Articles - Revista Brasileira de Enfermagem

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RESEARCH01-01-2016

Prevalence and factors associated with frailty in non-institutionalized older adults
Revista Brasileira de Enfermagem. 2016;69(3):435-442

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Abstract
RESEARCH
Prevalence and factors associated with frailty in non-institutionalized older adults
Revista Brasileira de Enfermagem. 2016;69(3):435-442
DOI 10.1590/0034-7167.2016690304i
Jair Almeida Carneiro,
Gizele Carmem Fagundes Ramos,
Ana Teresa Fernandes Barbosa,
José Marcio Girardi de Mendonça,
Fernanda Marques da Costa,
Antônio Prates Caldeira
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ABSTRACT

Objective:

to investigate the prevalence and factors associated with frailty in non-institutionalized older adults living in northern Minas Gerais, Brazil.

Method:

data were collected in their homes, in 2013, based on a census cluster sampling. Demographic and socioeconomic variables, morbidities, utilization of health care services, and scores on the Edmonton Fragility Scale were analyzed. The adjusted prevalence ratios were obtained using the Poisson regression multiple analysis with robust variance.

Results:

the prevalence of frailty was 41.3%. The variables associated with frailty were: female gender, very old age, education of less than four years, not having been hospitalized in the last 12 months, having a caregiver, falling in the prior year, diabetes mellitus, cardiac disease, and osteoarticular disease.

Conclusion:

the prevalence of frailty was high. Some factors consist of modifiable conditions, which should encourage health actions aimed at this group.

Keywords:Aged Frail Elderly Health of the Elderly Health Vulnerability Prevalence
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RESEARCH01-01-2016

“To be a nurse”: a professional choice and the construction of identity processes in the 1970s
- Sheila Saint-Clair Teodosio,
- Maria Itayra Padilha
Revista Brasileira de Enfermagem. 2016;69(3):428-434

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Abstract
RESEARCH
“To be a nurse”: a professional choice and the construction of identity processes in the 1970s
Revista Brasileira de Enfermagem. 2016;69(3):428-434
DOI 10.1590/0034-7167.2016690303i
Sheila Saint-Clair Teodosio,
Maria Itayra Padilha
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ABSTRACT

Objective:

to analyze the factors that influenced the choice for nursing made by graduates from the first class of the Undergraduate Nursing and Obstetrics Course of the Federal University of Rio Grande do Norte in the 1970s and to understand the senses and meanings of being a nurse when choosing this profession.

Method:

a qualitative socio-historical study was performed, using oral history to collect data.

Results:

the analysis generated the following categories: “To be a nurse: a professional choice” and “The ideal of being a nurse: senses and meanings”. The senses of “being a nurse” are associated with graduates’ perspective of this profession and the meanings included the traditional conceptions that have historically affected it.

Conclusion:

professional choice was influenced by family and work expectations and the nursing course had an effect on the construction of nurses’ professional identity.

Keywords:History of Nursing Nursing Professional Choice Professional Identity Qualification
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RESEARCH01-01-2016

Nurses’ knowledge and practice on social participation in health
Revista Brasileira de Enfermagem. 2016;69(3):421-427

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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.
Abstract
RESEARCH
Nurses’ knowledge and practice on social participation in health
Revista Brasileira de Enfermagem. 2016;69(3):421-427
DOI 10.1590/0034-7167.2016690302i
Deíse Moura de Oliveira,
Nilzza Carlla Pereira de Deus,
Beatriz Santana Caçador,
Érika Andrade e Silva,
Pauliana Pimentel Coelho Garcia,
Maria Cristina Pinto de Jesus,
Miriam Aparecida Barbosa Merighi
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ABSTRACT

Objective:

to identify nurses’ knowledge and practice in the framework of the Family Health Strategy program with regard to social participation in health.

Method:

qualitative study which had the Family Health Units in a municipality of Minas Gerais as setting. Nine nurses participated in the study, and they were interviewed individually in July and August 2014. Data were collected and analyzed according to the content analysis technique and interpreted in the light of Paulo Freire’s ontology and critical pedagogy.

Results:

the analyzed statements showed that nurses bring along conceptual and behavioral inconsistencies which need to be equalized, so their knowledge and practice can mediate the challenging construction of participatory management in health.

Conclusion:

an improvement in nurses’ training is suggested, both academically and professionally, aiming at strengthening their political role in the process of consolidation of social participation in the Brazilian Unified Health System.

