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REVIEW07-15-2024
Risk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory
- Gabrielle Pessôa da Silva
, - Camila Takáo Lopes ,
- Marcos Venícios de Oliveira Lopes ,
- Ryanne Carolynne Marques Gomes Mendes ,
- Jaqueline Galdino Albuquerque Perrelli , [ … ],
- Francisca Márcia Pereira Linhares
Abstract
REVIEWRisk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77:e20230288
DOI 10.1590/0034-7167-2023-0288
- Gabrielle Pessôa da Silva ,
- Camila Takáo Lopes ,
- Marcos Venícios de Oliveira Lopes ,
- Ryanne Carolynne Marques Gomes Mendes ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Lívia Maia Pascoal ,
- Suzana de Oliveira Mangueira ,
- Francisca Márcia Pereira Linhares
Views0See moreABSTRACT
Objectives:
to develop a Middle-Range Theory for the Risk for imbalanced blood pressure pattern among incarcerated women.
Methods:
theoretical development study to obtain the theoretical-causal validity of the Nursing Diagnosis Risk for unstable blood pressure. The Middle-Range Theory was developed according to six stages: establishment of the approach to developing the theory; definition of the conceptual models to be later analyzed; definition of the main conceptions; a pictorial diagram; propositions; causal relationships and evidence for practice.
Results:
two attributes and 20 antecedents related to imbalanced blood pressure were identified, a pictorial diagram was developed, and nine theoretical propositions were presented.
Conclusions:
the theory developed here favors the diagnostic reasoning of nurses and contributes to planning actions to promote the cardiovascular health of incarcerated women. A new proposition for the diagnosis of Risk for unstable blood pressure was also structured with a new title, definition, and etiological factors.
- Gabrielle Pessôa da Silva
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ORIGINAL ARTICLE07-15-2024
Root cause analysis of safety incidents in antineoplastic use in children
- Elizangela Domiciano Garcia Barreto ,
- Valcieny Souza Sandes ,
- Gustavo Cattelan Nobre ,
- Monica Martins ,
- Sima Esther Ferman , [ … ],
- Elisangela Costa Lima
Abstract
ORIGINAL ARTICLERoot cause analysis of safety incidents in antineoplastic use in children
Revista Brasileira de Enfermagem. 2024;77:e20230139
DOI 10.1590/0034-7167-2021-0139
- Elizangela Domiciano Garcia Barreto ,
- Valcieny Souza Sandes ,
- Gustavo Cattelan Nobre ,
- Monica Martins ,
- Sima Esther Ferman ,
- Elisangela Costa Lima
Views0See moreABSTRACT
Objectives:
to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients.
Methods:
a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors.
Results:
in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages.
Conclusions:
the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the process.
- Elizangela Domiciano Garcia Barreto
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REVIEW07-15-2024
Leprosy and its impact on the quality of life of people with physical disabilities: a scoping review
- Douglas Moreira de Araujo ,
- Elisa Camila de Souza e Silva ,
- Helen Vaz da Silva Gomes ,
- Fábio da Costa Carbogim ,
- Gesner Francisco Xavier Junior , [ … ],
- Angélica da Conceição Oliveira Coelho
Abstract
REVIEWLeprosy and its impact on the quality of life of people with physical disabilities: a scoping review
Revista Brasileira de Enfermagem. 2024;77:e20230101
DOI 10.1590/0034-7167-2023-0101
- Douglas Moreira de Araujo ,
- Elisa Camila de Souza e Silva ,
- Helen Vaz da Silva Gomes ,
- Fábio da Costa Carbogim ,
- Gesner Francisco Xavier Junior ,
- Angélica da Conceição Oliveira Coelho
Views0See moreABSTRACT
Objectives:
to identify and synthesize, from the literature, the impacts of physical disability caused by leprosy on the quality of life of individuals receiving care within the Health Care Network.
Methods:
this is a scoping review conducted following the JBI recommendations. The databases used in the search included the Medical Literature Analysis and Retrieval System Online, Cochrane Library, Web of Science, Lilacs, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Leprosy Information Services, and Google Scholar.
Results:
1690 documents were identified, of which 36 were included in the review. Physical disability caused by leprosy affects the quality of life in the areas of daily activities, socioeconomic aspects, psychological well-being, pain, and overall well-being.
Conclusions:
we identified the impairments caused by physical disability in the quality of life, highlighting the need for prevention, promotion, and rehabilitation actions, such as screening, case management, and health education.
