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ORIGINAL ARTICLE11-22-2024
Safe practices for prevention and management of antineoplastic agent extravasation: development of an educational video
- Rafael Fernando Mendes Barbosa
, - Anne Kettley Lacera de Lima Gonzaga ,
- Fabrine Aguilar Jardim ,
- Karina Dal Sasso Mendes ,
- Namie Okino Sawada
Abstract
ORIGINAL ARTICLESafe practices for prevention and management of antineoplastic agent extravasation: development of an educational video
Revista Brasileira de Enfermagem. 2024;77(5):e20240172
DOI 10.1590/0034-7167-2024-0172
- Rafael Fernando Mendes Barbosa ,
- Anne Kettley Lacera de Lima Gonzaga ,
- Fabrine Aguilar Jardim ,
- Karina Dal Sasso Mendes ,
- Namie Okino Sawada
Views0See moreABSTRACT
Objectives:
to develop, validate, and evaluate an educational video on the prevention and management of antineoplastic agent extravasation, aimed at nursing professionals.
Methods:
this methodological study was developed according to Falkembach’s theoretical framework, which outlines five phases in the production of educational video materials: analysis and planning, modeling, implementation, evaluation, and distribution.
Results:
content validation demonstrated agreement above the minimum threshold stipulated. The overall Content Validity Index was 90.8%, and it was 94.2% among the content and technical evaluation judges, respectively. The target audience evaluated the video positively, highlighting the importance of the content, the clarity of the language used, and the understanding of the information pertinent to the topic.
Conclusions:
the video proved to be an appropriate strategy for instructing interventions on the prevention and management of extravasation, with the potential to improve educational practices among nursing professionals.
- Rafael Fernando Mendes Barbosa
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REVIEW11-22-2024
Telenursing contributions in Primary Health Care in the COVID-19 pandemic context: an integrative review
- Patrícia Amidianski ,
- Evangelia Kotzias Atherino dos Santos ,
- Alacoque Lorenzini Erdmann ,
- Carmem Regina Delziovo ,
- Maria Solange Ferreira Alves , [ … ],
- Marli Terezinha Stein Backes
Abstract
REVIEWTelenursing contributions in Primary Health Care in the COVID-19 pandemic context: an integrative review
Revista Brasileira de Enfermagem. 2024;77(5):e20240093
DOI 10.1590/0034-7167-2024-0093
- Patrícia Amidianski ,
- Evangelia Kotzias Atherino dos Santos ,
- Alacoque Lorenzini Erdmann ,
- Carmem Regina Delziovo ,
- Maria Solange Ferreira Alves ,
- Marli Terezinha Stein Backes
Views1See moreABSTRACT
Objective:
to identify telenursing contributions in Primary Health Care during the COVID-19 pandemic.
Methods:
an integrative literature review, conducted between January and August 2022 in the PubMed, CINAHL, LILACS, BDENF, Scopus, WoS, EMBASE and SciELO databases. A total of 493 studies was found, 62 were read in full, and of these, 16 were selected. For analysis, a dynamic reading of the studies and synthesis of the main results were carried out.
Results:
the main results highlighted telenursing practice as a challenge for professionals and the population. Among the contributions and positive points and aspects that require improvement, practice showed promise when considered in a post-pandemic scenario.
Final considerations:
through telenursing, the population’s access to Primary Health Care was guaranteed in the face of the COVID-19 pandemic. However, a critical look at current technological advances in healthcare is necessary.
- Patrícia Amidianski
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Percepções de pessoas com deficiência física sobre acessibilidade e condições sociais: intervenções para enfermagem de reabilitação
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Abstract
Percepções de pessoas com deficiência física sobre acessibilidade e condições sociais: intervenções para enfermagem de reabilitação
Revista Brasileira de Enfermagem. 2024;77(5):e20240005
DOI 10.1590/0034-7167-2024-0005
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Views0See moreRESUMEN
Objetivos:
analizar las experiencias de personas con discapacidad física adquirida en cuanto a accesibilidad y condiciones sociales; identificar intervenciones de rehabilitación dirigidas por enfermeras para la accesibilidad y condiciones sociales; determinar indicadores sensibles a la enfermería para mejorar la accesibilidad y condiciones sociales.
