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RESEARCH01-01-2017
Knowledge of the nursing team on pressure ulcer prevention
Revista Brasileira de Enfermagem. 2017;70(2):294-300
Abstract
RESEARCHKnowledge of the nursing team on pressure ulcer prevention
Revista Brasileira de Enfermagem. 2017;70(2):294-300
DOI 10.1590/0034-7167-2016-0063
Views0See moreABSTRACT
Objective:
describe and analyze the nursing team’s knowledge about classification, evaluation and measures to prevent pressure ulcers (PU) in patients hospitalized in the ICU of a teaching hospital in the city of Manaus.
Method:
a descriptive and exploratory study was conducted after approval by a research ethics committee. Data were collected using a validated instrument. The study sample was made up of 40 nursing staff members, of whom 14 were nurses and 26 were nursing technicians/aides. Data were analyzed through descriptive statistics and Student’s t-test, with value of p<0.05.
Results:
the overall mean of hits was 63.4% for technicians/aides and 51.4% for nurses, with statistically significant differences between the groups only for the PU prevention category (p<0.001).
Conclusion:
a deficit of knowledge on PU prevention was found among nurses and nursing technicians/aides, demanding the training of these professionals.
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RESEARCH01-01-2017
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2017;70(2):287-293
Abstract
RESEARCHImpact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2017;70(2):287-293
DOI 10.1590/0034-7167-2016-0291
Views0See moreABSTRACT
Objective:
to compare the impact of home visits, before and after instructions, on the functional capacity of adult and elderly patients with venous ulcers, by means of the KATZ-EIAVD Scale.
Method:
experimental, clinical, randomized, non-blind and controlled study, developed with 32 patients (case and control groups). The research settings were the Wound Care Clinic of the University Hospital Antonio Pedro, and the homes of patients assisted in this clinic. Data collection took place from February to June 2014, by means of a health unit evaluation tool, the KATZ-EIAVD Scale, and a script of instructions to be given to the research subjects that had received a home visit.
Results:
the studied population present excellent independence for activities of daily living, with no significant variation among them.
Conclusion:
the studied groups have functional capacity with similar progress.
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RESEARCH01-01-2017
The elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture
Revista Brasileira de Enfermagem. 2017;70(2):279-286
Abstract
RESEARCHThe elderly recognizing themselves as vulnerable to falls in the concreteness of the femoral fracture
Revista Brasileira de Enfermagem. 2017;70(2):279-286
DOI 10.1590/0034-7167-2016-0392
Views0See moreABSTRACT
Objectives:
understand the experience of the elderly with falls followed by femoral fracture and elaborate theoretical model of this process of lived experience.
Method:
qualitative research with theoretical saturation through analysis of the ninth nondirected interview of elderly who underwent such experience. Interviews were recorded, transcribed, and analyzed according to Grounded Theory.
Results:
three categories emerged (sub-processes): evaluating signs and symptoms of fracture after the fall; feeling sad and insecure with the new condition; and finding oneself susceptible to fractures. From realignment of these categories (sub-processes) we could abstract the central category (process), recognizing oneself as vulnerable to falls in the concreteness of the fracture.
Conclusion:
the theoretical model considering the Symbolic Interactionism signals the implementation of continued program for fall prevention, with teaching strategies that encourage the elderly to reflect on the concreteness of contexts in which there is risk of occurring injury to their health.
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RESEARCH01-01-2017
Self-esteem and health-related quality of life in ostomized patients
Revista Brasileira de Enfermagem. 2017;70(2):271-278
Abstract
RESEARCHSelf-esteem and health-related quality of life in ostomized patients
Revista Brasileira de Enfermagem. 2017;70(2):271-278
DOI 10.1590/0034-7167-2016-0161
Views0See moreABSTRACT
Objective:
to assess self-esteem (SE) and health-related quality of life (HRQoL) in ostomized patients due to colorectal cancer.
Method:
cross sectional research with a quantitative approach. Three instruments were used for data collection: one instrument containing sociodemographic and clinical data, Rosenberg’s Self-Esteem Scale, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire.
Results:
SE and HRQoL were considered satisfactory. Significant statistical difference was found in the social function domain and marital status, ostomy duration, location, and time; global health scale and ostomy type; cognitive function and pain in the ostomy site. There was a correlation between self-esteem and all the functional scales and the global health scale.
Conclusion:
knowing SE and HRQoL levels, in addition to the variables that influence them, supports ostomized patients’ care planning, rehabilitation, and social autonomy.
