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ORIGINAL ARTICLE07-19-2024
Validation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
Abstract
ORIGINAL ARTICLEValidation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
DOI 10.1590/0034-7167-2023-0401
Views0See moreABSTRACT
Objectives:
to develop and validate an instrument for the classification of pregnant and postpartum women according to the demand for nursing care.
Methods:
a methodological study conducted in three stages: 1) construction of the instrument based on literature review; 2) content validation using the Delphi technique with 12 experts; and 3) Evaluation of the convergent construct validity through the correlation between the scores of the constructed instrument and the Fugulin instrument.
Results:
an instrument with ten indicators of specific care for pregnant and postpartum women was developed. A content validity index higher than 0.9 was obtained, requiring only one round of the Delphi technique. The Spearman coefficient was 0.64 between the instruments, indicating a strong correlation.
Conclusions:
the classification instrument specifically constructed for pregnant and postpartum women showed evidence of content validity and convergent construct validity with a widely used instrument in the national territory.
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ORIGINAL ARTICLE07-19-2024
Validation of an instrument for assessing leprosy care in children and adolescents
- Gutembergue Santos de Sousa
, - Isael Marcos Silva Mendonça ,
- Lia Hanna Martins Morita ,
- Denise da Costa Boamorte Cortela ,
- Pãmela Rodrigues de Souza Silva , [ … ],
- Silvana Margarida Benevides Ferreira
Abstract
ORIGINAL ARTICLEValidation of an instrument for assessing leprosy care in children and adolescents
Revista Brasileira de Enfermagem. 2024;77(2):e20230344
DOI 10.1590/0034-7167-2023-0344
- Gutembergue Santos de Sousa ,
- Isael Marcos Silva Mendonça ,
- Lia Hanna Martins Morita ,
- Denise da Costa Boamorte Cortela ,
- Pãmela Rodrigues de Souza Silva ,
- Silvana Margarida Benevides Ferreira
Views1See moreABSTRACT
Objectives:
to validate the content of an instrument for assessing leprosy care in individuals under 15 years old in the context of Primary Health Care.
Methods:
methodological study of content validation, based on the evaluation of essential and derived attributes in primary care, in the professional version. For data analysis, the Content Validation Index (CVI ≥ 0.8) and Cronbach’s Alpha were calculated.
Results:
a higher percentage of judges among nurses (61.5%) was observed; with a doctorate (46.2%), and engaged in teaching and research (77%). The overall Content Validation Index of the instrument was 0.98. In the analysis of Cronbach’s Alpha of the instrument, the assigned value was 0.717.
Conclusions:
the instrument represents an advancement in the measurement of health evaluation policies and can significantly contribute to improving the quality of care provided to children and adolescents with leprosy.
- Gutembergue Santos de Sousa
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ORIGINAL ARTICLE07-19-2024
Validation of the Brazilian Version of the Modified Scale for Delineating Advanced Practice Nursing Roles
Revista Brasileira de Enfermagem. 2024;77(2):e20230211
Abstract
ORIGINAL ARTICLEValidation of the Brazilian Version of the Modified Scale for Delineating Advanced Practice Nursing Roles
Revista Brasileira de Enfermagem. 2024;77(2):e20230211
DOI 10.1590/0034-7167-2023-0211
Views0See moreABSTRACT
Objectives:
to validate the Brazilian version of the Modified Scale for Delineating Advanced Practice Nursing Roles.
Methods:
this was a methodological study for the clinical validation of an instrument, conducted with 207 nurses working in primary care. Exploratory and confirmatory factor analysis, Cronbach’s alpha test, and z-test for proportion comparison were used.
Results:
the internal reliability of the scale was 0.944, with alpha greater than 0.80 in most domains, except for Education (0.786). In the exploratory factor analysis, considering the criterion of eigenvalue greater than one, eight factors were identified, explaining 79.38% of the variance. In the comparison of proportions, the adequate responses (≥ 2) in the domain of Comprehensive Direct Care, in both analyzed groups, were statistically equal. This domain had the highest score of adequate responses, followed by Education and Systems Support. Insufficient scoring was observed in the domains of Publication and Professional Leadership.
