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RESEARCH01-01-2017
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2017;70(2):287-293
Abstract
RESEARCHImpact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2017;70(2):287-293
DOI 10.1590/0034-7167-2016-0291
Views0See moreABSTRACT
Objective:
to compare the impact of home visits, before and after instructions, on the functional capacity of adult and elderly patients with venous ulcers, by means of the KATZ-EIAVD Scale.
Method:
experimental, clinical, randomized, non-blind and controlled study, developed with 32 patients (case and control groups). The research settings were the Wound Care Clinic of the University Hospital Antonio Pedro, and the homes of patients assisted in this clinic. Data collection took place from February to June 2014, by means of a health unit evaluation tool, the KATZ-EIAVD Scale, and a script of instructions to be given to the research subjects that had received a home visit.
Results:
the studied population present excellent independence for activities of daily living, with no significant variation among them.
Conclusion:
the studied groups have functional capacity with similar progress.
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RESEARCH01-01-2017
The elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture
Revista Brasileira de Enfermagem. 2017;70(2):279-286
Abstract
RESEARCHThe elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture
Revista Brasileira de Enfermagem. 2017;70(2):279-286
DOI 10.1590/0034-7167-2016-0392
Views0See moreABSTRACT
Objectives:
understand the experience of the elderly with falls followed by femoral fracture and elaborate theoretical model of this process of lived experience.
Method:
qualitative research with theoretical saturation through analysis of the ninth nondirected interview of elderly who underwent such experience. Interviews were recorded, transcribed, and analyzed according to Grounded Theory.
Results:
three categories emerged (sub-processes): evaluating signs and symptoms of fracture after the fall; feeling sad and insecure with the new condition; and finding oneself susceptible to fractures. From realignment of these categories (sub-processes) we could abstract the central category (process), recognizing oneself as vulnerable to falls in the concreteness of the fracture.
Conclusion:
the theoretical model considering the Symbolic Interactionism signals the implementation of continued program for fall prevention, with teaching strategies that encourage the elderly to reflect on the concreteness of contexts in which there is risk of occurring injury to their health.
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RESEARCH01-01-2017
Self-esteem and health-related quality of life in ostomized patients
Revista Brasileira de Enfermagem. 2017;70(2):271-278
Abstract
RESEARCHSelf-esteem and health-related quality of life in ostomized patients
Revista Brasileira de Enfermagem. 2017;70(2):271-278
DOI 10.1590/0034-7167-2016-0161
Views0See moreABSTRACT
Objective:
to assess self-esteem (SE) and health-related quality of life (HRQoL) in ostomized patients due to colorectal cancer.
Method:
cross sectional research with a quantitative approach. Three instruments were used for data collection: one instrument containing sociodemographic and clinical data, Rosenberg’s Self-Esteem Scale, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.
Results:
SE and HRQoL were considered satisfactory. Significant statistical difference was found in the social function domain and marital status, ostomy duration, location, and time; global health scale and ostomy type; cognitive function and pain in the ostomy site. There was a correlation between self-esteem and all the functional scales and the global health scale.
Conclusion:
knowing SE and HRQoL levels, in addition to the variables that influence them, supports ostomized patients’ care planning, rehabilitation, and social autonomy.
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RESEARCH01-01-2017
Prevalence of Metabolic Syndrome in individuals with Type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2017;70(2):265-270
Abstract
RESEARCHPrevalence of Metabolic Syndrome in individuals with Type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2017;70(2):265-270
DOI 10.1590/0034-7167-2016-0145
Views0See moreABSTRACT
Objective:
to identify the prevalence of Metabolic Syndrome and its components in a population of patients with type 2 Diabetes Mellitus.
Method:
a cross-sectional study was conducted with 201 diabetic patients. A descriptive analysis and Chi-square and Fisher’s exact tests ( p <0.05) were performed.
