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ORIGINAL ARTICLE07-29-2024
Contribution of informal caregivers to self-care in individuals with heart failure
- Mailson Marques de Sousa
, - Adriana Meira Tiburtino Nepomuceno ,
- Rayana Pereira Feitosa ,
- Lara de Sá Neves Loureiro ,
- Renan Alves Silva , [ … ],
- Simone Helena dos Santos Oliveira
Abstract
ORIGINAL ARTICLEContribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
DOI 10.1590/0034-7167-2023-0492
- Mailson Marques de Sousa ,
- Adriana Meira Tiburtino Nepomuceno ,
- Rayana Pereira Feitosa ,
- Lara de Sá Neves Loureiro ,
- Renan Alves Silva ,
- Maria das Graças Melo Fernandes ,
- Simone Helena dos Santos Oliveira
Views0See moreABSTRACT
Objectives:
to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure.
Methods:
a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers’ contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman’s correlation.
Results:
the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction.
Conclusions:
informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.
- Mailson Marques de Sousa
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07-29-2024
Reflections on theoretical framework use in nursing research
- Maria Ribeiro Lacerda ,
- Rudval Souza da Silva ,
- Nadirlene Pereira Gomes ,
- Silvana Regina Rossi Kissula Souza
Abstract
Reflections on theoretical framework use in nursing research
Revista Brasileira de Enfermagem. 2024;77(3):e20230486
DOI 10.1590/0034-7167-2024-0486
- Maria Ribeiro Lacerda ,
- Rudval Souza da Silva ,
- Nadirlene Pereira Gomes ,
- Silvana Regina Rossi Kissula Souza
Views0See moreABSTRACT
Objectives:
to reflect on theoretical framework use in nursing research.
Methods:
a theoretical-reflexive study, based on concepts and constructs pertinent to using nursing theories and other sciences, considering issues of epistemology or philosophy of science.
Results:
we presented what it is and why to do nursing research and what a theoretical framework is and why to use it, in addition to some considerations regarding theoretical framework use in nursing research, essential for constructing disciplinary knowledge, which enables the materialization of researchers’ work and the presentation of propositions resulting from investigations in and for nursing as a discipline and science.
Final Considerations:
based on a reflection based on epistemological conceptions, it is possible to affirm that a theoretical framework is the core of researchers’ thinking, delimiting a problem to be investigated and, based on it, outlining methodological strategies to be followed, supporting nursing action and thinking as discipline and science.
- Maria Ribeiro Lacerda
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REVIEW07-29-2024
Nursing diagnoses for people hospitalized with heart failure: an integrative review
- Ana Paula Dias de Oliveira ,
- Lucas Garcia Lima ,
- Vinicius Batista Santos ,
- Larissa Maiara da Silva Alves Souza ,
- Juliana de Lima Lopes , [ … ],
- Alba Lucia Bottura Leite de Barros
Abstract
REVIEWNursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
DOI 10.1590/0034-7167-2023-0471
- Ana Paula Dias de Oliveira ,
- Lucas Garcia Lima ,
- Vinicius Batista Santos ,
- Larissa Maiara da Silva Alves Souza ,
- Juliana de Lima Lopes ,
- Alba Lucia Bottura Leite de Barros
Views0See moreABSTRACT
Objectives:
to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.
Methods:
an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.
Results:
analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.
Final Considerations:
evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.
- Ana Paula Dias de Oliveira
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ORIGINAL ARTICLE07-29-2024
Primary Health Care in transitional care of people with stroke
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Abstract
ORIGINAL ARTICLEPrimary Health Care in transitional care of people with stroke
Revista Brasileira de Enfermagem. 2024;77(3):e20230468
DOI 10.1590/0034-7167-2024-0468
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Views0See moreABSTRACT
Objectives:
to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge.
Methods:
single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®.
Results:
the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident.
Final Considerations:
the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.
