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ORIGINAL ARTICLE07-29-2022
Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210818
Abstract
ORIGINAL ARTICLECognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210818
DOI 10.1590/0034-7167-2021-0818
Views0See moreABSTRACT
Objective:
to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy.
Methods:
a randomized clinical trial study, with 41 participants randomized into intervention (n=20) and control (n=21), for three months. The intervention group received the cognitive-behavioral program, while the control group received routine guidance from the service. Outcome variables were urinary incontinence intensity and lower urinary tract symptoms, assessed by the Pad-Test and Urinary Incontinence Scale of Radical Prostatectomy and King’s Health Questionnaire.
Results:
at the end of the study, the intervention group had a lower urinary incontinence intensity (p≤0.001), and there were less chances of presenting changes in urinary frequency (p≤0.001), urinary urgency (p≤0.001), nocturia (p=0.005), stress urinary incontinence (p≤0.001) and urge incontinence (p≤0.045).
Conclusion:
the cognitive-behavioral program was effective in reducing lower urinary tract symptoms after radical prostatectomy. Brazilian Clinical Trial Registry: RBR-3sstqg.
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ORIGINAL ARTICLE07-22-2022
Lilalva Scale: soft-hard technology to measure clinical competencies in emergencies of nurses
Revista Brasileira de Enfermagem. 2022;75(5):e20210950
Abstract
ORIGINAL ARTICLELilalva Scale: soft-hard technology to measure clinical competencies in emergencies of nurses
Revista Brasileira de Enfermagem. 2022;75(5):e20210950
DOI 10.1590/0034-7167-2021-0950
Views0See moreABSTRACT
Objectives:
to present the visual identity of a soft-hard technology; to describe its technical characteristics, standardization and norms of criteria for the interpretation of results, in order to measure clinical competencies in emergencies of nurses.
Methods:
article developed as a methodological study for the creation of the graphic image of the scale and standardization based on previous studies of validity and reliability evidence.
Results:
the designed technology was named “Lilalva Scale for Measuring Clinical Competencies in Emergencies of Nurses”. The graphic image text is organized by title, instructions on how to fill it out, description of the quality of delivery, and behavioral actions with respective degrees of response. The Scale has 22 items with characterization data. The standardization of the measurement instrument included: instructions for use, calculation protocol, and hypothetical example to calculate scores, the sum of the resulting scores metric for each clinical competence and diagnostic classification.
Conclusions:
the visual identity and the standardization instrumentalize the use of the Scale for those interested in the theme.
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ORIGINAL ARTICLE07-22-2022
Educational technology to promote father involvement in childbirth and birth
Revista Brasileira de Enfermagem. 2022;75(5):e20210243
Abstract
ORIGINAL ARTICLEEducational technology to promote father involvement in childbirth and birth
Revista Brasileira de Enfermagem. 2022;75(5):e20210243
DOI 10.1590/0034-7167-2021-0243
Views0See moreABSTRACT
Objectives:
to build and validate an educational booklet to promote the involvement of parents in labor and birth.
Methods:
methodological study developed in five stages: situational diagnosis; bibliographic survey; construction of illustrations, layout, design and texts; content and appearance validation by judges (25 experts) and calculation of the Flesch Readability Index; and validation with the target audience (12 parents). A minimum Content Validity Index of 0.80 was considered.
Results:
the booklet was entitled “Father Presence” and was developed in 11 topics. In Content and Appearance Validation, the Validity Index obtained an overall score of 0.97. Cronbach’s alpha was 0.92, indicating excellent reliability of its content. A global score of 74% for readability was obtained, considered easy to understand.
Conclusions:
the material was successful in the validation process, and it can be recommended for parents to use it during the prenatal period, promoting the inclusion of the partner and preparing them for labor and birth.
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ORIGINAL ARTICLE07-22-2022
Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
Abstract
ORIGINAL ARTICLEImplementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
DOI 10.1590/0034-7167-2021-0614
Views0See moreABSTRACT
Objectives:
to describe the operationalization of the steps of a model proposed by the Pan American Health Organization for implementing advanced practice nursing in Primary Health Care services.
Methods:
a methodological study, with a qualitative approach, carried out in a local health system located in southern São Paulo. The first six steps of the model were followed: 1) improve health outcomes; 2) identify stakeholders; 3) determine unmet health needs; 4) identify priorities and goals to introduce advanced nursing practices in primary health care; 5) define advanced practice nursing in primary health care; 6) plan implementation strategies.
Results:
in each step, the objectives, methodological strategies and operationalization were described.
Final Considerations:
the model proved to be effective to support the process of development and implementation of advanced practice nursing in the local system studied.
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ORIGINAL ARTICLE07-22-2022
Effects of carbohydrate use on preoperative thirst: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210355
Abstract
ORIGINAL ARTICLEEffects of carbohydrate use on preoperative thirst: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210355
DOI 10.1590/0034-7167-2021-0355
Views0See moreABSTRACT
Objectives:
to evaluate the effectiveness of carbohydrate popsicles, carbohydrate solution, and usual care (fasting) on the intensity and discomfort of preoperative thirst.
