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RESEARCH01-01-2018
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
Abstract
RESEARCHThe adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
Views1See moreABSTRACT
Objective:
To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.
Method:
A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.
Results:
Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.
Conclusion:
The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.
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RESEARCH01-01-2018
Assessment of the essential attributes of Primary Health Care for children
Revista Brasileira de Enfermagem. 2018;71:1366-1372
Abstract
RESEARCHAssessment of the essential attributes of Primary Health Care for children
Revista Brasileira de Enfermagem. 2018;71:1366-1372
DOI 10.1590/0034-7167-2017-0569
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Objective:
To identify the presence and extent of essential attributes in primary health care services for children, focusing on the evaluation of structure and process.
Method:
Evaluative, quantitative study carried out in 23 traditional basic health units in a city in Parana State, with 548 caregivers of children under 12 years old, using the Primary Care Assessment Instrument (PCATool Brazil), child version. Essential and general scores of the primary care were calculated according to the methodology proposed, with a cut-off score ≥6.6.
Results:
The scores of the essential attributes in relation to structure are: Accessibility (5.5), Kinship (6.9), Integrality of care – Services Available (6.0) and Coordination – System information (7.4). As for the Process, the following results were obtained: First visit – Use (8.6), Longitudinally (6.1), Integrality – Services Provided (6.1) and Coordination – Integration of Care (6.9).
Conclusion:
The essential score was 6.6 and the general score was 6.3, showing weak focus on primary health care.
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RESEARCH01-01-2018
Sleep and salivary cortisol in preterm neonates: a clinical, randomized, controlled, crossover study
Revista Brasileira de Enfermagem. 2018;71:1358-1365
Abstract
RESEARCHSleep and salivary cortisol in preterm neonates: a clinical, randomized, controlled, crossover study
Revista Brasileira de Enfermagem. 2018;71:1358-1365
DOI 10.1590/0034-7167-2017-0546
Views0See moreABSTRACT
Objective:
Analyze the influence of ear protectors on the baseline levels of salivary cortisol and response and total sleep time of preterm neonates during two periods of environmental management of a neonatal intermediate care unit.
Method:
A clinical, randomized, controlled and crossover study conducted with 12 preterm neonates. The use of ear protectors was randomized in two periods. Sleep evaluation was performed using one Alice 5 Polysomnography System and unstructured observation.
Results:
No significant difference was observed between the baseline levels of salivary cortisol and response in preterm neonates from the control and experimental groups, and no statistical significance was observed between the total sleep time of both groups. No relationship was observed between the baseline levels of cortisol and response and total sleep time.
Conclusion:
Ear protectors in preterm neonates did not influence the salivary cortisol level and total sleep time in the studied periods.
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RESEARCH01-01-2018
Reflections of nurses in search of a theoretical framework for maternity care
Revista Brasileira de Enfermagem. 2018;71:1351-1357
Abstract
RESEARCHReflections of nurses in search of a theoretical framework for maternity care
Revista Brasileira de Enfermagem. 2018;71:1351-1357
DOI 10.1590/0034-7167-2016-0525
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Objective:
To define a theoretical framework to guide the systematization of nursing care in a maternity unit in the South of Brazil.
Method:
This was the preliminary stage of a qualitative methodological study, based on an educational activity and the assumptions of Paulo Freire, involving 15 nurses, between August and November 2015. The aim of data analysis was to identify emerging themes.
Results:
The following themes emerged: knowledge of nurses about nursing theories; barriers to implementing and systematizing nursing care; the importance of a framework to guide practice and; educational activities as opportunities to systematize nursing care.
Conclusion:
The discussion process involved in establishing the theoretical framework enabled reflections about nursing practices, reinforcing the importance of theoretical frameworks to guide work processes and enhance quality of care.
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RESEARCH01-01-2018
Pain in the immediate puerperium: nursing care contribution
Revista Brasileira de Enfermagem. 2018;71:1343-1350
Abstract
RESEARCHPain in the immediate puerperium: nursing care contribution
Revista Brasileira de Enfermagem. 2018;71:1343-1350
DOI 10.1590/0034-7167-2017-0345
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Objective:
to analyze the contribution of clinical nursing care to the mother who has recently given birth with immediate postpartum pain based on the Kolcaba’s Theory of Comfort.
Method:
qualitative study by the research-care method. Three nurses, who provided care for women in the immediate puerperium as caregiver-researchers and 30 postpartum women, were admitted to a public maternity hospital. A semi-structured interview was used for data collection, from which the thematic analysis of the content was carried out.
