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RESEARCH
Peritoneal dialysis: family care for chronic kidney disease patients in home-based treatment
Revista Brasileira de Enfermagem. 2016;69(6):1172-1178
01-01-2016
Abstract
RESEARCHPeritoneal dialysis: family care for chronic kidney disease patients in home-based treatment
Revista Brasileira de Enfermagem. 2016;69(6):1172-1178
01-01-2016DOI 10.1590/0034-7167-2016-0262
Views0See moreABSTRACT
Objective:
to propose a family care model for patients with chronic kidney disease in peritoneal dialysis based on evidence indicated by family members.
Method:
this was a qualitative descriptive study that used the Convergent Care Research method. It was conducted at a state hospital in Rio de Janeiro, including techniques for recording individual interviews and consisted of a group of 19 study participants. Data were analyzed according to the stages proposed by the method, generating a category that used a cultural question as the basis for patient care resulting in a proposal for home-based family care.
Results:
the patient care model proposed includes dialogue and reflection in sharing the knowledge of “professional” and “popular” systems, aiming to improve the patient’s quality of life.
Conclusion:
family members were able to promote care based on cultural preservation, accommodation and repatterning, as proposed by Leininger’s Sunrise Model.
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RESEARCH
Technology for self-care for ostomized women’s sexual and reproductive health
Revista Brasileira de Enfermagem. 2016;69(6):1164-1171
01-01-2016
Abstract
RESEARCHTechnology for self-care for ostomized women’s sexual and reproductive health
Revista Brasileira de Enfermagem. 2016;69(6):1164-1171
01-01-2016DOI 10.1590/0034-7167-2016-0302
Views0See moreABSTRACT
Objective:
to validate the technology of printed booklets on self-care for ostomized women’s sexual and reproductive health.
Method:
a methodological study was performed with a focus on the construction and validity of a printed booklet. The content of this booklet was validated by 11 specialist judges/nurses, according to a Content Validity Index (CVI) equal to or higher than 0.80. Appearance was validated by nine ostomized women, according to an assessment of the difficulty and convenience of the educational material.
Results:
the booklet was validated by specialists, with an overall mean CVI equal to 0.87. Moreover, the target population showed 100% of agreement in terms of the adequacy of organization, writing style, appearance and motivation of this booklet.
Conclusion:
the educational technology in question was validated according to content and appearance, thus representing an adequate, reliable and easily understandable resource to acquire knowledge about self-care for ostomized women’s sexual and reproductive health.
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RESEARCH
Short-course therapy for tuberculosis: a discourse analysis
Revista Brasileira de Enfermagem. 2016;69(6):1154-1163
01-01-2016
Abstract
RESEARCHShort-course therapy for tuberculosis: a discourse analysis
Revista Brasileira de Enfermagem. 2016;69(6):1154-1163
01-01-2016DOI 10.1590/0034-7167-2016-0330
Views0ABSTRACT
Objective:
to analyze the meanings produced by nursing professionals in the directly observed treatment (DOT) for tuberculosis (TB) in the city of São Paulo.
Method:
this is a qualitative study, conducted in March and April 2014 through semi-directed interviews with nine nurses. The empirical material produced was analyzed according to the theoretical and methodological support of the Discourse Analysis of French matrix.
Results:
results have emerged as three discursive blocks: conditions for the production of tuberculosis control practices; production conditions facilitating the treatment of tuberculosis; and production conditions hindering the treatment of tuberculosis.
Conclusion:
these professionals’ words produce different meanings, which suggest that the practices of nursing professionals allow the patient to search for a cure, which is reinforced by incentives of a social nature, but permeated by the vicissitudes that are circumscribed in the ill person’s everyday production conditions.
