Articles - Revista Brasileira de Enfermagem

RESEARCH01-01-2018

Family health strategy: relevance to the functional capacity of older people
Revista Brasileira de Enfermagem. 2018;71:740-746

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Abstract
RESEARCH
Family health strategy: relevance to the functional capacity of older people
Revista Brasileira de Enfermagem. 2018;71:740-746
DOI 10.1590/0034-7167-2017-0078
Carla Silvana de Oliveira e Silva,
Mayke Müller Soares Barbosa,
Lucinéia de Pinho,
Maria Fernanda Santos Figueiredo,
Caroline Oliveira Amaral,
Franciele Ornelas Cunha,
Elaine Cristina Santos Alves,
Dulce Aparecida Barbosa
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ABSTRACT

Objective:

to identify the functional capacity of older people based on their performance on basic activities of daily living.

Method:

a cross-sectional study, carried out through the record of the Family Health teams working in the urban area of a city in northern Minas Gerais, in 2015. To assess the functional capacity of 373 older people, the Katz Scale was applied, which includes dimensions on the performance of daily living activities. The interviews took place in the participants’ households.

Results:

of the total participants, 6.9% had some degree of dependence. Those aged over 80 years old and were living without a partner had about three times more chances of presenting higher levels of functional dependence.

Conclusion:

most older people enrolled in a Family Health Strategy had their functional capacity preserved.

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RESEARCH01-01-2018

Assessment of ulceration risk in diabetic individuals
Revista Brasileira de Enfermagem. 2018;71:733-739

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Abstract
RESEARCH
Assessment of ulceration risk in diabetic individuals
Revista Brasileira de Enfermagem. 2018;71:733-739
DOI 10.1590/0034-7167-2017-0337
Luz Marina Alfonso Dutra,
Maria Rita Carvalho Garbi Novaes,
Manuela Costa Melo,
Danyelle Lorrane Carneiro Veloso,
Dayane Leticia Faustino,
Leila Maria Sales Sousa
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ABSTRACT

Objective:

To identify the risk factors for foot ulceration through the tracing of diabetic peripheral neuropathy and peripheral arterial disease in individuals with type I and II diabetes, who were assisted in reference centers of the Federal District, Brazil.

Method:

a cross-sectional and analytical study, with the assessment of 117 individuals in outpatient clinics of the Federal District. Continuous variables were compared through Mann-Whitney test, and categorized variables, through Chi-square test for univariate analysis and Logistics regression test for multivariate analysis.

Results:

painful diabetic peripheral neuropathy was present in 37 (75.5%) of the individuals with neuropathy. Deformities and loss of protective plant sensibility were related to neuropathy (p=0.014 and p=0.001, respectively). Of the 40 (34.2%) individuals in the sample who presented peripheral arterial disease, 26 (65%) presented calcification risk.

Conclusion:

signs of painful peripheral polyneuropathy, peripheral arterial disease, deformities, loss of protective plantar sensibility, and dry skin were identified as risk factors for ulceration.

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RESEARCH01-01-2018

Aging and quality of life of elderly people in rural areas
Revista Brasileira de Enfermagem. 2018;71:724-732

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Abstract
RESEARCH
Aging and quality of life of elderly people in rural areas
Revista Brasileira de Enfermagem. 2018;71:724-732
DOI 10.1590/0034-7167-2017-0149
Juliana Ladeira Garbaccio,
Luís Antônio Batista Tonaco,
Wilson Goulart Estêvão,
Bárbara Jacome Barcelos
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ABSTRACT

Objective:

To evaluate the quality of life and health of elderly in rural areas of Minas Gerais State’s center-west.

Method:

Cross-sectional study, in four municipalities of Minas Gerais State, by interviewing elderly people. Associations between socio-demographic and quality of life variables were tested, separated into “satisfactory”/“unsatisfactory” with values from the median of positive answers. It was used the chi-square test, Fisher’s test and regression.

Results:

182 elderly answered the questions and showed a relation with the “satisfactory” quality of life – bivariate (p < 0.05): age by 69 years (61.6%), married (61.7%), living by 54 years in rural areas (68%), with no financial support (59.5%), living with someone else (61%), non-smoker (60%), presenting good health (76.7%), satisfied with life (69.6%); regression: not having financial support, living with someone else and not smoking.

Conclusion:

Elderly people in rural areas present good quality of life/health in the cognitive aspect, access to services, goods, habits, but awareness must be constant due to their weakness.

