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RESEARCH01-01-2018
Phytotherapy in pediatrics: the production of knowledge and practices in Primary Care
Revista Brasileira de Enfermagem. 2018;71:637-645
Abstract
RESEARCHPhytotherapy in pediatrics: the production of knowledge and practices in Primary Care
Revista Brasileira de Enfermagem. 2018;71:637-645
DOI 10.1590/0034-7167-2017-0436
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Objective:
To demonstrate the use of phytotherapy as a therapy adopted in the context of Primary Care to Childhood.
Method:
Observational and analytical field research, with quantitative-qualitative approach. A semi-structured survey was used on socio-demographic and ethnopharmacological variables, audio interview and daily observation.
Results:
The production of knowledge about phytotherapy constitutes a family heritage, but incorporated data resulting from the daily experiences shared by the community. The main factors were: easy access to this resource, high costs of conventional treatment, difficulty in accessing medical services and belief in the power of plants. The attributed meanings were: prevention and treatment of injuries, rescue of memory and of experiences, factor integrative with nature and aggregative among members of the community.
Final considerations:
Rescuing this tradition brings a new meaning to health care.
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RESEARCH01-01-2018
Perception of nurses who perform rapid tests in Health Centers
Revista Brasileira de Enfermagem. 2018;71:631-636
Abstract
RESEARCHPerception of nurses who perform rapid tests in Health Centers
Revista Brasileira de Enfermagem. 2018;71:631-636
DOI 10.1590/0034-7167-2017-0298
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Objective:
Learn about the perception of health professionals who perform rapid tests in Health Centers (HCs).
Method:
This is a descriptive and qualitative study conducted in nine HCs in Recife. Data were collected through individual interviews and evaluated using Bardin’s content analysis, in its thematic category.
Results:
Challenges were observed in rapid tests related to the supply of products, physical structure, training for pre- and post-test counseling, and the need for improvements in permanent education actions.
Final considerations:
These issues can be resolved with management improvements, systematization of permanent education activities, and definition of care flows that enable early diagnosis. Besides the diagnosis, care lines should be created for people living with HIV and AIDS who use the HCs for early health care process.
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RESEARCH01-01-2018
Social support of people with HIV/AIDS: the Social Determinants of Health Model
Revista Brasileira de Enfermagem. 2018;71:625-630
Abstract
RESEARCHSocial support of people with HIV/AIDS: the Social Determinants of Health Model
Revista Brasileira de Enfermagem. 2018;71:625-630
DOI 10.1590/0034-7167-2017-0346
Views0See moreABSTRACT
Objective:
To analyze the social support of people with HIV/AIDS from the perspective of the Social Determinants of Health Model.
Method:
This was a cross-sectional study conducted in 2015 in an infectious disease outpatient clinic. The sample was made up of 116 people with HIV/AIDS. The data was collected through interviews, using a sociodemographic form and a social support scale. The data was analyzed using descriptive statistics, and Student’s t-tests and Mann-Whitney tests were performed to determine the association between social support and the social determinants of health.
Results:
Total social support was satisfactory, emotional support was influenced by smoking (p=0.0432) and instrumental support, by the number of people in the household (p=0.0003). The main source of instrumental and emotional support was relatives living outside the household, corresponding to 66.7% and 56.1%, respectively.
Conclusion:
It was found that smokers havelower emotional support and people living alone received less instrumental support.
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RESEARCH01-01-2018
Evaluation study of the National Immunization Program Information System
Revista Brasileira de Enfermagem. 2018;71:615-624
Abstract
RESEARCHEvaluation study of the National Immunization Program Information System
Revista Brasileira de Enfermagem. 2018;71:615-624
DOI 10.1590/0034-7167-2017-0601
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Objective:
To carry out the National Immunization Program Information System (SIPNI) accessability assessment (EA), considering the description of the intervention, the elaboration of the theoretical-logical model and the identification of the evaluative questions.
Method:
A single case study with a qualitative approach, based on the system of seven elements proposed by Thurston and Ramaliu (2005). The SIPNI and the context of analysis, the vaccination rooms, were defined as the case.
Results:
The SIPNI description, based on documents and scientific evidence, made it possible to understand its operationalization, the main events that characterize it. The theoretical-logical model visually and systematically configured the SIPNI organization with details of the inputs, activities, products and expected effects. The evaluative questions were evaluated and validated to evaluate the SIPNI.
