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REFLECTION01-01-2017
Theory of communicative action: a basis for the development of critical thinking
Revista Brasileira de Enfermagem. 2017;70(6):1343-1346
Abstract
REFLECTIONTheory of communicative action: a basis for the development of critical thinking
Revista Brasileira de Enfermagem. 2017;70(6):1343-1346
DOI 10.1590/0034-7167-2016-0383
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Reflections on some assumptions of the theory of Communicative Action and the development of Critical Thinking in the context of training students in undergraduate nursing courses. The perspective is based on concepts of Jürgen Habermas, as a possibility for the development of critical thinking among the students of these courses. Communication is therefore understood as inherent in the training of nurses in a continuous, dynamic, dialogical process, with interventions that are related to the context of the students and that have meaning for them, in order to contribute to the promotion of Critical Thinking.
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REFLECTION01-01-2017
Bath for dependent patients: theorizing aspects of nursing care in rehabilitation
Revista Brasileira de Enfermagem. 2017;70(6):1337-1342
Abstract
REFLECTIONBath for dependent patients: theorizing aspects of nursing care in rehabilitation
Revista Brasileira de Enfermagem. 2017;70(6):1337-1342
DOI 10.1590/0034-7167-2016-0258
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Objective:
to produce a reflective essay on what has been produced in relation to bath as a procedure related to nursing care and diagnosis for dependent patients undergoing mediate and immediate rehabilitation processes after a traumatic event.
Method:
discursive, reflective study supported by classical content analysis consisting of the following stages: a) reading of the texts in their most comprehensive form; b) emphasizing the relevant elements produced about bathing; c) reflection on texts and what is produced about bathing.
Results:
the texts point out to three categories for nursing practice and reflection: Meaning to patients on the purposes of bathing; Representation for nurses in the work process; Representation for nurses in the management of care and nursing care planning.
Conclusion:
the reflection points out understandings on bathing as a care focused on the autonomy of nursing rehabilitation patients, requiring further investigations.
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REVIEW01-01-2017
Clinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer
Revista Brasileira de Enfermagem. 2017;70(6):1330-1336
Abstract
REVIEWClinical indicators for nursing diagnosis Ineffective protection in adolescents with cancer
Revista Brasileira de Enfermagem. 2017;70(6):1330-1336
DOI 10.1590/0034-7167-2016-0571
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Objective:
To investigate scientific evidence related to the term protection and clinical indicators and etiologic factors for nursing diagnosis Ineffective protection in adolescents with cancer.
Method:
Integrative literature review in the databases of Scopus, Web of Science, National Library of Medicine and National Institutes of Health (PubMed) and Cochrane; by intersection of the descriptors protection and childhood cancer, which resulted in seven articles. These were insufficient for a comprehension of the term protection and aspects related to its impairment, therefore it was necessary to include a further three reference books.
Results:
Five clinical indicators and three etiologic factors associated to Ineffective protection were identified some of which were not cited in NANDA-International.
Conclusions:
There are clinical and etiologic factors important for the identification of ineffective protection in adolescents with cancer.
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REVIEW01-01-2017
Supported self-care for children and adolescents with chronic disease and their families
Revista Brasileira de Enfermagem. 2017;70(6):1318-1329
Abstract
REVIEWSupported self-care for children and adolescents with chronic disease and their families
Revista Brasileira de Enfermagem. 2017;70(6):1318-1329
DOI 10.1590/0034-7167-2016-0553
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Objective:
analyze the scientific production between 2006 and 2015 on strategies for supported self-care by children and adolescents with chronic disease and their families.
Method:
integrative review of the literature conducted July and August 2016 in the databases: BDENF, LILACS, IBECS, ADOLEC, MEDLINE/PubMed and SCIELO. The 27 selected studies were analyzed and categorized into the five pillars of supported self-care: evaluation, counseling, agreement, care and accompaniment.
Results:
only two studies covered all five pillars, evaluation was considered most, but accompaniment was essential for adherence to the therapeutics of the goal plan. There was a prevalence of actions to evaluate the emotional state of the child/adolescent/family and technological interventions to empower the individual in self-care.
Final considerations:
these actions are concentrated in countries with health systems directed to the health needs of people with chronic disease. In Brazil, this is still incipient, since the actions are focused on exacerbation.
