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RESEARCH01-01-2016
Knowledge of healthcare professionals on the evaluation and treatment of neonatal pain
Revista Brasileira de Enfermagem. 2016;69(3):552-558
Abstract
RESEARCHKnowledge of healthcare professionals on the evaluation and treatment of neonatal pain
Revista Brasileira de Enfermagem. 2016;69(3):552-558
DOI 10.1590/0034-7167.2016690319i
Views0See moreABSTRACT
Objective:
to identify knowledge of healthcare professionals on the management, evaluation and treatment of pain in a neonatal unit in a municipality of Rio de Janeiro.
Method:
descriptive, exploratory study with quantitative analysis. Data were analyzed using the software R. Core Team
Results:
of the 96 healthcare professionals who participated in the study, 42 nursing aides/technicians responded, along with 22 nurses, 20 physicians and 2 physical therapists. The results showed that 40.5% of the nursing aides/technicians, 50% of the physicians and 50% of the physical therapists confirmed that they coordinate/perform/assist in the care of babies’ pain while performing procedures (lumbar puncture, chest tube insertion and central line). There was a significant difference of agreement in relation to the nursing aides/technicians and physicians. Most (69.8%) of the healthcare professionals knew of some non-pharmacological measure effective for relief of acute pain.
Conclusion:
there is a need for an educational intervention program, with participation of those involved, in the process to change professional practice.
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RESEARCH01-01-2016
Moments for hand hygiene in Material and Sterilization Center
Revista Brasileira de Enfermagem. 2016;69(3):546-551
Abstract
RESEARCHMoments for hand hygiene in Material and Sterilization Center
Revista Brasileira de Enfermagem. 2016;69(3):546-551
DOI 10.1590/0034-7167.2016690318i
Views0See moreABSTRACT
Objective:
to characterize the moments when there is a need for hand hygiene (HH) by employees who work in Material and Sterilization Center (MSC).
Method:
we conducted a descriptive cross-sectional study in the MSC of a large hospital, from July to November 2012, in Goiânia, state of Goiás, Brazil. Data obtained through observation of workers, following a previously evaluated and tested checklist.
Results:
to the dirty area, standardized moments of HH were enough. In the clean area, “Extra moments with indication” for HH, resulting from the work process, such as: after disinfecting benches, after verification and inventory of consigned products, before assembling boxes/trays, before loading and unloading the autoclave, before handling and distributing health care products, among others, were necessary.
Conclusion:
the moments of HH in the dirty area coincide with indications of the clinical practice; and, in the clean area, characteristic moments of the work process were captured.
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RESEARCH01-01-2016
The experience of family care in transitional support houses
Revista Brasileira de Enfermagem. 2016;69(3):538-545
Abstract
RESEARCHThe experience of family care in transitional support houses
Revista Brasileira de Enfermagem. 2016;69(3):538-545
DOI 10.1590/0034-7167.2016690317i
Views0See moreABSTRACT
Objective:
to present the theoretical model that represents the experience of care in transitional homes of support to families of children in a period of post-transplantation of hematopoietic stem cells.
Method:
grounded theory, performed with 18 participants from three different samples. For analysis, we used the QSR Nvivo10 software.
Results:
we elaborated four categories: living in the transitional support home; experiencing care of children in post-transplantation of hematopoietic stem cells; taking care of the family caregiver; and returning to a new life at home, which interrelate according to the theoretical code of the interactive family.
Conclusion:
this research contributes to understanding the experience of care in transitional support homes of families with children in post-transplantation of hematopoietic stem cells and subsidizes nursing and health actions provided to this population; it also contributes to the development of a hospital discharge guidance and care directed to this clientele.
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RESEARCH01-01-2016
Social representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
Abstract
RESEARCHSocial representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
DOI 10.1590/0034-7167.2016690316i
Views0See moreABSTRACT
Objective:
to describe the social representation of nurses on tuberculosis and identify the implications on nursing care.