Métodos:
estudio cualitativo descriptivo-exploratorio utilizó entrevistas semiestructuradas con personas con discapacidad física adquirida mediante muestreo intencionado en bola de nieve para cumplir con todos los objetivos. El análisis de datos siguió los principios del análisis de contenido de Bardin. Los objetivos 2 y 3 se lograron mediante un enfoque teórico reflexivo.
Resultados:
los 27 participantes informaron desafíos de accesibilidad, que impactan las actividades de la vida diaria y las condiciones sociales. Esto influye en la enfermería de rehabilitación, dando lugar a tres campos de intervención: Evaluar la capacidad para realizar actividades diarias y los factores que influyen; Desarrollar e implementar capacitación para la realización de actividades diarias; Promover la movilidad, la accesibilidad y la participación social.
Consideraciones Finales:
a partir de las experiencias de los participantes, identificamos intervenciones de rehabilitación dirigidas por enfermeras para promover la accesibilidad y condiciones sociales.
- Rute Salomé da Silva Pereira
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ORIGINAL ARTICLE11-22-2024
Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Abstract
ORIGINAL ARTICLEPerceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20240005
DOI 10.1590/0034-7167-2024-0005
- Rute Salomé da Silva Pereira ,
- Salomé Sobral Sousa ,
- Maria Manuela Martins ,
- Wiliam César Alves Machado ,
- Soraia Dornelles Schoeller
Views0ABSTRACT
Objectives:
to analyze the experiences of people with acquired physical disabilities regarding accessibility and social conditions; to identify nurse-led rehabilitation interventions for accessibility and social conditions; to determine nursing-sensitive indicators to improve accessibility and social conditions.
Methods:
a descriptive-exploratory qualitative study employed semi-structured interviews with people with acquired physical disabilities through purposive snowball sampling to address all objectives. Data analysis followed Bardin’s content analysis principles. Furthermore, objectives 2 and 3 were achieved through a reflective theoretical approach.
Results:
the 27 participants reported accessibility challenges, impacting activities of living and social conditions. This influences rehabilitation nursing, leading to three intervention fields: Assess the ability to perform activities of living and influencing factors; Develop and implement training to perform activities of living; Promote mobility, accessibility, and social participation.
Final Considerations:
based on participants experiences, we identified nurse-led rehabilitation interventions to promote accessibility and social conditions.
Keywords:Architectural AccessibilityPeople with DisabilitiesRehabilitation NursingSocial ConditionsSustainable Development GoalsSee more
- Rute Salomé da Silva Pereira
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Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky , [ … ],
- Rita de Cássia Oliveira
Abstract
Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
DOI 10.1590/0034-7167-2023-0493
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky ,
- Rita de Cássia Oliveira
Views0See moreRESUMEN
Objetivo:
Analizar la configuración de las relaciones de poder entre el equipo multiprofesional en el proceso de rondas de cabecera en el hospital.
Método:
Investigación cualitativa con datos analizados a través del análisis del discurso, basado en el marco teórico de Michel Foucault. De septiembre a diciembre de 2022, realizamos entrevistas y observaciones de campo con el equipo multiprofesional de un hospital de Belo Horizonte, Minas Gerais, Brasil, así como entrevistas cualitativas semiestructuradas con 37 profesionales.
Resultados:
Los participantes señalaron que las experiencias de los profesionales involucrados en las rondas de cabecera dependen de cómo el médico conduce el proceso, y el proceso centrado en el médico dificulta la participación de otros profesionales del equipo.
Consideraciones finales:
La forma en que los hospitales organizan las rondas de cabecera no promueve la articulación del conocimiento de sus profesionales. Además, dificulta la circulación del poder y perjudica el trabajo interdisciplinario en un proceso que mantiene al médico como actor principal de las decisiones clínicas.
