Articles - Revista Brasileira de Enfermagem

01-01-2015

Low birth weight in a municipality in the southeast region of Brazil
Revista Brasileira de Enfermagem. 2015;68(6):1169-1175

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Abstract
Low birth weight in a municipality in the southeast region of Brazil
Revista Brasileira de Enfermagem. 2015;68(6):1169-1175
DOI 10.1590/0034-7167.2015680624i
Carolina Queiroz de Souza Mendes,
Bruna Cristina de Almeida Cacella,
Myriam Aparecida Mandetta,
Maria Magda Ferreira Gomes Balieiro
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ABSTRACT

Objective:

to identify the prevalence of low birth weight in the city of São Paulo.

Method:

epidemiological cross-sectional study with data collected by means of the Brazilian Live Birth Information System related to births occurred in the city of São Paulo between 2007 and 2013. Maternal, gestational, childbirth, and neonatal variables were analyzed descriptively and by association.

Results:

9.65% (1,342,655) of live births were underweight (mean of 3234.55 grams in the term group and 2312.17 in the pre-term group) with a mean maternal age of 27.53 years old. The risk factors identified include maternal age, not having a partner, low maternal level of education, other race rather than white, pre-term pregnancy, multiple births, low number of prenatal check-ups, and cesarean delivery.

Conclusion:

knowledge of this evidence favors planning the care provided by defining strategies to reduce it and consequently improve maternal and infant health care.

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01-01-2015

Gait speed and cognitive score in elderly users of the primary care service
Revista Brasileira de Enfermagem. 2015;68(6):1163-1168

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Abstract
Gait speed and cognitive score in elderly users of the primary care service
Revista Brasileira de Enfermagem. 2015;68(6):1163-1168
DOI 10.1590/0034-7167.2015680623i
Maria Helena Lenardt,
Jacy Aurelia Vieira de Sousa,
Clóris Regina Blanski Grden,
Susanne Elero Betiolli,
Nathália Hammerschmidt Kolb Carneiro,
Dâmarys Kohlbeck de Melo Neu Ribeiro
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ABSTRACT

Objective:

to investigate the association between gait speed and the cognitive score of elderly patients enrolled in a Basic Health Unit.

Method:

a quantitative cross-sectional study with 203 elderly, a sample calculated based on the estimated population proportion. Data were collected using a sociodemographic and clinical questionnaire, gait speed test (GS) and the Mini Mental State Examination (MMSE).

Results:

the illiterate patients had a mean MMSE=19.33(±3.7) and GS = 0.76m/s (±0.3); those with low/medium education had a MMSE = 25.43(±2.8) and GS = 0.92m/s (±0.2); and the elderly with higher education had a MMSE = 27.33(±2.9) and GS=1.12m/s (±0.3).There was a weak correlation (R²=⁰⁰³⁵⁴) between gait speed and cognitive score, with statistical significance (Prob>F = 0.0072) and a positive linear trend.

Conclusion:

the better cognitive score the higher the gait speed; the illiterate elderly were those with lower gait speed, thereby indicating a poorer physical performance.

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01-01-2015

Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis
- António Filipe Amaral de Jesus Cristóvão
Revista Brasileira de Enfermagem. 2015;68(6):1154-1162

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Abstract
Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis
Revista Brasileira de Enfermagem. 2015;68(6):1154-1162
DOI 10.1590/0034-7167.2015680622i
António Filipe Amaral de Jesus Cristóvão
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ABSTRACT

Objective:

to identify self-care measures to manage fluid and dietary restrictions and assess their effectiveness.

Method:

descriptive-correlational study and cluster analysis with 254 chronic renal failure patients on regular hemodialysis program, handled by hemodiafiltration. We evaluated the effectiveness of self-care by interdialytic weight gain (IWG) and by potassium and phosphorus serum pre-dialysis serum levels.

Results:

several self-care measures were significantly correlated with a lower IWG and a lower level of pre-dialysis phosphorus. Patients most often use measures to reduce salt consumption than measures to restrict potassium and dietary phosphorus. The spouse provides important support dietary management. Subjects who use more often the self-care measure are mostly female, are older, less IWG and have a higher Kt/V.

Conclusion:

these results can contribute to the nursing educational support.

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01-01-2015

Validation of newborn positioning protocol in Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(6):1147-1153

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Abstract
Validation of newborn positioning protocol in Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(6):1147-1153
DOI 10.1590/0034-7167.2015680621i
Beatriz Rosana Gonçalves de Oliveira Toso,
Cláudia Silveira Viera,
Jéssica Martins Valter,
Silvana Delatore,
Grasiely Mazoti Scalabrin Barreto
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RESEARCH

Objective:

to verify the positioning indications of newborn sand build a standard operating procedure protocol for newborn positioning in Neonatal Intensive Care Unit (NICU).

