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ORIGINAL ARTICLE01-10-2024
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
Abstract
ORIGINAL ARTICLEClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
DOI 10.1590/0034-7167-2023-0527
Views0See moreABSTRACT
Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Views0Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]See more -
ORIGINAL ARTICLE01-10-2024
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
Abstract
ORIGINAL ARTICLEPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
DOI 10.1590/0034-7167-2023-0421
Views2See moreABSTRACT
Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
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ORIGINAL ARTICLE12-16-2023
Analysis of the convergence of the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture
- Ana Laura Olsefer Rotta
, - Lucas Paulo de Souza ,
- Manuella dos Santos Garcia Vanti Carvalho ,
- Amanda Pestana da Silva ,
- Andrea Gonçalves Bandeira , [ … ],
- Janete de Souza Urbanetto
Abstract
ORIGINAL ARTICLEAnalysis of the convergence of the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture
Revista Brasileira de Enfermagem. 2023;76(1):e20210379
DOI 10.1590/0034-7167-2021-0379
- Ana Laura Olsefer Rotta ,
- Lucas Paulo de Souza ,
- Manuella dos Santos Garcia Vanti Carvalho ,
- Amanda Pestana da Silva ,
- Andrea Gonçalves Bandeira ,
- Janete de Souza Urbanetto
Views0See moreABSTRACT
Objectives:
to analyze patient safety culture from nursing professionals’ perception at a university hospital, by assessing the convergence between the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture.
Methods:
a cross-sectional study, with 434 nursing professionals. Data collection took place through the application of both instruments. Descriptive and inferential statistics were used.
Results:
in the Hospital Survey on Patient Safety Culture, the “teamwork within the units” dimension was considered a strong area of patient safety. In the Safety Attitudes Questionnaire, the “job satisfaction” and “perception of stress” domains reached the score for a good safety culture. Patient safety culture perception is correlated, in both instruments, with high magnitude.
Conclusions:
the two instruments converge towards a similar assessment of patient safety culture.
- Ana Laura Olsefer Rotta
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ORIGINAL ARTICLE12-16-2023
Tangency and multiple factors of violence against lecturer: nuances of the experience in pedagogical practices in health education
- Angela Gilda Alves ,
- Flaviane Cristina Rocha César ,
- Maria Alves Barbosa ,
- Lizete Malagoni de Almeida Cavalcante Oliveira ,
- Dolors Rodríguez-Martín , [ … ],
- Sara Oliveira Souza
Abstract
ORIGINAL ARTICLETangency and multiple factors of violence against lecturer: nuances of the experience in pedagogical practices in health education
Revista Brasileira de Enfermagem. 2023;76(1):e20210865
DOI 10.1590/0034-7167-2021-0865
- Angela Gilda Alves ,
- Flaviane Cristina Rocha César ,
- Maria Alves Barbosa ,
- Lizete Malagoni de Almeida Cavalcante Oliveira ,
- Dolors Rodríguez-Martín ,
- Edinamar Aparecida Santos da Silva ,
- Johnatan Martins Sousa ,
- Sara Oliveira Souza
Views0See moreABSTRACT
Objective:
to identify factors that lead the teacher to experience violence in their pedagogical practice in health education.
Method:
research with a qualitative approach, based on the Grounded Theory, conducted with 11 professors of the nursing course of a public university in the central region of Brazil in 2020 and 2021. Online semi-structured interviews were analyzed partially in the light of the Constructivist Grounded Theory.
Results:
factors that lead lecturer to experience violence are characterized by institutional culture, gender, professor’s perception of violence, and the triggers that drive students to commit violence. Social status and inequalities lead to positions of domination and, consequently, create a fertile ground for violence.
Final Considerations:
analyzing violence under Bourdieu’s theory, it is clear that student violence towards lecturer and the reports contained in this study deserve pedagogical reflection. However, it is necessary to include these discussions as a background in teaching environments.
- Angela Gilda Alves
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ORIGINAL ARTICLE12-16-2023
Cardiac anxiety in the perioperative period of patients undergoing cardiac surgical procedures: an observational study
- Bruna Sonego Kazitani ,
- Letícia Mansano Martins ,
- Vitor Melz da Silva ,
- Paolla Algarte Fernandes ,
- Suellen Rodrigues de Oliveira Maier , [ … ],
- Carina Aparecida Marosti Dessotte
Abstract
ORIGINAL ARTICLECardiac anxiety in the perioperative period of patients undergoing cardiac surgical procedures: an observational study
Revista Brasileira de Enfermagem. 2023;76(1):e20220250
DOI 10.1590/0034-7167-2022-0250
- Bruna Sonego Kazitani ,
- Letícia Mansano Martins ,
- Vitor Melz da Silva ,
- Paolla Algarte Fernandes ,
- Suellen Rodrigues de Oliveira Maier ,
- Carina Aparecida Marosti Dessotte
Views0See moreABSTRACT
Objective:
to compare cardiac anxiety symptoms in patients undergoing coronary artery bypass graft and valve surgery repair in the preoperative period, on the day of hospital discharge and on the first return visit after hospital discharge.
