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ORIGINAL ARTICLE01-10-2024
Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
Abstract
ORIGINAL ARTICLEChildbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
DOI 10.1590/0034-7167-2024-0038
Views0See moreABSTRACT
Objective:
to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital.
Methods:
ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05).
Results:
the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital.
Conclusions:
long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.
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REVIEW01-10-2024
Nurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240023
Abstract
REVIEWNurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240023
DOI 10.1590/0034-7167-2024-0023
Views0ABSTRACT
Objective:
to identify knowledge production about nurses’ contributions to improving healthy and sustainable public spaces.
Methods:
an integrative review carried out in February 2023 in electronic databases. Studies that answered the research question and that were available in full, in Portuguese, English and Spanish, were included.
Results:
a total of five articles were selected. The findings highlighted the importance of educational projects in the training of local managers and community autonomy; citizen participation and health promotion as ways to implement Sustainable Development Goal 11; nurses as facilitators of collective care; new health practices and modes of producing subjectivity; and use of public transportation, bicycles and/or walking in these spaces.
Final considerations:
there is a clear need for greater incentives from local governments to develop effective sustainability strategies that are led by nurses and the community.
Keywords:AttitudesCommunity HealthHealth KnowledgeHealthy Lifestyle, NursesNursesPracticeSustainable DevelopmentSee more -
ORIGINAL ARTICLE01-10-2024
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
Abstract
ORIGINAL ARTICLEPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
DOI 10.1590/0034-7167-2023-0421
Views1See moreABSTRACT
Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Views0Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]See more -
ORIGINAL ARTICLE01-10-2024
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
Abstract
ORIGINAL ARTICLEClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
DOI 10.1590/0034-7167-2023-0527
Views0See moreABSTRACT
Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
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ORIGINAL ARTICLE01-10-2024
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
Abstract
ORIGINAL ARTICLEMorbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
DOI 10.1590/0034-7167-2023-0454
Views0See moreABSTRACT
Objective:
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
Methods:
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
Results:
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
Conclusions:
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
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ORIGINAL ARTICLE01-10-2024
Nursing care management strategies to address the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230254
Abstract
ORIGINAL ARTICLENursing care management strategies to address the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230254
DOI 10.1590/0034-7167-20230254
Views0See moreABSTRACT
Objective:
To characterize nursing care management strategies for addressing the COVID-19 pandemic.
Method:
A descriptive, qualitative study conducted with 22 nurse professionals at a University Hospital in Southern Brazil. Data collection through interviews in June and August 2021, analyzed according to Bardin’s Content Analysis and the theoretical framework of complex thinking.
Results:
The identified strategies were organized into four categories: Reorganization of health services; People management and emergency admission; Multiprofessional articulation; and Bedside nursing care.
Final Considerations:
Professional performance revealed a complex interplay between leadership and care management practices, even in the face of working condition restrictions, and were understood as crucial in the pandemic scenario.
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Nurses’ performance on indigenous and African-Brazilian health care practices
Revista Brasileira de Enfermagem. 2016;69(5):840-846
Abstract
Nurses’ performance on indigenous and African-Brazilian health care practices
Revista Brasileira de Enfermagem. 2016;69(5):840-846
DOI 10.1590/0034-7167.2016690504
Views0See moreABSTRACT
Objective:
to analyze the performance of nurses from the Estratégia Saúde da Família (Family Health Strategy) on health care practices rooted in African and Indigenous cultures.
Methods:
Thematic Oral History was used and interviews were conducted with seven participants, who worked with Primary Health Care in Northeastern Brazil. The analysis was based on Leininger’s Theory of Cultural Care and the intercultural concept of human rights, among others.
Results:
nurses are unaware of the religious and historical context of the ethnic groups cared for and do not appreciate their self-care practices in areas with a predominance of African and indigenous cultures. These practices coexist with the hegemonic biomedical model.
Conclusion:
the debate on cultural competence in the context of professional qualification and exercise is required, aiming to promote the nursing work in the perspective of diversity and comprehensiveness of health care.
