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ORIGINAL ARTICLE
Profile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
07-29-2024
Abstract
ORIGINAL ARTICLEProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
07-29-2024DOI 10.1590/0034-7167-2023-0146
Views0ABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Keywords:ArtificialHealth Systems AgenciesHome Care ServicesIntensive Care UnitsPneumoniaRespirationVentilator-AssociatedSee more -
ORIGINAL ARTICLE
Adaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
07-29-2024
Abstract
ORIGINAL ARTICLEAdaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
07-29-2024DOI 10.1590/0034-7167-2023-0159
Views0See moreABSTRACT
Objectives:
to understand the process of adapting to childbirth during the COVID-19 pandemic from the perspective of a group of pregnant women.
Methods:
a qualitative, descriptive-exploratory study was conducted with 23 women. Data were collected between October and December 2021 through documentation and semi-structured interviews, which were analyzed using Minayo’s methodology and Roy’s Adaptation Model.
Results:
various types of stimuli – focal, contextual, and residual – were identified as influencing childbirth preparation. The online group was essential for facilitating pregnant women’s adaptation, offering significant support and generating positive feedback for childbirth preparation.
Final Considerations:
the importance of pregnant women’s groups as a strategy for improving adaptation to childbirth was identified, underscoring the effectiveness of this support among professionals and participants, as well as among pregnant women. This support network strengthened preparation for childbirth during a challenging period like the pandemic.
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ORIGINAL ARTICLE
Family refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
07-29-2024
Abstract
ORIGINAL ARTICLEFamily refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
07-29-2024DOI 10.1590/0034-7167-2023-0209
Views0See moreABSTRACT
Objectives:
to analyze the trends and factors associated with family refusal of skin donation for transplantation.
Methods:
this cross-sectional study was conducted in the State of São Paulo, with family authorization terms collected from 2001 to 2020. The variables analyzed included year, age, gender, cause of death, and type of institution. Data were analyzed using linear and multiple logistic regression, with the Odds Ratio estimated at p<0.05 for statistical significance.
Results:
1,355 individuals refused skin donation. The trend of refusals decreased between 2001 and 2009 in the age groups of 0-11 years and 12-19 years, but increased in the group aged ≥60 years. This trend continued to decrease in the 0-11 years group from 2010 to 2020, and increased in the 20-40 years group. Males and the age groups of 20-40 years, 41-59 years, and ≥60 years exhibited 27%, 34%, 47%, and 53% lower chances of refusal, respectively.
Conclusions:
there is an urgent need for measures to mitigate the high number of refusals associated with skin donation.
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ORIGINAL ARTICLE
Excessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
07-29-2024
Abstract
ORIGINAL ARTICLEExcessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
07-29-2024DOI 10.1590/0034-7167-2023-0332
Views0See moreABSTRACT
Objective:
to investigate excessive daytime sleepiness prevalence among nursing technicians and the association with sleep quality and memory.
Methods:
a cross-sectional, inferential study, carried out in a hospital unit in the state of Goiás between December 2020 and January 2021. Assessments were carried out using the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Prospective and Retrospective Memory Questionnaire, instruments validated for the Brazilian context. Bivariate and multivariate logistic regression analyzes were performed.
Results:
the sample consisted of 189 nursing technicians with a 40.9% excessive daytime sleepiness prevalence. In multivariate models, excessive daytime sleepiness was not associated with sleep quality, however there was a significant association with overall memory failures.
Conclusions:
study results demonstrate a high excessive daytime sleepiness occurrence, an association with overall memory failures and the need for psychosocial interventions for nursing technicians.
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ORIGINAL ARTICLE
Nurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
07-29-2024
Abstract
ORIGINAL ARTICLENurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
07-29-2024DOI 10.1590/0034-7167-2023-0374
Views0See moreABSTRACT
Objectives:
To analyze nurses’ perspectives on nurses’ work methods in the hospital context.
Methods:
A descriptive study with a qualitative approach was conducted in a hospital in northern Portugal, involving 17 nurses. Semi-structured interviews were used for data collection. Data collected between May and June 2023 underwent content analysis, supported by Atlas.ti software.
