Articles - Revista Brasileira de Enfermagem

RESEARCH01-01-2017

Health education with older adults: action research with primary care professionals
Revista Brasileira de Enfermagem. 2017;70(4):792-799

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Abstract
RESEARCH
Health education with older adults: action research with primary care professionals
Revista Brasileira de Enfermagem. 2017;70(4):792-799
DOI 10.1590/0034-7167-2016-0349
Francielle Toniolo Nicodemos Furtado de Mendonça,
Álvaro da Silva Santos,
Ana Luisa Zanardo Buso,
Bruna Stephanie Sousa Malaquias
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ABSTRACT

Objective:

To assess the development and implementation of permanent education action.

Method:

Quantitative-qualitative research based on action research in three phases (diagnosis of reality, implementation of activity and evaluation), performed with health professionals and managers of basic health units. The evaluation was on the perception of changes immediately following the activity and after 120 days.

Results:

In the first phase, 110 professionals took part, 36.4% of whom indicated the existence of groups for older adults at work. In the second phase, 98 professionals participated, pointing out interferences of the group in the life of older adults, items of importance and facilitation in forming groups and developing reality-based activities. The third phase showed, in the quantitative analysis, positive impact of the training, and in the qualitative analysis, reassessment of groups, greater knowledge and confidence in managing groups and increased respect for older adults.

Final considerations:

Permanent education opens pathways for the construction of differentiated care for older adults based on respect and health promotion.

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RESEARCH01-01-2017

Older adults abuse in three Brazilian cities
Revista Brasileira de Enfermagem. 2017;70(4):783-791

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Abstract
RESEARCH
Older adults abuse in three Brazilian cities
Revista Brasileira de Enfermagem. 2017;70(4):783-791
DOI 10.1590/0034-7167-2017-0114
Rosalina Aparecida Partezani Rodrigues,
Edilene Araújo Monteiro,
Ana Maria Ribeiro dos Santos,
Maria de Lourdes de Farias Pontes,
Jack Roberto Silva Fhon,
Alisson Fernandes Bolina,
Fernanda Laporti Seredynskyj,
Vanessa Costa Almeida,
Suelen Borelli Lima Giacomini,
Giovanna Partezani Cardoso Defina,
Luipa Michele Silva
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ABSTRACT

Objective:

To analyze the police reports filed by older adults who suffered abuse in order to identify the socio-demographic characteristics of victims and aggressors, type of violence, location, as well as to compare rates in three Brazilian cities in the period from 2009 to 2013.

Method:

Ecological study, in which 2,612 police reports registered in Police Stations were analyzed. An instrument was used to obtain data from the victim, the aggressor and the type of violence.

Results:

Psychological abuse predominated and most cases occurred in the older adults own home. In the cities of Ribeirão Preto and João Pessoa, the older adults presented similar rates for both gender. Regarding the standardized rates, in João Pessoa, there was a rise of this type of abuse in the two first years, and later there was a certain stability. In the city of Teresina, there was an increase, also observed in the city of Ribeirão Preto in the three first years, followed by a decrease.

Conclusion:

Older adults abuse is a cultural phenomenon difficult to be reported by them, since it occurs in the family context.

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RESEARCH01-01-2017

Validation of educational booklet for HIV/Aids prevention in older adults
Revista Brasileira de Enfermagem. 2017;70(4):775-782

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Abstract
RESEARCH
Validation of educational booklet for HIV/Aids prevention in older adults
Revista Brasileira de Enfermagem. 2017;70(4):775-782
DOI 10.1590/0034-7167-2017-0145
Luana Ibiapina Cordeiro,
Thais de Oliveira Lopes,
Luciane Elise de Abreu Lira,
Sarah Maria de Sousa Feitoza,
Maria Eliana Peixoto Bessa,
Maria Lúcia Duarte Pereira,
Aline Rodrigues Feitoza,
Adriano Rodrigues de Souza
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ABSTRACT

Objective:

To describe the process of manufacturing and validation of an educational booklet for HIV/Aids prevention in older adults

Methods:

Methodological study developed in two phases – manufacturing of the booklet and validation of the educational material by judges. The manufacturing process involved a situational diagnosis with older adults, and its result indicated gaps in the knowledge with respect to HIV/Aids. The validation process was performed by nine judges, selected by convenience. It was considered an agreement index of at least 0.80, analyzed through the content validity index.

