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ORIGINAL ARTICLE01-10-2024
Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
- Liandra Silva Lopes
, - Laura Maria Vidal Nogueira ,
- Erlon Gabriel Rego de Andrade ,
- Ivaneide Leal Ataíde Rodrigues ,
- Juan Andrade Guedes , [ … ],
- Paula Gisely Costa Silva
Abstract
ORIGINAL ARTICLEChildbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
DOI 10.1590/0034-7167-2024-0038
- Liandra Silva Lopes ,
- Laura Maria Vidal Nogueira ,
- Erlon Gabriel Rego de Andrade ,
- Ivaneide Leal Ataíde Rodrigues ,
- Juan Andrade Guedes ,
- Rosinelle Janayna Coêlho Caldas ,
- Paula Gisely Costa Silva
Views0See moreABSTRACT
Objective:
to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital.
Methods:
ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05).
Results:
the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital.
Conclusions:
long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.
- Liandra Silva Lopes
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REVIEW01-10-2024
Nurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
- Herlys Rafael Pereira do Nascimento ,
- Ingrid Mikaela Moreira de Oliveira ,
- Grayce Alencar Albuquerque ,
- Edilma Gomes Rocha Cavalcante ,
- Marlene Menezes de Souza Teixeira , [ … ],
- Maria do Socorro Vieira Lopes
Abstract
REVIEWNurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240023
DOI 10.1590/0034-7167-2024-0023
- Herlys Rafael Pereira do Nascimento ,
- Ingrid Mikaela Moreira de Oliveira ,
- Grayce Alencar Albuquerque ,
- Edilma Gomes Rocha Cavalcante ,
- Marlene Menezes de Souza Teixeira ,
- Maria do Socorro Vieira Lopes
Views0ABSTRACT
Objective:
to identify knowledge production about nurses’ contributions to improving healthy and sustainable public spaces.
Methods:
an integrative review carried out in February 2023 in electronic databases. Studies that answered the research question and that were available in full, in Portuguese, English and Spanish, were included.
Results:
a total of five articles were selected. The findings highlighted the importance of educational projects in the training of local managers and community autonomy; citizen participation and health promotion as ways to implement Sustainable Development Goal 11; nurses as facilitators of collective care; new health practices and modes of producing subjectivity; and use of public transportation, bicycles and/or walking in these spaces.
Final considerations:
there is a clear need for greater incentives from local governments to develop effective sustainability strategies that are led by nurses and the community.
Keywords:AttitudesCommunity HealthHealth KnowledgeHealthy Lifestyle, NursesNursesPracticeSustainable DevelopmentSee more
- Herlys Rafael Pereira do Nascimento
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ORIGINAL ARTICLE01-10-2024
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
Abstract
ORIGINAL ARTICLEPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
DOI 10.1590/0034-7167-2023-0421
Views0See moreABSTRACT
Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Views0Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]See more -
ORIGINAL ARTICLE01-10-2024
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
Abstract
ORIGINAL ARTICLEClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
DOI 10.1590/0034-7167-2023-0527
Views0See moreABSTRACT
Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
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ORIGINAL ARTICLE01-10-2024
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
- Ely Carlos Pereira de Jesus ,
- Victor Guilherme Pereira ,
- Zilá Aparecida Soares Pereira ,
- Maria Suzana Marques ,
- Cristiane Vieira da Silva , [ … ],
- Antônio Prates Caldeira
Abstract
ORIGINAL ARTICLEMorbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
DOI 10.1590/0034-7167-2023-0454
- Ely Carlos Pereira de Jesus ,
- Victor Guilherme Pereira ,
- Zilá Aparecida Soares Pereira ,
- Maria Suzana Marques ,
- Cristiane Vieira da Silva ,
- Leila das Graças Siqueira ,
- Luciana Colares Maia ,
- Antônio Prates Caldeira
Views0See moreABSTRACT
Objective:
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
Methods:
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
Results:
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
Conclusions:
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
- Ely Carlos Pereira de Jesus
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ORIGINAL ARTICLE01-10-2024
Nursing care management strategies to address the COVID-19 pandemic
- Gabriela Marcellino de Melo Lanzoni ,
- Leonardo Pereira de Sousa ,
- Viviane Pecini da Cunha ,
- Ana Lúcia Schaefer Ferreira de Mello ,
- Alexandre Pazetto Balsanelli , [ … ],
- José Luís Guedes dos Santos
Abstract
ORIGINAL ARTICLENursing care management strategies to address the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230254
DOI 10.1590/0034-7167-20230254
- Gabriela Marcellino de Melo Lanzoni ,
- Leonardo Pereira de Sousa ,
- Viviane Pecini da Cunha ,
- Ana Lúcia Schaefer Ferreira de Mello ,
- Alexandre Pazetto Balsanelli ,
- José Luís Guedes dos Santos
Views0See moreABSTRACT
Objective:
To characterize nursing care management strategies for addressing the COVID-19 pandemic.