Method:

for protocol validation, the Delphi technique was used ,in which expert nurses in the field reviewed the proposed procedure.

Results:

we present the results of this validation in a protocol form, to contribute to the discussion about newborn positioning in NICU and standardization of nursing care related to positioning. We evaluated ten indicators, in which there was agreementof100.0% in seven, and of80% in three, above the 60% recommended by the validation technique.

Conclusion:

given the importance of newborn positioning in NICU for its neuromuscular development, this study contributes to the adoption of an evidence-based practice for nursing.

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01-01-2015

Patient safety culture in a bone marrow transplantation unit
Revista Brasileira de Enfermagem. 2015;68(6):1139-1146

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Abstract
Patient safety culture in a bone marrow transplantation unit
Revista Brasileira de Enfermagem. 2015;68(6):1139-1146
DOI 10.1590/0034-7167.2015680620i
Vivian Costa Fermo,
Vera Radünz,
Luciana Martins da Rosa,
Monique Mendes Marinho
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ABSTRACT

Objective:

evaluate the patient safety culture in the perspective of health professionals from a bone marrow transplantation unit of an oncology research center, at a reference hospital for cancer treatment in Santa Catarina, Brazil.

Method:

a quantitative cross-sectional study that used the Safety Attitudes Questionnaire was conducted between August and September 2013. The study analyzed 33 professional surveys. Statistical data analysis used descriptive and inferential statistics.

Results:

among the dimensions analyzed, only “job satisfaction” reached a mean score above 75, considered positive in terms of patient safety culture.

Conclusion:

the dimensions of safety culture present in the survey have to be valued by professionals and managers to allow safe patient care.

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01-01-2015

Job satisfaction of nursing staff in a university hospital
Revista Brasileira de Enfermagem. 2015;68(6):1130-1138

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Abstract
Job satisfaction of nursing staff in a university hospital
Revista Brasileira de Enfermagem. 2015;68(6):1130-1138
DOI 10.1590/0034-7167.2015680619i
Angela Maria Bacha,
Oswaldo da Rocha Grassiotto,
Simone Pollini Gonçalves,
Rosângela Higa,
Gislaine Aparecida Fonsechi-Carvasan,
Helymar da Costa Machado,
Denis Barbosa Cacique
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ABSTRACT

Objective:

identify the determinants of job satisfaction of the nursing staff of a public university hospital.

Method:

secondary study with mixed data approach and simple and multiple linear regression. A total of 115 subjects participated in the study, 41 nurses and 74 nursing assistants and technicians. The data collection occurred in 2013 using the QST-Caism questionnaire.

Results:

education, hierarchical level and workplace constitute job satisfaction determinants. However, age, gender, job and work period did not show this relationship. More educated workers held low job satisfaction if exercised not graduated nursing functions.

Conclusion:

graduated workers who perform high school functions are more unsatisfied than those who have high school function and qualification.

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01-01-2015

Medical waste in mobile prehospital care
Revista Brasileira de Enfermagem. 2015;68(6):1122-1129

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Abstract
Medical waste in mobile prehospital care
Revista Brasileira de Enfermagem. 2015;68(6):1122-1129
DOI 10.1590/0034-7167.2015680618i
Adriana Aparecida Mendes,
Tatiane Bonametti Veiga,
Tânia Márcia Lopes Ribeiro,
Silvia Carla da Silva André,
Juice Ishie Macedo,
Juliana Trebi Penatti,
Angela Maria Magosso Takayanagui
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ABSTRACT

Objective:

the objective of this study is to identify how Medical Waste (MW) is managed in Mobile Prehospital Care (MPC) services in the state of São Paulo as well as characterize and quantify this waste.

Method:

exploratory and descriptive field study with data collection based on the methodology proposed by the Pan American Health Organization (PAHO), which was conducted over eight consecutive days to identify the production and characteristics of generated waste.

Results:

it was found that the MW management of the MPC is not yet in line with the requirements of RDC 306/04, which could affect the occupational safety of workers, patients, the community, and the environment.

Conclusion:

it is recommended for the health managers to focus on this issue. The lack of studies with regard to MPC also indicates the need for further studies on the waste management.

