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Ethical dilemmas at the end of life: a reflection from the Philosophical Perspective of Luigina Mortari
- Vitória Pessoa Nogueira
, - Marília Alves Furtado ,
- Vera Lúcia Mendes de Paula Pessoa ,
- Viviane Magalhães Pereira
Abstract
Ethical dilemmas at the end of life: a reflection from the Philosophical Perspective of Luigina Mortari
Revista Brasileira de Enfermagem. 2023;76:e20220759
DOI 10.1590/0034-7167-2022-0759
- Vitória Pessoa Nogueira ,
- Marília Alves Furtado ,
- Vera Lúcia Mendes de Paula Pessoa ,
- Viviane Magalhães Pereira
Views0See moreABSTRACT
Objectives:
to reflect on the ethical dilemmas involved in the care of patients at the end of their lives.
Methods:
this is a theoretical-reflective study based on the ethics of care proposed by Luigina Mortari.
Results:
discussing care involves addressing the ways of being inherent to human existence and understanding the unique characteristics of this condition. Ethical care constitutes an action driven by interest in the other and by the perception of their need. Ethical dilemmas are a part of end-of-life care, making it essential to maintain respectful assistance that considers the patient’s autonomy, using strategies for expressing their wishes, and ensuring continuous clear and empathetic communication among all those involved in providing care.
Final Considerations:
issues related to being, stemming from one’s reality of dependency and vulnerability, contribute to the emergence of ethical dilemmas present in care actions.
- Vitória Pessoa Nogueira
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ORIGINAL ARTICLE12-04-2023
Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
- Ademir Jones Antunes Dorneles ,
- Graziele de Lima Dalmolin ,
- Edison Luiz Devos Barlem ,
- Rosemary Silva da Silveira ,
- Rafaela Andolhe , [ … ],
- Valdecir Zavarese da Costa
Abstract
ORIGINAL ARTICLEBurnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
Revista Brasileira de Enfermagem. 2023;76:e20220684
DOI 10.1590/0034-7167-2022-0684
- Ademir Jones Antunes Dorneles ,
- Graziele de Lima Dalmolin ,
- Edison Luiz Devos Barlem ,
- Rosemary Silva da Silveira ,
- Rafaela Andolhe ,
- Silviamar Camponogara ,
- Tânia Solange Bosi de Souza Magnago ,
- Valdecir Zavarese da Costa
Views0See moreABSTRACT
Objectives:
to analyze the association between burnout and the perception of the ethical climate in nursing professionals in the covid-19 Intensive Care Unit and the relationship with the organization of work from the perspective of managers of these units.
Methods:
mixed method study conducted in three university hospitals in southern Brazil from December 2021 to March 2022. A cross-sectional study was developed with 110 nursing professionals, followed by an exploratory-descriptive study through semi-structured interviews with six managers. Descriptive and analytical statistics and discursive textual analysis were used.
Results:
the prevalence of burnout was 10% and the perception of negative ethical climate was 24.5%. The association between burnout and ethical climate revealed overload and fatigue during working hours, related to tension, fear, and stress that emerged from the consequences of the organization and relations of work in the covid-19 Intensive Care Unit.
Conclusions:
there was an association between burnout and ethical climate and elements of the work organization.
- Ademir Jones Antunes Dorneles
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ORIGINAL ARTICLE12-04-2023
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro , [ … ],
- Roselia Arminda Rosales-Flores
Abstract
ORIGINAL ARTICLEWorking conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
DOI 10.1590/0034-7167-2022-0679
- Ana Paula Nogueira de Magalhães ,
- Diego de Oliveira Souza ,
- Fernanda Pereira de Macêdo ,
- Sabrina Ângela França da Silva Cruz ,
- Camila Pereira-Abagaro ,
- Roselia Arminda Rosales-Flores
Views0See moreABSTRACT
Objective:
To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.
Methods:
Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.
Results:
among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).
Conclusions:
The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.
- Ana Paula Nogueira de Magalhães
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ORIGINAL ARTICLE12-04-2023
Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
- Aline de Oliveira Ramalho ,
- Rodrigo Augusto Gonçalves Fonseca ,
- Eliane Mazócoli ,
- Alessandra Marin ,
- Paula Cristina Nogueira
Abstract
ORIGINAL ARTICLEIncidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220553
DOI 10.1590/0034-7167-2022-0553
- Aline de Oliveira Ramalho ,
- Rodrigo Augusto Gonçalves Fonseca ,
- Eliane Mazócoli ,
- Alessandra Marin ,
- Paula Cristina Nogueira
Views0See moreABSTRACT
Objective:
to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs.