Methods:
a randomized clinical trial with 60 preoperative patients aged between 18 and 60 years, randomized into three groups: control (fasting), carbohydrate solution (100 ml), and carbohydrate popsicle (100 ml). The outcomes were thirst intensity and discomfort.
Results:
there was a difference between groups for final thirst intensity (p = 0.01) and final thirst discomfort (p = 0.001). The effect size for both the Solution Group and the Popsicle Group was robust: 0.99 and 1.14, respectively.
Conclusions:
the groups that received the carbohydrate fasting abbreviation showed a reduction in thirst discomfort compared to the control group. The carbohydrate popsicle proved more effective in reducing the intensity of thirst. NCT: 3.209.283
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ORIGINAL ARTICLE07-22-2022
Cross-cultural adaptation, validation and reliability of the Medication Safety Thermometer tool for use in Brazil
Revista Brasileira de Enfermagem. 2022;75(5):e20210839
Abstract
ORIGINAL ARTICLECross-cultural adaptation, validation and reliability of the Medication Safety Thermometer tool for use in Brazil
Revista Brasileira de Enfermagem. 2022;75(5):e20210839
DOI 10.1590/0034-7167-2021-0839
Views0See moreABSTRACT
Objectives:
to perform cross-cultural adaptation, face and content validation and reliability analysis of the Medication Safety Thermometer tool for use in Brazil.
Methods:
the process of cross-cultural adaptation and validation followed the stages of translation, synthesis of translations, back-translation, content validation performed by experts, and face validation through pre-testing. Reliability was determined by calculating the Kappa coefficient.
Results:
the two translated versions were synthesized into a single version, which was back-translated and showed no divergences. The expert committee judged the adapted tool as equivalent, reaching a Content Validity Index higher than 0.8. The mean global understanding was 1.82, demonstrating face validity. The assessed items had Kappa coefficient greater than 0.61, showing agreement between observers.
Conclusions:
the cross-cultural adaptation of the tool was performed following an established methodology. The adapted tool showed inter-rater reliability and validity for use in Brazil.
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ORIGINAL ARTICLE07-18-2022
Legal abortion in childhood: the official discourse and the reality of a Brazilian case
Revista Brasileira de Enfermagem. 2022;75(6):e20210946
Abstract
ORIGINAL ARTICLELegal abortion in childhood: the official discourse and the reality of a Brazilian case
Revista Brasileira de Enfermagem. 2022;75(6):e20210946
DOI 10.1590/0034-7167-2021-0946
Views0See moreABSTRACT
Objective:
to identify the ideological perspectives of official discourses in relation to sexual violence, childhood pregnancy and access to legal abortion based on a Brazilian case.
Methods:
a qualitative documentary study. Data collection was carried out in documents published on official Brazilian websites, between August and December 2020. The analytical categories of gender and generation supported data analysis.
Results:
a total of 39 documents were selected and three empirical categories were identified: Protection against violence in the legislation and the (re)production of injuries in reality; Facing sexual violence against children by the Brazilian State; Being a Brazilian girl: gender and generational oppressions.
Final considerations:
the ideological perspectives of official discourses in relation to the case showed a lack of compliance with advances in Brazilian legislation on issues related to child violence and adult-centric authoritarianism, with the imposition of gender and generation subalternity.
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07-18-2022
Factores asociados al uso del respirador N95 en universitarios en lo cotidiano de la COVID-19
Revista Brasileira de Enfermagem. 2022;75(6):e20210412
Abstract
Factores asociados al uso del respirador N95 en universitarios en lo cotidiano de la COVID-19
Revista Brasileira de Enfermagem. 2022;75(6):e20210412
DOI 10.1590/0034-7167-2021-0412es
Views0See moreRESUMEN
Objetivo:
Identificar los factores asociados al uso del respirador N95 en estudiantes de Enfermería y Medicina Humana en lo cotidiano de la pandemia COVID-19.
Métodos:
Estudio descriptivo-analítico transversal realizado en el año 2020. Participaron 830 estudiantes de tres universidades de Perú. Se evaluaron asociaciones mediante Chi Cuadrado de Pearson y modelamiento multivariado de Poisson con link log.
Resultados:
Se encontró diferencias estadísticamente significativas entre la preferencia de usar el respirador N95 en comparación con las mascarillas según la actividad que desempeñan (p=0,001) y lugar de residencia (p=0,005). El análisis multivariado reportó que las características asociadas fueron la edad, la actividad que desempeña, percepción y miedo de que podrían infectarse con COVID-19.
Conclusión:
En la preferencia de elegir el respirador N95, intervienen factores individuales y las percepciones. Se necesitan espacios para discutir lo cotidiano, la manera de vivir, cuidar y educar; considerando dimensiones socioeconómicas y creencias.
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