Methods:
an observational study, carried out in inpatient units and in outpatient clinic of a university hospital. Data were collected through interviews. Cardiac anxiety symptoms were assessed using the Cardiac Anxiety Questionnaire.
Results:
we observed the effect of time on cardiac anxiety symptoms of patients undergoing coronary artery bypass graft in the total score and in the “Avoidance” domain at discharge and at the first return visit. In patients undergoing valve repair surgery, the effect of time on symptoms was observed only in the first return visit, when compared with the preoperative period.
Conclusion:
the findings revealed increased cardiac anxiety symptoms in the postoperative period, discharge and first return, when compared to the preoperative period.
- Bruna Sonego Kazitani
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REVIEW12-16-2023
Educational interventions in child development and health literacy assumptions: an integrative review
- Rayara Medeiros Duarte Luz ,
- Dayana Cecília de Brito Marinho ,
- Ana Paula Esmeraldo Lima ,
- Maria Wanderleya Lavor Coriolano-Marinus
Abstract
REVIEWEducational interventions in child development and health literacy assumptions: an integrative review
Revista Brasileira de Enfermagem. 2023;76(1):e20220116
DOI 10.1590/0034-7167-2022-0116
- Rayara Medeiros Duarte Luz ,
- Dayana Cecília de Brito Marinho ,
- Ana Paula Esmeraldo Lima ,
- Maria Wanderleya Lavor Coriolano-Marinus
Views0See moreABSTRACT
Objectives:
to analyze scientific evidence in the literature that addresses educational interventions conducted by health professionals on early childhood development in a community context and to identify which health literacy assumptions are present during the implementation of interventions.
Method:
an integrative review in PubMed, CINAHL and Web of Science databases. Of 300 studies found, we selected 11 for the sample.
Results:
health professionals are trained to implement interventions with parents/caregivers to promote child development in community settings. Parents are encouraged to develop an environment that is encouraging and conducive to the development of their children. The main dimensions of health literacy found were access and apply.
Conclusion:
it confirms the importance of training health professionals, with skills and communicative skills to guide parents/caregivers to encourage the development of their children in their family environment with playful and interactive activities.
- Rayara Medeiros Duarte Luz
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ORIGINAL ARTICLE07-31-2020
Pain assessment in pediatrics
Revista Brasileira de Enfermagem. 2020;73:e20190109
Abstract
ORIGINAL ARTICLEPain assessment in pediatrics
Revista Brasileira de Enfermagem. 2020;73:e20190109
DOI 10.1590/0034-7167-2019-0109
Views0See moreABSTRACT
Objectives:
to investigate how the pain assessment and management process in pediatric patients is performed and suggestions for its improvement.
Methods:
exploratory, qualitative study. Nine professionals from the nursing team of a pediatric hospital unit in Porto Alegre/RS participated in the study. A sociodemographic questionnaire and semi-structured interviews were used with content analysis.
Results:
the results reinforced the importance of pain assessment with family participation and the need to use tools and process improvements in the training and sensitization of professionals.
Final Considerations:
after the study was concluded, there was a clear need to address the issue, highlighting its relevance for pain resolution in pediatric patients.
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03-19-2021
Validity and reliability of Kessler Psychological Distress Scale for Brazilian elderly: a cross-sectional study
- Gabriella Oliveira de Albuquerque Lins ,
- Nathália Angel da Silva Lima ,
- Girliani Silva de Sousa ,
- Fernanda Jorge Guimarães ,
- Iracema da Silva Frazão , [ … ],
- Jaqueline Galdino Albuquerque Perrelli
Abstract
Validity and reliability of Kessler Psychological Distress Scale for Brazilian elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74:e20200365
DOI 10.1590/0034-7167-2020-0365
- Gabriella Oliveira de Albuquerque Lins ,
- Nathália Angel da Silva Lima ,
- Girliani Silva de Sousa ,
- Fernanda Jorge Guimarães ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli
Views0See moreABSTRACT
Objective:
to verify the validity and reliability of the Psychological Distress Scale for screening mental distress.
Methods:
a cross-sectional study with 75 elderly people. Psychological Distress scale and Self Reporting Questionnaire were used. Criterion validity was verified using Spearman’s correlation and diagnostic accuracy measures. Cronbach’s alpha coefficient was used to investigate reliability.
