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ORIGINAL ARTICLE08-30-2024
Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
- Amanda Lobato Lopes
, - Rosana Aparecida Pereira ,
- Laura Martins Valdevite Pereira ,
- Felippe Micheli Costa de Castilho ,
- Fernanda Raphael Escobar Gimenes
Abstract
ORIGINAL ARTICLEPatient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
Revista Brasileira de Enfermagem. 2024;77:e20230187
DOI 10.1590/0034-7167-2023-0187
- Amanda Lobato Lopes ,
- Rosana Aparecida Pereira ,
- Laura Martins Valdevite Pereira ,
- Felippe Micheli Costa de Castilho ,
- Fernanda Raphael Escobar Gimenes
Views0See moreABSTRACT
Objectives:
to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture.
Methods:
a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture. Those dimensions with 75% positive responses were considered strengthened.
Results:
all dimensions presented results lower than 75% of positive responses. Closed sectors showed a stronger safety culture compared to open ones. Indirect care sectors had a low general perception of patient safety when compared to direct care sectors.
Conclusions:
with the pandemic, points of weakness became even more evident, requiring attention and incisive interventions from the institution’s leaders.
- Amanda Lobato Lopes
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ORIGINAL ARTICLE08-30-2024
Meanings attributed to changes experienced by individuals after COVID-19 hospitalization
- Camila Harmuch ,
- Jéssica dos Santos Pini ,
- Paula Antunes Bezerra Nacamura ,
- Anny Caroline Ribeiro Devechi ,
- Vinícius Brito de Souza , [ … ],
- Marcelle Paiano
Abstract
ORIGINAL ARTICLEMeanings attributed to changes experienced by individuals after COVID-19 hospitalization
Revista Brasileira de Enfermagem. 2024;77:e20230122
DOI 10.1590/0034-7167-2023-0122
- Camila Harmuch ,
- Jéssica dos Santos Pini ,
- Paula Antunes Bezerra Nacamura ,
- Anny Caroline Ribeiro Devechi ,
- Vinícius Brito de Souza ,
- Juliana Graciela Vestena Zillmer ,
- Maria Aparecida Salci ,
- Marcelle Paiano
Views0See moreABSTRACT
Objectives:
to understand the meanings attributed to the experiences of individuals after hospitalization for COVID-19.
Methods:
qualitative study, with a theoretical framework based on Symbolic Interactionism and a methodological approach grounded in Grounded Theory. Nineteen participants who had moderate and severe forms of COVID-19 after hospitalization were interviewed. Data collection took place between April and November 2021 through online interviews, and the data were analyzed using initial and focused coding in the MAXQDA software.
Results:
the data illustrate new meanings attributed to different aspects of life after hospitalization, including relationships with others, the environment, physical and mental health, finances, identity, and interactions with a new social reality.
Conclusions:
the meanings are intrinsically linked to the value of interpersonal relationships, the perception of their impact, and the consequences after hospitalization. This allows professionals to understand the importance of this information to improve care and prepare for future epidemics.
- Camila Harmuch
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ORIGINAL ARTICLE08-26-2024
Leadership styles and personal values of professors at a school of nursing
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Abstract
ORIGINAL ARTICLELeadership styles and personal values of professors at a school of nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20230333
DOI 10.1590/0034-7167-2023-0333
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Views0See moreABSTRACT
Objectives:
to identify professors’ leadership styles and personal values.
Methods:
a quantitative, descriptive-exploratory study. Population was made up of professors in doctoral category 1 at a public university in the state of São Paulo. Data collection took place from June to August 2021. Sociodemographic characterization was extracted, and the Leadership Team Values Assessment was applied. Data were analyzed using measures of central tendency.
Results:
population included 13 professors. The level that represents authentic leadership was the most prevalent. The commitment, positive attitude and trust values stood out. The level portrayed by visionary leadership was the least identified.
Conclusions:
professors’ personal values provide a theoretical basis for guiding and analyzing professors’ leadership styles. Leadership in the educational context must be recognized and studied to promote a more comprehensive and effective approach to developing and improving educational leaders.