Conclusions:
the instrument demonstrated stability and reliability to be used in the evaluation of advanced nursing practice.
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REVIEW07-15-2024
Factors associated with Burnout Syndrome in police officers: a scoping review
- Beatriz Maria dos Santos Santiago Ribeiro ,
- Fabio Scorsolini-Comin ,
- Maria Lucia do Carmo Cruz Robazzi ,
- Sérgio Valverde Marques dos Santos ,
- Fábio de Souza Terra , [ … ],
- Rita de Cassia de Marchi Barcellos Dalri
Abstract
REVIEWFactors associated with Burnout Syndrome in police officers: a scoping review
Revista Brasileira de Enfermagem. 2024;77(2):e20230444
DOI 10.1590/0034-7167-2023-0444
- Beatriz Maria dos Santos Santiago Ribeiro ,
- Fabio Scorsolini-Comin ,
- Maria Lucia do Carmo Cruz Robazzi ,
- Sérgio Valverde Marques dos Santos ,
- Fábio de Souza Terra ,
- Rita de Cassia de Marchi Barcellos Dalri
Views0See moreABSTRACT
Objectives:
to synthesize research on factors associated with Burnout Syndrome (BS) in police officers.
Methods:
a scoping review was conducted without temporal or language restrictions. Data were exported to EndNote to remove duplicates and then imported into the Rayyan app for organization, article selection, and data extraction.
Results:
a total of 4559 publications were identified, with 50 studies included in the review. Research conducted in Brazil and the United States predominated. Certain occupational factors were found to be more closely linked to police officers compared to other professions, including law enforcement, frequency of interaction with suspects and criminals, rank, dissatisfaction with the organization, and civilian confrontations.
Conclusions:
certain aspects of the police profession contribute to BS, even in countries with better working conditions in public security. It is recommended to prioritize health promotion initiatives for these professionals.
- Beatriz Maria dos Santos Santiago Ribeiro
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07-15-2024
Invisibilidade do trabalho da enfermagem: tecnologia como via de combate
Revista Brasileira de Enfermagem. 2024;77:e77suppl0301
Abstract
Invisibilidade do trabalho da enfermagem: tecnologia como via de combate
Revista Brasileira de Enfermagem. 2024;77:e77suppl0301
DOI 10.1590/0034-7167.202477suppl0301pt
Views0Na concepção comum, o trabalho é comumente associado a uma atividade remunerada em uma sociedade mercantil e de direito, refletindo a visão moderna que o limita ao tempo trocado por salário. Essa perspectiva, influenciada pelos princípios da Revolução Industrial, estabelece uma dicotomia entre o trabalho e o tempo fora dele, segmentando a vida em esferas […]See more -
ORIGINAL ARTICLE07-15-2024
Root cause analysis of safety incidents in antineoplastic use in children
- Elizangela Domiciano Garcia Barreto ,
- Valcieny Souza Sandes ,
- Gustavo Cattelan Nobre ,
- Monica Martins ,
- Sima Esther Ferman , [ … ],
- Elisangela Costa Lima
Abstract
ORIGINAL ARTICLERoot cause analysis of safety incidents in antineoplastic use in children
Revista Brasileira de Enfermagem. 2024;77:e20230139
DOI 10.1590/0034-7167-2021-0139
- Elizangela Domiciano Garcia Barreto ,
- Valcieny Souza Sandes ,
- Gustavo Cattelan Nobre ,
- Monica Martins ,
- Sima Esther Ferman ,
- Elisangela Costa Lima
Views1See moreABSTRACT
Objectives:
to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients.
Methods:
a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors.
Results:
in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages.
Conclusions:
the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the process.
