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RESEARCH01-01-2018
Professional exhaustion, quality and intentions among family health nurses
Revista Brasileira de Enfermagem. 2018;71:2295-2301
Abstract
RESEARCHProfessional exhaustion, quality and intentions among family health nurses
Revista Brasileira de Enfermagem. 2018;71:2295-2301
DOI 10.1590/0034-7167-2016-0510
Views0See moreABSTRACT
Objective:
to analyze how family health nurses assess quality of care; check if they have any intention of leaving their current job and nursing; estimate prevalence of professional exhaustion; and correlate these variables.
Method:
cross-sectional and correlational study with 198 nurses. The Maslach Burnout Inventory was applied, as it has questions for characterizing nurses, assessing perception on quality of care and of material and human resources, and verifying intention of leaving current work and nursing.
Results:
most nurses assess quality of care as good, 28.0% present emotional exhaustion, there is intention of leaving current work and nursing.
Conclusions:
family health nurses experience professional exhaustion, which in turn presents correlation with decreased quality of care and increased intentions of leaving current work and nursing.
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RESEARCH01-01-2018
Ombudsman’s experience in Psychosocial Care Centers for alcohol/drugs
Revista Brasileira de Enfermagem. 2018;71:2287-2294
Abstract
RESEARCHOmbudsman’s experience in Psychosocial Care Centers for alcohol/drugs
Revista Brasileira de Enfermagem. 2018;71:2287-2294
DOI 10.1590/0034-7167-2017-0924
Views0See moreABSTRACT
Objective:
The objective of the study was to analyze criticisms, compliments and suggestions of users, family and workers, placed in an Ombudsman of a Centro de Atenção Psicossocial para Álcool e outras Drogas (Psychosocial Care Centers for Alcohol and Other Drugs- CAPS ad).
Method:
A study carried out in the CAPS ad of Macapá-AP from August to December 2016, through the thematic content analysis of the files deposited in the ombudsman, recently introduced in the service, containing criticisms, compliments and suggestions from users, family members, and CAPS ad.
Results:
It was observed the dissatisfaction with the infrastructure of the CAPS ad, and with the relationships built between users and professionals, in addition, suggestions were given of workshops, and improvement in the development of the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project).
Final considerations:
It is concluded that the multidisciplinary team needs to put in practice the real psychosocial care in the service, and that the management helps in the improvement of the service’s place, and in the proposal of qualifications to this team.
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RESEARCH01-01-2018
Nursing students’ sense perception of communication in psychiatric hospital
Revista Brasileira de Enfermagem. 2018;71:2280-2286
Abstract
RESEARCHNursing students’ sense perception of communication in psychiatric hospital
Revista Brasileira de Enfermagem. 2018;71:2280-2286
DOI 10.1590/0034-7167-2017-0957
Views0See moreABSTRACT
Objective:
to analyze the sense perception of nursing students in the learning of communication in a psychiatric hospital.
Method:
qualitative, exploratory and descriptive, from representative drawings of the communication perceived by the body senses of 23 nursing students, and recorded enunciation of the remarkable experiences after the end of the practical activities. The data were analyzed according to thematic content.
Results:
the heart captures perceptions, favoring interpersonal relationships; smelling shows care lacking in hospitalization; vision monopolizes the impressions of reality, making the movements static; hearing is exercised in the amplitude to listen; touching demarcates limitations of contact and interaction; and tasting, as social sense, seeks to overcome the obstacles to take care.
Conclusion:
the learning of communication was significant, making the psychiatric hospital a space to listen to what is inside, to find in the emotions and rationalities the sensations that can be inside and outside the tension nodes that interfere in the perceptions.
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RESEARCH01-01-2018
Feelings of families regarding drug dependence: in the light of comprehensive sociology
Revista Brasileira de Enfermagem. 2018;71:2272-2279
Abstract
RESEARCHFeelings of families regarding drug dependence: in the light of comprehensive sociology
Revista Brasileira de Enfermagem. 2018;71:2272-2279
DOI 10.1590/0034-7167-2018-0150
Views0See moreABSTRACT
Objective:
to understand the feelings of families before drug dependence.
Method:
exploratory, analytical and qualitative study carried out with families of drug users, which are followed up by the Centro de Atenção Psicossocial Álcool e Drogas (Psychosocial Care Center for Alcohol and DARUGS). The collection of data took place by in-depth interview, with the support of field diary. Three visits were done, on average, for each family. The software IRAMUTEQ was adopted for textual corpus organization and was discussed in the light of Michel Maffesoli.