Method:
a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI.
Results:
PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001).
Conclusion:
PI incidence in critically ill patients with COVID-19 was high.
- Aline de Oliveira Ramalho
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ORIGINAL ARTICLE12-04-2023
Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik , [ … ],
- Ika Adelia Susanti
Abstract
ORIGINAL ARTICLEWork-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?
Revista Brasileira de Enfermagem. 2023;76:e20220586
DOI 10.1590/0034-7167-2022-0586
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik ,
- Arifah Septiane ,
- Idyatul Hasanah ,
- Ika Adelia Susanti
Views0See moreABSTRACT
Objective:
To analyze the contributing factors of work-related stress among nurses in the COVID-19 pandemic.
Methods:
A cross-sectional study was conducted with 101 nurse practitioners from two hospitals in West Java, Indonesia. We distributed an online questionnaire to evaluate work-related stress and the data were analyzed using ordinal logistic regression.
Results:
More than half of the nurses experienced moderate work-related stress. The study revealed that nurses aged over 35 years old had a lower likelihood of experiencing work-related stress (AOR: 0.173; 95%CI: 0.038-0.782). Married nurses had a higher likelihood (AOR: 7.156; 95% CI: 1.456-35.163). Additionally, nurses with low and moderate workloads had a lower likelihood (AOR: 0.003; 95%CI: 0.000-0.051) and (AOR: 0.025; 95%CI: 0.005-0.116), respectively.
Conclusion:
The consideration of age, marital status, and workload is essential in effectively addressing work-related stress among nurse practitioners.
- Tita Rohita
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ORIGINAL ARTICLE12-04-2023
Factors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Abstract
ORIGINAL ARTICLEFactors affecting the community’s attitude toward COVID-19 vaccination: cross-sectional study
Revista Brasileira de Enfermagem. 2023;76:e20220597
DOI 10.1590/0034-7167-2022-0597
- Chintia Gracelia Amalo ,
- Ezra Amarya Ekaristy ,
- Maretty Wattileo ,
- Martina Pakpahan ,
- Ester Silitonga
Views0See moreABSTRACT
Objective:
The study aimed to analyze the factors that affect the community’s attitude towards COVID-19 vaccination in Tangerang District.
Methods:
A cross-sectional study was used. Convenience sampling was used to select 400 respondents. Inclusion criteria are living in Tangerang District, aged between 18 and 55, and earning a living. An online questionnaire was used and passed validity and reliability tests. This study received ethical approval.
Results:
Most respondents had a high level of education (48.50%), low income (72.50%), high knowledge (78%), and a positive attitude (76.50%) regarding vaccination against COVID-19. The Chi-square test revealed a correlation between knowledge and attitudes towards COVID-19 vaccination (p=0.001), as well as education levels (p=0.001), but there was no correlation between income and attitudes (p=0.094).
Conclusions:
Health professionals should engage in extensive socialization and face-to-face visits with people with limited access to information to promote a positive attitude and expand the scope of COVID-19 vaccination.
- Chintia Gracelia Amalo
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ORIGINAL ARTICLE12-04-2023
Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
- Pedro Henrique Batista de Freitas ,
- Adriana Lúcia Meireles ,
- Mery Natali Silva Abreu ,
- Bruna Carolina Rafael Barbosa ,
- Waléria de Paula , [ … ],
- Clareci Silva Cardoso
Abstract
ORIGINAL ARTICLEAssessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230068
DOI 10.1590/0034-7167-2023-0068
- Pedro Henrique Batista de Freitas ,
- Adriana Lúcia Meireles ,
- Mery Natali Silva Abreu ,
- Bruna Carolina Rafael Barbosa ,
- Waléria de Paula ,
- Clareci Silva Cardoso
Views0See moreABSTRACT
Objective:
to evaluate the quality of life (QOL) and the presence of symptoms related to depression, anxiety, and stress among students in the healthcare field, in comparison to the period before the COVID-19 pandemic.
Methods:
A comparative cross-sectional research was conducted at a Brazilian public university. QOL was assessed using the WHOQOL-bref scale, while symptoms of depression, anxiety, and stress were evaluated using the DASS-21 scale. Descriptive and inferential analyses were employed to compare the two time periods.
