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ORIGINAL ARTICLE11-22-2024
Temporal trends in neonatal mortality in Pernambuco
- Nayara Francisca Cabral de Sousa
, - Ana Paula Esmeraldo Lima ,
- Vânia Pinheiro Ramos ,
- Mônica de Avelar Figueiredo Mafra Magalhães ,
- André Luiz Sá de Oliveira , [ … ],
- Luciana Pedrosa Leal
Abstract
ORIGINAL ARTICLETemporal trends in neonatal mortality in Pernambuco
Revista Brasileira de Enfermagem. 2024;77(4):e20230451
DOI 10.1590/0034-7167-2023-0451
- Nayara Francisca Cabral de Sousa ,
- Ana Paula Esmeraldo Lima ,
- Vânia Pinheiro Ramos ,
- Mônica de Avelar Figueiredo Mafra Magalhães ,
- André Luiz Sá de Oliveira ,
- Eliane Rolim de Holanda ,
- Luciana Pedrosa Leal
Views0See moreABSTRACT
Objective:
To verify the temporal trend of neonatal mortality in the health regions of Pernambuco between 2000 and 2020.
Method:
A time-series ecological study was conducted, analyzing the total neonatal mortality rate and its early and late components. For regression analysis, Joinpoint Regression was applied, trends were classified, and annual and average percentage changes were calculated for the period, with a significance level of 95%.
Results:
The average neonatal mortality rate in Pernambuco was 11.5 during the studied period. A decreasing trend in neonatal mortality rate was observed, especially in the early component. The region where the state capital is located showed the fastest decrease across all components.
Conclusion:
The temporal trend of neonatal mortality was decreasing; however, the rate of reduction was not uniform across the health regions of the state, and the implementation of the Mãe Coruja Pernambucana Program did not impact the trend in neonatal mortality.
- Nayara Francisca Cabral de Sousa
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ORIGINAL ARTICLE11-22-2024
Evaluation of a video to promote HIV testing in sexual minorities
- Francisco Javier Báez Hernández ,
- Vianet Nava Navarro ,
- Miguel Angel Zenteno López ,
- Víctor Manuel Blanco Álvarez ,
- Arelia Morales Nieto , [ … ],
- Pedro Trejo Hernández
Abstract
ORIGINAL ARTICLEEvaluation of a video to promote HIV testing in sexual minorities
Revista Brasileira de Enfermagem. 2024;77(4):e20230320
DOI 10.1590/0034-7167-2023-0320
- Francisco Javier Báez Hernández ,
- Vianet Nava Navarro ,
- Miguel Angel Zenteno López ,
- Víctor Manuel Blanco Álvarez ,
- Arelia Morales Nieto ,
- Pedro Trejo Hernández
Views0ABSTRACT
Objective:
To design and evaluate an educational video aimed at promoting HIV testing in gay men from the theoretical perspective of the Nola J. Pender Health Promotion Model.
Methods:
The design comprised five steps: 1.- Literature search; 2.- Formulation of the educational objective; 3.- Drafting of the script and location of the information in the theoretical components; 4.- Production; and 5.- Evaluation by experts and the target population.
Results:
The video “Living Without Fear” was produced, which presents the dilemma faced by gay men before taking a HIV test. The content validity index was 0.85, which indicated that the information was adequate and acceptable for promoting the rapid HIV test.
Final Considerations:
The results contribute to the scientific evidence aimed at promoting healthy behavior. In addition, the video was shown to be an acceptable educational tool.
Keywords:Audiovisual ResourcesHIV TestingInstructional Film and VideoSexual and Gender MinoritiesValidation StudySee more - Francisco Javier Báez Hernández
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ORIGINAL ARTICLE11-22-2024
Development and validity of a mobile application prototype for hospital shift handover
- Luciana Pizolio Garcia Dematte ,
- André Estevam Jaques ,
- Carla Moretti de Souza ,
- Martina Mesquita Tonon ,
- Cátia Millene Dell’Agnolo , [ … ],
- Milton Alejandro Jorquera Malebrán
Abstract
ORIGINAL ARTICLEDevelopment and validity of a mobile application prototype for hospital shift handover
Revista Brasileira de Enfermagem. 2024;77(4):e20230173
DOI 10.1590/0034-7167-2023-0173
- Luciana Pizolio Garcia Dematte ,
- André Estevam Jaques ,
- Carla Moretti de Souza ,
- Martina Mesquita Tonon ,
- Cátia Millene Dell’Agnolo ,
- Cremilde Aparecida Trindade Radovanovic ,
- Adriane Bochi Cândido ,
- Milton Alejandro Jorquera Malebrán
Views0ABSTRACT
Objective:
To develop and validate a mobile application prototype for nursing shift handover in a hospital inpatient unit.
