Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-13-2024

    Nurses’ experience regarding patient safety in mobile pre-hospital care

    Revista Brasileira de Enfermagem. 2024;77(5):e20230529

    Abstract

    ORIGINAL ARTICLE

    Nurses’ experience regarding patient safety in mobile pre-hospital care

    Revista Brasileira de Enfermagem. 2024;77(5):e20230529

    DOI 10.1590/0034-7167-2023-0529

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    ABSTRACT

    Objectives:

    to understand nurses’ experience regarding patient safety in mobile pre-hospital care.

    Method:

    a qualitative, exploratory and descriptive study, conducted with nurses active in mobile pre-hospital care services. Semi-structured interviews were conducted, audio-graved and submitted to Bardin’s content analysis.

    Results:

    from four thematic categories established, nurses reported the care and management skills necessary to work in this service. They demonstrated a commitment to ensuring safe care for patients, staff and spectators. They highlighted the actions taken to prevent and mitigate incidents. However, they based their experiences on practice protocols and individual actions, expressing the need to improve knowledge about patient safety.

    Final Considerations:

    mobile pre-hospital care nurses’ experience in relation to patient safety was limited, suggesting the need for training on the subject, alignment of work processes and implementation of strategies, aiming to guarantee safe 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.
  • ORIGINAL ARTICLE12-13-2024

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    Abstract

    ORIGINAL ARTICLE

    Stress in nursing workers caring for people with COVID-19

    Revista Brasileira de Enfermagem. 2024;77(5):e20230542

    DOI 10.1590/0034-7167-2023-0542

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    ABSTRACT

    Objectives:

    to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.

    Methods:

    this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.

    Results:

    nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.

    Conclusions:

    exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.

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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.
    Stress in nursing workers caring for people with COVID-19
  • ORIGINAL ARTICLE12-13-2024

    Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240011

    Abstract

    ORIGINAL ARTICLE

    Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240011

    DOI 10.1590/0034-7167-2024-0011

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    ABSTRACT

    Objectives:

    to compare the knowledge and attitudes of nursing students regarding sexual behavior and sexually transmitted infections (STIs) in older adults before and after an educational intervention.

    Methods:

    this quasi-experimental study involved a convenience sample of 45 nursing students from a public university, conducted in three stages: pre-intervention, intervention, and post-intervention. A questionnaire was used to assess sociodemographic characteristics, academic training, and knowledge and attitudes on the topic. The intervention was an educational web conference. Paired t-test and Wilcoxon test were used for data analysis.

    Results:

    there was a statistically significant difference in the knowledge and attitude scores of nursing students before and after the educational intervention (p < 0.001). A significant increase was observed in the knowledge score (from 9.3 to 12.2) and attitude score (from 108 to 117.2) in the post-intervention phase.

    Conclusions:

    the knowledge of nursing students regarding the sexuality of older adults increased after the educational intervention, and their attitudes on the subject became more positive.

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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.
    Knowledge and attitudes of nursing students regarding the sexuality of older adults: a quasi-experimental study
  • ORIGINAL ARTICLE12-13-2024

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    Abstract

    ORIGINAL ARTICLE

    Educational booklet on labor and delivery: validity study

    Revista Brasileira de Enfermagem. 2024;77(5):e20240138

    DOI 10.1590/0034-7167-2024-0138

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    ABSTRACT

    Objectives:

    to develop and validate an educational booklet on labor and delivery for pregnant women.

    Methods:

    this methodological study involved constructing and validating a booklet based on Echer’s framework. We used the Content Validity Index and Cronbach’s alpha for content and face validation, selecting judges according to Fering’s criteria. We then conducted a clinical validation with the target population.

    Results:

    the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.

    Conclusions:

    expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.