- Tauana Wazir Mattar e Silva
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ORIGINAL ARTICLE11-22-2024
Bedside rounds in the hospital environment from the perspective of multiprofessional health teams
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky , [ … ],
- Rita de Cássia Oliveira
Abstract
ORIGINAL ARTICLEBedside rounds in the hospital environment from the perspective of multiprofessional health teams
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
DOI 10.1590/0034-7167-2023-0493
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky ,
- Rita de Cássia Oliveira
Views0ABSTRACT
Objective:
To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.
Methods:
Qualitative research with data analyzed through discourse analysis, based on Michel Foucault’s theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.
Results:
The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.
Final considerations:
The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.
Keywords:Health Knowledge, Attitudes, PracticeHospitalsInterprofessional RelationsPatient Care TeamProfessional PracticeSee more - Tauana Wazir Mattar e Silva
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REVIEW11-22-2024
Transition to family parenting in the face of the first child: a scoping review
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Abstract
REVIEWTransition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
DOI 10.1590/0034-7167-2023-0487
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Views1See moreABSTRACT
Objectives:
to identify and summarize the elements that characterize the family transition process in relation to the first child.
Methods:
a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.
Final Considerations:
elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.
- Maria Isabel Ventura Araújo
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REVIEW11-22-2024
Spirituality and religiosity in children, adolescents and their families in a vulnerable context: a scoping review
- Marcela Teixeira de Souza ,
- Layane Cristina Araújo ,
- Alexandre Ernesto Silva ,
- Liana Amorim Corrêa Trotte ,
- Elaine Cristina Rodrigues Gesteira
Abstract
REVIEWSpirituality and religiosity in children, adolescents and their families in a vulnerable context: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230425
DOI 10.1590/0034-7167-2023-0425
- Marcela Teixeira de Souza ,
- Layane Cristina Araújo ,
- Alexandre Ernesto Silva ,
- Liana Amorim Corrêa Trotte ,
- Elaine Cristina Rodrigues Gesteira
Views0See moreABSTRACT
Objective:
to map evidence in the literature on the spirituality and religiosity of children, adolescents and their families in social vulnerability.
Methods:
this is a scoping review based on the JBI methodology, with the search without delimiting the time period, in English, Portuguese and Spanish, in the Virtual Health Library, PubMed, Embase, Cochrane Library, Scopus and Web of Science databases.
Results:
twenty-two studies were identified. The most studied population were adolescents, followed by children and their families. Regarding the setting, the context of vulnerability related to the low socioeconomic level experienced by these populations was highlighted. Furthermore, spirituality and religiosity were considered important for coping, social support, purpose and strength.
Conclusion:
there is an influence of spirituality and religiosity in the lives of children, adolescents and families, being a protective factor and a source of comfort, playing essential tools for living in context.
- Marcela Teixeira de Souza
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Quality of life and physical activity in intensive care professionals from middle São Francisco
Revista Brasileira de Enfermagem. 2015;68(1):26-31
Abstract
Quality of life and physical activity in intensive care professionals from middle São Francisco
Revista Brasileira de Enfermagem. 2015;68(1):26-31
DOI 10.1590/0034-7167.2015680104i
Views0See moreObjective:
the objective was to assess the level of physical activity (LPA) and the quality of life QL of the professionals who work in ICU.
Method:
this was a cross-sectional study carried out in Adult ICUs. LPA was assessed by the International Questionnarie of Physical Activity – short form (IQPA-SF) and the QL by the Medical Outcomes Study 36 (SF-36) questionnaire.
Results:
it was classified active 50.89% out of a total of 59 professionals. Nursing technicians were considered the most active with 60.6%. The QL of the professionals who were considered active were better when compared to inactives, with statistical differences to the category of physical aspects limitation, social aspects and mental health. The working hours were higher than recommend, the physicians were higher than the physical therapist, nurses and technicians nurses (p = 0.046).
Conclusion:
physically active professionals who work in ICU had higher quality of life probably why have lower hours of work and consequently more free time to engage in physical activity.