- Elizangela Domiciano Garcia Barreto
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07-15-2024
Invisibility of nursing work: technology as a means of combat
Revista Brasileira de Enfermagem. 2024;77:e77suppl0301
Abstract
Invisibility of nursing work: technology as a means of combat
Revista Brasileira de Enfermagem. 2024;77:e77suppl0301
DOI 10.1590/0034-7167.202477suppl0301
Views0In the common conception, work is commonly associated with a paid activity in a commercial and legal society, reflecting the modern view that limits it to time exchanged for wage. This perspective, influenced by Industrial Revolution principles, establishes a dichotomy between work and time outside of work, segmenting life into professional and private spheres. However, […]See more -
REVIEW07-15-2024
Risk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory
- Gabrielle Pessôa da Silva ,
- Camila Takáo Lopes ,
- Marcos Venícios de Oliveira Lopes ,
- Ryanne Carolynne Marques Gomes Mendes ,
- Jaqueline Galdino Albuquerque Perrelli , [ … ],
- Francisca Márcia Pereira Linhares
Abstract
REVIEWRisk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77:e20230288
DOI 10.1590/0034-7167-2023-0288
- Gabrielle Pessôa da Silva ,
- Camila Takáo Lopes ,
- Marcos Venícios de Oliveira Lopes ,
- Ryanne Carolynne Marques Gomes Mendes ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Lívia Maia Pascoal ,
- Suzana de Oliveira Mangueira ,
- Francisca Márcia Pereira Linhares
Views0See moreABSTRACT
Objectives:
to develop a Middle-Range Theory for the Risk for imbalanced blood pressure pattern among incarcerated women.
Methods:
theoretical development study to obtain the theoretical-causal validity of the Nursing Diagnosis Risk for unstable blood pressure. The Middle-Range Theory was developed according to six stages: establishment of the approach to developing the theory; definition of the conceptual models to be later analyzed; definition of the main conceptions; a pictorial diagram; propositions; causal relationships and evidence for practice.
Results:
two attributes and 20 antecedents related to imbalanced blood pressure were identified, a pictorial diagram was developed, and nine theoretical propositions were presented.
Conclusions:
the theory developed here favors the diagnostic reasoning of nurses and contributes to planning actions to promote the cardiovascular health of incarcerated women. A new proposition for the diagnosis of Risk for unstable blood pressure was also structured with a new title, definition, and etiological factors.
- Gabrielle Pessôa da Silva
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TECHNOLOGICAL INNOVATION09-24-2022
Transitional care from the hospital to the home in heart failure: implementation of best practices
- Michele Nakahara-Melo ,
- Ana Paula da Conceição ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Vilanice Alves de Araújo Püschel
Abstract
TECHNOLOGICAL INNOVATIONTransitional care from the hospital to the home in heart failure: implementation of best practices
Revista Brasileira de Enfermagem. 2022;75(1):e20210123
DOI 10.1590/0034-7167-2021-0123
- Michele Nakahara-Melo ,
- Ana Paula da Conceição ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Vilanice Alves de Araújo Püschel
Views0See moreABSTRACT
Objectives:
Assess the compliance of the implementation of better evidence in the transitional care of the person with heart failure from the hospital to the home.
Methods:
Evidence implementation project according to the JBI methodology in a cardiology hospital in São Paulo. Six criteria were audited before and after implementing strategies to increase compliance with best practices. 14 nurses and 22 patients participated in the audits.
Results:
In the baseline audit, compliance was null with five of the six criteria. Strategies: training of nurses; reformulation of the hospital discharge form and guidance on self-care in care contexts; and making telephone contact on the 7th, 14th and 21st days after discharge. In the follow-up audit, there was 100% compliance with five of the six criteria.
Conclusion:
The project made it possible to increase the compliance of transitional care practices in people with heart failure with the recommendations based on the best evidence.
- Michele Nakahara-Melo
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ORIGINAL ARTICLE06-27-2019
Organizational climate and teamwork at the Family Health Strategy
- Hellen Emília Peruzzo ,
- Eraldo Schunk Silva ,
- Vanessa Carla Batista ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Aida Maris Peres , [ … ],
- Sonia Silva Marcon
Abstract
ORIGINAL ARTICLEOrganizational climate and teamwork at the Family Health Strategy
Revista Brasileira de Enfermagem. 2019;72(3):721-727
DOI 10.1590/0034-7167-2017-0770
- Hellen Emília Peruzzo ,
- Eraldo Schunk Silva ,
- Vanessa Carla Batista ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Aida Maris Peres ,
- Sonia Silva Marcon
Views0See moreABSTRACT
Objective:
to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams.
Method:
a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA.
Results:
“Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45).
Conclusion:
TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.