Method:
A descriptive, qualitative study conducted with 22 nurse professionals at a University Hospital in Southern Brazil. Data collection through interviews in June and August 2021, analyzed according to Bardin’s Content Analysis and the theoretical framework of complex thinking.
Results:
The identified strategies were organized into four categories: Reorganization of health services; People management and emergency admission; Multiprofessional articulation; and Bedside nursing care.
Final Considerations:
Professional performance revealed a complex interplay between leadership and care management practices, even in the face of working condition restrictions, and were understood as crucial in the pandemic scenario.
- Gabriela Marcellino de Melo Lanzoni
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Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review
- Thaís Emanuele da Conceição ,
- Maria Helena do Nascimento Souza ,
- Rafael Braga Esteves ,
- Patrícia Lima Pereira Peres ,
- Donatella Valente , [ … ],
- Antonella Nespoli
Abstract
Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review
Revista Brasileira de Enfermagem. 2023;76(6):e20220769
DOI 10.1590/0034-7167-2022-0769
- Thaís Emanuele da Conceição ,
- Maria Helena do Nascimento Souza ,
- Rafael Braga Esteves ,
- Patrícia Lima Pereira Peres ,
- Donatella Valente ,
- Antonella Nespoli
Views0See moreABSTRACT
Objective:
To identify and analyze the scientific literature, both national and international, concerning the primary maternal concerns about caring for premature newborns at home.
Methods:
This integrative review is based on the guiding question: “What scientific publications from 2012 to 2021 address maternal concerns about the care of premature newborns at home?”. Searches were conducted in the electronic databases: Embase, Medline, Web of Science, Lilacs, Scielo, and Cochrane Library.
Results:
A total of 21 articles were identified. The qualitative analysis showed that maternal concerns pertained to breastfeeding, hygiene, sunbathing practices, managing infant colic, identifying signs, symptoms, and clinical changes, temperature control, and the third phase of the kangaroo method.
Conclusions:
Maternal uncertainties underscore the importance of enhancing strategies focused on supporting families and ensuring continued care for neonates at home.
- Thaís Emanuele da Conceição
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TECHNOLOGICAL INNOVATION12-04-2023
Web App for prediction of hospitalisation in Intensive Care Unit by covid-19
Revista Brasileira de Enfermagem. 2023;76(6):e20220740
Abstract
TECHNOLOGICAL INNOVATIONWeb App for prediction of hospitalisation in Intensive Care Unit by covid-19
Revista Brasileira de Enfermagem. 2023;76(6):e20220740
DOI 10.1590/0034-7167-2022-0740
Views0See moreABSTRACT
Objective:
To develop a Web App from a predictive model to estimate the risk of Intensive Care Unit (ICU) admission for patients with covid-19.
Methods:
An applied technological production research was carried out with the development of Streamlit using Python, considering the decision tree model that presented the best performance (AUC 0.668).
Results:
Based on the variables associated with Precision Nursing, Streamlit stratifies patients admitted to clinical units who are most likely to be admitted to the Intensive Care Unit, serving as a decision-making support tool for healthcare professionals.
Final considerations:
The performance of the model may have been influenced by the start of vaccination during the data collection period, however, the Web App via Streamlit proved to be a feasible tool for presenting research results, due to the ease of understanding by nurses and its potential for supporting clinical decision-making.