- Douglas Moreira de Araujo
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ORIGINAL ARTICLE07-15-2024
Depressive symptoms and associated factors among travestis and transsexuals: a cross-sectional study
- Glauber Weder dos Santos Silva ,
- Karina Cardoso Meira ,
- Eder Samuel Oliveira Dantas ,
- Sávio Marcelino Gomes ,
- Iago Matheus Bezerra Pedrosa , [ … ],
- Francisco Arnoldo Nunes de Miranda
Abstract
ORIGINAL ARTICLEDepressive symptoms and associated factors among travestis and transsexuals: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77:e20230071
DOI 10.1590/0034-7167-2023-0071
- Glauber Weder dos Santos Silva ,
- Karina Cardoso Meira ,
- Eder Samuel Oliveira Dantas ,
- Sávio Marcelino Gomes ,
- Iago Matheus Bezerra Pedrosa ,
- Francisco Arnoldo Nunes de Miranda
Views0ABSTRACT
Objectives:
to estimate the prevalence of depressive levels and their associated factors among transvestite and transsexual individuals.
Methods:
this cross-sectional study involved 58 participants assisted by non-governmental organizations. The Beck Depression Inventory was utilized to assess levels of depression, complemented by a sociodemographic questionnaire and a questionnaire on experiences of violence. Data were analyzed using descriptive statistics and Poisson regression with robust variance.
Results:
a prevalence of 27.6% (95% CI = 11.50-39.10) for moderate to severe levels of depression was observed. This prevalence was associated with being unmarried (PR = 1.19; 95% CI = 1.10-1.28) and experiencing violence in healthcare services (PR = 2.30; 95% CI = 1.10-4.81).
Conclusions:
the absence of a partner and experiences of violence in healthcare settings negatively impacted mental health, leading to an increased prevalence of depressive symptoms among transvestite and transsexual individuals. Advocating for transgender rights and providing ongoing education in health care for professionals are critical strategies in promoting the mental health of this population.
Keywords:Cross-Sectional StudiesDepressionGender-Based ViolenceSexual and Gender MinoritiesTransgender PersonsSee more - Glauber Weder dos Santos Silva
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REVIEW07-15-2024
Factors associated with Burnout Syndrome in police officers: a scoping review
- Beatriz Maria dos Santos Santiago Ribeiro ,
- Fabio Scorsolini-Comin ,
- Maria Lucia do Carmo Cruz Robazzi ,
- Sérgio Valverde Marques dos Santos ,
- Fábio de Souza Terra , [ … ],
- Rita de Cassia de Marchi Barcellos Dalri
Abstract
REVIEWFactors associated with Burnout Syndrome in police officers: a scoping review
Revista Brasileira de Enfermagem. 2024;77(2):e20230444
DOI 10.1590/0034-7167-2023-0444
- Beatriz Maria dos Santos Santiago Ribeiro ,
- Fabio Scorsolini-Comin ,
- Maria Lucia do Carmo Cruz Robazzi ,
- Sérgio Valverde Marques dos Santos ,
- Fábio de Souza Terra ,
- Rita de Cassia de Marchi Barcellos Dalri
Views0See moreABSTRACT
Objectives:
to synthesize research on factors associated with Burnout Syndrome (BS) in police officers.
Methods:
a scoping review was conducted without temporal or language restrictions. Data were exported to EndNote to remove duplicates and then imported into the Rayyan app for organization, article selection, and data extraction.
Results:
a total of 4559 publications were identified, with 50 studies included in the review. Research conducted in Brazil and the United States predominated. Certain occupational factors were found to be more closely linked to police officers compared to other professions, including law enforcement, frequency of interaction with suspects and criminals, rank, dissatisfaction with the organization, and civilian confrontations.
Conclusions:
certain aspects of the police profession contribute to BS, even in countries with better working conditions in public security. It is recommended to prioritize health promotion initiatives for these professionals.
- Beatriz Maria dos Santos Santiago Ribeiro
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EDITORIAL07-08-2024
¿Puede la enfermería contribuir a reducir la mortalidad por accidentes de transporte terrestre?
Revista Brasileira de Enfermagem. 2024;77(4):e770401
Abstract
EDITORIAL¿Puede la enfermería contribuir a reducir la mortalidad por accidentes de transporte terrestre?