Results:
nursing care with influences from the biomedical model was observed, but it expresses concern when being cared for. It offers administration of medications, guidelines and non-pharmacological measures for pain relief.
Final considerations:
nursing care based on the Theory of Comfort contributed to pain relief in the immediate puerperium.
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RESEARCH01-01-2018
Instructional therapeutic toy in the culture care of the child with diabetes type 1
Revista Brasileira de Enfermagem. 2018;71:1334-1342
Abstract
RESEARCHInstructional therapeutic toy in the culture care of the child with diabetes type 1
Revista Brasileira de Enfermagem. 2018;71:1334-1342
DOI 10.1590/0034-7167-2017-0260
Views0See moreABSTRACT
Objective:
To analyze the experience of the child with diabetes type 1 in the care related to the techniques of glycemic monitoring and insulin application by use of instructional therapeutic toy, in accordance with the culture care.
Method:
Qualitative study with premise of the ethnonursing carried out in secondary public service of reference in the treatment of diabetes, in the city Fortaleza, Ceará State, between January and November of 2014, among 26 school-age children. Based on the Observation, Participation, Reflection Enabler, were developed educational activities using instructional therapeutic toy.
Results:
The children expressed doubts regarding the insulin therapy and the glycaemia checking. They also were interested in the orientations mediated by means of the therapeutic toy in the culture care. They asked about the rotation, location and administration of the insulin. Some children asked for the syringes to play and learn how to inject it in the dolls.
Conclusion:
To bring in this activity promoted approximation and effective communication with the child in the educational approach, increasing its ability in the self care.
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RESEARCH01-01-2018
Permanent Education in a neonatal unit from Culture Circles
Revista Brasileira de Enfermagem. 2018;71:1328-1333
Abstract
RESEARCHPermanent Education in a neonatal unit from Culture Circles
Revista Brasileira de Enfermagem. 2018;71:1328-1333
DOI 10.1590/0034-7167-2016-0587
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Objective:
to identify the factors that hinder and facilitate the work of the nursing team in a neonatal unit and to know the demands of Permanent Education described by the nursing team, emerging from the daily care.
Method:
qualitative study that followed the steps recommended by the “Paulo Freire’s Method” carried out with 29 professionals of the nursing team of a neonatal unit of a university hospital. Three Culture Circles were carried out to identify the generating themes.
Results:
The themes generated were organized according to the issues covered in the interviews and during the Culture Circles, with four themes being highlighted: lack of routines; training; improvement of coexistence of the team and improvement of management process.
Final considerations:
The study made it possible to know the factors that hinder and facilitate the routine practice of nursing professionals by identifying the emergent themes of the Culture Circles that favored the critical reflection of the group, generating subsidies for the collective elaboration of the Permanent Education program in neonatal unit.
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RESEARCH01-01-2018
Existential experience of children with cancer under palliative care
Revista Brasileira de Enfermagem. 2018;71:1320-1327
Abstract
RESEARCHExistential experience of children with cancer under palliative care
Revista Brasileira de Enfermagem. 2018;71:1320-1327
DOI 10.1590/0034-7167-2016-0493
Views0See moreABSTRACT
Objective:
To understand the existential experience of children with cancer under Palliative Care from the Humanistic Nursing Theory’s point of view.
Method:
This is a field and qualitative research, in which eleven children participated, supported by the Support Centre for Children with Cancer in Paraíba State. To collect data it was used the Story Drawing Procedure. The data were qualitatively analyzed based on Humanistic Nursing Theory.
Results:
From the analysis of the empirical study’s subject, the following thematic categories have emerged: children experiencing fear, sadness, anguish and insecurity in the face of their diagnosis and children experiencing fear of their family falling apart because of the possibility of dying.
Conclusion:
It is fundamental the participation of nurses in the Palliative Care to the children with cancer in order to strengthen the trust between the children and the professional to have the relationship of dialogue as central axis.
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ORIGINAL ARTICLE12-13-2019
Quality of life in the climacteric of nurses working in primary care
- Geyslane Pereira Melo de Albuquerque
, - Fátima Maria da Silva Abrão ,
- Ana Maria de Almeida ,
- Débora Larissa Rufino Alves ,
- Priscyla de Oliveira Nascimento Andrade , [ … ],
- Aurélio Molina da Costa
Abstract
ORIGINAL ARTICLEQuality of life in the climacteric of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72:154-161
DOI 10.1590/0034-7167-2018-0306
- Geyslane Pereira Melo de Albuquerque ,
- Fátima Maria da Silva Abrão ,
- Ana Maria de Almeida ,
- Débora Larissa Rufino Alves ,
- Priscyla de Oliveira Nascimento Andrade ,
- Aurélio Molina da Costa
Views0See moreABSTRACT
Objective:
to evaluate the quality of life of primary care nurses in the climacteric.
Method:
A cross-sectional descriptive-analytic study, performed with 98 female nurses, aged 40-65 years, using the WHOQOL-Bref questionnaire.
Results:
the worst level of quality of life was observed for professionals aged 50-59 years, non-white, specialists, divorced or widowed, with children, a lower income, with another employment relationship, a weekly workload of more than 40 hours, who consumed alcoholic beverages weekly, with chronic disease, in continuous use of medications, sedentary, who did not menstruate and did not receive hormonal treatment, and who went through menopause between the ages of 43-47 years.
Conclusion:
Although the variables “physical activity” and “age” have a statistically significant association with quality of life, other variables seem to interfere in these professionals’ lives, indicating the need for a more critical and deep reflection on these relations.
- Geyslane Pereira Melo de Albuquerque
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ORIGINAL ARTICLE12-05-2019
Perception of nursing workers on the care of hypertension in older adult
- Rosimeire Fontes de Queiroz ,
- Angela Maria Alvarez ,
- Luana Jordana Morais ,
- Richardson Augusto Rosendo da Silva
Abstract
ORIGINAL ARTICLEPerception of nursing workers on the care of hypertension in older adult
Revista Brasileira de Enfermagem. 2019;72:3-13
DOI 10.1590/0034-7167-2016-0681
- Rosimeire Fontes de Queiroz ,
- Angela Maria Alvarez ,
- Luana Jordana Morais ,
- Richardson Augusto Rosendo da Silva
Views0See moreABSTRACT
Objective:
To understand how nursing workers perceive care of hypertension (HBP) in older adult within the scope of the Family Health Strategy.
Method:
A qualitative descriptive study carried out in the city of Natal/RN, with 20 nursing workers providing care to older adults with HBP. The data were obtained through a semi-structured interview and analysed by the Thematic Analysis, based on the theoretical support of the integrality, using Atlas.ti 7.0 software.
Results:
The elements found as facilitators were: territorialization, partnerships, professional proactivity and the user’s bond with the team. Among those found as barriers were: disease-centered care; academic education based on the biomedical model; lack of inter-sectorality and discontinuity of care in the care network.
Final considerations:
Nursing workers perceive that health institutions lack articulated and innovative practices that incorporate new paradigms focused on integrality of care.
- Rosimeire Fontes de Queiroz
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ORIGINAL ARTICLE07-13-2020
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo , [ … ],
- Gilberto de Lima Guimarães
Abstract
ORIGINAL ARTICLECulture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
DOI 10.1590/0034-7167-2019-0576
- Juliana Maria Almeida do Carmo ,
- Isabel Yovana Quispe Mendoza ,
- Vania Regina Goveia ,
- Kleyde Ventura de Souza ,
- Bruna Figueiredo Manzo ,
- Gilberto de Lima Guimarães
Views0See moreABSTRACT
Objectives:
to assess the patient safety culture of the health team working in three maternity hospitals.
Methods:
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
Results:
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
Conclusions:
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
- Juliana Maria Almeida do Carmo
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ORIGINAL ARTICLE04-07-2023
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
- Lia Leão Ciuffo ,
- Tania Vignuda de Souza ,
- Thais Mello de Freitas ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Keila Cristina Oliveira dos Santos , [ … ],
- Roberta de Oliveira Jaime Ferreira Lima dos Santos
Abstract
ORIGINAL ARTICLEThe use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
- Lia Leão Ciuffo ,
- Tania Vignuda de Souza ,
- Thais Mello de Freitas ,
- Juliana Rezende Montenegro Medeiros de Moraes ,
- Keila Cristina Oliveira dos Santos ,
- Roberta de Oliveira Jaime Ferreira Lima dos Santos
Views0See moreABSTRACT
Objectives:
to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.
Methods:
qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.
Results:
the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.
Final Considerations:
although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
- Lia Leão Ciuffo
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ORIGINAL ARTICLE02-10-2020
Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers
- Lucídio Clebeson de Oliveira ,
- Harlon França de Menezes ,
- Richardson Lemos de Oliveira ,
- Dhyanine Morais de Lima ,
- Sâmara Fontes Fernandes , [ … ],
- Richardson Augusto Rosendo da Silva
Abstract
ORIGINAL ARTICLEMobile care service for psychiatric urgencies and emergencies: perception of nursing workers
Revista Brasileira de Enfermagem. 2020;73(1):e20180214
DOI 10.1590/0034-7167-2018-0214
- Lucídio Clebeson de Oliveira ,
- Harlon França de Menezes ,
- Richardson Lemos de Oliveira ,
- Dhyanine Morais de Lima ,
- Sâmara Fontes Fernandes ,
- Richardson Augusto Rosendo da Silva
Views0See moreABSTRACT
Objective:
To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência).
