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ORIGINAL ARTICLE01-10-2024
Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
- Liandra Silva Lopes
, - Laura Maria Vidal Nogueira ,
- Erlon Gabriel Rego de Andrade ,
- Ivaneide Leal Ataíde Rodrigues ,
- Juan Andrade Guedes , [ … ],
- Paula Gisely Costa Silva
Abstract
ORIGINAL ARTICLEChildbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
DOI 10.1590/0034-7167-2024-0038
- Liandra Silva Lopes ,
- Laura Maria Vidal Nogueira ,
- Erlon Gabriel Rego de Andrade ,
- Ivaneide Leal Ataíde Rodrigues ,
- Juan Andrade Guedes ,
- Rosinelle Janayna Coêlho Caldas ,
- Paula Gisely Costa Silva
Views0See moreABSTRACT
Objective:
to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital.
Methods:
ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05).
Results:
the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital.
Conclusions:
long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.
- Liandra Silva Lopes
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REVIEW01-10-2024
Nurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
- Herlys Rafael Pereira do Nascimento ,
- Ingrid Mikaela Moreira de Oliveira ,
- Grayce Alencar Albuquerque ,
- Edilma Gomes Rocha Cavalcante ,
- Marlene Menezes de Souza Teixeira , [ … ],
- Maria do Socorro Vieira Lopes
Abstract
REVIEWNurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240023
DOI 10.1590/0034-7167-2024-0023
- Herlys Rafael Pereira do Nascimento ,
- Ingrid Mikaela Moreira de Oliveira ,
- Grayce Alencar Albuquerque ,
- Edilma Gomes Rocha Cavalcante ,
- Marlene Menezes de Souza Teixeira ,
- Maria do Socorro Vieira Lopes
Views0ABSTRACT
Objective:
to identify knowledge production about nurses’ contributions to improving healthy and sustainable public spaces.
Methods:
an integrative review carried out in February 2023 in electronic databases. Studies that answered the research question and that were available in full, in Portuguese, English and Spanish, were included.
Results:
a total of five articles were selected. The findings highlighted the importance of educational projects in the training of local managers and community autonomy; citizen participation and health promotion as ways to implement Sustainable Development Goal 11; nurses as facilitators of collective care; new health practices and modes of producing subjectivity; and use of public transportation, bicycles and/or walking in these spaces.
Final considerations:
there is a clear need for greater incentives from local governments to develop effective sustainability strategies that are led by nurses and the community.
Keywords:AttitudesCommunity HealthHealth KnowledgeHealthy Lifestyle, NursesNursesPracticeSustainable DevelopmentSee more
- Herlys Rafael Pereira do Nascimento
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ORIGINAL ARTICLE01-10-2024
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
Abstract
ORIGINAL ARTICLEPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
DOI 10.1590/0034-7167-2023-0421
Views0See moreABSTRACT
Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Views0Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]See more -
ORIGINAL ARTICLE01-10-2024
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
Abstract
ORIGINAL ARTICLEClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
DOI 10.1590/0034-7167-2023-0527
Views0See moreABSTRACT
Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
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ORIGINAL ARTICLE01-10-2024
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
- Ely Carlos Pereira de Jesus ,
- Victor Guilherme Pereira ,
- Zilá Aparecida Soares Pereira ,
- Maria Suzana Marques ,
- Cristiane Vieira da Silva , [ … ],
- Antônio Prates Caldeira
Abstract
ORIGINAL ARTICLEMorbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
DOI 10.1590/0034-7167-2023-0454
- Ely Carlos Pereira de Jesus ,
- Victor Guilherme Pereira ,
- Zilá Aparecida Soares Pereira ,
- Maria Suzana Marques ,
- Cristiane Vieira da Silva ,
- Leila das Graças Siqueira ,
- Luciana Colares Maia ,
- Antônio Prates Caldeira
Views0See moreABSTRACT
Objective:
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
Methods:
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
Results:
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
Conclusions:
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
- Ely Carlos Pereira de Jesus
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ORIGINAL ARTICLE01-10-2024
Nursing care management strategies to address the COVID-19 pandemic
- Gabriela Marcellino de Melo Lanzoni ,
- Leonardo Pereira de Sousa ,
- Viviane Pecini da Cunha ,
- Ana Lúcia Schaefer Ferreira de Mello ,
- Alexandre Pazetto Balsanelli , [ … ],
- José Luís Guedes dos Santos
Abstract
ORIGINAL ARTICLENursing care management strategies to address the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230254
DOI 10.1590/0034-7167-20230254
- Gabriela Marcellino de Melo Lanzoni ,
- Leonardo Pereira de Sousa ,
- Viviane Pecini da Cunha ,
- Ana Lúcia Schaefer Ferreira de Mello ,
- Alexandre Pazetto Balsanelli ,
- José Luís Guedes dos Santos
Views0See moreABSTRACT
Objective:
To characterize nursing care management strategies for addressing the COVID-19 pandemic.
