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ORIGINAL ARTICLE01-10-2024
Micro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte
- Marina Stuart Marques
, - Thales Philipe Rodrigues da Silva ,
- Ana Paula Vieira Faria ,
- Nágela Cristine Pinheiro Santos ,
- Janaína Fonseca Almeida Souza , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEMicro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte
Revista Brasileira de Enfermagem. 2024;77:e20230235
DOI 10.1590/0034-7167-2023-0235
- Marina Stuart Marques ,
- Thales Philipe Rodrigues da Silva ,
- Ana Paula Vieira Faria ,
- Nágela Cristine Pinheiro Santos ,
- Janaína Fonseca Almeida Souza ,
- Marla Ariana Silva ,
- Patrícia Feliciano Pereira ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objective:
To analyze the determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte, Minas Gerais, Brazil.
Methods:
An epidemiological study with a cross-sectional design was conducted using data from the project titled “Childbirth and Breastfeeding in Children of Mothers Infected by SARS-CoV-2,” developed during the pandemic in the city of Belo Horizonte, Minas Gerais, Brazil.
Results:
The study sample consisted of 360 pregnant women, of whom 77.89% received the COVID-19 vaccine. External, social, and institutional determinants can influence lower adherence to COVID-19 vaccination, especially the absence of employment during pregnancy, difficult access to prenatal consultations, and a compromised or deficient support network.
Conclusions:
In light of this scenario, greater encouragement for health education is necessary, especially during prenatal care, resulting in lower rates of morbidity and mortality and favorable perinatal outcomes.
- Marina Stuart Marques
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ORIGINAL ARTICLE01-10-2024
COVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care
- Kelly Aline Rodrigues Costa ,
- Fernanda Moura Lanza ,
- Francisco Carlos Félix Lana ,
- Camila Custódio da Silva ,
- Camila Cristina Gregório de Assis , [ … ],
- Angélica da Conceição Oliveira Coelho
Abstract
ORIGINAL ARTICLECOVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care
Revista Brasileira de Enfermagem. 2024;77:e20230179
DOI 10.1590/0034-7167-2023-0179
- Kelly Aline Rodrigues Costa ,
- Fernanda Moura Lanza ,
- Francisco Carlos Félix Lana ,
- Camila Custódio da Silva ,
- Camila Cristina Gregório de Assis ,
- Cosme Rezende Laurindo ,
- Herica Silva Dutra ,
- Angélica da Conceição Oliveira Coelho
Views0ABSTRACT
Objective:
to analyze the association between participation in training activities and the adherence to and use of personal protective equipment by workers and professionals involved in Health Residency Programs in Primary Health Care during the COVID-19 pandemic.
Methods:
a cross-sectional study in Brazil between August/2020 and March/2021. We utilized the EPI-APS COVID-19 instrument and its adapted version for resident professionals.
Results:
455 PHC workers and 102 residents participated in the study. Among them, 54.5% and 55.9%, respectively, engaged in training activities. We observed an association between participation in training activities and the proper use of gloves (p<0.001), gowns (p=0.009), goggles/face shields (p=0.002), and overall adherence (p<0.001) among PHC workers, and the proper use of surgical masks (p=0.028) among residents. Adherence rates of ≥75% were identified in 6.9% of PHC workers and none among the residents.
Conclusion:
training activities are associated with increased adherence to and proper use of PPE.
Keywords:COVID-19Health PersonnelPersonal Protective EquipmentPrimary Health CareTraining ActivitiesSee more - Kelly Aline Rodrigues Costa
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ORIGINAL ARTICLE12-16-2024
Software for the care of people with cardiovascular risk: construction and evidence of validity
- Nuno Damácio de Carvalho Félix ,
- Raércia dos Santos Carneiro ,
- Luis Filippe Rasia Pacheco ,
- Brenda Silva Cunha ,
- João Cruz Neto , [ … ],
- Alba Lúcia Bottura Leite de Barros
Abstract
ORIGINAL ARTICLESoftware for the care of people with cardiovascular risk: construction and evidence of validity
Revista Brasileira de Enfermagem. 2024;77(6):e20240276
DOI 10.1590/0034-7167-2024-0276
- Nuno Damácio de Carvalho Félix ,
- Raércia dos Santos Carneiro ,
- Luis Filippe Rasia Pacheco ,
- Brenda Silva Cunha ,
- João Cruz Neto ,
- Johann Aires Boness ,
- Mariana Carvalho Gavazza ,
- Alba Lúcia Bottura Leite de Barros
Views0See moreABSTRACT
Objectives:
to build and validate software for the care of people with cardiovascular risk.
