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ORIGINAL ARTICLE12-16-2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
Abstract
ORIGINAL ARTICLERespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
Views1See moreABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
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12-16-2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Abstract
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
Views0See moreABSTRACT
Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ORIGINAL ARTICLE12-16-2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
Abstract
ORIGINAL ARTICLEPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
Views0See moreABSTRACT
Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
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REVIEW12-16-2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
Abstract
REVIEWRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
Views1See moreABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
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ORIGINAL ARTICLE12-16-2024
Analysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
Abstract
ORIGINAL ARTICLEAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
Views0See moreABSTRACT
Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
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ORIGINAL ARTICLE12-16-2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Abstract
ORIGINAL ARTICLEHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
Views0See moreABSTRACT
Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ORIGINAL ARTICLE12-16-2024
Bladder ultrasound: evidence of content validity of a checklist for training nurses
Revista Brasileira de Enfermagem. 2024;77(6):e20230183
Abstract
ORIGINAL ARTICLEBladder ultrasound: evidence of content validity of a checklist for training nurses
Revista Brasileira de Enfermagem. 2024;77(6):e20230183
DOI 10.1590/0034-7167-2023-0183
Views0See moreABSTRACT
Objectives:
to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.
Methods:
a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.
Results:
the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.
Conclusions:
the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.
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12-16-2024
A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
Revista Brasileira de Enfermagem. 2024;77(6):e20220615
Abstract
A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
Revista Brasileira de Enfermagem. 2024;77(6):e20220615
DOI 10.1590/0034-7167-2022-0615
Views1See moreRESUMEN
Objetivos:
identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.
Métodos:
se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.
Resultados:
la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.
Conclusiones:
los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.
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ORIGINAL ARTICLE09-23-2022
Brain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
Abstract
ORIGINAL ARTICLEBrain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
DOI 10.1590/0034-7167-2021-0943
Views0See moreABSTRACT
Objectives:
to identify care strategies developed by professionals from critically ill patients’ units in communicating BD with parents of children and adolescents.
Methods:
an exploratory and descriptive research with a qualitative approach, carried out in two health institutions between October and December 2019, through semi-structured interviews. Data analysis took place through content analysis.
Results:
twenty-one professionals participated. Three care strategies were identified: actual clinical situation in suspected brain death; sensitizing families to the real clinical situation after brain death diagnosis; and time to assimilate the death information.
Final Considerations:
the care strategies for communicating brain death to families identified in this study present the possibility of subsidizing health managers in training and support promotion for professionals in care practice. Moreover, they can be incorporated and validated in the care practice of the studied context.
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ORIGINAL ARTICLE03-30-2022
Nursing diagnoses of newborns in rooming-in care using ICNP®
Revista Brasileira de Enfermagem. 2022;75(4):e20200672
Abstract
ORIGINAL ARTICLENursing diagnoses of newborns in rooming-in care using ICNP®
Revista Brasileira de Enfermagem. 2022;75(4):e20200672
DOI 10.1590/0034-7167-2020-0672
Views1See moreABSTRACT
Objectives:
to create nursing diagnosis definitions for newborns in rooming-in care, using the International Classification for Nursing Practice (ICNP).
Methods:
methodological study following the steps for the identification and validation of relevant terms to care for clients; cross-mapping of the terms identified with the terms of the ICNP® 2019; elaboration and validation of the nursing diagnostic definitions of ICNP® and later classification according with the Basic Human Needs described by Wanda Horta.
Results:
from the terms extracted, 168 were validated through specialist consensus, subsidizing the elaboration of 27 diagnosis definitions.
Conclusions:
the most common diagnoses for the clients studied were: “Effective Feeding Behaviour”, “Effective Urination”, “Normal Respiration Rhythm”, “Effective Swallowing”, “Effective Peripheral Intravenous Access”, and “Effective Parent Child Attachment”. It was confirmed that the records of psychobiological needs are mainly made by nurses, which were responsible for 23 of the diagnoses in this study.
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ORIGINAL ARTICLE10-07-2022
Nursing workload associated with neonatal mortality risk: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(4):e20200965
Abstract
ORIGINAL ARTICLENursing workload associated with neonatal mortality risk: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(4):e20200965
DOI 10.1590/0034-7167-2020-0965
Views0See moreABSTRACT
Objectives:
to analyze the association between nursing workload and neonatal mortality risk in newborns admitted to the Neonatal Intensive Care Unit.
Methods:
this is an observational, cross-sectional study conducted from January 2019 to January 2020.