- Adriana Bitencourt Magagnin
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ORIGINAL ARTICLE07-29-2024
Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli , [ … ],
- Luís Carlos Lopes-Júnior
Abstract
ORIGINAL ARTICLECompleteness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
Revista Brasileira de Enfermagem. 2024;77(3):e20230467
DOI 10.1590/0034-7167-2023-0467
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli ,
- Luís Carlos Lopes-Júnior
Views0See moreABSTRACT
Objectives:
to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.
Methods:
an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.
Results:
there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables “family history of cancer” (p<0.001), “alcoholism” (p<0.001), “smoking” (p<0.001), “TNM staging” (p<0.001) had a decreasing trend, while “clinical start of treatment” (p<0.001), “origin” (p=0.008) and “occupation” (p<0.001) indicated an increasing trend.
Conclusions:
most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.
- Wesley Rocha Grippa
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ORIGINAL ARTICLE07-29-2024
Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal , [ … ],
- Francisca Márcia Pereira Linhares
Abstract
ORIGINAL ARTICLEDisrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230464
DOI 10.1590/0034-7167-2023-0464
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal ,
- Ana Luisa Brandão de Carvalho Lira ,
- Marcos Venícios de Oliveira Lopes ,
- Suzana de Oliveira Mangueira ,
- Francisca Márcia Pereira Linhares
Views0See moreABSTRACT
Objectives:
to develop and evaluate a Middle-Range Theory for the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” in high-risk pregnancies.
Methods:
this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem’s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
Results:
the theory identified 20 elements of the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
Conclusions:
the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon “Disrupted Mother-Fetus Dyad Risk,” which aids in nurses’ diagnostic reasoning.
- Ryanne Carolynne Marques Gomes Mendes
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ORIGINAL ARTICLE07-29-2024
Mental health of parents of children and adolescents who require special health care
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly , [ … ],
- Regina Aparecida Garcia de Lima
Abstract
ORIGINAL ARTICLEMental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
DOI 10.1590/0034-7167-2023-0457
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly ,
- Aline Cristiane Cavicchioli Okido ,
- Regina Aparecida Garcia de Lima
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.
- Eliana Roldão dos Santos Nonose
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ORIGINAL ARTICLE07-29-2024
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
- Márcio Adriano Fernandes Barreto ,
- Francisca Diana da Silva Negreiros ,
- Virna Ribeiro Feitosa Cestari ,
- Helena Alves de Carvalho Sampaio ,
- Thereza Maria Magalhães Moreira
Abstract
ORIGINAL ARTICLEEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
DOI 10.1590/0034-7167-2023-0386
- Márcio Adriano Fernandes Barreto ,
- Francisca Diana da Silva Negreiros ,
- Virna Ribeiro Feitosa Cestari ,
- Helena Alves de Carvalho Sampaio ,
- Thereza Maria Magalhães Moreira
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.
- Márcio Adriano Fernandes Barreto
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ORIGINAL ARTICLE09-26-2022
Educational technology for infants’ families to identify warning signs: a validation study
- Icleia Parente Rodrigues ,
- Patrícia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Paulo Henrique Alexandre de Paula , [ … ],
- Maria Veraci Oliveira Queiroz
Abstract
ORIGINAL ARTICLEEducational technology for infants’ families to identify warning signs: a validation study
Revista Brasileira de Enfermagem. 2022;75(5):e20210964
DOI 10.1590/0034-7167-2021-0964
- Icleia Parente Rodrigues ,
- Patrícia Neyva da Costa Pinheiro ,
- Edna Johana Mondragón-Sánchez ,
- Maria Isabelly Fernandes da Costa ,
- Paulo Henrique Alexandre de Paula ,
- Joana Maria Rocha Sales ,
- Larissa Ludmila Monteiro de Souza Brito ,
- Maria Veraci Oliveira Queiroz
Views0See moreABSTRACT
Objective:
To validate, with the target audience, the usability and appearance of a serialized album about the warning signs to the health of children below 2 months.
Method:
Methodological validation study with the target population of an educational material in the form of a serialized album. 11 mothers with children under 2 months of age participated. The domains evaluated were: Objectives, Organization, Writing Style, Appearance, and Motivation. Data were analyzed using descriptive and statistics, and the data agreement index was calculated.