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Learning needs of Nursing students in technical vocational education
Revista Brasileira de Enfermagem. 2015;68(1):20-25
Abstract
Learning needs of Nursing students in technical vocational education
Revista Brasileira de Enfermagem. 2015;68(1):20-25
DOI 10.1590/0034-7167.2015680103i
Views0See moreObjective:
identify learning needs of students of Technical Vocational Education (TVE) in Nursing. Qualitative study conducted in a city of São Paulo state.
Method:
the subjects were students, teachers and coordinators of TVE and students of the bachelor degree who have had contact with TVE. Data collection was performed by questionnaire socioeconomic and cultural circles about the learning needs. For data analysis we used the content analysis.
Results:
it was found that students have difficulties contents not related to nursing as portuguese and mathematics, as well as introductory courses in the course of TVE which possibly may interfere negatively in learning specific content of nursing and the quality of health care.
Conclusion:
it is necessary to rethink the content taught and ways to teach from basic education, as well as the training of teachers who now works in the TVE.
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Serious game e-Baby: nursing students’ perception on learning about preterm newborn clinical assessment
Revista Brasileira de Enfermagem. 2015;68(1):13-19
Abstract
Serious game e-Baby: nursing students’ perception on learning about preterm newborn clinical assessment
Revista Brasileira de Enfermagem. 2015;68(1):13-19
DOI 10.1590/0034-7167.2015680102i
Views0See moreObjective:
to evaluate students opinion regarding e-Baby educational technology.
Methodology:
exploratory descriptive study in which participated a sample composed of 14 nursing Portuguese students that used e-Baby digital educational technology in an extracurricular course. To achieve the aim of the study, the data collection was realized through an opinion instrument in Likert scale including the possibility of commentaries by students. Is was also collected data of participants’ characterization.
Results:
students made very satisfactory evaluations regarding the game e-Baby, varying since usability acceptation through suggestions of expansion of the game to other nursing themes.
Conclusion:
serious game e-Baby can be considered a didactic innovation and motivator tool of learning. Besides, it demonstrates have adequate interface in design and educative function aspects, evocating intense interaction between user and computational tool.
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Challenges beyond the scientific knowledge production
Revista Brasileira de Enfermagem. 2015;68(1):7-8
Abstract
Challenges beyond the scientific knowledge production
Revista Brasileira de Enfermagem. 2015;68(1):7-8
DOI 10.1590/0034-7167.2015680101p
Views0For several decades, innumerous appeals and reflections on how to build the nursing science and achieve visibility in the scientific world led researchers to make efforts to produce knowledge that contributed to the well-being of people, improving their quality of life, relieving their suffering and transforming the reality in which we live. In addition to […]See more
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REFLECTION01-01-2018
Advanced practices for care management: reflections on the Brazilian Nursing
Revista Brasileira de Enfermagem. 2018;71(4):2060-2065
Abstract
REFLECTIONAdvanced practices for care management: reflections on the Brazilian Nursing
Revista Brasileira de Enfermagem. 2018;71(4):2060-2065
DOI 10.1590/0034-7167-2017-0115
Views0See moreABSTRACT
Objective:
to explain about the Advanced Nursing Practice and to discuss the possibilities of the Advanced Practice for the management of nursing care in Brazil.
Method:
this is a theoretical-reflexive trial, based on the international literature on advanced practices in nursing and analysis relevant to the profession and to the Brazilian context.
Results:
the object of the study was described in the following driving axes: Advanced Practice Nurse: international examples and Brazilian reality; Reflections on the care management by the Advanced Practice Nurse in Brazil. Autonomy, qualified training, leadership and performance based on scientific evidences as the foundation of the best care management by the Advanced Nursing Practice, stand out.
Final considerations:
while early and challenging, the work of Brazilian nursing towards advanced professional practice seems to be interesting, since the possibilities of managing the care of this modality of nurses’ performance are evident.
