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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  • 01-01-2015

    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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