Results:
The global data agreement index was high (0.99). Mothers had positive responses, recognizing the excellence of the material: attractive figures that were easy to understand.
Conclusion:
The validation of the serialized album provides mothers with the abilities and knowledge they need to identify warning signs in regard to the health of their children, providing them with autonomy, corresponsibility, and helping them develop better child health practices.
- Icleia Parente Rodrigues
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ORIGINAL ARTICLE10-17-2022
Validation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision
- Mayara Lopes ,
- Julio César de la Torre-Montero ,
- Maria Angélica Sorgini Peterlini ,
- Mavilde da Luz Gonçalves Pedreira
Abstract
ORIGINAL ARTICLEValidation of the Brazilian Portuguese version of the Venous International Assessment Scale and proposal of revision
Revista Brasileira de Enfermagem. 2022;75(5):e20220100
DOI 10.1590/0034-7167-2022-0100
- Mayara Lopes ,
- Julio César de la Torre-Montero ,
- Maria Angélica Sorgini Peterlini ,
- Mavilde da Luz Gonçalves Pedreira
Views0See moreABSTRACT
Objective:
To validate the Brazilian Portuguese translation and analyze the cultural adaptation of the Venous International Assessment Scale.
Methods:
Observational study by employing the Delphi technique and an equivalence evaluation by experts. The results were analyzed using item scores and by content validity index calculations of item, scale, and universal agreement.
Results:
Three rounds of evaluation were necessary for consensus. Explanatory contents were incorporated into the original scale throughout the process, resulting in a new version: VIA Scale – Revised. This scale obtained a content validity index of 0.96 and a universal agreement of 0.78. In the cross-cultural adequacy analysis phase, a score of 0.77 was obtained. The majority (90.5%) of the participants judged the scale’s decision support property as positive.
Conclusion:
The VIA Scale was validated and culturally adapted to the Brazilian Portuguese language, resulting in the VIA Scale – Revised (VIA-R).
- Mayara Lopes
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ORIGINAL ARTICLE07-29-2022
Effects of guided imagery relaxation in hematopoietic stem-cell transplantation patients: a quasi-experimental study
- Luana Aparecida Alves da Silva ,
- Paulo Ricardo Bittencourt Guimarães ,
- Angela da Costa Barcellos Marques ,
- Larissa Marcondes ,
- Camila Schirmer Barbosa , [ … ],
- Luciana Puchalski Kalinke
Abstract
ORIGINAL ARTICLEEffects of guided imagery relaxation in hematopoietic stem-cell transplantation patients: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(5):e20220114
DOI 10.1590/0034-7167-2022-0114
- Luana Aparecida Alves da Silva ,
- Paulo Ricardo Bittencourt Guimarães ,
- Angela da Costa Barcellos Marques ,
- Larissa Marcondes ,
- Camila Schirmer Barbosa ,
- Pâmela Cristine Piltz Costa ,
- Luciana Puchalski Kalinke
Views1See moreABSTRACT
Objective:
To analyze the effects of the technique of virtual reality guided imagery in the vital signs of hematopoietic stem-cell transplantation patients.
Method:
Quasi-experimental study with 35 participants who received an intervention using virtual reality guided imagery with progressive muscle relaxation, applied three times a week for four weeks in a referral hospital for transplants in the south of Brazil. Data collected included: temperature, arterial pressure, respiratory rate, heart rate, pain, and oxygen saturation, before and after each intervention. The comparisons were analyzed using Wilcoxon’s test.
Results:
There was a clinical significance between the mean measurements before and after for respiratory rate (p=0.00) in all stages, and for the variables Heart rate, Temperature, and Oxygen saturation from the 1st to the 12th measurements (p=0.05).
Conclusion:
The intervention was low cost, easy to apply, and showed positive effects, presenting itself as an option for patient-focused care.