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RESEARCH01-01-2017
Prevalence of Metabolic Syndrome in individuals with Type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2017;70(2):265-270
Abstract
RESEARCHPrevalence of Metabolic Syndrome in individuals with Type 2 Diabetes Mellitus
Revista Brasileira de Enfermagem. 2017;70(2):265-270
DOI 10.1590/0034-7167-2016-0145
Views0See moreABSTRACT
Objective:
to identify the prevalence of Metabolic Syndrome and its components in a population of patients with type 2 Diabetes Mellitus.
Method:
a cross-sectional study was conducted with 201 diabetic patients. A descriptive analysis and Chi-square and Fisher’s exact tests ( p <0.05) were performed.
Results:
the majority of participants were females and overweight, with a mean age of 63.1 years and a low level of education, and categorized as physically inactive. Of all individuals investigated, 50.7% were diagnosed with Metabolic Syndrome and 92% had at least one of the syndrome components with values beyond those recommended.
Conclusion:
it is essential to take preventive actions and develop studies that help to identify the factors associated with this syndrome.
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RESEARCH01-01-2017
Quality of life of patients who undergone myocardial revascularization surgery
Revista Brasileira de Enfermagem. 2017;70(2):257-264
Abstract
RESEARCHQuality of life of patients who undergone myocardial revascularization surgery
Revista Brasileira de Enfermagem. 2017;70(2):257-264
DOI 10.1590/0034-7167-2016-0201
Views0See moreABSTRACT
Objective:
to evaluate the quality of life of patients who underwent revascularization surgery.
Method:
a descriptive, cross sectional study, with quantitative approach carried out with 75 patients. The questionnaire WHOQOL-Bref was used to evaluate the quality of life (QOL).
Results:
patients’ QOL evaluation presented a moderate result, with need of improvement of all domains. Low income patients had the worst evaluation of QOL in the domain environment (p=0,021), and the ones from Recife/metropolitan area, in the domain social relationship (p=0,021). Smoker (p=0,047), diabetic (p=0,002) and alcohol consumption (p=0,035) patients presented the worst evaluation of the physical domain. Renal patients presented the worst evaluation of QOL in the physical (P=0,037), psychological (p=0,008), social relationship (p=0,006) domains and total score (p=0,009).
Conclusion:
the improvement of QOL depends on the individual’s process of behavioral change and the participation of health professionals is essential to formulate strategies to approach these patients, especially concerning health education.
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RESEARCH01-01-2017
Semiotics and semiology of Nursing: evaluation of undergraduate students’ knowledge on procedures
Revista Brasileira de Enfermagem. 2017;70(2):249-256
Abstract
RESEARCHSemiotics and semiology of Nursing: evaluation of undergraduate students’ knowledge on procedures
Revista Brasileira de Enfermagem. 2017;70(2):249-256
DOI 10.1590/0034-7167-2016-0417
Views0See moreABSTRACT
Objective:
to assess the knowledge of scholars on Nursing regarding simple hands hygiene (SHH), blood pressure measurement (BP), peripheral venipuncture (PV) with venous catheter and male urethral catheterization delay (UCD) procedures.
Method:
quantitative study carried out between February and May 2014, with 186 undergraduate Nursing students from 5th to 9th period of a public university of Rio Grande do Norte, with application of four questionnaires. One carried out descriptive and analytic analysis.
Results:
the students presented low average percentage of right answers, especially in blood pressure measurement (55.5%); SHH’s average was higher than 70%. The average of correct answers was the highest in SHH (8.6), followed by UCD (7.8), PV (7.4) and BP (6.7). The questions regarding the topic “concepts” showed less correct answers when comparing it to the topic “technique steps”.
Conclusion:
it is necessary to establish knowledge monitoring strategies, in order to stimulate the constant improvement.
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RESEARCH01-01-2017
Multi-professional team’s perception of nurses’ competences in liver transplantations
Revista Brasileira de Enfermagem. 2017;70(2):242-248
Abstract
RESEARCHMulti-professional team’s perception of nurses’ competences in liver transplantations
Revista Brasileira de Enfermagem. 2017;70(2):242-248
DOI 10.1590/0034-7167-2016-0223
Views0See moreABSTRACT
Objective
describe the multi-professional team’s perception of nurses’ competences in liver transplantation programs.
Method:
descriptive study with a qualitative approach. Data were collected through a questionnaire. Participants were 12 professionals of the liver transplantation team of a reference hospital. For result interpretation, the thematic analysis technique was employed.