Results:
the sample consisted of 399 newborns, 55.4% male, Nursing Activities Score mean of 67.5%, and Score for Neonatal Acute Physiology Perinatal Extension mean of 17.7, revealed itself as a predictor of the risk of death, while gestational age, length of hospitalization, and the first-minute Apgar established a protective relationship. The correlation between workload and neonatal mortality was low (r= 0.23, p=0.0009).
Conclusions:
the workload of the nursing team is not associated with the risk of mortality in the Neonatal Intensive Care Unit, as measured by the Nursing Activities Score.
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ORIGINAL ARTICLE04-15-2022
Risk factors for infiltration in children and adolescents with peripheral intravenous catheters
Revista Brasileira de Enfermagem. 2022;75(4):e20210176
Abstract
ORIGINAL ARTICLERisk factors for infiltration in children and adolescents with peripheral intravenous catheters
Revista Brasileira de Enfermagem. 2022;75(4):e20210176
DOI 10.1590/0034-7167-2021-0176
Views0See moreABSTRACT
Objectives:
to estimate the incidence of infiltration and the factors associated with its occurrence in children and adolescents in the operative period and with peripheral intravenous catheters.
Methods:
a longitudinal and prospective study with children and adolescents using peripheral intravenous catheters, conducted at the surgical clinic unit of a pediatric hospital in Feira de Santana, State of Bahia, from April 2015 to December 2016. The study used Pearson’s chi-square and Fisher’s exact test for the analysis. It also applied multiple analyses using Poisson regression with robust variance.
Results:
the incidence of infiltration was 31.2% and was associated with female sex (RR=0.53; CI=[0.30-0.96]), non-eutrophic children (RR=2.27; CI=[1.25-4.20]), who used non-irritating and non-vesicant drugs (RR=1.72; CI=[1.03-2.87]), vesicant drugs (RR=1.84; CI=[1.05-3.22]) and irritating/vesicant electrolytes (RR=2.35; CI=[1.38-3.97]).
Conclusions:
the study suggests the development of strategies that will help in the prevention of this adverse event through the knowledge of the associated factors.
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ORIGINAL ARTICLE02-25-2022
Death of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
Abstract
ORIGINAL ARTICLEDeath of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
DOI 10.1590/0034-7167-2021-0435
Views0See moreABSTRACT
Objectives:
to unveil the meanings of mothers whose children died as a result of domestic accidents in childhood.
Methods:
a qualitative research, in the light of Heideggerian phenomenology, with ten mothers whose children died from domestic accidents. It was carried out in a municipality of the Northeast Region of Brazil through phenomenological interviews between May and June 2017. The existential analytic was constituted by the comprehensive moments of the Heideggerian method.
Results:
the meanings unveiled pointed out that, to understand the sudden death of her child, the mother oscillates between feeling guilty, pointing and denying guilt. She reports emptiness, permanent pain, non-acceptance of her child’s death, and the desire to keep him in her life. In this journey, the fear that brings limitations to her life and that of her other children is revealed. Final Considerations: it was revealed that the death of the child in infancy compromises the integrality of being a mother, indicating the need for systematic and continuous care for the adequate management of the emotional and social effects.
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ORIGINAL ARTICLE04-15-2022
Meanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
Abstract
ORIGINAL ARTICLEMeanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
DOI 10.1590/0034-7167-2021-0463
Views0See moreABSTRACT
Objectives:
to understand the meanings attributed to the changes experienced after bariatric surgery by people with obesity.
Methods:
this is a study with a qualitative approach, with a theoretical framework in Symbolic Interactionism; and methodological, in the Grounded Theory. There were 12 participants who underwent bariatric surgery in two health services (bariatric surgery clinic; general hospital). Data collection took place between July and October 2020, through an intensive interview. Testimonies were recorded using an electronic device and transcribed in full. Data were coded in the MAXQDA 2020 software and analyzed considering the adopted theoretical framework.
Results:
two categories emerged: Rebuilding a social life; and Rediscovering self-esteem. From the articulation of these categories, the phenomenon “Re-signifying life after bariatric surgery” was constructed.
Final Considerations:
bariatric surgery contributed to significant changes in the daily lives of participants, and Symbolic Interactionism allowed the understanding of how participants interpreted their meanings.
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ORIGINAL ARTICLE04-15-2022
Correlation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
Abstract
ORIGINAL ARTICLECorrelation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
DOI 10.1590/0034-7167-2021-0716
Views0See moreABSTRACT
Objectives:
to investigate the correlation between fatigue and quality of life in adolescents with cerebral palsy who are susceptible to more significant fatigue and lower quality of life.
Methods:
cross-sectional study conducted with 101 adolescents with cerebral palsy. Instruments such as the Pediatric Quality of Life Inventory and Gross Motor Function Classification System were used, and Kolmogorov-Smirnov, Mann-Whitney, and Spearman tests were applied.
