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ORIGINAL ARTICLE10-25-2022
Meaning of work from the perspective of hospital nurses
- Meirieli Faza Franco
, - Beatriz Francisco Farah ,
- Simone Coelho Amestoy ,
- Maira Buss Thofehrn ,
- Adrize Rutz Porto
Abstract
ORIGINAL ARTICLEMeaning of work from the perspective of hospital nurses
Revista Brasileira de Enfermagem. 2022;75(2):e20201362
DOI 10.1590/0034-7167-2020-1362
- Meirieli Faza Franco ,
- Beatriz Francisco Farah ,
- Simone Coelho Amestoy ,
- Maira Buss Thofehrn ,
- Adrize Rutz Porto
Views0See moreABSTRACT
Objectives:
to know the meaning of the role of nurses in the hospital environment.
Methods:
this is a descriptive study with a qualitative approach, whose setting was a university hospital in Minas Gerais with 50 nurses. Data were collected through interviews and analyzed according to content analysis, with the contribution of the Interface software from R pour les Analyzes Multidimensionalnelles de Textes et de Questionnaires.
Results:
three categories emerged: “Nurses’ daily work in the hospital environment”; “Work motivation as an influential factor in the meaning of work”; “The two faces of the meaning of work: pleasure and suffering”. Nurses attributed a positive meaning to their work.
Final Considerations:
three dimensions of the meaning of work were highlighted: individual, organizational and social. These influenced the professional, social, working and individual life of nurses.
- Meirieli Faza Franco
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ORIGINAL ARTICLE10-25-2022
Social representations of patients with vasculogenic ulcers about quality of life: an analysis of the social context
- Nathália Nunes Gomes ,
- Lara Mariana Monteiro de Santa Rosa ,
- Márcia de Assunção Ferreira ,
- Rafael Celestino da Silva
Abstract
ORIGINAL ARTICLESocial representations of patients with vasculogenic ulcers about quality of life: an analysis of the social context
Revista Brasileira de Enfermagem. 2022;75(2):e20210136
DOI 10.1590/0034-7167-2021-0136
- Nathália Nunes Gomes ,
- Lara Mariana Monteiro de Santa Rosa ,
- Márcia de Assunção Ferreira ,
- Rafael Celestino da Silva
Views0See moreABSTRACT
Objective:
to describe the social representations of patients with vasculogenic ulcers about quality of life and analyze such representations from the social context of patients’ insertion in relation to the healthcare service.
Method:
a qualitative research, based on social representations, developed in a Family Clinic in Rio de Janeiro with 30 patients with vasculogenic ulcers for over 90 days. Data were produced through interviews and submitted to lexicographical analysis using the Alceste software.
Results:
the weaknesses of care in the healthcare service to which patients were linked contributed to exacerbate the reconfiguration of daily life that the occurrence of ulcers implies, due to the presence of pain and physical restrictions, influencing the representation of quality of life.
Final considerations:
the representation was objectified as a counterpoint to the image of “being happy”, and actions expressed proactivity in the search for a cure or passivity due to lack of clinical results.
- Nathália Nunes Gomes
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ORIGINAL ARTICLE10-25-2022
Prevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
- Rayanne Rodrigues dos Santos ,
- Maria Estela Diniz Machado ,
- Ana Leticia Monteiro Gomes ,
- Rosane Cordeiro Burla de Aguiar ,
- Marialda Moreira Christoffel
Abstract
ORIGINAL ARTICLEPrevention of domestic accidents in childhood: knowledge of caregivers at a health care facility
Revista Brasileira de Enfermagem. 2022;75(2):e20210006
DOI 10.1590/0034-7167-2021-0006
- Rayanne Rodrigues dos Santos ,
- Maria Estela Diniz Machado ,
- Ana Leticia Monteiro Gomes ,
- Rosane Cordeiro Burla de Aguiar ,
- Marialda Moreira Christoffel
Views0See moreABSTRACT
Objective:
To analyze caregivers’ knowledge about prevention of domestic accidents in early childhood and its association with education level.