Methods:
A methodological study of technological production, carried out from April 2020 to January 2022, for mobile application construction and validity through the Design Thinking methodology. The study involved the stages of prototype development and validity by experts.
Results:
The application for mobile nursing shift handover obtained a usability score of 79 points and a content validity coefficient of 0.7.
Conclusions:
The instrument obtained an excellent assessment according to usability and agreement among experts. However, future studies are needed to implement this technology in order to assess effectiveness, time optimization and failures during communication.
Keywords:Health Information ExchangeHealth TechnologyHospitalizationMobile ApplicationsSoftware ValidationSee more
- Luciana Pizolio Garcia Dematte
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ORIGINAL ARTICLE10-25-2024
Analysis of the vaccination situation against Mpox in people living with HIV/AIDS: an ecological study
- Núbia Vanessa da Silva Tavares ,
- Amuzza Aylla Pereira dos Santos ,
- Mariana Maria Pereira Cintra Farias Carvalho ,
- Kariane Omena Ramos Cavalcante de Melo ,
- Hillary Gabriela dos Santos Oliveira , [ … ],
- José Augustinho Mendes Santos
Abstract
ORIGINAL ARTICLEAnalysis of the vaccination situation against Mpox in people living with HIV/AIDS: an ecological study
Revista Brasileira de Enfermagem. 2024;77(5):e20230234
DOI 10.1590/0034-7167-2023-0234
- Núbia Vanessa da Silva Tavares ,
- Amuzza Aylla Pereira dos Santos ,
- Mariana Maria Pereira Cintra Farias Carvalho ,
- Kariane Omena Ramos Cavalcante de Melo ,
- Hillary Gabriela dos Santos Oliveira ,
- Thaís Honório Lins Bernardo ,
- Selma Sabrina de Albuquerque Calheiros ,
- José Augustinho Mendes Santos
Views0See moreABSTRACT
Objectives:
to analyze the vaccination situation against Mpox in people living with HIV/AIDS in Brazil.
Methods:
an ecological study on the vaccination status against Mpox in people living with HIV/AIDS (PLWHA) in Brazil. The data were collected in April 2023 through information from the Ministry of Health, using the “Microsoft app Power BI,” which is publicly accessible.
Results:
the data analysis revealed that in Brazil, 2,978 doses of the MVA-BN Jynneos Mpox vaccine were administered in PLWHA, resulting in a vaccination coverage of 18.3%, with the southern and southeastern regions showing the lowest and highest vaccination coverage, respectively. Gender-based evaluation showed a higher proportion of vaccinated males.
Conclusions:
we identified low vaccination coverage in all regions of Brazil, highlighting the need for intensified vaccination activities, especially for PLWHA.
- Núbia Vanessa da Silva Tavares
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ORIGINAL ARTICLE10-11-2024
Indigenous women’s experiences about the pregnancy-puerperal cycle
- Lubiane Boer ,
- Francisca Georgina Macedo de Sousa ,
- Rizioléia Marina Pinheiro Pina ,
- Margarita Poblete ,
- Léris Salete Bonfanti Haeffner , [ … ],
- Dirce Stein Backes
Abstract
ORIGINAL ARTICLEIndigenous women’s experiences about the pregnancy-puerperal cycle
Revista Brasileira de Enfermagem. 2024;77:e20230410
DOI 10.1590/0034-7167-2023-0410
- Lubiane Boer ,
- Francisca Georgina Macedo de Sousa ,
- Rizioléia Marina Pinheiro Pina ,
- Margarita Poblete ,
- Léris Salete Bonfanti Haeffner ,
- Dirce Stein Backes
Views0See moreABSTRACT
Objectives:
to understand the experiences of indigenous women regarding the pregnancy-puerperal cycle.
Methods:
qualitative, exploratory and descriptive research, carried out between May and August 2023 with 27 pregnant women from Indigenous Villages in Mato Grosso, Brazil, through open individual interviews. The data was analyzed using Reflexive thematic analysis.
Results:
data analysis resulted in the following themes: Cultivation of labor and birth in its natural and sacred path; Unique practices and beliefs associated with breastfeeding; Evolved or reductive thinking? The participants suggest inviolable practices and beliefs, which must be welcomed, respected and enhanced by indigenous health teams.
