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RESEARCH01-01-2018
Construction and validation of a distance Basic Life Support Course
Revista Brasileira de Enfermagem. 2018;71:2698-2705
Abstract
RESEARCHConstruction and validation of a distance Basic Life Support Course
Revista Brasileira de Enfermagem. 2018;71:2698-2705
DOI 10.1590/0034-7167-2018-0122
Views0See moreABSTRACT
Objective:
to describe the content construction and validation process of the Distance Education Basic Life Support Course.
Method:
methodological study, developed through literature review, outlined in the light of the Bloom’s Taxonomy and Ausubel’s Meaningful Learning Theory. For validation, the analysis was performed with judges, using a structured tool.
Results:
the construction of the distance course was complex and challenging, since it was tried to develop it with logical-methodological coherence, considering the constructivist perspective, representing an advance in the process of dissemination of the Urgency and Emergency teaching culture. As for the content validation process, it was verified that of the 16 suggestions made by the judges, 14 were accepted and two rejected.
Conclusion:
the course had its contents validated by experts.
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RESEARCH01-01-2018
Needs, expectations and care production of people in street situation
Revista Brasileira de Enfermagem. 2018;71:2689-2697
Abstract
RESEARCHNeeds, expectations and care production of people in street situation
Revista Brasileira de Enfermagem. 2018;71:2689-2697
DOI 10.1590/0034-7167-2017-0612
Views0See moreABSTRACT
Objective:
To understand the needs, expectations, and care production of people in street situations.
Method:
This is a qualitative study based on social phenomenology, conducted with eight people in street situations. Data were collected through a phenomenological interview from September to December, 2016.
Results:
The needs of participants refer to survival and access to health services. Care production involves physico-biological, spiritual, and affective-social aspects. The expectations of these people involve a desire for health care that considers their singularities and offers them social apparatuses.
Final considerations:
This study has contributions to the practice, training on health, and nursing in collective health, regarding care planning and provision to the population in street situations based on their expectations and lifestyles, considered as tools to help fulfill the health needs of this social group.
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RESEARCH01-01-2018
Integrative and complementary practices: use by community health agents in self-care
Revista Brasileira de Enfermagem. 2018;71:2682-2688
Abstract
RESEARCHIntegrative and complementary practices: use by community health agents in self-care
Revista Brasileira de Enfermagem. 2018;71:2682-2688
DOI 10.1590/0034-7167-2018-0078
Views0See moreABSTRACT
Objective:
To verify the use of integrative and complementary practices (ICPs) by community health agents working in family health teams.
Methods:
Cross-sectional, quantitative research, conducted in the city of Montes Claros, Minas Gerais. An structured form was used for the characterization of participants and use of ICPs. Descriptive and bivariate analyses were conducted.
Results:
Use of ICPs was referenced by 94 (40.7%) agents. The use of medicinal plants was predominant (32.5%). There were associations between: ICPs in general and negative self-perception of health (p=0.032), homeopathy and higher education (p=0.015), massage and living with partner(p=0.024), chiropractic care and income equal to or greater than four minimum wages (p=0.031), relaxation/meditation and religion (p=0.028).
Conclusion:
The use of ICPs was verified in the healthcare of community agents. It is necessary to strengthen these practices for the promotion of health and prevention of diseases.
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RESEARCH01-01-2018
Assessment of the product of nursing care in specialized hospitals
Revista Brasileira de Enfermagem. 2018;71:2675-2681
Abstract
RESEARCHAssessment of the product of nursing care in specialized hospitals
Revista Brasileira de Enfermagem. 2018;71:2675-2681
DOI 10.1590/0034-7167-2017-0354
Views0See moreABSTRACT
Objective:
To evaluate the product of care in units of specialized hospitals, identifying the items that most contributed to the score; to compare the product of care among hospitals, units, and shifts; to verify the association between demographic and professionals variables and the product of care.
Method:
Descriptive study, conducted in eight units of two specialized hospitals in the State of São Paulo. The evaluation of the product of care was performed by applying an instrument to 44 nurses.
Results:
“Multidisciplinary interaction and performance” obtained the lowest median in both hospitals, and the “Meeting assistance needs” and “Nursing care planning” were the better assessed ones. “Dimensioning of nursing staff” was the item that most contributed to the total score. There was a weak correlation between socio-demographic variables and score.
Conclusion:
The product of care, as found in both hospitals, was predominantly considered “good.” The tool enabled the identification of critical aspects of the nursing work.
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RESEARCH01-01-2018
Care-educational technologies: an emerging concept of the praxis of nurses in a hospital context
Revista Brasileira de Enfermagem. 2018;71:2666-2674
Abstract
RESEARCHCare-educational technologies: an emerging concept of the praxis of nurses in a hospital context
Revista Brasileira de Enfermagem. 2018;71:2666-2674
DOI 10.1590/0034-7167-2017-0753
Views0See moreABSTRACT
Objective:
to know the praxis of nurses in the hospital context and, from this, to define a concept about Care-Educational Technologies.
