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ORIGINAL ARTICLE
Factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(5):e20230172
08-26-2024
Abstract
ORIGINAL ARTICLEFactors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(5):e20230172
08-26-2024DOI 10.1590/0034-7167-2023-0172
Views0ABSTRACT
Objectives:
to evaluate the factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Methods:
this ecological study was conducted using secondary data from Brazilian pregnant women with COVID-19 hospitalized in Intensive Care Units between March 2020 and March 2022. Univariate analysis and logistic regression were employed.
Results:
out of 3,547 pregnant women with COVID-19 hospitalized in Intensive Care Units, 811 died (22.8%). It was found that lack of COVID-19 vaccination (OR: 2.73; 95% CI: 1.83; 4.04), dyspnea (OR: 1.73; 95% CI: 1.17; 2.56), obesity (OR: 1.51; 95% CI: 1.05; 2.17), chronic cardiovascular disease (OR: 1.65; 95% CI: 1.14; 2.38), and non-white race/color (OR: 1.29; 95% CI: 1.00; 1.66) were independently and significantly associated with death.
Conclusions:
it is concluded that vaccination status, presence of comorbidities, and clinical and ethnic-racial characteristics are associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Keywords:COVID-19Intensive Care UnitMaternal MortalityPregnant WomenSevere Acute Respiratory SyndromeSee more -
ORIGINAL ARTICLE
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
08-26-2024
Abstract
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
08-26-2024DOI 10.1590/0034-7167-2023-0293
Views0ABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
Keywords:Blood TransfusionClinical EvolutionEmergency Medical ServiceLeukocyte Reduction ProceduresTransfusion ReactionSee more -
ORIGINAL ARTICLE
Leadership styles and personal values of professors at a school of nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20230333
08-26-2024
Abstract
ORIGINAL ARTICLELeadership styles and personal values of professors at a school of nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20230333
08-26-2024DOI 10.1590/0034-7167-2023-0333
Views0See moreABSTRACT
Objectives:
to identify professors’ leadership styles and personal values.
Methods:
a quantitative, descriptive-exploratory study. Population was made up of professors in doctoral category 1 at a public university in the state of São Paulo. Data collection took place from June to August 2021. Sociodemographic characterization was extracted, and the Leadership Team Values Assessment was applied. Data were analyzed using measures of central tendency.
Results:
population included 13 professors. The level that represents authentic leadership was the most prevalent. The commitment, positive attitude and trust values stood out. The level portrayed by visionary leadership was the least identified.
Conclusions:
professors’ personal values provide a theoretical basis for guiding and analyzing professors’ leadership styles. Leadership in the educational context must be recognized and studied to promote a more comprehensive and effective approach to developing and improving educational leaders.
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EDITORIAL
Sexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
08-19-2024
Abstract
EDITORIALSexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
08-19-2024DOI 10.1590/0034-7167.202477suppl0401
Views0Here is an academic-political editorial that aims to call on the scientific field to reflect on the dangers of decisions regarding the right to abortion under moral rules, since there is no evidence that such a perspective translates into practices of care, protection of childhood and gender equity – elements that are so urgent and […]See more -
ORIGINAL ARTICLE
Bioethical issues in the family health strategy: Considerations for nursing care management
Revista Brasileira de Enfermagem. 2024;77:e20220818
08-19-2024
Abstract
ORIGINAL ARTICLEBioethical issues in the family health strategy: Considerations for nursing care management
Revista Brasileira de Enfermagem. 2024;77:e20220818
08-19-2024DOI 10.1590/0034-7167-2022-0818
Views0See moreABSTRACT
Objective:
To understand the bioethical issues involved in the care management of nurses working in the Family Health Strategy.
Method:
A qualitative study was conducted through five focus groups with 36 nurses selected in the sample. Thematic content analysis was performed based on the bioethical framework, and the synthesis was presented in a conceptual map.