Results:
A total of 355 students participated in this study. During the pandemic, there were significant increases in severe depression symptoms (15.1% versus 24.8%), moderate anxiety (18.3% versus 29.4%), and moderate stress (40.9% versus 53.8%) observed among the participants. Additionally, a significant reduction in QOL was noted, particularly in the domain of social relationships (65.2 versus 59.6, p-value 0.029).
Conclusion:
The study highlights a deterioration in both the quality of life and the mental health of healthcare students during the COVID-19 pandemic.
- Pedro Henrique Batista de Freitas
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Drug-Resistant Tuberculosis and COVID-19: A Scoping Review on a New Threat to Antimicrobial Resistance
- Beibilene Perlato Melo da Silva ,
- Anelisa Soares de Almeida ,
- Matheus Gabriel de Melo Sérgio ,
- Thamires Carraro Gatto ,
- Vinícius Paglione Carasek , [ … ],
- Mellina Yamamura
Abstract
Drug-Resistant Tuberculosis and COVID-19: A Scoping Review on a New Threat to Antimicrobial Resistance
Revista Brasileira de Enfermagem. 2023;76:e20220803
DOI 10.1590/0034-7167-2022-0803
- Beibilene Perlato Melo da Silva ,
- Anelisa Soares de Almeida ,
- Matheus Gabriel de Melo Sérgio ,
- Thamires Carraro Gatto ,
- Vinícius Paglione Carasek ,
- Mellina Yamamura
Views0ABSTRACT
Objective:
To assess the impact of COVID-19 on the morbidity and mortality associated with drug-resistant tuberculosis (DR-TB).
Methods:
A comprehensive review of articles published in international databases since December 2019 was conducted. The findings are presented in a narrative format, supplemented with tables, diagrams, and a map created using ArcGIS software.
Results:
Thirty-five studies were selected, highlighting the significant consequences of COVID-19 on TB and DR-TB treatment progress. Four main thematic areas were identified: Clinical and epidemiological aspects of the interaction between COVID-19 and DR-TB; Management of physical resources and the team; Challenges and circumstances; Perspectives and possibilities.
Conclusions:
This study revealed that the COVID-19 pandemic significantly negatively impacted the control of long-standing diseases like TB, particularly in the context of morbidity and mortality related to DR-TB.
Keywords:COVID-19Extensively Drug-Resistant TuberculosisMicrobial Drug ResistanceMultidrug-Resistant TuberculosisTuberculosisSee more
- Beibilene Perlato Melo da Silva
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ORIGINAL ARTICLE03-09-2020
Quality of life at work in a central sterile processing department
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes , [ … ],
- Nair Portela Silva Coutinho
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
DOI 10.1590/0034-7167-2018-0792
- Gliccia Morguethe Vieira Rego ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Aurean D’Eça Júnior ,
- Ana Hélia de Lima Sardinha ,
- Geysa Santos Góis Lopes ,
- Nair Portela Silva Coutinho
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life of nursing professionals who work in a central sterile processing department.
Methods:
a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.
Conclusions:
This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.
- Gliccia Morguethe Vieira Rego
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ORIGINAL ARTICLE07-06-2020
Nurses’ work process in an emergency hospital service
- Simone Kroll Rabelo ,
- Suzinara Beatriz Soares de Lima ,
- José Luís Guedes dos Santos ,
- Valdecir Zavarese da Costa ,
- Emilene Reisdorfer , [ … ],
- Jocelaine Cardoso Gracioli
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
- Simone Kroll Rabelo ,
- Suzinara Beatriz Soares de Lima ,
- José Luís Guedes dos Santos ,
- Valdecir Zavarese da Costa ,
- Emilene Reisdorfer ,
- Tanise Martins dos Santos ,
- Jocelaine Cardoso Gracioli
Views1ABSTRACT
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.
Keywords:Emergency NursingEmergency Service, HospitalHealth ManagementNurse's RoleProfessional PracticeSee more - Simone Kroll Rabelo
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REVIEW07-13-2020
The quality of life of family health professionals: a systematic review and meta-synthesis
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval , [ … ],
- Luiz Renato Paranhos
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
- Pedro Rogério Camargos Pennisi ,
- Natalia Caroline Alves ,
- Pietra Sanitá Michelin ,
- Lívia Medeiros-Souza ,
- Álex Moreira Herval ,
- Luiz Renato Paranhos
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.
- Pedro Rogério Camargos Pennisi
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REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
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
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
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.
