Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803

    Abstract

    Public actions for control of breast cancer in Brazil: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):793-803

    DOI 10.1590/0034-7167.2016690424i

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    ABSTRACT

    Objective:

    to analyze the scientific production on “breast cancer” in the period from 2002 to 2013 and determine the public policies for screening and early diagnosis of breast cancer.

    Method:

    this is an integrative literature review conducted in the databases MEDLINE, LILACS, SciELO and Google Scholar. Inclusion criteria: year and period of publication; availability of the full article; publication in Brazil; and the cross-check of the keywords Breast Cancer, Primary Health Care, Screening Programs, and Early Detection of Cancer.

    Results:

    after analysis, four thematic categories were obtained: breast self-examination, clinical examination of breast, mammography, and factors that hinder the adherence to the screening.

    Conclusion:

    health professionals have deficits of knowledge on the area, indicating the need for other studies on the subject addressed and greater investment in continuing education of professionals.

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    Public actions for control of breast cancer in Brazil: integrative review
  • 01-01-2016

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792

    Abstract

    Nursing diagnoses in patients with cerebral vascular accident: an integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):785-792

    DOI 10.1590/0034-7167.2016690423i

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    ABSTRACT

    Objective:

    to verify the nursing diagnoses in patients affected by CVAs.

    Method:

    this is an integrative review of the literature. The search was conducted on LILACS, Scielo, Medline, CINAHL, and Scopus databases between February and March 2015, using the following keywords: “Enfermagem”, “Acidente Vascular Cerebral”, “Diagnóstico de Enfermagem”; and “Nursing”, “Stroke”, and “Nursing Diagnosis”.

    Results:

    we found 9 articles published between 2009 and 2015; most of them were Brazilian, cross-sectional, and exploratory, with a level of evidence of 6. The evidence from the publications was classified as: “Evaluation and validation of specific nursing diagnoses for subjects affected by CVAs” and “Application of the nursing process on subjects affected by CVAs”.

    Conclusion:

    we noticed the publications focused on nursing diagnoses related to motor disorders, such as risk of falls and impaired physical mobility. Domains regarding safety/protection (domain 11) and sleep/resting (domain 4) were present in most evaluated publications.

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  • 01-01-2016

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784

    Abstract

    Impact of educational interventions in reducing diabetic complications: a systematic review

    Revista Brasileira de Enfermagem. 2016;69(4):773-784

    DOI 10.1590/0034-7167.2016690422i

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    ABSTRACT

    Objective:

    To identify in the literature evidence of the effectiveness and efficacy of educational interventions in reducing metabolic and/or vascular complications in adults with diabetes mellitus.

    Method:

    A systematic review performed in LILACS, IBECS, CUMED, CINAHL and Medline databases and in the online library SciELO with studies published from 2004 to 2014.

    Results:

    Eleven studies were included (5 randomized clinical trials and 6 quasi-experimental). We only identified studies that analyzed vascular complications.

    Conclusion:

    Two clinical trials demonstrated efficacy in reducing cardiovascular complications, of cataract or retinopathy and nephropathy and all the quasi-experimental studies showed effectiveness in reducing feet ulcers, peripheral neuropathy and vasculopathy, and maintenance of kidney function.

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    Impact of educational interventions in reducing diabetic complications: a systematic review
  • 01-01-2016

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772

    Abstract

    The communication process in Telenursing: integrative review

    Revista Brasileira de Enfermagem. 2016;69(4):765-772

    DOI 10.1590/0034-7167.2016690421i

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    ABSTRACT

    Objective:

    to identify scientific evidence about the communication process in Telenursing and analyze them.

    Method:

    integrative review performed in March 2014. The search strategy, structured with the descriptors “telenursing” and “communication”, was implemented in the databases Medline, Bireme, Cinahl, Scopus, Web of Science, Scielo, and Cochrane.

    Results:

    ten studies were selected after inclusion and exclusion criteria. The main challenges were: the clinical condition of patients, the possibility for inadequate communication to cause misconduct, the absence of visual references in interactions without video, and difficulty understanding nonverbal communication.

    Conclusion:

    distance imposes communicative barriers in all elements: sender, recipient and message; and in both ways of transmission, verbal and nonverbal. The main difficulty is to understand nonverbal communication. To properly behave in this context, nurses must receive specific training to develop abilities and communication skills.

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    The communication process in Telenursing: integrative review
  • 01-01-2016

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764

    Abstract

    Health care for patients with acute coronary syndrome according to quality indicators

    Revista Brasileira de Enfermagem. 2016;69(4):757-764

    DOI 10.1590/0034-7167.2016690420i

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    ABSTRACT

    Objective:

    to assess in-hospital care for patients with Acute Coronary Syndrome according to quality indicators.

    Method:

    a longitudinal quantitative study was performed between November 2012 and March 2013 with 94 patients, including interviews and medical records.

    Results:

    a total of 39.4% of patients had unstable angina and 60.6% had myocardial infarction, of which 34% had ST segment elevation. Patients with TIMI and GRACE scores higher than four and 140 (p<0.05) respectively died. Admission to the intensive care unit totaled 2.1%; assessment of left ventricular (LV) ejection fraction, 83.0%; ASA within 24 hours of admission, 77.8%; statins, 72.7%; angiotensin-converting enzyme inhibitor, 62.8%; anti-smoking counseling, 53.3%; and timely reperfusion, 62.5%. Of all participants, 12.0% underwent an invasive strategy in 24h and 50.0% in 72h. Door-to-ECG time was 68.3±104.3 min and door-to-balloon time, 122±54.5 min.

    Conclusions:

    health care protocols are required to standardize practice and improve these indicators.

