Articles - Revista Brasileira de Enfermagem

  • 11-27-2023

    Implementación de estrategia de enfermería para autotrascendencia en adulto mayor: relato de experiencia

    Revista Brasileira de Enfermagem. 2023;76(5):e20220745

    Abstract

    Implementación de estrategia de enfermería para autotrascendencia en adulto mayor: relato de experiencia

    Revista Brasileira de Enfermagem. 2023;76(5):e20220745

    DOI 10.1590/0034-7167-2022-0745es

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    RESUMEN

    Objetivos:

    relatar la experiencia de la implementación de una estrategia de enfermería para promover la autotrascendencia en adultos mayores que acuden a un centro de primer nivel de atención en salud.

    Métodos:

    relato de experiencia sobre implementación de una estrategia abordando la Teoría de Autotrascendencia por enfermería a adultos mayores de una unidad de salud de primer nivel, en San Luis Potosí, México, de octubre-noviembre del 2022.

    Resultados:

    participaron 14 adultos mayores y tres enfermeros. A partir de la expresión de sentimientos, charlas sobre autotrascendencia, fomento de espiritualidad y actividad física, la estrategia resultó satisfactoria. Se observaron cambios emocionales, cognitivos y espirituales en las diferentes dimensiones de la Teoría de Autotrascendencia.

    Consideraciones Finales:

    la estrategia de enfermería sobre autotrascendencia permitió plasmar momentos significativos que ayudaron a identificar puntos clave en los que se encontraban los adultos mayores; esto ayudó para intervenir desde una perspectiva del cuidado de persona a persona.

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  • 11-27-2023

    Saberes do enfermeiro e comunicação terapêutica no hospital

    Revista Brasileira de Enfermagem. 2023;76(5):e20220617

    Abstract

    Saberes do enfermeiro e comunicação terapêutica no hospital

    Revista Brasileira de Enfermagem. 2023;76(5):e20220617

    DOI 10.1590/0034-7167-2022-0617

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    RESUMEN

    Objetivos:

    identificar la correlación entre el conocimiento de los enfermeros y la aplicación de la comunicación terapéutica de los enfermeros en los hospitales.

    Métodos:

    estudio descriptivo, cuantitativo, correlacional con método de muestreo total. Los encuestados fueron 68 enfermeros que trabajaban en una sala del hospital. Se utilizaron cuestionarios modificados para recopilar datos. Los datos se analizaron mediante el análisis de la prueba de chi-cuadrado de Pearson.

    Resultados:

    los enfermeros con conocimientos suficientes y pobres tienen una buena aplicación de la comunicación terapéutica. No hubo correlación entre el conocimiento y la aplicación de la comunicación terapéutica.

    Conclusiones:

    la comunicación terapéutica está influenciada por muchos factores. El conocimiento de los enfermeros debe ser mantenido y mejorado para brindar una atención integral y aumentar la satisfacción del paciente.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 11-27-2023

    Adaptação transcultural da Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modificada para mães de prematuros no Brasil

    Revista Brasileira de Enfermagem. 2023;76(5):e20220497

    Abstract

    Adaptação transcultural da Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modificada para mães de prematuros no Brasil

    Revista Brasileira de Enfermagem. 2023;76(5):e20220497

    DOI 10.1590/0034-7167-2022-0497

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    RESUMEN

    Objetivos:

    realizar la adaptación transcultural de la Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) para madres de niños enfermos y/o prematuros al portugués en el contexto brasileño.

    Métodos:

    se realizó un estudio metodológico que incluyó la traducción del instrumento, síntesis de traducciones, revisión por especialistas, síntesis, reevaluación por especialistas, retrotraducción, preprueba y validación de contenido. El estudio involucró a 19 participantes, incluidos traductores y expertos. Además, 18 madres de la población objetivo fueron incluidas en la preprueba.