Keywords:Family Health Strategy, Qualitative Research Nursing Social Participation Unified Health System
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EDITORIAL01-01-2016

The challenges of USA nursing education to meet local, regional and global need
- Virginia W Adams
Revista Brasileira de Enfermagem. 2016;69(3):417-418

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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.
Abstract
EDITORIAL
The challenges of USA nursing education to meet local, regional and global need
Revista Brasileira de Enfermagem. 2016;69(3):417-418
DOI 10.1590/0034-7167.2016690301i
Virginia W Adams
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The National League for Nursing (NLN), the voice for nursing education, is committed to the education of an exemplary nursing workforce that values and incorporates the richness of difference and inclusion to advance the health of the nation and the global community. With its population of over 320 million people, the United States of America […]
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EDITORIAL01-01-2016

As dificuldades do ensino de enfermagem dos Estados Unidos para atender necessidades locais, regionais e globais
- Virginia W Adams
Revista Brasileira de Enfermagem. 2016;69(3):417-418

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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.
Abstract
EDITORIAL
As dificuldades do ensino de enfermagem dos Estados Unidos para atender necessidades locais, regionais e globais
Revista Brasileira de Enfermagem. 2016;69(3):417-418
DOI 10.1590/0034-7167.2016690301i
Virginia W Adams
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A Liga Nacional de Enfermagem (NLN, National League for Nursing), a voz do ensino de enfermagem, está comprometida com o preparo de profissionais de enfermagem exemplares que valorizam e incorporam a riqueza das diferenças e a inclusão com vistas à evolução da saúde da nação e da comunidade global. Com sua população acima de 320 […]
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REVIEW01-01-2016

Interventions that facilitate adherence to Pap smear exam: integrative review
- Maurícia Brochado Oliveira Soares,
- Sueli Riul da Silva
Revista Brasileira de Enfermagem. 2016;69(2):404-414

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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.
Abstract
REVIEW
Interventions that facilitate adherence to Pap smear exam: integrative review
Revista Brasileira de Enfermagem. 2016;69(2):404-414
DOI 10.1590/0034-7167.2016690226i
Maurícia Brochado Oliveira Soares,
Sueli Riul da Silva
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ABSTRACT

Objective:

to identify scientific productions showing relevant interventions to implement the Cervical Uterine Cancer Prevention Program increasing adherence to exams.

Method:

integrative literature review through an online search in the following databases: LILACS, SciELO, and PubMed^® comprising articles published from 2009 to 2014.

Results:

thirty-eight articles made up the study’s final sample. Results showed the following interventions: use of case manager; telephone call; invitation letter; educational activities; media outreach work; community health agents; partnerships; population database screening; and multiple interventions.

Conclusion:

studies are mainly focused on women from developing countries and interventions are efficacious to increase women’s knowledge about and adherence to prevention of cervical uterine cancer.

Keywords:Cervix Neoplasms Prevention Health Education Nursing: Women's Health Vaginal Smears
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RESEARCH01-01-2016

Anxiety in the preoperative period of heart surgery
Revista Brasileira de Enfermagem. 2016;69(2):397-403

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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.
Abstract
RESEARCH
Anxiety in the preoperative period of heart surgery
Revista Brasileira de Enfermagem. 2016;69(2):397-403
DOI 10.1590/0034-7167.2016690225i
Karyne Kirley Negromonte Gonçalves,
Jadiane Ingrid da Silva,
Eduardo Tavares Gomes,
Liane Lopes de Souza Pinheiro,
Thaisa Remigio Figueiredo,
Simone Maria Muniz da Silva Bezerra
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ABSTRACT

Objective:

to characterize the patients’ anxiety in the preoperative period of heart surgery.

Method:

We conducted a cross-sectional study in which 106 patients, between one and five days from the date of surgery, were interviewed using a socio-demographic questionnaire and the Beck Anxiety Inventory.

Results:

The evaluated patients accounted for 59.4% (63) in minimal anxiety and 19.8% (21) in the range considered severe, and the sample had a mean in the mild anxiety level (15.8±19.79). The women had scores (22.13±23.41) significantly (p=0.003) higher than men (10.76±14.71); as well as patients who had undergone previous heart surgery (24.4±28.05 X 13.14±15.74). There was no significant difference between older adults and younger patients, nor in terms of weight variations, presence of diabetes, or alcoholism.

Conclusion:

We reinforces the importance of nurses in recognizing the preoperative anxiety and intervene through strategies of health education and nursing visits.

