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ORIGINAL ARTICLE
Sleep quality of patients with heart failure and associated factors
Revista Brasileira de Enfermagem. 2024;77(6):e20240244
12-16-2024
Abstract
ORIGINAL ARTICLESleep quality of patients with heart failure and associated factors
Revista Brasileira de Enfermagem. 2024;77(6):e20240244
12-16-2024DOI 10.1590/0034-7167-2024-0244
Views0See moreABSTRACT
Objectives:
to assess sleep quality of patients with heart failure and associated sociodemographic and clinical characteristics.
Methods:
a cross-sectional study, developed with 88 patients. Sleep quality was assessed by the Pittsburgh Sleep Quality Index. The data were analyzed using descriptive and inferential statistics.
Results:
the mean sleep quality score was 8.59 ± 3.60 points. 83% of participants were classified as poor sleepers. The number of hours of sleep was 5.99 ± 1.48. Family income of up to one minimum wage and functional class were significantly associated with poor sleepers. There was a positive correlation between functional class and poor sleep quality.
Conclusions:
a high frequency of poor sleepers was identified. Worse scores were associated with family income and symptomatic functional class. Health interventions are necessary to control sleep quality, especially in relation to health functionality.
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ORIGINAL ARTICLE
Software for the care of people with cardiovascular risk: construction and evidence of validity
Revista Brasileira de Enfermagem. 2024;77(6):e20240276
12-16-2024
Abstract
ORIGINAL ARTICLESoftware for the care of people with cardiovascular risk: construction and evidence of validity
Revista Brasileira de Enfermagem. 2024;77(6):e20240276
12-16-2024DOI 10.1590/0034-7167-2024-0276
Views0See moreABSTRACT
Objectives:
to build and validate software for the care of people with cardiovascular risk.
Methods:
a methodological study, applied to software development, anchored in a nursing theory and classification system, in three stages: 1) requirements engineering; 2) software architecture and coding; and 3) testing and content validity by 12 experts in computer science, with a Content Validity Ratio score.
Results:
called e-TEORISC, in software format, for nursing care for people with cardiovascular risk, online and offline, containing a database linked to the Nursing Process stages. Experts considered that the attributes of functional suitability, performance efficiency, reliability, maintainability, usability, safety and portability obtained desirable scores.
Conclusions:
e-TEORISC has evidence of validity to instrumentalize care for people at cardiovascular risk, with potential for technology transfer to the Brazilian Health System.
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ORIGINAL ARTICLE
A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
Revista Brasileira de Enfermagem. 2024;77(6):e20220615
12-16-2024
Abstract
ORIGINAL ARTICLEA relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem
Revista Brasileira de Enfermagem. 2024;77(6):e20220615
12-16-2024DOI 10.1590/0034-7167-2022-0615
Views0See moreRESUMEN
Objetivos:
identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.
Métodos:
se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.
Resultados:
la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.
Conclusiones:
los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.
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ORIGINAL ARTICLE
Stress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
12-13-2024
Abstract
ORIGINAL ARTICLEStress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
12-13-2024DOI 10.1590/0034-7167-2023-0542
Views0See moreABSTRACT
Objectives:
to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.
Methods:
this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.
Results:
nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.
Conclusions:
exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.
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Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
Revista Brasileira de Enfermagem. 2024;77(5):e20230430
12-13-2024
Abstract
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
Revista Brasileira de Enfermagem. 2024;77(5):e20230430
12-13-2024DOI 10.1590/0034-7167-2023-0430
Views0See moreABSTRACT
Objectives:
to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health.
Methods:
theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil.
Results:
this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health.
Final Considerations:
indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.
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ORIGINAL ARTICLE
Repercussions of the pandemic on tuberculosis control actions from the perspective of health professionals
Revista Brasileira de Enfermagem. 2024;77(5):e20230477
12-13-2024
Abstract
ORIGINAL ARTICLERepercussions of the pandemic on tuberculosis control actions from the perspective of health professionals
Revista Brasileira de Enfermagem. 2024;77(5):e20230477
12-13-2024DOI 10.1590/0034-7167-2023-0477
Views0See moreABSTRACT
Objectives:
to analyze the repercussions of the COVID-19 pandemic on tuberculosis control actions from the perspective of primary health care professionals.