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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.
    Educational booklet on labor and delivery: validity study
  • 12-08-2024

    Contexto ibero-americano da enfermagem: construindo e compartilhando conhecimento

    Revista Brasileira de Enfermagem. 2024;77(1):e770101

    Abstract

    Contexto ibero-americano da enfermagem: construindo e compartilhando conhecimento

    Revista Brasileira de Enfermagem. 2024;77(1):e770101

    DOI 10.1590/0034-7167.2024770101pt

    Views0
    Na próxima semana, acontecerão dois grandes eventos científicos em Madri e Granada (Espanha). Serão atividades internacionais, específicas e de forma muito especial, embora não exclusivas do campo ibero-americano, organizadas e desenvolvidas por duas sociedades científicas de enfermagem muito importantes, como a Associação de Enfermagem Comunitária (AEC) e a Associação Latino-Americana de Escolas e Faculdades de […]
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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 ARTICLE12-08-2024

    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations

    Revista Brasileira de Enfermagem. 2024;77(1):e20220773

    Abstract

    ORIGINAL ARTICLE

    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations

    Revista Brasileira de Enfermagem. 2024;77(1):e20220773

    DOI 10.1590/0034-7167-2022-0773

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    ABSTRACT

    Objective:

    to analyze the initial nipple damage degree by breastfeeding practice and to associate findings with clinical manifestations of breastfeeding women.

    Methods:

    a retrospective, cross-sectional study with primary data and photographic images database from two randomized clinical trials. Photographic images were analyzed by two independent evaluators using the Nipple Trauma Score. For analysis, the chi-square, Mann-Whitney tests and Kappa coefficient were applied.

    Results:

    115 breastfeeding women and their respective 186 photographic images were analyzed. The degree of agreement of evaluators using the Nipple Trauma Score was 93.6%. The nipple pain score during breastfeeding was moderate and compromised more than 25% of the nipple surface area.

    Conclusions:

    assistance to breastfeeding women should prioritize nipple pain intensity instead of the nipple damage size.

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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.
    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
  • REVIEW12-08-2024

    Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230192

    Abstract

    REVIEW

    Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230192

    DOI 10.1590/0034-7167-2023-0192

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    ABSTRACT

    Objective:

    To assess the evidence regarding the effectiveness of interventions aimed at strengthening self-efficacy beliefs in college students.

    Methods:

    Integrative Review conducted on the Lilacs, PubMed, CinahL, Cochrane Collaboration Databases, Scopus, and PsycInfo databases. The methodological quality of the studies was assessed using tools proposed by the Joanna Briggs Institute, and the results were analyzed descriptively.

    Results:

    Out of the 10 selected studies, six demonstrated that interventions aimed at strengthening self-efficacy were effective (Levels of Evidence II and III), and four revealed contrary results (Levels of Evidence I and II). Programs aimed at enhancing self-efficacy should include content on positive mental health, psychoeducation strategies, cover a period of eight to twelve weeks, and consider the completion of homework assignments.

    Conclusion:

    The synthesis of evidence pointed to pathways for building an effective self-efficacy strengthening program to be implemented in universities.

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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.
    Interventions for Strengthening General Self-Efficacy Beliefs in College Students: An Integrative Review
  • REVIEW12-08-2024

    Common mental disorders in hematopoietic stem cell transplant patients: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20220581

    Abstract

    REVIEW

    Common mental disorders in hematopoietic stem cell transplant patients: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20220581

    DOI 10.1590/0034-7167-2022-0581

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    ABSTRACT

    Objective:

    to map common recurrent mental disorders in patients undergoing hematopoietic stem cell transplantation.

    Methods:

    this is a scoping review carried out in January 2022 in electronic databases and repositories of dissertations and thesis. Studies that answered the research question, met the objective of the study and were available in full electronically, in any language, were included.

    Results:

    the sample consisted of 28 studies, 14 of which were published in the United States of America. The common mental disorders found were depressive, anxiety, post-traumatic stress and mood disorders. Twenty symptoms were mentioned, among the most prevalent are fatigue and sleep disorders/insomnia.

    Conclusions:

    the difficulty and importance of carrying out the differential diagnosis of these disorders were highlighted, since their symptoms can be confused with other health problems and have a strong potential to interfere with patients’ evolution.

