Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    Women’s temporality after cardiac surgery: contributions to nursing care

    Revista Brasileira de Enfermagem. 2015;68(6):1056-1062

    Abstract

    Women’s temporality after cardiac surgery: contributions to nursing care

    Revista Brasileira de Enfermagem. 2015;68(6):1056-1062

    DOI 10.1590/0034-7167.2015680609i

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    ABSTRACT

    Objective:

    to unveil women’s existential movement after cardiac surgery.

    Method:

    qualitative phenomenological study. The research setting was a hospital in Minas Gerais, in which ten women were interviewed between December 2011 and January 2012.

    Results:

    after hospital discharge, the women experienced physical, social and emotional impairments, and expressed the desire to go back to the time before their diagnosis, because they felt as though they still had heart disease. This vague and average understanding led to three units of meaning that, from a Heideggerian hermeneutic point of view, revealed the phenomenon of cardiac surgery as a present circumstance that limited the participants’ daily lives.

    Conclusion:

    nurses supporting women patients after cardiac surgery should promote health considering existential facets that are expressed during care. The bases for comprehensive care are revealed in singular and whole meetings of subjectivity.

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  • 01-01-2015

    Compliance of hand hygiene in maintaining the catheter for hemodialysis

    Revista Brasileira de Enfermagem. 2015;68(6):1050-1055

    Abstract

    Compliance of hand hygiene in maintaining the catheter for hemodialysis

    Revista Brasileira de Enfermagem. 2015;68(6):1050-1055

    DOI 10.1590/0034-7167.2015680608i

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    ABSTRACT

    Objective:

    to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo.

    Method:

    a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis.

    Results:

    the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%).

    Conclusion:

    it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.

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    Compliance of hand hygiene in maintaining the catheter for hemodialysis
  • 01-01-2015

    Replication of the training program in nonverbal communication in gerontology

    Revista Brasileira de Enfermagem. 2015;68(6):1042-1049

    Abstract

    Replication of the training program in nonverbal communication in gerontology

    Revista Brasileira de Enfermagem. 2015;68(6):1042-1049

    DOI 10.1590/0034-7167.2015680607i

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    ABSTRACT

    Objective:

    to measure the rate of assimilation of applied content at immediate and subsequent moments after a nonverbal communication in gerontology training program.

    Method:

    descriptive and exploratory fi eld study developed in three state administered hospitals, which attend Brazilian National Health Service (SUS) clients. The duration of the training was twelve hours, applied with 102 healthcare professionals.

    Results:

    the results revealed that the rate of assimilation of the content immediately after the program was satisfactory, as well as being satisfactory in the aspects concept of aging; strategies to foster the independence and autonomy of the elderly person; communication interferences linked to the elderly and the professional; recognition of non-verbal functions and dimensions. The exception was the professional perception faced with aspects that influence the success of communication.

    Conclusion:

    it was concluded that the replication of this program was relevant and current for the hospital context, remaining effi cient for healthcare professionals.

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  • 01-01-2015

    Physical and psychological violence against the elderly: prevalence and associated factors

    Revista Brasileira de Enfermagem. 2015;68(6):1035-1041

    Abstract

    Physical and psychological violence against the elderly: prevalence and associated factors

    Revista Brasileira de Enfermagem. 2015;68(6):1035-1041

    DOI 10.1590/0034-7167.2015680606i

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    ABSTRACT

    Objective:

    to verify the prevalence and associated factors to physical and psychological violence against elderlies and trace the sociodemographic and clinical indicators of this population.

    Method:

    household survey conducted in 729 elderlies Uberaba – MG. Data were analyzed by Chi-square test and logistic regression (p < 0,05).

    Results:

    the prevalence of elderly on violence was 20.9%, and 5.9% to 20.9% for physical and psychological. Among them prevailed women; with 60├80 years; no education; with income, with their partner as the primary aggressor; negative self-perception of health, hospitalization in the last year and presence of multimorbidities. The violence has been associated with have 60├80 years, living with your partner and dependence for instrumental activities of daily living.

    Conclusion:

    reinforces the need for early identification of domestic violence and invest in both the old protective actions and in maintaining functional capacity and social inclusion.

