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EXPERIENCE REPORT02-03-2023
Quality management in the COVID-19 pandemic: nursing action plan
- Fabiana Aparecida Corrêa de Oliveira Braga
, - Sílvia Maria de Sá Basilio Lins ,
- Bárbara Pompeu Christovam ,
- Odilon Adolfo Branco de Souza
Abstract
EXPERIENCE REPORTQuality management in the COVID-19 pandemic: nursing action plan
Revista Brasileira de Enfermagem. 2023;76:e20220272
DOI 10.1590/0034-7167-2022-0272
- Fabiana Aparecida Corrêa de Oliveira Braga ,
- Sílvia Maria de Sá Basilio Lins ,
- Bárbara Pompeu Christovam ,
- Odilon Adolfo Branco de Souza
Views0See moreABSTRACT
Objectives:
to describe the implementation of a nursing action plan to face the pandemic of COVID 19 in a University Hospital in the state of Rio de Janeiro. Methods: this is an experience report, in which two management tools were used: the Ishikawa Diagram to identify problems and the 5W2H spreadsheet to outline the actions according to the situations presented.
Results:
four categories were listed in two groups: 1- Actions of the Nurse Manager in the Organization of Logistics, Infrastructure and Care: materials and environment; and 2- Nursing Human Resources Management and Continuing Education: method and human resources.
Final Considerations:
the plan developed showed the role of nursing management, with the search for best care practices, development of protocols, carrying out multi-professional training and management of supplies.
- Fabiana Aparecida Corrêa de Oliveira Braga
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ORIGINAL ARTICLE02-03-2023
Remote teaching during the COVID-19 pandemic: repercussions from professors’ perspective
- Joanara Rozane da Fontoura Winters ,
- Débora Rinaldi Nogueira ,
- Ivonete Terezinha Schülter Buss Heidemann ,
- Michelle Kuntz Durand ,
- Adriana Bitencourt Magagnin , [ … ],
- Aline Megumi Arakawa-Belaunde
Abstract
ORIGINAL ARTICLERemote teaching during the COVID-19 pandemic: repercussions from professors’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220172
DOI 10.1590/0034-7167-2022-0172
- Joanara Rozane da Fontoura Winters ,
- Débora Rinaldi Nogueira ,
- Ivonete Terezinha Schülter Buss Heidemann ,
- Michelle Kuntz Durand ,
- Adriana Bitencourt Magagnin ,
- Aline Megumi Arakawa-Belaunde
Views0See moreABSTRACT
Objectives:
to understand the repercussions of teaching work in remote teaching during the COVID-19 pandemic in Higher Education Institutions in northern Santa Catarina.
Methods:
a qualitative participatory action research, based on Paulo Freire’s theoretical-methodological precepts. Seventeen health professors participated in two Virtual Culture Circles held in the first half of 2021.
Results:
six generating themes emerged for discussion, which aroused in participants’ feelings and perspectives regarding the remote teaching process in the pandemic context, with an emphasis on the connectivity theme, which generated dialogue through reports of personal experiences.
Final Considerations:
the pandemic has had repercussions in sectors such as health and education. Professors talked about their experience in creating, recreating and adapting to remote teaching and the challenges facing the teaching-learning process, listing the worsening of mental health and the need to learn new digital technologies.
- Joanara Rozane da Fontoura Winters
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ORIGINAL ARTICLE01-30-2023
Development and content validity of a website for patients with coronary artery disease
- Luiz Felipe Gonçalves Arroio ,
- Juliana de Lima Lopes ,
- Alba Lúcia Bottura Leite de Barros ,
- Edvone Alves de Lima ,
- Camila Tákao Lopes , [ … ],
- Vinicius Batista Santos
Abstract
ORIGINAL ARTICLEDevelopment and content validity of a website for patients with coronary artery disease
Revista Brasileira de Enfermagem. 2023;76(1):e20220302
DOI 10.1590/0034-7167-2022-0302
- Luiz Felipe Gonçalves Arroio ,
- Juliana de Lima Lopes ,
- Alba Lúcia Bottura Leite de Barros ,
- Edvone Alves de Lima ,
- Camila Tákao Lopes ,
- Vinicius Batista Santos
Views0See moreABSTRACT
Objectives:
to develop and analyze content validity evidence of a website for patients with coronary artery disease.
Methods:
a methodological study, carried out in the phases: Definition – determined contents for inclusion in the website, architecture and design; Implementation – subjects included in the website; Assessment – website submitted to analysis by 13 experts and eight laypersons regarding organization, content and design, on a scale of 1 (no agreement) to 4 (complete agreement). Items that reached Content Validity Ratio (CVR) higher than the established critical values and Content Validity Index greater than 0.80 were considered valid.
