Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971

    Abstract

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971

    DOI 10.1590/0034-7167-2015-0102

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    ABSTRACT

    Objective:

    to analyze the aspects that potentialize groups in Primary Health Care according to their coordinators and participants.

    Method:

    This is a descriptive study with a qualitative approach, conducted with a health promotion group affiliated with a Family Health Unit. The data were collected by means of focus groups with participants and community workers who were submitted to thematic content analysis.

    Results:

    the analysis gave rise to three thematic categories: The group is our medicine; Healthy living and learning; and Priceless leadership.

    Conclusion:

    the leads identified during the study were as follows: group organization involves investment in motivation and leadership by the coordinators; production of grouping and cohesion is a result of participants and coordinators meeting together, interspersed with dialog, things said and left unsaid that the subjects expressed in the group dynamic; the sense of belonging guarantees their placement in the group based on the recognition of their knowledge and affective, social and health needs.

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    Leads for potentializing groups in Primary Health Care
  • 01-01-2016

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963

    Abstract

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963

    DOI 10.1590/0034-7167-2016-0045

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    ABSTRACT

    Objective:

    the objective of this study was to understand the meaning of the harmful use of crack by people undergoing addiction treatment.

    Method:

    qualitative approach of social research on strategic modality was used. Field observation, preparation of field diary and focus groups, and data analysis through the method of interpreting meaning were carried out.

    Results:

    the results contributed to the construction of three thematic categories: “The discovery of crack and other drugs” that describes the experimentation with crack and other drugs; “The pain of the pleasure”, key category that describes the moments after crack experimentation and that, many times, turns into addiction, which leads the person into a cycle of short periods of attempts at abstinence, relapse, and relentless consumption; and “Return to normal life”.

    Conclusion:

    treating people with crack addiction must be carried out in ways that narrow the distance between these people and their families, society and health care.

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  • 01-01-2016

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955

    Abstract

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955

    DOI 10.1590/0034-7167-2016-0408

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    ABSTRACT

    Objective:

    to analyze the intimate partner violence in adolescence from the perspective of gender and generation.

    Method:

    Quantitative, descriptive, and exploratory research. 111 adolescents participated in this study, with ages from 15 to 19 years old.

    Results:

    We found that 91% of participants have perpetrated and 90.1% have undergone at least one of the natures of violence. The intimate partner violence in adolescence constitutes a form of gender violence, and gender constructions have determined the suffered and perpetrated aggressions, possibly also determining the naturalization and legitimization of such aggressions. The inequality of power between generations may determine greater vulnerability of youngsters to the phenomenon.

    Conclusion:

    The historical and social construction of masculinity and femininity and the power inequalities set by these constructions converge with the power inequality between generations. Thus, gender and generation are determinants of intimate partner violence in adolescence, as well as of the vulnerability of adolescents to this phenomenon.

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  • 01-01-2016

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945

    Abstract

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945

    DOI 10.1590/0034-7167-2015-0116

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    ABSTRACT

    Objective:

    to analyze the concept “hospitalization anxiety in children”, identifying its antecedents, attributes, and consequences, with the objective of clarifying its meaning.

    Method:

    we used a conceptual analysis model, whose objective is to clarify the meaning of terms.

    Results:

    we identified the concept antecedents and its attributes, classified as biological and psychological needs, which are essential characteristics of “hospitalization anxiety in children”. This process consequences have also been identified. We proceeded to the analysis of the characteristics with emphasis on the impacts of the hospitalization process on the child and on the family.

    Conclusion:

    based on the conceptual analysis of the phenomenon, it was possible to identify the antecedents, attributes, and consequences of Hospitalization Anxiety in children. We recommend the continuation of the study validating the essential characteristics presently identified as a way to join knowledge gathered and professional practice.

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    Hospitalization anxiety in children: conceptual analysis
  • 01-01-2016

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939

    Abstract

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939

    DOI 10.1590/0034-7167-2015-0064

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    ABSTRACT

    Objective:

    to investigate the association between the domains of health-related quality of life of family caregivers and sociodemographic characteristics of individuals with stroke sequelae.

    Method:

    descriptive, cross-sectional, quantitative research, conducted with 136 family caregivers of individuals with stroke sequelae by means of home interviews from April to June 2013.

    Results:

    we found that caregivers of individuals aged under 65 years, married, with 10 to 12 years of formal education, presented higher scores, respectively, in the domains ‘Social aspects’, ‘Emotional aspects’, and ‘Mental health’. However, caregivers of patients with higher degree of disability obtained lower score in the ‘Mental Health’ domain.

    Conclusion:

    the results foster reflection on the need of including the family caregivers of individuals with stroke sequelae in the planning of care provided by health professionals.

