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ORIGINAL ARTICLE12-16-2024
Complexities of nursing in healthcare waste management in hospitals
- Maria José Carvalho Ferreira
, - Carla Aparecida Arena Ventura ,
- Glaucia Valente Valadares ,
- Thiago Privado da Silva ,
- Laura Johanson da Silva , [ … ],
- Ítalo Rodolfo Silva
Abstract
ORIGINAL ARTICLEComplexities of nursing in healthcare waste management in hospitals
Revista Brasileira de Enfermagem. 2024;77(6):e20230391
DOI 10.1590/0034-7167-2023-0391
- Maria José Carvalho Ferreira ,
- Carla Aparecida Arena Ventura ,
- Glaucia Valente Valadares ,
- Thiago Privado da Silva ,
- Laura Johanson da Silva ,
- Ítalo Rodolfo Silva
Views0See moreABSTRACT
Objectives:
to understand how healthcare waste management is developed by nursing professionals in hospitals.
Methods:
qualitative research, whose theoretical and methodological frameworks were Complexity Theory and Grounded Theory. Thirty-two nursing professionals from a public hospital in Rio de Janeiro participated in the study. Semi-structured interviews were used.
Results:
nursing affects healthcare waste management multidimensionally. Shortage of materials and work overload were identified as factors that influence professionals’ decision-making and increase the risk of improper waste disposal. The lack of knowledge on the subject also influences nursing practice. However, professionals value actions related to hazardous waste.
Final Considerations:
nursing professionals recognize themselves in healthcare waste management and understand the need to develop systemic awareness for sustainable practice.
- Maria José Carvalho Ferreira
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ORIGINAL ARTICLE12-16-2024
Predisposing factors for symptoms of anxiety, depression, and insomnia in university students
- Júlia Couto de Oliveira ,
- Vanessa Ribeiro Neves ,
- Juliana Garcia Céspedes ,
- Vânia D’Almeida ,
- Meiry Fernanda Pinto Okuno , [ … ],
- Anderson da Silva Rosa
Abstract
ORIGINAL ARTICLEPredisposing factors for symptoms of anxiety, depression, and insomnia in university students
Revista Brasileira de Enfermagem. 2024;77(6):e20230387
DOI 10.1590/0034-7167-2023-0387
- Júlia Couto de Oliveira ,
- Vanessa Ribeiro Neves ,
- Juliana Garcia Céspedes ,
- Vânia D’Almeida ,
- Meiry Fernanda Pinto Okuno ,
- Laís Lira Figueiredo ,
- Ana Rafaela de Brito Cerqueira ,
- Anderson da Silva Rosa
Views0See moreABSTRACT
Objectives:
to characterize the sociodemographic and psychological aspects of university students who sought psychiatric care at a Student Support Center of a Federal University and to analyze associations between mental health issues and predisposing factors.
Methods:
a retrospective analysis of 103 medical records was conducted. The statistical analysis consisted of two steps: a descriptive analysis and a predictive analysis using the Logistic Regression Model.
Results:
the majority of the students were female. Symptoms of anxiety, depression, and insomnia were the main reasons for seeking care. Students who reported having emotional difficulties that negatively impacted their studies and those who had undergone some form of health treatment showed a higher probability of experiencing anxiety symptoms. Notable correlations were found between anxiety and emotional difficulties, depression and diarrhea, and insomnia and a sedentary lifestyle.
Conclusions:
symptoms of anxiety, depression, and insomnia led students to seek psychiatric care at the university. Understanding the predisposing factors for mental health issues in university students can inform care strategies and promote academic success.
- Júlia Couto de Oliveira
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ORIGINAL ARTICLE12-16-2024
Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
Abstract
ORIGINAL ARTICLEEditorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
DOI 10.1590/0034-7167-2023-0362
Views0See moreABSTRACT
Objectives:
to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017.
Methods:
qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective.
Results:
seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science.
Final Considerations:
the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.
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ORIGINAL ARTICLE12-16-2024
Educational technology to empower patients as participants in their care
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina , [ … ],
- Hadelândia Milon de Oliveira
Abstract
ORIGINAL ARTICLEEducational technology to empower patients as participants in their care
Revista Brasileira de Enfermagem. 2024;77(6):e20230359
DOI 10.1590/0034-7167-2023-0359
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina ,
- Joice Claret Neves ,
- Hadelândia Milon de Oliveira
Views0See moreABSTRACT
Objectives:
to build and validate an educational technology to empower patients as participants in their own care.
