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RESEARCH
Knowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
01-01-2016
Abstract
RESEARCHKnowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
01-01-2016DOI 10.1590/0034-7167.2016690311i
Views0See moreABSTRACT
Objective:
to evaluate the perception of healthcare institution collaborators in relation to knowledge management in the institution where they operate and analyze the existence of differences in this perception, based on the institution’s management model.
Method:
a study conducted in a sample consisting of 671 collaborators from 10 Portuguese healthcare institutions with different models of management. In order to assess the knowledge management perception, we used a score designed from and based on items from the scores available in the literature.
Results:
the perception of moderate knowledge management on the healthcare institutions and the statistically significant differences in knowledge management perception were evidenced in each management model.
Conclusion:
management knowledge takes place in healthcare institutions, and the current management model determines the way staff at these institutions manage their knowledge.
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RESEARCH
Social impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
01-01-2016
Abstract
RESEARCHSocial impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
01-01-2016DOI 10.1590/0034-7167.2016690310i
Views0ABSTRACT
Objective:
to evaluate the impairment of social and emotional domains of hospitalized patients undergoing hematopoietic stem cells transplantation.
Method:
an observational, longitudinal study with 25 participants evaluated in the period of pre-transplant, pancytopenia and pre-hospital discharge between September 2013 and September 2014, in a reference hospital for this treatment modality in Brazil. Two international instruments were used, both of which translated and adapted to Portuguese (Brazil): Quality of Life Questionnaire-Core 30 and Functional Assessment Cancer Therapy – Bone Marrow Transplantation.
Results:
patients have shown a statistically significant decrease in the social domain, and stability of the emotional function along the course of treatment.
Conclusion:
hematopoietic stem cell transplantation changes the social function of patients with hematologic cancer during hospitalization stage. Thus, patients should receive guidance addressing the social domain in order that it can be less affected.
Keywords:Hematopoietic Stem Cell TransplantationHospitalizationOncology NursingQuality of LifeSocial IsolationSee more -
RESEARCH
Frailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
01-01-2016
Abstract
RESEARCHFrailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
01-01-2016DOI 10.1590/0034-7167.2016690309i
Views0See moreABSTRACT
Objective:
to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná.
Method:
a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength.
Results:
of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail.
Conclusion:
in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.
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RESEARCH
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
01-01-2016
Abstract
RESEARCHImpact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
01-01-2016DOI 10.1590/0034-7167.2016690308i
Views0See moreABSTRACT
Objective:
to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home.
Method:
clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits.
Results:
participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable.
Conclusion:
directions provided in the home context were beneficial to the members of the case group.
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RESEARCH
Pressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
01-01-2016
Abstract
RESEARCHPressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
01-01-2016DOI 10.1590/0034-7167.2016690307i
Views0See moreABSTRACT
Objective:
to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients.
Method:
this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories.
Results:
an incidence of 22% (95% CI 12.6 – 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%).
Conclusion:
the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.
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RESEARCH
Accreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
01-01-2016
Abstract
RESEARCHAccreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
01-01-2016DOI 10.1590/0034-7167.2016690306i
Views0See moreABSTRACT
Objective:
to analyze the perceptions of the multidisciplinary team on Accreditation in a public hospital.
Method:
descriptive, exploratory, qualitative research, performed in May 2014, using recorded individual interviews. In total, 28 employees of a public hospital, Accredited with Excellence, answered the guiding question: “Tell me about the Accreditation system used in this hospital”. The interviews were transcribed and subjected to content analysis.
Results:
of the speeches, three categories emerged: Advantages offered by the Accreditation; Accredited public hospital resembling a private hospital; Pride/satisfaction for acting in an accredited public hospital.
Conclusion:
participants perceived Accreditation as a favorable system for a quality management in the public service because it promotes the development of professional skills and improves cost management, organizational structure, management of assistance and perception of job pride/satisfaction.
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RESEARCH
Health status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
01-01-2016
Abstract
RESEARCHHealth status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
01-01-2016DOI 10.1590/0034-7167.2016690305i
Views0See moreABSTRACT
Objective:
to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work.
Method:
observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student’s t-test, multiple linear regression, and logistic regression.