Results:
Three thematic areas emerged: “Nurses’ work methods in a hospital context,” highlighting the conception and components of work methods and the methods in use; “Implementation of nurses’ work methods,” emphasizing influencing factors and challenges to implementation; and “Impact of nurses’ work methods on patients, nurses, and institutions.”
Final Considerations:
Nurses’ work methods constitute the structure of nursing care. Some factors influence and some challenges arise in the implementation of these methods, producing impacts on patients, nurses, and institutions.
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ORIGINAL ARTICLE
Nursing Process for institutionalized older adults: contributions from knowledge awareness workshop
Revista Brasileira de Enfermagem. 2024;77(3):e20230349
07-29-2024
Abstract
ORIGINAL ARTICLENursing Process for institutionalized older adults: contributions from knowledge awareness workshop
Revista Brasileira de Enfermagem. 2024;77(3):e20230349
07-29-2024DOI 10.1590/0034-7167-2023-0349
Views0See moreABSTRACT
Objective:
To analyze the knowledge of professionals working in a Nursing Home about the Nursing Process before and after the awareness workshop.
Methods:
This is strategic action research, developed with nursing professionals and managers of a Nursing Home in Rio Grande do Sul, Brazil. Data were collected between January and June 2023, through semi-structured interviews before and after an awareness workshop. Discursive textual analysis of the data was carried out.
Results:
The central category “Understanding about the Nursing Process in Nursing Homes” emerged, which was unitized into two units of meaning and three categories of analysis.
Conclusion:
Data revealed non-use and lack of knowledge of the Nursing Process before awareness raising. Afterwards, a deeper understanding of the topic and its importance was identified. Awareness-raising workshops contribute to transformation of knowledge.
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ORIGINAL ARTICLE
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
07-29-2024
Abstract
ORIGINAL ARTICLEEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
07-29-2024DOI 10.1590/0034-7167-2023-0386
Views0See moreABSTRACT
Objectives:
to analyze the validity evidence of the internal structure of the Risk Self-Medication Questionnaire Focused on Health Literacy.
Methods:
a psychometric study with 499 adults. The internal structure was assessed with exploratory and confirmatory factor analysis to prove the adjustment. Internal consistency was measured by composite reliability and McDonald’s omega coefficient (ω).
Results:
the parameters revealed a model of 35 items distributed across four factors, explaining 56% of the total variance, with factor loadings ranging from 0.31 to 0.85 and adequate communalities. Accuracy (0.79
Conclusions:
an instrument was obtained with good evidence of structural validity for measuring self-medication.
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ORIGINAL ARTICLE
Educational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
07-29-2024
Abstract
ORIGINAL ARTICLEEducational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
07-29-2024DOI 10.1590/0034-7167-2023-0299
Views1See moreABSTRACT
Objectives:
to construct and assess an educational technology for managing patient waiting lists for multidisciplinary training.
Methods:
study supported by Instructional Design – ADDIE model, whose stages of construction of educational technology were developed in the form of a multi-professional training course. Its respective content assessment was carried out by a committee of experts from 2021 to 2022. The analysis occurred based on the proportion of content adequacy with 95% Confidence Interval.
Results:
seventeen products were created as educational technology learning objects: five storyboards; four videos; three comic books; two pedagogical action plans; a mind map; and a YouTube® playlist. Nine experts assessed content adequacy, which reached 0.89.
Conclusions:
this educational technology contributes to the performance of professionals who manage waiting lists by reducing inequalities, alleviating differences, in addition to promoting equity in care and good health for patients in the Brazilian Health System.
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ORIGINAL ARTICLE
Follow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study
Revista Brasileira de Enfermagem. 2020;73:e20200156
11-11-2020
Abstract
ORIGINAL ARTICLEFollow-up of copper intrauterine device insertion by nurses: a prospective longitudinal study
Revista Brasileira de Enfermagem. 2020;73:e20200156
11-11-2020DOI 10.1590/0034-7167-2020-0156
Views0See moreABSTRACT
Objective:
to assess the complications, acceptability and causes of discontinuation of women who inserted copper intrauterine devices at a usual risk maternity for one year.