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  • 01-01-2016

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932

    Abstract

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932

    DOI 10.1590/0034-7167-2015-0121

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    ABSTRACT

    Objective:

    to verify whether comatose patients feel pain during the bed bath nursing procedure.

    Method:

    nineteen patients aged 61 ± 17.39 years participated in the study. A quantitative analysis was conducted on the P substance (PS) in the saliva collected before and during a bed bath, using the ELISA method. Program Graph Pad Prisma 6 was used to analyze the data. The verification of normality was made through the Shapiro Wilk test, which determined the choice for the Wilcoxon nonparametric test.

    Results:

    the study showed a statistically significant increase (∆= 5.62%, p<0.001) in the PS level of the patients studied during the nursing procedure.

    Conclusion:

    when caring for comatose patients during a bed bath, professionals cause or add painful stimuli; therefore, they feel pain.

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    A quasi-experimental nursing study on pain in comatose patients
  • 01-01-2016

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926

    Abstract

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926

    DOI 10.1590/0034-7167-2015-0151

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    ABSTRACT

    Objectives:

    to describe the development and validation process of a scale to measure the nurses’ perception of the activities that contribute to nursing care quality.

    Method:

    methodological study based on a literature review, the opinion of experts and the experience of study investigators. An instrument was designed containing six dimensions and 25 items, applied as a questionnaire to 775 nurses from a hospital in northern Portugal, from May to July 2014. The instrument validation used an exploratory factor analysis and an internal consistency assessment of each factor/dimension.

    Results:

    the factor analysis indicated the need to adjust the original composition of the scale, which then received one more dimension, totaling seven dimensions and the same 25 items, and presented a high internal consistency (Cronbach’s alpha of 0.940).

    Conclusion:

    the final version of the scale presents adequate psychometric properties, with potential use in future studies.

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  • 01-01-2016

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919

    Abstract

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919

    DOI 10.1590/0034-7167-2015-0085

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    ABSTRACT

    Objective:

    to understand the influence of network and social support in the care of a child with type 1 diabetes.

    Method:

    qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model.

    Results:

    the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes.

    Conclusion:

    the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

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  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(5):1002-1002

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(5):1002-1002

    DOI 10.1590/0034-7167.20166905e01

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    Article “Alcohol and alcoholism: attitudes of nursing students”, with number of DOI: http://dx.doi.org/10.1590/S0034-71672013000100013, published in the journal Revista Brasileira de Enfermagem, v66(1):84-9, page 89 that read:“18. Miranda SP, Vargas D. Satisfação de pacientes de um centro de atenção Psicossocial álcool e drogas com o atendimento do enfermeiro. SMAD, Rev Eletrônica Saúde Mental Alcool Drog 2019;5(2):1-15”.[…]
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  • 01-01-2016

    Research methodology for nursing and health: a book review

    Revista Brasileira de Enfermagem. 2016;69(5):1000-1001

    Abstract

    Research methodology for nursing and health: a book review

    Revista Brasileira de Enfermagem. 2016;69(5):1000-1001

    DOI 10.1590/0034-7167-2015-0135

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    For those interested in nursing and health, the book entitled “Research methodology for nursing and health: from theory to practice”() was released in October 2015, at the 67th Brazilian Congress of Nursing, sponsored by National ABEn. The interest emerged from two organizers: Dr. Maria Ribeiro Lacerda (UFPR) and Dr. Regina Gema Santini Costerano (UNIFRA). Forty-seven […]
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  • 01-01-2016

    Violence in the workplace in Nursing: consequences overview

    Revista Brasileira de Enfermagem. 2016;69(5):996-999

    Abstract

    Violence in the workplace in Nursing: consequences overview

    Revista Brasileira de Enfermagem. 2016;69(5):996-999

    DOI 10.1590/0034-7167-2015-0133

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    ABSTRACT

    Objective:

    to reflect on the consequences of workplace violence experienced by nursing professionals.

    Methods:

    this is a reflection paper based on recent publications related to the subject, particularly researches carried out in Brazil and in other countries.

    Results:

    exposure to workplace violence has been associated with health problems in nursing professionals, which may be physical damage, emotional manifestations, and psychic disorders. It also affects the employee performance, his or her family and social interactions.

    Conclusion:

    this phenomenon is potentially noxious and costly, for it leads to suffering, illness, absence from work, and even death. This reflection calls attention moreover to the importance of a safe and adequate health care work environment.