Keywords:Anxiety Health Education Heart Surgery Nursing Preoperative Period
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RESEARCH01-01-2016

Suicidal behavior among drug addicts
- Luiza Cantão,
- Nadja Cristiane Lappann Botti
Revista Brasileira de Enfermagem. 2016;69(2):389-396

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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.
Abstract
RESEARCH
Suicidal behavior among drug addicts
Revista Brasileira de Enfermagem. 2016;69(2):389-396
DOI 10.1590/0034-7167.2016690224i
Luiza Cantão,
Nadja Cristiane Lappann Botti
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ABSTRACT

Objective:

to describe the profile of drug addicts attended in a mental health service, the frequency of suicidal behavior among the participants and the associations between these two problems.

Method:

an exploratory, retrospective and descriptive study based on a quantitative approach, and data collected from medical records of patients with F10-F19 diagnoses according to the ICD-10 treated in this service in 2013. We expected to identify a possible association between independent variables (family, psychiatric and personal history) and the dependent variable (suicidal behavior).

Results:

Most of the individuals were men, single, with a low educational attainment, unemployed and aged between 15 and 45 years; 43.90% had a record of suicidal behavior.

Conclusion:

drug addicts with suicidal behavior are young people under the age of 30 presenting psychiatric comorbidity, mood disorders and/or depression, presence of family conflict, important dates coinciding with the suicidal behavior and mothers with psychiatric history.

Keywords:Disorders Related to Substance Use Psychiatric Nursing Risk Factors Suicide Suicide Attempt
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EDITORIAL01-01-2015

Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing
- Ricardo Alexandre Arcêncio
Revista Brasileira de Enfermagem. 2015;68(6):999-1000

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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.
Abstract
EDITORIAL
Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing
Revista Brasileira de Enfermagem. 2015;68(6):999-1000
DOI 10.1590/0034-7167.2015680601i
Ricardo Alexandre Arcêncio
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In order to establish an organizational basis for work processes in primary health care geared towards a new social practice, it is important to recognize territories and their contexts, as these materialize human interactions, conflicts, health problems and human needs.In the process of recognition and situational diagnosis of territories, technologies for spatial analysis can facilitate […]
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EDITORIAL01-01-2015

Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem
- Ricardo Alexandre Arcêncio
Revista Brasileira de Enfermagem. 2015;68(6):999-1000

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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.
Abstract
EDITORIAL
Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem
Revista Brasileira de Enfermagem. 2015;68(6):999-1000
DOI 10.1590/0034-7167.2015680601i
Ricardo Alexandre Arcêncio
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Para a constituição de uma base organizativa dos processos de trabalho na Atenção Primária à Saúde em direção a uma nova prática social é importante o reconhecimento dos territórios e seus contextos, pois estes materializam as interações humanas, os conflitos, os problemas de saúde e necessidades humanas.Nesse processo de reconhecimento e diagnóstico situacional dos territórios, […]
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OFFICIAL DOCUMENT01-01-2015

CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA
Revista Brasileira de Enfermagem. 2015;68(5):961-962

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Abstract
OFFICIAL DOCUMENT
CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA
Revista Brasileira de Enfermagem. 2015;68(5):961-962
DOI 10.1590/0034-7167.2015680527

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APRESENTAÇÃOOs participantes do 18º Seminário Nacional de Pesquisa em Enfermagem (SENPE), promovido pela Associação Brasileira de Enfermagem (ABEn) e realizado pela ABEn Seção Ceará, aprovaram, em Sessão Plenária de Encerramento, no dia 03 de junho de 2015, a “Carta de Fortaleza para a Enfermagem Brasileira”. A ABEn vem a público divulgá-la, ao mesmo tempo em […]
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Delayed surgical recovery: a concept analysis
Revista Brasileira de Enfermagem. 2015;68(5):953-960

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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.
Abstract
Delayed surgical recovery: a concept analysis
Revista Brasileira de Enfermagem. 2015;68(5):953-960
DOI 10.1590/0034-7167.2015680526i
Adilson Edson Romanzini,
Emilia Campos de Carvalho,
Cristina Maria Galvão
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ABSTRACT

Objective:

analyze the concept of delayed surgical recovery.

Method:

the Rodgers’ concept analysis provided the procedural mechanisms to guide the study, and an integrative review was performed to achieve the second activity of the model adopted. The PubMed, CINAHL, EMBASE and LILACS databases were selected to search for primary studies.

