Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE10-25-2022

    Meaning of work from the perspective of hospital nurses

    Revista Brasileira de Enfermagem. 2022;75(2):e20201362

    Abstract

    ORIGINAL ARTICLE

    Meaning of work from the perspective of hospital nurses

    Revista Brasileira de Enfermagem. 2022;75(2):e20201362

    DOI 10.1590/0034-7167-2020-1362

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    ABSTRACT

    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.

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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.
    Meaning of work from the perspective of hospital nurses
  • ORIGINAL ARTICLE10-25-2022

    Social representations of patients with vasculogenic ulcers about quality of life: an analysis of the social context

    Revista Brasileira de Enfermagem. 2022;75(2):e20210136

    Abstract

    ORIGINAL ARTICLE

    Social 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

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    ABSTRACT

    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.

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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.
    Social representations of patients with vasculogenic ulcers about quality of life: an analysis of the social context
  • ORIGINAL ARTICLE10-25-2022

    Prevention of domestic accidents in childhood: knowledge of caregivers at a health care facility

    Revista Brasileira de Enfermagem. 2022;75(2):e20210006

    Abstract

    ORIGINAL ARTICLE

    Prevention 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

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    ABSTRACT

    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.

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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.
  • 10-25-2022

    Interruption in the work of nursing professionals: conceptual analysis

    Revista Brasileira de Enfermagem. 2022;75(2):e20201392

    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

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    ABSTRACT

    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.

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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.
    Interruption in the work of nursing professionals: conceptual analysis
  • ORIGINAL ARTICLE10-25-2022

    Relationship between power and knowledge in choosing a cesarean section: women’s perspectives

    Revista Brasileira de Enfermagem. 2022;75(2):e20201389

    Abstract

    ORIGINAL ARTICLE

    Relationship 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

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    ABSTRACT

    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.

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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.
  • ORIGINAL ARTICLE10-25-2022

    Clinical characterization, disability, and mortality in people with strokes during 90 days

    Revista Brasileira de Enfermagem. 2022;75(2):e20201383

    Abstract

    ORIGINAL ARTICLE

    Clinical 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

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    ABSTRACT

    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.

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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.
    Clinical characterization, disability, and mortality in people with strokes during 90 days
  • ORIGINAL ARTICLE10-25-2022

    Nursing in Brazil: socioeconomic analysis with a focus on the racial composition

    Revista Brasileira de Enfermagem. 2022;75(2):e20201370

    Abstract

    ORIGINAL ARTICLE

    Nursing 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

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    ABSTRACT

    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.

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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 in Brazil: socioeconomic analysis with a focus on the racial composition
  • ORIGINAL ARTICLE10-25-2022

    Social inequalities for student leaders and professional organizations: Florence Nightingale’s political legacy

    Revista Brasileira de Enfermagem. 2022;75(2):e20200465

    Abstract

    ORIGINAL ARTICLE

    Social 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

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    ABSTRACT

    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.

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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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