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01-01-2015
Low birth weight in a municipality in the southeast region of Brazil
Revista Brasileira de Enfermagem. 2015;68(6):1169-1175
Abstract
Low birth weight in a municipality in the southeast region of Brazil
Revista Brasileira de Enfermagem. 2015;68(6):1169-1175
DOI 10.1590/0034-7167.2015680624i
Views0See moreABSTRACT
Objective:
to identify the prevalence of low birth weight in the city of São Paulo.
Method:
epidemiological cross-sectional study with data collected by means of the Brazilian Live Birth Information System related to births occurred in the city of São Paulo between 2007 and 2013. Maternal, gestational, childbirth, and neonatal variables were analyzed descriptively and by association.
Results:
9.65% (1,342,655) of live births were underweight (mean of 3234.55 grams in the term group and 2312.17 in the pre-term group) with a mean maternal age of 27.53 years old. The risk factors identified include maternal age, not having a partner, low maternal level of education, other race rather than white, pre-term pregnancy, multiple births, low number of prenatal check-ups, and cesarean delivery.
Conclusion:
knowledge of this evidence favors planning the care provided by defining strategies to reduce it and consequently improve maternal and infant health care.
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01-01-2015
Gait speed and cognitive score in elderly users of the primary care service
Revista Brasileira de Enfermagem. 2015;68(6):1163-1168
Abstract
Gait speed and cognitive score in elderly users of the primary care service
Revista Brasileira de Enfermagem. 2015;68(6):1163-1168
DOI 10.1590/0034-7167.2015680623i
Views0See moreABSTRACT
Objective:
to investigate the association between gait speed and the cognitive score of elderly patients enrolled in a Basic Health Unit.
Method:
a quantitative cross-sectional study with 203 elderly, a sample calculated based on the estimated population proportion. Data were collected using a sociodemographic and clinical questionnaire, gait speed test (GS) and the Mini Mental State Examination (MMSE).
Results:
the illiterate patients had a mean MMSE=19.33(±3.7) and GS = 0.76m/s (±0.3); those with low/medium education had a MMSE = 25.43(±2.8) and GS = 0.92m/s (±0.2); and the elderly with higher education had a MMSE = 27.33(±2.9) and GS=1.12m/s (±0.3).There was a weak correlation (R2=00354) between gait speed and cognitive score, with statistical significance (Prob>F = 0.0072) and a positive linear trend.
Conclusion:
the better cognitive score the higher the gait speed; the illiterate elderly were those with lower gait speed, thereby indicating a poorer physical performance.
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01-01-2015
Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis
Revista Brasileira de Enfermagem. 2015;68(6):1154-1162
Abstract
Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis
Revista Brasileira de Enfermagem. 2015;68(6):1154-1162
DOI 10.1590/0034-7167.2015680622i
Views0See moreABSTRACT
Objective:
to identify self-care measures to manage fluid and dietary restrictions and assess their effectiveness.
Method:
descriptive-correlational study and cluster analysis with 254 chronic renal failure patients on regular hemodialysis program, handled by hemodiafiltration. We evaluated the effectiveness of self-care by interdialytic weight gain (IWG) and by potassium and phosphorus serum pre-dialysis serum levels.
Results:
several self-care measures were significantly correlated with a lower IWG and a lower level of pre-dialysis phosphorus. Patients most often use measures to reduce salt consumption than measures to restrict potassium and dietary phosphorus. The spouse provides important support dietary management. Subjects who use more often the self-care measure are mostly female, are older, less IWG and have a higher Kt/V.
Conclusion:
these results can contribute to the nursing educational support.
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01-01-2015
Validation of newborn positioning protocol in Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(6):1147-1153
Abstract
Validation of newborn positioning protocol in Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(6):1147-1153
DOI 10.1590/0034-7167.2015680621i
Views0See moreRESEARCH
Objective:
to verify the positioning indications of newborn sand build a standard operating procedure protocol for newborn positioning in Neonatal Intensive Care Unit (NICU).
Method:
for protocol validation, the Delphi technique was used ,in which expert nurses in the field reviewed the proposed procedure.