Final Considerations:
the experiences of indigenous women regarding the pregnancy-puerperal cycle are unique and motivated by inviolable cultural and religious beliefs, which transcend scientific knowledge, certainties and the linearity of contemporary approaches, normally established as order.
- Lubiane Boer
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REVIEW10-07-2024
Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
Revista Brasileira de Enfermagem. 2024;77(5):e20240162
Abstract
REVIEWRisk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
Revista Brasileira de Enfermagem. 2024;77(5):e20240162
DOI 10.1590/0034-7167-2024-0162
Views0See moreABSTRACT
Objectives:
to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.
Methods:
an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.
Results:
from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient’s vein; skin elasticity; unsuccessful insertion.
Conclusions:
it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.
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ORIGINAL ARTICLE10-07-2024
Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study
- Vanessa Ferraz Leite ,
- Moisés Kogien ,
- Margani Cadore Weis Maia ,
- Marina Nolli Bittencourt ,
- Larissa de Almeida Rézio , [ … ],
- Samira Reschetti Marcon
Abstract
ORIGINAL ARTICLEIndicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(5):e20230499
DOI 10.1590/0034-7167-2023-0499
- Vanessa Ferraz Leite ,
- Moisés Kogien ,
- Margani Cadore Weis Maia ,
- Marina Nolli Bittencourt ,
- Larissa de Almeida Rézio ,
- Samira Reschetti Marcon
Views0See moreABSTRACT
Objectives:
to assess the association between indicators of emotional distress and dispositional mindfulness in health students at a Brazilian federal public university.
Methods:
a cross-sectional study, developed with university students in the health area of a public institution from May to June 2022. In the analysis, multiple linear regression was used using SPSS software.
Results:
the sample was mostly female, ≤ 22 years old, non-white, studying the first semesters, with a higher prevalence for the medicine course. Students presented moderate dispositional mindfulness scores. It was observed that the variables of stress, depression and current suicide risk were associated with the capacity for mindfulness.
Conclusions:
knowing the indicators of emotional distress that are related to the potential of mindfulness can contribute as a situational diagnosis to better design strategies that promote the improvement of emotional indicators of health students.
- Vanessa Ferraz Leite
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ORIGINAL ARTICLE10-07-2024
Development and validation of a mobile application prototype for postoperative cardiac surgery
- Gabriele Cardoso Gonçalves Alves ,
- Fabiola Leticia Damascena Amador ,
- Vagner Rogério dos Santos ,
- Rita Simone Lopes Moreira
Abstract
ORIGINAL ARTICLEDevelopment and validation of a mobile application prototype for postoperative cardiac surgery
Revista Brasileira de Enfermagem. 2024;77(5):e20230491
DOI 10.1590/0034-7167-2023-0491
- Gabriele Cardoso Gonçalves Alves ,
- Fabiola Leticia Damascena Amador ,
- Vagner Rogério dos Santos ,
- Rita Simone Lopes Moreira
Views0See moreABSTRACT
Objectives:
to develop and validate the content, appearance, and semantics of a prototype application for monitoring patients in the postoperative period of cardiac surgery.
Methods:
this is a technological development study based on Contextualized Instructional Design. The content and appearance evaluation was conducted by a committee of specialists, and semantic validation was carried out by patients from a cardiac surgery outpatient clinic.
Results:
the application prototype consisted of 43 screens, validated by 17 health specialists, with content validity ratio and appearance validity index results of 0.86 and 0.99, respectively. For semantic validation, 10 patients participated in data collection, with a total content validity index of 0.978.
Conclusions:
the prototype of the “VivaCor PósOp” application demonstrated evidence of content, appearance, and semantic validity, with the potential to stimulate self-care in patients in the postoperative period of cardiac surgery.
- Gabriele Cardoso Gonçalves Alves
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ORIGINAL ARTICLE01-10-2024
Micro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte
- Marina Stuart Marques ,
- Thales Philipe Rodrigues da Silva ,
- Ana Paula Vieira Faria ,
- Nágela Cristine Pinheiro Santos ,
- Janaína Fonseca Almeida Souza , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEMicro and macropolitical determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte
Revista Brasileira de Enfermagem. 2024;77:e20230235
DOI 10.1590/0034-7167-2023-0235
- Marina Stuart Marques ,
- Thales Philipe Rodrigues da Silva ,
- Ana Paula Vieira Faria ,
- Nágela Cristine Pinheiro Santos ,
- Janaína Fonseca Almeida Souza ,
- Marla Ariana Silva ,
- Patrícia Feliciano Pereira ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objective:
To analyze the determinants for non-vaccination against COVID-19 in pregnant women in Belo Horizonte, Minas Gerais, Brazil.
