructuring service at a mastology outpatient clinic during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200571
DOI 10.1590/0034-7167-2020-0571
- Cristina Poliana Rolim Saraiva dos Santos ,
- Ana Fátima Carvalho Fernandes ,
- Denise Montenegro da Silva ,
- Régia Christina Moura Barbosa Castro
Views0INTRODUCTIONCOVID-19 is a disease caused by the SARS-CoV-2 coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) and has brought a threat to public health worldwide. In need of immediate changes, adaptations tend to be the way out to avoid contamination that potentially does not distinguish race, color, gender().The global numbers of suspected and confirmed cases are […]See more - Cristina Poliana Rolim Saraiva dos Santos
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ORIGINAL ARTICLE08-19-2019
Psychosocial risks related to the nurse in the psychiatric hospital and management strategies
- Maria Carolina Santos Scozzafave ,
- Laura Andrian Leal ,
- Mirelle Inácio Soares ,
- Silvia Helena Henriques
Abstract
ORIGINAL ARTICLEPsychosocial risks related to the nurse in the psychiatric hospital and management strategies
Revista Brasileira de Enfermagem. 2019;72(4):834-840
DOI 10.1590/0034-7167-2017-0311
- Maria Carolina Santos Scozzafave ,
- Laura Andrian Leal ,
- Mirelle Inácio Soares ,
- Silvia Helena Henriques
Views0See moreABSTRACT
Objective:
To characterize the presence of psychosocial risks related to the work of the nurse in a psychiatric hospital and the strategies for managing these risks.
Methods:
Qualitative, in which 25 nurses from a psychiatric hospital participated using semi-structured interviews from November 2014 to January 2015. Data analysis was performed using the thematic method.
Results:
The results showed psychosocial risks related to the work of psychiatric nurses, such as: insufficient academic training; lack of preparation and maintenance of equipment; poor relationship with colleagues; shortage of human resources and lack of capacity building; conflict between the demands of the home and work, as well as strategies for managing psychosocial risks such as family, cinema, music, reading, among others.
Final considerations:
This study should provoke the reflection of managers and future nurses regarding the working conditions in a psychiatric hospital and possible psychosocial risks to which they are exposed.
- Maria Carolina Santos Scozzafave
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ORIGINAL ARTICLE06-01-2020
Structural and procedural conditions in National Immunization Program Information System establishment
- Brener Santos Silva ,
- Kátia Cristina de Souza ,
- Ronimara Gonçalves de Souza ,
- Samuel Barroso Rodrigues ,
- Valéria Conceição de Oliveira , [ … ],
- Eliete Albano de Azevedo Guimarães
Abstract
ORIGINAL ARTICLEStructural and procedural conditions in National Immunization Program Information System establishment
Revista Brasileira de Enfermagem. 2020;73(4):e20180939
DOI 10.1590/0034-7167-2018-0939
- Brener Santos Silva ,
- Kátia Cristina de Souza ,
- Ronimara Gonçalves de Souza ,
- Samuel Barroso Rodrigues ,
- Valéria Conceição de Oliveira ,
- Eliete Albano de Azevedo Guimarães
Views0See moreABSTRACT
Objectives:
to analyze structural and process conditions in National Immunization Program Information System establishment.
Methods:
a cross-sectional study conducted in 307 vaccination rooms in the state of Minas Gerais in 2017. For data collection, a multidimensional questionnaire was used. Descriptive data analysis was performed.
Results:
vaccination rooms have basic inputs necessary for System establishment. The greatest problems relate to professional practice. Low enrollment of population, failures in the active search for absentees, vaccine scheduling and absence of reports to monitor vaccination coverage were identified. Training was considered insufficient and ineffective.
Conclusions:
Immunization Information System is an essential technological innovation for the management of immunization actions. However, the production of timely records and the use of information are still challenges. Investments in training are required to ensure System’s management and operationalization activities.
- Brener Santos Silva
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06-28-2021
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
- Milena Laryssa Costa Bicalho ,
- Fernanda Gontijo Araújo ,
- Gisele Nepomuceno de Andrade ,
- Eunice Francisca Martins ,
- Mariana Santos Felisbino-Mendes
Abstract
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
Revista Brasileira de Enfermagem. 2021;74:e20200884
DOI 10.1590/0034-7167-2020-0884
- Milena Laryssa Costa Bicalho ,
- Fernanda Gontijo Araújo ,
- Gisele Nepomuceno de Andrade ,
- Eunice Francisca Martins ,
- Mariana Santos Felisbino-Mendes
Views1See moreABSTRACT
Objective:
To analyze the temporal trends in the fertility rate, proportion of antenatal consultations and caesarean sections in Brazilian adolescents aged 15 to 19, between 2000 and 2015. Methods: The fertility rate, proportion of prenatal consultations and proportion of routes of birth were calculated using data from DATASUS. The trend analysis was performed using the Prais-Winsten regression model and the annual percentage change.