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  • REFLECTION01-01-2016

    Construcción de la enfermera de práctica avanzada en Catalunya (España)

    Revista Brasileira de Enfermagem. 2016;69(5):991-995

    Abstract

    REFLECTION

    Construcción de la enfermera de práctica avanzada en Catalunya (España)

    Revista Brasileira de Enfermagem. 2016;69(5):991-995

    DOI 10.1590/0034-7167.2016690507

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    RESUMEN

    El desarrollo de la enfermera de práctica avanzada (EPA) ha supuesto un reto para las enfermeras en países como EE.UU., Canadá, Gran Bretaña y Australia, entre otros, y desde hace escasos años está siendo considerada en Catalunya y España como un sistema para desarrollar nuevos roles que aporten eficacia y eficiencia al sistema sanitario. El presente artículo pretende conceptualizar la EPA y los modelos de referencia así como contextualizar y reflexionar sobre la EPA en Catalunya, desde el punto de vista de formación y de la implantación de los denominados nuevos roles de enfermería, asimilándolos a la práctica avanzada.

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  • 01-01-2016

    Developing the Advanced Practice Nurse in Catalonia

    Revista Brasileira de Enfermagem. 2016;69(5):991-995

    Abstract

    Developing the Advanced Practice Nurse in Catalonia

    Revista Brasileira de Enfermagem. 2016;69(5):991-995

    DOI 10.1590/0034-7167.2016690507

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    ABSTRACT

    The development of advanced practice nurses (APN) has proved a challenge for nurses in countries such as the USA, Canada, Great Britain, and Australia among others. It is only in recent years that the system has been considered in Catalonia and Spain as a way to develop new roles to bring effectiveness and efficiency to the health system. From the standpoint of training and implementation of the above-mentioned new nursing roles, the following article aims to conceptualise APN and its reference models, as well as to contextualise and reflect on APN in Catalonia in order to assimilate them into advanced practice.

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  • 01-01-2016

    International academic mobility in nursing education: an experience report

    Revista Brasileira de Enfermagem. 2016;69(5):986-990

    Abstract

    International academic mobility in nursing education: an experience report

    Revista Brasileira de Enfermagem. 2016;69(5):986-990

    DOI 10.1590/0034-7167-2015-0128

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    ABSTRACT

    Objective:

    report the experience of international academic mobility in Ireland through the program Science Without Borders during undergraduate education in nursing.

    Method:

    a report of experience presented in chronological order, with a descriptive nature.

    Results:

    the opportunity to know and be able to discuss questions regarding health and nursing in Ireland allowed the review of concepts and a more reflective perspective regarding nursing practices. Additionally, the exchange promoted personal strengthening regarding the confrontation and solution of problems, development of technical and scientific abilities, improvement of linguistic competences and construction of personality, independence and maturity.

    Conclusion:

    regarding such constructive and enriching experience that this mobility provides to students, to the governing authorities, to the population and to Brazilian nursing, sharing this experience is expected to serve as encouragement for those who search for new horizons, with the objective of adding knowledge for their personal and professional life.

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  • 01-01-2016

    Online training for health professionals in three regions of Brazil

    Revista Brasileira de Enfermagem. 2016;69(5):981-985

    Abstract

    Online training for health professionals in three regions of Brazil

    Revista Brasileira de Enfermagem. 2016;69(5):981-985

    DOI 10.1590/0034-7167.2016690506

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    ABSTRACT

    Objective:

    to describe online training experience aimed at professionals working in the public health service in 27 Neonatal and Pediatric Intensive Care Units, and to reflect concerning the training process and possible improvements in this process.

    Method:

    this is an experience report study about the online training with multidisciplinary content, planned from the situational diagnosis of 27 institutions. The training target set was 10 participants per institution and per module, including the following topics: Indicators of Quality as a Management Tool, Hand Hygiene, Patient Safety, Intravenous Therapy and Patients’ Chart Record.

    Results:

    a total of 2,071 active students in the modules, with 1,046 approved. The mean of 76 students per module exceeded the target set.

    Conclusion:

    experience has shown that online training is comprehensive as a potential tool for the professional technical development and digital inclusion. The online learning system becomes weakened if participants are unaware of the technological resources.

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  • 01-01-2016

    Technologies in intensive care: causes of adverse events and implications to nursing

    Revista Brasileira de Enfermagem. 2016;69(5):972-980

    Abstract

    Technologies in intensive care: causes of adverse events and implications to nursing

    Revista Brasileira de Enfermagem. 2016;69(5):972-980

    DOI 10.1590/0034-7167.2016690505

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    ABSTRACT

    Objective:

    to identify the causes of adverse events affecting clients resulting from the use of equipment in intensive care services; to point out the main recommendations for clinical practice to minimize these events and, then, discuss the implications to nursing care.

    Method:

    integrative and descriptive review on the SciELO, Medline, LILACS, and PubMed databases. Articles were selected based on the inclusion criteria and the structured instrument was applied.

    Results:

    altogether, 11 articles were selected where three evidence units were outstanding: Equipment failure; inadequate use of equipment; and team failure. Permanent education of professionals; evaluation of production and availability of equipment; and use of checklists are recommended.

    Conclusion:

    preventing adverse events related to equipment is one of the nursing responsibilities and requires the establishment of defensive barriers to prevent these.

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