Articles - Revista Brasileira de Enfermagem

  • 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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  • 01-01-2015

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92

    Abstract

    Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program

    Revista Brasileira de Enfermagem. 2015;68(1):84-92

    DOI 10.1590/0034-7167.2015680112p

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    Objective:

    to investigate the report of vaccination against Hepatitis B, verification of immunization and the factors associated with dosages of anti-HBs.

    Method:

    we collected blood samples from those reported that they had one or more doses of the vaccine. We evaluated the association of the dosage of anti- HBs with sociodemographic conditions, occupational and behavioral. The associations were verified by Mann Whitney and Kruskal Wallis and correlation Spermann by linear regression using SPSS® 17.0.

    Results:

    among the 761 respondents, 504 (66.1%) were vaccinated, 52.5 % received three doses, 30.4 % verified immunization. Of the 397 evaluated for the determination of anti-Hbs, 16.4% were immune.

    Conclusion:

    it was found that longer duration of work was associated with higher levels of anti-HBs, while levels of smoking were inversely associated with anti-HBs. These workers need for vaccination campaigns.

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  • 01-01-2015

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83

    Abstract

    The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?

    Revista Brasileira de Enfermagem. 2015;68(1):76-83

    DOI 10.1590/0034-7167.2015680111p

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    Objective:

    To identify the mental disorders carriers’ perception, the smokers ones, about the decreasing number of cigarettes during psychiatric hospitalization.

    Method:

    Exploratory study with 96 hospitalized carriers of mental disorders who are smokers: G1 (34 subjects hospitalized when was allowed one cigarette by hour) and G2 (62 subjects hospitalized when it was reduced to eight cigarette by day). Semi-structured questionnaire. Thematic content analysis.

    Results:

    The G1 admitted satisfaction with the restriction – smoking during hospitalization as entitlement. The G2 resists the restriction change occurred without dialogue or support. In spite of the difficulties, some attitude changes about the cigarette were noticed such as increase of the responsibility, discovery of the ability to reduce smoking and the meaning of its role.

    Conclusion:

    Some subjects understand the smoking health policy change as punishment, while others as opportunity to think about the role of cigarette in their life.

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  • 01-01-2015

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75

    Abstract

    Family functionality in oldest old household residents

    Revista Brasileira de Enfermagem. 2015;68(1):68-75

    DOI 10.1590/0034-7167.2015680110p

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    Objective:

    the aim of this study was to identify factors associated with family functionality of non-institutionalized long-lived subjects, who were residents in Goiânia (GO), Brazil.

    Method:

    this was a population-based epidemiological study with cross-sectional outline. Evaluation scales of the functional and cognitive capacities were used. Family dynamics was measured using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) instrument by making home interviews with 131 long-lived individuals.

    Results:

    there was prevalence of the female gender, average of age of 83.87 years old, widowhood condition, and residence in a big family, primary schooling, and self-perception of regular health. A great amount showed independence for self-care and partial dependence for daily life instrumental activities. Family functionality prevailed with score average of 9.06 points.

    Conclusion:

    in conclusion, family functionality in long-lived subjects is associated with self-perception of poor/bad health, osteoporosis, and fall. Results allowed characterizing long-lived subjects’ family functionality with the aim of valuing and prioritizing family as a caregiver.

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    Family functionality in oldest old household residents
  • 01-01-2015

    Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors

    Revista Brasileira de Enfermagem. 2015;68(1):60-67

    Abstract

    Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors

    Revista Brasileira de Enfermagem. 2015;68(1):60-67

    DOI 10.1590/0034-7167.2015680109i

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    Objective:

    the aim of the study was to determine the prevalence of non-adherence to antihypertensive drug treatment and its association with factors bio-socio-economic and welfare.

    Method:

    it was a descriptive, cross-sectional study, performed with 422 hypertensive individuals. Data were collected through home interviews, conducted between December 2011 and March 2012.

    Results:

    the results showed that the respondents were mostly female, married, elderly, low income and little time of diagnosis. Were considered non adherent to medication 42.65% of participants. Non-Caucasian hypertensive patients, with fewer than eight years of schooling, who did not regularly attend doctor’s appointments, took more than two anti-hypertensive medications and did not have private health insurance, showed higher likelihood of not complying with the drug treatment.

    Conclusion:

    these findings suggest that hypertensive patients with unfavorable socioeconomic characteristics and difficulty of access to the service require different interventions in order to encourage them to adhere to medication treatment.