- Bruna Alexandra da Silva Ferreira
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REVIEW09-21-2020
Middle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
- Nathaly Bianka Moraes Fróes ,
- Marcos Venícios de Oliveira Lopes ,
- Cleide Maria Pontes ,
- Gabriele Lima Ferreira ,
- Priscila de Souza Aquino
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
- Nathaly Bianka Moraes Fróes ,
- Marcos Venícios de Oliveira Lopes ,
- Cleide Maria Pontes ,
- Gabriele Lima Ferreira ,
- Priscila de Souza Aquino
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.
- Nathaly Bianka Moraes Fróes
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Real and illusory perceptions of patients in induced coma
- Simone Costa Silva ,
- Laura Menezes Silveira ,
- Leila Maria Marchi-Alves ,
- Isabel Amélia Costa Mendes ,
- Simone de Godoy
Abstract
Real and illusory perceptions of patients in induced coma
Revista Brasileira de Enfermagem. 2019;72(3):818-824
DOI 10.1590/0034-7167-2017-0906
- Simone Costa Silva ,
- Laura Menezes Silveira ,
- Leila Maria Marchi-Alves ,
- Isabel Amélia Costa Mendes ,
- Simone de Godoy
Views1See moreABSTRACT
Objective:
To identify, in the scientific literature, real and illusory perceptions of adult patients in induced coma.
Methods:
This is an integrative review of 15 primary studies from the Medline, Web of Science, LILACS, CINAHL and SCOPUS databases.
Results:
The main memories reported after induced coma were thirst, cold, and pain. In some studies, patients reported they were unable to tell whether they were awake or dreaming, whether it was real or unreal. Satisfactory memories were reported by patients related to the care received and the use of bedside journals.
Conclusion:
Evidence showed a number of studies aiming to identify delirium, but without a focus on analyzing real or illusory perceptions of patients after induced coma. Thus, this integrative review identified scientific evidence of memories related to perceptions of sedated patients in the intensive care unit.
- Simone Costa Silva
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REVIEW12-21-2020
Communication between pre-hospital and intra-hospital emergency medical services: literature review
- Melorie Marano de Souza ,
- Allan Corrêa Xavier ,
- Cássia Amorim Rodrigues Araújo ,
- Eric Rosa Pereira ,
- Sabrina da Costa Machado Duarte , [ … ],
- Priscilla Valladares Broca
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
- Melorie Marano de Souza ,
- Allan Corrêa Xavier ,
- Cássia Amorim Rodrigues Araújo ,
- Eric Rosa Pereira ,
- Sabrina da Costa Machado Duarte ,
- Priscilla Valladares Broca
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
- Melorie Marano de Souza
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ORIGINAL ARTICLE03-24-2021
Health promotion actions in the School Health Program in Ceará: nursing contributions
- Adna de Araújo Silva ,
- Fabiane do Amaral Gubert ,
- Valter Cordeiro Barbosa Filho ,
- Roberto Wagner Júnior Freire de Freitas ,
- Anya Pimentel Gomes Fernandes Vieira-Meyer , [ … ],
- Lidiane Nogueira Rebouças
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
- Adna de Araújo Silva ,
- Fabiane do Amaral Gubert ,
- Valter Cordeiro Barbosa Filho ,
- Roberto Wagner Júnior Freire de Freitas ,
- Anya Pimentel Gomes Fernandes Vieira-Meyer ,
- Maria Talyta Mota Pinheiro ,
- Lidiane Nogueira Rebouças
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.
- Adna de Araújo Silva
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ORIGINAL ARTICLE12-05-2019
Elderly caregiver: knowledge, attitudes and practices about falls and its prevention
- Abigail Roxana Nina Mamani ,
- Annelita Almeida Oliveira Reiners ,
- Rosemeiry Capriata de Souza Azevedo ,
- Akeisa Dieli Ribeiro Dalla Vechia ,
- Neuber José Segri , [ … ],
- Joana Darc Chaves Cardoso
Abstract
ORIGINAL ARTICLEElderly caregiver: knowledge, attitudes and practices about falls and its prevention
Revista Brasileira de Enfermagem. 2019;72:119-126
DOI 10.1590/0034-7167-2018-0276
- Abigail Roxana Nina Mamani ,
- Annelita Almeida Oliveira Reiners ,
- Rosemeiry Capriata de Souza Azevedo ,
- Akeisa Dieli Ribeiro Dalla Vechia ,
- Neuber José Segri ,
- Joana Darc Chaves Cardoso
Views0ABSTRACT
Objective:
investigate the knowledge, attitudes and practices of informal elderly caregivers about falls and its prevention.