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REFLECTION01-01-2018
The Sociology of Pierre Bourdieu: theoretical potential for the subfield of nursing
Revista Brasileira de Enfermagem. 2018;71(4):2055-2059
Abstract
REFLECTIONThe Sociology of Pierre Bourdieu: theoretical potential for the subfield of nursing
Revista Brasileira de Enfermagem. 2018;71(4):2055-2059
DOI 10.1590/0034-7167-2016-0505
Views0See moreABSTRACT
Objective:
to approach the basic conceptions of Pierre Bourdieu’s sociology and its articulation with the subfield of nursing by focusing on managerial aspects.
Method:
reflections are based on the concepts of field, habitus, capital and symbolic power applied to the subfield of nursing by favoring the understanding of organizational dynamics and its agents.
Result:
health institutions are living structures in the adverse social world where nursing agents’ interests express their way of thinking and acting according to the place they occupy in the organization. These spaces of fight and symbolic violence tend to inculcate ideologies that meet these agents’ interests.
Final Considerations:
The proposition theory is fruitful to reflect the practice of management by unveiling the relationships and role that organizations establish about their agents. She warns about the possibility of seeing changes in the subfield of nursing.
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EXPERIENCE REPORT01-01-2018
Workshops as a democratic proposal in order to change the supervision work in nursing
Revista Brasileira de Enfermagem. 2018;71(4):2050-2054
Abstract
EXPERIENCE REPORTWorkshops as a democratic proposal in order to change the supervision work in nursing
Revista Brasileira de Enfermagem. 2018;71(4):2050-2054
DOI 10.1590/0034-7167-2017-0286
Views0See moreABSTRACT
Objective:
to report the experience of developing workshops as an intervention strategy in an action research, aiming to review the work of supervision in hospital nursing.
Method:
to report of the experience of planning, developing and evaluating workshops with a psychosocial approach. Three workshops were held, in a reserved place, with the participation of 21 supervisors of a public university hospital. Each workshop was organized with heating, day work, closure with syntheses and consensus.
Results:
the work provided the exchange of experiences, reflections and proposals for difficulties identified in the work process that distract supervisors from the management of assistance such as communication failure, reworking and lack of definition of assignments in the team.
Conclusion:
the dynamics of the workshops favored supervisors to propose solutions to the difficulties of their practice in a more democratic and participative way, through dialogical interactions, sharing of the feelings pertinent to the work context and establishing consensus for the completion of the task.
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REVIEW01-01-2018
Nursing training and professional practice: an integrative review of literature
Revista Brasileira de Enfermagem. 2018;71(4):2039-2049
Abstract
REVIEWNursing training and professional practice: an integrative review of literature
Revista Brasileira de Enfermagem. 2018;71(4):2039-2049
DOI 10.1590/0034-7167-2016-0504
Views0See moreABSTRACT
Objective:
to identify themes addressed in studies on the repercussions of nursing training in professional practice in Brazil.
Method:
this is a qualitative research, following the assumptions of Ganong’s Integrative Literature Review (1987). The keywords or terms “Health Care” were used; “Nursing”; “Higher Education”; “Teaching in Higher Education”; “Health Service”; “Human Resources” and “Nursing Undergraduates” in consultation with the Virtual Health Library and the CAPES Portal of Journals. Sixty-four studies were found, of which 41 met the inclusion criteria.
Results:
in the analysis, three themes were highlighted: pedagogical processes and the role of professors and students; curricular structure in nursing education; management of health training.
Final considerations:
we observed the need to incorporate the Brazilian Unified Health System (SUS) principles and directives in nursing education in the country so that the training is consistent with the needs of professional practice. The study points out to the challenges that emerge with this incorporation.
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REVIEW01-01-2018
Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review
Revista Brasileira de Enfermagem. 2018;71(4):2030-2038
Abstract
REVIEWCompetences and Barriers for the Evidence-Based Practice in Nursing: an integrative review
Revista Brasileira de Enfermagem. 2018;71(4):2030-2038
DOI 10.1590/0034-7167-2016-0617
Views0See moreABSTRACT
Objective:
To analyze knowledge, attitudes, practices, and frequent barriers to the implementation of the Evidence-Based Practice among nursing assistants in the hospital.
Method:
This is an integrative review, whose search for primary studies occurred in the PubMed, CINAHL and LILACS databases. For the analysis, cross-sectional observational studies were included in English, Portuguese and Spanish, published in nursing journals, from January 2007 to July 2016.