- Chennyfer Dobbins Abi Rached
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ORIGINAL ARTICLE08-26-2024
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Abstract
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
DOI 10.1590/0034-7167-2023-0293
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Views0ABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
Keywords:Blood TransfusionClinical EvolutionEmergency Medical ServiceLeukocyte Reduction ProceduresTransfusion ReactionSee more
- Natasha Dejigov Monteiro da Silva
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ORIGINAL ARTICLE08-26-2024
Factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
- Milena Ricioli Ribeiro ,
- Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
Abstract
ORIGINAL ARTICLEFactors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(5):e20230172
DOI 10.1590/0034-7167-2023-0172
- Milena Ricioli Ribeiro ,
- Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
Views0ABSTRACT
Objectives:
to evaluate the factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Methods:
this ecological study was conducted using secondary data from Brazilian pregnant women with COVID-19 hospitalized in Intensive Care Units between March 2020 and March 2022. Univariate analysis and logistic regression were employed.
Results:
out of 3,547 pregnant women with COVID-19 hospitalized in Intensive Care Units, 811 died (22.8%). It was found that lack of COVID-19 vaccination (OR: 2.73; 95% CI: 1.83; 4.04), dyspnea (OR: 1.73; 95% CI: 1.17; 2.56), obesity (OR: 1.51; 95% CI: 1.05; 2.17), chronic cardiovascular disease (OR: 1.65; 95% CI: 1.14; 2.38), and non-white race/color (OR: 1.29; 95% CI: 1.00; 1.66) were independently and significantly associated with death.
Conclusions:
it is concluded that vaccination status, presence of comorbidities, and clinical and ethnic-racial characteristics are associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Keywords:COVID-19Intensive Care UnitMaternal MortalityPregnant WomenSevere Acute Respiratory SyndromeSee more - Milena Ricioli Ribeiro
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ORIGINAL ARTICLE08-26-2024
Habilitação, uso de capacete e gravidade dos acidentes de trânsito envolvendo motociclistas
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
Abstract
ORIGINAL ARTICLEHabilitação, uso de capacete e gravidade dos acidentes de trânsito envolvendo motociclistas
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
DOI 10.1590/0034-7167-2023-0153
Views0RESUMEN
Objetivos:
describir los accidentes de tránsito con los motociclistas y evaluar la asociación entre el permiso para conducir motocicletas y el uso del casco con la gravedad de los accidentes.
Métodos:
estudio transversal, realizado a los pacientes hospitalizados en el sector de Traumatología y Ortopedia de un hospital público de referencia de la región Nordeste de Brasil.
Resultados:
participaron 170 pacientes; la mayoría de ellos del sexo masculino (95,9%), de edad entre 18 y 67 años. Los encuestados eran negros o pardos (52,3%), tenían estudios primarios (58,9%), ingresos mensuales inferiores a dos salarios mínimos (56,5%). Se encontró una asociación entre tener el permiso de conducir y llevar casco. Entre los que sufrieron accidentes moderados, esta asociación fue OR=5,66(1,85-17,23), y entre los que sufrieron accidentes graves fue OR=13,57(2,82-65,14).
Conclusiones:
las personas con permiso para conducir motocicletas que utilizaron casco como equipo de protección sufrieron lesiones menos graves en los accidentes.
Keywords:Acidentes de TrânsitoDispositivo de Proteção da CabeçaHabilitação FormalLesões AcidentaisMotocicletasSee more -
ORIGINAL ARTICLE08-26-2024
Driver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
Abstract
ORIGINAL ARTICLEDriver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
DOI 10.1590/0034-7167-2023-0153
Views0See moreABSTRACT
Objectives:
to describe traffic accidents involving motorcyclists and analyze the association between possession of a motorcycle driver’s license and use of helmets according to the severity of injuries.
Methods:
a cross-sectional study was conducted among all patients hospitalized in the traumatology and orthopedics sector of a public reference hospital in northeastern Brazil.
Results:
170 patients were surveyed, the majority were male (95.9%). Their ages ranged from 18 to 67 years. Most were black or brown (52.3%), had completed elementary school (58.9%) and had monthly income smaller than two minimum wages (56.5%). An association was found between being licensed to drive a motorcycle and wearing a helmet. Among those who suffered moderate injuries, this association was OR=5.66(1.85-17.23) and among those who suffered severe injuries it was OR=13.57(2.82-65.14).
Conclusions:
people who were licensed to drive motorcycles used a helmet as protective equipment more often and, in accidents, suffered fewer injuries.