Results:
nine families participated in the research; from the analysis, four classes arose: “My life has changed a lot because of drugs”; “I fear leaving him alone”; “I trust and have faith in God”, and “I am always worried in my own house”.
Final considerations:
the families revealed how much drug dependence did not only affect the user, but also the whole family, provoking in the family complex feelings and emotions.
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RESEARCH01-01-2018
Project K: Training for hospital-community safe transition
Revista Brasileira de Enfermagem. 2018;71:2264-2271
Abstract
RESEARCHProject K: Training for hospital-community safe transition
Revista Brasileira de Enfermagem. 2018;71:2264-2271
DOI 10.1590/0034-7167-2018-0190
Views0See moreABSTRACT
Objective:
To define the safe transition process from hospital to community of patients with chronic mental disorders and their families.
Method:
This was an action research study included in the constructivist paradigm. The participants in the study were nurses from a psychiatry service and from primary healthcare services.
Results:
After the identification of causes of continuity fragmentation, the following items emerged from the participants’ speeches: a) two criteria categories for safe transition (those associated with health status, dependence level, and self-care capacity of patients, and those associated with knowledge and competence level of informal caregivers); b) the design of an algorithm to facilitate clinical decision-making.
Final considerations:
In order to promote adherence to therapeutic treatment in the hospital-community transition, treatment plans must include patients and their families, and improve communication networks and support among care levels.
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RESEARCH01-01-2018
Screening and Brief Intervention for the use of alcohol and other drugs
Revista Brasileira de Enfermagem. 2018;71:2258-2263
Abstract
RESEARCHScreening and Brief Intervention for the use of alcohol and other drugs
Revista Brasileira de Enfermagem. 2018;71:2258-2263
DOI 10.1590/0034-7167-2017-0444
Views0See moreABSTRACT
Objective:
to identify the lifetime use of alcohol and other drugs among users of the Family Health Strategy and apply Brief Intervention to problems related to the use of these substances.
Method:
a descriptive cross-sectional study where 1,031 users of the Family Health Strategy of the city of Rio de Janeiro answered a form with socio-demographic information and the Alcohol, Smoking and Substance Involvement Screening Test. Statistical analysis with simple frequency distribution was performed.
Results:
the most commonly used drugs in lifetime were alcohol and tobacco; among the illegal drugs, marijuana, hypnotics and cocaine/crack stood out. Those who received most Brief Intervention were users of tobacco, hypnotics, marijuana, cocaine/crack and alcohol.
Conclusion:
it is important to detect early problems associated with the use of alcohol and other drugs in Primary Care, since it has the promotion/protection of health and the prevention of diseases as priority health practices.
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RESEARCH01-01-2018
Night beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization
Revista Brasileira de Enfermagem. 2018;71:2251-2257
Abstract
RESEARCHNight beds in psychosocial attention care centers for alcohol and drugs: analysis and characterization
Revista Brasileira de Enfermagem. 2018;71:2251-2257
DOI 10.1590/0034-7167-2018-0149
Views1See moreABSTRACT
Objective:
To analyze and characterize the use of night beds in a Psychosocial Attention Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas – CAPS ad).
Method:
It is a quantitative, documental, descriptive and retrospective study. Data were gathered from 565 medical records. An analysis of continuous variables was performed.
Results:
When admitted to the beds, most users (87.6%) consumed multiple substances daily and were vulnerable, specially in street situation (68.3%). These users were admitted on an average of two times, undergoing a previous evaluation by the nurse (85.8%), usually for detoxication or due to the vulnerable condition. They stayed in the center for an average of seven days and 31.1% did not finish what was proposed. For a few cases, hospital support was needed. Overall, discharges were planned, but the return happened without booking.
Conclusion:
Social issues cut through the use of night beds, however, it is a therapeutic resource that meets significant demands and is present in the daily lives of vulnerable users as a comprehensive care.
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RESEARCH01-01-2018
Adaptation and validation of the Measuring of Treatment Adherence for mental health
Revista Brasileira de Enfermagem. 2018;71:2243-2250
Abstract
RESEARCHAdaptation and validation of the Measuring of Treatment Adherence for mental health
Revista Brasileira de Enfermagem. 2018;71:2243-2250
DOI 10.1590/0034-7167-2017-0796
Views0See moreABSTRACT
Objective:
to adapt culturally and validate the Measuring Instrument of Treatment Adherence for mental health.
Method:
methodological study, carried out with 300 individuals with mental disorders, in two Psychosocial Care Centers in Curitiba, state of Paraná, Brazil, from April to June 2014. The cross-cultural adaptation was developed according to international recommendations, the construct validation was made by exploratory factor analysis, and internal consistency was verified by Cronbach’s alpha.