Methods:
methodological study to develop an educational technology based on the elaboration, validation, and evaluation that were carried out in five stages at a teaching hospital in Amazonas. The study was carried out from 2019 to 2022, with the participation of 19 judges specialized in patient safety and 72 patients admitted to the hospital’s medical and surgical clinics, the study setting.
Results:
the agreement between the judges obtained an overall index of 0.85, being considered validated. The overall analysis of the booklet obtained an assessment of the level of agreement above 85%.
Final Considerations:
the educational technology presented here was validated and suitable for promoting patient/professional rapprochement and consolidating health care in a way that increases the patient’s ability to contribute to their treatment and prevent the occurrence of adverse events.
- Rodrigo da Silva Ramos
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REVIEW12-16-2024
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte , [ … ],
- Fernanda Penido Matozinhos
Abstract
REVIEWStrategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
DOI 10.1590/0034-7167-2023-0343
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objectives:
to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.
Methods:
systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.
Results:
initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.
Conclusions:
we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
- Janaina Fonseca Almeida Souza
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ORIGINAL ARTICLE12-16-2024
The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
- Caren de Oliveira Riboldi ,
- Renata Cristina Gasparino ,
- Wiliam Wegner ,
- Eder Henriqson ,
- Tarcísio Abreu Saurin , [ … ],
- Ana Maria Müller de Magalhães
Abstract
ORIGINAL ARTICLEThe nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
Revista Brasileira de Enfermagem. 2024;77(6):e20230315
DOI 10.1590/0034-7167-2023-0315
- Caren de Oliveira Riboldi ,
- Renata Cristina Gasparino ,
- Wiliam Wegner ,
- Eder Henriqson ,
- Tarcísio Abreu Saurin ,
- Ana Maria Müller de Magalhães
Views1See moreABSTRACT
Objectives:
to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.
Methods:
a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.
Results:
the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.
Conclusions:
the study results indicate a relationship between these constructs, with implications for the quality and the safety of care.
- Caren de Oliveira Riboldi
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ORIGINAL ARTICLE12-16-2024
Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
- Talyta Sâmara Batista Ferreira ,
- Cinara Botelho Moutinho ,
- Edmar Rocha Almeida ,
- Ana Júlia Soares Oliveira ,
- Carolina Amaral Oliveira Rodrigues , [ … ],
- Marise Fagundes Silveira
Abstract
ORIGINAL ARTICLEFactors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
Revista Brasileira de Enfermagem. 2024;77(6):e20230304
DOI 10.1590/0034-7167-2023-0304
- Talyta Sâmara Batista Ferreira ,
- Cinara Botelho Moutinho ,
- Edmar Rocha Almeida ,
- Ana Júlia Soares Oliveira ,
- Carolina Amaral Oliveira Rodrigues ,
- Clara de Cássia Versiani ,
- Sibylle Emilie Vogt ,
- Marise Fagundes Silveira
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.
Methods:
a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.
Results:
a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).
Conclusions:
a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.
- Talyta Sâmara Batista Ferreira
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ORIGINAL ARTICLE12-16-2024
Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff
- Emanuelli Mancio Ferreira da Luz ,
- Oclaris Lopes Munhoz ,
- Patrícia Bitencourt Toscani Greco ,
- Bruna Xavier Morais ,
- Silviamar Camponogara , [ … ],
- Tânia Solange Bosi de Souza Magnago
Abstract
ORIGINAL ARTICLEPrevalence and factors associated with musculoskeletal pain among hospital cleaning staff
Revista Brasileira de Enfermagem. 2024;77(6):e20230237
DOI 10.1590/0034-7167-2023-0237
- Emanuelli Mancio Ferreira da Luz ,
- Oclaris Lopes Munhoz ,
- Patrícia Bitencourt Toscani Greco ,
- Bruna Xavier Morais ,
- Silviamar Camponogara ,
- Tânia Solange Bosi de Souza Magnago
Views0See moreRESUMO
Objetivos:
verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.
Métodos:
estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.
Resultados:
participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).
Conclusões:
prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.
