Articles - Revista Brasileira de Enfermagem

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01-01-2016

Association between self-care and hospital readmissions of patients with heart failure
Revista Brasileira de Enfermagem. 2016;69(3):500-506

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Abstract
Association between self-care and hospital readmissions of patients with heart failure
Revista Brasileira de Enfermagem. 2016;69(3):500-506
DOI 10.1590/0034-7167.2016690312i
Amanda Chlalup Linn,
Karina Azzolin,
Emiliane Nogueira de Souza
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ABSTRACT

Objective:

to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil.

Method:

it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory.

Results:

it was observed an average of 2.57±1.66 rehospitalization last year for decompensated heart failure. There was a correlation between self-care scores with the number of hospital readmissions for decompensated HF. Education and age were associated to self-care of HF patients.

Conclusion:

both scales assess self-care in a relevant way, and correlated their indexes.

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01-01-2016

Knowledge management in Portuguese healthcare institutions
- Sofia Gaspar Cruz,
- Maria Manuela Frederico Ferreira
Revista Brasileira de Enfermagem. 2016;69(3):492-499
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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.
Abstract
Knowledge management in Portuguese healthcare institutions
Revista Brasileira de Enfermagem. 2016;69(3):492-499
DOI 10.1590/0034-7167.2016690311i
Sofia Gaspar Cruz,
Maria Manuela Frederico Ferreira
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ABSTRACT

Objective:

to evaluate the perception of healthcare institution collaborators in relation to knowledge management in the institution where they operate and analyze the existence of differences in this perception, based on the institution’s management model.

Method:

a study conducted in a sample consisting of 671 collaborators from 10 Portuguese healthcare institutions with different models of management. In order to assess the knowledge management perception, we used a score designed from and based on items from the scores available in the literature.

Results:

the perception of moderate knowledge management on the healthcare institutions and the statistically significant differences in knowledge management perception were evidenced in each management model.

Conclusion:

management knowledge takes place in healthcare institutions, and the current management model determines the way staff at these institutions manage their knowledge.

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Citation Indexes: 13
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Full Text Views: 6774
Abstract Views: 390
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Readers: 72
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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.
01-01-2016

Social impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491

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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.
Abstract
Social impairment of patients undergoing hematopoietic stem cell transplant
Revista Brasileira de Enfermagem. 2016;69(3):484-491
DOI 10.1590/0034-7167.2016690310i
Vanessa da Rocha,
Sibéli de Fátima Ferraz Simão Proença,
Angela da Costa Barcellos Marques,
Leticia Pontes,
Maria de Fátima Mantovani,
Luciana Puchalski Kalinke
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ABSTRACT

Objective:

to evaluate the impairment of social and emotional domains of hospitalized patients undergoing hematopoietic stem cells transplantation.

Method:

an observational, longitudinal study with 25 participants evaluated in the period of pre-transplant, pancytopenia and pre-hospital discharge between September 2013 and September 2014, in a reference hospital for this treatment modality in Brazil. Two international instruments were used, both of which translated and adapted to Portuguese (Brazil): Quality of Life Questionnaire-Core 30 and Functional Assessment Cancer Therapy – Bone Marrow Transplantation.

Results:

patients have shown a statistically significant decrease in the social domain, and stability of the emotional function along the course of treatment.

Conclusion:

hematopoietic stem cell transplantation changes the social function of patients with hematologic cancer during hospitalization stage. Thus, patients should receive guidance addressing the social domain in order that it can be less affected.

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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.
01-01-2016

Frailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483

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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.
Abstract
Frailty and quality of life in elderly primary health care users
Revista Brasileira de Enfermagem. 2016;69(3):478-483
DOI 10.1590/0034-7167.2016690309i
Maria Helena Lenardt,
Nathalia Hammerschmidt Kolb Carneiro,
Maria Angélica Binotto,
Mariluci Hautsch Willig,
Tânia Maria Lourenço,
Jéssica Albino
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ABSTRACT

Objective:

to investigate the association between physical frailty and quality of life in elderly users of primary health care in the capital of the state of Paraná.

Method:

a cross-sectional, quantitative study with 203 elders. Data collected included: physical activity questionnaires, weight loss, fatigue/exhaustion, quality of life, performance of gait speed tests, and handgrip strength.

Results:

of the 203 older adults, 115 were pre-frail, 49 were non-frail, and 39 were frail, with a significant association with functional capacity and quality of life in all groups. The dimensions resulting from physical aspects, pain, and vitality were associated with those that were non-frail.

Conclusion:

in this study, frailty syndrome was inversely proportional to the quality of life, and significantly associated with functional capacity of older adults. Physical frailty is a manageable condition which can be targeted through geriatric nursing interventions.