    Resultados:

    las equivalencias de opinión obtenidas por el comité de expertos fueron: semántica (85%), idiomática (89%), cultural (86%) y conceptual (94%). El Coeficiente de Validación de Contenido (CVC) de la escala fue de 0,93 para claridad y comprensión; 0,89 para relevancia práctica; 0,92 para relevancia. El promedio general del CVC fue de 0,91.

    Conclusiones:

    la escala fue traducida y adaptada al portugués brasileño, lo que mantuvo las equivalencias y confirmó la validez de contenido.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 11-27-2023

    Proposta do diagnóstico de enfermagem “Retorno Venoso Periférico Prejudicado”: formação do conceito

    Revista Brasileira de Enfermagem. 2023;76(5):e20220426

    Abstract

    Proposta do diagnóstico de enfermagem “Retorno Venoso Periférico Prejudicado”: formação do conceito

    Revista Brasileira de Enfermagem. 2023;76(5):e20220426

    DOI 10.1590/0034-7167-2022-0426

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    RESUMEN

    Objetivos:

    desarrollar una propuesta de diagnóstico de enfermería centrada en el retorno venoso.

    Métodos:

    se trata de un análisis de concepto según el modelo propuesto por Walker y Avant, que se operacionaliza a través de una revisión integradora. El estudio se llevó a cabo de acuerdo con las recomendaciones del protocolo Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

    Resultados:

    el análisis de los 131 estudios permitió identificar atributos, antecedentes y consecuencias. El atributo más común fue la disminución del flujo venoso. Los antecedentes encontrados con mayor frecuencia fueron deficiencia valvular estructural y/o funcional, edad avanzada y trombosis venosa periférica. Las consecuencias más comunes fueron edema periférico, úlcera venosa y dolor en la extremidad.

    Conclusiones:

    el diagnóstico de enfermería formulado fue propuesto como parte del Dominio 4, Actividad/reposo, en la Clase 4, Respuestas cardiovasculares/pulmonares, con ocho características definidoras, cinco factores relacionados, seis poblaciones de riesgo y cuatro condiciones asociadas.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW11-27-2023

    Vaccination hesitation in children under five years of age: a scoping review

    Revista Brasileira de Enfermagem. 2023;76(5):e20220707

    Abstract

    REVIEW

    Vaccination hesitation in children under five years of age: a scoping review

    Revista Brasileira de Enfermagem. 2023;76(5):e20220707

    DOI 10.1590/0034-7167-2022-0707

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    ABSTRACT

    Objectives:

    to synthesize scientific evidence on vaccine hesitancy in children under five years of age and its associated factors.

    Methods:

    a scoping review, conducted according to the methodological structure proposed by the JBI. Searches were carried out in the Latin American and Caribbean Center on Health Sciences Information, Scientific Electronic Library Online and PubMed databases, including gray literature. Studies in English, Spanish and Portuguese were included, without temporal delimitation. Editorials, studies that did not address vaccine hesitancy in children under five years of age and were not aligned with the objective and research question were excluded. The sample consisted of 18 articles.

    Results:

    misinformation, concern about adverse effects, distrust about efficacy, affliction regarding administration simultaneously, and insecurity in relation to the laboratories were the reported reasons.

    Conclusions:

    strategies are needed to combat the lack of information about immunobiological agents, as misinformation was the main factor in parents’ vaccine hesitation.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Vaccination hesitation in children under five years of age: a scoping review
  • ORIGINAL ARTICLE11-27-2023

    Analysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view

    Revista Brasileira de Enfermagem. 2023;76(5):e20220717

    Abstract

    ORIGINAL ARTICLE

    Analysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view

    Revista Brasileira de Enfermagem. 2023;76(5):e20220717

    DOI 10.1590/0034-7167-2022-0717

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    ABSTRACT

    Objectives:

    to analyze the development of children discharged from the Neonatal Intensive Care Unit and how hospitalization interferes with child development, from parents’ point of view.