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REVIEW01-01-2017
Systemic Arterial Hypertension in people living with HIV/AIDS: integrative review
Revista Brasileira de Enfermagem. 2017;70(6):1309-1317
Abstract
REVIEWSystemic Arterial Hypertension in people living with HIV/AIDS: integrative review
Revista Brasileira de Enfermagem. 2017;70(6):1309-1317
DOI 10.1590/0034-7167-2016-0416
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Objective:
To analyze scientific productions about the relationship between HIV and Systemic Arterial Hypertension (SAH) in people living with HIV/AIDS (PLWHA).
Method:
Integrative literature review in six databases, held in March 2016. “AIDS” and “hypertension” were the keywords used in Portuguese, English and Spanish languages. We found 248 articles and selected 17. The categories formulated were “prevalence of SAH in PLWHA,” “risk factors for SAH in PLWHA” and “adverse events of antiretroviral therapy (ART) that contribute to HAS.”
Results:
There is no consensus whether HIV and ART influence the SAH development, but there are several risk factors for SAH among PLWHA. It was observed that protease inhibitors medicines influence SAH the most.
Conclusion:
Guidelines for SAH prevention must be performed in all individuals, however, in PLWHA, they must focus on characteristic risk factors of this population.
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REVIEW01-01-2017
Managing febrile neutropenia in adult cancer patients: an integrative review of the literature
Revista Brasileira de Enfermagem. 2017;70(6):1301-1308
Abstract
REVIEWManaging febrile neutropenia in adult cancer patients: an integrative review of the literature
Revista Brasileira de Enfermagem. 2017;70(6):1301-1308
DOI 10.1590/0034-7167-2016-0247
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Objective:
To analyze the interventions performed by health professionals with a view to managing chemotherapy-induced febrile neutropenia.
Method:
Integrative literature review, the sample of 12 primary articles was selected from the following databases: LILACS, SciELO, BVS, PubMed, CINAHL and Web of Science.
Results:
There was a prevalence of studies, realized by doctors, focused on pharmacological treatment and on the association of methods for greater diagnostic accuracy of febrile neutropenia. A study was found on pharmaceutical management regarding antibiotic dosing efficacy and a study indicating that nurses could contribute to the identification of elderly patients who would benefit from prophylactic use of growth factor.
Conclusion:
There was a shortage of studies involving the participation of other health professionals, besides the doctors, and a knowledge gap regarding interprofessional practice in the management of interventions specific to their area of specialism, joint interventions and non-pharmacological interventions.
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CASE STUDY01-01-2017
Neonatal appendicitis: a survival case study
Revista Brasileira de Enfermagem. 2017;70(6):1296-1300
Abstract
CASE STUDYNeonatal appendicitis: a survival case study
Revista Brasileira de Enfermagem. 2017;70(6):1296-1300
DOI 10.1590/0034-7167-2016-0610
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Objective:
To report a case of neonatal appendicitis in a children’s hospital in southern Brazil, demonstrating the impact on neonatal survival.
Method:
Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings.
Results:
The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen.
Conclusion:
A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death.
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CASE STUDY01-01-2017
Use of virtual reality for treating burned children: case reports
Revista Brasileira de Enfermagem. 2017;70(6):1291-1295
Abstract
CASE STUDYUse of virtual reality for treating burned children: case reports
Revista Brasileira de Enfermagem. 2017;70(6):1291-1295
DOI 10.1590/0034-7167-2016-0575
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Objective:
To report the use of virtual reality (VR) in pain intensity during dressing change of two burned children hospitalized in a Burn Treatment Center (BTC) in Southern Brazil.
Method:
Case report on the use of VR during dressing change of two burned children hospitalized in a BTC, from May to July 2016. For assessing pain, a facial pain rating scale was applied at four times: just before the dressing, during the dressing without the use of VR, during the dressing with the VR, and after the use of VR.
Results:
The use of goggles was easy to apply and well-accepted by the children, and also had a relevant effect reducing pain.
Conclusion:
VR can become an important nonpharmacological method for treating pain in burned children.
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EXPERIENCE REPORT12-04-2020
COVID-19 pandemic: report on the use of auriculotherapy to optimize emergency workers’ health
Revista Brasileira de Enfermagem. 2020;73:e20200507
Abstract
EXPERIENCE REPORTCOVID-19 pandemic: report on the use of auriculotherapy to optimize emergency workers’ health
Revista Brasileira de Enfermagem. 2020;73:e20200507
DOI 10.1590/0034-7167-2020-0507
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Objective:
To report the use of auriculotherapy to optimize emergency workers’ health during the COVID-19 pandemic.
