-
ORIGINAL ARTICLE05-29-2023
Violence in rural areas against disabled people from the perspective of their families
Revista Brasileira de Enfermagem. 2023;76:e20220404
Abstract
ORIGINAL ARTICLEViolence in rural areas against disabled people from the perspective of their families
Revista Brasileira de Enfermagem. 2023;76:e20220404
DOI 10.1590/0034-7167-2022-0404
Views0See moreABSTRACT
Objectives:
to know the violence spoken and felt by disabled people, living in rural areas, from the perspective of their families.
Methods:
a descriptive-exploratory and qualitative study, carried out in four municipalities in Rio Grande do Sul, Brazil. Twelve family members who lived with disabled people in rural areas participated. Data were collected through semi-structured interviews and analyzed using thematic content analysis.
Results:
disabled people, living in rural areas, experienced physical, psychological and sexual violence, perpetrated by family members, colleagues, community members and health professionals. Adaptations were mentioned in family dynamics for the care of disabled people, social, financial and leisure impacts, and challenges in access and accessibility to education and health services.
Final Considerations:
violence against this population manifests itself in a reality with socioeconomic and family particularities, marked by exclusion, disrespect and denial of rights and access to fundamental goods and services.
-
ORIGINAL ARTICLE05-29-2023
Quality of life from women’s perspective in the exercise of sex work: a study of social representations
Revista Brasileira de Enfermagem. 2023;76:e20220169
Abstract
ORIGINAL ARTICLEQuality of life from women’s perspective in the exercise of sex work: a study of social representations
Revista Brasileira de Enfermagem. 2023;76:e20220169
DOI 10.1590/0034-7167-2022-0169
Views0See moreABSTRACT
Objectives:
to analyze the social representations elaborated by sex workers from Alto Sertão Produtivo Baiano about quality of life.
Methods:
a qualitative study, based on the Social Representation Theory, carried out in the region of Alto Sertão Produtivo Baiano, with 30 sex workers. Individual in-depth interview was carried out, with speeches organized in a corpus and treated in IRAMUTEQ, enabling lexical analysis for Descending Hierarchical Classification.
Results:
four thematic classes emerged, in which social representations of quality of life pervade: money earned to supply needs; association with healthy living and obtaining health (physical and mental); balance of emotions (although there are some negative sensations such as fear and anxiety); and faith in a deity.
Final Considerations:
the social representations elaborated by sex workers about quality of life are anchored in concepts, subjective and practical, punctuated by the World Health Organization.
-
ORIGINAL ARTICLE05-29-2023
Risk of violence and frailty syndrome among older adults treated at a hospital service
Revista Brasileira de Enfermagem. 2023;76:e20220278
Abstract
ORIGINAL ARTICLERisk of violence and frailty syndrome among older adults treated at a hospital service
Revista Brasileira de Enfermagem. 2023;76:e20220278
DOI 10.1590/0034-7167-2022-0278
Views0See moreABSTRACT
Objectives:
to assess the association between risk of violence and frailty syndrome among hospitalized older adults.
Methods:
quantitative, analytical and cross-sectional research, carried out with older adults in two university hospitals. Data collection was performed using the Brazil Old Age Schedule, Hwalek-Sengstock Elder Abuse Screening Test and Edmonton Frail Scale instruments. It was analyzed using descriptive statistics and inferential statistics.
Results:
risk of violence was higher among women (68.9%), over 70 years old (64.7%), with more than 3 years of study (68.9%), without relationship (67.1%), who do not work (65.1%) and with income above 1 minimum wage (65.2%). There is a significant association between risk of violence and frailty (72.3%; p<0.001) and a positive correlation between the instrument scores (r=0.350; p-value<0.001).
Conclusions:
risk of violence was associated with being female and frailty. The study is expected to encourage further discussions related to the theme and nursing practice.
