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RESEARCH01-01-2017
Job satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
Abstract
RESEARCHJob satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
DOI 10.1590/0034-7167-2016-0422
Views0See moreABSTRACT
Objective:
to identify the level of attributed, perceived and real job satisfaction of oncology nursing professionals and analyze the relationships between the levels of satisfaction among these workers.
Method:
a descriptive, quantitative cross-sectional study was conducted using the Index of Work Satisfaction (IWS) to evaluate the nursing team, nurses and technicians/auxiliaries. A total of 348 workers answered the questionnaire, of which 216 were fully completed and considered for the IWS calculation.
Results:
Autonomy was considered the most important item in attributed satisfaction for the nursing team and nurses. Salary was valorized most by the technicians/auxiliaries. For perceived satisfaction, Professional Status was the most important for all workers. Regarding real satisfaction, Interaction was the most important for the nursing team and technicians/auxiliaries; while the nurses valorized Autonomy. The nurses presented the greatest job satisfaction.
Conclusion:
a discrepancy was observed in job satisfaction among the oncology nurses, indicating the importance of further quantitative research.
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RESEARCH01-01-2017
Relational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
Abstract
RESEARCHRelational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
DOI 10.1590/0034-7167-2016-0337
Views0See moreABSTRACT
Objective:
This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients.
Method:
Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis.
Results:
From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies.
Final consideration:
Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.
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RESEARCH01-01-2017
Knowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
Abstract
RESEARCHKnowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
DOI 10.1590/0034-7167-2016-0343
Views0See moreABSTRACT
Objective:
To understand mental health nursing care based on the concept of the subject of the unconscious proposed by Lacan.
Method:
A narrative study was carried out with 19 nurses, chosen based on their theoretical approach or referral by other participants, through the snowball sampling technique. The interviews were carried out in person or digitally, and were recorded and fully transcribed.
Results:
The analysis was carried out based on Freudian and Lacanian psychoanalysis, approaching nursing care as it acts on the body, secretions, and excretions, to distinguish it from the spirit of fineness. Effects on care are discussed, considering the subject of the unconscious with its knowledge, creating unique exits (sinthome). In this situation, professionals are required to abstain from a position of knowing what is better for the Other.
Final considerations:
This nursing care perspective offers contributions when discussing the centrality of the subject and words in the care process.
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RESEARCH01-01-2017
Weaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
Abstract
RESEARCHWeaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
DOI 10.1590/0034-7167-2016-0566
Views0See moreABSTRACT
Objective:
to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) in the western region of the city of São Paulo.
Method:
qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.
Results:
the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.
Final considerations:
there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.
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RESEARCH01-01-2017
Chronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
Abstract
RESEARCHChronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
DOI 10.1590/0034-7167-2016-0542
Views0See moreABSTRACT
Objective:
To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift.
Method:
Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%.
Results:
The indifferent chronotype predominated (45.2%). There were significant differences between occupational categories and variables “age” (p<0.001), “use of medication” (p=0.035) and “choice of work shift” (p=0.001). There was an association between the chronotype and the variables “work leave due to illness” (p=0.021), “children” (p=0.025), “use of medication” (p=0.018) and “work shift” (p=0.001).
Conclusion:
The chronotype remained indifferent, and the results confirmed association between chronotype and work shift.
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RESEARCH01-01-2017
Difficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
Abstract
RESEARCHDifficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
DOI 10.1590/0034-7167-2016-0527
Views0ABSTRACT
Introduction:
Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care.
Objective:
To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective.
Method:
Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis.
Results:
The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth.
Final considerations:
Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.
Keywords:Child NutritionChildcareNursing Primary Health CarePrimary Health CareResearch, QualitativeSee more
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RESEARCH01-01-2017
Severity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
Abstract
RESEARCHSeverity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
DOI 10.1590/0034-7167-2016-0427
Views0See moreABSTRACT
Objective:
To analyze whether an increase in patient severity and nursing workload are correlated to a greater incidence of adverse events (AEs) in critical patients.