- Hellen Emília Peruzzo
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ORIGINAL ARTICLE10-18-2022
Health education for hospitalized patient in nursing care: a conceptual analysis
- Priscila Brigolini Porfírio Ferreira ,
- Isaura Sententa Porto ,
- Fatima Helena do Espirito Santo ,
- Nebia Maria Almeida de Figueiredo ,
- Bertha Cruz Enders , [ … ],
- Silvia Teresa Carvalho de Araújo
Abstract
ORIGINAL ARTICLEHealth education for hospitalized patient in nursing care: a conceptual analysis
Revista Brasileira de Enfermagem. 2022;75(2):e20200459
DOI 10.1590/0034-7167-2020-0459
- Priscila Brigolini Porfírio Ferreira ,
- Isaura Sententa Porto ,
- Fatima Helena do Espirito Santo ,
- Nebia Maria Almeida de Figueiredo ,
- Bertha Cruz Enders ,
- Lys Eiras Cameron ,
- Silvia Teresa Carvalho de Araújo
Views0INTRODUCTIONOver the years, the development of health education practices is related to the historical moment of society(). The nineteenth and twentieth centuries presented decisive situations in the evolution process that we know today as health education. Nursing began to consider health educational practices after Florence Nightingale initially focused on professional training. Florence contributed to the […]See more
- Priscila Brigolini Porfírio Ferreira
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EXPERIENCE REPORT09-18-2020
Telemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections
- Tânia Maria de Oliva Menezes ,
- Adriana Valéria da Silva Freitas ,
- Larissa Chaves Pedreira ,
- Juliana Bezerra do Amaral
Abstract
EXPERIENCE REPORTTelemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections
Revista Brasileira de Enfermagem. 2020;73:e20200350
DOI 10.1590/0034-7167-2020-0350
- Tânia Maria de Oliva Menezes ,
- Adriana Valéria da Silva Freitas ,
- Larissa Chaves Pedreira ,
- Juliana Bezerra do Amaral
Views0See moreABSTRACT
Objective:
to report the experience of telemonitoring Brazilian nursing homes before coronavirus and COVID-19 infections.
Methods:
a descriptive experience report that occurred between March 18 and April 25, 2020 through telemonitoring nursing homes in Salvador, Bahia, following a script previously prepared for first contact and follow-up. The telemonitoring was carried out by professors from the School of Nursing of Universidade Federal da Bahia and Graduate Program students for four weeks.
Results:
thirty-two institutions were followed for four weeks. Some facilities and difficulties appeared during the monitoring.
Final consideratios:
as nursing homes are collective households, their residents are vulnerable to transmission of infections. In addition, the diversity of structures and economic, social and human resources needs of these locations reveal their fragility and urgency of public policies that address such diversities.
- Tânia Maria de Oliva Menezes
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ORIGINAL ARTICLE08-19-2019
Feelings of pleasure of nurses working in primary care
- Grizielle Sandrine de Araujo Rocha ,
- Maria Sandra de Andrade ,
- Darine Marie Rodrigues da Silva ,
- Marlene Gomes Terra ,
- Sílvia Elizabeth Gomes de Medeiros , [ … ],
- Jael Maria de Aquino
Abstract
ORIGINAL ARTICLEFeelings of pleasure of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72(4):1036-1043
DOI 10.1590/0034-7167-2018-0518
- Grizielle Sandrine de Araujo Rocha ,
- Maria Sandra de Andrade ,
- Darine Marie Rodrigues da Silva ,
- Marlene Gomes Terra ,
- Sílvia Elizabeth Gomes de Medeiros ,
- Jael Maria de Aquino
Views0See moreABSTRACT
Objective:
identify the sources that generate feelings of pleasure at work in the perception of primary care nurses.
Methods:
this is a descriptive study with a qualitative approach, developed with eleven nurses working in Primary Health Care Units. Data were collected using semi-structured interviews, systematized and analyzed using Bardin’s content analysis technique and based on the theoretical framework of Psychodynamics of Work.
Results:
pleasure at work was related to the resolubility of the nurse’s work, interpersonal relationship with the team, therapeutic relationship with the community, positive professional return, identification with work in nursing and public health.