    Methods:

    a descriptive-exploratory, documentary and qualitative study, carried out with parents of children discharged from the Intensive Care Unit through a telephone survey and supplementation in medical records. Data were analyzed using Bardin’s tool and discussed according to scientific evidence.

    Results:

    from parents’ point of view, delay in physical development was not observed, however difficulties in breastfeeding and weight gain were reported. Changes in speech and changes in behavior considered abnormal were also delays in child evolution.

    Final Considerations:

    from parents’ point of view, changes in speech may be associated with hospitalization in an Intensive Care Unit, while difficulties related to breastfeeding and delays in cognition may be altered by conditions of prematurity and low weight at birth.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-27-2023

    Urinary incontinence in women: assessment with the aid of standardized nursing terminologies NANDA-I and NOC

    Revista Brasileira de Enfermagem. 2023;76(5):e20220714

    Abstract

    ORIGINAL ARTICLE

    Urinary incontinence in women: assessment with the aid of standardized nursing terminologies NANDA-I and NOC

    Revista Brasileira de Enfermagem. 2023;76(5):e20220714

    DOI 10.1590/0034-7167-2022-0714

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    ABSTRACT

    Objectives:

    to assess urinary impairment in incontinent women with the aid of standardized nursing terminologies NANDA-I and NOC.

    Methods:

    a cross-sectional study, carried out with 97 women attending the gynecology outpatient clinic of a university hospital. Data collection took place using a form that contained information about NANDA-I diagnoses related to urinary incontinence and NOC Urinary Continence indicators. Statistical analysis was performed to assess the impairment of NOC indicators in the presence of NANDA-I nursing diagnoses.

    Results:

    diagnosis Mixed Urinary Incontinence was the most prevalent (43.3%), and, in its presence, the most compromised indicators were voids in appropriate receptacle, gets to toilet between urge and passage of urine and empties bladder completely.

    Conclusions:

    urinary impairment was worse in women with elements of stress and urge urinary incontinence.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • EXPERIENCE REPORT11-27-2023

    Implementation of a nursing strategy for self-transcendence in older adults: an experience report

    Revista Brasileira de Enfermagem. 2023;76(5):e20220745

    Abstract

    EXPERIENCE REPORT

    Implementation of a nursing strategy for self-transcendence in older adults: an experience report

    Revista Brasileira de Enfermagem. 2023;76(5):e20220745

    DOI 10.1590/0034-7167-2022-0745

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    ABSTRACT

    Objectives:

    to report the experience of implementing a nursing strategy to promote self-transcendence in older adults attended at a Primary Health Care center.

    Methods:

    an experience report on the implementation of a strategy addressing the Theory of Self-Transcendence by nursing to older adults in a primary health unit, in San Luis Potosí, Mexico, from October to November 2022.

    Results:

    fourteen older adults and three nurses participated. From the expression of feelings, speeches about self-transcendence, spirituality and physical activity promotion, the strategy was satisfactory. Emotional, cognitive and spiritual changes were observed in the different dimensions of the Theory of Self-Transcendence.

    Final Considerations:

    the nursing strategy on self-transcendence made it possible to identify significant moments that helped to identify the key points in which older adults were; it helped to intervene from a person-to-person care perspective.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • ORIGINAL ARTICLE09-21-2020

    Family management ofchildren who experience sickle cell disease: a qualitative study

    Revista Brasileira de Enfermagem. 2020;73:e20190521

    Abstract

    ORIGINAL ARTICLE

    Family management ofchildren who experience sickle cell disease: a qualitative study

    Revista Brasileira de Enfermagem. 2020;73:e20190521

    DOI 10.1590/0034-7167-2019-0521

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    ABSTRACT

    Objective:

    to know the family management experience of children with sickle cell disease in the light of the Family Management Style Framework.