Results:
older adolescents self-reported higher fatigue levels, and female adolescents, quadriplegic, with worse motor function, older, and not attending school had lower quality of life scores. Higher fatigue levels correlated with lower quality of life in all domains (p<0.01), especially in tiredness (general and mental) and functioning (social, academic, and psychosocial).
Conclusions:
fatigue correlated negatively with the quality of life of adolescents with cerebral palsy, showing that the higher the level of fatigue, the more compromised is the adolescents’ life.
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ORIGINAL ARTICLE05-09-2022
Factors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
Abstract
ORIGINAL ARTICLEFactors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
DOI 10.1590/0034-7167-2021-0744
Views0See moreABSTRACT
Objective:
To identify factors associated with cognitive, emotional, psychomotor, and relational skills of informal caregivers in home care.
Methods:
A cross-sectional study carried out with a sample of 216 informal caregivers residing in a municipality in the state of Paraná. Data collection took place between February and July 2019, with an instrument developed and validated to assess the skills of informal caregivers. Descriptive and inferential analyses were used.
Results:
The factors associated with a greater competence of informal caregivers were being female, having training in the field, and having more than five years home care experience. The lowest competence was observed in caregivers who had health problems and belonged to the lowest strata of family purchasing power. Participants had lower scores in psychomotor competence and had better results in cognitive competence.
Conclusion:
It was found that women with experience in care had higher levels of competence to provide quality care at home assistance services.
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ORIGINAL ARTICLE04-03-2020
Nursing work in assisted human reproduction: between technology and humanization
Revista Brasileira de Enfermagem. 2020;73(3):e20170919
Abstract
ORIGINAL ARTICLENursing work in assisted human reproduction: between technology and humanization
Revista Brasileira de Enfermagem. 2020;73(3):e20170919
DOI 10.1590/0034-7167-2017-0919
Views0See moreABSTRACT
Objectives:
To analyze the social representations of nurses who work with assisted human reproduction about the operation with reproductive biotechnologies.
Methods:
Qualitative approach, supported by the Theory of Social Representations, with sixteen participants. Individual, semi-structured interviews, analyzed through the Alceste software.
Results:
Pragmatic elements related to nurses’ performance from a professional, institutional, and public policy perspective in reproductive biotechnologies emerged, demonstrating the practical dimension of these representations. The characteristics of the professional to act in this area were addressed, showing the lack of information and search for scientificity; precarious perception of the organizational structure of health services; and attributions of nursing care arising from the health care practice in assisted human reproduction.
Final considerations:
Social representation is anchored in the link between technology/medicalization and humanization/reception regarding reproductive biotechnologies. Working in assisted human reproduction involves a new and challenging nursing care, requiring specific and ethical knowledge.
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ORIGINAL ARTICLE10-25-2022
Prevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
Revista Brasileira de Enfermagem. 2022;75(2):e20210006
Abstract
ORIGINAL ARTICLEPrevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
Revista Brasileira de Enfermagem. 2022;75(2):e20210006
DOI 10.1590/0034-7167-2021-0006
Views0See moreABSTRACT
Objective:
To analyze caregivers’ knowledge about prevention of domestic accidents in early childhood and its association with education level.
Methods:
This is a cross-sectional study conducted in a Primary Care Unit in Niterói with caregivers (convenience sample) of children under 6 years old. To classify the knowledge, we adopted the Positivity Index; to verify the association between the variable “schooling” and knowledge, the chi square test was used; statistically significant results: p < 0.05.
Results:
A total of 256 caregivers participated; 93.5% showed adequate knowledge. In the individual items, the knowledge (100%) about prevention of accidents with sharp toys, firearms, intoxication by products stood out; and less frequently (64.5%), the knowledge of the information contained in the Child’s Health Booklet. There was no statistically significant association (p = 0.237) between education and knowledge. Conclusion: The caregivers presented knowledge about the prevention of domestic accidents, and this was not associated with the level of education.
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ORIGINAL ARTICLE04-03-2020
Organizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
Abstract
ORIGINAL ARTICLEOrganizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
DOI 10.1590/0034-7167-2018-0510
Views0See moreABSTRACT
Objectives:
To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care.
Methods:
This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals.
Results:
Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians.
Conclusions:
We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.
