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REVIEW10-18-2022
Decision making by health professionals during COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210067
Abstract
REVIEWDecision making by health professionals during COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210067
DOI 10.1590/0034-7167-2021-0067
Views1See moreABSTRACT
Objective:
To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic.
Methods:
Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated.
Results:
During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria.
Final considerations:
Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.
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ORIGINAL ARTICLE10-18-2022
Nursing professionals’ biosafety in confronting COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20201104
Abstract
ORIGINAL ARTICLENursing professionals’ biosafety in confronting COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20201104
DOI 10.1590/0034-7167-2020-1104
Views0See moreABSTRACT
Objective:
To investigate the nursing professionals’ biosecurity in confronting COVID-19.
Methods:
This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted.
Results:
considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases.
Conclusion:
Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.
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ORIGINAL ARTICLE10-18-2022
Crisis, work and nursing: an ethnographic narrative of the coronavirus pandemic in Primary Care in Spain
Revista Brasileira de Enfermagem. 2022;75:e20210069
Abstract
ORIGINAL ARTICLECrisis, work and nursing: an ethnographic narrative of the coronavirus pandemic in Primary Care in Spain
Revista Brasileira de Enfermagem. 2022;75:e20210069
DOI 10.1590/0034-7167-2021-0069
Views0See moreABSTRACT
Objective:
to narrate the experience of facing a long economic and political crisis and the experience of the arrival process of the coronavirus pandemic in a Spanish healthcare center.
Methods:
this is a descriptive qualitative study with ethnographic analysis, with data collection through interviews, participant observation and field diary records.
Results:
the immersion in the context allowed us to identify two axes of domain: “The crisis, work in the community and the territory in Primary Care”; “The inevitability of being a nurse in facing a health crisis”.
Final considerations:
the narrative portrays the ethics in field research, tensions and values of nursing work in crisis situations. Nurses’ experiences are presented in narratives of dissatisfaction and difficulties, but with the support of values related to guaranteeing assistance to users and cooperation and solidarity in the collective organization of workers to face the COVID-19 crisis.
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ORIGINAL ARTICLE10-17-2022
Construction and validation of clinical scenarios for training informal caregivers of dependent persons
Revista Brasileira de Enfermagem. 2022;75(5):e20220140
Abstract
ORIGINAL ARTICLEConstruction and validation of clinical scenarios for training informal caregivers of dependent persons
Revista Brasileira de Enfermagem. 2022;75(5):e20220140
DOI 10.1590/0034-7167-2022-0140
Views0See moreABSTRACT
Objective:
To construct and validate three clinical scenarios for training dependent persons’ informal caregivers.
Methods:
Methodological study, conducted between January and August 2021, in a municipality in the northwest of the state of Paraná. It was developed in two stages: construction of scenarios; and content validation by experts (n = 12). To estimate the degree of agreement between the experts, the content validity index was used, and 80% was considered an acceptable rate of agreement.
Results:
The simulation scenarios proved appropriate, obtaining an average value of 91.6%. However, some adjustments were made in their organization pertaining clarity in the wording of guidelines, as suggested by the expert validators.
Conclusions:
The construction and validation of the clinical scenarios proved to be adequate and relevant for use in the training of informal caregivers of dependent persons.
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ORIGINAL ARTICLE10-17-2022
Semantic validation of educational technology with caregivers of children and adolescents undergoing chemotherapy
Revista Brasileira de Enfermagem. 2022;75(5):e20220294
Abstract
ORIGINAL ARTICLESemantic validation of educational technology with caregivers of children and adolescents undergoing chemotherapy
Revista Brasileira de Enfermagem. 2022;75(5):e20220294
DOI 10.1590/0034-7167-2022-0294
Views0See moreABSTRACT
Objective:
Semantically validate an educational technology with the caregiver of children and adolescents undergoing chemotherapy.
Method:
Methodological study, with a quantitative approach, guided by the theoretical framework of psychometry, developed between March and April 2022, with nine caregivers of children and adolescents undergoing chemotherapy. Educational technology is a digital animation film about the pediatric chemotherapy treatment process, used as a tool for health education.
Results:
In the reliability assessment, the Intraclass Correlation Coefficient was 0.936 [95%CI 0.868-0.984] with p < 0.05 and Cronbach’s alpha of 0.943, demonstrating satisfactory internal consistency. Regarding the semantic analysis, the domains related to objectives, organization, language, appearance, and motivation showed an agreement rate above 80%.
Conclusion:
Educational technology showed satisfactory rates, proving to be a valid, reliable, and important instrument to be used by caregivers of children and adolescents undergoing chemotherapy.
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ORIGINAL ARTICLE10-17-2022
Validation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision
Revista Brasileira de Enfermagem. 2022;75(5):e20220100
Abstract
ORIGINAL ARTICLEValidation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision
Revista Brasileira de Enfermagem. 2022;75(5):e20220100
DOI 10.1590/0034-7167-2022-0100
Views0See moreABSTRACT
Objective:
To validate the Brazilian Portuguese translation and analyze the cultural adaptation of the Venous International Assessment Scale.
Methods:
Observational study by employing the Delphi technique and an equivalence evaluation by experts. The results were analyzed using item scores and by content validity index calculations of item, scale, and universal agreement.
Results:
Three rounds of evaluation were necessary for consensus. Explanatory contents were incorporated into the original scale throughout the process, resulting in a new version: VIA Scale – Revised. This scale obtained a content validity index of 0.96 and a universal agreement of 0.78. In the cross-cultural adequacy analysis phase, a score of 0.77 was obtained. The majority (90.5%) of the participants judged the scale’s decision support property as positive.
Conclusion:
The VIA Scale was validated and culturally adapted to the Brazilian Portuguese language, resulting in the VIA Scale – Revised (VIA-R).
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ORIGINAL ARTICLE10-17-2022
Serial album on Continuous Insulin Infusion System as an innovative educational technology in diabetes
Revista Brasileira de Enfermagem. 2022;75(5):e20210277
Abstract
ORIGINAL ARTICLESerial album on Continuous Insulin Infusion System as an innovative educational technology in diabetes
Revista Brasileira de Enfermagem. 2022;75(5):e20210277
DOI 10.1590/0034-7167-2021-0277
Views1See moreABSTRACT
Objective:
to build and validate a serial album content and appearance on insulin therapy using a Continuous Infusion System.
Method:
a methodological study, carried out in three stages in Fortaleza, Ceará, Brazil, from August to November 2018. The serial album construction and content and appearance validity were carried out by experts, and assessment, by the target audience. Content Validity Index and Concordance Index were calculated.
Results:
the judges considered the serial album content and appearance to be valid, which means that the material is suitable as an educational technology. Experts suggested adjustments, incorporated into the material for print production of the final version. The target audience also assessed the serial album positively.
Conclusion:
we realized that the serial album was considered an innovative educational technology in diabetes, valuable for promoting knowledge about Continuous Insulin Infusion System, with rich, updated content, combined with clarity, suitable format and explanatory illustrations.
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10-17-2022
COVID-19 Vaccination Campaign: Fake News Infodemic
Revista Brasileira de Enfermagem. 2022;75(4):e750401
Abstract
COVID-19 Vaccination Campaign: Fake News Infodemic
Revista Brasileira de Enfermagem. 2022;75(4):e750401
DOI 10.1590/0034-7167.2022750401
Views0Globalization has reached the 21st century in the same harmony and dissemination as social networks, similar or correlated with the digital/virtual world as a source of information and advice on Brazilian and international public health. Therefore, people contaminated the cybernetic communication process with various information, true and/or false, causing what is known today as infodemic.Fake […]See more
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ORIGINAL ARTICLE07-08-2020
Patient safety: perception of family members of hospitalized children
Revista Brasileira de Enfermagem. 2020;73(5):e20190525
Abstract
ORIGINAL ARTICLEPatient safety: perception of family members of hospitalized children
Revista Brasileira de Enfermagem. 2020;73(5):e20190525
DOI 10.1590/0034-7167-2019-0525
Views0See moreABSTRACT
Objectives:
to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration.
Methods:
this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method.
Results:
child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members.
Final Considerations:
family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.
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ORIGINAL ARTICLE02-10-2020
Motivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
Abstract
ORIGINAL ARTICLEMotivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
DOI 10.1590/0034-7167-2018-0188
Views0See moreABSTRACT
Objective:
To understand what factors motivate people to reduce or stop tobacco use and what difficulties they face in this process.
Method:
Qualitative, empirical and interpretative research that used a focal group technique for data collection and Discourse Analysis as a theoretical reference for analysis.
Results:
The responses centered on the following aspects: motivation for reduction or cessation of smoking, family and community support received during treatment, benefits from cessation of tobacco, difficulties encountered and strategies for overcoming triggers.
Final Considerations:
The results showed that the users expressed their desire for cessation of tobacco use and that to achieve this goal, family and group support, professional help and changing habits are key factors for this process.
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08-20-2021
Historicity of nursing graduate studies in Brazil: an analysis of the Sociology of the Professions
Revista Brasileira de Enfermagem. 2021;74(6):e20190827
Abstract
Historicity of nursing graduate studies in Brazil: an analysis of the Sociology of the Professions
Revista Brasileira de Enfermagem. 2021;74(6):e20190827
DOI 10.1590/0034-7167-2019-0827
Views0See moreABSTRACT
Objectives:
to analyze the scientific productions about the history of graduate studies in Brazilian nursing in the light of Eliot Freidson’s Sociology of the Professions.
Methods:
an integrative review, carried out in the databases indexed in Virtual Health Library. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations were followed. Thematic content analysis and Eliot Freidson’s concepts were adopted.
Results:
two categories emerged: “Institutionalization of graduate courses in Brazilian nursing”, highlighting the historical process of professionalization in nursing through transition from empirical to professional care, subsidized by the monopoly of the construction of one’s own knowledge; “The scientific production of graduate nursing in Brazil”, showing the strengthening of a new generation of nurse researchers, given the greater scientificity in teaching due to implementation of graduate studies.
Final Considerations:
the analyzes present the historicity of graduate studies’ institutionalization, supporting the understanding of professionalization outlines of Brazilian nursing.
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ORIGINAL ARTICLE12-21-2020
Knowledge and practices of nursing professionals in caring for ostomates
Revista Brasileira de Enfermagem. 2020;73:e20200018
Abstract
ORIGINAL ARTICLEKnowledge and practices of nursing professionals in caring for ostomates
Revista Brasileira de Enfermagem. 2020;73:e20200018
DOI 10.1590/0034-7167-2020-0018
Views0See moreABSTRACT
Objective:
to analyze the knowledge and practices of nursing professionals in caring for people with colostomy bag.
Method:
a qualitative and descriptive study conducted with 21 nursing professionals from a General Surgery Unit. Data collection used triangulation of techniques, based on non-participant observation, analysis of nursing records, and semi-structured interviews. Analysis followed the spiral technique assumptions.
Results:
it was possible to comprehend the theoretical and scientific knowledge that subsidize practice; identify contradictions related to statement and care in the profession’s daily work and the intervening factors, which can facilitate and/or make the nursing care process difficult.
Final Considerations:
knowledge and practices of professionals in caring for ostomates occur within work experiences, in which socialization of knowledge makes it possible to expand the perspectives of care.
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REFLECTION04-03-2020
Environmental health: emancipatory care challenges and possibilities by the nurse
Revista Brasileira de Enfermagem. 2020;73(3):e20180478
Abstract
REFLECTIONEnvironmental health: emancipatory care challenges and possibilities by the nurse
Revista Brasileira de Enfermagem. 2020;73(3):e20180478
DOI 10.1590/0034-7167-2018-0478
Views0See moreABSTRACT
Objectives:
to discuss challenges and possibilities for the construction of Environmental Health emancipatory care practices by the nurse.
Methods:
reflective analysis based on conceptual, theoretical, and methodological aspects of nursing care, under the emancipatory and critical perspective.