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Accessibility assessment of assistive technology for the hearing impaired
Revista Brasileira de Enfermagem. 2016;69(5):833-839
Abstract
Accessibility assessment of assistive technology for the hearing impaired
Revista Brasileira de Enfermagem. 2016;69(5):833-839
DOI 10.1590/0034-7167.2016690503
Views0ABSTRACT
Objective:
to assess the automatic accessibility of assistive technology in online courses for the hearing impaired.
Method:
evaluation study guided by the Assessment and Maintenance step proposed in the Model of Development of Digital Educational Material. The software Assessor and Simulator for the Accessibility of Sites (ASES) was used to analyze the online course “Education on Sexual and Reproductive Health: the use of condoms” according to the accessibility standards of national and international websites.
Results:
an error report generated by the program identified, in each didactic module, one error and two warnings related to two international principles and six warnings involved with six national recommendations. The warnings relevant to hearing-impaired people were corrected, and the course was considered accessible by automatic assessment.
Conclusion:
we concluded that the pages of the course were considered, by the software used, appropriate to the standards of web accessibility.
Keywords:Digital ExclusionDistance EducationInternetPeople with Hearing DisabilitiesSelf-help EquipmentSee more -
Functional disability: health conditions and physical activity practice in older adults
Revista Brasileira de Enfermagem. 2016;69(5):825-832
Abstract
Functional disability: health conditions and physical activity practice in older adults
Revista Brasileira de Enfermagem. 2016;69(5):825-832
DOI 10.1590/0034-7167.2016690502
Views0See moreABSTRACT
Objective:
to verify the prevalence of functional disability among older adults and how it can affect their health conditions and the regular practice of physical activities.
Method:
this is a household and cross-sectional study conducted with older adults of both sexes. We verified the variables associated with functional disability by Poisson’s regression.
Results:
around 420 older adults participated in this study (68.1% of them being women). We observed a statistically significant association between functional disability, the number of chronic diseases, self-assessed health conditions, and the practice of physical activities; the latter only being found among men. Older adults who reported presenting four or more chronic diseases, self-assessed their health conditions as poor, and were not used to practice physical activities, showing high prevalence of functional disability.
Conclusion:
considering the changeable character of these variables, we recommend that prevention actions be taken, mainly at primary level, to delay the emergence of disability.
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Organizational culture of a psychiatric hospital and resilience of nursing workers
Revista Brasileira de Enfermagem. 2016;69(5):817-824
Abstract
Organizational culture of a psychiatric hospital and resilience of nursing workers
Revista Brasileira de Enfermagem. 2016;69(5):817-824
DOI 10.1590/0034-7167.2016690501
Views0ABSTRACT
Objective:
to analyze the organizational culture of a psychiatric hospital and identify the capacity of resilience of nursing workers.
Method:
quantitative research. For data collection, were used the Brazilian Instrument for Evaluation of Organizational Culture (IBACO – Instrumento Brasileiro para Avaliação da Cultura Organizacional) and the Resilience Scale (RS).
Results:
participants reported the existence of centralization of power and devaluation of workers, despite recognizing the existence of collaboration at work and practices for improving interpersonal relations. In relation to the capacity of resilience, 50% of workers showed high level, and 42.9% a medium level of resilience. The correlation tests revealed negative values between the IBACO and RS domains, indicating that the lower the appreciation of individuals in the institution, the greater their capacity of resilience.
Conclusion:
the organizational values reflect the work organization model in the institution that devalues the workers’ needs and requires greater capacity of resilience.