Methods:
An epidemiological study with a cross-sectional design was conducted using data from the project titled “Childbirth and Breastfeeding in Children of Mothers Infected by SARS-CoV-2,” developed during the pandemic in the city of Belo Horizonte, Minas Gerais, Brazil.
Results:
The study sample consisted of 360 pregnant women, of whom 77.89% received the COVID-19 vaccine. External, social, and institutional determinants can influence lower adherence to COVID-19 vaccination, especially the absence of employment during pregnancy, difficult access to prenatal consultations, and a compromised or deficient support network.
Conclusions:
In light of this scenario, greater encouragement for health education is necessary, especially during prenatal care, resulting in lower rates of morbidity and mortality and favorable perinatal outcomes.
- Marina Stuart Marques
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ORIGINAL ARTICLE01-10-2024
COVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care
- Kelly Aline Rodrigues Costa ,
- Fernanda Moura Lanza ,
- Francisco Carlos Félix Lana ,
- Camila Custódio da Silva ,
- Camila Cristina Gregório de Assis , [ … ],
- Angélica da Conceição Oliveira Coelho
Abstract
ORIGINAL ARTICLECOVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care
Revista Brasileira de Enfermagem. 2024;77:e20230179
DOI 10.1590/0034-7167-2023-0179
- Kelly Aline Rodrigues Costa ,
- Fernanda Moura Lanza ,
- Francisco Carlos Félix Lana ,
- Camila Custódio da Silva ,
- Camila Cristina Gregório de Assis ,
- Cosme Rezende Laurindo ,
- Herica Silva Dutra ,
- Angélica da Conceição Oliveira Coelho
Views0ABSTRACT
Objective:
to analyze the association between participation in training activities and the adherence to and use of personal protective equipment by workers and professionals involved in Health Residency Programs in Primary Health Care during the COVID-19 pandemic.
Methods:
a cross-sectional study in Brazil between August/2020 and March/2021. We utilized the EPI-APS COVID-19 instrument and its adapted version for resident professionals.
Results:
455 PHC workers and 102 residents participated in the study. Among them, 54.5% and 55.9%, respectively, engaged in training activities. We observed an association between participation in training activities and the proper use of gloves (p<0.001), gowns (p=0.009), goggles/face shields (p=0.002), and overall adherence (p<0.001) among PHC workers, and the proper use of surgical masks (p=0.028) among residents. Adherence rates of ≥75% were identified in 6.9% of PHC workers and none among the residents.
Conclusion:
training activities are associated with increased adherence to and proper use of PPE.
Keywords:COVID-19Health PersonnelPersonal Protective EquipmentPrimary Health CareTraining ActivitiesSee more - Kelly Aline Rodrigues Costa
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ORIGINAL ARTICLE12-16-2024
Software for the care of people with cardiovascular risk: construction and evidence of validity
- Nuno Damácio de Carvalho Félix ,
- Raércia dos Santos Carneiro ,
- Luis Filippe Rasia Pacheco ,
- Brenda Silva Cunha ,
- João Cruz Neto , [ … ],
- Alba Lúcia Bottura Leite de Barros
Abstract
ORIGINAL ARTICLESoftware for the care of people with cardiovascular risk: construction and evidence of validity
Revista Brasileira de Enfermagem. 2024;77(6):e20240276
DOI 10.1590/0034-7167-2024-0276
- Nuno Damácio de Carvalho Félix ,
- Raércia dos Santos Carneiro ,
- Luis Filippe Rasia Pacheco ,
- Brenda Silva Cunha ,
- João Cruz Neto ,
- Johann Aires Boness ,
- Mariana Carvalho Gavazza ,
- Alba Lúcia Bottura Leite de Barros
Views0See moreABSTRACT
Objectives:
to build and validate software for the care of people with cardiovascular risk.
Methods:
a methodological study, applied to software development, anchored in a nursing theory and classification system, in three stages: 1) requirements engineering; 2) software architecture and coding; and 3) testing and content validity by 12 experts in computer science, with a Content Validity Ratio score.
Results:
called e-TEORISC, in software format, for nursing care for people with cardiovascular risk, online and offline, containing a database linked to the Nursing Process stages. Experts considered that the attributes of functional suitability, performance efficiency, reliability, maintainability, usability, safety and portability obtained desirable scores.
Conclusions:
e-TEORISC has evidence of validity to instrumentalize care for people at cardiovascular risk, with potential for technology transfer to the Brazilian Health System.