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EDITORIAL08-19-2024
Abuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
EDITORIALAbuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401pt
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0Eis aqui um editorial acadêmico-político que tem como objetivo convocar o campo científico a refletir sobre os perigos das decisões relativas ao direito ao aborto sob réguas morais, uma vez que não há evidências de que tal perspectiva se traduza em práticas de cuidado, proteção à infância e equidade de gênero – elementos tão urgentes […]See more - Ricardo de Mattos Russo Rafael
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ORIGINAL ARTICLE12-04-2023
30-Year High Cardiovascular Risk Incidence and its Determinants: CUME Study
- Renata Soares Passinho ,
- Josefina Bressan ,
- Helen Hermana Miranda Hermsdorff ,
- Fernando Luiz Pereira de Oliveira ,
- Adriano Marçal Pimenta
Abstract
ORIGINAL ARTICLE30-Year High Cardiovascular Risk Incidence and its Determinants: CUME Study
Revista Brasileira de Enfermagem. 2023;76(6):e20220544
DOI 10.1590/0034-7167-2022-0544
- Renata Soares Passinho ,
- Josefina Bressan ,
- Helen Hermana Miranda Hermsdorff ,
- Fernando Luiz Pereira de Oliveira ,
- Adriano Marçal Pimenta
Views0See moreABSTRACT
Objective:
Estimate the incidence of the 30-year high cardiovascular risk and its determinants among graduates of federal universities in Minas Gerais.
Methods:
This is a prospective cohort of 2,854 adults aged 20 to 59. The incidence of the outcome was calculated using the Framingham equation and its determinants were determined through multivariate Cox regression.
Results:
After an average of 2.62 years, the incidence of high cardiovascular risk was 8.09 and 20.1 cases per 1,000 person-years, for females and males respectively. Being male (HR: 2.34; 95% CI: 1.58 – 3.46), employment (HR: 2.13; 95% CI: 1.13 – 3.99), high consumption of processed foods (HR: 2.44; 95% CI: 1.21 – 4.90), and being physically active (HR: 0.63; 95% CI: 0.41 – 0.98) were associated with high cardiovascular risk.
Conclusions:
Among highly educated adults, being male, employment, and high consumption of processed foods are predictors of high cardiovascular risk, while being physically active acts as a protective factor.
- Renata Soares Passinho
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ORIGINAL ARTICLE12-04-2023
“Fala-M@no-COVID-19”: technological development of a health navigation program for men during the pandemic
- Franciele Silva dos Santos ,
- Lorena de Cerqueira Andrade Braga ,
- Ramon Vinicius Peixoto da Silva Santos ,
- Mary Karolyna Tavares Santos de Santana ,
- Gildasio Souza Pereira , [ … ],
- Anderson Reis de Sousa
Abstract
ORIGINAL ARTICLE“Fala-M@no-COVID-19”: technological development of a health navigation program for men during the pandemic
Revista Brasileira de Enfermagem. 2023;76(6):e20220534
DOI 10.1590/0034-7167-2022-0534
- Franciele Silva dos Santos ,
- Lorena de Cerqueira Andrade Braga ,
- Ramon Vinicius Peixoto da Silva Santos ,
- Mary Karolyna Tavares Santos de Santana ,
- Gildasio Souza Pereira ,
- Vinícius de Olivera Muniz ,
- Éric Santos Almeida ,
- Anderson Reis de Sousa
Views0See moreABSTRACT
Objective:
to develop a care-educational technology similar to a health navigation program for men during the COVID-19 pandemic.
Methods:
a methodological and qualitative study of a care-educational technology of health navigation program, structured by Program Development Cycle, with 16 patient navigators and 10 professional navigators. It used reflective thematic content analysis and an adaptation model for data processing.
Results:
the ; navigation program was developed by: I) Observation of reality, problem mapping, needs assessment: content selection, creation of domains and questions; II) Theoretical-conceptual and methodological definition, creation of product under the elaboration of care plans, based on theory, process and taxonomies by a flowchart of operationalization of actions; and III) Self-assessment: qualitative research with professional navigators.
Final considerations:
the technology developed, with theoretical and methodological support, allowed to derive a viable navigation program compatible with reality based on the audience’s needs.
- Franciele Silva dos Santos
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ORIGINAL ARTICLE12-04-2023
Social representation of young people in higher education about sexually transmitted infections
- Thelma Spindola ,
- Laércio Deleon de Melo ,
- Juliana de Lima Brandão ,
- Denize Cristina de Oliveira ,
- Sérgio Corrêa Marques , [ … ],
- Paulo Ferreira Pinto
Abstract
ORIGINAL ARTICLESocial representation of young people in higher education about sexually transmitted infections
Revista Brasileira de Enfermagem. 2023;76(6):e20220406
DOI 10.1590/0034-7167-2022-0406
- Thelma Spindola ,
- Laércio Deleon de Melo ,
- Juliana de Lima Brandão ,
- Denize Cristina de Oliveira ,
- Sérgio Corrêa Marques ,
- Cristina Arreguy-Sena ,
- Paulo Ferreira Pinto
Views0See moreABSTRACT
Objective:
to analyze the social representations about sexually transmitted infections elaborated by undergraduate students.
