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01-01-2018
Needs in Mental Health and Research
Revista Brasileira de Enfermagem. 2018;71:2077-2078
Abstract
Needs in Mental Health and Research
Revista Brasileira de Enfermagem. 2018;71:2077-2078
DOI 10.1590/0034-7167-2018-0363
Views0Psychic suffering is a public health problem in the world because it is strongly related to the loss of functionality, and to the presence of drastic reflexes in personal life and in the social context. Psychic suffering presents as determinants not only the abilities of individuals to deal with thoughts, emotions, behaviors, interactions, but also […]See more
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01-01-2018
Necessidades em saúde mental e pesquisa
Revista Brasileira de Enfermagem. 2018;71:2077-2078
Abstract
Necessidades em saúde mental e pesquisa
Revista Brasileira de Enfermagem. 2018;71:2077-2078
DOI 10.1590/0034-7167-2018-0363
Views0O sofrimento psíquico é um problema de saúde pública no mundo pois está fortemente relacionado à perda de funcionalidade, à apresentação de reflexos drásticos na vida pessoal e no contexto social. Dessa forma, apresenta como determinantes não somente as habilidades dos indivíduos para lidar com pensamentos, emoções, comportamentos, interações, mas também aspectos relacionados à vida […]See more -
REFLECTION01-01-2018
Ethical competences for the development of nursing care
Revista Brasileira de Enfermagem. 2018;71:1810-1814
Abstract
REFLECTIONEthical competences for the development of nursing care
Revista Brasileira de Enfermagem. 2018;71:1810-1814
DOI 10.1590/0034-7167-2017-0539
Views0See moreABSTRACT
Objective:
To present an analysis of the nursing ethos based on the disciplinary foundations of nursing to propose a definition of ethical competences for nursing training.
Method:
The present proposal is a theoretical reflection, based on a literature review of the specialty, both nursing and ethics.
Results:
we suggest basing the ethical education of nursing students integrating transversally disciplinary, bioethical and civic ethical competences, considering certain educational dimensions that favor their development.
Final considerations:
We expect that the definitions of three competences of the moral scope of nursing, contribute to cross-cutting proposals that promote the values and principles of the profession.
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01-01-2018
Competencias éticas para el desarrollo del cuidado en enfermería
Revista Brasileira de Enfermagem. 2018;71:1810-1814
Abstract
Competencias éticas para el desarrollo del cuidado en enfermería
Revista Brasileira de Enfermagem. 2018;71:1810-1814
DOI 10.1590/0034-7167-2017-0539
Views0See moreRESUMEN
Objetivo:
Presentar un análisis del êthos de enfermería en base a los fundamentos disciplinares de ésta, a fin de proponer una definición de competencias éticas para la formación en enfermería
Método:
La presente propuesta es una reflexión teórica, fundamentada en una revisión de literatura de la especialidad, tanto de enfermería como de la ética.
Resultados:
se sugiere basar la formación ética de estudiantes de enfermería integrando transversalmente competencias éticas disciplinares, bioéticas y cívicas, considerando determinadas dimensiones educativas que favorecen su desarrollo.
Consideraciones finales:
Se espera que las definiciones de tres competencias del ámbito moral de la enfermería, contribuyan a propuestas transversales que logren fomentar los valores y principios de la profesión.
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REFLECTION01-01-2018
The professor’s body: discourses on subjectivity to reflect on nurses’ education
Revista Brasileira de Enfermagem. 2018;71:1805-1809
Abstract
REFLECTIONThe professor’s body: discourses on subjectivity to reflect on nurses’ education
Revista Brasileira de Enfermagem. 2018;71:1805-1809
DOI 10.1590/0034-7167-2017-0456
Views0See moreABSTRACT
Objective:
to reflect on the body of the nursing professor in the subjectivity discourse.
Method:
this is a reflective essay on the theoretical and practical reverberations of the nursing professor’s body based on the Deleuzoguattarian discourse.
Results:
in the theoretical framework, the body of the nursing professor was considered as a producer of subjectivities and understood without organs, surrounded by strengths, desires, and affections. In the practical framework, we discussed pedagogical strategies developed by professors, such as dramatic games, simulated scenes, presentation of the line of care and living portfolio, characterized by stimulating nursing students to value political, civic, creative, and supportive dimensions.