Results:
the professionals assessed the competences employed by nurses as proactive, autonomous, creative, humanized, capable of teamwork, decision-making and conflict management.
Conclusion:
this study made it possible to demonstrate that members of the multi-professional team perceived nurses as professionals capable of coordinating and integrating the skills “knowing, doing, being and co-existing”, enabling quality care for candidates and receivers of liver transplants, as well as for their families and/or caregivers in all perioperative phases.
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ORIGINAL ARTICLE09-16-2019
Tuberculosis: health care and surveillance in prisons
- Manuela Filter Allgayer
, - Karine Zenatti Ely ,
- Graziela Hamann de Freitas ,
- Andréia Rosane de Moura Valim ,
- Roxana Isabel Cardozo Gonzales , [ … ],
- Lia Gonçalves Possuelo
Abstract
ORIGINAL ARTICLETuberculosis: health care and surveillance in prisons
Revista Brasileira de Enfermagem. 2019;72(5):1304-1310
DOI 10.1590/0034-7167-2018-0260
- Manuela Filter Allgayer ,
- Karine Zenatti Ely ,
- Graziela Hamann de Freitas ,
- Andréia Rosane de Moura Valim ,
- Roxana Isabel Cardozo Gonzales ,
- Suzane Beatriz Frantz Krug ,
- Lia Gonçalves Possuelo
Views0See moreABSTRACT
Objective:
To identify tuberculosis-related health care and surveillance actions in Prison Health Units.
Method:
Cross-sectional study, of quantitative, exploratory and descriptive character. We visited 13 Teams of Prison Health, and nurses and technicians were interviewed regarding epidemiological surveillance instruments, physical structure and materials.
Results:
Search for respiratory symptoms in admission was reported by 6 (46.2%) of the teams, and the smear microscopy was the most requested test. The Logbook of Respiratory Symptoms and the Logbook for Monitoring Tuberculosis Cases were used in 7 (53.8%) institutions. Two of them (15.4%) had a location for sputum collection and 1 (7.7%) had a radiographer. The Directly Observed Therapy was reported in 7 (53.8%) units.
Conclusion:
Health care actions related to the search for respiratory symptoms and Directly Observed Therapy should be expanded, as well as surveillance actions and recording in official documents of the National Tuberculosis Control Program.
- Manuela Filter Allgayer
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ORIGINAL ARTICLE06-27-2019
Patient safety incidents identified by the caregivers of hospitalized children
- Letícia Maria Hoffmann ,
- Wiliam Wegner ,
- Cecilia Biasibetti ,
- Merianny de Ávila Peres ,
- Luiza Maria Gerhardt , [ … ],
- Márcia Koja Breigeiron
Abstract
ORIGINAL ARTICLEPatient safety incidents identified by the caregivers of hospitalized children
Revista Brasileira de Enfermagem. 2019;72(3):707-714
DOI 10.1590/0034-7167-2018-0484
- Letícia Maria Hoffmann ,
- Wiliam Wegner ,
- Cecilia Biasibetti ,
- Merianny de Ávila Peres ,
- Luiza Maria Gerhardt ,
- Márcia Koja Breigeiron
Views0See moreABSTRACT
Objective:
to analyze patient safety incidents identified by caregivers of hospitalized children.
Method:
a qualitative, exploratory-descriptive study was carried out with 40 caregivers of children hospitalized in three hospital institutions in the city of Porto Alegre, Rio Grande do Sul State, Brazil, from April to December 2016. Semi-structured, recorded and transcribed interviews were carried out in their entirety, submitted to a thematic analysis using the NVivo 11.0 software.
Results:
reports related to falls, infant feeding, patient/caregiver identification, medication process, communication, hand hygiene and hygiene of the hospital environment, spread of diseases, relations between caregivers and professionals and care processes/procedures were all cited.
Final considerations:
communication and the relations among caregivers and professionals are the main contributory factors for patient safety incidents, interfering with the quality of care. The participation of caregivers and engagement in child care may be strategies to be developed to promote a safety culture.
- Letícia Maria Hoffmann
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ORIGINAL ARTICLE07-31-2020
Maternal and child health care: adequacy index in public health services
- Flávia Françoso Genovesi ,
- Márcia Aparecida dos Santos Silva Canario ,
- Christine Bacarat de Godoy ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli , [ … ],
- Rosângela Aparecida Pimenta Ferrari
Abstract
ORIGINAL ARTICLEMaternal and child health care: adequacy index in public health services
Revista Brasileira de Enfermagem. 2020;73:e20170757
DOI 10.1590/0034-7167-2017-0757
- Flávia Françoso Genovesi ,
- Márcia Aparecida dos Santos Silva Canario ,
- Christine Bacarat de Godoy ,
- Sandra Mara Maciel ,
- Alexandrina Aparecida Maciel Cardelli ,
- Rosângela Aparecida Pimenta Ferrari
Views0See moreABSTRACT
Objectives:
to analyze the adequacy of maternal and child-care in prenatal care, childbirth and the puerperal period, in the public health service.