- Nuno Damácio de Carvalho Félix
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ORIGINAL ARTICLE12-16-2024
Sleep quality of patients with heart failure and associated factors
- Juliana Pessoa de Souza ,
- Danielly Farias Santos de Lima ,
- Oriana Deyze Correia Paiva Leadebal ,
- Maria Eliane Moreira Freire ,
- Simone Helena dos Santos Oliveira , [ … ],
- Mailson Marques de Sousa
Abstract
ORIGINAL ARTICLESleep quality of patients with heart failure and associated factors
Revista Brasileira de Enfermagem. 2024;77(6):e20240244
DOI 10.1590/0034-7167-2024-0244
- Juliana Pessoa de Souza ,
- Danielly Farias Santos de Lima ,
- Oriana Deyze Correia Paiva Leadebal ,
- Maria Eliane Moreira Freire ,
- Simone Helena dos Santos Oliveira ,
- Vinicius Batista Santos ,
- Mailson Marques de Sousa
Views0See moreABSTRACT
Objectives:
to assess sleep quality of patients with heart failure and associated sociodemographic and clinical characteristics.
Methods:
a cross-sectional study, developed with 88 patients. Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive and inferential statistics.
Results:
the mean sleep quality score was 8.59 ± 3.60 points. 83% of participants were classified as poor sleepers. The number of hours of sleep was 5.99 ± 1.48. Family income of up to one minimum wage and functional class were significantly associated with poor sleepers. There was a positive correlation between functional class and poor sleep quality.
Conclusions:
a high frequency of poor sleepers was identified. Worse scores were associated with family income and symptomatic functional class. Health interventions are necessary to control sleep quality, especially in relation to health functionality.
- Juliana Pessoa de Souza
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Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Abstract
Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal
Revista Brasileira de Enfermagem. 2024;77(6):e20240217
DOI 10.1590/0034-7167-2024-0217es
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Views1See moreRESUMEN
Objetivos:
analizar la relación entre religión y experiencia profesional con la inteligencia espiritual en enfermeros.
Métodos:
estudio transversal y analítico realizado en 2021, participaron 544 profesionales de enfermería que laboraban en establecimiento de salud de Perú durante la pandemia por COVID-19. Para el análisis de los datos se emplearon el análisis de regresión múltiple y correlación de Pearson.
Resultados:
en los enfermeros predominó un nivel de inteligencia espiritual saludable (42,8%). Quienes no profesaban una religión tenían mayor probabilidad de tener menor puntaje de inteligencia espiritual (escala global y dimensiones); sin embargo, los enfermeros expertos tuvieron mayor probabilidad de tener mayor inteligencia espiritual (escala global y dimensiones) que los enfermeros novatos (p<0,05).
Conclusiones:
la inteligencia espiritual en los enfermeros fue predicha por la religión y la experiencia profesional. Este hallazgo sugiere que la inteligencia espiritual en enfermería se consolida mediante prácticas religiosas y durante el ejercicio profesional.
- Jhon Alex Zeladita-Huaman
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ORIGINAL ARTICLE12-16-2024
Religion and professional experience: Are they predictors of nurses’ spiritual intelligence? Cross-sectional study
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Abstract
ORIGINAL ARTICLEReligion and professional experience: Are they predictors of nurses’ spiritual intelligence? Cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(6):e20240217
DOI 10.1590/0034-7167-2024-0217
- Jhon Alex Zeladita-Huaman ,
- Juana Matilde Cuba-Sancho ,
- Martha Brigida Martina-Chávez ,
- Roberto Zegarra-Chapoñan ,
- Henry Castillo-Parra
Views0See moreABSTRACT
Objectives:
to analyze the relationship between religion and professional experience with spiritual intelligence in nurses
Methods:
cross-sectional and analytical study carried out in 2021, with the participation of 544 nursing professionals working in health facilities in Peru during the COVID-19 pandemic. Multiple regression analysis and Pearson’s correlation were used to analyze the data.
Results:
in nurses, a healthy level of spiritual intelligence predominated (42.8%). Those who did not profess a religion were more likely to have a lower spiritual intelligence score (global scale and dimensions); however, experienced nurses were more likely to have higher spiritual intelligence (global scale and dimensions) than novice nurses (p<0.05).
Conclusions:
spiritual intelligence in nurses was predicted by religion and professional experience. This finding suggests that spiritual intelligence in nursing is consolidated through religious practices and during professional practice.