Conclusion:
based on the subjectivity discourses, the professor’s body was demystified as uniquely holder of knowledge, and all participants in the educational scenario were considered active protagonists of collective knowledge.
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EXPERIENCE REPORT01-01-2018
Nursing students in the community: entrepreneurial strategy and proponent of changes
Revista Brasileira de Enfermagem. 2018;71:1799-1804
Abstract
EXPERIENCE REPORTNursing students in the community: entrepreneurial strategy and proponent of changes
Revista Brasileira de Enfermagem. 2018;71:1799-1804
DOI 10.1590/0034-7167-2017-0382
Views1See moreABSTRACT
Objective:
To report the insertion of the nursing students of the Franciscan University Center in the community through the project Adopting a Family, contributing to critical thinking within the Nursing academic production and its articulation to collective health.
Results:
In the professors’ evaluation, the activity represented an effective articulation and insertion of the university in the community; for the students, it allowed for spaces of construction, deconstruction and negotiation with the unknown and the uncertain; for the families, it enabled the feeling of being remembered and valued as human beings and citizens. Through the experiences had, the transformation of health practices goes through the emergence and valuation of new knowledge.
Final considerations:
The insertion of the university in the community is constituted by an entrepreneurial strategy that is proponent of changes, due to its more effective and resolute outreach of health issues proposed by the national health system.
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EXPERIENCE REPORT01-01-2018
From theory to practice, operating the clinical simulation in Nursing teaching
Revista Brasileira de Enfermagem. 2018;71:1791-1798
Abstract
EXPERIENCE REPORTFrom theory to practice, operating the clinical simulation in Nursing teaching
Revista Brasileira de Enfermagem. 2018;71:1791-1798
DOI 10.1590/0034-7167-2017-0180
Views0See moreABSTRACT
Objective:
To report the experience of the operationalization of clinical simulation as a pedagogical strategy in a subject of an undergraduate course in Nursing.
Method:
Clinical simulation cycles were carried out following the steps of action research, such as: planning, action, observation and reflection, from March 2014 to July 2015 with 10 professors and 44 students from a Primary Care and Mental Health subject of an undergraduate course in Nursing.
Results:
Five cycles of clinical simulation were performed, at the end of each cycle modifications were suggested by students and professors and the operation was adjusted to meet the needs of the subject. The main points of change were: professor role, logistics, equipment, debriefing model and preparation of “simulated patients”.
Final considerations:
The clinical simulation is a possible method to be operationalized in undergraduate course in Nursing, needs pedagogical and logistic planning as well as, sensitization of professors and students.
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EXPERIENCE REPORT01-01-2018
Clinical simulation to teach nursing care for wounded patients
Revista Brasileira de Enfermagem. 2018;71:1785-1790
Abstract
EXPERIENCE REPORTClinical simulation to teach nursing care for wounded patients
Revista Brasileira de Enfermagem. 2018;71:1785-1790
DOI 10.1590/0034-7167-2017-0170
Views0See moreABSTRACT
Objective:
to report the experience of constructing and applicating clinical simulation scenarios for the evaluation and treatment of wounds.
Method:
experience report on two simulation scenarios for nursing care of wounded patients applied to nursing undergraduates. We structured simulations based on the model from the National League for Nursing/Jeffries Simulation Framework. The scenarios were evaluated by the instrument Simulation Design Scale and the students by the experience with the simulation.
Results:
the scenarios reproduced nursing care situations with the application of role play and moulage, which allowed us to evaluate and discuss the wound treatment. Reflections on the debriefing were important for the teaching-learning process and association between theory and practice, these factors determined the satisfaction of students with the activity.
Conclusion:
using clinical simulation scenarios to teach students favored the clinical reasoning and decision-making in the evaluation and treatment of wounds.
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ORIGINAL ARTICLE03-24-2021
Costs of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
Abstract
ORIGINAL ARTICLECosts of healthcare-associated infections in an Intensive Care Unit
Revista Brasileira de Enfermagem. 2021;74(1):e20200275
DOI 10.1590/0034-7167-2020-0275
Views1See moreABSTRACT
Objectives:
to evaluate hospitalization costs of patients with and without Healthcare-Associated Infections an Intensive Care Unit.