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  • 01-01-2015

    First civil service examination for nurses at the Administrative Department of Public Service

    Revista Brasileira de Enfermagem. 2015;68(6):1027-1034

    Abstract

    First civil service examination for nurses at the Administrative Department of Public Service

    Revista Brasileira de Enfermagem. 2015;68(6):1027-1034

    DOI 10.1590/0034-7167.2015680605i

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    ABSTRACT

    Objective:

    to describe the results of the first national public service examination for nurses conducted by the Administrative Department of Public Service between 1941 and 1942.

    Method:

    historical-documentary research with a quantitative approach.

    Results:

    155 candidates registered, aged between 21 and 35 years old, 141 (91%) of whom were female. A total of 120 candidates passed the practical exam. Of these, 116 took the written qualification exam. In the end, 107 were approved, 74 (69.1%) of whom were temporary public nurses, 59 (55.1%) Anna Nery Nursing School alumni, and 10 among the first 20 twenty became involved with the Brazilian Association of Nursing later.

    Conclusion:

    although the exam legitimized the meritbased culture in the staff selection in the area of Brazilian nursing, egalitarian criteria were mitigated, especially regarding the grades applied to different kinds of exams. This resulted in a significant number of temporary nurses approved.

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    First civil service examination for nurses at the Administrative Department of Public Service
  • 01-01-2015

    Children and adolescents with chronic kidney disease in haemodialysis: perception of professionals

    Revista Brasileira de Enfermagem. 2015;68(6):1020-1026

    Abstract

    Children and adolescents with chronic kidney disease in haemodialysis: perception of professionals

    Revista Brasileira de Enfermagem. 2015;68(6):1020-1026

    DOI 10.1590/0034-7167.2015680604i

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    ABSTRACT

    Objective:

    to identify aspects impacting on quality of life for children and adolescents with chronic kidney disease on hemodialysis, from the perspective of health professionals, as an essential step for the construction of a specific module of the DISABKIDS® instrument.

    Method:

    methodological study. Data was collected between May and June 2012, through personal interviews with 12 participants, in two dialysis centers. The empirical material was analyzed according to the thematic content analysis, using the program MAXQDA – Qualitative Data Analysis Software.

    Results:

    we identifi ed seven themes: self-care, family support, impact of diagnosis, expectation of kidney transplant, truancy, socialization and stigma, grouped into three domains.

    Conclusion:

    the results showed aspects that impact the quality of life of these customers and, therefore, will be considered in the development of specifi c DISABKIDS® module. In addition, these aspects are relevant to the preparation and planning of actions directed towards children and adolescents with chronic kidney disease.

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  • 01-01-2015

    From frustration to coping with caring for death by nurse technicians

    Revista Brasileira de Enfermagem. 2015;68(6):1013-1019

    Abstract

    From frustration to coping with caring for death by nurse technicians

    Revista Brasileira de Enfermagem. 2015;68(6):1013-1019

    DOI 10.1590/0034-7167.2015680603i

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    ABSTRACT

    Objective:

    to understand nurse technicians’ experience with caring for the death of terminal patients in ICUs and to configure a theoretical model.

    Method:

    qualitative study with theoretical saturation when analyzing the 10th non-directive interview, having as reference Grounded Theory, Symbolic Interactionism and Bioethics.

    Results:

    the core category – from frustration to coping with dignified nursing care for finitude: the acceptance of death as a therapeutic and intervenient component – emerged from the comparison of the sub-processes: when the nurse does not feel prepared for caring for death, accepting death as a therapeutic phenomenon and developing coping strategies.

    Conclusion:

    according to Symbolic Interactionism, a novice professional’s frustration in caring for an individual for death is related to his/her interaction and interpretation of the situation as he/she feels prepared only to care for individuals for life.

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  • 01-01-2015

    Sedentary lifestyle in individuals with hypertension

    Revista Brasileira de Enfermagem. 2015;68(6):1005-1012

    Abstract

    Sedentary lifestyle in individuals with hypertension

    Revista Brasileira de Enfermagem. 2015;68(6):1005-1012

    DOI 10.1590/0034-7167.2015680602i

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    ABSTRACT

    Objective:

    to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension.

    Method:

    cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. Results: SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL.

    Conclusion:

    the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.

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  • 01-01-2016

    ERRATUM

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

    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

    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

    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

    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.

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  • 01-01-2016

    Developing the Advanced Practice Nurse in Catalonia

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

    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

    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

    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

    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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