Results:
The search resulted in 363 articles, including nine primary studies. The sources of recurrent evidence among care nurses were: personal experience and local care protocols. These professionals presented weaknesses in the implementation of the Evidence-Based Practice related to the lack of knowledge for evidence evaluation, work overload and resistance to change of practice.
Final considerations
Nurses presented favorable attitudes, however, with little knowledge to perform the Evidence-Based Practice. Results can support interventions for its implementation in the hospital.
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REVIEW01-01-2018
Impact of venous ulcers on patients’ quality of life: an integrative review
Revista Brasileira de Enfermagem. 2018;71(4):2021-2029
Abstract
REVIEWImpact of venous ulcers on patients’ quality of life: an integrative review
Revista Brasileira de Enfermagem. 2018;71(4):2021-2029
DOI 10.1590/0034-7167-2017-0516
Views0See moreABSTRACT
Objective:
To analyze knowledge gathered about the impact of venous ulcers on patients’ quality of life.
Method:
Systematic bibliographic review study with an integrative approach. Databases of MEDLINE, LILACS, IBECS, CINAHL Complete, Web of Science, Scopus, and CUIDEN Plus were used for selection with the PICOT guiding criteria, through the DeCS and MeSH: adult, aged, varicose ulcer, and quality of life, in Portuguese, Spanish, and English. The inclusion criteria were: full original articles available in the databases selected with adherence to the theme in Portuguese, Spanish, and English, published from 2007 to 2016.
Results:
The sample included 14 national and international articles with different methodological approaches and investigative contexts, published from 2012 to 2016.
Conclusion:
Chronic venous ulcers act on patients’ bio-psycho-social-spiritual and socioeconomic spheres, having a negative impact on their quality of life.
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RESEARCH01-01-2018
Nursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
Abstract
RESEARCHNursing diagnoses of patients with kidney disease undergoing hemodialysis: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71(4):2014-2020
DOI 10.1590/0034-7167-2017-0225
Views0See moreABSTRACT
Objective:
to identify Nursing Diagnoses of 5th stage chronic kidney disease patients undergoing hemodialysis.
Method:
cross-sectional, descriptive and quantitative study carried out with 151 patients undergoing hemodialysis in a clinic specialized in nephrology from the Northwest of the Paraná State. Nursing Diagnoses were determined through Nanda-I in which had the percentage greater than 50%. The analysis used was the simple statistics.
Results:
17 Nursing Diagnoses were identified, emphasizing the risks present in 100% of patients: risks for electrolyte imbalance; ineffective kidney perfusion; infection: vascular injuries, adverse response to the iodine-based contrast-enhanced and impaired urinary elimination.
Conclusion:
the main diagnoses listed reflect the more frequent risks that patients undergoing hemodialysis are exposed to. Being aware of these risks allows the nursing planning with early interventions, in order to prevent complications related to the disease and to promote best life conditions.
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RESEARCH01-01-2018
The process of dying/death: intervening conditions to the nursing care management
Revista Brasileira de Enfermagem. 2018;71(4):2005-2013
Abstract
RESEARCHThe process of dying/death: intervening conditions to the nursing care management
Revista Brasileira de Enfermagem. 2018;71(4):2005-2013
DOI 10.1590/0034-7167-2017-0173
Views0See moreABSTRACT
Objective:
To exhibit the factors that influence the Nursing care management in the face of death and the process of dying/death of hospitalized adults in the medical-surgical units for hospitalization.
Method:
The Grounded Theory was applied with the theorical support of the Complex Thinking Theory. Data have been collected through semi-structured interviews from May, 2015 to January, 2016 with three sample groups totaling 41 participants: nurses, assistant nurses and members of multidisciplinary group. Data analysis followed the steps of open coding, axial coding and selective coding.
Results:
The category “Pointing out the interfaces of care management to patients in process of death/dying and their families” and its respective subcategories show the complex interactions established by the nurse due to the Nursing care management.
Final considerations:
Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.
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