Articles - Revista Brasileira de Enfermagem

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  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(5):1002-1002
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    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(5):1002-1002

    DOI 10.1590/0034-7167.20166905e01

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    Article “Alcohol and alcoholism: attitudes of nursing students”, with number of DOI: http://dx.doi.org/10.1590/S0034-71672013000100013, published in the journal Revista Brasileira de Enfermagem, v66(1):84-9, page 89 that read:“18. Miranda SP, Vargas D. Satisfação de pacientes de um centro de atenção Psicossocial álcool e drogas com o atendimento do enfermeiro. SMAD, Rev Eletrônica Saúde Mental Alcool Drog 2019;5(2):1-15”.[…]
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  • 01-01-2016

    Research methodology for nursing and health: a book review

    Revista Brasileira de Enfermagem. 2016;69(5):1000-1001
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    Abstract

    Research methodology for nursing and health: a book review

    Revista Brasileira de Enfermagem. 2016;69(5):1000-1001

    DOI 10.1590/0034-7167-2015-0135

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    For those interested in nursing and health, the book entitled “Research methodology for nursing and health: from theory to practice”() was released in October 2015, at the 67th Brazilian Congress of Nursing, sponsored by National ABEn. The interest emerged from two organizers: Dr. Maria Ribeiro Lacerda (UFPR) and Dr. Regina Gema Santini Costerano (UNIFRA). Forty-seven […]
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  • 01-01-2016

    Violence in the workplace in Nursing: consequences overview

    Revista Brasileira de Enfermagem. 2016;69(5):996-999
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    Abstract

    Violence in the workplace in Nursing: consequences overview

    Revista Brasileira de Enfermagem. 2016;69(5):996-999

    DOI 10.1590/0034-7167-2015-0133

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    ABSTRACT

    Objective:

    to reflect on the consequences of workplace violence experienced by nursing professionals.

    Methods:

    this is a reflection paper based on recent publications related to the subject, particularly researches carried out in Brazil and in other countries.

    Results:

    exposure to workplace violence has been associated with health problems in nursing professionals, which may be physical damage, emotional manifestations, and psychic disorders. It also affects the employee performance, his or her family and social interactions.

    Conclusion:

    this phenomenon is potentially noxious and costly, for it leads to suffering, illness, absence from work, and even death. This reflection calls attention moreover to the importance of a safe and adequate health care work environment.

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  • REFLECTION01-01-2016

    Construcción de la enfermera de práctica avanzada en Catalunya (España)

    Revista Brasileira de Enfermagem. 2016;69(5):991-995
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    Abstract

    REFLECTION

    Construcción de la enfermera de práctica avanzada en Catalunya (España)

    Revista Brasileira de Enfermagem. 2016;69(5):991-995

    DOI 10.1590/0034-7167.2016690507

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    RESUMEN

    El desarrollo de la enfermera de práctica avanzada (EPA) ha supuesto un reto para las enfermeras en países como EE.UU., Canadá, Gran Bretaña y Australia, entre otros, y desde hace escasos años está siendo considerada en Catalunya y España como un sistema para desarrollar nuevos roles que aporten eficacia y eficiencia al sistema sanitario. El presente artículo pretende conceptualizar la EPA y los modelos de referencia así como contextualizar y reflexionar sobre la EPA en Catalunya, desde el punto de vista de formación y de la implantación de los denominados nuevos roles de enfermería, asimilándolos a la práctica avanzada.

    Keywords:Competencia ClínicaEnfermeríaEnfermería de Práctica AvanzadaPráctica ProfesionalRol de la Enfermera
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  • 01-01-2016

    Developing the Advanced Practice Nurse in Catalonia

    Revista Brasileira de Enfermagem. 2016;69(5):991-995
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    Abstract

    Developing the Advanced Practice Nurse in Catalonia

    Revista Brasileira de Enfermagem. 2016;69(5):991-995

    DOI 10.1590/0034-7167.2016690507

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    ABSTRACT

    The development of advanced practice nurses (APN) has proved a challenge for nurses in countries such as the USA, Canada, Great Britain, and Australia among others. It is only in recent years that the system has been considered in Catalonia and Spain as a way to develop new roles to bring effectiveness and efficiency to the health system. From the standpoint of training and implementation of the above-mentioned new nursing roles, the following article aims to conceptualise APN and its reference models, as well as to contextualise and reflect on APN in Catalonia in order to assimilate them into advanced practice.

