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ORIGINAL ARTICLE01-10-2024
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
Abstract
ORIGINAL ARTICLEClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
DOI 10.1590/0034-7167-2023-0527
Views0See moreABSTRACT
Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Views0Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]See more -
ORIGINAL ARTICLE01-10-2024
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
Abstract
ORIGINAL ARTICLEPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
DOI 10.1590/0034-7167-2023-0421
Views2See moreABSTRACT
Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
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LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
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ORIGINAL ARTICLE12-16-2023
Analysis of the convergence of the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture
Revista Brasileira de Enfermagem. 2023;76(1):e20210379
Abstract
ORIGINAL ARTICLEAnalysis of the convergence of the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture
Revista Brasileira de Enfermagem. 2023;76(1):e20210379
DOI 10.1590/0034-7167-2021-0379
Views0See moreABSTRACT
Objectives:
to analyze patient safety culture from nursing professionals’ perception at a university hospital, by assessing the convergence between the Safety Attitudes Questionnaire and the Hospital Survey on Patient Safety Culture.
Methods:
a cross-sectional study, with 434 nursing professionals. Data collection took place through the application of both instruments. Descriptive and inferential statistics were used.
Results:
in the Hospital Survey on Patient Safety Culture, the “teamwork within the units” dimension was considered a strong area of patient safety. In the Safety Attitudes Questionnaire, the “job satisfaction” and “perception of stress” domains reached the score for a good safety culture. Patient safety culture perception is correlated, in both instruments, with high magnitude.
Conclusions:
the two instruments converge towards a similar assessment of patient safety culture.
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ORIGINAL ARTICLE12-16-2023
Tangency and multiple factors of violence against lecturer: nuances of the experience in pedagogical practices in health education
Revista Brasileira de Enfermagem. 2023;76(1):e20210865
Abstract
ORIGINAL ARTICLETangency and multiple factors of violence against lecturer: nuances of the experience in pedagogical practices in health education
Revista Brasileira de Enfermagem. 2023;76(1):e20210865
DOI 10.1590/0034-7167-2021-0865
Views0See moreABSTRACT
Objective:
to identify factors that lead the teacher to experience violence in their pedagogical practice in health education.
Method:
research with a qualitative approach, based on the Grounded Theory, conducted with 11 professors of the nursing course of a public university in the central region of Brazil in 2020 and 2021. Online semi-structured interviews were analyzed partially in the light of the Constructivist Grounded Theory.
Results:
factors that lead lecturer to experience violence are characterized by institutional culture, gender, professor’s perception of violence, and the triggers that drive students to commit violence. Social status and inequalities lead to positions of domination and, consequently, create a fertile ground for violence.
Final Considerations:
analyzing violence under Bourdieu’s theory, it is clear that student violence towards lecturer and the reports contained in this study deserve pedagogical reflection. However, it is necessary to include these discussions as a background in teaching environments.
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ORIGINAL ARTICLE12-16-2023
Cardiac anxiety in the perioperative period of patients undergoing cardiac surgical procedures: an observational study
Revista Brasileira de Enfermagem. 2023;76(1):e20220250
Abstract
ORIGINAL ARTICLECardiac anxiety in the perioperative period of patients undergoing cardiac surgical procedures: an observational study
Revista Brasileira de Enfermagem. 2023;76(1):e20220250
DOI 10.1590/0034-7167-2022-0250
Views0See moreABSTRACT
Objective:
to compare cardiac anxiety symptoms in patients undergoing coronary artery bypass graft and valve surgery repair in the preoperative period, on the day of hospital discharge and on the first return visit after hospital discharge.
Methods:
an observational study, carried out in inpatient units and in outpatient clinic of a university hospital. Data were collected through interviews. Cardiac anxiety symptoms were assessed using the Cardiac Anxiety Questionnaire.
Results:
we observed the effect of time on cardiac anxiety symptoms of patients undergoing coronary artery bypass graft in the total score and in the “Avoidance” domain at discharge and at the first return visit. In patients undergoing valve repair surgery, the effect of time on symptoms was observed only in the first return visit, when compared with the preoperative period.
Conclusion:
the findings revealed increased cardiac anxiety symptoms in the postoperative period, discharge and first return, when compared to the preoperative period.
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REVIEW12-16-2023
Educational interventions in child development and health literacy assumptions: an integrative review
Revista Brasileira de Enfermagem. 2023;76(1):e20220116
Abstract
REVIEWEducational interventions in child development and health literacy assumptions: an integrative review
Revista Brasileira de Enfermagem. 2023;76(1):e20220116
DOI 10.1590/0034-7167-2022-0116
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Objectives:
to analyze scientific evidence in the literature that addresses educational interventions conducted by health professionals on early childhood development in a community context and to identify which health literacy assumptions are present during the implementation of interventions.