Revista Brasileira de Enfermagem. 2024;77(4):e770401
DOI 10.1590/0034-7167.2024770401es
Views0La morbilidad y la mortalidad por causas externas, especialmente las resultantes de accidentes de transporte terrestre (ATT), persisten como un desafío global, dado que es responsable de alrededor de 2 millones de vidas perdidas anualmente, impactando a diversos segmentos de la sociedad, especialmente en los servicios y sistemas de salud().La evidencia indica que los ATT […]See more -
EDITORIAL07-08-2024
Can nursing contribute to reducing mortality from land transport accidents?
Revista Brasileira de Enfermagem. 2024;77(4):e770401
Abstract
EDITORIALCan nursing contribute to reducing mortality from land transport accidents?
Revista Brasileira de Enfermagem. 2024;77(4):e770401
DOI 10.1590/0034-7167.2024770401
Views0Morbidity and mortality from external causes, especially those resulting from land transport accidents (LTA), persist as a global challenge, given that they account for around 2 million lives lost annually, impacting various segments of society, especially in health services and systems().Evidence indicates that LTA are preventable, although historically they have been considered inevitable. However, isolated […]See more -
ORIGINAL ARTICLE06-28-2024
Quality of life at work for health professionals during the COVID-19 pandemic
- Monalisa Maria Leandro da Silva Oliveira ,
- Gabriela Ferreira de Oliveira Butrico ,
- Vanessa da Silva Carvalho Vila ,
- Katarinne Lima Moraes ,
- Marina Aleixo Diniz Rezende , [ … ],
- Sergiane Bisinoto Alves
Abstract
ORIGINAL ARTICLEQuality of life at work for health professionals during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230461
DOI 10.1590/0034-7167-2023-0461
- Monalisa Maria Leandro da Silva Oliveira ,
- Gabriela Ferreira de Oliveira Butrico ,
- Vanessa da Silva Carvalho Vila ,
- Katarinne Lima Moraes ,
- Marina Aleixo Diniz Rezende ,
- Laidilce Teles Zatta Santos ,
- Larissa Silva Magalhães ,
- Sergiane Bisinoto Alves
Views0ABSTRACT
Objective:
to evaluate the quality of life at work of health professionals in direct and indirect care of COVID-19 cases.
Methods:
this was a cross-sectional study with 156 health professionals from a referral hospital. The relationship between sociodemographic and work-related variables and perceived stress and domains of the Quality of Life at Work Scale was investigated using inferential statistics and regression.
Results:
Satisfaction with Compassion was moderate (mean: 38.2), with low perception of stress, Burnout and Secondary Traumatic Stress (means: 18.8, 21.6 and 19.1). There were associations between: education, salary, multiple jobs and direct care with Compassion Satisfaction; low income, being a nurse and working overtime with Burnout; and working more than 12 hours, underlying disease and hospitalization for COVID-19 with Secondary Traumatic Stress.
Conclusion:
quality of life at work was satisfactory, despite the presence of Burnout and Secondary Traumatic Stress.
Keywords:Occupational HealthOccupational StressPsychological BurnoutQuality of LifeWorking ConditionsSee more - Monalisa Maria Leandro da Silva Oliveira
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REVIEW11-27-2023
Educational interventions for cervical cancer prevention: a scoping review
- Josiane Montanho Mariño ,
- Lailah Maria Pinto Nunes ,
- Yasmin Cardoso Metwaly Mohamed Ali ,
- Leonardo do Carmo Tonhi ,
- Marina de Góes Salvetti
Abstract
REVIEWEducational interventions for cervical cancer prevention: a scoping review
Revista Brasileira de Enfermagem. 2023;76(5):e20230018
DOI 10.1590/0034-7167-2023-0018
- Josiane Montanho Mariño ,
- Lailah Maria Pinto Nunes ,
- Yasmin Cardoso Metwaly Mohamed Ali ,
- Leonardo do Carmo Tonhi ,
- Marina de Góes Salvetti
Views0ABSTRACT
Objectives:
to identify, map and describe characteristics of educational interventions for cervical cancer prevention in adult women.
Methods:
a scoping review conducted on eleven databases and the gray literature, including studies that described educational interventions aimed at preventing cervical cancer in adult women.
Results:
thirty-three articles with 151,457 participants were analyzed. The most used educational strategies were participatory discussions and educational leaflets. Most of the interventions took place in a single session, ranging from 40 to 60 minutes. The most used theoretical model in interventions to improve women’s compliance with Pap smear was the Health Belief Model.