- Luana Aparecida Alves da Silva
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ORIGINAL ARTICLE10-17-2022
Semantic validation of educational technology with caregivers of children and adolescents undergoing chemotherapy
- Silmara de Oliveira Silva ,
- Thamyres Alany Campelo de Araújo ,
- Naryllene Maciel de Araújo ,
- Nahadja Tahaynara Barros Leal ,
- Fernando Hiago da Silva Duarte , [ … ],
- Daniele Vieira Dantas
Abstract
ORIGINAL ARTICLESemantic validation of educational technology with caregivers of children and adolescents undergoing chemotherapy
Revista Brasileira de Enfermagem. 2022;75(5):e20220294
DOI 10.1590/0034-7167-2022-0294
- Silmara de Oliveira Silva ,
- Thamyres Alany Campelo de Araújo ,
- Naryllene Maciel de Araújo ,
- Nahadja Tahaynara Barros Leal ,
- Fernando Hiago da Silva Duarte ,
- José Eugênio Lopes Leite ,
- Rodrigo Assis Neves Dantas ,
- Daniele Vieira Dantas
Views0See moreABSTRACT
Objective:
Semantically validate an educational technology with the caregiver of children and adolescents undergoing chemotherapy.
Method:
Methodological study, with a quantitative approach, guided by the theoretical framework of psychometry, developed between March and April 2022, with nine caregivers of children and adolescents undergoing chemotherapy. Educational technology is a digital animation film about the pediatric chemotherapy treatment process, used as a tool for health education.
Results:
In the reliability assessment, the Intraclass Correlation Coefficient was 0.936 [95%CI 0.868-0.984] with p < 0.05 and Cronbach’s alpha of 0.943, demonstrating satisfactory internal consistency. Regarding the semantic analysis, the domains related to objectives, organization, language, appearance, and motivation showed an agreement rate above 80%.
Conclusion:
Educational technology showed satisfactory rates, proving to be a valid, reliable, and important instrument to be used by caregivers of children and adolescents undergoing chemotherapy.
- Silmara de Oliveira Silva
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10-21-2022
Cancer symptom clusters: from the lab bench to clinical practice
Revista Brasileira de Enfermagem. 2022;75(5):e2022v75n5inov
Abstract
Cancer symptom clusters: from the lab bench to clinical practice
Revista Brasileira de Enfermagem. 2022;75(5):e2022v75n5inov
DOI 10.1590/0034-7167-2022v75n5inov
Views0See moreABSTRACT
Objective:
to present and discuss the advancement of science in symptom management through research involving oncological symptom clusters (OSC).
Method:
a reflective study, supported by the scientific literature on OSC.
Results:
five key points are crucial to advancing the science of symptom management through research involving OSC: definition of OSC characteristics; underlying mechanisms and priority symptom clusters; OSC measurement; targeted and personalized interventions; new analytical strategies.
Final considerations:
a better understanding of the complex connections between different systems and biobehavioral aspects in patients, especially in the field of oncology nursing, is urgent. The study of these interactions has become increasingly promising and emerging for oncology nursing, since therapeutic interventions, whose target is the neuroimmunoendocrine axis, are relevant for personalized care, translating into greater scientific and nurse autonomy to care for patients.
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ORIGINAL ARTICLE06-24-2022
Prevalence of the Human Immunodeficiency Virus and associated factors in pregnant women in the state of Pará
- Helloyza Halana Fernanda Aquino Pompeu ,
- Lilia Pimenta de Moraes ,
- Camila Cristina Girard Santos ,
- Helber Yanaguibashi Shibata ,
- Jonas Elias Castro da Rocha , [ … ],
- Cristiane Patrícia Siqueira Monteiro
Abstract
ORIGINAL ARTICLEPrevalence of the Human Immunodeficiency Virus and associated factors in pregnant women in the state of Pará
Revista Brasileira de Enfermagem. 2022;75(6):e20210171
DOI 10.1590/0034-7167-2021-0171
- Helloyza Halana Fernanda Aquino Pompeu ,
- Lilia Pimenta de Moraes ,
- Camila Cristina Girard Santos ,
- Helber Yanaguibashi Shibata ,
- Jonas Elias Castro da Rocha ,
- Alexandre Aguiar Pereira ,
- Conceição do Socorro Damasceno Barros ,
- Cristiane Patrícia Siqueira Monteiro
Views0See moreABSTRACT
Objectives:
to analyze the prevalence of the Human Immunodeficiency Virus and the associated factors in pregnant women in the state of Pará.