Results:

We opted for a dialogue between two older adults divided into three categories: myths and taboos; ignorance; and prevention and importance of diagnosis. The average of the items was 0.90. The suggestions made by the judges were observed and modified for the final version.

Conclusion:

The material had relevant content for the judges, in addition to being able to be used by health professionals in the education and clarification of issues on the subject.

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RESEARCH01-01-2017

Association between filial responsibility when caring for parents and the caregivers overload
Revista Brasileira de Enfermagem. 2017;70(4):767-774

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Abstract
RESEARCH
Association between filial responsibility when caring for parents and the caregivers overload
Revista Brasileira de Enfermagem. 2017;70(4):767-774
DOI 10.1590/0034-7167-2017-0133
Marinês Aires,
Duane Mocellin,
Fernanda Laís Fengler,
Idiane Rosset,
Naiana Oliveira dos Santos,
Diani de Oliveira Machado,
Carolina Baltar Day,
Lisiane Manganelli Girardi Paskulin
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ABSTRACT

Objective:

To analyze the association between filial responsibility and the overload of the children when caring for their older parents.

Method:

Cross-sectional study with 100 caregiver children of older adults. Filial liability was assessed by the attitudes of the responsible child (scale of expectation and filial duty) and by care behaviors (assistance in activities of daily living, emotional and financial support, and keeping company). The overload was assessed by the Caregiver Burden Inventory. To assess the associations, the correlation coefficients of Pearson and Spearman, Kruskal-Wallis Test, and Mann-Whitney were employed. Variables that presented p-value<0.20 in the bivariate analysis were inserted in a multivariate linear regression model.

Results:

The factors associated with overload were: formal employment (p=0.002), feelings regarding family life (p<0.001), financial support (p=0.027), and assistance with Activities of Daily Living (ADLs) (p<0.001).

Conclusion:

Children who were more involved with the ADLs and provided financial support showed higher levels of overload.

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RESEARCH01-01-2017

Religiosity and spirituality as resilience strategies among long-living older adults in their daily lives
- Luana Araújo dos Reis,
- Tânia Maria de Oliva Menezes
Revista Brasileira de Enfermagem. 2017;70(4):761-766

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Abstract
RESEARCH
Religiosity and spirituality as resilience strategies among long-living older adults in their daily lives
Revista Brasileira de Enfermagem. 2017;70(4):761-766
DOI 10.1590/0034-7167-2016-0630
Luana Araújo dos Reis,
Tânia Maria de Oliva Menezes
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ABSTRACT

Objective:

to investigate religiosity and spirituality as a resilience strategy for the long-living older adults in their daily lives.

Method:

Qualitative research of phenomenological approach based on Martin Heidegger thoughts. Interviews were conducted with 14 older adults registered at a family health unit in the city of Jequié, BA, Brazil. The data were analyzed in the light of Being and Time.

Results:

The results revealed that God occupies a central position in their lives, and the reading of the bible, praying the rosary and prayers are resilience strategies used for coping with unfavorable situations, recovery and/or maintenance of health, personal and family protection, and, above all, the experience of a satisfactory aging.

Final considerations:

Religiosity and spirituality were presented as an important resilience strategy in the existence of older adults, showing that through them it is possible to achieve well-being and cope with health and social problems.

