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RESEARCH
Adherence to standard precautions in a teaching hospital
Revista Brasileira de Enfermagem. 2017;70(1):96-103
01-01-2017
Abstract
RESEARCHAdherence to standard precautions in a teaching hospital
Revista Brasileira de Enfermagem. 2017;70(1):96-103
01-01-2017DOI 10.1590/0034-7167-2016-0138
Views0ABSTRACT
Objective:
analyze related factors and the level of adherence to standard precautions of nursing professionals from the clinical medical division of a teaching hospital.
Method:
a quantitative, cross-sectional, analytical study was conducted with 54 nursing professionals using the Psychometric Scale of Adherence to Standard Precautions, translated and validated to Brazilian Portuguese.
Results:
the global score of adherence was intermediate (4.41); no statistically significant correlation was observed between adherence and professional category (p=0.404) and length of professional practice (p= 0.612). A correlation was observed between ‘Washes hands after removing disposable gloves’ (p=0.026) and professionals with nursing practice above 10 years.
Conclusion:
adherence to standard precautions by the nursing team was intermediate, with no statistically significant difference in relation to the professional category and length of professional practice.
Keywords:Exposure to Biological AgentsNursing, TeamOccupational RisksPersonal Protective EquipmentUniversal PrecautionsSee more
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RESEARCH
Analysis of adverse events following immunization caused by immunization errors
Revista Brasileira de Enfermagem. 2017;70(1):87-95
01-01-2017
Abstract
RESEARCHAnalysis of adverse events following immunization caused by immunization errors
Revista Brasileira de Enfermagem. 2017;70(1):87-95
01-01-2017DOI 10.1590/0034-7167-2016-0034
Views0See moreABSTRACT
Objective:
to analyze adverse events following immunization (AEFI) caused by immunization error in the state of Paraná, Brazil, from 2003 to 2013.
Method:
this is a descriptive, documental, retrospective, and quantitative research using secondary data from the Adverse Event Following Immunization Information System and the Immunization Program Evaluation System. We included cases confirmed and/or associated with different types of vaccines. For the analysis, we collected frequencies and incidence rates, and used simple linear regression models with Student’s t-test.
Results:
it was observed an AEFI increase due to immunization errors, especially hot subcutaneous abscesses. BCG vaccine had the highest incidence of adverse events and children under one year old were the most affected individuals.
Conclusion:
the current scenario is worrisome because these are preventable AEFI – injuring patients due to bad vaccination practices – that may undermine the population’s confidence, reducing immunization coverage, and the progress in the control of vaccine-preventable diseases.
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RESEARCH
Nursing practice environment and work satisfaction in critical units
Revista Brasileira de Enfermagem. 2017;70(1):79-86
01-01-2017
Abstract
RESEARCHNursing practice environment and work satisfaction in critical units
Revista Brasileira de Enfermagem. 2017;70(1):79-86
01-01-2017DOI 10.1590/0034-7167-2016-0211
Views0See moreABSTRACT
Objective:
to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU).
Method:
a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfaction (IWS) were applied to investigate the environment of nursing practices and work satisfaction, respectively.
Results:
a total of 100 (34.84%) nurses and 187 (65.15%) nursing assistants/technicians participated in this study. The environment was favorable for autonomy and relationships and it showed vulnerability for control of practices and organizational support. The IWS score indicated low work satisfaction. “Environment of practices”, “length of work in the ICU” and “willingness to work” were associated with work satisfaction.
Conclusion:
to invest in the environment of practices, in factors that promote willingness to work and length of experience in the ICU increases nursing work satisfaction.
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RESEARCH
Care for women involved with drugs: social representations of nurses
Revista Brasileira de Enfermagem. 2017;70(1):71-78
01-01-2017
Abstract
RESEARCHCare for women involved with drugs: social representations of nurses
Revista Brasileira de Enfermagem. 2017;70(1):71-78
01-01-2017DOI 10.1590/0034-7167-2016-0339
Views0See moreABSTRACT
Objective:
analyze social representations of nurses related to the care for women involved with drugs.