Method:
A prospective single cohort study was performed on a sample of 138 patients hospitalized in an intensive care unit (ICU).
Results:
A total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient severity presented a direct relationship to the probability of AEs occurring. However, nursing workload did not present a statistically significant relationship with the occurrence of AEs.
Conclusion:
The results cast light on the importance of using evaluation tools by the nursing personnel in order to optimize their daily activities and focus on patient safety.
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RESEARCH01-01-2017
Mental health in the Family Health Strategy as perceived by health professionals
Revista Brasileira de Enfermagem. 2017;70(5):935-941
Abstract
RESEARCHMental health in the Family Health Strategy as perceived by health professionals
Revista Brasileira de Enfermagem. 2017;70(5):935-941
DOI 10.1590/0034-7167-2016-0492
Views0See moreABSTRACT
Objective:
to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals.
Method:
this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures.
Results:
numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources.
Conclusion:
there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.
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REVIEW01-01-2015
Adverse events and safety in nursing care
Revista Brasileira de Enfermagem. 2015;68(1):144-154
Abstract
REVIEWAdverse events and safety in nursing care
Revista Brasileira de Enfermagem. 2015;68(1):144-154
DOI 10.1590/0034-7167.2015680120i
Views0See moreObjective:
to identify the scientific publications about adverse events in nursing care in adult hospitalized patients and discuss the main adverse events in nursing care.
Method:
Integrative revision with a qualitative approach. The data were collected at LILACS, MEDLINE, BDENF and the library SCIELO and were submitted to thematic analysis.
Results:
three categories were developed: Adverse events in nursing care; The main causes of the adverse events in nursing care; Attitude of nursing professionals in face of errors. The main events were identified in nursing care with emphasis on the medication error, the failure to perform dressings and falls of patients. The importance of instruments was emphasized for notification of adverse events in the institutions. However the fear of punishment on professionals stimulates the underreporting of events.
Conclusion:
it is important to discuss effective prevention strategies that ensure patient safety in healthcare institutions.
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REVIEW01-01-2015
Staphylococcus aureus meticilino resistente adquirido na comunidade: um problema mundial
Revista Brasileira de Enfermagem. 2015;68(1):136-143
Abstract
REVIEWStaphylococcus aureus meticilino resistente adquirido na comunidade: um problema mundial
Revista Brasileira de Enfermagem. 2015;68(1):136-143
DOI 10.1590/0034-7167.2015680119p
Views0Objetivo:
descrever a epidemiologia dos casos de CA-MRSA no Brasil de forma a compreender sua ocorrência, fatores de risco associados e formas de manejo em relação à situação mundial.
Método:
revisão integrativa e para seleção dos estudos utilizou-se as bases de dados: Scopus, Science direct, Isi Web of Knowledge, PUBMED e BVS.
Resultados:
foram identificados dez artigos nacionais que descreveram 21 casos de CA-MRSA principalmente em crianças, adolescentes e adultos com quadro de infecção de pele e tecidos moles evoluindo para infecções graves relacionados ao clone Oceania Southwest Pacific Clone (OSPC) que resultaram em hospitalização.
Conclusão:
apesar do CA-MRSA ser considerado um micro-organismo de relevância mundial verificou-se a escassez de dados publicados sobre sua epidemiologia no Brasil, o que dificultam o delineamento da realidade do país frente ao CA-MRSA.
Keywords:Controle de InfecçõesFarmacorresistência BacterianaInfecções Comunitárias AdquiridasStaphylococcus Aureus Resistente à MeticilinaSee more -
REVIEW01-01-2015
Prevention and non-pharmacological management of pain in newborns
Revista Brasileira de Enfermagem. 2015;68(1):131-135
Abstract
REVIEWPrevention and non-pharmacological management of pain in newborns
Revista Brasileira de Enfermagem. 2015;68(1):131-135
DOI 10.1590/0034-7167.2015680118i
Views0See moreObjective:
to describe the main non-pharmacological interventions for pain relief in newborns available in Neonatal Intensive Care Unit.