Methods:
a retrospective case-control study. Data collection was retrieved from the medical records of Intensive Care Unit of a medium-sized public hospital in Goiás-Brazil. For each case, two controls were selected. Data on socioeconomic, clinical, and hospital costs were collected. To verify associations between variables, Odds Ratio and linear regression were calculated.
Results:
a total of 21 patients diagnosed with Healthcare-Associated Infections and 42 controls were evaluated. The hospitalization cost for patients with infection was four times higher than for non-infection patients (p-value<0.001). There was an association between infection and higher mortality (p-value <0.001), longer hospital-stay (p-value =0.021), and higher hospital costs (p-value =0.007).
Conclusions:
hospitalization costs of diagnosed Healthcare-Associated Infections patients are high compared to those who do not have this diagnosis.
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ORIGINAL ARTICLE03-24-2021
Feelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
- Maria de Nazaré de Souza Ribeiro
, - Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra , [ … ],
- Luiz dos Santos
Abstract
ORIGINAL ARTICLEFeelings, experiences and expectations of kidney transplant individuals and challenges for the nurse
Revista Brasileira de Enfermagem. 2021;74(1):e20200392
DOI 10.1590/0034-7167-2020-0392
- Maria de Nazaré de Souza Ribeiro ,
- Fátima Helena do Espírito Santo ,
- Bruna da Silva Simões ,
- Cleisiane Xavier Diniz ,
- Helen Cristine Albuquerque Bezerra ,
- Luiz dos Santos
Views1See moreABSTRACT
Objectives:
to identify feelings, experiences, and expectations of kidney transplant patients, generated from the diagnosis of chronic renal disease until the post-transplant period, highlighting the challenges for nurses to incorporate individualized care to cope throughout the disease process.
Methods:
qualitative, descriptive research, carried with seven kidney transplant patients, in the city of Manaus, State of Amazonas. The data analysis followed the methodological referential of Bardin’s content analysis.
Results:
the diagnosis of the disease was experienced negatively, and hemodialysis was described as an imprisonment and health decline. The transplant meant an improvement in quality of life. The main difficulties were lack of a specialized hospital and low immunity.
Conclusions:
the nurses’ approach of chronic renal patient and with the renal transplantation favored the discovery of solutions facing the demands of the disease and allowed greater capacity to implement individualized care, surrounding a relationship of trust and respect.
- Maria de Nazaré de Souza Ribeiro
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ORIGINAL ARTICLE06-11-2021
Work at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
Abstract
ORIGINAL ARTICLEWork at the surgical center: risks of the pathogenic suffering of the nursing team
Revista Brasileira de Enfermagem. 2021;74(2):e20190803
DOI 10.1590/0034-7167-2019-0803
Views0See moreABSTRACT
Objectives:
to assess the risks of pathogenic suffering related to the experience of nursing workers in the operating room of a university hospital.
Methods:
cross-sectional, quantitative study, carried out from 11/2017 to 01/2018 in a university hospital in the South of Brazil. The sample was composed by 159 nursing workers of the units of a surgical center, that answered to the Scale of Evaluation of Pathogenic Suffering at Work. Data was submitted to statistical analysis.
Results:
the workers present low risk of pathogenic suffering related to the experiences at work, being the results of its factors: Uselessness (1.47±0.761) – low risk; Indignity (2.372±1.035) – medium risk; and Disqualification (1.74±0.903) – low risk.
Conclusions:
the evaluation of Pathogenic Suffering at Work Scale was positive, predominating low risk for pathogenic suffering of surgical center workers related to professional experiences, because they feel useful, valued and are not indignant about their work, feelings that reflect on the quality of care provided.
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ORIGINAL ARTICLE05-21-2021
Music in the relief of stress and distress in cancer patients
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Abstract
ORIGINAL ARTICLEMusic in the relief of stress and distress in cancer patients
Revista Brasileira de Enfermagem. 2021;74(2):e20190838
DOI 10.1590/0034-7167-2019-0838
- Mariana Scheidegger dos Santos ,
- Filipe de Moraes Thomaz ,
- Rafael Tavares Jomar ,
- Angela Maria Mendes Abreu ,
- Gunnar Glauco De Cunto Carelli Taets
Views0See moreABSTRACT
Objectives:
to evaluate the effects of music on the physiological stress and distress of cancer patients being treated in a hospital.