Results:
we present the results of this validation in a protocol form, to contribute to the discussion about newborn positioning in NICU and standardization of nursing care related to positioning. We evaluated ten indicators, in which there was agreementof100.0% in seven, and of80% in three, above the 60% recommended by the validation technique.
Conclusion:
given the importance of newborn positioning in NICU for its neuromuscular development, this study contributes to the adoption of an evidence-based practice for nursing.
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01-01-2015
Patient safety culture in a bone marrow transplantation unit
Revista Brasileira de Enfermagem. 2015;68(6):1139-1146
Abstract
Patient safety culture in a bone marrow transplantation unit
Revista Brasileira de Enfermagem. 2015;68(6):1139-1146
DOI 10.1590/0034-7167.2015680620i
Views0See moreABSTRACT
Objective:
evaluate the patient safety culture in the perspective of health professionals from a bone marrow transplantation unit of an oncology research center, at a reference hospital for cancer treatment in Santa Catarina, Brazil.
Method:
a quantitative cross-sectional study that used the Safety Attitudes Questionnaire was conducted between August and September 2013. The study analyzed 33 professional surveys. Statistical data analysis used descriptive and inferential statistics.
Results:
among the dimensions analyzed, only “job satisfaction” reached a mean score above 75, considered positive in terms of patient safety culture.
Conclusion:
the dimensions of safety culture present in the survey have to be valued by professionals and managers to allow safe patient care.
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01-01-2015
Job satisfaction of nursing staff in a university hospital
Revista Brasileira de Enfermagem. 2015;68(6):1130-1138
Abstract
Job satisfaction of nursing staff in a university hospital
Revista Brasileira de Enfermagem. 2015;68(6):1130-1138
DOI 10.1590/0034-7167.2015680619i
Views0See moreABSTRACT
Objective:
identify the determinants of job satisfaction of the nursing staff of a public university hospital.
Method:
secondary study with mixed data approach and simple and multiple linear regression. A total of 115 subjects participated in the study, 41 nurses and 74 nursing assistants and technicians. The data collection occurred in 2013 using the QST-Caism questionnaire.
Results:
education, hierarchical level and workplace constitute job satisfaction determinants. However, age, gender, job and work period did not show this relationship. More educated workers held low job satisfaction if exercised not graduated nursing functions.
Conclusion:
graduated workers who perform high school functions are more unsatisfied than those who have high school function and qualification.
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01-01-2015
Medical waste in mobile prehospital care
Revista Brasileira de Enfermagem. 2015;68(6):1122-1129
Abstract
Medical waste in mobile prehospital care
Revista Brasileira de Enfermagem. 2015;68(6):1122-1129
DOI 10.1590/0034-7167.2015680618i
Views0See moreABSTRACT
Objective:
the objective of this study is to identify how Medical Waste (MW) is managed in Mobile Prehospital Care (MPC) services in the state of São Paulo as well as characterize and quantify this waste.
Method:
exploratory and descriptive field study with data collection based on the methodology proposed by the Pan American Health Organization (PAHO), which was conducted over eight consecutive days to identify the production and characteristics of generated waste.
Results:
it was found that the MW management of the MPC is not yet in line with the requirements of RDC 306/04, which could affect the occupational safety of workers, patients, the community, and the environment.
Conclusion:
it is recommended for the health managers to focus on this issue. The lack of studies with regard to MPC also indicates the need for further studies on the waste management.
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01-01-2015
Severe lactational mastitis: particularities from admission
Revista Brasileira de Enfermagem. 2015;68(6):1116-1121
Abstract
Severe lactational mastitis: particularities from admission
Revista Brasileira de Enfermagem. 2015;68(6):1116-1121
DOI 10.1590/0034-7167.2015680617i
Views0See moreABSTRACT
Objective:
to identify characteristics of women who have suffered severe lactational mastitis.
Method:
a descriptive, retrospective, documentary, quantitative study was performed. Data were collected from patient records of 114 hospitalized women from January of 2009 to December of 2013. Data were analyzed by using descriptive statistics.