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ORIGINAL ARTICLE12-04-2023
Efeitos da auriculoterapia na ansiedade e biomarcadores na Atenção Primária à Saúde: um ensaio clínico
- Carina da Silva ,
- Letícia Siqueira ,
- Lívia Crespo Drago ,
- Elisa Mitkus Flores Lins ,
- Daniel Fernandes Martins , [ … ],
- Franciane Bobinski
Abstract
ORIGINAL ARTICLEEfeitos da auriculoterapia na ansiedade e biomarcadores na Atenção Primária à Saúde: um ensaio clínico
Revista Brasileira de Enfermagem. 2023;76(6):e20220728
DOI 10.1590/0034-7167-2022-0728pt
- Carina da Silva ,
- Letícia Siqueira ,
- Lívia Crespo Drago ,
- Elisa Mitkus Flores Lins ,
- Daniel Fernandes Martins ,
- Franciane Bobinski
Views0See moreRESUMEN
Objetivo:
evaluar los efectos de la auriculoterapia sobre la ansiedad y los niveles séricos de factor neurotrófico derivado de cerebro (BDNF), enolasa-específica de neurona (NSE) y proteína fijadora de calcio S100B (S100B) en adultos atendidos en Atención Primaria de Salud.
Métodos:
ensayo clínico piloto preexperimental. Se obtuvo información de 19 pacientes mediante el Inventario de Ansiedad Estado-Rasgo (STAI) y análisis de niveles séricos de BDNF, NSE y S100B.
Resultados:
la puntuación de ansiedad preintervención en el IDATE-Rasgo fue de 52,11±6,691 (CV 12,84%) y la valoración tras la auriculoterapia fue significativamente menor (43,72±8,141; CV 18,62%; P=0,0007). Los niveles de S100B se redujeron significativamente después de la auriculoterapia (de 64,03±72,18 a 54,03±68,53 pg/mL; CV 126,8%; P=0,0023).
Conclusión:
la auriculoterapia redujo efectivamente los niveles de ansiedad. Demostró ser seguro y fácil de aplicar, lo que permitió a las enfermeras realizar esta técnica de forma autónoma. También se evidenció una reducción de S100B, lo que demuestra una posible prevención del daño neuronal.
- Carina da Silva
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ORIGINAL ARTICLE12-04-2023
Effects of auriculotherapy on anxiety and biomarkers in Primary Health Care: a clinical trial
- Carina da Silva ,
- Letícia Siqueira ,
- Lívia Crespo Drago ,
- Elisa Mitkus Flores Lins ,
- Daniel Fernandes Martins , [ … ],
- Franciane Bobinski
Abstract
ORIGINAL ARTICLEEffects of auriculotherapy on anxiety and biomarkers in Primary Health Care: a clinical trial
Revista Brasileira de Enfermagem. 2023;76(6):e20220728
DOI 10.1590/0034-7167-2022-0728pt
- Carina da Silva ,
- Letícia Siqueira ,
- Lívia Crespo Drago ,
- Elisa Mitkus Flores Lins ,
- Daniel Fernandes Martins ,
- Franciane Bobinski
Views0See moreABSTRACT
Objective:
to assess the effects of auriculotherapy on anxiety and brain-derived neurotrophic factor (BDNF), neuron-specific enolase (NSE) and S100 calcium-binding protein B (S100B) serum levels in adults assisted in Primary Health Care.
Methods:
a pre-experimental pilot clinical trial. Information was obtained from 19 patients using the State-Trait Anxiety Inventory (STAI) and analysis of BDNF, NSE and S100B serum levels.
Results:
the pre-intervention anxiety score in the IDATE-Trait was 52.11±6.691 (CV 12.84%) and the assessment after auriculotherapy was significantly lower (43.72±8.141; CV 18.62%; P=0.0007). S100B levels were significantly reduced after auriculotherapy (from 64.03±72.18 to 54.03±68.53 pg/mL; CV 126.8%; P=0.0023).