Methods:
a descriptive, qualitative study, in the light of the structural approach of Social Representation Theory, carried out with 160 young undergraduate students, in the second half of 2019, in the city of Rio de Janeiro. Data were collected using a sociodemographic characterization questionnaire, knowledge and practices for preventing sexually transmitted infections, analyzed using descriptive statistics and a form of free evocations with the inducing term STD, analyzed using prototypical and similarity analysis.
Results:
the representation’s possible central nucleus is composed of lexicons aids, disease and HIV; the peripheral system by syphilis, sex, condoms, gonorrhea, prevention, infection, carelessness, HPV, herpes, ignorance, treatment, fear, unprotected-sex and danger.
Final considerations:
social thinking about sexually transmitted infections is characterized by their recognition as diseases, which require barrier prevention measures, associating with unsafe sexual practices that arouse fear.
- Thelma Spindola
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The Medical Healing of Souls: a strategy for welcoming post-pandemic mental health
- Angelica Yolanda Bueno Bejarano Vale de Medeiros ,
- Eliane Ramos Pereira ,
- Rose Mary Costa Rosa Andrade Silva
Abstract
The Medical Healing of Souls: a strategy for welcoming post-pandemic mental health
Revista Brasileira de Enfermagem. 2023;76(6):e20220331
DOI 10.1590/0034-7167-2022-0331
- Angelica Yolanda Bueno Bejarano Vale de Medeiros ,
- Eliane Ramos Pereira ,
- Rose Mary Costa Rosa Andrade Silva
Views0See moreABSTRACT
Objective:
to reflect on the applicability of the Medical Healing of Souls (MHS) by health professionals as a welcoming strategy in post-pandemic mental health.
Methods:
a theoretical and reflective study, based on Viktor Frankl’s philosophy, based on the book “The Doctor and the Soul, From Psychotherapy to Logotherapy” and scientific literature.
Results:
the study was structured in two discursive approaches: MHS in the field of health; The applicability of MHS in post-pandemic mental health care.
Final considerations:
MHS can be used in mental health care, in health emergencies, promoting a more humane performance of health professionals, facilitating the integration of inevitable suffering into a meaningful life.
- Angelica Yolanda Bueno Bejarano Vale de Medeiros
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ORIGINAL ARTICLE12-04-2023
Translation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
- Janaina Recanello Begui ,
- Seth Scholer ,
- Naiara Barros Polita ,
- Maria Aparecida Baggio ,
- Maria de Fátima Garcia Lopes Merino , [ … ],
- Rosângela Aparecida Pimenta
Abstract
ORIGINAL ARTICLETranslation, cross-cultural adaptation and validity study of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil
Revista Brasileira de Enfermagem. 2023;76(6):e20220281
DOI 10.1590/0034-7167-2022-0281
- Janaina Recanello Begui ,
- Seth Scholer ,
- Naiara Barros Polita ,
- Maria Aparecida Baggio ,
- Maria de Fátima Garcia Lopes Merino ,
- Adriana Valongo Zani ,
- Rosângela Aparecida Pimenta
Views0See moreABSTRACT
Objective:
to describe the translation, cross-cultural adaptation and validity process of the “Play Nicely Program: The Healthy Discipline Handbook” for use in Brazil.
Methods:
a methodological study that followed the translation, back-translation, expert committee assessment, and pre-test steps. The Content Validity Index (CVI) was calculated for both the judge population and the pre-test population. Four translators, seven expert judges in the field of child health and thirty participants in the pre-test, including parents, teachers and healthcare professionals, participated in the study.
Results:
in experts’ analysis (98.4%), a value of 100% of adequate assessments was obtained, and in the target population’s analysis (89.5%), there were 100% of adequate assessments. In both analyses, suggested adaptations were made.
Conclusios:
cross-cultural adaptation and content validity into Brazilian Portuguese of the “Play Nicely Program: The Healthy Discipline Handbook” were considered adequate for application in the target population.
- Janaina Recanello Begui
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ORIGINAL ARTICLE12-04-2023
Emergency units and COVID-19: Burnout, and empathy reported by nursing professionals and perceived by patients
Revista Brasileira de Enfermagem. 2023;76(6):e20210869
Abstract
ORIGINAL ARTICLEEmergency units and COVID-19: Burnout, and empathy reported by nursing professionals and perceived by patients
Revista Brasileira de Enfermagem. 2023;76(6):e20210869
DOI 10.1590/0034-7167-2021-0869
Views0See moreABSTRACT
Objective:
To investigate Burnout Syndrome and empathy self-reported by the nursing staff and empathy perceived by the patient.