Methods:
a longitudinal-prospective study, lasting 12 months. Eighty-three women who received the device by a doctor or nurse in a maternity hospital between September and October 2017 participated. Data were collected at one, six and 12 months after insertion and underwent descriptive analysis.
Results:
most were inserted by nurses and 71 continued with the device. Women chose IUD use because there is no risk of forgetfulness, it is non-hormonal and effective. The 12 who discontinued use reported dysmenorrhea, menorrhagia, irregular bleeding, fall out, and endometrium perforation.
Conclusion:
the method was continued by most of participants and the complications found are common to the literature. There is a need to expand nursing training to increase the offer to the population.
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ORIGINAL ARTICLE
Nursing care for patient in postoperatory heart surgery in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(2):e20200163
05-03-2021
Abstract
ORIGINAL ARTICLENursing care for patient in postoperatory heart surgery in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(2):e20200163
05-03-2021DOI 10.1590/0034-7167-2020-0163
Views0See moreABSTRACT
Objective:
To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery.
Methods:
Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis.
Results:
Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery.
Final considerations:
Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.
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ORIGINAL ARTICLE
Reasons assigned to suicide attempts: adolescents’ perceptions
Revista Brasileira de Enfermagem. 2022;75:e20210163
11-15-2022
Abstract
ORIGINAL ARTICLEReasons assigned to suicide attempts: adolescents’ perceptions
Revista Brasileira de Enfermagem. 2022;75:e20210163
11-15-2022DOI 10.1590/0034-7167-2021-0163
Views0See moreABSTRACT
Objective:
identify the reasons for attempting suicide from the perspective of adolescents.
Methods:
qualitative study conducted with ten adolescents who attempted suicide and were attending a Centro de Atenção Psicossocial Infanto-Juvenil located in a city in the south of Brazil. Semi-structured interviews were held in July 2020 using WhatsApp. Data were analyzed according to Minayo’s Content Thematic Analysis.
Results:
the adolescents’ reports listed the reasons that triggered suicide attempts, such as changes in the adolescents’ life cycle and violence, which led them to attempt suicide to solve problems.
Final considerations:
Data analysis revealed the reasons that triggered suicide attempts from the adolescents’ perspective and difficulties to cope with problems, probably explained by their lack of experience in dealing with frustrations and disappointments.
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REFLECTION
Covid-19 pandemic and the motivations for demanding health service in indigenous villages
Revista Brasileira de Enfermagem. 2020;73:e20200312
10-26-2020
Abstract
REFLECTIONCovid-19 pandemic and the motivations for demanding health service in indigenous villages
Revista Brasileira de Enfermagem. 2020;73:e20200312
10-26-2020DOI 10.1590/0034-7167-2020-0312
Views0ABSTRACT
Objective:
To discuss the fundamental aspects in the establishment of preventive measures to tackle covid-19 among indigenous people in view of the motivations for seeking health care in villages of the Terra Indígena Buriti, Mato Grosso do Sul, Brazil.
Methods:
Theoretical-reflective study based on assumptions of the National Health System and previous ethnographic research that enabled the identification of the motivations to seek health care in Buriti villages.
Results:
Indigenous people seek health centers for health care programs assistance, treatment of cases they cannot resolve and to chat. Such motivations were the basis for discussing the indigenization process in the confrontation of the new coronavirus pandemic in indigenous lands.
Final considerations:
The motivations for seeking health care show the physical and social vulnerability of the Terena ethnicity. The effectiveness of the social isolation measure in the villages depends on the dialogue with indigenous leaders, professional engagement and intersectoral actions.
Keywords:Anthropology, CulturalDelivery of Health CareHealth Services, IndigenousPandemicsVulnerable PopulationsSee more -
ORIGINAL ARTICLE
Entrepreneurship among Undergraduate Nursing Students at a public university
Revista Brasileira de Enfermagem. 2022;75(1):e20201388
09-29-2022
Abstract
ORIGINAL ARTICLEEntrepreneurship among Undergraduate Nursing Students at a public university
Revista Brasileira de Enfermagem. 2022;75(1):e20201388
09-29-2022DOI 10.1590/0034-7167-2020-1388
Views0See moreABSTRACT
Objectives:
to identify undergraduate nursing students’ entrepreneurial tendency at a public university.