Keywords:Directly Observed TherapyMedication AdherenceNursing, TeamPublic Health PracticeTuberculosisSee more -
RESEARCH
Aids in the elderly: reasons that lead to late diagnosis
Revista Brasileira de Enfermagem. 2016;69(6):1140-1146
01-01-2016
Abstract
RESEARCHAids in the elderly: reasons that lead to late diagnosis
Revista Brasileira de Enfermagem. 2016;69(6):1140-1146
01-01-2016DOI 10.1590/0034-7167-2016-0370
Views0See moreABSTRACT
Objective:
to investigate elderly living with HIV/Aids and health professionals, what are the reasons that lead to late diagnosis of HIV infection in the elderly.
Method:
prospective, qualitative study, conducted at a specialized outpatient clinic with elderly living with HIV/Aids, diagnosed age over 60 years and in the Family Health Strategy units with nurses and physicians. Data were collected through interviews and verified by content analysis, using the theoretical framework of vulnerability.
Results:
a total of 11 elderly, 11 nurses and 12 physicians participated in the study. Three empirical categories emerged: the late diagnosis of HIV happens against the health service; invisibility of the sexuality of the elderly; and weaknesses in the anti-HIV serology request for the elderly.
Conclusion:
there are health professionals who see the elderly as asexual, causing the diagnosis of HIV to happen in the secondary and tertiary service instead of primary care.
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RESEARCH
Storytelling: a care technology in continuing education for active ageing
Revista Brasileira de Enfermagem. 2016;69(6):1132-1139
01-01-2016
Abstract
RESEARCHStorytelling: a care technology in continuing education for active ageing
Revista Brasileira de Enfermagem. 2016;69(6):1132-1139
01-01-2016DOI 10.1590/0034-7167-2016-0390
Views0See moreABSTRACT
Objective:
assessing relevance and effectiveness of care/educational technology in the form of “storytelling” as a strategy in the cultivation of active ageing (AA) for elderly users of a Basic Health Unit (BHU), from the Amazon region.
Method:
convergent care research (CCR) held in a BHU in Belém, state of Pará, with eight elderly ladies for testing this technology. An active ageing assessment questionnaire and WHOQOL-BREF – quality of life assessment were applied. After training with a view to continuing education, elderly ladies told stories for an audience that addressed the question: “What did you learn from it for your life?”
Results:
tThe popular stories elicited reactions from which the following categories emerged: solidarity; respect for the other; imagination, dreams, hopes and culture of the Amazonian. This practice had a positive result, producing changes in the quality of life of the elderly, particularly in the psychological domain.
Conclusion:
“storytelling” proved to be an innovative technology, a relevant and effective resource in health education, especially for active ageing.
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RESEARCH
Nurse care practices in the Family Health Strategy
Revista Brasileira de Enfermagem. 2016;69(6):1124-1131
01-01-2016
Abstract
RESEARCHNurse care practices in the Family Health Strategy
Revista Brasileira de Enfermagem. 2016;69(6):1124-1131
01-01-2016DOI 10.1590/0034-7167-2016-0273
Views0See moreABSTRACT
Objective:
to analyze the practices of care of nurses working in teams of the family health strategy, from the perspective of users.
Method:
qualitative research conducted with 34 registered users in seven family health units of a municipality of Bahia from June to December 2014. The results were organized by the technique of content analysis.
Results:
users showed satisfaction with the nurse care due to listening, warmth and resolution of their health needs, despite the emphasis on procedures and programs targeted to populational groups. The dissatisfaction stems from the authoritarian, prescriptive and inflexible attitude in the nurse care. It was also emphasized that the home visits are directed to the bedridden and more restricted to preventive actions. Educational activities occur during the nursing consultation and in the health unit.
Conclusion:
there is urgent need of redefining the care as a structuring axis of the nurse practice.
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RESEARCH
Interdisciplinary care praxis in groups of people living with fibromyalgia
Revista Brasileira de Enfermagem. 2016;69(6):1115-1123
01-01-2016
Abstract
RESEARCHInterdisciplinary care praxis in groups of people living with fibromyalgia
Revista Brasileira de Enfermagem. 2016;69(6):1115-1123
01-01-2016DOI 10.1590/0034-7167-2016-0279
Views0See moreABSTRACT
Objectives:
to analyze the integrated community therapy model for the empowerment of people living with fibromyalgia and discuss the impact of this interdisciplinary intervention in the health-disease process and self-care.