Method:
Cross-sectional study in a public emergency unit in São Paulo (from October/2020 to March/2021). The nursing staff answered the Maslach Burnout Inventory and the Consultation and Relational Empathy Measure-Nurses (Brazilian version), whereas adult patients answered the Consultation and Relational Empathy Measure (Brazilian version). Descriptive and inferential analysis, with a 5% significance level.
Results:
A total of 92 professionals and 271 patients participated. Most professionals reported impact of COVID-19 (80; 86.96%) and, among them, increased Burnout Syndrome (93; 75%), but with low emotional exhaustion (71; 74%), low depersonalization (59; 78%) and high level of professional accomplishment (72; 83%). Most reported impact and increased empathy, and the results reported by professionals and patients (mean and standard deviation) were: 39.89 (6.44) and 38.25 (9.45), respectively.
Conclusion:
The professionals reported a low level of Burnout Syndrome and a high level of empathy in pandemic.
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ERRATUM11-27-2023
ERRATUM
Revista Brasileira de Enfermagem. 2023;76(5):e2023n5e05
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2023;76(5):e2023n5e05
DOI 10.1590/0034-7167.20237605e05
Views0In the article “Performance of Family Health Strategy Nurses in LGBT+ Healthcare”, with DOI number: , published in Revista Brasileira de Enfermagem, 2023;76(4): e20220514, authored:Where it read:[…]See more -
ORIGINAL ARTICLE11-27-2023
Mental suffering in family daily life: a temporal journey according to Merleau-Ponty
- Patricia Anjos Lima de Carvalho ,
- Vanessa Thamyris Carvalho dos Santos ,
- Marlene Gomes Terra ,
- Márcia Aparecida Ferreira de Oliveira ,
- Ricardo Henrique Soares , [ … ],
- Edite Lago da Silva Sena
Abstract
ORIGINAL ARTICLEMental suffering in family daily life: a temporal journey according to Merleau-Ponty
Revista Brasileira de Enfermagem. 2023;76(5):e20230258
DOI 10.1590/0034-7167-2023-0258
- Patricia Anjos Lima de Carvalho ,
- Vanessa Thamyris Carvalho dos Santos ,
- Marlene Gomes Terra ,
- Márcia Aparecida Ferreira de Oliveira ,
- Ricardo Henrique Soares ,
- Edite Lago da Silva Sena
Views0See moreABSTRACT
Objectives:
to describe the family’s experience in relation to daily life with a family member experiencing mental suffering.
Methods:
a qualitative, descriptive, phenomenological study grounded in Merleau-Ponty’s ontology of experience was conducted in ten households in a city in the state of Bahia, Brazil, where 24 participants of the Intersubjectivity Wheels reside. The descriptions produced were subjected to the Ambiguity Analytics technique.
Results:
the descriptions were categorized into: absence as a creative power of the sense of “being” and “not being a family”; and exclusion and acceptance as expressions of mental suffering in the family context.
Final Considerations:
the experience of mental suffering in the family’s daily life is marked by ambiguous feelings, such as joy and sadness, disappointment and satisfaction, lack of love and love. However, experiencing these feelings can mobilize the desire to “become” a family, increase the sense of autonomy and independence, and drive the formation of new family configurations.
- Patricia Anjos Lima de Carvalho
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ORIGINAL ARTICLE12-04-2023
Effect of cardiovascular biofeedback on nursing staff stress: a randomized controlled clinical trial
- Andréia Barcellos Teixeira Macedo ,
- Edwing Alberto Urrea Vega ,
- Liliana Antoniolli ,
- Jessica Morgana Gediel Pinheiro ,
- Juliana Petri Tavares , [ … ],
- Sônia Beatriz Cócaro de Souza
Abstract
ORIGINAL ARTICLEEffect of cardiovascular biofeedback on nursing staff stress: a randomized controlled clinical trial
Revista Brasileira de Enfermagem. 2023;76(6):e20230069
DOI 10.1590/0034-7167-2023-0069
- Andréia Barcellos Teixeira Macedo ,
- Edwing Alberto Urrea Vega ,
- Liliana Antoniolli ,
- Jessica Morgana Gediel Pinheiro ,
- Juliana Petri Tavares ,
- Sônia Beatriz Cócaro de Souza
Views0See moreABSTRACT
Objective:
to assess the effect of cardiovascular biofeedback on nursing staff stress when compared to an activity without self-monitoring.