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01-01-2018

Population aging and the Nursing commitment
- Ângela Maria Alvarez,
- Juliana Vieira de Araujo Sandri
Revista Brasileira de Enfermagem. 2018;71:722-723

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Abstract
Population aging and the Nursing commitment
Revista Brasileira de Enfermagem. 2018;71:722-723
DOI 10.1590/0034-7167-201871Sup201
Ângela Maria Alvarez,
Juliana Vieira de Araujo Sandri
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Since the end of the 1970s Brazil has imposed administrative and political tools that define who are elderly. The National Policy for Senior Citizens (NPSC) states that elderly people are the ones who are 60 years old and above, according to the Law 8,842 on January 4th, 1994 and governed by the Decree 1948 on […]
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01-01-2018

O envelhecimento populacional e o compromisso da enfermagem
- Ângela Maria Alvarez,
- Juliana Vieira de Araujo Sandri
Revista Brasileira de Enfermagem. 2018;71:722-723

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Abstract
O envelhecimento populacional e o compromisso da enfermagem
Revista Brasileira de Enfermagem. 2018;71:722-723
DOI 10.1590/0034-7167-201871Sup201
Ângela Maria Alvarez,
Juliana Vieira de Araujo Sandri
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O Brasil, desde o final da década de 90, instituiu instrumentos administrativos e políticos que definem claramente quem é idoso. A política nacional do idoso (PNI) define idoso como sendo uma pessoa com 60 anos ou mais por meio da Lei nº8. 842, de 4 de janeiro de 1994 e regulamentada pelo Decreto nº 1948 […]
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REFLECTION01-01-2018

Advanced practice nursing: a possibility for Primary Health Care?
Revista Brasileira de Enfermagem. 2018;71:716-721

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REFLECTION
Advanced practice nursing: a possibility for Primary Health Care?
Revista Brasileira de Enfermagem. 2018;71:716-721
DOI 10.1590/0034-7167-2017-0672
Manoel Vieira de Miranda Neto,
Talita Rewa,
Valéria Marli Leonello,
Maria Amélia de Campos Oliveira
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ABSTRACT

Objective:

Reflect on the role of advanced practice nursing (APN) in the context of Brazilian primary health care.

Method:

analysis of the main scientific productions and of the discussion on the implementation of APN.

Results:

there are favorable areas for the work of APN in primary health care, especially in the family health strategy. Professional master’s degree and nurse residency programs constitute powerful training spaces. As a challenge, standardized definition of the roles of advanced practice nurses and of minimum training for work are necessary.

Final considerations:

researches that contribute to understanding the perspectives, facilitators, and barriers for APN are necessary, as well as determining the population’s health needs and expectations concerning the role of these professionals.

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REFLECTION01-01-2018

Nursing in Collective Health: reinterpretation of objective reality by the praxis action
Revista Brasileira de Enfermagem. 2018;71:710-715

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Abstract
REFLECTION
Nursing in Collective Health: reinterpretation of objective reality by the praxis action
Revista Brasileira de Enfermagem. 2018;71:710-715
DOI 10.1590/0034-7167-2017-0677
Emiko Yoshikawa Egry,
Rosa Maria Godoy Serpa da Fonseca,
Maria Amélia de Campos Oliveira,
Maria Rita Bertolozzi
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ABSTRACT

Objective:

To discuss the phase of reinterpretation of objective reality of the Theory of Praxis Intervention of Nursing in Collective Health (Tipesc), in search of the praxis that it promotes.

Method:

Analysis of interventions in projects that are based on Tipesc and its results, since the 1990s.

Results:

Developed and implemented projects show that praxis is the way to achieve the aimed changes.

Conclusion:

We concluded that Tipesc is currently the explanatory and interventional theory, since it is grounded on its theoretical bases, which arise from philosophical bases of dialectical and historical materialism.

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REFLECTION01-01-2018

The complexity of the work of nurses in Primary Health Care
Revista Brasileira de Enfermagem. 2018;71:704-709

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Abstract
REFLECTION
The complexity of the work of nurses in Primary Health Care
Revista Brasileira de Enfermagem. 2018;71:704-709
DOI 10.1590/0034-7167-2017-0471
Sandra Rejane Soares Ferreira,
Lisiane Andréia Devinar Périco,
Vilma Regina Freitas Gonçalves Dias
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ABSTRACT

Objective:

to promote thinking on the work of nurses in Primary Health Care (PHC) and the necessary aspects for the (re)construction of this professional practice, reinforcing its role in the care of individuals, families and communities.