Method:
qualitative research founded on the theory of social representations, with 42 nurses from a public maternity ward of Salvador-BA, using identification questionnaire, test of free association of words, and semi-structured interview. We analyzed the structure of social representations and the similarity tree of free evocations, and also analyzed the content of interviews.
Results:
care for women involved with drugs is represented by a set of words that shows theoretical questions and scientific techniques, but faced with experiences in the training, in the daily work and in ideas and values assigned to the consumption of drugs especially in the gravidic-puerperal period.
Conclusion:
The social representations of nurses show conflicts between social and cultural aspects around the problem of drugs and the health care provided to women involved with drugs.
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RESEARCH
Support to woman/nourisher in the advertising pieces of the World Breastfeeding Week
Revista Brasileira de Enfermagem. 2017;70(1):61-70
01-01-2017
Abstract
RESEARCHSupport to woman/nourisher in the advertising pieces of the World Breastfeeding Week
Revista Brasileira de Enfermagem. 2017;70(1):61-70
01-01-2017DOI 10.1590/0034-7167-2016-0376
Views0See moreABSTRACT
Objective:
to unveil the support to woman/nourisher in the advertisements of the World Breastfeeding Week.
Method:
This is a descriptive, exploratory, documentary, qualitative study. Since the collection until the analyses of these advertisements, we adopted the methodological steps of Gemma Penn, based on the semiology of Roland Barthes. The results were interpreted by the theory of Social Network of Sanícola and of the five types of support: companionship, emotional, instrumental, informational, and self-supportive.
Results:
we identified actors of the social network of the woman/nourisher in nine advertisements of the 22 world breastfeeding weeks. In five of them, partner, grandmother, and brother showed emotional and companionship support to breastfeeding. We observed self-support in three posters; instrumental support in one; and informational support in none.
Conclusion:
the support unraveled in only five advertisements included: emotional, companionship, instrumental, and self-supportive. In the others, there was no support. The set of supports was not revealed in any of them.
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RESEARCH
Emergency interventions for air medical services trauma victims
Revista Brasileira de Enfermagem. 2017;70(1):54-60
01-01-2017
Abstract
RESEARCHEmergency interventions for air medical services trauma victims
Revista Brasileira de Enfermagem. 2017;70(1):54-60
01-01-2017DOI 10.1590/0034-7167-2016-0311
Views0See moreABSTRACT
Objective:
to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims.
Method:
This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments.
Results:
Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed significance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene.
Conclusion:
Further studies are necessary, focused on care protocols for trauma victims
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RESEARCH
Evaluation of the hospital accreditation program: face and content validation
Revista Brasileira de Enfermagem. 2017;70(1):47-53
01-01-2017
Abstract
RESEARCHEvaluation of the hospital accreditation program: face and content validation
Revista Brasileira de Enfermagem. 2017;70(1):47-53
01-01-2017DOI 10.1590/0034-7167-2016-0184
Views0ABSTRACT
Objective:
to describe the results of face and content validation of the questionnaire entitled Quality Improvement Implementation Survey, and of two complementary scales as part of the adaptation process to the Brazilian language and culture.
Method:
included the following stages: (1) translation and synthesis of translations; (2) consideration by the expert committee; (3) back translation; (4) evaluation of verbal understanding by the target population.
Results:
the questionnaire was translated into Portuguese and its final version included 90 items. In the pre-test, the target population evaluated all items as easy to understand, with the global average of 4.58 (maximum value = 5).
Conclusion:
the questionnaire is currently translated into Portuguese and adapted to the Brazilian context. The adapted version maintained the semantic, idiomatic, conceptual and cultural equivalence, according to the assessment of the expert committee and the information provided by the target population, which confirmed the face and content validity.
Keywords:AccreditationAssurance of Health Care QualityHospital AdministrationOutcome Assessment (Health Care)Validation StudiesSee more -
RESEARCH
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
01-01-2017
Abstract
RESEARCHAdecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
01-01-2017DOI 10.1590/0034-7167-2016-0246
Views0RESUMEN
Objetivo:
Determinar cuál de las escalas evaluadas (NEMS y NAS), es más adecuada para Unidades de Cuidados Intensivos aplicando metodología de calidad.