-
ORIGINAL ARTICLE05-12-2023
Humanized care in the Intensive Care Unit: discourse of Angolan nursing professionals
Revista Brasileira de Enfermagem. 2023;76(2):e20220474
Abstract
ORIGINAL ARTICLEHumanized care in the Intensive Care Unit: discourse of Angolan nursing professionals
Revista Brasileira de Enfermagem. 2023;76(2):e20220474
DOI 10.1590/0034-7167-2022-0474
Views0See moreABSTRACT
Objectives:
to analyze the perception of nursing professionals in an intensive care unit in Angola about humanized care and identify resources necessary for its implementation.
Methods:
a qualitative, descriptive study conducted with 15 professionals in June-October/2020 in intensive care unit in Angola. The data were collected through semi-structured interviews; analysis based on the collective subject discourse technique.
Results:
five central ideas emerged: three related to the perception of humanized care (“From integral vision and empathy to a set of actions in all phases of care”, “Humanizing is extending care to family members and companions”, “Humanized care requires the establishment of a bond of trust and guarantee of individualized care”); and two on the resources necessary for this care (“Need for infrastructure – human and material resources”, “Professional training and humanized care are interconnected”).
Final Considerations:
humanized care involves objectivity and subjectivity; it includes family members. An adequate infrastructure can provide it.
-
ORIGINAL ARTICLE05-12-2023
Preceptorship contributions to the development of clinical and managerial skills in nursing residency
Revista Brasileira de Enfermagem. 2023;76(2):e20220510
Abstract
ORIGINAL ARTICLEPreceptorship contributions to the development of clinical and managerial skills in nursing residency
Revista Brasileira de Enfermagem. 2023;76(2):e20220510
DOI 10.1590/0034-7167-2022-0510
Views0See moreABSTRACT
Objectives:
to analyze the experience of resident nurses with preceptorship contributions to the development of common clinical and managerial skills acquired in pedagogical projects.
Methods:
exploratory qualitative research developed in two stages: document analysis of pedagogical projects and semi-structured interviews with residents. Content analysis was carried out based on the framework of the nurse’s work process and skills.
Results:
the pedagogical projects of the three programs foresee the development of common skills, mostly clinical and only two managerial skills. The 22 residents reported the contributions of preceptorship in the development of competences centered on clinical practice, focusing on technical procedures disjointed from clinical reasoning and the managerial dimension of the nurse’s work.
Final Considerations:
it is necessary to train preceptors and involve all social actors linked to residency programs to expand preceptorship potential.
-
ORIGINAL ARTICLE05-12-2023
The history of obstetric nurses’ professional training of in Minas Gerais (1957-1999): a genealogical analysis
Revista Brasileira de Enfermagem. 2023;76(2):e20220459
Abstract
ORIGINAL ARTICLEThe history of obstetric nurses’ professional training of in Minas Gerais (1957-1999): a genealogical analysis
Revista Brasileira de Enfermagem. 2023;76(2):e20220459
DOI 10.1590/0034-7167-2022-0459
Views0See moreABSTRACT
Objectives:
to analyze obstetric nurses’ professional training in Minas Gerais between 1957 and 1999, according to genealogical principles.
Methods:
a qualitative interpretative study based on historical research with genealogical analysis. Data were obtained through documentary research and oral history, with six participants, and submitted to discourse analysis.
Results:
they recompose the genealogical path of obstetric nurses’ professional training from Minas. The speeches reveal field of practice deprivation in professional training and the importance of the articulation between the Universidade Federal de Minas Gerais Nursing School and Hospital Sofia Feldman for teaching and work in obstetric nursing. It was identified that training, in the national scenario, evolved from a Escola de Enfermagem Carlos Chagas’ peripheral initiative to centrality and capillarity.
Final Considerations:
the unique historical trajectory of obstetric nurses’ professional training in Minas Gerais, marked by ruptures, institutional articulations, conflicting games and interest, was unveiled.
-
ORIGINAL ARTICLE05-08-2023
Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
Abstract
ORIGINAL ARTICLETrend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
DOI 10.1590/0034-7167-2022-0351
Views0ABSTRACT
Objectives:
to analyze the trend, according to sex, of Ambulatory Care-Sensitive Conditions in the Primary Health Care of the Federal District, from 2009 to 2019.