Results:
the majority of participants were females and overweight, with a mean age of 63.1 years and a low level of education, and categorized as physically inactive. Of all individuals investigated, 50.7% were diagnosed with Metabolic Syndrome and 92% had at least one of the syndrome components with values beyond those recommended.
Conclusion:
it is essential to take preventive actions and develop studies that help to identify the factors associated with this syndrome.
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RESEARCH01-01-2017
Quality of life of patients who undergone myocardial revascularization surgery
Revista Brasileira de Enfermagem. 2017;70(2):257-264
Abstract
RESEARCHQuality of life of patients who undergone myocardial revascularization surgery
Revista Brasileira de Enfermagem. 2017;70(2):257-264
DOI 10.1590/0034-7167-2016-0201
Views0See moreABSTRACT
Objective:
to evaluate the quality of life of patients who underwent revascularization surgery.
Method:
a descriptive, cross sectional study, with quantitative approach carried out with 75 patients. The questionnaire WHOQOL-Bref was used to evaluate the quality of life (QOL).
Results:
patients’ QOL evaluation presented a moderate result, with need of improvement of all domains. Low income patients had the worst evaluation of QOL in the domain environment (p=0,021), and the ones from Recife/metropolitan area, in the domain social relationship (p=0,021). Smoker (p=0,047), diabetic (p=0,002) and alcohol consumption (p=0,035) patients presented the worst evaluation of the physical domain. Renal patients presented the worst evaluation of QOL in the physical (P=0,037), psychological (p=0,008), social relationship (p=0,006) domains and total score (p=0,009).
Conclusion:
the improvement of QOL depends on the individual’s process of behavioral change and the participation of health professionals is essential to formulate strategies to approach these patients, especially concerning health education.
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RESEARCH01-01-2017
Semiotics and semiology of Nursing: evaluation of undergraduate students’ knowledge on procedures
Revista Brasileira de Enfermagem. 2017;70(2):249-256
Abstract
RESEARCHSemiotics and semiology of Nursing: evaluation of undergraduate students’ knowledge on procedures
Revista Brasileira de Enfermagem. 2017;70(2):249-256
DOI 10.1590/0034-7167-2016-0417
Views0See moreABSTRACT
Objective:
to assess the knowledge of scholars on Nursing regarding simple hands hygiene (SHH), blood pressure measurement (BP), peripheral venipuncture (PV) with venous catheter and male urethral catheterization delay (UCD) procedures.
Method:
quantitative study carried out between February and May 2014, with 186 undergraduate Nursing students from 5th to 9th period of a public university of Rio Grande do Norte, with application of four questionnaires. One carried out descriptive and analytic analysis.
Results:
the students presented low average percentage of right answers, especially in blood pressure measurement (55.5%); SHH’s average was higher than 70%. The average of correct answers was the highest in SHH (8.6), followed by UCD (7.8), PV (7.4) and BP (6.7). The questions regarding the topic “concepts” showed less correct answers when comparing it to the topic “technique steps”.
Conclusion:
it is necessary to establish knowledge monitoring strategies, in order to stimulate the constant improvement.
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RESEARCH01-01-2017
Multi-professional team’s perception of nurses’ competences in liver transplantations
Revista Brasileira de Enfermagem. 2017;70(2):242-248
Abstract
RESEARCHMulti-professional team’s perception of nurses’ competences in liver transplantations
Revista Brasileira de Enfermagem. 2017;70(2):242-248
DOI 10.1590/0034-7167-2016-0223
Views0See moreABSTRACT
Objective
describe the multi-professional team’s perception of nurses’ competences in liver transplantation programs.
Method:
descriptive study with a qualitative approach. Data were collected through a questionnaire. Participants were 12 professionals of the liver transplantation team of a reference hospital. For result interpretation, the thematic analysis technique was employed.
Results:
the professionals assessed the competences employed by nurses as proactive, autonomous, creative, humanized, capable of teamwork, decision-making and conflict management.