Results:
there was an improvement of perception in the patients’ health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation.
Conclusion:
improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients’ return to work were not identified.
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RESEARCH
Prevalence and factors associated with frailty in non-institutionalized older adults
Revista Brasileira de Enfermagem. 2016;69(3):435-442
01-01-2016
Abstract
RESEARCHPrevalence and factors associated with frailty in non-institutionalized older adults
Revista Brasileira de Enfermagem. 2016;69(3):435-442
01-01-2016DOI 10.1590/0034-7167.2016690304i
Views0See moreABSTRACT
Objective:
to investigate the prevalence and factors associated with frailty in non-institutionalized older adults living in northern Minas Gerais, Brazil.
Method:
data were collected in their homes, in 2013, based on a census cluster sampling. Demographic and socioeconomic variables, morbidities, utilization of health care services, and scores on the Edmonton Fragility Scale were analyzed. The adjusted prevalence ratios were obtained using the Poisson regression multiple analysis with robust variance.
Results:
the prevalence of frailty was 41.3%. The variables associated with frailty were: female gender, very old age, education of less than four years, not having been hospitalized in the last 12 months, having a caregiver, falling in the prior year, diabetes mellitus, cardiac disease, and osteoarticular disease.
Conclusion:
the prevalence of frailty was high. Some factors consist of modifiable conditions, which should encourage health actions aimed at this group.
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ORIGINAL ARTICLE
Cognition and quality of life relationship among the elderly community: a cross-sectional study
- Barbara Maria Lopes da Silva Brandão
, - Alice Maria Barbosa da Silva ,
- Rafaella Queiroga Souto ,
- Fabia Alexandra Pottes Alves ,
- Gleicy Karine Nascimento de Araújo , [ … ],
- Hulda Vale de Araújo
07-08-2020
Abstract
ORIGINAL ARTICLECognition and quality of life relationship among the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190030
07-08-2020DOI 10.1590/0034-7167-2019-0030
- Barbara Maria Lopes da Silva Brandão ,
- Alice Maria Barbosa da Silva ,
- Rafaella Queiroga Souto ,
- Fabia Alexandra Pottes Alves ,
- Gleicy Karine Nascimento de Araújo ,
- Viviane Cristina Fonseca da Silva Jardim ,
- Hulda Vale de Araújo
Views0See moreABSTRACT
Objective:
to assess cognitive functions and their association with quality of life among elderly people enrolled in a Family Health Unit (FHU) of Primary Health Care in Recife-PE.
Methods:
a quantitative, descriptive, cross-sectional study in which elderly aged 60 years and over were studied.
Results:
76.7% of the elderly were women and the age group was less than or equal to 70 years. 68.6% had cognitive impairment, and in the quality of life assessment it was found that the social participation facet had the highest mean score among the elderly (14.25), while the lowest was observed in the sensory functioning facet (9.10). There was an association between cognitive decline and quality of life.
Conclusion:
most of the elderly had good quality of life rates, but low cognitive level. Using screening tools allows early detection of health problems, guiding the nursing staff in the construction of preventive measures.
- Barbara Maria Lopes da Silva Brandão
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REVIEW
Effectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review
- Fabiana Verdan Simões ,
- Valdete Oliveira Santos ,
- Rodrigo Nogueira da Silva ,
- Rafael Celestino da Silva
10-19-2020
Abstract
REVIEWEffectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190815
10-19-2020DOI 10.1590/0034-7167-2019-0815
- Fabiana Verdan Simões ,
- Valdete Oliveira Santos ,
- Rodrigo Nogueira da Silva ,
- Rafael Celestino da Silva
Views0See moreABSTRACT
Objective:
to analyze the effectiveness of skin protectors and Calendula officinalis for prevention and treatment of radiodermatitis.
Method:
an integrative review conducted at CINAHL, Cochrane Library, Embase, MEDLINE/PubMed, IBECS, LILACS, and Web of Science. The final sample consisted of five studies, four clinical studies and one preclinical. Critical appreciation and narrative synthesis of the findings were carried out.