Results:
the total internal consistency of the Psychological Distress Scale was α=0.844. Concurrent validity between this instrument and the Self Reporting Questionnaire was ρ=0.722 (p<0.001). The best cut-off point for screening mental distress among elderly people was a total score greater than 14, with sensitivity equal to 75.47% and specificity equal to 85.0%.
Conclusions:
the scale was robust for screening mental distress, given its high reliability, in terms of homogeneity, and adequate criterion validity, whose best cut-off point for screening was a score greater than 14.
- Gabriella Oliveira de Albuquerque Lins
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ORIGINAL ARTICLE10-21-2019
Hand hygiene: knowledge and skill of caregivers in the hematopoietic stem cell transplantation
- Daiane Rubinato Fernandes ,
- Fernanda Titareli Merizio Martins Braga ,
- Renata Cristina de Campos Pereira Silveira ,
- Livia Maria Garbin
Abstract
ORIGINAL ARTICLEHand hygiene: knowledge and skill of caregivers in the hematopoietic stem cell transplantation
Revista Brasileira de Enfermagem. 2019;72(6):1653-1662
DOI 10.1590/0034-7167-2018-0788
- Daiane Rubinato Fernandes ,
- Fernanda Titareli Merizio Martins Braga ,
- Renata Cristina de Campos Pereira Silveira ,
- Livia Maria Garbin
Views0See moreABSTRACT
Objective:
to identify the knowledge and ability of caregivers on hand hygiene in hematopoietic stem cell transplantation.
Method:
a prospective cross-sectional study. A questionnaire was used to identify the knowledge and it was observed the hygiene technique performance. Data were collected in two units (autologous and allogeneic transplant).
Results:
the 37 participants recognized the importance of hand hygiene and 95.5% related to removal of dirt or infection prevention. 91.9% stated that it was important to clean their hands with soap and water when entering and leaving the room, and 64.9% understood that it was necessary to apply alcoholic solution after washing. On average, the caregivers scored 6.16 steps, when demonstrating the washing technique and 3.91 steps in the friction with alcoholic solution.
Conclusion:
although they recognize the importance of the procedure, there are deficits related to the moment and the correct way of doing it, evidencing the need for strategies aimed at improving this process.
- Daiane Rubinato Fernandes
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EXPERIENCE REPORT07-31-2020
(In)visibility of children with special health needs and their families in primary care
- Sonia Silva Marcon ,
- Beatriz Caroline Dias ,
- Eliane Tatsch Neves ,
- Maria Angelica Marcheti ,
- Regina Aparecida Garcia de Lima
Abstract
EXPERIENCE REPORT(In)visibility of children with special health needs and their families in primary care
Revista Brasileira de Enfermagem. 2020;73:e20190071
DOI 10.1590/0034-7167-2019-0071
- Sonia Silva Marcon ,
- Beatriz Caroline Dias ,
- Eliane Tatsch Neves ,
- Maria Angelica Marcheti ,
- Regina Aparecida Garcia de Lima
Views0See moreABSTRACT
Objectives:
to discuss the (in)visibility of children with special healthcare needs and their families in the Primary Health Care scenario.
Methods:
experience report about the difficulties faced by researchers from different regions of Brazil to locate children with special healthcare needs in the scope of primary care.
Results:
the main reason for these children and their families to be “unknown” and, therefore, not assisted in PHC, is the fact that they are followed-up by institutions/outpatient clinics and specialized and/or public rehabilitation clinics, or even because they have private health insurance.
Final Considerations:
transferring care responsibility to the Primary Health Care teams to specialized and rehabilitation institutions may be related to the lack of knowledge of the care demands of this group, as well as to the relevance of care centered on rehabilitation and the specialty instead of the long-term care, one of the features of primary health care.
- Sonia Silva Marcon
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ORIGINAL ARTICLE10-21-2019
Perception of health professionals about neonatal palliative care
Revista Brasileira de Enfermagem. 2019;72(6):1707-1714
Abstract
ORIGINAL ARTICLEPerception of health professionals about neonatal palliative care
Revista Brasileira de Enfermagem. 2019;72(6):1707-1714
DOI 10.1590/0034-7167-2018-0842
Views0See moreABSTRACT
Objective:
To identify the perception of health professionals about neonatal palliative care.
Method:
A phenomenological qualitative study, a non-probabilistic sample, of 15 health professionals from a neonatal intensive care unit in northern Portugal. Content analysis was performed.
Results:
Despite their lack of training in palliative care, the health professionals showed concern for the dignity, quality of life and comfort of the newborn and family. They expressed emotional and relational difficulties in following the trajectories of serious illness and death and in the ethical decisions regarding the end-of-life.
Conclusion:
It is emphasized that professionals are sensitive to pain and suffering and reveal dedicated and committed in the care of the newborn and family. They are available to train and embrace the current challenges posed by the constitution of pediatric palliative care teams and to help achieve an organizational culture that advances in such care.