Methods:
Experience report of auriculotherapy application in 48 workers of a mobile emergency care service center located in a city in the Northeast of Brazil.
Results:
Six auriculotherapy sessions were held, each lasting eight minutes, based on specific protocols in the area and Chinese energy physiology. The aim of the practice was to contribute to the improvement of physical (pain) and emotional (anxiety, stress) symptoms, and the promotion of greater health and willingness to work. In addition, the experimentation of this practice was thought of as a pilot for the creation of a care service for workers.
Final Considerations:
In the report of auriculotherapy, the description of its application and its positive and negative points in relation to professionals working in the pandemic scenario were considered and its continuity was requested.
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ORIGINAL ARTICLE06-01-2020
Nursing students: medication use, psychoactive substances and health conditions
Revista Brasileira de Enfermagem. 2020;73:e20190003
Abstract
ORIGINAL ARTICLENursing students: medication use, psychoactive substances and health conditions
Revista Brasileira de Enfermagem. 2020;73:e20190003
DOI 10.1590/0034-7167-2019-0003
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Objective:
to assess the use of nonprescription psychoactive medications and their associations with psychoactive substance use and health aspects among nursing students.
Method:
a cross-sectional study conducted with 182 students at a nursing school in the city of Vale do Ribeira, Brazil. Sociodemographic information, screening for alcohol, tobacco and other drug use, information on physical and mental health and physical activity practices were assessed.
Results:
more than half of the students (79.2%) used psychoactive drugs without prescription, with a predominance of monthly consumption. Consumption of these drugs was found to be associated with alcohol use, binge drinking, smoking and illicit drug use.
Conclusion:
the findings have implications for the implementation of health promotion strategies among nursing students, in view of lifestyle changes.
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ORIGINAL ARTICLE06-01-2020
Nursing knowledge patterns: nurses’ image and role in society perceived by students
Revista Brasileira de Enfermagem. 2020;73(4):e20180959
Abstract
ORIGINAL ARTICLENursing knowledge patterns: nurses’ image and role in society perceived by students
Revista Brasileira de Enfermagem. 2020;73(4):e20180959
DOI 10.1590/0034-7167-2018-0959
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Objectives:
to understand high school students’ perception about the nurse’s image and role in society, from nursing knowledge patterns.
Methods:
phenomenographic qualitative study, developed between October 2017 and January 2018, in a public university in the countryside of the state of São Paulo, with eight Interdisciplinary Higher Education Program (Programa de Formação Interdisciplinar Superior) students. The findings were collected through semi-structured interviews and analyzed by the phenomenography framework, supported by rereading nursing knowledge patterns.
Results:
two categories emerged: Perception of nurses’ image, which contemplates their positive and negative characteristics, attributes and place where they operate; and Nurses’ role in society, in which their work is compared with physicians’.
Final Considerations:
despite their essential role in care, subordination to medical knowledge and lack of knowledge of nurses’ functions still reflect their image.
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ORIGINAL ARTICLE07-10-2020
Working conditions and depression in hospital emergency service nurses
Revista Brasileira de Enfermagem. 2020;73:e20180952
Abstract
ORIGINAL ARTICLEWorking conditions and depression in hospital emergency service nurses
Revista Brasileira de Enfermagem. 2020;73:e20180952
DOI 10.1590/0034-7167-2018-0952
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Objective:
to analyze the presence, intensity and factors related to working conditions for depressive symptoms in hospital emergency nurses in the east of São Paulo.
Methods:
a descriptive, exploratory, quantitative and qualitative study, which applied psychometric scales and interview script.
Results:
nurses (95.24%) had depressive symptoms by the assessment scales by the observer, most with mild and moderate intensity. Inadequate working conditions led to suffering. Factors that trigger depressive symptoms were: disorganized work; harmful relationship with immediate management; inappropriate physician behavior; aggressions; lack of inputs, infrastructure and human resources; professional devaluation. Identified professionals with depressive symptoms who, because they were unaware of being affected by the disorder, did not seek treatment, continued to perform activities that compromised their physical and mental health, promoting damage to the assistance provided.