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10-01-2022
Benchmarking of mobile apps on heart failure
Revista Brasileira de Enfermagem. 2022;75(1):e20201093
Abstract
Benchmarking of mobile apps on heart failure
Revista Brasileira de Enfermagem. 2022;75(1):e20201093
DOI 10.1590/0034-7167-2020-1093
Views0INTRODUCTIONHeart failure (HF) is an emerging global threat, with a current prevalence of 64.34 million cases on the planet (8.52 per 1,000 inhabitants), representing 9.91 million years lost due to disability and spending of US$346.17 billion(), with a prospect of an increase despite therapeutic advances. These data alert to the prioritization of preventive actions and […]See more -
REVIEW12-13-2019
Critical path of women in situation of violence: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72:321-332
Abstract
REVIEWCritical path of women in situation of violence: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72:321-332
DOI 10.1590/0034-7167-2018-0265
Views1See moreABSTRACT
Objective:
To identify Brazilian and international scientific evidence on the critical path of women in situations of violence.
Method:
Integrative literature review developed in four databases and two electronic portals, in January 2017. Twenty-one full articles in English, Portuguese or Spanish from original researches were included in the time cut from 1994 to 2016, and which presented critical path elements, even without using this concept.
Results:
The critical path of women in situations of violence is constituted of elements related to their perceptions, actions and previous experiences regarding availability and quality of services, social representations of public servers and community and the results obtained in the search for help.
Conclusion:
Critical path elements are decisive for the women, and can promote, inhibit or delay the beginning of the route and consequently the end of situations of violence experienced by these women.
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ORIGINAL ARTICLE02-02-2022
The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
Revista Brasileira de Enfermagem. 2022;75(3):e20210153
Abstract
ORIGINAL ARTICLEThe Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
Revista Brasileira de Enfermagem. 2022;75(3):e20210153
DOI 10.1590/0034-7167-2021-0153
Views0See moreABSTRACT
Objectives:
to identify, classify, and analyze modes of failure in the medication process.
Methods:
evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers.
Results:
207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.6%), administration (29%), dilution (16.4%), prescription (2.4%), and identification (12.6%). The analysis of risk showed a moderate (51.7%) and high (30.9%) need of intervention, leading to the creation of an internal quality assurance group and of continued education activities.
Conclusions:
the Healthcare Failure Mode and Effect Analysis showed itself to be a tool to actively identify, classify, and analyze failures in the process of medication, contributing for the proposal of actions aimed at patient safety.
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ORIGINAL ARTICLE11-29-2022
Ethics in nursing: categorization of legal processes
Revista Brasileira de Enfermagem. 2022;75(3):e20210099
Abstract
ORIGINAL ARTICLEEthics in nursing: categorization of legal processes
Revista Brasileira de Enfermagem. 2022;75(3):e20210099
DOI 10.1590/0034-7167-2021-0099
Views0See moreABSTRACT
Objectives:
to categorize factual elements of ethical-disciplinary nursing lawsuits in the state of Goiás.
Methods:
cross-sectional, retrospective study, based on secondary data obtained from ethical-disciplinary lawsuits filed at the Regional Nursing Council of Goiás (Coren-Goiás) between the years 2010 and 2019.
Results:
the highest number of lawsuits filed was in 2013 and 2014, with a greater frequency in the state capital. The majority came from the Nursing Ethics Committees and ex-officio complaints. The professional with most complaints was the nursing technician, aged between 31 and 40 years old, at the beginning of their career. The most common type of complaints referred to performing attributions that were not within the nursing competences.
Conclusions:
as a highlight are the contributions of this study to professional ethics in nursing and the clear need to consolidate these skills in nurses who are in training and in the continuous education for those already in the profession.
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REVIEW02-10-2020
Low Chronic Self-Esteem and Low Situational Self-Esteem: a literature review
Revista Brasileira de Enfermagem. 2020;73(1):e20180004
Abstract
REVIEWLow Chronic Self-Esteem and Low Situational Self-Esteem: a literature review
Revista Brasileira de Enfermagem. 2020;73(1):e20180004
DOI 10.1590/0034-7167-2018-0004
Views0See moreABSTRACT
Objective:
to develop a literature review about low self-esteem and components of the nursing diagnoses Low Chronic Self-Esteem and Low Situational Self-Esteem in patients with depressed mood.
Method:
an integrative literature review carried out in the Pubmed portal and in the Scopus and Web of Science electronic bibliographic databases. Depression and self-esteem descriptors were used, resulting in 32 articles.
Results:
literature indicated 7 clinical indicators and 14 etiological factors for low self-esteem.
Conclusion:
The clinical indicators Suicidal ideation and Ineffective treatment were more prevalent in the study. The etiological factors Stressful events and Stigmatization were the most frequent, both of which were suggested as new related factors for low self-esteem. Nursing diagnosis recognition can contribute to intervention strategy elaboration by the nurse, according to the urgent diagnostic and the individual’s particularities.
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