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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.
    Common mental disorders in hematopoietic stem cell transplant patients: a scoping review
  • EXPERIENCE REPORT01-01-2018

    Clinical and epidemiological teaching of dengue through simulated practice

    Revista Brasileira de Enfermagem. 2018;71(2):451-456

    Abstract

    EXPERIENCE REPORT

    Clinical and epidemiological teaching of dengue through simulated practice

    Revista Brasileira de Enfermagem. 2018;71(2):451-456

    DOI 10.1590/0034-7167-2016-0503

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    ABSTRACT

    Objective:

    to describe the experience of clinical teaching on dengue and the practice of epidemiological surveillance using problematization methodology.

    Method:

    report of experience on educational activity with undergraduate nursing students, held in March 2016, at a public university in the city of São Paulo, conceived in four stages: dialogic lecture, active search of Aedes aegypti, case study and simulation of nursing consultation to individuals with dengue.

    Results:

    The activity allowed to retrieve previous knowledge about the disease, respond to exercises that addressed different clinical situations and epidemiological surveillance, including in situ evaluation of possible mosquito outbreaks, and discuss the need to expand prevention and health of the individual and the community, the impact of the media in the dissemination of cases and the coping difficulties experienced in the different levels of attention.

    Conclusion:

    the methodology adopted enabled qualified training of students to cope with dengue.

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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 and epidemiological teaching of dengue through simulated practice
  • ORIGINAL ARTICLE07-18-2022

    Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization

    Revista Brasileira de Enfermagem. 2022;75(6):e20210546

    Abstract

    ORIGINAL ARTICLE

    Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization

    Revista Brasileira de Enfermagem. 2022;75(6):e20210546

    DOI 10.1590/0034-7167-2021-0546

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    ABSTRACT

    Objective:

    Understand the beliefs, knowledge, and actions of nursing technicians on breastfeeding as a form of non-pharmacological intervention to relieve pain in newborns and infants during immunization.

    Methods:

    Qualitative study carried out through semi-structured interviews with nine nursing technicians from three Basic Health Units in a city in the state of São Paulo. The theoretical approach of the Belief Model and the methodological framework of Thematic Analysis supported this study.

    Results:

    Three themes originated: Beliefs, Knowledge, and Actions of nursing technicians.

    Final considerations:

    Despite knowledge about the benefits of breastfeeding as the most effective method for relieving pain in newborns and infants during vaccination, their restrictive beliefs overrode the evidence, leading them to act in ways that discourage or prevent the mother from breastfeed during vaccination. Formal training is recommended to align with current evidence-based 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.
  • REVIEW12-08-2023

    Educational technologies for accident prevention due to falls in childhood: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20220807

    Abstract

    REVIEW

    Educational technologies for accident prevention due to falls in childhood: a scoping review

    Revista Brasileira de Enfermagem. 2023;76:e20220807

    DOI 10.1590/0034-7167-2022-0807

    Views2

    ABSTRACT

    Objectives:

    to map evidence on educational technology use for accident prevention due to falls in childhood.

    Methods:

    a scoping review, carried out in October and November 2022, in the MEDLINE, Web of Science, BDENF and CINAHL databases and LILACS bibliographic index. There was no delimitation of language or time. Data were extracted and analyzed descriptively by two independent researchers. The research protocol was registered in the Open Science Framework.

    Results:

    twenty-six studies were selected. Booklets, pamphlets and leaflets were the most used technologies, presenting health services as the most frequent environment to develop research on fall prevention. The technologies developed were important outcomes: increased knowledge of children, family members, caregivers, health and education professionals.

    Conclusions:

    educational technology use makes it possible to increase knowledge, adopt safe practices and reduce falls.

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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.
    Educational technologies for accident prevention due to falls in childhood: a scoping review
  • REVIEW03-15-2024

    Resources for health literacy among caregivers of prematurely born children: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230062

    Abstract

    REVIEW

    Resources for health literacy among caregivers of prematurely born children: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(1):e20230062

    DOI 10.1590/0034-7167-2023-0062

    Views1

    ABSTRACT

    Objectives:

    to map the available evidence on resources used to promote health literacy among caregivers of prematurely born children during outpatient follow-up.