Methods:
a methodological study, applied to software development, anchored in a nursing theory and classification system, in three stages: 1) requirements engineering; 2) software architecture and coding; and 3) testing and content validity by 12 experts in computer science, with a Content Validity Ratio score.
Results:
called e-TEORISC, in software format, for nursing care for people with cardiovascular risk, online and offline, containing a database linked to the Nursing Process stages. Experts considered that the attributes of functional suitability, performance efficiency, reliability, maintainability, usability, safety and portability obtained desirable scores.
Conclusions:
e-TEORISC has evidence of validity to instrumentalize care for people at cardiovascular risk, with potential for technology transfer to the Brazilian Health System.
- Nuno Damácio de Carvalho Félix
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ORIGINAL ARTICLE12-16-2024
Sleep quality of patients with heart failure and associated factors
- Juliana Pessoa de Souza ,
- Danielly Farias Santos de Lima ,
- Oriana Deyze Correia Paiva Leadebal ,
- Maria Eliane Moreira Freire ,
- Simone Helena dos Santos Oliveira , [ … ],
- Mailson Marques de Sousa
Abstract
ORIGINAL ARTICLESleep quality of patients with heart failure and associated factors
Revista Brasileira de Enfermagem. 2024;77(6):e20240244
DOI 10.1590/0034-7167-2024-0244
- Juliana Pessoa de Souza ,
- Danielly Farias Santos de Lima ,
- Oriana Deyze Correia Paiva Leadebal ,
- Maria Eliane Moreira Freire ,
- Simone Helena dos Santos Oliveira ,
- Vinicius Batista Santos ,
- Mailson Marques de Sousa
Views0See moreABSTRACT
Objectives:
to assess sleep quality of patients with heart failure and associated sociodemographic and clinical characteristics.
Methods:
a cross-sectional study, developed with 88 patients. Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive and inferential statistics.
Results:
the mean sleep quality score was 8.59 ± 3.60 points. 83% of participants were classified as poor sleepers. The number of hours of sleep was 5.99 ± 1.48. Family income of up to one minimum wage and functional class were significantly associated with poor sleepers. There was a positive correlation between functional class and poor sleep quality.
Conclusions:
a high frequency of poor sleepers was identified. Worse scores were associated with family income and symptomatic functional class. Health interventions are necessary to control sleep quality, especially in relation to health functionality.
- Juliana Pessoa de Souza
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ORIGINAL ARTICLE12-16-2024
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
ORIGINAL ARTICLEReligión 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
Views0See 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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ORIGINAL ARTICLE12-16-2024
Religion and professional experience: Are they predictors of nurses’ spiritual intelligence? Cross-sectional study
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Abstract
ORIGINAL ARTICLEReligion and professional experience: Are they predictors of nurses’ spiritual intelligence? Cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(6):e20240217
DOI 10.1590/0034-7167-2024-0217
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Views0See moreABSTRACT
Objectives:
to analyze the relationship between religion and professional experience with spiritual intelligence in nurses
Methods:
cross-sectional and analytical study carried out in 2021, with the participation of 544 nursing professionals working in health facilities in Peru during the COVID-19 pandemic. Multiple regression analysis and Pearson’s correlation were used to analyze the data.
Results:
in nurses, a healthy level of spiritual intelligence predominated (42.8%). Those who did not profess a religion were more likely to have a lower spiritual intelligence score (global scale and dimensions); however, experienced nurses were more likely to have higher spiritual intelligence (global scale and dimensions) than novice nurses (p<0.05).
Conclusions:
spiritual intelligence in nurses was predicted by religion and professional experience. This finding suggests that spiritual intelligence in nursing is consolidated through religious practices and during professional practice.