- Emanuelli Mancio Ferreira da Luz
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Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program
Revista Brasileira de Enfermagem. 2015;68(1):84-92
Abstract
Factors associated with immunization against Hepatitis B among workers of the Family Health Strategy Program
Revista Brasileira de Enfermagem. 2015;68(1):84-92
DOI 10.1590/0034-7167.2015680112p
Views0See moreObjective:
to investigate the report of vaccination against Hepatitis B, verification of immunization and the factors associated with dosages of anti-HBs.
Method:
we collected blood samples from those reported that they had one or more doses of the vaccine. We evaluated the association of the dosage of anti- HBs with sociodemographic conditions, occupational and behavioral. The associations were verified by Mann Whitney and Kruskal Wallis and correlation Spermann by linear regression using SPSS® 17.0.
Results:
among the 761 respondents, 504 (66.1%) were vaccinated, 52.5 % received three doses, 30.4 % verified immunization. Of the 397 evaluated for the determination of anti-Hbs, 16.4% were immune.
Conclusion:
it was found that longer duration of work was associated with higher levels of anti-HBs, while levels of smoking were inversely associated with anti-HBs. These workers need for vaccination campaigns.
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The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?
Revista Brasileira de Enfermagem. 2015;68(1):76-83
Abstract
The decreasing number of cigarettes during psychiatric hospitalization: intervention or punishment?
Revista Brasileira de Enfermagem. 2015;68(1):76-83
DOI 10.1590/0034-7167.2015680111p
Views0See moreObjective:
To identify the mental disorders carriers’ perception, the smokers ones, about the decreasing number of cigarettes during psychiatric hospitalization.
Method:
Exploratory study with 96 hospitalized carriers of mental disorders who are smokers: G1 (34 subjects hospitalized when was allowed one cigarette by hour) and G2 (62 subjects hospitalized when it was reduced to eight cigarette by day). Semi-structured questionnaire. Thematic content analysis.
Results:
The G1 admitted satisfaction with the restriction – smoking during hospitalization as entitlement. The G2 resists the restriction change occurred without dialogue or support. In spite of the difficulties, some attitude changes about the cigarette were noticed such as increase of the responsibility, discovery of the ability to reduce smoking and the meaning of its role.
Conclusion:
Some subjects understand the smoking health policy change as punishment, while others as opportunity to think about the role of cigarette in their life.
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Family functionality in oldest old household residents
Revista Brasileira de Enfermagem. 2015;68(1):68-75
Abstract
Family functionality in oldest old household residents
Revista Brasileira de Enfermagem. 2015;68(1):68-75
DOI 10.1590/0034-7167.2015680110p
Views0See moreObjective:
the aim of this study was to identify factors associated with family functionality of non-institutionalized long-lived subjects, who were residents in Goiânia (GO), Brazil.
Method:
this was a population-based epidemiological study with cross-sectional outline. Evaluation scales of the functional and cognitive capacities were used. Family dynamics was measured using the Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) instrument by making home interviews with 131 long-lived individuals.
Results:
there was prevalence of the female gender, average of age of 83.87 years old, widowhood condition, and residence in a big family, primary schooling, and self-perception of regular health. A great amount showed independence for self-care and partial dependence for daily life instrumental activities. Family functionality prevailed with score average of 9.06 points.
Conclusion:
in conclusion, family functionality in long-lived subjects is associated with self-perception of poor/bad health, osteoporosis, and fall. Results allowed characterizing long-lived subjects’ family functionality with the aim of valuing and prioritizing family as a caregiver.
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Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors
Revista Brasileira de Enfermagem. 2015;68(1):60-67
Abstract
Prevalence of non-adherence to antihypertensive pharmacotherapy and associated factors
Revista Brasileira de Enfermagem. 2015;68(1):60-67
DOI 10.1590/0034-7167.2015680109i
Views0See moreObjective:
the aim of the study was to determine the prevalence of non-adherence to antihypertensive drug treatment and its association with factors bio-socio-economic and welfare.
Method:
it was a descriptive, cross-sectional study, performed with 422 hypertensive individuals. Data were collected through home interviews, conducted between December 2011 and March 2012.
Results:
the results showed that the respondents were mostly female, married, elderly, low income and little time of diagnosis. Were considered non adherent to medication 42.65% of participants. Non-Caucasian hypertensive patients, with fewer than eight years of schooling, who did not regularly attend doctor’s appointments, took more than two anti-hypertensive medications and did not have private health insurance, showed higher likelihood of not complying with the drug treatment.