- Jhon Alex Zeladita-Huaman
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ORIGINAL ARTICLE12-16-2024
Effectiveness of the modified Seldinger technique for peripheral central catheter in newborns: a randomized clinical trial
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach Danski ,
- Luana Lenzi ,
- Higor Pacheco Pereira ,
- Juliana Szreider de Azevedo , [ … ],
- Camila Fernanda da Silva Milani
Abstract
ORIGINAL ARTICLEEffectiveness of the modified Seldinger technique for peripheral central catheter in newborns: a randomized clinical trial
Revista Brasileira de Enfermagem. 2024;77(6):e20240189
DOI 10.1590/0034-7167-2024-0189
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach Danski ,
- Luana Lenzi ,
- Higor Pacheco Pereira ,
- Juliana Szreider de Azevedo ,
- Letícia Pontes ,
- Regiane Queiroz Afonso ,
- Camila Fernanda da Silva Milani
Views0ABSTRACT
Objectives:
to evaluate the effectiveness of peripheral central catheterization by comparing the modified Seldinger technique and the conventional technique in critically ill newborns.
Methods:
randomized unmasked clinical trial conducted in a public children’s hospital. Participation of 111 newborns with randomized allocation, 56 in the control group (conventional technique) and 55 in the experimental group (modified Seldinger). Success and absence of complications were evaluated as primary outcomes. The pain scale, difficulty in hemostasis, procedure time and number of punctures were considered secondary outcomes.
Results:
there was no statistical significance between groups, either for success (p=0.705) or absence of complications (p=0.347). A lower pain score, improved hemostasis, increased assertiveness with fewer punctures and reduced procedure time were not observed in the experimental group.
Conclusions:
the modified Seldinger technique did not prove to be a more effective insertion technology compared to the conventional method. Brazilian Clinical Trial Registry: RBR-69vks36.
Keywords:Comparative Effectiveness ResearchNewbornPeripheral CatheterizationRandomized Controlled TrialTechnologySee more
- Izabela Linha Secco
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ORIGINAL ARTICLE12-16-2024
Narratives of sex workers: intimate partner violence and coping strategies
- Milena Oliveira Costa ,
- Valéria Cristina Christello Coimbra ,
- Michele Mandagará de Oliveira ,
- Clarissa de Souza Cardoso ,
- Vania Dias Cruz , [ … ],
- Luciano Santos Gentilini
Abstract
ORIGINAL ARTICLENarratives of sex workers: intimate partner violence and coping strategies
Revista Brasileira de Enfermagem. 2024;77(6):e20240180
DOI 10.1590/0034-7167-2024-0180
- Milena Oliveira Costa ,
- Valéria Cristina Christello Coimbra ,
- Michele Mandagará de Oliveira ,
- Clarissa de Souza Cardoso ,
- Vania Dias Cruz ,
- Ariane da Cruz Guedes ,
- Josiane da Costa Moreira ,
- Luciano Santos Gentilini
Views0See moreABSTRACT
Objectives:
to understand the narratives of sex workers about violence suffered by intimate partners and their coping strategies.
Methods:
qualitative research, focused on thematic oral history, carried out with six sex workers in southern Brazil, who responded to in-depth interviews using a flexible script. Thematic content analysis was used.
Results:
the study included cisgender women who self-identified as half black and half white. Most had children and were separated. They reported abusive relationships by their intimate partners, with emphasis on verbal, psychological, financial, and physical violence and attempted femicide. Such violence resulted in coping strategies, such as avoiding emotional bonds and maintaining a discreet life.
Final Considerations:
intimate partner violence is prevalent among participants, leading them to adopt strategies to preserve their safety and well-being, highlighting the need for public policies that meet their particularities and guarantee protection.
- Milena Oliveira Costa
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Directly Observed Treatment: planning perspectives, improvisation and transfer of policy
Revista Brasileira de Enfermagem. 2018;71(4):1940-1948
Abstract
Directly Observed Treatment: planning perspectives, improvisation and transfer of policy
Revista Brasileira de Enfermagem. 2018;71(4):1940-1948
DOI 10.1590/0034-7167-2017-0493
Views0See moreABSTRACT
Objective:
to investigate the possibilities of positive and negative association of improvisation and the understanding of what will be the planning by managers and coordinators of tuberculosis control programs, in a context of transference of the Directly Observed Treatment policy.
Method:
this is a qualitative study, developed through semi-structured interviews analyzed in the light of French Discourse Analysis.
Results:
there was a weakening of the constructive and operational planning process, which is at the mercy of political will and the need of putting out fires. This, in turn, along with achômetro (Brazilian popular expression used on unsubstantiated point of view or opinion that is based solely and exclusively on the intuition of the person who says it), composed the metaphor of improvisation in its negative perspective, understood by automatism and unsystematization process. Improvisation, however, emerged as a representation of innovation, creativity, and contextual change.
