Articles - Revista Brasileira de Enfermagem

RESEARCH01-01-2018

Validation of instrument to assess software of patients’ risk classification
Revista Brasileira de Enfermagem. 2018;71(3):975-982

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Abstract
RESEARCH
Validation of instrument to assess software of patients’ risk classification
Revista Brasileira de Enfermagem. 2018;71(3):975-982
DOI 10.1590/0034-7167-2017-0053
Leila Garcia de Oliveira Pegoraro,
Raquel Gvozd,
Maria do Carmo Fernandez Lourenço Haddad,
Marli Terezinha Oliveira Vannuchi,
Larissa Gutierrez de Carvalho Silva,
Mariana Angela Rossaneis
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ABSTRACT

Objective:

Validate the content of an instrument that assesses the quality of a software applied to the risk classification of patients.

Method:

Methodological study, conducted in three stages: adaptation of the instrument, content validation through Delphi technique and pre-test. The results were analyzed through Content Validity Index, Overall Content Validity Index and Inter-rater Reliability.

Results:

The final version of the instrument comprises 8 characteristics and 28 sub-characteristics, being 37 general questions to computer experts and nurse and 7 specific questions to computer experts, including 1 question and excluding 3 questions of the original instrument. We obtained Overall Content Validity of 92% and Inter-rater Reliability of 100% in the second Delphi round.

Final considerations:

The instrument has content validity, allowing to assess the technical quality and functional performance of the software applied to the risk classification of patients.

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RESEARCH01-01-2018

Stress of nursing students in clinical simulation: a randomized clinical trial
Revista Brasileira de Enfermagem. 2018;71(3):967-974

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Abstract
RESEARCH
Stress of nursing students in clinical simulation: a randomized clinical trial
Revista Brasileira de Enfermagem. 2018;71(3):967-974
DOI 10.1590/0034-7167-2017-0187
Radamés Boostel,
Jorge Vinícius Cestari Felix,
Carina Bortolato-Major,
Edivane Pedrolo,
Stela Adami Vayego,
Maria de Fátima Mantovani
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ABSTRACT

Objective:

To evaluate and compare the perception of stressors by nursing students before and after a high-fidelity clinical simulation or conventional laboratory practice class.

Method:

This is a randomized clinical trial conducted with 52 nursing students. Both groups had theoretical classes about cardiothoracic physical examination, followed by practice class in skill laboratory. In addition, the experimental group took part in a high-fidelity simulation scenario. Stressors were evaluated before and after class, with the application of KEZKAK questionnaire.

Results:

The experimental group was significantly more worried about six factors related to lack of competence and to interpersonal relationships (p < 0.05), while the control group was significantly more worried about being in contact with suffering (p = 0.0315).

Conclusion:

The simulation affects students’ perception of stressors and promotes their self-evaluation and critical thinking regarding the responsibility that comes with their learning.

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RESEARCH01-01-2018

Family caregiver of older adults and Cultural Care in Nursing care
Revista Brasileira de Enfermagem. 2018;71(3):959-966

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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.
Abstract
RESEARCH
Family caregiver of older adults and Cultural Care in Nursing care
Revista Brasileira de Enfermagem. 2018;71(3):959-966
DOI 10.1590/0034-7167-2017-0105
Alcimar Marcelo do Couto,
Célia Pereira Caldas,
Edna Aparecida Barbosa de Castro
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ABSTRACT

Objective:

To analyze the experiences of family caregivers of dependent older adults, who show performance overload and emotional distress, using the Theory of Culture Care.

Method:

Qualitative study with nine caregivers of home care dependent older adults, based on Grounded Theory.

Results:

The findings allowed the identification of potentialities and frailties in the context of family home care and subsidizing the construction of a theoretical scheme resulting from the analysis of possibilities of the nursing care practice according to the culture, through the three modes of action: maintenance, adjustment and repatterning of cultural care.

Final considerations:

Respecting the cultural values and family beliefs, the nurse can help to institute mutually established changes, promoting a better quality in the nursing care relationship and a relief to the strain of the role of the caregiver.