Results:
There was a trend of reduction of 3.5% per year in the fertility rate among adolescents (p<0.05), in addition to an increasing trend of 6% per year in the proportion of more than six antenatal consultations (p <0.0001) and an increasing trend of 6.8% per year in the proportion of caesarean sections (p<0.0001).
Conclusion:
Despite the decreasing trend in fertility rates among Brazilian adolescents, they remain high. Also noteworthy is the growing trend for caesarean sections, even with improved access to antenatal care.
- Milena Laryssa Costa Bicalho
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ORIGINAL ARTICLE10-21-2019
Nursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency
- Paula Krempser ,
- Cristina Arreguy-Sena ,
- Pedro Miguel dos Santos Dinis Parreira ,
- Anabela de Sousa Salgueiro-Oliveira
Abstract
ORIGINAL ARTICLENursing protocol in vascular trauma prevention: peripheral catheterization bundle in urgency
Revista Brasileira de Enfermagem. 2019;72(6):1512-1518
DOI 10.1590/0034-7167-2018-0457
- Paula Krempser ,
- Cristina Arreguy-Sena ,
- Pedro Miguel dos Santos Dinis Parreira ,
- Anabela de Sousa Salgueiro-Oliveira
Views0See moreABSTRACT
Objective:
to create, apply and analyze in clinical practice the effectiveness of a bundle to prevent peripheral vascular trauma to approach the peripheral venous puncture process.
Method:
action research with 435 adult participants in an emergency service from 2011 to 2013. Creation of the bundle for prevention of vascular trauma based on scientific evidence, ease of operation, observation and measurement with implantation through an educational intervention of the team of nursing. Effectiveness analyzed by descriptive and inferential statistics using chi-square. Consecutive sample with 95% confidence interval.
Results:
Five stages of the bundle were related to the catheter fixation, permanence and removal process. The incidence of vascular traumas due to vein punctures reduced by 46.41% after implantation of the bundle to prevent vascular trauma associated with emergency peripheral catheterization.
Conclusion:
The bundle in clinical practice reduced vascular traumas by venipuncture.
- Paula Krempser
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ORIGINAL ARTICLE09-21-2020
Autonomy in the reproductive health of quilombolas women and associated factors
- Elionara Teixeira Boa Sorte Fernandes ,
- Sílvia Lúcia Ferreira ,
- Cláudia Suely Barreto Ferreira ,
- Eliene Almeida Santos
Abstract
ORIGINAL ARTICLEAutonomy in the reproductive health of quilombolas women and associated factors
Revista Brasileira de Enfermagem. 2020;73:e20190786
DOI 10.1590/0034-7167-2019-0786
- Elionara Teixeira Boa Sorte Fernandes ,
- Sílvia Lúcia Ferreira ,
- Cláudia Suely Barreto Ferreira ,
- Eliene Almeida Santos
Views0See moreABSTRACT
Objective:
Identify the level of reproductive autonomy of quilombola women and associate it with sociodemographic characteristics and aspects of sexual and reproductive health.
Methods:
Cross-sectional census study carried out in quilombola communities in a municipality in Bahia. Data was collected through questionnaires from the National Health Survey and the Reproductive Autonomy Scale, applied to quilombola women who agreed to participate. Descriptive statistics procedures were used and associations were made between reproductive autonomy scores and sociodemographic and reproductive characteristics.
Results:
The average total score for reproductive autonomy was 2.06. An association was found between the “decision-making” score and marital status. The score for “total reproductive autonomy” was associated with the use of contraceptive method.
Conclusion:
The reality of the study participants converges with the literature regarding the interference of sociodemographic and reproductive factors in the reproductive autonomy of black women.