Method:
a randomized controlled clinical trial, carried out with nursing professionals from a university hospital. The intervention group (n=58) performed cardiovascular biofeedback, and the control (n=57) performed an online puzzle without self-monitoring, totaling nine meetings over three weeks. The outcome was assessed using the Stress Symptoms and Work-Related Stress scales, and the biological marker heart rate variability. The generalized estimating equations method was used.
Results:
the intervention had no effect on self-reported instruments (p>0.050). However, there was an effect of time (p<0.050) on all heart rate variability indicators, demonstrating changes over the sessions.
Conclusion:
cardiovascular biofeedback showed promising results in the biological marker, suggesting that it can be used in nursing staff as a complementary therapy by promoting better autonomic nervous system regulation.
- Andréia Barcellos Teixeira Macedo
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Transition of Care for Individuals with Mental Disorders in Brazil: A Contextual Analysis
- Larissa Arielly Cunha da Silva ,
- Renilly de Melo Paiva ,
- Sarah Lyandra Furtado Faustino ,
- Emanuela Juliana Bezerra Miranda ,
- Viviane Euzébia Pereira Santos
Abstract
Transition of Care for Individuals with Mental Disorders in Brazil: A Contextual Analysis
Revista Brasileira de Enfermagem. 2023;76(6):e20230063
DOI 10.1590/0034-7167-2023-0063
- Larissa Arielly Cunha da Silva ,
- Renilly de Melo Paiva ,
- Sarah Lyandra Furtado Faustino ,
- Emanuela Juliana Bezerra Miranda ,
- Viviane Euzébia Pereira Santos
Views0See moreABSTRACT
Objective:
To describe the contexts of care transition for individuals with mental disorders in the Brazilian setting.
Methods:
A contextual analysis was conducted through a scoping review. The search for studies was conducted in databases and thesis and dissertation portals, and the analysis was based on immediate, specific, general, and meta-contexts.
Results:
The sample, consisting of eight studies, indicated that the following factors are present in the contexts where care transition occurs: Peculiarities of care transition for individuals with mental disorders; Perspectives that can strengthen or weaken this transition; Approaches proposed in the past for the development of care transition; and Elements related to Brazilian legislation.
Final Considerations:
It is observed that the transition of care for individuals with mental disorders in Brazil takes place in various contexts of care levels. These variations present significant potentials and barriers in the care scenarios.
- Larissa Arielly Cunha da Silva
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ORIGINAL ARTICLE12-04-2023
Feelings about birth by a group of high-risk pregnant women
- Juliana de Sousa de Almeida ,
- Emily Marques Alves ,
- Thelma Malagutti Sodré ,
- Keli Regiane Tomeleri da Fonseca Pinto ,
- Fabiana Fontana Medeiros , [ … ],
- Catia Campaner Ferrari Bernardy
Abstract
ORIGINAL ARTICLEFeelings about birth by a group of high-risk pregnant women
Revista Brasileira de Enfermagem. 2023;76(6):e20230059
DOI 10.1590/0034-7167-2023-0059
- Juliana de Sousa de Almeida ,
- Emily Marques Alves ,
- Thelma Malagutti Sodré ,
- Keli Regiane Tomeleri da Fonseca Pinto ,
- Fabiana Fontana Medeiros ,
- Catia Campaner Ferrari Bernardy
Views0See moreABSTRACT
Objective:
to understand feelings about birth among a group of high-risk pregnant women.
Method:
a descriptive and qualitative study, using Alfred Schütz’s social phenomenology as a philosophical theoretical framework. The study included 25 pregnant women undergoing high-risk prenatal care. The interview had the following guiding questions: tell me about your feelings regarding the moment of birth/childbirth; How do you deal with the high-risk diagnosis? What are your expectations for birth/childbirth?
Results:
five categories emerged: Fear of obstetric care; Fear of complications with the baby; Fear of cesarean section; Resilience in the face of high-risk pregnancy; and Expectations for birth.
Considerations:
high-risk pregnant women are afraid of the care they will receive, the risks and concern about the baby’s vitality at birth. The importance of care is emphasized, with a welcoming environment, bonding and communication between health team and pregnant woman.
