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ORIGINAL ARTICLE10-24-2022
Development and testing of the Prev’Quedas game for older adults in the community: a descriptive study
- Jamylle Lucas Diniz
, - Janaína Fonseca Victor Coutinho ,
- Marília Braga Marques ,
- Ismayle de Sousa Santos ,
- Rachel Gabriel Bastos Barbosa , [ … ],
- Maria Júlia Barbosa Muniz
Abstract
ORIGINAL ARTICLEDevelopment and testing of the Prev’Quedas game for older adults in the community: a descriptive study
Revista Brasileira de Enfermagem. 2022;75:e20220098
DOI 10.1590/0034-7167-2022-0098
- Jamylle Lucas Diniz ,
- Janaína Fonseca Victor Coutinho ,
- Marília Braga Marques ,
- Ismayle de Sousa Santos ,
- Rachel Gabriel Bastos Barbosa ,
- Rávida da Rocha Lima Silva ,
- Débora dos Reis Soares Ferreira ,
- Maria Júlia Barbosa Muniz
Views0See moreABSTRACT
Objectives:
to develop and test a board game for fall prevention in older adults in the community.
Methods:
a descriptive study, carried out through the use of game design elements (narrative, mechanics, aesthetics and technology), the Health Promotion Model, assessment by experts and testing with older adults. For assessment, the Concordance Index was used, considering it greater than 80%.
Results:
three prototypes and the final version were developed. The game’s narrative was based on promotion model, comprising individual aspects, benefits and barriers in behavior to prevent falls. The mechanics outlined goals and rules. Aesthetics encompassed layout and illustrations. The technology involved board, cards, pin, roulette and instruction manual. The game was assessed by 36 experts and 31 older women from the community, with a Concordance Index of 93.22% and 99%, respectively.
Conclusions:
the game developed and tested was considered an adequate educational strategy for fall prevention.
- Jamylle Lucas Diniz
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ORIGINAL ARTICLE10-24-2022
Factors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
- Leandro Corrêa Figueiredo ,
- Gustavo Carrijo Barbosa ,
- Diana Quirino Monteiro ,
- Gabriela Martins ,
- Adrielli Fernanda de Oliveira e Silva , [ … ],
- Aline Cristina Martins Gratão
Abstract
ORIGINAL ARTICLEFactors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
DOI 10.1590/0034-7167-2021-0927
- Leandro Corrêa Figueiredo ,
- Gustavo Carrijo Barbosa ,
- Diana Quirino Monteiro ,
- Gabriela Martins ,
- Adrielli Fernanda de Oliveira e Silva ,
- Luana Flávia Talmelli Ruy ,
- Tatiana de Oliveira Sato ,
- Aline Cristina Martins Gratão
Views1See moreABSTRACT
Objectives:
to analyze the personal and work-related burden factors associated with physical and emotional symptoms of informal caregivers of the elderly.
Methods:
cross-sectional study conducted with 121 informal caregivers and 121 seniors who received care, assessed individually for the risk of: physical overload, musculoskeletal symptoms, Self-Reporting Questionnaire, effort perception, and Katz index.
Results:
a greater perception of effort raises up to 3.3 times the chances of presenting symptoms of pain in the spine region (p=0.01), and lower functional capacity of the elderly increases up to 1.3 times the chances of presenting pain symptoms in the spine region (p=0.02). The symptoms of emotional overload were associated with the caregiver’s low income (p=0.02).
Conclusions:
the perception of effort, dependence of the elderly, caregiver’s age, and symptoms of emotional overload are involved with caregivers’ symptoms of physical overload, and low income, with emotional overload.