Methods:
this descriptive study with a qualitative approach was conducted from November 2022 to April 2023, using semi-structured interviews with 11 key informant professionals from primary health care units in a Brazilian capital. Data were organized using Atlas.ti 22.0 software and subjected to thematic-categorical content analysis.
Results:
the pandemic scenario caused alterations in the work process, necessitating abrupt adaptations, and led to detrimental impacts on the health of professionals and tuberculosis control actions, which were reduced or discontinued.
Final Considerations:
there was evident unpreparedness and a lack of resources from various governmental levels and health services to handle the public health emergency situation without severe harm to the provision of essential services.
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ORIGINAL ARTICLE
Nurses’ experience regarding patient safety in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77(5):e20230529
12-13-2024
Abstract
ORIGINAL ARTICLENurses’ experience regarding patient safety in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77(5):e20230529
12-13-2024DOI 10.1590/0034-7167-2023-0529
Views0See moreABSTRACT
Objectives:
to understand nurses’ experience regarding patient safety in mobile pre-hospital care.
Method:
a qualitative, exploratory and descriptive study, conducted with nurses active in mobile pre-hospital care services. Semi-structured interviews were conducted, audio-graved and submitted to Bardin’s content analysis.
Results:
from four thematic categories established, nurses reported the care and management skills necessary to work in this service. They demonstrated a commitment to ensuring safe care for patients, staff and spectators. They highlighted the actions taken to prevent and mitigate incidents. However, they based their experiences on practice protocols and individual actions, expressing the need to improve knowledge about patient safety.
Final Considerations:
mobile pre-hospital care nurses’ experience in relation to patient safety was limited, suggesting the need for training on the subject, alignment of work processes and implementation of strategies, aiming to guarantee safe care.
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ORIGINAL ARTICLE
Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study
Revista Brasileira de Enfermagem. 2024;77(5):e20240011
12-13-2024
Abstract
ORIGINAL ARTICLEKnowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study
Revista Brasileira de Enfermagem. 2024;77(5):e20240011
12-13-2024DOI 10.1590/0034-7167-2024-0011
Views0See moreABSTRACT
Objectives:
to compare the knowledge and attitudes of nursing students regarding sexual behavior and sexually transmitted infections (STIs) in older adults before and after an educational intervention.
Methods:
this quasi-experimental study involved a convenience sample of 45 nursing students from a public university, conducted in three stages: pre-intervention, intervention, and post-intervention. A questionnaire was used to assess sociodemographic characteristics, academic training, and knowledge and attitudes on the topic. The intervention was an educational web conference. Paired t-test and Wilcoxon test were used for data analysis.
Results:
there was a statistically significant difference in the knowledge and attitude scores of nursing students before and after the educational intervention (p < 0.001). A significant increase was observed in the knowledge score (from 9.3 to 12.2) and attitude score (from 108 to 117.2) in the post-intervention phase.
Conclusions:
the knowledge of nursing students regarding the sexuality of older adults increased after the educational intervention, and their attitudes on the subject became more positive.
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REVIEW
Strategies and competences of nurses in men’s health care: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190546
12-21-2020
Abstract
REVIEWStrategies and competences of nurses in men’s health care: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190546
12-21-2020DOI 10.1590/0034-7167-2019-0546
Views0See moreABSTRACT
Objectives:
to synthesize scientific evidence on nurses’ strategies and competencies in men’s health care.
Methods:
an integrative review carried out in seven databases, with a time frame from 2009 to 2019, using the descriptors “men’s health”, “professional competence”, “nursing”, “nursing care” and “male” in Portuguese and in English.
Results:
ten articles were selected, in which it was demonstrated that nursing professionals develop their professional practices with regard to men’s health care, in convergence with the general skills of the profession. The most used are health care; decision-making; Communication; administration; management; continuing education and leadership, consecutively.
Final Considerations:
professionals’ efforts to strengthen health actions, aimed at male needs, in accordance with the general skills of the profession and the principles and guidelines of the Brazilian National Policy for Comprehensive Care to Men’s Health.
