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EXPERIENCE REPORT08-20-2022
Advanced training and international educational exchange: learning, overcoming and experiences
Revista Brasileira de Enfermagem. 2022;75(1):e20200841
Abstract
EXPERIENCE REPORTAdvanced training and international educational exchange: learning, overcoming and experiences
Revista Brasileira de Enfermagem. 2022;75(1):e20200841
DOI 10.1590/0034-7167-2020-0841
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Objectives:
to report my experiences as a researcher during the course of advanced post-doctoral training abroad.
Methods:
theoretical and methodological option for Max van Manen’s phenomenology of practice. The activities were developed in the Health Sciences Research Unit: Nursing, in Portugal, Université Catholique de Louvain, in Belgium, and in Escuela de Enfermería y Fisioterapia de la Universidad de Castilla-La Mancha, in Spain.
Results:
participating in a multicenter international research project enabled the acquisition of new scientific knowledge, personal and cultural gains. From a broader perspective, the international graduate and undergraduate nursing networks were strengthened through the mobility of researchers, and overcoming of the “status quo” by the formation of a critical mass environment indispensable for scientific advancement.
Final Considerations:
sharing the experience that you appropriate is about the power of grasping possibilities of a practical experience, in the context of the world, and going through it, motivated by the desire to make internationalization feasible.
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ORIGINAL ARTICLE08-20-2022
Religious/spiritual experiences, quality of life and satisfaction with life of hospitalized octogenarians
Revista Brasileira de Enfermagem. 2022;75(1):e20201099
Abstract
ORIGINAL ARTICLEReligious/spiritual experiences, quality of life and satisfaction with life of hospitalized octogenarians
Revista Brasileira de Enfermagem. 2022;75(1):e20201099
DOI 10.1590/0034-7167-2020-1099
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Objectives:
to assess quality of life (QoL) and satisfaction with life (SWL) indices and verify whether the frequency of religious and spiritual experiences is associated with QoL and SWL in hospitalized octogenarians.
Method:
this is a cross-sectional study, with 128 octogenarians. World Health Organization QoL instruments and Scales applied: Daily Spiritual Experience (DSES) and Satisfaction With Life (SWLS).
Results:
more committed domains related to QoL and SWL: autonomy and physical capacity. The higher the score in DSES, the higher the scores in the psychological domains and past, present, and future QoL activities. The higher the score in DSES, the higher the score in the social involvement aspect.
Conclusion:
the results of this study showed that the higher frequency of religious and spiritual experiences of hospitalized elderly people was associated with better QoL and SWL. It is emphasized that religious and spiritual experiences should be explored in the hospital therapeutic context.
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ORIGINAL ARTICLE08-20-2022
Intramuscular injection safety without aspiration in the ventro-gluteal region during vaccination: randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(1):e20201119
Abstract
ORIGINAL ARTICLEIntramuscular injection safety without aspiration in the ventro-gluteal region during vaccination: randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(1):e20201119
DOI 10.1590/0034-7167-2020-1119
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Objectives:
to compare adverse events after administrating hepatitis A vaccine intramuscularly in the ventro-gluteal region between techniques with and without aspiration.
Methods:
randomized double-blind clinical trial, using hepatitis A vaccine (inactivated) in the ventro-gluteal region, with a sample of 74 participants in the intervention group, vaccinated with the slow injection technique without aspiration, and 74 participants in the control group undergoing slow injection with aspiration. Daily assessment of participants was carried out in the 72 hours after vaccination, in order to ascertain local, systemic adverse events, local and contralateral temperatures.
Results:
the occurrence of local and systemic adverse events was homogeneous between the groups in the three days after vaccination (p>0.05). There was no influence of sex, race, pre-existing disease and use of medication.
Conclusions:
the intramuscular vaccination technique without aspiration in the ventro-gluteal region is safe for adverse events following immunization compared to the conventional technique with aspiration.
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REVIEW08-15-2022
State of the art on Advanced Nursing Practice: reflections for the agenda in Brazil
Revista Brasileira de Enfermagem. 2022;75(5):e20220151
Abstract
REVIEWState of the art on Advanced Nursing Practice: reflections for the agenda in Brazil
Revista Brasileira de Enfermagem. 2022;75(5):e20220151
DOI 10.1590/0034-7167-2022-0151
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Objectives:
to review the state of the art on Advanced Nursing Practices.
