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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
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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
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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
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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
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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
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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
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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
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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
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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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07-05-2021
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
Abstract
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
DOI 10.1590/0034-7167-2020-0984
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Objective:
To investigate possible differences in plasma and erythrocyte concentrations of selenium among elderly with and without a diagnosis of Alzheimer’s disease (AD).
Methods:
Cross-sectional study, performed with an elderly group with Alzheimer’s disease, diagnosed by a geriatric doctor, and compared to an elderly group without the disease, equaling gender, education, and age. Atomic absorption spectrophotometry determined plasma and erythrocyte concentrations of total selenium (Set).
Results:
The mean age was 74.41±7.1 years in the Alzheimer’s disease group and 71.46±5.1 years among the control group. The Alzheimer’s disease group presented lower plasma concentrations (mean of 45.29±14.51 µg/dL vs. 55.14±14.01 µg/dL; p=0.004), and erythrocyte Set (median of 56.36 µg/L vs. 76.96 µg/L; p<0.001). The logistic regression model indicated an association between erythrocyte Set concentrations and diagnosis of Alzheimer’s disease (p=0.028).
Conclusion:
Elderly with Alzheimer’s disease present lower selenium concentrations in the evaluated organic compartments.
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ORIGINAL ARTICLE12-13-2019
Hammock and nesting in preterm infants: randomized controlled trial
Revista Brasileira de Enfermagem. 2019;72:96-102
Abstract
ORIGINAL ARTICLEHammock and nesting in preterm infants: randomized controlled trial
Revista Brasileira de Enfermagem. 2019;72:96-102
DOI 10.1590/0034-7167-2018-0099
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Objective:
To compare the physiological variables and the sleep-wake pattern presented by preterm in nesting and hammock positions after diaper change.
Method:
This is a crossover randomized controlled trial. It was conducted with 20 preterm infants who, after diaper change, were placed in nests or hammocks. These preterm infants were evaluated for physiological variables (heart rate and oxygen saturation) and behavioral variables (sleep and wakefulness).
Results:
There was no statistically significant difference in the studied variables between nesting and hammock positions. However, regarding the categorical variable sleep, the comparison between the research phases for the hammock position showed differences between the baseline phase and the immediate recovery (p=0.00), baseline and late recovery (p=0.00), response and immediate recovery (p=0.00), response and late recovery (p=0.00).
Conclusion:
No differences were identified between the nest and the hammock; however, the use of the hammock favored the sleep of preterm infants compared to its non-use.
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12-05-2019
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
Abstract
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
DOI 10.1590/0034-7167-2018-0273
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Objective:
to identify factors inherent in hospital care that favor urinary incontinence in the elderly.
Method:
an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model.
Results:
13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly.
Conclusion:
modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.
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04-14-2021
Child behavior during the social distancing in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200762
Abstract
Child behavior during the social distancing in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200762
DOI 10.1590/0034-7167-2020-0762
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Objective:
To describe the daily activities performed by children from 6 to 12 years of age incomplete and analyze children’s behavior during social distancing in the face of the COVID-19 pandemic.
Methods:
Cross-sectional study with children in a learning stage living in Brazil. The data were collected via online form. Fisher’s exact test was applied to analyze the association of categorical variables with child behavior; when significant, it was used the odds ratio. It was considered results considered statistically significant those presenting values of p < 0.05.
Results:
Data from 530 children were analyzed: 50.3% female, 71.3% from the Southeast Region, 73% in fulltime social distancing, 52% presented anxiety, which was significantly associated with changes in sleep and appetite.
Conclusion:
The results indicate the need for parents/caretakers to stimulate moments for the child to express themselves, not minimizing their feelings and providing emotional support to mitigate the negative impact of these feelings on the child’s mental and physical health.
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ORIGINAL ARTICLE09-21-2020
Prevalence of xerostomia in women during breast cancer chemotherapy
Revista Brasileira de Enfermagem. 2020;73:e20190785
Abstract
ORIGINAL ARTICLEPrevalence of xerostomia in women during breast cancer chemotherapy
Revista Brasileira de Enfermagem. 2020;73:e20190785
DOI 10.1590/0034-7167-2019-0785
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Objective:
To identify the prevalence of xerostomia in women undergoing chemotherapy for breast cancer.