Results:
a higher percentage of severe lactational mastitis was found in young, primiparous women who had completed high school, who had no partner, and did not have a job; 96.5% of women had breast complications before admission and remained hospitalized an average of 4.4 days; at discharge, 23.7% of women had weaned their infants.
Conclusion:
this study showed that severe lactational mastitis can cause great harm to the woman and the baby.
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ORIGINAL ARTICLE09-23-2022
Brain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
Abstract
ORIGINAL ARTICLEBrain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
DOI 10.1590/0034-7167-2021-0943
Views0See moreABSTRACT
Objectives:
to identify care strategies developed by professionals from critically ill patients’ units in communicating BD with parents of children and adolescents.
Methods:
an exploratory and descriptive research with a qualitative approach, carried out in two health institutions between October and December 2019, through semi-structured interviews. Data analysis took place through content analysis.
Results:
twenty-one professionals participated. Three care strategies were identified: actual clinical situation in suspected brain death; sensitizing families to the real clinical situation after brain death diagnosis; and time to assimilate the death information.
Final Considerations:
the care strategies for communicating brain death to families identified in this study present the possibility of subsidizing health managers in training and support promotion for professionals in care practice. Moreover, they can be incorporated and validated in the care practice of the studied context.
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ORIGINAL ARTICLE03-30-2022
Nursing diagnoses of newborns in rooming-in care using ICNP®
Revista Brasileira de Enfermagem. 2022;75(4):e20200672
Abstract
ORIGINAL ARTICLENursing diagnoses of newborns in rooming-in care using ICNP®
Revista Brasileira de Enfermagem. 2022;75(4):e20200672
DOI 10.1590/0034-7167-2020-0672
Views1See moreABSTRACT
Objectives:
to create nursing diagnosis definitions for newborns in rooming-in care, using the International Classification for Nursing Practice (ICNP).
Methods:
methodological study following the steps for the identification and validation of relevant terms to care for clients; cross-mapping of the terms identified with the terms of the ICNP® 2019; elaboration and validation of the nursing diagnostic definitions of ICNP® and later classification according with the Basic Human Needs described by Wanda Horta.
Results:
from the terms extracted, 168 were validated through specialist consensus, subsidizing the elaboration of 27 diagnosis definitions.
Conclusions:
the most common diagnoses for the clients studied were: “Effective Feeding Behaviour”, “Effective Urination”, “Normal Respiration Rhythm”, “Effective Swallowing”, “Effective Peripheral Intravenous Access”, and “Effective Parent Child Attachment”. It was confirmed that the records of psychobiological needs are mainly made by nurses, which were responsible for 23 of the diagnoses in this study.
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ORIGINAL ARTICLE10-07-2022
Nursing workload associated with neonatal mortality risk: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(4):e20200965
Abstract
ORIGINAL ARTICLENursing workload associated with neonatal mortality risk: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(4):e20200965
DOI 10.1590/0034-7167-2020-0965
Views0See moreABSTRACT
Objectives:
to analyze the association between nursing workload and neonatal mortality risk in newborns admitted to the Neonatal Intensive Care Unit.
Methods:
this is an observational, cross-sectional study conducted from January 2019 to January 2020.
Results:
the sample consisted of 399 newborns, 55.4% male, Nursing Activities Score mean of 67.5%, and Score for Neonatal Acute Physiology Perinatal Extension mean of 17.7, revealed itself as a predictor of the risk of death, while gestational age, length of hospitalization, and the first-minute Apgar established a protective relationship. The correlation between workload and neonatal mortality was low (r= 0.23, p=0.0009).
Conclusions:
the workload of the nursing team is not associated with the risk of mortality in the Neonatal Intensive Care Unit, as measured by the Nursing Activities Score.
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ORIGINAL ARTICLE04-15-2022
Risk factors for infiltration in children and adolescents with peripheral intravenous catheters
Revista Brasileira de Enfermagem. 2022;75(4):e20210176
Abstract
ORIGINAL ARTICLERisk factors for infiltration in children and adolescents with peripheral intravenous catheters
Revista Brasileira de Enfermagem. 2022;75(4):e20210176
DOI 10.1590/0034-7167-2021-0176
Views0See moreABSTRACT
Objectives:
to estimate the incidence of infiltration and the factors associated with its occurrence in children and adolescents in the operative period and with peripheral intravenous catheters.