Methods:
This is a cross-sectional study conducted in a Primary Care Unit in Niterói with caregivers (convenience sample) of children under 6 years old. To classify the knowledge, we adopted the Positivity Index; to verify the association between the variable “schooling” and knowledge, the chi square test was used; statistically significant results: p < 0.05.
Results:
A total of 256 caregivers participated; 93.5% showed adequate knowledge. In the individual items, the knowledge (100%) about prevention of accidents with sharp toys, firearms, intoxication by products stood out; and less frequently (64.5%), the knowledge of the information contained in the Child’s Health Booklet. There was no statistically significant association (p = 0.237) between education and knowledge. Conclusion: The caregivers presented knowledge about the prevention of domestic accidents, and this was not associated with the level of education.
- Rayanne Rodrigues dos Santos
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10-25-2022
Interruption in the work of nursing professionals: conceptual analysis
- Weslen Carlos Junior de Freitas ,
- Aline Carrilho Menezes ,
- Luciana Regina Ferreira da Mata ,
- Ana Luisa Brandão de Carvalho Lira ,
- Letícia Helena Januário , [ … ],
- Helen Cristiny Teodoro Couto Ribeiro
Abstract
Interruption in the work of nursing professionals: conceptual analysis
Revista Brasileira de Enfermagem. 2022;75(2):e20201392
DOI 10.1590/0034-7167-2020-1392
- Weslen Carlos Junior de Freitas ,
- Aline Carrilho Menezes ,
- Luciana Regina Ferreira da Mata ,
- Ana Luisa Brandão de Carvalho Lira ,
- Letícia Helena Januário ,
- Helen Cristiny Teodoro Couto Ribeiro
Views0See moreABSTRACT
Objectives:
to analyze the concept of “interruption in the work of nursing professionals”.
Methods:
conceptual study according to the method proposed by Walker and Avant through integrative literature review. The study searched the databases using the descriptors: “Attention”, “Attention Bias”, “Health Personnel”, “Nurses”, “Patient Safety” and “Medical Malpractices”. The sample consisted of 36 studies.
Results:
the antecedents were alarms, answering phone calls, providing patient care, and lack of material/medicine. The defining attributes were pause, suspension, breakage, and intrusion. In relation to the consequences, the study highlighted the increase in frequency and severity of medication errors and change of focus.
Final Considerations:
theconceptual analysis identified the attributes, antecedents, and consequences and allowed to build an operational definition for “interruption in the work of nursing professionals”. It will contribute to the improvement of the work process and the creation of strategies that ensure safer care for the patient.
- Weslen Carlos Junior de Freitas
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ORIGINAL ARTICLE10-25-2022
Relationship between power and knowledge in choosing a cesarean section: women’s perspectives
- Ana Paula de Lima Escobal ,
- Ana Paula Müller de Andrade ,
- Greice Carvalho de Matos ,
- Patricia Haertel Giusti ,
- Susana Cecagno , [ … ],
- Lisie Alende Prates
Abstract
ORIGINAL ARTICLERelationship between power and knowledge in choosing a cesarean section: women’s perspectives
Revista Brasileira de Enfermagem. 2022;75(2):e20201389
DOI 10.1590/0034-7167-2020-1389
- Ana Paula de Lima Escobal ,
- Ana Paula Müller de Andrade ,
- Greice Carvalho de Matos ,
- Patricia Haertel Giusti ,
- Susana Cecagno ,
- Lisie Alende Prates
Views0See moreABSTRACT
Objectives:
to analyze the reasons and motives that initiates the decision to choose a cesarean section, by describing the plots, power relationships, struggles, and systems of truths regarding this method of childbirth.
Methods:
a qualitative study, inserted into a poststructuralist perspective, and conducted in a city in southern Rio Grande do Sul state. The settings were a teaching hospital and home residences. Thirteen postpartum women who had a cesarean section participated. The analysis consisted of questions based on the information produced and articulated with Foucauldian theories.
Results:
two categories were developed: “I wanted a vaginal delivery, but it was a cesarean section”, and, “Are you sure you want a vaginal delivery: paths and detours in the choice of cesarean section”.
Final Considerations:
the study allowed us to identify problems in the choice for a cesarean section, which is associated with the circulation of “truths” that occur via discourses on society.