Results:
Bioethical issues were identified in the nursing care practice, related to both specific bioethical themes and the peculiarities of the work. Additionally, challenges and facilitators that interfere with addressing these issues were identified.
Final considerations:
Understanding the bioethical issues involved in the care management of nurses was possible with the theoretical support of different bioethical perspectives. The identified issues relate to persistent and current themes in the field of bioethics. However, some aspects intrinsic to daily practice are still imperceptible to professionals, contributing to the difficulty of discussing bioethics in this care model.
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ORIGINAL ARTICLE
The use of individual tracking programs in public health: a bioethics dilemma
Revista Brasileira de Enfermagem. 2024;77:e20230041
08-19-2024
Abstract
ORIGINAL ARTICLEThe use of individual tracking programs in public health: a bioethics dilemma
Revista Brasileira de Enfermagem. 2024;77:e20230041
08-19-2024DOI 10.1590/0034-7167-2023-0041
Views0See moreABSTRACT
Objective:
to understand the bioethical perspectives on mobile tracking device use.
Methods:
theoretical study based on action research, carried out with eight graduate students from a public university. A focus group was used, with a thematic content analysis methodology with a codebook structure, approved by the Research Ethics Committee.
Results:
from the analysis, there was a concern about using devices after the pandemic ended. Using or not the device, rights inherent to humans, legislation and effectiveness of methods deepen interpretations, moving participants from a personalistic conception of the topic to a vision focused on professional implications about the methods.
Final considerations:
the debate on the impact of using technological devices on health, especially those that imply restriction of rights that refer to individuals’ private life, involves a discussion of a professional nature, in addition to requirement for clear rules on the topic.
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EDITORIAL
Abuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
08-19-2024
Abstract
EDITORIALAbuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
08-19-2024DOI 10.1590/0034-7167.202477suppl0401pt
Views0Eis aqui um editorial acadêmico-político que tem como objetivo convocar o campo científico a refletir sobre os perigos das decisões relativas ao direito ao aborto sob réguas morais, uma vez que não há evidências de que tal perspectiva se traduza em práticas de cuidado, proteção à infância e equidade de gênero – elementos tão urgentes […]See more -
ORIGINAL ARTICLE
Mental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
07-29-2024
Abstract
ORIGINAL ARTICLEMental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
07-29-2024DOI 10.1590/0034-7167-2023-0457
Views0See moreABSTRACT
Objective:
To identify the manifestations presented by parents of children and adolescents who require special health attention that can impact their mental health.
Methods:
exploratory, qualitative research, based on the concept of vulnerability, with data collection carried out through interviews with 18 parents of children and adolescents with special health care needs, hospitalized in the pediatric ward of a hospital in Paraná, between May/2017 and May/ 2018. Data analyzed by inductive thematic analysis.
Results:
parents experienced situations of vulnerability when providing care at home, with repercussions on their mental health, expressed by manifestations of lack of protection, anxiety and depression.
Final considerations:
It is important that health professionals seek to expand actions to promote care and reduce situations that generate threats, insecurities, concerns and damage to the health of parents, which can impact and further weaken care for children and adolescents who need attention especially health.
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ORIGINAL ARTICLE
Production and validation of an educational video on the use of the Z-Track Technique
Revista Brasileira de Enfermagem. 2023;76(2):e20220439
03-17-2023
Abstract
ORIGINAL ARTICLEProduction and validation of an educational video on the use of the Z-Track Technique
Revista Brasileira de Enfermagem. 2023;76(2):e20220439
03-17-2023DOI 10.1590/0034-7167-2022-0439
Views0ABSTRACT
Objective:
to create and validate an educational video on intramuscular drug administration using the Z-track technique.
Methods:
the Delphi Technique was used to validate the script. PhDs in Nursing and PhDs in Social Communication with experience in the production of educational videos participated in the process. After editing, the video was validated by three nursing professors and assessed by students of the undergraduate nursing program at a public university.
Results:
the video was validated by the examiners with 100% agreement in three rounds for script validation and in two for video validation after editing. The duration of the video was 9 minutes.