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ORIGINAL ARTICLE06-27-2019
Nursing diagnoses in a home-based program: cross-mapping and NANDA-I Taxonomy
- Daniel Vinícius Alves Silva ,
- Ingryd Nathany Mendes Sousa ,
- Carolina Amaral Oliveira Rodrigues ,
- Fabíola Afonso Fagundes Pereira ,
- Ricardo Otávio Maia Gusmão , [ … ],
- Diego Dias de Araújo
Abstract
ORIGINAL ARTICLENursing diagnoses in a home-based program: cross-mapping and NANDA-I Taxonomy
Revista Brasileira de Enfermagem. 2019;72(3):584-591
DOI 10.1590/0034-7167-2018-0323
- Daniel Vinícius Alves Silva ,
- Ingryd Nathany Mendes Sousa ,
- Carolina Amaral Oliveira Rodrigues ,
- Fabíola Afonso Fagundes Pereira ,
- Ricardo Otávio Maia Gusmão ,
- Diego Dias de Araújo
Views0See moreABSTRACT
Objective:
to identify Nursing diagnoses in patients in home care by cross-mapping terms obtained in the anamnesis and clinical examination, with NANDA-I Taxonomy.
Method:
descriptive exploratory study, transversal type, performed with 131 patients from a home health care program in northern Minas Gerais State. With the aid of an instrument based on the theoretical model of Basic Human Needs, the terms indicators of conditions that required nursing interventions were extracted. The cross-mapping of these terms was also performed with NANDA-I Taxonomy diagnoses.
Results:
378 terms and expressions referring to 49 different diagnoses were identified in 11 of the 13 domains of NANDA-I Taxonomy.
Conclusion:
the profile of identified nursing diagnoses can contribute to care management and organizational processes of nurses who provide care to patients in home care.
- Daniel Vinícius Alves Silva
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07-05-2021
Educational technology for bathing/hygiene of elders at home: contributions to career knowledge
- Vitória Lídia Pereira Sousa ,
- Andréa Carvalho Araújo Moreira ,
- Marília Campos Fernandes ,
- Maria Adelane Monteiro da Silva ,
- Iane Ximenes Teixeira , [ … ],
- Francisco Wellington Dourado Júnior
Abstract
Educational technology for bathing/hygiene of elders at home: contributions to career knowledge
Revista Brasileira de Enfermagem. 2021;74:e20200890
DOI 10.1590/0034-7167-2020-0890
- Vitória Lídia Pereira Sousa ,
- Andréa Carvalho Araújo Moreira ,
- Marília Campos Fernandes ,
- Maria Adelane Monteiro da Silva ,
- Iane Ximenes Teixeira ,
- Francisco Wellington Dourado Júnior
Views0See moreABSTRACT
Objective:
to build and validate an educational booklet for bathing and hygiene of elders at home.
Methods:
a methodological study, developed through data collection in literature and situational diagnosis, booklet construction, material qualification through validation by expert judges (11 nurses) and target audience (30 caregivers). Data were analyzed descriptively. The minimum content validity index of 0.80 was considered.
Results:
in content and appearance validation, experts assigned Content Validity Index global of 0.92, while for assessment of the material’s suitability, the booklet was classified as “superior”, with an average of 90%. In the validation of caregivers, the overall Content Validity Index was 1.0.
Conclusion:
the booklet was successfully validated and can be considered in the context of health education and collaborate with an adequate and safe practice of bathing and hygiene of elders at home.
- Vitória Lídia Pereira Sousa
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ORIGINAL ARTICLE12-05-2019
Quality of life, burden, family emotional support: a model for older adults who are caregivers
Revista Brasileira de Enfermagem. 2019;72:169-176
Abstract
ORIGINAL ARTICLEQuality of life, burden, family emotional support: a model for older adults who are caregivers
Revista Brasileira de Enfermagem. 2019;72:169-176
DOI 10.1590/0034-7167-2018-0439
Views0See moreABSTRACT
Objective:
To investigate associations between quality of life, sex, age, burden, and nature of emotional support available in the family in older adults who are caregivers of older relatives.
Method:
Cross-sectional and correlational study on 148 caregivers gathered in public and private healthcare services, who were subjected to psychological measures of quality of life, burden, exchange of emotional support, sex, and age. Data were analyzed using Chi-square, Fisher’s exact test and path analyses (p < 0.05).
Results:
A total of 77% women, average age of 69.7 years. There were significant associations between exchange of support and burden due to the provided assistance, being a woman and satisfaction with the received support, satisfaction with the received support and burden, burden and quality of life, and satisfaction with the received support and feeling of burden due to the provided support.
Conclusion:
Satisfaction with the received emotional support moderate the association between sex and burden, and such moderate the association between satisfaction with emotional support and perceived quality of life.
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