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ORIGINAL ARTICLE
“The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents
Revista Brasileira de Enfermagem. 2020;73:e20200578
12-04-2020
Abstract
ORIGINAL ARTICLE“The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents
Revista Brasileira de Enfermagem. 2020;73:e20200578
12-04-2020DOI 10.1590/0034-7167-2020-0578
Views0See moreABSTRACT
Objective:
to describe the risk factors that influence the self-injury behavior of adolescents assisted at a Psychosocial Care Center for Children and Adolescents, according to subjects’ own perceptions.
Method:
a descriptive, exploratory, qualitative study carried out through medical records and a focus group with 07 adolescents. The statements were submitted to thematic content analysis.
Results:
in the risk factors category, four subcategories emerged: Family adversity factors; Social contagion; Adverse life events; Personal characteristics. Conflicts, lack of support, drug use in the family, meeting someone who cuts themselves, social networks, religiosity, history of sexual violence and bullying were identified as risk factors that influence self-injury.
Final Considerations:
adolescents pointed out the need for prejudice-free dialogues in schools, in health and family devices, configuring protective factors to avoid this practice that comes from several negative events throughout life.
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REVIEW
Auriculotherapy and reducing chronic musculoskeletal pain: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190394
11-25-2020
Abstract
REVIEWAuriculotherapy and reducing chronic musculoskeletal pain: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190394
11-25-2020DOI 10.1590/0034-7167-2019-0394
Views0See moreABSTRACT
Objectives:
to describe the scientific evidence on the use of auriculotherapy to reduce chronic musculoskeletal pain in adults and the elderly.
Methods:
integrative literature review conducted in the Latin American and Caribbean Health Sciences, SciVerse Scopus and MEDLINE databases (via National Library of Medicine), in March 2019, with no time frame.
Results:
14 original scientific articles were analyzed, 64.3% of which were classified with level of evidence 2. All productions show the benefit of auriculotherapy in reducing chronic musculoskeletal pain, especially in the lumbar spine (42.9%). The treatment was developed in one or more sessions, using semi-permanent needles (42.9%) and electro-auriculotherapy (21.4%).
Conclusions:
auriculotherapy was effective in reducing chronic musculoskeletal pain, showing itself as an alternative to be used for the promotion and recovery of individuals’ health.
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REVIEW
Allocation of resources for health care in COVID-19 pandemic times: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200244
09-18-2020
Abstract
REVIEWAllocation of resources for health care in COVID-19 pandemic times: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200244
09-18-2020DOI 10.1590/0034-7167-2020-0244
Views0See moreABSTRACT
Objective:
To analyze information on resource allocation in the context of the COVID-19 pandemic, published in indexed scientific journals, from December 2019 to March 2020.
Methods:
This is an integrative literature review, which took place in March 2020. All databases were investigated and studies were found only in MEDLINE. After applying the established criteria, six articles were selected.
Results:
It was evident that the allocation of resources is carried out as the demands emerge. The fragility in presenting scientific-methodological evidence that can guide decision makers for assertive allocation of available resources is highlighted. The results showed that studies on this subject are incipient and need to be expanded.
Final considerations:
The need for health organizations and area authorities to be better prepared for the proper use of available resources, with allocation based on scientific evidence and maximization of resources is indicated.
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REFLECTION
In defense of the Unified Health System in the context of SARS-CoV-2 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200247
07-10-2020
Abstract
REFLECTIONIn defense of the Unified Health System in the context of SARS-CoV-2 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200247
07-10-2020DOI 10.1590/0034-7167-2020-0247
Views0See moreABSTRACT
Objective:
To discuss the political and structural conditions for establishing the Unified Health System (UHS – Sistema Único de Saúde, SUS) in coping with the SARS-CoV-2 pandemic.
Methods:
Theoretical-reflection study.
Results:
At the first moment named “The global and the local in facing the SARS-CoV-2 pandemic” is presented the health crisis that took place worldwide and the government actions to combat COVID-19. A second moment named “Between dismantling actions and resistance, the UHS is the best way to face the SARS-CoV-2 pandemic”, reflects on the neoliberal attacks on the health system and how it resists, remaining the main pandemic response strategy.