Method:
qualitative research with the participation of 52 nurses from 23 Basic Health Units of Belém, Pará. A semi-structured interview was conducted with subsequent analysis of the thematic content according to the Theory of Social Representations.
Results:
the social representations of tuberculosis were organized into two categories: infection, evidencing the clinical-epidemiological aspects of the disease, and stigma and prejudice, representing the social aspect. Care is affected by fear – a fact that explains the distance adopted by some nurses when handling ill people.
Conclusion:
the social representations of nurses on tuberculosis remain grounded in fear, leading professionals to keep a certain distance from patients and generating stigma and prejudice, which may affect adherence to treatment.
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RESEARCH01-01-2016
Health care for children and adolescents with HIV: a comparison of services
Revista Brasileira de Enfermagem. 2016;69(3):522-531
Abstract
RESEARCHHealth care for children and adolescents with HIV: a comparison of services
Revista Brasileira de Enfermagem. 2016;69(3):522-531
DOI 10.1590/0034-7167.2016690315i
Views0See moreABSTRACT
Objective:
compare the quality of different types of health care for children and adolescents with HIV, in the experience of family members and caregivers.
Method:
a cross-sectional study was conducted with 71 family members and caregivers, using the children’s version of the Primary Care Assessment Tool (PCATool-Brazil). The Mann-Whitney or Student’s t-test and Pearson’s chi-square or Fisher’s exact test were used for the analysis.
Results:
primary care services and, predominantly, specialized HIV services, were identified as the regular health care sources. There were no significant differences in quality, since their scores were close to the ideal level.
Conclusion:
the attributes of these services need to be improved, which would entail reformulating their structural and performance aspects. In addition, it is imperative to recognize primary health care as an integral place for promoting the health of children and adolescents with HIV.
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RESEARCH01-01-2016
Nursing care in Specialized HIV/Aids Outpatient Services
Revista Brasileira de Enfermagem. 2016;69(3):515-521
Abstract
RESEARCHNursing care in Specialized HIV/Aids Outpatient Services
Revista Brasileira de Enfermagem. 2016;69(3):515-521
DOI 10.1590/0034-7167.2016690314i
Views0See moreABSTRACT
Objective:
to analyze the discourses about the care provided by nurses operating in Specialized HIV/Aids Outpatient Services in four public institutions of the city of Fortaleza, Ceará, Brazil.
Method:
descriptive and exploratory study with a qualitative approach, which used as a method the discourse analysis.
Results:
when titling the “care as negative”, such title came from the analogy proposed by Freud (1912) with the photographic negative, represented by what that care can configure from the unconscious movement, since nurses did not perceive themselves in the care actions developed by supporting the work of other occupational categories, contributing to maintain the ideology of biomedicine.
Conclusion:
it is necessary to justify and theorize a nursing clinical practice from epistemological issues of the profession, in such a way that nurses can understand their relevance within the care provided.
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RESEARCH01-01-2016
Notification of health problems among nursing workers in university hospitals
Revista Brasileira de Enfermagem. 2016;69(3):507-514
Abstract
RESEARCHNotification of health problems among nursing workers in university hospitals
Revista Brasileira de Enfermagem. 2016;69(3):507-514
DOI 10.1590/0034-7167.2016690313i
Views0See moreABSTRACT
Objective:
to identify the health problems of nursing workers and describe their consequences.
Method:
an epidemiological, descriptive study with a quantitative approach. The survey was conducted through the Health Monitoring System for Nursing Workers (SIMOSTE) in three university hospitals in São Paulo within a 12-month period.
Results:
a total of 970 records related to health problems were identified; most of these were related to sick leave, occupational accidents with leave, absences, and occupational accidents without leave, with a predominance of musculoskeletal and respiratory system diseases, infectious and parasitic diseases, and nervous system diseases, among others. A total of 4,161 days of work were lost because of the mentioned health problems.