Method:
an integrative review in PubMed, CINAHL and Web of Science databases. Of 300 studies found, we selected 11 for the sample.
Results:
health professionals are trained to implement interventions with parents/caregivers to promote child development in community settings. Parents are encouraged to develop an environment that is encouraging and conducive to the development of their children. The main dimensions of health literacy found were access and apply.
Conclusion:
it confirms the importance of training health professionals, with skills and communicative skills to guide parents/caregivers to encourage the development of their children in their family environment with playful and interactive activities.
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03-09-2020
Psychiatric nursing and mental health teaching in relation to Brazilian curriculum
Revista Brasileira de Enfermagem. 2020;73(2):e20180200
Abstract
Psychiatric nursing and mental health teaching in relation to Brazilian curriculum
Revista Brasileira de Enfermagem. 2020;73(2):e20180200
DOI 10.1590/0034-7167-2018-0200
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Objectives:
to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum.
Methods:
an Integrative Literature Review with no temporal delineation, whose data collection took place in ten Brazilian and international databases, adding to the total 35 objects of analysis.
Results:
a priori categories were adopted, consisting of the psychiatric nursing and mental health teaching in Brazil according to the 1923, 1949, 1962, 1972, 1994 and 2001 nursing curriculum, presented in the light of the dimensions: thought model; places of practice; methods or contents used; and profile or skills of the student.
Final considerations:
the study made it possible to observe psychiatric nursing and mental health teaching historical evolution, indicating that teaching transformations involved changes in curriculum, Psychiatric Reform and the way nursing undergraduate courses and schools take these determinants.
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ORIGINAL ARTICLE04-03-2020
Nurse as an integrator in healthcare management of children with chronic condition
Revista Brasileira de Enfermagem. 2020;73(3):e20180453
Abstract
ORIGINAL ARTICLENurse as an integrator in healthcare management of children with chronic condition
Revista Brasileira de Enfermagem. 2020;73(3):e20180453
DOI 10.1590/0034-7167-2018-0453
Views0See moreABSTRACT
Objectives:
to understand the practice of the nurse in healthcare management of children with chronic condition in the hospital setting.
Methods:
analytical study of qualitative approach with theoretical and methodological reference of institutional ethnography. Developed in the pediatric unit of a university hospital, in a municipality in Northeastern Brazil. Data collections techniques were: participant observation, documentary analysis and semi-structured interview. Participants of the study totaled twenty professionals, including nurses, social workers, psychologists, pharmacists, nutritionists, physiotherapists, and doctors. For data analysis, it was used the Bardin’s Content Analysis with interface of the Atlas.ti software.
Results:
categories of analysis were “Nurse as mediator of healthcare management”; “Nursing process as a mechanism of healthcare management”.
Final
considerations: the nurse proved to be essential for healthcare management of the child with chronic condition, acting as mediator of the relationship between the doctor, the members of the health team, the user and their family.
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REVIEW10-19-2020
Effectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190815
Abstract
REVIEWEffectiveness of skin protectors and calendula officinalis for prevention and treatment of radiodermatitis: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190815
DOI 10.1590/0034-7167-2019-0815
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Objective:
to analyze the effectiveness of skin protectors and Calendula officinalis for prevention and treatment of radiodermatitis.
Method:
an integrative review conducted at CINAHL, Cochrane Library, Embase, MEDLINE/PubMed, IBECS, LILACS, and Web of Science. The final sample consisted of five studies, four clinical studies and one preclinical. Critical appreciation and narrative synthesis of the findings were carried out.
Results:
the Cavilon™ skin protector was more effective than Sorbolene (cream with 10% glycerin) and less effective than Mometasone Furoate cream. Calendula officinalis was more effective than Trolamine and essential fatty acids and less effective than Ching Wan Hung® for prevention and treatment of radiodermatitis.
Conclusion:
data confirm the potential of Calendula officinalis for prevention and treatment of radiodermatitis and point to promising results regarding skin protector use; however, there is a need for further testing as to the effectiveness of such products.
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ORIGINAL ARTICLE07-08-2020
Cognition and quality of life relationship among the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190030
Abstract
ORIGINAL ARTICLECognition and quality of life relationship among the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190030
DOI 10.1590/0034-7167-2019-0030
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Objective:
to assess cognitive functions and their association with quality of life among elderly people enrolled in a Family Health Unit (FHU) of Primary Health Care in Recife-PE.
Methods:
a quantitative, descriptive, cross-sectional study in which elderly aged 60 years and over were studied.
Results:
76.7% of the elderly were women and the age group was less than or equal to 70 years. 68.6% had cognitive impairment, and in the quality of life assessment it was found that the social participation facet had the highest mean score among the elderly (14.25), while the lowest was observed in the sensory functioning facet (9.10). There was an association between cognitive decline and quality of life.