Methods:
a scoping review of existing publications up to 2020, in the PubMed/MEDLINE, SciELO, LILACS, BDENF, Web of Science and Scopus databases, identified by descriptors “Prática Avançada de Enfermagem” or “Advanced Practice Nursing”. A total of 184 documents were selected. The characterization of this study was carried out, followed by the construction of an overview of different regions of the world.
Results:
studies showed an increasing trend in the last decade, being present in all continents, although 43.5% correspond to opinion articles, comments, editorials and event reports. Even with similar aspects, the justifications for Advanced Nursing Practices reflect specific regional needs.
Final Considerations:
the studies still lack methodological variety and emphasis on the specificities of countries and their health systems, in addition to greater detail on labor regulation, professional training and the impacts of these practices in nursing.
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ORIGINAL ARTICLE08-15-2022
Development and validation of educational hypermedia for family members and caregivers of people with epidermolysis bullosa
Revista Brasileira de Enfermagem. 2022;75(5):e20210856
Abstract
ORIGINAL ARTICLEDevelopment and validation of educational hypermedia for family members and caregivers of people with epidermolysis bullosa
Revista Brasileira de Enfermagem. 2022;75(5):e20210856
DOI 10.1590/0034-7167-2021-0856
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Objectives:
to develop educational hypermedia to support the care of people with epidermolysis bullosa; and validate its content, functionality, usability, and efficiency.
Methods:
methodological study, based on five phases: analysis and planning; modeling; implementation; evaluation; and distribution. Hypermedia was evaluated by expert judges, using the content validity index, index of agreement, and exact binomial distribution test, considering p > 0.05 and 0.80 agreement ratio to estimate the statistical reliability of CVI and IOA.
Results:
in the validation with the judges, hypermedia presented excellent indices of total content validity (CVIt=0.99) and agreement for functionality, usability, and efficiency (IOA=100%), with p > 0.05 in all evaluated items.
Conclusions:
the developed hypermedia was considered adequate, with good screens, descriptions, and animations, presenting itself clearly and objectively to be used by patients with epidermolysis bullosa and their family members/caregivers.
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ORIGINAL ARTICLE08-15-2022
Reiki for promotion of health and sleep quality in hospital nursing professionals
Revista Brasileira de Enfermagem. 2022;75(5):e20210535
Abstract
ORIGINAL ARTICLEReiki for promotion of health and sleep quality in hospital nursing professionals
Revista Brasileira de Enfermagem. 2022;75(5):e20210535
DOI 10.1590/0034-7167-2021-0535
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Objectives:
to know the repercussions of a Reiki therapy intervention on the sleep quality of nursing professionals working in a general hospital.
Methods:
a qualitative-quantitative study conducted with 16 professionals from the nursing team of a hospital in northwest Paraná, who participated in an intervention consisting of six weekly Reiki sessions. Data collected from September, 2019 to March, 2020 through semi-structured interviews and application of the Pittsburgh Sleep Quality Index before and after the intervention.
Results:
better sleep quality, characterized by a reduction in the time to fall asleep and in nightmares, and an increase in sleeping hours.
Conclusions:
reiki intervention had a positive impact on the sleep quality of participants.
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ORIGINAL ARTICLE08-15-2022
Construction and validation of an educational video for patients in the perioperative period of robotic surgery
Revista Brasileira de Enfermagem. 2022;75(5):e20210952
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational video for patients in the perioperative period of robotic surgery
Revista Brasileira de Enfermagem. 2022;75(5):e20210952
DOI 10.1590/0034-7167-2021-0952
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Objectives:
to build and validate educational technology, of the video type, aimed at teaching about the perioperative period of robotic surgery.
Methods:
methodological development study, following the integrative review phases: pre-production, production, post-production, and validation. The video was evaluated for content and appearance by 14 judges. Content validity (CVI) and appearance (AVI) and agreement (CI) indices were calculated, and the exact binomial test was applied, considering p>0.05 and a proportion of 0.80 of agreement.
Results:
the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.
Conclusions:
the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.