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01-01-2015

Severe lactational mastitis: particularities from admission
Revista Brasileira de Enfermagem. 2015;68(6):1116-1121

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Abstract
Severe lactational mastitis: particularities from admission
Revista Brasileira de Enfermagem. 2015;68(6):1116-1121
DOI 10.1590/0034-7167.2015680617i
Alecssandra de Fátima Silva Viduedo,
Juliana Rocha de Carvalho Leite,
Juliana Cristina dos Santos Monteiro,
Márcia Cristina Guerreiro dos Reis,
Flávia Azevedo Gomes-Sponholz
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ABSTRACT

Objective:

to identify characteristics of women who have suffered severe lactational mastitis.

Method:

a descriptive, retrospective, documentary, quantitative study was performed. Data were collected from patient records of 114 hospitalized women from January of 2009 to December of 2013. Data were analyzed by using descriptive statistics.

Results:

a higher percentage of severe lactational mastitis was found in young, primiparous women who had completed high school, who had no partner, and did not have a job; 96.5% of women had breast complications before admission and remained hospitalized an average of 4.4 days; at discharge, 23.7% of women had weaned their infants.

Conclusion:

this study showed that severe lactational mastitis can cause great harm to the woman and the baby.

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ORIGINAL ARTICLE07-14-2021

Impact of the contamination time by Escherichia coli on biofilm formation in surgical instruments
Revista Brasileira de Enfermagem. 2021;74(3):e20200759

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Impact of the contamination time by Escherichia coli on biofilm formation in surgical instruments
Revista Brasileira de Enfermagem. 2021;74(3):e20200759
DOI 10.1590/0034-7167-2020-0759
Síntia de Souza Evangelista ,
Simone Gonçalves dos Santos ,
Adriana Cristina de Oliveira
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ABSTRACT

Objectives:

to evaluate the microbial load and adherence of Escherichia coli in different areas of the surgical instrument surface exposed to experimental contamination over time.

Methods:

experimental study in which fragments of crile forceps (serrated, rod and rack) were contaminated by immersion in Tryptic Soy Broth, containing 10⁶ CFU/mL of E. coli, for 1, 2, 4, 6, 8, 12 and 24 hours. Microbial load and bacterial adherence were evaluated using microbiological culture and scanning electron microscopy, respectively.

Results:

there was an increase in the microbial load on the surgical instrument, proportional to the contamination interval, ranging from 10² after 1 hour to 10⁵ CFU/cm² in 24 hours. The presence of exopolysaccharide was detected after two hours of contamination.

Conclusions:

microbial load and adhesion of E. coli increased over time, reaching 10⁵ CFU/cm² after 24 hours of contamination, starting biofilm formation after two hours.

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REVIEW07-09-2021

Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995

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Abstract
REVIEW
Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
Danila Cristina Paquier Sala ,
Meiry Fernanda Pinto Okuno ,
Monica Taminato ,
Cristiane Pereira de Castro ,
Marília Cristina Prado Louvison ,
Oswaldo Yoshimi Tanaka
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ABSTRACT

Objectives:

to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.

Methods:

this is a systematic review following the Cochrane Collaboration recommendations.

Results:

among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.

Conclusions:

Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.

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ORIGINAL ARTICLE06-18-2021

Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control
Revista Brasileira de Enfermagem. 2021;74(3):e20201101

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control
Revista Brasileira de Enfermagem. 2021;74(3):e20201101
DOI 10.1590/0034-7167-2020-1101
Fernanda de Castro Lopes ,
Giana Gislanne da Silva de Sousa ,
Weslei Melo da Silva ,
Ana Cristina Pereira de Jesus Costa ,
Floriacy Stabnow Santos ,
Lívia Maia Pascoal ,
Marcelino Santos Neto
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ABSTRACT

Objectives:

to analyze the spatial-temporal distribution of leprosy in a priority municipality for leprosy control.

Methods:

ecological study, conducted in a city in the Northeast of Brazil, whose analysis units were census sectors. The study used compulsory notification data for cases registered between 2008 and 2017. TerraView software and the Batch Geocode tool was used for geocoding. The detection of spatial-temporal agglomerations of high relative risks was done by scanning statistics.

Results:

the spatial-temporal distribution of cases was heterogeneous, creating four agglomerations of high relative risks in the urban area of the municipality between the years 2008 and 2012; and annual prevalence rates classified from high to hyperendemic.

Conclusions:

areas of higher risk and concentration of the disease in space-time were linked to the characteristics of high population density and social vulnerability of these spaces, raising the prioritization of health professionals’ actions, systems, and services for control, and monitoring the disease.

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ORIGINAL ARTICLE06-18-2021

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Revista Brasileira de Enfermagem. 2021;74(3):e20201303

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Abstract
ORIGINAL ARTICLE
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Revista Brasileira de Enfermagem. 2021;74(3):e20201303
DOI 10.1590/0034-7167-2020-1303
Marcia Boessio dos Santos ,
Cristiana Maria Toscano ,
Ruth Ester Assayag Batista ,
Elena Bohomol
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ABSTRACT

Objectives:

to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department.