Method:
an exploratory search of the MedLine, Lilacs and Scielo online databases was conducted to retrieve references of studies published from 2004 to 2013.
Results:
several non-pharmacological interventions were shown to be effective, to represent low risk for neonates and to have a low operational cost. The ones most often discussed in the literature were: oral administration of glucose/sucrose, non-nutritive sucking, breastfeeding, skin-to-skin contact, facilitated tucking and swaddling.
Conclusion:
healthcare teams should be familiar with these methods and use them more effectively in Neonatal Intensive Care Unit daily routines, so as to ensure that newborns receive qualified and more human care.
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BANFISA e (IN)DICA-SUS na graduação em saúde: o lúdico e a construção de aprendizados
Revista Brasileira de Enfermagem. 2015;68(1):124-130
Abstract
BANFISA e (IN)DICA-SUS na graduação em saúde: o lúdico e a construção de aprendizados
Revista Brasileira de Enfermagem. 2015;68(1):124-130
DOI 10.1590/0034-7167.2015680117i
Views0See moreObjectives:
to analyze the learning built during the matches of the games by students of the subject Gestão de Políticas Públicas em Saúde at the Universidade de Brasília.
Method:
exploratory, descriptive research, in a qualitative approach, with 26 students from various graduation courses in health, using a questionnaire and participant observation.
Results:
participants reinvented rules, related issues addressed in the games to the reality, interacted with colleagues and had fun throughout the match. Comparing the games in relation to ludicity, the BANFISA was more attractive than the (IN) DICA-SUS, although they are complementary.
Conclusions:
learning constructed by the students goes beyond the content of the subject; involve the active participation in group and creativity.
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Chinese auriculotherapy to improve quality of life of nursing team
Revista Brasileira de Enfermagem. 2015;68(1):117-123
Abstract
Chinese auriculotherapy to improve quality of life of nursing team
Revista Brasileira de Enfermagem. 2015;68(1):117-123
DOI 10.1590/0034-7167.2015680116p
Views0See moreObjective:
to evaluated the effi cacy of auriculotherapy for improving quality of life and reducing stress in nursing staff.
Method:
single-blind radomizad clinical trail envolving 175 subjects randomized in: Control (G1), Protocol Group (G2) and without Protocol Group (G3). They were evaluated by the Stress Symptoms List and SF36v2 at baseline, after 12 sessions and follow up (30 days), between January and July 2012.
Results:
both intervention groups reduced stress (p <0.05) with greater effect for G3 (d = 1.15). G3 was also higher for improving life quality especially the physical domain (p = 0.05).
Conclusion:
individualized auriculotherapy (G3) had greater effect compared to the protocol auriculotherapy (G2) for reducing stress and improving life quality.
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Adherence to foot self-care in diabetes mellitus patients
Revista Brasileira de Enfermagem. 2015;68(1):111-116
Abstract
Adherence to foot self-care in diabetes mellitus patients
Revista Brasileira de Enfermagem. 2015;68(1):111-116
DOI 10.1590/0034-7167.2015680115p
Views0See moreObjective:
to analyze the self-care of patients with type 2 diabetes mellitus in the Family Health Strategy in Teresina-PI.
Method:
search cross selected by simple random sampling, 331 people with diabetes mellitus. Data collection took place from August to December 2012 with the use of Self-Care Activities Questionnaire with Diabetes and structured instrument for recording information socioeconomic and guidance received by the professional nurse.
Results:
the data revealed that patients have poor adherence to blood glucose monitoring, the physical exercise and foot care, but with good adherence to the medication. Only 38.7% of the sample examined the feet of fi ve to seven days a week. Statistically signifi cant association between self-care activities with their feet and orientations of nurses (p < 0,05).
Conclusion:
that there is need to raise awareness with regard to the development of skills for self-care.