Results:

sixty-six primary studies were included and served as basis to construct the use and meaning of delayed surgical recovery concept. In the analysis, six attributes were outlined, which are interrelated and underpin the research concept definition. Preliminary experience was identified as the antecedent. The consequences of the concept are expressed through clinical manifestations, re-interventions, dependence on care and reduced quality of life.

Conclusion:

the definition of the concept was constructed, and the antecedents and consequents were identified. The use and meaning of the delayed surgical recovery concept point to the use of the qualifier ‘impaired’ instead of ‘delayed’.

Keywords:Concept Formation Nursing Perioperative Period
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REVIEW01-01-2015

Total Quality Management and hospital nursing: an integrative literature review
- Dagmar Willamowius Vituri,
- Yolanda Dora Martinez Évora
Revista Brasileira de Enfermagem. 2015;68(5):945-952

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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.
Abstract
REVIEW
Total Quality Management and hospital nursing: an integrative literature review
Revista Brasileira de Enfermagem. 2015;68(5):945-952
DOI 10.1590/0034-7167.2015680525i
Dagmar Willamowius Vituri,
Yolanda Dora Martinez Évora
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ABSTRACT

Objective:

to identify the available evidence in the literature on Total Quality Management in nursing administration.

Method:

integrative literature review of full text articles in Portuguese, English and Spanish, published between 2000 and 2011 in the LILACS, MEDLINE, SciELO and PubMed databases.

Results:

the sample comprises 24 periodical articles grouped by the following thematic categories: Theoretical assumptions; Practical application and Quality indicators. Despite the criticism of models derived from classic administration theories, experiences of success with the deployment of TQM have already marked the health and nursing setting in Brazil.

Conclusion:

Total Quality Management in managing of nursing care has being fully used in some health institutions, while others have adopted several of its principles. Two of the twenty four articles are intervention studies, which characterizes the necessity for clinical research in this area.

Keywords:Nursing Quality Management Total Quality
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RESEARCH01-01-2015

Association between fatigue and functional capacity in patients with intermittent claudication
Revista Brasileira de Enfermagem. 2015;68(5):937-944

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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.
Abstract
RESEARCH
Association between fatigue and functional capacity in patients with intermittent claudication
Revista Brasileira de Enfermagem. 2015;68(5):937-944
DOI 10.1590/0034-7167.2015680524i
Letícia de Carvalho Batista,
Caroline Shihara de Assis,
Nelson Wolosker,
Antonio Eduardo Zerati,
Rita de Cassia Gengo e Silva
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ABSTRACT

Objective:

to characterize fatigue and exertion fatigue in patients with intermittent claudication (IC), and to test their association with sociodemographic and clinical variables, walking capacity and level of physical activity.

Method:

forty-nine participants (66.6 years; 70% male) were studied. Validated questionnaires were used to assess fatigue (DUFS), exertion fatigue (DEFS), level of physical activity (BASIC) and walking capacity (WIQ).

Results:

participants had substantial fatigue (DUFS = 20.4+8.8) and substantial exertion fatigue (DEFS = 20.4+10.8). There was an association between the DUFS and marital status (p = 0,008). There was a statically significant association between DEFS with scores of the BASIC (r = .331; p = .02) and among DEFS with WIQ domains – walking distance (r=.359; p = .011) and climbing stairs (r=.331; p = .02).

Conclusion:

patients with IC have fatigue and exertion fatigue. Exertion fatigue might compromise the engagement of these patients in physical activity, one of the main components of IC treatment.

Keywords:Fatigue Intermittent Claudication Walking
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RESEARCH01-01-2015

Body mobilization for prevention of pressure ulcers: direct labor costs
- Antônio Fernandes Costa Lima,
- Valéria Castilho
Revista Brasileira de Enfermagem. 2015;68(5):930-936

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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.
Abstract
RESEARCH
Body mobilization for prevention of pressure ulcers: direct labor costs
Revista Brasileira de Enfermagem. 2015;68(5):930-936
DOI 10.1590/0034-7167.2015680523i
Antônio Fernandes Costa Lima,
Valéria Castilho
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ABSTRACT

Objective:

to calculate the average total cost (ATC) on the direct labor costs (DLC) of nursing professionals in body mobilization of patients for the prevention of pressure ulcers.

Method:

this is a quantitative, exploratory and, descriptive research. We observed 656 preventive mobilizations and we calculated the cost by multiplying the time spent by professionals at a unitary DLC.