Método:
Tras identificar como oportunidad de mejora la no adecuación de la escala NEMS para determinar cargas de trabajo de enfermería en UCI, se aplica metodología de los ciclos de mejora a dicha escala y a la NAS, como propuesta de mejora, evaluando los criterios: medición de cargas de trabajo al día y por turno, inclusión de todas las actividades enfermeras, y análisis por paciente y unidad.
Resultados:
Escala NEMS no muestra diferencias significativas en el cumplimiento (67%). Comparación NEMS-NAS, todos los criterios excepto el 1º, obtienen mejora significativa. NEMS sólo valora el criterio 1 (64,22%), y NAS todos con un cumplimiento para el 1º, 2º y 4º del 64,74%, y el 3º del 100%.
Conclusión:
La escala NAS es más adecuada para medir cargas de trabajo de enfermería en UCI.
Keywords:Carga de TrabajoControl de CalidadEnfermeríaGestión de la CalidadUnidades de Cuidados IntensivosSee more
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ORIGINAL ARTICLE
Team-Based Learning: a randomized clinical trial in undergraduate nursing
- Sabrina Ramires Sakamoto
, - Magda Cristina Queiroz Dell’Acqua ,
- Luciana Patrícia Fernandes Abbade ,
- Silvia Maria Caldeira ,
- Suzimar de Fátima Benato Fusco , [ … ],
- Marla Andréia Garcia de Avila
03-30-2020
Abstract
ORIGINAL ARTICLETeam-Based Learning: a randomized clinical trial in undergraduate nursing
Revista Brasileira de Enfermagem. 2020;73(2):e20180621
03-30-2020DOI 10.1590/0034-7167-2018-0621
- Sabrina Ramires Sakamoto ,
- Magda Cristina Queiroz Dell’Acqua ,
- Luciana Patrícia Fernandes Abbade ,
- Silvia Maria Caldeira ,
- Suzimar de Fátima Benato Fusco ,
- Marla Andréia Garcia de Avila
Views0ABSTRACT
Objectives:
To compare the knowledge on surgical safety through the team-based learning methodology and lecture classes for undergraduate Nursing students, and evaluate the learning satisfaction with team-based learning.
Methods:
Randomized, controlled, parallel, two-arm, unblinded clinical trial developed in the Faculty of Medicine of a public university in Botucatu, Brazil. The groups included 14 students for team-based learning and 11 students for lecture classes.
Results:
Students’ apprehension of knowledge in the team-based learning group was significantly higher compared to the control group (p<0.002) by considering the pre-test results. After 30 days, there was no significant difference between groups. The experience with the methodology was considered positive among students.
Conclusions:
Team-based learning is an important pedagogic tool available and has proven effective in education and learning with students playing the role of protagonists.
Keywords:Higher EducationNursingPatient SafetyRandomized Controlled Clinical TrialValidation StudiesSee more
- Sabrina Ramires Sakamoto
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Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic
- Eder Samuel Oliveira Dantas ,
- João de Deus de Araújo Filho ,
- Glauber Weder dos Santos Silva ,
- Maria Yohana Matias Silveira ,
- Marianny Nayara Paiva Dantas , [ … ],
- Karina Cardoso Meira
04-14-2021
Abstract
Factors associated with anxiety in multiprofessional health care residents during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200961
04-14-2021DOI 10.1590/0034-7167-2020-0961
- Eder Samuel Oliveira Dantas ,
- João de Deus de Araújo Filho ,
- Glauber Weder dos Santos Silva ,
- Maria Yohana Matias Silveira ,
- Marianny Nayara Paiva Dantas ,
- Karina Cardoso Meira
Views0See moreABSTRACT
Objective:
To estimate the prevalence and factors associated with anxiety among multiprofessional health residents during the COVID-19 pandemic.
Methods:
Cross-sectional study, conducted in July 2020 with multiprofessional health residents (n = 67) from a university hospital. We used the Beck Anxiety Inventory to assess anxiety. Analyzing data through the chi-square test, likelihood ratio, and multiple analysis using Poisson regression with robust variance.