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RESEARCH01-01-2018

Nursing team communication in a medical ward
- Priscilla Valladares Broca,
- Márcia de Assunção Ferreira
Revista Brasileira de Enfermagem. 2018;71(3):951-958

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Abstract
RESEARCH
Nursing team communication in a medical ward
Revista Brasileira de Enfermagem. 2018;71(3):951-958
DOI 10.1590/0034-7167-2017-0208
Priscilla Valladares Broca,
Márcia de Assunção Ferreira
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ABSTRACT

Objective:

To describe the essential elements that make the nursing team communication process effective, and to analyze such elements in the light of two main theorists, Berlo and King.

Method:

This is a qualitative study of assistant convergent research approach. The data production technique was the semi-structured interview, with 25 nursing professionals from a public hospital. Data were analyzed with thematic content techniques.

Results:

The main element of consolidation of the communication process and interpersonal relationship, with consequent interaction, is the dialogue, which is guided by emotions, feelings, and team integration.

Conclusion:

The communication process and the interpersonal relationship reach their objectives and the reciprocal understanding expected when there is effective dialogue, validated by the source and receiver of the processes, with consequent interaction.

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RESEARCH01-01-2018

Assessment of health/functioning of older adults who consume psychoactive substances
Revista Brasileira de Enfermagem. 2018;71(3):942-950

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Abstract
RESEARCH
Assessment of health/functioning of older adults who consume psychoactive substances
Revista Brasileira de Enfermagem. 2018;71(3):942-950
DOI 10.1590/0034-7167-2016-0637
Vania Dias Cruz,
Silvana Sidney Costa Santos,
Jamila Geri Tomaschewski-Barlem,
Bárbara Tarouco da Silva,
Celmira Lange,
Daiane Porto Gautério de Abreu,
Flávia Seles Oliveira
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ABSTRACT

Objective:

To assess the health/functioning of the older adult who consumes psychoactive substances through the International Classification of Functioning, Disability and Health, considering the theory of complexity.

Method:

Qualitative case study, with 11 older adults, held between December 2015 and February 2016 in the state of Rio Grande do Sul, using interviews, documents and non-systematic observation. It was approved by the ethics committee. The analysis followed the propositions of the case study, using the complexity of Morin as theoretical basis.

Results:

We identified older adults who consider themselves healthy and show alterations – the alterations can be exacerbated by the use of psychoactive substances – of health/functioning expected according to the natural course of aging such as: systemic arterial hypertension; depressive symptoms; dizziness; tinnitus; harmed sleep/rest; and inadequate food and water consumption.

Final consideration:

The assessment of health/functioning of older adults who use psychoactive substances, guided by complex thinking, exceeds the accuracy limits to risk the understanding of the phenomena in its complexity.

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RESEARCH01-01-2018

Impaired comfort in children and adolescents with cancer
Revista Brasileira de Enfermagem. 2018;71(3):934-941

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Abstract
RESEARCH
Impaired comfort in children and adolescents with cancer
Revista Brasileira de Enfermagem. 2018;71(3):934-941
DOI 10.1590/0034-7167-2017-0050
Tânia Alteniza Leandro,
Viviane Martins da Silva,
Marcos Venícios de Oliveira Lopes,
Nirla Gomes Guedes,
Marília Mendes Nunes,
Tamires Mesquita de Sousa,
Marília Viana Araújo
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ABSTRACT

Objective:

To determine the strength of the association between the clinical indicators of Impaired Comfort and the evaluation sector in the hospital, age group and sex of patients with cancer.

Method:

Cross-sectional study, conducted in a children’s hospital, with 192 children and adolescents. For the collection, we used an instrument developed for the study.

Results:

The majority of the sample was male, with mean age of 11 years. The indicators most evidenced among the hospitalized patients were Crying, Report of lack of satisfaction with the situation, Report of feeling cold, and Report of feeling uncomfortable. Crying and Fear were more prevalent in children compared with adolescents, and boys were the ones that verbalized the most the Report of lack of satisfaction with the situation.

Conclusion:

This study enabled determining the strength of the association of the indicators of Impaired Comfort expressed by children and adolescents with cancer.