Method:

to apply the questions raised in the process of organizing a book, the literature and the PHS work experience of the authors.

Results:

Conflicts, dilemmas and relevant aspects of the practice of nurses in PHC are presented, contributing to critical thinking about the context of work and the need to articulate the category in the construction of its workspace.

Final considerations:

the practice of nurses in PHC is broad and a process of qualification field, whether performing in clinical, educational or managerial activities, and nurses need to be familiar with these contents in their daily work, seeking to articulate their class entities for the development of this specialty.

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RESEARCH01-01-2018

Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289

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Abstract
RESEARCH
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
DOI 10.1590/0034-7167-2017-0265
Danielle Lemos Querido,
Marialda Moreira Christoffel,
Viviane Saraiva de Almeida,
Ana Paula Vieira dos Santos Esteves,
Marilda Andrade,
Joffre Amim Junior
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ABSTRACT

Objective:

To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.

Method:

This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.

Results:

Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.

Final considerations:

The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

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RESEARCH01-01-2018

The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
Gutembergue Santos de Sousa,
Roberto Nadir Figueira da Silva,
Nathália Giordana Ferreira,
Maria Goreth Silva Ferreira
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ABSTRACT

Objective:

To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.

Method:

A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.

Results:

Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.

Conclusion:

The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.

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RESEARCH01-01-2018

Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403

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Abstract
RESEARCH
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Marcia Regina Cunha,
Maria Clara Padoveze,
Célia Regina Maganha e Melo,
Lucia Yasuko Izumi Nichiata
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ABSTRACT

Objective:

To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.

Method:

Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.

Results:

89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.

Conclusion:

Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.

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RESEARCH01-01-2018

Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
Fatima Maria de Melo Brito,
Célia Alves Rozendo,
Priscila de Oliveira Cabral Melo
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ABSTRACT

Objective:

to analyze the contribution of the laboratory of nursing to the critical education of nurses.

Method:

qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.

Results:

it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.

Final considerations:

the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.

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RESEARCH01-01-2018

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
Maria Aparecida Baggio,
Rosilene Berres,
Bruna Penteado Silva Gregolin,
Solange Aikes
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ABSTRACT

Objective:

to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.

Method:

a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.

Results:

the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.

Final considerations:

it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.

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RESEARCH01-01-2018

Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
DOI 10.1590/0034-7167-2017-0886
Michelli Pacheco Sako,
Adriana Maria da Silva Felix,
Julia Yaeko Kawagoe,
Maria Clara Padoveze,
Silvia Alice Ferreira,
Silvia Helena Zem-Mascarenhas,
Stephen Timmons,
Isis Pienta Batista Dias Passos,
Rosely Moralez de Figueiredo
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ABSTRACT

Objective:

To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.

Method:

Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.

Results:

A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.

Conclusion:

The developed tool has been validated and is now available for use in Primary Health Care.

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RESEARCH01-01-2018

Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
Magda Coeli Vitorino Sales Coêlho,
Camila Aparecida Pinheiro Landim Almeida,
Ana Roberta Vilarouca da Silva,
Luana Kelle Batista Moura,
Lucíola Galvão Gondim Corrêa Feitosa,
Laura Barbosa Nunes
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ABSTRACT

Objective:

seize meanings attributed by primary care nurses to training in diabetes education.

Method:

exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.

Results:

nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.

Conclusion:

the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.

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RESEARCH01-01-2018

Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
RESEARCH
Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
DOI 10.1590/0034-7167-2017-0754
Inara Mariela da Silva Cavalcante,
Glauteice Freitas Guedes,
Vilanice Alves de Araújo Püschel
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ABSTRACT

Objective:

To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.

Method:

Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.

Results:

The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.

Conclusion:

Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and research.

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ORIGINAL ARTICLE07-13-2020

Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Mental health of nursing in coping with COVID-19 at a regional university hospital
Revista Brasileira de Enfermagem. 2020;73:e20200434
DOI 10.1590/0034-7167-2020-0434
Eduardo Bassani Dal’Bosco ,
Lara Simone Messias Floriano ,
Suellen Vienscoski Skupien ,
Guilherme Arcaro ,
Alessandra Rodrigues Martins ,
Aline Cristina Correa Anselmo
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ABSTRACT

Objective:

to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital.

Methods:

a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences.

Results:

there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years.

Conclusion:

we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.

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REFLECTION04-22-2020

Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REFLECTION
Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health
Revista Brasileira de Enfermagem. 2020;73(3):e20190250
DOI 10.1590/0034-7167-2019-0250
Jacks Soratto ,
Denise Elvira Pires de Pires ,
Susanne Friese
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ABSTRACT

Objective:

to describe the most important tools of ATLAS.ti Software and to associate them with the procedures of Thematic Content Analysis.