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Patients with disorders of consciousness: vital, facial and muscular responses to music or messages
Revista Brasileira de Enfermagem. 2015;68(1):102-110
Abstract
Patients with disorders of consciousness: vital, facial and muscular responses to music or messages
Revista Brasileira de Enfermagem. 2015;68(1):102-110
DOI 10.1590/0034-7167.2015680114p
Views0See morePurposes:
to compare vital signs, facial expression and basal electroneurographic signs with measures during stimuli music, message or “silence” in coma patients, vegetative status or sedated; and relating the score of Glasgow Results Scale with the intervention realized.
Method:
a Monoblind Transversal Controlled Clinical Trial to researcher. The distribution, among the three groups, was randomized (experiment with music, experiment with message or control). Two assessments (sessions) were performed with interval of 40 minutes on the same day.
Results:
most of the 76 patients were male, between 18 to 36 years old and hospitalized due to trauma. Statistically signifi cant changes were found in the variables referred to temperature, facial expression, electroneurography and Glasgow Results Scale; more frequent alterations in second session, in coma and vegetative patients, in frontal muscles and in experiment group.
Conclusions:
the facial expression and the electroneurography seem to be more trustworthy variables than vital signs to evaluate consciousness.
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Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul
Revista Brasileira de Enfermagem. 2015;68(1):93-101
Abstract
Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul
Revista Brasileira de Enfermagem. 2015;68(1):93-101
DOI 10.1590/0034-7167.2015680113p
Views0See moreObjective:
to determine the prevalence and factors associated with minor psychiatric disorders (MPD) in socio-educational agents.
Method:
it is a cross-sectional study with 381 socio-educational agents the Centers for Socio-Educational Services in the State of Rio Grande do Sul, Brazil. The Brazilian versions of the Scale of Demand-control-social support at work and the Self Reporting Questionnaire-20 have been applied.
Results:
the results showed a prevalence of suspicion MPD of 50.1%. They showed to be related to suspicion of MPD : being female (55.7%), having age up to 44 years old (58.5%), no physical activity (57.4%), do not have time for leisure (75%), make use of medication (61.4%), require medical attention (56.9%) and psychological counseling (72.7%), not being satisfied with the workplace (61.7%) and need for time off from work (65.6%).
Conclusion:
the study provides important data about the mental health of agents, showing the need for the involvement of managers and of the health service of worker’s health in planning actions to promote health of these workers.
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RESEARCH06-01-2015
Workers of CEASA: factors associated with fatigue and work ability
Revista Brasileira de Enfermagem. 2015;68(3):460-466
Abstract
RESEARCHWorkers of CEASA: factors associated with fatigue and work ability
Revista Brasileira de Enfermagem. 2015;68(3):460-466
DOI 10.1590/0034-7167.2015680312i
Views0See moreABSTRACT
Objective:
to investigate the socio-demographic characteristics, lifestyle and health conditions related to fatigue and the work ability.
Method:
a cross-sectional study was conducted in 2011 and the sample was composed by 90 workers from the supply center of Campinas. Three questionnaires were used: Fatigue; Work ability index; and socio-demographic characteristics.
Results:
in the univariate regression analysis, the variables associated with work ability were: education, use of medicine, stress, pain in the last six months and pain in the last week. In univariate regression analysis the variables associated with fatigue were: education, stress, sleepiness, pain in the last six months, pain in the last week and health problems.
Conclusion:
these results indicate the need for health promotion program implementation among these workers.
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RESEARCH06-01-2015
Nursing Terminology defines domestic violence against children and adolescents
Revista Brasileira de Enfermagem. 2015;68(3):452-459
Abstract
RESEARCHNursing Terminology defines domestic violence against children and adolescents
Revista Brasileira de Enfermagem. 2015;68(3):452-459
DOI 10.1590/0034-7167.2015680311i
Views0See moreABSTRACT
Objective:
Identifi cation of terminology relating to nursing practices aimed at children and adolescents at risk of domestic violence.