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01-01-2016

Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477

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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.
Abstract
Impact of home visits on the functional capacity of patients with venous ulcers
Revista Brasileira de Enfermagem. 2016;69(3):468-477
DOI 10.1590/0034-7167.2016690308i
Fabiana Lopes Joaquim,
Alessandra Conceição Leite Funchal Camacho,
Vera Maria Sabóia,
Renata da Costa Santos,
Lívia da Silva Firmino dos Santos,
Glycia de Almeida Nogueira
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ABSTRACT

Objective:

to assess the impact of protocol home visits on the functional capacity of adult and elderly patients with venous ulcers, before and after guidance received at home.

Method:

clinical experimental, randomized, nonblinded and controlled study, developed with 32 patients (case and control groups). Fields of research were the Wound Outpatient Care Unit of the Antônio Pedro University Hospital and households of patients treated in the outpatient unit. Data collection occurred from February to June 2014, by means of an assessment tool of the health care unit, the TINETTI index and a script for directions to be provided to study participants who received home visits.

Results:

participants in the case group showed significant and differentiated improvement post-intervention when compared to the control group, which remained stable.

Conclusion:

directions provided in the home context were beneficial to the members of the case group.

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01-01-2016

Pressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467

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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.
Abstract
Pressure ulcers in critically ill patients: incidence and associated factors
Revista Brasileira de Enfermagem. 2016;69(3):460-467
DOI 10.1590/0034-7167.2016690307i
Andressa Tomazini Borghardt,
Thiago Nascimento do Prado,
Sheilla Diniz Silveira Bicudo,
Denise Silveira de Castro,
Maria Edla de Oliveira Bringuente
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ABSTRACT

Objective:

to identify the incidence and describe the associated factors for pressure ulcers in critically ill patients.

Method:

this was a prospective cohort study with 77 patients, using a clinical, metabolic assessment and the associated factors for pressure ulcer, applying the risk scales (Braden and Waterlow) and assigning ulcers to categories.

Results:

an incidence of 22% (95% CI 12.6 – 31.5), with 17 patients with 32 pressure ulcers in the sacral region (47%), and of Class I (72%). The length of stay was greater than ten days (71%), most admissions were surgical (53%) or for congestive heart failure (24%), and were high risk on the Braden Scale (59%).

Conclusion:

the study highlights the high incidence of pressure ulcers, clinical and metabolic characteristics and associated factors, as well as the outcome of death, requiring, therefore, preventive measures.

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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.
01-01-2016

Accreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459

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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.
Abstract
Accreditation in a public hospital: perceptions of a multidisciplinary team
Revista Brasileira de Enfermagem. 2016;69(3):451-459
DOI 10.1590/0034-7167.2016690306i
Nadia Raquel Suzini Camillo,
João Lucas Campos de Oliveira,
José Aparecido Bellucci Junior,
Andressa Hirata Cervilheri,
Maria do Carmo Fernandez Lourenço Haddad,
Laura Misue Matsuda
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ABSTRACT

Objective:

to analyze the perceptions of the multidisciplinary team on Accreditation in a public hospital.

Method:

descriptive, exploratory, qualitative research, performed in May 2014, using recorded individual interviews. In total, 28 employees of a public hospital, Accredited with Excellence, answered the guiding question: “Tell me about the Accreditation system used in this hospital”. The interviews were transcribed and subjected to content analysis.

Results:

of the speeches, three categories emerged: Advantages offered by the Accreditation; Accredited public hospital resembling a private hospital; Pride/satisfaction for acting in an accredited public hospital.

Conclusion:

participants perceived Accreditation as a favorable system for a quality management in the public service because it promotes the development of professional skills and improves cost management, organizational structure, management of assistance and perception of job pride/satisfaction.

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01-01-2016

Health status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450

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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.
Abstract
Health status and the return to work after traffic accidents
Revista Brasileira de Enfermagem. 2016;69(3):443-450
DOI 10.1590/0034-7167.2016690305i
Luciana Paiva,
Daniele Alcalá Pompeo,
Márcia Aparecida Ciol,
Glendha Oliveira Arduini,
Rosana Aparecida Spadoti Dantas,
Eva Claudia Venâncio de Senne,
Lídia Aparecida Rossi
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ABSTRACT

Objective:

to compare the health status of traffic accident victims, at hospital discharge and after six months, and to analyze the predictive variables of their health status and return to work.

Method:

observational, longitudinal study. Data were collected through interviews and medical records of 102 patients with a mean age of 33 years; with the majority being men and victims of motorcycle accidents. The variables were analyzed by means of validated tools, student’s t-test, multiple linear regression, and logistic regression.

Results:

there was an improvement of perception in the patients’ health status six months after hospital discharge and functional capacity. The individuals who returned to work showed better health-related quality of life evaluation.

Conclusion:

improvement of the perceived health status six months after hospital discharge was found. Factors that influenced the patients’ return to work were not identified.

