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ORIGINAL ARTICLE03-27-2023
RESVECH 2.0: cross-cultural adaptation for Brazil, reliability and validity for the evaluation of venous ulcers
Revista Brasileira de Enfermagem. 2023;76(2):e20220185
Abstract
ORIGINAL ARTICLERESVECH 2.0: cross-cultural adaptation for Brazil, reliability and validity for the evaluation of venous ulcers
Revista Brasileira de Enfermagem. 2023;76(2):e20220185
DOI 10.1590/0034-7167-2022-0185
Views0See moreABSTRACT
Objectives:
to cross-culturally adapt the scale Resultados en la valoración y evolución de la cicatrización de las heridas – RESVECH 2.0 for Brazilian Portuguese; to estimate the internal consistency and construct and criterion validity of the scale in the evaluation of venous ulcers.
Methods:
methodological study, based on international guidelines for studies of this type. Wounds were evaluated using the RESVECH 2.0 and Pressure Ulcer Scale of Healing 3.0 (PUSH). Descriptive analysis, confirmatory factor analysis, Cronbach’s alpha and Spearman’s correlation (p<0.05) were used.
Results:
12 nurses and 77 people with 153 venous ulcers participated in the study. The translation was successful, the proposed factor model was validated, and Cronbach ‘s alpha = 0.832 (95%CI, 0.780-0.880) and correlation coefficient (RESVECH 2.0 and PUSH 3.0) = 0.74 were obtained.
Conclusions:
the adaptation of RESVECH 2.0 to Brazilian Portuguese is robust. Reliability and validity show compatibility for use in the country in the evaluation of venous ulcers.
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ORIGINAL ARTICLE03-27-2023
Prevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220209
Abstract
ORIGINAL ARTICLEPrevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220209
DOI 10.1590/0034-7167-2022-0209
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Objectives:
to identify the prevalence and characteristics associated with sarcopenia in elders in Primary Health Care Units.
Methods:
cross-sectional study with 384 elders. To evaluate sarcopenia, we measured: strength and muscle mass, and physical performance. The elderly were classified as having: probable sarcopenia; sarcopenia; or severe sarcopenia. The chi-squared test and the multinomial logistic regression method were used.
Results:
the prevalence of probable sarcopenia was 25.52%; of sarcopenia, 11.98%; and of severe sarcopenia, 9.90%. Probable sarcopenia is 1.75 times more prevalent in men; osteoporosis is 2.16 times more prevalent in people with severe sarcopenia; polypharmacy is 1.57 times more likely in individuals with probable sarcopenia; and calf circumference below 31 cm is 2.24 times more likely in patients with sarcopenia and 2.19 times more likely in patients with severe sarcopenia.
Conclusions:
the highest prevalence was of probable sarcopenia, and the characteristics associated with sarcopenia were sex, osteoporosis, polypharmacy, overweight, obesity, and calf circumference.
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ORIGINAL ARTICLE03-27-2023
Outline of a project for nursing health education on the Instagram social network
Revista Brasileira de Enfermagem. 2023;76(2):e20220301
Abstract
ORIGINAL ARTICLEOutline of a project for nursing health education on the Instagram social network
Revista Brasileira de Enfermagem. 2023;76(2):e20220301
DOI 10.1590/0034-7167-2022-0301
Views0See moreABSTRACT
Objectives:
to characterize the outline of a project for health education and its contributions to the propagation of information on the Instagram social network.
Methods:
exploratory and descriptive research on an Instagram profile called ;. Data collection: from July 23, 2020, to April 21, 2021. Interaction metrics were generated on 36 posts. Simple and percentage statistical analysis were applied.
Results:
there are 1,016 followers in Brazil, with a 206.02% growth. The largest audience is teenagers, young people, and women, with a gender difference of 41.8%. The greatest interest was about covid-19, sexual health, and drugs. Followers’ misconceptions reinforce the need for the dissemination of quality information.
Conclusions:
Instagram metrics point to the project’s validation in terms of audience interest, mostly adolescents and youth. Instagram proved to be powerful for educational purposes and information dissemination, as well as an autonomous field for nursing.
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ORIGINAL ARTICLE03-27-2023
Adaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
Abstract
ORIGINAL ARTICLEAdaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
DOI 10.1590/0034-7167-2022-0530
Views1See moreABSTRACT
Objectives:
to adapt and validate an instrument for classifying adult patients that emphasizes the family support network in the demand for nursing care.
