Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    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

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    Objective:

    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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  • 01-01-2015

    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

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    Objective:

    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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  • 01-01-2015

    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

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    Objective:

    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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    Family functionality in oldest old household residents
  • 01-01-2015

    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

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    Objective:

    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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  • 01-01-2015

    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

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    Objective:

    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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  • 01-01-2015

    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

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    Objective:

    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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  • 01-01-2015

    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

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    Objective:

    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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    Entrepreneurship in Nursing: overview of companies in the State of São Paulo
  • 01-01-2015

    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

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    Objective:

    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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    Knowing blood donation surroundings: Implications for nurse service in hemotherapy
  • 01-01-2015

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000

    Abstract

    Health technologies for spatial analysis and situational diagnosis of the territories: contributions to nursing

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000

    DOI 10.1590/0034-7167.2015680601i

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    In order to establish an organizational basis for work processes in primary health care geared towards a new social practice, it is important to recognize territories and their contexts, as these materialize human interactions, conflicts, health problems and human needs.In the process of recognition and situational diagnosis of territories, technologies for spatial analysis can facilitate […]
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  • 01-01-2015

    Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000

    Abstract

    Tecnologias em saúde para análise espacial e diagnóstico situacional dos territórios: contribuições para a enfermagem

    Revista Brasileira de Enfermagem. 2015;68(6):999-1000

    DOI 10.1590/0034-7167.2015680601i

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    Para a constituição de uma base organizativa dos processos de trabalho na Atenção Primária à Saúde em direção a uma nova prática social é importante o reconhecimento dos territórios e seus contextos, pois estes materializam as interações humanas, os conflitos, os problemas de saúde e necessidades humanas.Nesse processo de reconhecimento e diagnóstico situacional dos territórios, […]
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  • 01-01-2015

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962

    Abstract

    CARTA DE FORTALEZA PARA A ENFERMAGEM BRASILEIRA

    Revista Brasileira de Enfermagem. 2015;68(5):961-962

    DOI 10.1590/0034-7167.2015680527

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    APRESENTAÇÃOOs participantes do 18º Seminário Nacional de Pesquisa em Enfermagem (SENPE), promovido pela Associação Brasileira de Enfermagem (ABEn) e realizado pela ABEn Seção Ceará, aprovaram, em Sessão Plenária de Encerramento, no dia 03 de junho de 2015, a “Carta de Fortaleza para a Enfermagem Brasileira”. A ABEn vem a público divulgá-la, ao mesmo tempo em […]
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  • 01-01-2015

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960

    Abstract

    Delayed surgical recovery: a concept analysis

    Revista Brasileira de Enfermagem. 2015;68(5):953-960

    DOI 10.1590/0034-7167.2015680526i

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    ABSTRACT

    Objective:

    analyze the concept of delayed surgical recovery.

    Method:

    the Rodgers’ concept analysis provided the procedural mechanisms to guide the study, and an integrative review was performed to achieve the second activity of the model adopted. The PubMed, CINAHL, EMBASE and LILACS databases were selected to search for primary studies.

    Results:

    sixty-six primary studies were included and served as basis to construct the use and meaning of delayed surgical recovery concept. In the analysis, six attributes were outlined, which are interrelated and underpin the research concept definition. Preliminary experience was identified as the antecedent. The consequences of the concept are expressed through clinical manifestations, re-interventions, dependence on care and reduced quality of life.

    Conclusion:

    the definition of the concept was constructed, and the antecedents and consequents were identified. The use and meaning of the delayed surgical recovery concept point to the use of the qualifier ‘impaired’ instead of ‘delayed’.

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    Delayed surgical recovery: a concept analysis
  • 01-01-2015

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952

    Abstract

    Total Quality Management and hospital nursing: an integrative literature review

    Revista Brasileira de Enfermagem. 2015;68(5):945-952

    DOI 10.1590/0034-7167.2015680525i

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    ABSTRACT

    Objective:

    to identify the available evidence in the literature on Total Quality Management in nursing administration.

    Method:

    integrative literature review of full text articles in Portuguese, English and Spanish, published between 2000 and 2011 in the LILACS, MEDLINE, SciELO and PubMed databases.