- Jhon Alex Zeladita-Huaman
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ORIGINAL ARTICLE12-16-2024
Effectiveness of the modified Seldinger technique for peripheral central catheter in newborns: a randomized clinical trial
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach Danski ,
- Luana Lenzi ,
- Higor Pacheco Pereira ,
- Juliana Szreider de Azevedo , [ … ],
- Camila Fernanda da Silva Milani
Abstract
ORIGINAL ARTICLEEffectiveness of the modified Seldinger technique for peripheral central catheter in newborns: a randomized clinical trial
Revista Brasileira de Enfermagem. 2024;77(6):e20240189
DOI 10.1590/0034-7167-2024-0189
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach Danski ,
- Luana Lenzi ,
- Higor Pacheco Pereira ,
- Juliana Szreider de Azevedo ,
- Letícia Pontes ,
- Regiane Queiroz Afonso ,
- Camila Fernanda da Silva Milani
Views0ABSTRACT
Objectives:
to evaluate the effectiveness of peripheral central catheterization by comparing the modified Seldinger technique and the conventional technique in critically ill newborns.
Methods:
randomized unmasked clinical trial conducted in a public children’s hospital. Participation of 111 newborns with randomized allocation, 56 in the control group (conventional technique) and 55 in the experimental group (modified Seldinger). Success and absence of complications were evaluated as primary outcomes. The pain scale, difficulty in hemostasis, procedure time and number of punctures were considered secondary outcomes.
Results:
there was no statistical significance between groups, either for success (p=0.705) or absence of complications (p=0.347). A lower pain score, improved hemostasis, increased assertiveness with fewer punctures and reduced procedure time were not observed in the experimental group.
Conclusions:
the modified Seldinger technique did not prove to be a more effective insertion technology compared to the conventional method. Brazilian Clinical Trial Registry: RBR-69vks36.
Keywords:Comparative Effectiveness ResearchNewbornPeripheral CatheterizationRandomized Controlled TrialTechnologySee more
- Izabela Linha Secco
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ORIGINAL ARTICLE12-16-2024
Narratives of sex workers: intimate partner violence and coping strategies
- Milena Oliveira Costa ,
- Valéria Cristina Christello Coimbra ,
- Michele Mandagará de Oliveira ,
- Clarissa de Souza Cardoso ,
- Vania Dias Cruz , [ … ],
- Luciano Santos Gentilini
Abstract
ORIGINAL ARTICLENarratives of sex workers: intimate partner violence and coping strategies
Revista Brasileira de Enfermagem. 2024;77(6):e20240180
DOI 10.1590/0034-7167-2024-0180
- Milena Oliveira Costa ,
- Valéria Cristina Christello Coimbra ,
- Michele Mandagará de Oliveira ,
- Clarissa de Souza Cardoso ,
- Vania Dias Cruz ,
- Ariane da Cruz Guedes ,
- Josiane da Costa Moreira ,
- Luciano Santos Gentilini
Views0See moreABSTRACT
Objectives:
to understand the narratives of sex workers about violence suffered by intimate partners and their coping strategies.
Methods:
qualitative research, focused on thematic oral history, carried out with six sex workers in southern Brazil, who responded to in-depth interviews using a flexible script. Thematic content analysis was used.
Results:
the study included cisgender women who self-identified as half black and half white. Most had children and were separated. They reported abusive relationships by their intimate partners, with emphasis on verbal, psychological, financial, and physical violence and attempted femicide. Such violence resulted in coping strategies, such as avoiding emotional bonds and maintaining a discreet life.
Final Considerations:
intimate partner violence is prevalent among participants, leading them to adopt strategies to preserve their safety and well-being, highlighting the need for public policies that meet their particularities and guarantee protection.
- Milena Oliveira Costa
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RESEARCH01-01-2017
Assessing the adequacy of workload measurement tools using a quality-based methodology
Revista Brasileira de Enfermagem. 2017;70(1):39-46
Abstract
RESEARCHAssessing the adequacy of workload measurement tools using a quality-based methodology
Revista Brasileira de Enfermagem. 2017;70(1):39-46
DOI 10.1590/0034-7167-2016-0246
Views0See moreABSTRACT
Objective:
determine which tool (NEMS and NAS) is most suitable for use in intensive care units using a quality-based methodology.
