Articles - Revista Brasileira de Enfermagem

  • 02-06-2023

    The challenge of university teaching in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76(2):e760201

    Abstract

    The challenge of university teaching in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76(2):e760201

    DOI 10.1590/0034-7167.2023760201

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    This planet’s history has been a long and sometimes tortuous one. To date, a total of five disappearances of life on Earth have been distinguished: the great oxidation; the Ordovician-Silurian extinction; the Devonian extinction; the Permian-Triassic extinction; the Triassic-Jurassic extinction; and the Cretaceous-Tertiary extinction. The causes? Very varied and diverse: anoxia phenomena in the marine […]
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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.
  • EXPERIENCE REPORT02-06-2023

    Surgical counting: design of implementation and maintenance of a standardized evidence-based procedure

    Revista Brasileira de Enfermagem. 2023;76(1):e20220144

    Abstract

    EXPERIENCE REPORT

    Surgical counting: design of implementation and maintenance of a standardized evidence-based procedure

    Revista Brasileira de Enfermagem. 2023;76(1):e20220144

    DOI 10.1590/0034-7167-2022-0144

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    ABSTRACT

    Objectives:

    to report the implementation and maintenance of an evidence-based Standard Operating Procedure for surgical counting performed at a teaching hospital.

    Methods:

    a report of a project to implement evidence for surgical counting, carried out at a university hospital in December 2017, and the subsequent cycles for better performance of the implemented organizational document and maintenance of better results until March 2022.

    Results:

    the report is divided into implementation project presentation and four other cycles after implementation, related to maintenance of improvements. It was possible to prepare a Standard Operating Procedure for Surgical Count, train the nursing team, carry out educational intervention for surgical teams.

    Final Considerations:

    there was an improvement in complying with the standardized procedure at the first moment and worsening in the period related to the pandemic. New efforts began again, including a self-instructive online course combined with first-time strategies.

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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.
  • REVIEW02-06-2023

    Nursing care management concepts: scoping review

    Revista Brasileira de Enfermagem. 2023;76(1):e20220020

    Abstract

    REVIEW

    Nursing care management concepts: scoping review

    Revista Brasileira de Enfermagem. 2023;76(1):e20220020

    DOI 10.1590/0034-7167-2022-0020

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    ABSTRACT

    Objectives:

    to clarify the concepts of Nursing Care Management and Nursing Care Administration in the scientific literature, highlighting approximations and distances between the terms.

    Methods:

    scoping review as per Joanna Briggs Institute protocol and preferred reporting items for Systematic Reviews and Meta-analysis extension for Scoping Reviews (PRISMA-ScR). The searches were performed in LILACS, CINAHL, MEDLINE, and Scopus databases.

    Results:

    the qualitative analysis, through content analysis, counted 49 studies published between 2007 and 2020. Hospital care was the most evident level of care. It was identified that nursing care management aims at the macropolitical performance of nurses and mobilizes skills essentially strategic-cognitive, while Nursing Care Administration aims at the micropolitical performance of nurses, requiring essentially strategic-administrative skills.

    Final Considerations:

    the study allowed us to propose the conceptualization of the terms and identify the approximations and distances between them.

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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 care management concepts: scoping review
  • ORIGINAL ARTICLE02-06-2023

    Sexuality and its effects on older adults’ depressive symptoms and quality of life

    Revista Brasileira de Enfermagem. 2023;76(1):e20210645

    Abstract

    ORIGINAL ARTICLE

    Sexuality and its effects on older adults’ depressive symptoms and quality of life

    Revista Brasileira de Enfermagem. 2023;76(1):e20210645

    DOI 10.1590/0034-7167-2021-0645

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    ABSTRACT

    Objectives:

    to analyze the effects of sexuality on depressive symptoms and quality of life in older adults.

    Methods:

    a cross-sectional and analytical study, developed with 596 older adults, who completed four instruments for data collection. Data were analyzed using the Kruskal-Wallis test and Structural Equation Modeling, with a 95% Confidence Interval.

    Results:

    among the sexuality dimensions, only physical and social adversities exerted statistically significant effects on depressive symptoms (SC=-0.095; p=0.003), but with low magnitude. Moreover, all sexuality dimensions had statistically significant effects on quality of life, being of low magnitude for sexual act (SC=0.171; p=0.010) and for physical and social adversities (SC=0.228; p<0.001), and moderate magnitude for affective relationships (SC=0.474; p<0.001).