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ORIGINAL ARTICLE08-08-2022
Health literacy and adherence to the pharmacological treatment by people with arterial hypertension
Revista Brasileira de Enfermagem. 2022;75(6):e20220008
Abstract
ORIGINAL ARTICLEHealth literacy and adherence to the pharmacological treatment by people with arterial hypertension
Revista Brasileira de Enfermagem. 2022;75(6):e20220008
DOI 10.1590/0034-7167-2022-0008
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Objective:
To analyze the association between health literacy and the adherence to the pharmacological treatment of Brazilians with arterial hypertension.
Methods:
Cross-sectional study with 234 participants who responded an on-line sociodemographic and clinical characterization questionnaire, in addition to evaluation of health literacy and of the adherence to their pharmacological treatment. Data were analyzed using descriptive statistics and difference and correlation tests.
Results:
People with post-graduation, who were actively working and did not smoke, had better health literacy results. Elders and those who were retired or lived on government subsidies adhered better to the medication treatment. There was a correlation between the numerical dimension (rs=0.189; p=0.004) and the global health literacy result (r2=0.170; p=0.009) with the adherence.
Conclusions:
A better numerical and global understanding of health literacy was associated with better adherence to arterial hypertension medication treatment.
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ORIGINAL ARTICLE09-16-2019
Validation of educational booklet: an educational technology in dengue prevention
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
Abstract
ORIGINAL ARTICLEValidation of educational booklet: an educational technology in dengue prevention
Revista Brasileira de Enfermagem. 2019;72(5):1318-1325
DOI 10.1590/0034-7167-2018-0771
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Objective:
to validate a booklet on dengue prevention in order to make it an educational technology to be used with the population.
Method:
methodological study, carried out with two groups of judges specialized in health and other areas. For data analysis, the calculation of Content Validity Index was carried out.
Results:
the booklet, in general, was considered valid by the expert judges, since it obtained an overall CVI of 70%. However, it has undergone a textual and aesthetic re-elaboration. The changes were based on the substitution of expressions, phrases, information additions and language adequacy. The illustrations were redone, adding clarity, expressiveness, movement, interaction and contextualization.
Conclusion:
the booklet is valid to be used for the population, with the purpose of informing, in a playful way, the forms of prevention and combat to mosquito transmitting dengue.
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REVIEW09-18-2020
Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
Abstract
REVIEWMental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
DOI 10.1590/0034-7167-2020-0338
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Objective:
to identify publishing related to the mental health of health professionals working in the front line of the COVID-19 pandemic.
Methods:
an integrative review that included primary articles indexed in the Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, Science Direct databases and US National Library of Medicine databases. The result analysis was performed descriptively, in four analytical categories.
Results:
The publishing involved aspects related to insufficient personal protective equipment, feelings of fear and stigma, the need for psychological and psychiatric support and the possibility of post-outbreak mental disorders.
Conclusion:
All mentioned aspects have a direct impact on the mental health of professionals, demanding the creation of strategies that minimize the emotional burnout of workers, considering that each country and culture reacts differently to the disease.
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ORIGINAL ARTICLE06-27-2019
Religious/spiritual coping and level of hope in patients with cancer in chemotherapy
Revista Brasileira de Enfermagem. 2019;72(3):640-645
Abstract
ORIGINAL ARTICLEReligious/spiritual coping and level of hope in patients with cancer in chemotherapy
Revista Brasileira de Enfermagem. 2019;72(3):640-645
DOI 10.1590/0034-7167-2018-0358
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Aim:
To demonstrate the relationship between religious/spiritual coping and hope in cancer patients undergoing chemotherapy.
Method:
This is a cross-sectional, descriptive study with a quantitative approach performed in a reference outpatient clinic in Caruaru, PE, between August and October 2017. A total of 82 cancer patients undergoing chemotherapy were included in the study, using the brief religious/spiritual coping scale (RCOPE-Brief) and the Herth Hope Scale (HHS).
Results:
The sample presented mean positive RCOPE scores (3.03 ± 0.41) and the level of hope was considered high (42.7 points ± 3.67). Patients who had a high RCOPE score were found to have a higher mean of Herth’s level of hope (44.12 points).
Conclusion:
This study becomes relevant to nursing professionals by encouraging care that takes into account the patient’s spiritual dimension in order to stimulate positive mechanisms of religious coping and, consequently, raise the levels of hope.
