Articles - Revista Brasileira de Enfermagem

  • REVIEW01-01-2018

    Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

    Revista Brasileira de Enfermagem. 2018;71:2824-2832

    Abstract

    REVIEW

    Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review

    Revista Brasileira de Enfermagem. 2018;71:2824-2832

    DOI 10.1590/0034-7167-2018-0436

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    ABSTRACT

    Objective:

    To identify the Nursing interventions, described in literature, in the ERAS® program.

    Method:

    We defined a scoping review based on the recommendations of The Institute Joanna Brigs (JBI) and on research in electronic databases. We chose the studies through flow diagrams “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” and presented them in a chart.

    Results:

    We found 306 articles published between 2010 and 2018 and included 14 of them. The main results were: the crucial role nurses play throughout the surgical process, which begins at the preoperative nursing consultation; goes to post-operative care, such as early giving food to patients, effective management of pain or early mobilization; and ends in telephone follow-up.

    Conclusion:

    The introduction of the surgical program ERAS® may be an opportunity for nurses to play a more influential role in the surgical path, directly involving with their clients’ results.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review
  • REVIEW01-01-2018

    Quality of life in children with kidney transplant: Systematic review

    Revista Brasileira de Enfermagem. 2018;71:2818-2823

    Abstract

    REVIEW

    Quality of life in children with kidney transplant: Systematic review

    Revista Brasileira de Enfermagem. 2018;71:2818-2823

    DOI 10.1590/0034-7167-2018-0464

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    ABSTRACT

    Objective:

    To identify in the literature studies that evaluate the quality of life in pediatric patients with kidney transplant through use of specific, validated instruments in Pediatrics.

    Method:

    Systematic review of the literature with searches conducted in the following databases: Medline, PubMed, LILACS, CINAHL, SciELO and Cochrane Library. Main keywords: Quality of life, Kidney transplantation and Pediatrics.

    Results:

    A total of 366 studies were selected and eight observational studies were included that evaluated the quality of life of children with kidney transplant by means of evaluation instruments of quality of life.

    Conclusion:

    The quality of life of children with kidney transplant is inferior compared to healthy children. The post-transplant period presents better results compared to pre-transplant children. The identification of mental, physical and social conditions related to the quality of life of this population allows for better planning the assistance provided to them.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Quality of life in children with kidney transplant: Systematic review
  • REVIEW01-01-2018

    Nurses’ contributions to good practices in child care: an integrative literature review

    Revista Brasileira de Enfermagem. 2018;71:2808-2817

    Abstract

    REVIEW

    Nurses’ contributions to good practices in child care: an integrative literature review

    Revista Brasileira de Enfermagem. 2018;71:2808-2817

    DOI 10.1590/0034-7167-2018-0416

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    ABSTRACT

    Objective:

    to identify scientific evidence on the contribution of nurses’ work to good practices in child care in the Brazilian literature.

    Method:

    integrative review of the literature, carried out in Latin American and Caribbean in Health Sciences Literature (LILACS), Medical Literature Analysis and Retrieval System Online (MEDLINE), Brazilian Nursing Database (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scientific Electronic Library Online (SCIELO) database, from 2008 to 2018.

    Results:

    14 complete studies were selected for interpretative analysis. Two categories allowed responding to the initial questioning of the study, namely: Nurses’ contributions in child care; and Limits for the nurse’s role in child care.

    Conclusion:

    evidences show the importance of nurses in child care for the promotion of comprehensive care for children and their families. However, there are socioeconomic, cultural, institutional and technical factors that hinder the nurses’ performance in this setting.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nurses’ contributions to good practices in child care: an integrative literature review
  • REVIEW01-01-2018

    Nursing students’ perception about humanized care: an integrative review

    Revista Brasileira de Enfermagem. 2018;71:2800-2807

    Abstract

    REVIEW

    Nursing students’ perception about humanized care: an integrative review

    Revista Brasileira de Enfermagem. 2018;71:2800-2807

    DOI 10.1590/0034-7167-2017-0845

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    ABSTRACT

    Objective:

    To analyze the productions of knowledge about the students’ perception of humanized care.

    Method:

    Study of bibliographical revision of the integrative type. The databases Pubmed, Lilacs, Cuiden and the SciELO virtual library were chosen for selection in October 2017, using the health descriptors “Students, Nursing”, “Perception” and “Humanization of assistance”, in the languages Portuguese, English and Spanish.

    Results:

    Only eight studies were included that met the objectives of the study, where the majority portrays the Brazilian reality.

    Conclusion:

    Given the current discussion of society on the subject and the scarcity of publications, it is clear the need to adapt the academic field to complaints of society, as well as reflection of why the problem does not have a significant approach in international setting.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing students’ perception about humanized care: an integrative review
  • RESEARCH01-01-2018

    Use of vitamin D and infection in patients with chronic kidney disease

    Revista Brasileira de Enfermagem. 2018;71:2792-2799

    Abstract

    RESEARCH

    Use of vitamin D and infection in patients with chronic kidney disease

    Revista Brasileira de Enfermagem. 2018;71:2792-2799

    DOI 10.1590/0034-7167-2018-0640

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    ABSTRACT

    Objective:

    To evaluate the effectiveness of vitamin D supplementation as protection factor against infection of patients with chronic kidney disease on conservative treatment.