Method:
A descriptive, qualitative study conducted with 22 nurse professionals at a University Hospital in Southern Brazil. Data collection through interviews in June and August 2021, analyzed according to Bardin’s Content Analysis and the theoretical framework of complex thinking.
Results:
The identified strategies were organized into four categories: Reorganization of health services; People management and emergency admission; Multiprofessional articulation; and Bedside nursing care.
Final Considerations:
Professional performance revealed a complex interplay between leadership and care management practices, even in the face of working condition restrictions, and were understood as crucial in the pandemic scenario.
- Gabriela Marcellino de Melo Lanzoni
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RESEARCH01-01-2015
Women’s temporality after cardiac surgery: contributions to nursing care
Revista Brasileira de Enfermagem. 2015;68(6):1056-1062
Abstract
RESEARCHWomen’s temporality after cardiac surgery: contributions to nursing care
Revista Brasileira de Enfermagem. 2015;68(6):1056-1062
DOI 10.1590/0034-7167.2015680609i
Views0See moreABSTRACT
Objective:
to unveil women’s existential movement after cardiac surgery.
Method:
qualitative phenomenological study. The research setting was a hospital in Minas Gerais, in which ten women were interviewed between December 2011 and January 2012.
Results:
after hospital discharge, the women experienced physical, social and emotional impairments, and expressed the desire to go back to the time before their diagnosis, because they felt as though they still had heart disease. This vague and average understanding led to three units of meaning that, from a Heideggerian hermeneutic point of view, revealed the phenomenon of cardiac surgery as a present circumstance that limited the participants’ daily lives.
Conclusion:
nurses supporting women patients after cardiac surgery should promote health considering existential facets that are expressed during care. The bases for comprehensive care are revealed in singular and whole meetings of subjectivity.
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RESEARCH01-01-2015
Compliance of hand hygiene in maintaining the catheter for hemodialysis
Revista Brasileira de Enfermagem. 2015;68(6):1050-1055
Abstract
RESEARCHCompliance of hand hygiene in maintaining the catheter for hemodialysis
Revista Brasileira de Enfermagem. 2015;68(6):1050-1055
DOI 10.1590/0034-7167.2015680608i
Views0See moreABSTRACT
Objective:
to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo.
Method:
a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis.
Results:
the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%).
Conclusion:
it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.
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RESEARCH01-01-2015
Replication of the training program in nonverbal communication in gerontology
Revista Brasileira de Enfermagem. 2015;68(6):1042-1049
Abstract
RESEARCHReplication of the training program in nonverbal communication in gerontology
Revista Brasileira de Enfermagem. 2015;68(6):1042-1049
DOI 10.1590/0034-7167.2015680607i
Views0See moreABSTRACT
Objective:
to measure the rate of assimilation of applied content at immediate and subsequent moments after a nonverbal communication in gerontology training program.
Method:
descriptive and exploratory fi eld study developed in three state administered hospitals, which attend Brazilian National Health Service (SUS) clients. The duration of the training was twelve hours, applied with 102 healthcare professionals.