Results:
eight domains related to secondary prevention in coronary heart disease were included on the website. Critical CVR and adequate CVI were obtained according to professional and lay experts.
Conclusions:
the website was developed, achieving adequate content validity evidence, and can be used as an educational tool for this population.
- Luiz Felipe Gonçalves Arroio
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ORIGINAL ARTICLE01-30-2023
Development and validation of an instrument for the evaluation of HIV care in Primary Health Care
- Clarissa Mourão Pinho ,
- Morgana Cristina Leôncio de Lima ,
- Mônica Alice Santos Silva ,
- Cynthia Angélica Ramos de Oliveira Dourado ,
- Regina Célia de Oliveira , [ … ],
- Maria Sandra Andrade
Abstract
ORIGINAL ARTICLEDevelopment and validation of an instrument for the evaluation of HIV care in Primary Health Care
Revista Brasileira de Enfermagem. 2023;76(1):e20220247
DOI 10.1590/0034-7167-2022-0247
- Clarissa Mourão Pinho ,
- Morgana Cristina Leôncio de Lima ,
- Mônica Alice Santos Silva ,
- Cynthia Angélica Ramos de Oliveira Dourado ,
- Regina Célia de Oliveira ,
- Jael Maria de Aquino ,
- Erika Simone Galvão Pinto ,
- Maria Sandra Andrade
Views0See moreABSTRACT
Objective:
To develop and validate an instrument to evaluate the decentralization process of care for People Living with HIV in Primary Health Care.
Method:
Methodological study, developed in four stages: elaboration of the logical model based on the triad Structure-Process-Outcomes; development of the instrument; content validation by expert judges and technical reviewers; and semantic validation. Online questionnaires were used, and the Kappa index was used for analysis.
Results:
The instrument with 68 items and 8 factors was submitted to validation by expert judges who recommended the exclusion of 3 items and the alteration of 2 factors. In the validation by technical reviewers, 2 items were excluded and 6 factors were highlighted; the agreement index was ≥0.75. In the semantic validation, 87.3% of the judges answered “totally agree” for the items presented.
Conclusion:
The instrument is validated for its content, has 63 items and has the potential to assess the care provided for people living with HIV in Primary Health Care.
- Clarissa Mourão Pinho
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REVIEW01-30-2023
Transition from parents to caregivers of a child with type 1 Diabetes Mellitus: a scoping review
- Fábio Alexandre Melo do Rego Sousa ,
- Maria de Lurdes Monteiro Serrabulho Andrade ,
- Célia Maria Gonçalves Simão de Oliveira
Abstract
REVIEWTransition from parents to caregivers of a child with type 1 Diabetes Mellitus: a scoping review
Revista Brasileira de Enfermagem. 2023;76(1):e20220201
DOI 10.1590/0034-7167-2022-0201
- Fábio Alexandre Melo do Rego Sousa ,
- Maria de Lurdes Monteiro Serrabulho Andrade ,
- Célia Maria Gonçalves Simão de Oliveira
Views0See moreABSTRACT
Objectives:
to map and summarize the existing scientific evidence on parents’ transition experience to exercise the caregiver role of a child with 1DM, identifying gaps in knowledge of this experience.
Methods:
a scoping review was carried out based on JBI methodology, in two databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
we included 31 articles. From the studies, constitutive elements of parents’ transition experience to caregiver role of a child with 1DM were found, which focused on the nature of the experience, the feelings and emotions experienced, the hindering conditions, the facilitating conditions, the strategies used by parents and the results or effects obtained.
Final considerations:
the transition process’ characterizing elements were identified, but not a theoretical explanation of it. Additional research should be carried out in order to allow a deeper understanding of this process.
- Fábio Alexandre Melo do Rego Sousa
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ORIGINAL ARTICLE01-30-2023
Continued breastfeeding and work: scenario of maternal persistence and resilience
- Isília Aparecida Silva ,
- Carla Marins Silva ,
- Elisiany Mello Costa ,
- Micheli de Jesus Ferreira ,
- Erika de Sá Vieira Abuchaim
Abstract
ORIGINAL ARTICLEContinued breastfeeding and work: scenario of maternal persistence and resilience
Revista Brasileira de Enfermagem. 2023;76(1):e20220191
DOI 10.1590/0034-7167-2022-0191
- Isília Aparecida Silva ,
- Carla Marins Silva ,
- Elisiany Mello Costa ,
- Micheli de Jesus Ferreira ,
- Erika de Sá Vieira Abuchaim
Views0See moreABSTRACT
Objectives:
to understand the challenges in mothers’ daily life and strategies adopted to reconcile activities outside the home and continued breastfeeding.