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LETTER TO THE EDITOR01-01-2018

Low Burnout among Intensive Care units?
- Lucas J. Castro Alves,
- Mark C. Kendall
Revista Brasileira de Enfermagem. 2018;71(3):932-933

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Abstract
LETTER TO THE EDITOR
Low Burnout among Intensive Care units?
Revista Brasileira de Enfermagem. 2018;71(3):932-933
DOI 10.1590/0034-7167.2017710302c
Lucas J. Castro Alves,
Mark C. Kendall
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Dear Editor,We read with great interest the article of Vasconcelos et al. in a recent issue of the journal(). The authors performed a cross sectional study to analyze the existence of a relationship between burnout and depressive symptoms among intensive care unit nursing staff. They demonstrated that burnout was present in 14.29% of the nurses […]
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01-01-2018
- Lucas J. Castro Alves,
- Mark C. Kendall
Revista Brasileira de Enfermagem. 2018;71(3):932-933

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Abstract
Revista Brasileira de Enfermagem. 2018;71(3):932-933
DOI 10.1590/0034-7167.2017710302c
Lucas J. Castro Alves,
Mark C. Kendall
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A postagem não tem conteúdo
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ORIGINAL ARTICLE05-18-2020

Militancy of nurses in the institutionality field: printed media versions
Revista Brasileira de Enfermagem. 2020;73(4):e20180835

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Abstract
ORIGINAL ARTICLE
Militancy of nurses in the institutionality field: printed media versions
Revista Brasileira de Enfermagem. 2020;73(4):e20180835
DOI 10.1590/0034-7167-2018-0835
Aline Di Carla Laitano ,
Gilberto Tadeu Reis da Silva ,
Deybson Borba de Almeida ,
Maria Itayra Padilha ,
Maria Angélica de Almeida Peres ,
Victor Porfírio Ferreira Almeida Santos
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ABSTRACT

Objectives:

to analyze nurses’ professional militancy in the institutionality field, presented by the printed media from Bahia State in the 1970s and 1980s.

Methods:

a historical and qualitative research under Social History’s perspective, whose data source was the newspaper A Tarde. The temporal cut-off encompasses milestones such as professional body restructuring and creation.

Results:

the Associação Brasileira de Enfermagem democratization movement was reported in a superficial way, highlighting the struggle for power spaces. With respect to Conselhos Federal e Regional de Enfermagem daBahia, the newspaper notified creation and function of bodies, however, there was no visibility to the newspaper’s performance. Concerning the union, there was political fragility of nurses against the creation and union participation in the fight for labor rights.

Final Considerations:

organization of political action occurred from isolated groups mobilization of professionals who were already traveling in political spaces, not the large mass of professionals.

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ORIGINAL ARTICLE06-08-2020

Family experience living with advanced neoplasm: a glance at the rural population
- Danusa Begnini ,
- Nara Marilene Oliveira Giradon-Perlini ,
- Mardrig Beuter ,
- Lucía Silva ,
- Isabel Cristina Pacheco Van Der Sand ,
- Maira Deguer Misko
Revista Brasileira de Enfermagem. 2020;73(4):e20180895

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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.
Abstract
ORIGINAL ARTICLE
Family experience living with advanced neoplasm: a glance at the rural population
Revista Brasileira de Enfermagem. 2020;73(4):e20180895
DOI 10.1590/0034-7167-2018-0895
Danusa Begnini ,
Nara Marilene Oliveira Giradon-Perlini ,
Mardrig Beuter ,
Lucía Silva ,
Isabel Cristina Pacheco Van Der Sand ,
Maira Deguer Misko
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ABSTRACT

Objectives:

to understand the experience of rural families living with advanced cancer, from Family Management Style Framework’s perspective.

Methods:

a qualitative research conducted in seven cities of the northern of state of Rio Grande do Sul in homes of 11 families (27 people). Data collection took place in 2014, using the genogram and narrative interview. Analysis followed Family Management Style Framework’s theoretical model.

Results:

the results were organized into three categories based on conceptual components of the referred model: no more normal life: situation definition; attempt to reconcile care and work: management behavior; imminence of the finitude of life: perception of consequences.

Final Considerations:

living in rural context gives families specific ways of dealing with advanced cancer. Understanding the movements undertaken by rural families throughout the experience can guide nursing professionals in planning interventions collaborating with this population’s health.