Methods:
methodological study, carried out in three phases: adaptation of an instrument considering the reality of adult patients; content validation with seven experts and assessment of measurement properties (construct validity and internal consistency) with 781 hospitalized patients.
Results:
in content validation, the indicators reached the values established for the Content Validity Index (0.85-1.00). In the confirmatory factor analysis, the 11 indicators were distributed in three domains and presented average variance extracted and factor loading greater than 0.5. Composite reliability was greater than 0.7.
Conclusions:
the present study adapted and made available, with evidence of validity and reliability, an instrument for classifying adult patients that considers the family support network in the demand for nursing care.
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ORIGINAL ARTICLE03-17-2023
Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
Revista Brasileira de Enfermagem. 2023;76(2):e20220181
Abstract
ORIGINAL ARTICLEFeatures of the triggering of the yellow code and factors associated with the occurrence of adverse events
Revista Brasileira de Enfermagem. 2023;76(2):e20220181
DOI 10.1590/0034-7167-2022-0181
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Objective:
to analyze the characteristics of the activation of the yellow code in wards and identify the factors associated with adverse events after the Rapid Response Team.
Methods:
a cross-sectional study with retrospective analysis of medical records of adults admitted to medical or surgical clinic wards of the University Hospital of São Paulo.
Results:
among the 91 patients, the most frequent signs of triggers (n=107) were peripheral oxygen saturation of less than 90% (40.2%) and hypotension (30.8%). Regarding the associated factors the research identified each minute of attendance of the Rapid Response Team in the wards increased by 1.2% odds of adverse events (twenty-four unplanned admission in the ICU and one cardiac arrest) in the sample (p=0.014).
Conclusions:
decreased oxygen saturation and hypotension were the main reasons for the triggering, and the length of care was associated with the frequency of adverse events.
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ORIGINAL ARTICLE03-17-2023
Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
Revista Brasileira de Enfermagem. 2023;76(2):e20220443
Abstract
ORIGINAL ARTICLECharacteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
Revista Brasileira de Enfermagem. 2023;76(2):e20220443
DOI 10.1590/0034-7167-2022-0443
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Objective:
to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams.
Methods:
methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning.
Results:
applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management).
Final considerations:
the study promoted the systematization of teams’ work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.
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ORIGINAL ARTICLE03-17-2023
Professional autonomy in dealing with complications: discourse of obstetric nurses working in planned home births
Revista Brasileira de Enfermagem. 2023;76(2):e20220388
Abstract
ORIGINAL ARTICLEProfessional autonomy in dealing with complications: discourse of obstetric nurses working in planned home births
Revista Brasileira de Enfermagem. 2023;76(2):e20220388
DOI 10.1590/0034-7167-2022-0388
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Objective:
to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births.
Methods:
this is a qualitative study, supported by the Discourse of the Collective Subject methodological framework, whose data collection took place from January to March 2021, through interviews guided by a semi-structured script, in which seven midwives who are members of a childbirth care collective in northeastern Brazil and who work in the home context participated.
Results:
four central ideas emerged from the collective discourses related to the exercise of professional autonomy by obstetric nurses: shared decisions; theoretical-practical instrumentalization; professional expertise; and teamwork.
Final considerations:
obstetric nurses’ autonomy in the face of complications reflects the safety of planned home births and is based on collective critical thinking, reinforcing this professional’ leading role in obstetrics.
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ORIGINAL ARTICLE03-17-2023
Production and validation of an educational video on the use of the Z-Track Technique
Revista Brasileira de Enfermagem. 2023;76(2):e20220439
Abstract
ORIGINAL ARTICLEProduction and validation of an educational video on the use of the Z-Track Technique
Revista Brasileira de Enfermagem. 2023;76(2):e20220439
DOI 10.1590/0034-7167-2022-0439
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Objective:
to create and validate an educational video on intramuscular drug administration using the Z-track technique.
Methods:
the Delphi Technique was used to validate the script. PhDs in Nursing and PhDs in Social Communication with experience in the production of educational videos participated in the process. After editing, the video was validated by three nursing professors and assessed by students of the undergraduate nursing program at a public university.
Results:
the video was validated by the examiners with 100% agreement in three rounds for script validation and in two for video validation after editing. The duration of the video was 9 minutes.