Methods:
a cross-sectional, qualitative study. Theoretical-methodological assumptions were discursive practices and production of meanings in everyday life. Participants were 22 women from a specific social media group who had breastfed at least one child for >7 months. Data were collected between November 2020 and March 2021.
Results:
themes: Around the world of activities outside the home; Work environment: routines, opportunities and difficulties to maintain breastfeeding.
Final Considerations:
women’s experiences reveal a daily life with difficulties in reconciling the desire to breastfeed and the work scenario. Support network and adaptation to children’s food routine were strategies adopted to minimize risks of weaning. The results show the need to consolidate policies to encourage continued breastfeeding in the labor market.
- Isília Aparecida Silva
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Acurácia do diagnóstico de enfermagem desobstrução ineficaz de vias aéreas em pacientes de unidade de terapia intensiva
- Juliane Rangel Dantas ,
- Anna Thays Dias Almeida ,
- Karolayne Cabral Matias ,
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco , [ … ],
- Ana Luísa Brandão de Carvalho Lira
Abstract
Acurácia do diagnóstico de enfermagem desobstrução ineficaz de vias aéreas em pacientes de unidade de terapia intensiva
Revista Brasileira de Enfermagem. 2023;76(1):e20220174
DOI 10.1590/0034-7167-2022-0174
- Juliane Rangel Dantas ,
- Anna Thays Dias Almeida ,
- Karolayne Cabral Matias ,
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Marcos Venícios de Oliveira Lopes ,
- Ana Luísa Brandão de Carvalho Lira
Views0See moreRESUMEN
Objetivos:
analizar la precisión de indicadores clínicos de limpieza ineficaz de las vías aéreas en pacientes de unidades de cuidados intensivos adulto.
Métodos:
estudio de precisión diagnóstica en unidad de cuidados intensivos de hospital universitario en noreste brasileño. Muestra de 104 pacientes hospitalizados entre junio y octubre de 2019.
Resultados:
prevalencia de limpieza ineficaz de las vías aéreas del 36,54%. Indicadores con alta especificidad; ausencia de tos (0,8326), ortopnea (0,6817), ruidos respiratorios adventicios (0,8175) y ruidos respiratorios disminuidos (0,8326). Indicadores clínicos con alta sensibilidad y especificidad; cambio en la frecuencia respiratoria (0,9999) y cambio en el patrón de respiración (0,9999).
Conclusiones:
seis indicadores clínicos proporcionaron identificación precisa de la limpieza ineficaz de las vías aéreas; cambio en la frecuencia respiratoria y cambio en el patrón de respiración fueron los más precisos para pacientes críticos. Nuestros hallazgos contribuyen a inferencias diagnósticas precisas y la prevención de complicaciones respiratorias en estos pacientes.
- Juliane Rangel Dantas
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ORIGINAL ARTICLE01-30-2023
Accuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients
- Juliane Rangel Dantas ,
- Anna Thays Dias Almeida ,
- Karolayne Cabral Matias ,
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco , [ … ],
- Ana Luísa Brandão de Carvalho Lira
Abstract
ORIGINAL ARTICLEAccuracy of the nursing diagnosis of ineffective airway clearance in intensive care unit patients
Revista Brasileira de Enfermagem. 2023;76(1):e20220174
DOI 10.1590/0034-7167-2022-0174
- Juliane Rangel Dantas ,
- Anna Thays Dias Almeida ,
- Karolayne Cabral Matias ,
- Maria Isabel da Conceição Dias Fernandes ,
- Jéssica Dantas de Sá Tinôco ,
- Marcos Venícios de Oliveira Lopes ,
- Ana Luísa Brandão de Carvalho Lira
Views0See moreABSTRACT
Objectives:
to analyze the accuracy of the clinical indicators of ineffective airway clearance in adult intensive care unit patients.
Methods:
diagnostic accuracy study, performed in the intensive care unit of a university hospital in northeastern Brazil. The sample consisted of 104 patients hospitalized between June and October 2019.
Results:
the prevalence of ineffective airway clearance was 36.54%. The indicators with high specificity included absence of cough (0.8326), orthopnea (0.6817), adventitious breath sounds (0.8175), and diminished breath sounds (0.8326). The clinical indicators with high sensitivity and specificity were alteration in respiratory rate (0.9999) and alteration in respiratory pattern (0.9999).