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RESEARCH01-01-2017

Family of older adults with mental disorder: perception of mental health professionals
- Maria Giovana Borges Saidel,
- Claudinei José Gomes Campos
Revista Brasileira de Enfermagem. 2017;70(4):753-760

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Abstract
RESEARCH
Family of older adults with mental disorder: perception of mental health professionals
Revista Brasileira de Enfermagem. 2017;70(4):753-760
DOI 10.1590/0034-7167-2016-0646
Maria Giovana Borges Saidel,
Claudinei José Gomes Campos
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ABSTRACT

Objective:

to understand the perceptions of healthcare professionals of the Psychosocial Care Centers regarding the family of older adults with mental disorders.

Method:

study of a Qualitative Case conducted with 12 healthcare professionals from a Psychosocial Care Center, with a convenient and exhaustive sample. Conducting semi-structured interviews to collect data, which were analyzed with the Content Analysis technique.

Results:

the following categories stood out: “Family exhaustion and deterioration in the perception of the healthcare professional” and “The abandonment of older adults by family members and their distancing in the perception of the healthcare professional.”

Final considerations:

culpability of older adults and penalization of the family were verified by healthcare professionals. To bring awareness about the difficulties faced in the attempt to bring the family closer to the healthcare service, it is necessary to analyze the care given to the older adult and to overcome challenges in the effective construction of the bond between family, healthcare user and mental health service.

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RESEARCH01-01-2017

Frailty in the elderly: prevalence and associated factors
Revista Brasileira de Enfermagem. 2017;70(4):747-752

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Abstract
RESEARCH
Frailty in the elderly: prevalence and associated factors
Revista Brasileira de Enfermagem. 2017;70(4):747-752
DOI 10.1590/0034-7167-2016-0633
Jair Almeida Carneiro,
Rafael Rodrigues Cardoso,
Meiriellen Silva Durães,
Maria Clara Araújo Guedes,
Frederico Leão Santos,
Fernanda Marques da Costa,
Antônio Prates Caldeira
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ABSTRACT

Objective:

to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil.

Method:

cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance.

Results:

360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months.

Conclusion:

knowledge of factors associated with frailty allows development of health actions aimed at the elderly.

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RESEARCH01-01-2017

Falls in long-term care institutions for elderly people: protocol validation
Revista Brasileira de Enfermagem. 2017;70(4):740-746

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Abstract
RESEARCH
Falls in long-term care institutions for elderly people: protocol validation
Revista Brasileira de Enfermagem. 2017;70(4):740-746
DOI 10.1590/0034-7167-2017-0109
Cristina Rosa Soares Lavareda Baixinho,
Maria dos Anjos Coelho Rodrigues Dixe,
Maria Adriana Pereira Henriques
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ABSTRACT

Objectives:

To validate the content of a fall management risk protocol in long-term institutions for elderly people.

Methods:

Methodological, quanti-qualitative study using the Delphi technique. The tool, based on the literature, was sent electronically to obtain consensus among the 14 experts that meet the defined inclusion criteria.

Results:

The 27 indicators of the protocol are organized in three dimensions: prepare for the institutionalization (IRA=.88); manage the risk of falls throughout the institutionalization (IRA=.9); and lead the communication and formation (IRA=1), with a CVI=.91. Two rounds were performed to get a consensus superior to 80% in every item.

Conclusion:

The values obtained in the reliability test (>0.8) show that the protocol can be used to meet the intended goal. The next step is the clinic validation of the protocol with residents of long-term care institutions for elderly people.

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RESEARCH01-01-2018

Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289

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Abstract
RESEARCH
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
DOI 10.1590/0034-7167-2017-0265
Danielle Lemos Querido,
Marialda Moreira Christoffel,
Viviane Saraiva de Almeida,
Ana Paula Vieira dos Santos Esteves,
Marilda Andrade,
Joffre Amim Junior
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ABSTRACT

Objective:

To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.

Method:

This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.

Results:

Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.