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  • 01-01-2016

    International academic mobility in nursing education: an experience report

    Revista Brasileira de Enfermagem. 2016;69(5):986-990
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    Abstract

    International academic mobility in nursing education: an experience report

    Revista Brasileira de Enfermagem. 2016;69(5):986-990

    DOI 10.1590/0034-7167-2015-0128

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    ABSTRACT

    Objective:

    report the experience of international academic mobility in Ireland through the program Science Without Borders during undergraduate education in nursing.

    Method:

    a report of experience presented in chronological order, with a descriptive nature.

    Results:

    the opportunity to know and be able to discuss questions regarding health and nursing in Ireland allowed the review of concepts and a more reflective perspective regarding nursing practices. Additionally, the exchange promoted personal strengthening regarding the confrontation and solution of problems, development of technical and scientific abilities, improvement of linguistic competences and construction of personality, independence and maturity.

    Conclusion:

    regarding such constructive and enriching experience that this mobility provides to students, to the governing authorities, to the population and to Brazilian nursing, sharing this experience is expected to serve as encouragement for those who search for new horizons, with the objective of adding knowledge for their personal and professional life.

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  • 01-01-2016

    Online training for health professionals in three regions of Brazil

    Revista Brasileira de Enfermagem. 2016;69(5):981-985
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    Abstract

    Online training for health professionals in three regions of Brazil

    Revista Brasileira de Enfermagem. 2016;69(5):981-985

    DOI 10.1590/0034-7167.2016690506

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    ABSTRACT

    Objective:

    to describe online training experience aimed at professionals working in the public health service in 27 Neonatal and Pediatric Intensive Care Units, and to reflect concerning the training process and possible improvements in this process.

    Method:

    this is an experience report study about the online training with multidisciplinary content, planned from the situational diagnosis of 27 institutions. The training target set was 10 participants per institution and per module, including the following topics: Indicators of Quality as a Management Tool, Hand Hygiene, Patient Safety, Intravenous Therapy and Patients’ Chart Record.

    Results:

    a total of 2,071 active students in the modules, with 1,046 approved. The mean of 76 students per module exceeded the target set.

    Conclusion:

    experience has shown that online training is comprehensive as a potential tool for the professional technical development and digital inclusion. The online learning system becomes weakened if participants are unaware of the technological resources.

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  • 01-01-2016

    Technologies in intensive care: causes of adverse events and implications to nursing

    Revista Brasileira de Enfermagem. 2016;69(5):972-980
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    Abstract

    Technologies in intensive care: causes of adverse events and implications to nursing

    Revista Brasileira de Enfermagem. 2016;69(5):972-980

    DOI 10.1590/0034-7167.2016690505

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    ABSTRACT

    Objective:

    to identify the causes of adverse events affecting clients resulting from the use of equipment in intensive care services; to point out the main recommendations for clinical practice to minimize these events and, then, discuss the implications to nursing care.

    Method:

    integrative and descriptive review on the SciELO, Medline, LILACS, and PubMed databases. Articles were selected based on the inclusion criteria and the structured instrument was applied.

    Results:

    altogether, 11 articles were selected where three evidence units were outstanding: Equipment failure; inadequate use of equipment; and team failure. Permanent education of professionals; evaluation of production and availability of equipment; and use of checklists are recommended.

    Conclusion:

    preventing adverse events related to equipment is one of the nursing responsibilities and requires the establishment of defensive barriers to prevent these.

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  • 01-01-2016

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

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

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

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

    DOI 10.1590/0034-7167.2016690424i

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Conclusion:

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

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

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

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

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

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

    DOI 10.1590/0034-7167.2016690423i

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    ABSTRACT

    Objective:

    to verify the nursing diagnoses in patients affected by CVAs.

    Method:

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

    Results:

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

    Conclusion:

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

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  • 01-01-2016

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

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

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

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

    DOI 10.1590/0034-7167.2016690422i

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Conclusion:

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

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

    The communication process in Telenursing: integrative review

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

    The communication process in Telenursing: integrative review

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

    DOI 10.1590/0034-7167.2016690421i

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Conclusion:

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

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

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

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

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

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

    DOI 10.1590/0034-7167.2016690420i

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Conclusions:

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

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  • 01-01-2016

    Quality of working life of call-center workers

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

    Quality of working life of call-center workers

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

    DOI 10.1590/0034-7167.2016690419i

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Conclusion:

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

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  • 01-01-2016

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

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

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

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

    DOI 10.1590/0034-7167.2016690418i

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Conclusion:

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

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  • 01-01-2016

    Concepts and practices of teaching and exercise of leadership in Nursing

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

    Concepts and practices of teaching and exercise of leadership in Nursing

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

    DOI 10.1590/0034-7167.2016690417i

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    ABSTRACT

    Objective:

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

    Methods:

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

    Results:

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

    Conclusion:

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

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