Method:
after identifying the opportunity for improvement “Inadequacy of the NEMS for determining nursing workload in the intensive care unit (ICU)”, we assessed the NEMS and the NAS, as a proposed improvement to the NEMS, using quality improvement cycles methodology based on the following criteria: measurement of daily nursing workload on a daily and shift basis; the tool encompasses all nursing activities undertaken in the ICU; and workload assessed per patient and unit.
Results:
there was no significant difference in level of compliance for the NEMS (67%). The comparison NEMS-NAS showed that there was a statistically significant improvement for all criteria except criterion 1. The NEMS only assesses criterion 1 (64.22%); while the NAS assessed all four criteria, obtaining a compliance rate of 64.74% for criteria 1, 2, and 4, and 100% for criterion 3.
Conclusion:
the NAS is more suitable for measuring nursing workload in UCIs.
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RESEARCH01-01-2017
Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(1):31-38
Abstract
RESEARCHEducational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(1):31-38
DOI 10.1590/0034-7167-2016-0015
Views0See moreABSTRACT
Objective:
to evaluate the effectiveness of an educational nursing intervention to reduce hyperphosphataemia in chronic renal patients on hemodialysis.
Method:
quasi-experimental study with 63 hyperphosphatemic patients on hemodialysis. The intervention consisted of developing and providing a printed and illustrated manual to patients containing information on disease control. The participant was asked to complete a daily checklist with the aim to reinforce aspects provided in the manual. Laboratory tests and itching intensity were analyzed at the beginning of the study, and at 30 and 60 days after the educational intervention.
Results:
the mean age of participants was 58±13.1 years, with a treatment time of 51.1±44.7 months. A reduction in serum phosphorus values of 7.06 ± 1.43 to 5.80 ± 1.53 (p <0.001) and the intensity of itching after the intervention was observed.
Conclusion:
the educational nursing intervention was effective in reducing phosphate and decreasing itching in hyperphosphatemic patients.
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RESEARCH01-01-2017
Filial care and the relationship with the elderly in families of different nationalities
Revista Brasileira de Enfermagem. 2017;70(1):22-30
Abstract
RESEARCHFilial care and the relationship with the elderly in families of different nationalities
Revista Brasileira de Enfermagem. 2017;70(1):22-30
DOI 10.1590/0034-7167-2015-0050
Views0See moreABSTRACT
Objective:
identify how filial care and the relationship with the elderly occur in families of different nationalities.
Method:
qualitative study carried out in a town on the triple frontier of Paraná, comprising 33 elderly people of five different nationalities, adopting the Symbolic Interactionism and the Grounded Theory as theoretical-methodological strategy.
Results:
among Lebanese people, the Muslim religion teaches children to obey and respect parents; among French, distant family relationships and institutions for the elderly stand out. Paraguayans hold close family relationships; Chinese people consider filial care as a tacit obligation; Brazilians, in turn, tend to embrace and take care of their parents in old age.
Conclusion:
family care prevailed, but the traditions of each society lead the actions of that care, demanding health professionals’ capacity of recognizing in which context the elderly is inserted.
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RESEARCH01-01-2017
Excesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise
Revista Brasileira de Enfermagem. 2017;70(1):15-21
Abstract
RESEARCHExcesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise
Revista Brasileira de Enfermagem. 2017;70(1):15-21
DOI 10.1590/0034-7167-2015-0138
Views0See moreRESUMEN
Objetivo:
analizar las características definitorias y los factores relacionados con el diagnóstico enfermero de exceso de volumen líquido y su relación con variables sociodemográficas y clínicas en pacientes de hemodiálisis.
Método:
estudio transversal, realizado mediante un formulario y examen físico, con una muestra de 100 pacientes, entre diciembre de 2012 y abril de 2013 en un hospital universitario y una clínica de diálisis.