Conclusions:
group discussions, lectures and educational brochures can increase knowledge and reduce barriers to cervical cancer prevention. Theory-based and culturally sensitive interventions can have a positive impact on women’s health.
Keywords:Health EducationMass ScreeningPapanicolaou TestPrimary Health CareUterine Cervical NeoplasmsSee more
- Josiane Montanho Mariño
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ORIGINAL ARTICLE11-27-2023
Validation of the hospital resources assessment scale for the preservation of urinary continence in the elderly
- Roberta Pereira Góes ,
- Larissa Chaves Pedreira ,
- João Paulo de Almeida Tavares ,
- Simone da Silva Oliveira ,
- Elaine de Oliveira Souza , [ … ],
- Fernanda Cajuhy dos Santos
Abstract
ORIGINAL ARTICLEValidation of the hospital resources assessment scale for the preservation of urinary continence in the elderly
Revista Brasileira de Enfermagem. 2023;76(5):e20220805
DOI 10.1590/0034-7167-2022-0805
- Roberta Pereira Góes ,
- Larissa Chaves Pedreira ,
- João Paulo de Almeida Tavares ,
- Simone da Silva Oliveira ,
- Elaine de Oliveira Souza ,
- Fernanda Cajuhy dos Santos
Views0See moreABSTRACT
Objectives:
to validate the internal structure of the Hospital Resources Assessment Scale for the Preservation of Urinary Continence in the Elderly.
Methods:
validation study of the internal structure of a scale constructed based on the Donabedian conceptual model and an integrative review, with prior content validation. The scale was applied to the target population, and 124 nurses responded to the questionnaire. Exploratory Factor Analysis was performed using the FACTOR software, employing multiple techniques.
Results:
a factorial model with 11 items organized into two dimensions (support for human resources and material resources) was obtained. The “physical structure” dimension was removed from the initial model and adopted as a complementary checklist to the instrument, as it was not possible to obtain a factorable model with this dimension.
Conclusions:
we provide a valid scale that can measure indicators, identifying weaknesses and/or strengths related to hospital resources for the preservation of urinary continence in the elderly.
- Roberta Pereira Góes
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EXPERIENCE REPORT11-27-2023
Implementación de estrategia de enfermería para autotrascendencia en adulto mayor: relato de experiencia
- Jesús Guadalupe Martínez Ramírez ,
- Erika Adriana Torres Hernández ,
- Raúl Fernando Guerrero-Castañeda
Abstract
EXPERIENCE REPORTImplementación de estrategia de enfermería para autotrascendencia en adulto mayor: relato de experiencia
Revista Brasileira de Enfermagem. 2023;76(5):e20220745
DOI 10.1590/0034-7167-2022-0745es
- Jesús Guadalupe Martínez Ramírez ,
- Erika Adriana Torres Hernández ,
- Raúl Fernando Guerrero-Castañeda
Views0RESUMEN
Objetivos:
relatar la experiencia de la implementación de una estrategia de enfermería para promover la autotrascendencia en adultos mayores que acuden a un centro de primer nivel de atención en salud.
Métodos:
relato de experiencia sobre implementación de una estrategia abordando la Teoría de Autotrascendencia por enfermería a adultos mayores de una unidad de salud de primer nivel, en San Luis Potosí, México, de octubre-noviembre del 2022.
Resultados:
participaron 14 adultos mayores y tres enfermeros. A partir de la expresión de sentimientos, charlas sobre autotrascendencia, fomento de espiritualidad y actividad física, la estrategia resultó satisfactoria. Se observaron cambios emocionales, cognitivos y espirituales en las diferentes dimensiones de la Teoría de Autotrascendencia.
Consideraciones Finales:
la estrategia de enfermería sobre autotrascendencia permitió plasmar momentos significativos que ayudaron a identificar puntos clave en los que se encontraban los adultos mayores; esto ayudó para intervenir desde una perspectiva del cuidado de persona a persona.
Keywords:AncianoEnfermeras y EnfermerosEspiritualidadRelaciones Enfermero-PacienteTeoría de EnfermeríaSee more - Jesús Guadalupe Martínez Ramírez
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EXPERIENCE REPORT11-27-2023
Implementation of a nursing strategy for self-transcendence in older adults: an experience report
- Jesús Guadalupe Martínez Ramírez ,
- Erika Adriana Torres Hernández ,
- Raúl Fernando Guerrero-Castañeda
Abstract
EXPERIENCE REPORTImplementation of a nursing strategy for self-transcendence in older adults: an experience report
Revista Brasileira de Enfermagem. 2023;76(5):e20220745
DOI 10.1590/0034-7167-2022-0745
- Jesús Guadalupe Martínez Ramírez ,
- Erika Adriana Torres Hernández ,
- Raúl Fernando Guerrero-Castañeda
Views0See moreABSTRACT
Objectives:
to report the experience of implementing a nursing strategy to promote self-transcendence in older adults attended at a Primary Health Care center.