Conclusion:
these findings suggest that hypertensive patients with unfavorable socioeconomic characteristics and difficulty of access to the service require different interventions in order to encourage them to adhere to medication treatment.
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Adherence and knowledge about the use of personal protective equipment among manicurists
Revista Brasileira de Enfermagem. 2015;68(1):52-59
Abstract
Adherence and knowledge about the use of personal protective equipment among manicurists
Revista Brasileira de Enfermagem. 2015;68(1):52-59
DOI 10.1590/0034-7167.2015680108i
Views0See moreObjective:
this study aimed to assess adherence and knowledge of manicures/pedicures on the use of Personal Protective Equipment (PPE).
Methods:
it was a survey with 235 manicures/pedicures in salons, Belo Horizonte/Brazil. Data were analyzed with the software Statistical package for the social sciences (17.0), using descriptive statistics, chi-square and logistic regression.
Results:
the adherence and the knowledge of the professional were evaluated using the median of the results, obtaining 52% and 63% respectively. The professionals younger than 31 were more likely (2.54 times) to adhere to PPE and those who claimed to have done biosafety course and to use uniform during work, had better chance of understanding (2.86 and 3.12 times, respectively). The majority (83.4 %) stated that the use of PPE should occur for all procedures, meanwhile 71.5 % cited not use them.
Conclusions:
the results indicate the poor adherence to PPE, strengthen occupational biological risk and need for training of these professionals.
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Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes
Revista Brasileira de Enfermagem. 2015;68(1):45-51
Abstract
Predictive value of the Manchester Triage System: evaluation of patients’ clinical outcomes
Revista Brasileira de Enfermagem. 2015;68(1):45-51
DOI 10.1590/0034-7167.2015680107i
Views0See moreObjective:
to analyze the predictive value of the Manchester Triage System in relation to clinical outcome of patients.
Methods:
prospective observational study of 577 patients admitted to the ER and subjected to risk classification. The Therapeutic Intervention Scoring System-28 (TISS-28) was used to measure the severity of patients (primary outcome) and secondary outcomes: high / transfer, death, and length of hospital stay. Descriptive and univariate analyzes were conducted.
Results:
patients classified as red are 10.7 times more likely to have scores above 14 in TISS-28 in relation to others. Patients classified as red have 5.9 times more chance of progression to death compared to others. Patients of high priority service are 1.5 times more likely to be hospitalized over five days than low priority.
Conclusions:
STM proved a good predictor of clinical outcomes.
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Entrepreneurship in Nursing: overview of companies in the State of São Paulo
Revista Brasileira de Enfermagem. 2015;68(1):40-44
Abstract
Entrepreneurship in Nursing: overview of companies in the State of São Paulo
Revista Brasileira de Enfermagem. 2015;68(1):40-44
DOI 10.1590/0034-7167.2015680106i
Views0See moreObjective:
the present study aimed to identify and characterize nursing companies managed by entrepreneur nurses registered at the Commercial Registry of São Paulo by 2011.
Method:
it’s a descriptive, exploratory study, whose data collection, made throughout January 2012, was carried out on the Commercial Registry of Sao Paulo website. This non-governmental body has the function of registering the opening of companies and supervising their trade situation.
Results and conclusion:
this study allowed us to identify that the entrepreneur nurse is a growing reality through the identification of 196 companies opened by these professionals. Afterwards, it was analyzed their time of functioning, the main economic activity of the company, capital value, percentage of nurse partners and the distribution of companies by region of Sao Paulo State.
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Knowing blood donation surroundings: Implications for nurse service in hemotherapy
Revista Brasileira de Enfermagem. 2015;68(1):32-39
Abstract
Knowing blood donation surroundings: Implications for nurse service in hemotherapy
Revista Brasileira de Enfermagem. 2015;68(1):32-39
DOI 10.1590/0034-7167.2015680105i
Views0See moreObjective:
the study aims at discussing the significations apprehended by the non-blood donators, considering the context and the consequences of the acting of the nurse in hemotherapy.
Method:
it is a qualitative approach, with theoretical frame of Symbolic Interactionism and Grounded Theory method. The data production was carried out by intensive interview with subjects of three sample groups of a University Hospital of Rio de Janeiro City.