Resultados:
se encontraron 10 asociaciones estadísticamente significativas entre las características definitorias, factores relacionados de volumen de exceso de líquido y las variables sociodemográficas y clínicas.
Conclusión:
las características definitorias y los factores relacionados de exceso de volumen líquido podrían estar influenciados por variables sociodemográficas y clínicas en clientes de hemodiálisis.
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RESEARCH01-01-2017
Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients
Revista Brasileira de Enfermagem. 2017;70(1):15-21
Abstract
RESEARCHExcess fluid volume: sociodemographic and clinical analysis in haemodialysis patients
Revista Brasileira de Enfermagem. 2017;70(1):15-21
DOI 10.1590/0034-7167-2015-0138
Views0See moreABSTRACT
Objective:
To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients.
Method:
Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic.
Results:
It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables.
Conclusion:
The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.
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EDITORIAL01-01-2017
Facing challenges in times of adversity
Revista Brasileira de Enfermagem. 2017;70(1):1-2
Abstract
EDITORIALFacing challenges in times of adversity
Revista Brasileira de Enfermagem. 2017;70(1):1-2
DOI 10.1590/0034-7167.2017700101
Views0At the confluence of tradition, respect for history and a critical approach to the issues inherent to the development of the nursing profession, the Brazilian Nursing Association (ABEn) has been consolidating an exemplary trajectory in Brazilian society. Throughout its history, the reflections, discussions and decisions on pertinent and urgent subjects of the profession have made […]See more -
EDITORIAL01-01-2017
Enfrentando desafios em tempos de adversidades
Revista Brasileira de Enfermagem. 2017;70(1):1-2
Abstract
EDITORIALEnfrentando desafios em tempos de adversidades
Revista Brasileira de Enfermagem. 2017;70(1):1-2
DOI 10.1590/0034-7167.2017700101
Views0Na confluência da tradição, do respeito pela história e da abordagem crítica das questões inerentes ao desenvolvimento da profissão de enfermagem, a Associação Brasileira de Enfermagem (ABEn) vem consolidando uma trajetória exemplar na sociedade brasileira. Ao longo da sua história, as reflexões, discussões e decisões sobre assuntos pertinentes e prementes da profissão têm possibilitado intervenções […]See more -
REFLECTION01-01-2016
Epistemology of nursing care: a reflection on its foundations
Revista Brasileira de Enfermagem. 2016;69(6):1240-1245
Abstract
REFLECTIONEpistemology of nursing care: a reflection on its foundations
Revista Brasileira de Enfermagem. 2016;69(6):1240-1245
DOI 10.1590/0034-7167-2016-0331
Views0See moreABSTRACT
Objective:
to reflect on nursing care and its epistemology from its historical, theoretical, philosophical, spiritual dimensions and as a social practice.
Method:
discussions originated in the discipline “Epistemology of caring”, from the graduate nursing program of the School of Nursing, Federal University of Minas Gerais, and in critical analysis of nursing literature together with the professional practice of the authors.
Results:
we identified the necessity of developing a critical conscience on health care provision, research, and teaching, as well as on challenges in maintaining high standards of working interpersonal relationships, which has a profound impact on population health.
Conclusion:
we suggest the rescue of integrality, humanization, unity, and spirituality in researches and practices of individual, familiar, and community care, as an advance in incorporating epistemology of caring in nursing.
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RESEARCH01-01-2017
Adherence to standard precautions in a teaching hospital
Revista Brasileira de Enfermagem. 2017;70(1):96-103
Abstract
RESEARCHAdherence to standard precautions in a teaching hospital
Revista Brasileira de Enfermagem. 2017;70(1):96-103
DOI 10.1590/0034-7167-2016-0138
Views0ABSTRACT
Objective:
analyze related factors and the level of adherence to standard precautions of nursing professionals from the clinical medical division of a teaching hospital.
Method:
a quantitative, cross-sectional, analytical study was conducted with 54 nursing professionals using the Psychometric Scale of Adherence to Standard Precautions, translated and validated to Brazilian Portuguese.
Results:
the global score of adherence was intermediate (4.41); no statistically significant correlation was observed between adherence and professional category (p=0.404) and length of professional practice (p= 0.612). A correlation was observed between ‘Washes hands after removing disposable gloves’ (p=0.026) and professionals with nursing practice above 10 years.