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ORIGINAL ARTICLE04-22-2020
Construction and validation of an educational booklet on care for children with gastrostomy
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational booklet on care for children with gastrostomy
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
DOI 10.1590/0034-7167-2019-0108
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Objectives:
to describe the process of construction and validation of an educational booklet on care for children with gastrostomy, directed to caregivers.
Methods:
a methodological study developed in five stages: bibliographic survey; situational diagnosis; illustration, layout, design and text construction; expert validation and Flesch-Kincaid Readability calculation; validation with the target audience. Content Validity Index and Suitability Assessment of Materials were applied for expert analysis.
Results:
the Content Validity Index obtained overall score of 0.93. In the Suitability Assessment of Materials score, the booklet scored 85.2%. It presented a satisfactory readability percentage, with an overall score of 72%, and was consistent with caregivers’ assessment in the validation with the target audience, considering the explanatory technology, important and adequate.
Conclusions:
the developed educational booklet was considered valid for use by caregivers, thus contributing to the maintenance of best practices in care for children with gastrostomy.
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REVIEW12-05-2019
Hospital transition care for the elderly: an integrative review
Revista Brasileira de Enfermagem. 2019;72:294-301
Abstract
REVIEWHospital transition care for the elderly: an integrative review
Revista Brasileira de Enfermagem. 2019;72:294-301
DOI 10.1590/0034-7167-2018-0286
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Objective:
to identify evidence of scientific production on hospital transition care provided to the elderly.
Method:
an integrative review, with publications search in the MEDLINE, PubMed, LILACS, BDENF, Index Psychology and SciELO databases, with keywords and Mesh terms: elderly, hospitalization, patient discharge, health of the elderly, and transitional care, between 2013 and 2017 in English, Portuguese and Spanish. The 14 selected articles analysis was carried out through exploratory and critical reading of titles, abstracts and results of the researches.
Results:
transitional care can prevent re-hospitalizations as they enable rehabilitation, promotion and cure of illnesses in the elderly.
Final considerations:
transitional care implies the improvement of the quality of life of the elderly person, requiring skilled health professionals who involve the family through accessible communication.
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REVIEW08-07-2020
Positive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
Abstract
REVIEWPositive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
DOI 10.1590/0034-7167-2019-0118
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Objective:
To identify and analyze the existing scientific production on the positive aspects of authentic leadership in the nurse’s work process.
Method:
This is an integrative literature review. The databases used were Scientific Electronic Library Online; Latin American and Caribbean Literature on Health Sciences; and National Library of Medicine – National Institutes of Health.
Results:
In this study, 17 articles were selected for analysis; 1 study (6%) was published in a national journal, and 16 (94%) were international studies. Of the 17 (100%) articles studied, 11 (65%) were developed in Canada. The hospital environment was present in the 17 (100%) articles.
Final considerations:
Authentic leadership has several positive aspects that significantly influence the nurse’s work process, such as engagement and job satisfaction, retention of new nurses, organizational commitment, among others.
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ORIGINAL ARTICLE12-21-2020
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
Abstract
ORIGINAL ARTICLEDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
DOI 10.1590/0034-7167-2019-0559
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Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
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ORIGINAL ARTICLE02-10-2020
Burnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
Abstract
ORIGINAL ARTICLEBurnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
DOI 10.1590/0034-7167-2018-0280
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Objective:
to analyze burnout, its predictors and association with empathy and self-efficacy among nursing students.
Method:
cross-sectional analytical study with 284 students from five state universities in the state of Parana, Brazil. The instruments applied were: social and academic questionnaire, Maslach Burnout Inventory, Interpersonal Reactivity Index and Occupational Self-Efficacy Scale (Short Form). Spearman’s correlation and univariate and multivariate logistic analysis were used.
Results:
6.0% of the students presented high burnout, 36.3% presented high emotional exhaustion, 37.7% presented high depersonalization and 28.2% presented low personal accomplishment. The burnout predictors were: absence of physical activity; weekly workload >24 hours; low empathic concern. There were negative correlations between empathy (empathic concern and perspective taking) and depersonalization; self-efficacy and emotional exhaustion; and positive correlations between personal accomplishment and empathy and self-efficacy.
Conclusion:
Personal factors and an academic variable were burnout predictors among nursing students. The correlations suggest that self-efficacy and empathy can prevent burnout.
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