Results:
the Cavilon™ skin protector was more effective than Sorbolene (cream with 10% glycerin) and less effective than Mometasone Furoate cream. Calendula officinalis was more effective than Trolamine and essential fatty acids and less effective than Ching Wan Hung® for prevention and treatment of radiodermatitis.
Conclusion:
data confirm the potential of Calendula officinalis for prevention and treatment of radiodermatitis and point to promising results regarding skin protector use; however, there is a need for further testing as to the effectiveness of such products.
- Fabiana Verdan Simões
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ORIGINAL ARTICLE
Nurse as an integrator in healthcare management of children with chronic condition
- Deborah Dinorah de Sá Mororó ,
- Rejane Maria Paiva de Menezes ,
- Ana Angélica Rêgo de Queiroz ,
- Carlos Jordão de Assis Silva ,
- Wanesca Caroline Pereira
04-03-2020
Abstract
ORIGINAL ARTICLENurse as an integrator in healthcare management of children with chronic condition
Revista Brasileira de Enfermagem. 2020;73(3):e20180453
04-03-2020DOI 10.1590/0034-7167-2018-0453
- Deborah Dinorah de Sá Mororó ,
- Rejane Maria Paiva de Menezes ,
- Ana Angélica Rêgo de Queiroz ,
- Carlos Jordão de Assis Silva ,
- Wanesca Caroline Pereira
Views0See moreABSTRACT
Objectives:
to understand the practice of the nurse in healthcare management of children with chronic condition in the hospital setting.
Methods:
analytical study of qualitative approach with theoretical and methodological reference of institutional ethnography. Developed in the pediatric unit of a university hospital, in a municipality in Northeastern Brazil. Data collections techniques were: participant observation, documentary analysis and semi-structured interview. Participants of the study totaled twenty professionals, including nurses, social workers, psychologists, pharmacists, nutritionists, physiotherapists, and doctors. For data analysis, it was used the Bardin’s Content Analysis with interface of the Atlas.ti software.
Results:
categories of analysis were “Nurse as mediator of healthcare management”; “Nursing process as a mechanism of healthcare management”.
Final
considerations: the nurse proved to be essential for healthcare management of the child with chronic condition, acting as mediator of the relationship between the doctor, the members of the health team, the user and their family.
- Deborah Dinorah de Sá Mororó
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Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20201219
06-11-2021
Abstract
Prevention of facial injuries caused by personal protective equipment during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20201219
06-11-2021DOI 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 ARTICLE
Sarcopenia screening in elderly in primary health care: nurse knowledge and practices
- Rutielle Ferreira Silva ,
- Maria do Livramento Fortes Figueiredo ,
- Juan José Tirado Darder ,
- Ana Maria Ribeiro dos Santos ,
- Maria Antonieta Rubio Tyrrell
12-07-2020
Abstract
ORIGINAL ARTICLESarcopenia screening in elderly in primary health care: nurse knowledge and practices
Revista Brasileira de Enfermagem. 2020;73:e20200421
12-07-2020DOI 10.1590/0034-7167-2020-0421
- Rutielle Ferreira Silva ,
- Maria do Livramento Fortes Figueiredo ,
- Juan José Tirado Darder ,
- Ana Maria Ribeiro dos Santos ,
- Maria Antonieta Rubio Tyrrell
Views0See moreABSTRACT
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.
- Rutielle Ferreira Silva
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REVIEW
Health promotion of frail elderly individuals and at risk of frailty
- Cynthia Roberta Dias Torres Silva ,
- Khelyane Mesquita de Carvalho ,
- Maria do Livramento Fortes Figueiredo ,
- Fernando Lopes Silva-Júnior ,
- Elaine Maria Leite Rangel Andrade , [ … ],
- Lydia Tolstenko Nogueira
12-05-2019
Abstract
REVIEWHealth promotion of frail elderly individuals and at risk of frailty
Revista Brasileira de Enfermagem. 2019;72:319-327
12-05-2019DOI 10.1590/0034-7167-2018-0575
- Cynthia Roberta Dias Torres Silva ,
- Khelyane Mesquita de Carvalho ,
- Maria do Livramento Fortes Figueiredo ,
- Fernando Lopes Silva-Júnior ,
- Elaine Maria Leite Rangel Andrade ,
- Lydia Tolstenko Nogueira
Views0See moreABSTRACT
Objective:
To identify interventions for the health promotion of frail elderly individuals and those at risk of frailty.