Methods:
an experience report on the implementation of a strategy addressing the Theory of Self-Transcendence by nursing to older adults in a primary health unit, in San Luis Potosí, Mexico, from October to November 2022.
Results:
fourteen older adults and three nurses participated. From the expression of feelings, speeches about self-transcendence, spirituality and physical activity promotion, the strategy was satisfactory. Emotional, cognitive and spiritual changes were observed in the different dimensions of the Theory of Self-Transcendence.
Final Considerations:
the nursing strategy on self-transcendence made it possible to identify significant moments that helped to identify the key points in which older adults were; it helped to intervene from a person-to-person care perspective.
- Jesús Guadalupe Martínez Ramírez
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ORIGINAL ARTICLE11-27-2023
Analysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view
- Lediana Dalla Costa ,
- Késsia Helen Dalmuth ,
- Mayeli Thais Fernandes Vieira ,
- Emanueli Girardi ,
- Gisely Fachinello , [ … ],
- Alessandro Rodrigues Perondi
Abstract
ORIGINAL ARTICLEAnalysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view
Revista Brasileira de Enfermagem. 2023;76(5):e20220717
DOI 10.1590/0034-7167-2022-0717
- Lediana Dalla Costa ,
- Késsia Helen Dalmuth ,
- Mayeli Thais Fernandes Vieira ,
- Emanueli Girardi ,
- Gisely Fachinello ,
- Ângela Morais da Silva ,
- Jolana Cristina Cavalheiri ,
- Alessandro Rodrigues Perondi
Views0See moreABSTRACT
Objectives:
to analyze the development of children discharged from the Neonatal Intensive Care Unit and how hospitalization interferes with child development, from parents’ point of view.
Methods:
a descriptive-exploratory, documentary and qualitative study, carried out with parents of children discharged from the Intensive Care Unit through a telephone survey and supplementation in medical records. Data were analyzed using Bardin’s tool and discussed according to scientific evidence.
Results:
from parents’ point of view, delay in physical development was not observed, however difficulties in breastfeeding and weight gain were reported. Changes in speech and changes in behavior considered abnormal were also delays in child evolution.
Final Considerations:
from parents’ point of view, changes in speech may be associated with hospitalization in an Intensive Care Unit, while difficulties related to breastfeeding and delays in cognition may be altered by conditions of prematurity and low weight at birth.
- Lediana Dalla Costa
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ORIGINAL ARTICLE11-27-2023
Urinary incontinence in women: assessment with the aid of standardized nursing terminologies NANDA-I and NOC
- Liana Priscilla Lima de Melo ,
- Lívia Maia Pascoal ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Francisca Aline Arrais Sampaio Santos ,
- Floriacy Stabnow Santos , [ … ],
- Alana Gomes de Araújo Almeida
Abstract
ORIGINAL ARTICLEUrinary incontinence in women: assessment with the aid of standardized nursing terminologies NANDA-I and NOC
Revista Brasileira de Enfermagem. 2023;76(5):e20220714
DOI 10.1590/0034-7167-2022-0714
- Liana Priscilla Lima de Melo ,
- Lívia Maia Pascoal ,
- Isaura Letícia Tavares Palmeira Rolim ,
- Francisca Aline Arrais Sampaio Santos ,
- Floriacy Stabnow Santos ,
- Marcelino Santos Neto ,
- Francisca Elisângela Teixeira Lima ,
- Alana Gomes de Araújo Almeida
Views0ABSTRACT
Objectives:
to assess urinary impairment in incontinent women with the aid of standardized nursing terminologies NANDA-I and NOC.
Methods:
a cross-sectional study, carried out with 97 women attending the gynecology outpatient clinic of a university hospital. Data collection took place using a form that contained information about NANDA-I diagnoses related to urinary incontinence and NOC Urinary Continence indicators. Statistical analysis was performed to assess the impairment of NOC indicators in the presence of NANDA-I nursing diagnoses.