Conclusion:
after validation by the examiners, students assessed the video and considered it suitable for learning. We This video is expected to aid in the training of nursing professionals and the enhancement of patient care.
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ORIGINAL ARTICLE11-28-2023
Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
Revista Brasileira de Enfermagem. 2023;76:e20220216
Abstract
ORIGINAL ARTICLEGeospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
Revista Brasileira de Enfermagem. 2023;76:e20220216
DOI 10.1590/0034-7167-2022-0216
Views1See moreABSTRACT
Objective:
To analyze the spatial pattern of tuberculosis in Indigenous peoples from the State of Pará and its correlation with income transfer.
Methods:
Ecological study, with 340 cases reported in Indigenous peoples in the State of Pará, Brazil, in the period 2016-2020. The study performed a descriptive analysis and calculation of incidence rates with smoothing by the local empirical Bayesian method. The Global Moran index assessed the autocorrelation of the rates with income transfer data, p<0,05.
Results:
The Marajó and metropolitan mesoregions of Belém had the highest tuberculosis rates, and a reduced number of people benefited from income transfer (high-low correlation). The study identified high rates, and a significant number of people benefited from financial aid (high correlation high), I=0.399, p=0.027 in the Southwest.
Conclusions:
The spatial autocorrelation between tuberculosis and access to income transfer programs constitutes a relevant subsidy for the formulation of social protection policies and may impact the disease control actions in Indigenous territories, valuing the epidemiological heterogeneity identified in the mesoregions.
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ORIGINAL ARTICLE11-13-2023
Vulnerability to physical inactivity: evidence of content validity and response processes
Revista Brasileira de Enfermagem. 2023;76:e20220563
Abstract
ORIGINAL ARTICLEVulnerability to physical inactivity: evidence of content validity and response processes
Revista Brasileira de Enfermagem. 2023;76:e20220563
DOI 10.1590/0034-7167-2022-0563
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Objective:
To analyze content validity evidence and response processes of a bank of items for measuring vulnerability to physical inactivity in adults.
Method:
Methodological study, with 13 specialists and 46 representatives of the target population. The Content Validity Index (CVI) and binomial test were calculated; data obtained through validity based on response processes were collected through interviews.
Results:
Of the 105 constructed items, 16 were excluded (CVI<0.78); 89 items showed agreement <80% in the psychometric criteria, being modified. Of the 101 items that remained (CVI>0.78), 34 were changed and 4 were deleted after evaluating the evidence of response processes. In the end, 97 items remained, with a global CVI of 0.92, organized into two dimensions: Subject (CVI=0.91) and Social (CVI=0.94).
Conclusion:
The items presented adequate parameters and evidence of validity; and can subsidize the construction of instruments that consider the subject’s and social vulnerability in understanding physical inactivity.
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ORIGINAL ARTICLE12-08-2023
The relationship between level of knowledge and vaginal discharge prevention behavior for nursing student
Revista Brasileira de Enfermagem. 2023;76:e20220602
Abstract
ORIGINAL ARTICLEThe relationship between level of knowledge and vaginal discharge prevention behavior for nursing student
Revista Brasileira de Enfermagem. 2023;76:e20220602
DOI 10.1590/0034-7167-2022-0602
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Objective:
Reproductive health in adolescent girls is very important. To determine the relationship between the level of knowledge and the behavior of preventing vaginal discharge among nursing students.
Methods:
a quantitative, cross-sectional study, with 155 first-year female students at a private faculty of nursing. Data were collected from February to March 2022, using an electronic questionnaire.
Results:
98.1% of participants have a good level of knowledge and 92.3% of participants practice good vaginal discharge prevention behavior.
Conclusion:
good knowledge produces appropriate prevention behavior. The result of this study can be used as a contribution of thoughts and references as a more in-depth study of the factors that influence the level of knowledge and behavior about the disease of the genitalia and the dangers of pathological vaginal discharge.
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ORIGINAL ARTICLE11-13-2023
Access of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
Revista Brasileira de Enfermagem. 2023;76:e20220716
Abstract
ORIGINAL ARTICLEAccess of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
Revista Brasileira de Enfermagem. 2023;76:e20220716
DOI 10.1590/0034-7167-2022-0716
Views0See moreABSTRACT
Objective:
to analyze Primary Health Care professionals’ perceptions about the access of people with pulmonary tuberculosis to government social support and income transfer programs.