    Conclusions:

    effects of different magnitudes were observed between sexuality dimensions on participants’ depressive symptoms and quality of life.

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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.
    Sexuality and its effects on older adults’ depressive symptoms and quality of life
  • ORIGINAL ARTICLE02-06-2023

    Internal validity evidence of a knowledge questionnaire on alcohol use, abuse and dependence and associated questions

    Revista Brasileira de Enfermagem. 2023;76(1):e20210377

    Abstract

    ORIGINAL ARTICLE

    Internal validity evidence of a knowledge questionnaire on alcohol use, abuse and dependence and associated questions

    Revista Brasileira de Enfermagem. 2023;76(1):e20210377

    DOI 10.1590/0034-7167-2021-0377

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    ABSTRACT

    Objectives:

    to perform content validity and verify the psychometric properties of the adapted version of an alcohol knowledge questionnaire and associated questions.

    Methods:

    a methodological study, in which a committee of judges analyzed the questionnaire item representativeness, clarity and relevance. Item response theory was used to assess the instrument psychometric properties applied to a sample of 240 health professionals.

    Results:

    the questions were adjusted according to judges’ assessment, obtaining a satisfactory Content Validity Index (0.98). High discrimination ability and adequate difficulty levels were observed in 75% of multiple-choice questions and in 25% of statements.

    Conclusions:

    the instrument presented content validity with satisfactory indices. However, it is recommended that the questionnaire adapted in this study be used in different samples of health professionals from other parts of Brazil, in order to provide greater robustness to its reliability.

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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.
    Internal validity evidence of a knowledge questionnaire on alcohol use, abuse and dependence and associated questions
  • 02-06-2023

    COVID-19 Social Thermometer Project: transnational articulations to approach populations in situations of social vulnerability

    Revista Brasileira de Enfermagem. 2023;76:e76suppl201

    Abstract

    COVID-19 Social Thermometer Project: transnational articulations to approach populations in situations of social vulnerability

    Revista Brasileira de Enfermagem. 2023;76:e76suppl201

    DOI 10.1590/0034-7167.202376suppl201

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    COVID-19 is an infectious disease that has significantly impacted different contexts around the world, directly and/or indirectly, and on a larger scale in poor and/or developing countries(). We do not know for sure the cumulative effects of COVID-19 on populations (mental disorders, insomnia, anxiety, thrombosis, cognition deficit, memory problems, etc.) after exposure to infection by […]
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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.
  • 02-06-2023

    Proyecto Termómetro Social COVID-19: articulaciones transnacionales para abordar poblaciones en situación de vulnerabilidad social

    Revista Brasileira de Enfermagem. 2023;76:e76suppl201

    Abstract

    Proyecto Termómetro Social COVID-19: articulaciones transnacionales para abordar poblaciones en situación de vulnerabilidad social

    Revista Brasileira de Enfermagem. 2023;76:e76suppl201

    DOI 10.1590/0034-7167.202376suppl201es

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    El COVID-19 es una enfermedad infecciosa que ha impactado significativamente diferentes contextos alrededor del mundo, directa y/o indirectamente, y en mayor escala en países pobres y/o en vías de desarrollo(). No sabemos con certeza los efectos acumulativos del COVID-19 en las poblaciones (trastornos mentales, insomnio, ansiedad, trombosis, déficit cognitivo, problemas de memoria, etc.) tras la […]
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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.
  • EXPERIENCE REPORT02-03-2023

    Quality management in the COVID-19 pandemic: nursing action plan

    Revista Brasileira de Enfermagem. 2023;76:e20220272

    Abstract

    EXPERIENCE REPORT

    Quality management in the COVID-19 pandemic: nursing action plan

    Revista Brasileira de Enfermagem. 2023;76:e20220272

    DOI 10.1590/0034-7167-2022-0272

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    ABSTRACT

    Objectives:

    to describe the implementation of a nursing action plan to face the pandemic of COVID 19 in a University Hospital in the state of Rio de Janeiro. Methods: this is an experience report, in which two management tools were used: the Ishikawa Diagram to identify problems and the 5W2H spreadsheet to outline the actions according to the situations presented.

    Results:

    four categories were listed in two groups: 1- Actions of the Nurse Manager in the Organization of Logistics, Infrastructure and Care: materials and environment; and 2- Nursing Human Resources Management and Continuing Education: method and human resources.

    Final Considerations:

    the plan developed showed the role of nursing management, with the search for best care practices, development of protocols, carrying out multi-professional training and management of supplies.