Conclusion:
this study made it possible to demonstrate that members of the multi-professional team perceived nurses as professionals capable of coordinating and integrating the skills “knowing, doing, being and co-existing”, enabling quality care for candidates and receivers of liver transplants, as well as for their families and/or caregivers in all perioperative phases.
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RESEARCH01-01-2017
The family in face of the elderly’s reality of living alone
Revista Brasileira de Enfermagem. 2017;70(2):235-241
Abstract
RESEARCHThe family in face of the elderly’s reality of living alone
Revista Brasileira de Enfermagem. 2017;70(2):235-241
DOI 10.1590/0034-7167-2016-0398
Views0See moreABSTRACT
Objective:
to understand the family dynamics in face of the reality of the elderly living alone.
Method:
study of qualitative approach with theoretical reference of symbolic interactionism that involved interviews with families. Data were analyzed by thematic analysis.
Results:
six families participated in the study. The discourse analysis originated the following categories: The family respecting their decision making; The family organizing itself to the process of living alone after the age of 80 years; The family experiencing the freedom of living alone.
Conclusion:
in this study, it was possible to identify the facilitation of the possibility of living alone with preparation and agreements between the family during the family life cycle, leading to the feeling of freedom and quality of life of all members. Nursing, as a science responsible for elaborating care strategies, should work together with families to assist in the planning of care plans based on the individual social reality of the family.
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01-01-2017
Nursing process in mental health: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):220-230
Abstract
Nursing process in mental health: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):220-230
DOI 10.1590/0034-7167-2016-0031
Views0See moreABSTRACT
Objective:
to identify evidences from the literature on the application of nursing process in care developed by the nurse in mental health.
Method:
integrative literature review between 1990 and 2013, in the PubMed, Scopus, CINAHL and LILCACS bases. Descriptors: nursing processes, mental health, nursing care.
Results:
19 papers were identified. Limited and partial usage of the nursing process in care established by a therapeutic relationship that respects the patient’s individuality. We observe care proposals systematized for patients that present pathological aspects in the limits between the physical and psychical, which might be a response to the influence of the practice based on evidences.
Conclusion:
it was found an antagonistic movement between care based on the relationship and located in the standardization of diagnoses that respond to physical malaise. A lack of evidence was verified for the usage of the nursing process in mental health, and we point at the necessity for the creation of new possibilities for dialogue between relational and biological perspectives.
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01-01-2017
Nursing practice in home care: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):210-219
Abstract
Nursing practice in home care: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):210-219
DOI 10.1590/0034-7167-2016-0214
Views0See moreABSTRACT
Objective:
analyze scientific production on nursing practice in home care.
Method:
integrative review employing databases LILACS, BDENF, IBECS, and MEDLINE. Studies in Spanish, English, and Portuguese were included, regardless of publishing date.
Results:
after analyzing 48 articles, it was found that nursing practice in home care is complex, employing a multitude of actions by using three technologies: soft; soft-hard especially; and hard. Challenges related to the home-care training process are reported in the literature. Nurses use knowledge from their experience and scientific recommendations in conjunction with their reflections on the practice.
Conclusion:
home nursing practice is fundamental and widespread. Relational and educational actions stand out as necessary even in technical care, with a predominant need for home-care training.
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01-01-2017
Nonpharmacological interventions to improve quality of life in heart failure: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):198-209
Abstract
Nonpharmacological interventions to improve quality of life in heart failure: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):198-209
DOI 10.1590/0034-7167-2016-0112
Views0See moreABSTRACT
Objective:
to identify articles that assessed the effectiveness or efficacy of nonpharmacological interventions to improve quality of life of people with heart failure in the literature.
Method:
an integrative literature review was performed in Lilacs, MedLine and SciELO databases, including randomized or nonrandomized clinical trials and quasi-experimental studies published between 2003 and 2014, in Portuguese, English or Spanish.
Results:
twenty-three studies were included. The categories of nonpharmacological interventions that improved quality of life of people with heart failure were: Remote health monitoring, Instructions on health practices, Physical activity follow-up and Traditional Chinese Medicine practices.