Conclusions:
six clinical indicators provided an accurate identification of ineffective airway clearance. The clinical indicators alteration in respiratory rate and alteration in respiratory pattern were the most accurate for critical adult patients. The findings of this study contribute to accurate diagnostic inferences and to prevention of respiratory complications in these patients.
- Juliane Rangel Dantas
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Prevention and monitoring of delirium in older adults: an educational intervention
Revista Brasileira de Enfermagem. 2016;69(4):725-732
Abstract
Prevention and monitoring of delirium in older adults: an educational intervention
Revista Brasileira de Enfermagem. 2016;69(4):725-732
DOI 10.1590/0034-7167.2016690416i
Views0See moreABSTRACT
Objective:
to conduct an educational intervention with the nursing team members of an intensive care unit (ICU), aiming to increase knowledge and to introduce improvements in their practices regarding prevention and monitoring of delirium in older patients.
Method:
this is an action research, in which workshops were conducted with eleven nurses and a nursing technician from an ICU unit in Salvador, Bahia, Brazil.
Results:
ten problems regarding nursing practices for prevention and monitoring of delirium were identified. Educational, practical, technical, and managerial actions were planned, involving cross-sector connections for planning ways to solve these problems. The groups reported significant changes in the practices, with the implementation of drug-free measures for preventing and managing the situation.
Conclusion:
the educational intervention contributed to improve the nursing practices in the ICU unit studied, and it also favored the development of critical thinking about the problems mentioned, thus enabling permanent review of offered treatments.
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Technology-dependent children and the demand for pharmaceutical care
Revista Brasileira de Enfermagem. 2016;69(4):718-724
Abstract
Technology-dependent children and the demand for pharmaceutical care
Revista Brasileira de Enfermagem. 2016;69(4):718-724
DOI 10.1590/0034-7167.2016690415i
Views0See moreABSTRACT
Objective:
to understand the experience of mothers of technology-dependent children as regards pharmaceutical care.
Method:
this was a qualitative, descriptive-exploratory study developed based on open interviews using a structured characterization tool, and applied during home visits to 12 mothers caring for technology-dependent children. The data was submitted to inductive content analysis.
Results:
this study is split into two themes: (i) maternal overload during pharmaceutical care, demonstrating the need to administer drugs continuously and the repercussions of this exhaustive care on the caregivers; (ii) the ease or difficulty of access to the medicines required, showing informal strategies and support networks.
Conclusion:
pharmaceutical care is a daily challenge expressed in maternal overload and difficulty accessing the drugs, made worse by failures in the care network and coordinated care.
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Fasting of less than eight hours in urgent and emergency surgeries versus complication
Revista Brasileira de Enfermagem. 2016;69(4):712-717
Abstract
Fasting of less than eight hours in urgent and emergency surgeries versus complication
Revista Brasileira de Enfermagem. 2016;69(4):712-717
DOI 10.1590/0034-7167.2016690414i
Views0See moreABSTRACT
Objective:
to verify the occurrence of intraoperative and postoperative complications in patients undergoing urgent and emergency surgical procedures between January and December 2012, with fasting time of less than 8 hours.
Method:
a quantitative study was conducted, of the retrospective cohort type, through the analysis of medical records.
Results:
we included 181 records of patients undergoing surgical procedures with average duration of 59.4 minutes. Fractures correction surgeries stood out, totalling 32% of cases. We observed complications in 36 patients (19.9%), vomiting being the most prevalent (47.2%); followed by nausea (16.7%); need for blood transfusion (13.9%); surgical site infection (11.1%); and death (11.1%). The average fasting time was 133.5 minutes. The fasting time showed no statistically significant correlation with the complications investigated.
Conclusion:
intraoperative and postoperative complications were associated with the clinical conditions of the patients and not with the fasting time.
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Validation to Portuguese of the Debriefing Experience Scale
Revista Brasileira de Enfermagem. 2016;69(4):705-711
Abstract
Validation to Portuguese of the Debriefing Experience Scale
Revista Brasileira de Enfermagem. 2016;69(4):705-711
DOI 10.1590/0034-7167.2016690413i
Views1See moreABSTRACT
Objective:
to translate and validate to Portuguese the Debriefing Experience Scale jointly with individuals that used high-fidelity simulation in learning.
Method:
methodological and exploratory study for an instrument translation and validation. For the validation process, the event “III Workshop Brazil – Portugal: Care Delivery to Critical Patients” was created.