Method:
qualitative, exploratory-descriptive research, developed in a university hospital in Rio Grande do Sul State, Brazil, with 21 nurses (non-probabilistic sampling), through non-participant observation and semi-structured interview, conducted from March to December 2015. Records were analyzed through content analysis.
Results:
the results showed that in the context of nurses’ work, it is possible to deduce care-educational possibilities, based on the person-person, person-tool and/or person-universe relationship. The concept was defined based on the intertwining of caring-training and training-caring for oneself and other people.
Final considerations:
the reflections point to the need to develop or strengthen the autonomy of those involved in the health-disease process. This is based on the empowerment of people under their lives’ conditions, in their multidimensionality, within human praxis.
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RESEARCH01-01-2018
The production of care in the routine of Family Health Teams
Revista Brasileira de Enfermagem. 2018;71:2659-2665
Abstract
RESEARCHThe production of care in the routine of Family Health Teams
Revista Brasileira de Enfermagem. 2018;71:2659-2665
DOI 10.1590/0034-7167-2017-0595
Views0See moreABSTRACT
Objective:
To identify the factors interfering in the production of care in the daily work of health professionals from the Primary Health Care.
Method:
Qualitative research carried out with Family Health Strategy (FHS) teams, in the health units of Rocinha (Rocinha is a favela located in the South Zone of the city of Rio de Janeiro, Brazil). To analyze the data, the thematic network proposed by Attride-Stirling was used.
Results:
The routine of Teams in the Production of Care was the denomination of the network formed by the following themes: scales of services of the teams; structural problems of Family Health Units; standardization of protocols; challenges for the production of care; and collections of micro and macro management.
Final considerations:
The production of care by Family Health Teams is challenged when they take care beyond what is imposed in the organizational protocols of the FHS, reflecting the complexity of working and caring in territories with social disparities.
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RESEARCH01-01-2018
Formation and disruption of bonds between caregivers and institutionalized children
Revista Brasileira de Enfermagem. 2018;71:2650-2658
Abstract
RESEARCHFormation and disruption of bonds between caregivers and institutionalized children
Revista Brasileira de Enfermagem. 2018;71:2650-2658
DOI 10.1590/0034-7167-2017-0844
Views0See moreABSTRACT
Objective:
to understand the perspective of caregivers about the formation and disruption of bonds with institutionalized children.
Method:
a qualitative research that used as a theoretical framework the Attachment Theory and the Symbolic Interactionism, and the Grounded Theory as methodological framework. Participating in the study were 15 female caregivers of children aged zero to three years, from a child care institution in the south of Brazil, from April to July 2015.
Results:
three categories were elaborated: “Experiencing the formation of bond and attachment”; “Disrupting with the established bonds and detaching”; “Learning how to work with formation and disruption of bond”.
Final considerations:
we need to think of ways to minimize the negative effects formation and disruption of bonds. In this sense, active listening and the offer of psychological support favor the sharing of experiences and the emotional strengthening of the female caregivers.
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RESEARCH01-01-2018
Nursing care practices for people with Chronic Noncommunicable Diseases
Revista Brasileira de Enfermagem. 2018;71:2643-2649
Abstract
RESEARCHNursing care practices for people with Chronic Noncommunicable Diseases
Revista Brasileira de Enfermagem. 2018;71:2643-2649
DOI 10.1590/0034-7167-2017-0799
Views0See moreABSTRACT
Objective:
To understand care practices for people with Chronic Noncommunicable Disease, developed by Primary Health Care nurses in a municipality in southern Brazil.
Method:
Qualitative study, developed through the Discourse of the Collective Subject. Twenty-three nurses from the Family Health Strategy participated. Data were collected through semi-structured interviews and analyzed by the health promotion framework.
Results:
Nurses care practices for people with chronic disease present themselves through the home visit, individual care and collective care. These, eventually, have an extended character, advocating the promotion of health, at other times it is restrictive, returning to be a traditional and biologicalist practice.
Final considerations:
The nurse acts in a diversified way in this field, being present in the lives of people with chronic diseases. However, it is necessary to move forward, especially in the search for the constant and continuous development of an extended and welcoming care practice.
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01-22-2021
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
Abstract
HIV infection in pregnant women and its challenges for the prenatal care
Revista Brasileira de Enfermagem. 2021;74:e20190784
DOI 10.1590/0034-7167-2019-0784
Views0See moreABSTRACT
Objective:
To analyze the epidemiological profile of HIV infections in pregnant women.
Methods:
Analytical study with a quantitative approach.
Results:
The HIV rate in pregnant women increased from 1.5/1000 babies born alive, in 2010, to 3.3/1000 in 2017. There was a significant association between the prenatal and the variables educational level (p<0.0001), occupation (p=0.0105), gestational age (p < 0.0001), and type of delivery (p < 0.0001). The mean rate of adherence to the antiretroviral treatment in the prenatal was 68.8% (DP = ± 3.7).
