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REFLECTION01-01-2018
Health advocacy in nursing: contribution to the reorientation of the Brazilian healthcare model
Revista Brasileira de Enfermagem. 2018;71:700-703
Abstract
REFLECTIONHealth advocacy in nursing: contribution to the reorientation of the Brazilian healthcare model
Revista Brasileira de Enfermagem. 2018;71:700-703
DOI 10.1590/0034-7167-2017-0615
Views0See moreABSTRACT
Inequalities are the result of the different positions held by individuals in different social spaces, and are related to the distribution of power and property. Health advocacy is a strategy to reduce such inequalities, especially those considered unfair and unnecessary, aiming to fully promote the right to health. This study aims to discuss the contribution of nursing in the field of health advocacy, which includes the right of everyone to a healthy life as one of the strategies for the reorientation of the Brazilian healthcare model.
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REVIEW01-01-2018
Coping strategies for domestic violence against pregnant female adolescents: integrative review
Revista Brasileira de Enfermagem. 2018;71:693-699
Abstract
REVIEWCoping strategies for domestic violence against pregnant female adolescents: integrative review
Revista Brasileira de Enfermagem. 2018;71:693-699
DOI 10.1590/0034-7167-2017-0682
Views0See moreABSTRACT
Objective:
To investigate and analyze in the scientific literature coping strategies for domestic violence against pregnant female adolescents.
Method:
This is an integrative literature review, conducted from July to August 2017 on LILACS, SciELO and PubMed, using the descriptors and the MeSH terms: confrontation, violence, adolescent, pregnant women, prenatal care.
Result:
The sample comprised 9 articles that were organized and characterized according to year, country of study and coping strategy used. The main forms of coping involved the active search for cases and the primary care approach with all family members.
Conclusion:
Individualized prenatal care, the change in professional training and networking activities were pointed out as important components of the strategies for coping with violence against pregnant adolescents.
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REVIEW01-01-2018
People living on the street from the health point of view
Revista Brasileira de Enfermagem. 2018;71:684-692
Abstract
REVIEWPeople living on the street from the health point of view
Revista Brasileira de Enfermagem. 2018;71:684-692
DOI 10.1590/0034-7167-2017-0547
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Objective:
To know the Brazilian scientific production of the last ten years (2007 to 2016) about people who experience street situations under the health gaze.
Method:
Integrative literature review using the descriptors: street people, health policy and public health. We analyzed 21 articles available in the Virtual Health Library.
Results:
Four categories of analysis emerged. There was an increase in the frequency of published work on the subject, showing that the experience of living on the street makes people vulnerable to various diseases and health problems and, in addition, increases the difficulties of access to health services.
Conclusion:
There was an increase in the discussion of this topic due to the increase in the number of published studies. Despite the existence of public health policies directed to this social group, much still needs to be done to guarantee the health of this population.
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RESEARCH01-01-2018
Epidemiological profile of maternal mortality
Revista Brasileira de Enfermagem. 2018;71:677-683
Abstract
RESEARCHEpidemiological profile of maternal mortality
Revista Brasileira de Enfermagem. 2018;71:677-683
DOI 10.1590/0034-7167-2017-0624
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Objective:
To know the epidemiological profile of maternal mortality in Juiz de Fora, a city in the state of Minas Gerais. Data collection was carried out from April to December 2016.
Method:
Summary of a confidential investigation of maternal mortality on deaths occurred from January 1st, 2005 to December 31, 2015.
Results:
Eighty-five deaths of women residing in Juiz de Fora were identified and analyzed. The age group was between 20 and 36 years. The women carried out prenatal care (74.1%) with less than six visits (34.0%). Cesarean section was conducted in 38.8% of the childbirths and the obstetric treatment was considered appropriate (32.9%). The first cause of maternal death was hypovolemic shock 12 (14.10%), followed by uterine hypotony 6 (7.0%).
Conclusion:
Cesarean section rates are high and prenatal adherence is lower than that expected, which could justify the number of deaths in the period studied.
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RESEARCH01-01-2018
Permanent education in the vaccination room: what is the reality?