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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.
    Quality management in the COVID-19 pandemic: nursing action plan

  • REVIEW09-18-2020

    Allocation of resources for health care in COVID-19 pandemic times: integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20200244

    Abstract

    REVIEW

    Allocation of resources for health care in COVID-19 pandemic times: integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20200244

    DOI 10.1590/0034-7167-2020-0244

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    ABSTRACT

    Objective:

    To analyze information on resource allocation in the context of the COVID-19 pandemic, published in indexed scientific journals, from December 2019 to March 2020.

    Methods:

    This is an integrative literature review, which took place in March 2020. All databases were investigated and studies were found only in MEDLINE. After applying the established criteria, six articles were selected.

    Results:

    It was evident that the allocation of resources is carried out as the demands emerge. The fragility in presenting scientific-methodological evidence that can guide decision makers for assertive allocation of available resources is highlighted. The results showed that studies on this subject are incipient and need to be expanded.

    Final considerations:

    The need for health organizations and area authorities to be better prepared for the proper use of available resources, with allocation based on scientific evidence and maximization of resources is indicated.

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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.
    Allocation of resources for health care in COVID-19 pandemic times: integrative review
  • ORIGINAL ARTICLE02-10-2020

    Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers

    Revista Brasileira de Enfermagem. 2020;73(1):e20180214

    Abstract

    ORIGINAL ARTICLE

    Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers

    Revista Brasileira de Enfermagem. 2020;73(1):e20180214

    DOI 10.1590/0034-7167-2018-0214

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    ABSTRACT

    Objective:

    To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência).

    Method:

    Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis.

    Results:

    The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions.

    Final considerations:

    Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.

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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 ARTICLE09-16-2019

    Playful educational intervention with schoolchildren on intestinal parasitosis

    Revista Brasileira de Enfermagem. 2019;72(5):1203-1210

    Abstract

    ORIGINAL ARTICLE

    Playful educational intervention with schoolchildren on intestinal parasitosis

    Revista Brasileira de Enfermagem. 2019;72(5):1203-1210

    DOI 10.1590/0034-7167-2017-0551

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    ABSTRACT

    Objective:

    To analyze the playful educational interventions in the knowledge of schoolchildren about intestinal parasitosis.

    Method:

    This is a quasi-experimental, non-randomized study, based on pre- and post-intervention, conducted in a public elementary school in a peripheric neighborhood in the city of Ribeirão Preto (SP). The study population consisted of 101 students enrolled in the 5th and 6th grade. For comparison, we used the generalized version of the McNemar chi-squared test.

    Results:

    Of the 101 schoolchildren who participated in the study, 48 (47.5%) were female and 53 (52.5%) were male, aged from 9 to 14 years. Students’ knowledge on intestinal parasitic infections has increased significantly after the playful educational intervention.

    Conclusion:

    Playful educational interventions are an excellent didactical resource in the teaching-learning process of schoolchildren.

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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.
  • REFLECTION07-10-2020

    In defense of the Unified Health System in the context of SARS-CoV-2 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200247

    Abstract

    REFLECTION

    In defense of the Unified Health System in the context of SARS-CoV-2 pandemic

    Revista Brasileira de Enfermagem. 2020;73:e20200247

    DOI 10.1590/0034-7167-2020-0247

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    ABSTRACT

    Objective:

    To discuss the political and structural conditions for establishing the Unified Health System (UHS – Sistema Único de Saúde, SUS) in coping with the SARS-CoV-2 pandemic.

    Methods:

    Theoretical-reflection study.

    Results:

    At the first moment named “The global and the local in facing the SARS-CoV-2 pandemic” is presented the health crisis that took place worldwide and the government actions to combat COVID-19. A second moment named “Between dismantling actions and resistance, the UHS is the best way to face the SARS-CoV-2 pandemic”, reflects on the neoliberal attacks on the health system and how it resists, remaining the main pandemic response strategy.

    Conclusion:

    The strengthening of democracy and the defense of the UHS are the way out of the crisis. It is believed that this reflection generates – in everyone who deals with caretaking – the political action, the ethical attitude, the desire for valorization and the spirit of struggle in defense of the UHS and human life.