    Method:

    Retrospective cohort study carried out between 2013 and 2016 in the Conservative Treatment Outpatient Clinics (Ambulatório de Tratamento Conservador) of the Hypertension and Kidney Hospital (Hospital do Rim e Hipertensão) of the Universidade Federal de São Paulo. Data on sociodemographic factors, comorbidity, infection episodes and use or nonuse of vitamin D supplementation for at least 6 months were collected from medical records. The primary outcomes considered in both groups were: presence or absence of infection anywhere on the body (bloodstream, urinary, respiratory and surgical sites).

    Results:

    A total of 263 patients were included and those who received (n=43) vitamin D had 59% less chance of developing infections (OR=0.41; 95%CI; 0.15-0.99), when compared to those who did not receive.

    Conclusion:

    Vitamin D supplementation was a protective factor against infections of all causes.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Management challenges for best practices of the Kangaroo Method in the Neonatal ICU

    Revista Brasileira de Enfermagem. 2018;71:2783-2791

    Abstract

    RESEARCH

    Management challenges for best practices of the Kangaroo Method in the Neonatal ICU

    Revista Brasileira de Enfermagem. 2018;71:2783-2791

    DOI 10.1590/0034-7167-2018-0428

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    ABSTRACT

    Objective:

    To understand the conditions that influence the adherence and application of best practices by nurses in the context of the Nursing care management in the Kangaroo Mother Care in the Neonatal ICU.

    Method:

    Study of qualitative approach, whose theoretical and methodological frameworks were Symbolic Interactionism and Grounded Theory, respectively. We used the in-depth interview with 8 nurses from the Neonatal ICU of a public maternity hospital in the city of Rio de Janeiro.

    Results:

    The conditions involved in adhering to the best practices of humanization in the Neonatal ICU are related mainly to human resources, interaction among professionals, work processes and leadership strategies; and care management.

    Conclusion:

    Professional and institutional challenges have been identified that need to be addressed to improve adherence and implementation of the Kangaroo Mother Care best practices.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Management challenges for best practices of the Kangaroo Method in the Neonatal ICU
  • RESEARCH01-01-2018

    Good practices for patient safety in the operating room: nurses’ recommendations

    Revista Brasileira de Enfermagem. 2018;71:2775-2782

    Abstract

    RESEARCH

    Good practices for patient safety in the operating room: nurses’ recommendations

    Revista Brasileira de Enfermagem. 2018;71:2775-2782

    DOI 10.1590/0034-7167-2018-0449

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    ABSTRACT

    Objective:

    To describe nurses’ recommendations for good patient safety practices in the operating room.

    Method:

    Quantitative, descriptive and exploratory research developed from an online survey of 220 operating room nurses from different regions of Brazil. The data processing for textual analysis was performed by the software IRAMUTEQ.

    Results:

    There were eight recommendations: (1) Involvement of the multiprofessional team and the managers of the institution; (2) Establishment of a patient safety culture; (3) Use of the safe surgery checklist; (4) Improvement of interpersonal communication; (5) Expansion of nurses’ performance; (6) Adequate availability of physical, material and human resources; (7) Individual search for professional updating; and (8) Development of continuing education actions.

    Conclusion:

    These recommendations can be used as care management strategies by nurses for patient safety in the operating room.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Good practices for patient safety in the operating room: nurses’ recommendations
  • RESEARCH01-01-2018

    The care of nurses in the Family Health Strategy: practices and theoretical foundation

    Revista Brasileira de Enfermagem. 2018;71:2767-2774

    Abstract

    RESEARCH

    The care of nurses in the Family Health Strategy: practices and theoretical foundation

    Revista Brasileira de Enfermagem. 2018;71:2767-2774

    DOI 10.1590/0034-7167-2018-0383

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    ABSTRACT

    Objective:

    To analyze the practices of nurses working in the Family Health Strategy (FHS) in a city of Rio de Janeiro (RJ) and the theoretical foundations that guide them.

    Method:

    Qualitative research through semi-structured interviews with twelve nurses working in eleven FHS units between August and December 2014. Data were organized by hermeneutic-dialectical analysis.

    Results:

    The nurse is inserted in the municipal FHS as care coordinator and political agent; has practices aimed at welcoming, mobilizing social groups, making technical and monitoring of users through health programs. The practices remain in the confrontation of problems and are guided by technical manuals and coordination of health programs.

    Final considerations:

    Studies are needed to recognize the nurse’s therapeutic objective at the FHS and to propose theoretical foundations, specific to Nursing or Collective Health that will instrumentalize their daily practice.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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