Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)

    Revista Brasileira de Enfermagem. 2024;77(6):e20230362

    Abstract

    ORIGINAL ARTICLE

    Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)

    Revista Brasileira de Enfermagem. 2024;77(6):e20230362

    DOI 10.1590/0034-7167-2023-0362

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    ABSTRACT

    Objectives:

    to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017.

    Methods:

    qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective.

    Results:

    seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science.

    Final Considerations:

    the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.

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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.
  • REVIEW12-16-2024

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    Abstract

    REVIEW

    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review

    Revista Brasileira de Enfermagem. 2024;77(6):e20230343

    DOI 10.1590/0034-7167-2023-0343

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    ABSTRACT

    Objectives:

    to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.

    Methods:

    systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.

    Results:

    initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.

    Conclusions:

    we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.

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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.
    Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
  • ORIGINAL ARTICLE12-16-2024

    Educational technology to empower patients as participants in their care

    Revista Brasileira de Enfermagem. 2024;77(6):e20230359

    Abstract

    ORIGINAL ARTICLE

    Educational technology to empower patients as participants in their care

    Revista Brasileira de Enfermagem. 2024;77(6):e20230359

    DOI 10.1590/0034-7167-2023-0359

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    ABSTRACT

    Objectives:

    to build and validate an educational technology to empower patients as participants in their own care.

    Methods:

    methodological study to develop an educational technology based on the elaboration, validation, and evaluation that were carried out in five stages at a teaching hospital in Amazonas. The study was carried out from 2019 to 2022, with the participation of 19 judges specialized in patient safety and 72 patients admitted to the hospital’s medical and surgical clinics, the study setting.

    Results:

    the agreement between the judges obtained an overall index of 0.85, being considered validated. The overall analysis of the booklet obtained an assessment of the level of agreement above 85%.

    Final Considerations:

    the educational technology presented here was validated and suitable for promoting patient/professional rapprochement and consolidating health care in a way that increases the patient’s ability to contribute to their treatment and prevent the occurrence of adverse events.

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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.
    Educational technology to empower patients as participants in their care
  • ORIGINAL ARTICLE12-13-2024

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    Abstract

    ORIGINAL ARTICLE

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    DOI 10.1590/0034-7167-2024-0138

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    ABSTRACT

    Objectives:

    to develop and validate an educational booklet on labor and delivery for pregnant women.

    Methods:

    this methodological study involved constructing and validating a booklet based on Echer’s framework. We used the Content Validity Index and Cronbach’s alpha for content and face validation, selecting judges according to Fering’s criteria. We then conducted a clinical validation with the target population.

    Results:

    the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.

    Conclusions:

    expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.

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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.
    Educational booklet on labor and delivery: validity study
  • ORIGINAL ARTICLE12-13-2024

    Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation

    Revista Brasileira de Enfermagem. 2024;77(5):e20230361

    Abstract

    ORIGINAL ARTICLE

    Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation

    Revista Brasileira de Enfermagem. 2024;77(5):e20230361

    DOI 10.1590/0034-7167-2023-0361

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    ABSTRACT

    Objectives:

    to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.

    Methods:

    a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.

    Results:

    around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).

    Conclusions:

    most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.

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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.
  • 12-13-2024

    Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion

    Revista Brasileira de Enfermagem. 2024;77(5):e20230430

    Abstract

    Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion

    Revista Brasileira de Enfermagem. 2024;77(5):e20230430

    DOI 10.1590/0034-7167-2023-0430

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    ABSTRACT

    Objectives:

    to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health.

    Methods:

    theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil.

    Results:

    this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health.

    Final Considerations:

    indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.

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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.
  • ORIGINAL ARTICLE12-13-2024

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    Abstract

    ORIGINAL ARTICLE

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    DOI 10.1590/0034-7167-2023-0542

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    ABSTRACT

    Objectives:

    to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.

    Methods:

    this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.

    Results:

    nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.

    Conclusions:

    exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.

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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.
    Stress in nursing workers caring for people with COVID-19
  • ORIGINAL ARTICLE12-13-2024

    Adaptation and implementation of a Nursing care protocol for children in the Amazon Region

    Revista Brasileira de Enfermagem. 2024;77(5):e20230245

    Abstract

    ORIGINAL ARTICLE

    Adaptation and implementation of a Nursing care protocol for children in the Amazon Region

    Revista Brasileira de Enfermagem. 2024;77(5):e20230245

    DOI 10.1590/0034-7167-2023-0245

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    ABSTRACT

    Objectives:

    to describe the process of implementing an adapted protocol for pediatric nursing care in a health unit located in a municipality in the Amazon Region.

    Methods:

    methodological research conducted in a basic health unit with four family health teams in the state of Rondônia, involving seven nursing professionals. Data collection occurred between October 2020 and April 2022, following the research phases: situational diagnosis, exploratory phase, protocol definition, implementation, and evaluation.

    Results:

    the outcome was the adaptation and implementation of a nursing care protocol for children.

    Final Considerations:

    the adaptation and implementation process can be an effective approach to improving care, strengthening nursing as a profession with a solid foundation in scientific and clinical evidence. This facilitates early problem identification and appropriate guidance, leading to better health outcomes for children.

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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.

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