Methods:

a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration).

Results:

of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level.

Conclusions:

despite low protocol adherence, the intervention resulted in higher reported pain relief.

Keywords:Emergencies Emergency Nursing Nurses Pain Management Triage
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ORIGINAL ARTICLE09-10-2021

Contradicting perceptions of nursing teachers on the neoliberal context of labor
Revista Brasileira de Enfermagem. 2021;74(4):e20200056

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Abstract
ORIGINAL ARTICLE
Contradicting perceptions of nursing teachers on the neoliberal context of labor
Revista Brasileira de Enfermagem. 2021;74(4):e20200056
DOI 10.1590/0034-7167-2020-0056
Camila Arantes Ferreira Brecht D’ Oliveira ,
Márcia Tereza Luz Lisboa ,
Carolina Cabral Pereira da Costa ,
Sheila Nascimento Pereira de Farias ,
Thereza Christina Mó y Mó Loureiro Varella ,
Ellen Marcia Peres ,
Norma Valéria Dantas de Oliveira Souza
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ABSTRACT

Objectives:

To identify and analyze the perceptions of nursing teachers on the new configurations of the job world and the repercussions for their labor activities.

Methods:

Qualitative, descriptive, exploratory research, carried out at two federal nursing colleges in Rio de Janeiro. Data collection occurred with 27 nursing teachers, between May and June 2016, through semi-structured interviews. The data were treated using the thematic content analysis technique.

Results:

The results showed contradictions in the teachers’ perceptions about the job world, which has been guided by neoliberal precepts. Such contradictions are characterized by manifestations in favor of incorporating these precepts, highlighting their negative effects on nursing teaching work.

Final considerations:

There are incongruities in the way of perceiving the current configuration of the job world, proposing more and profound reflections on such a work scenario.

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ORIGINAL ARTICLE06-04-2021

Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(4):e20200397

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Abstract
ORIGINAL ARTICLE
Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(4):e20200397
DOI 10.1590/0034-7167-2020-0397
Tamara Lopes Terto ,
Thales Philipe Rodrigues da Silva ,
Thamara Gabriela Fernandes Viana ,
Ana Maria Magalhães Sousa ,
Eunice Francisca Martins ,
Kleyde Ventura de Souza ,
Fernanda Penido Matozinhos
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ABSTRACT

Objective:

Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route.

Methods:

Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables.

Results:

73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller’s maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization.

Conclusion:

Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.

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ORIGINAL ARTICLE07-30-2021

Meaning of aging for caregivers of senile elderly people
Revista Brasileira de Enfermagem. 2021;74(4):e20201240

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Abstract
ORIGINAL ARTICLE
Meaning of aging for caregivers of senile elderly people
Revista Brasileira de Enfermagem. 2021;74(4):e20201240
DOI 10.1590/0034-7167-2020-1240
Sara Ingrid de Rezende Ferreira ,
Elen Ferraz Teston ,
Sonia Silva Marcon ,
Bianca Cristina Ciccone Giacon-Arruda ,
Juliete Bispo dos Santos Mandu ,
Josiel Elisandro Werle ,
Sueli Aparecida Frari Galera
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ABSTRACT

Objectives:

to understand the meaning of aging for caregivers of senile elderly people.

Methods:

qualitative study carried out with 12 caregivers of elderly people registered in the Home Care Service, adopting the Explanatory Model of Kleinman’s Disease as a theoretical framework. Data were collected from April to June 2019, through semi-structured, audio-recorded interviews, carried out at home and submitted to content analysis.

Results:

taking care of senile elderly people triggers reflections on aging that sometimes lead to a new meaning of this process, besides stimulating the recognition of the factors that influence it, with emphasis on the life history, occupation and deleterious behaviors adopted throughout life.

Final Considerations:

the care experience influences the meaning attributed to aging, favoring: the identification of modifiable and non-modifiable aspects and behaviors that make it healthy; reflection on aging itself, with a new meaning of habits and behaviors to be adopted.

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ORIGINAL ARTICLE07-30-2021

Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
DOI 10.1590/0034-7167-2020-1242
Stéfany Petry ,
Maria Itayra Padilha ,
Roberta Costa ,
Joel Rolim Mancia
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ABSTRACT

Objectives:

to discuss the curricular reforms adopted for nursing teaching in Brazil, from 1969 to 2019.