Final considerations:
high frequency of depressive symptoms. The precarious work environment negatively influenced the care and development of depressive symptoms.
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ORIGINAL ARTICLE06-14-2021
Mothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home
Revista Brasileira de Enfermagem. 2021;74(6):e20200717
Abstract
ORIGINAL ARTICLEMothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home
Revista Brasileira de Enfermagem. 2021;74(6):e20200717
DOI 10.1590/0034-7167-2020-0717
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Objective:
to identify mothers’ knowledge about premature newborn care and application of Kangaroo Mother Care at home.
Methods:
a descriptive, qualitative study carried out with 15 mothers of premature newborns in a reference Maternal and Child Hospital in northern Brazil using two semi-structured interviews with open- and closed-ended questions. The testimonies were analyzed using thematic analysis technique, proposed by Bardin.
Results:
two thematic categories originated: “Caring for a premature newborn at home: strengths and weaknesses” and “Applying Kangaroo Mother Care at home: new knowledge acquired during hospitalization”.
Final considerations:
the speeches of the interviewed mothers pointed out their knowledge about home care of premature NBs and understanding the importance of Kangaroo Mother Care, mainly acquired and improved with the guidance of professionals during hospitalization and application of the method, in addition to fears, possible difficulties in home care and the need to be better informed at hospital discharge.
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07-26-2021
Impact of clinical supervision on job satisfaction and emotional competence of nurses
Revista Brasileira de Enfermagem. 2021;74(6):e20210125
Abstract
Impact of clinical supervision on job satisfaction and emotional competence of nurses
Revista Brasileira de Enfermagem. 2021;74(6):e20210125
DOI 10.1590/0034-7167-2021-0125
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Objective:
To evaluate the impact of implementing the SafeCare clinical supervision model on nurses’ job satisfaction and emotional competence profile.
Methods:
This is a quasi-experimental study, with a sample of 28 nurses from a hospital in northern Portugal. A self-administered questionnaire was applied, used as pre and post-test, which included: sociodemographic and professional characterization; “Job Satisfaction Scale”; and “Veiga Emotional Competence Scale”. We conducted descriptive statistical analysis and the Wilcoxon Test.
Results:
A significant decrease in the nurses’ satisfaction with hierarchical superior was observed in the post-test. No significant differences were found in the nurses’ job satisfaction and emotional competence after the implementation of the SafeCare Model.
Conclusion:
The SafeCare Model needs improvement, suggesting increasing the amount of training time administered to nurses and strengthening the healthcare institution’s link to the Model.
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ORIGINAL ARTICLE06-24-2020
Practice of breastfeeding in quilombola communities in the light of transcultural theory
Revista Brasileira de Enfermagem. 2020;73(4):e20190191
Abstract
ORIGINAL ARTICLEPractice of breastfeeding in quilombola communities in the light of transcultural theory
Revista Brasileira de Enfermagem. 2020;73(4):e20190191
DOI 10.1590/0034-7167-2019-0191
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Objectives:
to identify factors that interfere with the practice of exclusive breastfeeding in quilombola communities.
Methods:
qualitative research based on the Transcultural Theory proposed by Madeleine Leininger, performed with quilombola mothers. For data collection, we used the semi-structured interview, conducted from June 2018 to January 2019. Content analysis was guided by the interactive model of Miles and Huberman.
Results:
it was revealed that intergenerational cultural myths and customs interfere with breastfeeding practice, and identified the influence of professional nurses on best breastfeeding practices.
Final Considerations:
cultural and intergenerational factors favor early weaning and expose the child to illness.
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ORIGINAL ARTICLE07-06-2020
Nurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923
Abstract
ORIGINAL ARTICLENurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923
DOI 10.1590/0034-7167-2018-0923
Views1See moreABSTRACT
Objectives:
to analyze the nurses’ work process in an Emergency Hospital Service.
Methods:
a qualitative, exploratory and descriptive research conducted with 17 nurses from the emergency service of a high complexity hospital in southern Brazil. Data were collected through interviews, focus group and document analysis. Data analysis followed the thematic content analysis framework.
Results:
four categories emerged: Work environment characteristics; Assistance dimension; Management dimension; Care management.
Final Considerations:
the nurses’ work process in Emergency Hospital Service is characterized by the peculiarities of the setting, with centrality in care and care management aiming at quality care and safety to patients.
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