Methods:
retrospective, analytical, quantitative study with a sample of 332 medical records of HIV-positive pregnant women hospitalized at the Referral Maternity Hospital in the state of Pará between 2010 and 2019. Bivariate and multivariate statistical analysis were performed with the variables collected.
Results:
the average prevalence in the period was 2.39% and the Metropolitan Region concentrated 66.87% of cases. There was a strong relationship between the number of antenatal consultations and lack of knowledge of serological status (p value equal to 0.01E-17) variables, and a correlation between the education and number of antenatal consultations variables.
Conclusions:
the increase in the infection rate during the study period revealed the need to intensify health actions, early diagnosis and strategies to improve adherence to antiretroviral treatment for maternal viral suppression and reduction of the risk of vertical transmission, contributing to improve public policies.
- Helloyza Halana Fernanda Aquino Pompeu
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ORIGINAL ARTICLE10-03-2022
Evaluation of respiratory complications in a cohort of preterm infants who did not receive palivizumab monoclonal antibodies
- Poliana Castro de Resende Bonati ,
- Maria Cândida de Carvalho Furtado ,
- Débora Falleiros de Mello ,
- Paula Carolina Bejo Wolkers ,
- Gabriel de Oliveira Faria , [ … ],
- Daniela Marques de Lima Mota Ferreira
Abstract
ORIGINAL ARTICLEEvaluation of respiratory complications in a cohort of preterm infants who did not receive palivizumab monoclonal antibodies
Revista Brasileira de Enfermagem. 2022;75(6):e20210362
DOI 10.1590/0034-7167-2021-0362
- Poliana Castro de Resende Bonati ,
- Maria Cândida de Carvalho Furtado ,
- Débora Falleiros de Mello ,
- Paula Carolina Bejo Wolkers ,
- Gabriel de Oliveira Faria ,
- Daniela Marques de Lima Mota Ferreira
Views0See moreABSTRACT
Objectives:
to analyze the occurrence of respiratory complications over the first year of life in preterm infants who did not receive palivizumab monoclonal antibodies.
Methods:
analytical retrospective cohort study with preterm infants born between 2012 and 2016 in Uberlândia, state of Minas Gerais, Brazil. Data collection occurred from January to November 2018, by consulting hospital and primary healthcare medical records. Data were processed with the Poisson regression model, with p<0.05.
Results:
of a total of 5,213 preterm births, 504 (9.7%) met the inclusion criteria. The preterm infants in this subset were assisted 2,899 times in primary care, which resulted in 1,098 (37.5%) medical diagnoses, of which 803 (78.5%) involved the respiratory tract. Preterm babies fed on formula milk at hospital discharge had more diagnoses of respiratory diseases. Maternal age (p=0.039), respiratory diagnosis at hospital discharge (p=0.028), and number of sporadic appointments (p<0.001) showed a significant association with bronchiolitis; number of sporadic appointments showed a significant association with occurrence of respiratory diseases; and breastfeeding had a protective effect against the development of bronchiolitis.
Conclusions:
preterm infants who did not receive palivizumab showed a high percentage of respiratory diseases, and breastfeeding helped protect them against bronchiolitis. It is recommended that these preterm babies be monitored in primary health care.
- Poliana Castro de Resende Bonati
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ORIGINAL ARTICLE09-09-2022
Palliative care management by caregivers in home care: theoretical validation in a conversation circle
- Roberta Teixeira Prado ,
- Denise Rocha Raimundo Leone ,
- Thiago de Medeiros Souza ,
- Paula Valente Werneck ,
- Maria Ribeiro Lacerda , [ … ],
- Edna Aparecida Barbosa de Castro
Abstract
ORIGINAL ARTICLEPalliative care management by caregivers in home care: theoretical validation in a conversation circle
Revista Brasileira de Enfermagem. 2022;75(6):e20210737
DOI 10.1590/0034-7167-2021-0737
- Roberta Teixeira Prado ,
- Denise Rocha Raimundo Leone ,
- Thiago de Medeiros Souza ,
- Paula Valente Werneck ,
- Maria Ribeiro Lacerda ,
- Edna Aparecida Barbosa de Castro
Views0See moreABSTRACT
Objectives:
to present the validation process of a Grounded Theory on the management of palliative care at home by a caregiver of a family member who experiences a death/dying process.