Results:
the phenomenon originated two analysis categories: “Perceiving the blood matter” and “Reflecting about the blood donation campaigns”. It was observed that the environment of the donor is not composed by contact with the other and the information that it can achieve, including the media.
Conclusion:
these were the main basis for the knowledge of blood donation according to their beliefs, culture and values. Therefore, all these aspects must be considered by the nurse acting on donors capture.
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Ineffective health management in hemodialysis patients: content analysis
Revista Brasileira de Enfermagem. 2018;71(4):1825-1831
Abstract
Ineffective health management in hemodialysis patients: content analysis
Revista Brasileira de Enfermagem. 2018;71(4):1825-1831
DOI 10.1590/0034-7167-2016-0682
Views1See moreABSTRACT
Objective:
To analyze the content of the nursing diagnosis Ineffective Health Management in hemodialysis patients.
Method:
The Nursing Diagnoses Validation Model by Lopes, Silva and Auraújo was used in this research. A semi-structured questionnaire and evaluated the definition, location, defining characteristics, and related factors of the diagnosis Ineffective Health Management was answered by 22 experts in nursing diagnosis. The analysis was conducted from August 2014 to January 2015.
Results:
Experts considered the proposed definition and the current location in the taxonomy II by the NANDA-I, Domain 1 Health Promotion, Class 2 Health Control, adequate to the diagnosis. The adequacy level adopted at 85% or p > 0.05 were above 10 defining characteristics and 24 related factors. Experts also suggested that one defining characteristic should become a related factor and that three factors should turn into defining characteristics.
Conclusion:
A new proposal was developed for the diagnosis under study after the analysis of experts.
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RESEARCH01-01-2018
Myocardial revascularization: factors intervening in the reference and counter-reference in the hospital setting
Revista Brasileira de Enfermagem. 2018;71(4):1817-1824
Abstract
RESEARCHMyocardial revascularization: factors intervening in the reference and counter-reference in the hospital setting
Revista Brasileira de Enfermagem. 2018;71(4):1817-1824
DOI 10.1590/0034-7167-2017-0218
Views0See moreABSTRACT
Objective:
To understand the intervening factors in the process of reference and counter-reference of the individual with heart disease in the scenario of high complexity in the health care network.
Method:
Research anchored in the Grounded Theory (Teoria Fundamentada nos Dados). It totaled 21 participants. The data collection scenario was a cardiovascular reference hospital in the south of Brazil and occurred between March and June 2014.
Results:
The intervening factors in the reference process were the difficulty to access the points of the network and telemedicine and the central to manage the flow of patients in the network. In the counter-reference, there was a link with the hospital and the lack of communication among network professionals.
Conclusion:
It reveals the need to reorganize the service flow in HCN, enhancing PHC, expanding the performance of medium complexity and increasing the capacity of high complexity in order to carry out the process of reference and counter-reference.
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Importância da prática clínica sustentada por instrumentos de avaliação em saúde
Revista Brasileira de Enfermagem. 2018;71(4):1815-1816
Abstract
Importância da prática clínica sustentada por instrumentos de avaliação em saúde
Revista Brasileira de Enfermagem. 2018;71(4):1815-1816
DOI 10.1590/0034-7167-2018710401
Views0Instrumentos de avaliação na prática clínica são recursos com capacidade de identificar, de maneira objetiva, importantes alterações físico-psíquico e espirituais, de aferir fenômenos subjetivos, de acompanhar de forma regular a progressão, retrocesso ou estagnação de um estado de saúde-doença além de criar um mecanismo de direção ao examinador e à equipe assistencial.Esses instrumentos ainda são […]See more -
The importance of clinical practice supported by health assessment tools
Revista Brasileira de Enfermagem. 2018;71(4):1815-1816
Abstract
The importance of clinical practice supported by health assessment tools
Revista Brasileira de Enfermagem. 2018;71(4):1815-1816
DOI 10.1590/0034-7167-2018710401
Views0The tools of assessment in clinical practice are tools capable of objectively identifying important physical and psychic and spiritual changes, examining subjective phenomena and regularly monitoring the progression, regression or stagnation of a health-disease state. Moreover, of creating a steering mechanism for the examiner and the care team. These tools are still capable of standardizing […]See more -
EXPERIENCE REPORT01-01-2018
Constructing a logical model in school health: experience on the Lower Amazon region
Revista Brasileira de Enfermagem. 2018;71(3):1198-1202
Abstract
EXPERIENCE REPORTConstructing a logical model in school health: experience on the Lower Amazon region
Revista Brasileira de Enfermagem. 2018;71(3):1198-1202
DOI 10.1590/0034-7167-2016-0389
Views0See moreABSTRACT
Objective:
This experience report presents the construction of the theoretical and logic model for intervention to promote physical activity and healthy eating habits of the public schools students in the city of Parintins, Amazonas, Brazil.