Conclusion:
auriculotherapy effectively reduced anxiety levels. It proved to be safe and easy to apply, allowing nurses to perform this technique autonomously. A reduction of S100B was also evidenced, demonstrating possible prevention of neuronal damage.
- Carina da Silva
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ORIGINAL ARTICLE12-04-2023
Leadership Competencies of the Medical-Surgical Nursing Specialist Nurse
- Marina Filipa Silveira Pires ,
- Romana Silva Lopes ,
- Cláudia Sofia Fernandes Caetano ,
- Liliana Andreia Neves da Mota ,
- Fernanda Maria Príncipe Bastos Ferreira
Abstract
ORIGINAL ARTICLELeadership Competencies of the Medical-Surgical Nursing Specialist Nurse
Revista Brasileira de Enfermagem. 2023;76(6):e20220721
DOI 10.1590/0034-7167-2022-0721
- Marina Filipa Silveira Pires ,
- Romana Silva Lopes ,
- Cláudia Sofia Fernandes Caetano ,
- Liliana Andreia Neves da Mota ,
- Fernanda Maria Príncipe Bastos Ferreira
Views0See moreABSTRACT
Objective:
To identify the leadership competencies of Medical-Surgical Nursing Specialist Nurses.
Methods:
A quantitative, descriptive study using the Leadership Competencies Questionnaire. 311 Portuguese Medical-Surgical Nursing Specialist Nurses participated. Data analysis involved descriptive and inferential statistical analysis using the Statistical Package for Social Sciences (SPSS), version 22.0.
Results:
Study participants had an above-average self-perception on the scale (mean = 3.5) in all leadership roles, recognizing their leadership competencies. The leadership competencies of Medical-Surgical Nursing Specialist Nurses are balanced across all roles: Mentor (5.80 ± 1.02); Coordinator (5.53 ± 0.86); Facilitator (5.38 ± 1.04); Innovator (5.34 ± 0.88); Director (5.31 ± 1.10); Producer (5.30 ± 0.98); Monitor (5.15 ± 1.00); Corrector (4.79 ± 1.29)
Conclusions:
Specialized nursing practice enhances nurses’ self-perceived leadership competencies. Nurses see themselves as leaders focused on internal support and facilitation of collective effort and opportunities for skill development.
- Marina Filipa Silveira Pires
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ORIGINAL ARTICLE12-04-2023
Assessment of the components of sarcopenia and quality of life perceived of individuals on hemodialysis
Revista Brasileira de Enfermagem. 2023;76(6):e20220677
Abstract
ORIGINAL ARTICLEAssessment of the components of sarcopenia and quality of life perceived of individuals on hemodialysis
Revista Brasileira de Enfermagem. 2023;76(6):e20220677
DOI 10.1590/0034-7167-2022-0677
Views1See moreABSTRACT
Objectives:
to evaluate the prevalence of sarcopenia in individuals aged 50 years or older on hemodialysis; to verify the association between sarcopenia and sociodemographic, clinical, anthropometric factors, components of sarcopenia and quality of life (QoL); and to correlate the components of sarcopenia with QoL.
Methods:
Participated 83 individuals on hemodialysis. Sarcopenia was established according to the current European consensus. Dynamometry to determine strength, calf circumference (CC) and appendicular skeletal muscle mass index (ASMMI) to obtain muscle mass and gait speed (GS) for physical performance. For QoL used the WHOQOL-bref.
Results:
the prevalence of sarcopenia was 32.6% (CC) and 18.1% (ASMMI). There was no association between sarcopenia and QoL. Both handgrip strength (r=0.25) and GS (r=0.36) showed a correlation with physical domain.
Conclusions:
sarcopenia was expressive, and the aspects of functionality determine the physical impairment in this population.
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ORIGINAL ARTICLE12-04-2023
Construction and validation of an educational booklet for patients in the postoperative period of cardiac surgery: a methodological study
- Sônia Regina Barcellos ,
- Alexandre do Rosário Joras ,
- Angelita Paganin Constanzi ,
- Emiliane Nogueira de Souza
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational booklet for patients in the postoperative period of cardiac surgery: a methodological study
Revista Brasileira de Enfermagem. 2023;76(6):e20220621
DOI 10.1590/0034-7167-2022-0621
- Sônia Regina Barcellos ,
- Alexandre do Rosário Joras ,
- Angelita Paganin Constanzi ,
- Emiliane Nogueira de Souza
Views0See moreABSTRACT
Objective:
to construct and validate an educational booklet for self-care of patients in the postoperative period of cardiac surgery
Methods:
methodological study, including bibliographic survey, construction of the booklet and validation with judges and the target audience. For validation with judges, the Health Educational Content Validation Instrument was used, and with the target audience, an instrument was used with questions related to organization, writing style, appearance and motivation. To analyze the judges’ answers, the content validation index was used
Results:
the booklet was prepared with 14 topics. The content validation index among the eight judges was 1 and the concordance index among the ten patients was above 80%. The final version of the material was made available in printed format
Conclusion:
the educational booklet was developed and validated by judges and the target audience, serving as an educational support tool for self-care of patients in the postoperative period of cardiac surgery.
- Sônia Regina Barcellos
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Quality of care in peripheral venous catheterization: A scoping review
- Saulo Pereira da Costa ,
- Rodrigo Euripedes da Silveira ,
- Damiana Aparecida Trindade Monteiro ,
- Divanice Contim ,
- Silmara Elaine Malaguti Toffano
Abstract
Quality of care in peripheral venous catheterization: A scoping review
Revista Brasileira de Enfermagem. 2023;76(6):e20220578
DOI 10.1590/0034-7167-2022-0578
- Saulo Pereira da Costa ,
- Rodrigo Euripedes da Silveira ,
- Damiana Aparecida Trindade Monteiro ,
- Divanice Contim ,
- Silmara Elaine Malaguti Toffano
Views0ABSTRACT
Objective:
To map the current status of parameters and tools to assess quality of care related to peripheral venous catheter use in adults.
Methods:
Scoping review, conducted in 2022 in the MEDLINE, LILACS, CINAHL and SCOPUS databases and with a publication time limit from 2013 to 2022.
Results:
The sample consisted of 15 articles, summarized in the following categories: Indication, documentation and registration, coverage assessment, connection, stabilization and signs and symptoms inherent to the catheter. The use of a complete instrument, with the domains observed in this review, may have a positive impact on a more effective and safe clinical practice.
Conclusions:
The present review mapped the evidence about the insertion and maintenance of peripheral venous catheters that can be improved with training of good practices and the quality of the team, regarding the use of tools, materials and instruments for the evaluation of care.
Keywords:CatheterizationHealth EvaluationPeripheralQuality of Health CareReviewSurveys and QuestionnairesSee more
- Saulo Pereira da Costa
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RESEARCH01-01-2017
Violence against children and adolescents: the perspective of Primary Health Care
Revista Brasileira de Enfermagem. 2017;70(3):511-518
Abstract
RESEARCHViolence against children and adolescents: the perspective of Primary Health Care
Revista Brasileira de Enfermagem. 2017;70(3):511-518
DOI 10.1590/0034-7167-2016-0471
Views0See moreABSTRACT
Objective:
To analyze the care provided by Basic Health Units (BHU) to families involved in domestic intrafamily violence against children and adolescents.
Method:
Qualitative research, based on the Paradigm of Complexity. Data collection was performed with 41 professionals through focus groups and semi-structured interviews.
Results:
The following categories emerged from data analysis: ‘Everything comes here’, which reflects the legitimate place of BHUs for the population and the actions taken to build care for families; and ‘We only do what is really necessary’, which brings the look to violence still based on the positivist and biomedical paradigm.
Final considerations:
The model of understanding and construction of work processes in the BHU is structured in the aforementioned paradigm. Nurses have the possibility to become agents of change, both in professionals’ training and in the care thought and provided to communities.
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RESEARCH01-01-2017
Integrality of care: challenges for the nurse practice
Revista Brasileira de Enfermagem. 2017;70(3):504-510
Abstract
RESEARCHIntegrality of care: challenges for the nurse practice
Revista Brasileira de Enfermagem. 2017;70(3):504-510
DOI 10.1590/0034-7167-2016-0380
Views0See moreABSTRACT
Objective:
to understand the role of the nurse in the collegiate management model of a teaching hospital, in the integrality of care perspective.
Method:
a single case study with multiple units of analysis, with the theoretical proposition “integrality of care is a result of the care offered to the user by multiple professionals, including the nurse”. Data were obtained in a functional unit of a teaching hospital through interviews with 13 nurses in a non-participant observation and document analysis.
Results:
from the analytical categories emerged subcategories that allowed understanding that the nurse promotes integrality of care through nursing management, team work and integration of services.
Final considerations:
the theoretical proposition was confirmed and it was verified that the nursing management focus on attending to health care needs and is a strategy to provide integrality of care.
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RESEARCH01-01-2017
Low completion rate of hepatitis B vaccination in female sex workers
Revista Brasileira de Enfermagem. 2017;70(3):489-494
Abstract
RESEARCHLow completion rate of hepatitis B vaccination in female sex workers
Revista Brasileira de Enfermagem. 2017;70(3):489-494
DOI 10.1590/0034-7167-2016-0567
Views0See moreABSTRACT
Objective:
to assess predictive factors for noncompletion of the hepatitis B vaccination schedule in female sex workers in the city of Teresina, Northeastern Brazil.
Method:
402 women were interviewed and, for those who did not wish to visit specialized sites, or did not know their hepatitis B vaccination status, the vaccine was offered at their workplaces. Bi- and multivariate analyses were performed to identify potential predictors for noncompletion of the vaccination schedule.
Results:
of the 284 women eligible for vaccination, 258 (90.8%) received the second dose, 157/258 (60.8%) and 68/258 (26.3%) received the second and third doses, respectively. Working at clubs and consuming illicit drugs were predictors for noncompletion of the vaccination schedule.
Conclusion:
the high acceptability of the vaccine’s first dose, associated with low completion rates of the vaccination schedule in sex workers, shows the need for more persuasive strategies that go beyond offering the vaccine at their workplaces.
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RESEARCH01-01-2017
Cost of nursing most frequent procedures performed on severely burned patients
Revista Brasileira de Enfermagem. 2017;70(3):481-488
Abstract
RESEARCHCost of nursing most frequent procedures performed on severely burned patients
Revista Brasileira de Enfermagem. 2017;70(3):481-488
DOI 10.1590/0034-7167-2015-0034
Views0See moreABSTRACT
Objective:
to identify the mean direct cost (MDC) of the most frequent procedures performed by nursing professionals on severely burned patients in an Intensive Care Unit.
Method:
exploratory-descriptive quantitative single-case study. The MDC was calculated by multiplying time (timed) spent by nursing professionals in the performance of the procedures by the unit cost of direct labor, and adding the costs of material and medicine/solutions.
Results:
a MDC of US$ 0.65 (SD=0.36) was obtained for “vital signs monitoring”; US$ 10.00 (SD=24.23) for “intravenous drug administration”; US$ 5.90 (SD=2.75) for “measurement of diuresis”; US$ 0.93 (SD=0.42) for “capillary blood glucose monitoring”; and US$ 99.75 (SD=129.55) for “bandaging”.
Conclusion:
the knowledge developed can support managerial decision-making, contribute to the efficiency distribution of the resources involved and, when possible, provide cost-containment or cost-minimization strategies without impairing the quality of nursing care.
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RESEARCH01-01-2017
Nursing Activities Score and Acute Kidney Injury
Revista Brasileira de Enfermagem. 2017;70(3):475-480
Abstract
RESEARCHNursing Activities Score and Acute Kidney Injury
Revista Brasileira de Enfermagem. 2017;70(3):475-480
DOI 10.1590/0034-7167-2016-0266
Views0See moreABSTRACT
Objective:
to evaluate the nursing workload in intensive care patients with acute kidney injury (AKI).
Method:
A quantitative study, conducted in an intensive care unit, from April to August of 2015. The Nursing Activities Score (NAS) and Kidney Disease Improving Global Outcomes (KDIGO) were used to measure nursing workload and to classify the stage of AKI, respectively.