Results:
103 nurses attended. Validity and reliability of the scale, the correlation pattern among variables, the sampling adequacy test, and the sphericity test showed good results. Since there was no relationship among the groups established in the exploratory factor analysis, the option was to follow the division established by the original version.
Conclusion:
the version of the instrument was called Escala de Experiência com o Debriefing. The results showed good psychometric properties and a good potential for use. However, further studies will contribute to consolidate the validity of the scale and strengthen its potential use.
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Factor analysis of an instrument to measure the impact of disease on daily life
Revista Brasileira de Enfermagem. 2016;69(4):697-704
Abstract
Factor analysis of an instrument to measure the impact of disease on daily life
Revista Brasileira de Enfermagem. 2016;69(4):697-704
DOI 10.1590/0034-7167.2016690412i
Views0See moreABSTRACT
Objective:
to verify the structure of factors of an instrument to measure the Heart Valve Disease Impact on Daily Life (IDCV) when applied to coronary artery disease patients.
Method:
the study included 153 coronary artery disease patients undergoing outpatient follow-up care. The IDCV structure of factors was initially assessed by means of confirmatory factor analysis and, subsequently, by exploratory factor analysis. The Varimax rotation method was used to estimate the main components of analysis, eigenvalues greater than one for extraction of factors, and factor loading greater than 0.40 for selection of items. Internal consistency was estimated using Cronbach’s alpha coefficient. Results: confirmatory factor analysis did not confirm the original structure of factors of the IDCV. Exploratory factor analysis showed three dimensions, which together explained 78% of the measurement variance.
Conclusion:
future studies with expansion of case selection are necessary to confirm the IDCV new structure of factors.
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Associação da fragilidade em idosos internados e institucionalizados na comunidade
Revista Brasileira de Enfermagem. 2016;69(4):691-696
Abstract
Associação da fragilidade em idosos internados e institucionalizados na comunidade
Revista Brasileira de Enfermagem. 2016;69(4):691-696
DOI 10.1590/0034-7167.2016690411i
Views0See moreRESUMEN
Objetivo:
investigar la asociación entre la fragilidad y la internación e institucionalización, en un estudio de acompañamiento de residentes ancianos.
Método:
el estudio de acompañamiento fue realizado en 2008 y 2013, con ancianos de ambos sexos, de 65 años o más, los cuales vivían en la comunidad. El procedimiento de muestreo realizado fue probabilístico, con agrupamiento en dos etapas. Fueron entrevistados 512 ancianos en 2008 y 262 en 2013. Datos socioeconómicos y demográficos, morbilidad relatada por los mismos y datos específicos de internación e institucionalización han sido utilizados. La fragilidad fue medida por la escala Edmond Frail Scale (EFS) y la capacidad funcional por la escala Functional Independence Measure (FIM).
Resultados:
El promedio de la puntuación EFS fue mayor entre los residentes ancianos que fueron internados y hospitalizados, siendo estadísticamente significativa en los dos años investigados.
Conclusión:
La confirmación de la asociación entre la fragilidad y la internación e institucionalización refuerza la importancia del tema y enfatiza la fragilidad como un instrumento importante en la evaluación de los riesgos para estos eventos adversos.
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Association of frailty in hospitalized and institutionalized elderly in the community-dwelling
Revista Brasileira de Enfermagem. 2016;69(4):691-696
Abstract
Association of frailty in hospitalized and institutionalized elderly in the community-dwelling
Revista Brasileira de Enfermagem. 2016;69(4):691-696
DOI 10.1590/0034-7167.2016690411i
Views0See moreABSTRACT
Objective:
to investigate the association between frailty with hospitalization and institutionalization in a follow-up study of elderly residents.
Method:
the follow-up study was performed in 2008 and 2013 with elderly of both genders, aged 65 years and older who were living in the community-dwelling. The sampling procedure performed was probabilistic, with dual-stage clustering. In 2008, 515 elderly people were interviewed and, in 2013, 262. We used the socioeconomic and demographic data, self-reported morbidity, specific data of hospitalization and institutionalization. Frailty was measured by the Edmonton Frail Scale (EFS), and functional capacity through the Functional Independence Measure.
Results:
we found the mean gross EFS score was higher among resident elderly who were hospitalized and institutionalized and was statistically significant in both investigated years.
Conclusion:
the confirmation of association between frailty and hospitalization and institutionalization reinforces the importance of the subject, and highlights frailty as an important tool for risk estimates for these adverse events.
