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  • 01-01-2015

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000
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    Abstract

    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

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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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  • 01-01-2015

    Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000
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    Abstract

    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

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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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  • 01-01-2015

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962
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    Abstract

    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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  • 01-01-2015

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960
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    Abstract

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960

    DOI 10.1590/0034-7167.2015680526i

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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’.

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    Delayed surgical recovery: a concept analysis
  • 01-01-2015

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952
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    Abstract

    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

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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.

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    Total Quality Management and hospital nursing: an integrative literature review
  • 01-01-2015

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944
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    Abstract

    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

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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.

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    Association between fatigue and functional capacity in patients with intermittent claudication
  • 01-01-2015

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936
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    Abstract

    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

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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.

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  • 01-01-2015

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929
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    Abstract

    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

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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.

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  • 01-01-2016

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971
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    Abstract

    Leads for potentializing groups in Primary Health Care

    Revista Brasileira de Enfermagem. 2016;69(5):964-971

    DOI 10.1590/0034-7167-2015-0102

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    ABSTRACT

    Objective:

    to analyze the aspects that potentialize groups in Primary Health Care according to their coordinators and participants.

    Method:

    This is a descriptive study with a qualitative approach, conducted with a health promotion group affiliated with a Family Health Unit. The data were collected by means of focus groups with participants and community workers who were submitted to thematic content analysis.

    Results:

    the analysis gave rise to three thematic categories: The group is our medicine; Healthy living and learning; and Priceless leadership.

    Conclusion:

    the leads identified during the study were as follows: group organization involves investment in motivation and leadership by the coordinators; production of grouping and cohesion is a result of participants and coordinators meeting together, interspersed with dialog, things said and left unsaid that the subjects expressed in the group dynamic; the sense of belonging guarantees their placement in the group based on the recognition of their knowledge and affective, social and health needs.

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    Leads for potentializing groups in Primary Health Care
  • 01-01-2016

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963
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    Abstract

    The path to crack addiction: perceptions of people under treatment

    Revista Brasileira de Enfermagem. 2016;69(5):956-963

    DOI 10.1590/0034-7167-2016-0045

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    ABSTRACT

    Objective:

    the objective of this study was to understand the meaning of the harmful use of crack by people undergoing addiction treatment.

    Method:

    qualitative approach of social research on strategic modality was used. Field observation, preparation of field diary and focus groups, and data analysis through the method of interpreting meaning were carried out.

    Results:

    the results contributed to the construction of three thematic categories: “The discovery of crack and other drugs” that describes the experimentation with crack and other drugs; “The pain of the pleasure”, key category that describes the moments after crack experimentation and that, many times, turns into addiction, which leads the person into a cycle of short periods of attempts at abstinence, relapse, and relentless consumption; and “Return to normal life”.

    Conclusion:

    treating people with crack addiction must be carried out in ways that narrow the distance between these people and their families, society and health care.

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  • 01-01-2016

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955
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    Abstract

    Intimate partner violence in adolescence: an analysis of gender and generation

    Revista Brasileira de Enfermagem. 2016;69(5):946-955

    DOI 10.1590/0034-7167-2016-0408

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    ABSTRACT

    Objective:

    to analyze the intimate partner violence in adolescence from the perspective of gender and generation.

    Method:

    Quantitative, descriptive, and exploratory research. 111 adolescents participated in this study, with ages from 15 to 19 years old.

    Results:

    We found that 91% of participants have perpetrated and 90.1% have undergone at least one of the natures of violence. The intimate partner violence in adolescence constitutes a form of gender violence, and gender constructions have determined the suffered and perpetrated aggressions, possibly also determining the naturalization and legitimization of such aggressions. The inequality of power between generations may determine greater vulnerability of youngsters to the phenomenon.

    Conclusion:

    The historical and social construction of masculinity and femininity and the power inequalities set by these constructions converge with the power inequality between generations. Thus, gender and generation are determinants of intimate partner violence in adolescence, as well as of the vulnerability of adolescents to this phenomenon.

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  • 01-01-2016

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945
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    Abstract

    Hospitalization anxiety in children: conceptual analysis

    Revista Brasileira de Enfermagem. 2016;69(5):940-945

    DOI 10.1590/0034-7167-2015-0116

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    ABSTRACT

    Objective:

    to analyze the concept “hospitalization anxiety in children”, identifying its antecedents, attributes, and consequences, with the objective of clarifying its meaning.