Methods:
a qualitative, explanatory research, which validated a theoretical matrix through a conversation circle containing 15 family caregivers and nine healthcare professionals, in December 2018.
Results:
forty-six propositions were validated regarding family caregivers’ contextual, causal, intervening conditions, consequences and action strategies to deal with the dying and death process of a family member. Conversation circles encouraged dialogue and (re)signification of the senses and knowledge of those involved, proving to be a way of educating and promoting the exercise of citizenship by participants.
Final Considerations:
the conversation circle made it possible for participants to interact and share information and experiences regarding home care for palliative patients and their families.
- Roberta Teixeira Prado
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ORIGINAL ARTICLE04-03-2020
Nursing work in assisted human reproduction: between technology and humanization
- Ana Beatriz Azevedo Queiroz ,
- Renata Porto dos Santos Mohamed ,
- Maria Aparecida Vasconcelos Moura ,
- Ivis Emília de Oliveira Souza ,
- Maria Cristina de Melo Pessanha Carvalho , [ … ],
- Bianca Dargam Gomes Vieira
Abstract
ORIGINAL ARTICLENursing work in assisted human reproduction: between technology and humanization
Revista Brasileira de Enfermagem. 2020;73(3):e20170919
DOI 10.1590/0034-7167-2017-0919
- Ana Beatriz Azevedo Queiroz ,
- Renata Porto dos Santos Mohamed ,
- Maria Aparecida Vasconcelos Moura ,
- Ivis Emília de Oliveira Souza ,
- Maria Cristina de Melo Pessanha Carvalho ,
- Bianca Dargam Gomes Vieira
Views0See moreABSTRACT
Objectives:
To analyze the social representations of nurses who work with assisted human reproduction about the operation with reproductive biotechnologies.
Methods:
Qualitative approach, supported by the Theory of Social Representations, with sixteen participants. Individual, semi-structured interviews, analyzed through the Alceste software.
Results:
Pragmatic elements related to nurses’ performance from a professional, institutional, and public policy perspective in reproductive biotechnologies emerged, demonstrating the practical dimension of these representations. The characteristics of the professional to act in this area were addressed, showing the lack of information and search for scientificity; precarious perception of the organizational structure of health services; and attributions of nursing care arising from the health care practice in assisted human reproduction.
Final considerations:
Social representation is anchored in the link between technology/medicalization and humanization/reception regarding reproductive biotechnologies. Working in assisted human reproduction involves a new and challenging nursing care, requiring specific and ethical knowledge.
- Ana Beatriz Azevedo Queiroz
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ORIGINAL ARTICLE10-25-2022
Prevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
- Rayanne Rodrigues dos Santos ,
- Maria Estela Diniz Machado ,
- Ana Leticia Monteiro Gomes ,
- Rosane Cordeiro Burla de Aguiar ,
- Marialda Moreira Christoffel
Abstract
ORIGINAL ARTICLEPrevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
Revista Brasileira de Enfermagem. 2022;75(2):e20210006
DOI 10.1590/0034-7167-2021-0006
- Rayanne Rodrigues dos Santos ,
- Maria Estela Diniz Machado ,
- Ana Leticia Monteiro Gomes ,
- Rosane Cordeiro Burla de Aguiar ,
- Marialda Moreira Christoffel
Views0See moreABSTRACT
Objective:
To analyze caregivers’ knowledge about prevention of domestic accidents in early childhood and its association with education level.
Methods:
This is a cross-sectional study conducted in a Primary Care Unit in Niterói with caregivers (convenience sample) of children under 6 years old. To classify the knowledge, we adopted the Positivity Index; to verify the association between the variable “schooling” and knowledge, the chi square test was used; statistically significant results: p < 0.05.