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ORIGINAL ARTICLE06-01-2020

Construction and validation of an educational technology for mother-child bond in the neonatal intensive care unit
Revista Brasileira de Enfermagem. 2020;73(4):e20190083

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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.
Abstract
ORIGINAL ARTICLE
Construction and validation of an educational technology for mother-child bond in the neonatal intensive care unit
Revista Brasileira de Enfermagem. 2020;73(4):e20190083
DOI 10.1590/0034-7167-2019-0083
Aliniana da Silva Santos ,
Lidiane do Nascimento Rodrigues ,
Késia Cartaxo Andrade ,
Maria Solange Nogueira dos Santos ,
Maria Corina Amaral Viana ,
Edna Maria Camelo Chaves
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ABSTRACT

Objectives:

to describe the process of construction and validation of an educational booklet to promote bonding between mothers and newborns in a Neonatal Intensive Care Unit.

Methods:

methodological study developed through data collection in the literature and with the target audience; construction of the booklet; qualification of the material through validation by judges (health and communication experts/designer) and assessment by the target audience (mothers of at-risk newborns). Data were analyzed descriptively.

Results:

booklet content was validated, obtaining an overall Content Validity Index of 0.92. Appearance was rated “Superior” with 80% percentage. Mothers performed an assessment with 100% agreement between the items.

Conclusions:

the booklet was validated in all domains assessed and can be used by mothers with children hospitalized in the Neonatal Unit.

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ORIGINAL ARTICLE06-08-2020

Risk factors for site complications of intravenous therapy in children and adolescents with cancer
Revista Brasileira de Enfermagem. 2020;73(4):e20190471

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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.
Abstract
ORIGINAL ARTICLE
Risk factors for site complications of intravenous therapy in children and adolescents with cancer
Revista Brasileira de Enfermagem. 2020;73(4):e20190471
DOI 10.1590/0034-7167-2019-0471
Luciano Marques dos Santos ,
Cleonara Sousa Gomes e Silva ,
Elis Souza Machado ,
André Henrique do Vale Almeida ,
Carlos Alberto Lima da Silva ,
Bianka Sousa Martins Silva ,
Ariane Ferreira Machado Avelar
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ABSTRACT

Objectives:

to analyze predictive factors for the incidence of complications related to peripheral venous catheters in children and adolescents with cancer.

Methods:

a longitudinal follow-up study, conducted at a pediatric oncology clinic unit of a hospital in Bahia, with 333 peripheral venous catheters inserted in 77 children and 26 adolescents. Data collection took place between April 2015 and December 2016 through direct observation of peripheral intravenous catheter insertion, medical record data collection and daily observation of the puncture site.

Results:

the incidence of complications was 18.6%. The modeling of the variables confirmed that the risk factors for complications in children/adolescents with cancer were: prolonged peripheral intravenous therapy (p=0.002), history of complications (p=0.000), non-irritating/vesicant medications (p=0.003) and vesicant solutions (p=0.000).

Conclusions:

the goal has been achieved. Results can contribute to the theoretical, practical and social context.

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ORIGINAL ARTICLE07-06-2020

Nurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923

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Abstract
ORIGINAL ARTICLE
Nurses’ 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
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ABSTRACT

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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REVIEW07-06-2020

Effectiveness of the automated drug dispensing system: systematic review and meta-analysis
Revista Brasileira de Enfermagem. 2020;73(5):e20180942

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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.
Abstract
REVIEW
Effectiveness of the automated drug dispensing system: systematic review and meta-analysis
Revista Brasileira de Enfermagem. 2020;73(5):e20180942
DOI 10.1590/0034-7167-2018-0942
Márglory Fraga de Carvalho ,
Juliana Mendes Marques ,
Cristiano Bertolossi Marta ,
Antônio Augusto de Freitas Peregrino ,
Vivian Schutz ,
Roberto Carlos Lyra da Silva
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ABSTRACT

Objectives:

to compare the effectiveness of the decentralized automated drug dispensing system with pockets.

Methods:

an effectiveness study based on a systematic review guided by the question: for patients admitted to hospital units, is the use of automated drug dispensing effective for reducing medication errors when compared to manual unit dose dispensing? The evidence was evaluated by the Grading of Recommendations Assessment, Development and Evaluation and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses instrument, used in the report.