Methods:
multicenter/qualitative study, carried out in Family Health Units in four Brazilian capitals: Belém/Pará, Campo Grande/Mato Grosso do Sul, Recife/Pernambuco and Rio de Janeiro/Rio de Janeiro. Fifty-eight professionals participated (social workers, dentists, nurses, pharmacists, physicians and nursing technicians), who provided assistance to people with pulmonary tuberculosis. Individual interviews were conducted, and the content analysis technique was used.
Results:
among the participants, 45/77.6% were women and 33/56.9% were between 25 and 40 years old. Two thematic categories were organized, demonstrating the perceptions about the possibilities of access to government programs by people with pulmonary tuberculosis in vulnerable situations and the obstacles inherent to this context.
Final considerations:
it is necessary to move forward in improving patient access to social programs.
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ORIGINAL ARTICLE12-08-2023
Fear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
Abstract
ORIGINAL ARTICLEFear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
DOI 10.1590/0034-7167-2022-0755
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Objective:
to identify factors associated with fear of COVID-19 among women who experienced pregnancy or childbirth during the pandemic.
Methods:
a cross-sectional study, nested within a prospective cohort, using an online survey, from August 2021 to February 2022, based on descriptive data analysis.
Results:
of the 431 participants, 52.8% were postpartum women and 20.1% were pregnant women. With regard to fear of COVID-19, a mean score of 20.46 was obtained (moderate fear). The highest fear scores were present in women whose newborns were admitted to hospital in neonatal critical units (p=0.032), and the lowest among those covered by supplementary health (insurance) (p=0.016).
Conclusion:
among pregnant and postpartum women, high fear of COVID-19 translated into the possibility of having newborns admitted to hospital in a critical unit. The importance of supporting actions to support pregnant/postpartum women’s mental health in relation to COVID-19 or other threats that may influence the neonatal outcome stands out.
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ORIGINAL ARTICLE11-21-2023
Coping strategies for chronically ill children and adolescents facing the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230045
Abstract
ORIGINAL ARTICLECoping strategies for chronically ill children and adolescents facing the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230045
DOI 10.1590/0034-7167-2023-0045
Views0See moreABSTRACT
Objective:
to understand the experiences and coping strategies of children and adolescents with chronic illnesses during the COVID-19 pandemic.
Methods:
a descriptive study, with a qualitative approach, carried out with six children and adolescents at the reception of an outpatient clinic of a pediatric hospital in the state of Ceará. Data collection took place from April to September 2021, using story-drawing, analyzed in light of Coutinho’s criteria.
Results:
two thematic categories emerged: Situations experienced by children and adolescents in times of COVID-19; Coping strategies for children and adolescents in their chronic illness process during the COVID-19 pandemic.
Final considerations:
understanding the experiences and coping strategies of children and adolescents with chronic illness demonstrated the expression of creative imagination, incorporated by subjective components, which brings to light an approximation with the reality perceived and interpreted in a context of the COVID-19 pandemic.
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ORIGINAL ARTICLE12-08-2023
Simulation-based training in Leprosy: development and validation of a scenario for community health workers
Revista Brasileira de Enfermagem. 2023;76:e20230114
Abstract
ORIGINAL ARTICLESimulation-based training in Leprosy: development and validation of a scenario for community health workers
Revista Brasileira de Enfermagem. 2023;76:e20230114
DOI 10.1590/0034-7167-2023-0114
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Objectives:
To build and validate a clinical simulation scenario designed to instruct community health workers (CHWs) in active leprosy case detection.
Methods:
Methodological study involving the development of a simulated clinical scenario and content validation by experts. The Content Validity Index (CVI) was used to determine the level of agreement among the judging commitee, and a descriptive analysis of their recommendations was performed.
Results:
A simulated scenario with a simulated participant was developed — a simulation characterized by low complexity, moderate physical/environmental fidelity, moderate to high psychological fidelity, and high conceptual fidelity, lasting 50 minutes and capable of training up to 10 CHWs simultaneously. The scenario was validated by 14 experts, with a CVI exceeding 80% for all components.
Conclusions:
The validated clinical simulation possesses attributes that make it highly reproducible in various national health contexts, thereby contributing to the global “Towards Zero Leprosy” strategy.