Final considerations:
The factors that generate feelings of pleasure may contribute to guide actions that value the optimization of the nurses’ work and, consequently, the care provided to the primary care user.
- Grizielle Sandrine de Araujo Rocha
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ORIGINAL ARTICLE02-10-2020
Night Admission at a Psychosocial Care Center III
- Thuany Cristine Santos da Silva ,
- Tatiana Marques dos Santos ,
- Izabella de Góes Maciel Tavares Campelo ,
- Maria Manuela Vila Nova Cardoso ,
- Adriana Dias Silva , [ … ],
- Maria Angélica de Almeida Peres
Abstract
ORIGINAL ARTICLENight Admission at a Psychosocial Care Center III
Revista Brasileira de Enfermagem. 2020;73(1):e20170964
DOI 10.1590/0034-7167-2017-0964
- Thuany Cristine Santos da Silva ,
- Tatiana Marques dos Santos ,
- Izabella de Góes Maciel Tavares Campelo ,
- Maria Manuela Vila Nova Cardoso ,
- Adriana Dias Silva ,
- Maria Angélica de Almeida Peres
Views0See moreABSTRACT
Objective:
to analyze night admission characteristics at a Psychosocial Care Center III (CAPS III – Centro de Atenção Psicossocial).
Method:
a qualitative research, whose data were collected with 15 nursing professionals from November to April 2016, through a semi-structured interview.
Results:
it was verified that night admission is provided by the nursing team in different dynamics from the day care. This team has strategies of care during crisis, avoiding search for other network services and maintaining the CAPS in its function within the psychosocial model.
Final considerations:
service operation depends on the nursing team for its permanence condition in all shifts, which leads to the need to think about the legislation reformulation that structures the CAPS III team, in order to guarantee the interdisciplinary care provided by the Brazilian Psychiatric Reform in this device, which should replace hospitalization in a specialized institution.
- Thuany Cristine Santos da Silva
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ORIGINAL ARTICLE08-19-2019
The daily routine of nurses in rural areas in the Family Health Strategy
- Arleusson Ricarte de Oliveira ,
- Yanna Gomes de Sousa ,
- Ítalo Vinícius Albuquerque Diniz ,
- Soraya Maria de Medeiros ,
- Cláudia Martiniano , [ … ],
- Marília Alves
Abstract
ORIGINAL ARTICLEThe daily routine of nurses in rural areas in the Family Health Strategy
Revista Brasileira de Enfermagem. 2019;72(4):918-925
DOI 10.1590/0034-7167-2018-0243
- Arleusson Ricarte de Oliveira ,
- Yanna Gomes de Sousa ,
- Ítalo Vinícius Albuquerque Diniz ,
- Soraya Maria de Medeiros ,
- Cláudia Martiniano ,
- Marília Alves
Views0See moreABSTRACT
Objective:
to analyze the daily work of rural Family Health Strategy (FHS) nurses.
Method:
a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis.
Results:
rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management.
Final considerations:
conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.
- Arleusson Ricarte de Oliveira
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ORIGINAL ARTICLE08-19-2019
Development of research on nursing diagnoses in Brazilian graduate programs
Revista Brasileira de Enfermagem. 2019;72(4):926-932
Abstract
ORIGINAL ARTICLEDevelopment of research on nursing diagnoses in Brazilian graduate programs
Revista Brasileira de Enfermagem. 2019;72(4):926-932
DOI 10.1590/0034-7167-2018-0259
Views0See moreABSTRACT
Objective:
to characterize the development of research on nursing diagnoses in nursing graduate programs and verify the application of the results of these studies according to the perception of academic advisors.
Methods:
documental research on dissertations and theses available from the databases of Brazilian universities with graduate programs in nursing, and exploratory survey on the practical application of their results.
Results:
216 dissertations and theses were analyzed. Most of them were descriptive studies, and the most widely used diagnostic taxonomy was NANDA International. Little practical use of the knowledge produced by the dissertations and theses was identified.
Conclusion:
Although there has been a considerable increase in research on nursing diagnoses, the survey stage revealed scarce practical application of their results, prompting the need for further studies in order to identify the barriers in the way of transposing theory to practice.
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