Keywords:Hospital AdministrationNursingOrganizational CulturePsychological ResilienceWorkers' HealthSee more -
Making our nursing research matter
Revista Brasileira de Enfermagem. 2016;69(5):813-814
Abstract
Making our nursing research matter
Revista Brasileira de Enfermagem. 2016;69(5):813-814
DOI 10.1590/0034-7167-2015-0156
Views0Nurses worldwide are being increasingly exposed to new and interesting research methodologies. At the same time, they are feeling considerable pressure to ensure that the studies they propose are sufficiently methodologically rigorous to pass the scrutiny of review for funding or publication. In this context, it is increasingly important to remind ourselves that methodological rigor […]See more -
Fazendo nossa pesquisa em enfermagem ser relevante
Revista Brasileira de Enfermagem. 2016;69(5):813-814
Abstract
Fazendo nossa pesquisa em enfermagem ser relevante
Revista Brasileira de Enfermagem. 2016;69(5):813-814
DOI 10.1590/0034-7167-2015-0156
Views0Enfermeiros em todo o mundo estão cada vez mais expostos a metodologias de pesquisa novas e interessantes. Ao mesmo tempo, sentem uma pressão considerável para assegurar que os estudos a que se propõem são suficientemente rigorosos metodologicamente para passar pelo crivo de avaliação para fomento ou publicação. Nesse contexto, é cada vez mais importante lembrarmos […]See more -
O Espiritismo como terapia no cuidado em saúde na epilepsia
Revista Brasileira de Enfermagem. 2016;69(4):804-810
Abstract
O Espiritismo como terapia no cuidado em saúde na epilepsia
Revista Brasileira de Enfermagem. 2016;69(4):804-810
DOI 10.1590/0034-7167.2016690425i
Views0See moreRESUMEN
Objetivo:
presentar una breve historia del Espiritismo, la visión de la epilepsia por el Espiritismo, y el potencial de la espiritualidade y religiosidad como tratamientos complementarios y coadyuvantes de la epilepsia.
Método:
esta es una breve revisión del impacto de la fe, la espiritualidad y religiosidad, en particular la filosofía espiritual como tratamiento complementario de los trastornos neurológicos (centrada especialmente en la epilepsia) y la salud mental. Para esto, se realizó una revisión de la religiosidad/espiritualidad y la epilepsia en la base de datos PubMed y SciELO.
Conclusión:
el ejercicio de la espiritualidad y la religiosidad puede ser una estrategia de afrontamiento y tratamiento positivo para apoyar la terapia tradicional de los pacientes con epilepsia y otros trastornos neurológicos. Sin embargo, es necesario desmitificar muchas creencias sobre la epilepsia así como mejorar el conocimiento sobre este importante aspecto de la dimensión de salud entre profesionales, cuidadores y pacientes para explorar su potencial para el tratamiento y el apoyo.
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REVIEW01-01-2016
The Spiritism as therapy in the health care in the epilepsy
Revista Brasileira de Enfermagem. 2016;69(4):804-810
Abstract
REVIEWThe Spiritism as therapy in the health care in the epilepsy
Revista Brasileira de Enfermagem. 2016;69(4):804-810
DOI 10.1590/0034-7167.2016690425i
Views0See moreABSTRACT
Objective:
to present a brief history of Spiritism, the vision of epilepsy by Spiritism, and the potential of spirituality and religiosity care as complementary and coadjutants treatments in epilepsy.
Method:
this is a brief review about the impact of faith, spirituality, and religiosity, particularly the Spiritism philosophy as complementary treatment to neurological disorders (particularly focusing on epilepsy) and mental health. We conduct a review of published articles (about religion/spirituality and epilepsy) in the Pubmed and SciELO databases.
Conclusion:
the exercise of spirituality and religiosity can be a positive coping strategy to support the traditional therapy of patients with epilepsy and other neurological disorders. However, it is necessary to demystify myths and beliefs about the epilepsy and improve knowledge about this important health dimension among professionals, patients, and caregivers to explore their full treatment and supportive potential.
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Nursing process in mental health: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):220-230
Abstract
Nursing process in mental health: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):220-230
DOI 10.1590/0034-7167-2016-0031
Views0See moreABSTRACT
Objective:
to identify evidences from the literature on the application of nursing process in care developed by the nurse in mental health.
Method:
integrative literature review between 1990 and 2013, in the PubMed, Scopus, CINAHL and LILCACS bases. Descriptors: nursing processes, mental health, nursing care.