Method:
this is a descriptive cross-sectional study conducted with 97 informal elderly caregivers residents in areas covered by five Health Strategy Units (ESF) in Cuiabá.
Results:
more than half of the participants are aware of falls and identify them as a problem, as well as they identify some risk factors and prevention measures. Regarding attitudes, more than half of the caregivers do not seem to act effectively to prevent falls. Most of them report adopting practices to prevent falls of the elderly, supervising the activities of their daily lives.
Conclusion:
caregivers know about falls and its prevention, but in a superficial way, and it seems to influence their attitudes and practices regarding the prevention of this event.
Keywords:Accidental FallsAgedCaregiversHealth Knowledge, Attitudes, PracticeHealth Services for the AgedSee more
- Abigail Roxana Nina Mamani
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ORIGINAL ARTICLE09-21-2020
The care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory
- Ana Celi Silva Torres Nascimento ,
- Aisiane Cedraz Morais ,
- Rita da Cruz Amorim ,
- Deisy Vital dos Santos
Abstract
ORIGINAL ARTICLEThe care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory
Revista Brasileira de Enfermagem. 2020;73:e20190644
DOI 10.1590/0034-7167-2019-0644
- Ana Celi Silva Torres Nascimento ,
- Aisiane Cedraz Morais ,
- Rita da Cruz Amorim ,
- Deisy Vital dos Santos
Views0See moreABSTRACT
Objective:
To analyze the care practices of family members of premature infants admitted to a Neonatal Intensive Care Unit in the light of Leininger’s transcultural theory.
Methods:
Qualitative, descriptive and exploratory study. Participant observation and semi-structured interviews were conducted with 16 family members of newborns, admitted to the neonatal unit of a public maternity hospital, during the months of May and June 2019. The software called Interface de R pour analyses Multidimensionnelles de Textes et de Questionnaire® and the Bardin Content Analysis technique.
Results:
Two thematic categories emerged: Family care in the neonatal unit; (in)effective support for shared care.
Conclusion:
The participation of families in the care of babies is still unstable, but it must be an inseparable element of culturally congruent care, thus collaborating with the full recovery of the premature.
- Ana Celi Silva Torres Nascimento
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EXPERIENCE REPORT07-13-2020
Military Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic
- Letícia Lima Borges ,
- Clarissa Coelho Vieira Guimarães ,
- Beatriz Gerbassi Costa Aguiar ,
- Luiz Alberto de Freitas Felipe
Abstract
EXPERIENCE REPORTMilitary Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200297
DOI 10.1590/0034-7167-2020-0297
- Letícia Lima Borges ,
- Clarissa Coelho Vieira Guimarães ,
- Beatriz Gerbassi Costa Aguiar ,
- Luiz Alberto de Freitas Felipe
Views0See moreABSTRACT
Objective:
to describe the experience of military nursing in “Operation Return to Brazil” in an aeromedical evacuation.
Method:
this is an experience report of the nursing staff in the Aeromedical Evacuation of potentially-contaminated Brazilians who were in Wuhan, China, after the outbreak of the new coronavirus.
Results:
the report was constructed from nursing care performed in three stages: pre-flight, screening, and flight. Pre-flight care would include aircraft configuration and material prediction. In screening, the staff was concerned with being properly attired. In the health assessment of returnees, in-flight, attention was focused on Personal Protective Equipment handling to minimize the risk of contamination by prolonged contact with potentially-contaminated passengers.
Final considerations:
nursing was committed to planning all the actions of this mission, which was one of the longest, strenuous and unprecedented in the history of aeromedical transport in Brazil.
- Letícia Lima Borges
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ORIGINAL ARTICLE09-21-2020
Adolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna , [ … ],
- Patrícia Neyva da Costa Pinheiro
Abstract
ORIGINAL ARTICLEAdolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
Revista Brasileira de Enfermagem. 2020;73:e20190242
DOI 10.1590/0034-7167-2019-0242
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna ,
- Patrícia Neyva da Costa Pinheiro
Views0See moreABSTRACT
Objective:
To analyze the association between vulnerabilities to Sexually Transmitted Infections (STIs/HIV/AIDS) of adolescents in poverty and their level of resilience.
