Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    Abstract

    ORIGINAL ARTICLE

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    DOI 10.1590/0034-7167-2023-0129

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    ABSTRACT

    Objectives:

    to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.

    Methods:

    this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.

    Results:

    limitations in physical infrastructure and management of care, along with the women’s limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.

    Final Considerations:

    childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.

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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.
  • 12-16-2024

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    Abstract

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    DOI 10.1590/0034-7167-2024-0217es

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    RESUMEN

    Objetivos:

    analizar la relación entre religión y experiencia profesional con la inteligencia espiritual en enfermeros.

    Métodos:

    estudio transversal y analítico realizado en 2021, participaron 544 profesionales de enfermería que laboraban en establecimiento de salud de Perú durante la pandemia por COVID-19. Para el análisis de los datos se emplearon el análisis de regresión múltiple y correlación de Pearson.

    Resultados:

    en los enfermeros predominó un nivel de inteligencia espiritual saludable (42,8%). Quienes no profesaban una religión tenían mayor probabilidad de tener menor puntaje de inteligencia espiritual (escala global y dimensiones); sin embargo, los enfermeros expertos tuvieron mayor probabilidad de tener mayor inteligencia espiritual (escala global y dimensiones) que los enfermeros novatos (p<0,05).

    Conclusiones:

    la inteligencia espiritual en los enfermeros fue predicha por la religión y la experiencia profesional. Este hallazgo sugiere que la inteligencia espiritual en enfermería se consolida mediante prácticas religiosas y durante el ejercicio profesional.

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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.
  • 12-16-2024

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    Abstract

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    DOI 10.1590/0034-7167-2022-0615

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    RESUMEN

    Objetivos:

    identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.

    Métodos:

    se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.

    Resultados:

    la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.

    Conclusiones:

    los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.

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    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 ARTICLE12-16-2024

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    Abstract

    ORIGINAL ARTICLE

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    DOI 10.1590/0034-7167-2023-0183

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    ABSTRACT

    Objectives:

    to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.

    Methods:

    a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.

    Results:

    the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.

    Conclusions:

    the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.

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    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.
    Bladder ultrasound: evidence of content validity of a checklist for training nurses
  • ORIGINAL ARTICLE12-16-2024

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    Abstract

    ORIGINAL ARTICLE

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    DOI 10.1590/0034-7167-2023-0186

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    ABSTRACT

    Objectives:

    to understand the nursing team’s perception in relation to the care provided to pregnant women with mental disorders admitted to a psychiatric hospital unit.

    Methods:

    Convergent Care Research carried out between August and December 2021, through semi-structured interviews with 25 nursing professionals from a Psychiatric Unit from a reference Hospital in Southern Brazil.

    Results:

    the organized and analyzed data resulted in two thematic categories: Technical, generic and impersonal care; and From impersonality to the singularity of nursing care. Ensuring unique care for pregnant women with mental disorders means giving them a meaning of existence and providing care from a multidimensional and continuous perspective.

    Final Considerations:

    nursing care for pregnant women in psychiatric hospitalization requires continuous professional qualification, interactive technologies and support for the nursing process, in addition to promoting singular and multidimensional care.

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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 ARTICLE12-16-2024

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    Abstract

    ORIGINAL ARTICLE

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    DOI 10.1590/0034-7167-2023-0315

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    ABSTRACT

    Objectives:

    to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.

    Methods:

    a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.

    Results:

    the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.

    Conclusions:

    the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.

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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.
    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
  • ORIGINAL ARTICLE12-16-2024

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    Abstract

    ORIGINAL ARTICLE

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    DOI 10.1590/0034-7167-2023-0304

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    ABSTRACT

    Objectives:

    to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.

    Methods:

    a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.

    Results:

    a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).

    Conclusions:

    a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.

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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.
    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
  • ORIGINAL ARTICLE12-16-2024

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    Abstract

    ORIGINAL ARTICLE

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    DOI 10.1590/0034-7167-2023-0237

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    RESUMO

    Objetivos:

    verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.

    Métodos:

    estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.

    Resultados:

    participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).

    Conclusões:

    prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.