Method:
a participatory-approach qualitative study, developed in 2015 with 11 participants at the Laboratory of Physiology Applied to Physical Education of the Rio de Janeiro State University, RJ. Data production comprised World Café, participant observation and semi-structured interview. The analysis was performed according to Bardin, through data triangulation in dialogue with the relevant literature.
Results:
the integrated community therapy group is a driving force in building and expanding knowledge about fibromyalgia and in self-care empowerment.
Conclusion:
this group strategy proved to be an interdisciplinary praxis tool that enables the development of solidary care networks. Thus, shared knowledge was generated, transformed into a listening and reflection environment to manage personal and family obstacles.
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RESEARCH
Determining impacts and factors in ventilator-associated pneumonia bundle
Revista Brasileira de Enfermagem. 2016;69(6):1108-1114
01-01-2016
Abstract
RESEARCHDetermining impacts and factors in ventilator-associated pneumonia bundle
Revista Brasileira de Enfermagem. 2016;69(6):1108-1114
01-01-2016DOI 10.1590/0034-7167-2016-0253
Views0See moreABSTRACT
Objective:
Assessing the determining impacts and factors in ventilator-associated pneumonia (VAP) bundle.
Method:
descriptive retrospective longitudinal study, with quantitative approach, held at a public teaching hospital. Collection held between May 2014 and April 2015. Patients of the ICU with VAP participated in the research. For organizing data, the Microsoft Excel 2010 program was used. A critical analysis between the data collected and infection rates was performed. The survey was approved under no. 566,136.
Results:
an increase in the incidence of VAP after implementing the bundle was observed; the prevalent pathogens were gram-negative bacteria. Deaths were equal to or greater than 50%. Changes of professionals and lack of supplies were determining factors.
Conclusion:
in this context, the need for permanent qualification of the team is emphasized, with the purpose of promoting the adherence to the protocol and preventing VAP.
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ORIGINAL ARTICLE
Team-Based Learning: a randomized clinical trial in undergraduate nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180621
03-30-2020
Abstract
ORIGINAL ARTICLETeam-Based Learning: a randomized clinical trial in undergraduate nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180621
03-30-2020DOI 10.1590/0034-7167-2018-0621
Views0ABSTRACT
Objectives:
To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning.
Methods:
Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes.
Results:
Students’ apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students.
Conclusions:
Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.
Keywords:Higher EducationNursingPatient SafetyRandomized Controlled Clinical TrialValidation StudiesSee more -
Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200961
04-14-2021
Abstract
Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200961
04-14-2021DOI 10.1590/0034-7167-2020-0961
Views0See moreABSTRACT
Objective:
To estimate the prevalence and factors associated with anxiety among multiprofessional health residents during the COVID-19 pandemic.
Methods:
Cross-sectional study, conducted in July 2020 with multiprofessional health residents (n = 67) from a university hospital. We used the Beck Anxiety Inventory to assess anxiety. Analyzing data through the chi-square test, likelihood ratio, and multiple analysis using Poisson regression with robust variance.
Results:
The proportion of moderate/severe anxiety was 31.3%, which showed significant association with working in sectors involving COVID-19 and directly with suspected/confirmed cases of COVID-19. During the multiple analysis, we found prevalence of anxiety in participants who needed psychological support after entering their residence and those who used psychotropic meds.
Conclusion:
The results seem to indicate that residents had their mental health impaired during the pandemic, but the maintenance of the variables in the model also suggests that they sought help to control anxiety.
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REVIEW
The use of children’s stories in nursing care for the child: an integrative review
Revista Brasileira de Enfermagem. 2019;72:333-342
12-13-2019
Abstract
REVIEWThe use of children’s stories in nursing care for the child: an integrative review
Revista Brasileira de Enfermagem. 2019;72:333-342
12-13-2019DOI 10.1590/0034-7167-2018-0456
Views0See moreABSTRACT
Objective:
To identify how children’s stories can be used in child care.