Results:
the results revealed that the rate of assimilation of the content immediately after the program was satisfactory, as well as being satisfactory in the aspects concept of aging; strategies to foster the independence and autonomy of the elderly person; communication interferences linked to the elderly and the professional; recognition of non-verbal functions and dimensions. The exception was the professional perception faced with aspects that influence the success of communication.
Conclusion:
it was concluded that the replication of this program was relevant and current for the hospital context, remaining effi cient for healthcare professionals.
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RESEARCH01-01-2015
Physical and psychological violence against the elderly: prevalence and associated factors
Revista Brasileira de Enfermagem. 2015;68(6):1035-1041
Abstract
RESEARCHPhysical and psychological violence against the elderly: prevalence and associated factors
Revista Brasileira de Enfermagem. 2015;68(6):1035-1041
DOI 10.1590/0034-7167.2015680606i
Views0See moreABSTRACT
Objective:
to verify the prevalence and associated factors to physical and psychological violence against elderlies and trace the sociodemographic and clinical indicators of this population.
Method:
household survey conducted in 729 elderlies Uberaba – MG. Data were analyzed by Chi-square test and logistic regression (p < 0,05).
Results:
the prevalence of elderly on violence was 20.9%, and 5.9% to 20.9% for physical and psychological. Among them prevailed women; with 60├80 years; no education; with income, with their partner as the primary aggressor; negative self-perception of health, hospitalization in the last year and presence of multimorbidities. The violence has been associated with have 60├80 years, living with your partner and dependence for instrumental activities of daily living.
Conclusion:
reinforces the need for early identification of domestic violence and invest in both the old protective actions and in maintaining functional capacity and social inclusion.
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RESEARCH01-01-2015
First civil service examination for nurses at the Administrative Department of Public Service
Revista Brasileira de Enfermagem. 2015;68(6):1027-1034
Abstract
RESEARCHFirst civil service examination for nurses at the Administrative Department of Public Service
Revista Brasileira de Enfermagem. 2015;68(6):1027-1034
DOI 10.1590/0034-7167.2015680605i
Views0See moreABSTRACT
Objective:
to describe the results of the first national public service examination for nurses conducted by the Administrative Department of Public Service between 1941 and 1942.
Method:
historical-documentary research with a quantitative approach.
Results:
155 candidates registered, aged between 21 and 35 years old, 141 (91%) of whom were female. A total of 120 candidates passed the practical exam. Of these, 116 took the written qualification exam. In the end, 107 were approved, 74 (69.1%) of whom were temporary public nurses, 59 (55.1%) Anna Nery Nursing School alumni, and 10 among the first 20 twenty became involved with the Brazilian Association of Nursing later.
Conclusion:
although the exam legitimized the meritbased culture in the staff selection in the area of Brazilian nursing, egalitarian criteria were mitigated, especially regarding the grades applied to different kinds of exams. This resulted in a significant number of temporary nurses approved.
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RESEARCH01-01-2015
Children and adolescents with chronic kidney disease in haemodialysis: perception of professionals
Revista Brasileira de Enfermagem. 2015;68(6):1020-1026
Abstract
RESEARCHChildren and adolescents with chronic kidney disease in haemodialysis: perception of professionals
Revista Brasileira de Enfermagem. 2015;68(6):1020-1026
DOI 10.1590/0034-7167.2015680604i
Views0See moreABSTRACT
Objective:
to identify aspects impacting on quality of life for children and adolescents with chronic kidney disease on hemodialysis, from the perspective of health professionals, as an essential step for the construction of a specific module of the DISABKIDS® instrument.
Method:
methodological study. Data was collected between May and June 2012, through personal interviews with 12 participants, in two dialysis centers. The empirical material was analyzed according to the thematic content analysis, using the program MAXQDA – Qualitative Data Analysis Software.
Results:
we identifi ed seven themes: self-care, family support, impact of diagnosis, expectation of kidney transplant, truancy, socialization and stigma, grouped into three domains.
Conclusion:
the results showed aspects that impact the quality of life of these customers and, therefore, will be considered in the development of specifi c DISABKIDS® module. In addition, these aspects are relevant to the preparation and planning of actions directed towards children and adolescents with chronic kidney disease.