Methods:
longitudinal study carried out in a city in Paraná with 357 puerperal women in a public maternity ward, outpatient clinic for immediate puerperal return and home visit 42 days postpartum. Four care domains were grouped (1 – Prenatal, 2 – Maternity, 3 – Immediate puerperal return, 4 – Late puerperal return). Mean, median, standard deviation and coefficient of variance were calculated considering adequate assistance when ≥ 70%; and inadequate, inferior.
Results:
lowest suitability average in Domain 3 (39.37%) and highest for Domain 4 (74.82%); median of 50.00% at 3 and 76.90% at 4. The largest standard deviation, in Domain 3 (25.18%); and high coefficient of variance for 1 and 3.
Conclusions:
in maternal and child follow-up, rates close to adequate in maternity care and higher in late puerperal return, meanwhile prenatal and immediate puerperal return were below the recommended in the health care network.
- Flávia Françoso Genovesi
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ORIGINAL ARTICLE09-16-2019
Temporal trend of leprosy in a region of high endemicity in the Brazilian Northeast
- Thayza Miranda Pereira ,
- Lucilane Maria Sales da Silva ,
- Maria Socorro de Araújo Dias ,
- Lorena Dias Monteiro ,
- Maria Rocineide Ferreira da Silva , [ … ],
- Olga Maria de Alencar
Abstract
ORIGINAL ARTICLETemporal trend of leprosy in a region of high endemicity in the Brazilian Northeast
Revista Brasileira de Enfermagem. 2019;72(5):1356-1362
DOI 10.1590/0034-7167-2018-0682
- Thayza Miranda Pereira ,
- Lucilane Maria Sales da Silva ,
- Maria Socorro de Araújo Dias ,
- Lorena Dias Monteiro ,
- Maria Rocineide Ferreira da Silva ,
- Olga Maria de Alencar
Views0See moreABSTRACT
Objective:
to analyze the temporal trend and epidemiological patterns of leprosy indicators in Sobral, a municipality countryside of the state of Ceará, from 2001 to 2016.
Method:
a time series study based on data from the Department of Informatics of the Unified Health System. The time trend analysis was performed using the join point regression model.
Results:
There were 2,220 new cases of leprosy in Sobral from 2001 to 2016. Of these, 158 (7.2%) in children younger than 15 years of age, the proportion of new male cases was 52.8% (1,162), cases with grade 2 were 7.0% (156), and proportion of cases diagnosed by contact examination 5.7% (126).
Final considerations:
leprosy remains hyperendemic in adults and children, demonstrating the character of neglected disease. Analysis of the temporal trend allowed to verify that the instability in the detection coefficients, reflect operational problems in the organization of the services
- Thayza Miranda Pereira
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ORIGINAL ARTICLE09-30-2020
Organizational culture, authentic leadership and quality improvement in Canadian healthcare facilities
- Andrea Bernardes ,
- Carmen Silvia Gabriel ,
- Greta G. Cummings ,
- Ariane Cristina Barboza Zanetti ,
- Alexandre Bevilacqua Leoneti , [ … ],
- Vanessa Gomes Maziero
Abstract
ORIGINAL ARTICLEOrganizational culture, authentic leadership and quality improvement in Canadian healthcare facilities
Revista Brasileira de Enfermagem. 2020;73:e20190732
DOI 10.1590/0034-7167-2019-0732
- Andrea Bernardes ,
- Carmen Silvia Gabriel ,
- Greta G. Cummings ,
- Ariane Cristina Barboza Zanetti ,
- Alexandre Bevilacqua Leoneti ,
- Graziela Caldana ,
- Vanessa Gomes Maziero
Views0See moreABSTRACT
Objective:
To investigate relationships among flexible and hierarchical organizational cultures, quality improvement domains, and authentic leadership competencies in Canadian healthcare facilities.
Method:
Observational cross-sectional study conducted in Alberta, Canada. Nurse managers (n=226) completed a survey including validated measures of organizational culture, quality improvement and authentic leadership. Data were analyzed using descriptive statistics, Spearman’s correlation coefficient and Chi-squared test (p<0.05).