- Juliana de Sousa de Almeida
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ORIGINAL ARTICLE12-04-2023
Sobrecarga entre cuidadores cônjuges e não cônjuges de idosos dependentes por AVC: estudo longitudinal
- Carolina Baltar Day ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Fernanda Laís Fengler Dal Pizzol ,
- Gail Low ,
- Naiana Oliveira dos Santos , [ … ],
- Lisiane Manganelli Girardi Paskulin
Abstract
ORIGINAL ARTICLESobrecarga entre cuidadores cônjuges e não cônjuges de idosos dependentes por AVC: estudo longitudinal
Revista Brasileira de Enfermagem. 2023;76(6):e20230052
DOI 10.1590/0034-7167-2023-0052
- Carolina Baltar Day ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Fernanda Laís Fengler Dal Pizzol ,
- Gail Low ,
- Naiana Oliveira dos Santos ,
- Lisiane Manganelli Girardi Paskulin
Views0See moreRESUMEN
Objetivo:
evaluar la carga de los cuidadores conyugales y no conyugales de ancianos con dependencia inducida por ictus después del alta de la Unidad de Atención Especializada en Ictus de un hospital del sur de Brasil.
Métodos:
una encuesta longitudinal, con 48 cuidadores (20 cónyuges). Datos fueron recolectados entre mayo/2016 y julio/2018. Una semana después del alta, se aplicó la Medida de Independencia Funcional a los ancianos y la Caregiver Burden Scale a los cuidadores. Los datos se analizaron mediante análisis multivariado de varianza.
Resultados:
en tiempo 1, los cónyuges experimentaron mayor carga en relación al aislamiento social (p=0,01). Los cónyuges sintieron una tensión general y sensación de aislamiento mucho mayor (p=0,01; p=0,04).
Conclusión:
las diferencias estadísticamente significativas en la carga a lo largo del tiempo resaltan la importancia de evaluar la carga del cuidador después del alta y la necesidad de un programa de apoyo formal.
- Carolina Baltar Day
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ORIGINAL ARTICLE12-04-2023
A longitudinal study of burden among spouse and non-spouse caregivers of older adults with stroke-induced-dependency
- Carolina Baltar Day ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Fernanda Laís Fengler Dal Pizzol ,
- Gail Low ,
- Naiana Oliveira dos Santos , [ … ],
- Lisiane Manganelli Girardi Paskulin
Abstract
ORIGINAL ARTICLEA longitudinal study of burden among spouse and non-spouse caregivers of older adults with stroke-induced-dependency
Revista Brasileira de Enfermagem. 2023;76(6):e20230052
DOI 10.1590/0034-7167-2023-0052
- Carolina Baltar Day ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Fernanda Laís Fengler Dal Pizzol ,
- Gail Low ,
- Naiana Oliveira dos Santos ,
- Lisiane Manganelli Girardi Paskulin
Views0See moreABSTRACT
Objective:
to assess the burden of spouse and non-spouse caregivers of older adults with stroke-induced-dependency after discharge from a university hospital’s Specialized Care Stroke Unit in southern Brazil.
Methods:
a longitudinal survey. The sample consisted of 48 consenting caregivers, among which 20 were spouse caregivers. Data were collected between May 2016 and July 2018. One week after discharge, caregivers completed a sociodemographic profile, the Functional Independence Measure, and the Caregiver Burden Scale. Burden was also measured two months after discharge. Data were analyzed using Multivariate Analyses of Variance.
Results:
regarding time 1, non-spouse caregivers experienced greater burden with respect to social isolation (p = .01). Along with a persistently greater sense of isolation (p=.04), non-spouse caregivers felt far greater general strain (p =.01).
Conclusion:
statistically significant differences in burden over time highlight the importance of assessing caregiver burden after discharge and the need for a formal support program.
- Carolina Baltar Day
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Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review
- Luciana Aparecida da Cunha Borges ,
- Rodrigo Guimarães dos Santos Almeida ,
- Elton Santo Barboza ,
- Guilherme Oliveira de Arruda
Abstract
Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review
Revista Brasileira de Enfermagem. 2023;76(6):e20230043
DOI 10.1590/0034-7167-2023-0043
- Luciana Aparecida da Cunha Borges ,
- Rodrigo Guimarães dos Santos Almeida ,
- Elton Santo Barboza ,
- Guilherme Oliveira de Arruda
Views0See moreABSTRACT
Objective:
to identify evidence about the use and effects of clinical simulation for preparing caregivers for discharging patients with chronic conditions.
Methods:
an integrative peer review in the Scopus, PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, ScienceDirect and Virtual Health Library databases, from July to September 2022.