- Ana Paula de Lima Escobal
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ORIGINAL ARTICLE10-25-2022
Clinical characterization, disability, and mortality in people with strokes during 90 days
- Mariana de Almeida Moraes ,
- Fernanda Carneiro Mussi ,
- Ludmila Santos Muniz ,
- Elieusa e Silva Sampaio ,
- Tatiana de Sena Leitão , [ … ],
- Pedro Antônio Pereira de Jesus
Abstract
ORIGINAL ARTICLEClinical characterization, disability, and mortality in people with strokes during 90 days
Revista Brasileira de Enfermagem. 2022;75(2):e20201383
DOI 10.1590/0034-7167-2020-1383
- Mariana de Almeida Moraes ,
- Fernanda Carneiro Mussi ,
- Ludmila Santos Muniz ,
- Elieusa e Silva Sampaio ,
- Tatiana de Sena Leitão ,
- Carlos Antônio de Souza Teles Santos ,
- Pedro Antônio Pereira de Jesus
Views0See moreABSTRACT
Objectives:
to describe clinical characteristics and mortality of people with ischemic cerebrovascular accidents (strokes); to compare disability before the event and 90 days after.
Methods:
longitudinal study with 308 people hospitalized in Salvador-BA. Data collection took place from 03/2019 to 01/2020. Descriptive and inferential statistics were used.
Results:
mean age was 64.8 years, and National Institute of Health Stroke Scale score was 10.7. The median length of stay in the hospital was 11 days. Afro-descendants predominated (84%), elementary educational level (68.4%), income up to three minimum wages (89.1%), arrival within 4.5 hours of symptoms (57.9%) and admission to a specialized unit (71.8%). Prevalence of thrombolysis: 26%. The asymptomatic before the event category predominated (85.3%) as did the moderate/severe disability (41.5%) after 90 days. 19.7% of the sample evolved to death. Conclusions: the high mortality and disability generated by the event have implications for health management and care.
- Mariana de Almeida Moraes
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ORIGINAL ARTICLE10-25-2022
Nursing in Brazil: socioeconomic analysis with a focus on the racial composition
- Gerson Luiz Marinho ,
- Bruno Luciano Carneiro Alves de Oliveira ,
- Carlos Leonardo Figueiredo Cunha ,
- Felipe Guimarães Tavares ,
- Elisabete Pimenta Araújo Paz
Abstract
ORIGINAL ARTICLENursing in Brazil: socioeconomic analysis with a focus on the racial composition
Revista Brasileira de Enfermagem. 2022;75(2):e20201370
DOI 10.1590/0034-7167-2020-1370
- Gerson Luiz Marinho ,
- Bruno Luciano Carneiro Alves de Oliveira ,
- Carlos Leonardo Figueiredo Cunha ,
- Felipe Guimarães Tavares ,
- Elisabete Pimenta Araújo Paz
Views0See moreABSTRACT
Objectives:
to analyze the socioeconomic characteristics of nurses and nursing technicians living in Brazil according to color/race.
Methods:
based on the 2010 Demographic Census sample, 62,451 nursing professionals (nurses and technicians) living in Brazil were selected. Differences in monthly income were estimated by multivariate models, stratified by color or race groups (white, brown, and black).
Results:
the majority were technicians (61.9%) of white color (54.3%). The income of white nurses exceeded that of brown and black nurses by more than a quarter; among technicians, white professionals had an income approximately 11% higher than brown and black nurses.
Conclusions:
differences between incomes of nursing workers were associated with ethnic/racial background, revealing situations in which white professionals systematically presented more favorable job and income conditions than black and brown professionals.
- Gerson Luiz Marinho
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ORIGINAL ARTICLE10-25-2022
Social inequalities for student leaders and professional organizations: Florence Nightingale’s political legacy
- Kênia Lara da Silva ,
- Bruna Dias França ,
- Rafaela Siqueira Costa Schreck ,
- Elen Cristiane Gandra ,
- Letícia Luzia Ferreira Silva
Abstract
ORIGINAL ARTICLESocial inequalities for student leaders and professional organizations: Florence Nightingale’s political legacy
Revista Brasileira de Enfermagem. 2022;75(2):e20200465
DOI 10.1590/0034-7167-2020-0465
- Kênia Lara da Silva ,
- Bruna Dias França ,
- Rafaela Siqueira Costa Schreck ,
- Elen Cristiane Gandra ,
- Letícia Luzia Ferreira Silva
Views0See moreABSTRACT
Objectives:
to analyze the nursing systems of understanding and social inequalities from the perspective of student leaders and representatives of nursing professional organizations.