    Results:

    the sample comprises 24 periodical articles grouped by the following thematic categories: Theoretical assumptions; Practical application and Quality indicators. Despite the criticism of models derived from classic administration theories, experiences of success with the deployment of TQM have already marked the health and nursing setting in Brazil.

    Conclusion:

    Total Quality Management in managing of nursing care has being fully used in some health institutions, while others have adopted several of its principles. Two of the twenty four articles are intervention studies, which characterizes the necessity for clinical research in this area.

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    Total Quality Management and hospital nursing: an integrative literature review
  • 01-01-2015

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944

    Abstract

    Association between fatigue and functional capacity in patients with intermittent claudication

    Revista Brasileira de Enfermagem. 2015;68(5):937-944

    DOI 10.1590/0034-7167.2015680524i

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    ABSTRACT

    Objective:

    to characterize fatigue and exertion fatigue in patients with intermittent claudication (IC), and to test their association with sociodemographic and clinical variables, walking capacity and level of physical activity.

    Method:

    forty-nine participants (66.6 years; 70% male) were studied. Validated questionnaires were used to assess fatigue (DUFS), exertion fatigue (DEFS), level of physical activity (BASIC) and walking capacity (WIQ).

    Results:

    participants had substantial fatigue (DUFS = 20.4+8.8) and substantial exertion fatigue (DEFS = 20.4+10.8). There was an association between the DUFS and marital status (p = 0,008). There was a statically significant association between DEFS with scores of the BASIC (r = .331; p = .02) and among DEFS with WIQ domains – walking distance (r=.359; p = .011) and climbing stairs (r=.331; p = .02).

    Conclusion:

    patients with IC have fatigue and exertion fatigue. Exertion fatigue might compromise the engagement of these patients in physical activity, one of the main components of IC treatment.

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    Association between fatigue and functional capacity in patients with intermittent claudication
  • 01-01-2015

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936

    Abstract

    Body mobilization for prevention of pressure ulcers: direct labor costs

    Revista Brasileira de Enfermagem. 2015;68(5):930-936

    DOI 10.1590/0034-7167.2015680523i

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    ABSTRACT

    Objective:

    to calculate the average total cost (ATC) on the direct labor costs (DLC) of nursing professionals in body mobilization of patients for the prevention of pressure ulcers.

    Method:

    this is a quantitative, exploratory and, descriptive research. We observed 656 preventive mobilizations and we calculated the cost by multiplying the time spent by professionals at a unitary DLC.

    Results:

    ATC with DLC for each Unit corresponded to: Medical Clinic R$ 5.38 for bed turning, R$ 5.26 for seating positions, R$ 5.55 for walking aid; Surgical Clinic R$ 2.42 for bed turning, R$ 2.30 for seating positions, R$ 2.96 for walking aid and Intensive Care Unit R$ 8.15 for bed turning, R$ 7.57 for seating positions, R$ 15.32 for walking aid.

    Conclusion:

    the knowledge generated can support management related to costs of human resources needed to efficiently and effectively nursing care.

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  • 01-01-2015

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929

    Abstract

    The mobilization of nurses for the non-interruption of nursing residence

    Revista Brasileira de Enfermagem. 2015;68(5):923-929

    DOI 10.1590/0034-7167.2015680522i

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    ABSTRACT

    Objective:

    To analyze the strategies employed by nurses to maintain the nursing residence program at the Ophir Loyola Hospital and discuss the potential effects of this interruption on the state of Pará.

    Method:

    Social-historic research. Data were collected through primary sources, written documents, and oral testimonial; the secondary sources used were manuals and articles that approached the topic in question. The theoretical reference was based on the French sociologist Pierre Bourdieu’s ideas about the concepts of cultural, social, and symbolic capital, in addition to the habitus and field concepts.

    Results:

    During the nurses’ mobilization there was a strong political influence on the development of the crisis and the interruption of the nursing residence Program at the Ophir Loyola Hospital, with implications for the nurses’ qualifications and the health care delivered to the societyof Pará.

    Conclusion:

    The analysis showed the prevalence of partisan political interests at the expense of social interests, culminating in the interruption of the nursing residency.

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