Results:
diagnosis Mixed Urinary Incontinence was the most prevalent (43.3%), and, in its presence, the most compromised indicators were voids in appropriate receptacle, gets to toilet between urge and passage of urine and empties bladder completely.
Conclusions:
urinary impairment was worse in women with elements of stress and urge urinary incontinence.
Keywords:Health CareNursing DiagnosisOutcome AssessmentStandardized Nursing TerminologyUrinary IncontinenceWomenSee more - Liana Priscilla Lima de Melo
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REVIEW11-27-2023
Vaccination hesitation in children under five years of age: a scoping review
- Eugênio Barbosa de Melo Júnior ,
- Priscilla Dantas Almeida ,
- Beatriz Mourão Pereira ,
- Paulo de Tarso Moura Borges ,
- Elucir Gir , [ … ],
- Telma Maria Evangelista de Araújo
Abstract
REVIEWVaccination hesitation in children under five years of age: a scoping review
Revista Brasileira de Enfermagem. 2023;76(5):e20220707
DOI 10.1590/0034-7167-2022-0707
- Eugênio Barbosa de Melo Júnior ,
- Priscilla Dantas Almeida ,
- Beatriz Mourão Pereira ,
- Paulo de Tarso Moura Borges ,
- Elucir Gir ,
- Telma Maria Evangelista de Araújo
Views0See moreABSTRACT
Objectives:
to synthesize scientific evidence on vaccine hesitancy in children under five years of age and its associated factors.
Methods:
a scoping review, conducted according to the methodological structure proposed by the JBI. Searches were carried out in the Latin American and Caribbean Center on Health Sciences Information, Scientific Electronic Library Online and PubMed databases, including gray literature. Studies in English, Spanish and Portuguese were included, without temporal delimitation. Editorials, studies that did not address vaccine hesitancy in children under five years of age and were not aligned with the objective and research question were excluded. The sample consisted of 18 articles.
Results:
misinformation, concern about adverse effects, distrust about efficacy, affliction regarding administration simultaneously, and insecurity in relation to the laboratories were the reported reasons.
Conclusions:
strategies are needed to combat the lack of information about immunobiological agents, as misinformation was the main factor in parents’ vaccine hesitation.
- Eugênio Barbosa de Melo Júnior
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ORIGINAL ARTICLE11-27-2023
ICNP® terminological subset for people with diabetic foot ulcer in primary health care
- Halene Cristina Dias de Armada e Silva ,
- Sonia Acioli ,
- Patricia dos Santos Claro Fuly ,
- Silvia Maria de Sá Basilio Lins ,
- Juliana Otaciana dos Santos , [ … ],
- Harlon França de Menezes
Abstract
ORIGINAL ARTICLEICNP® terminological subset for people with diabetic foot ulcer in primary health care
Revista Brasileira de Enfermagem. 2023;76(5):e20220668
DOI 10.1590/0034-7167-2022-0668
- Halene Cristina Dias de Armada e Silva ,
- Sonia Acioli ,
- Patricia dos Santos Claro Fuly ,
- Silvia Maria de Sá Basilio Lins ,
- Juliana Otaciana dos Santos ,
- Danielle Lemos Querido ,
- Alessandra Conceição Leite Funchal Camacho ,
- Harlon França de Menezes
Views0ABSTRACT
Objectives:
to elaborate an ICNP® terminological subset for people with diabetic foot ulcers in Primary Health Care.
Methods:
this is a methodological study that followed five steps: 1) Identification of relevant terms for the patients through an integrative literature review and official documents in the area; 2) Mapping of terms identified with ICNP® terms; 3) Construction of statements of nursing diagnoses, outcomes and interventions; 4) Structuring of a terminological subset with the Self-Care Deficit Theory; and 5) Content validity of statements constructed with nurses from a programmatic area in Rio de Janeiro.
Results:
the subset developed is composed of 81 diagnoses/outcomes and 583 nursing interventions, organized into universal, change and development requirements.
Conclusions:
the subset on screen was predominantly composed of statements inserted in self-care requirements related to health changes, reinforcing the importance of quality of life and recovery.
Keywords:Diabetes MellitusDiabetic FootNursing ProcessPrimary Health CareStandardized Nursing TerminologySee more - Halene Cristina Dias de Armada e Silva
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RESEARCH01-01-2016
Modified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
Abstract
RESEARCHModified early warning score: evaluation of trauma patients
Revista Brasileira de Enfermagem. 2016;69(5):906-911
DOI 10.1590/0034-7167-2015-0145
Views0ABSTRACT
Objective:
to identify the severity of patients admitted to an emergency trauma.