Results:
through the evaluation of a committee of experts and completion of the pre-testing, face and content validation was achieved. From the factor analysis, we identified two factors of the instrument’s construct: involuntary action and voluntary action, with a total explanation variance of 55.7%. The value of Bartlett’s test of sphericity was p<0.001. Cronbach’s alpha was 0.74.
Conclusion:
the adapted and validated instrument proved to be trustworthy to be applied to the verification of adherence to drug therapy for individuals with mental disorders.
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ORIGINAL ARTICLE09-29-2022
Relationship between family functionality and the quality of life of the elderly
Revista Brasileira de Enfermagem. 2022;75(2):e20210106
Abstract
ORIGINAL ARTICLERelationship between family functionality and the quality of life of the elderly
Revista Brasileira de Enfermagem. 2022;75(2):e20210106
DOI 10.1590/0034-7167-2021-0106
Views0See moreABSTRACT
Objective:
To analyze the correlation between family functionality and the quality of life of the elderly.
Method:
Sectional and correlational study conducted with 692 Brazilian elderly between July and October 2020. The elderly filled three instruments: biosociodemographic, family APGAR and WHOQOL-Old. The tests Kruskal-Wallis, Pearson correlation, and linear regression analyzed the data. The study considered a 95% confidence interval (p < 0.05) for all analyses.
Results:
The elderly with mild and severe family dysfunction presented worse quality of life when compared to the elderly with a functional family. All facets of quality of life correlated positively with family functionality.
Conclusion:
Family functionality is positively correlated with the quality of life of the elderly, therefore requiring the inclusion of the family in health care plans to identify potential family stressors early and plan interventions to solve the problems raised.
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ORIGINAL ARTICLE06-24-2020
Serious Game e-Baby Família: an educational technology for premature infant care
Revista Brasileira de Enfermagem. 2020;73(4):e20190116
Abstract
ORIGINAL ARTICLESerious Game e-Baby Família: an educational technology for premature infant care
Revista Brasileira de Enfermagem. 2020;73(4):e20190116
DOI 10.1590/0034-7167-2019-0116
Views0See moreABSTRACT
Objectives:
to develop and assess the serious game e-Baby Família with parents of premature infants.
Methods:
a methodological study regarding the development of the serious game, with participatory design in scope definition, starting from parents’ learning needs about premature infant care. A qualitative approach was performed in the assessment stage with parents, with content analysis of the speech of the eight participants.
Results:
the following categories emerged: Realistic appearance of the virtual setting and game content and Gameplay implications for the use of e-Baby Família. The game was satisfactorily assessed regarding content, appearance and dynamics use, motivating participants to learn.
Final Considerations:
in the context of prematurity as a public health problem in Brazil and the need to strengthen family health education for care, the serious game was assessed as motivating and appropriate for health learning.
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ORIGINAL ARTICLE12-13-2019
Prenatal follow-up of high-risk pregnancy in the public service
Revista Brasileira de Enfermagem. 2019;72:204-211
Abstract
ORIGINAL ARTICLEPrenatal follow-up of high-risk pregnancy in the public service
Revista Brasileira de Enfermagem. 2019;72:204-211
DOI 10.1590/0034-7167-2018-0425
Views0See moreABSTRACT
Objective:
to analyze the prenatal follow-up of high-risk pregnancy in the public service.
Method:
an analytical cross-sectional study carried out in a public maternity hospital in the South of Brazil, during the hospitalization of 319 postpartum women using a semi-structured tool for transcription of the prenatal card records and interview. The data were analyzed using the Chi-Square test (p≤0.05).
Results:
the adequacy of prenatal care was high (74%); 22.6% intermediate; 3.4% inefficient. Prenatal care had high coverage (100%), early onset (81.5%) and six or more visits (92.4%), but (77.4%) did not receive information about gestational disease and examinations (69.3%). There was statistical significance between the quality of prenatal care and the place of prenatal care (p=0.005).
Conclusion:
the need to implement a specific protocol for high-risk gestation and continuous education to the teams was evidenced.
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ORIGINAL ARTICLE12-05-2019
Aging, sexuality and nursing care: the elderly woman’s look
Revista Brasileira de Enfermagem. 2019;72:71-78
Abstract
ORIGINAL ARTICLEAging, sexuality and nursing care: the elderly woman’s look
Revista Brasileira de Enfermagem. 2019;72:71-78
DOI 10.1590/0034-7167-2018-0015
Views0See moreABSTRACT
Objective:
to analyze the perception of elderly women about sexuality and practice of nursing care in this context.