Methods:
a longitudinal and prospective study with children and adolescents using peripheral intravenous catheters, conducted at the surgical clinic unit of a pediatric hospital in Feira de Santana, State of Bahia, from April 2015 to December 2016. The study used Pearson’s chi-square and Fisher’s exact test for the analysis. It also applied multiple analyses using Poisson regression with robust variance.
Results:
the incidence of infiltration was 31.2% and was associated with female sex (RR=0.53; CI=[0.30-0.96]), non-eutrophic children (RR=2.27; CI=[1.25-4.20]), who used non-irritating and non-vesicant drugs (RR=1.72; CI=[1.03-2.87]), vesicant drugs (RR=1.84; CI=[1.05-3.22]) and irritating/vesicant electrolytes (RR=2.35; CI=[1.38-3.97]).
Conclusions:
the study suggests the development of strategies that will help in the prevention of this adverse event through the knowledge of the associated factors.
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ORIGINAL ARTICLE02-25-2022
Death of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
Abstract
ORIGINAL ARTICLEDeath of children by domestic accidents: unveiling the maternal experience
Revista Brasileira de Enfermagem. 2022;75(4):e20210435
DOI 10.1590/0034-7167-2021-0435
Views0See moreABSTRACT
Objectives:
to unveil the meanings of mothers whose children died as a result of domestic accidents in childhood.
Methods:
a qualitative research, in the light of Heideggerian phenomenology, with ten mothers whose children died from domestic accidents. It was carried out in a municipality of the Northeast Region of Brazil through phenomenological interviews between May and June 2017. The existential analytic was constituted by the comprehensive moments of the Heideggerian method.
Results:
the meanings unveiled pointed out that, to understand the sudden death of her child, the mother oscillates between feeling guilty, pointing and denying guilt. She reports emptiness, permanent pain, non-acceptance of her child’s death, and the desire to keep him in her life. In this journey, the fear that brings limitations to her life and that of her other children is revealed. Final Considerations: it was revealed that the death of the child in infancy compromises the integrality of being a mother, indicating the need for systematic and continuous care for the adequate management of the emotional and social effects.
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ORIGINAL ARTICLE04-15-2022
Meanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
Abstract
ORIGINAL ARTICLEMeanings attributed to changes occurring after bariatric surgery: an analysis in the light of Grounded Theory
Revista Brasileira de Enfermagem. 2022;75(4):e20210463
DOI 10.1590/0034-7167-2021-0463
Views0See moreABSTRACT
Objectives:
to understand the meanings attributed to the changes experienced after bariatric surgery by people with obesity.
Methods:
this is a study with a qualitative approach, with a theoretical framework in Symbolic Interactionism; and methodological, in the Grounded Theory. There were 12 participants who underwent bariatric surgery in two health services (bariatric surgery clinic; general hospital). Data collection took place between July and October 2020, through an intensive interview. Testimonies were recorded using an electronic device and transcribed in full. Data were coded in the MAXQDA 2020 software and analyzed considering the adopted theoretical framework.
Results:
two categories emerged: Rebuilding a social life; and Rediscovering self-esteem. From the articulation of these categories, the phenomenon “Re-signifying life after bariatric surgery” was constructed.
Final Considerations:
bariatric surgery contributed to significant changes in the daily lives of participants, and Symbolic Interactionism allowed the understanding of how participants interpreted their meanings.
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ORIGINAL ARTICLE04-15-2022
Correlation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
Abstract
ORIGINAL ARTICLECorrelation between fatigue and quality of life self-reported by adolescents with cerebral palsy
Revista Brasileira de Enfermagem. 2022;75(4):e20210716
DOI 10.1590/0034-7167-2021-0716
Views0See moreABSTRACT
Objectives:
to investigate the correlation between fatigue and quality of life in adolescents with cerebral palsy who are susceptible to more significant fatigue and lower quality of life.
Methods:
cross-sectional study conducted with 101 adolescents with cerebral palsy. Instruments such as the Pediatric Quality of Life Inventory and Gross Motor Function Classification System were used, and Kolmogorov-Smirnov, Mann-Whitney, and Spearman tests were applied.