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Analysis of managerial and healthcare indicators after nursing personnel upsizing
Revista Brasileira de Enfermagem. 2016;69(4):684-690
Abstract
Analysis of managerial and healthcare indicators after nursing personnel upsizing
Revista Brasileira de Enfermagem. 2016;69(4):684-690
DOI 10.1590/0034-7167.2016690410i
Views0See moreABSTRACT
Objective:
analyze healthcare and managerial indicators after nursing personnel upsizing.
Method:
a retrospective, descriptive study was conducted using data from computer systems of a university hospital in southern Brazil. Healthcare and managerial indicators related to the first half of 2013 and 2014 were statistically analyzed.
Results:
increases of 40.0% in the number of nurses and 16.0% in the number of nursing technicians led to reductions of 12.0% in the number of sickness absences, 21.8% in positive balance for compensatory time off, 92.0% in paid overtime. Reductions of 75.0% in pressure ulcer rates, 10.5% in the number of falls and 50.0% in infections due to indwelling catheter use were also observed.
Conclusion:
nursing staff upsizing caused a positive impact on managerial and healthcare indicators and helped qualify care and improve work conditions for the nursing team.
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ORIGINAL ARTICLE01-10-2024
Nursing students and the internet: a reflection of digital ethics
- Ana Carolina Barboza Brandão ,
- Ingrid Bemfica Ramos ,
- Anna Carolina Caetano Griesang de Oliveira ,
- Sabrina da Costa Machado Duarte ,
- Joyce Martins Arimatea Branco Tavares , [ … ],
- Priscilla Valladares Broca
Abstract
ORIGINAL ARTICLENursing students and the internet: a reflection of digital ethics
Revista Brasileira de Enfermagem. 2024;77:e20230459
DOI 10.1590/0034-7167-2023-0459
- Ana Carolina Barboza Brandão ,
- Ingrid Bemfica Ramos ,
- Anna Carolina Caetano Griesang de Oliveira ,
- Sabrina da Costa Machado Duarte ,
- Joyce Martins Arimatea Branco Tavares ,
- Priscilla Valladares Broca
Views0See moreABSTRACT
Objectives:
to identify how first-year nursing students use cyberspace and propose an orientation guide with criteria guiding the use of cyberspace.
Methods:
qualitative and descriptive research, carried out with 24 nursing students from a federal public institution in Rio de Janeiro. Data collection was carried out through semi-structured interviews. Data analysis occurred using IRAMUTEQ®. The research was approved by the institution’s Research Ethics Committee.
Results:
students use cyberspace to communicate, study, find “cool things”, share photos and memories. Furthermore, they are concerned about hate speech, intolerance and fake news. The good and bad sides and the types of technologies most used were also portrayed.
Final considerations:
the moral and ethical values of physical coexistence, together with awareness of individual responsibility, are the pillars for using cyberspace. The guide comes as an awareness tool.
- Ana Carolina Barboza Brandão
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ORIGINAL ARTICLE01-10-2024
Maternity behind and beyond bars: analysis from the perspective of protection bioethics
Revista Brasileira de Enfermagem. 2024;77:e20220576
Abstract
ORIGINAL ARTICLEMaternity behind and beyond bars: analysis from the perspective of protection bioethics
Revista Brasileira de Enfermagem. 2024;77:e20220576
DOI 10.1590/0034-7167-2022-0576
Views0See moreABSTRACT
Objective:
to analyze how motherhood is expressed in female prison units from the perspective of Bioethics of Protection.
Method:
qualitative research with an ethnographic approach, developed in two women’s prison units. Participantes were: six mothers deprived of liberty, 15 health professionals, and nine prison officers. For data collection, semi-structured interviews and descriptive observation were used. Data analysis was based on the Content Analysis technique, thematic category.
Results:
three categories emerged: women and children violated behind bars (inequities); mothers and children in prison exacerbating imbalances, tensions and conflicts; and limits and references for resocialization.
Final Considerations:
the Bioethics of Protection proposal appears as a valid tool for the analytical direction of the process of confronting issues in the scope of public health in prison units, considering vulnerable groups and aiming at equity and human dignity.