    Methods:

    a qualitative case study carried out between September/2015 and July/2016 with 12 members of eight families registered in a blood center in Minas Gerais. The semi-structured interviews were recorded, and the data were analyzed and interpreted by the hybrid model thematic analysis.

    Results:

    three management styles were identified: five families in the accommodating style; two families in the struggling style; and only one family in the enduring style.It was noted that empowerment was paramount in the acquisition of skills and abilities to care for these children.

    Final considerations:

    family management knowledge of children with sickle cell disease provided a reflection on nurses’ role in supporting, orienting and encouraging the empowerment of these families aiming at the search for comprehensive care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-16-2019

    Spatial analysis on tuberculosis and the network of primary health care

    Revista Brasileira de Enfermagem. 2019;72(5):1197-1202

    Abstract

    ORIGINAL ARTICLE

    Spatial analysis on tuberculosis and the network of primary health care

    Revista Brasileira de Enfermagem. 2019;72(5):1197-1202

    DOI 10.1590/0034-7167-2017-0897

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    ABSTRACT

    Objective:

    to analyze the spatial distribution of new cases of tuberculosis compared to the location of the Primary Healthcare Units that performed the compulsory notification.

    Method:

    ecological study conducted in Belém, Pará, with 5,294 new cases of tuberculosis notified to Sistema de Informação de Agravos de Notificação for the period from 2010 to 2014. The cases were georeferenced using the software applications ArcGis 10.2 and TerraView 4.2.2. The techniques of Kernel density and global Moran geostatistics were used.

    Results:

    the incidence of tuberculosis cases did not vary significantly between the years studied, however there was a variation in incidence between neighborhoods. Health units that exhibited higher number of notifications can suffer great influence of migration from nearby neighborhoods.

    Conclusion:

    the spatial dynamics of tuberculosis associated with health services allows to know the areas with increased risk of tuberculosis and the density of notifications of health units.

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    Spatial analysis on tuberculosis and the network of primary health care
  • 04-16-2021

    Questionnaire for assessing patient safety culture in emergency services: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190693

    Abstract

    Questionnaire for assessing patient safety culture in emergency services: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190693

    DOI 10.1590/0034-7167-2019-0693

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    ABSTRACT

    Objective:

    to identify the instruments used to assess patient safety culture in emergency settings.

    Method:

    an integrative literature review conducted from 2000 to 2018.

    Results:

    13 instruments were identified to assess patient safety culture in hospital and pre-hospital emergencies, comprising 12 to 50 questions, grouped from three to 12 dimensions, with dimensions related to teamwork, support, and management actions for patient safety and for continuous process improvement and continuing education. The Emergency Medical Service Safety Attitude Questionnaire, which is exclusive for pre-hospital care, stands out.

    Conclusions:

    the choice and the best decision regarding the instrument are linked to the objectives, the environment and the population to be investigated, as well as the instrument’s reliability.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Questionnaire for assessing patient safety culture in emergency services: an integrative review
  • 05-21-2021

    Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research

    Revista Brasileira de Enfermagem. 2021;74:e20200735

    Abstract

    Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research

    Revista Brasileira de Enfermagem. 2021;74:e20200735

    DOI 10.1590/0034-7167-2020-0735

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    ABSTRACT

    Objective:

    To analyze the experiences that generate pleasure and suffering in the work of nurses in an oncopediatric inpatient unit.

    Methods:

    Qualitative, exploratory, descriptive study. Data collection took place from March to May 2018, through interviews with eight nurses in an oncopediatric inpatient unit.

    Results:

    The verbalized experiences of pleasure were the work developed with children, participation in the treatment and cure of patients and the recognition of family members in relation to the work performed. The suffering experiences were palliative care and death of patients, performing invasive procedures and organizing work.