Revista Brasileira de Enfermagem. 2018;71:668-676
Abstract
RESEARCHPermanent education in the vaccination room: what is the reality?
Revista Brasileira de Enfermagem. 2018;71:668-676
DOI 10.1590/0034-7167-2017-0560
Views0See moreABSTRACT
Objective:
To understand, from the perspective of the professional, the Permanent Education (PE) in the vaccination room in its real context.
Method:
Multiple holistic-qualitative case studies, based on Maffesoli’s Interpretive Sociology with 56 participants from four microregions of the Western Extended Region of Minas Gerais State.
Results:
They present PE as infrequent and insufficient. They denote that the practical-theoretical experience with vaccine contributes to the work; the search for knowledge, starting from the professional itself; and the professional training fails to perform in the vaccination room.
Final considerations:
The notions of PE are linked to the daily needs of individuals and services, with indication of being interactive, periodic, in specific and non-global issues for better assimilation. Obstacles to the non-implementation of PEH are realized by the workload associated with insufficient human resources, the distance of the nurses from the vaccination room and the lack of support from the higher levels.
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RESEARCH01-01-2018
Work and Leprosy: women in their pains, struggles and toils
Revista Brasileira de Enfermagem. 2018;71:660-667
Abstract
RESEARCHWork and Leprosy: women in their pains, struggles and toils
Revista Brasileira de Enfermagem. 2018;71:660-667
DOI 10.1590/0034-7167-2017-0598
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Objective:
To analyze the interference of leprosy in women’s life regarding work and daily life activities.
Method:
Exploratory qualitative study developed from semi-structured interviews and with the use of field diaries. The strategy of the organization of data was a thematic analysis of content and referential of the work process in health and gender.
Results:
The themes presented are: “The leprosy pains”, “Changes with the disease and adaptation at work and activities” and “Being a woman with leprosy”. On them, we present the aspects that changed in women’s life from the leprosy, especially regarding work and daily activities. Beyond physical limitation, there are impacts on social relations and above all on formal work, there may even be dismission.
Final considerations:
In women affected by leprosy, work and daily activities are directly affected; this deepens the social difficulties and requires attention of health professionals.
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RESEARCH01-01-2018
Social networks of patients with chronic skin lesions: nursing care
Revista Brasileira de Enfermagem. 2018;71:652-659
Abstract
RESEARCHSocial networks of patients with chronic skin lesions: nursing care
Revista Brasileira de Enfermagem. 2018;71:652-659
DOI 10.1590/0034-7167-2017-0581
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Objective:
To describe the social networks of patients with chronic skin damages.
Method:
A qualitative study conducted through semi-structured interviews with nine subjects with chronic skin lesions from June 2016 to March 2017; we used the theoretical-methodological framework of Lia Sanicola’s Social Network.
Results:
The analysis of the relational maps revealed that the primary network was formed mainly by relatives and neighbors; its characteristics, such as: reduced size, low density and few exchanges/relationships, configures fragility in these links. The secondary network was essentially described by health services, and the nurse was cited as a linker in the therapeutic process.
Final considerations:
Faced with the fragility of the links and social isolation, the primary health care professionals are fundamental foundations for the construction of networks of social support and care for patients with chronic skin lesions.
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RESEARCH01-01-2018
Factors associated with delay in seeking care by tuberculosis patients
Revista Brasileira de Enfermagem. 2018;71:646-651
Abstract
RESEARCHFactors associated with delay in seeking care by tuberculosis patients
Revista Brasileira de Enfermagem. 2018;71:646-651
DOI 10.1590/0034-7167-2016-0680
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Objective:
To identify social, clinical and behavioral factors of tuberculosis patients that are associated with delay in the search for primary health care.
Method:
This is a cross-sectional, quantitative study conducted with 56 people on treatment for pulmonary tuberculosis in the city of Natal, in the state of Rio Grande do Norte, Brazil. The data were collected through a structured instrument. The Chi-square and Fisher tests were applied to test the association between independent and dependent variables (search time). A value of p <0.05 was set as statistically significant.
Results:
No social or clinical variables were statistically associated with patient delays in the search for primary health care. Among the behavioral variables, self-medication and the first health service sought had a statistically significant association with the time for seeking care (p = 0.020, and p = 0.033, respectively).