Conclusion:
the results evidence the need to propose preventive strategies to mitigate and reduce health problems in nursing workers.
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RESEARCH01-01-2016
Association between self-care and hospital readmissions of patients with heart failure
Revista Brasileira de Enfermagem. 2016;69(3):500-506
Abstract
RESEARCHAssociation between self-care and hospital readmissions of patients with heart failure
Revista Brasileira de Enfermagem. 2016;69(3):500-506
DOI 10.1590/0034-7167.2016690312i
Views0See moreABSTRACT
Objective:
to assess the association between self-care and the number of hospital readmissions of patients with heart failure (ADHF) and test the applicability of two self-care assessment tools. longitudinal study, performed in a cardiology reference hospital in southern Brazil.
Method:
it included 82 patients with a mean age of 61.85±12.33 years, 57.3% male. The mean score of self-care assessment found the scales European Heart Failure Self-care Behavior Scale and Self-care Scale for Patients with Heart Failure was unsatisfactory.
Results:
it was observed an average of 2.57±1.66 rehospitalization last year for decompensated heart failure. There was a correlation between self-care scores with the number of hospital readmissions for decompensated HF. Education and age were associated to self-care of HF patients.
Conclusion:
both scales assess self-care in a relevant way, and correlated their indexes.
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ORIGINAL ARTICLE12-05-2019
Elderly caregiver: knowledge, attitudes and practices about falls and its prevention
- Abigail Roxana Nina Mamani
, - Annelita Almeida Oliveira Reiners ,
- Rosemeiry Capriata de Souza Azevedo ,
- Akeisa Dieli Ribeiro Dalla Vechia ,
- Neuber José Segri , [ … ],
- Joana Darc Chaves Cardoso
Abstract
ORIGINAL ARTICLEElderly caregiver: knowledge, attitudes and practices about falls and its prevention
Revista Brasileira de Enfermagem. 2019;72:119-126
DOI 10.1590/0034-7167-2018-0276
- Abigail Roxana Nina Mamani ,
- Annelita Almeida Oliveira Reiners ,
- Rosemeiry Capriata de Souza Azevedo ,
- Akeisa Dieli Ribeiro Dalla Vechia ,
- Neuber José Segri ,
- Joana Darc Chaves Cardoso
Views0ABSTRACT
Objective:
investigate the knowledge, attitudes and practices of informal elderly caregivers about falls and its prevention.
Method:
this is a descriptive cross-sectional study conducted with 97 informal elderly caregivers residents in areas covered by five Health Strategy Units (ESF) in Cuiabá.
Results:
more than half of the participants are aware of falls and identify them as a problem, as well as they identify some risk factors and prevention measures. Regarding attitudes, more than half of the caregivers do not seem to act effectively to prevent falls. Most of them report adopting practices to prevent falls of the elderly, supervising the activities of their daily lives.
Conclusion:
caregivers know about falls and its prevention, but in a superficial way, and it seems to influence their attitudes and practices regarding the prevention of this event.
Keywords:Accidental FallsAgedCaregiversHealth Knowledge, Attitudes, PracticeHealth Services for the AgedSee more
- Abigail Roxana Nina Mamani
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ORIGINAL ARTICLE09-21-2020
The care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory
- Ana Celi Silva Torres Nascimento ,
- Aisiane Cedraz Morais ,
- Rita da Cruz Amorim ,
- Deisy Vital dos Santos
Abstract
ORIGINAL ARTICLEThe care provided by the family to the premature newborn: analysis under Leininger’s Transcultural Theory
Revista Brasileira de Enfermagem. 2020;73:e20190644
DOI 10.1590/0034-7167-2019-0644
- Ana Celi Silva Torres Nascimento ,
- Aisiane Cedraz Morais ,
- Rita da Cruz Amorim ,
- Deisy Vital dos Santos
Views0See moreABSTRACT
Objective:
To analyze the care practices of family members of premature infants admitted to a Neonatal Intensive Care Unit in the light of Leininger’s transcultural theory.