Conclusion:
The strengthening of democracy and the defense of the UHS are the way out of the crisis. It is believed that this reflection generates – in everyone who deals with caretaking – the political action, the ethical attitude, the desire for valorization and the spirit of struggle in defense of the UHS and human life.
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REVIEW
Scientific production about palliative care and communication in online journals: a scoping review
Revista Brasileira de Enfermagem. 2021;74(2):e20190378
05-28-2021
Abstract
REVIEWScientific production about palliative care and communication in online journals: a scoping review
Revista Brasileira de Enfermagem. 2021;74(2):e20190378
05-28-2021DOI 10.1590/0034-7167-2019-0378
Views0See moreABSTRACT
Objectives:
to characterize publications about palliative care and communication, with an emphasis on the approaches addressed, disseminated in online journals.
Methods:
it is a scope review, in which the mnemonic strategy Problem, Concept and Context was used, based on database research. The sample consisted of 86 publications.
Results:
most publications were written in the English language, published in the journal BMC Palliative Care, and with level of evidence IV. As for the approaches approached, the following stand out: Importance of communication in palliative care; Breaking the bad news in palliative care; Training professionals/staff to communicate in palliative care; and Communication strategies in palliative care.
Final Considerations:
the review made it possible to map a significant number of publications on palliative care and communication. It is recommended to produce new studies with better scientific evidence that guide the assistance of health professionals.
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ORIGINAL ARTICLE
Quality of life in the climacteric of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72:154-161
12-13-2019
Abstract
ORIGINAL ARTICLEQuality of life in the climacteric of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72:154-161
12-13-2019DOI 10.1590/0034-7167-2018-0306
Views0See moreABSTRACT
Objective:
to evaluate the quality of life of primary care nurses in the climacteric.
Method:
A cross-sectional descriptive-analytic study, performed with 98 female nurses, aged 40-65 years, using the WHOQOL-Bref questionnaire.
Results:
the worst level of quality of life was observed for professionals aged 50-59 years, non-white, specialists, divorced or widowed, with children, a lower income, with another employment relationship, a weekly workload of more than 40 hours, who consumed alcoholic beverages weekly, with chronic disease, in continuous use of medications, sedentary, who did not menstruate and did not receive hormonal treatment, and who went through menopause between the ages of 43-47 years.
Conclusion:
Although the variables “physical activity” and “age” have a statistically significant association with quality of life, other variables seem to interfere in these professionals’ lives, indicating the need for a more critical and deep reflection on these relations.
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ORIGINAL ARTICLE
Incontinence associated dermatitis in elderly people admitted to a university hospital
Revista Brasileira de Enfermagem. 2020;73:e20190374
09-21-2020
Abstract
ORIGINAL ARTICLEIncontinence associated dermatitis in elderly people admitted to a university hospital
Revista Brasileira de Enfermagem. 2020;73:e20190374
09-21-2020DOI 10.1590/0034-7167-2019-0374
Views0See moreABSTRACT
Objective:
To identify the frequency and factors associated to incontinence associated dermatitis in elderly people.
Methods:
Cross-sectional study with 202 elderly patients admitted to a university hospital between September 2017 and January 2018. Data collection included: cognitive screening, sociodemographic and clinical questionnaire. It was performed exploratory and descriptive analysis, where prevalence and ratios (PR) were calculated.
Results:
Prevalence of injury was 9.4%, age range 70-79 years (13.5%), African American (21.4%), hospitalization period ≥ 21 days (44.4%), in use of nasogastric tube (33.3%), medical device (11.3%), restricted mobility (18.5%). It was associated with hospitalization period, use of nasogastric tube, restricted mobility, medical devices, and cognition.
Conclusion:
It was confirmed an average frequency of incontinence associated dermatitis in elderly patients and association to factors such as hospitalization period, immobility, cognition, use of nasogastric tube and devices. It must be highlighted the importance of prevention measures, early detection, assessment and monitoring of this type of injury.
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