Results:
contemporary environmental issues involve complex determinants of the health-disease process. This fact requires the accomplishment of educative actions that encourage the change of environmental attitudes related to health-risk situations. In this sense, there are significant demands for emancipatory practices of primary care in Environmental Health by nurses, which need to be systematized by health and education institutions.
Final considerations:
the nurse, as an educator and social actor, should offer emancipatory practices of risk management, empowerment, and shared social and environmental responsibility, with a view to recovering an ecological well-being and social transformation, to improve environmental quality and human life.
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ORIGINAL ARTICLE09-16-2019
Playful educational intervention with schoolchildren on intestinal parasitosis
Revista Brasileira de Enfermagem. 2019;72(5):1203-1210
Abstract
ORIGINAL ARTICLEPlayful educational intervention with schoolchildren on intestinal parasitosis
Revista Brasileira de Enfermagem. 2019;72(5):1203-1210
DOI 10.1590/0034-7167-2017-0551
Views0See moreABSTRACT
Objective:
To analyze the playful educational interventions in the knowledge of schoolchildren about intestinal parasitosis.
Method:
This is a quasi-experimental, non-randomized study, based on pre- and post-intervention, conducted in a public elementary school in a peripheric neighborhood in the city of Ribeirão Preto (SP). The study population consisted of 101 students enrolled in the 5th and 6th grade. For comparison, we used the generalized version of the McNemar chi-squared test.
Results:
Of the 101 schoolchildren who participated in the study, 48 (47.5%) were female and 53 (52.5%) were male, aged from 9 to 14 years. Students’ knowledge on intestinal parasitic infections has increased significantly after the playful educational intervention.
Conclusion:
Playful educational interventions are an excellent didactical resource in the teaching-learning process of schoolchildren.
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ORIGINAL ARTICLE12-13-2019
Self-care deficits in women with leg ulcers and sickle cell disease
Revista Brasileira de Enfermagem. 2019;72:72-78
Abstract
ORIGINAL ARTICLESelf-care deficits in women with leg ulcers and sickle cell disease
Revista Brasileira de Enfermagem. 2019;72:72-78
DOI 10.1590/0034-7167-2018-0005
Views0See moreABSTRACT
Objective:
to identify self-care deficits in women with leg ulcers and sickle cell disease.
Method:
a qualitative, descriptive, exploratory approach with 14 women. The collection was performed from December 2015 to January 2016, while the analysis was supported by Orem’s Self-Care Deficit Theory.
Results:
self-care requirements are not fully met. The following were identified as universal: balance between loneliness and social interaction, rest and proper nutrition; development: inability to perform work, abrupt changes in the environment due to hospitalization, educational deprivation and dropout; health deviations: ulcer recurrences, pain, changes in skin appearance and gait changes.
Conclusion:
nursing care for women with leg ulcers and sickle cell disease requires planned actions for comprehensive care.
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EXPERIENCE REPORT02-05-2021
Paulo Freire’s culture circles: contributions to nursing research, teaching, and professional practice
Revista Brasileira de Enfermagem. 2021;74(1):e20190626
Abstract
EXPERIENCE REPORTPaulo Freire’s culture circles: contributions to nursing research, teaching, and professional practice
Revista Brasileira de Enfermagem. 2021;74(1):e20190626
DOI 10.1590/0034-7167-2019-0626
Views0See moreABSTRACT
Objectives:
to share the contributions of culture circles for teaching, research, and professional nursing practice, having as framework Paulo Freire’s Research Itinerary.
Methods:
this is an experience report of a culture circle, with participation of three professors and ten students, enrolled in a course of a Graduate Program in Nursing in southern Brazil. In this culture circle, a tree was built in which the roots formed the thematic investigation, the stem, coding and decoding, and the leaves, the Research Itinerary critical unveiling.
Results:
participants demonstrated empowerment of Paulo Freire’s assumptions, and building a tree made it possible to discuss in a pleasant and playful way culture circle use in teaching, research, and professional nursing practice.
Final Considerations:
the culture circle promoted reflection and action on nursing praxis, turning Freirean thoughts into something concrete and transforming realities.
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