Results:

the sample was composed of 15 studies and none of them directly compared both technologies; however, the meta-analysis showed that there is no difference in effectiveness between them [OR 1.03 95%CI (0,12 – 8,99)].

Conclusions:

the conclusion is that the recommendation in favor of the automated dispensing system is weak.

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ORIGINAL ARTICLE07-06-2020

Educational actions: an action research with Family Health Strategy professionals and users
Revista Brasileira de Enfermagem. 2020;73(5):e20180969

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Abstract
ORIGINAL ARTICLE
Educational actions: an action research with Family Health Strategy professionals and users
Revista Brasileira de Enfermagem. 2020;73(5):e20180969
DOI 10.1590/0034-7167-2018-0969
Carlos Frank Viga Ramos ,
Maria Susana Barboza da Silva ,
Anderson da Silva Rosa ,
Carmen Lúcia Albuquerque de Santana ,
Luiza Hiromi Tanaka
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ABSTRACT

Objectives:

to identify the factors that influence educational actions, and building with professionals and users proposed educational strategies that encourage popular participation.

Methods:

an action research, in which individual interviews, participant observation and Focus Group were conducted. Sixteen professionals and ten users from 2 Family Health Strategy from Rio Branco, Acre, Brazil participated. The results were organized by using the Thematic Analysis technique.

Results:

the thematic units emerged: Health education as a strategy that encourages changes in the lives of Family Health Strategyusers; Critical reflection on diagnosis of the causes that interfere in educational actions in the Family Health Strategy and proposition of new strategies; Potentialities that encourage the development of educational practices at Family Heath Units; Proposals for improving educational practices focused on soft health education technology in the dialogue dimension.

Conclusions:

the analysis showed a lack of community ties and traditional educational strategies. In the action phase, the actors agreed to participatory changes.

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ORIGINAL ARTICLE07-01-2020

The systems and signs of political militants in/of Brazilian nursing
Revista Brasileira de Enfermagem. 2020;73(5):e20180971

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Abstract
ORIGINAL ARTICLE
The systems and signs of political militants in/of Brazilian nursing
Revista Brasileira de Enfermagem. 2020;73(5):e20180971
DOI 10.1590/0034-7167-2018-0971
Deybson Borba de Almeida ,
Gilberto Tadeu Reis da Silva ,
Genival Fernandes de Freitas ,
Nívia Vanessa Carneiro dos Santos ,
Igor Ferreira Borba de Almeida ,
Deivison Oliveira da Silva
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ABSTRACT

Objectives:

to analyze the systems and signs in the constitution of militant nurses.

Methods:

a historical and qualitative research based on oral history carried out with 11 nurses who had been working in the professional field since 1980. Data collected from semi-structured interviews were organized into NVivo software 10, being analyzed through dialectical hermeneutics.

Results:

systems and signs are systems that allow us to use senses, symbols or meaning to objectify and subjectivate the subject. The revealed senses were categorized and divided into improper, religious, heroic, communist, and socially involved.

Conclusions:

militancy signs are convergent with what is put in national and international literature. The difference found was in the heroic sense and implicated with the social. Militant is almost never associated with positive aspects. An individual who builds himself as a political being empowers himself as a social being, making knowledge of power, generating a break in traditional models.

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ORIGINAL ARTICLE07-13-2020

Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434

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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.
Abstract
ORIGINAL ARTICLE
Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434
DOI 10.1590/0034-7167-2020-0434
Eduardo Bassani Dal’Bosco ,
Lara Simone Messias Floriano ,
Suellen Vienscoski Skupien ,
Guilherme Arcaro ,
Alessandra Rodrigues Martins ,
Aline Cristina Correa Anselmo
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ABSTRACT

Objective:

to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

Methods:

a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

Results:

there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

Conclusion:

we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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REFLECTION04-22-2020

Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250

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Abstract
REFLECTION
Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250
DOI 10.1590/0034-7167-2019-0250
Jacks Soratto ,
Denise Elvira Pires de Pires ,
Susanne Friese
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ABSTRACT

Objective:

to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

Method:

It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

Results:

historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

Final considerations:

The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

Keywords:Information Management Primary Health Care Qualitative Analysis Qualitative Research Software
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REFLECTION10-26-2020

Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683

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Abstract
REFLECTION
Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683
DOI 10.1590/0034-7167-2020-0683
Ana Luisa Brandão de Carvalho Lira ,
Edlamar Kátia Adamy ,
Elizabeth Teixeira ,
Francisca Valda da Silva
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ABSTRACT

Objective:

To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

Methods:

Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

Results:

Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

Final considerations:

The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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ORIGINAL ARTICLE11-13-2020

Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673

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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.
Abstract
ORIGINAL ARTICLE
Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673
DOI 10.1590/0034-7167-2020-0673
Alexandre Medeiros de Figueiredo ,
Daniela Cristina Moreira Marculino de Figueiredo ,
Luciano Bezerra Gomes ,
Adriano Massuda ,
Eugenia Gil-García ,
Rodrigo Pinheiro de Toledo Vianna ,
Antonio Daponte
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ABSTRACT

Objective:

To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

Methods:

Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

Results:

In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

Conclusion:

Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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ORIGINAL ARTICLE02-27-2020

Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287

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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.
Abstract
ORIGINAL ARTICLE
Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287
DOI 10.1590/0034-7167-2018-0287
Marina de Góes Salvetti ,
Caroline Silva Pereira Machado ,
Suzana Cristina Teixeira Donato ,
Adriana Marques da Silva
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ABSTRACT

Objectives:

to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

Methods:

this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

Results:

prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

Conclusions:

fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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ORIGINAL ARTICLE08-10-2020

Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413

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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.
Abstract
ORIGINAL ARTICLE
Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413
DOI 10.1590/0034-7167-2019-0413
Ricardo Clayton Silva Jansen ,
Kedyma Batista de Almeida Silva ,
Maria Edileuza Soares Moura
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ABSTRACT

Objective:

To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

Methods:

A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

Results:

The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

Conclusion:

The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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REVIEW03-24-2021

Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130

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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.
Abstract
REVIEW
Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130
DOI 10.1590/0034-7167-2020-0130
Joyce Fernanda Soares Albino Ghezzi ,
Elza de Fátima Ribeiro Higa ,
Monike Alves Lemes ,
Maria José Sanches Marin
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ABSTRACT

Objectives:

to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

Methods:

integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

Results:

among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

Final Considerations:

the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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ORIGINAL ARTICLE09-16-2019

Validation of educational booklet: an educational technology in dengue prevention
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325

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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.
Abstract
ORIGINAL ARTICLE
Validation of educational booklet: an educational technology in dengue prevention
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
DOI 10.1590/0034-7167-2018-0771
Camila Fernandes Wild ,
Elisabeta Albertina Nietsche ,
Cléton Salbego ,
Elizabeth Teixeira ,
Natalia Barrionuevo Favero
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ABSTRACT

Objective:

to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population.

Method:

methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out.

Results:

the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization.

Conclusion:

the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.

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ISSUE

Validation of instrument to assess software of patients’ risk classification

ABSTRACT

Objective:

Method:

Results:

Final considerations:

Stress of nursing students in clinical simulation: a randomized clinical trial

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Family caregiver of older adults and Cultural Care in Nursing care

ABSTRACT

Objective:

Method:

Results:

Final considerations:

Nursing team communication in a medical ward

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Assessment of health/functioning of older adults who consume psychoactive substances

ABSTRACT

Objective:

Method:

Results:

Final consideration:

Impaired comfort in children and adolescents with cancer

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Low Burnout among Intensive Care units?

Militancy of nurses in the institutionality field: printed media versions

ABSTRACT

Objectives:

Methods:

Results:

Final Considerations:

Family experience living with advanced neoplasm: a glance at the rural population

ABSTRACT

Objectives:

Methods:

Results:

Final Considerations:

Construction and validation of an educational technology for mother-child bond in the neonatal intensive care unit

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Risk factors for site complications of intravenous therapy in children and adolescents with cancer

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Nurses’ work process in an emergency hospital service

ABSTRACT

Objectives:

Methods:

Results:

Final Considerations:

Effectiveness of the automated drug dispensing system: systematic review and meta-analysis

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

Educational actions: an action research with Family Health Strategy professionals and users

ABSTRACT

Objectives:

Methods:

Results:

Conclusions:

The systems and signs of political militants in/of Brazilian nursing