Methods:
bibliographic descriptive research which selected 40 articles from the Virtual Health Library on domestic violence against children and adolescents, its manifestations, causes, and consequences, in association with nursing procedures for its confrontation and prevention, and which also identifi ed terminology via computer tools.
Results:
17,365 terms that, after standardization and uniformity procedures, resulted in a listing of 915 terms.
Conclusion:
The terminology selected focused on the individual biopsychic nexus and the historic manifestation of this phenomenon was partially identifi ed in terms that appear less frequently in these articles, thereby explaining the contradiction between the formal identifi cation logic of such terminology and the dialectic logic that recognizes the historic reasons for, and dynamicity of, such phenomena.
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RESEARCH06-01-2015
Instrumento para avaliação de estilo de vida sedentário em pacientes com hipertensão
Revista Brasileira de Enfermagem. 2015;68(3):445-451
Abstract
RESEARCHInstrumento para avaliação de estilo de vida sedentário em pacientes com hipertensão
Revista Brasileira de Enfermagem. 2015;68(3):445-451
DOI 10.1590/0034-7167.2015680310i
Views0See moreRESUMEN
Objetivo:
este artículo describe la precisión diagnóstica del International Physical Activity Questionnaire en la identifi cación del diagnóstico enfermero Estilo de vida sedentario.
Método:
un estudio de precisión diagnóstica se desarrolló con 240 individuos con hipertensión arterial establecida. El análisis de precisión diagnóstica se basó en medidas de sensibilidad, especifi cidad, valores predictivos, razones de verosimilitud, efi ciencia, odds ratio diagnóstica, índice de Youden y área bajo la curva característica receptor-operador.
Resultados:
diferencias estadísticas entre los sexos se observaron para las actividades intensidad moderada y la actividad física total. La edad se correlacionó negativamente con la actividad de intensidad moderada y la actividad física total.
Conclusión:
el análisis del área bajo la curva característica receptor-operador para las actividades de intensidad moderada, de caminar, y la actividad física total mostró que el International Physical Activity Questionnaire presenta moderada capacidad para clasificar correctamente los sujetos con y sin el estilo de vida sedentario.
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RESEARCH06-01-2015
Instrument for evaluation of sedentary lifestyle in patients with high blood pressure
Revista Brasileira de Enfermagem. 2015;68(3):445-451
Abstract
RESEARCHInstrument for evaluation of sedentary lifestyle in patients with high blood pressure
Revista Brasileira de Enfermagem. 2015;68(3):445-451
DOI 10.1590/0034-7167.2015680310i
Views0See moreABSTRACT
Objective:
this article describes the diagnostic accuracy of the International Physical Activity Questionnaire to identify the nursing diagnosis of sedentary lifestyle.
Method:
a diagnostic accuracy study was developed with 240 individuals with established high blood pressure. The analysis of diagnostic accuracy was based on measures of sensitivity, specifi city, predictive values, likelihood ratios, effi ciency, diagnostic odds ratio, Youden index, and area under the receiver-operating characteristic curve.
Results:
statistical differences between genders were observed for activities of moderate intensity and for total physical activity. Age was negatively correlated with activities of moderate intensity and total physical activity.
Conclusion:
the analysis of area under the receiver-operating characteristic curve for moderate intensity activities, walking, and total physical activity showed that the International Physical Activity Questionnaire present moderate capacity to correctly classify individuals with and without sedentary lifestyle.
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RESEARCH06-01-2015
Potentialities and weaknesses in the care network of people with HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(3):438-444
Abstract
RESEARCHPotentialities and weaknesses in the care network of people with HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(3):438-444
DOI 10.1590/0034-7167.2015680309i
Views0See moreABSTRACT
Objective:
to understand the strengths and weaknesses in the care network of people with HIV/AIDS in a referral center in the state of Santa Catarina-SC.
Method:
participants were eight subjects and their care network, totaling 18 participants. Data were collected through interviews and examined by content analysis, theoretically supported by symbolic interaction.