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RESEARCH01-01-2015
From frustration to coping with caring for death by nurse technicians
Revista Brasileira de Enfermagem. 2015;68(6):1013-1019
Abstract
RESEARCHFrom frustration to coping with caring for death by nurse technicians
Revista Brasileira de Enfermagem. 2015;68(6):1013-1019
DOI 10.1590/0034-7167.2015680603i
Views0See moreABSTRACT
Objective:
to understand nurse technicians’ experience with caring for the death of terminal patients in ICUs and to configure a theoretical model.
Method:
qualitative study with theoretical saturation when analyzing the 10th non-directive interview, having as reference Grounded Theory, Symbolic Interactionism and Bioethics.
Results:
the core category – from frustration to coping with dignified nursing care for finitude: the acceptance of death as a therapeutic and intervenient component – emerged from the comparison of the sub-processes: when the nurse does not feel prepared for caring for death, accepting death as a therapeutic phenomenon and developing coping strategies.
Conclusion:
according to Symbolic Interactionism, a novice professional’s frustration in caring for an individual for death is related to his/her interaction and interpretation of the situation as he/she feels prepared only to care for individuals for life.
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RESEARCH01-01-2015
Sedentary lifestyle in individuals with hypertension
Revista Brasileira de Enfermagem. 2015;68(6):1005-1012
Abstract
RESEARCHSedentary lifestyle in individuals with hypertension
Revista Brasileira de Enfermagem. 2015;68(6):1005-1012
DOI 10.1590/0034-7167.2015680602i
Views0See moreABSTRACT
Objective:
to identify the prevalence of nursing diagnosis Sedentary lifestyle (SL) and to analyze its association with clinical indicators (CI) and related factors (RF) in patients with hypertension.
Method:
cross-sectional study with 285 patients with hypertension at a reference center for outpatient care in Northeastern Brazil. To collect data it was used an instrument based on operational defi nitions of the CI and RF previously validated. Four nurses rated SL as present or absent. To evaluate the association between CI and RF with the presence of SL it was applied the chi-square test. The prevalence ratio and confi dence interval was calculated to verify the magnitude of the effect between RF and SL. Results: SL was identifi ed in 55.8% of the sample. Five IC and six RF showed a signifi cant association with SL.
Conclusion:
the study identifi es main indicators for inference of SL as well as their possible causal factors among people with hypertension.
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REFLECTION01-01-2017
Transcendence, historicity and temporality of being elderly: nursing reflection-using Heidegger
Revista Brasileira de Enfermagem. 2017;70(4):891-895
Abstract
REFLECTIONTranscendence, historicity and temporality of being elderly: nursing reflection-using Heidegger
Revista Brasileira de Enfermagem. 2017;70(4):891-895
DOI 10.1590/0034-7167-2016-0275
Views0See moreABSTRACT
The objective is to reflect on historicity and temporality as paths for the transcendence of being elderly, based on the phenomenological concepts of Martin Heiddeger. A review of the concepts of transcendence, historicity and temporality was carried out in the work of Martín Heidegger, integrating them in the perspective of nursing for the elderly. The transcendence of the elderly adult is feasible by accessing the temporality of self in the path of its historicity to arrive at the understanding of itself that he has achieved: transcending, which is but a process of the Being itself. Being is time in itself existing in the world, existence given by the encounter of the past (to have been), present and future (becoming), the same encounter that determines the historicity of the Being. The encounter has been consummated and the Being is transcendence, with the understanding of the Being itself as a supreme point.
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EXPERIENCE REPORT01-01-2017
Acercamiento al escenario de estudio fenomenológico en México: relato de experiencia
Revista Brasileira de Enfermagem. 2017;70(4):885-890
Abstract
EXPERIENCE REPORTAcercamiento al escenario de estudio fenomenológico en México: relato de experiencia
Revista Brasileira de Enfermagem. 2017;70(4):885-890
DOI 10.1590/0034-7167-2016-0601
Views0See moreRESUMEN
Objetivo:
Relatar la experiencia del acercamiento al escenario de un estudio fenomenológico en enfermería en México.