Results:
19 papers were identified. Limited and partial usage of the nursing process in care established by a therapeutic relationship that respects the patient’s individuality. We observe care proposals systematized for patients that present pathological aspects in the limits between the physical and psychical, which might be a response to the influence of the practice based on evidences.
Conclusion:
it was found an antagonistic movement between care based on the relationship and located in the standardization of diagnoses that respond to physical malaise. A lack of evidence was verified for the usage of the nursing process in mental health, and we point at the necessity for the creation of new possibilities for dialogue between relational and biological perspectives.
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Nursing practice in home care: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):210-219
Abstract
Nursing practice in home care: an integrative literature review
Revista Brasileira de Enfermagem. 2017;70(1):210-219
DOI 10.1590/0034-7167-2016-0214
Views0See moreABSTRACT
Objective:
analyze scientific production on nursing practice in home care.
Method:
integrative review employing databases LILACS, BDENF, IBECS, and MEDLINE. Studies in Spanish, English, and Portuguese were included, regardless of publishing date.
Results:
after analyzing 48 articles, it was found that nursing practice in home care is complex, employing a multitude of actions by using three technologies: soft; soft-hard especially; and hard. Challenges related to the home-care training process are reported in the literature. Nurses use knowledge from their experience and scientific recommendations in conjunction with their reflections on the practice.
Conclusion:
home nursing practice is fundamental and widespread. Relational and educational actions stand out as necessary even in technical care, with a predominant need for home-care training.
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Nonpharmacological interventions to improve quality of life in heart failure: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):198-209
Abstract
Nonpharmacological interventions to improve quality of life in heart failure: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):198-209
DOI 10.1590/0034-7167-2016-0112
Views0See moreABSTRACT
Objective:
to identify articles that assessed the effectiveness or efficacy of nonpharmacological interventions to improve quality of life of people with heart failure in the literature.
Method:
an integrative literature review was performed in Lilacs, MedLine and SciELO databases, including randomized or nonrandomized clinical trials and quasi-experimental studies published between 2003 and 2014, in Portuguese, English or Spanish.
Results:
twenty-three studies were included. The categories of nonpharmacological interventions that improved quality of life of people with heart failure were: Remote health monitoring, Instructions on health practices, Physical activity follow-up and Traditional Chinese Medicine practices.
Conclusion:
these results can guide the selection of interventions to be implemented by health professionals that treat people with heart failure. Future systematic reviews with meta-analyses are needed in order to identify the most effective interventions for improving these individuals’ quality of life.
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Quality of working life: assessment of intervention studies
Revista Brasileira de Enfermagem. 2017;70(1):189-197
Abstract
Quality of working life: assessment of intervention studies
Revista Brasileira de Enfermagem. 2017;70(1):189-197
DOI 10.1590/0034-7167-2015-0069
Views0See moreABSTRACT
Objective:
to analyze the production of knowledge about interventions on quality of working life.
Method:
integrative review study. The following databases were used for study selection: SciELO, Medline and PubMed.
Results:
the sample included 25 national and international articles that described programs and methods to acquire healthy habits at the workplace and attenuate its mental demands.
Conclusion:
by observing the number of businesses throughout the world, a low number of programs addressing workers’ health and well-being can be found, and the establishment of efficient policies at institutions could improve this situation.
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Letramento em saúde para pessoas com HIV/Aids: revisão integrativa
Revista Brasileira de Enfermagem. 2017;70(1):180-188
Abstract
Letramento em saúde para pessoas com HIV/Aids: revisão integrativa
Revista Brasileira de Enfermagem. 2017;70(1):180-188
DOI 10.1590/0034-7167-2015-0052
Views1See moreRESUMEN
Objetivo:
analizar el conocimiento producido por la investigación sobre la salud de alfabetización para adultos con VIH/SIDA.