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  • 01-01-2015

    Adherence and knowledge about the use of personal protective equipment among manicurists

    Revista Brasileira de Enfermagem. 2015;68(1):52-59

    Abstract

    Adherence and knowledge about the use of personal protective equipment among manicurists

    Revista Brasileira de Enfermagem. 2015;68(1):52-59

    DOI 10.1590/0034-7167.2015680108i

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    Objective:

    this study aimed to assess adherence and knowledge of manicures/pedicures on the use of Personal Protective Equipment (PPE).

    Methods:

    it was a survey with 235 manicures/pedicures in salons, Belo Horizonte/Brazil. Data were analyzed with the software Statistical package for the social sciences (17.0), using descriptive statistics, chi-square and logistic regression.

    Results:

    the adherence and the knowledge of the professional were evaluated using the median of the results, obtaining 52% and 63% respectively. The professionals younger than 31 were more likely (2.54 times) to adhere to PPE and those who claimed to have done biosafety course and to use uniform during work, had better chance of understanding (2.86 and 3.12 times, respectively). The majority (83.4 %) stated that the use of PPE should occur for all procedures, meanwhile 71.5 % cited not use them.

    Conclusions:

    the results indicate the poor adherence to PPE, strengthen occupational biological risk and need for training of these professionals.

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  • 01-01-2015

    Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes

    Revista Brasileira de Enfermagem. 2015;68(1):45-51

    Abstract

    Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes

    Revista Brasileira de Enfermagem. 2015;68(1):45-51

    DOI 10.1590/0034-7167.2015680107i

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    Objective:

    to analyze the predictive value of the Manchester Triage System in relation to clinical outcome of patients.

    Methods:

    prospective observational study of 577 patients admitted to the ER and subjected to risk classification. The Therapeutic Intervention Scoring System-28 (TISS-28) was used to measure the severity of patients (primary outcome) and secondary outcomes: high / transfer, death, and length of hospital stay. Descriptive and univariate analyzes were conducted.

    Results:

    patients classified as red are 10.7 times more likely to have scores above 14 in TISS-28 in relation to others. Patients classified as red have 5.9 times more chance of progression to death compared to others. Patients of high priority service are 1.5 times more likely to be hospitalized over five days than low priority.

    Conclusions:

    STM proved a good predictor of clinical outcomes.

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  • 01-01-2015

    Entrepreneurship in Nursing: overview of companies in the State of São Paulo

    Revista Brasileira de Enfermagem. 2015;68(1):40-44

    Abstract

    Entrepreneurship in Nursing: overview of companies in the State of São Paulo

    Revista Brasileira de Enfermagem. 2015;68(1):40-44

    DOI 10.1590/0034-7167.2015680106i

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    Objective:

    the present study aimed to identify and characterize nursing companies managed by entrepreneur nurses registered at the Commercial Registry of São Paulo by 2011.

    Method:

    it’s a descriptive, exploratory study, whose data collection, made throughout January 2012, was carried out on the Commercial Registry of Sao Paulo website. This non-governmental body has the function of registering the opening of companies and supervising their trade situation.

    Results and conclusion:

    this study allowed us to identify that the entrepreneur nurse is a growing reality through the identification of 196 companies opened by these professionals. Afterwards, it was analyzed their time of functioning, the main economic activity of the company, capital value, percentage of nurse partners and the distribution of companies by region of Sao Paulo State.

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    Entrepreneurship in Nursing: overview of companies in the State of São Paulo
  • 01-01-2015

    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

    Revista Brasileira de Enfermagem. 2015;68(1):32-39

    Abstract

    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

    Revista Brasileira de Enfermagem. 2015;68(1):32-39

    DOI 10.1590/0034-7167.2015680105i

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    Objective:

    the study aims at discussing the significations apprehended by the non-blood donators, considering the context and the consequences of the acting of the nurse in hemotherapy.

    Method:

    it is a qualitative approach, with theoretical frame of Symbolic Interactionism and Grounded Theory method. The data production was carried out by intensive interview with subjects of three sample groups of a University Hospital of Rio de Janeiro City.

    Results:

    the phenomenon originated two analysis categories: “Perceiving the blood matter” and “Reflecting about the blood donation campaigns”. It was observed that the environment of the donor is not composed by contact with the other and the information that it can achieve, including the media.

    Conclusion:

    these were the main basis for the knowledge of blood donation according to their beliefs, culture and values. Therefore, all these aspects must be considered by the nurse acting on donors capture.

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    Knowing blood donation surroundings: Implications for nurse service in hemotherapy

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