Conclusion:
most of the elderly had good quality of life rates, but low cognitive level. Using screening tools allows early detection of health problems, guiding the nursing staff in the construction of preventive measures.
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ORIGINAL ARTICLE05-18-2020
Expert assessment of the “Neonatal Pain Assessment Program” online course
Revista Brasileira de Enfermagem. 2020;73(4):e20180392
Abstract
ORIGINAL ARTICLEExpert assessment of the “Neonatal Pain Assessment Program” online course
Revista Brasileira de Enfermagem. 2020;73(4):e20180392
DOI 10.1590/0034-7167-2018-0392
Views0See moreABSTRACT
Objectives:
to assess layout quality, visual identity and content of the “Neonatal Pain Assessment Program” (Programa de Avaliação da Dor Neonatal) online course.
Methods:
a descriptive exploratory study. The course was assessed by 24 experts in pain, neonatology and education. A form containing 20 questions on technical, interface and educational aspects was used. For each item, the score ranged from 0 to 1. Mean scores above 0.7 were considered indicative of high quality of the items. Descriptive statistics were used for data analysis.
Results:
navigation, clarity, ease of localization, content relevance, contextualization, content correction, multiple windows, ease of use, ease of return, ergonomics, esthetics, special brands, audiovisual resources, information and portability were assessed. All aspects obtained a mean ≥ 0.70 and no changes were required.
Conclusions:
the Neonatal Pain Assessment Program is considered as quality educational technology and promising strategy for health education.
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05-28-2021
Are symptoms of depression and anxiety in nursing students associated with their sociodemographic characteristics?
Revista Brasileira de Enfermagem. 2021;74:e20200503
Abstract
Are symptoms of depression and anxiety in nursing students associated with their sociodemographic characteristics?
Revista Brasileira de Enfermagem. 2021;74:e20200503
DOI 10.1590/0034-7167-2020-0503
Views0See moreABSTRACT
Objective:
to investigate symptoms of depression and anxiety and their association with the sociodemographic characteristics of undergraduate nursing students.
Methods:
a cross-sectional analytical study carried out with students from the Faculty of Nursing at Universidade Federal de Juiz de Fora from June to July 019. Data were collected through a sociodemographic questionnaire and the Beck Depression and Anxiety Inventories.
Results:
192 students participated, with a mean age of 21.44 (±3.56) years. 85.93% of participants were female. The mean depression score was 22.40 (±12.35), and anxiety was 17.56 (±11.98). There was a difference in the mean of the scales for sex and psychotropic drugs (p<0.05). Women presented moderate and severe classification for both scales. Severe symptoms prevailed among students from the 6th to the 10th semester (18.22%).
Conclusion:
there was an association between depression and anxiety symptoms related to gender and psychotropic drugs.
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01-22-2021
Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives
Revista Brasileira de Enfermagem. 2021;74:e20190743
Abstract
Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives
Revista Brasileira de Enfermagem. 2021;74:e20190743
DOI 10.1590/0034-7167-2019-0743
Views1See moreABSTRACT
Objective:
to understand humanization practices in the parturitive course from the point of view of purperae and nurse-midwives.
Methods:
an exploratory, descriptive, qualitative research carried out in a maternity hospital in Bahia State. Semi-structured interviews were carried out, with a structured script applied to 11 mothers and 5 nurse-midwives from March to June 2019. Analysis followed Bardin’s content structure.
Results:
this study unveiled the importance of using soft care technologies, respect for female role, active participation and women’s autonomy as a positive impact on the parturition process.
Final considerations:
nurse-midwives are qualified professionals to assist women in labor and birth. They can favor the implantation and implementation of care with humanization practices, respect for women’s choices and incentive to the normal way of delivery with an expanded view of individual and multidisciplinary needs.
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03-05-2021
Moral suffering in health professionals: portrait of the work environment in times of COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200653
Abstract
Moral suffering in health professionals: portrait of the work environment in times of COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200653
DOI 10.1590/0034-7167-2020-0653
Views0See moreABSTRACT
Objective:
To analyze potential triggers of moral suffering experiences of health professionals, reported in the media, during the COVID-19 pandemic and to propose a theoretical construct of analysis.
Methods:
Study with qualitative approach whose data source were 50 reports published online, collected passively and actively, submitted to Content Analysis with the help of ATLAS.ti software.
Results:
The potential moral problems that trigger moral suffering are related to the threat to moral integrity, infrastructure/logistics and teamwork problems, and emotional aspects, revealing their articulation with damage to the foundations of a healthy work environment, which generated the proposal of a construct.
Final considerations:
The articulation between the experiences of moral suffering and the commitment of the fundamentals of a healthy work environment has brought important contributions to the adoption of strategies to protect and stimulate moral deliberation by professionals in favor of practice and society.
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