Método:
una revisión integradora de la literatura, con seis bases de datos, se llevó a cabo entre enero y abril de 2014. Los descriptores SIDA y Educación de la Salud se utilizaron, en portugués, inglés y español. Se encontró un total de 130 artículos y se seleccionaron 14. Se identificaron tres categorías: tecnologías de la educación y alfabetización de la salud para el VIH/SIDA; evaluación de conocimientos sobre la salud de los pacientes con VIH/SIDA; y conocimientos sobre la salud y la adherencia a la terapia antirretroviral.
Resultados:
análisis de los conocimientos sobre la salud, el estatus socioeconómico y nivel educativo de las personas que viven con el VIH / SIDA era esencial para la implementación de estrategias educativas que el aumento de la adherencia a la orientación de la salud.
Conclusión:
Este estudio demostró la importancia de la alfabetización en salud para trabajar con personas que viven con el VIH / SIDA, especialmente teniendo en cuenta a las personas que no poseen el mínimo necesario para la supervivencia, lo que hace que sea aún más relevante y alienta la investigación sobre el tema.
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REVIEW01-01-2017
Health literacy for people living with HIV/Aids: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):180-188
Abstract
REVIEWHealth literacy for people living with HIV/Aids: an integrative review
Revista Brasileira de Enfermagem. 2017;70(1):180-188
DOI 10.1590/0034-7167-2015-0052
Views0See moreABSTRACT
Objective:
to analyze knowledge produced by research about health literacy for adult with HIV/Aids.
Method:
an integrative literature review, using six databases, was conducted between January and April of 2014. The descriptors aids and Health Literacy were used, in Portuguese, English and Spanish. A total of 130 articles were found and 14 were selected. Three categories were identified: educational technologies and health literacy for HIV/Aids; assessment of health literacy of patients with HIV/Aids; and health literacy and adherence to antiretroviral therapy.
Results:
analysis of health literacy, socioeconomic status and educational level of people living with HIV/ Aids was essential for implementation of educational strategies that increased adherence to health guidance.
Conclusion:
this study showed the importance of health literacy for working with people living with HIV/Aids, especially considering individuals who did not possess the minimum necessary for survival, which makes it relevant and encourages further research on the topic.
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Factors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
Abstract
Factors that interfere with the response of nurses in the monitoring of clinical alarms
Revista Brasileira de Enfermagem. 2017;70(1):172-179
DOI 10.1590/0034-7167-2015-0092
Views0See moreABSTRACT
Objective:
The objective of the present study was to identify and synthesize the best empirical evidence found on factors that influence the response of nurses regarding clinical alarms.
Method:
An integrative literature review was conducted with searches undertaken in ten electronic databases restricted to the period from 2005 to 2016.
Results:
Eight articles were included by cross-checking the descriptors selected.
Conclusion:
In the analysis of the studies, the following possible factors that might interfere with the response of nurses in the monitoring of clinical alarms were found: high number of false alarms, inaudibility of alarms due to the competition of sounds, difficulty in distinguishing the urgency of alarms, and increase in noise caused by the raise in the number of alarms.
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Discourses on discharge care for children with special healthcare needs
Revista Brasileira de Enfermagem. 2017;70(1):163-171
Abstract
Discourses on discharge care for children with special healthcare needs
Revista Brasileira de Enfermagem. 2017;70(1):163-171
DOI 10.1590/0034-7167-2016-0248
Views0See moreABSTRACT
Objectives:
analyze the discourse of healthcare professionals and families on the continuous and complex care for children with special healthcare needs; understand hospital discharge as a process centered on children demands and family learning.
Method:
qualitative research conducted between 2013 and 2015 through semi-structured interviews, document analysis and the sensitive creative method; the participants were ten children with special healthcare needs, six professionals and eleven family members from a public pediatric teaching hospital in Rio de Janeiro. The data underwent critical discourse analysis.
Results:
at discharge, family caregivers should learn innovative care to guarantee the maintenance of their children’s lives at home, but preparation is limited.
Conclusion:
the clinicians and the families pointed out Nurse as the most qualified professional for this preparation, since caring for these children requires nursing care skills.
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