Método:
Relato de experiencia sobre el acercamiento al escenario de estudio para convivir con adultos mayores con la finalidad de seleccionar a los participantes de un estudio fenomenológico.
Resultados:
Se llevaron a cabo visitas durante el año 2016, en un periodo de cuatro meses a dos grupos de adultos mayores en donde se realizaron diversas actividades. La convivencia con los adultos mayores a través del acompañamiento en las actividades que realizaban en los grupos y el diálogo conjunto permitió seleccionar a aquellos que respondían a las características del objeto de estudio.
Conclusión:
Es necesaria la aproximación al escenario de estudios fenomenológicos, no sólo con la finalidad de ganar empatía de los participantes sino para sumergirse en el fenómeno de estudio, mismo que se va mostrando desde los primeros acercamientos del investigador.
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EXPERIENCE REPORT01-01-2017
Scenario approximation in a phenomenological study in Mexico: experience report
Revista Brasileira de Enfermagem. 2017;70(4):885-890
Abstract
EXPERIENCE REPORTScenario approximation in a phenomenological study in Mexico: experience report
Revista Brasileira de Enfermagem. 2017;70(4):885-890
DOI 10.1590/0034-7167-2016-0601
Views0See moreABSTRACT
Objective:
To report our experience using scenario approximation in a phenomenological study of nursing in Mexico.
Method:
Experience report on scenario approximation to coexist with elderly in order to select the participants of a phenomenological study.
Results:
During a four-month period in 2016, visits were carried out two groups of elderly individuals where several activities were carried out. Coexistence with the elderly throughout accompaniment in the groups’ activities together with joint dialogue allowed selection of those who corresponded to the characteristics of the study objective.
Conclusion:
Scenario approximation is necessary in phenomenological studies, not only for creating empathy among the participants but also for the researchers to immerse themselves in the phenomenon under study, as shown by the first approaches of the researcher.
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REVIEW01-01-2017
Knowledge produced on the health of low-income older women: an integrative review
Revista Brasileira de Enfermagem. 2017;70(4):875-884
Abstract
REVIEWKnowledge produced on the health of low-income older women: an integrative review
Revista Brasileira de Enfermagem. 2017;70(4):875-884
DOI 10.1590/0034-7167-2017-0024
Views0See moreABSTRACT
Objective:
to identify the knowledge produced on the health of low-income older women.
Method:
an integrative review was conducted in February 2016 on the SCOPUS, CINAHL, MEDLINE, LILACS, EMBASE, WEB OF SCIENCE databases, and in the SciELO journals directory. After the application of inclusion and exclusion criteria, 24 articles were selected.
Results:
the knowledge produced comprises two main themes: “health in face of economic adversities” and “reciprocity in social support between low-income older women and their social network”.
Final considerations:
health professionals, especially nurses, should be attentive to aspects related to social determinants and the health of low-income older women, highlighting the fact that they are not always the recipients of care.
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REVIEW01-01-2017
Functional health literacy and adherence to the medication in older adults: integrative review
Revista Brasileira de Enfermagem. 2017;70(4):868-874
Abstract
REVIEWFunctional health literacy and adherence to the medication in older adults: integrative review
Revista Brasileira de Enfermagem. 2017;70(4):868-874
DOI 10.1590/0034-7167-2016-0625
Views1See moreABSTRACT
Objective:
to characterize the national and international scientific production on the relationship of Functional Health Literacy and the adherence to the medication in older adults.
Method:
integrative review of literature, searching the following online databases: Scientific Electronic Library Online (SCIELO); Latin American and Caribbean Health Sciences Literature (LILACS); Medical Literature Analysis and Retrieval System Online (MEDLINE); and Cumulative Index to Nursing & Allied Health Literature (CINAHL), in June 2016. We selected 7 articles that obeyed the inclusion criteria.
Results:
all articles are from the USA. The inappropriate Functional Health Literacy affects the non-adherence to medication; however, there are several strategies and interventions that can be practiced to change this relationship.