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  • 01-01-2016

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756

    Abstract

    Quality of working life of call-center workers

    Revista Brasileira de Enfermagem. 2016;69(4):751-756

    DOI 10.1590/0034-7167.2016690419i

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    ABSTRACT

    Objective:

    to analyze the profile and quality of working life (QWL) of call-center workers.

    Method:

    quantitative research, conducted in one call-center of the city of São José do Rio Preto – SP, using the QVP-35 questionnaire.

    Results:

    profile was composed by: 80.2% women; 66.3% were single, with high school diploma and 6 hours of daily working hours; mean age of 28 years; 92.9% had only one job with mean working experience of 3 years. Positive aspects of QWL: intrinsic motivation, working ability, available resources and social support. Negative aspects of QWL: workload and organizational support.

    Conclusion:

    the data obtained indicate the need for better organization of call-center working processes in the company and suggests other researches in this context.

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  • 01-01-2016

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750

    Abstract

    Stressors perceived by patients in the immediate postoperative of cardiac surgery

    Revista Brasileira de Enfermagem. 2016;69(4):741-750

    DOI 10.1590/0034-7167.2016690418i

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    ABSTRACT

    Objective:

    to investigate stressors perceived by patients in the immediate postoperative of cardiac surgery and their association with sociodemographic and clinical characteristics.

    Method:

    a prospective correlational study conducted in a city in São Paulo, between August 2013 and December 2014. A non-probabilistic sample included patients submitted to their first coronary artery bypass graft or mitral valve surgery. The “Environmental Stressor Questionnaire” adapted to Portuguese was used.

    Results:

    105 patients participated in the study. The item “being thirsty” was evaluated as the most stressful and “the nursing staff member does not introduce himself/herself by the name” as the least stressful. Among sociodemographic and clinical variables (gender, age, type and time of surgery, pain, intubation time, use of psychotropic medications and length of stay in the intensive care unit), only pain presented a significant association with the stressors.

    Conclusion:

    knowing stressors can help implement practices associated with their reduction, favoring patients’ recovery.

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  • 01-01-2016

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740

    Abstract

    Concepts and practices of teaching and exercise of leadership in Nursing

    Revista Brasileira de Enfermagem. 2016;69(4):733-740

    DOI 10.1590/0034-7167.2016690417i

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    ABSTRACT

    Objective:

    to identify, describe and analyze characteristics of leadership, head nurses and participants in the teaching-learning process of leadership in Nursing, according to nurse professors who performed studies on this theme and taught such content between 1972 and 1994 in nursing schools of the state of São Paulo, southeastern Brazil.

    Methods:

    Thematic Oral History was used. A total of four nurse professors were interviewed, whose reports were submitted to content analysis.

    Results:

    the following aspects were approached in this study: the context in which students developed leadership, the influence of previous experiences on leadership qualification, its attributes, the importance of leadership, the value of teaching it, the possibilities of emancipation of a head nurse, the repercussions of teaching leadership for one’s professional life, the relationships between qualification and job market, the aspects of teaching qualification and students’ characteristics.

    Conclusion:

    although not essential for nursing qualification, leadership had a symbolic capital.

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  • 01-01-2015

    Women’s temporality after cardiac surgery: contributions to nursing care

    Revista Brasileira de Enfermagem. 2015;68(6):1056-1062

    Abstract

    Women’s temporality after cardiac surgery: contributions to nursing care

    Revista Brasileira de Enfermagem. 2015;68(6):1056-1062

    DOI 10.1590/0034-7167.2015680609i

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    ABSTRACT

    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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  • 01-01-2015

    Compliance of hand hygiene in maintaining the catheter for hemodialysis

    Revista Brasileira de Enfermagem. 2015;68(6):1050-1055

    Abstract

    Compliance of hand hygiene in maintaining the catheter for hemodialysis

    Revista Brasileira de Enfermagem. 2015;68(6):1050-1055

    DOI 10.1590/0034-7167.2015680608i

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    ABSTRACT

    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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    Compliance of hand hygiene in maintaining the catheter for hemodialysis
  • 01-01-2015

    Replication of the training program in nonverbal communication in gerontology

    Revista Brasileira de Enfermagem. 2015;68(6):1042-1049

    Abstract

    Replication of the training program in nonverbal communication in gerontology

    Revista Brasileira de Enfermagem. 2015;68(6):1042-1049

    DOI 10.1590/0034-7167.2015680607i

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    ABSTRACT

    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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  • 01-01-2015

    Physical and psychological violence against the elderly: prevalence and associated factors

    Revista Brasileira de Enfermagem. 2015;68(6):1035-1041

    Abstract

    Physical 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

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    ABSTRACT

    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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  • 01-01-2015

    First civil service examination for nurses at the Administrative Department of Public Service

    Revista Brasileira de Enfermagem. 2015;68(6):1027-1034

    Abstract

    First 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

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    ABSTRACT

    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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    First civil service examination for nurses at the Administrative Department of Public Service
  • 01-01-2015

    Children and adolescents with chronic kidney disease in haemodialysis: perception of professionals

    Revista Brasileira de Enfermagem. 2015;68(6):1020-1026

    Abstract

    Children 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

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    ABSTRACT

    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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  • 01-01-2015

    From frustration to coping with caring for death by nurse technicians

    Revista Brasileira de Enfermagem. 2015;68(6):1013-1019

    Abstract

    From 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

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    ABSTRACT

    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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  • 01-01-2015

    Sedentary lifestyle in individuals with hypertension

    Revista Brasileira de Enfermagem. 2015;68(6):1005-1012

    Abstract

    Sedentary lifestyle in individuals with hypertension

    Revista Brasileira de Enfermagem. 2015;68(6):1005-1012

    DOI 10.1590/0034-7167.2015680602i

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    ABSTRACT

    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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