Method:
Prospective cohort with 27 women who underwent up to 16 sessions of intravenous chemotherapy. Data collection was performed at the outpatient clinic of a university hospital in the city of São Paulo, where two forms were applied before the start of treatment and the Xerostomia Inventory before and after each chemotherapy session.
Results:
Complaints of dry mouth were present in 48.1% of women before chemotherapy, and they were approximately 28 times more likely to develop dry mouth during treatment. It was observed that the use of antiemetics contributed to the occurrence of xerostomia, and the anti-ulcerous were presented as a protective factor.
Conclusion:
The study identified both a high prevalence of xerostomia regardless of the chemotherapy used and the need to create protocols to improve the quality of life of these patients.
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ORIGINAL ARTICLE10-21-2019
Educational hypermedia in nursing assistance at birth: building and validation of content and appearance
Revista Brasileira de Enfermagem. 2019;72(6):1471-1478
Abstract
ORIGINAL ARTICLEEducational hypermedia in nursing assistance at birth: building and validation of content and appearance
Revista Brasileira de Enfermagem. 2019;72(6):1471-1478
DOI 10.1590/0034-7167/2018-0163
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Objective:
to build an educational hypermedia about nursing care at usual risk birth and to perform validation of content and appearance.
Method:
methodological research carried out following the following stages: content and planning of modules; media production and organization of tutorial units; organization of student space, tutor and communication between them; availability of hypermedia; assessment by experts in nursing and informatics; and implementation of proposed suggestions.
Results:
educational hypermedia showed to be a validated material, since it presented an optimum index of global content of 0.97 and statistical significance in the binomial test for the content and appearance.
Conclusion:
it is believed that the use of this material with undergraduate students in nursing will contribute to the quality of obstetric care, considering that it is an illustrated technology capable of favoring teaching-learning about normal humanized childbirth.
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REFLECTION06-29-2020
Recommendations in covid-19 times: a view for home care
Revista Brasileira de Enfermagem. 2020;73:e20200310
Abstract
REFLECTIONRecommendations in covid-19 times: a view for home care
Revista Brasileira de Enfermagem. 2020;73:e20200310
DOI 10.1590/0034-7167-2020-0310
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Objective:
To suggest recommendations for the practice of Home Nursing in the context of COVID-19.
Method:
Reflective study, originated from readings associated with the theme, available in current guidelines from the Pan American Health Organization, World Health Organization and the Ministry of Health.
Results:
Recommendations were developed from current scientific evidence for prevention of infections, control of epidemics and pandemics in the Brazilian home scenario.
Final considerations:
the reflections achieved contribute to guiding actions for better assistance to the patient, family caregivers and the community in the perspective of safe home care with COVID-19, and it is characterized as an introductory discussion on the theme, encouraging new studies to be carried out from the unfolding of the current scenario.
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04-14-2021
Emotional labor of nurses in the front line against the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200660
Abstract
Emotional labor of nurses in the front line against the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200660
DOI 10.1590/0034-7167-2020-0660
Views1See moreABSTRACT
Objective:
To analyze nurses’ experiences in the front line of the fight against the COVID-19 pandemic regarding the performance of emotional labor (EL), aiming at its characterization and identification of support strategies and development opportunities of nurses and practices.
Methods:
Qualitative, descriptive, and exploratory study, with content analysis of eleven written narratives and reports from a focus group composed of nurses with experience in caring for patients with COVID-19 from different Hospital Centers in Lisbon, Portugal.
Results:
Five themes were extracted: 1) Challenges experienced by nurses in the frontline; 2) Emotions experienced by nurses in service care; 3) Emotional responses of nurses and patients: impact on care; 4) EL of nurses in the patient care process; 5) Opportunities for development in the face of the emotional challenge required of nurses in combating COVID-19.
Final considerations:
The nurses demonstrated the ability to transform this profoundly emotional experience positively.
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