    Final considerations:

    It was possible to analyze the experiences of pleasure and suffering of nurses in an oncopediatric unit through the psychodynamics of work, allowing to reinvent prevention and intervention measures by managers in health/mental illness processes at work.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW09-21-2020

    Postnatal care of newborns in the family context: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190454

    Abstract

    REVIEW

    Postnatal care of newborns in the family context: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190454

    DOI 10.1590/0034-7167-2019-0454

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    ABSTRACT

    Objective:

    to analyze the postnatal care practices of newborns in the family context from the scientific literature.

    Methods:

    the searches of the integrative literature review were carried out in the Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (BDENF), Scientific Electronic Library Online (SciELO), and U.S. National Library of Medicine (PubMed) databases.

    Results:

    sixteen studies composed the final sample and, from these, two analytical categories emerged: Practices and doubts of families in postnatal care of newborns; and Best practices in postnatal care of newborns.

    Final considerations:

    several cultural practices of families differ from scientific recommendations, which can generate risks to the health of newborns. Therefore, it is essential to consolidate educational programs with family members, to improve the quality of care offered and to reduce preventable neonatal deaths in different socio-family contexts.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Postnatal care of newborns in the family context: an integrative review
  • ORIGINAL ARTICLE03-07-2022

    Predictors of frailty in older people users of Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75:e20201292

    Abstract

    ORIGINAL ARTICLE

    Predictors of frailty in older people users of Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75:e20201292

    DOI 10.1590/0034-7167-2020-1292

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    ABSTRACT

    Objective:

    to identify the prevalence and predictors of frailty in older people in Primary Health Care.

    Method:

    this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.

    Results:

    the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).

    Conclusions:

    the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REFLECTION03-24-2021

    Workplace violence: legislation, public policies and possibility of advances for health workers

    Revista Brasileira de Enfermagem. 2021;74(1):e20200335

    Abstract

    REFLECTION

    Workplace violence: legislation, public policies and possibility of advances for health workers

    Revista Brasileira de Enfermagem. 2021;74(1):e20200335

    DOI 10.1590/0034-7167-2020-0335

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    ABSTRACT

    Objectives:

    to discuss specific laws and public policies for workplace violence in the health sector, highlighting possibilities for the collective confrontation of this phenomenon in Brazil.

    Methods:

    this is a reflective and argumentative study that refers to some previous experiences regarding the implementation of legal aspects to curb workplace violence directed at health professionals.

    Results:

    there are experiences regarding the existence of legislation or public policies to specifically contain workplace violence in the health sector, but these are still restricted to some places or countries. The literature provides resources for developing specific strategies for managing this phenomenon, highlighting prevention programs and conducts for case management.

    Final Considerations:

    implementation of legal aspects or public policies at the municipal, regional, state and/or national level is a strategy with potential to confront workplace violence in health services in a collective and sustainable way.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 09-16-2019

    Tuberculosis: knowledge among nursing undergraduate students

    Revista Brasileira de Enfermagem. 2019;72(5):1279-1287

    Abstract

    Tuberculosis: knowledge among nursing undergraduate students

    Revista Brasileira de Enfermagem. 2019;72(5):1279-1287

    DOI 10.1590/0034-7167-2018-0384

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    ABSTRACT

    Objective:

    To analyze the knowledge about tuberculosis among nursing undergraduate students of a Federal Higher Education Institution.

    Method:

    Descriptive cross-sectional study, with quantitative approach. Data were collected through a questionnaire based on the WHO’s guide to developing evaluation instruments on knowledge, attitudes and practices related to TB. Students were classified as “with knowledge” and “with little knowledge” based on the mean percentage of correct responses to the variables analyzed. Descriptive statistics techniques were used.

    Results:

    60 nursing students were interviewed. “with little knowledge” was observed among students who were studying at the university for less time and who had no previous contact with the subject, and “with knowledge” was observed among those whose knowledge about tuberculosis was acquired in the health services.

    Conclusion:

    Knowledge gaps among undergraduate nursing students were identified, suggesting the need to rethink teaching-learning strategies on the subject.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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