Methods:
Qualitative, descriptive and exploratory study. Participant observation and semi-structured interviews were conducted with 16 family members of newborns, admitted to the neonatal unit of a public maternity hospital, during the months of May and June 2019. The software called Interface de R pour analyses Multidimensionnelles de Textes et de Questionnaire® and the Bardin Content Analysis technique.
Results:
Two thematic categories emerged: Family care in the neonatal unit; (in)effective support for shared care.
Conclusion:
The participation of families in the care of babies is still unstable, but it must be an inseparable element of culturally congruent care, thus collaborating with the full recovery of the premature.
- Ana Celi Silva Torres Nascimento
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EXPERIENCE REPORT07-13-2020
Military Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic
- Letícia Lima Borges ,
- Clarissa Coelho Vieira Guimarães ,
- Beatriz Gerbassi Costa Aguiar ,
- Luiz Alberto de Freitas Felipe
Abstract
EXPERIENCE REPORTMilitary Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200297
DOI 10.1590/0034-7167-2020-0297
- Letícia Lima Borges ,
- Clarissa Coelho Vieira Guimarães ,
- Beatriz Gerbassi Costa Aguiar ,
- Luiz Alberto de Freitas Felipe
Views0See moreABSTRACT
Objective:
to describe the experience of military nursing in “Operation Return to Brazil” in an aeromedical evacuation.
Method:
this is an experience report of the nursing staff in the Aeromedical Evacuation of potentially-contaminated Brazilians who were in Wuhan, China, after the outbreak of the new coronavirus.
Results:
the report was constructed from nursing care performed in three stages: pre-flight, screening, and flight. Pre-flight care would include aircraft configuration and material prediction. In screening, the staff was concerned with being properly attired. In the health assessment of returnees, in-flight, attention was focused on Personal Protective Equipment handling to minimize the risk of contamination by prolonged contact with potentially-contaminated passengers.
Final considerations:
nursing was committed to planning all the actions of this mission, which was one of the longest, strenuous and unprecedented in the history of aeromedical transport in Brazil.
- Letícia Lima Borges
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ORIGINAL ARTICLE09-21-2020
Adolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna , [ … ],
- Patrícia Neyva da Costa Pinheiro
Abstract
ORIGINAL ARTICLEAdolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
Revista Brasileira de Enfermagem. 2020;73:e20190242
DOI 10.1590/0034-7167-2019-0242
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna ,
- Patrícia Neyva da Costa Pinheiro
Views0See moreABSTRACT
Objective:
To analyze the association between vulnerabilities to Sexually Transmitted Infections (STIs/HIV/AIDS) of adolescents in poverty and their level of resilience.
Method:
Cross-sectional study with 287 students between 11 and 17 years old in a school in the outskirts of Fortaleza-Ce. The study was conducted from August to October 2016. Three instruments related to characterization, vulnerability to STIs/HIV/AIDS and resilience were used. The association between the instruments was calculated using the Mann-Whitney and Kruskal-Wallis tests. Association between vulnerability to STIs/HIV/AIDS and resilience was assessed through the Spearman’s correlation coefficient. Statistical significance was set at p<0.05.
Results:
There was a significant association between the factors “housing” (p=0.022), “family income” (p=0.037) and vulnerability to STIs/HIV/AIDS. Adolescents whose father has completed high school (p=0.043) have moderately high resilience.
Conclusion:
Adolescents with low socioeconomic status and who live on less than a minimum wage tends to be more susceptible to vulnerabilities to STIs/HIV/AIDS and to have low resilience.