Results:
A total of 256 caregivers participated; 93.5% showed adequate knowledge. In the individual items, the knowledge (100%) about prevention of accidents with sharp toys, firearms, intoxication by products stood out; and less frequently (64.5%), the knowledge of the information contained in the Child’s Health Booklet. There was no statistically significant association (p = 0.237) between education and knowledge. Conclusion: The caregivers presented knowledge about the prevention of domestic accidents, and this was not associated with the level of education.
- Rayanne Rodrigues dos Santos
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ORIGINAL ARTICLE04-03-2020
Organizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
Abstract
ORIGINAL ARTICLEOrganizational culture: prevention, treatment, and risk management of pressure injury
Revista Brasileira de Enfermagem. 2020;73(3):e20180510
DOI 10.1590/0034-7167-2018-0510
Views0See moreABSTRACT
Objectives:
To identify the facilitating and complicating factors for the prevention and treatment of pressure injury (PI) in the management of hospitalized patient care.
Methods:
This is a cross-sectional study, conducted with 197 nursing professionals in three public hospitals.
Results:
Among the identified factors, it is noteworthy that 59% of respondents are unaware of the PI prevention protocol, 27% do not use clinical evaluation for daily sizing of professionals, more than 52% believe that no facilitating elements exist, and 76% argue that there are complicating elements for the prevention of PI. As for the treatment, a little over 60% reported that the patient and the injury are evaluated by nurses, with 54% of the procedures being prescribed by the physician and 46% of the therapy being performed by nursing technicians.
Conclusions:
We conclude that the prevention and treatment of PI require shared management, with integrated actions among the care executors.
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10-01-2022
Benchmarking of mobile apps on heart failure
- Virna Ribeiro Feitosa Cestari ,
- Raquel Sampaio Florêncio ,
- Thiago Santos Garces ,
- Vera Lucia Mendes de Paula Pessoa ,
- Thereza Maria Magalhães Moreira
Abstract
Benchmarking of mobile apps on heart failure
Revista Brasileira de Enfermagem. 2022;75(1):e20201093
DOI 10.1590/0034-7167-2020-1093
- Virna Ribeiro Feitosa Cestari ,
- Raquel Sampaio Florêncio ,
- Thiago Santos Garces ,
- Vera Lucia Mendes de Paula Pessoa ,
- Thereza Maria Magalhães Moreira
Views0INTRODUCTIONHeart failure (HF) is an emerging global threat, with a current prevalence of 64.34 million cases on the planet (8.52 per 1,000 inhabitants), representing 9.91 million years lost due to disability and spending of US$346.17 billion(), with a prospect of an increase despite therapeutic advances. These data alert to the prioritization of preventive actions and […]See more
- Virna Ribeiro Feitosa Cestari
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REVIEW12-13-2019
Critical path of women in situation of violence: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72:321-332
Abstract
REVIEWCritical path of women in situation of violence: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72:321-332
DOI 10.1590/0034-7167-2018-0265
Views1See moreABSTRACT
Objective:
To identify Brazilian and international scientific evidence on the critical path of women in situations of violence.
Method:
Integrative literature review developed in four databases and two electronic portals, in January 2017. Twenty-one full articles in English, Portuguese or Spanish from original researches were included in the time cut from 1994 to 2016, and which presented critical path elements, even without using this concept.
Results:
The critical path of women in situations of violence is constituted of elements related to their perceptions, actions and previous experiences regarding availability and quality of services, social representations of public servers and community and the results obtained in the search for help.
Conclusion:
Critical path elements are decisive for the women, and can promote, inhibit or delay the beginning of the route and consequently the end of situations of violence experienced by these women.
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ORIGINAL ARTICLE02-02-2022
The Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
- Alissa Xavier da Costa Furtado Abi ,
- Elaine Dhemer de Almeida Cruz ,
- Letícia Pontes ,
- Tatiane dos Santos ,
- Jorge Vinícius Cestari Felix
Abstract
ORIGINAL ARTICLEThe Healthcare Failure Mode and Effect Analysis as a tool to evaluate care protocols
Revista Brasileira de Enfermagem. 2022;75(3):e20210153
DOI 10.1590/0034-7167-2021-0153
- Alissa Xavier da Costa Furtado Abi ,
- Elaine Dhemer de Almeida Cruz ,
- Letícia Pontes ,
- Tatiane dos Santos ,
- Jorge Vinícius Cestari Felix
Views0See moreABSTRACT
Objectives:
to identify, classify, and analyze modes of failure in the medication process.