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ORIGINAL ARTICLE12-08-2023
Knowledge and practices about health among Quilombola men: contributions to health care
Revista Brasileira de Enfermagem. 2023;76:e20230138
Abstract
ORIGINAL ARTICLEKnowledge and practices about health among Quilombola men: contributions to health care
Revista Brasileira de Enfermagem. 2023;76:e20230138
DOI 10.1590/0034-7167-2023-0138
Views1See moreABSTRACT
Objective:
to analyze health knowledge and practices among Quilombola men.
Methods:
a qualitative, descriptive study, carried out with 40 men from two Quilombola communities in Santa Izabel do Pará, state of Pará, Brazil. Individual interviews were carried out using a semi-structured script. Text corpus was subjected to analysis with Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires 0.6, alpha 3, through Descending Hierarchical Classification.
Results:
among participants, eight (20.00%) were aged 55 to 59 years. 382 text segments were identified, with 299 (78.27%) being used, generating five lexical classes, which made up two subcorpora. The classes were organized into four thematic axes, covering knowledge about health and practices to prevent and solve health problems.
Final considerations:
men highlighted popular/traditional wisdom permeated by biomedical knowledge, translating their understanding of how to act to remain or become healthy.
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REVIEW07-06-2020
Patient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
Abstract
REVIEWPatient safety challenges in primary health care: a scoping review
Revista Brasileira de Enfermagem. 2020;73(5):e20190209
DOI 10.1590/0034-7167-2019-0209
Views1See moreABSTRACT
Objectives:
to identify the patient safety challenges described by health professionals in Primary Health Care.
Methods:
a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included.
Results:
the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety.
Conclusions:
patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.
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07-16-2021
Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
Abstract
Sleep quality and its association with menopausal and climacteric symptoms
Revista Brasileira de Enfermagem. 2021;74:e20201150
DOI 10.1590/0034-7167-2020-1150
Views0See moreABSTRACT
Objective:
to assess sleep quality in menopausal women and its association with symptoms related to this period.
Method:
this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant.
Results:
261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale.
Conclusion:
women with worse sleep quality revealed greater severity of symptoms related to menopause.
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ORIGINAL ARTICLE08-10-2020
Eliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
Abstract
ORIGINAL ARTICLEEliot Freidson’s sociology of professions: an interpretation for Health and Nursing
Revista Brasileira de Enfermagem. 2020;73(6):e20180950
DOI 10.1590/0034-7167-2018-0950
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Objectives:
to analyze theoretical conceptions of Eliot Freidson’s Sociology of Professions scoped on health and nursing professions.
Methods:
Eight nurses were interviewed, all involved in the development of the professional Council on the timeframe from 1975 to 1986. Documental resources were Laws, Ordinances, Resolutions, Reports, Meeting Minutes and Public Deeds. Information was organized as from literature and Eliot Freidson’s conceptions, and thematic content analysis was carried out.
Results:
the concepts authored by Eliot Freidson allowed for the development of a concept chart that portrays the nursing profession and that may be expanded for the other occupations in the health field, in consonance with professional organization in the country.
Final Considerations:
Eliot Freidson’s framework, in interpretation for nursing, consolidates the profession with relative autonomy, expertise by Nursing Care Systematization and credentialism by professional normalizations.
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REVIEW01-20-2021
Psychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
Abstract
REVIEWPsychosocial factors in nursing work and occupational risks: a systematic review
Revista Brasileira de Enfermagem. 2021;74:e20200198
DOI 10.1590/0034-7167-2020-0198
Views0See moreABSTRACT
Objective:
to identify, in international scientific production, the main psychosocial factors in nursing work, found through the Copenhagen Psychosocial Questionnaire (COPSOQ) application.
Methods:
a systematic review study of psychosocial factors at work among nursing professionals, who used COPSOQ in the assessment of work environments.
Results:
fifteen articles were identified, which highlighted as main psychosocial dimensions of nursing work demands, work organization, social relationships and leadership, work-home interface, workplace health and well-being and offensive behaviors.
Conclusion:
the high demands for cognitive, emotional work and work pace were identified in the nursing routine. Management support had a positive impact. Physical and psychological violence and shift work interfere in family life, aggravating the fatigue of these professionals. Interventions for reducing work stress presuppose the identification of psychosocial factors involved in nursing work.