Results:
older adolescents self-reported higher fatigue levels, and female adolescents, quadriplegic, with worse motor function, older, and not attending school had lower quality of life scores. Higher fatigue levels correlated with lower quality of life in all domains (p<0.01), especially in tiredness (general and mental) and functioning (social, academic, and psychosocial).
Conclusions:
fatigue correlated negatively with the quality of life of adolescents with cerebral palsy, showing that the higher the level of fatigue, the more compromised is the adolescents’ life.
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ORIGINAL ARTICLE05-09-2022
Factors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
Abstract
ORIGINAL ARTICLEFactors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
DOI 10.1590/0034-7167-2021-0744
Views0See moreABSTRACT
Objective:
To identify factors associated with cognitive, emotional, psychomotor, and relational skills of informal caregivers in home care.
Methods:
A cross-sectional study carried out with a sample of 216 informal caregivers residing in a municipality in the state of Paraná. Data collection took place between February and July 2019, with an instrument developed and validated to assess the skills of informal caregivers. Descriptive and inferential analyses were used.
Results:
The factors associated with a greater competence of informal caregivers were being female, having training in the field, and having more than five years home care experience. The lowest competence was observed in caregivers who had health problems and belonged to the lowest strata of family purchasing power. Participants had lower scores in psychomotor competence and had better results in cognitive competence.
Conclusion:
It was found that women with experience in care had higher levels of competence to provide quality care at home assistance services.
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ORIGINAL ARTICLE12-05-2019
Elderly caregiver: knowledge, attitudes and practices about falls and its prevention
Revista Brasileira de Enfermagem. 2019;72:119-126
Abstract
ORIGINAL ARTICLEElderly caregiver: knowledge, attitudes and practices about falls and its prevention
Revista Brasileira de Enfermagem. 2019;72:119-126
DOI 10.1590/0034-7167-2018-0276
Views0See moreABSTRACT
Objective:
investigate the knowledge, attitudes and practices of informal elderly caregivers about falls and its prevention.
Method:
this is a descriptive cross-sectional study conducted with 97 informal elderly caregivers residents in areas covered by five Health Strategy Units (ESF) in Cuiabá.
Results:
more than half of the participants are aware of falls and identify them as a problem, as well as they identify some risk factors and prevention measures. Regarding attitudes, more than half of the caregivers do not seem to act effectively to prevent falls. Most of them report adopting practices to prevent falls of the elderly, supervising the activities of their daily lives.
Conclusion:
caregivers know about falls and its prevention, but in a superficial way, and it seems to influence their attitudes and practices regarding the prevention of this event.
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ORIGINAL ARTICLE09-21-2020
The care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory
Revista Brasileira de Enfermagem. 2020;73:e20190644
Abstract
ORIGINAL ARTICLEThe care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory
Revista Brasileira de Enfermagem. 2020;73:e20190644
DOI 10.1590/0034-7167-2019-0644
Views0See moreABSTRACT
Objective:
To analyze the care practices of family members of premature infants admitted to a Neonatal Intensive Care Unit in the light of Leininger’s transcultural theory.
Methods:
Qualitative, descriptive and exploratory study. Participant observation and semi-structured interviews were conducted with 16 family members of newborns, admitted to the neonatal unit of a public maternity hospital, during the months of May and June 2019. The software called Interface de R pour analyses Multidimensionnelles de Textes et de Questionnaire® and the Bardin Content Analysis technique.
Results:
Two thematic categories emerged: Family care in the neonatal unit; (in)effective support for shared care.
Conclusion:
The participation of families in the care of babies is still unstable, but it must be an inseparable element of culturally congruent care, thus collaborating with the full recovery of the premature.
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EXPERIENCE REPORT07-13-2020
Military Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200297
Abstract
EXPERIENCE REPORTMilitary Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200297
DOI 10.1590/0034-7167-2020-0297
Views0See moreABSTRACT
Objective:
to describe the experience of military nursing in “Operation Return to Brazil” in an aeromedical evacuation.