Method:

It is a theoretical reflection of the Content Analysis phases of Laurence Bardin, associating them with software tools Atlas.ti and showing its usefulness for data analysis in qualitative research.

Results:

historical contextualization and the available resources of Atlas.ti software with presentation of health research involving the phases of thematic content analysis.

Final considerations:

The Atlas.ti software assists in the accomplishment of the thematic content analysis being this promising association in health research.

Keywords:Information Management Primary Health Care Qualitative Analysis Qualitative Research Software
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REFLECTION10-26-2020

Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
REFLECTION
Nursing education: challenges and perspectives in times of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200683
DOI 10.1590/0034-7167-2020-0683
Ana Luisa Brandão de Carvalho Lira ,
Edlamar Kátia Adamy ,
Elizabeth Teixeira ,
Francisca Valda da Silva
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ABSTRACT

Objective:

To discuss the challenges and perspectives of nursing education in times of the COVID-19 pandemic.

Methods:

Reflection study, with theoretical approach based on national and international publications, allied to the experience of researchers in the area of nursing education.

Results:

Four sections are identified: Nursing education: current affairs and perspectives; Education and technologies in time of pandemic: acceleration, alteration and paralysis; Difference between emergency, intentional and remote teaching; the return to the “new normality”: new structuring axes and legal norms.

Final considerations:

The conclusion is that longstanding challenges have emerged with the pandemic, and the processes of acceleration, change and paralysis have marked education in these times. Moreover, epidemiological, technological and psychological aspects should be more valued in the return to activities.

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ORIGINAL ARTICLE11-13-2020

Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Social determinants of health and COVID-19 infection in Brazil: an analysis of the pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200673
DOI 10.1590/0034-7167-2020-0673
Alexandre Medeiros de Figueiredo ,
Daniela Cristina Moreira Marculino de Figueiredo ,
Luciano Bezerra Gomes ,
Adriano Massuda ,
Eugenia Gil-García ,
Rodrigo Pinheiro de Toledo Vianna ,
Antonio Daponte
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ABSTRACT

Objective:

To analyze the influence of socioeconomic, demographic, epidemiological factors, and the health system structure in the evolution of the COVID-19 pandemic in Brazil.

Methods:

Ecological study with variables extracted from databases, having the incidence and mortality by COVID-19 until August 23, 2020, in Brazilian states, as response variables. The magnitude of the associations was estimated using Spearman’s correlation coefficient and multiple regression analysis.

Results:

In the Brazilian states, 59.8% of variation in the incidence of COVID-19 was justified by income inequality, significant home densification, and higher mortality. In the case of mortality, those same variables explained 57.9% of the country’s variations in federal units.

Conclusion:

Our results indicate that socioeconomic factors influenced the evolution and impact of COVID-19 in Brazil. Thus, we suggest comprehensive actions to ensure economic conditions and strengthening of health networks for populations with socioeconomic vulnerability.

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ORIGINAL ARTICLE08-10-2020

Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Braden Scale in pressure ulcer risk assessment
Revista Brasileira de Enfermagem. 2020;73(6):e20190413
DOI 10.1590/0034-7167-2019-0413
Ricardo Clayton Silva Jansen ,
Kedyma Batista de Almeida Silva ,
Maria Edileuza Soares Moura
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ABSTRACT

Objective:

To analyze the applicability of the Braden Scale to individuals admitted to an Intensive Care Unit (ICU) with the nursing diagnosis Impaired Physical Mobility, in its prediction potential to develop pressure ulcer (PU).

Methods:

A cross-sectional, quantitative study that evaluated all patients hospitalized in an ICU between November 2016 and February 2017, with the Braden Scale.

Results:

The prevalence of PU was 35.8% (24/67), in male individuals 58.3% (14/24), diagnosed with ischemic CVA 51.9% (12/27), and with hemorrhagic CVA 7.4% (2/27). Among patients classified at severe risk of developing pressure ulcer, 83.3% (20/53) developed it, and 76.7% (33/53) did not develop it.

Conclusion:

The performance of the Braden Scale showed a balance between sensitivity and specificity, confirming it as a better predictive risk assessment instrument in this group of patients.