Method:
A cross-sectional and retrospective study with 115 trauma patients classified as orange (Manchester System), from June 2013 to July 2014. The data were presented as mean and standard deviation, in addition to the Pearson Chi-square test, One-Way ANOVA and Tukey tests.
Results:
from the sample, 81.7% were male with mean age of 39.46±19.71 years. Higher incidence of major trauma (48.7%) and traumatic brain injury (37.4%). At the end of the outcome and MEWS, most cases that had score 1 to 3 were referred to the operating room and the ICU.
Conclusion:
the start point of MEWS was 2 to 3 points, with significant increase in the severity of the situation of patients seen after 6 hours, and approximately half of the individuals underwent surgery, indicating that the scale is a good predictor of severity.
Keywords:EmergenciesEmergency Medical ServicesExposureMeasures of AssociationRisk or OutcomeSeverity of Illness IndexSee more -
RESEARCH01-01-2016
Occupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
Abstract
RESEARCHOccupational health nurses: interdisciplinary experience in occupational health
Revista Brasileira de Enfermagem. 2016;69(5):897-905
DOI 10.1590/0034-7167-2015-0113
Views0ABSTRACT
Objective:
to analyze the relationship of occupational health nurses with the other members of the Specialized Service in Safety Engineering and Occupational Medicine (SESMT) and characterize joint actions of these professionals in occupational health.
Method:
qualitative, exploratory, and descriptive study with 34 professionals of seven companies from the South Macroregion of the state of Rio Grande do Sul. Interviews and observations were conducted for content analysis of Bardin.
Results:
the SESMTs are multidisciplinary and intersectoral workers. Nurses have working relations of an interpersonal, technical/legal, and management of logistics/organizational nature, influenced by the technical division of work and by the division in the work environment of the staff, which distances areas, generates conflicts, and fragments the actions of the service.
Conclusion:
SESMT faces challenges to develop a work befitting their legal objectives, once staff and companies need to understand the importance of interdisciplinarity for the success of actions on the workers’ health and safety.
Keywords:InterrelationshipOccupational Health NursingOccupational Health ServicesWorkWorkers' HealthSee more -
RESEARCH01-01-2016
Translation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
Abstract
RESEARCHTranslation and adaptation of a pediatric early warning score
Revista Brasileira de Enfermagem. 2016;69(5):888-896
DOI 10.1590/0034-7167-2015-0096
Views0See moreABSTRACT
Objective:
to translate and adapt the BPEWS for the Portuguese language, with the purpose of verifying its applicability in the Brazilian context studied.
Method:
methodological study guided by international and nationally accepted recommendations for translation and adaptation of health measurement instruments. Stages of conceptual, item, semantic, operational and pre-test equivalence are described for obtaining the BPEWS Portuguese version to be used in Brazil.
Results:
the BPEWS version translated and adapted for Brazilian Portuguese (BPEWS-Br) identified, in the pilot study, that 26.6% of children were presenting warning signs for clinical deterioration.
Conclusion:
the BPEWS-Br seems to be applicable for the context studied, and its use might help nurses in the recognition and documentation of warning signs for clinical deterioration in hospitalized Brazilian children.
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RESEARCH01-01-2016
Validation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
Abstract
RESEARCHValidation of the Nursing Activities Score in Portuguese intensive care units
Revista Brasileira de Enfermagem. 2016;69(5):881-887
DOI 10.1590/0034-7167-2016-0147
Views0See moreABSTRACT
Objective:
to describe the process of adaptation and validation of the Nursing Activities Score to the Portuguese context.
Method:
this was a pilot study of adaptation and validation of the Nursing Activities Score with a sample consisting of 67 patients hospitalized in the intensive care units of three Portuguese hospitals. The construct validity was assessed through factor analysis procedures and the internal consistency of the items was measured through the Cronbach’s alpha coefficient.
Results:
a mean workload value of 63.04% (SD = 14.25; Median = 61.30) was obtained. Psychometric data revealed a Cronbach’s alpha of 0.71 in the total scale, indicating an acceptable accuracy. Confirmatory factor analysis suggested an appropriate adjustment between the model and the data (χ2(199) = 214.5, p = 0.214; CFI = 0.95; RMSA = 0.035).
Conclusion:
in the present study, the Portuguese version of the Nursing Activities Score was found to be a valid instrument, enabling a safe assessment of the workload of nurses.