Methods:
evaluative research that used the Healthcare Failure Mode and Effect Analysis (HFMEA) in a service of bone marrow transplant from June to September 2018, with the participation of 35 health workers.
Results:
207 modes of failure were identified and classified as mistakes in verification (14%), scheduling (25.6%), administration (29%), dilution (16.4%), prescription (2.4%), and identification (12.6%). The analysis of risk showed a moderate (51.7%) and high (30.9%) need of intervention, leading to the creation of an internal quality assurance group and of continued education activities.
Conclusions:
the Healthcare Failure Mode and Effect Analysis showed itself to be a tool to actively identify, classify, and analyze failures in the process of medication, contributing for the proposal of actions aimed at patient safety.
- Alissa Xavier da Costa Furtado Abi
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ORIGINAL ARTICLE11-29-2022
Ethics in nursing: categorization of legal processes
- Larissa Viana Ues ,
- Leticia Helbingen Pereira ,
- Rayssa Maria de Araújo Ferreira Paula Bastos ,
- Luana Cássia Miranda Ribeiro ,
- George Oliveira Silva , [ … ],
- Ivete Santos Barreto
Abstract
ORIGINAL ARTICLEEthics in nursing: categorization of legal processes
Revista Brasileira de Enfermagem. 2022;75(3):e20210099
DOI 10.1590/0034-7167-2021-0099
- Larissa Viana Ues ,
- Leticia Helbingen Pereira ,
- Rayssa Maria de Araújo Ferreira Paula Bastos ,
- Luana Cássia Miranda Ribeiro ,
- George Oliveira Silva ,
- Katiane de Oliveira Campos ,
- Ivete Santos Barreto
Views0See moreABSTRACT
Objectives:
to categorize factual elements of ethical-disciplinary nursing lawsuits in the state of Goiás.
Methods:
cross-sectional, retrospective study, based on secondary data obtained from ethical-disciplinary lawsuits filed at the Regional Nursing Council of Goiás (Coren-Goiás) between the years 2010 and 2019.
Results:
the highest number of lawsuits filed was in 2013 and 2014, with a greater frequency in the state capital. The majority came from the Nursing Ethics Committees and ex-officio complaints. The professional with most complaints was the nursing technician, aged between 31 and 40 years old, at the beginning of their career. The most common type of complaints referred to performing attributions that were not within the nursing competences.
Conclusions:
as a highlight are the contributions of this study to professional ethics in nursing and the clear need to consolidate these skills in nurses who are in training and in the continuous education for those already in the profession.
- Larissa Viana Ues
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REVIEW02-10-2020
Low Chronic Self-Esteem and Low Situational Self-Esteem: a literature review
Revista Brasileira de Enfermagem. 2020;73(1):e20180004
Abstract
REVIEWLow Chronic Self-Esteem and Low Situational Self-Esteem: a literature review
Revista Brasileira de Enfermagem. 2020;73(1):e20180004
DOI 10.1590/0034-7167-2018-0004
Views0See moreABSTRACT
Objective:
to develop a literature review about low self-esteem and components of the nursing diagnoses Low Chronic Self-Esteem and Low Situational Self-Esteem in patients with depressed mood.
Method:
an integrative literature review carried out in the Pubmed portal and in the Scopus and Web of Science electronic bibliographic databases. Depression and self-esteem descriptors were used, resulting in 32 articles.
Results:
literature indicated 7 clinical indicators and 14 etiological factors for low self-esteem.
Conclusion:
The clinical indicators Suicidal ideation and Ineffective treatment were more prevalent in the study. The etiological factors Stressful events and Stigmatization were the most frequent, both of which were suggested as new related factors for low self-esteem. Nursing diagnosis recognition can contribute to intervention strategy elaboration by the nurse, according to the urgent diagnostic and the individual’s particularities.
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