Results:
Quality improvement through accreditation is related to organizational culture and authentic leadership. We saw a propensity for participants who reported working in a more flexible culture also reported greater quality improvement implementation and authentic leadership practices.
Conclusion:
This study assessed and reported the relationships between flexible organizational cultures, quality improvement through the accreditation process, and authentic leadership practices of healthcare managers. Flexible organizational cultures influence the adoption of authentic leadership, participatory management model and also improves quality.
- Andrea Bernardes
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04-14-2021
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
- Vinicius Batista Santos ,
- Daniele Cristina Bosco Aprile ,
- Camila Takáo Lopes ,
- Juliana de Lima Lopes ,
- Mônica Antar Gamba , [ … ],
- Tânia Arena Moreira Domingues
Abstract
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
Revista Brasileira de Enfermagem. 2021;74:e20201185
DOI 10.1590/0034-7167-2020-1185
- Vinicius Batista Santos ,
- Daniele Cristina Bosco Aprile ,
- Camila Takáo Lopes ,
- Juliana de Lima Lopes ,
- Mônica Antar Gamba ,
- Karina Aparecida Lopes da Costa ,
- Tânia Arena Moreira Domingues
Views0See moreABSTRACT
Objective:
to perform the content and face validation of a checklist and a banner on pressure injury prevention in patients in prone position.
Method:
this is a methodological study of content and face validation with 26 nurses with specialization. Professionals assessed the checklist and the banner in relation to clarity, theoretical relevance, practical relevance, relation of the figures to the text and font size. The Content Validity Index was calculated for each item, considering one with a value equal to or greater than 0.8 as valid.
Results:
all the actions described in the checklist and in the banner had a Content Validity Index greater than 0.80, with standardization of verbal time and esthetic adjustments in the banner’s layout, as suggested.
Conclusions:
the checklist and the banner were validated and can be used in clinical practice to facilitate pressure injury preventions in patients in prone position.
- Vinicius Batista Santos
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03-19-2021
Production and validation of educational technology on nursing care for syphilis prevention
- Policardo Gonçalves da Silva ,
- Luana Matos Silva Araújo ,
- César Augusto Sangaletti Terçariol ,
- Camilla Borges Lopes Souza ,
- Raquel Dully Andrade , [ … ],
- Soraia Assad Nasbine Rabeh
Abstract
Production and validation of educational technology on nursing care for syphilis prevention
Revista Brasileira de Enfermagem. 2021;74:e20190694
DOI 10.1590/0034-7167-2019-0694
- Policardo Gonçalves da Silva ,
- Luana Matos Silva Araújo ,
- César Augusto Sangaletti Terçariol ,
- Camilla Borges Lopes Souza ,
- Raquel Dully Andrade ,
- Renata Karina Reis ,
- Soraia Assad Nasbine Rabeh
Views0See moreABSTRACT
Objectives:
Validate script and storyboard of a video for educational intervention on nursing care for the prevention and management of syphilis.
Methods:
Methodological design study, with quantitative analysis approach. The content and appearance of the educational video script and storyboard was validated by a committee of experts on the subject and video. They were considered validated from the agreement of 78%, calculated by means of the Content Validity Index.
Results:
There were suggestions, which were analyzed; and, where relevant, the script and storyboard were changed. The degree of agreement among the expert judges on the subject obtained a Content Validity Index (CVI) of 100%, while, with the technical experts in video, all the questions in the educational material obtained the percentage above the recommended minimum of 78%.
Conclusion:
The validated video is an important technological production and could be used in the context of health care.
- Policardo Gonçalves da Silva
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REVIEW03-09-2020
Singular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
Abstract
REVIEWSingular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
DOI 10.1590/0034-7167-2018-0508
Views0See moreABSTRACT
Objectives:
to analyze the Singular Therapeutic Projects’ characteristics in mental health care used to assist the subject with psychological distress.
Methods:
it is an Integrative Literature Review study conducted in July 2017. The following databases used to collect the data were LILACS, MEDLINE and BDENF. After applying the inclusion and exclusion criteria, 12 articles were selected.
Results:
there was divergence between what was recommended by the Ministry of Health for PTS elaboration with that described in the studies analyzed. Emphasis is placed on the low participation and co-responsibility between team/user in PTS elaboration, excessive referrals to specialized mental health services, fragmentation of knowledge within the multidisciplinary team, and difficulty sharing and discussing information about cases.
Final considerations:
it is pointed out the need to adapt PTS elaboration, and its respective steps, to the needs of each individual.
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