Conclusion:
adherence to standard precautions by the nursing team was intermediate, with no statistically significant difference in relation to the professional category and length of professional practice.
Keywords:Exposure to Biological AgentsNursing, TeamOccupational RisksPersonal Protective EquipmentUniversal PrecautionsSee more
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RESEARCH01-01-2017
Analysis of adverse events following immunization caused by immunization errors
Revista Brasileira de Enfermagem. 2017;70(1):87-95
Abstract
RESEARCHAnalysis of adverse events following immunization caused by immunization errors
Revista Brasileira de Enfermagem. 2017;70(1):87-95
DOI 10.1590/0034-7167-2016-0034
Views0See moreABSTRACT
Objective:
to analyze adverse events following immunization (AEFI) caused by immunization error in the state of Paraná, Brazil, from 2003 to 2013.
Method:
this is a descriptive, documental, retrospective, and quantitative research using secondary data from the Adverse Event Following Immunization Information System and the Immunization Program Evaluation System. We included cases confirmed and/or associated with different types of vaccines. For the analysis, we collected frequencies and incidence rates, and used simple linear regression models with Student’s t-test.
Results:
it was observed an AEFI increase due to immunization errors, especially hot subcutaneous abscesses. BCG vaccine had the highest incidence of adverse events and children under one year old were the most affected individuals.
Conclusion:
the current scenario is worrisome because these are preventable AEFI – injuring patients due to bad vaccination practices – that may undermine the population’s confidence, reducing immunization coverage, and the progress in the control of vaccine-preventable diseases.
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RESEARCH01-01-2017
Nursing practice environment and work satisfaction in critical units
Revista Brasileira de Enfermagem. 2017;70(1):79-86
Abstract
RESEARCHNursing practice environment and work satisfaction in critical units
Revista Brasileira de Enfermagem. 2017;70(1):79-86
DOI 10.1590/0034-7167-2016-0211
Views0See moreABSTRACT
Objective:
to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU).
Method:
a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfaction (IWS) were applied to investigate the environment of nursing practices and work satisfaction, respectively.
Results:
a total of 100 (34.84%) nurses and 187 (65.15%) nursing assistants/technicians participated in this study. The environment was favorable for autonomy and relationships and it showed vulnerability for control of practices and organizational support. The IWS score indicated low work satisfaction. “Environment of practices”, “length of work in the ICU” and “willingness to work” were associated with work satisfaction.
Conclusion:
to invest in the environment of practices, in factors that promote willingness to work and length of experience in the ICU increases nursing work satisfaction.
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RESEARCH01-01-2017
Care for women involved with drugs: social representations of nurses
Revista Brasileira de Enfermagem. 2017;70(1):71-78
Abstract
RESEARCHCare for women involved with drugs: social representations of nurses
Revista Brasileira de Enfermagem. 2017;70(1):71-78
DOI 10.1590/0034-7167-2016-0339
Views0See moreABSTRACT
Objective:
analyze social representations of nurses related to the care for women involved with drugs.
Method:
qualitative research founded on the theory of social representations, with 42 nurses from a public maternity ward of Salvador-BA, using identification questionnaire, test of free association of words, and semi-structured interview. We analyzed the structure of social representations and the similarity tree of free evocations, and also analyzed the content of interviews.
Results:
care for women involved with drugs is represented by a set of words that shows theoretical questions and scientific techniques, but faced with experiences in the training, in the daily work and in ideas and values assigned to the consumption of drugs especially in the gravidic-puerperal period.
Conclusion:
The social representations of nurses show conflicts between social and cultural aspects around the problem of drugs and the health care provided to women involved with drugs.
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RESEARCH01-01-2017
Support to woman/nourisher in the advertising pieces of the World Breastfeeding Week
Revista Brasileira de Enfermagem. 2017;70(1):61-70
Abstract
RESEARCHSupport to woman/nourisher in the advertising pieces of the World Breastfeeding Week
Revista Brasileira de Enfermagem. 2017;70(1):61-70
DOI 10.1590/0034-7167-2016-0376
Views0See moreABSTRACT
Objective:
to unveil the support to woman/nourisher in the advertisements of the World Breastfeeding Week.