Method:
We carried out a theoretical research and also a documentary research on the School Health Program (PSE – Programa Saúde na Escola) on the national and local level, in addition to meetings with the PSE management committee for strategic planning of the actions.
Result:
The municipality had no systematic structure of health practices at school. A theoretical and logical model that involved prerogatives of practice from the management of the municipality in PSE was developed. Actions to promote physical activity and healthy nutrition of primary and secondary school students were planned and promoted in schools of the PSE.
Final considerations:
Thus, the collective construction of this proposal contributed to the research of multi-sectoral practices related to the PSE principles and strategies, considering the particularities of the Lower Amazon context.
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EXPERIENCE REPORT01-01-2018
Multiple case study applied in nursing research: a case report
Revista Brasileira de Enfermagem. 2018;71(3):1194-1197
Abstract
EXPERIENCE REPORTMultiple case study applied in nursing research: a case report
Revista Brasileira de Enfermagem. 2018;71(3):1194-1197
DOI 10.1590/0034-7167-2017-0066
Views0See moreABSTRACT
Objective:
To report the experience of using the method of multiple case study.
Method:
We used the method of multiple case study, conducted with children and adolescents assisted in the pediatric oncology inpatient unit.
Results:
The steps used for the development of a multiple case study were: Step 1 – Define and design; Step 2 – Prepare, collect and analyze; Step 3 – Analyze and complete. The steps included the development of a research project with the definition of its components, preparation of protocol for the case study, data collection, individual report of cases, data analysis and final report with data cross-referencing.
Conclusion:
The case study method can be used by nurses and contribute to the advancement in knowledge of nursing as a science and therefore contribute to a full care practice in the context in which the phenomenon happens.
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REVIEW01-01-2018
Hand hygiene: nurses’ adherence after training
Revista Brasileira de Enfermagem. 2018;71(3):1189-1193
Abstract
REVIEWHand hygiene: nurses’ adherence after training
Revista Brasileira de Enfermagem. 2018;71(3):1189-1193
DOI 10.1590/0034-7167-2017-0239
Views0See moreABSTRACT
Objective:
Hand hygiene plays a key role in the prevention of healthcare-associated infections. Therefore, this study aims to analyze nurses’ adherence to hand hygiene and identify intervention strategies to improve this procedure.
Method:
Integrative literature review, using the Cochrane methodology, to answer the following question: “What is the level of effectiveness of training in improving nurses’ adherence to hand hygiene?”.
Results:
Studies show that nurses’ adherence to hand hygiene has increased from 42.9% to 61.4% (p<0.001), or even from 63% to 76% (p<0.005) after a specific training intervention.
Conclusion:
After training, nurses’ adherence to hand hygiene improved, particularly when compared to the other professionals involved. Despite its simplicity, the implementation of a training program and its subsequent follow-up have a positive on nurses’ attitudes and adherence to hand hygiene.
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REVIEW01-01-2018
Integrative literature review: access to primary healthcare services
Revista Brasileira de Enfermagem. 2018;71(3):1178-1188
Abstract
REVIEWIntegrative literature review: access to primary healthcare services
Revista Brasileira de Enfermagem. 2018;71(3):1178-1188
DOI 10.1590/0034-7167-2017-0441
Views0See moreABSTRACT
Objective:
Analyze the scientific production that describes the type of access to primary healthcare services and identify specific populations that have differentiated access to health services.
Method:
An integrative review. For study selection, the following databases were used: PubMed, Scopus, Bireme, and Cinahl. The sample included 22 national and international articles.
Results:
The results describe the access of specific populations to health services, the access to primary care through health plans and proposed improvements to the access to primary care.
Conclusion:
The access to services is a challenge in many countries and some strategies and policies are implemented to solve and improve primary health care.
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