Final considerations:
The SIPNI is evaluable and presented a favorable scenario for its development. EA is an important strategy for planning subsequent evaluations, maximizing their potentials.
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RESEARCH01-01-2018
Gender, sexuality and violence: perception of mobilized adolescents in an online game
Revista Brasileira de Enfermagem. 2018;71:607-614
Abstract
RESEARCHGender, sexuality and violence: perception of mobilized adolescents in an online game
Revista Brasileira de Enfermagem. 2018;71:607-614
DOI 10.1590/0034-7167-2017-0561
Views0See moreABSTRACT
Objective:
To identify and analyze the perception of high school students about violence in intimacy relations in adolescence, in the light of the category Gender.
Method:
A qualitative, descriptive and exploratory study, based on the comments of 27 adolescents participating in the online game, Papo Reto. The discourses were submitted to the analysis of thematic content and discussed in the light of the category Gender.
Results:
Adolescents naturalize violence in their relationships of intimacy, but when they recognize it, they react in several ways: with aggressions, dialoguing with the partner or seeking support from third parties.
Final considerations:
There were discordant perceptions regarding the phenomenon, most of which reiterated gender stereotypes. However, they reveal attitudes favorable to overcoming mainly related to the attainment of autonomy.
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RESEARCH01-01-2018
Evaluation of the satisfaction of users of a service specialized in diabetes mellitus
Revista Brasileira de Enfermagem. 2018;71:599-606
Abstract
RESEARCHEvaluation of the satisfaction of users of a service specialized in diabetes mellitus
Revista Brasileira de Enfermagem. 2018;71:599-606
DOI 10.1590/0034-7167-2017-0554
Views0See moreABSTRACT
Objective:
to evaluate the satisfaction of users of a service that specializes in diabetes mellitus.
Method:
evaluative research, with mixed approach, developed at the Integrated Center for Diabetes and Hypertension of Barbalha-CE, in the period from 2011 to 2014, with 97 users. Data concerning the characterization and satisfaction of users in relation to the dimensions of infrastructure, accessibility and the user-health team relationship were collected.
Results:
77.3% were older adults, 88.7% women and 84.8%, retired. 63.9% of the users were satisfied with the service; however, dissatisfaction with the dimensions of infrastructure (offices, equipment and medicines) and accessibility (laboratory tests and medical consultations) was reported.
Final considerations:
most users revealed be satisfied with the service received considering the dimensions analyzed. However, studies that assess the satisfaction of users need to contemplate the participants’ reports and not rely on the use of previously structured forms only.
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RESEARCH01-01-2018
Aging demographic profile in municipalities in the state of Pará, Brazil
Revista Brasileira de Enfermagem. 2018;71:591-598
Abstract
RESEARCHAging demographic profile in municipalities in the state of Pará, Brazil
Revista Brasileira de Enfermagem. 2018;71:591-598
DOI 10.1590/0034-7167-2017-0070
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Objective:
To investigate socioeconomic and demographic differences regarding population aging in municipalities of the state of Pará, Brazil.
Method:
Ecological study with secondary demographic, socioeconomic and health data from the 144 municipalities of the state of Pará, Brazil. Data were treated with segmentation analysis, the Mann-Whitney U test and logistic regression models, with a significance level of p ≤ 0.05.
Results:
Segmentation analysis provided a single variable to describe aging in the municipalities of Pará and originated two clusters, the high and low aging rate ones, with 104 (72.22%) and 40 (27.78%) municipalities in each, respectively. The fitted model revealed an association between aging and per capita income (p = 0.021), vulnerability to poverty (p = 0.003), rich to poor ratio (p = 0.012) and density of people (p = 0.019).
Conclusion:
There is heterogeneity in the population aging among the municipalities of Pará, mainly regarding socioeconomic conditions and number of people living in the municipalities.
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01-01-2018
Decline of mortality from cervical cancer
Revista Brasileira de Enfermagem. 2018;71:585-590
Abstract
Decline of mortality from cervical cancer
Revista Brasileira de Enfermagem. 2018;71:585-590
DOI 10.1590/0034-7167-2016-0530
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Objective:
To describe occurrences of mortality due to cervical cancer in Recife (PE), in northeastern Brazil.