Results:

ATC with DLC for each Unit corresponded to: Medical Clinic R$ 5.38 for bed turning, R$ 5.26 for seating positions, R$ 5.55 for walking aid; Surgical Clinic R$ 2.42 for bed turning, R$ 2.30 for seating positions, R$ 2.96 for walking aid and Intensive Care Unit R$ 8.15 for bed turning, R$ 7.57 for seating positions, R$ 15.32 for walking aid.

Conclusion:

the knowledge generated can support management related to costs of human resources needed to efficiently and effectively nursing care.

Keywords:Costs and Cost Analysis Nursing Care Pressure Ulcer
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RESEARCH01-01-2015

The mobilization of nurses for the non-interruption of nursing residence
Revista Brasileira de Enfermagem. 2015;68(5):923-929

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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.
Abstract
RESEARCH
The mobilization of nurses for the non-interruption of nursing residence
Revista Brasileira de Enfermagem. 2015;68(5):923-929
DOI 10.1590/0034-7167.2015680522i
Lucirene Barbosa da Silva,
Maria Angélica de Almeida Peres,
Gizele da Conceição Soares Martins,
Antonio José de Almeida-Filho
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ABSTRACT

Objective:

To analyze the strategies employed by nurses to maintain the nursing residence program at the Ophir Loyola Hospital and discuss the potential effects of this interruption on the state of Pará.

Method:

Social-historic research. Data were collected through primary sources, written documents, and oral testimonial; the secondary sources used were manuals and articles that approached the topic in question. The theoretical reference was based on the French sociologist Pierre Bourdieu’s ideas about the concepts of cultural, social, and symbolic capital, in addition to the habitus and field concepts.

Results:

During the nurses’ mobilization there was a strong political influence on the development of the crisis and the interruption of the nursing residence Program at the Ophir Loyola Hospital, with implications for the nurses’ qualifications and the health care delivered to the societyof Pará.

Conclusion:

The analysis showed the prevalence of partisan political interests at the expense of social interests, culminating in the interruption of the nursing residency.

Keywords:Education, Nursing, Graduate History of Nursing Nursing
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ORIGINAL ARTICLE01-10-2024

Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038

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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.
Abstract
ORIGINAL ARTICLE
Childbirth 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
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ABSTRACT

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.

Keywords:Epidemiology Obstetrics Parturition Public Health Spatial Analysis
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REVIEW01-10-2024

Nurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240023

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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.
Abstract
REVIEW
Nurses’ 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
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ABSTRACT

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:Attitudes Community Health Health Knowledge Healthy Lifestyle, Nurses Nurses Practice Sustainable Development
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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

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Abstract
ORIGINAL ARTICLE
Pain 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
Danton Matheus de Souza ,
Caroline Knoner Monteiro ,
Lisabelle Mariano Rossato
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ABSTRACT

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.

Keywords:Intensive Care Units Neonatal Nursing Neonatology Pain Management Sustainable Development
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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.
LETTER TO THE EDITOR01-10-2024

Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
- Hinpetch Daungsupawong ,
- Viroj Wiwanitkit
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c

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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.
Abstract
LETTER TO THE EDITOR
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Hinpetch Daungsupawong ,
Viroj Wiwanitkit
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A postagem não tem conteúdo
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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.
LETTER TO THE EDITOR01-10-2024

Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
- Hinpetch Daungsupawong ,
- Viroj Wiwanitkit
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c

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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.
Abstract
LETTER TO THE EDITOR
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Hinpetch Daungsupawong ,
Viroj Wiwanitkit
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Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]
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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 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

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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.
Abstract
ORIGINAL ARTICLE
Clinical 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
Priscila da Silva Timoteo ,
Kleyton Santos de Medeiros ,
Francis Solange Vieira Tourinho
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ABSTRACT

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.

Keywords:COVID-19 Disease Attributes Epidemiologic Factors Intensive Care Units Nursing 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 ARTICLE01-10-2024

Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454

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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.
Abstract
ORIGINAL ARTICLE
Morbidity 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
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ABSTRACT

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.

Keywords:COVID-19 Epidemiology Frailty Health Services for the Aged Secondary 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 ARTICLE01-10-2024

Nursing care management strategies to address the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230254

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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.
Abstract
ORIGINAL ARTICLE
Nursing 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
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ABSTRACT

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.

Keywords:Coronavirus Infections COVID-19 Health Management Hospital Care Nursing 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.

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