Conclusion:
Self-medication contributes to the delay in the search for primary health care by tuberculosis patients.
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ORIGINAL ARTICLE12-07-2020
Sarcopenia screening in elderly in primary health care: nurse knowledge and practices
Revista Brasileira de Enfermagem. 2020;73:e20200421
Abstract
ORIGINAL ARTICLESarcopenia screening in elderly in primary health care: nurse knowledge and practices
Revista Brasileira de Enfermagem. 2020;73:e20200421
DOI 10.1590/0034-7167-2020-0421
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Objective:
Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly.
Methods:
Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference.
Results:
The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference.
Final Considerations:
The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.
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ORIGINAL ARTICLE02-17-2020
Social network of children with cronic disease: knowledge and practice of nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180371
Abstract
ORIGINAL ARTICLESocial network of children with cronic disease: knowledge and practice of nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180371
DOI 10.1590/0034-7167-2018-0371
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Objectives:
To identify the knowledge and practice of primary care nurses about the social network approach for families of children with chronic diseases.
Methods:
Qualitative research, conducted by means of interviews with 23 family health nurses, from one municipality in Paraíba and one in Rio de Janeiro, from June to July of 2017. The data were interpreted using thematic analysis.
Results:
Social network meant institutional support offered by services outside the unit, and socioeconomic problems involved the family context. In practice, nurses find it difficult to provide comprehensive care and establish ties with families. When referring to other professionals, a weakness in the counter-referral to the family health unit is found.
Final considerations:
Some gaps were found regarding the knowledge and practice of nurses regarding the social network approach, which requires professional training to strengthen social relationships and the necessary support for families of children with chronic diseases.
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ORIGINAL ARTICLE10-21-2019
Inclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
Abstract
ORIGINAL ARTICLEInclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
DOI 10.1590/0034-7167-2018-0806
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Objective:
To analyze the strategies, challenges and possibilities of the articulation between mental health and primary health care from the perspective of health managers.
Method:
Exploratory, qualitative research carried out with 28 managers of mental health and primary care. The data were collected through semi-structured interviews between July and November 2013 and submitted to thematic content analysis.
Results:
The inclusion of mental health actions in primary care made it possible, in the view of managers, to increase users’ access to the care they need. This care strategy allows the extension of care practices in the territory, with matrix support as the main tool for the implementation of this care strategy.
Final considerations:
The articulation between primary care and mental health is a powerful device for psychosocial care, but it demands a new conformation of the Psychosocial Care Centers (Caps) and primary care services.
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06-11-2021
Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20201219
Abstract
Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20201219
DOI 10.1590/0034-7167-2020-1219
Views0See moreABSTRACT
Objective:
Develop and validate a leaflet to guide health professionals in preventive measures related to injuries caused by the use of personal protective equipment during the COVID-19 pandemic.
Methods:
For the construction of the brochure, an integrative review was carried out in the main databases. The evaluation of the leaflet was made by 59 health professionals (nurses, physiotherapists, and doctors), using the Delphi technique.
Results:
In the first evaluation cycle, the items in the brochure were considered by the judges to be “inadequate” to “adequate”; the Content Validity Index was 0.80-1.0. After the adjustments suggested by the judges were implemented, the leaflet was sent back to the second evaluation cycle, in which all items were considered “adequate”, resulting in a Content Validity Index of 1.0.
Conclusion:
The developed brochure has content validity and can assist health professionals in preventing injuries caused by the use of personal protective equipment the developed brochure has content validity and can assist health professionals in preventing injuries caused by the use of personal protective equipment.
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ORIGINAL ARTICLE07-08-2020
Self-efficacy in elderly with type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2020;73:e20180980
Abstract
ORIGINAL ARTICLESelf-efficacy in elderly with type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2020;73:e20180980
DOI 10.1590/0034-7167-2018-0980
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Objective:
to analyze the self-efficacy of elderly with type 2 diabetes mellitus and the relationship with sociodemographic, clinical, knowledge, and attitude variables.