Final considerations:
both the planning and the transfer of public policies constitute processes that need to be strengthened and qualified in the field of public health.
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Social Representations of health care professionals on Acquired Immune Deficiency Syndrome
Revista Brasileira de Enfermagem. 2018;71(4):1934-1939
Abstract
Social Representations of health care professionals on Acquired Immune Deficiency Syndrome
Revista Brasileira de Enfermagem. 2018;71(4):1934-1939
DOI 10.1590/0034-7167-2015-0001
Views0See moreABSTRACT
Objective:
To apprehend social representation of health care professionals on HIV/AIDS and to compare it with a subgroup of physicians.
Method:
Qualitative research based on the Theory of Social Representations. Free associations for the term HIV/AIDS were collected from 73 workers of public services specialized in HIV/AIDS, in Salvador-Bahia. The results were analyzed in the EVOC software.
Results:
For all health professionals, HIV/AIDS is associated with “prejudice, care, disease and prevention”, and for the subgroup of physicians it is associated with the term “prevention”. Health professionals represented HIV/AIDS similarly to society in general and, due to their normative character, prescribed attitudes typical of health care professionals.
Final considerations:
The findings show that, despite the advances in the health area regarding the treatment of AIDS, prejudice still persists. It is important to strengthen interdisciplinary actions focused on discussions on this theme during training, favoring the comprehensiveness of the assistance.
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Social Determinants of Health in the lives of urinary catheter users
Revista Brasileira de Enfermagem. 2018;71(4):1928-1933
Abstract
Social Determinants of Health in the lives of urinary catheter users
Revista Brasileira de Enfermagem. 2018;71(4):1928-1933
DOI 10.1590/0034-7167-2017-0282
Views0ABSTRACT
Objective:
To identify the influence of social determinants of health on the life conditions of patients who use intermittent urinary catheters.
Method:
This was a descriptive study conducted in a rehabilitation center with 243 neurogenic bladder patients who used clear intermittent urinary catheters. The study was carried out between March 2012 and October 2015, using interviews based on semi-structured instruments, and data analysis using descriptive statistics.
Results:
Most of the patients were men, between 16 and 64 years old, single, with an elementary education level, and a monthly household income of 2 to 3 minimum wages. The results show that the social determinants of health were related to socioeconomic, demographic, and health factors.
Conclusion:
The findings indicate a complex relationship between social determinants of health and the life conditions of patients who use clean intermittent urinary catheters, presenting greater vulnerability related to some aspects of health conditions.
Keywords:Intermittent Urethral CatheterizationNeurogenic Urinary BladderRight to HealthSocial ConditionsSocial Determinants of HealthSee more -
Sepsis-induced acute kidney injury: kidney protection effects by antioxidants
Revista Brasileira de Enfermagem. 2018;71(4):1921-1927
Abstract
Sepsis-induced acute kidney injury: kidney protection effects by antioxidants
Revista Brasileira de Enfermagem. 2018;71(4):1921-1927
DOI 10.1590/0034-7167-2017-0469
Views0See moreABSTRACT
Objective:
To evaluate the antioxidant action of N-acetylcysteine and diosmin-hesperidin in an experimental model of sepsis-induced acute kidney injury in rats.
Methods:
The study used 20 Wistar adult male rats divided into the following groups: control (laparotomy with no induction of abdominal sepsis), sepsis (experimental model of sepsis with cecal ligation and puncture), N-acetylcysteine + sepsis and diosmin-hesperidin + sepsis. The evaluation contemplated physiological parameters (temperature, glycemia, and average blood pressure), kidney function (creatinine clearance), oxidative stress (urinary peroxides) and kidney histology.
Results:
The animals submitted to cecal ligation and puncture (sepsis) presented lower body temperature, lower average blood pressure, reduced creatinine clearance and increased urinary hydrogen peroxide levels. Treatment with diosmin-hesperidin improved kidney function and led to a reduction in the excretion of oxidative metabolites.
Conclusion:
The present study highlighted the protective antioxidant action of diosmin-hesperidin in the experimental model of sepsis-induced acute kidney injury.
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Incidents related to the Hickman® catheter: identification of damages
Revista Brasileira de Enfermagem. 2018;71(4):1915-1920
Abstract
Incidents related to the Hickman® catheter: identification of damages
Revista Brasileira de Enfermagem. 2018;71(4):1915-1920
DOI 10.1590/0034-7167-2017-0051
Views0ABSTRACT
Objective:
to identify damages resulting from incidents with the Hickman® catheter.