Results:
the analysis resulted in the following categories: The network offering care to people with acquired immunodefi ciency syndrome, and Facing Barriers in care, which refl ect the strengths and weaknesses in the care network. The fi rst depicts the provision of emotional and humanized care, and the second a restricted network formed by health professionals and a family member.
Conclusion:
the professional care network is important, despite the increased number of assistances in a physical structure and amount of professionals who no longer meet the growing demand.
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RESEARCH06-01-2015
AIDS epidemic in the triple frontier: subsidies for professional practice
Revista Brasileira de Enfermagem. 2015;68(3):429-437
Abstract
RESEARCHAIDS epidemic in the triple frontier: subsidies for professional practice
Revista Brasileira de Enfermagem. 2015;68(3):429-437
DOI 10.1590/0034-7167.2015680308i
Views0See moreABSTRACT
Objective:
to analyze the AIDS epidemic trend from 1988 to 2012, in a tri-border area.
Method:
Ecological time-series study with data from the Department of informatics from the Brazilian Unifi ed Health System (SUS).
Results:
A total of 1427 cases of AIDS were registered, and 82.1% were aged 20-49 years and 56% in males. The relationship man/woman went from 9/1 to 1/1 and increased the number of cases among individuals with more years of education, also, people aged more than 50 years old the age group from 20 to 34 years old. The most common exposure category was heterosexual, significantly higher among women; on the other hand, drug injection use was associated with male gender.
Conclusion:
seeking to embrace the changes in the epidemiological scenario of AIDS, nursing professionals should implement intervention strategies for people identified as the most vulnerable to HIV infection.
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RESEARCH06-01-2015
The Informal Caregiver Burden Assessment Questionnaire: validation for Brazil
Revista Brasileira de Enfermagem. 2015;68(3):421-428
Abstract
RESEARCHThe Informal Caregiver Burden Assessment Questionnaire: validation for Brazil
Revista Brasileira de Enfermagem. 2015;68(3):421-428
DOI 10.1590/0034-7167.2015680307i
Views0See moreABSTRACT
Objectives:
to analyze the dimensionality, convergent construct validity and internal consistency of the Informal Caregiver Burden Assessment Questionnaire (QASCI) after its semantic adaptation to Brazil.
Method:
this methodological study was developed with 132 informal caregivers of elders who are dependent of help for basic or instrumental activities of daily living, in a capital city in Northeast Brazil. Quality of life measures related to health, anxiety and depression were used in the analysis of the convergent construct validity of the QASCI.
Results:
the results of the instrument construct validation evidenced statistically signifi cant correlations with the three measures. The confi rmatory factor analysis evidenced good adjustment of the theoretical model of seven factors (domains) of the version used in the group studied. Cronbach’s alpha for the scale total was 0.92.
Conclusion:
the Brazilian version of the QASCI was considered to be valid and reliable for assessing the burden of informal elder caregivers.
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RESEARCH06-01-2015
Study of billing audits in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(3):414-420
Abstract
RESEARCHStudy of billing audits in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(3):414-420
DOI 10.1590/0034-7167.2015680306i
Views0See moreABSTRACT
Objectives:
to determine which component items of hospital bills, examined by nurse auditors, were adjusted the most during pre-analysis; to identify the impact upon revenue caused by the adjustments to bills analyzed by physician and nurse auditors; and to identify disallowances related to items checked by the audit team.
Method:
quantitative, exploratory, descriptive, singlecase study.
Results:
after analysis of 2,613 bills, it was found that the item most included by nurses was gas (90.5%) and the most excluded was inpatient drugs (41.2%). Hemodynamics materials, gases and equipment had the greatest impact on upward adjustments. Downward adjustments were the result of improper entries on bills and did not generate revenue losses. Of total disallowances, 52.24% were related to the pre-analysis of nurses and 47.76% to that of physicians.
Conclusion:
this study of the pre-analysis process provides input that enhances knowledge about hospital bill audits.
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