Method:
a cross-sectional quantitative study conducted with 256 elderly people enrolled in Family Health Strategies. Data were obtained through interviews. Descriptive statistical analysis and multiple linear regression model were performed (p <0.05).
Results:
female, 69.95-year mean age, white skin color, 4-7 years of schooling, living with a partner, retirees, low individual monthly income, 6 to 15 years of illness, Catholics, living with children (with or without spouse). The elderly’s low knowledge and negative attitude prevailed. Self-efficacy was associated with attitude and knowledge in the domains “General and Specific Diet”, “Physical Exercise” and “Blood Glucose”.
Conclusion:
self-efficacy investigations in type 2 Diabetes Mellitus management in the elderly are important and encourage treatment adherence.
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ORIGINAL ARTICLE09-16-2019
Knowledge of nursing student on the prevention of sexually transmitted infections
Revista Brasileira de Enfermagem. 2019;72(5):1145-1152
Abstract
ORIGINAL ARTICLEKnowledge of nursing student on the prevention of sexually transmitted infections
Revista Brasileira de Enfermagem. 2019;72(5):1145-1152
DOI 10.1590/0034-7167-2017-0801
Views0See moreABSTRACT
Objective:
To identify the knowledge and self-care actions taken by nursing undergraduate students of a Federal University of the South of Brazil, against Sexually Transmitted Infections.
Method:
Exploratory qualitative study, conducted 40 interviews with undergraduate students at the beginning and end of the course. The analysis was thematic, resulting in three categories.
Results:
Knowledge about the subject is a decisive factor for self-care, and the more knowledge, the greater the prevention. The dissemination of knowledge of students at the end of the course not only influences self-care but also health promotion in the social sphere.
Final considerations:
Knowledge is important in self-care and caring for others. The dissemination of knowledge becomes evident according to the complexity of the course. Stable relationships may interfere with the use or disuse of condoms in sexual relationships, a misnomer present in today’s society.
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REFLECTION09-29-2022
Health care of deaf persons during coronavirus pandemics
Revista Brasileira de Enfermagem. 2022;75:e20201036
Abstract
REFLECTIONHealth care of deaf persons during coronavirus pandemics
Revista Brasileira de Enfermagem. 2022;75:e20201036
DOI 10.1590/0034-7167-2020-1036
Views0See moreABSTRACT
Objective:
To reflect about the barriers experienced by the deaf population during the COVID-19 pandemic, the proposals to overcome communication barriers in health care and the role of public policies in effecting the social inclusion of deaf people.
Methods:
Reflection based on studies on health care for deaf people, the COVID-19 pandemic and public accessibility policies.
Results:
The global crisis of COVID-19 has deepened pre-existing inequalities in the world, in addition to highlighting the vulnerability of people with disabilities, including deaf. Government, institutional and social initiatives to mitigate difficulties in communicating to deaf people have been made, but they are still insufficient to guarantee protection for them in this pandemic and full inclusion in health care.
Final considerations:
Social inclusion, supported by law, and the linguistic accessibility of deaf people still need to generate broad and concrete actions so that deaf people can enjoy their rights as citizens.
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EXPERIENCE REPORT08-19-2019
PLISSIT model: sexual counseling for breast cancer survivors
Revista Brasileira de Enfermagem. 2019;72(4):1109-1113
Abstract
EXPERIENCE REPORTPLISSIT model: sexual counseling for breast cancer survivors
Revista Brasileira de Enfermagem. 2019;72(4):1109-1113
DOI 10.1590/0034-7167-2018-0525
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Objective:
Reporting the experience of use of the PLISSIT model as tool for the nursing care of breast cancer survivors with sexual dysfunction.
Method:
case study developed from January to August 2017, in the outpatient mastology clinic and sexuality service of a maternity in Fortaleza, Ceará, Brazil, with 15 breast cancer survivors.
Results:
sexual counseling sessions were conducted using the PLISSIT model to address sexual issues, highlighting the particularities of women who experience survival after the treatment of breast cancer.
Final considerations:
the model used in the practice of nursing care is customary and allows identifying issues experienced by women, as it has easy availability and practicality for use by nursing professionals, helping to address sexual matters with greater tranquility.
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