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ORIGINAL ARTICLE02-27-2020

Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Prevalence of symptoms and quality of life of cancer patients
Revista Brasileira de Enfermagem. 2020;73(2):e20180287
DOI 10.1590/0034-7167-2018-0287
Marina de Góes Salvetti ,
Caroline Silva Pereira Machado ,
Suzana Cristina Teixeira Donato ,
Adriana Marques da Silva
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ABSTRACT

Objectives:

to analyze the prevalence of symptoms and their relationship with the quality of life of cancer patients.

Methods:

this is a cross-sectional study with 107 patients evaluated using a sociodemographic instrument, the hospital anxiety and depression scale (HADS) and the quality of life scale (EORTC-QLQ-C30). Pearson’s correlation test was used to evaluate the relationship between symptoms and quality of life.

Results:

prevalence of female patients (56.1%), 55 years as the mean age and 10 years of schooling. Fatigue (76.6%), insomnia (47.7%), pain (42.1%), loss of appetite (37.4%), anxiety (31.8%) and depression (21.5%) were identified. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

Conclusions:

fatigue, insomnia, pain and loss of appetite were the most common and most intense symptoms. Anxiety and depression symptoms presented a negative correlation with quality of life and positive correlation with physical symptoms.

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ORIGINAL ARTICLE06-27-2019

Validation of a booklet on self-care with the diabetic foot
Revista Brasileira de Enfermagem. 2019;72(3):780-787

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
ORIGINAL ARTICLE
Validation of a booklet on self-care with the diabetic foot
Revista Brasileira de Enfermagem. 2019;72(3):780-787
DOI 10.1590/0034-7167-2017-0900
Yara Lanne Santiago Galdino ,
Thereza Maria Magalhães Moreira ,
Antonio Dean Barbosa Marques ,
Francisca Alexandra Araújo da Silva
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ABSTRACT

Objective:

to describe the validation of the booklet on self-care with the feet of people with diabetes.

Method:

methodological study, focusing on the validation of a printed booklet. The content and appearance of the booklet was validated by 23 judges divided into three groups: 11 content and appearance, seven technicians and five of the area of design and marketing. The appearance was validated by 30 people with type 2 Diabetes Mellitus.

Results:

the judges in the nursing area allowed the validation of material with a Content Validity Index (CVI) of 0.99, judges in the area of design and marketing with Suitability Assessment of Materials (SAM) of 99.2% and the target audience with concordance index of 99.4%.

Conclusion:

the educational booklet proved to be valid and reliable educational material to be used in order to promote compliance with self-care with the feet of people with Diabetes Mellitus.

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REVIEW03-24-2021

Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130

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Abstract
REVIEW
Strategies of active learning methodologies in nursing education: an integrative literature review
Revista Brasileira de Enfermagem. 2021;74(1):e20200130
DOI 10.1590/0034-7167-2020-0130
Joyce Fernanda Soares Albino Ghezzi ,
Elza de Fátima Ribeiro Higa ,
Monike Alves Lemes ,
Maria José Sanches Marin
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ABSTRACT

Objectives:

to analyze the scientific evidence on the strategies of active learning methodologies used in the training of nurses, as well as their contributions and obstacles in training.

Methods:

integrative literature review conducted with 33 selected articles in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

Results:

among the strategies, simulation, problem-based learning and flipped classroom were highlighted. The active search, the integration of theory and practice and group work were examples of contributions to the training of nurses. However, the lack of preparation of the actors and the lack of structural support contribute to the dissatisfaction of the students.

Final Considerations:

the active learning methodology places the student at the heart of the learning process, favors critical thinking and the ability to make decisions.

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ISSUE

Family health strategy: relevance to the functional capacity of older people

ABSTRACT

Objective:

Method:

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Conclusion:

Assessment of ulceration risk in diabetic individuals

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Aging and quality of life of elderly people in rural areas

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Population aging and the Nursing commitment

O envelhecimento populacional e o compromisso da enfermagem

Advanced practice nursing: a possibility for Primary Health Care?

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Final considerations:

Nursing in Collective Health: reinterpretation of objective reality by the praxis action

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The complexity of the work of nurses in Primary Health Care

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Final considerations:

Assistance flowchart for pain management in a Neonatal Intensive Care Unit

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Final considerations:

The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it

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Identification of post-cesarean surgical site infection: nursing consultation

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Nursing laboratory and critical education of nurses: approaches and distances

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Final considerations:

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

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Objective:

Method:

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Final considerations:

Knowledge about precautions in Primary Health Care: tool validation

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Objective:

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Conclusion:

Training in diabetes education: meanings attributed by primary care nurses

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Objective:

Method:

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Conclusion: