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ORIGINAL ARTICLE07-18-2022
Child and adolescent victims of sexual violence: aspects of physical and emotional development
Revista Brasileira de Enfermagem. 2022;75:e20200584
Abstract
ORIGINAL ARTICLEChild and adolescent victims of sexual violence: aspects of physical and emotional development
Revista Brasileira de Enfermagem. 2022;75:e20200584
DOI 10.1590/0034-7167-2020-0584
Views0See moreABSTRACT
Objective:
to identify the multidisciplinary health team’s perception on aspects of the physical and emotional development of children and adolescents who have suffered sexual violence.
Methods:
a qualitative study, carried out with 30 health professionals in a hospital in Bahia, Brazil, between June and July 2019. Data were collected from an interview guided by a semi-structured questionnaire. The results were interpreted according to Symbolic Interactionism.
Results:
some sexually violated children were under five years old and healthy, others had physical/mental disabilities. Victimized adolescents were in the pre-pubertal phase, with fragile body structure, not emotionally mature and unaware of sexuality.
Final considerations:
children’s physical and emotional aspects make children vulnerable to sexual victimization, as they facilitate the control and dominion that offenders need to have over them. As a protection strategy, it is recommended using sexual and health education linked to greater surveillance of family members, multidisciplinary team and educators.
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ORIGINAL ARTICLE07-18-2022
Nurses’ patterns of knowing about HIV disclosure to children
Revista Brasileira de Enfermagem. 2022;75:e20210103
Abstract
ORIGINAL ARTICLENurses’ patterns of knowing about HIV disclosure to children
Revista Brasileira de Enfermagem. 2022;75:e20210103
DOI 10.1590/0034-7167-2021-0103
Views0See moreABSTRACT
Objectives:
to identify and analyze nurses’ patterns of knowing and experiences with the preparation of families for disclosure to children living with HIV seropositivity.
Methods:
thirteen pediatric nurses from Rio de Janeiro participated in the research using the sensitive creative method. Data were treated with Orlandi’s discourse analysis and Carper’s patterns of knowing.
Results:
nurses’ speeches revealed socioculturally constructed imaginary and ideological formations. The personal pattern of knowing, under the influence of negative media about the disease in the 1980s, generated stigma and prejudice. Empirical, esthetic, and ethical patterns were built on training and professional practice of the 1990s-2010s. They composed a context of (in)security about competence, to contribute to preparing families to disclose HIV to children.
Final Considerations:
nurses’ experience demonstrates knowledge to intervene and many challenges for their practical appropriation.
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ORIGINAL ARTICLE07-18-2022
Prevalence of non-communicable chronic diseases and associated factors in deaf people
Revista Brasileira de Enfermagem. 2022;75:e20210205
Abstract
ORIGINAL ARTICLEPrevalence of non-communicable chronic diseases and associated factors in deaf people
Revista Brasileira de Enfermagem. 2022;75:e20210205
DOI 10.1590/0034-7167-2021-0205
Views0See moreABSTRACT
Objective:
To analyze the prevalence and factors associated with non-communicable chronic diseases in deaf people.
Methods:
Cross-sectional study with 110 deaf people in Maringá-Paraná, selected using the snowball sampling technique. Data were collected from February to August 2019, using a structured instrument; and, in the analysis, multiple logistic regression was used.
Results:
The self-reported prevalence of chronic diseases was 43.6%, the most frequent being: arterial hypertension (12.7%), depression (6.4%), diabetes mellitus (5.4%), respiratory disease (5.4%) and hypothyroidism (4.5%). Using health services for routine consultations was significantly associated with being bimodal bilingual. The only risk behavior significantly associated with chronic disease was excessive consumption of sweet foods.
Conclusion:
The prevalence of chronic diseases in this population may be higher than that found, as there is a possibility of underdiagnosis due to the low demand for routine consultations and the difficulty of communication with health professionals.
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EXPERIENCE REPORT07-18-2022
Experience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210820
Abstract
EXPERIENCE REPORTExperience report of the contributions of telehealth in riverside communities of Amazonas in the pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210820
DOI 10.1590/0034-7167-2021-0820
Views0See moreABSTRACT
Objective:
to report on the creation and implementation of telehealth activities developed by the Forest Health Program in communities in conservation areas, in the state of Amazonas, during the COVID-19 pandemic.
Methods:
this is an experience report on the creation and implementation of the program.
Results:
the project began in June 2021 with medical and nursing services and currently has 63 points of connectivity installed. Dermatology was the most requested specialty (30.1%), with dermatitis being the main grievance diagnosed. For nursing, the most requested specialty was obstetrics, followed by pediatrics. Rio Madeira and the Catuá-Ipixema Extractive Reserve requested more than half of all consultations.
Conclusion:
this project showed a differentiated performance of telehealth in riverside communities in Amazonas, especially in the pandemic context, expanding health care in remote areas, such as these.
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ORIGINAL ARTICLE07-18-2022
Nursing protocol for children with sickle cell disease in emergency room: a convergent-care approach
Revista Brasileira de Enfermagem. 2022;75:e20210908
Abstract
ORIGINAL ARTICLENursing protocol for children with sickle cell disease in emergency room: a convergent-care approach
Revista Brasileira de Enfermagem. 2022;75:e20210908
DOI 10.1590/0034-7167-2021-0908
Views0See moreABSTRACT
Objective:
to describe the methodological process of developing a nursing care protocol for children with sickle cell disease in the emergency room.
Method:
convergent care research, carried out in a public pediatric hospital in the state of Bahia, with 12 emergency nurses specialist. Data production took place between July 2020 and April 2021, with semi-structured interviews, observation in a field diary and convergence groups, according to the research phases: conception, instrumentation, scrutiny and analysis.
Results:
The final result was the construction of a nursing care protocol for children with sickle cell disease in the emergency room for use in the study field.
Final considerations:
the Convergent Care Research proved to be an excellent methodological procedure for intervention in the health service, whose nursing care protocol was based on the reflections of professionals on evidence-based practices, whose consensus can enable safe and quality care.
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ORIGINAL ARTICLE07-18-2022
Nursing in Primary Health Care: association between leadership, psychological capital, and burnout implications
Revista Brasileira de Enfermagem. 2022;75:e20210942
Abstract
ORIGINAL ARTICLENursing in Primary Health Care: association between leadership, psychological capital, and burnout implications
Revista Brasileira de Enfermagem. 2022;75:e20210942
DOI 10.1590/0034-7167-2021-0942
Views0See moreABSTRACT
Objectives:
to verify the association between authentic leadership and burnout syndrome in Primary Health Care nursing professionals and analyze the relationship between positive psychological capital and burnout syndrome in subordinate nursing professionals.
Methods:
a field, descriptive-exploratory, cross-sectional study with a quantitative approach, developed with the nursing team, in Basic Health Units in the city of São Paulo, with the application of the sociodemographic questionnaires, Burnout Characterization Scale [Escala de Caracterização do Burnout], Authentic Leadership Questionnaire and Psychological Capital Questionnaire.
Results:
in leaders’ perception, there was no evidence of significant associations between burnout and authentic leadership scales. There was a significant negative association of the burnout scale dimensions with the leadership dimensions regarding the subordinates. There was evidence of significant negative associations in the burnout scores with the scores of the psychological questionnaire dimensions.
Conclusions:
in nursing, burnout is associated with authentic leadership and psychological capital.
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07-18-2022
Estilo de vida e adesão aos antirretrovirais em pessoas com HIV na pandemia de COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20210644
Abstract
Estilo de vida e adesão aos antirretrovirais em pessoas com HIV na pandemia de COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20210644
DOI 10.1590/0034-7167-2021-0644
Views0See moreRESUMEN
Objetivos:
evaluar el estilo de vida y la adherencia a los medicamentos antirretrovirales en personas que viven con el VIH (PVVIH) en la pandemia de COVID-19.
Métodos:
estudio transversal, mediante entrevista telefónica a 150 pacientes, utilizando la ficha sociodemográfica, epidemiológica y clínica; y cuestionarios para evaluar el perfil de estilo de vida y la adherencia a los medicamentos antirretrovirales. El análisis estadístico utilizó la prueba exacta de Fisher, odds ratio y el intervalo de confianza del 95%.