Methods:
ecological trend study using ACSC hospitalization data available in the Hospitalization System of the Single Health System. The Prais-Winsten method was used to calculate the annual rate variation, expressed in percentages. The dependent variable was the logarithm of the rates, and the independent one, the years in the time series.
Results:
the Federal District registered 2,103,951 general hospitalizations, 16.4% of which were due to Ambulatory Care-Sensitive Conditions. Males had a higher rate of hospitalization in the period, and both sexes showed a stationary trend.
Conclusions:
the time trend of Ambulatory Care- Sensitive Conditions was stationary, but further studies are necessary regarding primary health care coverage.
Keywords:Ambulatory Care Sensitive ConditionsHealth Care Quality, Access, and EvaluationHealth Status IndicatorsHospitalizationPrimary Health CareSee more -
ORIGINAL ARTICLE05-08-2023
Precarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
Abstract
ORIGINAL ARTICLEPrecarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
DOI 10.1590/0034-7167-2022-0120
Views0ABSTRACT
Objectives:
to analyze the implications of precarious work for the organization of work and for the health of nursing professionals in a surgical center.
Methods:
qualitative, descriptive study in which the interview technique was applied on 30 nursing professionals from a surgical center in a university hospital located in the Southeast region of Brazil. The project was approved by the research ethics committee. Thematic content analysis was applied in the categorization of speeches.
Results:
precarious work in the surgical center negatively affects the organization of work due to staff turnover, loss of skilled talent, and the need for continuous training of temporary workers. It also affects the quality of care, leading to risks to patient safety and workers’ health.Final Considerations: it is important to make work conditions less precarious in order to minimize staff turnover and promote the quality of the service offered and the health of the worker.
Keywords:HospitalHuman Resources ManagementNursingOccupational RiskSurgery DepartmentWorkers' HealthSee more
-
REVIEW07-13-2020
The quality of life of family health professionals: a systematic review and meta-synthesis
Revista Brasileira de Enfermagem. 2020;73(5):e20190645
Abstract
REVIEWThe quality of life of family health professionals: a systematic review and meta-synthesis
Revista Brasileira de Enfermagem. 2020;73(5):e20190645
DOI 10.1590/0034-7167-2019-0645
Views1See moreABSTRACT
Objectives:
to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals.
Methods:
this systematic review was developed to answer the following PVO question: “Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?” The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies.
Results:
the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects.
Conclusions:
although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.
-
REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
Abstract
REVIEWTransitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
Views1See moreABSTRACT
Objective:
To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.
Methods:
Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.
Results:
The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.
Final considerations:
The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.
-
REVIEW09-21-2020
Middle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
Abstract
REVIEWMiddle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
DOI 10.1590/0034-7167-2019-0334
Views1See moreABSTRACT
Objective:
To stablish a middle range theory for the understanding of the causal mechanisms and clinical consequentes of the nursing diagnosis Excess Fluid Volume (00026) among pregnant women.
Method:
The Middle Range Theory was constructed in five stages: defining of construction approach, establishing main concepts, elaborating propositions, developing a pictorial diagram, and establishing the causal relationships and evidence for practice of the Middle Range Theory.
Results:
We identified 14 clinical indicators and 6 causal factors of Excess Fluid Volume. A pictorial diagram was developed and relationships between Excess Fluid Volume elements were established with 6 propositions for them.
Conclusion:
The Middle Range Theory included both physiological and pathological conditions to explain Excess Fluid Volume. This Middle Range Theory might help in the better understanding of interactions between causal factors and clinical indicators of Excess Fluid Volume.
-
EXPERIENCE REPORT08-19-2019
Hypothermia post-cardiopulmonary resuscitation with low inputs: an experience report
Revista Brasileira de Enfermagem. 2019;72(4):1114-1118
Abstract
EXPERIENCE REPORTHypothermia post-cardiopulmonary resuscitation with low inputs: an experience report
Revista Brasileira de Enfermagem. 2019;72(4):1114-1118
DOI 10.1590/0034-7167-2017-0771
Views1ABSTRACT
Objective:
to report the experience of conducting directed temperature control of a post-cardiopulmonary resuscitation patient, with reduced and basic inputs available at the institution.