Methods:

historical, qualitative approach using the thematic oral history and document research. 13 interviews were carried out with graduation nursing professors from a federal university in the South of Brazil. The document sources were the political-pedagogical projects of the course and their associated documents. Minayo’s thematic analysis was used.

Results:

nursing curricula delineates the profile of the professional that must be formed and are reviewed in order to be adapted to social and educational changes, showing the scientific and professional potential of the nurse. Curricular reforms consider the quality of nursing formation.

Final Considerations:

the structure of the curriculum and the reforms that took place emerged according to the historical, political, epidemiological and social context demanded from the profession, to attend to the demands of society and to the work market.

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ORIGINAL ARTICLE07-13-2020

Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434

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Abstract
ORIGINAL ARTICLE
Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434
DOI 10.1590/0034-7167-2020-0434
Eduardo Bassani Dal’Bosco ,
Lara Simone Messias Floriano ,
Suellen Vienscoski Skupien ,
Guilherme Arcaro ,
Alessandra Rodrigues Martins ,
Aline Cristina Correa Anselmo
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ABSTRACT

Objective:

to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

Methods:

a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

Results:

there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

Conclusion:

we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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REFLECTION04-22-2020

Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REFLECTION
Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250
DOI 10.1590/0034-7167-2019-0250
Jacks Soratto ,
Denise Elvira Pires de Pires ,
Susanne Friese
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ABSTRACT

Objective:

to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

Method:

It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

Results:

historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

Final considerations:

The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

Keywords:Information Management Primary Health Care Qualitative Analysis Qualitative Research Software
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REFLECTION10-26-2020

Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REFLECTION
Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683
DOI 10.1590/0034-7167-2020-0683
Ana Luisa Brandão de Carvalho Lira ,
Edlamar Kátia Adamy ,
Elizabeth Teixeira ,
Francisca Valda da Silva
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ABSTRACT

Objective:

To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

Methods:

Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

Results:

Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

Final considerations:

The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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ORIGINAL ARTICLE11-13-2020

Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673
DOI 10.1590/0034-7167-2020-0673
Alexandre Medeiros de Figueiredo ,
Daniela Cristina Moreira Marculino de Figueiredo ,
Luciano Bezerra Gomes ,
Adriano Massuda ,
Eugenia Gil-García ,
Rodrigo Pinheiro de Toledo Vianna ,
Antonio Daponte
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ABSTRACT

Objective:

To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

Methods:

Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

Results:

In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

Conclusion:

Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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ORIGINAL ARTICLE02-27-2020

Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287

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Abstract
ORIGINAL ARTICLE
Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287
DOI 10.1590/0034-7167-2018-0287
Marina de Góes Salvetti ,
Caroline Silva Pereira Machado ,
Suzana Cristina Teixeira Donato ,
Adriana Marques da Silva
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ABSTRACT

Objectives:

to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

Methods:

this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

Results:

prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

Conclusions:

fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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ORIGINAL ARTICLE08-10-2020

Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413
DOI 10.1590/0034-7167-2019-0413
Ricardo Clayton Silva Jansen ,
Kedyma Batista de Almeida Silva ,
Maria Edileuza Soares Moura
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ABSTRACT

Objective:

To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

Methods:

A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

Results:

The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

Conclusion:

The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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REVIEW03-24-2021

Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REVIEW
Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130
DOI 10.1590/0034-7167-2020-0130
Joyce Fernanda Soares Albino Ghezzi ,
Elza de Fátima Ribeiro Higa ,
Monike Alves Lemes ,
Maria José Sanches Marin
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ABSTRACT

Objectives:

to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

Methods:

integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

Results:

among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

Final Considerations:

the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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ORIGINAL ARTICLE09-16-2019

Validation of educational booklet: an educational technology in dengue prevention
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Validation of educational booklet: an educational technology in dengue prevention
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
DOI 10.1590/0034-7167-2018-0771
Camila Fernandes Wild ,
Elisabeta Albertina Nietsche ,
Cléton Salbego ,
Elizabeth Teixeira ,
Natalia Barrionuevo Favero
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ABSTRACT

Objective:

to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population.

Method:

methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out.

Results:

the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization.

Conclusion:

the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.

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ISSUE

Low birth weight in a municipality in the southeast region of Brazil

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Gait speed and cognitive score in elderly users of the primary care service

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Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis

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Validation of newborn positioning protocol in Intensive Care Unit

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Patient safety culture in a bone marrow transplantation unit

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Medical waste in mobile prehospital care

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Severe lactational mastitis: particularities from admission

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Breast cancer screening in Primary Health Care in Brazil: a systematic review

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Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control

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Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

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Contradicting perceptions of nursing teachers on the neoliberal context of labor

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Final considerations:

Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study

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