Method:
Cross-sectional study with 287 students between 11 and 17 years old in a school in the outskirts of Fortaleza-Ce. The study was conducted from August to October 2016. Three instruments related to characterization, vulnerability to STIs/HIV/AIDS and resilience were used. The association between the instruments was calculated using the Mann-Whitney and Kruskal-Wallis tests. Association between vulnerability to STIs/HIV/AIDS and resilience was assessed through the Spearman’s correlation coefficient. Statistical significance was set at p<0.05.
Results:
There was a significant association between the factors “housing” (p=0.022), “family income” (p=0.037) and vulnerability to STIs/HIV/AIDS. Adolescents whose father has completed high school (p=0.043) have moderately high resilience.
Conclusion:
Adolescents with low socioeconomic status and who live on less than a minimum wage tends to be more susceptible to vulnerabilities to STIs/HIV/AIDS and to have low resilience.
- Maria Isabelly Fernandes da Costa
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REFLECTION06-04-2021
Care in pediatric nursing from the perspective of emotions: from Nightingale to the present
- Paula Manuela Jorge Diogo ,
- Bruna Hinnah Borges Martins de Freitas ,
- Ana Inês Lourenço da Costa ,
- Maria Aparecida Munhoz Gaíva
Abstract
REFLECTIONCare in pediatric nursing from the perspective of emotions: from Nightingale to the present
Revista Brasileira de Enfermagem. 2021;74(4):e20200377
DOI 10.1590/0034-7167-2020-0377
- Paula Manuela Jorge Diogo ,
- Bruna Hinnah Borges Martins de Freitas ,
- Ana Inês Lourenço da Costa ,
- Maria Aparecida Munhoz Gaíva
Views0See moreABSTRACT
Objective:
Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.
Method:
Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.
Results:
From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.
Final considerations:
In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
- Paula Manuela Jorge Diogo
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EXPERIENCE REPORT09-29-2022
Mobile pre-hospital care reorganization during the COVID-19 pandemic: experience report
Revista Brasileira de Enfermagem. 2022;75:e20200826
Abstract
EXPERIENCE REPORTMobile pre-hospital care reorganization during the COVID-19 pandemic: experience report
Revista Brasileira de Enfermagem. 2022;75:e20200826
DOI 10.1590/0034-7167-2020-0826
Views0ABSTRACT
Objective:
To describe the reorganization of Belo Horizonte’s Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool.
Methods:
Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process.
Results:
Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine.
Final considerations:
The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.
Keywords:AmbulancesCoronavirus InfectionsEmergency Medical ServicesHealth Services AdministrationPandemicsSee more
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ORIGINAL ARTICLE12-13-2019
Factors associated with low Apgar in newborns in birth center
- Nágela Cristine Pinheiro Santos ,
- Sibylle Emilie Vogt ,
- Elysângela Dittz Duarte ,
- Adriano Marçal Pimenta ,
- Lélia Maria Madeira , [ … ],
- Mery Natali Silva Abreu
Abstract
ORIGINAL ARTICLEFactors associated with low Apgar in newborns in birth center
Revista Brasileira de Enfermagem. 2019;72:297-304
DOI 10.1590/0034-7167-2018-0924
- Nágela Cristine Pinheiro Santos ,
- Sibylle Emilie Vogt ,
- Elysângela Dittz Duarte ,
- Adriano Marçal Pimenta ,
- Lélia Maria Madeira ,
- Mery Natali Silva Abreu
Views0See moreABSTRACT
Objective:
to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC).
Method:
a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson’s chi-square test or the exact Fisher.
Results:
fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor.
Conclusion:
the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.
- Nágela Cristine Pinheiro Santos
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ORIGINAL ARTICLE07-31-2020
Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study
- Thales Philipe Rodrigues da Silva ,
- Erica Dumont-Pena ,
- Alexandra Dias Moreira ,
- Bárbara Araujo Camargos ,
- Marivania Queiroz Meireles , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEFactors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20180996
DOI 10.1590/0034-7167-2018-0996
- Thales Philipe Rodrigues da Silva ,
- Erica Dumont-Pena ,
- Alexandra Dias Moreira ,
- Bárbara Araujo Camargos ,
- Marivania Queiroz Meireles ,
- Kleyde Ventura de Souza ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objectives:
to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.
Methods:
cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte – Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio.
Results:
increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section.
Final Considerations:
the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.
- Thales Philipe Rodrigues da Silva
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