- Elionara Teixeira Boa Sorte Fernandes
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ORIGINAL ARTICLE09-16-2019
Playful educational intervention with schoolchildren on intestinal parasitosis
- Gabriela Rodrigues Bragagnollo ,
- Tâmyssa Simões dos Santos ,
- Renata Elizabete Pagotti da Fonseca ,
- Marcelo Acrani ,
- Maria Zita Pires Castelo Branco , [ … ],
- Beatriz Rossetti Ferreira
Abstract
ORIGINAL ARTICLEPlayful educational intervention with schoolchildren on intestinal parasitosis
Revista Brasileira de Enfermagem. 2019;72(5):1203-1210
DOI 10.1590/0034-7167-2017-0551
- Gabriela Rodrigues Bragagnollo ,
- Tâmyssa Simões dos Santos ,
- Renata Elizabete Pagotti da Fonseca ,
- Marcelo Acrani ,
- Maria Zita Pires Castelo Branco ,
- Beatriz Rossetti Ferreira
Views0See moreABSTRACT
Objective:
To analyze the playful educational interventions in the knowledge of schoolchildren about intestinal parasitosis.
Method:
This is a quasi-experimental, non-randomized study, based on pre- and post-intervention, conducted in a public elementary school in a peripheric neighborhood in the city of Ribeirão Preto (SP). The study population consisted of 101 students enrolled in the 5th and 6th grade. For comparison, we used the generalized version of the McNemar chi-squared test.
Results:
Of the 101 schoolchildren who participated in the study, 48 (47.5%) were female and 53 (52.5%) were male, aged from 9 to 14 years. Students’ knowledge on intestinal parasitic infections has increased significantly after the playful educational intervention.
Conclusion:
Playful educational interventions are an excellent didactical resource in the teaching-learning process of schoolchildren.
- Gabriela Rodrigues Bragagnollo
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ORIGINAL ARTICLE02-10-2020
Group Brief Intervention: effectiveness in motivation to change alcohol intake
Revista Brasileira de Enfermagem. 2020;73(1):e20180138
Abstract
ORIGINAL ARTICLEGroup Brief Intervention: effectiveness in motivation to change alcohol intake
Revista Brasileira de Enfermagem. 2020;73(1):e20180138
DOI 10.1590/0034-7167-2018-0138
Views0See moreABSTRACT
Objective:
To verify the effectiveness of the group brief intervention (GBI), performed by nurses in motivational stages to change the pattern of alcohol intake.
Method:
Randomized controlled trial with 3-month follow-up. The ruler of readiness for change was applied in 180 individuals with risk or harmful alcohol intake pattern in basic health unit. Only the experimental group (EG) was submitted to the intervention. Both groups (experimental and control [CG]) participated in the follow-up.
Results:
EG had a mean score before GBI=6.55 (SD=3.41) points (preparation). After GBI=8.00 (SD=2.88) points (action) and in the follow-up 7.92 (SD=3.06) points (action). CG presented a mean score before GBI=5.42 (SD=3.26) points (preparation); after GBI=6.67 (SD=3.05) points (preparation) and in the follow up had a mean score of 4.80 (SD=2.86) points (contemplation). There was a statistically significant difference between the two groups at the motivational stages (p≤ 0,03).
Conclusion:
It was evidenced that GBI was effective in increasing the motivation to change harmful alcohol intake.
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EXPERIENCE REPORT11-13-2020
Pedagogical mediations for non-formal nursing teaching during the COVID-19 pandemic
- Juliana Amaral Prata ,
- Alex Simões de Mello ,
- Frances Valéria Costa e Silva ,
- Magda Guimarães de Araujo Faria
Abstract
EXPERIENCE REPORTPedagogical mediations for non-formal nursing teaching during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200499
DOI 10.1590/0034-7167-2020-0499
- Juliana Amaral Prata ,
- Alex Simões de Mello ,
- Frances Valéria Costa e Silva ,
- Magda Guimarães de Araujo Faria
Views0See moreABSTRACT
Objective:
to report the experience of developing pedagogical mediations in a Virtual Learning Environment implemented in a nursing faculty during the COVID-19 pandemic.
Methods:
an experience report on the construction of a distance course aimed at graduates and residents of a nursing faculty at a public university located in the city of Rio de Janeiro.
Results:
the course’s conception, operationalization and implementation were the result of a collective work that culminated in a non-formal, virtual and problematic teaching process, which reached a participation rate of 82% of enrolled students.
Final considerations:
even in times of social isolation, the course promoted collaborative learning of knowledge about COVID-19 and strengthened the relationship between professors and students. The possibility of carrying out distance activities based on solid methodological proposals that contradict the content logic often observed in distance learning is emphasized.
- Juliana Amaral Prata
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