    Methods:

    the Joanna Briggs Institute’s scope review protocol was utilized. The search encompassed six databases, incorporating studies from 2012 to 2022.

    Results:

    the three included publications revealed that the resources employed are: mobile applications, phone calls, individual counseling, videos, educational pamphlets, and group discussions. Implementing an education protocol during the transition home enhances scientifically grounded health promotion rates.

    Conclusions:

    there is limited literature addressing the health literacy of these caregivers. The nursing team plays a crucial role in health education and in developing resources applicable to these families.

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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.
    Resources for health literacy among caregivers of prematurely born children: a scoping review
  • ORIGINAL ARTICLE01-13-2024

    Social representations of oncologic surgery for patients with cancer

    Revista Brasileira de Enfermagem. 2024;77(6):e20230273

    Abstract

    ORIGINAL ARTICLE

    Social representations of oncologic surgery for patients with cancer

    Revista Brasileira de Enfermagem. 2024;77(6):e20230273

    DOI 10.1590/0034-7167-2023-0273

    Views2

    ABSTRACT

    Objectives:

    to analyze the social representations of patients with cancer regarding oncologic surgery.

    Methods:

    a qualitative study based on Social Representation Theory was conducted with 126 participants between October 2021 and May 2022 in a public hospital in Rio de Janeiro. A characterization questionnaire, free evocations of the inducing term “surgery”, and semi-structured interviews with 60 participants were applied. Data were analyzed using Microsoft Excel® and IRaMuTeQ.

    Results:

    the central core of the representation is composed of fear, cure, hope, and removing the disease. The analysis of interviews resulted in six classes that highlight the social changes caused by treatment as well as the need for a support network to cope with the surgical process.

    Final Considerations:

    the representations reflect fear and hope towards the procedure and the desire to remove the disease, thus translating the cure through surgery.

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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 oncologic surgery for patients with cancer
  • ORIGINAL ARTICLE01-13-2024

    Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension

    Revista Brasileira de Enfermagem. 2024;77(6):e20230481

    Abstract

    ORIGINAL ARTICLE

    Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension

    Revista Brasileira de Enfermagem. 2024;77(6):e20230481

    DOI 10.1590/0034-7167-2023-0481

    Views3

    ABSTRACT

    Objectives:

    to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care.

    Methods:

    this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis.

    Results:

    according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges.

    Final Considerations:

    the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.

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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.
  • ERRATUM01-13-2024

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08

    DOI 10.1590/0034-7167.20247706e08

    Views2
    In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1:Where it read:[…]
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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 ARTICLE09-29-2022

    Palliative care production for health professionals in the context of home care

    Revista Brasileira de Enfermagem. 2022;75(1):e20210030

    Abstract

    ORIGINAL ARTICLE

    Palliative care production for health professionals in the context of home care

    Revista Brasileira de Enfermagem. 2022;75(1):e20210030

    DOI 10.1590/0034-7167-2021-0030

    Views1

    ABSTRACT

    Objectives:

    to analyze palliative care production developed by health professionals to home care patients.

    Methods:

    this is an exploratory study, with a qualitative approach, using the transpersonal care theoretical framework. Thirteen interviews were conducted with health professionals and 18 observations were conducted on different cases. Content analysis was performed using MAXQDA©.

    Results:

    actions performed: maintenance and follow-up measures to people eligible for palliative care, in acts of dialogue and “listening” to caregivers and users, conducting guidelines for the care and self-care process, performing technical procedures, delivery of materials, referrals and medical prescriptions to users.

    Final Considerations:

    it is perceived the need for advances in the implementation of government policies in Brazil that insert palliative care into the Health Care Network through educational, managerial and care actions that ensure human dignity, thus allowing the development of these and other palliative care interventions.

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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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