Method:
Integrative review of the literature performed in the following databases: LILACS, CINAHL, MEDLINE, Web of Science, COCHRANE and Scopus, using the
Descriptors:
“frail elderly”, “aging”, “health services for the aged” and “health promotion” combined with Boolean operators “AND” and “OR”.
Results:
Randomized controlled clinical trials (RCTs) classified as level of evidence II represented 82.6% of studies. Interventions were analyzed according to the following categories: Interventions for the elderly at risk of frailty and Interventions for the frail elderly.
Conclusion:
The following interventions were identified: educational multiprofessional group meetings, physical training, home visit/home care program, nutrition assessment and supplementation, health maintenance programs and cognitive training; models/programs of management and monitoring, use of assistive technology devices and hospitalization program for geriatric rehabilitation.
- Cynthia Roberta Dias Torres Silva
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ORIGINAL ARTICLE
Analysis of compliance to antiretroviral treatment among patients with HIV/AIDS
- Hélia Carla de Souza ,
- Márcio Rabelo Mota ,
- Amanda Ribeiro Alves ,
- Filipe Dinato Lima ,
- Sandro Nobre Chaves , [ … ],
- Ana Paula Vaz da Silva Mota
09-16-2019
Abstract
ORIGINAL ARTICLEAnalysis of compliance to antiretroviral treatment among patients with HIV/AIDS
Revista Brasileira de Enfermagem. 2019;72(5):1295-1303
09-16-2019DOI 10.1590/0034-7167-2018-0115
- Hélia Carla de Souza ,
- Márcio Rabelo Mota ,
- Amanda Ribeiro Alves ,
- Filipe Dinato Lima ,
- Sandro Nobre Chaves ,
- Renata Aparecida Elias Dantas ,
- Samuel Barbosa Mezavila Abdelmur ,
- Ana Paula Vaz da Silva Mota
Views0ABSTRACT
Objective:
To analyze the compliance to antiretroviral therapy among HIV/AIDS patients.
Method:
99 HIV-positive volunteers undergoing treatment responded to a semi-structured sociodemographic interview and to a questionnaire that assessed compliance to antiretroviral treatment.
Results:
In the sample analyzed, 52.5% of the volunteers presented good/adequate treatment compliance, while 33.3% presented low/insufficient compliance. There was no significant difference between men and women in the questionnaire score, nor between groups with different levels of education.
Conclusion:
The main items of the questionnaire that contributed to good/adequate compliance were: positive impact of treatment on health and quality of life, few side effects after initiation of therapy, and positive self-evaluation of participants regarding their compliance to antiretroviral therapy. The main barriers detected for compliance to antiretroviral therapy were the lack of knowledge about current medications and the lack of information on antiretroviral therapy drugs.
Keywords:Acquired Immunodeficiency SyndromeAntiretroviral Therapy, Highly ActiveHIV InfectionsImmunityMedication AdherenceSee more - Hélia Carla de Souza
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ORIGINAL ARTICLE
Self-efficacy in elderly with type 2 Diabetes Mellitus
- Mariana Campos de Sousa ,
- Bruna Stephanie Sousa Malaquias ,
- Suzel Regina Ribeiro Chavaglia ,
- Rosali Isabel Barduchi Ohl ,
- Fabiana Fernandes Silva de Paula , [ … ],
- Álvaro da Silva Santos
07-08-2020
Abstract
ORIGINAL ARTICLESelf-efficacy in elderly with type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2020;73:e20180980
07-08-2020DOI 10.1590/0034-7167-2018-0980
- Mariana Campos de Sousa ,
- Bruna Stephanie Sousa Malaquias ,
- Suzel Regina Ribeiro Chavaglia ,
- Rosali Isabel Barduchi Ohl ,
- Fabiana Fernandes Silva de Paula ,
- Karina Santos da Silva ,
- Álvaro da Silva Santos
Views0See moreABSTRACT
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.
- Mariana Campos de Sousa
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