Methods:
cross-sectional study, with a quantitative approach, with 135 undergraduate nursing students from a public university in the interior of the state of Rio Grande do Sul, Brazil. Data were collected using a socio-professional characterization form and a General measure of Enterprising Tendency test and analyzed using descriptive statistics.
Results:
among the five entrepreneurial tendencies, students presented results equal or above average in two dimensions: Drive and Determination (82.2%) and Need for Success (51.1%). The Creative tendency was the dimension with the highest percentage of participants below the average (68.9%). However, students in research or extension groups scored equal or above average in all five entrepreneurial tendencies.
Conclusions:
students showed low entrepreneurial tendencies, indicating the need for a broader approach to the subject in nursing education.
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ORIGINAL ARTICLE
Musculoskeletal symptoms in formal and informal caregivers of elderly people
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
10-01-2022
Abstract
ORIGINAL ARTICLEMusculoskeletal symptoms in formal and informal caregivers of elderly people
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
10-01-2022DOI 10.1590/0034-7167-2021-0249
Views0See moreABSTRACT
Objective:
to evaluate musculoskeletal symptoms in formal and informal caregivers of elderly people, and check association with personal and work-related factors.
Methods:
this is a cross-sectional study. Instruments for assessment were the International Physical Activity Questionnaire, Self-Reporting Questionnaire-20, Borg’s effort perception scale and Nordic Musculoskeletal Questionnaire.
Results:
informal caregivers had been working for a longer time (60.2% vs. 41%), had more hours of work (37.4% >12h for day), less time off (85.4% vs. 2.5%) and lack of care guidelines (90.2%). The region with the most musculoskeletal symptoms was the spine and the greater dependence of the elderly, the greater the chances of developing musculoskeletal symptoms (OR= 1.3, 95% CI= 1.1-1.6, p <0.05).
Conclusion:
personal and work-related factors were more prevalent in informal group and the elderly person’s dependence interferes with the increase in musculoskeletal symptoms of caregivers.
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ORIGINAL ARTICLE
Contexts of vulnerabilities experienced by adolescents: challenges to public policies
Revista Brasileira de Enfermagem. 2020;73:e20190224
09-21-2020
Abstract
ORIGINAL ARTICLEContexts of vulnerabilities experienced by adolescents: challenges to public policies
Revista Brasileira de Enfermagem. 2020;73:e20190224
09-21-2020DOI 10.1590/0034-7167-2019-0224
Views0See moreABSTRACT
Objectives:
to understand the context of vulnerability experienced by adolescents from the perspective of health professionals from the Family Health Strategy.
Methods:
a descriptive-exploratory qualitative study developed with 80 Family Health Strategy professionals in the Midwest region of Brazil. Data collection was developed from July to September 2018 through a focus group, and submitted to Thematic Analysis.
Results:
it was understood that the vulnerability experienced by adolescents is not an exposure to something isolated, but is linked to risk and protection factors, socioeconomic and cultural contexts, public and health policies.
Final Considerations:
there are still gaps in public policies for this population, which impacts on the access and development of promotion actions by health professionals.
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ORIGINAL ARTICLE
Analysis of the guiding rules of the nurse technician’s practice in Brazil
Revista Brasileira de Enfermagem. 2020;73(3):e20180322
04-03-2020
Abstract
ORIGINAL ARTICLEAnalysis of the guiding rules of the nurse technician’s practice in Brazil
Revista Brasileira de Enfermagem. 2020;73(3):e20180322
04-03-2020DOI 10.1590/0034-7167-2018-0322
Views0INTRODUCTIONThe institutionalization of nursing as a profession is characterized by the division of labor, marked by discipline and hierarchy, with the participation of several active agents, among which we can cite the nurse, the nurse technician, the nursing assistant, and the nursing attendant. The latter, although mentioned in the legislation, has been extinct since the […]See more
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