Final considerations:

The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

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RESEARCH01-01-2018

The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
Gutembergue Santos de Sousa,
Roberto Nadir Figueira da Silva,
Nathália Giordana Ferreira,
Maria Goreth Silva Ferreira
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ABSTRACT

Objective:

To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.

Method:

A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.

Results:

Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.

Conclusion:

The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.

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RESEARCH01-01-2018

Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403

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Abstract
RESEARCH
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Marcia Regina Cunha,
Maria Clara Padoveze,
Célia Regina Maganha e Melo,
Lucia Yasuko Izumi Nichiata
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ABSTRACT

Objective:

To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.

Method:

Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.

Results:

89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.

Conclusion:

Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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RESEARCH01-01-2018

Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506

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Abstract
RESEARCH
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
Fatima Maria de Melo Brito,
Célia Alves Rozendo,
Priscila de Oliveira Cabral Melo
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ABSTRACT

Objective:

to analyze the contribution of the laboratory of nursing to the critical education of nurses.

Method:

qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.

Results:

it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.

Final considerations:

the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.

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RESEARCH01-01-2018

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547

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Abstract
RESEARCH
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
Maria Aparecida Baggio,
Rosilene Berres,
Bruna Penteado Silva Gregolin,
Solange Aikes
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ABSTRACT

Objective:

to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.

Method:

a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.

Results:

the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.

Final considerations:

it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.

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RESEARCH01-01-2018

Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595

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Abstract
RESEARCH
Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
DOI 10.1590/0034-7167-2017-0886
Michelli Pacheco Sako,
Adriana Maria da Silva Felix,
Julia Yaeko Kawagoe,
Maria Clara Padoveze,
Silvia Alice Ferreira,
Silvia Helena Zem-Mascarenhas,
Stephen Timmons,
Isis Pienta Batista Dias Passos,
Rosely Moralez de Figueiredo
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ABSTRACT

Objective:

To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.

Method:

Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.

Results:

A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.

Conclusion:

The developed tool has been validated and is now available for use in Primary Health Care.

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RESEARCH01-01-2018

Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
Magda Coeli Vitorino Sales Coêlho,
Camila Aparecida Pinheiro Landim Almeida,
Ana Roberta Vilarouca da Silva,
Luana Kelle Batista Moura,
Lucíola Galvão Gondim Corrêa Feitosa,
Laura Barbosa Nunes
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ABSTRACT

Objective:

seize meanings attributed by primary care nurses to training in diabetes education.

Method:

exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.

Results:

nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.

Conclusion:

the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.

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RESEARCH01-01-2018

Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
DOI 10.1590/0034-7167-2017-0754
Inara Mariela da Silva Cavalcante,
Glauteice Freitas Guedes,
Vilanice Alves de Araújo Püschel
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ABSTRACT

Objective:

To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.

Method:

Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.

Results:

The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.

Conclusion:

Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and research.

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ORIGINAL ARTICLE07-13-2020

Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434

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Abstract
ORIGINAL ARTICLE
Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434
DOI 10.1590/0034-7167-2020-0434
Eduardo Bassani Dal’Bosco ,
Lara Simone Messias Floriano ,
Suellen Vienscoski Skupien ,
Guilherme Arcaro ,
Alessandra Rodrigues Martins ,
Aline Cristina Correa Anselmo
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ABSTRACT

Objective:

to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

Methods:

a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

Results:

there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

Conclusion:

we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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REFLECTION04-22-2020

Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250

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Abstract
REFLECTION
Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250
DOI 10.1590/0034-7167-2019-0250
Jacks Soratto ,
Denise Elvira Pires de Pires ,
Susanne Friese
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ABSTRACT

Objective:

to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

Method:

It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

Results:

historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

Final considerations:

The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

Keywords:Information Management Primary Health Care Qualitative Analysis Qualitative Research Software
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REFLECTION10-26-2020

Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683

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Abstract
REFLECTION
Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683
DOI 10.1590/0034-7167-2020-0683
Ana Luisa Brandão de Carvalho Lira ,
Edlamar Kátia Adamy ,
Elizabeth Teixeira ,
Francisca Valda da Silva
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ABSTRACT

