Articles - Revista Brasileira de Enfermagem

  • 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

    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

    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

    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

    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

    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

    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

    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

    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

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):206-206

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):206-206

    DOI 10.1590/0034-7167.20166901e02

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    In the article “Conceptions of mid-level nursing professionals facing those with a chemical dependency”, with the number of DOI: 10.1590/0034-7167.2015680610i, published in the journal Revista Brasileira de Enfermagem, v68(6):755-60, page 760 that read:“8. Vargas D, Soares J. Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention. Rev Esc […]
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  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):205-205

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):205-205

    DOI 10.1590/0034-7167.20166901e01

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    In the article “Using the theory of meaningful learning in nursing education”, with the number of DOI: 10.1590/0034-7167.2015680420i, published in the journal Revista Brasileira de Enfermagem, v68(4):626-35, page 627 that read:“Ausubel was descended from Jewish, born in New York in 1918 and died in 1994 at the age of 75. He thought and wrote until […]
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  • 01-01-2016

    Nursing process documentation: rationale and methods of analytical study

    Revista Brasileira de Enfermagem. 2016;69(1):197-204

    Abstract

    Nursing process documentation: rationale and methods of analytical study

    Revista Brasileira de Enfermagem. 2016;69(1):197-204

    DOI 10.1590/0034-7167.2016690126i

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    ABSTRACT

    Objective:

    to describe the methods used to analyze the associations between variables of service, nursing and the nursing process documentation in institutions of the Department of Health of the State of São Paulo.

    Method:

    multilevel analytical study with data obtained in the domains of institution, units of the institution and nursing professionals who work there, using standardized instruments. The analyses had as axis the degree of completeness of the nursing process documentation in units or institutions and their association with variables of nursing personnel, of units and of institutions.

    Conclusion:

    This study will provide important empirical evidence on the factors involved in the nursing process documentation.

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  • 01-01-2016

    Qualitative methodologies in health research: interpretive referential of Patricia Benner

    Revista Brasileira de Enfermagem. 2016;69(1):192-196

    Abstract

    Qualitative methodologies in health research: interpretive referential of Patricia Benner

    Revista Brasileira de Enfermagem. 2016;69(1):192-196

    DOI 10.1590/0034-7167.2016690125i

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    ABSTRACT

    Objective:

    this article reports on the experience of using the interpretive phenomenological framework of Patricia Benner in a Brazilian context. Benner’s interpretive phenomenology, based on existential and interpretative philosophy, aims to understand human experiences in the particular worlds of research participants. Data were collected through interviews with nine nurses in November and December 2014.

    Results:

    data analysis process according to Benner’s framework consisted of: transcription, coding, thematic analysis, and search for paradigmatic cases and examples. Therefore, the prior knowledge of the researcher is an important part of the study, consisting in manners of the research conduction.

    Conclusion:

    The use of this methodological framework entailed a great challenge for the researcher, however, it also enabled a unique opportunity to illuminate important existential phenomena related to the daily lives of research participants.

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  • 01-01-2016

    Nurses’ performance on primary care in the National Health Service in England

    Revista Brasileira de Enfermagem. 2016;69(1):182-191

    Abstract

    Nurses’ performance on primary care in the National Health Service in England

    Revista Brasileira de Enfermagem. 2016;69(1):182-191

    DOI 10.1590/0034-7167.2016690124i

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    ABSTRACT

    Objective:

    To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice.

    Method:

    qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses’ performance characteristics and effects of the expansion of nursing roles.

    Results:

    expansion of nurses’ roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings.

    Conclusion:

    benefits in expanding nursing roles, were visible, contributing to primary care quality.

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  • 01-01-2016

    Meleis’ Nursing Theories Evaluation: integrative review

    Revista Brasileira de Enfermagem. 2016;69(1):174-181

    Abstract

    Meleis’ Nursing Theories Evaluation: integrative review

    Revista Brasileira de Enfermagem. 2016;69(1):174-181

    DOI 10.1590/0034-7167.2016690123i

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    ABSTRACT

    Objective:

    to analyze the application of the theory evaluation model proposed by Meleis in Brazilian studies.

    Method:

    integrative review of online articles published from 2002 to 2012 in the databases LILACS and BDENF.

    Results:

    the 16 selected studies confirmed the use of only three of the five stages proposed for Meleis’ theories analysis: Description of the Theory, Criticism of the Theory and Analysis of the Theory, with a predominance of a single unit of analysis in each.

    Conclusion:

    the analysis of nursing theories provides support to nurses in the practice, research, education and administration of the different dimensions of care. Meleis’ model figures as very important by contributing to the development of knowledge of nursing discipline, considering that its use as a method allows several reflections on theories in order that they be revalidated to support a more theoretical and practical applicability.

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    Meleis’ Nursing Theories Evaluation: integrative review
  • 01-01-2016

    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(1):165-173

    Abstract

    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(1):165-173

    DOI 10.1590/0034-7167.2016690122i

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    ABSTRACT

    Objective:

    to identify the nursing diagnosis clinical indicators of sexual dysfunction in pregnant women.

    Method:

    it is an integrative literature review, with research in databases using the keywords “sexual*”, “pregnan*” and “function*”. Studies included had an abstract available for analysis, referring to pregnant women over 18 years old, written in Portuguese, French, Spanish and English, with publication date between 2010 and 2014. Studies that reporting pregnant women with an associated pathology were excluded.

    Results:

    sexual dysfunction in pregnant women is consistent in the literature. Nine defining characteristics were identified and 16 related factors, some not classified in NANDA International.

    Conclusion:

    clinical indicators can be added to the nursing diagnosis to favor an accurate diagnosis and effective interventions in the surveillance of pregnancy as a period of healthy sexual experience.

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    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review
  • 01-01-2016

    Conditions of functional health literacy of an elderly diabetics group

    Revista Brasileira de Enfermagem. 2016;69(1):156-164

    Abstract

    Conditions of functional health literacy of an elderly diabetics group

    Revista Brasileira de Enfermagem. 2016;69(1):156-164

    DOI 10.1590/0034-7167.2016690121i

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    ABSTRACT

    Objective:

    to evaluate the conditions of functional health literacy of an elderly diabetics group.

    Method:

    cross-sectional and descriptive study, with diabetic’s elderly assisted in the SUS (N = 114). The social and health conditions were evaluated as well as functional health literacy by S-TOFHLA test (short version); the simple proportions, average, standard deviation and Pearson’s Chi-square were described by SPSS software (20.0) with α = 5% value.

    Results:

    the mean age was 67.4 years, 74.0% of the elderly were women, had up to four years of schooling; 29.8% had a long-standing illness, 64.0% reported having high blood pressure, 47.4% smoke or were smokers, 73.7% had low functional health literacy, which was associated with schooling p = 0.001.

    Conclusions:

    the low functional health literacy could be a self-care conditioning and can be influenced by low schooling because it implies to have skills to understand and make decisions aimed at self-management of health.

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