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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 ARTICLE08-19-2019

    Psychosocial risks related to the nurse in the psychiatric hospital and management strategies

    Revista Brasileira de Enfermagem. 2019;72(4):834-840

    Abstract

    ORIGINAL ARTICLE

    Psychosocial risks related to the nurse in the psychiatric hospital and management strategies

    Revista Brasileira de Enfermagem. 2019;72(4):834-840

    DOI 10.1590/0034-7167-2017-0311

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    ABSTRACT

    Objective:

    To characterize the presence of psychosocial risks related to the work of the nurse in a psychiatric hospital and the strategies for managing these risks.

    Methods:

    Qualitative, in which 25 nurses from a psychiatric hospital participated using semi-structured interviews from November 2014 to January 2015. Data analysis was performed using the thematic method.

    Results:

    The results showed psychosocial risks related to the work of psychiatric nurses, such as: insufficient academic training; lack of preparation and maintenance of equipment; poor relationship with colleagues; shortage of human resources and lack of capacity building; conflict between the demands of the home and work, as well as strategies for managing psychosocial risks such as family, cinema, music, reading, among others.

    Final considerations:

    This study should provoke the reflection of managers and future nurses regarding the working conditions in a psychiatric hospital and possible psychosocial risks to which they are exposed.

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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 ARTICLE03-30-2020

    Implication of the training ad continuing education process for the interprofessional performance

    Revista Brasileira de Enfermagem. 2020;73(2):e20180359

    Abstract

    ORIGINAL ARTICLE

    Implication of the training ad continuing education process for the interprofessional performance

    Revista Brasileira de Enfermagem. 2020;73(2):e20180359

    DOI 10.1590/0034-7167-2018-0359

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    ABSTRACT

    Objetives:

    to analyze the implication of the training/continuing education process of professionals of the Expanded Nucleus of Family Health and Basic Care (Portuguese acronym: Nasf-AB) for their interprofessional performance.

    Methods:

    a qualitative case study performed with Nasf-AB teams representative of four macro-regions of health of the state of Santa Catarina. Participation of 43 professionals, who answered collective interviews. The results were later submitted to thematic analysis.

    Results:

    the training is strongly influenced by the Biomedical Model, which acts as an obstacle to interprofessional performance, given the challenges in the daily routine of Nasf-AB professionals. Continuing education emerges as a potential for the successful collaborative work among teams, and between the teams and Family Health professionals.

    Final considerations:

    there are important limits in the training of professionals. However, the constant interprofessional development promoted by strategies of continuing education contributes to broaden the support and collaborative practices that qualify services and strengthen Basic 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 ARTICLE02-25-2022

    Diabetes mellitus type 2: factors related to adherence to self-care

    Revista Brasileira de Enfermagem. 2022;75(4):e20210260

    Abstract

    ORIGINAL ARTICLE

    Diabetes mellitus type 2: factors related to adherence to self-care

    Revista Brasileira de Enfermagem. 2022;75(4):e20210260

    DOI 10.1590/0034-7167-2021-0260

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    ABSTRACT

    Objectives:

    to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2.

    Methods:

    quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão.

    Results:

    the adherence to self-care was greater when it comes to medications (Md=7.0) and foot care (Md= 6.0), but lower in regard to blood sugar testing (Md=1.0), exercise (Md=2,0), and diet (general) (Md=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities.

    Conclusions:

    identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.

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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 ARTICLE12-04-2020

    “The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents

    Revista Brasileira de Enfermagem. 2020;73:e20200578

    Abstract

    ORIGINAL ARTICLE

    “The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents

    Revista Brasileira de Enfermagem. 2020;73:e20200578

    DOI 10.1590/0034-7167-2020-0578

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    ABSTRACT

    Objective:

    to describe the risk factors that influence the self-injury behavior of adolescents assisted at a Psychosocial Care Center for Children and Adolescents, according to subjects’ own perceptions.

    Method:

    a descriptive, exploratory, qualitative study carried out through medical records and a focus group with 07 adolescents. The statements were submitted to thematic content analysis.

    Results:

    in the risk factors category, four subcategories emerged: Family adversity factors; Social contagion; Adverse life events; Personal characteristics. Conflicts, lack of support, drug use in the family, meeting someone who cuts themselves, social networks, religiosity, history of sexual violence and bullying were identified as risk factors that influence self-injury.

    Final Considerations:

    adolescents pointed out the need for prejudice-free dialogues in schools, in health and family devices, configuring protective factors to avoid this practice that comes from several negative events throughout life.

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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.
    “The pen is the blade, my skin the paper”: risk factors for self-injury in adolescents

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