Conclusion:
these results can guide the selection of interventions to be implemented by health professionals that treat people with heart failure. Future systematic reviews with meta-analyses are needed in order to identify the most effective interventions for improving these individuals’ quality of life.
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01-01-2017
Quality of working life: assessment of intervention studies
Revista Brasileira de Enfermagem. 2017;70(1):189-197
Abstract
Quality of working life: assessment of intervention studies
Revista Brasileira de Enfermagem. 2017;70(1):189-197
DOI 10.1590/0034-7167-2015-0069
Views0See moreABSTRACT
Objective:
to analyze the production of knowledge about interventions on quality of working life.
Method:
integrative review study. The following databases were used for study selection: SciELO, Medline and PubMed.
Results:
the sample included 25 national and international articles that described programs and methods to acquire healthy habits at the workplace and attenuate its mental demands.
Conclusion:
by observing the number of businesses throughout the world, a low number of programs addressing workers’ health and well-being can be found, and the establishment of efficient policies at institutions could improve this situation.
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01-01-2017
Letramento em saúde para pessoas com HIV/Aids: revisão integrativa
Revista Brasileira de Enfermagem. 2017;70(1):180-188
Abstract
Letramento em saúde para pessoas com HIV/Aids: revisão integrativa
Revista Brasileira de Enfermagem. 2017;70(1):180-188
DOI 10.1590/0034-7167-2015-0052
Views1See moreRESUMEN
Objetivo:
analizar el conocimiento producido por la investigación sobre la salud de alfabetización para adultos con VIH/SIDA.
Método:
una revisión integradora de la literatura, con seis bases de datos, se llevó a cabo entre enero y abril de 2014. Los descriptores SIDA y Educación de la Salud se utilizaron, en portugués, inglés y español. Se encontró un total de 130 artículos y se seleccionaron 14. Se identificaron tres categorías: tecnologías de la educación y alfabetización de la salud para el VIH/SIDA; evaluación de conocimientos sobre la salud de los pacientes con VIH/SIDA; y conocimientos sobre la salud y la adherencia a la terapia antirretroviral.
Resultados:
análisis de los conocimientos sobre la salud, el estatus socioeconómico y nivel educativo de las personas que viven con el VIH / SIDA era esencial para la implementación de estrategias educativas que el aumento de la adherencia a la orientación de la salud.
Conclusión:
Este estudio demostró la importancia de la alfabetización en salud para trabajar con personas que viven con el VIH / SIDA, especialmente teniendo en cuenta a las personas que no poseen el mínimo necesario para la supervivencia, lo que hace que sea aún más relevante y alienta la investigación sobre el tema.
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REVIEW01-01-2017
Health literacy for people living with HIV/Aids: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):180-188
Abstract
REVIEWHealth literacy for people living with HIV/Aids: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):180-188
DOI 10.1590/0034-7167-2015-0052
Views0See moreABSTRACT
Objective:
to analyze knowledge produced by research about health literacy for adult with HIV/Aids.
Method:
an integrative literature review, using six databases, was conducted between January and April of 2014. The descriptors aids and Health Literacy were used, in Portuguese, English and Spanish. A total of 130 articles were found and 14 were selected. Three categories were identified: educational technologies and health literacy for HIV/Aids; assessment of health literacy of patients with HIV/Aids; and health literacy and adherence to antiretroviral therapy.
Results:
analysis of health literacy, socioeconomic status and educational level of people living with HIV/ Aids was essential for implementation of educational strategies that increased adherence to health guidance.
Conclusion:
this study showed the importance of health literacy for working with people living with HIV/Aids, especially considering individuals who did not possess the minimum necessary for survival, which makes it relevant and encourages further research on the topic.
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01-01-2017
Factors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
Abstract
Factors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
DOI 10.1590/0034-7167-2015-0092
Views0See moreABSTRACT
Objective:
The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms.
Method:
An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016.