Methods:
qualitative research supported by the theoretical framework of Marxist dialectics. Threerepresentatives of professional organizations and five student leaders participated in the study. Datawere obtained from individual interviews and submitted to Critical Discourse Analysis.
Results:
thediscourses are marked by commitment, relational identification and characterize the position of obligation and necessity of nursing in acting with the individuals in situations of inequality, indicating accountability as a social practice. Among the competencies necessary for nursing in confronting social inequalities, political competence is central and is associated with health advocacy.
Final Considerations:
we conclude that acting on social inequalities is part of the historical construction of nursing. Here, we emphasized the historical importance of Florence Nightingale and her legacy for political action and leadership in nursing.
- Kênia Lara da Silva
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ORIGINAL ARTICLE06-14-2021
Continuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
- Anna Tereza Alves Guedes ,
- Anniely Rodrigues Soares ,
- Daniele Beltrão Lucena de França ,
- Elenice Maria Cecchetti Vaz ,
- Neusa Collet , [ … ],
- Altamira Pereira da Silva Reichert
Abstract
ORIGINAL ARTICLEContinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
Revista Brasileira de Enfermagem. 2021;74(6):e20200694
DOI 10.1590/0034-7167-2020-0694
- Anna Tereza Alves Guedes ,
- Anniely Rodrigues Soares ,
- Daniele Beltrão Lucena de França ,
- Elenice Maria Cecchetti Vaz ,
- Neusa Collet ,
- Altamira Pereira da Silva Reichert
Views0See moreABSTRACT
Objective:
Understand the continuity of stimulation of neuro-psychomotor development in children with congenital Zika syndrome.
Method:
Descriptive-exploratory study with theoretical support in symbolic interactionism. Between August and November 2019, 12 health professionals were interviewed in depth; and to the focus group, seven caregivers of children with the syndrome. The analysis was thematic inductive.
Results:
The continuation of neuro-psychomotor stimulation of children with Zika syndrome goes through: organizational difficulties (lack of doctors, professional unpreparedness, dissatisfaction and search for other services); socioenvironmental aspects (low maternal education, low socioeconomic level, difficulty in moving and lack of support); and conditions inherent to children (hospitalizations for respiratory crises, seizures, hypoactivity and social stigma).
Final considerations:
A strengthened support network with qualified human resources is necessary in order to provide comprehensive care and avoid the discontinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome.
- Anna Tereza Alves Guedes
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ORIGINAL ARTICLE08-20-2021
Risk of suicide among nursing students
- Stephane Marcele Almeida Braga Moraes ,
- Valquíria Farias Bezerra Barbosa ,
- Ana Carla Silva Alexandre ,
- Silvana Cavalcanti dos Santos ,
- Fernanda Jorge Guimarães, [ … ],
- Juliana Lourenço de Araújo Veras
Abstract
ORIGINAL ARTICLERisk of suicide among nursing students
Revista Brasileira de Enfermagem. 2021;74(6):e20200867
DOI 10.1590/0034-7167-2020-0867
- Stephane Marcele Almeida Braga Moraes ,
- Valquíria Farias Bezerra Barbosa ,
- Ana Carla Silva Alexandre ,
- Silvana Cavalcanti dos Santos ,
- Fernanda Jorge Guimarães,
- Juliana Lourenço de Araújo Veras
Views0See moreABSTRACT
Objectives:
to identify the risk and degree of risk of suicide in nursing students of a public institution in the countryside of Pernambuco, Brazil.
Methods:
this was a cross-sectional, quantitative research conducted with 150 students. For data collection, a sociodemographic questionnaire and the instrument, M.I.N.I. – Brazilian version 5.0.0 – Module C – Risk of suicide were used. Statistical analyses were performed with IBM(® )SPSS(®), version 23.