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ORIGINAL ARTICLE01-10-2024
Self-harm in the two years of greatest restrictions during the covid-19 pandemic: a cross-sectional study
- Odilon Vieira Santos ,
- Letícia Aparecida Machado Lisboa da Silva ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- José Ramón Martínez-Riera , [ … ],
- Hugo Fernandes
Abstract
ORIGINAL ARTICLESelf-harm in the two years of greatest restrictions during the covid-19 pandemic: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77:e20240289
DOI 10.1590/0034-7167-2024-0289
- Odilon Vieira Santos ,
- Letícia Aparecida Machado Lisboa da Silva ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- José Ramón Martínez-Riera ,
- Hugo Fernandes
Views0See moreABSTRACT
Objective:
to analyze occurrence of self-harm, sociodemographic profile of victims and referrals in the first 24 months of the COVID-19 pandemic in São Paulo.
Method:
cross-sectional study carried out by the Notifiable Diseases Information System with data on self-harm in São Paulo. The period outlined was March 2020 to February 2022. R (4.0.2) software and chi-square test were used.
Results:
there were 15,946 incidents. Victims were young, white, single, heterosexual women. There was high incidence of people with previous mental disorders more than once and without clear motivation. The method used was poisoning/intoxication. There was a considerable number of referrals to the health network, although not totalitarian.
Conclusion:
the years of greater insecurity in relation to the pandemic have given rise to self-harm cases with peculiar characteristics. Agile health policies must be applied in atypical conditions, such as pandemics, especially for adolescents/young people with previous mental disorders.
- Odilon Vieira Santos
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EXPERIENCE REPORT01-10-2024
Sustainability in Higher Education: Experience report on achieving Sustainable Development Goals
- Laura Mafalda Carvalho Lopes ,
- Rosalina Matias-Correia ,
- Rosa Carla Gomes da Silva ,
- Natália de Jesus Barbosa Machado ,
- Ana Paula dos Santos Jesus Marques França
Abstract
EXPERIENCE REPORTSustainability in Higher Education: Experience report on achieving Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20240118
DOI 10.1590/0034-7167-2024-0118
- Laura Mafalda Carvalho Lopes ,
- Rosalina Matias-Correia ,
- Rosa Carla Gomes da Silva ,
- Natália de Jesus Barbosa Machado ,
- Ana Paula dos Santos Jesus Marques França
Views0See moreABSTRACT
Objective:
Describe the activities aimed at achieving the Sustainable Development Goals (SDGs), implemented by a polytechnic higher education institution, in the northern region of Portugal.
Methods:
This is an experience report from a Higher Education Institution, which characterizes the contribution to the SDGs, within the scope of teaching, research, campus and leadership.
Results:
In total, 1247 activities were mapped, with a preponderance in the “people” dimension (685 activities), with SDG 3 being the most prominent. Scientific articles contribute significantly to the SDGs, with a notable discrepancy between automatic (Scopus) and manual classifications, indicating a tendency to underestimate the impact of nursing studies.
Conclusion:
The results demonstrate the significant contribution of this institution to the SDGs, with a special focus on health and education. This contribution reflects the mission of the institution, which involves training competent and socially conscious health professionals, but simultaneously the need for greater awareness and training of the teaching staff.
- Laura Mafalda Carvalho Lopes
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REVIEW01-10-2024
Health of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
Abstract
REVIEWHealth of quilombola children as a challenge for the Sustainable Development Goals: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20240106
DOI 10.1590/0034-7167-2024-0106
Views0See moreABSTRACT
Objective:
to map the literature on quilombola children’s health and its relationship with the Sustainable Development Goals.
Method:
a scoping review, which followed the JBI protocol and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Searches were conducted in the LILACS, BDENF, Web of Science, Scopus, MEDLINE databases and Google Scholar platform. The research protocol was registered in the Open Science Framework.
Results:
eighteen articles out of 2,055 studies were selected as relevant for this study. The articles were grouped into four axes: Access to healthcare services; Nutritional aspects of quilombola children; Health problems of quilombola children; and Care for quilombola children. The relationship between these articles and SDGs 1, 3, 4, 6 and 10 was observed.
Final considerations:
the study provided an extremely important mapping of the theme of quilombola children’s health and themes related to the Sustainable Development Goals.
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ORIGINAL ARTICLE01-10-2024
Social Representations of pregnancy among trans men
- Danilo Martins Roque Pereira ,
- Ednaldo Cavalcante de Araújo ,
- Sheyla Costa de Oliveira ,
- Anderson Reis de Sousa ,
- Mariana Mercês Mesquita Espíndola , [ … ],
- Joecio Cordeiro Cardoso
Abstract
ORIGINAL ARTICLESocial Representations of pregnancy among trans men
Revista Brasileira de Enfermagem. 2024;77:e20240094
DOI 10.1590/0034-7167-2024-0094
- Danilo Martins Roque Pereira ,
- Ednaldo Cavalcante de Araújo ,
- Sheyla Costa de Oliveira ,
- Anderson Reis de Sousa ,
- Mariana Mercês Mesquita Espíndola ,
- Milka Gabrielle de Lira Nóbrega West ,
- Marclineide Nóbrega de Andrade Ramalho ,
- Joecio Cordeiro Cardoso
Views0See moreABSTRACT
Objective:
to understand the meanings and experiences of pregnancy among trans men in light of the Theory of Social Representations.