Method:
a descriptive qualitative study. Fifty elderly women from Guanambi City – Bahia State were interviewed in 2016. Data collection technique was direct interview by using an unstructured script. Analysis of the semantic content described was carried out, and two empirical categories: the elderly woman’s view of nursing care in the promotion of sexual health and experience of sexuality in the elderly; and nursing care in the context of women’s aging.
Results:
it has been noted that the elderly women are afraid to talk about sexuality, especially with health professionals. By influences of society, they often exclude this issue of health care for elderly women.
Final considerations:
changes must be thought about assistance provided in relation to sexuality.
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03-15-2021
Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial
Revista Brasileira de Enfermagem. 2021;74:e20190599
Abstract
Effectiveness of mobile applications in pregnant women’s adherence to prenatal consultations: randomized clinical trial
Revista Brasileira de Enfermagem. 2021;74:e20190599
DOI 10.1590/0034-7167-2019-0599
Views0See moreABSTRACT
Objective:
to evaluate the effectiveness of a mobile application for cell phones in the adherence of pregnant women to prenatal consultations.
Method:
a randomized controlled clinical trial, simple-blind with two parallel groups, conducted from January to December 2018. Data collection was carried out through a structured interview at the end of the third trimester of pregnancy. For analysis, Chi-Square and Mann-Whitney tests were used. The sample consisted of 88 pregnant women from 2 Family Health Strategies in Northeast Brazil. Participants were randomized into two groups: intervention (IG), who used the application, and control (CG), who attended prenatal consultations.
Results:
pregnant women who used the application (IG) attended a greater number of consultations when compared to participants in the CG, identifying a statistical difference between the groups (p<0.05).
Conclusion:
the application showed to be an effective health technology to improve adherence to prenatal care. Brazilian Registry of Clinical Trials: RBR-74SNST.
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06-01-2020
Mental Health: Focusing On Health Professionals
Revista Brasileira de Enfermagem. 2020;73:e73supl01
Abstract
Mental Health: Focusing On Health Professionals
Revista Brasileira de Enfermagem. 2020;73:e73supl01
DOI 10.1590/0034-7167.202073supl01
Views0Mental health is an inseparable part of our health, and health-related themes have been calling the attention of population, institutions, and managers, especially in our current setting with the COVID-19 pandemic. The daily life of care practice of health professionals is full of concern, uncertainty, tension, and anguish. They have been susceptible to psychological distress […]See more -
REFLECTION09-07-2020
Patient-and Family-Centered Care and Patient Safety: reflections upon emerging proximity
Revista Brasileira de Enfermagem. 2020;73(6):e20190672
Abstract
REFLECTIONPatient-and Family-Centered Care and Patient Safety: reflections upon emerging proximity
Revista Brasileira de Enfermagem. 2020;73(6):e20190672
DOI 10.1590/0034-7167-2019-0672
Views0See moreABSTRACT
Objective:
To present reflections upon conceptual and pragmatic relationships between the Patient-and Family-Centered Care and patient safety.
Method:
A discussion about constructs related to the Patient-and Family-Centered Care and patient safety, which shows their interface with pragmatic issues of clinical nursing practice.
Results:
Considering patients and families as partners and agents promoting safe care is mandatory for the safety culture.
Final considerations:
Decreasing errors and adverse health care events can be accomplished by understanding manners to incorporate the principles of Patient-and Family-Centered Care into issues related to patient safety.
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ORIGINAL ARTICLE12-05-2019
Construction and validation of a sleep hygiene booklet for the elderly
Revista Brasileira de Enfermagem. 2019;72:214-220
Abstract
ORIGINAL ARTICLEConstruction and validation of a sleep hygiene booklet for the elderly
Revista Brasileira de Enfermagem. 2019;72:214-220
DOI 10.1590/0034-7167-2018-0603
Views0See moreABSTRACT
Objective:
to construct and validate an educational booklet for the elderly, with guidelines on sleep hygiene.
Method:
a methodological research with booklet construction; validation by 22 judges and evaluation by 22 elderly people. The content was extracted from the guidelines of the Brazilian Sleep Association and the elderly health manual of the Human Rights Office. The item with Content Validity Index (CVI) greater than 0.8 or whose concordance ratio verified with the Binomial Test was valid and statistically equal to or greater than 80%.
Results:
the booklet presented 14 guidelines for the elderly about sleep hygiene distributed over 25 pages. All items were evaluated as relevant. The CVI had an average of 0.95 by the judges and 0.95 by the elderly.
Conclusion:
the booklet was constructed and validated as to its content and appearance. It can be used by health professionals in the various services with the elderly.
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