Resultados:
la mayoría de los pacientes mostró un estilo de vida satisfactorio (121; 80,7%) y adecuada adherencia a los fármacos antirretrovirales (133; 88,7%). Todos estaban en aislamiento social, sin citas de seguimiento, con acceso al servicio de salud solo para recibir antirretrovirales; y 16 (10,7%) tuvieron infección por COVID-19. Los evangélicos (p=0,002), los espiritistas (p=0,045), los pacientes que usaban atazanavir (p=0,0001) y ritonavir (p=0,002) presentaron un estilo de vida más insatisfactorio. La adherencia a los medicamentos antirretrovirales fue más inadecuada en pacientes del sexo femenino (p=0,009), con dos (p=0,004) y tres o más hijos (p=0,006), jubilados (p=0,029), con pareja serodiscordante (p=0,046) y tiempo de diagnóstico de 5 a 10 años (p=0,027).
Conclusiones:
la mayoría de las PVVIH demostraron un estilo de vida satisfactorio y una adherencia adecuada a los medicamentos antirretrovirales, pero algunos grupos requirieron intervención para mejorar la adherencia a la medicación y el estilo de vida.
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ORIGINAL ARTICLE06-27-2019
Validation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
Abstract
ORIGINAL ARTICLEValidation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
DOI 10.1590/0034-7167-2018-0065
Views0See moreABSTRACT
Objective:
To construct and validate a clinical simulation setting for postpartum haemorrhage.
Method:
Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.
Results:
Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.
Conclusion:
It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.
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REVIEW06-01-2020
Access of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
Views1See moreABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
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ORIGINAL ARTICLE10-21-2019
Occupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
Abstract
ORIGINAL ARTICLEOccupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
DOI 10.1590/0034-7167-2018-0681
Views0See moreABSTRACT
Objective:
To evaluate levels of occupational stress and work engagement among primary health care workers.
Method:
A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).
Results:
Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.
Conclusion:
Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.
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ORIGINAL ARTICLE07-01-2020
Patient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
Abstract
ORIGINAL ARTICLEPatient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
DOI 10.1590/0034-7167-2019-0174
Views1See moreABSTRACT
Objectives:
to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.
Methods:
descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).
Results:
four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.
Conclusions:
evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.
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ORIGINAL ARTICLE06-27-2019
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
Abstract
ORIGINAL ARTICLEDebriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
DOI 10.1590/0034-7167-2018-0103
Views0See moreABSTRACT
Objective:
Evaluate the contribution of debriefing after clinical simulations for nursing students.
Method:
Quantitative study, conducted with 35 nursing students who participated in five clinical simulation scenarios with planned debriefings based on the model of the National League Nursing/Jeffries Simulation Theory. After the fifth scenario, students answered the Debriefing Evaluation Scale associated with the Simulation.
Results:
The items evaluated involved the psychosocial, cognitive, and affective values, and within a scale from one to five, the highest mean was found in cognitive value with 4.23 (±0.56) points, then in psychosocial value with 3.77 (±0.53), and finally in affective value with 3.71 (±0.63) points.
Conclusion:
The debriefing conducted after the clinical simulation scenarios was a reflective exercise that contributed to the student integrating multiple knowledges in affective, cognitive and psychosocial values, and thus develop the competencies required.
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REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
Abstract
REVIEWTransitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
Views1See moreABSTRACT
Objective:
To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.
Methods:
Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.
Results:
The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.
Final considerations:
The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.
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REVIEW10-19-2020
Validation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
Abstract
REVIEWValidation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
Views0See moreABSTRACT
Objective:
to identify scientific production about validation methods of nursing care protocols.
Method:
an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used.
Results:
thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles.
Conclusion:
protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.
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EXPERIENCE REPORT04-09-2020
Implementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
Abstract
EXPERIENCE REPORTImplementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
DOI 10.1590/0034-7167-2018-0421
Views0See moreABSTRACT
Objectives:
to present the nurses’ experience with technological tools to support the early identification of sepsis.
Methods:
experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.
Results:
describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.
Final Considerations:
technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.
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