Method:
this is an experience report of the nursing staff in the Aeromedical Evacuation of potentially-contaminated Brazilians who were in Wuhan, China, after the outbreak of the new coronavirus.
Results:
the report was constructed from nursing care performed in three stages: pre-flight, screening, and flight. Pre-flight care would include aircraft configuration and material prediction. In screening, the staff was concerned with being properly attired. In the health assessment of returnees, in-flight, attention was focused on Personal Protective Equipment handling to minimize the risk of contamination by prolonged contact with potentially-contaminated passengers.
Final considerations:
nursing was committed to planning all the actions of this mission, which was one of the longest, strenuous and unprecedented in the history of aeromedical transport in Brazil.
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ORIGINAL ARTICLE09-21-2020
Adolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
Revista Brasileira de Enfermagem. 2020;73:e20190242
Abstract
ORIGINAL ARTICLEAdolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
Revista Brasileira de Enfermagem. 2020;73:e20190242
DOI 10.1590/0034-7167-2019-0242
Views0See moreABSTRACT
Objective:
To analyze the association between vulnerabilities to Sexually Transmitted Infections (STIs/HIV/AIDS) of adolescents in poverty and their level of resilience.
Method:
Cross-sectional study with 287 students between 11 and 17 years old in a school in the outskirts of Fortaleza-Ce. The study was conducted from August to October 2016. Three instruments related to characterization, vulnerability to STIs/HIV/AIDS and resilience were used. The association between the instruments was calculated using the Mann-Whitney and Kruskal-Wallis tests. Association between vulnerability to STIs/HIV/AIDS and resilience was assessed through the Spearman’s correlation coefficient. Statistical significance was set at p<0.05.
Results:
There was a significant association between the factors “housing” (p=0.022), “family income” (p=0.037) and vulnerability to STIs/HIV/AIDS. Adolescents whose father has completed high school (p=0.043) have moderately high resilience.
Conclusion:
Adolescents with low socioeconomic status and who live on less than a minimum wage tends to be more susceptible to vulnerabilities to STIs/HIV/AIDS and to have low resilience.
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REFLECTION06-04-2021
Care in pediatric nursing from the perspective of emotions: from Nightingale to the present
Revista Brasileira de Enfermagem. 2021;74(4):e20200377
Abstract
REFLECTIONCare in pediatric nursing from the perspective of emotions: from Nightingale to the present
Revista Brasileira de Enfermagem. 2021;74(4):e20200377
DOI 10.1590/0034-7167-2020-0377
Views0See moreABSTRACT
Objective:
Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.
Method:
Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.
Results:
From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.
Final considerations:
In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
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EXPERIENCE REPORT09-29-2022
Mobile pre-hospital care reorganization during the COVID-19 pandemic: experience report
Revista Brasileira de Enfermagem. 2022;75:e20200826
Abstract
EXPERIENCE REPORTMobile pre-hospital care reorganization during the COVID-19 pandemic: experience report
Revista Brasileira de Enfermagem. 2022;75:e20200826
DOI 10.1590/0034-7167-2020-0826
Views0See moreABSTRACT
Objective:
To describe the reorganization of Belo Horizonte’s Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool.
Methods:
Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process.
Results:
Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine.
Final considerations:
The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.
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ORIGINAL ARTICLE12-13-2019
Factors associated with low Apgar in newborns in birth center
Revista Brasileira de Enfermagem. 2019;72:297-304
Abstract
ORIGINAL ARTICLEFactors associated with low Apgar in newborns in birth center
Revista Brasileira de Enfermagem. 2019;72:297-304
DOI 10.1590/0034-7167-2018-0924
Views1See moreABSTRACT
Objective:
to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC).
Method:
a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson’s chi-square test or the exact Fisher.
Results:
fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor.
Conclusion:
the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.
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ORIGINAL ARTICLE07-31-2020
Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20180996
Abstract
ORIGINAL ARTICLEFactors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20180996
DOI 10.1590/0034-7167-2018-0996
Views0See moreABSTRACT
Objectives:
to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.
Methods:
cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte – Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio.
Results:
increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section.
Final Considerations:
the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.
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