Conclusion:
The high rates of HIV detection in pregnant women suggest the need to intensify the health care to women during the prenatal, guaranteeing an integral care, early diagnoses, and enhancing the strategies to improve the adherence to the antiretroviral treatment, aiming to achieve the viral suppression of the mother by the time of childbirth, thus diminishing the risk of a vertical transmission.
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ORIGINAL ARTICLE12-05-2019
Spirituality and religiosity for the transcendence of the elderly being
Revista Brasileira de Enfermagem. 2019;72:259-265
Abstract
ORIGINAL ARTICLESpirituality and religiosity for the transcendence of the elderly being
Revista Brasileira de Enfermagem. 2019;72:259-265
DOI 10.1590/0034-7167-2018-0840
Views0See moreABSTRACT
Objective:
to understand the life experiences that favor transcendence of the elderly being.
Method:
a qualitative phenomenological hermeneutic study, in two groups of elderly coexistence. The selection of participants was by intentional sampling: 11 elderly, achieving theoretical saturation. Data collection was carried out through a phenomenological interview with a detonating question. Ethical principles of the General Health Law in health research were fulfilled. Analysis with Heideggerian hermeneutic circle was performed.
Results:
unity of meaning on the consciousness of a higher power for transcendence is highlighted, where spirituality and religiosity are resources of the elderly for strength, feel protected, overcome difficult situations and reach fullness; both favor the understanding of their historicity by manifesting enlightenment.
Final considerations:
transcendence of the elderly being is favored with spirituality and the experiences of their daily life are imbued with a spiritual and religious relationship that give meaning to their existence.
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ORIGINAL ARTICLE09-16-2019
Depression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
Abstract
ORIGINAL ARTICLEDepression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
DOI 10.1590/0034-7167-2018-0730
Views0See moreABSTRACT
Objective:
To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS.
Method:
Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05.
Results:
31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05).
Conclusion:
It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
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ORIGINAL ARTICLE12-05-2019
Quality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
Abstract
ORIGINAL ARTICLEQuality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
DOI 10.1590/0034-7167-2018-0316
Views0See moreABSTRACT
Objective:
compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores.
Method:
cross-sectional study conducted with 101 institutionalized aged. Multiple linear regression was used for data analysis.
Results:
symptoms of depression changed negatively the QOL in the domains: autonomy; present, past and future activities; social participation; intimacy and total score. Dependent aged presented lower QOL for the performance of ADL in the domains: autonomy; social participation and total score; dancing without limitation of movement; liking the residential and not presenting symptoms of depression were the variables that positively influenced the QOL of the aged.
Conclusion:
social and psychological support, good living conditions and stimulating assistance can improve the QOL of institutionalized elderlies.
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ORIGINAL ARTICLE09-21-2020
Clinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
Abstract
ORIGINAL ARTICLEClinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
DOI 10.1590/0034-7167-2018-0878
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Objectives:
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation.
Methods:
this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric – Brazilian Version and the Diagnostic Thinking Inventory.
Results:
clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the “noticing” aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047).
Conclusions:
the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
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ORIGINAL ARTICLE05-15-2020
Stress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
Abstract
ORIGINAL ARTICLEStress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
DOI 10.1590/0034-7167-2018-0227
Views0See moreABSTRACT
Objective:
to analyze the level of stress and sleep quality in nursing students according to terms of the nursing program.
Method:
descriptive and cross-sectional research developed in a higher education institution in Northeastern Brazil on 167 students. We used data collection, sociodemographic information, and a scale for assessing stress and sleep quality in nursing students.
Results:
we identified a statistically significant difference between domains of the stress scale and the terms of the undergraduate program, and between the quality of sleep and such terms such as as in the fourth and sixth semesters.
Conclusion:
different stress scores show that the semester which concerns students the most is the fifth. Quality of sleep was deemed good for the first, third, fifth, seventh, and eighth semesters; and poor for the fourth and sixth terms.
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ORIGINAL ARTICLE08-10-2020
Transformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
Abstract
ORIGINAL ARTICLETransformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
DOI 10.1590/0034-7167-2019-0364
Views0INTRODUCTIONLeadership stands out as one of the managerial skills necessary to nurses’ practice, especially in the current scenario of frequent overcrowding and scarcity of beds, material resource deficits and insufficient staffing. The reality of some public health services has weaknesses in serving the population and lacks nurses with the knowledge, skills and attitudes to act […]See more -
ORIGINAL ARTICLE01-27-2020
Factors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
DOI 10.1590/0034-7167-2017-0782
Views0See moreABSTRACT
Objective:
to identify factors associated with depressive symptoms in elderly caregivers with chronic pain.
Method:
the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression.
Results:
most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use.
Conclusion:
factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.
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