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RESEARCH01-01-2016
Managing educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
Abstract
RESEARCHManaging educational practices for qualified nursing care in cardiology
Revista Brasileira de Enfermagem. 2016;69(5):872-880
DOI 10.1590/0034-7167-2015-0032
Views0See moreABSTRACT
Objective:
to understand significances attributed by nurses who manage nursing care to the individual affected by cardiovascular disease to relations, interactions and associations of the educational practices in a cardiovascular reference hospital. To elaborate a theoretical explanatory model based on significances attributed in the light of the complex thinking.
Method:
qualitative study, which used Theory Based on Data (TBD) as methodological reference. Twenty-two professionals of nursing participated in the study.
Results:
the results indicate need of professional qualification to ensure the safety of patients, institutional support for the realization of educational practices, attitude of openness and availability of dialogue of the health professionals and other institutional conformations for the workers’ development.
Conclusion:
the study presents a new space for the nurse’s action that can be used to qualify and optimize the nursing practice, as it provides visibility to management and care in health institutions.
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RESEARCH01-01-2016
Social representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
Abstract
RESEARCHSocial representations of biosecurity in nursing: occupational health and preventive care
Revista Brasileira de Enfermagem. 2016;69(5):864-871
DOI 10.1590/0034-7167-2015-0114
Views0See moreABSTRACT
Objective:
to understand the biosecurity social representations by primary care nursing professionals and analyze how they articulate with quality of care.
Methods:
exploratory and qualitative research based on social representation theory. The study participants were 36 nursing workers from primary health care in a state capital in the Northeast region of Brazil. The data were analyzed by descending hierarchical classification.
Results:
five classes were obtained: occupational accidents suffered by professionals; occupational exposure to biological agents; biosecurity management in primary health care; the importance of personal protective equipment; and infection control and biosecurity.
Conclusion:
the different positions taken by the professionals seem to be based on a field of social representations related to the concept of biosecurity, namely exposure to accidents and risks to which they are exposed. However, occupational accidents are reported as inherent to the practice.
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RESEARCH01-01-2016
Clinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
Abstract
RESEARCHClinical validation of nursing diagnosis “Willingness for improved infant development”
Revista Brasileira de Enfermagem. 2016;69(5):855-863
DOI 10.1590/0034-7167-2015-0131
Views0See moreABSTRACT
Objective:
to conduct the clinical validation of nursing diagnosis “Willingness for improved infant development”.
Method:
a cross-sectional study, conducted in a Centro de Saúde da Família (Family Health Care center), with 45 healthy breastfed infants. The instrument for collecting the data was prepared based on the literature and validated by nurses. It contained the following variables: sociodemographic, gestational, and obstetrical variables; breastfed infant’s nutritional profile; evaluation of the defining characteristics of the proposed nursing diagnosis.
Results:
all the defining characteristics were found to have high sensitivity values (>90%), positive predictive values (>65%), negative predictive values (>66%); however, low specificity values (<32%). In this study, the defining characteristics we found to have estimates (>0.50) within the ROC curve, which provides good sensitivity and specificity.
Conclusion:
this study verified the structural elements of the proposed nursing diagnosis to be relevant in the clinical context, which justifies the need for its being employed with children, taking into account its contribution to improving nursing care.
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RESEARCH01-01-2016
Oral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
Abstract
RESEARCHOral drugs at a hospital unit: adequacy for use via enteral feeding tubes
Revista Brasileira de Enfermagem. 2016;69(5):847-854
DOI 10.1590/0034-7167-2015-0081
Views0See moreABSTRACT
Objective:
to describe the profile of standardized oral drugs at a hospital unit and assess their adequacy for use via enteral feeding tubes, according to recommendations from the literature.
Method:
descriptive study, with data on drugs collected from the Pharmacy Service Dispensing System. Specific recommendations for the use of these drugs via enteral feeding tubes were found after searches in literary databases, books, manuals, guidelines and package insert collections.
Results:
among the 236 dispensed oral drugs, 86% were in solid form; of those, 32 were “non-crushable”, with the liquid form available at the institution. Twenty-eight drugs with potential interactions with enteral nutrition were identified. Sixty percent of those presented specific recommendations on their administration via enteral feeding tube.
Conclusion:
the joint participation of multidisciplinary nutritional therapy and care teams and the implementation of programs for continuous training are suggested strategies for the prevention of potential problems in the administration of drugs in the hospital setting.
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