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ORIGINAL ARTICLE12-05-2019
Factors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
Abstract
ORIGINAL ARTICLEFactors associated with frailty syndrome in the rural elderly
Revista Brasileira de Enfermagem. 2019;72:14-21
DOI 10.1590/0034-7167-2017-0079
Views0See moreABSTRACT
Objective:
determine the prevalence and factors associated with frailty syndrome (FS) in the elderly in the rural population of Pelotas.
Method:
Quantitative, analytical, transversal study conducted with 820 elderly subjects registered in the Family Health Strategy (FHS) in the rural area in the municipality of Pelotas, from July to October 2014.
Results:
among those evaluated, 43.41% showed FS. These factors were consolidated as associated with the condition: low income (PR: 1.54, p ≤ 0.001), low educ. level (PR: 1.45, p ≤ 0.001), nutritional status (obesity) (PR:1.89, p ≤ 0.001), physical inactivity (PR:1.93, p = 0.003), cognitive deficit (PR:2.07, p = 0.005), and poor self-perceived health (PR: 8.21, p ≤ 0.001).
Conclusion:
the findings may contribute effectively to the establishment of prevention and screening measures for frailty among the elderly by health professionals, especially nurses, aiming to prevent the occurrence of the syndrome and adverse and undesirable outcomes.
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ORIGINAL ARTICLE07-06-2020
Association between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
Abstract
ORIGINAL ARTICLEAssociation between knowledge and adherence to foot self-care practices performed by diabetics
Revista Brasileira de Enfermagem. 2020;73(5):e20190430
DOI 10.1590/0034-7167-2019-0430
Views0See moreABSTRACT
Objectives:
to verify the association between knowledge and adherence to foot self-care practices performed by patients with diabetes mellitus type 2.
Methods:
cross-sectional, descriptive study carried out with 197 patients in basic health units located in the Northeast region of Brazil. For data collection, we used a semi-structured questionnaire that addressed issues inherent to knowledge and Diabetes Self-Care Activities.
Results:
we observed that patients with moderate knowledge about self-care practices were more likely to perform foot self-examination, dry the interdigital spaces, moisturize their feet with creams and oils, observe the presence of mycosis and ingrown toenail when compared to patients with insufficient knowledge.
Conclusions:
the patients’ level of knowledge was closely related to the self-care activities carried out, which reinforces the importance of nurses working on training those on essential health care.
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ORIGINAL ARTICLE06-01-2020
Factors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
Abstract
ORIGINAL ARTICLEFactors associated with occupational stress among nursing professionals in health services of medium complexity
Revista Brasileira de Enfermagem. 2020;73:e20180913
DOI 10.1590/0034-7167-2018-0913
Views0See moreABSTRACT
Objective:
To analyze the factors associated with occupational stress among nursing workers in health services of medium complexity.
Methods:
Epidemiological, cross-sectional, exploratory study. A randomly selected sample of 126 nursing professionals from medium complexity services in three cities in the state of Bahia (Santo Antônio de Jesus, Feira de Santana and Itabuna) was investigated. Data were collected in 2011 and 2012. The demand-control model proposed by Karasek was used to assess occupational stress. Simultaneous analysis of occupational stressors was performed using Poisson regression with robust variance.
Results:
The prevalence of occupational stress among nursing professionals was 77%. Occupational stress was associated with the professional category of nursing technician (p=0.01).
Conclusion:
The data indicates a concerning situation of exposure to occupational stressors, which requires coping strategies in order to protect the health of the worker.
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ORIGINAL ARTICLE03-07-2022
Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
Abstract
ORIGINAL ARTICLECritically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload
Revista Brasileira de Enfermagem. 2022;75:e20210119
DOI 10.1590/0034-7167-2021-0119
Views0See moreABSTRACT
Objective:
To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables.
Methods:
Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group.
Results:
Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found.
Conclusion:
Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.
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Adolescente (85) Atenção Primária à Saúde (239) COVID-19 (91) Criança (91) Cuidados de Enfermagem (269) Educação em Enfermagem (151) Educação em Saúde (139) Enfermagem (930) Enfermagem Pediátrica (86) Estudantes de Enfermagem (77) Estudos de Validação (131) Família (87) Idoso (208) Promoção da Saúde (99) Qualidade de Vida (104) Saúde do Trabalhador (86) Saúde Mental (145) Saúde Pública (82) Segurança do Paciente (150) Tecnologia Educacional (100)