Results:
53.3% of nursing students had a risk of suicide, of which 20.7% had a high risk. Moreover, 22.67% reported previous suicide attempt. It is noteworthy that students without a partner have a higher risk of suicide (56.8%) than those with a partner (29.4%).
Conclusions:
it is perceived the need to develop programs that identify students at risk of suicide in higher education institutions, in order to raise awareness of the problem and implement policies to promote mental health in the academia.
- Stephane Marcele Almeida Braga Moraes
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REVIEW08-20-2021
Root Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
- Luciana Andrade de Lima ,
- Louise Constancia de Melo Alves Silva ,
- Joyce Karolayne dos Santos Dantas ,
- Maria Solange Moreira de Lima ,
- Daniele Vieira Dantas , [ … ],
- Rodrigo Assis Neves Dantas
Abstract
REVIEWRoot Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20200954
DOI 10.1590/0034-7167-2020-0954
- Luciana Andrade de Lima ,
- Louise Constancia de Melo Alves Silva ,
- Joyce Karolayne dos Santos Dantas ,
- Maria Solange Moreira de Lima ,
- Daniele Vieira Dantas ,
- Rodrigo Assis Neves Dantas
Views0See moreABSTRACT
Objectives:
to analyze the applicability of Root Cause Analysis and Failure Mode and Effect Analysis tools, aiming to improve care in pediatric units.
Methods:
this is a scoping review carried out according to the Joanna Briggs Institute guidelines, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes extension for Scoping Reviews. Search took place in May 2018 on 15 data sources.
Results:
search totaled 8,254 studies. After using the relevant inclusion and exclusion criteria, 15 articles were included in the review. Of these, nine were published between 2013 and 2018, 12 used Failure Mode and Effect Analysis and 11 carried out interventions to improve the quality of the processes addressed, showing good post-intervention results.
Final Considerations:
the application of the tools indicated significant changes and improvements in the services that implemented them, proving to be satisfactory for detecting opportunities for improvement, employing specific methodologies for harm reduction in pediatrics.
- Luciana Andrade de Lima
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ORIGINAL ARTICLE07-26-2021
Representations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
Abstract
ORIGINAL ARTICLERepresentations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
DOI 10.1590/0034-7167-2020-1028
Views0See moreABSTRACT
Objective:
to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis.
Methods:
this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®.
Results:
representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection.
Final considerations:
representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.
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08-20-2021
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach ,
- Higor Pacheco Pereira ,
- Regina Paula Guimarães Vieira Cavalcante da Silva
Abstract
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201073
DOI 10.1590/0034-7167-2020-1073
- Izabela Linha Secco ,
- Mitzy Tannia Reichembach ,
- Higor Pacheco Pereira ,
- Regina Paula Guimarães Vieira Cavalcante da Silva
Views0See moreABSTRACT
Objectives:
to establish the prevalence of salvage of central venous catheters in newborns with bloodstream infection caused by coagulase-negative staphylococci.
Methods:
retrospective cross-sectional study with 136 newborns admitted to the Neonatal Intensive Care Unit between 2011 and 2017. The total of 143 infection events undergoing antibiotic therapy were evaluated.
Results:
among the 143 infection events, 39 catheters in which antibiotic therapy was used were saved and in 69 cases, the device was removed. Positive central blood culture and single lumen catheter were factors associated with salvage failure. The probability of salvage decreased with infections diagnosed from 15 days of using the catheter. Negative blood culture raised the chance of salvage by fourfold.
Conclusions:
the use of antibiotic therapy in the treatment of infections resulted in a low prevalence of salvage of the central venous catheter. The probability of salvage was associated with variables of the device.