Methods:
this is a qualitative, descriptive and exploratory study, carried out with trans men selected for convenience and availability. Data production took place from September to October 2021, via the Google Meet® platform, based on interviews with a semi-structured script. Interview lexicographic textual analysis was performed using the Reinert method and instrumented by IRAMUTEQ version 7.0.
Results:
social representations of pregnancy involved a wide field of meanings, in which efforts were articulated to accept opportune and solitary pregnancy, fear of the parturition process and influence of physical and emotional changes.
Final considerations:
the study reinforces the importance of advanced nursing practice in assisting the pregnancy-puerperal cycle, based on the perspective of comprehensive care, equity in access to services and respect for differences.
- Danilo Martins Roque Pereira
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REVIEW01-10-2024
Prevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
- Raphael Sampaio dos Santos ,
- Katerine Moraes dos Santos ,
- Angela Maria Mendes Abreu ,
- Cristiane Cardoso de Paula ,
- Regina Célia Gollner Zeitoune
Abstract
REVIEWPrevalence and exposure variables of latent infection by mycobacterium tuberculosis in healthcare workers
Revista Brasileira de Enfermagem. 2024;77:e20240052
DOI 10.1590/0034-7167-2024-0052
- Raphael Sampaio dos Santos ,
- Katerine Moraes dos Santos ,
- Angela Maria Mendes Abreu ,
- Cristiane Cardoso de Paula ,
- Regina Célia Gollner Zeitoune
Views0See moreABSTRACT
Objectives:
To identify in the scientific literature the prevalence, diagnostic methods, and exposure variables of latent infection by Mycobacterium tuberculosis in healthcare workers.
Methods:
An integrative review of the scientific literature based on the following review question: What are the available scientific evidence in the literature that address the prevalence of latent infection by Mycobacterium tuberculosis in healthcare workers and its association with possible risk factors among these workers?
Results:
Being a physician or nurse, being older, and being male were generally associated with higher prevalences. The study also showed that interferon-gamma release assays were more commonly used as a diagnostic method compared to skin tests.
Conclusions:
More studies are needed regarding the epidemiology of latent infection by Mycobacterium tuberculosis in the context of healthcare workers, aiming for higher impact actions that contribute to the reduction of tuberculosis worldwide.
- Raphael Sampaio dos Santos
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ORIGINAL ARTICLE01-10-2024
Brazil-Portugal Comparison: Education, Health and Social Development in light of the Sustainable Development Goals
- Felipa Rafaela Amadigi ,
- Monica Motta Lino ,
- Rosani Ramos Machado ,
- Ianka Cristina Celuppi ,
- Carla Sílvia Fernandes , [ … ],
- Denise Elvira Pires de Pires
Abstract
ORIGINAL ARTICLEBrazil-Portugal Comparison: Education, Health and Social Development in light of the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20240047
DOI 10.1590/0034-7167-2024-0047
- Felipa Rafaela Amadigi ,
- Monica Motta Lino ,
- Rosani Ramos Machado ,
- Ianka Cristina Celuppi ,
- Carla Sílvia Fernandes ,
- Maria Manuela Martins ,
- Denise Elvira Pires de Pires
Views0See moreABSTRACT
Objective:
to comparatively analyze the health, education and social development systems of Brazil and Portugal, their relationship with the Sustainable Development Goals and the Organization for Economic Cooperation and Development averages.
Method:
exploratory and descriptive qualitative research, through documentary analysis. The indicators address health, education and social development, considering life expectancy, mortality, prevalence of chronic diseases, literacy, educational performance and poverty rates.
Results:
indicate significant differences between countries. Portugal presents better indicators in life expectancy, educational quality and poverty rates, whereas Brazil faces greater challenges in chronic diseases and equity in access to healthcare services.
Final considerations:
the importance of public policies adapted to local realities and the need for a strategic vision for healthcare systems aligned with the Sustainable Development Goals, in addition to the need for continuous investments and integration of digital health for efficient and equitable systems, stand out.
- Felipa Rafaela Amadigi
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