Conclusion:
nursing needs to explorefurther this theme, since it can exert a differentiated care for adherence to medication in older adults, considering the literacy.
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RESEARCH01-01-2017
Evaluation of the safety of hospitalized older adults as for the risk of falls
Revista Brasileira de Enfermagem. 2017;70(4):860-867
Abstract
RESEARCHEvaluation of the safety of hospitalized older adults as for the risk of falls
Revista Brasileira de Enfermagem. 2017;70(4):860-867
DOI 10.1590/0034-7167-2017-0098
Views0See moreABSTRACT
Objective:
To evaluate the safety of hospitalized older adults as for the risk of falls according to the parameters of the Morse Fall Scale.
Method:
Epidemiological, cross-sectional, prospective and descriptive study with n=75.
Results:
Average age of 71.3 years (SD±8.2); 58.7% male; 44% with low educational level; 38.7% hospitalized for cardiovascular diseases; average hospitalization of 10 days (SD±9.38); 78.7% with comorbidities; 61.3% with the calf circumference ≥ 31 cm; 62.7% were former smokers for more than 10 years; 65% did not drink alcohol; 100% did not have identification bracelet; 22.7% had similar names in the infirmary; 48% took up to five medicines; and 93.3% received some invasive procedure, especially the vessel puncture (65.3%). There was a high risk of falls in 52% of older adults.
Conclusion:
The results pointed to imminent risk of breach of patient safety, emphasizing the need for implementation of protocols and predictive scales such as the Morse scale.
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RESEARCH01-01-2017
Quality of life of elderly people with chronic kidney disease in conservative treatment
Revista Brasileira de Enfermagem. 2017;70(4):851-859
Abstract
RESEARCHQuality of life of elderly people with chronic kidney disease in conservative treatment
Revista Brasileira de Enfermagem. 2017;70(4):851-859
DOI 10.1590/0034-7167-2017-0103
Views0See moreABSTRACT
Objective:
To describe the quality of life (QOL) of elderly people with Chronic Kidney Disease (CKD) in conservative treatment, correlating it with sociodemographic and health-related aspects.
Method:
This is a quantitative, cross-sectional, and descriptive study that used: a previously validated instrument for data collection; the WHOQOL-BREF and WHOQOL-OLD QOL scales; and the Mini-Mental State Examination.
Results:
Thirty-five elderly people (54.30% females), with mean age of 68.26 years, took part in the study. They reported, on average, 3.70 comorbidities and 5.60 complications related to CKD. Regarding QOL, the “psychological” domain (54.40±16.29) and the “death and dying” facet (37.32±23.79) were considered the most damaged ones; the most strengthened were “social relationships” (70.36±18.32) and “intimacy” (66.61±16.80). A positive correlation was verified between comorbidities and complications (p = 0.015), and an inverse correlation between the number of complications and QOL (p = 0.004).
Conclusion:
These results, if considered during the care planning, may help improving the quality of the care provided for elderly people with CKD.
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RESEARCH01-01-2017
Hospitalization of people 50 years old or older living with HIV/AIDS
Revista Brasileira de Enfermagem. 2017;70(4):845-850
Abstract
RESEARCHHospitalization of people 50 years old or older living with HIV/AIDS
Revista Brasileira de Enfermagem. 2017;70(4):845-850
DOI 10.1590/0034-7167-2017-0113
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Objective:
Identify the rate and predictive factors of the hospitalization of people living with HIV/AIDS (PLHA), aged 50 years or older.
Method:
A quantitative, cross-sectional study was conducted at two inpatient units specialized in infectious diseases in a teaching hospital. Data were gathered through individual interviews between August 2011 and February 2015. All ethical precepts were followed.
Results:
Of the 532 admitted patients, 95 were PLHA 50 years old or older; 30.5% were admitted 3 to 4 times after being diagnosed with HIV/AIDS.
Conclusion:
Rate of hospitalization was 17.8%, and being 50 to 60 years old was a protective factor against hospitalization.
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