Method:
Integrative literature review, conducted in databases between 2000 and 2018, in three languages. Full research articles were included that agreed with the following question: “How can children’s stories be used in child care?”.
Results:
From the analysis of 16 selected articles, three categories emerged: The use of stories in the hospital; Specialized nursing intervention; and Stories in the educational dimension.
Final considerations:
Evidence shows benefits to children, families, institutions and nursing. The use of children’s stories as a care intervention can occur in different situations and settings, values; boosts bonds, reduces anxiety in children and families, encourages children’s participation in care, and promotes health education. It is a low-cost and still incipient strategy in nursing.
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ORIGINAL ARTICLE
Nursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
02-10-2020
Abstract
ORIGINAL ARTICLENursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
02-10-2020DOI 10.1590/0034-7167-2018-0175
Views0ABSTRACT
Objective:
To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS).
Method:
A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis.
Results:
Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication.
Conclusion:
Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.
Keywords:Health Services EvaluationMental HealthMental Health ServicesNursing ProcessPsychiatric NursingSee more -
REFLECTION
Empathic listening: welcoming strategy for nursing Professional in coping with with the coronavirus pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200721
02-05-2021
Abstract
REFLECTIONEmpathic listening: welcoming strategy for nursing Professional in coping with with the coronavirus pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200721
02-05-2021DOI 10.1590/0034-7167-2020-0721
Views0See moreABSTRACT
Objective:
to reflect on empathic listening use as a welcoming strategy for nursing professionals to cope with the challenges during the pandemic caused by the new coronavirus.
Methods:
this is a reflection study based on updated data surveys and theoretical-conceptual aspects of Non-Violent Communication and empathic listening.
Results:
in the performance during the COVID-19 pandemic, nursing professionals are exposed to violence of different natures related to occupational stress, work overload, anguishes and silenced suffering, with implications for the workers’ health, who can be benefited and strengthened with empathetic listening.
Final considerations:
the health crisis has highlighted the weaknesses of the health system. Nursing acts as the largest contingent of the health workforce in coping with the pandemic. Empathetic listening is a powerful strategy in caring for and strengthening nursing professionals.
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ORIGINAL ARTICLE
Factors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
02-25-2022
Abstract
ORIGINAL ARTICLEFactors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
02-25-2022DOI 10.1590/0034-7167-2021-0263
Views0See moreABSTRACT
Objective:
to determine the factors associated with stress, anxiety and depression, concomitantly, in nursing professionals who work in the hospital context.
Methods:
a quantitative and cross-sectional study with 353 nursing professionals from a hospital. A sociodemographic questionnaire and the Depression, Anxiety and Stress Scale-21 were used. Data were subjected to descriptive statistical analysis, difference and correlation tests.
Results:
the main factors associated with stress, anxiety and depression, concomitantly, were being female, compromised family and social support, lack of autonomy at work, hostile relationship with colleagues, lack of professional recognition and satisfaction, feeling of being overwhelmed and insecurity.
Conclusions:
demographic, physiological, social and work factors impact the levels of stress, anxiety and depression in nursing professionals. The adoption of coping strategies for modifiable factors should be considered, in order to provide better quality of life for these professionals.
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Repercussions of intestinal ostomy on male sexuality: an integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190245
08-10-2020
Abstract
Repercussions of intestinal ostomy on male sexuality: an integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190245
08-10-2020DOI 10.1590/0034-7167-2019-0245
Views0INTRODUCTIONThe intestinal ostomy, also known as stoma and ostomy, consists of an artificial opening, produced surgically, whose purpose is to divert the flow of effluents to the external environment. Such a condition can impact the lives of affected individuals due to transformations that affect human multi-dimensionality, including negative repercussions involving sexuality(–).In the United States of […]See more
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