Conclusion:
after validation by the examiners, students assessed the video and considered it suitable for learning. We This video is expected to aid in the training of nursing professionals and the enhancement of patient care.
Keywords:EducationInjectionsInstructional Film and VideoIntramuscularNursingValidation StudyVideo-Audio MediaSee more -
REVIEW
Biosafety measures to prevent COVID-19 in healthcare professionals: an integrative review
Revista Brasileira de Enfermagem. 2022;75(1):e20201191
09-06-2022
Abstract
REVIEWBiosafety measures to prevent COVID-19 in healthcare professionals: an integrative review
Revista Brasileira de Enfermagem. 2022;75(1):e20201191
09-06-2022DOI 10.1590/0034-7167-2020-1191
Views0ABSTRACT
Objective:
to identify the main biosafety measures for preventing COVID-19 in healthcare professionals.
Methods:
this is an integrative literature review, with studies published between January and July 2020, on the MEDLINE/PubMed, Scopus, Embase, Web of Science, LILACS, SciELo, Wiley Online Library, Cochrane CINAHL databases. The selection of studies followed the PRISMA recommendations.
Results:
among the 2,208 publications identified, 12 studies comprised the sample, which enabled the analysis in four thematic categories: The importance of using recommendations about the use of personal protective equipment; The restructuring of new operational and clinical routines and flows in the practice of services; Monitoring professionals, especially testing; Conducting training.
Conclusions:
the phenomena involved are innumerable, covering operational management and the training of teams to deal with highly infectious pathogens and disease outbreaks.
Keywords:Containment of BiohazardsCOVID-19Health PersonnelHospital ServicesPersonal Protective EquipmentSee more -
ORIGINAL ARTICLE
Organizational flow chart of home care for children with special health care needs
Revista Brasileira de Enfermagem. 2020;73:e20190310
09-21-2020
Abstract
ORIGINAL ARTICLEOrganizational flow chart of home care for children with special health care needs
Revista Brasileira de Enfermagem. 2020;73:e20190310
09-21-2020DOI 10.1590/0034-7167-2019-0310
Views0See moreABSTRACT
Objective:
To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN) in the state of Parana.
Method:
Quantitative, descriptive, exploratory, multiple case studies. Data was collected with professionals from the eight home care services in Parana. Data were analyzed using the Strengths, Weaknesses, Opportunities and Threats (SWOT) methodology, from which a 5W2H method of action plan was developed, resulting in a flow chart.
Results:
Considering the strategies found in Home Care services, such as planned hospital discharge, caregiver training, organized transportation and singular therapeutic project, a flow organization protocol for children with special health care needs in Home Care services was developed.
Conclusion:
The protocol developed makes it possible to organize the care provided to children with special health care needs in home care.
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EXPERIENCE REPORT
COVID-19 pandemic: report on the use of auriculotherapy to optimize emergency workers’ health
Revista Brasileira de Enfermagem. 2020;73:e20200507
12-04-2020
Abstract
EXPERIENCE REPORTCOVID-19 pandemic: report on the use of auriculotherapy to optimize emergency workers’ health
Revista Brasileira de Enfermagem. 2020;73:e20200507
12-04-2020DOI 10.1590/0034-7167-2020-0507
Views0See moreABSTRACT
Objective:
To report the use of auriculotherapy to optimize emergency workers’ health during the COVID-19 pandemic.
Methods:
Experience report of auriculotherapy application in 48 workers of a mobile emergency care service center located in a city in the Northeast of Brazil.
Results:
Six auriculotherapy sessions were held, each lasting eight minutes, based on specific protocols in the area and Chinese energy physiology. The aim of the practice was to contribute to the improvement of physical (pain) and emotional (anxiety, stress) symptoms, and the promotion of greater health and willingness to work. In addition, the experimentation of this practice was thought of as a pilot for the creation of a care service for workers.
Final Considerations:
In the report of auriculotherapy, the description of its application and its positive and negative points in relation to professionals working in the pandemic scenario were considered and its continuity was requested.