Results:
3,218 studies were identified, with a final sample consisting of four national and two international articles. Using simulation as an educational technology contributed to caregiver preparation in home care. In most studies, using clinical simulation included using other strategies to complement training: expository dialogued class, conversation circle and audiovisual resources.
Final considerations:
simulation proved to be efficient for training caregivers, with the active participation of family members and nurses in health education actions.
- Luciana Aparecida da Cunha Borges
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ORIGINAL ARTICLE12-04-2023
Alterações na composição corporal de pacientes queimados durante as fases de resposta ao trauma
- Andressa Maranhão de Arruda ,
- Patrícia Calado Ferreira Pinheiro Gadelha ,
- Bruna Lúcia de Mendonça Soares ,
- Catiana Coelho Cabral Dowsley ,
- Maria da Conceição Chaves de Lemos , [ … ],
- Ana Célia Oliveira dos Santos
Abstract
ORIGINAL ARTICLEAlterações na composição corporal de pacientes queimados durante as fases de resposta ao trauma
Revista Brasileira de Enfermagem. 2023;76(6):e20230039
DOI 10.1590/0034-7167-2023-0039
- Andressa Maranhão de Arruda ,
- Patrícia Calado Ferreira Pinheiro Gadelha ,
- Bruna Lúcia de Mendonça Soares ,
- Catiana Coelho Cabral Dowsley ,
- Maria da Conceição Chaves de Lemos ,
- Ana Célia Oliveira dos Santos
Views0RESUMEN
Objetivo:
evaluar alteraciones en la composición corporal de pacientes quemados mediante bioimpedancia eléctrica en las fases de respuesta al trauma.
Métodos:
estudio observacional longitudinal, realizado de octubre de 2019 a marzo de 2020. Se recogieron datos sociodemográficos, clínicos, epidemiológicos, antropométricos y de composición corporal. El análisis estadístico se realizó mediante SPSS, considerando una significancia del 5%. La comparación entre variables se realizó mediante la prueba de la t de Student pareada.
Resultados:
la muestra estuvo compuesta por 58 pacientes adultos quemados, con una edad media de 38,2±12,5 años. El área de superficie corporal media (ASC) con quemaduras fue de 10,8±7,3%. La evaluación nutricional mostró disminución del peso corporal, índice de masa corporal, masa magra y masa muscular en las fases de respuesta al trauma (p<0,005).
Conclusión:
los cambios metabólicos en las diferentes fases de la respuesta metabólica al trauma llevaron a la disminución del estado nutricional de los pacientes quemados de ambos sexos durante la hospitalización.
Keywords:Avaliação NutricionalComposição CorporalEstado NutricionalImpedância BioelétricaQueimadurasSee more - Andressa Maranhão de Arruda
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ORIGINAL ARTICLE12-04-2023
Changes in body composition of burn patients during the phases of response to trauma
- Andressa Maranhão de Arruda ,
- Patrícia Calado Ferreira Pinheiro Gadelha ,
- Bruna Lúcia de Mendonça Soares ,
- Catiana Coelho Cabral Dowsley ,
- Maria da Conceição Chaves de Lemos , [ … ],
- Ana Célia Oliveira dos Santos
Abstract
ORIGINAL ARTICLEChanges in body composition of burn patients during the phases of response to trauma
Revista Brasileira de Enfermagem. 2023;76(6):e20230039
DOI 10.1590/0034-7167-2023-0039
- Andressa Maranhão de Arruda ,
- Patrícia Calado Ferreira Pinheiro Gadelha ,
- Bruna Lúcia de Mendonça Soares ,
- Catiana Coelho Cabral Dowsley ,
- Maria da Conceição Chaves de Lemos ,
- Ana Célia Oliveira dos Santos
Views0See moreABSTRACT
Objective:
To assess the changes in body composition of burn patients through electrical bioimpedance in the phases of response to trauma.
Methods:
a longitudinal observational study, carried out from October 2019 to March 2020. Sociodemographic, clinical, epidemiological, anthropometric and body composition data were collected. Statistical analysis was performed with SPSS, considering a significance of 5%. The comparison between variables was performed using the paired Student’s t test.
Results:
the sample consisted of 58 adult burn patients, with a mean age of 38.2±12.5 years. The mean body surface area (BSA) with burns was 10.8±7.3%. Nutritional assessment demonstrated a depletion of body weight, Body Mass Index, fat-free mass and muscle mass in the phases of response to trauma (p<0.005).
Conclusion:
metabolic alterations in the different phases of the metabolic response to trauma led to a depletion of the nutritional status of burn patients of both sexes during hospitalization.
- Andressa Maranhão de Arruda
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