- Izabela Linha Secco
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EXPERIENCE REPORT02-15-2021
Coronavirus infections: health care planning based on Orem’s Nursing Theory
- Tayomara Ferreira Nascimento ,
- Graziela Maria Ferraz de Almeida ,
- Marielle Poyo Bello ,
- Rosemary Pereira Lino da Silva ,
- Cassiana Mendes Bertoncello Fontes
Abstract
EXPERIENCE REPORTCoronavirus infections: health care planning based on Orem’s Nursing Theory
Revista Brasileira de Enfermagem. 2021;74:e20200281
DOI 10.1590/0034-7167-2020-0281
- Tayomara Ferreira Nascimento ,
- Graziela Maria Ferraz de Almeida ,
- Marielle Poyo Bello ,
- Rosemary Pereira Lino da Silva ,
- Cassiana Mendes Bertoncello Fontes
Views0See moreABSTRACT
Objective:
to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory.
Method:
the active methodologies used were a literature search and seminar presentations, with an understanding of Orem’s theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used.
Results:
for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes.
Final considerations:
theoretical-practical reflections of the academic context support nursing care planning.
- Tayomara Ferreira Nascimento
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REFLECTION03-05-2021
Reflections on patient safety incident reporting systems
- Maria de Jesus Castro Sousa Harada ,
- Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt , [ … ],
- Adriane Cristina Bernat Kolankiewicz
Abstract
REFLECTIONReflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74:e20200307
DOI 10.1590/0034-7167-2020-0307
- Maria de Jesus Castro Sousa Harada ,
- Ana Elisa Bauer de Camargo Silva ,
- Liliane Bauer Feldman ,
- Sheilla Siedler Tavares ,
- Luiza Maria Gerhardt ,
- Antônio José de Lima Júnior ,
- Adriane Cristina Bernat Kolankiewicz
Views0See moreABSTRACT
Objective:
To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.
Method:
Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.
Results:
Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.
Final Considerations:
In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.
- Maria de Jesus Castro Sousa Harada
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EXPERIENCE REPORT01-29-2021
Restructuring service at a mastology outpatient clinic during the COVID-19 pandemic
- Cristina Poliana Rolim Saraiva dos Santos ,
- Ana Fátima Carvalho Fernandes ,
- Denise Montenegro da Silva ,
- Régia Christina Moura Barbosa Castro
Abstract
EXPERIENCE REPORTRestructuring service at a mastology outpatient clinic during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200571
DOI 10.1590/0034-7167-2020-0571
- Cristina Poliana Rolim Saraiva dos Santos ,
- Ana Fátima Carvalho Fernandes ,
- Denise Montenegro da Silva ,
- Régia Christina Moura Barbosa Castro
Views0INTRODUCTIONCOVID-19 is a disease caused by the SARS-CoV-2 coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) and has brought a threat to public health worldwide. In need of immediate changes, adaptations tend to be the way out to avoid contamination that potentially does not distinguish race, color, gender().The global numbers of suspected and confirmed cases are […]See more - Cristina Poliana Rolim Saraiva dos Santos
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ORIGINAL ARTICLE06-27-2019
Validation of a clinical simulation setting in the management of postpartum haemorrhage
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo , [ … ],
- Francisca Marcia Pereira Linhares
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
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo ,
- Francisca Marcia Pereira Linhares
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.
- Priscyla de Oliveira Nascimento Andrade
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REVIEW06-01-2020
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
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
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
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
- Nelma Nunes da Silva
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ORIGINAL ARTICLE10-21-2019
Occupational stress and engagement in primary health care workers
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
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
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
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.
- Dezolina Franciele Cardin Cordioli
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ORIGINAL ARTICLE07-01-2020
Patient safety culture: perception of nursing professionals in high complexity institutions
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
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
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
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.
- Desirée Zago Sanchis
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REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
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
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
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.
- Bruna Alexandra da Silva Ferreira
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ORIGINAL ARTICLE06-27-2019
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva , [ … ],
- Jaime Alonso Caravaca-Morera
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
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva ,
- Jaime Alonso Caravaca-Morera
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.
- Carina Bortolato-Major
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REVIEW10-19-2020
Validation methods of nursing protocols: an integrative review
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Abstract
REVIEWValidation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
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.
- Tainara Wink Vieira
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EXPERIENCE REPORT04-09-2020
Implementation of an Artificial Intelligence Algorithm for sepsis detection
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto , [ … ],
- Carolina Wrobel Bezerra
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
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto ,
- Carolina Wrobel Bezerra
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.
- Luciana Schleder Gonçalves
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