- Maria Isabelly Fernandes da Costa
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REFLECTION06-04-2021
Care in pediatric nursing from the perspective of emotions: from Nightingale to the present
- Paula Manuela Jorge Diogo ,
- Bruna Hinnah Borges Martins de Freitas ,
- Ana Inês Lourenço da Costa ,
- Maria Aparecida Munhoz Gaíva
Abstract
REFLECTIONCare in pediatric nursing from the perspective of emotions: from Nightingale to the present
Revista Brasileira de Enfermagem. 2021;74(4):e20200377
DOI 10.1590/0034-7167-2020-0377
- Paula Manuela Jorge Diogo ,
- Bruna Hinnah Borges Martins de Freitas ,
- Ana Inês Lourenço da Costa ,
- Maria Aparecida Munhoz Gaíva
Views0See moreABSTRACT
Objective:
Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.
Method:
Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.
Results:
From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.
Final considerations:
In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
- Paula Manuela Jorge Diogo
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EXPERIENCE REPORT09-29-2022
Mobile pre-hospital care reorganization during the COVID-19 pandemic: experience report
Revista Brasileira de Enfermagem. 2022;75:e20200826
Abstract
EXPERIENCE REPORTMobile pre-hospital care reorganization during the COVID-19 pandemic: experience report
Revista Brasileira de Enfermagem. 2022;75:e20200826
DOI 10.1590/0034-7167-2020-0826
Views0ABSTRACT
Objective:
To describe the reorganization of Belo Horizonte’s Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool.
Methods:
Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process.
Results:
Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine.
Final considerations:
The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.
Keywords:AmbulancesCoronavirus InfectionsEmergency Medical ServicesHealth Services AdministrationPandemicsSee more
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ORIGINAL ARTICLE12-13-2019
Factors associated with low Apgar in newborns in birth center
- Nágela Cristine Pinheiro Santos ,
- Sibylle Emilie Vogt ,
- Elysângela Dittz Duarte ,
- Adriano Marçal Pimenta ,
- Lélia Maria Madeira , [ … ],
- Mery Natali Silva Abreu
Abstract
ORIGINAL ARTICLEFactors associated with low Apgar in newborns in birth center
Revista Brasileira de Enfermagem. 2019;72:297-304
DOI 10.1590/0034-7167-2018-0924
- Nágela Cristine Pinheiro Santos ,
- Sibylle Emilie Vogt ,
- Elysângela Dittz Duarte ,
- Adriano Marçal Pimenta ,
- Lélia Maria Madeira ,
- Mery Natali Silva Abreu
Views0See moreABSTRACT
Objective:
to analyze factors associated with Apgar of 5 minutes less than 7 of newborns of women selected for care at the Center for Normal Birth (ANC).
Method:
a descriptive cross-sectional study with data from 9,135 newborns collected between July 2001 and December 2012. The analysis used absolute and relative frequency frequencies and bivariate analysis using Pearson’s chi-square test or the exact Fisher.
Results:
fifty-three newborns (0.6%) had Apgar less than 7 in the 5th minute. The multivariate analysis found a positive association between low Apgar and gestational age less than 37 weeks, gestational pathologies and intercurrences in labor. The presence of the companion was a protective factor.
Conclusion:
the Normal Birth Center is a viable option for newborns of low risk women as long as the protocol for screening low-risk women is followed.
- Nágela Cristine Pinheiro Santos
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ORIGINAL ARTICLE07-31-2020
Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study
- Thales Philipe Rodrigues da Silva ,
- Erica Dumont-Pena ,
- Alexandra Dias Moreira ,
- Bárbara Araujo Camargos ,
- Marivania Queiroz Meireles , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEFactors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20180996
DOI 10.1590/0034-7167-2018-0996
- Thales Philipe Rodrigues da Silva ,
- Erica Dumont-Pena ,
- Alexandra Dias Moreira ,
- Bárbara Araujo Camargos ,
- Marivania Queiroz Meireles ,
- Kleyde Ventura de Souza ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objectives:
to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.
Methods:
cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte – Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio.
Results:
increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section.
Final Considerations:
the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.
- Thales Philipe Rodrigues da Silva
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