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ORIGINAL ARTICLE
Common mental disorders in nursing technicians of a university hospital
Revista Brasileira de Enfermagem. 2020;73(1):e20180513
02-10-2020
Abstract
ORIGINAL ARTICLECommon mental disorders in nursing technicians of a university hospital
Revista Brasileira de Enfermagem. 2020;73(1):e20180513
02-10-2020DOI 10.1590/0034-7167-2018-0513
Views0ABSTRACT
Objective:
To verify the prevalence of common mental disorders and associated factors in nursing technicians.
Method:
Cross-sectional analytical study conducted at a university hospital. A questionnaire with sociodemographic, educational and work-related variables and the Self Reporting Questionnaire-20 were used to verify the presence of common mental disorders. Association analysis was performed using the chi-squared test, with a significance level of 5%.
Results:
280 nursing technicians participated in the study. The prevalence of common mental disorders was 46.9%. The variables family income (p=0.021) and working exclusively in health area (p<0.001) were associated with the outcome. There was a higher prevalence of CMD among individuals with a family income below four minimum wages (PR=1.41) and among professionals who worked exclusively in the health area (PR=1.95).
Conclusion:
Approximately half of the nursing technicians of the university hospital presented common mental disorders, which were associated with economic and work-related variables.
Keywords:Hospitals, UniversityMental DisordersMental HealthNursing Human ResourcesOccupational HealthSee more -
ORIGINAL ARTICLE
Relationship between quality of life, self-esteem and depression in people after kidney transplantation
Revista Brasileira de Enfermagem. 2020;73(1):e20180245
02-10-2020
Abstract
ORIGINAL ARTICLERelationship between quality of life, self-esteem and depression in people after kidney transplantation
Revista Brasileira de Enfermagem. 2020;73(1):e20180245
02-10-2020DOI 10.1590/0034-7167-2018-0245
Views0See moreABSTRACT
Objective:
to assess the relationship between health-related quality of life with depression and self-esteem of people after kidney transplantation.
Method:
a cross-sectional study of 47 outpatients from October 2016 to February 2017. The following tools were applied: The Medical Outcomes Study 36-Item Short-Form Health Survey, Beck Depression Inventory and Rosenberg Self-Esteem Scale. Descriptive statistics and Spearman correlation were used.
Results:
women had lower scores for health-related quality of life. Young adults, people with up to one and a half years of transplantation and those who had dialysis for more than one year had higher scores.
Conclusion:
the health-related quality of life of people with chronic kidney disease after transplantation ranged from good to excellent. The presence of depression was not identified. The relationship of data indicates that the higher the quality of life, the better the self-esteem assessment.
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ORIGINAL ARTICLE
Adherence of the nursing team to patient safety actions in neonatal units
Revista Brasileira de Enfermagem. 2021;74(2):e20200765
05-21-2021
Abstract
ORIGINAL ARTICLEAdherence of the nursing team to patient safety actions in neonatal units
Revista Brasileira de Enfermagem. 2021;74(2):e20200765
05-21-2021DOI 10.1590/0034-7167-2020-0765
Views0See moreABSTRACT
Objectives:
to describe the nursing team’s adherence to patient safety actions in neonatal units using a validated instrument.
Methods:
a cross-sectional study, carried out through direct observation of the nursing team and descriptive analysis of 182 records of the “Checklist for patient safety in nursing care during hospitalization in Neonatal Intensive Care Units” in a hospital in the municipality of Belo Horizonte.
Results:
there was evidence of adherence greater than 90.0% in the units concerning the use of the identification wristband and guidance of the companions. It was identified 79.0% of absence on the checking of wristband identification and 59.0% of the absence of an evaluation of the crib wheels’ locks. Three of the 21 items included in the checklist did not show non-conformities.
Conclusions:
partial adherence to patient safety actions was observed, especially regarding the target of patient identification and prevention of falls, which exposes newborns to preventable adverse events.
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