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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 ARTICLE09-21-2020

    Family management ofchildren who experience sickle cell disease: a qualitative study

    Revista Brasileira de Enfermagem. 2020;73:e20190521

    Abstract

    ORIGINAL ARTICLE

    Family management ofchildren who experience sickle cell disease: a qualitative study

    Revista Brasileira de Enfermagem. 2020;73:e20190521

    DOI 10.1590/0034-7167-2019-0521

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    ABSTRACT

    Objective:

    to know the family management experience of children with sickle cell disease in the light of the Family Management Style Framework.

    Methods:

    a qualitative case study carried out between September/2015 and July/2016 with 12 members of eight families registered in a blood center in Minas Gerais. The semi-structured interviews were recorded, and the data were analyzed and interpreted by the hybrid model thematic analysis.

    Results:

    three management styles were identified: five families in the accommodating style; two families in the struggling style; and only one family in the enduring style.It was noted that empowerment was paramount in the acquisition of skills and abilities to care for these children.

    Final considerations:

    family management knowledge of children with sickle cell disease provided a reflection on nurses’ role in supporting, orienting and encouraging the empowerment of these families aiming at the search for comprehensive care.

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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 ARTICLE09-16-2019

    Spatial analysis on tuberculosis and the network of primary health care

    Revista Brasileira de Enfermagem. 2019;72(5):1197-1202

    Abstract

    ORIGINAL ARTICLE

    Spatial analysis on tuberculosis and the network of primary health care

    Revista Brasileira de Enfermagem. 2019;72(5):1197-1202

    DOI 10.1590/0034-7167-2017-0897

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    ABSTRACT

    Objective:

    to analyze the spatial distribution of new cases of tuberculosis compared to the location of the Primary Healthcare Units that performed the compulsory notification.

    Method:

    ecological study conducted in Belém, Pará, with 5,294 new cases of tuberculosis notified to Sistema de Informação de Agravos de Notificação for the period from 2010 to 2014. The cases were georeferenced using the software applications ArcGis 10.2 and TerraView 4.2.2. The techniques of Kernel density and global Moran geostatistics were used.

    Results:

    the incidence of tuberculosis cases did not vary significantly between the years studied, however there was a variation in incidence between neighborhoods. Health units that exhibited higher number of notifications can suffer great influence of migration from nearby neighborhoods.

    Conclusion:

    the spatial dynamics of tuberculosis associated with health services allows to know the areas with increased risk of tuberculosis and the density of notifications of health units.

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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.
    Spatial analysis on tuberculosis and the network of primary health care
  • 04-16-2021

    Questionnaire for assessing patient safety culture in emergency services: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190693

    Abstract

    Questionnaire for assessing patient safety culture in emergency services: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190693

    DOI 10.1590/0034-7167-2019-0693

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    ABSTRACT

    Objective:

    to identify the instruments used to assess patient safety culture in emergency settings.

    Method:

    an integrative literature review conducted from 2000 to 2018.

    Results:

    13 instruments were identified to assess patient safety culture in hospital and pre-hospital emergencies, comprising 12 to 50 questions, grouped from three to 12 dimensions, with dimensions related to teamwork, support, and management actions for patient safety and for continuous process improvement and continuing education. The Emergency Medical Service Safety Attitude Questionnaire, which is exclusive for pre-hospital care, stands out.

    Conclusions:

    the choice and the best decision regarding the instrument are linked to the objectives, the environment and the population to be investigated, as well as the instrument’s reliability.

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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.
    Questionnaire for assessing patient safety culture in emergency services: an integrative review
  • 05-21-2021

    Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research

    Revista Brasileira de Enfermagem. 2021;74:e20200735

    Abstract

    Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research

    Revista Brasileira de Enfermagem. 2021;74:e20200735

    DOI 10.1590/0034-7167-2020-0735

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    ABSTRACT

    Objective:

    To analyze the experiences that generate pleasure and suffering in the work of nurses in an oncopediatric inpatient unit.

    Methods:

    Qualitative, exploratory, descriptive study. Data collection took place from March to May 2018, through interviews with eight nurses in an oncopediatric inpatient unit.

    Results:

    The verbalized experiences of pleasure were the work developed with children, participation in the treatment and cure of patients and the recognition of family members in relation to the work performed. The suffering experiences were palliative care and death of patients, performing invasive procedures and organizing work.