Method:
descriptive, retrospective, qualitative approach. The source of data were the notifications of incidents that occurred between January 2012 and May 2015, as well as the information available on the medical records of patients involved in incidents with the Hickman® catheter.
Results:
the incidents related to the Hickman® catheter with the greatest impact on patient care were obstruction, fracture and traction. All incidents caused damage to patients, in a greater or lesser degree, in the dimensions of physical damage and subjective damage.
Final considerations:
damage or potential risk of damage was present in all incidents analyzed. The need to revise cleaning and obstruction protocols for the maintenance of the permeability of Hickman® catheters was demonstrated.
Keywords:Central Venous CathetersDamage to PatientHematopoietic Stem Cell TransplantationNursing CarePatient SafetySee more
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The model professionalism in the implementation of the Nursing Process (1979-2004)
Revista Brasileira de Enfermagem. 2018;71(4):1907-1914
Abstract
The model professionalism in the implementation of the Nursing Process (1979-2004)
Revista Brasileira de Enfermagem. 2018;71(4):1907-1914
DOI 10.1590/0034-7167-2017-0226
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Objective:
to assess the contribution of the introduction and implementation of the Nursing Process of the University Hospital of the Federal University of Santa Catarina (Universidade Federal de Santa Catarina — UFSC) for the progress of the profession from 1979 to 2004.
Method:
qualitative and social-historical study. We used oral and documentary sources for data collection, through semi-structured interviews with 14 nurses and documentary analysis. The study was analyzed under Eliot Freidson theory of content and theoretical reference, on the sociology of professions.
Results:
the challenges mentioned were lack of knowledge; nurses overloaded with responsibilities; precarious physical space and materials; lack of consideration of the Nursing Process by the multiprofessional team. The political participation of the professors of the Nursing Department was fundamental for the successful introduction of the Nursing Process. We emphasize the professional commitment of nurses to face the challenges presented.
Conclusion:
the introduction and implementation of the Nursing Process contributed to the progress of nursing in the state of Santa Catarina regarding appreciation and professionalization.
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Head and neck cancer: validation of a data collection instrument
Revista Brasileira de Enfermagem. 2018;71(4):1899-1906
Abstract
Head and neck cancer: validation of a data collection instrument
Revista Brasileira de Enfermagem. 2018;71(4):1899-1906
DOI 10.1590/0034-7167-2017-0227
Views0See moreABSTRACT
Objective:
construct and validate the content of an instrument to collect data from patients with head and neck cancer (HNC) served in a specialty clinic.
Method:
methodological study consisting of four steps. The first step consisted in the preparation of the instrument using databases and the theoretical model of Marjory Gordon. In the second and third steps the content was validated by eight nursing judges. The evaluation used the Content Validity Index (CVI). The fourth step consisted in a pilot test with seventeen HNC patients.
Results:
of the 88 questions formulated and organized on the dimensions of structure and process submitted to validation, items with CVI lower than 0.80 were excluded. The final instrument was composed of 56 items, with global CVI calculated as 0.87.
Conclusion:
the final instrument presented content validity for data collection in head and neck clinic.
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Cultural adaptation and validation of the Brazilian Version of the Patient Activation Measure-22 items
Revista Brasileira de Enfermagem. 2018;71(4):1891-1898
Abstract
Cultural adaptation and validation of the Brazilian Version of the Patient Activation Measure-22 items
Revista Brasileira de Enfermagem. 2018;71(4):1891-1898
DOI 10.1590/0034-7167-2016-0470
Views0See moreABSTRACT
Objective:
To adapt and validate the Patient Activation Measure (PAM22) in a sample of Brazilians with chronic diseases under outpatient monitoring.
Method:
Adaptation process comprises translation, back translation, analysis by a committee of judges, semantic analysis, and pre-test. Psychometric validation was performed with 513 individuals. Construct validity was analyzed through Pearson’s correlation, Student’s t-test and Structural Equation Modeling; reliability was assessed by the intraclass correlation coefficient and Cronbach’s Alpha.
Results:
The internal consistency was adequate and test-retest reliability was low to moderate (p < 0.05). Validity evidence was found on the convergent construct, with statistically significant correlations between measures of activation, self-esteem, anxiety, depression, and health status. The one-dimensionality of the theoretical model was not confirmed in the adapted version.
Conclusion:
Results have shown that the adapted version is reliable and valid, although the theoretical model cannot be explained in a single dimension.
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