Method:
an experience report of directed temperature control in patient (age 15 years), after four hours of cardiopulmonary resuscitation in an Intensive Care Unit of a hospital in São Paulo State countryside in 2016, according to the protocol suggested by the American Heart Association, in 2015. There were applications of cold compresses, plastic bags with crushed ice and rectal temperature control.
Results:
after eight hours, temperature had reached 93.2 ºF. Body cooling was maintained for 24 hours. However, bags with crushed ice were used in the first 6 hours.
Conclusion:
conduct of nurses to obtain the body cooling with reduced and basic inputs was effective during the stay at the Intensive Care Unit.
Keywords:Body Temperature RegulationCardiopulmonary ResuscitationHeart ArrestHypothermia InducedIntensive Care UnitsSee more -
REVIEW12-21-2020
Communication between pre-hospital and intra-hospital emergency medical services: literature review
Revista Brasileira de Enfermagem. 2020;73:e20190817
Abstract
REVIEWCommunication between pre-hospital and intra-hospital emergency medical services: literature review
Revista Brasileira de Enfermagem. 2020;73:e20190817
DOI 10.1590/0034-7167-2019-0817
Views1ABSTRACT
Objectives:
to analyze, according to the scientific literature, communication strategies in the transfer of cases between pre-hospital and in-hospital services and their contributions to patient safety.
Methods:
this is a literature review study, that is, one that aims to gather and synthesize research results on the subject in a systematic and orderly manner.
Results:
ten articles were published, published between 2010 and 2018, and two points of discussion emerged: use of mnemonics; and barriers to transferring a case.
Conclusions:
studies point to the need to standardize the case transfer process, as well as integrative training of professionals, regular assessment of the teams involved in emergency medical services and the need for research on the subject.
Keywords:AmbulanceCommunicationEmergency Medical ServicesReviewTransfer of Responsibility by the PatientSee more -
ORIGINAL ARTICLE03-24-2021
Health promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
Abstract
ORIGINAL ARTICLEHealth promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
DOI 10.1590/0034-7167-2019-0769
Views1See moreABSTRACT
Objectives:
to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program.
Methods:
a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools.
Results:
the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools.
Conclusions:
health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.
-
ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
-
ORIGINAL ARTICLE05-28-2021
Prevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
Abstract
ORIGINAL ARTICLEPrevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
DOI 10.1590/0034-7167-2020-0692
Views1See moreABSTRACT
Objectives:
to analyze urinary incontinence prevalence and severity in prostatectomized men assessed by three different instruments.
Methods:
a cross-sectional study was conducted with 152 men. The pad test, pad used, and International Consultation on Incontinence Questionnaire – Short Form (self-report) were considered. Data were analyzed using Spearman’s correlation, Kappa index, considering a significance level of 0.05.
Results:
urinary incontinence prevalence was 41.4%, 46.7% and 80.3% according to pad used, pad test and self-report. Positive correlations and moderate to poor agreement were found between the instruments. As for severity, most participants had mild incontinence. The largest number of cases of mild and severe incontinence was identified by self-report.
Conclusions:
the self-report showed higher values for prevalence of mild and severe severity levels. Through the identified differences, we propose that the objective assessment (pad used and pad test) be associated with individuals’ perception (self-report) to better estimate prevalence and severity.
Search
Search in:
Nuvem de Tags
Aged (144) Atenção Primária à Saúde (239) COVID-19 (104) Cuidados de Enfermagem (269) Educação em Enfermagem (151) Educação em Saúde (139) Enfermagem (930) Estudos de Validação (131) Health Education (144) Idoso (208) Mental Health (149) Nursing (987) Nursing Care (306) Patient Safety (151) Primary Health Care (284) Qualidade de Vida (104) Quality of Life (106) Saúde Mental (145) Segurança do Paciente (150) Validation Studies (108)