Results:
A total of 190 patients were included. Patients who developed AKI (44.2%) had higher NAS when compared to those without AKI (43.7% vs 40.7%), p <0.001. Patients with stage 1, 2 and 3 AKI showed higher NAS than those without AKI. A relationship was identified between stage 2 and 3 with those without AKI (p = 0.002 and p <0.001).
Conclusion:
The NAS was associated with the presence of AKI, the score increased with the progression of the stages, and it was associated with AKI, stage 2 and 3.
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RESEARCH01-01-2017
Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial
Revista Brasileira de Enfermagem. 2017;70(3):468-474
Abstract
RESEARCHNursing appointment and cardiometabolic control of diabetics: a randomized clinical trial
Revista Brasileira de Enfermagem. 2017;70(3):468-474
DOI 10.1590/0034-7167-2016-0352
Views0See moreABSTRACT
Objective:
to verify the effect of nursing appointment on cardiometabolic profile of people with Diabetes Mellitus type 2.
Method:
randomized controlled trial, developed with 134 individuals chosen for two groups: intervention and control. The intervention consisted of three nursing appointments alternated bimonthly, with two phone calls, over five months. The control group received usual care offered by the Health Unit. Data were collected through semi-structured interviews before and after the intervention, in addition to conducting laboratory tests.
Results:
after the intervention, a significant difference was shown in the amount of glycated hemoglobin (p = 0.006) and in the systolic blood pressure (p = 0.031), which were higher in the control group.
Conclusion:
besides being low-cost and easy to develop on the monitoring routine of people with diabetes, the intervention performed influenced positively the biochemical profile.
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RESEARCH01-01-2017
Terms of the specialized nursing language for the care of ostomates
Revista Brasileira de Enfermagem. 2017;70(3):461-467
Abstract
RESEARCHTerms of the specialized nursing language for the care of ostomates
Revista Brasileira de Enfermagem. 2017;70(3):461-467
DOI 10.1590/0034-7167-2015-0058
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Objectives:
to identify terms of the specialized nursing language for the care of ostomates from the literature of the area, and to map the identified terms with terms of the International Classification for Nursing Practice (ICNP®).
Method:
descriptive study of quantitative approach guided by the guidelines for the elaboration of terminology subsets of the ICNP®. The terms were collected in 49 scientific articles, extracted using a computational tool, selected according to the relevance for the theme, and normalized and mapped with the ICNP®.
Results:
20,668 terms were extracted. The standardization process resulted in 425 relevant terms (151 were constant in ICNP® and 274 were not contained in ICNP®), of which 154 were similar, 19 were more comprehensive, 50 were more restricted, and 51 were not in concordance.
Conclusion:
the use of standardized language can minimize the ambiguities and redundancies identified in the mapping. The existence of terms not in concordance with the ICNP® reinforces the need for constant updating of this classification.
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RESEARCH01-01-2017
Validation of an instrument regarding nursing intervention in patients in vasoactive therapy
Revista Brasileira de Enfermagem. 2017;70(3):453-460
Abstract
RESEARCHValidation of an instrument regarding nursing intervention in patients in vasoactive therapy
Revista Brasileira de Enfermagem. 2017;70(3):453-460
DOI 10.1590/0034-7167-2016-0254
Views0See moreABSTRACT
Objective:
to validate the content of a Standard Operational Procedure, regarding nursing interventions in emergency patients treated with vasoactive drugs.
Method:
methodological study, carried out from December 2015 to January 2016. Content validity was determined by 16 experts (13 nurses, 2 pharmacists and one biomedical scientist), who judged it through a four-point Likert scale. The items were evaluated in terms of: feasibility, objectivity, simplicity, clearness, pertinence and accuracy. The Content Validity Index was applied, accepting the value ≥ 0.90.
Results:
two rounds of evaluation were required to achieve the minimum index. The items were reviewed regarding writing, dilution, indication and replacement interval. The instrument was validated with 33 items and with total Content Validity Index of 0.99.
Conclusion:
the instrument was considered appropriate, fractionally and globally, for nursing care for the patient treated with vasoactive drugs in emergency, in a safe and reliable way.
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