- Leandro Corrêa Figueiredo
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10-24-2022
Fatores associados aos sintomas de sobrecarga física e emocional em cuidadores informais de idosos
- Leandro Corrêa Figueiredo ,
- Gustavo Carrijo Barbosa ,
- Diana Quirino Monteiro ,
- Gabriela Martins ,
- Adrielli Fernanda de Oliveira e Silva , [ … ],
- Aline Cristina Martins Gratão
Abstract
Fatores associados aos sintomas de sobrecarga física e emocional em cuidadores informais de idosos
Revista Brasileira de Enfermagem. 2022;75:e20210927
DOI 10.1590/0034-7167-2021-0927
- Leandro Corrêa Figueiredo ,
- Gustavo Carrijo Barbosa ,
- Diana Quirino Monteiro ,
- Gabriela Martins ,
- Adrielli Fernanda de Oliveira e Silva ,
- Luana Flávia Talmelli Ruy ,
- Tatiana de Oliveira Sato ,
- Aline Cristina Martins Gratão
Views0See moreRESUMEN
Objetivos:
analizar factores de sobrecarga personal y relacionados al trabajo relacionados a síntomas físicos y emocionales de cuidadores informales de ancianos.
Métodos:
estudio transversal realizado con 121 cuidadores informales y 121 ancianos que reciben cuidados, evaluados individualmente por riesgo de sobrecarga física, síntomas musculoesqueléticos, Self-Reporting Questionnaire, percepción de esfuerzo e Índice de Katz.
Resultados:
una mayor percepción del esfuerzo aumenta hasta 3,3 veces las chances de presentar síntomas de dolor en la región de la columna vertebral (p=0,01), y la menor capacidad funcional del anciano aumenta hasta 1,3 vez las chances de presentar síntomas de dolor en la región de la columna vertebral (p=0,02). Los síntomas de sobrecarga emocional presentaron relación a baja renta del cuidador (p=0,02).
Conclusiones:
la percepción del esfuerzo, dependencia del anciano, edad del cuidador y síntomas de sobrecarga emocional están involucrados a síntomas de sobrecarga física de cuidadores; y baja renta, con síntomas de sobrecarga emocional.
- Leandro Corrêa Figueiredo
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EXPERIENCE REPORT10-24-2022
Epistemological challenges of indigenous people’s research: reflections based on experience with conceptual map
- Denise Osório Severo ,
- Ieda Maria Ávila Vargas Dias ,
- Maria da Graça Luderitz Hoefel ,
- Paulo de Tarso Coelho Jardim
Abstract
EXPERIENCE REPORTEpistemological challenges of indigenous people’s research: reflections based on experience with conceptual map
Revista Brasileira de Enfermagem. 2022;75:e20220019
DOI 10.1590/0034-7167-2022-0019
- Denise Osório Severo ,
- Ieda Maria Ávila Vargas Dias ,
- Maria da Graça Luderitz Hoefel ,
- Paulo de Tarso Coelho Jardim
Views0See moreABSTRACT
Objectives:
to discuss the applicability of the conceptual map and its underlying theoretical anchors and analyze the challenges and potentialities of this method concerning the participation of Indigenous Peoples.
Methods:
experience report of the use of the conceptual map as a data collection instrument.
Results:
the study allowed us to discuss the epistemic approaches and distances, as well as to analyze to what extent the conceptual map favored the process of joint production of knowledge with Indigenous Peoples. The experience with this type of research design also revealed epistemological challenges that reflect the established historical relationships, whose overcoming implies the construction of new forms of egalitarian and intercultural scientific relations.
Final Considerations:
the conceptual map theoretically composes a structured participatory methodology, which enables data collection and the collective construction of knowledge, provided that the cultural, epistemic, social, and political diversities of all the social actors involved are considered.
- Denise Osório Severo
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EXPERIENCE REPORT10-24-2022
Public policy for social inclusion in higher education and extension practices with ethnic groups
- Jainara de Souza Araújo ,
- Raimundo Abreu dos Santos ,
- Jéssica Fernanda Carvalho de Carvalho ,
- Nádile Juliane Costa de Castro
Abstract
EXPERIENCE REPORTPublic policy for social inclusion in higher education and extension practices with ethnic groups
Revista Brasileira de Enfermagem. 2022;75:e20210970
DOI 10.1590/0034-7167-2021-0970
- Jainara de Souza Araújo ,
- Raimundo Abreu dos Santos ,
- Jéssica Fernanda Carvalho de Carvalho ,
- Nádile Juliane Costa de Castro
Views0See moreABSTRACT
Objectives:
to report the experience on the operationalization of a university extension project with and for training affirmative action students.
Methods:
an experience report with a descriptive approach on the operationalization of a university extension project for training affirmative action students, between 2020 and 2021, based on blended-learning and Activity Theory.
Results:
we carried out 103 activities, including actions for product development, media maintenance and targeted study of themes. They involved 13 students from two institutions, two leaders from ethnic groups and eight instructors.
Final Considerations:
collaborative relationships provided the exchange of knowledge about public health policies, educational technologies and social media, reducing deficits in the use of technological resources and application in health education. The activities promoted students’ leading role coming from affirmative action, in a representative way, from their experiences and needs, being potential for equitable training.
- Jainara de Souza Araújo
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EXPERIENCE REPORT10-24-2022
Nursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
- Ana Rafaela Souza Rodrigues ,
- Wanne Letícia Santos Freitas ,
- Sandra Helena Isse Polaro ,
- Lucia Hisako Takase Gonçalves
Abstract
EXPERIENCE REPORTNursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
DOI 10.1590/0034-7167-2021-0913
- Ana Rafaela Souza Rodrigues ,
- Wanne Letícia Santos Freitas ,
- Sandra Helena Isse Polaro ,
- Lucia Hisako Takase Gonçalves
Views0See moreABSTRACT
Objectives:
to describe the strategy of applying the nursing process guided by Pender’s Health Promotion Model to elderly women susceptible to falls with a view to promoting a self-efficacy behavior for fall prevention.
Methods:
application of the nursing process to eleven elderly women who had already experienced falls, living in a neighborhood in the outskirts of Belem, state of Pará, which involved interviews to obtain their nursing history and group meetings using the focus group technique to develop the other phases of the nursing process: nursing diagnosis, nursing interventions, and nursing assessment.
Results:
despite the risk factors for falls, the intervention model adopted in this study allowed elderly women to enhance their self-efficacy.
Final Considerations:
the model proved to be suitable for the participation of elderly women in actions to build fall prevention behaviors, with a view to healthier lifestyles.
- Ana Rafaela Souza Rodrigues
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10-21-2022
Cancer symptom clusters: from the lab bench to clinical practice
Revista Brasileira de Enfermagem. 2022;75(5):e2022v75n5inov
Abstract
Cancer symptom clusters: from the lab bench to clinical practice
Revista Brasileira de Enfermagem. 2022;75(5):e2022v75n5inov
DOI 10.1590/0034-7167-2022v75n5inov
Views0See moreABSTRACT
Objective:
to present and discuss the advancement of science in symptom management through research involving oncological symptom clusters (OSC).
Method:
a reflective study, supported by the scientific literature on OSC.
Results:
five key points are crucial to advancing the science of symptom management through research involving OSC: definition of OSC characteristics; underlying mechanisms and priority symptom clusters; OSC measurement; targeted and personalized interventions; new analytical strategies.
Final considerations:
a better understanding of the complex connections between different systems and biobehavioral aspects in patients, especially in the field of oncology nursing, is urgent. The study of these interactions has become increasingly promising and emerging for oncology nursing, since therapeutic interventions, whose target is the neuroimmunoendocrine axis, are relevant for personalized care, translating into greater scientific and nurse autonomy to care for patients.
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ORIGINAL ARTICLE10-21-2022
Technology for nursing consultation with transsexual women in the light of Leininger’s transcultural theory
- Josueida de Carvalho Sousa ,
- Ednaldo Cavalcante de Araújo ,
- Eliane Maria Ribeiro de Vasconcelos ,
- Nelson Miguel Galindo-Neto ,
- Marclineide Nóbrega de Andrade Ramalho , [ … ],
- Paula Daniella de Abreu
Abstract
ORIGINAL ARTICLETechnology for nursing consultation with transsexual women in the light of Leininger’s transcultural theory
Revista Brasileira de Enfermagem. 2022;75(5):e20210769
DOI 10.1590/0034-7167-2021-0769
- Josueida de Carvalho Sousa ,
- Ednaldo Cavalcante de Araújo ,
- Eliane Maria Ribeiro de Vasconcelos ,
- Nelson Miguel Galindo-Neto ,
- Marclineide Nóbrega de Andrade Ramalho ,
- Paula Daniella de Abreu
Views0See moreABSTRACT
Objective:
to describe the construction and validation of a nursing consultation technology for transgender women.
Methods:
a methodological study developed in three stages with construction based on the Leininger’s Cross-Cultural Theory, content validation performed by experts in transgender sexual health and evaluation by nurses of care for transgender women. Items with a minimum agreement of 80% were considered validated, according to the Content Validity Index and binomial test.
Results:
the technology contains 59 items in three blocks: the first, for identification of the transsexual woman; the second, with the Clinical Data; and the third, regarding the Propaedeutics of Care. All items reached agreement higher than 0.8 and an overall Validity Index of 80%.
Conclusions:
the technology was content-validated and evaluated by nurses and can be applicable in clinical and outpatient practice as well as in academia to promote quality care for transgender women.
- Josueida de Carvalho Sousa
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ORIGINAL ARTICLE03-24-2021
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Views1See moreABSTRACT
Objectives:
to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.
Methods:
a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.
Results:
a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).
Conclusions:
hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
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ORIGINAL ARTICLE03-24-2021
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
- Maria de Nazaré de Souza Ribeiro ,
- Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra , [ … ],
- Luiz dos Santos
Abstract
ORIGINAL ARTICLEFeelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
DOI 10.1590/0034-7167-2020-0392
- Maria de Nazaré de Souza Ribeiro ,
- Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra ,
- Luiz dos Santos
Views1See moreABSTRACT
Objectives:
to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process.
Methods:
qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis.
Results:
the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity.
Conclusions:
the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.
- Maria de Nazaré de Souza Ribeiro
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ORIGINAL ARTICLE06-11-2021
Work at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
Abstract
ORIGINAL ARTICLEWork at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
DOI 10.1590/0034-7167-2019-0803
Views0See moreABSTRACT
Objectives:
to assess the risks of pathogenic suffering related to the experience of nursing workers in the operating room of a university hospital.
Methods:
cross-sectional, quantitative study, carried out from 11/2017 to 01/2018 in a university hospital in the South of Brazil. The sample was composed by 159 nursing workers of the units of a surgical center, that answered to the Scale of Evaluation of Pathogenic Suffering at Work. Data was submitted to statistical analysis.
Results:
the workers present low risk of pathogenic suffering related to the experiences at work, being the results of its factors: Uselessness (1.47±0.761) – low risk; Indignity (2.372±1.035) – medium risk; and Disqualification (1.74±0.903) – low risk.
Conclusions:
the evaluation of Pathogenic Suffering at Work Scale was positive, predominating low risk for pathogenic suffering of surgical center workers related to professional experiences, because they feel useful, valued and are not indignant about their work, feelings that reflect on the quality of care provided.
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ORIGINAL ARTICLE05-21-2021
Music in the relief of stress and distress in cancer patients
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Abstract
ORIGINAL ARTICLEMusic in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
DOI 10.1590/0034-7167-2019-0838
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Views0See moreABSTRACT
Objectives:
to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.
Methods:
quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.
Results:
the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.
Conclusions:
the use of music diminishes the stress and the distress of cancer patients.
- Mariana Scheidegger dos Santos
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ORIGINAL ARTICLE05-21-2021
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso , [ … ],
- Armando dos Santos Trettene
Abstract
ORIGINAL ARTICLEOrthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
DOI 10.1590/0034-7167-2020-0089
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso ,
- Armando dos Santos Trettene
Views1See moreABSTRACT
Objectives:
to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.
Methods:
cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.
Results:
48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).
Conclusions:
the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.
- Tatiane Henrique
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ORIGINAL ARTICLE05-28-2021
The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
Abstract
ORIGINAL ARTICLEThe work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
DOI 10.1590/0034-7167-2020-0116
Views0See moreABSTRACT
Objective:
To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.
Methods:
This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.
Results:
168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.
Final considerations:
Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.
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ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion , [ … ],
- Gilselena Kerbauy
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion ,
- Gilselena Kerbauy
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
- Camila Brito Borguezam
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ORIGINAL ARTICLE06-16-2021
The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
Abstract
ORIGINAL ARTICLEThe meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
DOI 10.1590/0034-7167-2020-0364
Views0See moreABSTRACT
Objectives:
to know the meaning of contemporary nursing from the experience of intensive care nurses.
Methods:
qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential.
Results:
the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills – besides the scientific ones, such as empathy, creativity, spirituality and compassion.
Final Considerations:
the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.
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ORIGINAL ARTICLE07-15-2020
Spatial analysis of inequalities in fetal and infant mortality due to avoidable causes
- Cristine Vieira do Bonfim ,
- Amanda Priscila de Santana Cabral Silva ,
- Conceição Maria de Oliveira ,
- Mirella Bezerra Rodrigues Vilela ,
- Neison Cabral Ferreira Freire
Abstract
ORIGINAL ARTICLESpatial analysis of inequalities in fetal and infant mortality due to avoidable causes
Revista Brasileira de Enfermagem. 2020;73:e20190088
DOI 10.1590/0034-7167-2019-0088
- Cristine Vieira do Bonfim ,
- Amanda Priscila de Santana Cabral Silva ,
- Conceição Maria de Oliveira ,
- Mirella Bezerra Rodrigues Vilela ,
- Neison Cabral Ferreira Freire
Views0See moreABSTRACT
Objectives:
to analyze social inequalities in spatial distribution of fetal and infant mortality by avoidable causes and identify the areas of greater risk of occurrence.
Methods:
avoidable deaths of fetal and infant residents of Recife/Brazil were studied. The rates of avoidable fetal and infant mortality were calculated for two five-year periods, 2006-2010 and 2011-2015. The scan statistics was used for spatial analysis and related to the social deprivation index.
Results:
out of the total 2,210 fetal deaths, 80% were preventable. Avoidable fetal mortality rates increased by 8.1% in the five-year periods. Of the 2,846 infant deaths, 74% were avoidable, and the infant mortality rate reduced by 0.13%.
Conclusions:
in the spatial analysis, were identified clusters with higher risk for deaths. The social deprivation index showed sensibility with areas of worse living conditions.
- Cristine Vieira do Bonfim
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ORIGINAL ARTICLE10-21-2019
Evaluation of the performance of the modified early warning score in a Brazilian public hospital
Revista Brasileira de Enfermagem. 2019;72(6):1428-1434
Abstract
ORIGINAL ARTICLEEvaluation of the performance of the modified early warning score in a Brazilian public hospital
Revista Brasileira de Enfermagem. 2019;72(6):1428-1434
DOI 10.1590/0034-7167-2017-0537
Views0See moreABSTRACT
Objective:
To evaluate the performance of the modified early warning score (Mews) in a nursing ward for patients in clinical deterioration.
Method:
This is an analytical, quantitative and predictive study. Mews’ parameters (systolic blood pressure, heart rate, respiratory rate, temperature and level of consciousness) were evaluated every six hours. The following events were reported: death, cardiopulmonary arrest and transfer to intensive care. The evaluations were performed in a hospital of reference in the state of São Paulo, Brazil.
Results:
A total of 300 patients were included (57 ± 18 years old, males: 65%). There number of combined events was observed to be greater the higher the score’s value (00%; 00%; 01; 09%; 19%; 28%; 89%, respectively, for Mews 0; 1; 2; 3; 4; 5 and 6; p < 0.0001). Mews ≥ 4 was the most appropriate cut-off point for prediction of these events (sensitivity: 87%, specificity: 85% and accuracy: 0.86).
Conclusion:
Mews properly measured the occurrence of severe events in hospitalized patients of a Brazilian public hospital’s nursing ward. Mews ≥ 4 seems to be the most appropriate cut-off point for prediction of these events.
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ORIGINAL ARTICLE10-18-2022
Nursing professionals’ biosafety in confronting COVID-19
- Mônica Alice Santos da Silva ,
- Morgana Cristina Leôncio de Lima ,
- Cynthia Angélica Ramos de Oliveira Dourado ,
- Clarissa Mourão Pinho ,
- Maria Sandra Andrade
Abstract
ORIGINAL ARTICLENursing professionals’ biosafety in confronting COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20201104
DOI 10.1590/0034-7167-2020-1104
- Mônica Alice Santos da Silva ,
- Morgana Cristina Leôncio de Lima ,
- Cynthia Angélica Ramos de Oliveira Dourado ,
- Clarissa Mourão Pinho ,
- Maria Sandra Andrade
Views0See moreABSTRACT
Objective:
To investigate the nursing professionals’ biosecurity in confronting COVID-19.
Methods:
This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted.
Results:
considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases.
Conclusion:
Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.
- Mônica Alice Santos da Silva
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ORIGINAL ARTICLE07-08-2020
The association between knowledge about HIV and risk factors in young Amazon people
- Mariana Souza de Lima ,
- Jaciely Caldas Raniere ,
- Carlos Jaime Oliveira Paes ,
- Lucia Hisako Takase Gonçalves ,
- Carlos Leonardo Figueiredo Cunha , [ … ],
- Eliã Pinheiro Botelho
Abstract
ORIGINAL ARTICLEThe association between knowledge about HIV and risk factors in young Amazon people
Revista Brasileira de Enfermagem. 2020;73(5):e20190453
DOI 10.1590/0034-7167-2019-0453
- Mariana Souza de Lima ,
- Jaciely Caldas Raniere ,
- Carlos Jaime Oliveira Paes ,
- Lucia Hisako Takase Gonçalves ,
- Carlos Leonardo Figueiredo Cunha ,
- Glenda Roberta Oliveira Naiff Ferreira ,
- Eliã Pinheiro Botelho
Views0See moreABSTRACT
Objectives:
analyze the association between the level of HIV knowledge among young people from Amazonas region, their sociodemographic profile and infection risk factors.
Methods:
cross-sectional analytical study, which used a structured questionnaire containing questions about sociodemographic, behavioral aspects and HIV knowledge. Data were grouped by sex and underwent ordinal and binary logistic regression analysis.
Results:
the students had an HIV knowledge deficit, associated with a low educational level of their parents and low family income. The most frequent risk factors were lack of knowledge on the part of female students regarding proper male condom use, their infrequent use in sexual relations and failure to do HIV testing. There was an association between level of knowledge and use of dating apps by female students.
Conclusions:
there was no association between level of knowledge and the preponderant risk factors, but the students’ knowledge deficit rendered them more vulnerable to infection.
- Mariana Souza de Lima
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REVIEW03-07-2022
Gender violence perpetrated against trans women
- Izabel Cristina Brito da Silva ,
- Ednaldo Cavalcante de Araújo ,
- Alef Diogo da Silva Santana ,
- Jefferson Wildes da Silva Moura ,
- Marclineide Nóbrega de Andrade Ramalho , [ … ],
- Paula Daniella de Abreu
Abstract
REVIEWGender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
DOI 10.1590/0034-7167-2021-0173
- Izabel Cristina Brito da Silva ,
- Ednaldo Cavalcante de Araújo ,
- Alef Diogo da Silva Santana ,
- Jefferson Wildes da Silva Moura ,
- Marclineide Nóbrega de Andrade Ramalho ,
- Paula Daniella de Abreu
Views0See moreABSTRACT
Objectives:
to identify scientific evidence on gender violence perpetrated against trans women.
Methods:
integrative review, carried out in June 2020, without time frame, in the Scopus, MEDLINE, Embase, CINAHL, WoS, PsycInfo and LILACS databases. The controlled descriptors of DeCS, MeSH and their entry terms were used: “Transgender People”, “Transgender”, “Gender Identity”, “Transsexuality”, “Gender Violence”, “Aggression”, “Sexual Offenses”, “Rape”, “Violence”, “Domestic Violence”. The presentation and synthesis of the results were presented in the PRISMA-2009 flowchart.
Results:
the final sample, consisting of 16 articles, identified different types of violence (sexual, physical, verbal, psychological and financial), perpetrated by family members, strangers, police officers, intimate partners, health professionals, acquaintances, or friends.
Conclusions:
trans women suffer violence and social exclusion that result from stigma and discrimination due to gender identity and result in unrestricted damage to physical health.
- Izabel Cristina Brito da Silva
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ORIGINAL ARTICLE11-29-2022
Changes implemented in the work environment of nurses in the COVID-19 pandemic
- José Luís Guedes dos Santos ,
- Fernando Henrique Antunes Menegon ,
- Gustavo Baade de Andrade ,
- Etiane de Oliveira Freitas ,
- Silviamar Camponogara , [ … ],
- Alacoque Lorenzini Erdmann
Abstract
ORIGINAL ARTICLEChanges implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
DOI 10.1590/0034-7167-2020-1381
- José Luís Guedes dos Santos ,
- Fernando Henrique Antunes Menegon ,
- Gustavo Baade de Andrade ,
- Etiane de Oliveira Freitas ,
- Silviamar Camponogara ,
- Alexandre Pazetto Balsanelli ,
- Alacoque Lorenzini Erdmann
Views0See moreABSTRACT
Objective:
to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic.
Methods:
this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ.
Results:
five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.
- José Luís Guedes dos Santos
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ORIGINAL ARTICLE03-07-2022
Women’s perception of labor and birth care: obstacles to humanization
- Diego Pereira Rodrigues ,
- Valdecyr Herdy Alves ,
- Angela Maria e Silva ,
- Lucia Helena Garcia Penna ,
- Bianca Dargam Gomes Vieira , [ … ],
- Maria Bertilla Lutterbach Riker Branco
Abstract
ORIGINAL ARTICLEWomen’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
DOI 10.1590/0034-7167-2021-0215
- Diego Pereira Rodrigues ,
- Valdecyr Herdy Alves ,
- Angela Maria e Silva ,
- Lucia Helena Garcia Penna ,
- Bianca Dargam Gomes Vieira ,
- Sílvio Éder Dias da Silva ,
- Laena Costa dos Reis ,
- Maria Bertilla Lutterbach Riker Branco
Views0See moreABSTRACT
Objectives:
to understand women’s perception regarding the care received during labor and birth.
Methods:
this is a descriptive-exploratory, qualitative study carried out with 54 postpartum women from hospitals in the Metropolitan Region II of the state of Rio de Janeiro, from January to December 2018, using semi-structured interviews submitted to content analysis.
Results:
puerperal women’s perceptions about the childbirth care they received indicated the use of interventions, such as pressure maneuvers on the uterine fundus during the expulsion period – Kristeller maneuver, episiotomy and repeated vaginal examination and without consent. The use of institutional routines, such as zero diet, horizontal birth and disrespect.
Final Considerations:
despite the encouragement of public humanization policies, the technocratic model is still present in obstetric care during childbirth. The humanization of obstetric care requires changes in attitudes and care paradigms, in order to guarantee respect and the right to quality care.
- Diego Pereira Rodrigues
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ORIGINAL ARTICLE10-21-2019
Permanent education for good practices in the prevention of pressure injury: almost-experiment
- Ana Laura Mendes Campoi ,
- Rosana Huppes Engel ,
- Thaís Santos Guerra Stacciarini ,
- Aldenora Laísa Paiva de Carvalho Cordeiro ,
- Adriana Feliciana Melo , [ … ],
- Marina Pereira Rezende
Abstract
ORIGINAL ARTICLEPermanent education for good practices in the prevention of pressure injury: almost-experiment
Revista Brasileira de Enfermagem. 2019;72(6):1646-1652
DOI 10.1590/0034-7167-2018-0778
- Ana Laura Mendes Campoi ,
- Rosana Huppes Engel ,
- Thaís Santos Guerra Stacciarini ,
- Aldenora Laísa Paiva de Carvalho Cordeiro ,
- Adriana Feliciana Melo ,
- Marina Pereira Rezende
Views0See moreABSTRACT
Objective:
To verify the effectiveness of the educational intervention through the evaluation of nurses’ knowledge about prevention of pressure injury.
Method:
A quasi-experimental study with a single group, carried out with 95 nurses from a teaching hospital in the interior of Minas Gerais, in August and September 2017. As a teaching strategy, the active methodology and hybrid teaching were used, based on the reference of the Method of the Arch of Charles Maguerez. Data were collected from a validated instrument, called the Pieper Knowledge Test, and analyzed by descriptive statistics and Student’s t-test with significance level of p <0.001.
Results:
The mean number of correct answers obtained by the nurses was 78.8% in the pre-test and 88.8% in the post-test, and the difference was statistically significant (p <0.001).
Conclusion:
The educational intervention developed was effective, since it contributed to the improvement of nurses’ knowledge.
- Ana Laura Mendes Campoi
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