Objective:

To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

Methods:

Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

Results:

Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

Final considerations:

The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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ORIGINAL ARTICLE11-13-2020

Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673

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Abstract
ORIGINAL ARTICLE
Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673
DOI 10.1590/0034-7167-2020-0673
Alexandre Medeiros de Figueiredo ,
Daniela Cristina Moreira Marculino de Figueiredo ,
Luciano Bezerra Gomes ,
Adriano Massuda ,
Eugenia Gil-García ,
Rodrigo Pinheiro de Toledo Vianna ,
Antonio Daponte
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ABSTRACT

Objective:

To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

Methods:

Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

Results:

In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

Conclusion:

Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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ORIGINAL ARTICLE08-10-2020

Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413

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Abstract
ORIGINAL ARTICLE
Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413
DOI 10.1590/0034-7167-2019-0413
Ricardo Clayton Silva Jansen ,
Kedyma Batista de Almeida Silva ,
Maria Edileuza Soares Moura
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ABSTRACT

Objective:

To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

Methods:

A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

Results:

The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

Conclusion:

The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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ORIGINAL ARTICLE02-27-2020

Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287

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Abstract
ORIGINAL ARTICLE
Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287
DOI 10.1590/0034-7167-2018-0287
Marina de Góes Salvetti ,
Caroline Silva Pereira Machado ,
Suzana Cristina Teixeira Donato ,
Adriana Marques da Silva
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ABSTRACT

Objectives:

to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

Methods:

this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

Results:

prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

Conclusions:

fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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ORIGINAL ARTICLE06-27-2019

Validation of a booklet on self-care with the diabetic foot
Revista Brasileira de Enfermagem. 2019;72(3):780-787

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Validation of a booklet on self-care with the diabetic foot
Revista Brasileira de Enfermagem. 2019;72(3):780-787
DOI 10.1590/0034-7167-2017-0900
Yara Lanne Santiago Galdino ,
Thereza Maria Magalhães Moreira ,
Antonio Dean Barbosa Marques ,
Francisca Alexandra Araújo da Silva
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ABSTRACT

Objective:

to describe the validation of the booklet on self-care with the feet of people with diabetes.

Method:

methodological study, focusing on the validation of a printed booklet. The content and appearance of the booklet was validated by 23 judges divided into three groups: 11 content and appearance, seven technicians and five of the area of design and marketing. The appearance was validated by 30 people with type 2 Diabetes Mellitus.

Results:

the judges in the nursing area allowed the validation of material with a Content Validity Index (CVI) of 0.99, judges in the area of design and marketing with Suitability Assessment of Materials (SAM) of 99.2% and the target audience with concordance index of 99.4%.

Conclusion:

the educational booklet proved to be valid and reliable educational material to be used in order to promote compliance with self-care with the feet of people with Diabetes Mellitus.

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REVIEW03-24-2021

Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130

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Abstract
REVIEW
Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130
DOI 10.1590/0034-7167-2020-0130
Joyce Fernanda Soares Albino Ghezzi ,
Elza de Fátima Ribeiro Higa ,
Monike Alves Lemes ,
Maria José Sanches Marin
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ABSTRACT

Objectives:

to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

Methods:

integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

Results:

among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

Final Considerations:

the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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Health education with older adults: action research with primary care professionals

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Older adults abuse in three Brazilian cities

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Validation of educational booklet for HIV/Aids prevention in older adults

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Association between filial responsibility when caring for parents and the caregivers overload

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Assistance flowchart for pain management in a Neonatal Intensive Care Unit

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The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it

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Identification of post-cesarean surgical site infection: nursing consultation

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Nursing laboratory and critical education of nurses: approaches and distances

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Method:

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Final considerations:

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

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Method:

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Final considerations:

Knowledge about precautions in Primary Health Care: tool validation

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