    Final considerations:

    It was possible to analyze the experiences of pleasure and suffering of nurses in an oncopediatric unit through the psychodynamics of work, allowing to reinvent prevention and intervention measures by managers in health/mental illness processes at work.

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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.
  • REVIEW09-21-2020

    Postnatal care of newborns in the family context: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190454

    Abstract

    REVIEW

    Postnatal care of newborns in the family context: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190454

    DOI 10.1590/0034-7167-2019-0454

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    ABSTRACT

    Objective:

    to analyze the postnatal care practices of newborns in the family context from the scientific literature.

    Methods:

    the searches of the integrative literature review were carried out in the Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (BDENF), Scientific Electronic Library Online (SciELO), and U.S. National Library of Medicine (PubMed) databases.

    Results:

    sixteen studies composed the final sample and, from these, two analytical categories emerged: Practices and doubts of families in postnatal care of newborns; and Best practices in postnatal care of newborns.

    Final considerations:

    several cultural practices of families differ from scientific recommendations, which can generate risks to the health of newborns. Therefore, it is essential to consolidate educational programs with family members, to improve the quality of care offered and to reduce preventable neonatal deaths in different socio-family contexts.

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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.
    Postnatal care of newborns in the family context: an integrative review
  • ORIGINAL ARTICLE03-07-2022

    Predictors of frailty in older people users of Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75:e20201292

    Abstract

    ORIGINAL ARTICLE

    Predictors of frailty in older people users of Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75:e20201292

    DOI 10.1590/0034-7167-2020-1292

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    ABSTRACT

    Objective:

    to identify the prevalence and predictors of frailty in older people in Primary Health Care.

    Method:

    this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.

    Results:

    the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).

    Conclusions:

    the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.

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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.
  • REFLECTION03-24-2021

    Workplace violence: legislation, public policies and possibility of advances for health workers

    Revista Brasileira de Enfermagem. 2021;74(1):e20200335

    Abstract

    REFLECTION

    Workplace violence: legislation, public policies and possibility of advances for health workers

    Revista Brasileira de Enfermagem. 2021;74(1):e20200335

    DOI 10.1590/0034-7167-2020-0335

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    ABSTRACT

    Objectives:

    to discuss specific laws and public policies for workplace violence in the health sector, highlighting possibilities for the collective confrontation of this phenomenon in Brazil.

    Methods:

    this is a reflective and argumentative study that refers to some previous experiences regarding the implementation of legal aspects to curb workplace violence directed at health professionals.

    Results:

    there are experiences regarding the existence of legislation or public policies to specifically contain workplace violence in the health sector, but these are still restricted to some places or countries. The literature provides resources for developing specific strategies for managing this phenomenon, highlighting prevention programs and conducts for case management.

    Final Considerations:

    implementation of legal aspects or public policies at the municipal, regional, state and/or national level is a strategy with potential to confront workplace violence in health services in a collective and sustainable way.

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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.
  • 09-16-2019

    Tuberculosis: knowledge among nursing undergraduate students

    Revista Brasileira de Enfermagem. 2019;72(5):1279-1287

    Abstract

    Tuberculosis: knowledge among nursing undergraduate students

    Revista Brasileira de Enfermagem. 2019;72(5):1279-1287

    DOI 10.1590/0034-7167-2018-0384

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    ABSTRACT

    Objective:

    To analyze the knowledge about tuberculosis among nursing undergraduate students of a Federal Higher Education Institution.

    Method:

    Descriptive cross-sectional study, with quantitative approach. Data were collected through a questionnaire based on the WHO’s guide to developing evaluation instruments on knowledge, attitudes and practices related to TB. Students were classified as “with knowledge” and “with little knowledge” based on the mean percentage of correct responses to the variables analyzed. Descriptive statistics techniques were used.

    Results:

    60 nursing students were interviewed. “with little knowledge” was observed among students who were studying at the university for less time and who had no previous contact with the subject, and “with knowledge” was observed among those whose knowledge about tuberculosis was acquired in the health services.

    Conclusion:

    Knowledge gaps among undergraduate nursing students were identified, suggesting the need to rethink teaching-learning strategies on the subject.

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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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