Results:
The proportion of moderate/severe anxiety was 31.3%, which showed significant association with working in sectors involving COVID-19 and directly with suspected/confirmed cases of COVID-19. During the multiple analysis, we found prevalence of anxiety in participants who needed psychological support after entering their residence and those who used psychotropic meds.
Conclusion:
The results seem to indicate that residents had their mental health impaired during the pandemic, but the maintenance of the variables in the model also suggests that they sought help to control anxiety.
- Eder Samuel Oliveira Dantas
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REVIEW
The use of children’s stories in nursing care for the child: an integrative review
Revista Brasileira de Enfermagem. 2019;72:333-342
12-13-2019
Abstract
REVIEWThe use of children’s stories in nursing care for the child: an integrative review
Revista Brasileira de Enfermagem. 2019;72:333-342
12-13-2019DOI 10.1590/0034-7167-2018-0456
Views0See moreABSTRACT
Objective:
To identify how children’s stories can be used in child care.
Method:
Integrative literature review, conducted in databases between 2000 and 2018, in three languages. Full research articles were included that agreed with the following question: “How can children’s stories be used in child care?”.
Results:
From the analysis of 16 selected articles, three categories emerged: The use of stories in the hospital; Specialized nursing intervention; and Stories in the educational dimension.
Final considerations:
Evidence shows benefits to children, families, institutions and nursing. The use of children’s stories as a care intervention can occur in different situations and settings, values; boosts bonds, reduces anxiety in children and families, encourages children’s participation in care, and promotes health education. It is a low-cost and still incipient strategy in nursing.
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REVIEW
Interfaces of vulnerability dimensions in violence against children
- Paula Hino ,
- Renata Ferreira Takahashi ,
- Lúcia Yasuko Izumi Nichiata ,
- Maíra Rosa Apostólico ,
- Monica Taminato , [ … ],
- Hugo Fernandes
12-13-2019
Abstract
REVIEWInterfaces of vulnerability dimensions in violence against children
Revista Brasileira de Enfermagem. 2019;72:343-347
12-13-2019DOI 10.1590/0034-7167-2018-0463
- Paula Hino ,
- Renata Ferreira Takahashi ,
- Lúcia Yasuko Izumi Nichiata ,
- Maíra Rosa Apostólico ,
- Monica Taminato ,
- Hugo Fernandes
Views0See moreABSTRACT
Objective:
present and discuss the potential use of the concept of vulnerability for the development of practices to address violence against children.
Method:
this is a theoretical study that presents the characteristics of the phenomenon of violence against children, to which the concept of vulnerability is applied.
Results:
proposal of a framework for the analysis of violence against children in the perspective of vulnerability, creating individual and collective dimensions. Violence against children, when analyzed in the perspective of this concept, broadens the understanding of this phenomenon, as it exposes aspects and conditions from outside the family that are co-responsible for the occurrence of this phenomenon.
Conclusion:
developing studies to identify the vulnerability of children to violence is essential for the development of practices to address this issue.
- Paula Hino
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ORIGINAL ARTICLE
Nursing practices in a psychological care center
- Elitiele Ortiz dos Santos ,
- Adriane Domingues Eslabão ,
- Luciane Prado Kantorski ,
- Leandro Barbosa de Pinho
02-10-2020
Abstract
ORIGINAL ARTICLENursing practices in a psychological care center
Revista Brasileira de Enfermagem. 2020;73(1):e20180175
02-10-2020DOI 10.1590/0034-7167-2018-0175
- Elitiele Ortiz dos Santos ,
- Adriane Domingues Eslabão ,
- Luciane Prado Kantorski ,
- Leandro Barbosa de Pinho
Views0ABSTRACT
Objective:
To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS).
Method:
A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis.
Results:
Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication.
Conclusion:
Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.