Results:
Eight articles were included by cross-checking the descriptors selected.
Conclusion:
In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.
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01-01-2017
Discourses on discharge care for children with special healthcare needs
Revista Brasileira de Enfermagem. 2017;70(1):163-171
Abstract
Discourses on discharge care for children with special healthcare needs
Revista Brasileira de Enfermagem. 2017;70(1):163-171
DOI 10.1590/0034-7167-2016-0248
Views0See moreABSTRACT
Objectives:
analyze the discourse of healthcare professionals and families on the continuous and complex care for children with special healthcare needs; understand hospital discharge as a process centered on children demands and family learning.
Method:
qualitative research conducted between 2013 and 2015 through semi-structured interviews, document analysis and the sensitive creative method; the participants were ten children with special healthcare needs, six professionals and eleven family members from a public pediatric teaching hospital in Rio de Janeiro. The data underwent critical discourse analysis.
Results:
at discharge, family caregivers should learn innovative care to guarantee the maintenance of their children’s lives at home, but preparation is limited.
Conclusion:
the clinicians and the families pointed out Nurse as the most qualified professional for this preparation, since caring for these children requires nursing care skills.
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ERRATUM01-13-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
DOI 10.1590/0034-7167.20247706e08
Views0In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1:Where it read:[…]See more -
ERRATUM01-13-2024
ERRATA
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e07
Abstract
ERRATUMERRATA
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e07
DOI 10.1590/0034-7167.20247706e06pt
Views0No artigo “Crenças e atitudes de pais ou responsáveis legais sobre a vacinação infantil: revisão de escopo”, com número DOI: , publicado no periódico Revista Brasileira de Enfermagem, 2024;77(4):e20240126, página 5:Onde se lia:[…]See more -
ORIGINAL ARTICLE01-13-2024
Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
Revista Brasileira de Enfermagem. 2024;77(6):e20240204
Abstract
ORIGINAL ARTICLEIndicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
Revista Brasileira de Enfermagem. 2024;77(6):e20240204
DOI 10.1590/0034-7167-2024-0204
Views0See moreABSTRACT
Objectives:
to compare the sociodemographic and clinical severity indicators of hospitalized people with HIV in relation to clinical outcomes and urgent hospital admission.
Methods:
a retrospective cohort study was conducted with 102 medical records of HIV-infected individuals hospitalized in a hospital in southern Brazil. In addition to descriptive analysis, Fisher’s exact test, Pearson’s Chi-square, and logistic regression were used.
Results:
the data showed a significant direct effect on severity indicators in the following variables: male sex (p=0.013), skin color (p=0.023), level of education (p=0.000), urgent admissions (p=0.000), late diagnosis (p=0.001), diabetes mellitus (p=0.001), hypertension (p=0.004), kidney disease (p=0.002), high viral load (p=0.006), CD4+ count below 200 (p=0.005), fever (p=0.016), weight loss (p=0.013), co-infection with hepatitis C (p=0.004), and mortality (p=0.007).
Conclusions:
three sociodemographic and thirteen clinical markers were identified as being associated with the risk of clinical deterioration in hospitalized people with HIV.
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ORIGINAL ARTICLE01-13-2024
Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481
Abstract
ORIGINAL ARTICLENurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481
DOI 10.1590/0034-7167-2023-0481
Views1See moreABSTRACT
Objectives:
to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care.
Methods:
this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis.
Results:
according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges.
Final Considerations:
the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.
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ORIGINAL ARTICLE01-13-2024
Knowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
Abstract
ORIGINAL ARTICLEKnowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
DOI 10.1590/0034-7167-2023-0424
Views0See moreABSTRACT
Objectives:
to investigate the knowledge, attitudes, and practices of nurses regarding blood culture collection.
Methods:
a cross-sectional study was conducted in five Brazilian public hospitals with 112 nurses. Data were collected using an adapted questionnaire and analyzed through descriptive and inferential statistics.