Method:
This is a descriptive, exploratory, documentary, qualitative study. Since the collection until the analyses of these advertisements, we adopted the methodological steps of Gemma Penn, based on the semiology of Roland Barthes. The results were interpreted by the theory of Social Network of Sanícola and of the five types of support: companionship, emotional, instrumental, informational, and self-supportive.
Results:
we identified actors of the social network of the woman/nourisher in nine advertisements of the 22 world breastfeeding weeks. In five of them, partner, grandmother, and brother showed emotional and companionship support to breastfeeding. We observed self-support in three posters; instrumental support in one; and informational support in none.
Conclusion:
the support unraveled in only five advertisements included: emotional, companionship, instrumental, and self-supportive. In the others, there was no support. The set of supports was not revealed in any of them.
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RESEARCH01-01-2017
Emergency interventions for air medical services trauma victims
Revista Brasileira de Enfermagem. 2017;70(1):54-60
Abstract
RESEARCHEmergency interventions for air medical services trauma victims
Revista Brasileira de Enfermagem. 2017;70(1):54-60
DOI 10.1590/0034-7167-2016-0311
Views0See moreABSTRACT
Objective:
to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims.
Method:
This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments.
Results:
Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed significance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene.
Conclusion:
Further studies are necessary, focused on care protocols for trauma victims
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RESEARCH01-01-2017
Evaluation of the hospital accreditation program: face and content validation
Revista Brasileira de Enfermagem. 2017;70(1):47-53
Abstract
RESEARCHEvaluation of the hospital accreditation program: face and content validation
Revista Brasileira de Enfermagem. 2017;70(1):47-53
DOI 10.1590/0034-7167-2016-0184
Views0ABSTRACT
Objective:
to describe the results of face and content validation of the questionnaire entitled Quality Improvement Implementation Survey, and of two complementary scales as part of the adaptation process to the Brazilian language and culture.
Method:
included the following stages: (1) translation and synthesis of translations; (2) consideration by the expert committee; (3) back translation; (4) evaluation of verbal understanding by the target population.
Results:
the questionnaire was translated into Portuguese and its final version included 90 items. In the pre-test, the target population evaluated all items as easy to understand, with the global average of 4.58 (maximum value = 5).
Conclusion:
the questionnaire is currently translated into Portuguese and adapted to the Brazilian context. The adapted version maintained the semantic, idiomatic, conceptual and cultural equivalence, according to the assessment of the expert committee and the information provided by the target population, which confirmed the face and content validity.
Keywords:AccreditationAssurance of Health Care QualityHospital AdministrationOutcome Assessment (Health Care)Validation StudiesSee more -
RESEARCH01-01-2017
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
Abstract
RESEARCHAdecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
DOI 10.1590/0034-7167-2016-0246
Views0RESUMEN
Objetivo:
Determinar cuál de las escalas evaluadas (NEMS y NAS), es más adecuada para Unidades de Cuidados Intensivos aplicando metodología de calidad.
Método:
Tras identificar como oportunidad de mejora la no adecuación de la escala NEMS para determinar cargas de trabajo de enfermería en UCI, se aplica metodología de los ciclos de mejora a dicha escala y a la NAS, como propuesta de mejora, evaluando los criterios: medición de cargas de trabajo al día y por turno, inclusión de todas las actividades enfermeras, y análisis por paciente y unidad.
Resultados:
Escala NEMS no muestra diferencias significativas en el cumplimiento (67%). Comparación NEMS-NAS, todos los criterios excepto el 1º, obtienen mejora significativa. NEMS sólo valora el criterio 1 (64,22%), y NAS todos con un cumplimiento para el 1º, 2º y 4º del 64,74%, y el 3º del 100%.
Conclusión:
La escala NAS es más adecuada para medir cargas de trabajo de enfermería en UCI.
Keywords:Carga de TrabajoControl de CalidadEnfermeríaGestión de la CalidadUnidades de Cuidados IntensivosSee more
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