Keywords:Health Services EvaluationMental HealthMental Health ServicesNursing ProcessPsychiatric NursingSee more - Elitiele Ortiz dos Santos
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REFLECTION
Empathic listening: welcoming strategy for nursing Professional in coping with with the coronavirus pandemic
- Lucia Tobase ,
- Sandra Helena Cardoso ,
- Renata Tavares Franco Rodrigues ,
- Heloisa Helena Ciqueto Peres
02-05-2021
Abstract
REFLECTIONEmpathic listening: welcoming strategy for nursing Professional in coping with with the coronavirus pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200721
02-05-2021DOI 10.1590/0034-7167-2020-0721
- Lucia Tobase ,
- Sandra Helena Cardoso ,
- Renata Tavares Franco Rodrigues ,
- Heloisa Helena Ciqueto Peres
Views0See moreABSTRACT
Objective:
to reflect on empathic listening use as a welcoming strategy for nursing professionals to cope with the challenges during the pandemic caused by the new coronavirus.
Methods:
this is a reflection study based on updated data surveys and theoretical-conceptual aspects of Non-Violent Communication and empathic listening.
Results:
in the performance during the COVID-19 pandemic, nursing professionals are exposed to violence of different natures related to occupational stress, work overload, anguishes and silenced suffering, with implications for the workers’ health, who can be benefited and strengthened with empathetic listening.
Final considerations:
the health crisis has highlighted the weaknesses of the health system. Nursing acts as the largest contingent of the health workforce in coping with the pandemic. Empathetic listening is a powerful strategy in caring for and strengthening nursing professionals.
- Lucia Tobase
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ORIGINAL ARTICLE
Factors associated with stress, anxiety and depression in nursing professionals in the hospital context
- Bianca Bacelar de Assis ,
- Cissa Azevedo ,
- Caroline de Castro Moura ,
- Patrick Gonçalves Mendes ,
- Larissa Lucas Rocha , [ … ],
- Tânia Couto Machado Chianca
02-25-2022
Abstract
ORIGINAL ARTICLEFactors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
02-25-2022DOI 10.1590/0034-7167-2021-0263
- Bianca Bacelar de Assis ,
- Cissa Azevedo ,
- Caroline de Castro Moura ,
- Patrick Gonçalves Mendes ,
- Larissa Lucas Rocha ,
- Aline Alves Roncalli ,
- Nayara Ferreira Mota Vieira ,
- Tânia Couto Machado Chianca
Views0See moreABSTRACT
Objective:
to determine the factors associated with stress, anxiety and depression, concomitantly, in nursing professionals who work in the hospital context.
Methods:
a quantitative and cross-sectional study with 353 nursing professionals from a hospital. A sociodemographic questionnaire and the Depression, Anxiety and Stress Scale-21 were used. Data were subjected to descriptive statistical analysis, difference and correlation tests.
Results:
the main factors associated with stress, anxiety and depression, concomitantly, were being female, compromised family and social support, lack of autonomy at work, hostile relationship with colleagues, lack of professional recognition and satisfaction, feeling of being overwhelmed and insecurity.
Conclusions:
demographic, physiological, social and work factors impact the levels of stress, anxiety and depression in nursing professionals. The adoption of coping strategies for modifiable factors should be considered, in order to provide better quality of life for these professionals.
- Bianca Bacelar de Assis
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Repercussions of intestinal ostomy on male sexuality: an integrative review
- Isabella Felix de Araújo Meira ,
- Fernanda Rios da Silva ,
- Anderson Reis de Sousa ,
- Evanilda Souza de Santana Carvalho ,
- Darci de Oliveira Santa Rosa , [ … ],
- Álvaro Pereira
08-10-2020
Abstract
Repercussions of intestinal ostomy on male sexuality: an integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190245
08-10-2020DOI 10.1590/0034-7167-2019-0245
- Isabella Felix de Araújo Meira ,
- Fernanda Rios da Silva ,
- Anderson Reis de Sousa ,
- Evanilda Souza de Santana Carvalho ,
- Darci de Oliveira Santa Rosa ,
- Álvaro Pereira
Views0INTRODUCTIONThe intestinal ostomy, also known as stoma and ostomy, consists of an artificial opening, produced surgically, whose purpose is to divert the flow of effluents to the external environment. Such a condition can impact the lives of affected individuals due to transformations that affect human multi-dimensionality, including negative repercussions involving sexuality(–).In the United States of […]See more
- Isabella Felix de Araújo Meira
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