Method:
This was a time-series ecological study using data from the Mortality Information System (SIM) regarding the total number of deaths due to cervical cancer (C53 ICD10) that occurred between 2000 and 2012.
Results:
It was observed that the risk of death due to this form of cancer was higher among women over 60 years of age, those of mixed skin color (53.24%), those who only worked at home (63.16%) and those who did not have a partner (44.32%).
Conclusion:
Additional efforts towards maintaining early detection and health education programs and towards using therapeutic strategies of greater efficiency are needed, given that mortality due to this form of cancer is considered avoidable when diagnosed early.
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REVIEW01-01-2018
Coping strategies for domestic violence against pregnant female adolescents: integrative review
Revista Brasileira de Enfermagem. 2018;71:693-699
Abstract
REVIEWCoping strategies for domestic violence against pregnant female adolescents: integrative review
Revista Brasileira de Enfermagem. 2018;71:693-699
DOI 10.1590/0034-7167-2017-0682
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Objective:
To investigate and analyze in the scientific literature coping strategies for domestic violence against pregnant female adolescents.
Method:
This is an integrative literature review, conducted from July to August 2017 on LILACS, SciELO and PubMed, using the descriptors and the MeSH terms: confrontation, violence, adolescent, pregnant women, prenatal care.
Result:
The sample comprised 9 articles that were organized and characterized according to year, country of study and coping strategy used. The main forms of coping involved the active search for cases and the primary care approach with all family members.
Conclusion:
Individualized prenatal care, the change in professional training and networking activities were pointed out as important components of the strategies for coping with violence against pregnant adolescents.
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RESEARCH01-01-2018
Repercussions of hospitalization due to fall of the elderly: health care and prevention
Revista Brasileira de Enfermagem. 2018;71:763-769
Abstract
RESEARCHRepercussions of hospitalization due to fall of the elderly: health care and prevention
Revista Brasileira de Enfermagem. 2018;71:763-769
DOI 10.1590/0034-7167-2017-0069
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Objective:
To know the repercussions of the fall reported by the elderly and their caregiver during hospitalization in a public hospital in Florianópolis city from October to December 2014.
Method:
Exploratory research with a qualitative approach, conducted by depth interviews with 16 participants, the eight elderly were hospitalized for falls and eight elderly caregivers. Data analysis were performed through the Thematic Content Analysis.
Results:
It was evidenced the thematic axis: Faller Elderly supported by four thematic categories: Changes caused by Falls, I am a faller, I take care of me and Prevention of the Fall. The repercussions of the fall were evidenced in the impairment of the health condition, self-care and functional capacity. We observed the naturalization of the phenomenon and the passivity with the harmful consequences of the event.
Final Considerations:
The fall is valued the more negative its repercussion, such as the need for hospitalization and surgery. Managing the vulnerability of the elderly, especially in primary care, evaluating their comorbidities and their internal and external environment, will minimize unfavorable consequences and the social and financial cost of hospitalizations.
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RESEARCH01-01-2018
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
Abstract
RESEARCHThe adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
Views1See moreABSTRACT
Objective:
To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.
Method:
A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.
Results:
Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.
Conclusion:
The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.
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RESEARCH01-01-2018
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
Abstract
RESEARCHIdentification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Views0See moreABSTRACT
Objective:
To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.
Method:
Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.
Results:
89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.
Conclusion:
Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.
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RESEARCH01-01-2018
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
Abstract
RESEARCHNursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
Views1See moreABSTRACT
Objective:
to analyze the contribution of the laboratory of nursing to the critical education of nurses.
Method:
qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.
Results:
it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.
Final considerations:
the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.
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RESEARCH01-01-2018
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
Abstract
RESEARCHIntroduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
Views1See moreABSTRACT
Objective:
to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.
Method:
a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.
Results:
the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.
Final considerations:
it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.
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RESEARCH01-01-2018
Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
Abstract
RESEARCHKnowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
DOI 10.1590/0034-7167-2017-0886
Views0See moreABSTRACT
Objective:
To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.
Method:
Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.
Results:
A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.
Conclusion:
The developed tool has been validated and is now available for use in Primary Health Care.
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RESEARCH01-01-2018
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
Abstract
RESEARCHTraining in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
Views1See moreABSTRACT
Objective:
seize meanings attributed by primary care nurses to training in diabetes education.
Method:
exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.
Results:
nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.
Conclusion:
the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.
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