    Method:

    we used a conceptual analysis model, whose objective is to clarify the meaning of terms.

    Results:

    we identified the concept antecedents and its attributes, classified as biological and psychological needs, which are essential characteristics of “hospitalization anxiety in children”. This process consequences have also been identified. We proceeded to the analysis of the characteristics with emphasis on the impacts of the hospitalization process on the child and on the family.

    Conclusion:

    based on the conceptual analysis of the phenomenon, it was possible to identify the antecedents, attributes, and consequences of Hospitalization Anxiety in children. We recommend the continuation of the study validating the essential characteristics presently identified as a way to join knowledge gathered and professional practice.

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    Hospitalization anxiety in children: conceptual analysis
  • 01-01-2016

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939
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    Abstract

    Stroke: patient characteristics and quality of life of caregivers

    Revista Brasileira de Enfermagem. 2016;69(5):933-939

    DOI 10.1590/0034-7167-2015-0064

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    ABSTRACT

    Objective:

    to investigate the association between the domains of health-related quality of life of family caregivers and sociodemographic characteristics of individuals with stroke sequelae.

    Method:

    descriptive, cross-sectional, quantitative research, conducted with 136 family caregivers of individuals with stroke sequelae by means of home interviews from April to June 2013.

    Results:

    we found that caregivers of individuals aged under 65 years, married, with 10 to 12 years of formal education, presented higher scores, respectively, in the domains ‘Social aspects’, ‘Emotional aspects’, and ‘Mental health’. However, caregivers of patients with higher degree of disability obtained lower score in the ‘Mental Health’ domain.

    Conclusion:

    the results foster reflection on the need of including the family caregivers of individuals with stroke sequelae in the planning of care provided by health professionals.

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  • 01-01-2016

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932
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    Abstract

    A quasi-experimental nursing study on pain in comatose patients

    Revista Brasileira de Enfermagem. 2016;69(5):927-932

    DOI 10.1590/0034-7167-2015-0121

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    ABSTRACT

    Objective:

    to verify whether comatose patients feel pain during the bed bath nursing procedure.

    Method:

    nineteen patients aged 61 ± 17.39 years participated in the study. A quantitative analysis was conducted on the P substance (PS) in the saliva collected before and during a bed bath, using the ELISA method. Program Graph Pad Prisma 6 was used to analyze the data. The verification of normality was made through the Shapiro Wilk test, which determined the choice for the Wilcoxon nonparametric test.

    Results:

    the study showed a statistically significant increase (∆= 5.62%, p<0.001) in the PS level of the patients studied during the nursing procedure.

    Conclusion:

    when caring for comatose patients during a bed bath, professionals cause or add painful stimuli; therefore, they feel pain.

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    A quasi-experimental nursing study on pain in comatose patients
  • 01-01-2016

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926
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    Abstract

    Quality of nursing care: instrument development and validation

    Revista Brasileira de Enfermagem. 2016;69(5):920-926

    DOI 10.1590/0034-7167-2015-0151

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    ABSTRACT

    Objectives:

    to describe the development and validation process of a scale to measure the nurses’ perception of the activities that contribute to nursing care quality.

    Method:

    methodological study based on a literature review, the opinion of experts and the experience of study investigators. An instrument was designed containing six dimensions and 25 items, applied as a questionnaire to 775 nurses from a hospital in northern Portugal, from May to July 2014. The instrument validation used an exploratory factor analysis and an internal consistency assessment of each factor/dimension.

    Results:

    the factor analysis indicated the need to adjust the original composition of the scale, which then received one more dimension, totaling seven dimensions and the same 25 items, and presented a high internal consistency (Cronbach’s alpha of 0.940).

    Conclusion:

    the final version of the scale presents adequate psychometric properties, with potential use in future studies.

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  • 01-01-2016

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919
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    Abstract

    Network and social support in family care of children with diabetes

    Revista Brasileira de Enfermagem. 2016;69(5):912-919

    DOI 10.1590/0034-7167-2015-0085

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    ABSTRACT

    Objective:

    to understand the influence of network and social support in the care of a child with type 1 diabetes.

    Method:

    qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model.

    Results:

    the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes.

    Conclusion:

    the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

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