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EXPERIENCE REPORT01-01-2018

Clinical and epidemiological teaching of dengue through simulated practice
Revista Brasileira de Enfermagem. 2018;71(2):451-456

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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.
Abstract
EXPERIENCE REPORT
Clinical and epidemiological teaching of dengue through simulated practice
Revista Brasileira de Enfermagem. 2018;71(2):451-456
DOI 10.1590/0034-7167-2016-0503
João Henrique de Morais Ribeiro,
Eloá Otrenti,
Renata Ferreira Takahashi,
Lúcia Yasuko Izumi Nichiata,
Maria Clara Padoveze,
Érica Gomes Pereira,
Sebastião Silveira Nunes Júnior,
Anna Luiza de Fátima Pinho Lins Gryschek,
Suely Itsuko Ciosak
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ABSTRACT

Objective:

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

Method:

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

Results:

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

Conclusion:

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

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ORIGINAL ARTICLE07-18-2022

Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization
- Isadora Trinquinato Rosa ,
- Lisabelle Mariano Rossato ,
- Danila Maria Batista Guedes ,
- Vanessa Dias Fogaça ,
- Flávia Domingues ,
- Lucía Silva
Revista Brasileira de Enfermagem. 2022;75(6):e20210546

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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.
Abstract
ORIGINAL ARTICLE
Beliefs, knowledge, actions of nursing techniques in breastfeeding in pain management in immunization
Revista Brasileira de Enfermagem. 2022;75(6):e20210546
DOI 10.1590/0034-7167-2021-0546
Isadora Trinquinato Rosa ,
Lisabelle Mariano Rossato ,
Danila Maria Batista Guedes ,
Vanessa Dias Fogaça ,
Flávia Domingues ,
Lucía Silva
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ABSTRACT

Objective:

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

Methods:

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

Results:

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

Final considerations:

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

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REVIEW12-08-2023

Educational technologies for accident prevention due to falls in childhood: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220807

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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.
Abstract
REVIEW
Educational technologies for accident prevention due to falls in childhood: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20220807
DOI 10.1590/0034-7167-2022-0807
Abiúde Nadabe e Silva ,
Aline Costa de Oliveira ,
Jefferson Abraão Caetano Lira ,
Ana Roberta Vilarouca da Silva ,
Lídya Tolstenko Nogueira
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ABSTRACT

Objectives:

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

Methods:

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

Results:

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

Conclusions:

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

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REVIEW03-15-2024

Resources for health literacy among caregivers of prematurely born children: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230062

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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.
Abstract
REVIEW
Resources for health literacy among caregivers of prematurely born children: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230062
DOI 10.1590/0034-7167-2023-0062
Ana Clara Gomes Andrade ,
Giovanna Barbosa Mendes ,
Mariana Fuentes Mendoza Rodrigues Soares ,
Suelen Rosa de Oliveira ,
Luciano Marques dos Santos ,
Elysângela Dittz Duarte
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ABSTRACT

Objectives:

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

Methods:

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

Results:

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

Conclusions:

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

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ORIGINAL ARTICLE01-13-2024

Social representations of oncologic surgery for patients with cancer
Revista Brasileira de Enfermagem. 2024;77(6):e20230273

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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.
Abstract
ORIGINAL ARTICLE
Social representations of oncologic surgery for patients with cancer
Revista Brasileira de Enfermagem. 2024;77(6):e20230273
DOI 10.1590/0034-7167-2023-0273
Rômulo Frutuoso Antunes ,
Rachel Verdan Dib ,
Raquel de Souza Ramos ,
Antonio Marcos Tosoli Gomes ,
Manassés Moura dos Santos ,
Margarida Maria Rocha Bernardes ,
Carolina Cristina Scrivano dos Santos ,
Karen Paula Damasceno dos Santos Souza
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ABSTRACT

Objectives:

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

Methods:

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

Results:

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

Final Considerations:

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

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
ORIGINAL ARTICLE01-13-2024

Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481

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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.
Abstract
ORIGINAL ARTICLE
Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481
DOI 10.1590/0034-7167-2023-0481
Camila Wohlenberg Camparoto ,
Maria do Carmo Fernandez Lourenço Haddad ,
Elen Ferraz Teston ,
Pamela dos Reis ,
Sonia Silva Marcon
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ABSTRACT

Objectives:

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

Methods:

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

Results:

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

Final Considerations:

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

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ERRATUM01-13-2024

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

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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.
Abstract
ERRATUM
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
DOI 10.1590/0034-7167.20247706e08
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In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1:Where it read:[…]
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ORIGINAL ARTICLE09-29-2022

Palliative care production for health professionals in the context of home care
Revista Brasileira de Enfermagem. 2022;75(1):e20210030

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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.
Abstract
ORIGINAL ARTICLE
Palliative care production for health professionals in the context of home care
Revista Brasileira de Enfermagem. 2022;75(1):e20210030
DOI 10.1590/0034-7167-2021-0030
Alexandre Ernesto Silva ,
Elysângela Dittz Duarte ,
Sérgio Joaquim Deodato Fernandes
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ABSTRACT

Objectives:

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

Methods:

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

Results:

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

Final Considerations:

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

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