Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):206-206

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):206-206

    DOI 10.1590/0034-7167.20166901e02

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    In the article “Conceptions of mid-level nursing professionals facing those with a chemical dependency”, with the number of DOI: 10.1590/0034-7167.2015680610i, published in the journal Revista Brasileira de Enfermagem, v68(6):755-60, page 760 that read: “8. Vargas D, Soares J. Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention. Rev […]
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  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):205-205

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):205-205

    DOI 10.1590/0034-7167.20166901e01

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    In the article “Using the theory of meaningful learning in nursing education”, with the number of DOI: 10.1590/0034-7167.2015680420i, published in the journal Revista Brasileira de Enfermagem, v68(4):626-35, page 627 that read:“Ausubel was descended from Jewish, born in New York in 1918 and died in 1994 at the age of 75. He thought and wrote until […]
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  • 01-01-2016

    Nursing process documentation: rationale and methods of analytical study

    Revista Brasileira de Enfermagem. 2016;69(1):197-204

    Abstract

    Nursing process documentation: rationale and methods of analytical study

    Revista Brasileira de Enfermagem. 2016;69(1):197-204

    DOI 10.1590/0034-7167.2016690126i

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    ABSTRACT

    Objective:

    to describe the methods used to analyze the associations between variables of service, nursing and the nursing process documentation in institutions of the Department of Health of the State of São Paulo.

    Method:

    multilevel analytical study with data obtained in the domains of institution, units of the institution and nursing professionals who work there, using standardized instruments. The analyses had as axis the degree of completeness of the nursing process documentation in units or institutions and their association with variables of nursing personnel, of units and of institutions.

    Conclusion:

    This study will provide important empirical evidence on the factors involved in the nursing process documentation.

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  • 01-01-2016

    Qualitative methodologies in health research: interpretive referential of Patricia Benner

    Revista Brasileira de Enfermagem. 2016;69(1):192-196

    Abstract

    Qualitative methodologies in health research: interpretive referential of Patricia Benner

    Revista Brasileira de Enfermagem. 2016;69(1):192-196

    DOI 10.1590/0034-7167.2016690125i

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    ABSTRACT

    Objective:

    this article reports on the experience of using the interpretive phenomenological framework of Patricia Benner in a Brazilian context. Benner’s interpretive phenomenology, based on existential and interpretative philosophy, aims to understand human experiences in the particular worlds of research participants. Data were collected through interviews with nine nurses in November and December 2014.

    Results:

    data analysis process according to Benner’s framework consisted of: transcription, coding, thematic analysis, and search for paradigmatic cases and examples. Therefore, the prior knowledge of the researcher is an important part of the study, consisting in manners of the research conduction.

    Conclusion:

    The use of this methodological framework entailed a great challenge for the researcher, however, it also enabled a unique opportunity to illuminate important existential phenomena related to the daily lives of research participants.

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  • 01-01-2016

    Nurses’ performance on primary care in the National Health Service in England

    Revista Brasileira de Enfermagem. 2016;69(1):182-191

    Abstract

    Nurses’ performance on primary care in the National Health Service in England

    Revista Brasileira de Enfermagem. 2016;69(1):182-191

    DOI 10.1590/0034-7167.2016690124i

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    ABSTRACT

    Objective:

    To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice.

    Method:

    qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses’ performance characteristics and effects of the expansion of nursing roles.

    Results:

    expansion of nurses’ roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings.

    Conclusion:

    benefits in expanding nursing roles, were visible, contributing to primary care quality.

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  • 01-01-2016

    Meleis’ Nursing Theories Evaluation: integrative review

    Revista Brasileira de Enfermagem. 2016;69(1):174-181

    Abstract

    Meleis’ Nursing Theories Evaluation: integrative review

    Revista Brasileira de Enfermagem. 2016;69(1):174-181

    DOI 10.1590/0034-7167.2016690123i

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    ABSTRACT

    Objective:

    to analyze the application of the theory evaluation model proposed by Meleis in Brazilian studies.

    Method:

    integrative review of online articles published from 2002 to 2012 in the databases LILACS and BDENF.

    Results:

    the 16 selected studies confirmed the use of only three of the five stages proposed for Meleis’ theories analysis: Description of the Theory, Criticism of the Theory and Analysis of the Theory, with a predominance of a single unit of analysis in each.

    Conclusion:

    the analysis of nursing theories provides support to nurses in the practice, research, education and administration of the different dimensions of care. Meleis’ model figures as very important by contributing to the development of knowledge of nursing discipline, considering that its use as a method allows several reflections on theories in order that they be revalidated to support a more theoretical and practical applicability.

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    Meleis’ Nursing Theories Evaluation: integrative review
  • 01-01-2016

    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(1):165-173

    Abstract

    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(1):165-173

    DOI 10.1590/0034-7167.2016690122i

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    ABSTRACT

    Objective:

    to identify the nursing diagnosis clinical indicators of sexual dysfunction in pregnant women.

    Method:

    it is an integrative literature review, with research in databases using the keywords “sexual*”, “pregnan*” and “function*”. Studies included had an abstract available for analysis, referring to pregnant women over 18 years old, written in Portuguese, French, Spanish and English, with publication date between 2010 and 2014. Studies that reporting pregnant women with an associated pathology were excluded.

    Results:

    sexual dysfunction in pregnant women is consistent in the literature. Nine defining characteristics were identified and 16 related factors, some not classified in NANDA International.

    Conclusion:

    clinical indicators can be added to the nursing diagnosis to favor an accurate diagnosis and effective interventions in the surveillance of pregnancy as a period of healthy sexual experience.

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    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review
  • 01-01-2016

    Conditions of functional health literacy of an elderly diabetics group

    Revista Brasileira de Enfermagem. 2016;69(1):156-164

    Abstract

    Conditions of functional health literacy of an elderly diabetics group

    Revista Brasileira de Enfermagem. 2016;69(1):156-164

    DOI 10.1590/0034-7167.2016690121i

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    ABSTRACT

    Objective:

    to evaluate the conditions of functional health literacy of an elderly diabetics group.

    Method:

    cross-sectional and descriptive study, with diabetic’s elderly assisted in the SUS (N = 114). The social and health conditions were evaluated as well as functional health literacy by S-TOFHLA test (short version); the simple proportions, average, standard deviation and Pearson’s Chi-square were described by SPSS software (20.0) with α = 5% value.

    Results:

    the mean age was 67.4 years, 74.0% of the elderly were women, had up to four years of schooling; 29.8% had a long-standing illness, 64.0% reported having high blood pressure, 47.4% smoke or were smokers, 73.7% had low functional health literacy, which was associated with schooling p = 0.001.

    Conclusions:

    the low functional health literacy could be a self-care conditioning and can be influenced by low schooling because it implies to have skills to understand and make decisions aimed at self-management of health.

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  • 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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