Results:
nurses who did not consider themselves capable of collecting blood cultures had a 72% lower chance of performing the collection at the recommended site and an 83% lower chance of using the same needle for blood inoculation into the vials. Nurses working in the emergency department had a 75% lower chance of knowing the international benchmark for blood culture contamination rates, and those with less than 5 years in the position decreased their chance of accuracy in this matter by 79%.
Conclusions:
there are gaps in the knowledge, attitudes, and practices of nurses regarding blood culture collection. Standardization of the technique, periodic education, supervision and guidance of the collection team, and process auditing are recommended coping strategies.
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ORIGINAL ARTICLE01-13-2024
Social representations of oncologic surgery for patients with cancer
Revista Brasileira de Enfermagem. 2024;77(6):e20230273
Abstract
ORIGINAL ARTICLESocial representations of oncologic surgery for patients with cancer
Revista Brasileira de Enfermagem. 2024;77(6):e20230273
DOI 10.1590/0034-7167-2023-0273
Views0See moreABSTRACT
Objectives:
to analyze the social representations of patients with cancer regarding oncologic surgery.
Methods:
a qualitative study based on Social Representation Theory was conducted with 126 participants between October 2021 and May 2022 in a public hospital in Rio de Janeiro. A characterization questionnaire, free evocations of the inducing term “surgery”, and semi-structured interviews with 60 participants were applied. Data were analyzed using Microsoft Excel® and IRaMuTeQ.
Results:
the central core of the representation is composed of fear, cure, hope, and removing the disease. The analysis of interviews resulted in six classes that highlight the social changes caused by treatment as well as the need for a support network to cope with the surgical process.
Final Considerations:
the representations reflect fear and hope towards the procedure and the desire to remove the disease, thus translating the cure through surgery.
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ORIGINAL ARTICLE01-13-2024
Evaluation of care for people with HIV in Primary Health Care: construct validation
Revista Brasileira de Enfermagem. 2024;77(6):e20230190
Abstract
ORIGINAL ARTICLEEvaluation of care for people with HIV in Primary Health Care: construct validation
Revista Brasileira de Enfermagem. 2024;77(6):e20230190
DOI 10.1590/0034-7167-2023-0190
Views0See moreABSTRACT
Objectives:
to verify the construct validation of an instrument for evaluating care for people living with HIV in Primary Health Care.
Methods:
methodological study carried out in 2021 with 260 health professionals in Recife, PE. Validation based on the internal structure was carried out at this stage using exploratory and confirmatory factor analysis, and validity based on item response theory.
Results:
the validation determined the retention of five factors and 63 items. The instrument’s internal consistency and quality of fit was 0.90, the Tukey-Lewis index was 0.915 and the comparative fit index was 0.918 in the confirmatory factor analysis. The indication for the absolute majority of items is adequate fit.
Conclusions:
the instrument has construct validity, making it possible to use it to evaluate the decentralization process and care for People Living with HIV in Primary Health Care.
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ORIGINAL ARTICLE01-10-2024
Inventory of ethical problems in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77:e20230539
Abstract
ORIGINAL ARTICLEInventory of ethical problems in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77:e20230539
DOI 10.1590/0034-7167-2023-0539
Views0See moreABSTRACT
Objective:
to construct and validate the content of an inventory of ethical problems experienced by nurses in mobile pre-hospital care.
Method:
a psychometric approach study, developed with the following stages: (1) instrument construction through a theoretical matrix based on deliberative bioethics, scoping review and online qualitative research; (2) content validity by judges; (3) pre-testing with Mobile Emergency Care Service nurses in various Brazilian states. For content validity analysis, the Content Validity Ratio was calculated (CVR>0.45 for judges and CVR>0.35 for the target population).
Results:
the instrument had 44 items, distributed across four dimensions.
Final considerations:
the constructed instrument presented sources of evidence of content validity, providing good psychometric measurements and constituting a useful tool for nurses’ practice in the pre-hospital setting.
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