Method:
Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis.
Results:
The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions.
Final considerations:
Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.
- Lucídio Clebeson de Oliveira
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REVIEW02-25-2022
COVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200859
Abstract
REVIEWCOVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200859
DOI 10.1590/0034-7167-2020-0859
Views1See moreABSTRACT
Objective:
To analyze Brazilian and international scientific publications about the stress experienced by health professionals in the hospital context during the COVID-19 pandemic.
Methods:
Integrative literature review carried out on the SciELO, ScienceDirect, and LILACS databases, and sources of official Brazilian institutions, with documents published by May 2020.
Results:
Of the 26 selected references, 19 (73.08%) were indexed articles, and 7 (26.92 %) were obtained from official institutions. The study found that stress is mainly due to the overload of hospital services, the removal of professionals, the insufficiency of personal protective equipment and strict biosecurity measures, challenges in the allocation of available resources, and the risk of contamination by COVID-19.
Final considerations:
The stress experienced by health professionals in hospital institutions during the pandemic can trigger occupational and psychological problems.
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ORIGINAL ARTICLE02-25-2022
Diabetes mellitus type 2: factors related to adherence to self-care
- Raquel de Aguiar Portela ,
- José Rodrigo Santos Silva ,
- Flávia Baluz Bezerra de Farias Nunes ,
- Maria Lúcia Holanda Lopes ,
- Rosângela Fernandes Lucena Batista , [ … ],
- Andréa Cristina Oliveira Silva
Abstract
ORIGINAL ARTICLEDiabetes mellitus type 2: factors related to adherence to self-care
Revista Brasileira de Enfermagem. 2022;75(4):e20210260
DOI 10.1590/0034-7167-2021-0260
- Raquel de Aguiar Portela ,
- José Rodrigo Santos Silva ,
- Flávia Baluz Bezerra de Farias Nunes ,
- Maria Lúcia Holanda Lopes ,
- Rosângela Fernandes Lucena Batista ,
- Andréa Cristina Oliveira Silva
Views0See moreABSTRACT
Objectives:
to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2.
Methods:
quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão.
Results:
the adherence to self-care was greater when it comes to medications (Md=7.0) and foot care (Md= 6.0), but lower in regard to blood sugar testing (Md=1.0), exercise (Md=2,0), and diet (general) (Md=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities.
Conclusions:
identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.
- Raquel de Aguiar Portela
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ORIGINAL ARTICLE11-29-2022
Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis
- José Nildo de Barros Silva Júnior ,
- Haline Costa dos Santos Guedes ,
- Dilyane Cabral Januário ,
- Ana Cristina de Oliveira e Silva ,
- Pedro Fredemir Palha , [ … ],
- Anne Jaquelyne Roque Barrêto
Abstract
ORIGINAL ARTICLEUnsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis
Revista Brasileira de Enfermagem. 2022;75(3):e20210316
DOI 10.1590/0034-7167-2021-0316
- José Nildo de Barros Silva Júnior ,
- Haline Costa dos Santos Guedes ,
- Dilyane Cabral Januário ,
- Ana Cristina de Oliveira e Silva ,
- Pedro Fredemir Palha ,
- Matheus Figueiredo Nogueira ,
- Anne Jaquelyne Roque Barrêto
Views0See moreABSTRACT
Objectives:
to evaluate the completeness of nurses’ records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care.
Methods:
this was a retrospective documental study, with 190 records in Family Health Units of a city in the state of Paraíba. The data were analyzed according to descriptive statistics, Pareto Diagram, and trend analysis.
Results:
the overall mean incompleteness of records was 53.01% (DP=26.13). Therefore, the results presented very poor completeness classification related to nursing diagnosis (88.9%), nursing assessment (66.8%), data collection (60.5%), while nursing interventions were classified as regular (11.1%). The nursing diagnosis was the only variable with a decreasing trend of non-completeness.
Conclusions:
incompleteness of nurses’ records in the medical records of users with tuberculosis. Evaluation strategies, permanent and continuing education are indispensable in the quality of nurses’ documentation, directly implying the Systematization of Quality in Nursing Care.
- José Nildo de Barros Silva Júnior
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