Methods:
quasi-experimental study carried out with cancer patients hospitalized in the nursing wards of a public hospital. There was a single 15-minute intervention using music. It was individual, and headphones were used for patients to listen to three songs chosen by each one. The levels of stress and distress were measured before and after the intervention, using music to analyze the cortisol in the saliva and the answers to the distress thermometer. The significance level of the statistical analysis was 5%, using the non-parametric Wilcoxon test.
Results:
the mean age of the 26 patients was 56 years old. Most were female, white, and had breast cancer. After intervention, there were statistically significant diminutions in both stress and distress — p < 0.001.
Conclusions:
the use of music diminishes the stress and the distress of cancer patients.
- Mariana Scheidegger dos Santos
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ORIGINAL ARTICLE05-21-2021
Orthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso , [ … ],
- Armando dos Santos Trettene
Abstract
ORIGINAL ARTICLEOrthognathic surgery: doubts from patients with orofacial fissures regarding the immediate postoperative period
Revista Brasileira de Enfermagem. 2021;74(2):e20200089
DOI 10.1590/0034-7167-2020-0089
- Tatiane Henrique ,
- Fábio Luiz Banhara ,
- Natiele Favarão da Silva ,
- Francely Tineli Farinha ,
- Maila Meryellen Ferreira Garcia Manso ,
- Armando dos Santos Trettene
Views1See moreABSTRACT
Objectives:
to identify the main doubts regarding the immediate postoperative care of patients with orofacial clefts undergoing orthognathic surgery.
Methods:
cross-sectional, quantitative study, developed in a public and tertiary hospital, between November 2017 and May 2018. Data collection occurred through interviews during the preoperative nursing consultation. An instrument was used to describe doubts, which later were grouped according to the subject.
Results:
48 patients participated. The doubts referred to sun exposure (56%), food/mastication (48%), the relationship between intermaxillary block-breathing-vomiting (48%), oral hygiene (31%), physical activity restriction (27%), nasopharyngeal cannula, removal of surgical stitches, hospitalization time and speech/communication (23%), bleeding, cryotherapy, facial massage, aesthetic and functional results, healing, edema/ecchymosis, postoperative pain, and changes in facial sensitivity (21%).
Conclusions:
the doubts were related to food, the period of convalescence, care for the surgical wound, postoperative complications, and medications.
- Tatiane Henrique
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ORIGINAL ARTICLE05-28-2021
The work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
Abstract
ORIGINAL ARTICLEThe work of a Brazilian nursing team of collective health in the special indigenous health district
Revista Brasileira de Enfermagem. 2021;74(2):e20200116
DOI 10.1590/0034-7167-2020-0116
Views0See moreABSTRACT
Objective:
To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.
Methods:
This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.
Results:
168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.
Final considerations:
Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.
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ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion , [ … ],
- Gilselena Kerbauy
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
- Camila Brito Borguezam ,
- Caroline Tolentino Sanches ,
- Silvia Paulino Ribeiro Albaneser ,
- Uiara Rodrigues de Oliveira Moraes ,
- Cintia Magalhães Carvalho Grion ,
- Gilselena Kerbauy
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
- Camila Brito Borguezam
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ORIGINAL ARTICLE06-16-2021
The meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
Abstract
ORIGINAL ARTICLEThe meaning of nursing 200 years after Nightingale – perceptions of professional practice in the intensivist context
Revista Brasileira de Enfermagem. 2021;74(2):e20200364
DOI 10.1590/0034-7167-2020-0364
Views0See moreABSTRACT
Objectives:
to know the meaning of contemporary nursing from the experience of intensive care nurses.
Methods:
qualitative research based on the theoretical framework of Symbolic Interactionism and the methodological framework of Interpretive Interactionism. The setting was a general hospital in Bahia, being carried out with 12 nurses working in intensive care for at least one year, through semi-structured interviews and drawing-text-theme technique, whose data were organized according to Miles and Huberman and analyzed upon the referential.
Results:
the sense of being a nurse was evidenced; a being for care, resulting from the experience in intensive care, capable of promoting the development of professional self-image, by causing, in nurses, other skills – besides the scientific ones, such as empathy, creativity, spirituality and compassion.
Final Considerations:
the sense of being a nurse, currently, expresses developments inherited from the Nightingalean proposal, but transcends the technical-managerial emphasis of this to a humanistic care perspective converging with our contemporary professional identity: a being for care.
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